Matenda a shuga a polyneuropathy - ndi chiyani komanso momwe angachitire

Matenda a shuga a polyneuropathy ndi matenda oopsa, limodzi ndi kuwonongeka kwa magawo a zotumphukira zamagetsi. Matendawa ndi zovuta za matenda ashuga, zizindikilo zake zoyambirira zimapezeka zaka zingapo atazindikira kuti ali ndi matenda ashuga. Amayenda pang'onopang'ono, poyamba distal kenako mbali zoyipa zamagetsi zimagwira nawo njira yothandizira matenda.

Polyneuropathy imapezeka mu 70% ya odwala matenda ashuga ndipo, monga lamulo, ali kale pamlingo wotere pamene chithandizo chamankhwala nthawi zambiri chimakhala chosagwirizana. Chithandizo chosafunikira chimatsogolera ku mawonekedwe opweteka kwambiri, ntchito imatayika. Pali chiopsezo cha kufa. Ganizirani momwe mungachitire polyneuropathy mu shuga.

Amayambitsa, pathogenesis ya polyneuropathy

Chifukwa chachikulu chomwe chimayambitsa makina a neuropathy ndikuwonjezera kuchuluka kwa shuga m'magazi. Zotsatira zake ndikuwonjezereka kwa kuchuluka kwa njira za oxidative. Ma radicals aulere amadziunjikira m'thupi, omwe amawononga ma neurons, akusokoneza ntchito zawo.

Shuga wambiri amatsogolera ku activation ya autoimmune njira zomwe zimawononga minofu yamitsempha. Kukhazikika kwa glucose kumayambitsa kusokonezeka mu osmolarity a intracellular space, minyewa yamitsempha yotupa, mawonekedwe apakati pa maselo amasokonezeka. Kukula kwa maselo amanjenje am'mitsempha kumachepetsedwa. Nthawi zonse hyperglycemia imachepetsa kuchuluka kwa mphamvu ya kagayidwe, kulimbikitsidwa kwa conduction kumakulirakulira. Mapeto a maselo amitsempha amatsata hypoxia (kufa ndi njala ya oxygen).

Zomwe zimayambitsa kukula kwa neuropathy:

• Matenda a shuga
• Ukalamba
• Kupezeka kwa zizolowezi zoipa,
• Intoxication ndi mankhwala, mankhwala.

Pathology imatha kukhazikitsidwa motsutsana ndi maziko a matenda oyenda bwino:

• Ischemia
• Ma neoplasms oyipa,
• Hypothyroidism,
• Cirrhosis
• Uremia.

Gulu

Kutengera gawo liti lamanjenje lomwe lawonongeka, mitundu ingapo ya polyneuropathy imasiyanitsidwa:

1. Yoyimira. Amadziwika ndi kuperewera kwa ziwalo kapena machitidwe amodzi. Amagawidwanso m'mitundu ingapo:

• Mtima
• Matumbo,
• Wowayankha
• Urogenital.

1. Zosangalatsa. Ndi mawonekedwe awa, matendawa amakhudza thupi lonse.

Malinga ndi kufalikira kwa zotupa, mitundu itatu ya neuropathy imasiyanitsidwa:

1. Zachisoni. Kuzindikira kwa wodwala kwa zomwe akukumana nazo kumachepa.
2. Galimoto. Ntchito yamagalimoto oyenda.
3. Mawonekedwe a distal (sensorimotor). Matendawa amaphatikiza zizindikiro za mtundu wa 1 ndi 2.

Nthawi zambiri, kudziyimira pawokha, matenda ashuga, distal polyneuropathy (mawonekedwe osakanikirana) amapezeka.

Zilonda zamanjenje zimayambitsa kuyambitsa kwa matenda ashuga polyneuropathy. Kuwonetsedwa kwa matendawa kumatengera momwe ulusi wamanjenje umakhudzidwira: yaying'ono kapena yayikulu. Mbali yoyamba, wodwala:

• Miyendoyo ili dzanzi (m'munsi, kumtunda),
• Pali kumverera koyaka, kumverera kwa mantha,
• Khungu limakhala losasamala kutentha ndi kutentha kotsika,
• Khungu la miyendo limasanduka lofiira
• Manja ndi mapazi amaundana
• Mapazi amatupa, thukuta kwambiri,
• Khungu lomwe limapendekeka pamiyendoyo, lidayuma,
• Usiku, zopweteka zimawoneka m'miyendo
• Zosafunikira, ming'alu yowawa kumapazi.

