MATENDA A SHUGA A POLYNEUROPATHY: ZIZINDIKIRO ZA MATENDA ASHUGA, CHITHANDIZO CHA MATENDA AM'THUPI

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Matenda a shuga odwala matenda ashuga, omwe amakhala ovuta kwambiri matenda a shuga, amapezeka theka la odwala.

Izi zimangowononga maselo amitsempha muubongo, komanso machitidwe awo amomwe amachokera mthupi lonse.

Cholinga chake ndikuwonjezera shuga, omwe amachititsa 90% ya zizindikiro za matenda ashuga. Zizindikiro zamatenda ndizopweteka zazitali komanso kukhumudwa.

Gulu

Mitundu yotsatirayi ya neuropathy mu diabetesics imasiyanitsidwa:

zotumphukira. Mtundu uwu wa matenda ashuga a m'mimba (DN) amadziwika ndi kuwonongeka kwa minyewa yam'manja yamiyendo ndi miyendo, yomwe ili kutali ndi pakati (mutu ndi thunthu), ndiye kuti. Imadziwoneka ngati zowawa ndi kuwotcha miyendo, makamaka m'miyendo. Khungu limakhala lodetsa kukhudza kulikonse, ndipo chilonda chaching'ono sichitha kuchiritsa kwa nthawi yayitali. Peripheral neuropathy, imagawidwa m'malingaliro am'mitsempha (imakhudza minyewa ya mitsempha yomwe imayendetsa masensa) komanso mota (imakhudza ma neurons omwe amapereka ntchito yama motor);
wodziyimira pawokha. Ikuwononga dongosolo lazomera, zomwe sitingathe kuzikopa mwachidziwitso. Uku ndikupuma ndikununkha, palpitations ndi secretion. Mtundu uwu wamitsempha umawonedwa ngati wowopsa chifukwa umasokoneza ntchito ya ziwalo zonse.

Autonomous DN imagawidwa kukhala:

mtima;
urogenital;
m'mimba;
kupuma
endocrine ndi ena.

Zomwe zimayambitsa odwala matenda ashuga

Magazi a wodwala matenda ashuga amakhala ndi shuga osakhazikika. Pakakhala yotsika, ma neuron amakhala ndi njala.

Ngati shuga wambiri amawonedwa, acidization ya maselo imachitika. Kuphatikiza apo, shuga ochulukirapo amathandizira kuti fructose ndi sorbidol zizigundika, ndichifukwa chake maselo sangathe kuyamwa madzi ndi mchere.

Chifukwa chake pali edema ya mitsempha mathero. Chithunzicho chikuchulukirachulukira ndi matenda oopsa. Popeza minofu ya mitsempha imayatsidwa ndi ma capillaries ambiri ang'onoang'ono, kuthamanga kwa magazi kumawapangitsa kukokana, ndipo ma neurons amamwalira.

Madokotala amakhulupirira kuti cholakwika ndi kukhazikitsidwa kwa DN chiri ndi gene lomwe lasinthidwa mwapadera. Ndiamene amapanga ma neurons hypersensitive kuti azitha kuchuluka kwa glucose.

Zizindikiro za matenda a shuga a polyneuropathy a m'munsi am'munsi

Pankhani ya kuwonongeka kwa zotumphukira DN, siginatology sikuwoneka nthawi yomweyo, koma pakatha miyezi ingapo.

Chowonadi ndi chakuti pali mitundu yambiri yamanjenje mu thupi. Ndipo ena a iwo akamwalira, ma neuron athanzi amagwira ntchito yawo kwakanthawi.

Poyamba, mikono ndi miyendo zimavutika, chifukwa ulusi wamanjenje m'malo awa ndi wautali, ndipo umakonda kupweteka kwambiri.

Kodi mawonekedwe otumphukira amawonetsedwa bwanji?

Mitsempha yama minyewa ikamwalira, ma neuropathy amatsenga amapezeka.

Mawonetseredwe otsatirawa ali ndi mawonekedwe a neuropathy yamatsenga:

Hypersensitivity kwa zilizonse zoyipa. Wodwalayo akumva zotupa pakhungu lake, kuwotcha kapena kuwawa kumene komwe kumachitika ngakhale ndi kukhudza kwapang'onopang'ono;
kutsitsa pang'ono kulowa pansi, ndipo nthawi zina kutayika kwathunthu. Munthu amene akhudza chinthu amamva "kudutsa pagulu". Chifukwa: chisonyezo chochokera ku ma receptor sichimafikira ma neurons aubongo;
zolakwika kwa okhumudwitsa. Chifukwa chake, poyankha kuwala, wodwalayo amayamba kumva kukoma mkamwa kapena mkokomo m'makutu. Cholinga: kukwiya kwa gawo limodzi la thunthu la mitsempha kumayendetsa ma receptor ena ambiri (kukoma kapena mawu).

Ngati mitsempha yamagalimoto ivutika, motor neuropathy imachitika.

