Polyneuropathy yam'munsi komanso kumtunda - Zizindikiro ndi njira zamankhwala amtsitsi zowonongeka

Kusuntha ndi moyo. Aliyense wamva mawuwa koposa kamodzi. Ngati chiwonetsero cha matenda ammiyendo, njira ya moyo imasintha kwambiri. Chulukitsa kwambiri kukhalapo kwa munthu aliyense angathe kupweteka monga matenda amitsempha yama m'munsi.

Kodi neuropathy ndi chiyani?

Neuropathy ndi mtundu wamatenda amanjenje. Zimatha kudziwonetsa pazaka zilizonse pamene ulusi wamanjenje umawonongeka kapena kutha.

Njira zamankhwala zochitira neuropathy:

• Cholinga chake ndicho kubwezeretsa ulusi wamitsempha, ndiye kuti, zomwe zimayambitsa matendawa, osati kuthetsa ululu ndi zizindikiro zina.
• Njira yophatikizira (kuphatikiza kwa mankhwala ndi chithandizo cha physiotherapeutic) imawonedwa ngati yothandiza kwambiri.
• Kunyumba, mutha kuphatikiza chithandizo chamankhwala ndi mankhwala ndi mankhwala wowerengeka.

Mankhwala akuphatikizapo:

• Mankhwala omwe amabwezeretsa kuphatikizika kwa zophatikizika mu ulusi wamanjenje,
• Maanticonvulsants,
• Zopumitsira minofu
• Mahomoni (glucocorticosteroids),
• Mavitamini ovuta
• Ma antidepressants
• Analgesics
• Mankhwala osokoneza bongo
• Khalidal

Monga physiotherapy zotchulidwa:

• Magnetotherapy
• Kugunda kwa mitundu yosiyanasiyana,
• Kukondoweza kwamagetsi zamafuta owonongeka amitsempha,
• Zochita zolimbitsa thupi - kukhalabe ndi kamvekedwe ka minofu,
• Reflexotherapy

Zithandizo za anthu

Ndi neuropathy yam'munsi yotsika, munthu sayenera kuyiwala zamankhwala ena.

Maphikidwe otsatirawa awonetsa kugwira ntchito kwawo:

1. Saline yankho. Thirani 200 g mu theka la ndowa. mchere ndi 9% viniga (2/3 chikho). Kwezani miyendo muchidebe kwa mphindi 20. Ndondomeko ziyenera kubwerezedwa kwa mwezi uliwonse tsiku lililonse.
2. Kusamba kwa phazi. Wiritsani 500 gr. singano kwa theka la ola. Thirani supuni ziwiri za tsabola wofiyira wosakaniza mu njira yothetsera. Onjezani madzi otentha ku yankho ndikuwongola miyendo yanu mpaka mphindi 30.
3. Paphwando la mazira a uchi. Kumenya supuni 4 za mafuta a maolivi ndi 1 dzira la dzira. Thirani kusakaniza mu 100 ml ya msuzi wa karoti ndi kuwonjezera supuni ziwiri za uchi. Tambala amaledzera kawiri pa tsiku musanadye.
4. Kefir ndi mbewu za mpendadzuwa ndi parsley. Chomwa ichi chithandiza kukhathamiritsa ulusi wamitsempha womwe uli ndi mavitamini. Pogaya nthanga ndi parsley ndikuwonjezera 300 ml ya kefir (kuchuluka kwa mafuta kulibe kanthu). Amatengedwa mphindi 40 asanadye kadzutsa pamimba yopanda kanthu.
5. Calendula tincture. Mu kapu yamadzi otentha, supuni ziwiri za calendula zimapangidwa, chokani kwa mphindi 30. 100 ml amatengedwa tsiku lililonse.
6. Malipiro azitsamba: Palibe 1. Ufa kuchokera ku adyo, muzu wachikasu, wouma ndi wosenda wofunda wofunda, sage, fenugreek, khungwa la kassia, kusakaniza kwa cohosh wakuda. Tengani supuni ziwiri za nkhomaliro ndikulimbikira mu maola awiri mu 600 ml ya madzi otentha. The kulowetsedwa amatengedwa katatu patsiku mu 100 ml. Ayi 2. Sitima youma, maluwa otchedwa elderberry, muzu wa burdock, gingerbread, c hop hop, masamba a birch, chinangwa, matanda ogona, muzu wa licorice, verbena amasankhidwa ndikuwapaka mu 800 ml ya madzi otentha kwa maola atatu. Amamwa ngati tiyi masana.
7. Eleutherococcus ndi uchi ndi mandimu. Mu 300 ml ya madzi otentha, wiritsani supuni ya muzu wa Eleutherococcus, siyani kwa mphindi 15, kenako onjezani supuni ziwiri za mandimu ndi supuni ya uchi wa mthethe ku yankho. Zovomerezeka m'magawo onse tsiku lonse.
8. Ma compress kuchokera ku dongo. Dongo lamtambo kapena lobiriwira limagwiritsidwa ntchito. Dilitsani 100 g dongo wowawasa kirimu wowawasa, kenako ndikuyika kumalo omwe mukufuna. Clay iyenera kuti iume.
9. Mafuta a camphor. Kuchepetsa mafuta ndikutikita minofu kulowa m'dera lomwe lakhudzidwa ndi matendawa. Pambuyo mphindi 15, gwiritsani ntchito malowa ndi mowa ndikukulungani ndi nsalu. Njirayi imachitika bwino nthawi yogona.
10. Mafuta a mpiru Iyenera kuzikika pakhungu la miyendo ndi kutikita minofu kufikira italowa kwathunthu.
11. Masewera olimbitsa thupi: kuzungulira kwamapazi mosiyanasiyana, kutambasula miyendo kumiyendo yam'munsi, kuyambira kuchokera ku sock mpaka chidendene.

Zithandizo zachikhalidwe - zopeka kapena thandizo?

Monga machitidwe awonetsera, mankhwalawa a minyewa yam'manja ndi mankhwala othandizira amawagwira ndipo amapereka zotsatira zabwino pokhapokha njira izi zitagwiritsidwa ntchito kuwonjezera pa chithandizo chachikulu.

Pali mitundu ingapo yamatendawa:

1. Peripheral. Potere, kuwonongeka kwa mitsempha kumadalira malo omwe ali. Ngati ulusi wamagetsi a mota wawonongeka, izi zitha kutsogola minofu. Poyamba, wodwalayo amasokonezedwa ndi kufooka kwa minofu. Kuchuluka kwa miyendo, kupweteka kwambiri ndizovuta chifukwa cha kuwonongeka kwa mitsempha ya mitsempha. Ndi kugonjetsedwa kwa dongosolo la autonomic, madzi olimbitsa pakhungu amasokonezeka, chitetezo chokwanira chimachepetsedwa.
2. Zotsatira-zowawa. Chomwe chimachitika ndi kuwonongeka kwa chingwe cha msana, kuvulala kwamisempha.
3. Mowa Ndi zakumwa zoledzeretsa, munthu amadziwika ndi kusowa kwakukulu kwa mavitamini, komwe kumayambitsa kutsika kwa minyewa yamitsempha. Izi ndizomwe zimayambitsa matenda amtunduwu.
4. Ischemic. Mkhalidwe wamitsempha yama mitsempha imakhudzidwa ndi zakudya. Zakudya zolakwika zimaphatikizapo kukomoka kwawo. Zotsatira za ischemic neuropathy zitha kukhala thrombosis, chizungulire.
5. Matenda a shuga Ndili zovuta za matenda ashuga omwe machitidwe amagetsi am'mimba komanso otsogolera zowonongeka amawonongeka. Chifukwa chake, izi zimabweretsa kupweteka kwambiri kwa minofu, kulemala (munthu samatha kuyenda), ndipo nthawi zina kufa (ndi kusokonekera kwa mtima).

Zomwe zimayambitsa Neuropathy

Mankhwala amakono amadziwa zifukwa zambiri zomwe zimayambitsa kukula kwa minyewa ya m'mapazi.

Zodziwika kwambiri ndi:

• Poizoni. Kuzamwa kumatheka chifukwa cha zakumwa za thupi la mowa, arsenic, mercury, carbon monoxide, ndi mankhwala.
• Matenda a shuga. Pankhaniyi, neuropathy imachitika ngati complication. Ndi magawo apamwamba, matenda a shuga amachititsa munthu kuduladula gawo lam'malo, nthawi zambiri phazi, chifukwa cha kuwonongeka kwa minofu, mafupa ndi khungu. About phazi la matenda ashuga - gawo loyambirira, zizindikiro ndi chithandizo, werengani apa.
• Kuperewera kwa Vitamini. Kusowa kwa Vitamini B nthawi zambiri kumayambitsa neuropathy.
• Kuvulala. Zingwe zam'mitsempha zowonongeka ndizovulala, hypothermia, kuwonetsa ma radiation, komanso masewera.
• Endocrine, matenda opatsirana a autoimmune.
• Multiple sclerosis. Ichi ndi chifukwa cha okalamba.
• Khalidweli. Chifukwa chake, chiwonetsero chimodzi cha matenda amtundu wa Charcot-Marie-Tooth amyotrophy ndi phazi la neuropathy.

