Kuzindikira ndi kuchiza matenda a shuga

Matenda a shuga ndi matenda osachiritsika omwe amadziwika ndi kuchuluka kwa shuga m'magazi. Chimodzi mwazovuta zake ndi neuropathy. Amadziwika ndi kuwonongeka kwa dongosolo lomwe limakhala lambiri lamanjenje. Vutoli limachitika zaka 10-15 atatha matenda ashuga.

Kutsitsa magazi

Neuropathy imachitika ngati kuchepa kwa shuga m'magazi sikumawonedwa. Nthawi zambiri, munthu wathanzi amakhala ndi magazi othamanga a glucose a 3.5-6.2 mmol / L. Mu shuga, chizindikiro ichi chimaposa 6.5 mmol / L. Kuchepetsa shuga m'magazi ndiye ntchito yofunika kwambiri pakuchiza matenda ashuga mwa anthu.

Matenda a shuga ndi matenda osachiritsika omwe amakhala ndi kuchuluka kwa shuga m'magazi, chimodzi mwazovuta zake ndi neuropathy.

Alpha Lipoic Acid wa Matenda A shuga

Ndi vuto la insulin m'magazi kapena kuwonongeka kwa maselo a receptor, alpha-lipoic acid ndi yofunika. Amamwa onse a prophylaxis komanso mankhwalawa a matenda amtundu 2. Lipoic acid ali ndi zotsatirazi mthupi:

1. Ndi antioxidant wamphamvu. Izi zimateteza thupi ku ma free radicals omwe amapangidwa chifukwa cha metabolic process. Mulingo wambiri wa shuga mu shuga umabweretsa kuwonjezeka kwa mitundu ya okosijeni yaulere m'thupi, yomwe imayambitsa kupsinjika kwa oxidative. Imagwira ntchito yofunika kwambiri pakukula kwa neuropathy.
2. Amamangirira zinthu zapoizoni.
3. Imawongolera kupatsirana kwa mitsempha.
4. Amasintha magazi kukhala am'mitsempha.
5. Amatenga mitochondrial cell metabolism.
6. Zimalimbikitsa kugwiritsidwa ntchito kwa glucose ofanana ndi insulin.

Lipoic acid akupezeka mu mawonekedwe am'mapiritsi a pakamwa.

Matenda Ochotsa Matendawa

Alfa glucosidase inhibitors amagwira ntchito pochiza matenda a shuga. Glucobay ndi wawo. Zomwe zimagwiritsidwa ntchito ndi acarbose. Ichi ndi hypoglycemic (kutsitsa shuga m'magazi) mankhwala amkamwa a mtundu 2 wa shuga.

Lipoic acid amamangirira poizoni.

Lipoic acid imapangitsa kufalitsa kwa mitsempha.

Glucobay amatchulidwa chithandizo chovuta kwambiri cha matenda ashuga a 2.

Mankhwalawa amathandiza kuti muchepetse kuyamwa kwa chakudya cham'magazi komanso kupanga mamolekyulu a shuga. Zotsatira zake ndi kudya shuga pang'onopang'ono m'magazi ndi kuchepa kwake. Glucobay amatchulidwa chithandizo chovuta kwambiri cha matenda ashuga a 2. Kumwa mankhwala kuyenera kuphatikizidwa ndi zakudya.

Mankhwala osokoneza bongo oletsa kuponderezana

Chifukwa cha kuwonongeka kwa mitsempha ya zotumphukira, mankhwala olimbana ndi kutupa ochokera ku gulu la NSAID amagwiritsidwa ntchito kwambiri. Zomwe zimasankhidwa kwambiri ndi indomethacin, nimesulide ndi analgin. Amachepetsa kutupa, kutupa ndi kupweteka. Indomethacin amathandizira kuchotsa zizindikiritso za matenda ashuga polyneuropathy (kupweteka, kufooka kwa minofu). Mankhwala osagwirizana ndi nonsteroidal anti-yotupa ndi ma analgesics omwe si a narcotic ndi othandiza kwambiri ku mtundu wopweteka wa neuropathy.

