Ọrịa mamịrị polyneuropathy na-arịa ọrịa shuga - gịnị ka ọ bụ na otu esi agwọ ya

Ọrịa polyneuropathy na-arịa ọrịa shuga bụ nnukwu ọrịa, yana mmebi nke akụkụ akwara ndị nwere oke ụjọ. Ọrịa a bụ nsogbu nke ọrịa shuga, ihe ịrịba ama mbụ ya pụtara ọtụtụ afọ mgbe nchọpụta nke ọrịa shuga gasịrị. Ọ na-aga nwayọ nwayọ, ụzọ mbụ ma akụkụ ahụ akụkụ akwara nso na usoro ahụ.

Achọpụtara polyneuropathy na 70% nke ndị ọrịa na-arịa ọrịa shuga na, dịka iwu, esonyelarị n'ọdịdị a mgbe ọgwụgwọ anaghị adịkarị. Ngwọta na-enweghị isi na-eduga na ọdịdị nke mgbu dị ukwuu, arụmọrụ efuola. E nwere ọnwụ. Tụlee otu esi agwọ polyneuropathy na ọrịa shuga.

Ihe kpatara, pathogenesis nke polyneuropathy

Isi ihe na-akpali usoro nke neuropathy bụ ịba ụba nke glucose n'ọbara. Nsonaazụ bụ mmụba nke usoro ọrụ oxidative. Ihe na-akpata ihe na-ezighi ezi na-agbakọ n'ime ahụ, nke na-emetụta ndị neurons n'ụzọ na-adịghị mma, na-akpaghasị ọrụ ha.

Oké shuga na-eduga n'ịrụ ọrụ nke ihe ndị na-emebi mkpụrụ ndụ na-emebi akwara anụ ahụ. Nnukwu glucose na-akpata ọgba aghara na osmolarity nke oghere intracellular, akwara anụ ahụ na - emegharị, a na - agbagha ihe omume n'etiti sel. A na-agbadata uto nke akwara eriri akwara. Hyperglycemia na-adịgide adịgide na-ebelata ike metabolism, ike na-ebute ihe na-akawanye njọ. Ọgwụgwụ sel akwara na-enweta hypoxia (agụụ oxygen).

Ihe na-akpata mmepe nke neuropathy:

• Ogologo ndu nke oria shuga;
• Ọka nká;
• Ọnụnọ nke àgwà ọjọọ;
• Ime mmiri ọgwụ, ọgwụ ọgwụ ike.

Ọrịa ụbụrụ pụrụ ịmalite site n'usoro ọrịa nke sistem:

• Ischemia
• Neoplasms dị egwu;
• Hypothyroidism;
• Cirrhosis;
• Uremia.

Nkewa

Dabere na akụkụ nke sistem ahụ mebiri emebi, a na-amata ọtụtụ ụdị nke polyneuropathy:

1. Standalone. Ejiri mara ya akụkụ nke akụkụ ahụ ọ bụla ma ọ bụ sistemụ. E kewara ya iche iche:

• Cardiac
• Gastrointestinal;
• Ntughari
• Urogenital.

2. Somatic. Site n'ụdị a, ọrịa ahụ na-emetụta ahụ niile.

Dabere na ntụpọ ọnya dị iche iche, a na-ahụta ụdị 3 nke neuropathy:

1. Ihe mmetụta. Mmetụta nke onye ọrịa na-akpasu iwe.
2. Ọgbọ. Ọrụ moto adịghị arụ ọrụ.
3. Distdị Distal (sensorimotor). Ọrịa ahụ na-ejikọta akara nke ụdị 1st na nke abụọ.

Otutu mgbe, a na - achota ihe onodu mmadu, ihe oria mamịrị, mampaal di iche iche.

Ọrịa

Ahụhụ nke usoro ụjọ ahụ na-akpalite mmalite nke mgbanwe nke polyneuropathy mamịrị. Ihe ngosiputa oria a bu nke akwara akwara tinye aka n’usoro a: obere ma obu ibu. Na nke mbu, onye ọrịa:

• Ọkpụkpụ aka (akụrụngwa, elu);
• Enwere mmetụta na-enwu ọkụ, na-enweghị uche;
• Akpụkpọ ahụ na-enweghị mmetụta na ọnọdụ okpomọkụ dị elu ma dị ala;
• Akpụkpọ ụkwụ ụkwụ na-acha ọbara ọbara;
• Aka na ukwu enweghị onwe ha;
• Swkwụ na-agbada, ọsụsọ na-agbaze;
• Akpukpo ahu n’ukwu ya akpọnwuwo, kpọnwụọ;
• N’abalị, ihe mgbu na-apụta n’aka;
• Calluses, mkpọka na-egbu mgbu na-etolite n'ụkwụ.

