Zizindikiro za polyneuritis ndizofunikira kuti aliyense adziwe, popeza matendawa siachilendo. Kuti munthu athe kusuntha mwachizolowezi ndikuchita ntchito zina, pamakhala dongosolo lonse la mathero a mitsempha. Mapeto a mitsempha amatulutsa ziwonetsero kuchokera ku ubongo ndikuwongolera kuzolowera kwa thupi kuzungulira kwina. Zizindikiro za polyneuritis ndizovuta pantchito zamitsempha, zomwe pamapeto pake zimapatsa munthu kumva kupweteka komanso zimatha kuyambitsa kulumala. Acute polyneuritis am'munsi malekezero ena ambiri amakhala chifukwa cha mawotchi komanso poizoni. Zomwe zimapangidwira zimatha kugonekedwa ndimatenda, monga chimfine, diphtheria, kamwazi, typhoid, poyizoni wokhala ndi mowa, arsenic, lead, ndi chlorophos. Nthawi zambiri provocateurs olephera mu ntchito ya mitsempha mathero ndi zovulaza ntchito, kusowa kwa vitamini.

Zizindikiro zakukula kwa matendawa

Monga matenda aliwonse, polyneuritis ili ndi zizindikiro zomwe zingasonyeze. Matendawa amawonekera kwambiri komanso modzidzimutsa, ngakhale kuti amakula mkati mwa thupi kwanthawi yayitali. Kuti zizindikiro ziziwoneka, matendawa ayenera kupezeka mthupi kwa milungu iwiri. Zomwe chiwonetsero cha matendawa zimatengera m'badwo wa wodwala; mwa anthu amsinkhu wopuma pantchito, matendawa amakula kwambiri.

Poyamba, munthu amatha kudandaula za malaise wamba, kufooka kwa minofu ya manja ndi miyendo, kutengera komwe kutupa kwa mitsempha kumachitika. Zina mwazizindikiro zoyambirira zomwe zimathandizira kufooka kwapafupipafupi komanso kuchepa kwa kamvekedwe ka minofu, khungu louma, misomali yokhala ndi brittle, komanso thukuta lomwe likuwonjezeka. Tiyenera kudziwa kuti pa nthawi iyi munthu akhoza kumva "magolovesi ndi masokosi". Kumverera kwa chinthu chakunja kumawoneka pamapazi opanda kanthu, komwe kumakola malo ena pang'ono, ndikupatsa chithunzi cha kupaka nsaluyo mumasokisi kapena magolovesi. Poyamba matendawa, palibe zovuta zamagalimoto, koma mphamvu ya miyendo imachepa kale. Pali milandu yambiri yomwe imasokoneza, m'malo mwake, imawonjezeka, ndipo hematoma kapena chotupa chachikulu chimatha kukhazikika pamalo opumira.

Mwa zina zomwe anthu ambiri ayamba kuchita nazo mantha, ndikofunikira kuzindikira kufunsa kwa tsekwe komanso kumva kuti miyendo yake ili ndi nkhawa. Okalamba sangathe kuchotsa kudzimva kukhala kokhala kutali ndi kuwombera ululu pakakhala bata, komwe kumatha kuwonekera pena pake komanso kudutsa kwambiri. Pang'onopang'ono kufooka m'miyendo. Phokoso limakhala losakhazikika pomwe mbali zamapazi zimayamba. Tambala lotchedwa ga gait limatha kukhazikika, pomwe munthu amalowa chala ndikugwera chidendene chake.

Kupitilira apo, munthu amaleka kumva kukhudzidwa kwa zinthu zozizira ndi zotentha, ndipo ichi ndi chizindikiro kuti kusintha kwa minofu ndi mafupa kwayamba. Khungu m'manja ndi pamapazi limacheperachepera ndipo limakhala loti mbee, kumakhala kovuta kuti wodwalayo agwire zinthu zazing'ono, kulumikizana kosunthika kumasokonezeka, zilonda zam'mbuyo pakhungu zimayamba.

Zizindikiro kutengera mtundu wa matenda

Zomwe chiwonetsero cha zizindikiro zimatha kukhala zosiyana kutengera zomwe makamaka zimayambitsa polyneuritis. Lero kusiyanitsa polyneuritis:

zopatsirana
diphtheria
kutsogolera
arsenic
chidakhwa
matenda ashuga
akatswiri.

Mtundu uliwonse umakhala ndi zake, mwachitsanzo, mtundu wopatsirana umayamba kutsutsana ndi matenda omwe amapezeka m'matumbo am'mimba, omwe amaphatikizidwa ndi malungo. Mtundu wa diphtheria umawoneka chifukwa chosakwanira kulandira matendawa, chizindikiritso chake ndimkamwa wolumala, mphuno m'mawu, komanso ndizovuta kudya chifukwa chamanjenje ya vagus. Mankhwala omwe amafunikira pochiza matenda opatsirana angayambitsenso polyneuritis. Chiwalo chogwiritsa ntchito mopitilira muyeso chimatha kuthana ndi kuchuluka kwa mankhwala, kapena jakisoni wosayenera.

Mtundu wotsogola wa matendawa ndi wofala kwambiri tsiku ndi tsiku. Mutha kugwiranso matenda ngati omwewo podya zophika zophika berry. Ndi kutsogola kwa matendawa, mitsempha ya radial imakhudzidwa, wodwalayo akumva kupweteka kwambiri, colic pamimba, pali kuyera koyera kambiri pamkamwa ndi lilime.

Arsenic yokha ndi chinthu choopsa, motero, poyizoni wa arsenic ndimayendedwe a m'magazi, chifukwa pomwe munthu amayamba kusanza, kutsegula m'mimba, chizungulire, ziwalo zamiyendo. Arsenic imatha kupangidwapo poizoni osati m'mafakitale amakankhwala okha, komanso m'moyo watsiku ndi tsiku, makamaka pamene mzindawu umathandizidwa ndi mankhwala ophera tizilombo komanso zinthu zina zoyipa kuchokera ku tizilombo.

Fomu ya matenda ashuga limayamba, monga momwe dzinalo limanenera, mwa anthu omwe ali ndi matenda a autoimmune monga momwe zimachitikira pakagwiridwe kathupi m'thupi. Zingwe zam'mitsempha zam'munsi zimakhudzidwa nthawi zambiri, nthawi zambiri mitsempha ya manja ndi nkhope.

Professional pleurisy imachitika nthawi ya ntchito, yomwe imafuna kusinthasintha kwa minofu, komanso kugwiritsa ntchito zida zomwe zimathandizanso kugwedezeka. Awa sikuti ndiwotcherera komanso oyendetsa, komanso osenda mabokosi omwe amagwiritsa ntchito makina amakanika, amayi achikazi omwe amabwereza zomwezi tsiku lililonse amagwera gulu ili. Chifukwa cha kubwerezabwereza kotereku, ma Symbomatology akuwonjezeka, kugwedezeka kwamiyendo kumamvekanso ngakhale pakudya.

Payokha, ndikofunikira kuzindikira mtundu wamowa wa polyneuritis - iyi ndi njira yodziwika bwino, imayamba mwa anthu omwe ali ndi vuto la uchidakwa. Kwa munthu wotsutsana ndi zakumwa zoledzeretsa, ziwalo zam'munsi zimachitika, kawirikawiri mitsempha ya diaphragm, mikono, nkhope, ndi thupi lonse lakumtunda silikhudzidwa. Ndikofunika kudziwa kuti wodwalayo samasamala kwambiri za zizindikiro zotere, chifukwa amawona izi ngati vuto lakumwa. Pankhaniyi, polyneuritis ndiye chizindikiro choyamba cha matenda ena osatengera, omwe amatchedwa Korsakov's syndrome.

Njira yothandizira

Pofuna kuchotsa zizindikirazo, matendawa ayenera kuthandizidwa asanasinthe masinthidwe osintha.

Matendawa amathandizidwa poyerekeza ndi chifukwa chomwe adayambitsa, pa nthawi yayitali ya kuwonetsa zizindikiro zoyipa. Chithandizo chothamanga chimayambira, zimakomera kwambiri chidziwitso. Nthawi zina zovuta zingapo zosiyanasiyana zimapangitsa njira yodziwitsira matenda. Chifukwa chake, ndikofunikira kuti wodwalayo athe kubwereza dongosolo la mawonekedwe ndi kutalika kwa chizindikirocho, uwu ndi chidziwitso chofunikira kwambiri kwa dokotala.

Ndi polyneuritis (yotupa ya polyneuropathy), kufooka kwa mitsempha zingapo zotumphukira kumachitika.

Zilonda zingapo zimakhudza pachimake cha myelin cha mitsempha ndi mitsempha yokha (yotchedwa silinda).

Ndi kuphwanya koteroko, kuchititsa kukhudzidwa kwa mitsempha m'mbali mwa mitsempha ndikosatheka.

Chifukwa chake, matendawa amayenda limodzi ndi zomwe zimachitika:

ziwalo
Vasomotor mavuto (mtima pathologies),
zovuta za trophic (zosokoneza mu zakudya zamitsempha).

Zoyambitsa ndi Zoopsa

Zomwe zimayambitsa matenda a polyneuritis ndi:

matenda (ma virus kapena bacteria, chimfine, tonsillitis, diphtheria, typhoid, malungo),
poizoni
kagayidwe kachakudya
ziwengo (zotheka),
kuvulala, zotupa, nkhawa yama minofu yambiri (kugwedezeka, kugwa, kukakamira kwa mitsempha),
zamagetsi kapena kuwonongeka kwa ma radiation.

Intoxication, kupweteka kwa polyneuritis, kumatha chifukwa cha kumeza kwa:

ziphe (arsenic, lead),
ma sol sol osiyanasiyana
mankhwala omwe ali ndi mavuto amtunduwu,
mowa (wotchedwa mowa wa polyneuritis umachitika).

Matenda otsatirawa amakhala pachiwopsezo chomwe chimayambitsa ma polyneuritis:

matenda ashuga
kusowa kwa vitamini (B1, B6, B12),
matenda a magazi
matenda oopsa
kuchepa kwa njira yolumikizana ndi minyewa,
gwiritsani ntchito ozizira ndi zida zogwedeza.

Gulu la kuphwanya

Polyneuritis imakhala ndi zizindikiro zosiyanasiyana kutengera ndi dera lomwe lakhudzidwalo. Pankhaniyi, pali mwayi wogonjetsedwa:

mizu ya msana
msana
bongo.

Malinga ndi gulu la etiological, polyneuritis yotsatira imasiyanitsidwa:

Chipatala cha matenda

Ndi polyneuritis, zizindikiro zotsatirazi zamalingaliro achilengedwe zimawonedwa:

Kutengera malo omwe awonongera dongosolo lamanjenje, zovuta zotsatirazi ndizomwe zimasiyanitsidwa:

mitsempha yopanga (ziphuphu
mitsempha ya optic ndi oculomotor (kuchepa kwa maonedwe owoneka, kuchepa kwa kayendedwe ka maso),
nkhope yamanja ,, kupweteka kwambiri, kusokonekera nkhope, hyperacusis, mavuto amakomedwe),
mitsempha yomvera (kutaya makutu)
misempha (zolankhula zopanda pake, kumeza, kuwononga mtima, mtima; mapangidwe am'mimba)
phrenic nerve (kupweteka mu hypochondrium, kutukusira khosi, phewa, kupuma movutikira, hiccups),

Matendawa amayenda limodzi ndi matenda opuwala komanso ziwalo, chifukwa kuwonongeka kwa mitsempha kumayambitsa kuphwanya kwa mkati mwa minofu.

Diabetesic neuropathy ndi polyneuritis: Zizindikiro, zimayambitsa, chithandizo. A Diabetesic Polyneuritis

Polyneuritis ndi nthenda yomwe ili ndi matenda angapo azitsulo zamitsempha. Imadziwoneka yokha mwanjira ya paresis, kuchepa kumverera, komanso mawonekedwe amisempha osiyanasiyana amtundu wa trophic.