Matenda amiyendo amadziwika ndi mawonekedwe ambiri. Zimatengera zomwe zimayambitsa matenda a neuropathy, komanso komwe mitsempha imakhudzidwa.

Mankhwala, ndichizolowezi kugawanitsa zizindikiro za minyewa yam'munsi yammagazi m'magulu atatu:

1. Mavuto azisoni (imawoneka pamene ulusi wamanjenje wamavuto udawonongeka): kupweteka, kupindika kokhazikika kumaonekera m'dera la kuwonongeka kwa mitsempha, kusapeza bwino, monga kukwawa pakhungu la tizilombo, kupezeka kwa thupi lachilendo m'misempha, komanso kuphwanya mitundu ina yamvekedwe. Pankhaniyi, gawo lopweteka limatha kuwonjezeka kapena kuchepa, phazi limatha kuzindikira kutentha kwapamwamba kapena mtundu wake.
2. Kusokonezeka kwamagalimoto (mawonekedwe a kuwonongeka kwa ulusi wamitsempha yamagalimoto): kuchepa kwa bondo ndi Achilles Reflex, yomwe imawonetsedwa pokhapokha itatengedwa ndi wasayansi wamitsempha. M'moyo watsiku ndi tsiku, munthu mwini sangathe kuzindikira zosintha izi. Izi ndi chiyambi chabe cha zovuta zamagalimoto, pomwe ma Reflex amatha kubwezeretsedwanso. Ndi mawonekedwe apamwamba, sizingatheke kuchita izi, kukokana ndi kukokana m'misempha ya miyendo, kufooka m'miyendo yamiyendo. Nthawi zambiri imadziwonetsera pambuyo pofowoka kwa bondo ndi Achilles Reflex. Poyamba, kufooka kumachitika pazinthu zina. Kupitilira apo akuwonekera ndikupuma. Pakapita nthawi, zimakhala zovuta kuti munthu ayende, motero adzafunika ndodo kapena ndodo, kuwonda kwa minofu, chifukwa, kuwonongeka kwawo. Kukula kwa njirayi kumatengera kokha chifukwa cha neuropathy. Nthawi zambiri, zimachitika pang'onopang'ono ndipo zimatha kudumphadumpha kwa zaka zingapo.
3. Masamba trophic amasintha (mawonekedwe a kuwonongeka kwa michere yamitsempha yamafuta). Amawonetsedwa pakhungu lowuma, kutsuka tsitsi, kuchiritsa bwino mabala, kutupa, mawonekedwe a mawanga amsinkhu. M'mitundu yapamwamba, kukula kwa gangrene ndikotheka. Werengani za momwe mungadziwire zigawo zam'munsi zoyambira koyamba.

Zizindikiro

Chithandizo choyenera cha neuropathy yam'manja imatengera kuzindikirika kwakanthawi ndikuchotsa zomwe zimayambitsa matendawa. Pazizindikiro zoyambirira za neuropathy, munthu ayenera kufunsa dokotala yemwe amayenera kumayesa kunja kuti awone kusintha kwamphamvu, komanso kumva kwa miyendo.

Njira zotsatirazi zothandiza kutsimikizira izi:

• Kumva minofu ya miyendo,
• Ultrasound yamkati,
• Mapazi amwazi
• Electroneuromyography,
• Kudzimbidwa kwa msana
• X-ray
• Kuphunzira zamadzimadzi.

Kuchita maphunziro awa sikungangothandiza kutsimikizira kukhalapo kwa mitsempha yam'munsi mwa munthu, komanso kukhazikitsa chomwe chimayambitsa matendawa. Ndipokhapo pokhapo pomwe ndizotheka kudziwa chithandizo choyenera.

Kudzipiritsa nokha sikumabweretsa zotsatira zabwino nthawi zonse. Katswiri wokhawo yemwe amatha kukhazikitsa choyambitsa neuropathy pochita maphunziro ena. Kuthana ndi zomwe zimayambitsa, osati zizindikiritso, kuyimitsa kukula kwa matendawa.

Kufotokozera kwa lingaliro

Mphamvu yamanjenje imasiyanitsidwa ndikudziyimira pawokha, pakatikati komanso potumphukira. Iliyonse ya kachitidwe ili ndi madipatimenti ake, mitsempha ya mitsempha, mathero. Matenda aubongo ndi chingwe cha msana ndizovuta kwambiri kuchiza. Matenda a m'mitsempha ya m'mapapo ndi owopsa chifukwa amakhala mkati, ziwalo, komanso miyendo. Zingwe zingapo zamitsempha yamagazi zikakhudzidwa nthawi yomweyo, polyneuropathy imapezeka.

Mkhalidwe wamatumbo uli ndi mayina ambiri: neuropathy, polyradiculoneuropathy, polyneuritis. Mawu omaliza akutanthauza kukhalapo kwa chidwi chotupa. Izi ndizachilendo pamapeto amitsempha yamafinya, kotero ndikoyenera kugwiritsa ntchito mayina ena matendawa.

Polyneuritis yotanthauziridwa kuchokera ku Chi Greek imatanthawuza "kugonjetsedwa kwa mitsempha yambiri."

Fiber yamanjenje imayimiriridwa ndi myelin sheath ndi axon. Neuropathy imatha kukhudza gawo linalake mu kapangidwe ka minyewa yamanjenje. Ndi chiwonongeko cha axon, matendawa amakula pang'onopang'ono, akuwonetsa kuwongolera miyendo ndi mikono. Izi zikuchitika chifukwa cha kusakwanitsa kwa dongosolo la dongosolo lodziyimira palokha. Chiwonongeko cha mtedza wa myelin chikupita mwachangu. Zotsatira zake, ntchito zamagalimoto ndi zomverera zimakhala zowonongeka.

Ngati mbali zonse za peripheral ndi cerebrospinal zimakhudzidwa nthawi yomweyo, polyradiculoneuropathy imapezeka. Kukula kwa matendawa kumaonekera kwambiri ndikusokonekera kwa malekezero am'madera am'mawa, pomwe nyambo ya munthu imakhala ngati tambala.

Vutoli limayambitsa chisokonezo pakugwira ntchito kwa miyendo, amataya luso lawo lamoto komanso mphamvu yake. Izi zimachitika chifukwa cha kuwonongeka kwa mitsempha, zomwe zimapangitsa kuti mukulumikizana kwa zinthu zina kulowa mu ubongo. Matenda a polymorphic amayamba kupanga pambuyo pa kuwonongedwa kwa kapisozi ya myelin komanso kapangidwe ka axon, mitsempha yodutsa mitsempha.

Neuropathy imatha kuchitika koyamba komanso kwachiwiri. Fomu yoyamba imayenda mwachangu ndipo imatha kukhazikika mwa munthu aliyense wathanzi. Mtundu wakufa kwa fomu yayikulu ndi kupuwala kwa Landry.

Njira yachiwiri ya polyneuropathy imapangidwa chifukwa cha autoallergenic zimayambitsa, kusokonezeka kwa metabolic. Neuropathy yotere imayambitsa matenda a shuga, kusowa kwa mavitamini, kuledzera kwa thupi, matenda opatsirana, kuvulala.

Zomwe zimayambitsa matenda a pathological

Polyneuropathy ya malekezero am'munsi sikhala matenda osiyana. Ichi ndi matenda amitsempha, owonekera chifukwa chakukula kwa ma pathologies ena. Chilichonse chovulaza ku zotumphukira zamanjenje chimatha kuyambitsa matendawa.

Zomwe zimayambitsa polyneuropathy zimaphatikizapo:

• poyizoni wa thupi ndi ethanol, mankhwala ena, mpweya - axonal mtundu wa polyneuropathy,
• shuga mellitus - matenda ashuga polyneuropathy,
• matenda opatsirana - diphtheria,
• chithandizo cha nthawi yayitali ndi mankhwala opangidwa ndi mankhwala,
• kuperewera kwa mavitamini B,
• Matenda oledzera - uchidakwa polyneuropathy,
• chitetezo chokwanira
• kutengera kwa chibadwa - kuchotsera,
• kagayidwe kachakudya.

Zomwe zimayambitsa mapangidwe a matendawa zimatha kukhala kachilombo ka HIV, chotupa neoplasms, chemotherapy. Kuphulika kwa zotumphukira zamanjenje kumatha kuchitika chifukwa cha matenda opatsirana komanso otupa. Mwa ana, zamatsenga nthawi zambiri zimakhala ndi chibadwa.

Zomwe zimayambitsa kupitirira kwa vutoli nthawi zina zimakhala hypothermia. Kukhazikika nthawi yayitali kumatha kuyambitsa kutupa, komwe kungasokoneze mkhalidwe wamitsempha yamitsempha. Mitsempha yotereyi imakhala yodziwika mwachilengedwe pomwe ma lymphocyte amatengera minyewa yomwe imawululidwa kuchokera kunja: radiation, malowedwe a matenda amitundu yosiyanasiyana, zoopsa, komanso mankhwala.

Payokha, polyneuropathy ya amayi apakati imasiyanitsidwa, yomwe imachitika nthawi iliyonse ya bere kapena pambuyo pake. Mwa amayi oyembekezera, matendawa amakula chifukwa cha kuchepa kwa vitamini B, kuthana ndi mapuloteni akunja (mapuloteni a mluza ndi placenta) ndi zotsatira zoyipa za zinthu za metabolic. Matenda amtunduwu nthawi zambiri amadziwoneka ngati ali ndi thanzi labwino, koma kuwonjezereka kwa zizindikiro za kuledzera kumapezekanso: kusanza, kufooka, kutopa.