Ọ bụrụ na emetụta nnukwu akwara akwara, ngosipụta nke ọrịa ahụ ga-abụ ihe ndị a:

• Echiche na-enye nsogbu mgbe ị na-azọ ije;
• Na-eche banyere mgbu nkwonkwo;
• Akpụkpọ ahụ nke ala ala aka adịrị akpachapụkwuo anya;
• Site n'inye mmetụ aka, ihe mgbu na-apụta;
• A na-ahụta ntụgharị nke mkpịsị aka mkpịsị aka.

Na mgbakwunye, polyneuropathy na-esite na ngosipụta ndị na-enweghị isi. Ndị a gụnyere:

• Ọrịa afọ;
• Akwara ike;
• Dizziness
• Ọrịa okwu;
• Ahụhụ anya.

Tụlee njirimara nke njiri mara ụdị polyneuropathy ndị a na-amakarị. Site na ọnya nke sistemụ akwara autonomic (n'ụdị akpati), ọrụ digestion na-akawanye njọ, ọgbụgba na-apụta. Ọ bụrụ na mmadụ ebili, ọchịchịrị n'anya ya, o nwere ike ịda mba. Site n'ụdị neuropathy a, enwere nnukwu ihe ize ndụ nke ọrịa genitourinary. Myocardial dysfunction mgbe ụfọdụ na-akpata ọnwụ mberede.

Ọrịa polyneuropathy na-arịa ọrịa mamịrị na-emetụtakarị aka na ụkwụ, nke dịkarịsịrị emetụta ndị nke dị elu. E nwere usoro ato nke mmepe pathology:

1. Subclinical. Enweghị mkpesa pụrụ iche, ọ bụ naanị mmetụ nke nsọtụ ihe mgbu, a na-ebelata oke ala.
2. Clinical. Ndị ọrịa na-eme mkpesa maka ihe mgbu n'akụkụ dị iche iche nke ahụ, akwara na aka, na-akawanye njọ. Site na usoro mmepe na-aga n'ihu, mgbanye, ọkụ, na ihe mgbu na-apụta. N’abalị, ihe mgbaàmà ahụ na-akawanye njọ. Formdị na-adịghị egbu mgbu, a na-eji ya eme ihe: njupụta nke ụkwụ, oke mmebi nke uche, adịghị ike, ọrụ moto.
3. Nsochi Ọkpụkpụ na-etolite n'ụkwụ, ụfọdụ n'ime ha ka mgbu na-eso ya. Ọrịa na-eto eto nwere ike ịkpalite mmepe nke gangrene, mgbe ahụ, a ga-eme mkpebi gbasara mbepu.

Ihe nrịba ama na-egosikarị n'abalị. Ejiri ụdị a site na paresthesia na-adịgide adịgide. A na-egosipụta ha site na mmetụ nke ọnụọgụ, ọdịdị nke "ọgazị bumps", na-akụ.

Ndị dọkịta na-achọpụta ọdịiche dị n'etiti akara dị mma na nke ọjọọ nke polyneuropathy mamịrị. Ihe oma putara na mbido, ha gunyere:

1. Ingkwanye ọkụ (na aka nke 1st ma ọ bụ n’ahụ niile). A na-ahụkarị nke ọma ma mmadụ zuru ike dịka o kwere mee, yana n’abali.
2. Mgbu mgbu na akpịrị, afọ, na hypochondrium kwesịrị ekwesị.
3. Ọkpụkpụ azụ, ihe egwu ọkụ eletrik yiri.
4. Mmetụta mmetụta na-egbu mgbu (allodynia) na mmetụ ọkụ.
5. Akpachapụ anya na ihe mgbu ike ọ bụla.

Mgbaàmà ọjọọ:

• Ọkpụkpụ aka;
• Mgbu na mmegharị nke ụkwụ, ogwe aka;
• Mgbanye;
• Odide nke aka aka ekpe.

Ọrụ nke ngwa a na - arụ ọrụ, onye ọrịa nwere ezigbo nkwụsi ike mgbe ọ na - eje ije. Ọdịdị nke mgbaàmà na-adịghị mma na-egosi mmalite nke ọrịa ahụ, oge mgbanwe ndị ahụ agabigaghị.