Ngati zingwe zazikulu zamitsempha zakhudzidwa, mawonetsedwe a matendawa akhale motere:

• Kuyenda mopanda malire
• Amakhala ndi nkhawa yokhudzana ndi ululu wophatikizika
• Khungu la malekezero ake limakhala lovutirapo,
• Ndikakhudza kuwala, zowawa zimawonekera
• Kusazindikira kufunika kwa chala kumawonedwa.

Kuphatikiza apo, polyneuropathy imayendetsedwa ndi mawonetseredwe osasangalatsa. Izi zikuphatikiza:

• Matenda a matumbo
• Kufooka minofu
• Chizungulire
• Mavuto olankhula
• Zowonongeka.

Ganizirani zodziwika za mitundu ya polyneuropathy yomwe imadziwika nthawi zambiri. Ndi zotupa za autonomic mantha dongosolo (kudziyimira pawokha), chimbudzi ntchito zikuipiraipira, chizungulire chikuwonekera. Munthu akadzuka, maso ake achita khungu, amatha kufooka. Ndi mtundu uwu wa neuropathy, pamakhala chiopsezo chachikulu cha matenda opatsirana mwa genitourinary. Kuchepa kwa magazi m'maganizo nthawi zina kumabweretsa kufa mwadzidzidzi.

Matenda a diabetesic distal polyneuropathy nthawi zambiri amakhudza miyendo yam'munsi, apamwamba kwambiri samakhudzidwa. Pali magawo atatu a chitukuko cha matenda:

1. Zachidule. Palibe zodandaula zapadera, zokhazokha zomva kupweteka, kutentha kwakukulu ndi kochepa kumachepetsedwa.
2. Zamankhwala. Odwala amadandaula za kupweteka m'malo osiyanasiyana a thupi, dzanzi la miyendo, kukulira kwadzuwa. Ndikusintha kwina kwa njirayi, kumayamba kumva kuwawa kwambiri, kuwotcha, komanso kupweteka. Usiku, zizindikirazo zimakulirakulira. Pali mawonekedwe osapweteka, amadziwika ndi: kutsika kwamapazi, kuphwanya kwamphamvu kwa kumva, kufooka kwa minofu, kuyendetsa galimoto.
3. Mavuto Zilonda zimapangika pamiyendo, mwa zina zimatsagana ndi zowawa. Matendawa pakadali pano atha kuyambitsa kukulitsa gangore, ndiye kuti pamakhala lingaliro pankhani yakuduladula.

Madokotala amathanso kusiyanitsa pakati pa zabwino ndi zoipa zizindikiro za matenda ashuga a polyneuropathy. Zabwino zikuwoneka koyambirira, zikuphatikiza:

1. Kuwotcha (pa nthambi ya 1 kapena thupi lonse). Chowonekera kwambiri, ngati munthu ali wokhazikika momwe angathere, komanso usiku.
2. Kupweteka kwambiri m'mero, m'mimba, mu hypochondrium yoyenera.
3. Msana, kugwedeza kwamagetsi kofananako.
4. Zomverera zowawa (allodynia) ndi kukhudza kowala.
5. Hypersensitivity kupweteka kwa kukula kulikonse.

• Kuuma kwambiri,
• Ululu ndi kuyenda kwa miyendo, mikono,
• Kung'ung'udza
• Kuchuluka kwa miyendo.

Ntchito ya vetibular zida zimasokonekera, wodwalayo amakhala osakhazikika poyenda. Kuwonekera kwa zisonyezo zoipa kumayambira kumayambiriro kwa matendawa, pomwe kusintha kwasintha.

