Polyneuropathy yokhala m'munsi kwambiri: Zizindikiro, mankhwala osokoneza bongo, zomwe zimayambitsa matendawa

Polyneuropathy ya malekezero am'munsi ndizowoneka zambiri zazingwe zamitsempha. Matendawa amadziwika ndi ziwalo zopuwala zamiyendo, kusowa kwa chiwopsezo chikakhudzidwa ndikuwonekera kutentha, komanso zovuta zina zam'munsi.

Ndi matenda awa, mitsempha yomwe imayendetsa ndikusunthika imakhudzidwa, komanso madera akutali a ma neuron omwe ali kumapazi. Zinthu ndi kukula kwa zizindikiro zimadalira mtundu wamatenda.

Mitundu ya polyneuropathy

Pali mitundu yotere yamatenda:

Kutupa - chomwe chimayambitsa maonekedwe ndi kutupa kwambiri komwe kumachitika mu minyewa yamitsempha,
Zowopsa - zimawonekera pambuyo povulala zingapo, monga chithunzi,
Poizoni - chomwe chimayambitsa mankhwalawa ndi kupha kwa thupi ndi chimodzi mwa zinthu zakupweteka (mwachitsanzo, altait),
Allergic polyneuropathies am'munsi malekezero - amatuluka chifukwa kuphwanya chitetezo chathupi.

Tcherani khutu! Polyneuropathy imatha kukhala yovuta kapena yosatha, axonal (mwanjira iyi, ma cylinder a axial a nerve fiber amakhudzidwa) komanso demyelinating (imawoneka chifukwa cha kusintha kwa pathological mu membrane wa neurons).

Mwanthawi yayitali, matendawa amakula pang'onopang'ono. Koma amathanso kupita patsogolo kwambiri, ndikusunthira kuchoka ku zotumphukira kupita ku dongosolo lamanjenje lamkati.

Zomwe zimayambitsa polyneuropathy

Matendawa amatha kuchitika mothandizidwa ndi zinthu zambiri, mwatsoka, sizotheka nthawi zonse kuzikhazikitsa.

Pali zifukwa zambiri zakukula kwa polyneuropathy. Izi zimaphatikizira matenda a autoimmune (kusokonekera kwa magwiridwe antchito a chitetezo chamthupi komwe kumachitika chifukwa cha kusayenda bwino m'thupi), mafakitale (lead), kapena kuledzera ndi zakudya zosapatsa thanzi komanso zakumwa zoledzeretsa.

Kuphatikiza apo, zinthu zomwe zimapangitsa kuyambika kwa matendawa ndi zotupa, chibadwa chamtundu, matenda onse omwe amachititsa kutupa kwa mitsempha.

Zina zomwe zimapangitsa kuti polyneuropathy ipite patsogolo zimatha kukhala: kugwiritsidwa ntchito mosasamala kwa mankhwala (penicillin, streptomycin, azaserin, etc.), chiwindi, impso, kapamba, kuchepa kwa vitamini ndi matenda a endocrine (shuga mellitus).

Koma, monga lamulo, polyneuropathy ya miyendo imawonekera pomwe madipatimenti amanjenje a distal amakhala oyamba kuchitapo kanthu pazomwe zimachitika mu dongosolo.

Chifukwa china chagona kuti ma neuron akutali alibe chotchinga magazi.

Chifukwa chake, ma virus angapo komanso matenda amatha kulowa mosavuta m'malumikizidwe am'mitsempha.

Ndi polyneuropathy, kuwonongeka kwa ma tactile ulusi ndi ma neurons omwe amayendetsa kayendedwe amawona. Matenda omwe amapezeka m'mitsempha ya mitsempha amatha kuyambitsa ndi:

kuchepa kwa chidwi (osagwira, kutentha kapena kuzizira)
kutupa ndi paresis (kufinya, kuwonda),
kufooka kwa minofu.

Komanso, ndi polyneuropathy, zizindikiro monga kuchepa kapena kusowa kwa tendon reflexes ndi kuphulika ndi kupweteka kwapweteka kwambiri m'mitsempha yamipweya zimawonedwa. Komabe, pali zizindikiro za mawonekedwe a paresthesia ndi goosebumps, ndipo ma gait amasintha chifukwa chosokoneza minofu.

Zofunika! "Cock's gait" ndi chimodzi mwazizindikiro zazikulu zomwe zimachitika ngati munthu samalandira chithandizo cha polyneuropathy.

Pakumayambiriro kwa matendawa, matenda a polyneuropathy a m'munsi amadziwika chifukwa minofu kwathunthu, Guillain-Barré syndrome imayamba (kufooka kwa miyendo, ndipo pambuyo pa kupuma kwa minofu), ndipo zilonda zam'mimba zimatuluka, zomwe zimakhalanso ngati zizindikilo zofunika kwambiri.

Kuzindikira

Matendawa amadziwika ndi njira yosiyanitsa, pomwe dokotala amapenda mosamala zonse zomwe zimayambitsa matendawa, ndikuchotsa matenda ena omwe ali ndi zofanana. Sensorimotor polyneuropathy imatha kuwonekanso pano.

Mukazindikira polyneuropathy, dokotala amatsogozedwa ndi zizindikiro zamankhwala, akumvera zonse zomwe akuwonetsa.

Pankhaniyi, adotolo amawunikira kunja, amawunika momwe awonetsedwere ndikupeza mbiri yakubadwa (kodi pali matenda omwewo mwa abale apamtima?), Amasamalira bwino zomwe akuwonetsa.

Ndi kupita patsogolo kwamatenda ndi kukayikira kwa mawonekedwe owopsa, kapena ngati sensorimotor polyneuropathy imayamba, dokotala amafunsa wodwalayo mankhwala ndi zinthu zomwe wodwala adagwiritsa ntchito.

Njira yodziwitsa ena za zida

Nthawi zambiri amagwiritsa ntchito njira ngati izi:

biopsy
kuyesa kwamwazi wamagazi,
kulumikizika kwa mitengo ya mitsempha kuti mupeze zomata m'mitsempha ya mitsempha, zomwe zikuwonetsa cholowa cha mawonekedwe a matendawa.
radiology
electroneuromyography - wachita kuti adziwe kuthamanga kwa zimachitika,
kuyesa kwa ultrasound kwamkati,
kuphunzira za Reflex
kusanthula kwamadzi am'madzi (cerebrospinal fluid).

Chithandizo cha polyneuropathy, monga matenda ena aliwonse omwe amagwirizana ndi dongosolo lamanjenje, ndizovuta. Potere, njira zingapo zimagwiritsidwa ntchito.

Pankhani ya fomu yachiwiri (matenda a shuga, matenda a chithokomiro), ndiye kuti mankhwalawa amapatsidwa mankhwala oyamba chifukwa cha kuwonongeka kwa mitsempha.

Mankhwalawa pulayimale polyneuropathy, mankhwala otsatirawa amagwiritsidwa ntchito:

Zopumira zolimbitsa thupi (baclofen),
zikutanthauza kuti atsogolere ntchito yoyendetsa mapapu,
chigamba cha tsabola
mankhwala a mahomoni (glucocorticosteroids),
mankhwala opaka (mafuta omwe amakhala ndi lidocaine),
mavitamini
analgesics
anticonvulsants (gabalentin),
antidepressants.

Pankhani ya matenda oopsa a matendawa, dokotalayo amapereka mankhwala a plasmophoresis (njira yoyeretsera magazi).

Physiotherapy

Chithandizo cha polyneuropathy yokhazikika komanso cholowa ndi njira yayitali yokhala ndi magawo ambiri.

Mankhwala amathandizidwa ndi miyeso ya physiotherapeutic, monga physiotherapy (kukonza minofu kamvekedwe) ndi magnetotherapy, momwe maginito amatumizidwa kumagawo akovuta.

Komanso, chithandizo chimayendetsedwa ndi kukondoweza kwa magetsi, Reflexology, kutikita minofu kwa matenda a shuga. Nthawi zina adotolo amapereka mankhwala kwa wodwala, momwe amaletsedwa kudya chakudya chamafuta, chamafuta.

Panthawi yamankhwala komanso pakuchira, wodwalayo sayenera kusuta ndi kumwa mapiritsi ndi zakumwa zomwe zimakhala ndi chidwi komanso chosangalatsa.

Tcherani khutu! Ndi chithandizo chanthawi yake komanso chokwanira, matendawa amatha kukhala abwino kwambiri.

Chosiyana ndi chithandizo cha mtundu wamatenda a polyneuropathy. Pankhaniyi, matendawa sangathe kuchotsedwa kwathunthu, koma kutha kwake kuzindikirika komanso kutha kwa zizindikirozi kungathetsedwe.

Njira zopewera

Njira zodzitetezera sizili zofunikira kuposa chithandizo chamankhwala ndipo cholinga chake ndikuchotsa zinthu zomwe zimatha kuwononga kuwonongeka kwa mitsempha.