Diagnostics

Site na inyo enyo nke polyneuropathy, ịkwesịrị ịkpọtụrụ endocrinologist, neurologist, dọkịta na-awa ahụ. A na-eme nchọpụta ahụ dabere na mkpesa, nyocha onye ọrịa na nsonaazụ nke ụlọ nyocha na akụrụngwa. Ọnọdụ a na-atụle, aka na aka aka ekpe. Ihe omumu ulo abuo putara ihe:

• Ọkwa cholesterol;
• Ego shuga dị n’ọbara, mmamịrị;
• Glycosylated haemoglobin, C-peptide;
• Ọbara insulin ọbara.

Ọzọkwa, a na-eme ECG, nyocha nke ultrasound, electroneuromyography, na MRI.

Ọgwụgwọ

Site na nyocha oge, ọgwụgwọ zuru oke nke polyneuropathy n'oge mmalite, ịkọ maka mgbake ga-adị mma n'ọtụtụ ndị ọrịa.

Ọnọdụ dị mkpa bụ ịnọgide na-enwe shuga ọbara.

Ọgwụ nke polyneuropathy nke ọrịa mamịrị nke mpaghara ala dị mgbagwoju anya, ọ dị mkpa iji metụta ihe ndị na-akpata na mgbaàmà nke ọrịa. Usoro ọgwụgwọ ọgwụgwọ gụnyere:

1. Na-ewepu glucose gabigara n’arụ akwara, na-arụzi mkpụrụ ndụ ndị mebiri emebi site n’enyemaka nke alfa-lipoic acid. Ihe a sitere na antioxidants, na-ekere òkè na usoro metabolic. Alfa-lipoic acid na - egbochi mmetụta nke radicals, na - akwalite mbibi nke glucose, na - akpali usoro nke njem ya.
2. Weghachite usoro nke ịnyefe, na -ebelata mmetụta na-adịghị mma nke oke shuga na mkpụrụ ndụ akwara. Nzube nke a, a na-enye onye ọrịa ọgwụ vitamin B, nke na-emetụta steeti nke isi akwara na usoro akwara. Vitamin E bara uru na ibelata mmetụta ọjọọ nke glucose na neurons.
3. Iweghachi metabolism nkịtị na akwara akwara site na ị drugsụ ọgwụ antioxidant. Enyere ezigbo nsonaazụ bụ Actovegin, nke anaghị enye nsonaazụ ya. Ngwá ọrụ ahụ nwere mmetụta antihypoxic, na-emetụta n'ụzọ dị omimi, tinye n'ọrụ oxygen. Ọgwụ na-egosipụta mmetụta insulin yiri, ebe ọ na-eme ka usoro oxidation dịkwuo elu, glucose. Inweta Actovegin ga-enye gị ohere itinyeghachi ikike nchekwa na neurons.
4. Na-emebi usoro nke usoro glucose, na -ebelata mmetụta ọjọọ ya na akụkụ nke sistem ụjọ site na ị takingụ ọgwụ ndị na-egbochi aldose reductase (Olredaza, Isodibut, Sorbinyl). Ọgwụ na-ebelata ngosipụta nke neuropathy: iwepu akara mgbu, weghachite mmetụta nke aka, mee ka ọgwụgwọ nke ọnya dịkwuo ngwa.
5. Enyemaka nke ihe mgbu mgbu site na ọgwụ mgbochi mkpali na - abụghị steroidal (Diclofenac, Ibuprofen).
6. Mwepu nke ọnya, ihe ọdịdọ na ọgwụ, nke gụnyere potassium, calcium, magnesium.
7. Mgbe ọnya apụta na aka n'ụkwụ, a na-edenye usoro ọgwụ mgbochi, ndị na-agwọ ọnya na mpaghara.

Iji bulie ịdị irè nke ọgwụgwọ, ekwesịrị ịjikọta ojiji nke ọgwụ na ụzọ ndị na-abụghị ọgwụ ọgwụ. Iji meziwanye mgbasa ọbara na ijigide ụda olu, a na-enye onye ọrịa ahụ ọgwụ (electrophoresis, magnetotherapy). E weghachiri arụmọrụ nke ala nke ala site na enyemaka nke ịhịa aka n'ahụ, acupuncture.

Mmetụta dị mma bụ igwu mmiri, usoro mmega ahụ. Na-emega ahụ kwa ụbọchị, maka nkeji 10-20.

A na-atụ aro iji sọks na-ekpo ọkụ kpoo ụkwụ gị, rịba ama na maka nzube a, ịnweghị ike iji paịlị na-ekpo ọkụ, ịsa ahụ ụkwụ.

