Chithandizo cha matenda a shuga a shuga ndi mankhwala osokoneza bongo komanso njira zina

Matenda a shuga a shuga, chifukwa chosintha mosalekeza kuchuluka kwa shuga m'magazi, zimapangitsa kuwonongeka kwa machitidwe, ziwalo ndi zovuta zina.

Chimodzi mwamavutowa ndi matenda a shuga. Uku ndikuwonetsa kwakukulu m'madipatimenti a zotumphukira zamitsempha, zomwe zimapangitsa kuti anthu asamamve, kusokonezeka kwa kusokonezeka kwa ma genitourinary ndi autonomic dysfunction.

Chimachitika ndi chiani ndi matenda amanjenje?

Mphamvu yamthupi yathupi ili ndi madipatimenti angapo:

• chapakati - imaphatikizapo madipatimenti monga msana ndi ubongo;
• zotumphukira ndizokhudzana ndi mitsempha yomwe imadutsa thupi lonse kuchokera pakatikati.

Malinga ndi ntchito yomwe imagwira, dongosolo lamanjenje limagawidwa mu autonomic, yomwe imayang'anira ntchito ya ziwalo zamkati ndi minyewa, komanso somatic, yomwe imayang'anira ntchito ya minofu ya minofu.

Kusintha kwa shuga m'magazi kumakhudza minyewa yamitsempha. Kupezeka kosakwanira kwa glucose kumayambitsa kusowa kwa zakudya zamitsempha, ndipo kuthamanga kumatsatiridwa ndikupanga mafayilo amtundu waulere, omwe amachititsa kuti ma cell oxidation.

Shuga owonjezera amathandizira kuti pakhale michere yambiri m'misempha, chifukwa chomwe madzi ndi mchere umalowa m'maselo, omwe, amachititsa kutupa m'mitsempha.

Ngati matenda a shuga akuphatikizidwa ndi matenda oopsa, pamachepa ziwiya zomwe zimapereka ubongo ndipo maselo amafa mothandizidwa ndi mpweya wabwino.

Zinthu zotsatirazi zingakhudze kukula kwa neuropathy:

• matenda oopsa
• chikumbumtima;
• kunenepa kwambiri;
• Hyperlipidemia
• kutalika kwa matenda ashuga;
• kusowa kwawongolero ndi kuwonjezeka kwa shuga;
• zaka.

Zizindikiro za matenda ashuga a shuga

Kuyamba kwa kuwonongeka kwamanjenje kumadziwika ndi kusowa kwa zizindikiro zazikulu. Maselo okufa amasinthidwa ndi athanzi; wodwalayo samasintha. Zizindikiro zoyambirira zimadziwika pakatha miyezi ingapo matenda akayamba ndipo zimakhudza, choyambirira, manja ndi manja am'munsi. Zizindikiro zimawonekera kutengera komwe kuli zotupa zazikulu mu mitsempha ndi kukula kwa matendawa.

Pali zowonongeka zingapo:

1. Subclinical neuropathy.
2. Clotical neuropathy imagawidwa m'magawo atatu:
   • kupweteka kosatha;
   • kupweteka pachimake;
   • gawo lopanda ululu, limodzi ndi kuchepa kwa chidwi kapena kuchepa kwake.
3. Machedwe mavuto

Zachisoni

Kuwonongeka kwa mitsempha yomwe imawongolera kumverera kwa khungu la miyendo ndi nkhope ndikuwonetsedwa ndi zizindikiro zotere:

1. Kuchulukitsa kwamvekedwe koyipa poyankha. Pali kumverera kowotcha ndi kumva kulira pakhungu. Nthawi zopweteka kwambiri zimawonedwa ndipo "goosebumps" amamveka.
2. Zomwe zimachitika pakukhudza khungu zimawoneka ngati zowawa.
3. Chomwe chimasokoneza chimapangitsa kuyankha kosiyanasiyana kwa zolemba m'mabuku, zomvera, ndi zowawa.
4. Kuzindikira kumachepetsedwa kapena kutayika. Pali malingaliro opitilira kuti magolovu kapena masokosi ali m'manja ndi kumapazi.

Galimoto

Ndi motor neuropathy, mitsempha yamagetsi yothandizira minyewa yam'mimba imakhudzidwa:

• kumverera kwa miyendo "yogonera" ndi minofu yofooka pangani kukhala kovuta kusuntha;
• mgwirizano umalephera chifukwa cha kuwonongeka kwa zida za vestibular;
• mafupa a miyendo amalephera kuyenda, edema yawo ndi kupindika kwake kumawonedwa, ntchito ya kusinthasintha ndi kukulitsa kwa zala imalepheretsedwa.