Mitundu yamatenda

Pambuyo pakuzindikira, kuzindikira kwa dzina loti "polyneuropathy" kumayendera limodzi ndi lingaliro lofotokozera, zomwe zimatengera mtundu wa matendawa. Kugawidwa kwa matenda padziko lonse lapansi kumakhala ndi mitundu ingapo ya matenda omwe afotokozedwawo (ICD code - G60-G64), omwe amasiyanitsidwa ndi malo, dera, zomwe zimayambitsa ndi kuwonongeka kwake.

Neuropathy sikuwoneka ngati matenda opatukana. Kugonjetsedwa kwa malo amitsempha nthawi zonse kumawonetsa kukhalapo kwa matendawa.

Polyneuropathy yokhala m'munsi yotsika ikhoza kukhala yovuta kwambiri, yowonda komanso yodwala. The pachimake mawonekedwe kumawonekera mkati 2 masiku motsutsana maziko a kuledzera kwambiri, mankhwala mu sabata.

Zizindikiro za mawonekedwe a subacute zimawonjezeka masiku 14. Matendawa nthawi zambiri amayambitsidwa ndi kusalinganika kwa metabolic. Kupitiliza kwa mankhwala kumafunikira. Mitundu yosatha imayamba chifukwa cha uchidakwa, matenda ashuga, kusowa kwa mavitamini komanso khansa.

Ngati zotupa zimapezekanso m'munsi mwa miyendo, matenda am'mimba am'mimba amadziwika, ngati ali kumtunda - proximal.

Mitundu yotsatirayi yamatenda imasiyanitsidwa potengera malo omwe panali zotupa:

• Kukhudza. Mapeto a mitsempha yomwe imayambitsa kukhudzidwa kwatsoka amakhudzidwa. Zomva zowawa, kugunda kwamvekedwe zikakhudzidwa zimadziwika.
• Yoyendetsa. Mitsempha yomwe ikukhudzidwa ndi ntchito zamagalimoto imakhala yowonongeka. Zotsatira zake, wodwalayo amalephera kuyenda.
• Zamasamba. Ntchito zosokoneza zosokoneza.Izi zimawonetsedwa mu thukuta kwambiri, kufooka, hypothermia.
• Zosakanizidwa. Mtunduwu umaphatikiza zonse zomwe zafotokozedwa.

Malinga ndi mtundu wa morphological, mawonekedwe a interstitial ndi parenchymal amadziwika. Mtundu wotsirizawu umaphatikizapo demyelinating ndi axonal polyneuropathy. Mawonedwe a axonal amadziwika ndi kuwonongeka kwa axial silyl ya neurons, yomwe imayambitsa kutaya chidwi, kuletsa luso la magalimoto. Momwe mawonekedwe a demyelinating adzawonongedwa, kapisozi ka ulusi wamitsempha - myelin. Izi zimabweretsa kuwoneka kwa foci a kutupa pamitsempha yamitsempha, kuwawa, kufooka kwa zida zathupi.

Interstitial neuropathy imayamba chifukwa chakuwonongeka kwa kaphatikizidwe kapamwamba ka mitsempha ndi ma capillaries. Matenda osachiritsika omwe amakhala ndi chotupa komanso chopatsirana amatha kuyambitsa chisokonezo.

Matendawa amatha kukhala otupa, oopsa, oopsa komanso omwenso ndi achilengedwe. Ngati sichichiritsidwa, matendawa amayambitsa minyewa, mawonekedwe a zilonda zam'mimba, ziwalo zamiyendo ndi kupuma pakati.

Kodi matendawa amawoneka bwanji?

Zizindikiro za matenda am'magazi zimagawidwa kukhala pulayimale ndi sekondale. Zizindikiro zake zoyambirira ndizotengera. Zizindikiro zachiwiri zimakhala zazikulu kwambiri, zimachitika chifukwa cha kusayenda bwino kwamanjenje.

Zizindikiro za polyneuropathy zam'mwamba ndi zotsika pang'ono zimawonetsedwa poyambira kufooka kwa minofu. Izi ndichifukwa cha pang'onopang'ono kuwonongeka kwa mitsempha. Madera amkati amiyendo akuwonongeka koyamba. Pali kumverera kwa dzanzi m'dera lamapazi, ndi kupita patsogolo, dzanzi limakhudza gawo lonse lathunthu.

Odwala amamva kuwawa, kutentha, kupweteka kwa minofu. Munthu amadandaula chifukwa chosamva bwino ngakhale pang'ono ndi malo okhala. M'mikhalidwe yapamwamba, pali kugwedezeka kwamphamvu, kusowa chidwi, kusowa kwa luso la magalimoto.

Mphamvu ya okosijeni ya ubongo imawonedwa. Izi zimawonetsedwa m'mabwalo amdima pansi pa maso, chizungulire, kufooka. Zizindikiro zofananira zimawonekera bwino ndi kukwera kwakuthwa.

Kutengera ndi kuopsa kwa vutoli, zizindikilo zimatha kuoneka limodzi kapena zingapo.

Kuwonekera kwa zida zamafuta kumawonekera ndi kufooka kwa miyendo, kutsogoza ziwalo, paresis. Nthawi zambiri kuwoneka kosawoneka bwino mmanja ndi miyendo kumadziwika bwino pakupuma, komwe kumayambitsa Reflex mota zochita - miyendo yosakhazikika.

Mkhalidwe wamatumbo umakhala limodzi ndi kugonjetsedwa kwa ntchito za autonomic. Zizindikiro zimawonekera pakhungu la khungu, kumverera kuzizira. Mitundu ya Trophic imatha kuwoneka: pigment, zilonda, khungu louma, ming'alu.

Zizindikiro za neuropathy zam'munsi zam'munsi ndizowala. Makhalidwe ake amasintha kwambiri komanso zovuta kusuntha. Kutupa kwa miyendo kumapita patsogolo, mawonekedwe a knee olumikizana ndi bondo amasokonezeka, mayankho ofunikira kulibe.

Mkhalidwe wamatumbo umatha kukhazikitsidwa motsutsana ndi maziko a Guillain-Barré syndrome ndi Landry ziwalo. Guillain-Barré syndrome ndiyo njira yoyamba yomwe imagwira madera ndi miyendo. Izi zikuwonetsedwa mu izi:

• kupuwala kwa minofu ya mchigawo chapakati cha miyendo,
• kuwonongeka kwa minofu yokhudza thupi, yomwe imayambitsa kupuma movutikira,
• kumva kumatsalira
• zovuta pakuyenda.

Kuvulala kwamtundu kumatanthauza mtundu wa neuropathy wopweteka kwambiri, womwe umachitika motsutsana ndi maziko a matenda amitsempha. Vutoli limaphatikizidwa ndi dzanzi la miyendo, thunthu, mikono ndi mitsempha yama crani. Kusintha kwa mapokoso ndi kupumira kwa mtima kumapangitsa kupuma.

Njira Zodziwitsira

Kuti muzindikire moyenera, dokotala amamuwuza wodwala kuti apange kafukufuku wambiri. Ndikofunikira kusonkhanitsa anamnesis, kuchita mayeso, kuphunzira Reflex. Wodwala amafunika kukhala ndi magazi okwanira.

Kuphatikiza pamabwinja omwe afotokozedwawo, kupenda kwa ziwalo zamkati, ma X-ray a malo omwe akhudzidwa ndi thupi adzachitidwa. Kusanthula kofunika ndikusonkha kwamadzi a msana, zomwe zimatsimikiziridwa kuti zitha kudziwa kukhalapo kwa matendawa. Kulemba kwakumapeto kwa mitsempha kumatha kukhala kofunikira.

Vitamini

Wodwala amayenera kutenga maultivitamini, kuphatikizapo mavitamini a B: B1, B6, B12. Mankhwala othandiza kwambiri akuphatikiza Vitamin Complex kuchokera ku Thorne Research.

Pamodzi ndi kumwa mavitamini ofotokozedwawo, ma antioxidants nthawi zambiri amalembedwa: mavitamini E, A, C, Coenzyme Q10, Alpha lipoic acid

Njira izi zimakhudza kagayidwe kazinthu ndikuchulukitsa minofu kusinthika, kuphatikiza ma cell amitsempha.

Ophera

Kuti athetse vuto lopweteketsa, mankhwala odana ndi kutupa ndi ma analgesics achibadwa omwe si a narcotic ayenera kumwedwa. Ambiri omwe ali ndi Tramal, Aspirin.

Ndi ululu wosalephera, adotolo amatha kulembera Codeine, Morphine. Chithandizo cha analgesic chimaphatikizidwa ndi Magne-B6, chomwe chimathandiza kuti achire azitha.

Ma immunosuppressants, mankhwala a mahomoni

Zimatsimikiziridwa kuti kukulira kwa polyneuropathies ena kumalumikizidwa ndi kuphwanya chitetezo chokwanira cha minofu. Chifukwa chake, kusankhidwa bwino kwa chitetezo cha mthupi kumakhala kofunikira. Madokotala amapereka cyclosporine, azathioprine limodzi ndi cyclophosphamide. Woopsa matendawa, mankhwalawa immunosuppressants limodzi ndi mahomoni mankhwala (prednisone).