Ogwu ogwu

Na mgbakwunye na usoro ọgwụgwọ dọkịta nyere gị, enwere ike ịgwọ gị na ọgwụ ọdịnala. Ọgwụ herbal ga - enyere aka belata ihe mgbaàmà.

Dezie ogo shuga na iji decoction, nke gụnyere:

• Pepemint - 30 g;
• Ọka stigmas - 60 g;
• Galega (ewu) - 100 g;
• Bean Sash - 100 g.

Yet 6 tebụl. l Na-anakọta 1 liter nke esi mmiri ma gbanye obere okpomọkụ maka 5 nkeji. Tupu ojiji, kpachie ofe ma were nri tupu nri. Otu ego bụ 100 ml.

Iji nye neurons ihe n’ile nri, were otu ahihia vitamin kwa ụbọchị. Will ga - achọ:

• Kefir - 1 tbsp .;
• Mkpụrụ osisi sunflower - 2 okpokoro. l .;
• Pasili - nụrụ ụtọ.

Bee gbue mkpụrụ sunflower, gbakwunye kefir. Tinye elu na mix. Na-a aụ mmanya nke 1 p / ụbọchị ọkara ọkara awa tupu nri ụtụtụ (na afọ efu).

Clove (ose) nwere ezigbo antioxidant utịp. Iji kwadebe infusion ị ga-achọ:

• Clove - 30-35 g;
• Mmiri - 3 tbsp.

Mike ngwa nri, wunye n'ime a thermos. Wunye esi mmiri, hapụ maka awa 2. Jiri infusion 3 r / ụbọchị.

Otu ego ga-abụ 1⁄4 tbsp. Oge ọgwụgwọ bụ izu abụọ. Tinyegharịa na ụbọchị 10.

Iji weghachi ọgụgụ isi nke ndị nabatara ya, ị nwere ike iji ụrọ na-acha anụnụ anụnụ mee ihe mkpuchi. Itughari ya na mmiri, ihe mejuputara kwesiri iyi akwa utoojoo. Tinye ebe a na-enwe ihe mgbu, hapụ ka nkụ. Oge ojiji - izu abụọ.

Site n'ụdị polyneuropathy dị anya, ọgwụgwọ mpụga nke sitere na ledum ga-enyere aka. Will ga - achọ:

• Ledum - 0,5 tbsp .;
• Mbadamba okpokoro (9%) - 0,5 tbsp.

Na ngwakọta kwesịrị inye 10 ụbọchị. Tupu ojiji, jiri mmiri mmiri ghee obere tincture (na 1: 1). Kechie ngwaahịa a n'ụkwụ gị 3 / ụbọchị.

Enwere ike iji mmanu nke St John's wort mee ya aka na ukwu aka. Ngwakọta nke ngwá ọrụ gụnyere:

• Epupụta, ifuru hypericum (ọhụrụ) - okpokoro 3. l;
• Mmanụ nri - 1 tbsp .;
• Ginger (mgbọrọgwụ) - 1 tebụl. l

Mike Stick wort, wụsa mmanụ ọkụ. Hapụ n'ebe gbara ọchịchịrị maka izu 3. Igbu ngwaahịa a, gbakwunye ginger mgbọrọgwụ. Debe mmanụ Hypericum na friji.

Iji mee ka metabolism dị na akụkụ nke sistemụ ụjọ, drinkụọ ọgwụ mkpụrụ ọgwụ ọgwụ:

• Burdock (mgbọrọgwụ);
• Birch (akwụkwọ);
• Akwa;
• Hops (cones);
• Nwa ojii (Elderberry ojii);
• The frat;
• Licorice (mgbọrọgwụ);
• Usoro nke.

Were ihe mejupụtara akụkụ akụkụ hà nha. Debe tebụl abụọ na thermos. l gwakọtara, wụsa esi esi mmiri (4 tbsp.), wepụta maka elekere 8 (ị nwere ike ịbọchi abali). Aụọ mmanya n’ehihie kama ị .ụ tii. Oge ihe eji eme ya bụ ọnwa 1. Tinyegharịa N'ezie na 10 ụbọchị.

Mgbochi

Iji gbochie ọdịdị nke polyneuropathy, a ghaghị ịchịkwa shuga. Ihe ndi ozo:

• Nrube isi na nri akwadoro;
• Isesme mmega ahụike na ahụ ike;
• Refjụ omume ọjọọ;
• Nnyocha dọkịta na-eme mgbe niile.

Mgbanwe polyneuropathy na-achọpụta n'oge ga - agbanwegharị ma ọ bụrụ na enwere ụgwọ nkwụghachi ụgwọ maka ọrịa shuga.