Matenda a diabetesic neuropathy: ndi chiyani, zimayambitsa, Zizindikiro, matenda, mankhwala, prophylaxis, zakukula

Chimodzi mwazinthu zovuta kwambiri za matenda ashuga ndi matenda a shuga. Amapezeka mu 30-50% ya odwala matenda ashuga. Ndichizolowezi kunena za kukhalapo kwa matenda ashuga a m'mimba pokhapokha ngati ali ndi zizindikiro zowonekeratu za kuwonongeka kwa mitsempha yodutsa komanso kusapezeka kwa zifukwa zina.

Mwanjira ina, conduction ya mitsempha imasokonekera ndipo kusokonezeka kwa ntchito yamanjenje kumawonekera. Zotsatira za kusintha kotere ndi:

• Kuchepetsa chidwi chakumapeto kwa kupweteka ndi kutentha,
• Magazi amayenda
• Kuthamanga kwa khungu mitundu yosiyanasiyana ya bowa ndi mabakiteriya amawonjezeka.

Matenda a diabetes a neuropathy ndi njira yodziwika ya zotumphukira zamanjenje zomwe zimayamba chifukwa cha dysmetabolic njira mu thupi la odwala matenda ashuga. Komanso, kukula kwa zinthu zoterezi kumachitika - tachycardia, hypotension, dysphagia, kutsegula m'mimba, anhidrosis. Nthawi zambiri pamakhala zovuta zina.

Zizindikiro za matenda ashuga a m'mimba amatha kukhala osiyana, kutengera mtundu wa matenda komanso mitsempha yomwe imakhudzidwa. Poyamba, zizindikiro za matendawa sizifotokozedwa bwino, koma pakapita nthawi zimatchulidwa. Zizindikiro zake zazikulu ndi:

• Zowawa zam'miyendo, dzanzi la malekezero ake, kumva kugunda kwamiyendo ndi zala zakumaso
• Masewera a minofu
• Kugwa kwakukulu kwa kuthamanga kwa magazi ndipo chifukwa cha chizungulire.
• Kukodza pokodza,
• Vaginal mucosal kukanika mu akazi ndi erectile kukanika mu amuna.

Chiwopsezo cha wodwala kukhala ndi matenda ashuga chikuwonjezeka ndi kuchuluka kwa zaka zomwe amakhala ndi matenda ashuga.

Izi matenda okhudzana ndi metabolic polyneuropathies. Udindo wapadera umaperekedwa ku zinthu zamitsempha: microangiopathy, yomwe imasokoneza magazi kupita kumitsempha, yomwe imayambitsa zovuta zingapo za metabolic. Amatsogolera ku:

• Kupezeka kwa edema ya minofu yamanjenje,
• Matenda a Metabolic,
• Imachitika mu ulusi wamanjenje,
• Kutsika kwamphamvu kwa mitsempha,
• Kukhazikitsa kwa oxidative nkhawa ndi kukula kwa autoimmune maofesi.

Pamapeto pake, zosintha zonse zimayambitsa kupezeka kwa kusintha kwa mitsempha ya mitsempha.

Zomwe zimawonjezera chiopsezo chokhala ndi matenda am'mimba mwa odwala matenda ashuga, kuwonjezera pa nthawi ya matenda ashuga, ndi:

• Hyperglycemia wosakhazikika,
• Hyperlipidemia - kuchuluka kwa lipids zamagazi,
• Matenda oopsa
• Kunenepa kwambiri
• Zowonongeka zamakina ndi kutupa m'mitsempha,
• Kusuta ndi kumwa.

Pali mitundu ingapo ya matenda a shuga a shuga. Amasiyana muukadaulo ndi kusinthasintha kwa kusintha kosasintha kwa thupi.