Zofunika! Dokotala ayenera kusankha ndikuphatikiza mankhwalawa.

Erbisol, yomwe imaphatikizapo zinthu zambiri zachilengedwe, imaperekedwa ngati mankhwala ophatikizira. Mankhwala ali ndi immunomodulating, antioxidant, anti-yotupa ntchito.

Mankhwala ena

Madokotala nthawi zambiri amapereka Instenon wa chithandizo chamankhwala. Chidacho chimalimbikitsa kuthana ndi shuga, chimakonza minofu yazakudya. Mankhwalawa ali ndi vasodilating, diuretic, venotonic.

Ndikofunikira kutenga Actovegin, yomwe imagwiranso ntchito metabolic, Proserin, yomwe imabwezeretsa kugwira ntchito kwa mitsempha. Detoxification mankhwala nthawi zambiri amachitidwa. Chithandizo cha polyneuropathy chakumtunda ndi kutsika kumafuna kuikidwa kwa mankhwala ambiri kuti athetsere zizindikiro.

Kodi matenda ndi chiyani?

Neuropathy yam'munsi malekezedwe ndi mawu omwe matenda angapo amaphatikizidwa, limodzi ndi opuwala magwiridwe antchito a zotumphukira zamitsempha.

Ngati fupa la mitsempha imodzi kapena imodzi yaonongeka, ndiye kuti pali kuphwanya kwamamvedwe a minofu, kukulira kwa ziwalo ndi kusintha kwa magwiridwe ena a ziwalo zina. Malinga ndi ziwerengero, nthawi zambiri matendawa amakhudza minyewa yam'mitsempha yam'munsi.

Zomwe zikuluzikulu zimayambira

Neuropathy yam'munsi yotsika ndi matenda owopsa, omwe amayenda ndi zovuta zazikulu komanso zizindikiro zosasangalatsa kwambiri. Zomwe zimapangitsa kuti matenda a pathology azitha kukhala osiyana kwambiri. Mankhwala amakono, pali zifukwa zingapo zowopsa:

• matenda osiyanasiyana a metabolic omwe amayamba chifukwa cha matenda osiyanasiyana osachiritsika, makamaka, kulephera kwa impso,
• kukhalapo kwa endocrine pathologies, monga: opuwala chithokomiro, matenda a shuga (matenda ashuga a m'munsi amadziwika kuti ndiofala kwambiri),
• kuvulala, kuwonongeka kwa ziwalo zina za zotumphukira zamanjenje,
• kuwonetsedwa kwanthawi yayitali pazinthu zopweteka m'thupi (mankhwala, mowa, acetone, arsenic, lead, zebury ndi zoopsa)
• kuperewera kwambiri kwa mavitamini,
• kugwiritsa ntchito mankhwala osagwirizana, mwachitsanzo, mankhwala a antitumor, maantibayotiki,
• Matenda oopsa opatsirana, kuphatikiza mumps, diphtheria, chikuku, kulowa kwa HIV mthupi,
• systemic autoimmune pathologies momwe ma chitetezo a chitetezo chamthupi awo amatsutsana ndi maselo amitsempha, amawononga ma sheels a myelin,
• kupezeka kwa zotupa zoyipa mthupi,
• zimatsimikiziridwa kuti pali cholowa chamabadwa (mwachitsanzo, matenda amtundu monga Charcot-Marie-Tooth amyotrophy, limodzi ndi chitukuko cha neuropathies).

Zina mwazonse zomwe tatchulazi zimatha kubweretsa kuwonongeka kwakukuru kwa zopanga zamitsempha. Pa matenda, mwa njira, sikokwanira kungotsimikizira kukhalapo kwa mitsempha yam'munsi, ndikofunikira kudziwa zomwe zimayambitsa matendawa.

Classified: mitundu ndi mitundu ya ma neuropathies

Mpaka pano, pali chiwembu chachikulu chogwiritsira ntchito matenda amtunduwu. Ngati tiganizira zomwe zimayambitsa matendawa, ndiye kuti mitundu ingapo:

• Poizoni waukali amayamba motsutsana ndi maziko a kuledzera kwa thupi ndi zinthu zoopsa, ziphe, mchere wa zitsulo, etc.
• Dysmetabolic - njira yokhudzana ndi matenda a metabolic.
• Chodziwika kwambiri ndi matenda am'mimba a m'mizere amanjenje, Zizindikiro ndi chithandizo chomwe chidzafotokozedwanso munkhaniyi.
• Payokha, ndikofunikira kutchula zakumwa zoledzeretsa, zomwe anthu omwe amamwa mowa kwambiri nthawi zambiri amavutika. Zizindikiro zimawonjezeka pang'onopang'ono: choyamba, minyewa m'miyendo imayamba kufooka, mphamvu zimachepa, ululu umawoneka, kulimba kwake komwe kumawonjezeka pamene matendawa akupita patsogolo.
• A matupi awo sagwirizana ndi matendawa ndi otheka.
• Odwala ena amapezeka ndi kutupa kwa neuropathy, komwe kumalumikizidwa ndi njira ina yotupa.

Kutengera ndi makina a chitukuko cha matenda, pali:

• neuropathy yoyamba, yomwe imayamba motsutsana ndi maziko am'matenda amtundu (mawonekedwe a idiopathic a matendawa amatumizidwanso ku gulu ili pamene sizingatheke kudziwa chomwe chimayambitsa kukula kwa neuropathy),
• yachiwiri yamatenda - imayamba motsutsana ndi maziko a matenda, kuledzera, matenda a metabolic, ndi zina zambiri.

Ngati timaganizira zakomwe kagayidwe kachakudya kazaka, tsatirani:

• distal neuropathy, yomwe imayendetsedwa ndi chotupa cha mitsempha ya miyendo yonse, odwala pankhaniyi amadandaula za kupweteka komanso kuchepa kwamphamvu kwa miyendo, maondo (mwa njira, awa ndi zizindikiro za matenda am'munsi a miyendo).
• mawonekedwe ovomerezeka a matendawa, omwe amaphatikizidwa ndi kuwonongeka kwa mitsempha m'miyendo ndi m'chiuno (odwala amamva kupweteka m'matako ndi m'chiuno, nthawi zambiri amalephera kuyenda pawokha).

Mtundu wa kuwonongeka kwa machitidwe a mitsempha imathandizidwanso. Monga mukudziwa, minyewa yamitsempha imakhala ndi ma axon (njira zazitali za ma neurons) ndi mchiritsi wa myelin.

• Axonal neuropathy imayendera limodzi ndi kuwonongeka mwachindunji kwa axons. Matendawa amakula pang'onopang'ono, limodzi ndi kupweteka kwambiri komanso kufooka kwa minofu.
• Nthawi zina neuropathy ya myelin sheaths imakhalanso. Choyamba, kuwonongeka kwa zimitsempha zamagalimoto ndi zomverera kumawonedwa.

Mtundu wa ulusi womwe umakhudza matenda amakhalanso ofunikira.

• Motor neuropathy imayendera limodzi ndi kuwonongeka kwa minyewa yamagalimoto yama motor. Odwala akuvutika ndi kufooka kwa minofu komanso kuwongolera pang'onopang'ono. Ngati sanapatsidwe, munthuyo amalephera kwathunthu kusuntha.
• Sensory neuropathy imadziwika ndi kuwonongeka kwa ulusi wovuta. Mphamvu yosunthira imasungidwa, koma zomverera zimachepetsedwa kwambiri, kapena, mosiyana, zimakulitsidwa. Odwala amavutika ndi kupweteka kosalekeza. Nthawi zina ngakhale kukhudza pang'ono kumayambitsa kuwawa kwa zowawa.
• Ngati pathological process ikukhudza ma autonomic fibers (autonomic neuropathy), ndiye kuti wodwalayo ali ndi zosokoneza kuchokera ku ziwalo zosiyanasiyana. Mwachitsanzo, mwa amuna motsutsana ndi maziko a matendawo, kusabala kumayamba. Mwina kuphwanya kwamikodzo, kukhetsa thukuta, ndi zina zambiri.
• Pali mitundu yosakanikirana yamatenda omwe amaphatikiza zonse zomwe zatchulidwazi. Poyerekeza ndi matendawo, ma axon onse ndi ma sheelin a sheel awonongeka.

Mankhwala olimbitsa thupi

Kulimbana ndi matendawa kumaphatikizaponso kumwa mankhwala limodzi ndi njira zothandizira thupi. Nthawi zambiri njirazi zimaperekera chithandizo chachikulu kuti kuwonjezera mankhwalawa. Wodwalayo akulimbikitsidwa kuti azichita masewera olimbitsa thupi, kutembenukira ku magnetotherapy. Mankhwala oterewa amathandizira kamvekedwe ka minofu, kusintha magazi.

Mwa njira! Ndi zakumwa zoledzeretsa za polyneuropathy, physiotherapy imachitika pambuyo poti detoxification chithandizo kuchipatala.