Pofuna kupewa polyneuropathy, ndikofunikira kuchiza matenda amkati komanso opatsirana munthawi yake, komanso osamwa zakumwa zoledzeretsa.

Kuphatikiza apo, madokotala amalimbikitsa kugwiritsa ntchito othandizira pogwira ntchito ndi zinthu zoopsa, musagwiritse ntchito molakwika mankhwalawa (osamwa mankhwala popanda mankhwala) ndikuwunikira mtundu wa chakudya chomwe mumamwa.

Monga lamulo, ndizosatheka kupewa polyneuropathy. Komabe, ndi zizindikiro zoyambirira za matendawa, mutha kufunsa dokotala nthawi yomweyo. Chifukwa cha izi, nthawi yamankhwala othandizira idzachepetsedwa kwambiri, ndipo chiwopsezo cha zovuta zovuta zidzachepetsedwa kwambiri.

Hedgehogs ndi thanzi

Kuyambira ubwana, aliyense amadziwa malingaliro othamanga "ma hedgehogs" m'miyendo yawo, ngati mungokhala nthawi yayitali ndi miyendo yanu pansi panu kenako ndikuyatsitsa pansi. Simungathe kudzuka nthawi yomweyo - kumva kugontha kumakhala kosasangalatsa. Koma, mwatsoka, anthu amisinkhu yosiyanasiyana amatha kuwonetsa okha zomwezi. Pankhaniyi, dzanzi, kumva kuwawa, kuchuluka kwa tactile, kuvulala siziwoneka ngati chizindikiro cha kubala mwana, koma vuto lalikulu la thanzi.

Matenda amanjenje, omwe amawonetsedwa pazowoneka zazing'ono ngati izi, amatha kubweretsa kulumala. Chimodzi mwa izo ndi polyneuropathy ya malekezero apamwamba komanso otsika. Zizindikiro za vutoli zimafanana ndi masewera a ana a "hedgehogs" akuthamanga m'miyendo kapena mikono, koma zovuta zakuvutikaku zimafunikira kulumikizana ndi katswiri kuti adziwitseni ndikusankha chithandizo choyenera.

Kuwonongeka kwa mitsempha

Mphamvu yamanjenje ya chamoyo chilichonse ndi cholumikizana chovuta kwambiri cha zinthu zambiri zamanjenje zomwe zimayambitsa zochitika zonse zomwe zimachitika mthupi komanso momwe zimalumikizirana ndi zakunja. Gawo ili la thupi la munthu limagawika m'magawo angapo. Chimodzi mwazomwezi ndi mantha amanjenje. Ili ndi dzina lake chifukwa chakuti ili kunja kwa zida zazikulu - ubongo ndi chingwe cha msana. Imakhala pangozi ya kupsinjika kwa makina, poizoni, chifukwa satetezedwa ndi mafupa kapena chotchinga magazi muubongo. Polyneuropathy ya malekezero am'munsi ndizodziwikiratu chidziwitso cha anthu amisinkhu yosiyanasiyana komanso kugonana.

Akatswiri amati vutoli ndi kuphwanya kayendedwe koyenera ka zotumphukira zamitsempha, zomwe zimafotokozedwa mwa kufooka kwa ziwalo zamkati, kusamva bwino, kuvulala kwamitsempha komanso kuwonongeka kwa khungu.

Njira ya pathological imeneyi imachitika makamaka m'malo a distal, nthawi zambiri m'miyendo - m'munsi malekezero.

Gulu la polyneuropathy

Zizindikiro za polyneuropathy zam'munsi zatsika zimathandizira kudziwa zomwe zimayambitsa mavutowa, chifukwa chake mbiriyakale iyenera kusonkhanitsidwa mosamala kwambiri. Madokotala amapatula matendawa m'njira zingapo.

Chifukwa chowoneka ngati vuto (etiology), polyneuropathy imagawidwa kukhala:

matupi awo onse
yotupa
poizoni
zopweteka.

Chotsatira chotsatira cha kupatukana kwa matenda amtunduwu ndi pathomorphology yowonongeka. Pankhaniyi, axonal ndi demyelinating polyneuropathy amakhala okha. Monga matenda ena aliwonse, vutoli limagawidwanso molingana ndi mtundu wa maphunzirowo. Gawani mawonekedwe owopsa, okhathamira komanso odwala.

Matenda a miyendo, mikono osati kokha

Matenda amanjenje amafunika kuwunika mosamala. Sizotheka pongofotokozera wodwalayo za vuto lakelo. Chimodzi mwazovuta kwambiri kudziwa matenda ndi polyneuropathy yam'mwamba komanso yotsika. Zizindikiro ndi chithandizo cha matendawa nthawi zonse zimangokhala zokhazokha, ngakhale magawo akulu azachipatala ali ofanana.

Kugonjetsedwa kwa mitsempha yotsirizira kwamitsempha yamafupa nthawi zambiri kumayamba ndi magawo a distal. Pakakhala chithandizo chokwanira kapena zovuta za matendawa, chotupa chimadutsa kumapeto kwa mitsempha yodalirika. Nthawi zambiri, zam'tsogolo zimagwira ziwalo zina zathupi. Kukhumudwa kwa sensory kumatha kuonedwa ngati chiyambi cha matendawa, kenako mavuto a vegetovascular.

Chithandizo cha polyneuropathy cha m'munsi malekezero amafunika kuzindikira chazomwe zimayambitsa. Nthawi zambiri, kuphwanya malamulo kumawonekera chifukwa cha poyizoni wa mowa, kukhudzana ndi mpweya wa carbon monoxide, arsenic, ndi organophosphorous. Gulu lotsatira la zifukwa ndi kuledzera, matenda a shuga, diphtheria kapena kuchepa kwa vitamini. Ndizothekanso kukulitsa vutoli pogwiritsa ntchito mankhwala ena kwanthawi yayitali.

Mowa matenda amanjenje

Mowa umawerengedwa kuti ndi matenda oopsa omwe ungayambitse kulemala komanso kufa. Vuto la anthu ena omwe ali ndi vutoli ndi polyneuropathy yam'munsi kwambiri. Chithunzi cha matendawa chimawonetsa zovuta zomwe zingabweretse. Monga lamulo, pankhaniyi ndizovuta kwambiri kuzichotsa.

Mowa polyneuropathy wam'mbali wam'munsi ndiwovuta kwambiri wathanzi omwe amabwera chifukwa chomwa mowa kwambiri. Mowa wa Ethyl ndi metabolites wake umakhudzanso minyewa yonse ndi ziwalo, pomwe kuvutikaku kwakukulu kumagwiritsidwa ntchito kumanjenje. Kuchulukitsa kwa magazi, ntchito ya chiwindi, matumbo amasokonezeka. Kusintha kwanyengo kwamkati pamtima kumachitika.

Matenda amtunduwu amakula pang'onopang'ono ngati munthu amamwa mowa nthawi zonse. Koma kuwonongeka kwa zotumphukira zamagetsi ndi zotheka kumatha kuchitika m'masiku ochepa, mwachitsanzo, kumwa kwambiri mowa. Nthawi zambiri anthu omwe ali ndi vuto lauchidakwa samanyalanyaza zoyamba za nthenda yayikuluyi - kukokana m'miyendo, dzanzi kumapazi ndi zala zake. Matendawa amafalikira, akukwera kwambiri mthupi ndipo sagwira miyendo yokha, komanso mikono. Ndipo pali zizindikiro zakunja zowonongeka kumalekezero amitsempha - khungu lamtambo, kumtunda ndi m'munsi. Khungu m'manja ndi miyendo limacheperachepera, ngati kuti "lasokonekera." Mutha kuonanso kusintha kwa gait.

Polyneuropathy yakumtunda komanso yotsika motsutsana ndi maziko a kudalira mowa amathandizidwa ndikukana kwathunthu kwa mowa. Achibale apamtima angafunikire kuti amunyengere kuti asiye kusuta. Popanda gawo ili, ngakhale chithandizo chamtundu wapamwamba kwambiri sichingabweretse zotsalazo.

Matenda a shuga

Chimodzi mwazovuta za matenda a shuga chimatha kukhala polyneuropathy. Zizindikiro za matenda amtunduwu nthawi zambiri zimadza ndi mavuto omwe alipo ndi mayamwidwe a shuga.

Chifukwa chakuti thupi limadwala matenda ochulukirapo a chakudya, kulakwitsa kwa mitsempha yotsiriza ya zotumphukira kumachitika. Mapira amayamba kuchepa, hemoglobin chifukwa cha kuchuluka kwa shuga omwe amakhala ndi mpweya wochepa. Matani amalandila m'miyeso yaying'ono, popeza njira zawo za metabolic zimasokonekera.