• Peripheral neuropathy - yodziwika ndi zowawa komanso kuwonongeka kwa miyendo, miyendo ndi zala, komanso kukomoka kwakanthawi. Nthawi zambiri, vuto la mota komanso kumverera komwe kumachitika limatchulidwa kwambiri ku nthambi limodzi. Zizindikiro zake zimakhala zoyipa kwambiri madzulo ndi usiku. Komanso, mawonekedwe amtunduwu amayenda ndi kufooka kwa minofu, kuchepa kapena kufooka kwa thupi, komwe kumayambitsa kukhazikika koyipa ndi gait, kusokonekera kwa kayendetsedwe ka kayendedwe. Pakumapeto magawo a zotumphukira za matenda ashuga, kupunduka kwa phazi, kusokonekera kwa zala, ndi kugwa kwa phazi la phazi kumatha kuchitika. Nthawi zambiri, njira yophatikizira yamitsempha ya m'mimba imayambitsa kukula kwa matenda ammimba a shuga.
• Autonomic neuropathy - kusintha kwa magwiridwe am'matumbo, chimbudzi, chikhodzodzo, thukuta ndi zochitika zamtundu wa kugonana,
• Proximal neuropathy - kufooka kwa minofu ya miyendo, kupweteka m'miyendo, komanso matako ndi matako, nthawi zambiri mbali imodzi ya thupi,
• Focal diabetesic neuropathy - imachitika mwadzidzidzi ndipo imakhudza mitsempha yambiri yamiyendo, thunthu kapena mutu, imayambitsa kupweteka komanso kufooka kwa minofu. Mawonekedwe ake ndi awa: kupweteka ndi kuwona kawiri, kufooka kwa Bell (kufooka hafu ya nkhope), kupweteka kwambiri m'malo ena amthupi, kupweteka pamimba kapena chifuwa. Njira yamatendawa ndiyosadalirika ndipo nthawi zambiri imakhala yosatsimikizika.

Zizindikiro

Kuzindikira kumatengera mtundu ndi gawo la matendawa. Pakufunsirana koyambirira, kuwunikira bwino kwapaumbidwe kumachitika. Chisamaliro chachikulu chimaperekedwa kwa madandaulo a wodwala za kusintha kwa thanzi. Madera otsika amawunikiranso chimanga, chimanga, zotupa ndi zofooka. Njira yovomerezeka ndi muyeso wa kuthamanga kwa magazi, kuyezetsa kofunikira kuti mupeze kuchuluka kwa shuga, insulin, glycosylated hemoglobin ndi C-peptide m'magazi.

Kutengera ndi zotsatira zomwe zapezeka pakuwonetsa, kuwonjezera pa endocrinologist, akatswiri ena nawonso atha kutenga nawo mbali pakuwunika:

• Cardiologist
• Neurologist
• Gastroenterologist,
• Urologist andrologist,
• Ophthalmologist
• Gynecologist
• Orthopedist.

Pa nthawi yodziwitsa, magwiridwe antchito a endocrine, m'mimba, mantha, mtima, ndi kwamikodzo amayesedwa. Nthawi zambiri, amapita ku electromyography, electroneurography, ECG, echocardiography, ultrasound, radiology yam'mimba, etc. Reflexes imawunikiranso:

• Zomverera zamtundu wamalingaliro (pogwiritsa ntchito monofilament),
• Kuzindikira kutentha (pokhudza chinthu chotentha kapena chozizira),
• Ululu (pokonza khungu ndi mbali yonyansa ya singano)
• Kuzindikira kwamphamvu (pogwiritsa ntchito foloko).

Ndi kapangidwe ka mitundu ya atypical, amasinthanso ma biopsies a mitsempha ya ng'ombe ndi khungu.

Kuti mankhwalawa a matenda a shuga asamayende bwino, ndikofunikira kuti pakhale chindapusa cha matenda a shuga, komanso yesetsani kukhala ndi shuga m'magazi. Kuti muchepetse ululu, odwala amapatsidwa ma pinkiller ngati mapiritsi amkamwa, komanso zopopera zosiyanasiyana, zopaka ndi ayisikilimu ndi mafuta onunkhira a capsaicin ogwiritsira ntchito kunja.

Nthawi zina, odwala amalangizidwa kuti azigwiritsa ntchito mawonekedwe othandizira kama, omwe amapewa kulumikizana ndi khungu lakumva kwambiri la wodwalayo ndi mbali zolimba za kama. Njira zolimbitsa thupi, kulimbitsa thupi ndi masewera olimbitsa thupi omwe amathandizira njira yayikulu ya chithandizo amathandizira kuthetsa ululu nthawi zina. Kuchita za magneto-, laser- ndi kuwala kwaposavuta kudzakhala kothandiza.

