Kuwonongeka kwa dongosolo lamanjenje (neuropathy, neuropathy) ndi imodzi mwazovuta zakumapeto kwa matenda ashuga zomwe zimachitika motsutsana ndi maziko a mpweya wokhala ndi njala. Kuperewera kwa Trophic kumawoneka ngati chifukwa cha kusintha kwa ma pathological mu ziwiya zazing'ono komanso zazikulu.
Matenda a diabetes a neuropathy a m'munsi malekezero ndi chiwonetsero chofala kwambiri cha zotumphukira zosungirako zowonongeka. Zizindikiro zamavuto ndi nthawi ya matendawa zimatengera "chidziwitso" cha matenda a shuga komanso kuchuluka kwa magwiridwe azadzidzidzi a glucose m'magazi.
Njira yopititsira patsogolo
Mkhalidwe wa hyperglycemia, womwe umadziwika ndi odwala onse omwe ali ndi "matenda okoma", umatsogolera kusintha kwa zam'magazi mu dongosolo lamagetsi. Yomwe ili mkati mwa mitsempha imadutsa ma lipids, triglycerides ndi zina zomwe zimapangidwa ndi minofu yolumikizana, ndikupanga atherosranceotic plaques. Zikwangwani zoterezi zimachepetsa minyewa, zimasokoneza njira yodyetsera maselo ndi minyewa ya thupi ndi magazi.
Neurons (maselo amitsempha omwe amatulutsa zikutulutsa kuchokera mu ubongo) amathanso kuvutika ndi vuto la kuperewera kwa zakudya. Izi zimayambitsa kusintha kwamawonekedwe awo azinthu zakuthupi komanso zolimbitsa thupi.
Zizindikiro za matendawa
Polyneuropathy imadziwika ndi kuwonongeka kwamalingaliro ang'ono ndi akulu ndi mitsempha yamagalimoto. Zizindikiro ndi mawonekedwe akulu zimatengera mtundu wamitsempha yamitsempha yam'munsi yomwe idakhudzidwa:
- Zosokoneza zosokoneza - kukhazikika kwa kuzindikira kwa kuzungulira kwa kuzizira, kugwedezeka, kusintha kwa kutentha, kusokonezeka kwa zomverera mwanjira ya kupotoza, kupweteka, mpaka momwe zimachitikira pamankhwala omwe nthawi zambiri samayambitsa kupweteka.
- Ma motor pathologies - mawonekedwe akuwopseza opweteka a minofu, zida zamtunduwu, kusowa kwazonse ndi mawonekedwe a pathological Reflex, kusokonezeka kwa mgwirizano.
- Masinthidwe a Sensomotor (kuwonongeka kwa mphamvu zamagetsi ndi ma mota) - dzanzi, kupweteka, kuchepa kwa chidwi, kuchepa kwa minofu, kufooka, matenda amisala.
Kugonjetsedwa kwa kutsimikizika kwamapazi ndi miyendo yotsika - mawonetseredwe oyamba a neuropathy
Zowawa
Zowawa zomwe zimachitika pamene minyewa yamanjenje imakhudzidwa imakhala ndi chikhalidwe china:
- kuwombera
- kumva kulira
- kuyaka
- kusangalatsa
- kumanjenjemera.
Popeza capillaries a mapazi ndi miyendo yotsika imakhudzidwa makamaka, magawo oyamba a neuropathy amayenda ndi zomverera zowawa m'malo omwewo. Pambuyo pake, zam'tsogolo za m'maganizo "zimasunthika" komanso kusintha kwofananira kwa makoma amitsempha yama cell akuluakulu.
Mawonetsero owonjezera
Odwala amadandaula pazotsatira zamankhwala zotsatirazi:
Momwe mungaperekere magazi a shuga panthawi ya pakati- mapazi ozizira;
- kuchuluka kutupa;
- thukuta kwambiri la kumapazi kapena, kuphatikiza, ziume kwambiri;
- kusintha kwa khungu;
- mapangidwe a mabala, zilonda zam'mimba, calluses;
- makulidwe a misomali;
- kupunduka kwamapazi.
Chowonekera pafupipafupi ndimatenda a zilonda zopweteka ndi mabala. Chifukwa chophwanya chidwi, wodwala sangadziwe kupezeka kwawo. Palinso kuwonjezeranso microflora yama bakiteriya yomwe ikupitilira kukula kwa kutupa ndi kupitilira.