Kuwonetsedwa koyamba kwa matenda ashuga a polyneuropathy a m'munsi am'munsi ndikumverera kovutirapo m'miyendo, komanso kupweteka kumachokera ku nsonga za zala mpaka ku maondo. Ndi kupita patsogolo kwa matenda am'mimba, kupweteka kwamphamvu kwambiri m'miyendo kumawonekera, komwe kumakhala kwakukulu usiku. Amakulirakukhwimitsa zinthu pamavuto, kugwira ntchito mopitilira muyeso, koma poyenda amachepa pang'ono. Ndizofunikira kudziwa kuti zopweteka ngati izi sizisintha ngati mutasintha miyendo. Zizindikiro zotsatirazi zimagwiranso ntchito pa zizindikiro zakuchedwa za matenda:

kuphwanya minofu ya mwendo,
kufooka kwa minyewa m'mapazi,
Kusintha kwa khungu - kumakhala kofiyira kapena kofiyira, ndipo kuphwanya koteroko kumatha kuchitika malo, malo, malo ena khungu limatha kukhala lakuda,
makulidwe ndi mawonekedwe a zala zakusintha.

Pa gawo lotsiriza la polyneuropathy motsutsana ndi matenda osokoneza bongo, wodwala amakula osteoarthropathy ya phazi - mapazi akuoneka. Phazi limakhala lalikulu, malo olumikizirana mafupa amakhala opindika.

Mankhwala a polyneuropathy a m'munsi am'munsi, omwe amapezeka motsutsana ndi matenda a shuga, ayenera kuchitika molumikizana ndi chithandizo cha matenda oyambitsidwa, pogwiritsa ntchito othandizira ndi olimbitsa thupi.

Njira zazikulu zamankhwala

Matenda a shuga kapena a mowa a polyneuropathy am'munsi, amafunikira kuzindikira mozama komanso kwakanthawi, komanso chithandizo chovuta. Zosokoneza pantchito yokhudzana ndi mitsempha yokhudzana ndi zotumphukira zamitsempha zimatha kuthandizidwa ndimankhwala osokoneza bongo pogwiritsa ntchito zomwe zapezeka mu mankhwala, zotsimikizika monga mankhwala achikhalidwe, komanso physiotherapy.

Maziko abwino a matenda a matenda monga polyneuropathy ndi makonzedwe a mankhwala. Mankhwala osokoneza bongo kuti athetse ntchito ya zotumphukira zamitsempha ayenera kusankhidwa bwino ndi katswiri. Amapereka mankhwala, ndikuyang'ana mavuto amodzi, mbiri ya wodwalayo, njira ya matendawa, malo ake komanso matenda ake. Monga njira zowonjezera zochizira, mutha kugwiritsa ntchito maphikidwe a mankhwala azikhalidwe, omwe adokotala angakupatseni. Nthawi zambiri, amakupatsani njira zingapo zomwe zimathandizira kuthetsa zosasangalatsa.

Minofu ndi zotuluka zamagazi

Vuto limodzi lalikulu kwambiri lamanjenje ndi polyneuropathy yam'munsi. Mankhwala omwe amagwiritsidwa ntchito ngati mankhwala amakono amathandizira kuti matendawo azitha kugwira, komanso minofu yomwe amagwira ntchito. Pali mankhwala ambiri oterewa omwe akupezeka. Amakhala m'magulu osiyanasiyana a zamankhwala, omwe amalekanitsidwa wina ndi mnzake chifukwa cha kapangidwe ndi mfundo za ntchito.

Mwachitsanzo, mankhwalawa Actovegin amakhala ndi Actovegin concentrate, yomwe imapangidwa kuchokera ku magazi a ng'ombe. Chida ichi ndi cha gulu la zopangitsanso minofu. Dera lomwe amagwirira ntchito ndi mtundu wa zochita za metabolic mwa kuyambitsa kuyambiranso ntchito zawo.

Mankhwala ena omwe nthawi zambiri amaperekedwa pochotsa polyneuropathy ndi Instenon. Ndili m'gulu la mankhwala a vasodilating. Ili ndi zinthu zotsatirazi:

Hexobendin hydrochloride. Chifukwa cha kutseguka kwa anaerobic glycolysis ndi pentose mizere, kumawonjezera kugwiritsa ntchito shuga ndi mpweya. Mphamvu zopezeka chifukwa cha njirazi zimagwiritsidwa ntchito popititsa patsogolo kaphatikizidwe ndi kagayidwe kazinthu ka ma transaptic.
Etamivan. Amatenga nawo gawo la bata la mawonekedwe a neural complexes a kotekisi ndi mapangidwe a ubongo ndi dongosolo lamanjenje.
Etofillin. Zimathandizira kukhalabe ndi mtima wamtima.

Pochiza matenda a shuga kapena a mowa a polyneuropathy am'munsi, mankhwala ngati Trental angafunike. Chomwe chimagwira ntchito yake ndi pentoxifylline, yomwe ndi yochokera ku purine. Ili ndi antiaggregatory, angioprotective, vasodilating zotsatira, komanso bwino magazi m'magazi.

Kusankha mankhwala omwe ali mgululi ayenera kukhala dokotala yemwe amadziwa zovuta zonse zamatenda komanso chikhalidwe cha wodwalayo.

Kodi polyneuropathy yam'munsi yayitali ndi yotani ndikuchiritsa matendawa?

Mawu akuti "polyneuropathy" amaphatikiza ma pathologies angapo omwe amayambitsidwa ndi zifukwa zosiyanasiyana, koma momwe mumakhala kuphwanya kwazinthu zachilendo kwa zotumphukira zamagetsi.

Nthawi zambiri, matendawa amakhudza miyendo ndi manja, amachepetsa minofu, amasokoneza magazi m'miyendo, kuchepetsa kukhudzika kwawo. Zotsatira za polyneuropathy ndizowopsa, chifukwa zimatha kubweretsa mbali kapena kutayika kwathunthu kwa chidwi cha miyendo kapena kutsiriza kulimbitsa malo omwe akhudzidwa.

Polyneuropathy nthawi zambiri imakhudza miyendo yam'munsi komanso yam'mbuyo, pomwe kunyalanyaza kwa matenda, kumakhala kwakukulu kufalikira kwathunthu ziwalo

Omasuliridwa kuchokera ku Greek polyneuropathy amatanthauza "kuvutika kwamitsempha yambiri." Zomwe zimayambitsa matendawa ndizosiyanasiyana - pafupifupi chinthu chilichonse chomwe chakhala ndi vuto linalake pa zotumphukira zamitsempha chingayambitse polyneuropathy.

Kanema (dinani kusewera).

Popeza ntchito yofunika yokhudza thupi imatengera kufalikira kwa malamulo ku ubongo ndi kutha kwa mitsempha, ndikakulitsa kwa polyneuropathy, kuphwanya kwamphamvu kwa magwiridwe antchito ndi miyendo.

Zofunika!Polyneuropathy ya malekezero achepa ndicofala, chifukwa miyendo ili ndi katundu wamkulu kuposa thupi lakumtunda.

Ndi polyneuropathy, nthawi zambiri misempha yaying'ono imakhudzidwa, chifukwa mchenga wawo wa myelin ndi woonda, ndipo zinthu zovulaza ndizosavuta kulowa mkatikati. Chifukwa chake, polyneuropathy yam'mwamba komanso yotsika kwambiri imakonda kuchitika - kuwonongeka kwa mapazi ndi manja.

Nthawi zambiri, posankha matenda, wodwala samangolembera mawu oti "polyneuropathy a miyendo kapena manja", akuwonetsetsa kuti awonjezera tanthauzo lomwe limatengera mtundu wa matenda. Gulu la matenda padziko lonse lapansi limaphatikizapo mitundu ingapo ya polyneuropathy (ICD code - G60-G64), yomwe imasiyana malo, digiri ndi dera la chotupa, pazifukwa zadzidzidzi.

Ngati zotumphukira zam'mitsempha sizinachite bwino kamodzi m'mbuyomu, ndiye kuti pali zifukwa zambiri za polyneuropathy

Zingwe zamitsempha zimatha kugawidwa m'mitundu ingapo - mota, autonomic, sensenti. Kutengera ndi malo omwe minyewa yam'mitsempha imakhazikika, polyneuropathy imatchulidwanso:

Galimoto (mota). Mkhalidwe wabwinobwino wa minofu imakulirakulira, zomwe zimabweretsa kulephera pantchito yawo: minofu kufooka, kukokana, atrophy ndi minofu hypotrophy kumachitika. Zizindikiro zimafalikira kuchokera pansi mpaka pansi ndipo zimatha kuyambitsa kutayika kwathunthu.