Therapy imaphatikizapo kutikita minofu, kukondoweza kwa magetsi. Odwala ayenera kutsatira zakudya zoyenera, kupatula zakudya zokhala ndi mafuta ambiri, chakudya chamagulu kuchokera ku zakudya. Ndi zoletsedwa kusuta fodya ndi kugwiritsa ntchito zinthu zina zokuthandizani.

Vuto lamagalimoto

Zizindikiro za kuchepa kwa minyewa ya m'munsi zimatha kukhala zosiyanasiyana - zonse zimatengera momwe ulusi wamitsempha udakhudzidwira. Ngati ulusi wamoto unakhudzidwa ndi pathological process, ndiye kuti zizikonzekera:

• pali kuchepa kwa chidwi, makamaka, kwa bondo ndi Achilles (chizindikiritso chotere chimayenera kupezeka pokhapokha pakuyang'ana mitsempha),
• Odwala amadziwa mawonekedwe a spasms ndi minofu kukokana m'malo omwe akhudzidwa,
• kufooka kwa minofu kumawoneka, komwe kumawonjezereka pang'onopang'ono (wodwalayo amavutika kusuntha, kusintha kwake kwa gait, nthawi zina kuyenda kwake kumakhala kutayika kwathunthu),
• popeza minyewa imasiya kugwira ntchito mwachidziwikire, ulusi wawo umayamba pang'onopang'ono (njirayi imatha kukhala zaka, koma posakhala ndi mankhwalawa imabweretsa kulumala).

Mavuto Azisoni

Nthawi zina neuropathy imayendera limodzi ndi kuwonongeka kwa ulusi wamkati, womwe umatsogolera ku kuwoneka kwa mawonekedwe amikhalidwe:

• Odwala amadandaula za kupweteka kosalekeza komwe kumafalikira m'mitsempha yomwe ikukhudzidwa.
• Matenda ena amawonekera, mwachitsanzo, kumverera kogonetsa kapena kupezeka kwa thupi lachilendo pansi pa khungu. Zisangalalo zoterezi zimakhalapo nthawi zonse, zomwe zimakhudza momwe munthu akumvera. Odwala amakhala osakwiya komanso amanjenje, chifukwa ndizosatheka kuti muthetse zosasangalatsa.
• Nthawi zina pamakhala kuphwanya kwamtundu wina wa zomverera. Mwachitsanzo, nthawi zina mwa odwala malo opweteka amachepetsa kapena kuwuka. Anthu ena amati amasiya kumva kutentha pakhungu ndi kuzizira, kukhudza komanso kukakamizidwa. Kuphwanya mphamvu yokhala ngati khungu la kumapazi kumapangitsa kuti kuyenda kwamunthu kusamayende bwino, chifukwa zimamuvuta kuti azikhala osamala poyenda.

Masamba-trophic Zizindikiro zam'munsi zam'mimba neuropathy: chithunzi ndi mafotokozedwe

Ndikofunika kudziwa kuti zizindikiro zotere nthawi zambiri zimayendera limodzi ndi matenda a shuga. Poyamba, minofu ya m'mimba imakhala yolakwika, zomwe zimapangitsa kuti khungu liwonongeke. Zingwezo zimakhala zowuma, zimayamba kugwiritsidwa ntchito ndi zinthu zakunja. Matendawa akamakula, finya, zilonda, zilonda komanso zilonda zomwe zimakhala zovuta kuzisamalira zitha kuonekera pa khungu lanu.

Kuwoneka kwa zizindikiro zina ndikothekanso:

• mawonekedwe a mibadwo ya zaka,
• kutaya tsitsi
• mapangidwe a miyendo yolimba,
• kufooka kwa kusinthika kwatha kwa khungu lathu,
• kuphwanya thukuta.

Zizindikiro zoterezi sizingakhale zopanda pake - ndikofunikira kukaonana ndi dokotala panthawi. Katswiri yekha ndi amene angakwanitse kujowina njira yothandizira yochotsa matenda am'munsi a muubongo.

Neuropathy yam'munsi kwambiri: chithandizo ndi mankhwala osokoneza bongo

Palibe vuto ngati vuto lotere liyenera kunyalanyazidwa.Onetsetsani kuti mwawonana ndi dokotala - ndi akatswiri okhawo omwe angadziwe kupezeka kwa mitsempha ya m'munsi. Zizindikiro ndi chithandizo pankhaniyi ndizogwirizana, chifukwa chake, mankhwalawa amasankhidwa payekhapayekha.

Mwachitsanzo, ndi kuwonongeka kwa poizoni, amafunika kuchotsa mwachangu zinthu zoopsa ndi ma metabolites awo m'thupi. Chithandizo cha matenda ashuga a m'mitsempha yotsika zimaphatikizapo kugwiritsa ntchito mahomoni othandizira (kupanga insulin) komanso kukonza zakudya zoyenera.

• Choyamba, odwala amapatsidwa mankhwala omwe amasintha kayendedwe ka mitsempha ya minyewa - izi zimathandiza kubwezeretsanso zovuta komanso zamagalimoto.
• Zowawa zazikulu ndi kutupa zimatsitsimutsidwa ndi mankhwala a antiidal. Odwala nthawi zambiri amapatsidwa mankhwala okhala ndi methylprednisolone.
• Kupweteka kwambiri kumatha kuimitsidwa mothandizidwa ndi Analgin (wogwiritsidwa ntchito ngati yankho) kapena Tramadol.
• Ngati vuto la ululu silinatchulidwe, ndiye kuti vuto limatha kuchotsedwa mothandizidwa ndi mafuta apadera (mwachitsanzo, ndalama zomwe zili ndi lidocaine) kapena ngakhale pulasitala yotsekemera.
• Mankhwala monga Pentoxifylline, Trental, Vasonit amagwiritsidwanso ntchito. Mankhwala amasintha kayendedwe ka magazi m'matumbo, omwe amakhudza bwino thanzi la minofu.
• Zingwe za mavitamini a B zimathandiza kuchepetsa ululu, kukonza zakudya m'thupi ndi minyewa, komanso kuthetsa kuphipha.
• Mankhwala monga Piracetam ndi Mildronate amathanso kusintha michere.
• Ndi spasms ndi kugwedezeka, minofu relaxers, monga Baclofen, akuwonetsedwa.
• Malangizo owonjezereka amaperekedwa kwa odwala omwe ali ndi matenda ashuga am'munsi miyendo. Kuchiza ndi mankhwala omwe amathandiza kuwongolera shuga ndi magazi a insulin ndikofunikira.
• Nthawi zina antidepressants amagwiritsidwanso ntchito.

Ndiwa mankhwalawa omwe amatengedwa ndi odwala omwe amapezeka ndi minyewa yam'munsi yamitsempha. Kuchiza ndi mankhwala, mwachidziwikire, kumapangitsa kuti zitheke ndi zomwe zimayambitsa matendawa ndikuyimitsa kupititsa patsogolo kwa njira ya pathological.

Physiotherapy ya Neuropathy

Chithandizo cha minyewa ya m'munsi yammimba imatha kuphatikizidwa ndi njira zingapo za physiotherapeutic.

• Ngati pakuwonongeka kwa poizoni m'thupi, ndiye kuti plasmapheresis imakakamizidwa, yomwe imapangitsa kuti poizoni azichotsa mwachangu.
• Kuchita zinthu zolimbitsa thupi pafupipafupi kumathandizira minofu kuphipha, kusintha magazi, ndipo, chifukwa chake, zakudya zama minofu.
• Ndondomeko ya mankhwalawa imaphatikizaponso othandizira olimbitsa thupi. Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuti kamvekedwe ka minofu, kuteteza kukula kwa atrophy.
• Zotsatira zabwino ndi magnetotherapy.
• Nthawi zina odwala amapatsidwa magawo olimbikitsira mitsempha pogwiritsa ntchito zida zapadera zamagetsi.
• Njira zina zochiritsira zosagwiritsidwa ntchito masiku onse ndizothandizanso. Nthawi zina odwala amalimbikitsidwa acupuncture, kutikita mwala, chithandizo ndi leeches.
• Gawo lofunika la chithandizo chamankhwala ndiyabwino. Odwala akulangizidwa kuti aziphatikiza zipatso, masamba ndi mkaka zazakudya zawo. Ndikofunika kusiya zonunkhira, zoteteza, zokometsera, mafuta ndi zakudya zokazinga. Mowa umaletsedwa. Ndikofunikanso kusiya kusuta, kutafuna fodya.

Monga lamulo, njira zotere, kuphatikiza ndimankhwala osankhidwa bwino, zimathandizira kuchepa kwa njira ya pathological, ndipo nthawi zina imabwezeretsa chidwi ndi ntchito yamagalimoto.

Maphikidwe a mankhwala achikhalidwe

Zithandizo zina zakunyumba zithandiza kuthana ndi zizindikiro:

• Mchere umawonedwa ngati wothandiza. Ndiosavuta kukonzekera - mukungofunika kudzaza theka la chidebe ndi madzi otentha, kuwonjezera 150 ml ya viniga tebulo (9%) ndi 200 g mchere wamba pamenepo. Kusamba kwa phazi lotere kuyenera kuchitidwa tsiku lililonse kwa mwezi umodzi.
• Ma compress a dongo a buluu amathandizanso. Mwa njira, ufa ungagulidwe ku pharmacy iliyonse.
• Ndikofunika kuwonjezera decoction ya singano pakusamba kosamba.