Actovegin wa polyneuropathy

Ngati munthu akudwala matenda a shuga, ndiye kuti mankhwalawa omwe ali ndi neuroprotective ndi antihypoxic effect amaphatikizidwa ndi mankhwalawa. Izi zikuphatikiza Actovegin. Amagwiritsidwa ntchito ngati njira yothetsera jakisoni ndi mapiritsi. Chochita chake chimakhala ndi zigawo za magazi a ng'ombe.

Actovegin ali ndi zotsatirazi mthupi la anthu odwala matenda ashuga:

1. Zimasintha kayendedwe ka khungu ndikugwiritsa ntchito shuga. Izi zimatheka chifukwa cha inositol phospho-oligosaccharides pokonzekera.
2. Zimalimbikitsa kukoka minofu.
3. Amachepetsa mapangidwe a lactate (lactic acid) mu minofu yomwe ikuchitika ndi ischemia.
4. Amasintha mkhalidwe wamanjenje wamanjenje.
5. Zimasintha kusintha kwakachulukidwe.

Actovegin imakhala ndimagazi a ng'ombe.

Mitundu ya matenda ashuga a shuga

Matenda a diabetes a neuropathy amatha kukhala amitundu ingapo. Mitundu yotsatirayi yamaphunziro amodzi ndiosiyanitsidwa:

1. Autonomic Neuropathy Syndrome. Mitundu yake 5 imayikidwa: urogenital, m'mimba, sudomotor, kupuma (kupuma) ndi mtima (mtima).
2. Syndrome ya generalized symmetric neuropathy. Zimatha kukhala zomverera (mitsempha yam'mutu imakhudzidwa kwambiri), ma motor (ma motor neurons amatenga nawo mbali), osakanikirana ndi hyperglycemic.
3. Focal kapena multifocal syndrome. Radiculoneuropathy (kuwonongeka kwa mizu ya mitsempha mu msana kapena mitsempha ya plexuses), amyotrophy (minofu atrophy), demyelinating polyneuropathy, tunnel ndi cranial mitundu imasiyanitsidwa.

Magawo otsatirawa a neuropathy amadziwika:

• subclinical (Zizindikiro ndi zofatsa);
• zamankhwala (zopweteka kapena zopanda ululu);
• zovuta zakumbuyo (zodziwika ndi kukula kwa zovuta mu mawonekedwe a matenda ammimba ndi miyendo).

Gawaninso mitundu yayikulu komanso yotumphukira ya matendawa.

Distal neuropathy

Distal diabetesic neuropathy imapezeka pafupifupi pafupifupi wachiwiri wodwala matenda ashuga. Fomuyi imadziwika ndi kuwonongeka kwa mitsempha kutali ndi ndege yapakati ya thupi. Amadziwika ndi kuwonongeka kwa mitsempha yomwe imalumikiza mwachindunji ubongo ndi chingwe cha msana ku minofu. Ndi matenda awa, ntchito ya manja ndi miyendo imasokonekera.

Matenda a shuga a radiculoneuropathy amakhudza mizu ya mitsempha ya msana.

Ndi distal neuropathy, kusakhazikika mu gait kumawonekera.

Ndi distal neuropathy, kufooka kwa minofu kumawonekera.

Ndi distal neuropathy, pali kuchepa kwa kuyanjana kolumikizana.

Zizindikiro zazikuluzikulu za matenda awa:

1. Kuperewera koyendetsa kayendedwe.
2. Kusakhazikika mukamayenda.
3. Shaky gait.
4. Atrophy ya minofu (kuchepa kwa voliyumu).
5. Kufooka minofu.
6. Anachepetsa kuyanjana.
7. Peripheral edema.
8. Kusintha kwamiyendo kumapazi ndi manja.