Acute kapena matenda osachiritsika a polyneuritis nthawi zambiri amakula chifukwa chodziwikiratu zomwe zimapangidwa ndimankhwala kapena poizoni. Mavuto am'mimba amachititsa kusintha mu myelin sheath, komanso interstitium.

Polyneuritis imachitika chifukwa cha zinthu zomwe zimachitika:

poyizoni wa thupi ndi arsenic, lead, mercury, sulfocarbonate kapena ziphe zoopsa, impso sizingathe kupirira,
kuchitira odwala osavomerezeka ndi isoniazid, bismuth kapena maantibayotiki ena omwe impso zimawakhudza.
ma virus komanso mabakiteriya,
matenda a oncological,
mavuto ndi kugwira ntchito kwa endocrine gland (mwachitsanzo, hypercorticism),
Matenda ena amkati, monga kapamba, impso kapena chiwindi.
zolakwika zakubadwa.

Polyneuritis imagawidwa m'magulu awiri:

axonopathy. Ndi mitundu iyi, ma axon - ma cylinders a axis a mitsempha - amavutika. Nthawi zambiri kumachitika poizoni ndi poyizoni.
demyelinating neuropathy. Ndi matenda awa, myelin shealing ya mitsempha yotsiriza ya impso ndi ziwalo zina. Pali zovuta zomwe zimatengera ndipo zosiyanasiyana autoimmune.

Mtundu wina wamatenda ndi uchidakwa wa polyneuritis - nthenda yamitsempha. Mowa polyneuritis nthawi zambiri umakhudza zigawo zakumapeto zamitsempha. Zotsatira zake, minofu imatha mphamvu, ziwindi ndi kusokonezeka kwa malingaliro kumachitika. Zizindikiro za matenda monga chidakwa polyneuritis zimadziwika kwambiri kwa anthu omwe amakonda kumwa moledzera.Impso zawo sizitha kuthana ndi ziphe zomwe zimalowa mthupi nthawi zonse.

Demyelinating imadziwika ndi kuwonongeka kwa ulusi wamagalimoto. Wodwalayo amakhala ndi vuto lozama komanso losemphana ndi chidziwitso. Chizindikiro chinanso ndi kutayika kwa zomverera zam'mlengalenga ndi mtundu womvera. Zizindikiro zamankhwala zimayimiridwa ndi zotumphukira paresis zam'munsi kapena zapamwamba. Wodwalayo ali:

kulakwitsa kwa gawo la paresis ndi kuchuluka kwa minofu yolimba,
kufooka komwe
kutayika kwa miyendo,
kuwonda kwa khungu m'mphepete (nthawi zambiri - manja kapena mapazi),
cyanosis m'malire am'munsi, kupezeka kwa edema ndi mawonekedwe,
kusokonekera kwa misomali.

Matenda a polyneuritic aakulu amaphatikizira mapangidwe a kukula kwa mitsempha, zomwe zimayambitsa vuto lakumva koyambirira. Kuti muchepetse zomwe zimapangitsa kuti mitsempha izitha komanso kubwezeretsa chithokomiro cha myelin, ndikofunikira kuchititsa chithandizo cha matendawa kwa milungu 6 mpaka 10.

Mitundu yotsatirayi ya matendawa imasiyanitsidwa:

Polyneuritis ya m'munsi malekezero

matenda opatsirana. Chimawonekera chifukwa cha zovuta zam'mimba zopumira. Mitundu yambiri monga polyneuritis yopatsirana imakhudza kuwonjezeka kwa kutentha, komanso kutupa kwa maselo.
mtundu wa diphtheria. Zikuwoneka ngati mankhwalawo ayamba molakwika kapena osakonzekera. Khansa yofewa imagwa, mphuno m'mawu imakulirakulira. Kudya chifukwa cha matenda amisala a vagus nthawi zambiri kumakhala kovuta
mtundu wotsogolera. Imakonda kuchitika chifukwa chogwiritsa ntchito wowawasa wa bulosi kupanikizana, womwe umasungidwa m'mbale zadongo. Matendawa amakhudza mitsempha yama radial. Wodwalayo amadandaula za kupweteka kwam'mimba, komanso cholocha chamtovu,
mtundu wa arsenic. Pali mitundu iwiri ya izo: banja, komanso akatswiri. Zizindikiro za matendawa zimaphatikizapo kupweteka m'mimba, kusanza ndi ziwalo zam'munsi,
matenda ashuga. Zimaphatikizapo kuwonongeka kwa misempha ya nkhope, mikono kapena miyendo,
akatswiri. Zimachitika mwa anthu omwe ntchito yawo yolumikizidwa imalumikizidwa ndi zida zomwe zimatulutsa kugwedezeka kapena ntchito yokhudzana ndi kusokonezeka kwa minofu. Zizindikiro zake zimaphatikizira kupweteka m'manja, kutsika kwa zala, ndi thukuta.

Kuchiza matenda

Chithandizo cha polyneuritis, monga lamulo, chimasiyana malinga ndi chifukwa cha mawonekedwe ake komanso kuchuluka kwa vuto la kumva. Pambuyo pakuzindikira mozama, adotolo awona zomwe zimayambitsa matendawa ndikupereka chithandizo chamankhwala kuti muchepetse zovuta zake.

Dokotala amatha kuchitira zinthu zosiyanasiyana matendawa m'njira zosiyanasiyana, ndipo apa gawo lalikulu limachitika ndi momwe mankhwalawo adayambira panthawi yake. Ngati zovuta zakudimbazi zili poyambira, mankhwala othandizira amagwiritsidwa ntchito. Dokotala amafotokozera wodwala mtundu uwu:

odana ndi yotupa
ma pinkiller
kuthamangitsa kagayidwe mu minofu,
kusuntha kwamiyendo.

Wodwala akachulukirachulukira matendawa ndipo matendawa akhazikika, amamulembera chithandizo pogwiritsa ntchito mankhwala olimbitsa thupi (UHF therapy, electrophoresis).

Ndikofunikanso kusamalira zakudya zoyenera. Ndikofunikira kuti wodwalayo aphatikizire zinthu zomwe zili ndi vitamini B1 m'zakudya zake. Imapezeka yisiti, mkate wa rye ndi chiwindi. Ngati wodwalayo ali ndi mbiri ya matenda ashuga, ayeneranso kuchepetsa zakudya zomwe amapatsa wanga.

Kuphatikiza pa zakudya zoyenera, madokotala amalimbikitsa kulimbitsa thupi. Komanso kusamba kwa kutikita minofu ndi matope kudzakhala chowonjezerapo chabwino pa zovuta za chithandizo cha zovuta zamaumvekedwe. Zithandizo za anthu zimangokhala kuwonjezera pa njira yayikulu ya chithandizo, pomwe zonsezo zimayenera kuvomerezedwa ndikuvomerezedwa ndi dokotala wopita kwa wodwalayo. Zithandizo za anthu ku polyneuritis sizingatengedwe pakokha popanda kudziwa dokotala, chifukwa izi zimangokulitsa matendawa.

Matenda ambiri a pathological amakula. Chimodzi mwazomwe zimachitika chifukwa chodalira mowa, ndi mowa wa polyneuritis kapena polyneuropathy wa zakumwa zoledzeretsa.

Polyneuritis motsutsana maziko a chidakwa cha uchidakwa ndi kuchuluka kwa kudalira kwa mowa chifukwa cha kuwonongeka kwa poizoni kumathero a mitsempha. Mowa mu chipatala chotere ndimomwe umapangitsa kuti thupi lipangidwe mwamphamvu, kuwononga dongosolo lamanjenje. Nthenda yofananayo imapezeka kwambiri pogonana.

Njira ya pathological imadziwika ndi kupita patsogolo pang'onopang'ono. Nthawi zambiri, mawonekedwe owopsa a matenda amapezeka pambuyo pa kuwonongeka kwa zakumwa m'maselo a chiwindi. Chithandizo chake ndichofunika, ndipo chikangoyamba, ndiye kuti matendawo amawakonda. Mowa polyneuritis ukanyalanyazidwa, mankhwala oledzeretsa am'magazi oledzera amapezeka, mwachitsanzo, chotupa chimakhudza mbali zonse za mitsempha yamitsempha.

Zomwe zimayambitsa ndi chizindikiritso cha mowa wa polyneuritis

Kupanga kwa polyneuritis zakumwa zoledzeretsa kumayambitsidwa ndi kuledzera kosatha, kumayambitsa chiwindi, motsutsana ndi komwe anthu omwe amadalira mowa amapanga vitamini. Kuperewera kwamphamvu kwa mavitamini B kumapangitsa kuti pakhale zotupa zingapo za zotumphukira zamisempha.

Matendawa amawonekera mwadzidzidzi. Pazigawo zoyambirira za polyneuritis yoledzera, kupezeka kwa mawonekedwe oterewa ndi chikhalidwe:

Kufooka m'malo otsika.
Minyewa yolimbitsa mtima.
Zomverera zowawa m'magulu a minofu ya gastrocnemius ndi malekezero a mitsempha ya mitsempha.
Kenako matendawa amathandizidwa ndi zizindikiro za paresthesia, zomwe zimafanana ndi zomverera pambuyo pakukhala nthawi yayitali.
Ma hiccups okhalitsa omwe amagwirizana ndi kuwonongeka kwa mitsempha ya diaphragmatic.
Kuchepetsa kumverera kwa phazi kumapazi. Wodwala akayamba kulimba, zimamuwoneka kuti pansi akulephera penapake.
Pulogalamu yolumikizana minofu.
Kudzera m'miyendo yonse.
Mavuto ogona.
Kutopa kwambiri.

Akatswiri amati zilembo za polyneuritis zoledzeretsa zimalumikizana ndi kufooka kwa pathological komanso kusintha kwapang'onopang'ono kwa minofu ya minofu. Pathology nthawi zambiri imayendera limodzi ndi parresis, neuritis komanso kupuwala. Miyendo imatha kutaya mtima. Diaphragmatic, mtima ndi minyewa yamanja zimathanso kutenga nawo gawo pambiri. Zizindikiro zamakhalidwe zikawoneka, kufunsa achipatala mwachangu ndikukhazikitsidwa kwa chithandizo chofunikira ndikofunikira.

Yang'anani! Ngati wodwalayo akana chithandizo chamankhwala ndikupitiliza kumwa mowa, ndiye kuti pali kuphwanya kwa ziwalo za m'chiuno, zomwe zimayambitsa ndowe ndi mkodzo.

Wodwalayo akanyalanyaza chithandizo, njira yodwala matenda a m'magazi ikupita patsogolo, ikukulitsa vutolo ndikupangitsa zovuta zosasintha. Mawonetsedwe azachipatala monga kukomoka ndi kupweteka kwa ana a ng'ombe nthawi zina amasintha kukula, kenako kufooka, kenako kukulira. Kudekha ndi kupumula kumawonedwa mukakana kumwa mowa, koma ngati wodwalayo ayambiranso kumwa, ndiye kuti zopweteka zimayambiranso ndi nyonga yatsopano.

Zinthu zosavomerezeka monga kugwira ntchito mopitirira muyeso kapena hypothermia, komwe kumapangitsa kuti michereyo izipangika kwambiri, imatha kuyambitsa vuto la zidakwa za polyneuritis zam'munsi. Ndi chidakwa cha polyneuropathy, pamakhala kufooka komanso kuchepa kwa kuchuluka kwa minofu, minyewa ya pakhungu limapezeka pamiyendo, m'miyendo pakhungu, ndipo misomali imakula msanga.

