Chimodzi mwazovuta zomwe zimachitika chifukwa cha matenda ashuga ndi polyneuropathy. Zizindikiro zake zimaphatikizidwa ndi zovuta za shuga m'magazi. Imfa ya minyewa yam'mitsempha imabweretsa kuchepa kwamphamvu kwa miyendo ndikukula kwa zolakwika zam'mimba.
Zizindikiro zoyambirira za minyewa ya m'munsi zitha kukhala madandaulo kuti miyendo ya wodwalayo imalekeka, kupweteka komanso kukokana kumawonekera usiku, ndipo zala zake zimasalala.
Matenda a shuga akamapitilira, matenda am'magazi a shuga, omwe nthawi zambiri amakhala obvuta.
Zoyambitsa matenda a shuga m'miyendo
Mavuto owononga a glucose pamitsempha yamagazi amawonetsedwa pakupanga angiopathy. Madzi amadzimadzi amadzimadzimadzi amadzimadzimadzi amadzimadzi am'magazi, kutsekeka kwa magazi kumachepa, magazi amachepa, ndipo kukwera kwa magazi kumabweretsa mapangidwe ndi kuwundana kwa magazi. Zakudya za minofu zimasokonezeka, zomwe zimabweretsa kupweteka kwa ischemic, kuchiritsa pang'onopang'ono kwa mabala ndi kuvulala.
Zingwe zam'mitsempha m'magazi a shuga zimawonongeka chifukwa cha kusokonezeka kwa magazi, komanso mchikakamizo cha sorbitol, chomwe chimapangidwa mkati mwa selo popanda kuchuluka kwa shuga. Kuchulukitsa kwa ma radicals aulere omwe amatsagana ndi matenda a shuga kumawonongeranso kapangidwe ka minyewa yamanjenje.
Zotsatira zake, mitundu yonse yazomvera imaphwanyidwa - kuzizira, kutentha, kupweteka, kugwedezeka, kukhudza. Pankhaniyi, kuvulala pang'ono kungayambike osazindikira, ndipo pambuyo pake zofooka zazilonda m'malo mwake, zomwe sizichiritsa kwa nthawi yayitali ndipo zimakonda kutenga kachilomboka.
Zizindikiro za matenda a shuga
Madandaulo a odwala omwe miyendo yawo ikuwuma nthawi zonse, sindimatha kutentha miyendo yanga ngakhale masokosi ofunda, phazi langa limatembenuka lamtambo, kwenikweni kwa odwala omwe ali ndi polyneuropathy. Nthawi yomweyo, kupweteka ndi dzanzi, kumverera kwa nyerere zokwawa kujowina. Choyamba, zala zakumaso zimavutikira, kenako njirayi imafalikira mpaka kumapazi, gawo lotsika la mwendo wotsika.
Ndi magazi osokonezeka, miyendo yozizira osati kokha nthawi yozizira, komanso nyengo yotentha, odwala amawona kuti kupweteka kumachitika poyenda: Sindingathe kuyenda nthawi yayitali, ndimayenera kuyima pafupipafupi. Pambuyo pakupuma, zopweteka zimatha. Pakufufuzidwa, khungu kumiyendo limakhala yotumbululuka, ndimtambo wamtambo. Mukamafufuza zamkati pamiyendo yamiyendo, zimavuta kudziwa kapena kusakhalapo.
Pamaso pa microtraumas ya phazi, matenda a shuga amatha kutsogolera zilonda zam'mimba, zomwe zimakhala zovuta kuchiza. Mavuto oterewa amadziwika chifukwa cha njira ya matenda osawerengeka a shuga, makamaka kuphatikiza ndi atherosulinosis kapena kuwononga endarteritis.