Zizindikiro

Ndi kukayikira kwa polyneuropathy, muyenera kulumikizana ndi endocrinologist, neurologist, opaleshoni. Kuzindikira kumachitika chifukwa cha madandaulo, kufufuza kwa wodwalayo komanso zotsatira za maphunziro othandizira odwala ndi othandizira. Moyesedwa, kuzindikira kwamanja ndi miyendo, mawonekedwe. Kafukufuku wa Laborator akuphatikizapo tanthauzo la:

• Cholesterol
• Kuchuluka kwa shuga m'magazi, mkodzo,
• Glycosylated hemoglobin, C-peptide,
• Magazi a insulin.

Kuphatikiza apo, ECG, ultrasound scan, electroneuromyography, ndi MRI zimachitidwa.

Ndi matenda anthawi yake, chithandizo chokwanira cha polyneuropathy koyambira, matendawo amathandizanso odwala ambiri.

Mkhalidwe wofunikira ndikusunga shuga.

Chithandizo cha matenda a shuga a polyneuropathy am'munsi ndizovuta, ndikofunikira kukopa zomwe zimayambitsa ndi zizindikiro za matenda. Zochita zochizira zimaphatikizapo:

1. Kuthetsa shuga wambiri kuchokera ku minyewa yamitsempha, kubwezeretsa maselo owonongeka mothandizidwa ndi alpha-lipoic acid. Thupi limakhala la antioxidants, limatenga nawo mbali metabolic. Alpha-lipoic acid imalepheretsa kusintha kwa ma radicals aulere, imalimbikitsa kuwonongeka kwa shuga, imapangitsa njira zoyendera zake.
2. Kubwezeretsa njira yopatsira zokopa, kuchepetsa mavuto obwera chifukwa cha shuga owonjezera m'maselo amitsempha. Pachifukwachi, wodwalayo amadziwitsa mavitamini B, omwe amakhudza kwambiri mkhalidwe wamkati wamanjenje ndi dongosolo la masculoskeletal. Vitamini E ndiwothandiza pochepetsa zotsatira zoyipa za glucose pa neurons.
3. Kubwezeretsa metabolism yachilengedwe mu minyewa yamitsempha mwa kumwa mankhwala a antioxidant. Zotsatira zabwino zimapatsidwa Actovegin, zomwe sizimapereka zotsatira zoyipa. Chidacho chimakhala ndi antihypoxic, chimakhudza bwino mayamwidwe ndi kugwiritsa ntchito mpweya. Mankhwalawa amawonetsa ngati insulin, chifukwa imasintha njira za oxidation, mayendedwe a shuga. Kutenga Actovegin kumakupatsani mwayi wobwezeretsanso mphamvu zama neuron.
4. Kuchepetsa mphamvu ya kaphatikizidwe ka glucose, kuchepetsa zovuta zake pazigawo zamanjenje mwa kutenga mankhwala-aldose reductase inhibitors (Olredaza, Isodibut, Sorbinyl). Mankhwala amachepetsa mawonetseredwe a neuropathy: chotsani chizindikiro cha ululu, kubwezeretsa chidwi cha miyendo, thamangitsani kuchiritsa kwa zilonda.
5. Kupulumutsidwa kwa chisonyezo chopweteka ndi mankhwala osapweteka a antiidal (Diclofenac, Ibuprofen).
6. Kuthetsa dzanzi, khunyu limodzi ndi mankhwala, omwe akuphatikiza potaziyamu, calcium, magnesium.
7. Zilonda zikaoneka m'mphepete, pamakhala njira yothandizira maantibayotiki, othandizira odwala mabala am'deralo.

Kuti kuwonjezera chithandizo, kugwiritsa ntchito mankhwalawa kuyenera kuphatikizidwa ndi njira zopanda mankhwala. Kupititsa patsogolo kufalikira kwa magazi ndikukhala ndi kamvekedwe ka minofu, wodwalayo amapatsidwa physiotherapy (electrophoresis, magnetotherapy). Ntchito yamagalimoto m'munsi yotsika imabwezeretseka mothandizidwa ndi kutikita minofu, acupuncture.

Zabwino zimaperekedwa posambira, masewera olimbitsa thupi olimbitsa thupi. Chitani masewera olimbitsa thupi tsiku lililonse, kwa mphindi 10-20.