Polyneuritis ya zakumwa zoledzeretsa imatha kubweretsa zotsatirapo zosasangalatsa kwambiri, monga kusokonezedwa muzochitika zakumbuyo kwakanthawi ndikuwonongeka.Wodwalayo amakumbukira bwino zomwe zinali m'mbuyomu, ndipo sakumbukira zomwe zachitika pamoyo wake.

polyneuropathy yoledzeretsa nthawi zambiri imachitika limodzi ndi matenda a Korsakov's psychosis, omwe amadziwika ndi chisokonezo,
mawonekedwe a wodwala ali ndi vuto lalikulu,
Nthawi zambiri odwala omwe ali ndi zakumwa zoledzeretsa amakhala ndi zokumbutsa zabodza. Wodwalayo angaganize kuti sanagone usiku pamene nyumbayo idamva kulira kwake usiku wonse. Kapenanso wodwalayo anganene kuti anakumana ndi mnzake wakale mumsewu. M'malo mwake, munthuyu wachoka kale, kotero msonkhano sunachitike.

Odwala oterowo nthawi zambiri amabwera ndi nthano zamtundu uliwonse, ndipo iwonso amakhulupirira moona mtima zomwe akuuza. Polemba nkhanizi modzipereka, safuna kunama konse, izi zimachitika mosazindikira. Kuti mutsimikizire wodwalayo mabodza ake ndi osatheka, ndipo alibe tanthauzo. Chifukwa chake, kutsimikiza kwakanthaŵi kwa zizindikiro ndi chithandizo cha polyneuritis ndi kwamankhwala ambiri.

Momwe mungachitire zakumwa zoledzeretsa za polyneuritis

Chithandizo cha zakumwa zoledzeretsa za polyneuropathy zimayamba ndikukana kotheratu mowa ndikuchotsa chidaliro cha mowa. Nthawi zambiri, mankhwalawa amaphatikizapo magawo monga:

Mankhwala.
Mankhwala othandizira.
Zochita kutikita minofu.
Kukondoweza kwamitsempha.
Katemera
Neurolysis ya mathero a mitsempha.
Vitamini Therapy.
Mankhwala azitsamba.

Chithandizo chotere cha zakumwa zoledzeretsa zimathandizira kubwezeretsa mphamvu zam'mimba mwachangu komanso njira zina zamitsempha. Ndi chithandizo choyenera chamankhwala, mawonekedwe a pathological amatha. Ngati wodwalayo ali ndi vuto la maganizo, ndiye kuti amamuika m'chipatala.

Chithandizo cha matenda

Mowa polyneuritis amachiritsidwa. Chithandizo chanthawi yake pogwiritsa ntchito njira zokwanira pakapita nthawi zimathandizira kuti achire. Ngati wodwala amakana chithandizo ndikumangomwa mowa, ndiye kuti matenda a zam'tsogolo akupita patsogolo, omwe amadziwika ndi matenda oyambitsidwa bwino. Choopsa cha matenda ndi chakuti limodzi ndi izi, matenda am'mbali amapangika omwe angayambitse imfa. Chifukwa chake, kuwonongeka kwa mitsempha ya diaphragmatic kapena mtima, wodwalayo amathamangitsa ngozi yakufa ndi chibayo, asphyxiation, kapena kumangidwa kwamtima.

Matenda a shuga mellitus, limodzi ndi uchidakwa, ndi zina mwazomwe zimayambitsa matenda a neuropathy. Ubale pakati pa kuchuluka kwa kuchuluka kwa glucose wamagazi ndi kuopsa kwa zovuta zamitsempha kumatsimikiziridwa.

Kuphatikiza apo, 60 mpaka 90 peresenti ya odwala amadwala matenda oopsa a m'mitsempha kapena matenda am'mimba.

Ngati wodwala matenda ashuga samalandira chithandizo chokwanira, phazi la matenda ashuga limayamba chifukwa cha kuchepa kwa miyendo.

Kupezeka kwa neuropathy mu matenda a shuga - zimayambitsa ndi makina

Chomwe chimatsogolera ku neuropathy, komanso zovuta zina za matenda osokoneza bongo, ndikuwonjezera kuchuluka kwa glucose m'magazi ozungulira ndikuwopseza ziwalo zake. Matenda a diabetes amachitika chifukwa chakuwonongeka kwa mitsempha yokha komanso mitsempha yamagazi yomwe imawadyetsa.

Glucose kuchokera m'magazi imatha kulowa mu cell ya mitsempha popanda kutenga nawo insulin, koma sangathe kuphatikizidwa mu glycolysis process for energy. Pankhaniyi, njira yobwerezabwereza imayatsidwa, momwe sorbitol imapangidwira.

Sorbitol, ikudziunjikira mkati mwa khungu, imawononga, komanso kutengapo gawo kwa zotupa za vasodilation kumachitika. Kupindika kwamitsempha komanso kuchepa kwa kuthamanga kwa okosijeni kumasokoneza thanzi la maselo amitsempha.

Njira ina yakuwonongeka kwa mitsempha mu shuga ndi kupangidwe kowonjezereka kwa ma radicals omasuka. Awa ndimamolekyu osalongosoka omwe ali ndi ntchito zapamwamba zamankhwala, omwe amatha kuwononga ma enzymes, ma membrane am'mimba ndi DNA.

Komanso njira zotsatirazi zikuphatikizidwa pakupanga matenda a neuropathy mu matenda a shuga:

Kuphatikiza kwa molekyu ya glucose kumapuloteni ndi glycosylation, kuphatikizapo nembanemba wamitsempha.
Microangiopathy yamitsempha yama mitsempha.
Mitsempha yodutsitsa.
Kupangidwe kwa ma antibodies motsutsana ndi mitsempha.

Polyneuropathy mu matenda a shuga, zizindikiritso ndi matenda

Dongosolo la matenda ashuga polyneuritis nthawi zambiri limawonetsedwa ndi mawonekedwe ofanana am'munsi am'munsi. Poterepa, kudandaula kofala kwambiri kwa odwala ndiko kuphwanya kwamvekedwe. Ndi kugonjetsedwa kwa ulusi wamitsempha yayikulu, malingaliro a kugwedezeka, kukhudza ndi malo akukhala bwino.

Zingwe zazingwe zamafupa ndizomwe zimayambitsa kupweteka komanso kutentha. Milandu yambiri ya neuropathy imachitika ndi pathological pain syndrome motsutsana ndi maziko a kuchepa kwamphamvu, ndiye kuti mitundu yonse yamkati imakhudzidwa.

Kusokonezeka pakumverera kwa khungu kumadalira kuchuluka kwa kubwezeredwa kwa shuga, imayamba ndi zala, kenako ndikupita patsogolo ngati "masokosi", "stocking", komanso "magolovesi".

Zizindikiro za matenda ashuga neuropathy akuwonetsedwa zotere:

Paresthesia - chidwi chakukwawa.
Gait kusakhazikika.
Kupsa kwamapazi kumapazi, koipa usiku.
Minofu kukokana, kupindika minofu.
Kuzindikira kuzizira.

Kusokonezeka kwa ntchito yamagalimoto mwanjira ya ziwalo kapena minofu paresis kumalumikizana ndi kusokonezeka kwa chidwi.

Popeza kuvutikaku ndikofala, komanso momwe chithandizo chimatengera pompopompo, tikulimbikitsidwa kuti odwala onse omwe ali ndi matenda osokoneza bongo amayesedwa kamodzi miyezi isanu ndi umodzi ndi neurologist. Pozindikira, zoyeserera zantchito zimachitika.

Kutsimikiza kwa chidwi kumayang'aniridwa ndikakhudza ndi swab thonje kapena burashi yopyapyala, mawonekedwe amtunduwo amatsimikiziridwa pazokha pakukhudza ulusi woonda wa nayiloni. Mawilo a singano amagwiritsidwa ntchito pophunzira momwe amamva kupweteka. Kuzindikira kutentha kungatsimikizidwe ndi kida yapadera "Type Type".

Mkhalidwe wakuwala, mphamvu ya minofu ndi kugwedezeka kwamphamvu kumatsimikizidwanso.

Ngati pakuyang'anitsitsa mapazi kuwulula kuwonongeka kwa khungu kapena kusowa kwamphamvu, zimatsimikiziridwa kuti zotumphukira ndi zotupa zam'mitsempha zimawonongeka ndikupanga phazi la matenda ashuga.

Zizindikiro za phazi la matenda ashuga

Chochulukitsa chomwe chimadula mwendo mu shuga ndi polyneuropathy syndrome ndikupanga phazi la matenda ashuga. Kutengera kufalikira kwa zizindikiro zosiyanasiyana, neuropathic, ischemic ndi mitundu yosakanikirana yamatenda imasiyanitsidwa.

Nthawi zambiri, mtundu wa matenda amtunduwu amawululidwa. Kuphwanya kosungika kwa dongosolo la ziwonetsero zamagetsi kumabweretsa kusintha kwa thukuta, khungu limakhala loonda komanso lambiri, lotha kuwonongeka.

Mitsempha yovunda, ikusefukira ndi magazi, imayambitsa kutupa, yomwe imafalikira pang'onopang'ono mpaka kumapazi onse. Edema yotere, mosiyana ndi mtima wa edema, samadutsa ndi kukhazikitsidwa kwa bedi.

Mavuto akudya samakhudzana ndi khungu lokha, komanso ma tendon, zida za ligamentous, zomwe zimayambitsa kusokonekera kwa gait ndi kuwonongeka kwa mafupa amtunduwu chifukwa chogawa katundu. Kuchepetsa chidwi cha kupweteka pakudza kukonzekera kumabweretsa vuto la neuropathic ulcerative.

Malo wamba ndi chidutswa chala. Zilonda zimakhala zozungulira, nthawi zambiri zimayambukiridwa, zovuta za osteomyelitis. Chizindikiro chodziwika ndi kusowa kwa zowawa.

Matenda a diabetesic neuropathy okhala ndi mawonekedwe a ischemic amadziwika ndi zotere:

Kuperewera kwamapazi kumapazi.
Khungu limazizira ndimtambo wamtambo.
Ululu kumapazi kumachitika pakupuma, kukulira usiku.
Mukamayenda, kudalirana pakati kumachitika.

Ndi mitundu yosakanikirana ya chotupa cha miyendo, zizindikiro zonse zimakhala ndi mphamvu komanso kuphatikiza kosiyanasiyana.

Autonomic neuropathy

Pophwanya ufulu wosungidwa wa ziwalo, Zizindikiro zimatengera komwe khomalo limakhala. Nthawi zambiri, imadziwika m'magawo apambuyo, popeza ilibe zizindikiro zachipatala. Kuphatikiza apo, kukula kwa mitsempha kumakhala ndi vuto labwino, chifukwa zimapangitsa kuti anthu azifa kawiri konse.

Zoyipa kwambiri ndi mitundu ya mtima ya autonomic neuropathy. Itha kuchitika mwa mtundu wa tachycardia pakupuma, kusowa kwa zowawa m'dera la mtima, kutalika kwa nthawi ya QT pa ECG, kutsika kwa kukakamiza pakukwera.

Pankhaniyi, odwala samadandaula, kupatula kufooka ndi chizungulire. Ndi mitundu yamtunduwu ya neuropathy, mitundu yopweteketsa mtima yamisempha yamtima imadutsa. Odwala sangamve zizindikiro zake, zomwe zimapangitsa kuti mitundu yayikulu ya kulephera kwa mtima ikhale ndi zotsatira zakupha.

Zizindikiro zowonongeka m'mimba zimagwirizanitsidwa ndi ntchito yamagalimoto:

Kumva m'mimba kwathunthu mukatha kudya.
Kupweteka kwam'mimba.
Kusanza ndi kusanza.
Malo okumbiramo madzi atatha kudya, komanso usiku.
Fecal kulephera.

