ZIZINDIKIRO NDI ZOYAMBITSA ZA POLYNEUROPATHY

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Polyneuropathy simachitika nthawi yomweyo: nthawi zambiri imadziwonetsa yokha mu odwala matenda ashuga omwe ali ndi zaka khumi mpaka khumi ndi zisanu. Koma, mwatsoka, pamakhala zochitika pamene, zaka zisanu zokha atazindikira kuti ali ndi matenda ashuga, wodwalayo amayamba kudwala neuropathy.

Polyneuropathy

- kuwonongeka kwa dongosolo lamanjenje, imodzi mwazovuta zowopsa za matenda a shuga (mitundu i I ndi mtundu II).

Amayamba chifukwa cha kufa ndi njala m'mitsempha: mitsempha yaying'ono ya m'magazi ndiyo imayendetsa thanzi la maselo am'mitsempha, omwe amatenga shuga wambiri m'magazi.

Zizindikiro za polyneuropathy

Pali magawo angapo a polyneuropathy:

zazing'ono;
zamankhwala;
ndi kudutsa mawonekedwe mu mawonekedwe a zovuta.

Mu gawo loyamba la matenda (subclinical) wodwalayo samamva chilichonse. Akatswiri okhawo - ma neuropathologists amatha kuzindikira matendawa. Zimawonetsedwa mukuchepa kwa chidwi cha kupweteka, kutentha ndi kugwedezeka.

Gawo lachiwiri (lazachipatala) yawonetsedwa mu imodzi mwama fomu awa:

kupweteka (pachimake) - kupweteka mthupi nthawi ndi nthawi kumachitika, ziwalo zina za thupi zimayamba kuzimiririka, vuto la kumva limatchulidwa kwambiri kuposa gawo loyamba;
kupweteka kosatha - dzanzi, kumva kuwawa, kuwawa kumachitika m'miyendo ndi mbali zina za thupi. Izi zimamveka kwambiri usiku;
kusowa kwa ululu - pamenepa, wodwala matenda ashuga amakhudzidwa ndi dzanzi (nthawi zambiri m'malo a mapazi) ndi kuphwanya kwamvekedwe;
mawonekedwe a amiotrophic - kufooka kwa minofu kumawonjezeredwa kupweteka ndi dzanzi m'miyendo, wodwala ndikovuta kuyenda;

Mu gawo lachitatu la matendawa Zovuta zovuta zimabuka: zilonda pakhungu (nthawi zambiri pamiyendo, kumapazi). Amatha kukhala opanda kupweteka kapena kutsagana ndi ululu wofatsa. Komabe, 15% ya odwala padakali pano amalimbikitsa madera omwe akhudzidwa.

Mitundu ya matenda ashuga a polyneuropathy

Matenda a shuga a polyneuropathy amadziwonetsera osiyanasiyana. Ganizirani kwambiri.

Mtima
M'mimba
Urogenital
Disalal (sensory-motor)

Zimachitika ndi kuwonongeka kwa ziwiya zazikulu, mapapu ndi mtima. Mtsempha wa vagus ndi woyamba kugundidwa. Mtima wamitsempha umaonekera pakupezeka kwa kuthamanga kwa mtima (tachycardia) popumula, kutsika kwa kupsinjika (orthostatic hypotension), ndikuwonongeka kwakanthawi kochepa. Zotsatira zamtunduwu wa neuropathy zimatha kukhala vuto lopweteka mtima.

Mitsempha yamtunduwu ikachitika, ma atony a emophagus, gastroparesis, matenda am'mimba ndi mavuto ena amawonedwa.

Fomu ya urogenital imayendera limodzi ndi atony ya ureters ndi chikhodzodzo ndipo amawonetsedwa pokodza mosalamulirika.

Ambiri odwala matenda ashuga amadwala mtundu uwu wa polyneuropathy. Mosiyana ndi mitundu ina, imakhala ndi dzanzi, kupweteka kwamiyendo m'miyendo (makamaka usiku).

