Kodi matenda ashuga a m'mitsempha am'munsi amasonyezedwa ndikuthandizidwa bwanji

Chimodzi mwazovuta zomwe zimachitika chifukwa cha matenda ashuga ndizowonongeka kumadera akumunsi. – mitsempha, imayamba chifukwa cha kufa kosasintha kwa maselo amitsempha. Izi zimabweretsa kuchepa kwamphamvu, kamvekedwe ka minofu, kupindika kwa mapazi, mapangidwe a zolakwika zazilonda zam'tsogolo.

Mmodzizazikuluzikulu zomwe zimatsogolera pakusintha kwa neuropathic m'miyendo - shuga wambiri. Nthawi zambiri, zaka zosachepera 10 zimadutsa zisanachitike zizindikiro zoyambirira, ndipo patatha chaka chachisanu, kusintha kwa anthu odwala matenda ashuga kumatha kupezeka ndi zida zothandizila kuzindikira. Pamaso pazowonjezereka zowonjezereka, kupititsa patsogolo kwa matenda am'mimba kumatha kuyamba kale. Izi zikuphatikiza:

wodwala kuyambira zaka 45,
Kuperewera kwa mankhwala a shuga
kusuta
cholesterol yayikulu
kunenepa
uchidakwa
concomitant mtima matenda a m'munsi malekezero.

Zomwe zimachitika ndi matenda osokoneza bongo a hyperglycemia - shuga wowonjezera magazi.

Zizindikiro za neuropathy ya phazi:

kupweteka ndi kusokonezeka kwa zala m'miyendo, yomwe imayenda pang'ono kupita kumbuyo, kenako kumbuyo, pali chizindikiro cha "masokosi",
dzanzi ndi kufooka m'miyendo.
Kuwala kumayamba kuchepa kenako nkutha,
minofu yafupika,
kupindika kwa phazi kapena zala zokulungika.

Woopsa milandu, kusokonezeka kwa malo okhala mkati ndi thunthu kulumikizana ndi zotupa za miyendo. Kuchepa kwa masamba kumayambitsa kusokonekera kwa trophic. Izi zimaphatikizidwa ndikupanga zovuta, zomwe zimakhala zovuta kwambiri phazi la odwala matenda ashuga.

Odwala ambiri amadzimva kuti ali ndi miyendo ndipo amanong'oneza za kusintha kwa miyendo pakamayenda - ngati kuti mchenga umathiridwa m'masokosi kapena pali miyala yamatayala pansi. Ndi kupitirira kwa neuropathy, ululu umayamba kutentha, wosaletseka mu chilengedwe ndipo umakulitsa usiku. Imayamba ndi phazi, kenako nkukwera kupita kunsi kwa mwendo kapena ntchafu.

Nthawi zambiri kukhudza pang'ono pepala kumabweretsa kupweteka kwambiri. Zizindikiro zoterezi zimatha kukhala zaka, zomwe zimayambitsa matenda a neurosis komanso kukhumudwa.

Odwala ena amayamba kumva kupweteka akamayamba chithandizo ndi insulin kapena mapiritsi ochepetsa shuga. Izi ndichifukwa choti kubwezeretsanso kwa mafupa am'mitsempha ya ziwalo ndi kupezeka kwa iwo mwa kutayika kwamaso kumayamba.

Ndi shuga wodalira insulin shuga imakhudza momwe ma neurons ndi capillaries amathandizira. Izi zimabweretsa kutsika mu makonzedwe ndi kuchepa kwa mphamvu yankho. Neuropathy nthawi zambirizimangosintha pang'ono pokhapokha poyambira komanso chithandizo chokwanira.

Ndi matenda a shuga a 2 chiwonongeko cha myelin sheath ndi ziwiya zazikulu zimachitika, chifukwa cha izi, mapangidwe, zoperekera zimachepetsedwa kwambiri, ndipo mgwirizano wa minofu ulusi umachepa. Mavuto obwera ndi mitsempha kwa odwala ambiri amapita patsogolo mosalekeza palibe chitukuko chosintha.

Kuzindikira zakutsogolo kumaphatikizapo electromyography ndi njira zina.

Zakhazikitsidwa kuti ndi matenda am'mimba a shuga, ndikofunikira kukopa njira zopweteka komanso zowawa. Magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito.:

tridclic antidepressants - ali ndi analgesic zotsatira chifukwa cha kuchuluka kwa serotonin mu ubongo, komwe kumalimbikitsidwa nthawi zambiri Clofranil, amitriptyline,
anticonvulsants: Finlepsin, kugwiritsidwa ntchito kwake kumachepa mu odwala omwe ali ndi ntchito zapamwamba, Gabalept amachepetsa kumva kupweteka pamlingo wamkati, Nyimbo ili ndi zovuta zochepa, komanso zochepa.
kwanuko, kutengera ndi capicum - Capsicum, imalimbikitsa kumasulidwa kwa wochititsa ululu, imasungitsa malo ake osungirako, kugwiritsidwa ntchito kumayendetsedwa ndi kukwiya kwa khungu ndikuwotcha kwambiri, kumayikidwa mu mitsempha ya varicose,
pakati painkiller - Tramadol, tikulimbikitsidwa pokhapokha ngati pali mankhwala ena, zotsatira zake zimangowoneka ngati mukugwiritsa ntchito Mlingo wapamwamba.

Chofunika kwambirinjira yothandizira ndi kukonza shuga wambiri. Mu mtundu woyamba wa matenda ashuga, endocrinologist imawonjezera mlingo wa insulini kapena pafupipafupi pakupanga kwake. Ngati wodwala amamwa mapiritsi a mtundu wachiwiri, ndiye kuti angathe kupatsidwa mankhwala a insulin.

Ndi neuropathy yam'munsi yotsika, chithandizo chovuta ndi mankhwalawa chimagwiritsidwa ntchito:

minofu kagayidwe kazakudya - Actovegin, Solcoseryl,
Mavitamini a B - Neurobion, Metfogamma,
lipoic acid - Espa-lipon, Thiogamma,
antioxidants - Emoxipine, Mexicoidol.

Kubwezeretsa kosasunthika kwa ntchito kapena mphamvu zabwino (kuchepetsa kupweteka, kusintha kwa mayendedwe ndi kumva) kumachitika palibe kale kuposa masabata 8-10 a chithandizo.

Pofuna kupewa zovuta za neuropathy Kukonzekera kwapadera kumalimbikitsidwa. Amagwiritsidwa ntchito pa asymptomatic kapena gawo loyambira. Zosankha Zochita:

maondo ndi zala zosagwira,
ndi miyendo ndi zala zanu, pondani pepala lomwe lili pansi, kenako lisunthe,
khazikitsani miyendo yolumikizira chakolo mutakhala pampando,
imirirani ndi miyendo yanu, werani zala zakumiyendo yanu.
khala ngati kunja ndi mkati mwa phazi
Kusisita ndi kukoka chala chilichonse chilichonse.

Zolimbitsa thupi

Pomaliza, tikulimbikitsidwa kuti tichite tokha kutulutsa thupi ndi mafuta a sesame.

Kukonzekera kwazitsamba kumakonzedwa malinga ndi maphikidwe awa:

7 malaya a cloves amayikidwa mu thermos ndikuthira ndi theka la lita imodzi ya madzi otentha, pambuyo maola atatu amasefa ndikuwamwetsedwa 50 ml katatu patsiku,
kuwaza muzu wa dandelion ndi supuni yopopera m'madzi otentha (300 ml), kuphika kwa mphindi 20, kumwa miyezi itatu ya theka kapu ya ola musanadye,
supuni ziwiri za maluwa a calendula kutsanulira 400 ml ya madzi otentha mu chidebe chosindikizidwa, kusiya kwa theka la ola, kumwa kapu ya kotala musanadye, maphunzirowa amatenga mwezi umodzi.

Pakakhala matenda akulu a shuga (kuwonongeka) kapena matenda a ziwalo zamkati gwiritsani ntchito physiotherapy kuwonjezera pa mankhwala osokoneza bongo komanso njira zosagwiritsa ntchito mankhwala osokoneza bongo:

hyperbaric oxygenation magawo,
laser ndi maginito othandizira,
kusunthika kwa minofu pogwiritsa ntchito ma modikidiki mwamphamvu kapena modutsa,
katemera
kutikita minofu.

Werengani nkhaniyi

Kodi matenda amitsempha yodwala matenda a shuga ndi chiyani?

Chimodzi mwazovuta zomwe zimachitika chifukwa cha matenda ashuga ndizowonongeka kumadera akumunsi. Neuropathy imachitika chifukwa cha kufa kosasintha kwa maselo amitsempha m'magawo onse a malo osungirako - kuchokera ku chingwe cha msana kupita ku maselo a zotumphukira. Izi zimabweretsa kuchepa kwamphamvu, kamvekedwe ka minofu, kupindika kwa mapazi, mapangidwe a zolakwika zazitali zakuchulukitsa.

Ndipo nazi zambiri za phazi la matenda ashuga.

Zowopsa

Chimodzi mwazinthu zazikulu zomwe zimatsogolera kusintha kwa ma neuropathic m'miyendo ndi shuga ya magazi. Nthawi zambiri, zaka zosachepera 10 zimadutsa zisanachitike zizindikiro zoyambirira, ndipo patatha chaka chachisanu, kusintha kwa anthu odwala matenda ashuga kumatha kupezeka ndi zida zothandizila kuzindikira. Pamaso pazowonjezereka zowonjezereka, kupititsa patsogolo kwa matenda am'mimba kumatha kuyamba kale. Izi zikuphatikiza:

wodwala kuyambira zaka 45,
Kuperewera kwa mankhwala othandizira odwala matenda ashuga (kuperewera kwa mankhwala osokoneza bongo, kuperewera kwa zakudya m'thupi),
kusuta
cholesterol yayikulu
kunenepa
uchidakwa
concomitant mtima matenda a m'munsi malekezero.