Ndimakhala ndi ululu wambiri wamitsempha yamafupa, odwala amadandaula za kuchepa kwamphamvu: miyendo yanga ndiyoterera, sindimva kutentha kapena kuzizira, sindimva kupweteka chifukwa chodulira, ndikukhudza bulangeti kumatha kupweteka. Kuwonongeka kwa chidwi ndi mawonekedwe amtundu wa "masokosi" kapena "magolovu", ndipo muzovuta kwambiri zimatha kukhudza khungu la m'mimba ndi chifuwa.
Pakufufuza, zizindikiro zotsatirazi zidadziwika:
- Khungu la miyendo ndilo mtundu wamba.
- Mapazi afundira pokhudza.
- M'malo opsinjika kwambiri komanso kulumikizana ndi nsapato, khungu limakhuthala.
- Kuthamanga kwamitsempha ndi kwachibadwa.
Madandaulo okhudza kuti miyendo imatha kumva kupepuka kapena kutentha miyendo ndiyovuta, kwenikweni sizichitika.
Chithandizo cha zotumphukira neuropathy
Zoyenera kuchita ngati chala chakhungu chiri ndi matenda a shuga ndipo ndimachithandizo chothandiza kwambiri - mafunso otere amabwera mwa odwala omwe akuwoneka ndi zizindikiro za polyneuropathy nthawi zambiri. Kuti mugwiritse ntchito mitundu iliyonse yamankhwala ochiritsira matenda a shuga, muyenera kuchepetsa kuchepetsa hyperglycemia.
Ngati wodwala amamwa mapiritsi a shuga a 2, ndiye kuti mankhwalawo amawonjezeredwa ndi jakisoni wa insulin kapena kusinthiratu. Zotsatira zake, kubwezeretsa kwathunthu kwa hyperglycemia, hypercholesterolemia ndi kukhazikika kwa kuthamanga kwa magazi pamlingo wa 130/80 mm Hg ziyenera kuchitika. Art.
Mwa izi, ndi mtundu 1 wa matenda a shuga, njira yolimbikitsira insulin imagwiritsidwa ntchito: wodwalayo amapatsidwa insulin yotalikirapo kawiri pa tsiku, ndi mphindi 30 asanadye, amakhala ndi insulin yochepa katatu pa tsiku, ndipo nthawi zambiri ngati pakufunika kutero.
Pofuna kuthana ndi ululu ndi polyneuropathy, ndikofunikira kubwezeretsa microcirculation ndi conduction ya mitsempha yamitsempha. Actovegin akhazikitsidwa bwino ngati mankhwala. Zake achire zotsatira:
- Kuwongolera mayamwidwe okosijeni ndi glucose ndi zimakhala.
- Kuchulukitsa kwa mphamvu mkati mwa khungu.
- Kulimbitsa mtima kwa khoma
- Kubwezeretsa magazi ku ziwalo zowonongeka.
- Kupumula.
- Kubwezeretsa chidwi ndi chidwi cha tendon.
Kuphatikiza pa Actovegin, alpha-lipoic acid, mavitamini a B, antioxidants, ATP, ndi mankhwala a nootropic amagwiritsidwa ntchito kuti abwezeretse njira za metabolic kumadera otsika. Kuchiza kumakhala kotalikirapo, atatha jekeseni wa milungu iwiri, amasinthira kukonzanso mankhwala okhala ndi mapiritsi, mpaka miyezi 2-4.
Mankhwala omwe amagwiritsidwa ntchito pochiza matenda ashuga a polyneuropathy: Espa-Lipon, Thiogamm, Berlition, Milgamm, Neurobion, Trigamma, Neurobeks.
Kuchotsa ululu wammbuyo ndi polyneuropathy ndi ntchito yovuta, chifukwa palibe zotsatira kuchokera kugwiritsidwa ntchito kwa ochiritsira painkiller. Chifukwa chake, antidepressants ndi anticonvulsants amagwiritsidwa ntchito. Ma Tricyclic antidepressants ali ndi gawo lapakati la analgesic, amagwira adrenaline ndi histamine receptors.