Njira Zodziwitsira
Kuphatikiza pa endocrinologist, wodwalayo ayenera kufunsa dokotala wa opaleshoni ndi wamisala. Kupenda kowoneka m'munsi kotsika kumachitika, kuwunika momwe mawonekedwe amomwe amapangira, khungu lowuma, komanso momwe mawonekedwe amtsitsi alili. Yang'anani kukhalapo kwa kugunda kwamitsempha yayikulu, komwe ndi umboni wa mawonekedwe awo. Kupsyinjika kwa magazi kumayeza.
Kupenda kwakuthupi kwam malekezero - gawo loyambirira lazidziwitso
Zojambula zasayansi:
- kuchuluka kwa shuga;
- glycosylated hemoglobin;
- C peptide;
- kuchuluka kwa ma insulin;
- magazi zamankhwala.
Kuyesa kwamitsempha
Katswiriyo amatsimikiza kukhalapo kwa thupi ndi ma psychology, amawunika makonda ndi monofilament ndi thonje. Mphamvu yamagetsi imayesedwa kumapeto onse akumunsi pogwiritsa ntchito foloko. Pogwiritsa ntchito zinthu zofunda ndi kuzizira, khazikitsani mulingo wa kuzindikira kosintha kwa kutentha.
Kenako, njira zodziwika bwino zodziwikiratu zimaperekedwa kuti zimveketse kufalikira kwamatenda a mitsempha ndikuwunikira momwe malo omwe mwendo umayendera:
- electroneuromyography;
- anapatsa mphamvu.
Mfundo Zakuchiritsa
Chithandizo cha matenda ashuga a m'magazi amayamba ndikuwunika kugwiritsa ntchito mankhwalawa kukonza milingo yamagazi. Ngati ndalama zomwe zikugwiritsidwa ntchito sizothandiza, zimabwezeranso kapena kuthandizanso ndi mankhwalawo. Amagwiritsa ntchito kukonzekera kwa insulin ndi othandizira a hypoglycemic (Metformin, Diabetes, Glibenclamide, Glurenorm, Amaryl).
Mankhwala a antioxidant
Mankhwala osankhidwa a polyneuropathy omwe ali ndi matenda osokoneza bongo amachokera ku thioctic acid. Izi zimathandizira kudzikundikira mu minyewa yamanjenje, zimatenga ma radicals aulere, ndikusuntha kwa trophism ya zotumphukira zamanjenje.
| Dzina lamankhwala | Zolemba ntchito | Mayendedwe |
| Mgwirizano | Amapezeka m'mapiritsi, makapisozi, njira zothetsera makolo. Mothandizirana ndi kuchuluka kwa shuga, mankhwalawa amathandizira kubwezeretsanso kwa kupangika kwa magazi ndi ziwindi. | Osati kwa ana, panthawi yoyembekezera komanso mkaka wa m'mawere |
| Tiogamma | Mwanjira ya mapiritsi ndi yankho la kulowetsedwa. Njira ya mankhwalawa yatha mpaka miyezi iwiri ndikuthanso kubwereza miyezi iwiri | Zotsatira zoyipa zitha kuphatikizira matupi awo sagwirizana, kusintha kwa kakomedwe, kukokana, kuchuluka kwazovuta za intracranial |
| Neuro lipone | Amapezeka m'makapu. Amatenga nawo gawo la cholesterol, kuletsa kukula kwa njira ya atherosulinotic | Kulandila komwe kumachitika panthawi yoyembekezera |
| Tiolepta | Amapezeka mu mawonekedwe a mapiritsi ndi yankho. Zimalimbikitsa zochita za insulin, sizigwiritsidwa ntchito nthawi yomweyo ndi chitsulo, magnesium, mkaka | Ndizoletsedwa panthawi yoyembekezera. Zosagwirizana ndi mowa, monga ethanol amachepetsa mphamvu ya chinthu chogwira ntchito |
Malangizo a Metabolic
Kukonzekera kwa Vitamini ndi njira yosankhira kubwezeretsanso njira yotumizira mitsempha ndi magwiridwe antchito amanjenje. Pyridoxine imalepheretsa kudziunjikira kwa ma radicals aulere m'magazi ndikuthandizira kupanga zinthu zina zomwe zimasintha kufalikira kwa zikhumbo.