Chithandizo cha matenda ashuga polyneuropathy a m'munsi malekezero

Matenda a shuga a polyneuropathy am'munsi am'munsi ndi zovuta za mtundu 1 ndi mtundu wa 2 zomwe zimapangitsa moyo wa wodwala kukhala wosalephera. Kupsa ndi kuphika kupweteka, kumva kuwawa, miyendo, komanso kufooka kwa minofu - izi ndizowonetsera zazikulu zowonongeka kwa mitsempha kwa odwala omwe ali ndi matenda a shuga. Zonsezi zimachepetsa moyo wonse wa odwala. Pafupifupi palibe wodwala yemwe ali ndi endocrine pathology amene angapewe kugona usiku chifukwa cha vutoli. Pakapita nthawi, vutoli limakhudza ambiri aiwo. Ndipo kenako kuyesayesa kwakukulu kumayesedwa polimbana ndi matendawa, popeza chithandizo cha matenda ashuga a polyneuropathy a m'munsi am'munsi ndi ntchito yovuta kwambiri. Mankhwala akapanda kuyamba pa nthawi, wodwalayo amatha kusokonezeka, makamaka, necrosis ndi gangrene ya phazi, zomwe zimapangitsa kuti azidulidwa. Nkhaniyi idaperekedwa munjira zamakono zochizira matenda ashuga a polyneuropathy a m'munsi.

Kuti athane ndi zovuta za matenda a shuga, ndikofunika kuwona zovuta za chithandizo, zomwe zimatanthawuza kuti zimayenderana panthawi yomweyo pamaulalo onse amtundu wa pathogeneis (chitukuko). Ndipo kuwonongeka kwa zotumphukira zam'miyendo ndizosiyana ndi izi. Mfundo zofunika kwambiri zochizira kuwonongeka kwamitsempha yam'mapazi miyendo ndi endocrine pathology zitha kupangidwa motere:

Kukhazikika kwazomwe zimayambitsa kuchuluka kwa shuga m'magazi, ndiye kuti, kusunga zofunikira pafupipafupi monga momwe zingathere nthawi zonse, popanda kusinthasintha kwawoko
kugwiritsa ntchito mankhwala a antioxidant omwe amachepetsa zomwe zimapanga ma free radicals zomwe zimawononga mitsempha yaziphuphu,
kugwiritsidwa ntchito kwa metabolic ndi mtima kukonzekera komwe kumathandizira kubwezeretsa ulusi wamitsempha womwe wawonongeka kale ndikuletsa kugonjetsedwa kwa omwe sanakhudzidwepo,
kupweteka kokwanira
njira zosagwiritsa ntchito mankhwala.

Ganizirani mwatsatanetsatane kulumikizana kulikonse pakuchira.

Popeza kuwonjezeka kwa kuchuluka kwa shuga m'magazi ndiye chifukwa chachikulu cha kukhazikitsidwa kwa matenda ashuga a m'magawo am'munsi, ndiye, mwanjira iyi, kufalikira kwa chizindikirochi ndikofunikira kwambiri kuti muchepetse kupita patsogolo kwa njirayi ndikusintha kukula kwa zomwe zilipo. Mtundu woyamba wa matenda a shuga 1 mellitus, mankhwala a insulin amalembedwa pa chifukwachi, ndipo mitundu 2 ya mapiritsi a shuga a mitundu yosiyanasiyana yamagulu (alpha-glucosidase inhibitors, biguanides ndi sulfonylureas). Kusankhidwa kwa mlingo wa insulin kapena piritsi yotsitsa shuga ndi njira yamtengo wapatali, chifukwa ndikofunikira kuti zitheke osati kuchepa chabe kwa kuchuluka kwa shuga mumagazi, komanso kuonetsetsa kuti kusasinthasintha kwakuthwa mu chizindikirochi (ndizovuta kuchita ndi insulini). Komanso, njirayi ndiyosangalatsa, ndiye kuti, mankhwalawa amasinthasintha nthawi zonse. Izi zimakhudzidwa ndi zinthu zambiri: zakudya zomwe wodwalayo amakonda, zomwe adakumana nazo matendawo, kupezeka kwa matenda olimba.

Ngakhale zitakhala kuti zakwaniritsa kuchuluka kwa glucose m'magazi, mwatsoka, nthawi zambiri izi sizokwanira kuthana ndi zisonyezo zowonongeka m'mitsempha yapamwamba. Kugonjetsedwa kwa mitsempha yodutsa pamlanduwu kuyimitsidwa, koma kuti athetse zomwe zilipo, munthu amayenera kugwiritsa ntchito mankhwala a magulu ena a mankhwala. Tilankhula za iwo pansipa.

Mwa zina mwa mankhwala a metabolic omwe ndikufuna nditchule Actovegin. Mankhwalawa amachokera ku magazi a ng'ombe ya ng'ombe, amasintha zakudya za minofu, amalimbikitsa njira zothandizira kubadwanso, kuphatikizapo mitsempha yomwe imakhudzidwa ndi matenda a shuga. Pali umboni wa mankhwala omwe amapezeka ndi insulin. Actovegin amathandizira kubwezeretsa chidwi, kuchepetsa ululu. Gawani Actovegin jakisoni wa 5-10 ml kudzera m'mitseko kwa masiku 10 mpaka 20, kenako ndikusintha kutenga piritsi (piritsi 1 katatu patsiku). Njira ya mankhwala mpaka milungu 6.

Mwa kukonzekera kwamasamba, Pentoxifylline (Trental, Vasonite) amawerengedwa kuti ndi othandiza kwambiri pakuwonongeka kwa mitsempha yamipweya yam'munsi. Mankhwala amateteza magazi kutuluka m'mapapo ake, amalimbikitsa kusintha kwachulukidwe, osasokoneza thanzi la mitsempha. Komanso antioxidants ndi metabolic mankhwala, Pentoxifylline ndikofunikira kuti ayambe kugwirira ntchito kudzera pamitsempha, kenako ndikusintha zotsatira pogwiritsa ntchito mitundu ya piritsi. Kuti mankhwalawa akhale ndi chithandizo chokwanira, ayenera kumwedwa kwa mwezi umodzi.

Vuto la ululu m'matendawa limakhala pafupi kwambiri pazizindikiro zonse za matendawa. Matenda a ululu amathetsa odwala, amasokoneza kugona tulo ndipo zimakhala zovuta kuchiza. Kupweteka kwa matenda ashuga ndi neuropathic, ndichifukwa chake ma pinkillers osavuta, mankhwala osapweteka a antiidal sakhala ndi vuto lililonse. Si odwala onse omwe amadziwa izi ndipo nthawi zambiri amagwiritsa ntchito mitundu ingapo ya mankhwalawa, yomwe imakhala yowopsa kwambiri pakukula kwa zovuta kuchokera m'mimba, duodenum, matumbo, chiwindi ndi dongosolo la magazi. Kuchepetsa ululu muzochitika zoterezi, ndikofunika kugwiritsa ntchito magulu otsatirawa a mankhwalawa:

antidepressants
anticonvulsants,
mankhwala osokoneza bongo
antiarrhythmic mankhwala
analgesics of the main action of non-opioid mfululizo,
opioids.

Mankhwala okwiyitsa (Capsicam, Finalgon, Capsaicin) samakonda kugwiritsidwa ntchito machitidwe amasiku onse chifukwa choti zochita zawo zimachokera ku kuzimiririka kwa kupweteka kwa kupweteka. Ndiko kuti, poyamba, zikagwiritsiridwa ntchito pakhungu, zimayambitsa kuwonjezeka kwa ululu, ndipo patapita kanthawi - kuchepa. Ambiri a iwo amayambitsa kufupika pakhungu, kutentha kwambiri, komwe sikumathandizanso pakugwiritsa ntchito kwawo. Mwa mankhwala ochititsa dzanzi, n`zotheka kugwiritsa ntchito Lidocaine mu mawonekedwe a kulowererapo pang'onopang'ono pa mlingo wa 5 mg / kg, komanso kugwiritsa ntchito mafuta, ma gels ndi Versatis patch ndi 5% Lidocaine pakhungu la miyendo.

Mwa mankhwala othandizira antihypic mankhwala, Montiletine amagwiritsidwa ntchito mu 450-600 mg patsiku, ngakhale njira iyi yochiritsira si yotchuka.

Mwa ma analgesics osagwiritsa ntchito opioid omwe ali ndi vuto lapakati, Katadolone (Flupirtine) wagwiritsidwa ntchito posachedwapa pa 100 mg ya 200 mg katatu patsiku.

Ma opioid amathandizira pokhapokha ngati mankhwala omwe ali pamwambapa sagwira ntchito. Pachifukwa ichi, oxycodone (37-60 mg patsiku) ndi Tramadol amagwiritsidwa ntchito. Tramadol amayamba kuthira mankhwala a 25 mg 2 kawiri patsiku kapena 50 mg kamodzi pa usiku. Pakatha sabata, mlingo umatha kuwonjezeka mpaka 100 mg patsiku. Ngati vutolo silikuyenda bwino, ululuwo suchepa iota imodzi, ndiye kuti kuwonjezeranso kwa mlingo mpaka 100 mg 2-4 patsiku ndikotheka. Chithandizo cha Tramadol chimatha mwezi umodzi. Pali kuphatikiza kwa Tramadol ndi banal Paracetamol (Zaldiar), komwe kumaloleza kuchepetsa mlingo wa opioid womwe watengedwa. Zaldiar amagwiritsidwa ntchito piritsi limodzi 1-2 kamodzi pa tsiku, ngati kuli kotheka, onjezani mapiritsi 4 piritsi. Kuledzera kumatha kukhala kwa opioids, ndichifukwa chake awa ndi mankhwalawa omwe amatsitsidwa kuti apitirizebe.