Mthupi lathu, ulusi wamtali wautali kwambiri umafikira kumapeto. Amakhala osatetezeka kwambiri ku matenda ashuga. Wodwalayo amatha kutaya chidwi ndi miyendo yake kuti ngakhale kulowa msomali kumangopita. Ndipo ngati nsapato zolimba zipukuta mapazi ake, sangamve.

Zilonda, mabala, ma dislocations ndi mafupa osweka ndizofala pamapazi. Kuphatikiza kwa mavutowa kumatchedwa "phazi la shuga." Koma osati mwa odwala onse kuphatikiza kumeneku sikupweteka - ambiri omwe ali ndi matenda ashuga samva kuwawa kapena kuwawa.

Chithandizo

Chithandizo cha matenda a shuga a polyneuropathy amagwiritsa ntchito mankhwala opangidwa kuti athetse zizindikiritso za njirayi:

Mavitamini B - amagwiritsidwa ntchito popereka zikhumbo ku mitsempha yothamanga ndikutchingira zovuta poizoni zomwe zimachitika chifukwa chogwiritsa ntchito shuga wambiri m'maselo a mitsempha;
Alpha lipoic acid - kuthana ndi kuchuluka kwa shuga mkati mwa minyewa yamanjenje. Mankhwalawa amakhudza ntchito za ma enzymes ena omwe amatha kukonza misempha yomwe ikukhudzidwa.
Aldose reductase zoletsa amatha kuletsa kutembenuka kwa shuga ndikuchepetsa zowononga zake m'mitsempha.
Actovegin - amalepheretsa kufa kwa maselo amitsempha, amathandiza thupi kuthana ndi kugwiritsa ntchito shuga ndipo umakhala ndi phindu pa zomwe zimachitika m'magazi ang'onoang'ono amitsempha yamagazi.
Kukonzekera calcium ndi potaziyamu - chepetsani kukokana komanso kumva kuzungulira kwa m'munsi. Komabe, zotsatirazi ziyenera kudziwika: ngati wodwalayo ali ndi kulephera kwa aimpso (komwe kumayambitsa matenda a shuga), kukonzekera kwa potaziyamu kuyenera kumwedwa mosamala kwambiri: kuwonjezeka kwa potaziyamu m'magazi (hyperkalemia) ndizowopsa kwa moyo wa wodwalayo. Zikatero, ndikofunikira kuti muonane ndi dokotala.

Koma mankhwalawa onse amachepetsa wodwalayo ndipo amathandizira kuchepetsa zovuta zomwe zikuchitika pakamodzi - ngati wodwalayo azitsatira mosamala kuchuluka kwa shuga ndikuchita zonse zofunikira kuti athe kutsata malire ovomerezeka.

Ntchito yofunikira pakuwathandiza polyneuropathy imaseweredwa massage, physiotherapy, Chitani masewera olimbitsa thupi. Ngati kufooka kwa phazi, muyenera kulumikizana ndi orthopedist kuti musankhe nsapato zapadera kapena insoles.

Njira zopewera

Posachedwa, matenda ashuga a polyneuropathy amadzimva, koma kuchedwa kuyamba kwake ndi mphamvu ya aliyense wodwala matenda ashuga omwe amakhala ndi chidwi ndi thanzi lake. Nkhondo yolimbana ndi vutoli ingayende bwino ngati mumatsatira malamulo oyambira:

yesetsani kulipira matenda a shuga;
kuyang'anira kuthamanga kwa magazi ndipo pakapita nthawi nkhawa yake;
Chimodzi mwazisonyezo zomwe zimayang'aniridwa nthawi zonse muyenera kukhala mbiri ya lipid;
kusuta kumavulaza munthu wathanzi, makamaka kwa odwala matenda ashuga. Siyani chizolowezi choipachi, mudzathandiza kwambiri zombo zanu;
Zomwezi zimapezekanso ku mowa: mowa wokhawo womwe ungathe kuyambitsa hypoglycemia ndikuyambitsa matenda a shuga, amawononga kwambiri ziwalo zamkati. Koma chiwindi chanu, impso ndi mtima wanu zimakakamizidwa kale kugwira ntchito movuta kwambiri.

Kusankha dokotala ndikupanga nthawi:

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