Zamasamba. Ulusi wamitsempha ya Autonomic umakhudzidwa, momwe mkhalidwe wamkati wamkati umatengera. Pali kuchuluka kwa thukuta, mavuto pokodza, chizolowezi chodzimbidwa, khungu lowuma.
Sensory polyneuropathy. Mavuto azisoni amadzuka: kumverera kwa kugunda, kuwotcha, kugona, "kukwawa," kumverera kowawa komanso kosokonekera ngakhale ndi kukhudza pang'ono pa dzanja.
Sensomotor polyneuropathy. Zimaphatikiza zizindikiritso zowonongeka mumalingaliro am'mimba ndi ma motor.
Zosakanizidwa. Zimaphatikizapo zizindikiritso zamitundu mitundu.

Mwanjira yake yoyenera, mitundu iyi imatha kupezeka kawirikawiri, nthawi zambiri imakhala yopatsa mphamvu, yamagalimoto, ndi mitundu yosiyanasiyana ya matendawa.

Polyneuropathy imakhudza ulusi wamitsempha, womwe umapangidwa ndi ma axon ndi ma sheels a myelin. Kutengera zotupa, amasiyanitsa:

Axonal polyneuropathy - imachitika pamene axon iwonongeka m'magulu osiyanasiyana a metabolic: kuledzera ndi arsenic, lead, zebury, mowa,
Demyelinating polyneuropathy - imachitika ndikuwonongeka kwa minyewa yam'mitsempha, matendawa amakula mwachangu, makamaka magalimoto a motor ndi sensory amakhudzidwa.

Mwa mawonekedwe ake oyera, mitundu yotereyi simakhalapo kwa nthawi yayitali: ndi kuwonongeka kwa axon, vuto la demyenilizing limalowerera pang'onopang'ono, ndipo ndi demyelination, mtundu wa axonal.

Kutengera ndi kutengera kwawo, distal polyneuropathy ndi proximal amakumana: ndi distal, choyambirira, miyendo yomwe ili pansi imakhudzidwa, ndi proximal, magawo a miyendo yomwe ili pamwambapa.

Kuti mankhwalawa a polyneuropathy apereke zotsatira, ndikofunikira kuzindikira zomwe zimayambitsa.

Chifukwa chiyani polyneuropathy yam'manja miyendo ndi miyendo imapezeka:

Tcherani khutu!Polyneuropathy nthawi zambiri imayamba chifukwa cha matenda momwe thupi limadziunjikira zinthu zovulaza zomwe zimasokoneza dongosolo lamanjenje.

Mitundu yayikulu yamatendawa imaphatikizapo mtundu wobadwira wa polyneuropathy ndi mawonekedwe a ideopathic (Guillain-Barré syndrome). The etiology ya mitundu iyi siyimafotokozeredwa kwathunthu, zomwe zimapangitsa zovuta za matenda.

Mitundu yachiwiri ya polyneuropathy yam'mwamba komanso yotsika imaphatikizapo mitundu yomwe idayamba chifukwa cha matenda opatsirana, kusokonezeka kwa metabolic, poyizoni, matenda a impso ndi chiwindi, kusokonekera kwa magawo a endocrine, ndi zotupa zamitundu mitundu.

Polyneuropathy ali ndi mawonekedwe azachipatala. Chizindikiro chachikulu cha matendawa chimatha kuganiziridwa ngati kuyanjana kwa zigawo zam'munsi komanso zapamwamba, chifukwa zinthu za m'magazi zimafalikira kudzera m'magazi.

Zizindikiro zodziwika bwino za matendawa:

Ululu wamitundu yosiyanasiyana, wokhala ndi neuropathic ("yoyaka") hue.
Zithunzi zanjenjemera.
Maonekedwe a minofu yolumikizana yomwe imachitika mosadzipereka.
Kuphwanya mphamvu zakumvera (kupweteka, tactile, kutentha). Ndi chitukuko cha matendawa, wodwalayo samatha kumva ngati nsapato mu nsapato, malo otentha komanso ena osokoneza.
Kufooka minofu, kuvuta mayendedwe okhala ndi matalikidwe akulu.
Kutupa m'malire am'munsi,
Gawo lambiri la miyendo.

Zizindikiro zake zamatendawa zimaphatikizira kuwoneka kwa kudzisala, kufooka m'minwe, kusokonezeka kwa magazi (mtundu wamalungo ndi miyendo, kuchiritsa kwamabala, ndi zina zotere).

Matenda a shuga a polyneuropathy a m'munsi malekezero chimayambitsa chithunzi chachipatala chotsatira:

Kuwoneka kowawa, kupweteka kwambiri m'miyendo ndi kumapazi, komwe kumakhala kwamphamvu pamatenthedwe otentha:
Pali kufooka kumapazi.
Zizindikiro zamasamba zikukula
Ululu umayamba kuwonjezeka, kwinaku kuyamwa kumawonekera ndipo khungu limasintha (utoto wofiirira, pafupifupi wakuda),
Phazi la matenda ashuga limapangidwa.

Mowa polyneuropathy amakula pang'onopang'ono, zizindikiro zake zimawonekera chifukwa cha zovuta za ethanol pamitsempha yamanjenje yayikulu ndi kusokonezeka kwa metabolic m'mitsempha:

Choyamba, kupweteka m'dera la ng'ombe kumachitika, komwe kumakulirakulira
Pali kufooka, ziwalo zimachitika, kumbuyo komanso miyendo yam'munsi,
Kuwoneka kwa minofu ya paretic kumachitika
Kusokonezeka kwenikweni kwa malingaliro kumawoneka (zomwe zimatchedwa "masokosi ndi magolovesi" zotulutsa),
Pali thukuta lomwe limachulukirachulukira, kutupa kwa malekezero akumidzi, kusintha kwa khungu.

Polyneuropathy imatha kuchitika chifukwa chomwa mowa mopitirira muyeso, zomwe zimapangitsa kuti dongosolo lamkati lamanjazi lizidwala ndi ethanol.

Polyneuropathy sizimachitika kawirikawiri pang'onopang'ono: ndi mawonekedwe owopsa, Zizindikiro zimatha kukhala mkati mwa sabata, ndi mtundu wa subacute - mawonetseredwe akuwonjezeka pafupifupi mwezi wathunthu, ndi mawonekedwe osakhazikika - matendawa amatha kuyamba zaka.

Pamaso pa chithandizo chachindunji cha polyneuropathy, kuzindikira kwake kumachitika, momwe mawonetseredwe am matendawa amasanthula, ndipo zomwe zimayambitsa zimakhazikitsidwa, kuti athe kufafaniza ma pathologies omwe amawonetsedwa ndi zofananira zofananira.

Kodi matendawa amachitika bwanji:

Zodandaula za odwala zimawunikidwa.
Nthawi imakhazikitsidwa pomwe zizindikiro zoyambirira za matendawa zimawonekera.
Zili ngati ntchito ya wodwalayo imalumikizidwa ndi kukhudzana ndi mankhwala.
Zimadziwika ngati wodwalayo amadalira mowa.
Khazikitsani zinthu za cholowa.
Kuyesedwa kwa magazi kumachitika.
Kuphatikizika kwa mapangidwe amitsempha kumayikidwa.
Electroneimography imachitidwa.
Kuunika kumayesedwa ndi katswiri wa mitsempha, nthawi zina - ndi endocrinologist, psychapist.

Popeza polyneuropathy si matenda odziyimira pawokha, chithandizo chake chachikulu chizikhala ndikuchotsa zomwe zidapangitsa kuti matenda ayambire. Komabe, njira zochiritsira ziyenera kuchitika mokwanira, kuti nthawi imodzi tichotse zosasangalatsa za polyneuropathy nthawi yomweyo monga chithandizo chachikulu.

Mankhwala amatengedwa kutengera mtundu ndi mitundu ya matendawa, komanso gawo la polyneuropathy ndi kuopsa kwa zizindikiro zake:

Mavitamini Zokonda zimaperekedwa kwa mavitamini a B kuphatikiza michere ndi mavitamini ena. Kukonzekera kwa Vitamini kumathandizira kuthekera kwa mitsempha kubwezeretsa zomwe zimapangidwa, zimapereka chitetezo cha antioxidant.
Ophera Kuti muchepetse ululu, odwala amamuika analgesics (tramal, aspirin) kapena mankhwala osapweteka a antiidal, ndipo makamaka ovuta, odwala amapatsidwa codeine kapena morphine.
Hormone mankhwala ndi immunosuppressants. Hormone mankhwala regimens (methylprednisolone) ndi mankhwala, potengera kuwonjezeka ndi kutsika kwa mlingo wotsatira. Hormone Therapy imathandizira poika ma immunoglobulins (sandoglobulin), ndipo chithandizo chotere chimachitika mokhazikika mchipatala.
Mankhwala omwe amasintha kufalikira kwa magazi m'dera la mitsempha ya minyewa (trinthalum, vasonite, pentoxifylline).
Mankhwala omwe amathandizira kutumiza kwa michere ku minofu (piracetam, midronate).

Mankhwalawa polyneuropathy, ayenera kumvetsetsa kuti ndizosatheka kuchiritsa matendawa ndi mankhwala okha. Ntchito yayikulu pakuthandizira matendawa imachitika ndi njira yoyenera, zakudya, njira zothandizira, komanso chisamaliro chapadera komanso chisamaliro chokwanira cha wodwalayo.