Ndipo komabe palibe mankhwala omwe angatchulidwe muyezo wa kayendetsedwe ka zowawa pamatendawa. Nthawi zambiri mu mawonekedwe a monotherapy, amakhala osagwira. Kenako muyenera kuphatikiza ndi wina ndi mnzake kuti muthetse mphamvu zake. Kuphatikiza kofala kwambiri ndi mankhwala othana ndi anticonvulsant kapena anticonvulsant wokhala ndi opioid.Titha kunena kuti njira yothetsera ululu m'matendawa ndi luso lonse, chifukwa palibe njira yodziwika yodziwira chithandizo.

Kuphatikiza pa njira zamankhwala zothana ndi matenda ashuga a polyneuropathy a m'munsi am'munsi, njira zamankhwala zimagwiritsidwa ntchito kwambiri pothandizira mankhwalawa (magnetotherapy, ma diadynamic currents, kukondoweza kwa magetsi, electrophoresis, balneotherapy, hyperbaric oxygenation, acupuncture). Zochizira zowawa, kukondoweza kwa msana kumatha kugwiritsidwa ntchito ndi kuphatikizira othandizira othandizira. Amawonetsedwa kwa odwala omwe ali ndi mitundu yothana ndi mankhwala.

Kuti tifotokozere mwachidule zonse pamwambapa, titha kunena kuti chithandizo cha matenda ashuga a polyneuropathy a m'munsi am'munsi ndi ntchito yovuta ngakhale kwa dokotala wodziwa, chifukwa palibe amene anganeneretu za matendawa ndi zotsatira za chithandizo chamankhwala. Kuphatikiza apo, nthawi yayitali yochita mankhwalawa nthawi zambiri imakhala yabwino, odwala ayenera kumwa mankhwala kwa miyezi ingapo kuti asinthe zina. Komabe, matendawa amatha kutha. Kampeni inayake, poganizira zamankhwala zomwe zili muzochitika zilizonse, zimakupatsani mwayi wopambana munkhondo ndi matendawa.

Nenani zambiri. I. V. Gurieva pamutu "Kuzindikira ndi kuchiritsa matenda a matenda ashuga":

Matenda a diabetes a neuropathy a m'munsi malekezero: ndi chiyani?

Polyneuropathykapena diabetesic neuropathy yam'munsi malekezero - a pathological mkhalidwe omwe amadziwika ndi zovuta mu zotumphukira mantha dongosolo.

Matendawa amatanthauza mtundu woyamba (wachiwiri) wa matenda ashuga, ndipo umakulitsa kwambiri matendawa.

Malinga ndi ziwerengero, polyneuropathy imapezedwa mu matenda ashuga aliyense. Vutoli ndi loopsa kwambiri ndipo limatha kupha. Mwa anthu, kuchepa kwa minofu kumachepa, kupweteka, zilonda zam'mimba mumiyendo imawonekera. Ads-mob-1

Zizindikiro zakuyenda patsogolo kwa mitsempha ya m'munsi yam'munsi imatchulidwa. Wodwalayo amadandaula za:

kupweteka m'khosi ndi kumapazi,
kukokana
kuchepa kwa khungu kupweteka, kutentha,
kutupa
khungu loyang'ana kwamapazi,
hypotension
tachycardia
kunjenjemera
kuwononga kwamiyendo yamiyendo, mbale zamkati,
matumbo
kufooka kwa minofu.

Zizindikiro zake zimakhala zoopsa usiku komanso kugwira ntchito mopitirira muyeso. Mukamayenda, ululu umachepa. Pa gawo lotsiriza la polyneuropathy, cholumikizira chamchifuwa chimakhala chopindika, mawonekedwe a flatfoot amawonekera.

Phunziro la Monofilament ndi njira zina zodziwira matenda

Kuti muwone polyneuropathy m'magawo oyamba a chitukuko chake, kafukufuku wopanga monofilament amachitika. Choyamba, adotolo amawunika malekezero a munthu wodwala matenda ashuga.

Kenako amasindikiza chida chake pamphumi pake kuti amveke bwino kwa munthuyo zomwe akumva kuti angayembekezere. Wodwalayo amapemphedwa kuti aike m'maso mwake.

Dotoloyo amagwira mawonekedwe amodzi a mbali yamapazi pamapazi a 3-5. Mukamayesedwa, wodwalayo amamuuza dokotalayo komwe akukhudza.

Chotsatira ndi kuwunika kwa kugunda kwamphamvu ndi mphanda kapena biotheziometer. Mlingo wa kumva kupweteka umayesedwa pogwiritsa ntchito singano yamitsempha. Kuphatikiza apo, khungu la nerve biopsy ndi electroneuromyography lingathe kutumikiridwa .ads-mob-2

Miyezo ya chithandizo ndi malangizo a chipatala cha matenda ashuga a polyneuropathy

Njira yophatikizika ndiyofunika kuthana ndi zovuta za matenda ashuga.

malonda-pc-1Miyezo yayikulu ndi malangizo azachipatala omwe amathandizira odwala matenda ashuga:

kupewa chitukuko cha hyper- kapena hypoglycemia,
kuchepa kwa kuchuluka kwa zopitilira muyeso zomwe zimawononga mitsempha ya zotumphukira,
kukonza zowonongeka ndi kuteteza ulusi wamitsempha wosakhudzidwa,
kugwiritsa ntchito njira zosagwiritsa ntchito mankhwala osokoneza bongo (wowerengeka, physiotherapy),
otetezeka opaleshoni.

Pofuna kuchiza matenda a shuga a m'magawo ochepera kapena kupewa kupitirira kwa matenda, mankhwalawa amagwiritsidwa ntchito. Metabolic, antioxidant, vitamini, vasoactive, mankhwala a mtima, ma painkiller amagwiritsidwa ntchito.

Nthawi zambiri, odwala omwe amazindikira kuti ali ndi matenda a shuga amapatsidwa mankhwala ozikidwa pa alpha-lipoic acid: Berlition, Espa-lipon, Tiolepta, Neuroleepone, Tiogamma.

Amasintha trophism, amachititsa kagayidwe kazinthu kakang'ono, amathandizanso kusinthika. Mlingo wa mankhwalawa sayenera kupitirira 600 mg. Njira ya mankhwalawa ndi yayitali ndipo imasiyanasiyana mwezi umodzi mpaka miyezi isanu ndi umodzi.

Mankhwala osokoneza bongo ndi a metabolic amalepheretsa kupitirira kwa matenda, kubwezeretsa chidwi, kuchepetsa ululu, kukulitsa ndi kulimbitsa mitsempha, ndikuthandizira thanzi la mitsempha ya zotumphukira.

Gulu la mankhwalawa limayimiriridwa ndi Trental, Vasonite, Pentoxifylline. Actovegin imathandizanso pamitsempha yamagazi ndi kagayidwe. Chombochi chimakonza zakudya zama minofu, chimabwezeretsa mitsempha yomwe imakhudzidwa ndi matenda a shuga. Pali umboni wa zochita za insulin monga Actovegin.

Ndi kuphwanya kwa kagayidwe kazakudya, kuperewera kwa mavitamini kumachitika. Chifukwa chake, odwala matenda ashuga omwe apezeka ndi polyneuropathy ayenera kupatsidwa mavitamini a B. B1 imalimbikitsa kupanga acetylcholine, yomwe imayambitsa zovuta pakati pa mafupa.

B6 siyilola kuti ma radicals aulere azisonkhana. B12 imasinthasintha zakudya zam'mitsempha, imachepetsa ululu ndikubwezeretsanso mitsempha yapadera. Kuphatikiza kwa mavitaminiwa ndi njira ya Kompligam B, Milgamm, Vitagamm, Combilipen, Neurobion.ads-mob-1

Chizindikiro chosasangalatsa kwambiri cha matenda a shuga a m'munsi am'munsi ndizopweteka. Zimalepheretsa munthu kugona, kutsitsa zosungirako za thupi. Ululu ndiwovuta kuchiza: non-steroidal anti-kutupa ndi painkiller zosavuta sizithandiza.

Kuti muchotse malingaliro osasangalatsa, mankhwala ochokera m'magulu otsatirawa amagwiritsidwa ntchito:

anticonvulsants (Finlepsin, Pregabalin, Neurontin, Carbamazepine, Gabagamm),
ma analgesics apakati (Flupirtine, Catadolone),
mankhwala oletsa ululu (Versatis, Lidocaine), mankhwala osokoneza (Capsaicin, Finalgon, Capsicam),
antidepressants (Amitriptyline, Fluoxetine, Venlafaxine, Sertraline, Duloxetine, Paroxetine),
opioids (Tramadol, Oxycodone, Zaldiar).

Nthawi zambiri, mankhwala amodzi samakhala okwanira: ululu umapezeka ndi kuphatikiza kwa mankhwala angapo ochokera m'magulu osiyanasiyana. Kuphatikiza kopambana kwambiri ndi opioid kapena antidepressant yokhala ndi anticonvulsant.