Kuti apange matenda anu, kuwunika kwa X-ray kapena ultrasound m'mimba ndi matumbo kumachitika.

Cystopathy mu shuga mellitus imadziwonekera pakumawoneka m'mawa kwakukulu kwamkodzo wokhala ndi mtsinje wofooka ndikugawidwa kwatsika. Kusungika kwamitseko mu chikhodzodzo kumachitika popanda kukodza. Chifukwa cha kuchuluka kwa mkodzo wotsalira komanso kaphatikizidwe ka matenda, cystitis ndi pyelonephritis imayamba.

Pafupifupi 60% ya amuna amakhala ndi matenda a shuga omwe amachepetsa potency. Matendawa akamakula komanso ndi ukalamba, zovuta izi zimawonjezeka, zomwe zimatsogolera pakuwonjezeredwa kwa kukhumudwa. Nthawi yomweyo, gawo la psychogenic limachulukitsa kukokoloka kwa erectile.

Chimodzi mwazovuta zazikulu za autonomic diabetesic neuropathy ndikuchepa kwa kugwa kwa magazi. Odwala amasiya kumva njira ya hypoglycemia, yomwe ikhoza kukhala yopulumutsa, makamaka ngati panthawiyi amayendetsa magalimoto kapena makina kuntchito.

Nthawi zambiri mu shuga mellitus, mawonekedwe a kugunda kwa mtima kapena thukuta, manja akunjenjemera, odwala amayamba kumva kuwonetseredwa koyambirira, komwe kumakupatsani mwayi wopewe nthawi. Ndi neuropathy, odwala akukumana ndi vuto ladzidzidzi la hypoglycemic.

Nthawi yomweyo, kuchuluka kwa magazi m'magazi kumachulukitsa kagayidwe kazakudya.

Chithandizo cha matenda a shuga

Kwa mankhwalawa a neuropathy, ndikofunikira kukhazikika pamagazi a glucose pamlingo wazisonyezo. Izi zimafuna kutsatira zolondola pachakudya (pafupipafupi chakudya) ndi zakudya zopatsa mphamvu. Poterepa, ndikofunikira kupatula mafuta osavuta owerengeka ndikuchepetsa zovuta mpaka zovomerezeka.

Kuphatikiza apo, ndikofunikira kuchepetsa zofunikira zamafuta amtundu wa nyama ndikuyambitsa mu chakudya kuchuluka okwanira kwa fiber kuchokera kumasamba atsopano, chinangwa. Mapuloteni amalimbikitsidwa kuti azipezeka kuchokera ku nsomba ndi zinthu zopanda mkaka zomwe zimapanga mafuta.

Mankhwala osokoneza bongo amayenera kusankhidwa m'njira yolepheretsa kusintha kwamwadzidzidzi m'magazi a shuga, chifukwa ndizowopsa kuonjezera ndikuyamba hypoglycemia.

Odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga, omwe sanathe kukhazikika m'magawo a shuga mothandizidwa ndi mapiritsi, sankhani kuchuluka kwa insulin onse mu mawonekedwe a monotherapy komanso mankhwala.

Izi zikachitika, zizindikiritso za matenda ashuga zimatha kutha miyezi iwiri mpaka itatu.

Chithandizo cha zotumphukira neuropathy ikuchitika ndi magulu ngati awa:

Thioctic acid: Espa-Lipon, Thiogamma, Dialipon kapena Belition amalembedwa pamapiritsi kapena jakisoni.
Kukonzekera kwa mavitamini a B: mitundu yovomerezeka ya Milgamma, Neurorubin, Neurobion, Beviplex, Compligam, Trigamm, komanso Nurobeks, Neurovitan, mapiritsi a Folic Acid.
Othandizira: Diclofenac, Nimesulide, Revmoxicam, Dexalgin.
Anticonvulsants: Nyimbo, Finlepsin, Gabalept.
Ma Antidepressants: Anafranil, Amitriptyline, Venlafaxine.
Kupititsa patsogolo kufalikira kwazungulira: Actovegin.
Kukonzekera kwanuko: mafuta onunkhira omwe ali ndi lidocaine kapena ketoprofen.

Ndizotheka kuchitira neuropathy mu shuga mellitus (osagwirizana ndi ma contraindication) pogwiritsa ntchito njira ya Hyperbaric oxygenation, kukondoweza ndi mafunde osinthika, maginitootherapy, electrophoresis.

Chitetezo cha matenda a shuga a Neuropathy

Njira yofunika kwambiri yopewa zovuta za matenda ashuga ndiyo kuwunika kwambiri shuga. Imayesedwa pamimba yopanda kanthu, itatha kudya (maola 2), isanagone. Kuphatikiza apo, kuthamanga kwa magazi kumayang'aniridwa kawiri pa tsiku. Kamodzi pa miyezi itatu iliyonse, kuwunika kumachitika ndi glycated hemoglobin.

Ma endocrinologist amayendera ayenera kukhala miyezi itatu iliyonse, katswiri wa neuropathologist, dokotala wa opaleshoni ndi podologist miyezi isanu ndi umodzi iliyonse.

Ndikofunikanso kusiya kusuta fodya komanso kumwa mowa, chifukwa zimayambitsa vasospasm ndi kuwonongeka kwa minyewa yam'mitsempha, yomwe imachulukitsa mawonetseredwe a neuropathy, kuwonjezeka kwa ululu ndi dzanzi m'miyendo.

Analimbikitsa omwe akuphatikizapo kukwera maulendo, kusambira kapena yoga. Nthawi yonse ya maphunziro akuthupi, yomwe ingalepheretse matenda a neuropathy ku matenda a shuga, ayenera kukhala osachepera mphindi 150 pasabata.

Popewa kukula kwa matenda ashuga, njira zotsatirazi zikulimbikitsidwa:

Ukhondo watsiku ndi tsiku ndikuyang'ana miyendo ya microtrauma, scuffs.
Osaloleza kuyaka ndi chisanu pamapazi, kuvulala.
Ndi zoletsedwa kuyenda opanda nsapato, makamaka kunja kwa nyumba.
Kwa nsapato, komanso hosiery, muyenera kusankha zida zokhala ndi mpweya wabwino.
Nsapato zotonthoza zimalimbikitsidwa, ngati kuli kofunikira ndi insoles ya orthopedic.
Mukamayendetsa pedicure, ndizoletsedwa kudula chimanga.
Zovala zapanyumba sankhani nsapato zokhala ndi kumbuyo kotsekedwa.
Tsiku lililonse muyenera kupaka mafuta mtima wanu ndi kirimu wamafuta kuti muteteze kuledzera.

Popewa matenda a neuronomic, muyenera kuyesedwa ndi mtima, urologist ndi gastroenterologist.

Mu kanema mu nkhaniyi, Elena Malysheva apitiliza kuwonjezera pamutu pa matenda a shuga.

Zomwe zimayambitsa matendawa

Kuzindikira kwa polyneuritis kumayamba ndi kuzindikira ndi kuzindikira zomwe zimayambitsa matendawa. Matenda opatsirana a polyneuritis nthawi zambiri amayamba chifukwa cha makina kapena poizoni. Chidwi chachikulu pamene mukusonkhanitsa anamnesis ndikudziwa chithunzithunzi chamankhwala chiyenera kuperekedwa kuti azilumikizana ndi ziphe - polyneuritis nthawi zambiri imayamba chifukwa cha poyizoni wa thupi ndi mercury kapena lead.Komabe, ichi sichiri chifukwa chachikulu chachitukuko cha matenda - mankhwala opha tizilombo, kugwiritsa ntchito mankhwala osokoneza bongo kapena zakumwa zoledzeretsa zitha kuwonongeranso dongosolo lamitsempha ndikupangitsa kufalikira kosalekeza kwa matenda.

Matenda owopsa a bakiteriya kapena oncological amayambitsanso kufalikira kwa polyneuritis, momwe gawo lamitsempha lamitsempha limatha kutaya ntchito moyenera. Kutenga ulusi wawo wamitsempha yamagetsi achilendo owopsa, thupi limatha kudziwukira - umu ndi momwe chikhalidwe cha autoimmune cha polyneuritis chimadziwonekera.

Gulu la Polyneuritis

Musanayambe chithandizo, ndikofunikira kuzindikira osati mtundu wokhawo (wodwala kapena pachimake) wa matendawa, komanso mtundu wake. Kutengera zifukwa zomwe zinayambitsa kufalikira kwa polyneuritis, mitundu yosiyanasiyana ya mankhwala imayikidwa. Polyneuritis imagawika m'magulu awiri otambalala - axonopathic (the axon nerve die) ndi demyelination (membrane wamitsempha amawonongeka). Kusankhidwa kwina kukuwonetsa komwe kumayambitsa matendawa:

Matenda opatsirana a polyneuritis . Imachitika ndi zotupa njira mu zotumphukira mantha dongosolo. Mtundu umodzi wowopsa wa matenda, chifukwa umadziwika ndi dera lalikulu la lesion komanso kufa kwa minyewa yambiri yamitsempha.

Diphtheria polyneuritis . Amapezeka mu 10-20% ya ana omwe adachitidwa diphtheria, pomwe amadziwika ndi matenda ake.

Mowa polyneuritis . Njira yotupa imakakamizidwa chifukwa chomwa zakumwa zoledzeretsa zambiri. Kukhazikika kwa poizoni ndi zinthu zoopsa kumathandizira kukula kwa zakumwa zoledzeretsa.

Arsenic polyneuritis . Zotsatira za poizoni wa thupi ndi arsenic. Ilibe mawonekedwe osatha, popeza matendawa amatha msanga.

A Diabetesic Polyneuritis . Mitsempha ya nkhope kapena miyendo imawonongeka.

Kugawikaku sikungoyambitsa matenda. Monga tanena kale, mtundu wovuta kwambiri komanso wosakhazikika wa polyneuritis umasiyanitsidwa. Fomu ya pachimake ndi imodzi mwazowonetsa zowopsa za polyneuritis, imayamba pankhani ya maola kapena masiku. Nthawi zambiri, pachimake matenda amatuluka motsutsana maziko ofooka chitetezo chokwanira komanso matenda opatsirana. Matenda osachiritsika amatuluka pang'onopang'ono ndipo wodwalayo komanso sing'anga wamankhwala amatha. Matendawa akukula tsiku lililonse motsutsana ndi chiyambi chofuna kupezeka nthawi zonse - chomwe chimapangitsa mowa, poyizoni, poyizoni, matenda.

Zomwe zimachitika mu pathological process

Njira yowonera (kulumikizana kwa ziwalo ndi mantha am'mimba, zomwe zimapangitsa kuti magwiridwe ake ndi ntchito poyambira) zachokera njira ziwiri:

ogwirizana (kuchokera ku chiwalo kupita ku ubongo), mu impso imaperekedwa ndi malo otsika a thoracic ndi msana,
efferent (kuchokera pakatikati wamanjenje kupita ku chiwalo), ma lumbar komanso thoracic achisoni.

Minofu ya impso imo (parenchyma) ilibe mathero amitsempha, koma nembanemba ya chiwalo (kapisozi) imabayidwa ndi iwo. Chifukwa chake, ndi zotupa zomwe zimatsogolera kukula kwa impso, kapisolo amatambasamba, komwe kumagwira mathero amitsempha, ululu umayamba. Chizindikiro chothandizira kutsitsa chimatumizidwa ku ubongo. Ngati chinthu chokwiyitsa sichichotsedwa, izi zitha kubweretsa kuphwanya kwakukulu kapangidwe ka chithaphwi cha myelin (chimakwirira maselo amitsempha, mtundu wamatayala amagetsi), pakapita nthawi, sizingatheke kuyendetsa magetsi kudzera mumitsempha ndipo zimakhudza ntchito ya chiwalocho. Kodi ndimtundu wanji wa zotupa zomwe zimayambitsa matenda?