Zomwe zimagwiritsidwa ntchito kwambiri ndi amitriptyline ndi imipramine. Contraindication ku mankhwala awo ndi ukalamba ndi matenda a mtima. Zikatero, venlafaxine otetezeka ndi fluoxetine amalembedwa, koma zotsatira zake za analgesic sizitchulidwa.
Ma anticonvulsants amatchinga zopweteka. Mankhwala otsatirawa amagwiritsidwa ntchito:
- Carbamazepine: Finlepsin, Zeptol, Tegretol.
- Oxcarbazepine: Trileptal, Oxapine.
- Gabapentin: Gabagamm, Neurontin, Tebantin.
- Pregabalin: Nyimbo.
Kuti mugwiritse ntchito mopindika, mankhwala omwe ali ndi tsabola, Capsicam, amalimbikitsidwa, amathandizira kumasulidwa kwa mkhalapakati wopweteketsa mtima, ndikuwononga zosungika zake, zomwe zimabweretsa zoletsa zopatsira ululu. Zotsatira zoyipa zimawonekera pakuwotcha ndi kupsya khungu. Contraindified mu aakulu venous kuchepa.
Pa mankhwala oletsa ululu, mankhwala omwe ali ndi lidocaine amagwiritsidwanso ntchito - chigamba kapena mafuta a Versatis, Lidocaine aerosol. Kuchepetsa ululu, sizikulimbikitsidwa kugwiritsa ntchito ma compress kapena kutentha ma penti, popeza pamakhala chiopsezo chotentha champhamvu pamiyeso ya kuchepa kwa kutentha.
Kugwiritsa ntchito kwa Tramadol kumakhala koyenera pokhapokha ngati njira zina zochiritsidwira zilibe, chifukwa Mlingo waukulu wa mankhwalawo umawonetsedwa kuti umachepetsa ululu wa matenda ashuga polyneuropathy, omwe ndiwowonjezera, chiwopsezo chomwe chimawonjezeka ngati mukufunikira chithandizo chambiri.
Mwa njira zosagwiritsa ntchito mankhwala osokoneza bongo (pakubowoleza kapena kuwonongeka kwa wodwala):
- Hyperbaric oxygenation.
- Electrophoresis
- Chithandizo cha laser.
- Magnetotherapy.
- Ma modutsa ma Diadynamic.
- Katemera.
- Kukondoweza kwamagetsi.
Chitetezo cha matenda a shuga a matenda a shuga
Pofuna kupewa kuphatikizika kwa matenda a shuga mellitus mwa njira ya polyneuropathy, ndikofunikira kukwaniritsa kuchepa kwa shuga wamagazi ndi kukhazikika kwake pamlingo wolimbikitsidwa. Chofunikira ndikutsatira mosamalitsa malangizo azakudya ndi kugwiritsa ntchito mankhwala.
Kuyang'anira shuga wamagazi kuyenera kukhala tsiku ndi tsiku, ndipo kumayambiriro kwa insulin mobwerezabwereza masana komanso pogona. Kuphatikiza apo, ndikulimbikitsidwa kuyeza kuthamanga kwa magazi kawiri pa tsiku. Zolemba za cholesterol ndi lipids m'magazi, komanso kuchuluka kwa hemoglobin ya glycated, zimawunikidwa nthawi ndi nthawi.
Zimafunikira kusiya kotheratu nikotini ndi mowa, chifukwa mphamvu zawo zimawonekera ndi vasospasm komanso zovuta poizoni. Pofuna kupewa zotupa zam'munsi, osachepera mphindi 20 patsiku ayenera kuchita zochizira, nthawi zambiri kuyenda. Chofunikirabe ndi yoga kwa odwala matenda ashuga komanso kusambira.
Kanemayo munkhaniyi ayankhula za chithandizo ndi kupewa kwa neuropathy mu matenda ashuga.
