Matenda a shuga a polyneuropathy a m'munsi malekezero (zizindikiro, momwe angachitire)

Mwa zovuta za matenda ashuga, chimodzi mwazipweteka kwambiri komanso zovuta kuvomereza ndi matenda ashuga a polyneuropathy. Chifukwa cha kuwonongeka kwa mitsempha, wodwalayo amamva kupweteka kwam'mimba, miyendo imaphika kapena kuwotcha, kumva kukomoka, kuyabwa kwambiri, kupweteka kwa nthawi yayitali. Zomverera izi sizichotsedwa bwino ndi ma antihistamines komanso osavuta kuyesa. Monga lamulo, Zizindikiro zimawonjezeka usiku, wodwalayo amasowa tulo tabwinobwino, chifukwa chake kukhumudwa, nkhawa, komanso kusokonezeka kwa malingaliro zimawonjezeredwa ndi polyneuropathy.

Matenda a shuga a polyneuropathy amakhala gawo limodzi mwa magawo atatu a mitsempha yonse. Kuchepa kwa zovuta kumadalira nthawi yayitali ya matenda ashuga: ndimunthu wazaka 5, wodwala aliyense wachisanu ndi chiwiri amapezeka ndi neuropathy, moyo wokhala ndi matenda osokoneza bongo kwa zaka 30 umawonjezera mwayi wa kuwonongeka kwa mitsempha mpaka 90%.

Kodi matenda ashuga a polyneuropathy ndi chiyani

Kusokonezeka kwa chakudya chamagulu komanso mitundu ina ya kagayidwe kachakudya kosokoneza bongo kumakhudza dongosolo lathu lonse lamanjenje, kuyambira ku ubongo mpaka kumapeto pakhungu. Kuwonongeka kwa chapakati mantha dongosolo kumatchedwa matenda ashuga encephalopathy, zotumphukira - matenda ashuga.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Neuropathy imagawidwa kukhala:

• zamalingaliro - kuphwanya zamvekedwe;
• mota - yowonongeka pamitsempha yomwe imatumikira minofu;
• Zachilengedwe, pamene mitsempha yomwe imagwiritsa ntchito thupi la munthu itawonongeka.

Sensory-motor neuropathy ndiye mtundu wofala kwambiri, nthawi zambiri umayamba kumadera akutali kwambiri kuchokera ku dongosolo lamanjenje lamkati, nthawi zambiri kumadera otsika. Chifukwa chake, amatchedwa distal, kuchokera ku Latin disto - sediment. Nthawi zambiri, zosintha zimayamba nthawi yomweyo pamiyendo yonse, zimayenda bwino limodzi. Distal symmetric sensorimotor neuropathy imatchedwa "diabetesic polyneuropathy", malinga ndi kuchuluka kwa ma neuropathies, imakhala yoyamba, imakhala mpaka 70% ya zotupa zam'mitsempha za m'mitsempha.

Chifukwa chake, ndichizolowezi kutcha matenda a shuga a polyneuropathy chotupa cha mafupa am'mimba minyewa, ma mechanoreceptors, tendons, receptors a ululu omwe amapezeka ndi matenda a shuga kumadera akutali a thupi.

Khodi ya ICD-10 - G63.2 E10.4 - E14.4 kutengera mtundu wa shuga.

Polyneuropathy ndichimodzi mwazinthu zofunikira kwambiri pakupanga matenda am'mimba opatsirana a matenda ashuga, momwe matenda amawonjezeredwa ndikuwonongeka kwa mitsempha, chifukwa chake, zilonda zam'mimba kwambiri, zopweteka.

Mitundu ya Diabetesic Polyneuropathy

Pali mitundu itatu ya matenda ashuga polyneuropathy:

1. Kukhudza. Chiwonongeko cha mitsempha yotulutsa cham'maso, chomwe ndi ulusi wamitsempha yama diameter osiyanasiyana omwe amatola zidziwitso zathu ndikumazipititsa ku bongo, makamaka.
2. Mtundu wamagalimoto. Kuwonongeka mwamphamvu kwa mitsempha yamagalimoto, komwe kumafunikira kufalitsa chidziwitso kwa minofu yokhudzana ndi kufunikira kwa mgwirizano ndi kupuma.
3. Mtundu Wosakanikirana. Mu thupi, mitsempha yonse imagwirira ntchito limodzi: othandizira amazindikira kuti chitsulo chimatentha, oyendetsa galimoto amatenga lamulo kuti akabweze manja awo kuti asayake. Mitsempha imawonongeka nthawi zambiri m'malo ovuta, chifukwa chake sensory-motor polyneuropathy ndiofala kwambiri.