Zithandizo zoterezi zimathandizira kuchepetsa ululu ndikuchotsa zizindikiro zina. Komabe, sangathe kulandira chithandizo chamankhwala chokwanira - simungathe kukana kuthandizidwa ndi dokotala.

Mankhwala osokoneza bongo komanso magazi

Magulu awa a mankhwalawa ndi amodzi mwofunikira kwambiri pakuchiza matenda a polyneuropathy. Ndipo nthawi zambiri, mapangidwe a mankhwala amodzi samangokhala, mwachitsanzo, metabolic. Pafupifupi nthawi zonse, mankhwalawa amagwira ntchito m'njira zingapo nthawi imodzi: "imamenya nkhondo" yaulere, imakonzanso michere ya michere, ndikuthandizira kuwonjezera magazi mu gawo la mitsempha yowonongeka, ndikuthandizira kuchira. Chifukwa cha kuchuluka kwa zinthu, monga amanenera, ndi mfuti imodzi samapha ngakhale awiri, koma mbalame zingapo ndi mwala umodzi! Koma pali zovuta. Si mankhwala onse a metabolic omwe amagwira ntchito mochizira polyneuropathy yam'munsi yotsika. Kwa azitsamba, kuchepetsedwa kwake komwe kwaphunziridwa kwambiri, kumaphatikizapo kukonzekera kwa Thioctic acid, Actovegin, Instenon. Posachedwa, Cerebrolysin, Cytochrome C, Mexicoidol ndi Cytoflavin, calcium calcium zachitika kwambiri pazomwezi. Nthawi zambiri, mumakhala mankhwala amodzi omwe amasankhidwa (kusankha kumakhala chifukwa choyambira cha polyneuropathy cha malekezero am'munsi). Chifukwa, mwachitsanzo, mu matenda a shuga a polyneuropathy, wamkulu wankhondo ndi Thioctic acid, wokhala ndi vuto la ziwengo zamatumbo am'munsi, Actovegin amakonda. Mukapereka mankhwala aliwonse a metabolic, ndikofunikira kuzindikira nthawi yogwiritsira ntchito, popeza kubwezeretsanso kwa ulusi wamitsempha kumachitika nthawi yayitali. Ichi ndichifukwa chake nthawi zambiri mankhwalawa amayenera kumwa kwa nthawi yayitali, osachepera mwezi umodzi, komanso nthawi yayitali. Tsopano tiyeni tikambirane mwatsatanetsatane za mankhwala aliwonse.

Thioctic acid ndi antioxidant wamphamvu; zotsatira zake pochiza polyneuropathy zimadziwika padziko lonse lapansi. Ndikofunikira kuthira mankhwala kuyambira mwezi umodzi mpaka zisanu ndi chimodzi. Choyamba, kulowetsedwa kwa mankhwala osokoneza bongo (pa mlingo wa 600 mg patsiku) ndikofunikira kwa masiku 14-20, kenako mutha kusintha mafomu apiritsi. Amodzimodzi 600 mg, koma mawonekedwe a mapiritsi, amatengedwa theka la ola musanadye m'mawa. Popereka chithandizo, ndikofunikira kuzindikira kuti zotsatira za mankhwalawa sizingaonekere m'masiku oyamba kukonzekera. Izi sizikuwonetsa kusowa kwa zotsatira. Zimangotenga nthawi kuti mankhwalawo athe kuthana ndi mavuto onse azogwiritsa ntchito metabolism pazinthu zamafuta amitsempha. Thioctic acid imayimiriridwa pamsika wamankhwala: Oktolipen, Alpha Lipoic Acid, Berlition, Espa-Lipon, Thioctacid, Neuroleptone, Thiogamma.

Actovegin ndi chinthu chopangidwa kuchokera ku magazi a ng'ombe. Musaope mawu oti "magazi" pankhaniyi. Kuchokera pamenepo, ku Actovegin, ndizofunikira zokhazo zomwe zimakhala cell ndi seramu zomwe zimatsala. Pankhaniyi, pochiza Actovegin, ndikofunikira kugwiritsa ntchito koyamba mu mtsempha wa 10-50 ml (mlingo umadalira kuuma kwa zizindikiro za polyneuropathy). Nthawi zambiri, kulowetsedwa mtsempha kumatha masiku 10-15, kenako wodwalayo amapitiliza mankhwalawa monga mapiritsi (mapiritsi atatu katatu pa tsiku) kwa miyezi ina itatu ndi itatu. Mphamvu yovuta ya mankhwalawa imakuthandizani kuti mugwiritse ntchito nthawi imodzi osati mitsempha yotumphuka, komanso "zovuta" za ubongo, mitsempha yamagazi yamiyendo. Abroad Actovegin sagwiritsidwa ntchito mwachangu ngati m'maiko a CIS ndi Russia, komanso oletsedwa ku USA ndi Canada. Izi ndichifukwa choti maphunziro ambiri ogwira ntchito zake sanachitidwire.

Instenon ndi kukonzekera kovuta komwe kumakhala ndi zosakaniza zitatu zitatu. Imafinya mitsempha yamagazi, imapangitsa ma neurons, ndikuwongolera kupatsirana kwakukhudzika pakati pawo. Amapereka kuchuluka kwa magazi m'matumbo omwe akuvutika ndi kuperewera kwa mpweya. Chifukwa cha izi, zakudya zamafuta a mitsempha zimayenda bwino, ndipo "amachira" mwachangu. Zotsatira zake zimapereka ntchito: zomwe zili mu 1 muloule (2 ml) zimayendetsedwa tsiku lililonse kwa masiku 14. Mtsogolomo, Instenon amatengedwa pakamwa ndi piritsi limodzi 3 katatu patsiku kwa mwezi umodzi.

Cerebrolysin amapanga mapuloteni omwe amapezeka muubongo wa nkhumba. Amawerengedwa ngati mankhwala amphamvu a neurometabolic. Imaletsa njira yowonongeka m'maselo a mitsempha, imakulitsa kapangidwe ka mapuloteni mkati mwawo, ndipo imatha kuwateteza ku zovulaza zazinthu zingapo. Cerebrolysin ali ndi neurotrophic yotchulidwa, yomwe imakhudza kugwira ntchito kwamanjenje yonse. Cerebrolysin imawonjezera mwayi wa maselo amitsempha kuti akhalebe amoyo ngakhale kuti alibe zakudya. Amaloledwa kulowetsedwa onse ndi mtsempha wa magazi (5 ml ndi 10-20 ml, motero) kwa masiku 10-20. Kenako pumulani kwa masiku 14-30 ndipo ngati pakufunika kutero bwerezani maphunzirowo.

Calcium pantothenate ndi mankhwala omwe amachititsa kuti thupi lizisinthika, ndiye kuti, kuchira (kuchiritsa) kwamitsempha yamagazi komanso osati iwo okha. Ikani mapiritsi 1-2 katatu patsiku mu mwezi umodzi. Pang'onopang'ono koma, mankhwalawa "adzang'amba" zolakwika m'mitsempha ya m'mitsempha, ndikuthandizira kubwezeretsa ntchito yawo.

Mexicoidol (Mexico, Mexicoiprim, Neurox) - antioxidant wamphamvu. Ichi ndi mankhwala osokoneza bongo a membrane. Zimathandizira kubwezeretsa kapangidwe kazomwe kamapanga kamitsempha yama cell amitsempha, potero kuonetsetsa kuti magwiridwe antchito amtundu wawo, chifukwa zonse zomwe zimapangitsa mitsempha imafalikira kudzera mu nembanemba. Mexicoidol imachulukitsa kukana kwa maselo amitsempha ku mavuto azovuta za chilengedwe. Mlingo wa mankhwalawa, njira yotsogola ndi nthawi yogwiritsira ntchito zimasiyanasiyana kwambiri kutengera mtundu woyamba wa zovuta zamitsempha. Ngati ndi kotheka, yambani ndi jakisoni wamitsempha kapena mtsempha wa 5 ml, kenako ndikusinthira mapiritsi (125-250 mg katatu pa tsiku). Nthawi yonse ya chithandizo ndi miyezi 1.5-2. Mankhwala ali ndi kulekerera kwabwino. Ikaperekedwa kudzera m'mitsempha, imatha kupweteketsa mtima, kufuna kutsokomola. Zomverera izi zimadutsa mwachangu ndipo sizichedwa kuchitika ngati mankhwalawo amathandizidwa kutsika (mu 0,9% sodium kolorayidi), osakhala mu ndege.

Cytoflavin ndi mankhwala ena ovuta a antioxidant. Kukwaniritsa wina ndi mnzake, zomwe zimapangitsa kuti mankhwalawo akhale othandizira kupangira mphamvu mu ma neurons, amakaniratu mphamvu ya kusintha kwa zinthu mopitilira muyeso, zimathandiza maselo "kupulumuka" pazovuta za michere. Mankhwala, mapiritsi 2 amagwiritsidwa ntchito 2 pa tsiku theka la ola musanadye masiku 25.