Physiotherapy imagwira ntchito kwambiri pakuchiza matenda a polyneuropathy, makamaka ngati matendawa ali ndi chibadwa kapena matenda osakhazikika.

Ndondomeko zotsatirazi zimachitika:

Kuwonetsedwa kwamitsempha yamagetsi yamagetsi.
Massage Therapy
Electrophoresis
Chitani masewera olimbitsa thupi.

Massage yokhala ndi polyneuropathy imathandizira kulimbitsa minofu, imawongolera komanso imathandizira magwiridwe awo. Chifukwa cha izi, ntchito zamagalimoto zimachokeranso mwachangu, chiwopsezo cha minofu atrophy chimachepetsedwa kwambiri. Komabe, ziyenera kukumbukiridwa kuti mu mitundu yovuta ya matendawa, kutikita minofu sikuyenera kuchitidwa.

Tcherani khutu!Ngati poizoni, makamaka mowa woledzeretsa, njira zamankhwala zimachitika pokhapokha kuyeretsa magazi komwe kumachitika pang'onopang'ono.

Zochita zolimbitsa thupi zitha kuchitidwa, modziyimira palokha kunyumba, komanso motsogozedwa ndi dokotala. Amathandizira kulimbikitsa ntchito ya minofu, yomwe imakupatsani mwayi pang'ono kapena kubwezeretsa bwino miyendo yanu.

Mwa njira za wowerengeka, chithandizo ndi mafuta ofunikira ndikulimbikitsidwa - kupukuta kwamapazi tsiku lililonse ndi bulugamu, mafuta amkati, mafuta amkati

Kusamba kwa phazi kumachiza polyneuropathy yam'munsi yopanda bwino: magalamu 100 a viniga ndi sodium chloride (300 g) kusungunuka m'madzi (malita atatu), kuthira madzi m'bafa kwa mphindi 20-30 tsiku lililonse kwa mwezi umodzi.

Ngati simukufuna chithandizo chamankhwala panthawi, ndiye kuti matendawo angayambitse zovuta zazikulu.

Choyamba, polyneuropathy imatha kukhala mawonekedwe osachiritsika, omwe samachiritsidwa kwathunthu. Popita nthawi, munthu amasiya kumvetsetsa miyendo yawo, ndipo minofu imabwera mwanjira yoti munthu amatha kulumala, chifukwa zinapangitsa kuti azitha kusuntha.

Zofunika!Ndikothekanso kuchiritsa kwathunthu polyneuropathy wokhala ndi matenda monga opatsirana, uchidakwa, komanso woopsa. Ndi mtundu wa matenda ashuga, ndizotheka kuchepetsa pang'ono matendawa.

Woopsa m'matenda ndi mitsempha yodwala yomwe imayendetsa ntchito ya mtima, matenda otupa amatha kuchitika, omwe amatha kupha.

Mwanjira ya matenda ashuga, matenda opatsirana, matenda a septiki, kuchiritsa kwamabala osavulala ndikotheka.

Ndi chithandizo chokwanira chomwe chikuyamba munthawi yake, matulukidwe a matendawa ndi abwino kwambiri, komabe matendawa ndibwino kuti tipewe kusiyana ndi kuchiza kwa nthawi yayitali, tikuvutika ndi zizindikiro zosasangalatsa.

Ndikosatheka kupewetsa polyneuropathy, koma zomwe zimayambitsa chitukuko chake zitha kuchepetsedwa: kusiya mowa, kuchiritsa matenda opatsirana ndi ma virus munthawi yake, kuwunika mtundu wa zinthu zomwe zikugwiritsidwa ntchito, kuchepetsa kulumikizana ndi mankhwala oopsa a mankhwala.

Matenda owopsa a mitsempha ya m'mitsempha. Chithandizo chake chimachitika ndikugwiritsa ntchito mankhwala osiyanasiyana, komanso physiotherapy, njira zapadera, maphunziro olimbitsa thupi.

Neuropathy ndi chotupa cha zotumphukira zamitsempha ndi ziwiya zomwe zimawapereka. Poyamba, matendawa samatupa mwachilengedwe, koma pambuyo pake mitsempha yotupa, yotupa ya minyewa yam'mitsempha, imatha kupatsidwanso mphamvu. Neuropathy yam'munsi yotsika imaphatikizidwa ndi gulu la polyneuropathies, lomwe maziko ake ndi kusokonezeka kwa metabolic, minofu ischemia, kuwonongeka kwa makina, thupi lawo siligwirizana.

Malinga ndi mtundu wa Inde, neuropathy imasiyanitsidwa:

Mwa mtundu wa pathological process mu mitsempha ya mitsempha, neuropathy ndi axonal (imakhudza njira za ma neurons - axons) ndi demyelinating (imafikira ku chipolopolo cha mafupa amitsempha). Malinga ndi zomwe zikuwonetsa, matendawa amachitika:

Zachisoni. Zizindikiro zakusokonekera kwamalingaliro ndi kupweteka kwapweteka.
Galimoto. Amawonetsedwa makamaka ndi zovuta zamagalimoto.
Zamasamba. Pali Zizindikiro za autonomic ndi trophic.

Zomwe zimayambitsa matenda am'mimba ndizosiyanasiyana. Chifukwa chake, mawonekedwe a matenda ashuga amadziwika ndi zovuta za metabolic mu neurons mu shuga mellitus. Poizoni, uchidakwa umayambitsidwa ndi poyizoni, kuledzera. Zomwe zimayambitsa ndi zotupa, kuchepa kwa mavitamini a gulu B, hypothyroidism, HIV, zoopsa, cholowa cholemetsa.

Mavuto Omvera - Gulu Lalikulu la Zizindikiro

Mawonekedwe a pathology m'miyendo amatha kukhala osiyanasiyana, nthawi zambiri amadalira zomwe zimayambitsa neuropathy. Ngati nthendayo yayamba chifukwa cha kuvulala, zizindikirazo zimakutira chiwalo chimodzi. Mu matenda a shuga, matenda a autoimmune, zizindikiro zimafalikira ku miyendo yonse.

Zosokoneza zazovuta zimatha kukhala zosasangalatsa kotero kuti zimayambitsa zovuta mu wodwala.

Zovuta zam'mimba zimapezeka pazochitika zonse za minyewa yam'munsi yammimba. Zizindikiro zimawonedwa pafupipafupi, osatengera momwe thupi limakhalira, regimen, kupuma, nthawi zambiri kumayambitsa kusowa tulo.

Kuphatikiza pa zizindikiro zomwe zafotokozedwazo, nthawi zambiri pamakhala mavuto azisoni - kuzindikira pang'ono pang'onopang'ono kuzizira, kutentha, kusintha kwa malo owawa, kuperewera koyenera chifukwa chakuchepa kwa chidwi cha mapazi. Ululu nthawi zambiri umawoneka - kupweteka kapena kudula, kufooka kapena kusapirira kwenikweni, zimapezedwa m'dera lomwe lakhudzidwa ndi mitsempha.

Pamene matenda a malekezero amakula, ulusi wamitsempha yamagalimoto ukuwonongeka, zovuta zina zimalumikizana. Izi zimaphatikizapo kukokana kwa minofu, kukokana pafupipafupi m'miyendo, makamaka m'mthole. Ngati wodwala atayendera katswiri wamatsenga pano, dokotalayo adanenanso kuchepa kwa Reflex - bondo, zilonda. Kutsika kwamphamvu kwa Reflex, kumapitiriranso matendawa. Pa magawo omaliza, mawonekedwe a tendon amatha kusakhalapo.

Kufooka kwa minofu ndi chizindikiro chofunikira cha matenda am'miyendo, koma amadziwika ndi matenda omwe amachedwa. Poyamba, kumverera kwa kufooka kwa minofu kumakhala kwakanthawi, ndiye kumakhala kosatha. M'magawo otukuka, izi zimabweretsa:

ziwalo zachepa,
zovuta kusuntha popanda thandizo,
kuwonda kwa minofu, kuwongolera kwawo.

Matenda a Vegetative-trophic ndi gulu lina la zizindikiro mu neuropathy. Gawo lanyama la zotumphukira likakhudzidwa, zizindikiro zotsatirazi zimachitika:

Tsitsi limagwa pamiyendo
Khungu limakhala loonda, lofiirira, louma,
madera a pigmentation ochulukirapo akuwonekera

Odwala omwe ali ndi neuropathy, mabala, abrasions pamiyendo amachiritsa bwino, nthawi zambiri amakondana. Chifukwa chake, ndi diabetesic neuropathy, kusintha kwa trophic kumakhala kwakukulu kwambiri kuti zilonda zimawonekera, nthawi zina njirayi imakhala yovuta.