Zomwe zimayambitsa matendawa

Kukula kwa polyneuropathy mwachindunji kumatengera kuchuluka kwa glycemia wodwala matenda ashuga. Tikutsimikiziridwa kuti anthu odwala matenda ashuga nthawi zambiri amakhala ndi shuga m'magazi, zovuta zonse, kuphatikizapo polyneuropathy, zimapita patsogolo. Ngati shuga wa magazi ndi wabwinobwino, zaka 15 pambuyo pa matenda ashuga, zizindikiro za polyneuropathy zimangolembedwa mwa 15% ya odwala, onsewo mofatsa.

Zimayambitsa kuwonongeka kwa maselo a mitsempha mu hyperglycemia:

1. Matenda a metabolism.

• matenda oopsa a hyperglycemia amakakamiza thupi kuti ligwiritse ntchito njira zina zogwiritsira ntchito shuga, momwe sorbitol ndi fructose zimadziunjikira, kuphatikiza maselo amitsempha ozungulira. Msempha wamanjenje umadwala izi, zomwe zimatenga gawo mwachindunji pakufalitsa zikhumbo;
• glycation wamitsempha yama cell;
• kuwonongedwa kwa zipolopolo zawo mwa kusintha kwaulere;
• kusowa kwa myelin mu mitsempha chifukwa chotseka kuyendetsa kwa myoinositol.

2. Zowonongeka zamitsempha yamagazi. Matenda a shuga a diabetes amathandizira zotengera zomwe zimadyetsa mitsempha yodutsa.
3. Khalidweli. Kuwona kwa matenda ashuga a polyneuropathy kuwululidwa. Pali umboni kuti mwa anthu ena, mitsempha imawonongeka patadutsa zaka zingapo atazindikira kuti ali ndi matenda ashuga, pomwe ena amakhala popanda vutoli kwa zaka zambiri, ngakhale ali ndi shuga wambiri.
4. Mavuto Olakwika - chifukwa chosasankhika. Pali mitundu yomwe polyneuropathy imatha kupsinjidwa ndi ma antibodies kuti ikule mitsempha yomwe thupi la wodwalayo limapanga.

Zizindikiro zapadera ndi zizindikiro

Ndi polyneuropathy, ulusi wovuta nthawi zambiri umakhala woyamba kuvutika, ndiye kuwonongeka kwa mota kumayamba. Nthawi zambiri, zizindikiro zoyambirira zimawonedwa pamapazi, kenako pang'ono pang'ono zimafalikira ku miyendo yonse yaying'ono, ndikugwira manja ndi manja, komanso m'malo akulu - m'mimba ndi chifuwa.

A shuga a distal polyneuropathy

Zingwe zazitali kwambiri m'thupi la munthu zimakhala m'miyendo. Zowonongeka kwa iwo mdera lirilonse zimatanthawuza kuchepa kwa ntchito ya mitsempha, kotero polyneuropathy nthawi zambiri imakhala yotalikirana, yotchulidwa kumadera akumunsi. Kusintha koopsa kumawonedwa mu otchedwa "zone of socks" - pamapazi ndi maondo. Choyamba, tactile, kutentha, ndiye kuti kupwetekedwa mtima kumaphwanya apa.

Mtsogolomo, kusintha kwa minofu kumayamba, chifukwa chomwe mawonekedwe a phazi amasintha - amagwada ndikupeza zala wina ndi mzake, mtanda wake ndi wokutidwa. Khungu lowonda limakhala chandamale chovulala m'njira zosiyanasiyana, chifukwa cha kuperewera kwa zakudya m'thupi komanso kutuluka kwa zinthu za metabolic, pang'onopang'ono zimasiya kuchira, ndikupanga zilonda zam'mimba. Kutupa kwakanthawi kwanthawi kumawononga mafupa. Zotsatira zake, distal polyneuropathy imatha kusanduka gangrene ndi osteomyelitis ndikulephera kuyendetsa pawokha.

Momwe mungachitire polyneuropathy mwa odwala matenda a shuga

Chithandizo cha matenda a shuga a polyneuropathy a m'munsi oyambira mbali yoyamba ndikupeza shuga wambiri wabwinobwino. Zimatsimikiziridwa kuti kuwongolera kwabwino kwa glycemic kumayambitsa kukonzanso kwa matenda amitsempha omwe angopezedwa kumene ndipo ndizofunikira kuti mankhwalawa agwire bwino mitundu ya matenda.

Kusintha matenda a magazi kufunsira kwa endocrinologist wofunikira kumafunika, yemwe akupatseni regimen yatsopano, amasankha mankhwala othandiza kwambiri. Kuchokera kwa wodwala pakadali pano, kutsatira kwambiri malangizo a katswiri ndikofunikira, kuwonjezera pa mankhwalawa kuphatikiza maphunziro akuthupi ndi zoletsa zazikulu zofunikira pazakudya - zomwe zimagwiritsidwa ntchito mwachangu zimasiyidwa kwathunthu kuzakudya.