Mankhwala ambiri a antioxidant omwe afotokozedwa pamwambapa satchuka, titero kunena kwake, mankhwalawa a polyneuropathy a m'munsi. Nthawi zambiri amagwiritsa ntchito Thioctic acid, Actovegin. Mankhwala ena onse a neurometabolic nthawi zambiri amagwiritsidwa ntchito ngati "mavuto" ndi ubongo wamkati, koma tisaiwale kuti ali ndi phindu pa kufalikira. Mankhwala ena alibe "chidziwitso" chochepa chogwiritsidwa ntchito (mwachitsanzo, Mexicoidol), ndipo madera onse omwe adawunikira sanaphunziridwe mokwanira.

Chithandizo chofala kwambiri pakukonzanso magazi mu zotupa zam'mitsempha yam'munsi ndi Pentoxifylline (Vasonitis, Trental). Mankhwalawa amasintha kayendedwe ka magazi m'mizere yaying'ono kwambiri ya thupi lonse chifukwa cha kukula kwawo. Ndi kuchuluka kwa magazi, michere yambiri imalowa m'mitsempha, zomwe zikutanthauza kuti mwayi wowonjezereka. Njira yokhayo yogwiritsira ntchito Pentoxifylline ndi yotere: kukoka madzi a 5 ml, omwe kale amasungunuka mu 200 ml ya 0,9% sodium chloride solution, masiku 10. Ndipo mapiritsi a 400 mg katatu patsiku kwa mwezi umodzi. Mankhwala ambiri omwe amagwiritsidwa ntchito pochiza polyneuropathy, lamuloli limagwira ntchito: kuwonda pang'ono kwa zizindikiro ndi mtundu wa piritsi. Chifukwa chake, ngati zizindikiro za matendawa sizosakhazikika, ndizotheka kuti muzigwirizana ndi Piritsixifylline ya piritsi pamwezi ndikudumpha jakisoni.

Chithandizo cha polyneuropathy cha m'munsi kwambiri sichitha konse popanda kugwiritsa ntchito mavitamini. Zothandiza kwambiri ndi mavitamini a gulu B (B1, B6 ndi B12). Kuperewera kumodzi mu chakudya pakokha kumatha kuyambitsa kuwonongeka kwa mitsempha yapamadzi. Kulimbitsa zotsatira za wina ndi mnzake, kugwiritsa ntchito munthawi yomweyo mankhwalawa kumathandizira kubwezeretsanso michere ya zotumphukira, imakhala ndi mphamvu yothandizira, mpaka pamlingo wina ndi antioxidants. Mitundu yosakanikirana (pamene mavitamini onse atatu amaphatikizidwa pakukonzekera kamodzi) ndiofunika kukhala ndi gawo limodzi. Pali mitundu yovomerezeka ndi piritsi. Mitundu ina yomwe ingabayike (Milgamma, Combilipen, CompligamV, Vitaxone, Vitagamm) kuwonjezera apo imakhala ndi lidocaine, yomwe imathandizira mphamvu yothandizira kupweteka. Mankhwala monga Neuromultivit ndi Neurobion ali ndi mavitamini B osadetsedwa osaphatikizika ndi lidocaine. Popereka chithandizo, nthawi zambiri amaphatikiza mitundu yosakanikirana ya mavitamini koyambirira kwa mankhwala ndi mapiritsi mtsogolo. Pafupifupi, mavitamini a B amagwiritsidwa ntchito osachepera mwezi umodzi.

Posachedwa, pochiza matenda amitsempha yamagazi, mankhwala ovuta a Celtican adayamba kugwiritsidwa ntchito. Ichi ndi chakudya chowonjezera. Ili ndi uridine monophosphate, vitamini B12, folic acid. Mankhwalawa amapereka zida zomangira zobwezeretsanso zamkati mwa mitsempha ya zotumphukira. Lemberani 1 kapisozi 1 kamodzi patsiku kwa masiku 20.

Zopweteka

Vuto la ululu m'matumbo a mitsempha yam'munsi yambali silinathetsedwebe, popeza palibe mankhwala ogwirira ntchito 100% omwe ali ndi chizindikiro ichi pano. Zambiri zimatengera chifukwa chenicheni cha polyneuropathy. Momwemo, kufunikira kwa mankhwala ochititsa dzanzi kumatsimikiziridwa. Kwa ena, ndizofunikira, popeza polyneuropathy simalola odwala ena kugona mokwanira. Ndipo kwa munthu samawonetsedwa konse, popeza polyneuropathy sikhala ndi zowawa zilizonse.

Kuchokera painkiller, anticonvulsants and antidepressants, anesthetics wamba, opioids ndi othandizira makamaka okwiyitsa amatha kugwiritsidwa ntchito. Musadabwe kuti mndandandandawu mulibe ma pinkiller omwe ali ponseponse monga Analgin, Pentalgin, ndi zina. Zakhala zikuwonetsedweratu kuti ndi polyneuropathy yam'munsi yotsika, mankhwalawa alibe mphamvu. Chifukwa chake, kugwiritsa ntchito kwawo matendawa kulibe ntchito.

Ma anticonvulsants amakono omwe amagwiritsidwa ntchito pochiritsa ululu ndi Gabapentin (Tebantin, Neurontin, Gabagamm, Catena) ndi Pregabalin (Nyimbo). Kuti akhale ndi analgesic zotsatira, nthawi ndiyofunikira. Kuchita kulikonse sikungaweruzidwe koyambirira kuposa masiku 7-14 ogwiritsira ntchito, bola ngati mlingo woyenera wololera wafika. Kodi zikuwoneka bwanji machitidwe? Gabapentin amayamba pa 300 mg madzulo. Tsiku lotsatira - 2 kawiri pa tsiku, 300 mg aliyense patsiku lachitatu - 300 mg katatu patsiku, wachinayi - 300 mg m'mawa ndi masana, komanso madzulo 600 mg. Chifukwa chake, mankhwalawa amawonjezeka pang'onopang'ono mpaka zotsatira za analgesic zikuwonekera. Pa mlingo uwu, muyenera kuyimitsa ndikuyamwa kwa masiku 10-14. Kenako kukula kwa zotsatira kumawunikiridwa. Ngati sikokwanira, ndiye kuti mutha kupitiliza kuonjezera mlingo (gawo lovomerezeka ndi 3600 mg patsiku). Pregabalin safunikira kusankha kwa nthawi yayitali. Mlingo wogwira wa Pregabalin umachokera ku 150-600 mg patsiku.

Pakati pa antidepressants, amitriptyline ndi omwe amagwiritsidwa ntchito kwambiri.Kuyika kwake kwamtengo wokwanira kwapangitsa kuti akhale njira yotchuka kwambiri yoyambira polyneuropathy. Yambani ndi mlingo wochepa wa 10-12,5 mg usiku ndikuwonjezera pang'onopang'ono mpaka mlingo wa analgesic utakwaniritsidwa. Mlingo wofunikira ndi munthu payekha: 12,5 mg ikhale yokwanira wina, ndipo wina adzafunika 150 mg. Ngati Amitriptyline salekerera bwino, zimayambitsa zovuta, ndiye kuti mutha kuyesa kusintha ndi Lyudiomil kapena Symbalta, Venlaxor.

Mwa mankhwala oletsa ululu omwe amagwiritsidwa ntchito, a lidocaine amagwiritsidwa ntchito. M'mbuyomu, zinali zotheka kuti zizigwiritsidwa ntchito molimbika. Komabe, mwanjira iyi, lidocaine nthawi zambiri imayambitsa chisokonezo cha mtima komanso kusinthasintha kwa kuthamanga kwa magazi. Mpaka pano, njira yopezekera yapezeka. Njira yoyeserera kwanuko Lidocaine kumadera owawa kwambiri mu mawonekedwe a chigamba (Versatis) idakhazikitsidwa. Chigoba chimakhala cholimba pakhungu, sichimayambitsa kukwiya, chifukwa cha apakhungu ntchito, zotsatira zoyipa zimachepetsedwa mpaka zero. Kuphatikiza apo, Versatis imakhudza madera amthupi, kuletsa kukwiya kwawo kowonjezera kunjako, ndipo potero amachepetsa kupweteketsa mtima.

Milandu yayikulu yopweteka kwambiri, osatheka kuti ichiritsidwe ndi njira zomwe zili pamwambapa, ikani kusankha kwa othandizira opioid (Tramadol). Amayesa kupereka mankhwala kwa kanthawi kochepa, kuti asayambitse uchidakwa. Yambani ndi piritsi la ½ ma 2 kawiri pa tsiku (kapena piritsi 1 usiku). Pakatha sabata, ngati kuli kotheka, mlingo umakulitsidwa kumapiritsi awiri patsiku. Ngati chithandizo cha ululu sichikwaniritsidwa kale, ndiye kuti mlingowo umapitilizidwa ndikuwonjezereka kwa mapiritsi 2 kawiri pa tsiku. Kuchepetsa mulingo wa Tramadol osataya mphamvu ya analgesic, kuphatikiza kwa Tramadol ndi Paracetamol (Zaldiar) kunapangidwa. Mphamvu ya piritsi limodzi la Zaldiar ndilofanana ndi piritsi limodzi la Tramadol, pomwe piritsi limodzi la Zaldiar limakhala ndi Tramadol (37,5 mg motsutsana ndi 50 mg motsatana). Chifukwa chake, kuchepetsedwa kwa mlingo wa mankhwala opioid kumatheka popanda kutaya mphamvu.