Katswiri wodziwa bwino zamitsempha amatha kupangitsa kuti azindikire mosavuta malinga ndi zomwe tafotokozazo malinga ndi wodwalayo komanso malingana ndi zomwe zikupezeka - kusintha kwa khungu, kusokonezeka kwa khungu, etc.

Njira zakuzindikira ndizosiyanasiyana, nazi zina:

Njira yayikulu yodziwitsira mavuto ndi ulusi wamanjenje imakhalabe njira yosavuta yopangira ma electroneuromyography - zimathandizira kumveketsa bwino matendawa.

Ndikofunikira kuchiza matendawa movutikira, makamaka ndikusintha kwa zomwe zimayambitsa matenda. Mu matenda a autoimmune, mahomoni, cytostatics amalembedwa, mu shuga - mankhwala ochepetsa shuga kapena insulin, mu poizoni wamatendawa - njira zoyeretsera (hemosorption, plasmapheresis).

Zolinga zakuchiritsa kwamitsempha ya m'miyendo ndi:

kubwezeretsa minyewa yamanjenje,
kuyambiranso kwanyengo,
kukonza mavuto munjira yoyendayenda,

Pali njira zambiri zochizira, zomwe zazikulu ndi mankhwala.

Mankhwala othandizira amachitidwa pokhapokha ngati pali zotupa, hernias, pambuyo povulala. Poletsa minofu atrophy, odwala onse amawonetsedwa masewera olimbitsa thupi kuchokera ku chipinda chopangira masewera olimbitsa thupi, chifukwa koyamba amachitidwa motsogozedwa ndi dokotala wothandizira.

Ndi neuropathy, chakudya chomwe chiwonjezereka mu mavitamini a gulu B chiyenera kutsatiridwa, ndipo mowa, zakudya zophatikiza ndi mankhwala, marinade, yokazinga, ndi kusuta ziyeneranso kuyikidwa pambali.

Matendawa amathandizidwa ndi physiotherapy. Massage, magnetotherapy, matope achire, Reflexology, mphamvu zamagetsi zamagetsi zimatsimikiziridwa bwino. Pofuna kupewa mapangidwe azilonda ayenera kuvala nsapato zapadera, gwiritsani ntchito ma orthoses.

Mankhwala osokoneza bongo amatsogolera pakuthandizira kwa neuropathy. Popeza maziko ndi kupangika kwa minyewa ya mitsempha, ndikofunikira kupanga mapangidwe a mizu yamitsempha mwamphamvu. Izi zimatheka pogwiritsa ntchito mankhwalawa:

Neuroprotectors

Mosalephera, mavitamini a gulu B amagwiritsidwa ntchito munthawi yamankhwala, B12, B6, B1 akuwonetsedwa makamaka. Nthawi zambiri, ophatikiza ophatikizidwa amalembedwa - Neuromultivit, Milgamm m'mapiritsi, jakisoni. Pambuyo pakudya, mavuto azolowera amachotsedwa, zizindikiro zonse zimachepetsa kuuma.

Mavitamini omwe ali ndi ma antioxidants amphamvu monga ascorbic acid, mavitamini E, A ndiwothandiza kwambiri kwa thupi mu mtundu wina uliwonse wa neuropathy wam'munsi wam'munsi. Ayenera kugwiritsidwa ntchito mu zovuta zachipatala zamatenda kuti muchepetse kuwonongeka kwa ma radicals omasuka.

Ndi kukokana kwamphamvu minofu, wodwalayo amathandizidwa ndi opuma minofu - Sirdalud, Baclofen, omwe amagwiritsidwa ntchito pokhapokha ngati adokotala amupeza - ngati akuchitiridwa chipongwe, amatha kuwonjezera kufooka kwa minofu.

Pali mankhwala ena otsutsana ndi matenda amenewa. Amasankhidwa payekha. Izi ndi:

mankhwala a mahomoni kupondereza kupweteka, kutupa - Prednisone, dexamethasone,
mtima mankhwala kusintha magazi mu minofu - Pentoxifylline, Trental,

Kuno, tikulimbikitsidwa kugwiritsa ntchito mafuta onunkhira a novocaine, lidocaine, mankhwala osapweteka a antiidal, komanso kutentha mafuta ndi tsabola wofiyira, ziphe za nyama. Ndi mabakiteriya owonongeka pakhungu la miyendo, miyendo, mavalidwe omwe ali ndi maantibayotiki amaikidwa (mafuta a Tetracycline, Oxacillin).

Chithandizo cha mankhwala wowerengeka chimagwiritsidwa ntchito mosamala, makamaka matenda ashuga. Maphikidwe atha kukhala motere:

Phatikizani yolk ya dzira laiwisi ndi supuni ziwiri za mafuta. Onjezani 100 ml ya msuzi wa karoti, supuni ya uchi. Imwani 50 ml katatu patsiku mutatha kudya. Maphunzirowa ndi masiku 14.
Thirani makapu a 2/3 a viniga 9% mumtsuko wamadzi ofunda, kutsanulira kapu yamchere. Gwirani mapazi anu m'madzi kwa mphindi 15. Maphunzirowa amakhala kamodzi patsiku pamwezi.

Ndi chithandizo chanthawi yake, matendawa amakhala ndi chidziwitso chabwino. Ngakhale zoyambitsa za neuropathy ndizovuta kwambiri, zimatha kuchepetsa kapena kuyimitsa patsogolo, komanso kukonza moyo wamunthu.

Zomwe zimayambitsa, zizindikiro ndi chithandizo cha polyneuropathy zam'munsi - pali kusiyana kotani pakati pa matenda ashuga, mowa ndi mitundu ina ya matendawa

Polyneuropathy ndi matenda angapo, zomwe zimayambitsa zomwe zimasiyana siyana, koma chikhalidwe chawo chimakhala kulakwitsa kwa zotumphukira zamanjenje ndi mitsempha payokha, koma yochuluka mthupi lonse.

Nthawi zambiri, zimakhudza mikono ndi miyendo, kudziwonetsera kuchepa kwamphamvu kwa minofu, kutsekeka kwa magazi m'dera lomwe lakhudzidwa, komanso kuchepa kwa chidwi. Miyendo imadwala kwambiri ndi matendawa.

Polyneuropathy yam'munsi yotsika imagawidwa m'mitundu inayi, ndipo iliyonse mwa izo, ili ndi magulu ake.

Zosefera zamitsempha zonse zimagawika m'mitundu itatu: sensory, motor and autonomic. Aliyense wa iwo akakhudzidwa, zizindikiro zosiyanasiyana zimawonekera. Kenako, tikambirana chilichonse mwa mitunduyi polyneuroglia:

Galimoto (mota). Mtunduwu umadziwika ndi kufooka kwa minofu, komwe kumafalikira kuchokera pansi kupita pansi ndipo kungayambitse kutaya kwathunthu kusuntha. Kuzindikira kwa mkhalidwe wabwinobwino wa minofu, zomwe zimatsogolera kukana kwawo kugwira ntchito komanso kubwereza pafupipafupi.
Zachisoni polyneuropathy ya m'munsi malekezero (tcheru). Zomverera zowawa, kumverera kwodandaula, kuwonjezeka kwamphamvu kwa kumverera, ngakhale ndikuwoneka pang'ono pamapazi, ndizikhalidwe. Pali milandu yochepetsetsa.
Zamasamba. Pankhaniyi, thukuta lokhazikika, kusabala. Mavuto pokodza.
Zosakanizidwa - zimaphatikizapo zizindikilo zonse za pamwambapa.

Mitsempha yamafuta imakhala ndi ma axon ndi ma sheel a sheel omwe azungulira ma axon awa. Mtunduwu umagawidwa pawiri subspecies:

M'malo mwa chiwonongeko cha ma axon myelin sheaths chitukuko chikufulumira. Zingwe zamitsempha zamagalasi ndi mota zimakhudzidwa kwambiri. Zamasamba zimawonongedwa pang'ono. Magawo onse a proximal ndi distal amakhudzidwa.
Axonal otchulidwa omwewo pakukula kumenewo akuchedwa. Zingwe zam'mitsempha yam'madzi zimasokonekera. Masewera olimbitsa mofulumira. Kugawa kumayambira ndi zigawo zam'mbali.

Mwa chitukuko pali:

Kusokonezeka - motere, malo omwe miyendo yomwe ili kutali kwambiri imakhudzidwa.
Proximal - Ziwalo zamiyendo zomwe zimakhala kumtunda zimakhudzidwa.

Pazifukwa pali:

Dysmetabolic. Amayamba chifukwa chophwanya njira mumitsempha yama mitsempha, yomwe imakwiya ndi zinthu zopangidwa mthupi la matenda ena omwe amapezeka pambuyo pake. Pambuyo poonekera m'thupi, zinthu izi zimayamba kunyamulidwa ndimagazi.
Zoopsa polyneuropathy yam'munsi yotsika. Zimachitika ndikugwiritsa ntchito poizoni monga Mercury, lead, arsenic. Nthawi zambiri zimawonetsedwa liti

Chithunzichi chikuwonetsa momwe mowa umawonongera maselo amitsempha ndikuyambitsa polyneuropathy yam'munsi.

kugwiritsa ntchito maantibayotiki, koma mtundu wofala kwambiri wa polyneuropathy ndi mowa.