Mankhwala opanda mankhwala

Ndizotheka kusintha kayendedwe ka magazi, chifukwa chake zakudya zamatumbo kumapazi, pogwiritsa ntchito njira zosavuta zosagwiritsa ntchito mankhwala. Kangapo patsiku muyenera kuchita pang'ono podzilimbitsa nokha. Ngati khungu ndi louma kwambiri, ndikofunikira kugwiritsa ntchito moisturizer panthawi ya kutikita minofu. Mabotolo amadzi otentha ndi machubu otentha sikoletsedwa. chifukwa cha kuwopsa kwa kupsa, komwe wodwala matenda ashuga okhala ndi polyneuropathy sangamveke, chifukwa zolandirira pakhungu zimawonongeka.

Palibe chifukwa chomwe muyenera kuchepetsera zochitika. Onetsetsani kuti mukuyenda nthawi yayitali tsiku lililonse, koma nthawi yomweyo onetsetsani kuti miyendo yanu sikugwira ntchito mopitilira muyeso.

Kupititsa patsogolo kufalikira kwa magazi, magawo olimbitsa thupi osavuta ndi othandiza:

1. Khalani pampando.
2. Kusintha - kukulitsa zala zako.
3. Tsatirani mapazi anu mosiyanasiyana mosiyanasiyana.
4. Sulani masokosi kutali ndi inu - kwa inu.
5. Pindani zinthu mozungulira ndi mapazi anu pansi - mipira, zidutswa zamapaipi, pini yokulungira.

Muzipinda za physiotherapy, ma electrophoresis, malo osambira parafini, ma ultratonotherapy, ma radon ndi ma hydrogen sulfide osambira amatha kupatsidwa mankhwala ochepetsa ululu.

Kugwiritsa ntchito mankhwala

Zithandizo zodziwika bwino za anthu

Palibe umboni wa momwe mankhwalawa amathandizira odwala matenda ashuga polyneuropathy ndi wowerengeka azitsamba, chifukwa chake, chithandizo choterechi chingapezeke ngati chowonjezera pamachitidwe achikhalidwe.

Chinsinsi 1

Nthawi zambiri, ma compress a dothi lobiriwira kapena lamtambo amagwiritsidwa ntchito pochiritsa odwala matenda ashuga. 100 g ya dongo amadzipereka kuti azingoyala ndi kulowetsedwa kwa chamomile (brew bag la chamomile mu kapu yamadzi). Clay imayikidwa pakhungu mofunda pang'ono ndikudikirira kuyanika kwathunthu. Ma compress amabwerezedwa tsiku lililonse kwa milungu iwiri, kenako nkutuluka nthawi yofanana.

Chinsinsi 2

Chinsinsi chotchuka chotsitsa shuga ndi wowerengeka azitsamba: tengani magawo ofanana a dandelion, masamba a nyemba, masamba a nettle ndi galega, sakanizani. Pakani supuni ya chisakanizo ichi tsiku lililonse m'mawa. Imwani msuzi masana.

Chinsinsi chachitatu

Clove ufa uli ndi katundu wa antioxidant. Amapangidwa ndi ginger ndi cardamom ndikuledzera ndi shuga ngati tiyi. Proportions - kotala la supuni ya supuni zonse za zigawo za madzi.

Kupewa

Kuti mupewe matenda a polyneuropathy, atangopeza matenda a shuga, muyenera kumanganso moyo wanu: onetsetsani kuti mumadya zakudya ndikutsatira zakudya za NU, phunzirani, phunzirani momwe mungawerengere kuchuluka kwa insulin, ndikuwongolera moyenera hyperglycemia. Kulipira matenda a shuga kumachepetsa chiopsezo cha zovuta m'mitsempha yamankhwala chifukwa cha khumi, zimatheka pokhapokha ngati wodwala agwira ntchito ndikuwonetsetsa zonse zomwe madokotala amapereka.

Maphunziro okhazikika a mavitamini (multivitamini kapena gulu B lokhalo) ndi lipoic acid, masewera olimbitsa thupi, kapena kungokhala ndi moyo wakhama kumakhala kothandiza popewa matenda ashuga a polyneuropathy.

Chifukwa cha poizoni m'thupi, musamadye mowa. Matenda a shuga ndi zidakwa za polyneuropathies mu zovuta zimathandizira kwambiri zakukula kwa mankhwalawa, zovuta zimayamba mwachangu kwambiri. Kuphatikiza apo, kumwa pafupipafupi kumapangitsa kuti zikhale zosatheka kukwaniritsa Normoglycemia.