Otsatirawa ndi mndandanda wamankhwala amakono omwe, kuphatikiza pa analgesic, amabwezeretsa kugwira ntchito kwa mitsempha yapadera:

Cocarnit. Muli mavitamini ndi zinthu zomwe zimakhudza kagayidwe. Ili ndi neurometabolic ndi analgesic zotsatira,
Nimesulide. Mankhwala othandizira kutupa omwe amachititsa kuti mitsempha isamawonongeke, amachepetsa kupweteka.
Maloiletine. Mankhwala osokoneza bongo. Chifukwa chakuti njira za sodium zimatsekedwa, kufalikira kwa zopweteka zimasokonekera.

Mankhwalawa matenda a shuga a m'munsi am'munsi, kuwonjezera pa mankhwala, njira zamankhwala zimagwiritsidwanso ntchito:

kukopa kwamagetsi
maginotherapy
electrophoresis
balneotherapy
Hyperbaric oxygenation,
katemera.

Seti ya zolimbitsa thupi kuti magazi azitha kuyenda

Pamodzi ndi mankhwala othandizira, tikulimbikitsidwa kuchita masewera apadera olimbitsa thupi, omwe cholinga chake ndi kupititsa magazi ku magawo otsika. Itha kuchitika kunyumba.ads-mob-2

Zovuta za achire zolimbitsa thupi:

bend / osagwira zala,
ikani chala chanu pansi ndikujambulani mozungulira ndi chidendene chanu,
ikani chidendene pansi, yendetsani miyendo m'miyendo,
kupanga mpira wamanyuzipepala akale
Tambasulani miyendo yanu ndikuzungulira mawondo anu
jambulani zifanizo, manambala, zilembo mlengalenga ndi miyendo yotambasuka,
pindani pini yopyapyala kumapazi anu.

Dosed katundu pamapeto ndi bwino kupewa chitukuko cha polyneuropathy.

Kuphatikiza pazokonzekera zamankhwala, njira zina zochizira matenda ammimba amanjenje amagwiritsidwanso ntchito. Amagwiritsa ntchito mbewu, dongo lokongola, mafuta a camphor, turpentine, ndi zina. Njira zosasinthika zimathandizira kuchotsa mawonetsedwe a matendawa m'magawo oyamba.

Ochiritsa achikhalidwe amalimbikitsa kukonza mankhwala azitsamba pochiza matenda a polyneuropathy:

Mbewu za fenugreek, masamba ophwanyika amatengedwa 3 kapena 1. supuni imathiridwa mu thermos. Thirani lita imodzi ya madzi otentha. Pakupita maola angapo, amatha kusefa ndikumwa patsiku limodzi,
bedstraw, burdock rhizome, maluwa akuda a elderberry, chingwe, mtengo wazipatso, masamba a birch, muzu wa licorice, cones ya hop hop imatengedwa chimodzimodzi komanso yosakanikirana. Supuni ziwiri zimatsanulira 800 ml ya madzi otentha ndikuumirira maola 7. M'malo mwa tiyi, amamwa kwa mwezi umodzi.
Masamba a Hazel ndi makungwa amatengedwa mbali zofanana. Supuni ya zinthu zopangidwa mwatsopano imapangidwa ndi kapu yamadzi otentha. Tengani 4 pa tsiku.

Mutha kuchotsa zisonyezo zosasangalatsa za matendawa mothandizidwa ndi dongo. 20 magalamu a dongo lamtambo (wobiriwira) amathiridwa ndimadzi ofunda (150 ml).

Yankho lake laledzera mphindi 25 asanadye chakudya cham'mawa komanso chamadzulo kwa masiku 14. Ikani dongo komanso lakunja.

Kuti muchite izi, umaphatikizidwa ndi madzi kupita ku boma la mushy. Unyinji umagwiritsidwa ntchito pa malo owawa ndi kuwasunga mpaka utawuma kwathunthu.

Kwa polyneuropathy, turpentine kapena camphor mafuta amalimbikitsidwa. Iyenera kuzikiridwira m'dera lomwe lakhudzidwa ndi kutikita minofu. Pambuyo mphindi 15, pakani vodika. Kenako kukulani miyendo yanu kwa maola atatu.

Polyneuropathy ndimavuto ambiri a shuga. Popewa kukula kwa matendawa, ndikofunikira kuchita njira zopewera:

muzifufuza zotengera kawiri pachaka ndikuchita mankhwalawa kuti muthane ndi vuto la mitsempha,
yang'anirani kuchuluka kwa shuga
ngati neuropathy ikukayikiridwa, kulumikizana ndi endocrinologist,
kutsatira zakudya
Chitani zolimbitsa thupi zapadera kuti magazi azitha kuyenda.

About kupewa ndi kuchiza matenda ashuga polyneuropathy mu kanema:

Chifukwa chake, chithandizo cha matenda ashuga a m'mimba amachitika pogwiritsa ntchito mtima, analgesic, metabolic, ndi mavitamini. Njira zina ndi zolimbitsa thupi zimagwiritsidwanso ntchito.

Pathology imachiritsidwa pokhapokha pa chitukuko. Pambuyo pake magawo nthawi zambiri amatha kulumala. Chifukwa chake, ndikofunikira kupewa ndi kupewa kukula kwa matendawa.

Imakhazikika pamisempha ya shuga kwakanthawi
Imabwezeretsa kapangidwe ka insulin

Matenda a shuga sangakhale owopsa pakokha. Nthawi zambiri, zimayambitsa kukula kwa zovuta. Chimodzi mwazovuta zomwe zimachitika chifukwa cha matenda ashuga ndi matenda ashuga polyneuropathy.

Polyneuropathy ndi matenda omwe amaphatikizidwa ndi kuwonongeka kwa dongosolo lamanjenje laumunthu. Mothandizidwa ndi zovuta zachilengedwe, wodwalayo amasokoneza kulumikizana komwe kumachitika pakati pa ziwalo zina za thupi ndi ubongo.

Chifukwa cha izi, zovuta zimadza ndi kulumikizana kwa ubongo pazomwe zimachitika kumtunda kapena m'munsi, minofu yamtundu, ndi zina., Wodwalayo amatha kukhudzidwa ndikumverera mu gawo limodzi kapena chinthu china.

Mu diabetesic polyneuropathy, kuphwanya mgwirizano pakati pa thupi ndi ubongo ndi chifukwa cha matenda ashuga. Mtundu wa matenda ashuga sukukhudza izi - mtundu 1 ndi mtundu 2 ungapangitse izi. Khodi ya ICD 10 yamaphunziro awa ndi G63.2.

Kukhalapo kwa matenda ashuga mwa anthu kwa zaka 15-20 kumakhala chifukwa cha kuwonongedwa kwa dongosolo laziphuphu. Izi ndichifukwa cha limagwirira lomwe la matendawa. Mu matenda a shuga, kagayidweko kamatupa mwa odwala, chifukwa cha momwe maselo amitsempha samalandira mpweya wokwanira ndi michere.

Izi zimabweretsa zovuta pantchito ya zotumphukira zamitsempha, zomwe zimapangika pang'onopang'ono komanso kupita patsogolo. Potere, zovuta zakumunda zimakhudza madipatimenti ena amtundu komanso zamasamba. Zotsatira zake ndikuwonongeka kwa kuwongolera thupi komanso kuwonekera kwa kuphwanya zochita za ziwalo zamkati.

Matendawa amakhudza thanzi la wodwalayo. Kuwonongeka kwa chidwi kumayambitsa zosokoneza, ndipo chifukwa chophwanya kuwongolera ubongo ndizovuta kuti munthu achite zinthu zina. Chifukwa chake, chithandizo chapanthawi yake cha polyneuropathy ndikofunikira, ndipo chifukwa chake ndikofunikira kuzindikira nthawi yake.

Pali magawo angapo a matendawa.

Malinga ndi zomwe zotumphukira zam'magazi zimagawika m'magawo awiri, ndiye azachipatala amatchula mitundu ya polyneuropathy monga:

Zosangalatsa. Poterepa, kuwongolera kwa ubongo pakugwira ntchito kwa ziwalo kumafooka.
Yoyimira. Ndi matenda amtunduwu, thupi limalephera kutengera zochita za ziwalo zamkati.

Ndi polyneuropathy, zotupa zimatha kupezeka m'malo osiyanasiyana.

Mwakutero, titha kusiyanitsa mitundu malinga ndi malo awonongeka:

Zachisoni. Matenda amtunduwu amaphatikizapo kuchepa kwathunthu kapena pang'ono pang'ono kwa chidwi chakunja (mbali zina za thupi limasiya kuyankha kupweteka kapena kusintha kwa kutentha).
Galimoto. Mitundu iyi imadziwika ndi mavuto okhala ndi ntchito zamagalimoto. Wodwalayo angavutike kulumikizana, kusuntha kosakonzekera ndi mikono ndi miyendo. Komanso, mwayi wake umatha kukhala woperewera.
Sensorimotor. Polyneuropathy yamtunduwu imakhala ndi mawonekedwe a awiri apitawa.

Gulu lina limagwirizana ndi momwe matendawo aliri.

Pankhaniyi, mitundu yotsatirayi imatchedwa:

Lakuthwa. Ili ndiye gawo loyamba lachitukuko cha matenda a m'matumbo, momwe zizindikiro zimawonekera koyamba. Zizindikiro za matendawa ndizachangu ndipo zimatha kuwopsa wodwalayo.
Matenda. Matendawa amatanthauza nthawi yayitali. Poterepa, zizindikirazo zimayamba kutha.
Zopweteka. Chofunikira chake ndi kupezeka kwa dzanzi ndi kuchepa kwa mphamvu mu ziwalo zosiyanasiyana. Ululu ndi mtundu uwu wa polyneuropathy pafupifupi sizimachitika.
Amiotrophic. Imayesedwa ngati yosavomerezeka kwambiri ndipo imayamba kukula. Amadziwika ndi mawonetseredwe amabadwa amitundu mitundu yonse ya matenda amisala.