Nthawi zakumwa zoledzeretsa za polyneuropathyZizindikiro zotsatirazi zimawoneka m'munsi: kupweteka kwambiri, kufooka m'miyendo, kusamva bwino. Kuyamba mwachangu kwa minofu.

Matenda a shuga polyneuropathy yam'munsi yotsika. Amapezeka mwa anthu omwe ali ndi matenda a shuga kwa nthawi yayitali, amakhala ndi zaka 5 mpaka 10. Imadziwoneka mu mawonekedwe amtundu wotere: kusamva bwino, mawanga amawoneka pakhungu, kumverera koyaka m'mapazi.

Mpaka choyambirira mitundu ya polyneuropathies imaphatikizira mitundu ya cholowa ndi ideopathic. Awa ndi matenda ngati a Guillain-Barré syndrome.
Mpaka sekondale polyneuropathy imayamba chifukwa cha poyizoni, matenda a metabolic, matenda opatsirana.

Matendawa amatha kuchitika pazifukwa zingapo, koma sizotheka nthawi zonse kuzindikiritsa molondola. Polyneuropathy yam'munsi yotsika ili ndi zofunikira zifukwa:

zifukwa zobadwa nazo
mavuto ndi chitetezo chathupi chomwe chimayamba chifukwa cha kufooka kwa thupi,
zotupa zamitundu mitundu
kusowa kwa mavitamini m'thupi,
kugwiritsa ntchito mankhwala osafunikira kapena ayi malinga ndi malangizo,
kusokoneza kwa endocrine
vuto la impso ndi chiwindi
matenda omwe amayambitsa njira zomwe zimayambitsa kutupa mu mitsempha yotumphera,
poyizoni thupi ndi zinthu zonse.

Matenda akapezeka, ulusi wamagalimoto ndi am'madzi amawonongeka. Pankhaniyi, zizindikiro za polyneuropathy zam'munsi miyendo:

miyendo pang'ono,
Kutupa kwa m'munsi,
kumva kupweteka
zomangika
kufooka kwa minofu
kuchuluka kapena kuchepa kwa chidwi.

Kuzindikira ndikuwunika matendawa ndi zizindikiro zake, ndikutaya matenda omwe amatha kutulutsa zofanana.

Mwanjira imeneyi, dokotala amayenera kuwunika mosamala mawonetsedwe onse akunja ndi kusintha, kuti adziwe kuchokera kwa wodwalayo ngati banja lake lenileni linali ndi matenda omwewo.

Polyneuropathy imapezekanso pogwiritsa ntchito zosiyanasiyana njira:

biopsy
diagnostics a ultrasound a ziwalo zamkati,
kuyeserera kwamadzimadzi,
Kuunika kwa X-ray
kuyesa kwamwazi wamagazi,
kuwerenga za liwiro lomwe Reflex amadutsa mumaluwa amitsempha,
kuphunzira za Reflex.

Matenda a matenda ashuga polyneuropathy

Chithandizo cha polyneuropathy cha m'munsi m'munsi chili ndi mawonekedwe ake. Mwachitsanzo, chithandizo cha matenda ashuga a polyneuropathy a m'munsi kwambiri sichingadalire kukana mowa, mosiyana ndi chidakwa cha matendawa.

Polyneuropathy ndimatenda omwe samachitika mwa iwo okha.

Chifukwa chake, pakuwonekera kwa zisonyezo zake, ndikofunikira kudziwa nthawi yomweyo zomwe zimachitika.

Ndipo zitatha izi chotsani zinthu zomwe zingakwiyitseni. Chifukwa chake, mankhwalawa a polyneuropathy a m'munsi am'munsi ayenera kukhala okwanira komanso cholinga chake pochotsa muzu wa vutoli, chifukwa zosankha zina sizikhala ndi vuto lililonse.

Kutengera mtundu wa matenda, monga kukonzekera:

milandu matenda akulu, methylprednisolone zotchulidwa,
ndi zowawa kwambiri, analgin ndi tramadol zotchulidwa,
mankhwala omwe amasintha kufalikira kwa magazi m'matumbo m'chigawo cha mitsempha ya mafupa: vasonite, trinthal, pentoxifylline.
mavitamini, zokonda zimaperekedwa ku gulu B,
mankhwala omwe amasintha njira yopezera minofu michere - ofewa, piracetam.

Chithandizo cha matenda ndi m'malo ovutakutenga nthawi yayitali.

Makamaka ngati polyneuropathy imayamba chifukwa cha mitundu yake yobadwa nayo kapena cholowa. Imayamba pambuyo mankhwala.

Zimaphatikizapo njira:

achire kutikita minofu
kukhudzana ndi maginito pamitsempha yamagalimoto,
kukondoweza kwa manjenje ndi zida zamagetsi,
zotsatira zosakhudzana ndi ziwalo.

Ngati thupi lakhudzidwa ndi zinthu zoopsa, mwachitsanzo, ngati wodwala ali ndi zakumwa zoledzeretsa zam'munsi, chithandizo chikuyenera kuchitidwa pogwiritsa ntchito kuyeretsa magazi ndi zida zapadera.

Onetsetsani kuti mwapereka mankhwala othandizira a polyneuropathy a m'munsi am'munsi omwe amathandizira kukhala ndi kamvekedwe ka minofu.

Iwo ali osavomerezeka kuti ayambe kugwira ntchito yamatenda ndikubweretsa zovuta.

Apo ayi iye imatha kukhala yopanda tanthauzo ndikubweretsa mavuto ambiri. Zikakhala kuti simunachiritsidwe matendawa, izi zitha kuchititsa kuti musiye kumva ngati miyendo yanu yapansi, minofu imakhala yolimba ndipo, chifukwa chake, mutha kulephera kuyenda.

Ngati mankhwala ayamba munthawi yake, ndiye kuti matulukidwewo ndi abwino kwambiri. Zokha pali chimodzi chomwe - mankhwala a polyneuropathy aakulu. Sizotheka kuchotsa matendawa kwathunthu, koma pali njira zina zochepetsera kuopsa kwa njira yake.

Kuti muthane ndi mawonekedwe a matenda monga polyneuropathy, muyenera kutsatira malingaliro ndi malangizo angapo.

Amalumikizidwa ndi miyambo yomwe ingachenjeze kuwonongeka ndi kusokonezeka kwa magwiridwe antchito amanjenje.

Izi ndi izi Malangizo:

Zofunika Chotsani mowa m'moyo wanu.
Zofunika imwani mankhwala oteteza mukamagwira ntchito ndi zinthu zapoizoni kuti muchepetse kulowa kwawo mthupi.
Analimbikitsa kutsatira mtundu wa malonda, zomwe mumagwiritsa ntchito, chifukwa cha poyizoni ndi zinthu izi, njira yowonongeka ndi kusokonezeka kwa magwiridwe antchito a minyewa yamitsempha imayamba. Izi zimaphatikizapo kukula kwa polyneuropathy.
Ziyenera kukhala mosamala ulamuliro pazomwe Mlingo mukumwa mankhwala ndipo mulibe kugwiritsa ntchito moyenera. Ndikofunika kutsatira mosamalitsa malangizo a dokotala osati kuti musadziyese nokha.
Kuvomerezeka chitanipo kanthu mukakhala ndi matenda opatsirana kapena mavairasi. Kufunika kofunikira kukaonana ndi dokotala osayamba matenda amenewa, omwe atha kukhala chifukwa cha kukula kwa polyneuropathy.

Monga lamulo, palibe njira yoletsa polyneuropathy.

Koma, ngati mutazindikira, muyenera kufunsa dokotala, pomwepo mudzatha kuchepetsa kwambiri kukula kwa matendawa komanso nthawi yobwezeretsa. Amakhala mukuyendera chipinda chothandizira kulimbitsa thupi.

Ngakhale mutakhala ndi matenda enaake dziwitsani adokotala nthawi yomweyo m'malo momangodzipangira nokha, chifukwa simungadziwe matendawa matendawa, kusokoneza ndi wina, ndikuyamba chithandizo cholakwika.

Ndipo, makamaka, ndikosavuta kuthana ndi matenda omwe akuyamba kumene kupitilira ndi omwe akupita patsogolo, omwe pambuyo pake amatha kubweretsa zovuta zonse.

Kanema: Matenda a shuga a polyneuropathy am'munsi

Momwe mungadziwire nokha? Kodi kusiyanasiyana kwa mtundu wa matenda ashuga ndi chiyani? Chifukwa chiyani zamvekedwe zamitsempha zimatayika?