Chizindikiro cha motor neuropathy chimayamba pang'onopang'ono ndipo nthawi zambiri chimadziwonetsa usiku kapena nthawi yopuma:

kusakhazikika kwa udindo ("miyendo thonje");
kusagwirizana bwino (zotsatira za kuwonongeka kwa ma neurons aubongo);
mafupa amataya kuyenda, amatupa, ndiovuta kuwongola;
mphamvu ya minofu imachepetsedwa kwambiri. Chifukwa: matenda a shuga amasokoneza kayendedwe ka magazi ndi malo okhala. Atrophy ya minofu imachitika pakapita nthawi.

Zizindikiro za mawonekedwe odziyimira pawokha

Pankhani ya mawonekedwe odziyimira pawokha, mitsempha ya autonomic NS imavutika. Pafupifupi machitidwe onse amthupi amakhudzidwa:

m'mimba: kutentha kwadzuwa ndi kupindika, kudzimbidwa;
masomasomphenya amafooka;
khungu limasintha (chifukwa cha kutulutsa thukuta thukuta). Poyamba, thukuta limawonedwa (nthawi zambiri usiku). Chifukwa cha ma capillaries odziwika, khungu limasanduka lofiira. Tsitsi losasangalatsa limawonekera. Pambuyo pake, tiziwalo thukuta timachepetsa ntchito zawo, khungu limadzuka. Ntchito yake yoteteza imafooka, ndipo kuwonongeka kulikonse kwanthawi yayitali sikunachiritse;
ziwalo zamkati: kukodza kosakwanira komanso kosakwanira, kusabala;
ntchito yamtima wasweka: arrhasmia, pafupipafupi kukoka. Chifukwa cha kuchepa kwa mphindikati kwa mtima, ngakhale vuto la mtima limatuluka popanda kumva kuwawa.

Kuzindikira ndi matenda

Lamulo lalikulu ndikuwonetsetsa zochita za shuga m'magazi. Matenda a diabetes a neuropathy ndiwowonjezereka kwambiri pamlingo wa shuga.

Doppler ultrasound scan ya miyendo

Asanapange matenda, dokotala amawunika kamvekedwe ka minofu ndi mawonekedwe a tendon, momwe amvera (otsimikiza ndi chipangizo chamtundu wapadera), amachititsa mayeso a mafuta.

Zotsatira zonse zakonzedwa, zimapereka chithunzi chonse cha kuuma kwa DN ndi tanthauzo la njira zoperekera chithandizo.

Chithandizo

Mkhalidwe waukulu komanso wothandiza kwambiri ndi kubwezera kwabwino shuga, ndiko kuti, kubwezeretsanso kuchuluka kwa shuga ndikwabwinobwino. Izi zimatheka chifukwa chothandizidwa ndi mapiritsi (mtundu 2 matenda) kapena insulin (mtundu 1 matenda ashuga).

Mwa mankhwala omwe awonetsedwa:

Mavitamini a B ndi ma antioxidants: Milgamma, Neurobion;
kukonzekera ndi magnesium ndi zinc;
ngati mukufuna kuchepetsa ululu, lembani ma analgesics: Finlepsin, Neurontin.

Physiotherapy:

kukondoweza kwamagetsi;
mankhwala othandizira ndi electrophoresis;
magneto ndi acupuncture;
Zochita zolimbitsa thupi (mphindi 10 patsiku).

Ndikofunikira kwambiri kuwunika momwe miyendo ikuyendera: chitani zandalama (zamankhwala), valani nsapato zomasuka, pukutani khungu la mapazi.

Kuchokera pazithandizo za anthu (pokhapokha ngati dokotala wavomereza), mutha kulangiza:

zambiri dongo la buluu;
kutikita minofu ndi camphor mafuta;
malo osambira a chamomile kapena nettle.

Ndondomeko ziyenera kuchitidwa kwa mphindi 20 kamodzi patsiku.

Chithandizo cha matenda ashuga a polyneuropathy chimafuna nthawi yayitali (miyezi yambiri) ndipo ndi ntchito yovuta kwa dotolo, chifukwa palibe amene anganenere za chithandizo chomwe adalandira. Komabe, matenda atha kuimitsidwa.

Mavuto omwe angakhalepo komanso chidziwitso cha matendawo

Matenda a diabetes a neuropathy amachiritsidwa.

Mutha kuyankhula za chidziwitso chabwino ngati:

kupweteka m'miyendo kudandaula wodwala kwa zosakwana miyezi isanu ndi umodzi;
NAM yakula motsutsana ndi chiyambi cha kusintha kwadzidzidzi kwa shuga;
matendawa adapezeka kumayambiriro komwe, pambuyo pake shuga adasungidwa m'njira zopanda malire.

Polyneuropathy yovuta ndiyomwe imayambitsa kupweteka kwamtima kosapweteka, kugunda kwa mtima ndikugundika kwa malekezero ena ("phazi la matenda ashuga" idapangidwa kale).