Njira ya mankhwalawa imatengera mawonekedwe ake. Chifukwa chake, ndikofunikira kuti katswiri asanthule chithunzi chachipatalachi ndikusankha njira zoyenera zolimbana ndi matendawa.

Kuti mudziwe panthawi yake polyneuropathy, ndikofunikira kudziwa zazikulu zake. Izi zipangitsa kuti wodwalayo azindikire zakuphwanya ndikupempha thandizo.

Zizindikiro za matendawa ndi izi:

kuyaka
kumva kulira
zowawa
kupweteka kwambiri poyambitsa kakang'ono
kusazindikira
Kuzindikira kutentha kosakwanira (chinthu chotentha chingaoneke chotentha kapena chozizira),
dzanzi mbali zina za thupi,
kumva "goosebumps"
mavuto
kukokana.

Izi ndizofunikira. Palinso zizindikiro zowonjezera zomwe zimatha kuchitika osati ndi polyneuropathy. Koma nthawi zina amapezeka kuti amatsimikizira kuti ali ndi matenda.

Zizindikiro zina zimaphatikizapo:

chizungulire
kutsegula m'mimba
kuwonongeka kwamawonekedwe
mavuto ndi zolankhula
anorgasmia (mwa akazi),
kukanika kwa erectile (mwa amuna),
kwamikodzo kusagonja.

Ngati izi zapezeka, simuyenera kuchedwa kupita kwa adotolo, chifukwa ndizovuta kwambiri kulimbana ndi matendawa pamalo ovuta.

Matenda a shuga nthawi zambiri amabweretsa kuwonongeka kwa minyewa yayitali ya mitsempha, yomwe imayambitsa minyewa yam'munsi yamitsempha. Ndi mtundu uwu wa matenda omwe amapezeka mwa anthu ambiri odwala matenda ashuga.

Distal polyneuropathy imadziwika ndi zinthu monga:

kulephera kumva kukakamizidwa
kusowa kwa zowawa
sazindikira kusintha kwa kutentha,
kufooketsa chizindikiritso cha kugwedezeka.

Izi zimabweretsa chakuti wodwalayo amadzivulaza mwangozi, kungochepetsa chiopsezo chifukwa chosamva bwino. Amatha kuwotchedwa kapena kuvulazidwa ndipo mwina sangazindikire. Kusakwanira kosakwanira kumakhala chifukwa cha zilonda zam'miyendo, kukokana, kupweteka kwambiri, makamaka usiku. Nthawi zina mafupa amawonongeka mwa odwala.

Ndi kupitirira kwa matendawa, kusintha kwa dystrophic mu minofu, kusintha kwa mafupa, mavuto ndi ntchito ya masculoskeletal system amawonedwa.

Chikopa pamiyendo chimakhala chofiyira komanso chouma, tiziwalo thukuta timasiya kugwira ntchito. Chodabwitsa chambiri ndikupanga mawanga azaka. Maonekedwe a miyendo ya wodwalayo amasiyanasiyana kwambiri, omwe amatha kuwoneka pachithunzichi.

Chizindikiro chowopsa cha matendawa ndi kupangidwa kwa zilonda kumapazi. Palibe malingaliro osasangalatsa chifukwa cha iwo, popeza wodwalayo amakhala ndi mphamvu yofooka yofooka.

Koma ili ndiye vuto lalikulu. Wodwalayo samva kupweteka ndipo samalingalira zoopsa, ndipo panthawiyi kutupa kumayamba m'miyendo ndi zala, chifukwa chomwe kudulidwa kumakhala kofunikira nthawi zina.

Polyneuropathy yamtunduwu imakhudza kayendedwe kazinthu zamagetsi, motero, ndipo zovuta zomwe zimadza chifukwa chake zimagwirizanitsidwa ndi kugwira ntchito kwa ziwalo.

Zofunikira zake ndi:

chizungulire
kukomoka
kuyera mumaso
mavuto m'mimba
zosokoneza zochita za mtima,
kwamikodzo kusagonja
mavuto m'moyo wogonana.

Zonsezi zimachitika chifukwa kuphwanya kwamkati kwamunthu wamkati. Ubongo sungathe kuwongolera machitidwe omwe amachitika mwa iwo, zomwe zimabweretsa kusintha koopsa. Chifukwa cha kusintha kwina, wodwala amatha kufa.

Mankhwala a polyneuropathy, njira zachikhalidwe ndi wowerengeka zimaloledwa. Onsewo ndi ena ayenera kugwiritsidwa ntchito pokhapokha ngati adokotala akuwauza. Gawo lofunika kwambiri la chithandizo chamankhwala ndi kusalowerera komwe kumayambitsa zoopsa, kotero njira zazikulu ndizofunikira kuthana ndi mawonekedwe a matenda ashuga. Gawo lina la mankhwalawo ndikuchotsa kwa zizindikiro za pathological.

Mbali yayikulu yothandizira matendawa ndi njira yophatikizidwa.

Ntchito zomwe zikupitilira ndi izi:

Kugwiritsa ntchito mavitamini kuchokera ku gulu B. Amathandizira kuchepetsa zovuta m'magazi a mitsempha. Vitamini B imathandizanso kubwezeretsa kulumikizana kwa mitsempha ndikuthandizira kudutsa kwa kukhudzidwa kwa mitsempha.
Kulandila kwa alpha lipoic acid. Acid iyi imalimbikitsa kuchotsedwa kwa glucose m'thupi, komanso imathandizira kukonzanso minofu yamitsempha.
Kugwiritsa ntchito mankhwala omwe amachepetsa kupanga shuga. Izi zimachepetsa zovuta zake pamachitidwe amanjenje. Mankhwalawa akuphatikizapo Olredaza, Sorbinil, Tolrestat.
Ndi ululu waukulu, dokotala angalimbikitse kugwiritsa ntchito mankhwala omwe si a antiidal. Atha kukhala diclofenac.
Kuti muchepetse zizindikiro monga dzanzi ndi kukokana, muyenera kumwa calcium ndi potaziyamu.
Chithandizo cha antibiotic ndikofunikira ngati pali zilonda pamapazi.

Chithandizo cha polyneuropathy pogwiritsa ntchito njira zina zimawoneka kuti sizothandiza kwa ambiri. Komabe, kugwiritsa ntchito kwawo kuli ponseponse. Inde, kuwachotsa mmalo mwa mankhwala ndikosavomerezeka, koma ndi thandizo lawo mutha kulimbikitsa zotsatira zam'mapiritsi ndikupeza zotsatira zabwino.

Zina mwa mankhwala akuluakulu amtundu wa wowerengeka ndi awa:

Tsamba la Bay (1 tbsp. L.) Ndi mbewu za fenugreek (3 tbsp. L.). Osakaniza awa ayenera kuyikidwa mu thermos, kutsanulira madzi otentha (1 l) ndikuumiriza kwa maola 2-3. The kulowetsedwa anafuna m`kamwa makonzedwe.
Ledum. Hafu yagalasi ya therere imalimbikitsidwa kwa masiku 10 pa viniga ya tebulo (9%). Viniga ayenera kukhala 0,5 malita. Izi kulowetsedwa, kuchepetsedwa ndi madzi, muyenera kupukusa mapazi anu.
Wort wa St. Amasakanizidwa ndi mafuta otentha a mpendadzuwa. M'pofunika kukakamira kusakaniza kwa masabata atatu, pambuyo pake pamafunika kukhetsa ndikumata muzu wosenda ginger (supuni 1) kwa iye. Izi ndizoyenera ngati mafuta okufa kapena a compress.
Vitamini tambala. Amapangidwa kuchokera ku kefir, parsley ndi nthangala zosankhidwa za mpendadzuwa. Kutenga tambala m'mawa kumatha kulemeretsa thupi ndi mavitamini osowa.
Nettle Amagwiritsidwa ntchito popondaponda. Zingwe zolumikizira zimayenera kuyikidwa pansi ndikuzipondaponda kwa mphindi 10. Chida ichi chimawonedwa ngati chothandiza kwambiri.
Osamba okhala ndi mankhwala azomera. Amatha kukhala okonzeka ndi sage, mamawort, oregano, Yerusalemu artichoke. Thirani madzi otentha pachitsamba chilichonse, onjezerani kwa ola limodzi, kenako kulowetsedwa kumawonjezedwa ndi madzi osamba pansi.

Kanema wokhudza njira zina zochizira polyneuropathy:

Zithandizo za anthu sizothandiza kwenikweni, chifukwa chake simuyenera kudalira monga njira yayikulu yothandizira.

Sukochev Goa syndrome / Sukochev, Alexander. - M: Ad Marginem, 2018 .-- 304 c.
Aleksandrov, D. N. Mfundo Zazikulu Zazachuma. Umunthu ndi chidziwitso cha wabizinesi: monograph. / D.N. Alexandrov, M.A. Alieskerov, T.V. Akhlebinin. - M: Flint, Nauka, 2016 .-- 520 p.
Vladislav, Vladimirovich Privolnev Diabetesic phazi / Vladislav Vladimirovich Privolnev, Valery Stepanovich Zabrosaev und Nikolai Vasilevich Danilenkov. - M: LAP Lambert Academic Publishing, 2016 .-- 570 c.