Peripheral neuropathy yam'munsi malekezero

Neuropathy yokhala ndi shuga imayambitsa zowonongeka kumadera otsika. Pathogenesis yake imalumikizidwa ndi zochita za glucose pamitsempha yama mitsempha. Shuga wokhala ndi ndende yambiri amachepetsa kutsika kwa mitsempha komanso amawonongera zovuta za kagayidwe kachakudya. Zizindikiro zotheka za mtundu uwu wa neuropathy ndi:

1. Kupweteka kwapweteka (ndi zowawa). Nthawi zambiri, imakhala yovuta komanso imapezeka m'miyendo yonse iwiri. Zowawa zimafalikira.
2. Unilateral ndi mayiko awiri paresis (choletsa kuyenda).
3. Kuphazikika kwa minofu yolowerera (kukopa).
4. Zingwe.
5. Kufooka minofu.
6. Masewera a minofu.
7. Zovuta pakuyenda.
8. Kugwedeza miyendo.
9. Kudzimva kolakwika.
10. Ataxia (kutayika kwa mgwirizano).
11. Kumva dzanzi m'zigawo zina za miyendo.
12. Kuchepetsa kutentha.
13. Kuchepa kwa Reflex (bondo, Achilles) kapena kutayika kwawo.
14. Unilateral kapena mayiko awiri.

Ndi zotumphukira neuropathy, kuwonongeka kwa malekezero kumachitika.

Chithunzi cha chipatala chimatengera omwe mitsempha imakhudzidwa.

Ndi zotumphukira neuropathy wa m'munsi malekezero, kukomoka zingaoneke.

Ndi zotumphukira neuropathy wa m'munsi malekezero, kufooka kwa bondo mawonekedwe.

Chithunzi cha chipatala chimatengera omwe mitsempha imakhudzidwa (sensory kapena motor). Zizindikiro zimayenda pang'onopang'ono kwa miyezi ingapo.

Sensory neuropathy

Izi matenda amadziwika ndi symmetric kuphwanya kumva. Nthawi zambiri, misempha yovuta imakhudzidwa kumaso, mikono ndi miyendo. Zizindikiro za neuropathy yamatsenga ndi:

1. Hypewhesia Mwa odwala, khungu lomwe lili m'mbali mwa mapazi, manja kapena nkhope limakhala loti linzake. Pali ululu wowawa pakukhudzana, kumva zowawa ndi kuyaka. Mwinanso chidwi.
2. Changu. Cholinga chake ndikuwonjezeranso chidwi cha khungu mpaka kutentha pang'ono.
3. Zochita zolakwika ndi zotenthetsera zamafuta ndi makina. Pakhoza kukhala tinnitus ndi zipatso zosasangalatsa mkamwa mukayatsidwa.
4. Kuchepetsa chidwi. Nthawi yomweyo, kutsata kwa kupweteka kwa chidwi mwa munthu kumawonjezeka. Mapazi ndi manja (magolovesi ndi masokosi matenda) ndizovuta kwambiri.

Dysmetabolic neuropathy

Mu endocrinology, pali zinthu monga dysmetabolic neuropathy. Izi matenda akupanga motsutsana maziko a kuphwanya kwamphamvu kagayidwe kachakudya, amene umawonedwa matenda a shuga.

Zizindikiro za neuropathy yam'maso ndizochulukirapo, khungu limatha kuzindikira kutentha pang'ono.