Kuchepa kwa magazi kumayambitsa kuyanika kunja ndi kuwonongeka kwa minofu yamatumbo.

Yoyimira

Autonomic neuropathy imakhudzanso dongosolo la Autonomic, lomwe limayambitsa kuwonongeka mu zochitika zamkati:

• kumeza movutikira;
• malamba, kusanza, kutentha kwa mtima kumachitika;
• chimbudzi ndi ntchito yamatumbo imasokonekera, yomwe imayendetsedwa ndi kutsegula m'mimba kawirikawiri kapena kudzimbidwa;
• kutsitsa kwamkodzo kukodza kumachepetsedwa kwambiri, ndikuchotsa chikhodzodzo, komwe kumabweretsa matenda ndi mabakiteriya ndi zotupa mkati mwake;
• kukanika kwa erectile kumadziwika;
• palpitations, arrhythmia zizindikiro zimawonedwa;
• kuyesera kutenga malo okhazikika kumayendetsedwa ndi kugwa kwakuthwa mu kukakamiza ndi kufooka;
• thukuta lomwe limachulukitsa pambuyo pake limasinthidwa ndi kutulutsa thukuta kosakwanira, komwe kumayambitsa khungu louma;
• kuwonongeka kwa khungu la nkhope ndikuwonekera kwa mawanga azaka kumadziwika;
• ntchito zowoneka bwino.

Njira Zodziwitsira

Pa njira yodziwitsa, akatswiri opanikizika amatenga nawo mbali pakufunsira - dokotala wamtima, katswiri wa matenda am'madzi, podologist, gynecologist, andrologist, gastroenterologist, orthopedist:

• Phunziro likuchitika pazomwe zili ndi insulin m'magazishuga ndi hemoglobin;
• madandaulo a wodwala ndi mbiri yachipatala zimayesedwa;
• kuthamanga kwa magazi ndi mkhalidwe wa khungu la miyendo (kukhalapo kwa chimanga, mabala, matenda oyamba ndi fungus) kumayendera.

Mkhalidwe wamtima wamkati, kwamikodzo, mantha am'mimba komanso kugaya chakudya amatsimikiza kugwiritsa ntchito maphunziro awa:

• urinalysis;
• kuphunzira pa cholesterol yamagazi ndi lipoproteins;
• Ultrasound a impso ndi chikhodzodzo;
• urology;
• cystography;
• x-ray yam'mimba;
• Ultrasound yam'mimba;
• Endoscopy;
• mtima mayeso;
• electrocardiogram;
• Echocardiography;
• electromyography;
• electroneurography.

Reflexes imawunikiridwa ndipo kuyesedwa kwa chidwi kumachitika:

1. Kusinthasintha - onani pogwiritsa ntchito foloko. Foloko yokhala ngati yazitsulo imamangidwa pamendo ndikuwomba kumapeto kwa chida. Ngati wodwala samva kugwedezeka, izi zimatsimikizira kuchepa kwamphamvu.
2. Tactile - fotokozani monofilament wofanana ndi pensulo wokhala ndi mzere wasodzi. Kanikizani mwamphamvu pakhungu. Pambuyo pakuchitika pakhungu m'malo osiyanasiyana a miyendo ndi mpira wa thonje. Wodwalayo atatsekeka ndi maso ake amawona komwe dokotalayo anakhudza ubweya wa thonje.
3. Kuzindikira kusintha kwa kutentha kumayendera pokhudza khungu makamaka ndi chitsulo kapena pulasitiki.
4. Kuyankha kupweteka kumayesedwa ndi dzino kapena mano. Ngati sichimva kupweteka komwe kumamveka, koma kukhudza kokha, ndiye kuti ntchito ya mitsempha yolandirira imasokonezeka.
5. Kuwunika kwa bondo Reflex kumachitika ndikumenya malleus pansi pa patella. Phazi liyenera kupindika. Ngati izi sizingachitike, ndiye kuti mitsempha imawonongeka.
6. Mukayang'ana mawonekedwe a Achilles, wina amawomba tendon pamaondo a wodwala. Phazi lathanzi likugwedezeka chifukwa cha kupweteka.

Molumikizana machitidwe a electroneurography ndi electromyography. Maphunzirowa ndi omwe amayankha kuyankha kwa mitsempha pakukopa kwamagetsi komwe kukubwera. Ma elekitirodi amayikidwa mu minyewa ndipo amatulutsa mphamvu yaying'ono yamagetsi, ndipo zotengera zomata pakhungu zimawerengera kuthamanga kwamkati ndi momwe minofu yamitsempha imachitikira.

Matenda a shuga a matenda ashuga amatsimikiziridwa ngati:

• kupita pachilichonse kumafuna nthawi yambiri;
• Osati minyewa yonse yomwe minyewa yomwe idalimbikitsa idayendetsa chizindikirocho.