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

Mitundu ya matenda ashuga a shuga

Pali mitundu ingapo ya matenda ashuga omwe ali ndi zizindikilo zawo, zizindikiro zake, komanso zotsatira zake:

Sensory (pachimake). Maonekedwe a zowawa (allodynia, dysesthesia, hyperesthesia). Ndi matenda amtunduwu, kulemera kwamunthu kumachepa, kupweteka kosalekeza kumawonekera.
Distal symmetric polyneuropathy. Kuwonetsedwa mu 33% ya anthu odwala matenda ashuga. Imadziwonetsera kuchepa kwamphamvu kwamiyendo, maonekedwe a inaotic gait komanso kuwonjezeka kwa kufooka m'misempha ya miyendo.
Chronic (sonomotor). Imadziwoneka yokha yopumula, nthawi yogona. Zotsatira zake ndi phazi la Charcot (matenda).
Hyperglycemic. Kuzindikira kwa zomwe wodwala ali nazo, chifukwa chakuchepa kwa kuchuluka kwa zopereka zamitsempha.

Diabetes neuropathy imayikidwa m'magulu awiri akuluakulu - zotumphukira komanso zosowa.

Yoyamba imawonetsedwa ndi dzanzi, kuwotcha, kupweteka m'miyendo. Autonomous ili ndi mitundu iwiri: m'mimba komanso mtima. Mawonekedwe am'mimba amachititsa kuti thupi lizioneka zovuta zomwe zimakhudzana ndi hypersalivation, gastroparesis, esophageal dyskinesia, kutentha kwa mtima, dysphagia.

Mtima wamtima umawonekera mwa mawonekedwe a tachycardia, mtima denervation syndrome, ischemia, myocardial infarction.

Chiwopsezo cha matendawa chilipo chifukwa chakuti pakadutsa nthawi yayitali, sizingawonetse zizindikiro zomwe zingakupangireni chidwi ndi thanzi lanu. Komabe, pali zizindikiro zina zomwe zimatengedwa ngati woyamba chizindikiro cha kukhala ndi matenda ashuga:

Maonekedwe a kupweteka kwamisempha ndi akatundu opepuka.
Kusayenda (kwamikodzo incinuence) kapena kuyenda kwamatumbo osalimba.
Mavuto ndi kayendedwe ka diso.
Matumbo am'mimba.
Chizungulire pafupipafupi ndi mutu.
Kusabala (mwa amuna), kutsika libido (mwa akazi).
Kumeza mavuto.
Maonekedwe akudula ululu kapena kuwotcha m'munsi.
Kugwedeza miyendo.
Kupanda chidwi m'miyendo.

Ngati simupereka chidwi mwazizindikiro zilizonse munthawi yake, pamakhala chiopsezo chakuti zochita za maselo zidzachepa kwambiri, chifukwa amakumana ndi zovuta zina.

Ngati mukupeza zizindikiro zoyambirira za matendawa, muyenera kufunsa dokotala.

Dokotala amayamba kuzindikira matendawa ndi anamnesis, momwe ndikofunikira kupereka zidziwitso zambiri zokhudzana ndi zaumoyo posachedwapa.

Kutengera ndi zomwe adalandira, adotolo amasankha izi:

Kuyang'ana koyang'ana dera lomwe lakhudzidwa ndi khungu.
Kuyeza kwa magazi.
Kuyesa mawonekedwe a nthambi.
ECG ndi ultrasound ya mtima.

Kuti mupeze zolondola, katswiriyu amatumiza wodwalayo kukayezetsa angapo: kuwunika kwa magazi, kutsimikiza, shuga, kusanthula kwa zamankhwala am'mimba, urinalysis, kutsimikiza kwa C-peptide ndi insulin.

Ziyeso zomwe zapezeka ziyenera kuperekedwa kwa katswiri wa zamitsempha yemwe amayeza mayeso athunthu a wodwala pogwiritsa ntchito zida zam'mitsempha kuti adziwe matenda a matenda ashuga:

Kuyang'ana tendon Reflexes (kumenya tendon pansi pa bondo ndi pamwamba chidendene - bondo ndi Achilles Reflex).
Romberg Pose - kukhazikitsa kuwunika kwa kukhazikika kwa thupi.
Monofilament - kuyesa mwamphamvu pogwiritsa ntchito chida chapadera chokhala ndi chingwe chokhala ndi usodzi (ngati pensulo) chomwe chimakanikiza khungu kwa masekondi awiri mzere wa usodzi usanayambe.
Rüdel-Seiffer ikukonzekera foloko - kuwunika kwa kugunda kwamphamvu. Chimawoneka ngati foloko, momwe muli nsonga ya pulasitiki pachikono. Ngati wodwala samva kusinthasintha mu 128 Hz, ndiye kuti wodwala wamitsempha amazindikira matenda a shuga.
Kuyesa kumvetsetsa kwa kutentha kosiyanasiyana pogwiritsa ntchito chipangizo chapadera, mawonekedwe a silinda, ndi pulasitiki ndi chitsulo.
Gwiritsani ntchito singano yamitsempha kuyesa kumverera kwa zowawa. Ngati, ndi maso ake otsekeka, wodwalayo samamva kutengeka komwe adotolo amatenga, zikutanthauza kuti maselo am'mitsempha ya mitsempha apita kuti afe.

Pambuyo pozindikira ndi kupeza mavuto ndi mitsempha, dokotalayo atha kukuyenerezani kuti mupeze njira yoyeserera. Pambuyo poti atatenga nthawi yayitali kuti azindikire matenda moyenerera ndi kulandira mankhwala.

Njira yolandirirayi iyenera kutsagana ndi kuchezerana pafupipafupi ndi dokotala yemwe amapita, yemwe amayang'anira momwe thupi limachira ndipo ngati kuli kotheka, asinthe njira yokonzanso. Ntchito zazikulu zomwe, choyambirira, zimakhazikitsidwa ndi akatswiri pokhudzana ndi wodwala wodwala matenda a shuga:

Kuyendetsa magazi shuga,
kuchepetsa ululu wa miyendo
kubwezeretsa kwa ulusi wamanjenje,
kupewa kwa maselo.

Kuchita izi, mankhwala apadera amalembedwa (Espa-lipon, Tiolepta, Thioctacid, Thiogram, Berlition).
Mankhwala amapangidwa kuti athandizire mathero a mitsempha.

Thioconic acid, yomwe ikukonzekera, imadziunjikira mu cell, imatenga ma radicals aulere ndikuwonjezera zakudya zamafuta a mitsempha. Njira ya mankhwala ndi mankhwala zotchulidwa dokotala, kutengera zisonyezo ndi kukula kwa matendawo.

Kuphatikiza apo, gawo lofunikira limaperekedwa pakudya za mavitamini a B:

B1 imapereka zowoneka bwino zamitsempha.
B6 imachotsa zida zoyendetsa bwino.
B12 imakulitsa phindu la maselo amitsempha, imalimbikitsa kukonzanso kwa nembanemba yawo.

Zokonzekera zomwe zili ndi gululi la mavitamini: Combilipen, Neurobion, Milgamm, Vitagamm.

Udindo wofunikira kwambiri wa mankhwalawa umaperekedwa pakuchepetsa kwa zopweteka zomwe zimayenda ndi munthu wodwala matenda a shuga tsiku lililonse. Ululu wa matenda ashuga a m'magazi amatha kuchepetsedwa kokha ndi mitundu ina ya ma pinkiller omwe samakhudzanso ziwalo zina za anthu:

opioids
opaleshoni
analgesics
antidepressants
antiarrhythmic,
anticonvulsants.

Popeza ndi matenda a shuga a chimanga, fungus, kukhuthala kwa ma diaper, kuuma ndi zizindikiro zina zosasangalatsa zimawonekera pakhungu la kumapazi, madokotala amatha kuyikira mafuta osiyanasiyana kuti athetse: mafuta odzola ndi zinc oxide, zonona za Diaderm.

Udindo wofunikira umaperekedwanso pakusankhidwa kwa zakudya za anthu odwala matenda ashuga, zomwe zimatanthawuza kugwiritsa ntchito zakudya zamafuta ochepa omwe amachotsa chiwopsezo cha kuchuluka kwa shuga m'magazi.

Tsoka ilo, ana ali pachiwopsezo cha kukhala ndi matenda a shuga. Pankhaniyi, atazindikira, dokotala amalembera anticonvulsants, antidepressants, ziletsa kubwezeretsanso kwa serotonin. Mankhwalawa angafunike ngati njira yomaliza.

Pulofesa Kadikov Albert Serafimovich, yemwe amadziwa zobisika zonse za matendawa, amagwira ntchito ku Moscow Science Science Center of Neurology. Njira zake zamankhwala zidabwezeretsa thanzi la odwala ambiri, ngakhale atakhala kuti ali ndi vuto lotani.

Zithandizo za anthu

Pali zithandizo zambiri za wowerengeka zomwe ndizotheka kuchiza ndikuchotsa zizindikiro za neuropathy, komabe, muyenera kuyambitsa kufufuza kwathunthu, kudziwa mawonekedwe ndi kuchuluka kwa matendawa, ndikuwonana ndi dokotala pakugwiritsa ntchito njira zachikhalidwe.

Chifukwa cha luso la makolo athu, lero, odwala matenda ashuga, zinthu zachilengedwe zotsatirazi ndi zomwe zingagwiritsidwe ntchito:

Clay (wobiriwira komanso wabuluu).
Madeti (idadyedwa katatu pa tsiku).
Calendula (tincture ndi calendula imatha kuthetsa chilichonse chodwala matendawa kwakanthawi kochepa).
Kuyenda pa udzu ndi mchenga wopanda mapazi.
Turpentine.
Mkaka wa mbuzi (monga chopondera pamalo akhungu).