Ndikulimbikitsidwa kuti muzitenthetsa mapazi anu ndi masokosi ofunda, dziwani kuti chifukwa chaichi simungathe kugwiritsa ntchito poyatsira, kusamba kwamapazi.

Mankhwala azitsamba

Kuphatikiza pazithandizo zochizira zomwe adokotala adapereka, mutha kuthandizidwa ndimankhwala achikhalidwe. Mankhwala azitsamba amathandizira kuchepetsa kukula kwa zizindikiro.

Sinthani misinkhu ya shuga pogwiritsa ntchito decoction, yomwe imaphatikizapo:

• Peppermint - 30 g
• Stigmas chimanga - 60 g,
• Galega (mbuzi) - 100 g,
• Nyemba Sash - 100 g.

Thirani 6 tebulo. l Sungani 1 lita imodzi ya madzi otentha ndikuyika moto wochepa kwa mphindi 5. Musanagwiritse ntchito, msuzi msuzi ndi kudya musanadye. Mlingo umodzi ndi 100 ml.

Kuti mupeze ma neuroni ndi michere, imwani tsiku lililonse. Mufunika:

• Kefir - 1 tbsp.,
• Mbewu za Mpendadzuwa - 2 tebulo. l.,
• Parsley - kulawa.

Sendani ndikudula mbewu za mpendadzuwa, kuwonjezera pa kefir. Onjezani amadyera ndi kusakaniza. Imwani tambala 1 tsa / tsiku theka la ola musanadye kadzutsa (pamimba yopanda kanthu).

Clove (zonunkhira) imakhala ndi antioxidant yabwino. Kukonzekera kulowetsedwa muyenera:

Pogaya zonunkhira, kutsanulira mu thermos. Thirani madzi otentha, chokani kwa maola 2. Gwiritsani kulowetsedwa 3 r. / Tsiku.

Chiwerengero chimodzi chidzakhala 1⁄4 tbsp. Kutalika kwa maphunzirowa ndi 2 milungu. Bwerezani m'masiku 10.

Kubwezeretsa chidwi cha ma receptor, mutha kupanga ndi dongo lamtambo. Kuchepetsa ndi madzi, kusasinthika kumayenera kufanana ndi kirimu wowawasa wowawasa. Lowetsani kumalo komwe akumva kupweteka, siyani kuuma. Kutalika kwa ntchito - masabata awiri.

Ndi mtundu wa distneuropathy, chithandizo chakunja chokhazikitsidwa ndi leadum chingakuthandizeni. Mufunika:

• Ledum - 0,5 tbsp.,
• Viniga ya tebulo (9%) - 0,5 tbsp.

Osakaniza ayenera kumwedwa kwa masiku 10. Musanagwiritse ntchito, phatikizani tincture pang'ono ndi madzi (mwa kuchuluka kwa 1: 1). Pakani mankhwala m'miyendo yanu 3 r. / Tsiku.

Kuchulukitsa kwa manja ndi mapazi kungachitike ndi mafuta opangidwa kuchokera ku wort wa St. Zomwe zikugwiritsidwazo ndi:

• Masamba, maluwa a hypericum (mwatsopano) - 3 tebulo. l
• Mafuta opanga masamba - 1 tbsp.,
• Ginger (mizu) - 1 tebulo. l

Pukuta wort wa St. John, kuthira mafuta otentha. Siyani pamalo amdima kwa milungu itatu. Finyani malonda, onjezani ndi muzu wowuma. Sungani mafuta a Hypericum mufiriji.

Kusintha kagayidwe kake mu magawo amanjenje, imwani kulowetsedwa kwa mankhwala azitsamba:

• Burdock (muzu),
• Birch (masamba),
• Bedstraw,
• Mahawa (ma cones)
• Oldberry wakuda (maluwa),
• Tsamba,
• Licorice (muzu),
• Zotsatira za.

Tengani zigawozo m'magulu ofanana. Ikani matebulo awiri mu thermos. l sakanizani, kuthira madzi otentha (4 tbsp.), khalani pambali kwa maola 8 (mutha kugona usiku). Imwani zakumwa masana m'malo mwa tiyi. Kutalika kwa ntchito ndi mwezi umodzi. Bwerezani maphunziro masiku 10.