Autonomic neuropathy

Mtundu uwu wa neuropathy umadziwika ndi kutengapo gawo pakulumikizana kwazinthu zaumanjenje. Amayang'anira ntchito yamanja yamkati. Madipatimenti achifundo komanso okhudzidwa amatha kukhudzidwa. Zizindikiro zotsatirazi zimawonedwa:

1. Dysphagia (kuvuta kumeza chakudya ndi madzi).
2. Kutentha kwa mtima Zowawa kapena zowirira zowawa.
3. Kubweza
4. Kuchepetsa mseru
5. Kuphwanya chopondapo monga kudzimbidwa kapena kutsegula m'mimba. Zomwe zimapangitsa kuti pakhale patulu patali ndizochulukirapo. Stool imatha kukhala 5-10 pa tsiku kapena kangapo.
6. Zizindikiro za kusowa kwa pelvic (kuchepa kwa potency, kukodza kosowa). Kuthira mkamwa ndi kutsika kwa minofu ya chikhodzodzo kumayambitsa kuphatikizidwa kwa matenda ndi kukula kwa cystitis.
7. Zizindikiro za kusowa kwa mtima ndi mitsempha ya magazi (kusokoneza ntchito ya mtima, kuchepa kwa magazi, tachycardia, kufooka).
8. Kutukwana.
9. Matupi ofiira.
10. Khungu lowuma.
11. Zowonongeka.

Kodi matenda ashuga a m'mimba amayamba bwanji?

Maziko akuwonongeka kwa minofu ya mitsempha yolimbana ndi matenda ashuga ndi awa: zovuta zowonongeka za mankhwala ophatikiza ndi okosijeni, microangiopathy (kuwonongeka kwa ziwiya zing'onozing'ono), kusokonezeka kwapang'onopang'ono, kagayidwe kachakudya mu minyewa yamanjenje ndikupanga ma autoimmune complexes. Zomwe zimayambitsa vuto la neuropathy ndi: kukalamba, kusatsatira njira zamankhwala, kusuta, uchidakwa komanso kunenepa kwambiri.

Ndi autonomic neuropathy, masomphenya amatha kuwonongeka.

Ndi autonomic neuropathy, pakhoza kukhala nseru ndi kusanza.

Ndi autonomic neuropathy, pakhoza kudzimbidwa.

Zizindikiro za matenda ashuga a shuga

Chithunzi cha chipatala cha neuropathy chimakhala ndi chizindikiro cha motor, sensory and autonomic.

Kukuwotcha ndi kupindika miyendo

Kuwotcha ndi kumva zowawa za matendawo. Amamvekedwa m'manja. Nthawi zina misempha ya nkhope imakhudzidwa.

Kuwonongeka kwa phazi

Kuwonongeka kwathunthu kwamalingaliro kumatchedwa anesthesia. Matendawa ndi oopsa chifukwa munthu samamvanso zinthu zowononga. Kuwonetsedwa kwapafupi ndi kuzizira, kuwotcha ndi kuvulala sikunyalanyazidwa ndipo kungayambitse kuchuluka kwa minofu. Pali mabala.

Kodi matendawa amapezeka bwanji?

Kuzindikira neuropathy muyenera:

1. Laboratory diagnostics (magazi ndi mkodzo mayeso ambiri, kusanthula kwamachitidwe am'mwazi).
2. Kafukufukuyu.
3. Kuyeserera kwakuthupi.
4. Maphunziro a Instrumental (ultrasound, ECG, CT, MRI, radiography, electromyography, electroencephalography).
5. Kuyesa kwamitsempha.

Kuti muwone neuropathy, kuyezetsa magazi ndi mkodzo kofunikira.

Kuti muzindikire neuropathy, kuyeza kwa wodwala ndikofunikira.

ECG ndiyofunikira kuti muzindikire neuropathy.

Ntchito ya udokotala ndikupatula matenda ena amitsempha, kuphatikizapo mitundu ina ya neuropathy.

Kutsimikiza kwa kugwedeza mwamphamvu

Kugwiritsa ntchito foloko Riedel. Chipangizo chogwedeza chimayikidwa m'thupi (nthawi zambiri zala zakumanzere) ndipo kuyankha kwa wodwalayo kumayesedwa.