Cyanocobalamin imasintha bwino ma trophic neurons, imakhala ndi mphamvu yocheperako, ndikuyambiranso kupatsirana kwa zotengera m'mitsempha ya mitsempha. Thiamine imakhudzanso zomwezi. Kuphatikiza kwa mavitamini atatu kumatha kuchititsa kuti aliyense azigwira bwino ntchito.
Njira zina zomwe zimayendetsa kagayidwe kachakudya mthupi ndi izi:
- Actovegin,
- Pentoxifylline
- Maluwa
- Trental.
Trental - vasodilator yomwe imasintha minofu ya trophic ndi metabolic
Kuwongolera kwapweteka
Ululu ndi chimodzi mwazizindikiro zomwe zimafuna njira yothetsera vuto mwachangu. Ndi ululu wammbuyo womwe umatsogolera kuwoneka kwa kugona, kukhumudwa, kukwiya, kusakwiya kwa odwala. Ma analgesics ochiritsira komanso odana ndi kutupa sangathetse ululu panthawi ya neuropathy ndi matenda ashuga, koma pali milandu yodziwika yoika kwawo.
Akatswiri amakonda magulu otsatirawa a mankhwala:
- Ma antidepressants - amitriptyline, imipramine, paroxetine. Yambani kutenga ndi yaying'ono Mlingo, pang'onopang'ono kukulira pazofunikira.
- Anticonvulsants - Phenytoin, Carbamazepine, Primidone. Yambani ndi mlingo waukulu, pang'onopang'ono kuchepetsa kuchuluka kwa mankhwalawa.
- Ma mankhwala oletsa kupanikizika mwa kugwiritsa ntchito - Lidocaine, Novocaine. Kugwiritsidwa ntchito mochulukirapo, kuphatikiza ndi magulu ena.
- Antiarrhythmic - Mexico. Kugwiritsidwa ntchito sikawirikawiri.
- Opioids - Fentanyl, Promedol, Nalbuphine. Itha kuphatikizidwa ndi ma analgesics osavuta ndikusagwira kwa monotherapy.
- Otsitsa - Finalgon, Capsicum. Njira zimachepetsa kupweteka kwam'mimba mukamagwiritsa ntchito kwambiri.
Mankhwala ena
Pakati pa njira za physiotherapeutic, acupuncture, kugwiritsa ntchito maginito ndi laser, electrophoresis, hyperbaric oxygenation, balneotherapy, kusunthika kwa magetsi kwa transcutaneous kwatchuka kwambiri.
Kuchiza ndi wowerengeka azitsamba kumawonetsa kugwira ntchito kokha ngati gawo limodzi la mankhwala. Ma Clay omwe amakhala ngati Clay kapena zakumwa zamankhwala zomwe zimagwiritsidwa ntchito amagwiritsidwa ntchito. Dongo la buluu kapena lobiriwira, lomwe limagulidwa ku malo ogulitsira, mu 20 g limatsanuliridwa ½ chikho cha madzi ndikugawidwa pawiri. Imwani mphindi 20 musanadye.
Kugwiritsa ntchito dongo lamtambo ndi njira yozizwitsa yobwezeretsanso malo okhala
Mitundu ina yothandiza:
- Pukuta masiku mu blender. Tengani chifukwa misa 2 2. katatu patsiku mutatha kudya kwa mwezi umodzi. Itha kuphatikizidwa ndi mkaka wa mbuzi.
- Kuyenda pamchenga wotentha tsiku lililonse.
- Konzani kulowetsedwa kwa maluwa a calendula ndikumwa chikho cha ½ katatu patsiku. Kutalika kwa maphunzirowa sikumakhala ndi malire ndipo kungapitirire mpaka kubwezeretsa ntchito zotayika.
Wodwala aliyense payekha angasankhe njira yamankhwala yomwe angafune: njira zina zaphikidwe, physiotherapy kapena kumwa mankhwala. Chofunikira kukumbukira ndikuti zonse ziyenera kuchitika motsogozedwa ndi katswiri woyenera. Kuzindikira koyambirira ndikutsatira malangizowo kumapewetsa zovuta zazikulu zowonjezereka ndikuyambiranso ntchito zomwe zidatayika.