Dedov I.I., Fadeev V.V. Chiyambi cha matenda ashuga. Moscow, Bereg Publishing House, 1998, masamba 200, kufalitsa makope 9000.
Matenda a Endocrine ndi mimba pamafunso ndi mayankho. Kuwongolera kwa madotolo, E-noto - M., 2015. - 272 c.
Balabolkin M.I. Endocrinology. Moscow, yosindikiza nyumba "Mankhwala", 1989, 384 pp.
Stroykova A.S. Timachiza matenda ashuga kunyumba mwa mwana. Brosha, kufalitsidwa kwa kampani Novo Nordisk, mwina 1999, masamba 31, osaneneka za kufalitsidwa

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Mankhwala a Neurometabolic

Zizindikiro za polyneuropathy zam'mwambamwamba komanso m'munsi zimayipa kwambiri m'moyo. Chithandizo chiyenera kuonedwa mosamalitsa ndi katswiri pankhani iliyonse. Mwachitsanzo, mankhwala odziwika komanso otchuka "Cerebrolysin" amathandiza odwala ambiri. Ndi imodzi mwamphamvu kwambiri yothandizira ma neurometabolic. Zomwe zimagwira zimathandizira kubwezeretsa minyewa yamafupa am'mitsempha, kupanga mapuloteni mkati mwawo komanso nthawi yomweyo kuwateteza kuzinthu zovulaza.

Komanso, kawirikawiri pochiza polyneuropathy yam'munsi, kukonzekera komwe kumakhala ndi thioctic acid, mwachitsanzo, "Tilept". Izi ndi metabolite yogwira yomwe imakhudza njira zomwe zimachitika mu minofu ya thupi, makamaka, munthawi yamanjenje. Mankhwala kapena mawonekedwe ake ali ndi antioxidant, hypocholesterolemic, hepatoprotective, hypolipidemic komanso detoxifying thupi.

Gulu lina la mankhwala ogwiritsidwa ntchito pochiza matendawa limathandizira kuyambitsidwa kwa mitsempha. Awa akhoza kukhala mankhwala "Neuromidin", omwe ali ndi mankhwala a ipidacrine, omwe ndi a cholinomimetics ndipo amathandizira pamagetsi.

Chisoni Chachikulu

Chithandizo cha matenda ashuga polyneuropathy a m'munsi malekezero amafuna kugwiritsa ntchito mankhwala a ululu. Ayenera kuthandiza wodwalayo kuti azimasuka, komanso asinthe. Ndi mankhwala ati omwe angasankhidwe payekhapayekha ngati dokotala amapita limodzi ndi wodwala. Ma pinkiller akunja amathandizira amodzi, ndipo ena adzapindula ndi ma anticonvulsants, antidepressants, kapena mapiritsi ogona.

Kufuna thandizo pakati pa ma analgesics wamba sikuyenera. Kafukufuku wa Polyneuropathy awonetsa kuti samabweretsa mpumulo. Chimodzi mwazomwe zathandizidwa ndi matenda oterewa ndi Gabapentin. Katundu wogwira ntchito mmenemo ali ndi dzina lofanana ndi mankhwalawo pawokha. Onsewa ndi ma analgesic komanso anticonvulsant. Dokotala atha kukulemberani mankhwala monga Pregabalin, amenenso ali ndi anticonvulsant.

Anesthesia ya polyneuropathy yam'munsi yotsika imatengera umunthu wa maphunzirowo, chifukwa chake kusankha kwa mankhwala ndi lingaliro la adokotala ndi odwala.

Antioxidant mankhwala

Chithandizo cha matenda monga polyneuropathy am'munsi, nthawi zambiri, amaphatikiza othandizira omwe ali ndi antioxidant. Komabe, mankhwala ena ochokera ku neurometabolics amatha kukhala ndi zoterezi mthupi.

Matenda a shuga a polyneuropathy a m'munsi malekezero amafunika kugwiritsa ntchito mankhwalawa. Thioctic acid, yomwe yatchulidwa pamwambapa, imakhala ndi antioxidant mu minofu yamanjenje. Mwachitsanzo, ili mu mankhwala amakono "Berlition". Amamangirira zopitilira muyeso, zomwe zimapangitsa kuti ma cell onse ndi ziwalo zonse. Mexicoidol imachita chimodzimodzi.

Mavitamini a polyneuropathy

Chithandizo cha matenda ashuga a polyneuropathy a m'munsi kwambiri sitingachiyerekeze popanda mavitamini osankhidwa bwino. Zimakhala bwino munthu akalandira zinthu zonse zofunikira kuti thupi lizigwira ntchito limodzi ndi chakudya. Koma nthawi zambiri zakudya sizokwanira kupanga zinthu zambiri. Madokotala amaperekanso mavitamini ena.

Mwachitsanzo, mavitamini a magulu a B1, 6, 12, omwe ali ndi nootropic, ndi ofunikira pakugwira ntchito yamanjenje ndi minofu yamfupa. Vitamini E ndi amodzi mwa antioxidants amphamvu. Imateteza maselo amanjenje kuti asawononge zowononga zamankhwala oyipa kapena zinthu zina. Kuphatikiza apo, vitamini iyi imakhudza kutanuka kwa ma membrane a maselo.

Chithandizo cha polyneuropathy cha malekezero am'magazi a etiology iliyonse imaphatikizanso zovuta za mavitamini osankhidwa molingana ndi matendawa. Dokotala wanu angalimbikitsenso kumwa folic acid. Nthawi zina amatchedwa vitamini B9. Ili ndi gawo lofunikira pakupanga maselo atsopano ndipo limathandizira kukhala athanzi.

Zolemba za matendawa ndi mitundu yake

Popeza ntchito yofunika yokhudza thupi imatengera kufalikira kwa malamulo ku ubongo ndi kutha kwa mitsempha, ndikakulitsa kwa polyneuropathy, kuphwanya kwamphamvu kwa magwiridwe antchito ndi miyendo.

Zofunika!Polyneuropathy ya malekezero achepa ndicofala, chifukwa miyendo ili ndi katundu wamkulu kuposa thupi lakumtunda.

Ngati zotumphukira zam'mitsempha sizinachite bwino kamodzi m'mbuyomu, ndiye kuti pali zifukwa zambiri za polyneuropathy

Njira zolimbitsa thupi

Kukonzekera kwa mankhwalawa polyneuropathy a malekezero am'munsi amatsogolera ndi neurologist. Adzawathandizanso ndi physiotherapy, yomwe imathandizira kusintha magwiridwe am'munsi komanso apamwamba, komanso amathandizira kutsegulira kwa kagayidwe kachakudya ka minofu, ndikuwongolera thanzi la wodwalayo. Odwala oterowo amafunikira kutikita minofu kokwanira komanso masewera onse. Njira zothandiza ndi:

Kuchita masewera olimbitsa thupi kumathandizira kukonza kamvekedwe ka minofu. Chithandizo chapamwamba kwambiri cha polyneuropathy cham'munsi komanso chapamwamba sichingaganizidwe popanda njira zosavuta koma zothandiza - sprains, bends, swings. Za zomwe wodwalayo ayenera kuchita, adokotala adzakuuzani.

Chithandizo cha anthu

Mankhwala a polyneuropathy a m'munsi malekezero sikuti mankhwala. Itha kuthandizidwa ndi kugwiritsa ntchito mankhwala achikhalidwe. Wodwala ayenera kukumbukira kuti kugwiritsa ntchito mankhwala azitsamba kuyenera kuvomerezedwa ndi adokotala. Chifukwa chake, mankhwalawa a polyneuropathy am'munsi amagwiritsidwa ntchito:

Ledum,
Wort wa St.
tsamba
fenugreek
nthula mkaka
anakweranso
sage
elemococcus.

Zomera izi zimagwiritsidwa ntchito mwanjira ya infusions ndi decoctions, mafuta odzola ndi zina zowonjezera. Kugwiritsa ntchito mankhwala wowerengeka azitsamba a polyneuropathy kuyenera kuvomerezana ndi dokotala. Tiyenera kukumbukira kuti chithandizo chamankhwala chimatha kukhala miyezi 6 kapena kupitirira. Chifukwa chake, muyenera kukhala okonzekera kukonzekera tsiku lililonse kwa decoctions kapena infusions, kuti zotsatira zake zidziwike ndikukhala zokhazikika.

Polyneuropathy yam'munsi yotsika ndi vuto lalikulu lomwe limatha kuwoneka pazifukwa zambiri. Muyenera kulabadira zosasangalatsa zomwe zimapangitsa kuti mankhusu azikhala, kumva kuwawa m'miyendo ndi manja, kuti mumayesedwe koyenera komanso kuti mupeze matenda oyambira. Pokhapo ndiye kuti chithandizo chithandizanso kubwezeretsa moyo wabwino, popanda zoletsedwa.

Ndi digiri ndi dera lowonongeka