Ngati kupweteka kwa polyneuropathy kumakhala kocheperako, kupaka kirimu wokhala ndi capsaicin (kapisolo wa kapisozi) ndikotheka. Capsaicin imayambitsa kutopa kwamphamvu kupweteka, kutanthauza kuti poyamba ululu umalimba, kenako umatha. Nthawiyi, pamene ululu umakulirakulira, si wodwala aliyense yemwe amatha kupirira, chifukwa chake, pali mbali ziwiri zokhudzana ndi njira iyi yothandizira ululu ndi polyneuropathy.

Nthawi zambiri, mankhwala ochepetsa ululu amayenera kuphatikizidwa kuti akwaniritse zotsatira. Koma izi zikuyenera kuchitika pokhapokha ngati aliyense wa mankhwala (pokhapokha ngati mulingo woyenera utakwaniritsidwa komanso nthawi yomwe ntchito ikugwiritsidwa ntchito) singapweteke kanthu.

Njira zomwe zimathandizira kukhazikika kwa chikumbumtima

Ngati nthendayo imayambitsa kusokonezeka kosalekeza kwa mphamvu ya kumva (kutayika kwake), kufooka kwa minofu, ndiye kuti zizindikilozi ndizizindikiro za kukhazikitsidwa kwa anticholinesterase othandizira (othandizira omwe amasinthira kukomoka kwa mitsempha ya minyewa). Ngakhale pakakhala zolakwika mumitsempha ya mitsempha, mankhwalawa amathandizira kudutsa kwamphamvu kudzera mu gawo lomwe silinakhudzidwe ndi mitsempha. Chifukwa cha izi, mphamvu ya minofu imabwezeretseka ndipo kumva kumabweranso. Ndipo mankhwala ena pakadali pano amathandizira kukonzanso mitsempha, kotero kuti mphamvu zam'mimba ndi zomverera zimakhalabe zolimba popanda kugwiritsa ntchito mankhwala a anticholinesterase.

Mankhwala ogwiritsidwa ntchito moyenera a gululi ndi Neuromidin, Amiridin, Axamon, Ipigriks. Mankhwala onse ndi ofanana potengera chophatikizira chachikulu. Pali mitundu yonse ya jakisoni ya milandu yapamwamba ya polyneuropathy, komanso mapiritsi. Mapiritsi nthawi zambiri amagwiritsidwa ntchito. Nthawi zambiri zotchulidwa 10-20 mg katatu patsiku kwa masiku 30-60.

Monga mukuwonera, mankhwala amakono ali ndi mitundu yambiri ya mankhwala omwe amatha kuthana ndi zovuta za polyneuropathy zam'munsi zatsika. Palibe wa iwo omwe si "wankhondo" pawokha, koma kuphatikiza, ndi kulimba mtima ndi kuleza mtima kwa wodwala, mankhwala amatha kuthana ndi matendawa.

Njira zopewera

Masiku ano, anthu ambiri ali ndi chidwi chidziwitso cha matendawa ndi zizindikiro zake, akufunafuna zithunzi. Neuropathy yam'munsi yotsika kwambiri ndi matenda oopsa komanso osasangalatsa kwambiri. Tsoka ilo, mankhwala enieni a prophylactic kulibe. Koma pali zina zamankhwala zomwe zikuyenera kuchitika kuti mudziteteze:

• ngati mukufunika kugwira ntchito ndi zinthu zapoizoni, muyenera kumwa mankhwala oteteza, kutsatira njira zotetezera,
• matenda onse otupa komanso opatsirana amayenera kuthandizidwa panthawi yake,
• muyenera kusiya mowa, mankhwala osokoneza bongo, fodya,
• mankhwala aliwonse angatengedwe pokhapokha ngati dokotala walola, kumuyang'anira
• ndikofunikira kuvala nsapato zapamwamba, kupewa kuvulala ndi hypothermia kumapazi, kuyang'anira ukhondo,
• muyenera kukhala okwanira, kunenepa kwambiri.
• kudya mokwanira komanso kukhala ndi moyo wogwira ntchito kumathandizira kulimbitsa thupi,
• ndikofunikira kuchepetsa kuthamanga kwa magazi, kumwa mankhwala oyenera.

Ili ndi matenda owopsa kwambiri omwe sayenera kunyalanyazidwa. Ndi chithandizo cha panthawi yake komanso molondola, Zizindikiro zam'munsi za minyewa yam'mimba zimayamba kutha, chifukwa chake matulukidwe a odwala ndiabwino. Komabe, mitundu yayikulu ya pathologies imabweretsa kulumala.

Kodi mitsempha ya m'munsi ndimtundu wanji?

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:

Ndi chikhalidwe cha pathological process mu mitsempha ya mitsempha, neuropathy ndi axonal (imakwirira njira za neurons - axons) ndi demyelinating (imafalikira ku zigamba za mafupa amitsempha). Malinga ndi zomwe zikuwonetsa, matendawa amachitika:

1. Zachisoni. Zizindikiro zakusokonekera kwamalingaliro ndi kupweteka kwapweteka.
2. Galimoto. Amawonetsedwa makamaka ndi zovuta zamagalimoto.
3. 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.

Maphikidwe ku mankhwala achikhalidwe

Polyneuropathy imatha kuthandizidwa ndi njira zosakhudzana. Ndikulimbikitsidwa kugwiritsa ntchito mafuta ofunikira a bulugamu, ma cloves, mafuta. Ndikofunikira kupaka mapazi ndi mankhwala achilengedwe. Izi zimathandizira kuchepetsa ululu, kusintha kayendedwe ka magazi mpaka miyendo.

Kusamba koyenda kwamiyendo. Zimafunika kupasuka mu 3 malita a madzi ofunda theka la kapu ya viniga ndi kapu yamchere yamchere. Ndikofunikira kutsitsa miyendo pachithandizo chamankhwala tsiku lililonse kwa theka la ola kwa masiku 30.

Njira zopewera

Pofuna kupewa kuwonongeka kwa minyewa yamanjenje, ndikofunikira kuti muchepetse zinthu zomwe zimakhudza ma neurons. Njira zodzitetezera zimaphatikizapo:

• kusiya mowa
• kugwiritsa ntchito zakudya zabwino
• mukamagwira ntchito ndi mankhwala opangira mankhwala, kugwiritsa ntchito zida zoteteza,
• kukana mankhwala osalamulirika,
• chithandizo cha panthawi yake matenda omwe alipo,
• zolimbitsa thupi,
• kayendedwe ka magazi ndende.

Muyenera kumvetsetsa kuti ndizosatheka kuletsa kukula kwa polyneuropathy. Munthu amatha kuchepetsa kuchuluka kwa zinthu zoyipa zomwe zimakhudza ma neuron.

Zotheka

Kuyendera dokotala mochedwa kapena kusowa kwa matendawa, matendawa amayambitsa zovuta zosasintha, chimodzi mwazomwe zimapangitsa kusintha kwa matenda kukhala matenda osachiritsika. Wodwalayo amataya kwathunthu kumverera kwa miyendo, minofu imayamba kugwa, zomwe zimatsogolera kulumala. Mivuto yayikulu, mitsempha yokhala ndi vuto la minyewa ya mtima ikakhudzidwa, minyewa yomwe imatsogolera kuimfa imayamba.

Kukutumizirani zabwino ndikuchira kwathunthu ndikotheka ndi zakumwa zoledzeretsa, zopatsirana komanso poizoni. Matenda a shuga a polyneuropathy ndi osachiritsika, mungathe kuchepetsa kuchuluka kwa zizindikiro. Komanso, kachilombo komwe kamayambitsa chizindikiritso cham'mimba, kuchiritsa pang'onopang'ono kwa mabala kumatha kujowina.

Neuropathy ya malekezero ake am'munsi komanso otsika ndi matenda omwe amabweretsa zotsatira zosasintha. Pa mawonetsero osamveka oyamba, ndikofunikira kufunafuna chithandizo chamankhwala. Mankhwala apanthawi yake azithandiza kupewa zovuta zazikulu.

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.

Zizindikiro zina zamatendawa

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.

Njira yodziwira matenda opatsirana

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.

Zoyambira kuchitira neuropathy

Ndikofunikira kuchiza matendawa movutikira, makamaka ndikusintha kwa zomwe zimayambitsa matenda. Kwa matenda a autoimmune, mahomoni, cytostatics amalembedwa, chifukwa cha shuga - mankhwala ochepetsa shuga kapena insulin, yamitundu yoopsa ya matendawa - 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.

Chachikulu mankhwala zochizira matenda

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, mathamangitsidwe a metabolism m'maselo amitsempha - Piracetam, Mildronate. Amasintha minofu ya trophic, ndikuthandizira kukonza kapangidwe kake.

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.

Ndi chiani chinanso chothandizira matenda a neuropathy?

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 amachitiridwa chipongwe, amatha kuwonjezera kufooka kwa minofu.

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

1. mankhwala a mahomoni kupondereza kupweteka, kutupa - Prednisone, dexamethasone,
2. 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).

Njira zina zochizira neuropathy

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

1. 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.
2. 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.