Ambiri omwe adatha kuyesa mankhwalawa pogwiritsa ntchito mankhwala azitsamba samasankha njira yogwiritsa ntchito kulowetsedwa kwa zitsamba zosiyanasiyana:

Elecampane (mizu yamadzi ndi nthaka ya udzu, yophika kwa mphindi 5).
Katsabola (mbewu zimanyowa m'madzi otentha ndikusefa ndi gauze kapena strainer).
Burdock (mizu yophwanyika ndi vinyo wofiira, wowiritsa ndi kuwotcha katatu patsiku kwa mphindi 5).

Akatswiri ambiri samatengera njira zamankhwala pogwiritsa ntchito mkaka wa mommy. Amamwa pamimba yopanda kanthu m'magalamu a 0,2. Kuti musinthe kukoma, mutha kuwonjezera uchi. Mutha kumwa mkaka kwa milungu itatu.

Pa compress, mutha kugwiritsanso ntchito zinthu zomwe zimakhala m'nyumba nthawi zonse: adyo, apulo cider viniga, tsamba la bay, mchere (gome), ndimu.

Chitetezo cha matenda a shuga a matenda a shuga

Kuti muchepetse chiopsezo chotenga matenda am'mimba a shuga, ndikofunikira kusintha kuchuluka kwa shuga m'magazi. Kuti muchite izi, sinthani njira zingapo zopewera:

Amawonjezera kuchuluka kwa zochitika, zomwe zimathandiza kupewa magazi.
Amadyetsa zakudya zopangidwa kuti azisintha shuga.
Kukhazikitsa ndi kutsatira.
Kukana zizolowezi zoipa.
Kutsatira mosamalitsa malangizo onse a dokotala.
Kuchepetsa thupi.
Kuyendera dokotala pafupipafupi kuti ayang'anire thanzi lanu.

Komanso, kusintha magazi, mungathe kuchita masewera apadera olimbitsa thupi. Chifukwa cha izi, madokotala amakulemberani mankhwala olimbitsa thupi. Pali masewera olimbitsa thupi omwe amathandizira kuti ma pathologies am'malo otsika athe.

Limodzi mwamavuto omwe limachitika ndi matendawa ndi kuwonongeka kwa mawonekedwe. Popewa matendawa, ndikofunikira kuchita masewera olimbitsa thupi angapo, kuti muchepetse zovuta:

Kutali kwa masentimita 40, mubweretse chala cha index ndikuyang'ana pa masekondi angapo. Kenako, ikani zalazo kumbali, ndikuyenda ndi maso.
Tsekani maso anu ndikusindikiza ndi zala zanu (maulendo 6).
Kuchepetsa maso kuti musunthire mozungulira, mutapumira kuti mupitirize kuchita zotsutsana.

Kutsatira malangizo omwe dokotala amakupatsani, mutha kupewa zopweteka zambiri komanso kuchepetsa mwayi wokhala ndi matendawa.Mu shuga mellitus, ndikofunikira kupita kwa dokotala pafupipafupi kuti athe kuzindikira ma neuropathy kumayambiriro kwa mawonekedwe ake.

Ndikotheka kuchitira izi matenda, chifukwa choti ululu umachepa, ndizotheka kusintha mkhalidwe wamanjenje ndi thupi lonse. Chofunika kwambiri, moyo wa munthu sungakhale pachiwopsezo chotenga matenda am'kati, kudulidwa kokhotakhota kapena kuphwanya dongosolo lamtima.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Zolinga zakukula kwa matenda amisala

Ulusi wam'mphepete mwamitsempha yambiri imagwira ntchito zingapo:

pereka minyewa,
wodziwitsa kupweteka, kutentha, kupanikizika, kugwedezeka,
yendetsani kamvekedwe ka mtima, thukuta ndi sebum.

Mu shuga mellitus, zinthu zonsezi za m'maselo zimaphwanyidwa. Zomwe zimachitika ndi matenda osokoneza bongo a hyperglycemia - shuga wowonjezera magazi. Glucose amawononga mwachindunji ma neurons, komanso amathandizira pakukula kwa:

microangiopathies - kuperewera kwa michere ndi minyewa yamitsempha chifukwa cha kusintha kwa khoma la mtima.
Kupangidwa kwa zowongolera zaulele ndi zowononga,
kuletsa kapangidwe kazinthu zomwe zimalepheretsa mapangidwe azigazi, vasodilation,
kuchuluka kwamitsempha yamagazi kutsatiridwa ndi kuchepa kwa magazi,
kuchuluka kwa mpweya wamanjenje,
kuchuluka kwa poizoni wopanga - sorbitol,
kulumikizana kwa mapuloteni am'mitsempha ya mitsempha ndi glucose - glycation, yomwe imaphwanya ntchito za conduction ndi kuzindikira kwa zokopa,
kuphipha kwamitsempha, ischemia (magazi osakwanira).

Zizindikiro za Phazi la Neuropathy

Odwala omwe akukhudzidwa:

kupweteka komanso kusokonezeka kwa zala m'miyendo, yomwe imasunthira pang'ono, kenako kumbuyo. Pali chizindikiro cha "masokosi",
dzanzi ndi kufooka m'miyendo.
Kuwala kumayamba kuchepa kenako nkutha,
minofu yafupika,
kupindika kwa phazi kapena zala zokulungika.

Odwala ambiri amadzimva kuti ali ndi matendawa ndipo amadandaula za kusintha kwa miyendo pakuyenda - ngati kuti mchenga umathiridwa m'masokosi kapena pali timiyala tating'ono. Ndi kupitirira kwa neuropathy, ululu umayamba kutentha, wosaletseka mu chilengedwe ndipo umakulitsa usiku.

Imayamba ndi phazi, kenako nkukwera kupita kunsi kwa mwendo kapena ntchafu. Nthawi zambiri kukhudza pang'ono pepala kumabweretsa kupweteka kwambiri. Zizindikiro zoterezi zimatha kukhala zaka, zomwe zimayambitsa mavuto m'maganizo - neurosis, kukhumudwa.

Odwala ena amayamba kumva kupweteka akamayamba chithandizo ndi insulin kapena mapiritsi ochepetsa shuga. Izi ndichifukwa choti kubwezeretsanso kwa mafupa am'mitsempha ya ziwalo ndi kupezeka kwa iwo mwa kutayika kwamaso kumayamba.

Wonerani vidiyoyi pazisonyezo za matenda a shuga:

Kusiyana kwa mtundu 1 ndi matenda ashuga 2

Ndi insellitus yodalira matenda a shuga, njira za ma neuron ndi capillaries zimakhudzidwa makamaka. Izi zimabweretsa kutsika mu makonzedwe ndi kuchepa kwa mphamvu yankho. Neuropathy imakonda kusinthika pang'ono poyambira komanso kulandira chithandizo chokwanira.

Mtundu wachiwiri wa matenda ashuga, myelin sheath ndi ziwiya zazikulu zimawonongeka, chifukwa cha izi, mapangidwe, kuperekera kwa impulses kumachepetsedwa kwambiri, ndipo mgwirizano wa minofu ulusi umachepa. Mavuto obwera ndi mitsempha kwa odwala ambiri amakhala opita patsogolo ndipo palibe chitukuko.

Dziwani zakutha

Kukhazikitsa njira yodziwira, electromyography imagwiritsidwa ntchito, yomwe ngakhale mu asymptomatic nthawi imazindikira kuchepa kwa ma neurons, kuchepa kwa liwiro la zovuta. Nthawi yomweyo, ulusi wogwira umakhudzidwa kwambiri mpaka ulusi wamagalimoto.

Njira zomwe zimafunikira kutsimikizira neuropathy ndizophatikiza:

glucose wautali wautali,
kuchepa kwa chidwi
kupatula pazifukwa zina za polyneuropathy (mowa, kuledzera),
retinopathy (kuwonongeka kwa retinal) ndi nephropathy, yomwe ili pafupi kwambiri,
kuwotcha, kupwetekedwa, miyendo,
kuchepa kwa chidwi ndi kutalika kwa tendon Reflex,
matalikidwe otsika a zotumphukira zomwe zimapangitsa, kuyankha mochedwa ndikuwonetsa minofu.

Kusanthula kwamalingaliro amkamwa (kumva kuwawa ndi singano yamitsempha)

Ndingathe bwanji kusokoneza

Zakhazikitsidwa kuti ndi matenda am'mimba a shuga, ndikofunikira kukopa njira zopweteka komanso zowawa. Nthawi yomweyo, mankhwala osapweteka a antiidal omwe amathandizira kuchepetsa ululu wa neuropathic siothandiza. Chifukwa chake, magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:

tridclic antidepressants - amakhala ndi zotsatira za analgesic chifukwa cha kuchuluka kwa serotonin mu ubongo. Clofranil, Amitriptyline,
anticonvulsants - Finlepsin, kugwiritsa ntchito kwake kumakhala kochepa mwa odwala omwe ali ndi ntchito zapamwamba kwambiri. Gabalept amachepetsa kukhudzika kwa ululu pamlingo wamsana. Nyimbozi zimakhala ndi zovuta zochepa, komanso sizothandiza,
capicum yochokera kuderako. Imalimbikitsa kumasulidwa kwa wochititsa ululu, kupulumutsira nkhokwe zake. osavomerezeka, chifukwa mankhwalawo amayambitsidwa ndi kupsa mtima pakhungu ndi kuwotcha kwambiri, kutsutsana ndi mitsempha ya varicose,
pakati painkiller - Tramadol. Ndikulimbikitsidwa posakhalapo ndi mankhwala ena, zotsatira zake zimangowoneka pokhapokha ngati mukugwiritsa ntchito Mlingo waukulu, zomwe zimawonjezera zovuta za mankhwala.