Zomwe zimayambitsa ndi zizindikiro

Zovuta zimatha kupezeka mosavuta mu impso ngati thupi limakonda kuzizira. Mchitidwe wamanjenje umadwalanso hypothermia, chifukwa chosowa mavitamini a B.Zomwe zimayambitsa chiwopsezo chazogwira ntchito zimatha kukhala zamankhwala, zakuthupi, genesis yamakina, monga:

matenda amkati a endocrine, oncological ndi chibadwa,
kuyambitsa kwa ma virus kapena mabakiteriya, omwe amatsogolera ku kuledzera,
kumwa Mlingo waukulu wa mankhwala a nephrotoxic (maantibayotiki, mankhwala a bismuth),
zoopsa za ziphe, mwachitsanzo, zotsogola, mankhwala ena, zefisi, sulfocarbonate, mowa,
kuvulala kapena zotulukapo zawo.

Chizindikiro cha kuledzera kwa kuledzera ndikutha kwa magawo amkati mwa mitsempha. Kupezeka kwa mowa kwa ethyl pang'onopang'ono kumavulaza impso, sangathe kuthana, chifukwa amalephera kulumikizana ndi malo owongolera, omwe amapereka malangizo munjira zamanjenje. Titha kunena kuti mowa umalepheretsa mitsempha yokhala ndi impso ndipo impso yake imalephera kuzindikira zapoizoni, zomwe zimayambitsa poizoni.

Polyaluritis yam'mimba imadzipangitsa yokha kumverera puffness, "mapulo" a marble pamtundu wa integument, kupweteka kumbuyo.

Nthawi zambiri, polyneuritis kumachitika motsutsana maziko a matenda apamwamba a impso. Chithandizo chokhacho chomwe wodwala angagwiritse ntchito kapena wodwala akunyalanyaza malangizo a dokotala kumabweretsa zovuta zosiyanasiyana. Matenda a pyelonephritis, mwachitsanzo, amakhala ndi chizolowezi chowonjezera ndipo izi zimachotsa impso parenchyma, magazi, kusefera ndi kufalitsa kwa zikhumbo zamitsempha kuchokera ku ziwalo. Zizindikiro zomwe zimayenderana ndi aimpso polyneuropathy ndi izi:

kujambula ululu mdera lumbar,
Kutupa kwa malekezero,
kufooka kwa minofu makamaka ndi zochitika zomwe zimafuna luso labwino la magalimoto ndi kulimbitsa thupi,
dzanzi miyendo, kusamva bwino kutentha,
Hyperhidrosis (kutulutsa thukuta),
kusanza, kusanza,
mawonekedwe a khungu la nsangalabwi.

Popeza polyneuritis ndi chotsatira cha njira yayitali yotupa mu impso, mankhwalawa azikhala ovuta. Mwachitsanzo, ngati pyelonephritis yayitali yakhala chifukwa cha polyneuritis, ndiye kuti antimicrobials angagwiritsidwe ntchito:

Kuchiza matenda a impso polyneuritis kumaphatikizanso kumwa mankhwala osokoneza bongo, kutengera mtundu wa zomwe zimayambitsa matendawa.

mankhwala a gulu la fluoroquinolone (Ciprofloxacin, Norfloxacin),
sulfonamides ("Urosulfan", "Biseptol"),
nitrofurans ("Furazolidone", "Furazidine", dzina la malonda "Furagin", "Furamag"),
nitroxoline ("5-NOC").

Popeza kuti polyneuritis ndi kugonjetsedwa kwa mathero a mitsempha, ndiye kuti kuyesayesa kudzakhala ndi cholinga chobwezeretsa patency yamitsempha. Izi zimatenga nthawi, chifukwa zizindikiro zimatha kupitilira kwa nthawi yayitali. Mavitamini a B, mankhwala omwe amabwezeretsa kapangidwe ka myelin sheath (Keltikan, Nucleo CMF), mankhwala a nootropic, metabolic - zonsezi zimapangitsa kuti mitsempha yama cell ndi ya trophic ikhale.

Sulfanilamide uroantiseptics sakonda kutumikiridwa, chifukwa amayambitsa makristasi, hematuria, interstitial nephritis.

Amaperekanso mankhwala othana ndi kutupa komanso okodzetsa. Simungathe kuchita popanda chakudya, tebulo nambala 7: kuchuluka kwa mapuloteni, mchere, kuchuluka kwa mavitamini a gulu B. Gwiritsani ntchito malita atatu amadzimadzi patsiku. Zakudyazo ziyenera kukhala ndi masamba ndi zipatso zomwe zimapatsa diuretic zotsatira (dzungu, chivwende, zukini), zakumwa za zipatso za mabulosi, timadziti, zakumwa za zipatso, zakudya, tiyi wopanda mphamvu, zakudya zamkaka, mikate yoyera, shuga amaloledwa (50-70 g patsiku). Zokonda zimaperekedwa ku mphodza ndi mbale zophika, ndibwino kupatula zakudya zokazinga: Zakudya zamagulu zimapatsa zakumwa zakumwa zoziziritsa kukhosi, makeke a kirimu ndi zophika, msuzi wokhazikika, zakumwa zotsekemera za kaboni, zonunkhira, zosuta komanso zamzitini, khofi ndizoletsedwa.

Zinthu zophika buledi zochokera kuchimake, nsomba, ng'ombe, chiwindi, nsomba zam'madzi, mazira, nyama ya nkhuku, zipatso zouma (nkhuyu, masiku, zoumba) ndizothandiza. Chakudya - 4-6 pa tsiku.Madzi ochepa omwe amakhala ndi mchere wochepa amathandizanso, ndipo mankhwalawa amathandizanso mofulumira.

Kuphatikiza apo, 60 mpaka 90 peresenti ya odwala amadwala matenda oopsa a m'mitsempha kapena matenda am'mimba.

Ngati wodwala matenda ashuga samalandira chithandizo chokwanira, phazi la matenda ashuga limayamba chifukwa cha kuchepa kwa miyendo.

Pathological anatomy ndi pathogeneis

Mowa polyneuritis umatha kukhudza pafupifupi mitsempha yonse, zotupa zambiri zimakhala parenchymal m'chilengedwe. Kusintha kosiyanasiyana kumawonedwa, kuchokera ku minyewa yofatsa yam'mimba mpaka kusintha kwakukulu ndikusowa kwa nembanemba. Kubadwanso koyamba nthawi zambiri kumalumikizidwa ndi yachiwiri - kubadwanso kwatsopano kwa magawo a distal. Kusintha kwachilendo kwa minofu kumakhalanso pafupipafupi, komwe sikungotengera kuwonongeka kwa minyewa yamagalimoto yama motor, komanso myositis, yomwe imawoneka kuchokera ku zochita zachindunji za mowa.

Maphunzirowa ndi zoneneratu

Mowa polyneuritis nthawi zonse amakhala pachimake kapena subacute. Mphepo yamkuntho, yotentha kwambiri imapereka chiyembekezo chabwino. Imfa nthawi zina imachitika pambuyo pa masiku 10 mpaka 14. Ngati maphunzirowa sakhala achangu, ndiye kuti matendawo amayambitsidwa ndi kuchuluka kwa kufalikira kwa ziwalo, komanso kutenga nawo mbali m'mitsempha yama cranial.

Ndi kuwonongeka kwa miyendo kokha, matendawa ndiabwino kwambiri kuposa kuwonongeka kwa mikono kapena thunthu.

Mitundu yovuta ndiyosowa kwambiri. Mitundu yokhazikika imachitika, mwachitsanzo, chaka chilichonse nthawi yomweyo. Nthawi zambiri, maphunzirowa ndiabwino, kuchira kwathunthu kumachitika, kapena pang'ono ndi zolakwika. Mpaka pomwe zizindikilo zonse za kufooka zimatha, chaka chitha kudutsa, komanso kusiyanasiyana, zaka zingapo.

Zizindikiro zodziwika bwino ndi izi:

dzanzi la miyendo
ng'ombe zazikazi ndi zowawa zamanjenje,
kuchepa kwamphamvu kwa phazi,
wotopetsa tchuthi
kusowa tulo
kufooka ndi kutopa.

Mowa polyneuritis nthawi zambiri umakhala limodzi ndi malungo, osagwedezeka kwambiri. Paresthesias ndi ululu amawoneka - kumverera kuyabwa, kutayika kwa malekezero kumapeto kwa miyendo ndi mikono, kulumikizika kupweteka m'malire. Nthawi zambiri ululu umakhala wopanda mphamvu mu mphamvu, koma nthawi zina umakhala wolimba kwambiri, komanso umatha kulimba ndi kusuntha, ndi kupsinjika kwa mitsempha ndi minofu, ndipo nthawi zina pokhapokha pokhudza khungu.

Posachedwa kumawoneka kufooka, makamaka m'miyendo, kukulira kwa masiku kapena masabata, kawirikawiri miyezi, kotero kuti wodwalayo sangathe kuyenda konse. Matenda a wodwala pakadali pano ali abwinobwino kapena amasokoneza, pamakhala zisoni zam'mimba, kugwedezeka. Kupitilira apo, kuchokera kumbali ya miyendo, kuchepa thupi kumawoneka, komwe nthawi zoyambirira sizichitika.

Kupanikizika kwa minofu ndi mitsempha kumakhala kowawa, kuyenda kwaulere kokha, komanso kupweteka.

Tendon Reflexes amakhala ofooka kwambiri kapena atapita kwathunthu, kumayambiriro kwa matendawa amatha kulimbikitsidwa. Kufa ziwalo nthawi zambiri sikokwanira kwathunthu, koma kwa gulu linalake lokhala ndi minyewa yodwala, koma sikuti minofu yonse ya gululi imadwala, koma amodzi kapena angapo aiwo. Chizindikiro china ndi kukhalapo kwa kusintha kwathunthu kapena pang'ono, kapena kuchepa kwamphamvu yamagetsi. Miyendo yam'mwamba nthawi zambiri samakhudzidwa konse.

Mwambiri, matenda amatha kukhudza mbali imodzi, kapena zonse, kapena zonse, ndipo zimakhudzanso mitsempha ya dzina lomwelo kapena lina.Ataxia nthawi zambiri imagwirizanitsidwa ndi kufooka kwa motor, komwe nthawi zina kumachitika kumayambiriro kwa matendawa, nthawi zina ataxia imapezekanso popanda zovuta zamagalimoto. Kusokonezeka kwa mgwirizano kumachitikanso kumapazi miyendo.

Kuzindikira

Ponena za gawo lowongoka, silisunthika kuposa injini. Matendawa amakhudzidwa makamaka ndi mbali ya manja. Nthawi zambiri mitundu yonse ya zomverera imapangidwa. Nthawi zina pamakhala kuphatikiza kwa mankhwalawa kwa tactile ndi hypnothesia kwa kumva kupweteka. Makamaka nthawi zambiri hyperesthesia imapezeka pakokha ndipo imatha kuyambitsa zovuta mu gait. Monga zovuta zamagalimoto, zovuta zamtunduwu zimatchulidwa kwambiri pamiyendo.

Khungu limazindikira

Zowonetsa pakhungu zimachepetsedwa kapena kusakhalapo, koma ndi hypnothesia m'derali zimatha kuchuluka. Vasomotor, chinsinsi ndi zovuta zamtunduwu sizachilendo mu matendawa: kutupa, kukula kwa mafupa, khungu limasanduka lofiyira, limadzuwa. Chikhodzodzo ndi rectum, monga lamulo, sizikhudzidwa, zomwe zimatha kukhala chizindikiro cha matenda a msana.