Kuzindikira kwa Tactile

Phunziroli limachitika pogwiritsa ntchito monofilometer. Ichi ndi chipangizo chotsogola chomwe chimakhala ndi chingwe chambiri cha usodzi. Amayika kupsinjika pakhungu ndikuwunika momwe akumvera. Chifukwa chaichi, nthawi zambiri gwiritsani ntchito ubweya wa thonje, womwe umakhudza thupi kuyambira miyendo mpaka khosi.

Kuzindikira kutentha kwa kutentha

Kuti muchite izi, chipangizocho chimagwiritsidwa ntchito ngati silinda, wokutira kumapeto kwake ndi chitsulo ndi pulasitiki mbali inayo. Kumalekezero a pulogalamuyi ndi kozizira ndipo enanso ndi ofunda. Amasinthasintha khungu.

Chithandizo cha matenda ashuga a Neuropathy

Chithandizocho ndikufuna kuthana ndi matendawa, kuthetsa matenda omwe amayambitsa (matenda ashuga) ndikusintha thanzi la minyewa yamanjenje. Therapy imaphatikizapo zakudya zama carb ochepa, masewera olimbitsa thupi, mankhwala ndi physiotherapy (kukondoweza kwa magetsi, Phototherapy, magnetotherapy). Odwala ayenera kuvala nsapato zamadzimadzi, kunyowetsa khungu lawo, kusamba ndi kusamba.

Odwala omwe ali ndi matenda ashuga a m'mimba ayenera kupaka khungu lawo.

Ndi neuropathy, kukonzekera kwa gulu la vitamini B, mwachitsanzo Milgamm, kumagwiritsidwa ntchito.

Ndi mtundu 2, othandizira a hypoglycemic othandizira, mwachitsanzo Glucophage, amagwiritsidwa ntchito.

Wodwala amatchulidwa anticonvulsants, monga Convalis.

Mankhwala

Ndi neuropathy amagwiritsidwa ntchito:

1. Kukonzekera kwa mavitamini a gulu B (Combilipen, Milgamm).
2. Kukonzekera kwa Alpha-lipoic acid (Thiogamma, Tiolept, Oktolipen, Espa-Lipon).
3. Ma antioxidants.
4. Ma painkillers ndi anti-yotupa mankhwala.
5. Maanticonvulsants (Gabapentin, Convalis, Tebantin) ndi ena othandizira othandizira. Zimagwira mu autonomic neuropathy.

Mtundu wa matenda a shuga 1, jakisoni wa insulin amafunikira. Ndi mtundu 2, othandizira a hypoglycemic agents (Metformin, Glucofage, Formmetin) amagwiritsidwa ntchito.

Njira zina zochizira matenda a shuga

Zithandizo za anthu sizothandiza. Pofuna kuthetsa kupweteka, kuchepetsa kutupa, kusintha magwiridwe antchito am'mitsempha yama minyewa komanso kufalitsa zomwe mwakhudzidwa, izi ndi izi:

• kulowetsedwa kwa calendula;
• zest zest;
• decoction kutengera uchi, eleutherococcus ndi mandimu;
• kulowetsedwa kwa nettle ndi chamomile;
• dongo lamtambo (logwiritsidwa ntchito ngati compress).

Mavuto

Zotsatira za neuropathy zitha kukhala: arrhythmia, matenda ashuga, mtima, minyewa, kusabala, kuchepa kwamono, zilonda, gastritis, dysbiosis, kupuwala ndi Reflux matenda.

Chitetezo cha matenda a shuga a matenda a shuga

Kupewa matendawa kumathandizira kuti musamadye kwambiri, kulandira chithandizo choyenera cha matenda ashuga, kusiya ndudu ndi mowa, kuyeza kuchuluka kwa shuga m'magazi, kuwongolera zolemetsa (ngati kunenepa kwambiri), matenda oyamba, thandizo ndi zizindikiro zoyambirira za matenda ashuga (ludzu, kufooka, polyuria, njala ) ndikukhalabe ndi moyo wathanzi.