Muzovuta, biopsy yamaselo amkhungu ndi mitsempha ya ng'ombe imagwiritsidwa ntchito pozindikira.

Kuchiza matenda

Zolinga zazikulu zochizira matenda a neuropathy ndi:

• kutsitsa ndi kukhazikika kwa ndende ya magazi;
• Kuchotsa mawonekedwe owonetsa;
• kukondoweza kwa kusinthika kwa mphamvu ya maselo amitsempha.

Kusungitsa kuchuluka kwa shuga m'milingo yoyenera, mankhwala ochepetsa shuga amalembedwa:

• amathandizira pakupanga kwachilengedwe kwa insulin mkati kapamba (Repaglinide, Glimepiride, Liquidvon);
• kuchuluka kwa insulini ya maselo (Fenformin, Ciglitazone, Troglitazone);
• kupewa kuyamwa kwa mafuta mu khoma lamatumbo (Miglitol, Acarbose);
• popanda zotsatira, jakisoni wa insulini amatchulidwa katatu patsiku.

Nthawi zina kuwonjezeka kwa zizindikiro za neuropathy ndikutheka motsutsana ndi maziko azoyimitsidwa amomwe amadziwika ndi shuga. Ichi ndi chizindikiro chabwino. Izi zikutanthauza kuti kusinthika kwa mitsempha yowonongeka kumachitika. Nthawi zambiri, pakatha miyezi ingapo, vutoli limayamba kukhala labwinobwino.

Kuphatikizika kwa njira zochizira kumaphatikizanso kuwunika kuchuluka kwa kuthamanga kwa magazi, kusintha kwa zakudya, njira zomwe zimapangitsa kuti muchepetse kunenepa kwambiri, kukonza zolimbitsa thupi.

Physiotherapy imagwiritsidwanso ntchito:

• magnetotherapy;
• mankhwala a laser;
• zolimbitsa thupi;
• kukondoweza kwa ulusi wamitsempha ndimagetsi amagetsi;
• kuwala mankhwala.

Njira zamankhwala

Chithandizo chobwezeretsa maselo amitsempha okhudzidwa ndikuchepetsa ululu kumachitika mothandizidwa ndi mankhwala:

• mankhwala a neurotropic - mavitamini a vitamini B omwe ali ndi mavitamini B, amathandizira kuyendetsa kwa minyewa yamitsempha ndikuchepetsa kutupa;
• antioxidants - alpha lipoic acid, vitamini E amateteza kagayidwe kachakudya njira ndi kuchepetsa magazi;
• ma pinkiller komanso mankhwala oletsa ululu;
• anticonvulsant ndi anti-kutupa mankhwala;
• mankhwala a antibacterial zochizira mabala am'mimba ndi zilonda zam'miyendo;
• Mixelitin kukhalabe ndi mtima wamtima ndikuchotsa arrhythmias;
• zinthu zomwe zimakhala ndi potaziyamu, magnesium ndi calcium.

Zithandizo za anthu

Monga njira yothandizira yochizira matenda amitsempha, anthu amakonda kugwiritsa ntchito maphikidwe ochiritsa wowerengeka.

Ndalamazi zimatha kupereka chithandizo chonse chomwe chingatheke mu chithandizo chovuta kwambiri ndipo chitha kugwiritsidwa ntchito pokhapokha ngati dokotala achita izi:

1. Mafuta a camphor. Kuyambira kuyambira pa zala ndikuyenda kulowera kwa bondo, pakani phazi lopweteka ndi mafuta ochepa. Mukamaliza, gwiritsani miyendo ndi dzanja, kunyowetsa manja anu ndi mowa kapena vodika komanso kutentha. Mwezi wobwereza njirayi musanagone. Mafuta a camphor amachiritsa zotupa za pakhungu ndi kuthetsa ululu. Zimakwiyitsanso mathero a mitsempha, zimathandizira kuti ayambe kuchira.
2. Ndimu. Phatikizani ndimu m'manja mwanu mpaka mafuta ofunika awatulukire. Valani panja ndi mafuta a azitona kapena mpendadzuwa ndikuyika mbali iyi pakhungu la mapazi. Khazikitsani ndikuyika pamwamba pa sock. Njira ya compress imachitika kwa milungu itatu. Mafuta a mandimu ali ndi phindu pamapangidwe amanjenje ndikuwongolera magwiridwe ake.
3. Kuchiritsa dongo imakhala ndi zinthu zothandiza zomwe zimapangitsa ntchito ya mitsempha kutha. Phatikizani dongo lobiriwira kuti lisasinthike ndikugawa pamwamba pa nsalu. Ikani nthambi yodwala, konzani ndikusiya kuti ziume. Bwerezani masabata awiri tsiku lililonse, pogwiritsa ntchito mwatsopano nthawi iliyonse. Pambuyo - kupumula kwa masiku 10 ndikubwereza.
4. Chamomile ndi nettle. 1 tsp. kuphika maluwa a chamomile ndi masamba ocheperako kwa mphindi 15 mu kusamba kwamadzi mu 1 chikho cha madzi. Kuumirira mphindi 30 ndi kumwa m'mawa, masana ndi madzulo kwa miyezi itatu. Chida choterocho chimachepetsa shuga m'magazi, chimathandizira kuti minyewa ikhale yachilengedwe.
5. Calendulaamachepetsa kutupa ndi kutupa ndipo ali ndi mphamvu ya analgesic. Kuteteza mibulu ingapo ya maluwa kwa maola awiri awiri magalasi awiri amadzi owiritsa. Mutapumira, tengani theka lagalasi pamimba yopanda miyezi iwiri.
6. Eleutherococcus. Khazikani supuni ya muzu wa Eleutherococcus kwa mphindi 15 kapu yamadzi otentha pa moto wochepa. Pambuyo pozizira, kuchepetsa mu msuzi 2 tbsp. l mandimu ndi spoonful uchi. Msuzi uyenera kuledzera tsiku limodzi pang'ono. Bwerezani chithandizo kwa masiku 30. Chidacho chimakhudza mphamvu yamanjenje ndipo imachulukitsa chitetezo chamthupi.

Kuteteza Matenda

Njira yayikulu yothandizira kuti muchepetse vuto la neuropathy ndikusungabe kuchuluka kwa shuga m'magazi momwe mungavomerezere.

Malangizo angapo akuyenera kutsatiridwa:

4. Muzipanga shuga kangapo patsiku, musanadye komanso mutamaliza kudya, sinthani kukula kwake kapena kuchepa kwa shuga.
5. Penyani kuthamanga kwa magazi anu. Hypertension imabweretsa kuwonongeka kwa mitsempha.
6. Tsatirani dongosolo la kupita kwa sing'anga. Nthawi yomweyo dziwitsani dokotala za kusintha kulikonse kwaumoyo (kuchuluka kwa ludzu, kukodza pafupipafupi, kufooka).
7. Tsatirani mfundo zachakudya. Pewani zakudya zomwe zili ndi chakudya chambiri komanso shuga, idyani masamba ambiri, zitsamba ndi zipatso. Pewani kufa ndi njala komanso kudya kwambiri. Imwani madzi osachepera 2 malita tsiku lililonse.
8. Tengani mavitamini, omwe ali ndi mavitamini a gulu B.
9. Chitani zinthu zolimbitsa thupi moyenera. Kuyenda kwambiri, kusambira, masewera olimbitsa thupi tsiku ndi tsiku komanso masewera omwe angapezeke.
10. Yendetsani kulemera kwanu. Kunenepa kwambiri kumayambitsa ma spikes m'magulu a shuga omwe amawononga minyewa yamitsempha.
11. Pewani zizolowezi zoipa. Kugwiritsa ntchito zakumwa zoledzeretsa kumadzetsa thupi, ndipo chikonga chimayambitsa kutsekeka kwamitsempha yamagazi, chifukwa chomwe magazi amayenda m'mitsempha ndipo mitsempha imalandira zakudya zosakwanira.
12. Pamafunika kuwunika momwe khungu limakhalira ndi miyendo, kunyowetsa ndikusinthira ndi mafuta. Yesetsani kuti musawononge khungu komanso muchiritse mabala ndi zipsera mosamala.
13. Pezani nsapato zoyenera.
14. Osayesa kuchitira nokha matenda a shuga. Kugwiritsa ntchito mankhwala, komanso kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe kuyenera kuchitika pokhapokha atakambirana ndi adokotala.

Kanema kuchokera kwa Dr. Malysheva okhudzana ndi neuropathy mu matenda a shuga:

Ndikulimbikitsidwa kuti muzichita zolimbitsa thupi zomwe zimathandizira kubwezeretsa magazi m'miyendo ya m'mapazi ndikupewa kusintha kwa ma atherosulinotic. Zovuta zimaphatikizapo kuzungulira ndi mapazi, kusinthasintha ndi kukulitsa kwa zala ndi mapazi, kugudubuza miyendo ya mpira kapena botolo lopanda kanthu.

Kutsatira malamulo onse, kuphatikiza chithandizo chokwanira, kumathandizira kubwezeretsa kwathunthu kugwira ntchito kwa maselo amitsempha m'miyezi yochepa.