Mavuto amisala

Mavuto amisala omwe amaphatikizana ndi mowa woledzera polyneuritis amakhudzana makamaka ndi chisokonezo ndi kufooketsa kukumbukira kwa zochitika zaposachedwa komanso mawonekedwe a zikumbukiro zonama - "Korsakov's polyneuritic psychosis." Mwa mitsempha ya cranial, mitsempha yamtundu wa ocular imakonda kukhudzidwa. Tiyenera kudziwa kuti palibe kusokonezeka maganizo kwa ana, kusiyana ndi uchidakwa. Matenda a mitsempha ya Optic ndi osowa. Nthawi zina pamakhala scotoma yapakati.

Njira zochizira

Kwenikweni, chithandizo chake ndi:

mankhwala
physiotherapy Exercises (LFK),
mankhwala azitsamba
kutikita minofu kwapadera.

Chifukwa cha njirazi, mathero amanjenje amabwezeretsa, komanso mphamvu ya minofu.

Njira zotsatirazi zimagwiritsidwanso ntchito pochiza:

Katemera
kudya mavitamini a B,
kukopa kwa minofu ndi mitsempha,
kumwa mankhwala oletsa kubereka,
mitsempha (mitsempha) ya mathero amitsempha, ndi zina zambiri.

Pafupifupi wodwala aliyense ali ndi mwayi wochira.

Kwenikweni, kuchira kwa wodwala kumatengera kukana kwathunthu kwakumwa mu mawonekedwe ake onse. Kutengera ndi vutoli, komanso njira yovuta komanso yotalikirapo (miyezi 3-4), kuthandizira kwachipatala ndikabwino.

Matenda ambiri a pathological amakula. Chimodzi mwazomwe zimachitika chifukwa chodalira mowa, ndi mowa wa polyneuritis kapena polyneuropathy wa zakumwa zoledzeretsa.

Zomwe zimayambitsa ndi chizindikiritso cha mowa wa polyneuritis

Matendawa amawonekera mwadzidzidzi.Pazigawo zoyambirira za polyneuritis yoledzera, kupezeka kwa mawonekedwe oterewa ndi chikhalidwe:

Kufooka m'malo otsika.
Minyewa yolimbitsa mtima.
Zomverera zowawa m'magulu a minofu ya gastrocnemius ndi malekezero a mitsempha ya mitsempha.
Kenako matendawa amathandizidwa ndi zizindikiro za paresthesia, zomwe zimafanana ndi zomverera pambuyo pakukhala nthawi yayitali.
Ma hiccups okhalitsa omwe amagwirizana ndi kuwonongeka kwa mitsempha ya diaphragmatic.
Kuchepetsa kumverera kwa phazi kumapazi. Wodwala akayamba kulimba, zimamuwoneka kuti pansi akulephera penapake.
Pulogalamu yolumikizana minofu.
Kudzera m'miyendo yonse.
Mavuto ogona.
Kutopa kwambiri.

Yang'anani! Ngati wodwalayo akana chithandizo chamankhwala ndikupitiliza kumwa mowa, ndiye kuti pali kuphwanya kwa ziwalo za m'chiuno, zomwe zimayambitsa ndowe ndi mkodzo.

Polyneuritis ya zakumwa zoledzeretsa imatha kubweretsa zotsatirapo zosasangalatsa kwambiri, monga kusokonezedwa muzochitika zakumbuyo kwakanthawi ndikuwonongeka. Wodwalayo amakumbukira bwino zomwe zinali m'mbuyomu, ndipo sakumbukira zomwe zachitika pamoyo wake.

polyneuropathy yoledzeretsa nthawi zambiri imachitika limodzi ndi matenda a Korsakov's psychosis, omwe amadziwika ndi chisokonezo,
mawonekedwe a wodwala ali ndi vuto lalikulu,
Nthawi zambiri odwala omwe ali ndi zakumwa zoledzeretsa amakhala ndi zokumbutsa zabodza. Wodwalayo angaganize kuti sanagone usiku pamene nyumbayo idamva kulira kwake usiku wonse. Kapenanso wodwalayo anganene kuti anakumana ndi mnzake wakale mumsewu. M'malo mwake, munthuyu wachoka kale, kotero msonkhano sunachitike.

Kuyesa koyambirira ndi kuzindikira

Mukazindikira matenda, katswiri, amatenga anamnesis, amalipira chidwi makamaka ndi matenda omwe anapatsidwapo kale, poyizoni, mankhwala, momwe amakhalira.

Ndi katemera komanso matenda opatsirana omwe angayambitse zochita za autoimmune kuti awononge pachimake cha mitsempha ndi axon degeneration.

Katswiriyu amayang'anitsitsa ndikuwunika za polyneuritis. Kuwonetsedwa kwa Symmetric kumawonetsa polyneuritis.

Zizindikiro zazikulu zomwe zimathandizira kudziwa matendawa pakuyesa:

ziwalo ndi
kupweteka mumitsempha ndi minyewa pakhungu,
kuphwanya zomvera (zotchedwa "masitonkeni" ndi "magulovu"),
thukuta la mikono ndi miyendo,
kuphwanya khungu trophic.

Madokotala amatengera njira zotsatirazi kuti apange matenda:

Kuchiza matenda

Kufufuza koyambirira kwa polyneuritis kunapangidwa, zotsatira zake zinali zabwino. Ndi kutupa kwa mitsempha ya mitsempha, madokotala amalembera magulu awa:

odana ndi yotupa
ma pinkiller
maantibayotiki
Mavitamini B

Zakudya zopweteka zimaphatikizapo:

Diclofenac (3 ml intramuscularly),
Reopyrin (5 ml intramuscularly),
Analgin + Diphenhydramine (2 ml + 1 ml intramuscularly).

Pankhani ya matenda ndi ma virus, maantibayotiki ndi mankhwala oletsa kugwiritsidwa ntchito amagwiritsidwa ntchito:

Kuti kukhazikika kwa mavitamini a B, madokotala akupatseni:

Kuchotsa mabala:

Kuphatikiza pa miyeso ya pharmacological, akatswiri amagwiritsa ntchito:

Katemera
mankhwala a laser
kutikita minofu
mankhwala a oxygen
maginotherapy.

Kutengera mtundu wa polyneuritis, mitundu yake ya njira zochizira imayikidwa:

Zopatsirana . Zizindikiro zimachotsedwa - zimachepetsa kutentha kwa wodwala. Kuti muchite izi, pakani pakumwa mowa ndikuthira matumba amadzi oundana, matawulo ozizira (mavinidwe ozizira) ku miyendo ndi maondo.
Diphtheria . Kukondoweza kwa kupuma kwamphamvu, kupuma kwamatenda ndi minofu yamtima kumawonetsedwa.
Mowa . Vitamini, poika hepatoprotectors ndi mankhwala omwe amasintha kupuma kwa minofu.
Matenda a shuga . Kutsatira kwambiri zakudya zomwe amapatsa, kupumula komanso kusowa kwa zochitika zodetsa nkhawa. Ma Microcirculants amadziwika.
Arsenic ndi Mtsogoleri . Mowa wambiri, diaphoretic zinthu, kudya mavitamini a B, njira zamchere za intramuscularly komanso kudzera m'mitsempha.

Chithandizo cha matenda a impso polyneuritis (pyelonephritis) ndicholinga chogwira ntchito ndi matenda omwe amakwiyitsa. Chifukwa chake, chithandizo chimatha kutenga mitundu yosiyanasiyana ndikukhala ndi mawonekedwe ake.

Kuopsa kwa matendawa kuli m'thupi chifukwa chakuti njira yotupa imatha kufalikira kupitilira dongosolo lamanjenje. Panthawi yamavuto, dongosolo lamanjenje limakhudzidwa, ndipo mbali zina za ubongo zimakhudzidwa.

Polyneuritis (makamaka motsutsana ndi maziko a kuledzera) ingayambitsenso matenda a chiwindi.

Kuwongolera kwa minofu minofu chifukwa cha polyneuritis kumabweretsa kufa kwa minofu minofu ndi m'malo mwake ndi minofu yolumikizira - mapangidwe a otchedwa. contractures.

Dzisamalire!

Mankhwala othandizira amaphatikizapo zotsatirazi:

kutenga zowonjezera zakudya (Cordyceps, Placentol, Riolan, Lecithin),
kudya mavitamini a gulu B,
kupewa matenda oyamba ndi tizilombo,
kukhala ndi chakudya
kupewa kupsinjika.

Pofuna kuteteza thupi lanu ku matenda omwe amakhudzana ndi kutupa kwa mitsempha ya mitsempha, muyenera kumamwa nthawi ndi nthawi mankhwala oteteza.

Placentol (kukonzekera kochokera placenta) komwe kuli 20 amino acid, kumalimbitsa chitetezo cha mthupi, tili ndi mavitamini A, B, C, D, mchere. Riolan ali ndi kubwezeretsa. Lecithin ali ndi zotsatira zabwino pakuchiritsa kwa myelin sheath ya mitsempha, amachepetsa minyewa yaubongo.

Mavitamini a gulu B (B1, B6, B12) amalimbitsa ulusi wamisempha yamanjenje.

Kuti mupeze matenda olondola komanso ndi chithandizo chokwanira, ndikofunikira kukhazikitsa zomwe zidayambitsa mitsempha. Zomwe zimayambitsa polyneuritis zingakhale:

zovuta zina zamatenda opatsirana (mumps, diphtheria),
matenda monga matenda a lupus,
poyizoni wazinthu zomwe zimakhudza mitsempha ya mitsempha (arsenic, mchere wamtovu, mafutulo amafuta, mankhwala ena),
uchidakwa
kuchepa kwa mavitamini a gulu la B,
neoplasms yoyipa (zotupa za khansa).

Ndikovuta kwambiri kupewa polyneuropathy nthawi zambiri, chifukwa palibe njira zopewera kupewa khansa kapena matenda a autoimmune. Komabe, kudziwitsidwa koyambirira kumathandiza kuthana bwino ndi zisonyezo za polyneuritis ndikuchotsa zomwe zimayambitsa matendawa.

Mosasamala kanthu za zomwe zidayambitsa, polyneuropathy yam'mwamba komanso yotsika imakhudza mitsempha yapang'onopang'ono (kusiyanasiyana ndi mitundu yodetsa). Zizindikiro za matendawa poyamba zimakhala zofatsa, koma pakapita nthawi, zizindikiro zimayamba kutchulidwa:

choyambirira chayamba kufooka m'miyendo ndi manja chifukwa cha kusintha kwa ulusi wa minofu,
ndiye chiwopsezo cha khungu chimasintha chimakhudza kukwezedwa kapena kusowa kwenikweni kwamphamvu.
kuwonekera paresthesia - wodwalayo amakhala akumva mantha m'mphepete, "zokwawa",
pa kuyang'aniridwa kumadziwika kuyuma ndi kutsika kwa khungu , kuwonongeka kwa phalanges ya misomali ya zala (misomali imakhala yocheperako, pamakhala zilonda zam'mimba pakhungu),
pamene palpating kuwululidwa kupweteka m'mphepete mwa mitsempha yayikulu ,
kupita patsogolo matendawa amasinthanso mphamvu ya kugwedezeka kwamphamvu kwa wodwalayo ("tambala" kapena "wosindikiza" wopondayo adadziwika),

Milandu yapamwamba, ngati simunalandire, imakula tetraplegia - Kukwanira kwathunthu kapena pang'ono pang'ono kwa malekezero akulu ndi otsika. Kupita patsogolo, matendawa amathanso kukhudza mitsempha ya cranial, yomwe imayambitsa kusalankhula bwino.

Diabetesic neuropathy ndi polyneuritis: Zizindikiro, zimayambitsa, chithandizo. Zizindikiro za polyneuritis, gulu ndi njira zamankhwala

Polyneuritis ndi zotupa zingapo zotsekera mitsempha. A polyneuritis ya impso? Kuphwanya kwa kayendedwe ka mitsempha yomwe imayang'anira kulumikizana kwa chiwalo ndi ubongo. Nthawi zina kutupa kwa mitsempha ya kumapeto kwa impso kumatchedwa renal neuropathy ya mtundu wa demyelinating. Kodi izi zimachitika bwanji ndipo ndizotheka kukonza zomwe zikuchitika pogwiritsa ntchito mankhwala achikhalidwe?