Kuchita bwino pochepetsa kupweteka kumadalira kuchuluka kwa chiphuphu cha hyperglycemia. Kafukufuku waposachedwa akuwonetsa kuti ndikofunikanso kusintha kuthamanga kwa magazi ndi mawonekedwe ake a lipid. Kusankhidwa kwa mankhwalawa kumachitika kawiri kawiri poyesa komanso zolakwika, popeza odwala amatsatira mosiyanasiyana mankhwala. Ndikofunikanso kuganizira kuti nthawi imadutsa kuchokera nthawi yoyambira kukhazikitsidwa kufikira zotsatira zoyambirira, nthawi yomwe imakhalanso payekha.

Chithandizo cha matenda ashuga a Neuropathy

Malo ofunikira kwambiri ndikusintha kwa shuga wamagazi ambiri. Mu mtundu woyamba wa matenda ashuga, endocrinologist imawonjezera mlingo wa insulini kapena pafupipafupi pakupanga kwake. Ngati wodwala amamwa mapiritsi a mtundu wachiwiri, ndiye kuti angathe kupatsidwa mankhwala a insulin.

Kukopa njira za kupita patsogolo kwa kagayidwe kachakudya, kusintha kayendedwe ka magazi, kuperekera kwa okosijeni ku ma neurons,kuwateteza ku zowonongeka, chithandizo chovuta ndi mankhwalawa chimagwiritsidwa ntchito:

minofu kagayidwe kazakudya - Actovegin, Solcoseryl,
Mavitamini a B - Neurobion, Metfogamma,
lipoic acid - Espa-lipon, Thiogamma,
antioxidants - Emoxipine, Mexicoidol.

Kubwezeretsa kwamphamvu kwa ntchito kapena mphamvu zabwino (kuchepetsa kupweteka, kusintha kwa mayendedwe ndi kukhudzika kwa zochitika kumachitika osati kale kuposa masabata 8-10 a mankhwala.

Zolimbitsa miyendo

Pofuna kupewa zovuta za neuropathy, masewera olimbitsa thupi amalimbikitsidwa kwa odwala. Amagwiritsidwa ntchito pa asymptomatic kapena gawo loyambira. M'tsogolomu, zolimbitsa thupi zimasankhidwa payekha mutatha kuyesedwa kwathunthu.

Zosankha zolimbitsa thupi zokhala ndi minyewa yam'manja:

maondo ndi zala zosagwira,
ndi miyendo ndi zala zanu, pondani pepala lomwe lili pansi, kenako lisunthe,
khazikitsani miyendo yolumikizira chakolo mutakhala pampando,
imirirani ndi miyendo yanu, werani zala zakumiyendo yanu.
khala ngati kunja ndi mkati mwa phazi
Kusisita ndi kukoka chala chilichonse chilichonse.

Onerani kanema pamasewera olimbitsa thupi kumapazi:

Pomaliza, tikulimbikitsidwa kuti tichite tokha kutulutsa thupi ndi mafuta a sesame. Kusunthika konse kumachitika kuyambira zala mpaka cholocha, sikugwiritsa ntchito pogaya komanso kukoka mwamphamvu. Asanayambe makalasi, kufunsira ndi endocrinologist, neuropathologist ndi podologist ndikofunikira.

Phytopreparations

Mankhwala azitsamba amathandizira kusintha magazi ndi kukhudzika kwa magazi m'malo omwe akukhudzidwa. Mankhwala azitsamba, monga masewera olimbitsa thupi, amagwiritsidwa ntchito makamaka poyambira. Ma decoctions ndi infusions amakonzedwa molingana ndi maphikidwe awa:

Magawo 7 a ma clove amayikidwa mu thermos ndikuthira ndi theka la lita imodzi ya madzi otentha. Pambuyo pa maola atatu, filirani ndi kutenga 50 ml katatu patsiku,
kuwaza muzu wa dandelion ndikuponyera supuni m'madzi otentha (300 ml), kuphika kwa mphindi 20. Imwani miyezi itatu ya chikho cha theka la ola musanadye chakudya chachikulu,
supuni ziwiri za maluwa a calendula amathira 400 ml ya madzi otentha mu chidebe chosindikizidwa. Kuumirira theka la ola musanamwe kapu kotala. Maphunzirowa amatenga mwezi umodzi.

Physiotherapy

Pakakhala njira yovuta ya matenda ashuga (kuwonongeka) kapena matenda a ziwalo zamkati, physiotherapy imagwiritsidwa ntchito kuphatikiza pa mankhwala osokoneza bongo komanso njira zosagwiritsa ntchito mankhwala:

hyperbaric oxygenation magawo,
laser ndi maginito othandizira,
kusunthika kwa minofu pogwiritsa ntchito ma modikidiki mwamphamvu kapena modutsa,
katemera
kutikita minofu.

Mapazi olimbitsa thupi

Kupewa maonekedwe a matenda a shuga

Pofuna kupewa kukula kwa matenda amitsempha ya m'matumbo a shuga, tikulimbikitsidwa:

kuyeza shuga wamagazi, pangani mbiri ya glycemic,
osachepera kamodzi pa miyezi itatu iliyonse kuti adziwe kafukufuku wa hemoglobin wa glycated kuti adziwe kuchuluka kwa chiphuphu cha matenda ashuga,
paokha muyeso mulingo wa kuthamanga kwa magazi ndikuwasunga osaposa 130/85 mm RT. Art., Popeza matenda oopsa amatha kuyambitsa kuphipha kwamitsempha,
kutsatira kwambiri chakudya ndi zoletsa zopatsa mphamvu zamafuta (shuga ndi ufa oyera), mafuta a nyama. Zakudyazo ziyenera kukhala ndizokwanira zokwanira fiber, protein ndi mavitamini,
kusiya kusuta fodya komanso kumwa mowa. Zimasokoneza kayendedwe ka magazi ndi malo okhala m'munsi, zimawonjezera kupweteka komanso kugona m'miyendo,
tsiku lililonse masana ayenera kukhala osachepera theka la ola lochita zolimbitsa thupi. Ikhoza kukhala masewera olimbitsa thupi, kuyenda, yoga, Pilates, kusambira.

Ngati kuli ndi chiwopsezo chokulitsa phazi la matenda ashuga, ndikofunikira kwambiri kupenda mapazi tsiku lililonse, kuteteza mapazi anu pakuwotcha ndi chisanu, pedicure iyenera kukhala yaukadaulo yokha. Nsapato zimasankhidwa ndi insoles orthopedic. Kufunsidwa kwa katswiri wa podologist (katswiri wa matenda ammiyendo) ndi katswiri wamitsempha ayenera kuchitidwa pafupifupi miyezi isanu ndi umodzi.

Ndipo pali zambiri popewa zovuta za matenda ashuga.

Matenda a shuga amachitidwa motsutsana ndi maziko a misempha yayitali ya magazi. Zimagwirizanitsidwa ndi kusokonezeka kwa mitsempha, kuwonongeka kwa ulusi wamitsempha. Zimawonetsedwa ndi kupweteka koyaka ndi kuchepa kwa chidwi cha osakwiya, kuchepa kwa mphamvu ya minofu, kuchepa kwa motor ndi autonomic. Kuti mutsimikizire matendawa, electromyography imachitika.

Chithandizo chikuchitika ndi mankhwala, physiotherapeutic njira. Zovuta zimaphatikizapo njira za anthu.

Ngati pali mwayi wokhala ndi matenda ashuga, chithandizo kunyumba chitha kuchedwetsa kukula. Kugwiritsa ntchito kirimu wapadera, kusamba kuchokera ku njira za anthu, komanso malamulo apadera osamalira pakhomo.

Zizindikiro zoyambirira za phazi la matenda ashuga zitha kuoneka msanga chifukwa cha kuchepa mphamvu kwa miyendo. Pa gawo loyambirira, pazizindikiro zoyambirira za matenda, ndikofunikira kuyamba kupewetsa, mwa magawo apamwamba, kudula mwendo kumatha kukhala chithandizo.

Ngati phazi la matenda ashuga limakula, ayenera kuyamba kulandira chithandizo mwachangu. Pa gawo loyamba, mafuta odzola, mankhwala achilengedwe ndi laser amagwiritsidwa ntchito kukonza magazi, gawo lamitsempha yamagazi. Chithandizo cha opaleshoni ndi mankhwala ena amakono ndi oyenera zilonda zam'mimba.

Matenda a matenda ashuga amapewedwa mosasamala mtundu wake. Ndikofunikira mu ana panthawi yomwe ali ndi pakati. Pali zovuta zoyambira ndi sekondale, pachimake komanso mochedwa mu mtundu 1 ndi matenda ashuga 2.

Kupewera kwa matenda ashuga kumachitika kwa onse omwe amangodziwika okha, komanso kwa iwo omwe akudwala kale. Gulu loyamba lifunika kupewa. Njira zazikulu zomwe zili mwa ana, abambo ndi amayi zimachepetsedwa pakudya, zolimbitsa thupi ndi moyo wabwino. Ndi mtundu wachiwiri, komanso 1, yachiwiri ndi yachiwiri imachitika popewa zovuta.