Kugonjetsedwa kwa mitsempha kumakhala kodzaza ndi zovuta mu ntchito ya impso.

Mitundu ya Polyneuritis

Pali mitundu ingapo ya polyneuritis:

Mowa Kwa mitunduyi, kusokonezeka kovuta komanso kwamagalimoto kumadziwika. Chizindikiro chodziwika ndi kusokonezeka kwa malingaliro. Zolengezedwa zimaphatikizapo mipata ya kukumbukira, yomwe imasinthidwa ndi zochitika zabodza kapena zosokoneza. Polyneuritis imayamba. Miyendo ndikutaya kusunthika komanso kumva.

Renal polyneuritis. Kukula kumachitika ndi pyelonephritis ndi glomerulonephritis. Poterepa, kusefera kwa glomerular kumalephera. Edema amawonekera koyamba, kenako mikono ndi miyendo ikufooka.
Lakuthwa. Kukula kumachitika pa nthawi ya mavairasi kapena pambuyo pake. Atathetsa zomwe zimayambitsa, miyendo imayamba kusweka, kusintha kwa kutentha ndi kupweteka koyaka kumachitika. Zizindikiro zimawonjezeka kuchokera maola angapo mpaka masiku angapo.
Matenda a shuga Odwala omwe ali ndi matenda a shuga amawonekeranso. Nthawi zambiri, zovuta m'miyendo zimayambika koyambirira kuposa zazikulu. Zimakhala zovuta kuti wodwalayo ayende, kuwongolera zala zake molondola, motsatana ndi paresis ndi
Matenda Zimakula pang'onopang'ono ngati zomwe zimakupangitsani zimachitika mosalekeza. Kuwonekera ndi kufooka m'minyewa ya miyendo kumayamba. Kusokonezeka kwa mawu ndi kutupa kwa ubongo kumawonekera.
Polyneuritis woopsa. Zimayamba chifukwa cha mowa kapena mchere wamchere wachuma. Pakhoza kukhala ndi mawonekedwe owopsa komanso olemekezeka. Poizoni woopsa amakhala limodzi ndi kusanza, kutsegula m'mimba komanso kupweteka. Ndipo pali zizindikiro za polyneuritis zoonekeratu, kuchuluka kwake kumakulirakulira.
Zamasamba. Chimawoneka ndi kuledzera, malo osagwira bwino ntchito kapena chithokomiro.Matendawa amadziwika ndi ululu woyaka mthupi lonse. Thupi la minofu limakulirakulira, kusintha kwa kutentha kwa thupi, kutuluka kwambiri kapena thukuta losakwanira.
Zopatsirana. Zimayamba chifukwa cha causative wothandizila wa matendawa. Pali kutentha thupi, chotupa cha miyendo. Kuphatikiza apo, ikupanga njira yomwe ikukwera.
Makope. Zimayamba chifukwa chosowa mavitamini, makamaka B. Kapenanso kunyowa kwake kosayenera. Kuphatikiza pa chizindikiro cha pathological, pali kuphwanya zochitika zamtima.

Zolemba za matendawa

Ndi polyneuritis, makamaka kuwonongeka kwa ma pathological kumadera akutali a mitsempha kumapeto kumachitika. Nthawi yomweyo, chidwi ndi kuchepa kwa mphamvu kumapazi ndi manja kumachepetsedwa. Ngati kuwonongeka kwa mitsempha kumayambira kwambiri, kale ndi fomu yonyalanyazidwa. Chithandizo chimatengera choyambirira.

Polyneuritis yakumapeto imakhudza mitsempha, chifukwa chake matendawa amagwirizana ndi mapazi ndi manja. Kumayambiriro kwa matendawa, amayamba kuzizira, ndipo pambuyo pake kuphwanya kumverera kumayamba. Popeza kusintha komwe kumadziwika ndi kusintha kwa dystrophic kumachitika m'mitsempha, kutupa sikwachilendo.

Mitundu ya Polyneuritis

Polyneuritis ndi yamitundu ingapo:

Zopatsirana. Cholinga chake ndi kuopsa kwa chapamwamba kupumira thirakiti. Zikatero, kutentha kumakwera, maselo amayatsidwa.
Diphtheria. Zifukwa zake sizoyenera kapena ayi. Poterepa, thambo limalumala, kupuma kwamlomo kumawonekera. Kudya ndikovuta.
Zitsogozo. Chimawonekera chifukwa cha msuzi wowawasa wa zipatso, osasungidwa m'mbale zadothi. Mwanjira imeneyi, mitsempha ya radial imakhudzidwa, kupweteka kwam'mimba komanso chitsogozo chamkati pamizere.
Arsenic. Zimatha kukhala zapakhomo kapena akatswiri. Zizindikiro zake zimaphatikizapo kupweteka m'mimba, kusanza, ndi kupuwala miyendo.
Mtundu wa matenda ashuga. Zimakhudza kutalika kwa mitsempha kapena nkhope.
Katswiri. Amawoneka mwa iwo omwe amagwira ntchito ndi zida zogwedeza, kapena omwe, chifukwa chogwira ntchito, amalimbitsa minofu. Zikatere, kupweteka m'manja, thukuta, ndi zikhadabo zimatembenuka.

Zomwe zimayambitsa matendawa

Polyneuritis imagawidwa m'magulu awiri - axonopathy ndi demyelinating neuropathy. Poyamba, nkhwangwa zamanjenje zimavutika. Nthawi zambiri, izi zimachitika chifukwa cha poyizoni waziphuphu. Kachiwiri, mitsempha imavutika. Itha kubadwa, pali mitundu ya autoimmune.

Zomwe zimayambitsa polyneuritis:

Mtundu wina wosiyana ndi uchidakwa wa polyneuritis. Zizindikiro zake zimapezeka mwa odwala omwe amamwa mowa kwambiri. Ma polyneuritis amtunduwu amakhudza mitsempha mu impso, ndipo samatha kulimbana ndi poizoni yemwe amalowa mthupi.

Zizindikiro

Dokotala amachita kafukufuku ndi kuyesa wodwalayo pafupipafupi. Amapereka mayeso omwe amathandizira kudziwa poizoni m'thupi. Dongosolo la endocrine ndi ziwalo zamkati zimayesedwa. Mayeso a Oncology akuyesedwa. Electromyography imachitidwa.

Kodi kuchitira polyneuritis? Zizindikiro zimatha kuwonetsa chifukwa chake matendawa. Pambuyo kukhazikitsidwa, chithandizo chofunikira chimayikidwa. Zimangotengera zomwe zimayambitsa, komanso kuchuluka kwa kuphwanya kwamphamvu kapena kuwonongeka kwa mitsempha.

Ngati polyneuritis ili koyambirira, ndiye kuti mankhwalawa amagwiritsidwa ntchito. Mankhwala omwe amalembedwa:

odana ndi yotupa
ma pinkiller
Vitamini (thiamine hydrochloride),
kuthamangitsa kagayidwe,
kulimbikitsa kuyenda kwamapazi ndi manja.

Ngati matendawa ali mu mawonekedwe owopsa, chithandizo cha UHF ndi electrophoresis ndi mankhwala. Nthawi zambiri ndi polyneuritis, pamafunika kuchiza matenda am'mimba. Zizindikiro zomwe zimawonekera pamlanduwu zimakupatsani mwayi wodziwikitsa komanso kupereka zakudya zapadera. Kutsindikiza kuyenera kuyikidwa pazinthu zomwe zimakhala ndi vitamini B.

Madokotala amapereka mankhwala othandizira, osamba matope ndi kutikita minofu. Ndi kuchulukitsa kwa matendawa, kupuma ndi kugona pabedi ndikofunikira.Kuphatikiza thupi, vitamini B amatha kulembedwa (ma ampoules a jekeseni wamkati, makapisozi kapena mapiritsi).

Njira zina zochizira

Njira zina zitha kuchiza matenda monga polyneuritis. Zizindikiro zitha kunena zomwe zimayambitsa matendawa. Kufunsira kwa dokotala ndikofunikira, chifukwa poyamba zizindikiritso zoyipa ziyenera kuthetsedwa. Ndipo njira zina ndi chithandizo chachiwiri.

Malingaliro azitsamba omwe amasintha kagayidwewo amavomerezeka. Komanso malo osamba kapena kugwiritsa ntchito kumadera okhudzidwa ndi ma compress. Kwa iwo, nthambi za birch, chitsamba chowawa, mphukira za paini kapena bulugamu zimatengedwa. Ikani molingana ndi 100 g / lita imodzi ya madzi otentha. Kenako kulowetsedwa komwe kumatsanuliridwa m'madzi kapena kumuyika pamalo owawa monga compress.

Kuti mupeze matenda olondola komanso ndi chithandizo chokwanira, ndikofunikira kukhazikitsa zomwe zidayambitsa mitsempha. Zomwe zimayambitsa polyneuritis zingakhale:

zovuta zina zamatenda opatsirana (mumps, diphtheria),
matenda monga matenda a lupus,
poyizoni wazinthu zomwe zimakhudza mitsempha ya mitsempha (arsenic, mchere wamtovu, mafutulo amafuta, mankhwala ena),
uchidakwa
kuchepa kwa mavitamini a gulu la B,
neoplasms yoyipa (zotupa za khansa).

choyambirira chayamba kufooka m'miyendo ndi manja chifukwa cha kusintha kwa ulusi wa minofu,
ndiye chiwopsezo cha khungu chimasintha chimakhudza kukwezedwa kapena kusowa kwenikweni kwamphamvu.
kuwonekera paresthesia - wodwalayo amakhala akumva mantha m'mphepete, "zokwawa",
pa kuyang'aniridwa kumadziwika kuyuma ndi kutsika kwa khungu , kuwonongeka kwa phalanges ya misomali ya zala (misomali imakhala yocheperako, pamakhala zilonda zam'mimba pakhungu),
pamene palpating kuwululidwa kupweteka m'mphepete mwa mitsempha yayikulu ,
kupita patsogolo matendawa amasinthanso mphamvu ya kugwedezeka kwamphamvu kwa wodwalayo ("tambala" kapena "wosindikiza" wopondayo adadziwika),

Mitundu ya polyneuropathy yam'munsi komanso m'munsi

Zizindikiro zomwe zalembedwazi ndizofala mitundu yonse ya polyneuritis, komabe, zimawoneka ndi liwiro losiyanasiyana komanso mwamphamvu. Kuphatikiza apo, mitundu ina imakhala ndi zizindikiro zomwe zimathandizira kuzindikira.

Mowa

Polyneuritis, yomwe imayamba chifukwa chomwa mowa nthawi yayitali, imayamba ndi kufooka komanso kupweteka m'munsi, kutsekemera kwakanthawi kwa zala. Mtsogolomo, kuledzera kosalekeza kumabweretsa ziwopsezo zamiyendo ndi minofu ya ng'ombe, kusintha kwa gait (mosadabwitsa, wodwalayo amadandaula "kugonana kofewa" komanso "kuyenda pa ubweya wa thonje"). Ndikotheka kuwonjezera thukuta la miyendo, pallor ndi cyanosis. Mbali yodziwika bwino ya mowa wa polyneuritis makamaka kugonjetsedwa kwa miyendo, pomwe manja sakuvutika.

Intoxication

Pankhaniyi, episodic kapena poyizoni wambiri wokhala ndi mchere wazitsulo zazikulu, mpweya wa mafuta ndi zinthu zina zakupere umanenedwa. Nthawi zambiri, matenda amtunduwu amakhudzana ndi ntchito zamunthu.Mwachitsanzo, ogwira ntchito m'makampani opanga mankhwala amapezeka ndi arsenic polyneuritis. Nthawi yomweyo, khungu limakhudzidwa (kuuma, kupundula, totupa), kukula kwa tsitsi komanso misomali kumadziwika, kuwotcha ndi kumva kuwawa kumamveka kumiyendo.

Poizoni wotsogola ndi kupezeka kwa polyneuropathy motsutsana ndi kumbuyo kwake kumadziwika ndi kufooka wamba, manja akunjenjemera ndi nseru. Khalidwe losintha khungu ndi ufizi zimadziwika (amapeza imvi). Kuwonongeka kwamitsempha yama radial ndi peroneal kumayamba, zomwe zimapangitsa kuti pakhale kulephera kuwongola manja ndi miyendo - omwe amatchedwa "miyendo yopachika" amapangidwa, momwe, malinga ndi lingaliro la "masokosi" ndi "magolovu", chidwi chimatayika.

Zofunika! Posachedwa, kuwonjezeka kwa milandu ya polyneuropathy chifukwa cha poyizoni ndi bowa wabwino adalembedwa. Zomwe zimayambitsa kuwopsa kwa zinthu zamtchire ndi kuipitsidwa kwa dera lomwe lili ndi zinyalala za mafakitale zomwe zimasonkhana mu bowa wambiri.

Kuphatikiza apo, 60 mpaka 90 peresenti ya odwala amadwala matenda oopsa a m'mitsempha kapena matenda am'mimba.

Ngati wodwala matenda ashuga samalandira chithandizo chokwanira, phazi la matenda ashuga limayamba chifukwa cha kuchepa kwa miyendo.

Mankhwala a polyneuritis

Polyneuritis ndi matenda oopsa, koma pakadali pano pakupanga mankhwala ndi njira yabwino, amatha kuthandizidwa. Nthawi yonse yokhudza kuchira komanso kukonza kwamitsempha imakhala pafupifupi miyezi itatu, ndipo zovuta zoyipa za matendawa zimasiya masiku 10 masiku atangoyamba kumene chithandizo.

Wodwala amayenera kupuma pabedi ndikuyenda pang'ono momwe angathere, ngakhale mtundu wa polyneuritis ndi kuopsa kwa matendawa. Izi ndichifukwa chakufunika kolimbikitsa magawo owonongeka a thupi.

Zoopsa zomwe zimayambitsa chitukuko cha matenda amachotsedwa mothandizidwa ndi ma antidote. Wodwalayo amachotsa zovuta zomwe zimakhudza chitukuko cha matendawa, pambuyo pake polyneuritis imaletsa kukula kwake.

Ndi matenda opatsirana a polyneuritis, chithandizo chimachitika chifukwa cha mankhwala. Mtundu wa diphtheria wa matenda amathandizidwa ndi diphtheria seramu.

Mosasamala kanthu za gulu la polyneuritis, gawo loyambalo limaphatikizapo chithandizo chamankhwala - opaleshoni, kuthamanga kwa metabolic, mavitamini othandizira ndi zina zambiri.

Pambuyo pakupuma pabedi ndikusinthira kuchira kwanyumba, polyneuritis imachiritsidwa ndi mtundu wapadera wokonzanso. Zimaphatikizapo maphunziro apathupi olimbitsa thupi, zolimbikitsa minyewa yowonongeka yam'mphepete, zakudya zapadera, kutikita minofu nthawi zonse.

Ngakhale kuti polyneuritis ndi polyneuropathies ndi matenda owopsa, amatha kuthandizidwa mwachangu. Ngati zizindikiro zoyambirira za matendawa zikuchitika, muyenera kuyendera katswiri wa zamitsempha kuti mupewe zovuta zomwe zingachitike, komanso kupatula zina zoyambitsa - mowa, kusuta, kugwiritsa ntchito mankhwala osokoneza bongo, poizoni ngati arsenic, lead kapena mankhwala enaake. Procrastination imawopseza osati kulumala komwe kungatheke, komanso zotsatira zoyipa - kuopsa kwa polyneuritis kwa moyo wabwinobwino komanso moyo wamunthu sikungachepe.

Madyerero ndi kufunsana

Neurologist yachipatala komanso yodziwitsa, yoyamba 1 800 rubles.
Kuvomereza matenda a neurologist komanso kubwereza, mobwerezabwereza ma ruble 1 700.
Kulandila kwa neurologist MD, ma ruble 2000 ochepa.
Kulandila kwa neurologist MD, kubwereza ma ruble 1,800.
Kulandila kwa neurologist MD, pulayimale 2 500 ruble.
Kulandila kwa neurologist MD, kubwereza ma ruble 2,200.
Kulandila kwa hirudotherapist 1,800 rubles.

Mankhwala

Hirudotherapy mpaka 5 leeches 2 350 rub.
Hirudotherapy kwa 1 leech yowonjezera 240 rub.
Kinesiotherapy - 1 zone 940 rubles.

Mtengo wofanana wa mauthengawa azachipatala "Dokotala ali pafupi" amatha kupezeka pafoni

Nkhaniyi imapezekanso m'zilankhulo izi: Thai

Diabetesic neuropathy ndi polyneuritis: Zizindikiro, zimayambitsa, chithandizo. Kodi polyneuritis ndi njira yochizira

Alcoholic polyneuritis imawonedwa makamaka mwa anthu omwe amamwa moledzera mitundu yonse. Mitundu yonse ya zakumwa zoledzeretsa ndizovulaza kwambiri: achinyengo, osamwa mowa, matendawa nthawi zambiri amapezeka azaka zapakatikati komanso amuna nthawi zambiri kuposa akazi. Muubwana, ndizosowa kwambiri.

Zomwe zimayambitsa Polyneuritis

Zomwe zimayambitsa kwambiri polyneuritis ndi:

matenda kapena ma virus (malungo, chimfine, typhoid, diphtheria, tonsillitis ndi ena angapo),
mowa
poizoni
kugwiritsa ntchito mankhwala osagwirizana kwanthawi yayitali,
kagayidwe kachakudya
ziphe (lead, arsenic),
chifuwa
radiation kapena kuwonongeka kwamagetsi,
kuwonongeka kwamakina kumisempha
zotupa.

Zowopsa zomwe zingayambitse kukula kwa polyneuritis:

matenda ashuga
hypovitaminosis (kusowa kwa mavitamini a B),
gwiritsani ntchito zida zosewerera mu chisanu,
matenda a magazi
njira zing'onozing'ono zomwe mitsempha imadutsa,
kuthamanga kwa magazi
multiple sclerosis.

Polyneuritis: Zizindikiro

The matenda kuwonetsa matendawa zimatengera kutengera kwa pathological ndondomeko ndi zovuta polyneuritis. Zizindikiro zazikulu za matenda awa:

kumayamba pang'onopang'ono (kupatula pokhapokha ngati kuledzera kwamphamvu kwa thupi kumachitika),
Kugonjetsedwa kumayambiriro kumapeto, kuyambira kumapazi,
kuchepa kwa chidwi chala
kusakhazikika kwa gait, chomwe ndi zotsatira za kugonja kwa mapazi.
"Tambala" gait - wodwalayo amagwada miyendo ndikugwada.
kumverera kwa kumva kuwawa, tsekwe, kugona m'miyendo,
kufooka kwa manja - zimakhala zovuta kuti munthu achite zinthu zosavuta (gwiritsitsani cholembera, mangani mashopu, mabatani olimba ndi zina zotero),
kupweteka kwakanthawi m'miyendo,
kuchepa kwa ululu ndi kutentha kwa kutentha,
khungu ndi kuwonda kwa khungu, komwe kumachitika chifukwa cha kusokonezeka kwa trophic, misomali yovunda, kupangidwe kwa zilonda zam'mimba.

Matendawa akamakula, kusokonezeka kwa malingaliro ndi magalimoto kumakulirakulira ndikufalikira mthupi lonse. Wodwala sangathe kuyimilira ndikuleka kudzipereka. Makamaka, nthawi zambiri, amawonedwa ndi chidakwa polyneuritis.

Polyneuritis: mankhwala

Kusankhidwa kwa chithandizo kumatengera chifukwa cha polyneuritis komanso kuchuluka kwa kusokonezeka kwa chidwi.

Poyamba magawo, mankhwalawa amaperekedwa, omwe amaphatikizapo magulu a mankhwala monga:

anti-yotupa mankhwala
analgesics
Mankhwala omwe imathandizira kagayidwe ndipo zimapangitsa kuti kayendedwe ka miyendo ndi miyendo.

Zotsatira zabwino ndi polyneuritis zimaperekedwa ndi physiotherapy (electrophoresis, UHF).

Ndikofunika kwambiri kuti zakudya zanu zizikhala zofanana ndikumayamba kudya moyenera. Kuphatikiza apo, wodwalayo akuwonetsedwa makalasi ochita masewera olimbitsa thupi, omwe amathandizidwa ndi adokotala, kutengera mtundu wa munthu komanso kuchuluka kwa kusintha kwa matenda. Chowonjezera chachikulu pa mankhwalawa chimakhala matope osambira komanso kutikita minofu.

M'sitolo yathu yapaintaneti, tikukupatsirani mankhwala otsatirawa pothandizidwa ndi matenda a polyneuritis, omwe angagwiritsidwe ntchito ngati gawo la zovuta kuchizira matenda:

Bioflavin C,
B-Yovuta
MultiVita
Super Stress form.

Musanagwiritse ntchito ichi kapena mankhwalawa, ndikofunikira kufunsa dokotala.

Kupewa kwa polyneuritis

Polyneuritis, zizindikiritso ndi njira zomwe zimafotokozedwa pamwambapa, zitha kupewedwa. Pofuna kuchepetsa mwayi wokhala ndi matenda, zotsatirazi ziyenera kuonedwa:

idyani pomwe
letsa kukula kwa hypovitaminosis,
gwiritsani ntchito kupewa matenda a virus nthawi yamkuntho,
kuyenda kwambiri, kusewera masewera,
ngati zingatheke, pewani kukhala pamavuto.
limbitsani chitetezo chathupi, chititsani kuuma.

Polyneuritis ndimatenda otupa a mitsempha yotupa, yomwe imadziwoneka ngati ziwalo, paresis, kuchepa kwa mphamvu kapena kusokonezeka kwa matumbo. Amadziwika ndi kuwonongeka kofananirana pamagulu angapo am'mitsempha. Imakhala pachimake kapena mawonekedwe osakhwima.

Nthawi zambiri, matendawa amakhala achiwiri ndipo amachitika chifukwa cha makina kapena poizoni. Udindo wapadera umaseweredwa ndi poyizoni ndi ziphe, mwachitsanzo, arsenic, mercury kapena lead. Maantibayotiki omwe ali ndi mphamvu, isoniazid ndi bismuth amakhala ndi mphamvu yokhudza thupi. Kugwiritsa ntchito kwambiri mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo kungayambitse kuwonongeka m'mitsempha yamkati.

Polyneuritis imatha kupangika motsutsana ndi maziko a matenda oyambitsidwa ndi bakiteriya kapena oncological. Ndi khungu la aimpso, vuto la chiwindi, kapamba kapena endocrine system, PNS siyitha kugwira ntchito bwino. Kagayidwe kosokonekera kamakwiyitsa matendawa, momwe ma cell amitsempha samalandira kuchuluka kofunikira kwa michere ndikufa.

Chikhalidwe cha autoimmune cha kukula kwa polyneuritis chimasiyanitsidwa. Ndiye kuti, chifukwa cha zinthu zina, kupsinjika kapena kutenga kachilombo, ma immunoglobulin amatenga minyewa yawo yopuma ya othandizira ndikuyamba kuwayandikira. Udindo wina umachitika ndi chibadwa chamunthu.