Pa chithandizo, ndikofunikira kusunga malamulo angapo omwe angathandize kuthamangitsanso kukhalanso ndi thanzi lokwanira, monga:

1. Palibe chilichonse chodzilimbitsa nokha, chimakhala chambiri ndi kutayika miyendo,
2. Osayenda opanda nsapato, m'nyumba kapena kunja,
3. Valani masokosi omwe amatenga thukuta ndipo amalola kuti mapazi anu apume,
4. Nthawi zonse onetsetsani kuti zingwe zomangira pamasokosi ndi zovala zamkati zisasokoneze magazi,
5. Sambani mapazi anu bwino ndi tsiku ndi tsiku, osawasunga m'madzi kwa nthawi yayitali, pewani kutentha kwambiri. Pukuta bwino ndi thaulo lofewa mutatha kuchapa.
6. Gwiritsani ntchito mafuta onunkhira kuti musamaume kwambiri pakhungu la kumapazi ndi kuwoneka ngati ming'alu,
7. Yang'anirani miyendo yanu masana kuti mupeze ming'alu, kudula, mafinya, malovu, malo owonekera a khungu.
8. Sankhani nsapato zanu mosamala, ziyenera kukhala zabwino komanso zachilengedwe,
9. Chitani masewera olimbitsa thupi pafupipafupi kuti muchepetse kulimba kwamiyendo yanu miyendo yanu.

Chithandizo chiyenera kusinthasintha. Kugwiritsa ntchito bwino mankhwala sikungatheke popanda kukwaniritsa zomwe zingachitike pobwezeretsanso shuga. Chifukwa chake, amodzi mwa mathandizowo amathandizira ndikuwongolera mankhwala a antidiabetesic m'mapiritsi kapena insulin, komanso kuyang'anira kuchuluka kwa shuga. Kuphatikiza apo, ndikofunikira kukulitsa chakudya choyenera cha wodwalayo, kuchuluka kwa thupi lanu kukhala labwino komanso kukhalabe ndi magazi.

Njira yayikulu ya chithandizo imaphatikizaponso kudya mavitamini a neurotropic (gulu B), kufufuza zinthu (kukonzekera Mg ndi Zn) ndi antioxidants (alpha-lipoic acid, vitamini E). Ndi kupanga mtundu wopweteka wa matenda a shuga, ndikofunika kuperekera analgesics ndi anticonvulsants.

Zotsogola ndi kupewa

Chinsinsi chozindikira zabwino ndi kupezeka kwa matenda ashuga a mtima. Popeza magawo oyamba a matendawa amatha kusinthanso, malinga ndi kulipira kwathu kosalekeza. Koma mawonekedwe ovuta a neuropathy ndi ovuta kuwathandiza ndipo ndi omwe akutsogolera chiwonetsero cha mtima, kupweteka kwa mtima kosafunikira komanso kudula kosapweteka kwa m'munsi.

Njira zothandiza kwambiri zopewera kuyang'anira kuchuluka kwa shuga m'magazi, kukonza mokwanira mankhwala ake komanso moyenera panthawi yake, kuwunika pafupipafupi ndi a endocrinologist ndi odwala matenda ashuga.

Matenda a shuga ndi matenda a shuga

Neuropathy ndiwowononga dongosolo lamanjenje laumunthu pazifukwa zilizonse, ndipo matenda a shuga amawonongeka m'mitsempha chifukwa cha matenda monga matenda a shuga. Amakhulupirira kuti matenda a shuga enieniwo sangayambitse matenda amenewa, koma shuga wambiri osagwirizana ndi omwe amayambitsa. Ngati wodwala ali ndi matenda ashuga, ndipo adayamba kumva zosasangalatsa kuchokera ku dongosolo lamanjenje (mwachitsanzo, kuchepa kwa chidwi), ndiye kuti ndizotheka kuti izi ndizodwala matenda ashuga.

Njira yamatendawa imachitika chifukwa cha kuchuluka kwa shuga m'magazi, komwe kumakhudza machitidwe onse ndi ziwalo za munthu. Hyperglycemia imawononga matendawa, mitsempha yonse yapakati komanso zotumphukira. Njira yayikulu yopewera izi ndikusungitsa kuchuluka kwa shuga mkati mwa mulingo wamba.

Zomwe zimayambitsa matenda ashuga a shuga

Choyambitsa chachikulu ichi ndi kuwonongeka kwa mitsempha ndi mitsempha yamagazi. Kafukufuku wasonyeza kuti shuga wambiri wosasunthika amatsogolera pakuwonongeka kwa mitsempha yamagazi ndi mathero amitsempha, omwe pambuyo pake amatsogolera ku kufa kwathunthu ndi kutaya mwayi wofalitsa zokopa.

Kuphatikiza apo, kuphatikiza pazifukwa zingapo kungapangitsenso kuvutikaku, komwe:

• zotupa mu mitsempha chifukwa cha autoimmune zimachitika,
• kuchuluka kwa shuga kwa nthawi yayitali,
• kuchuluka kwa magazi osagwirizana ndi shuga
• magazi akulu mtima
• kuwonongeka kwamisempha,
• kusowa kwa vitamini B12.

Njira zoperekera matendawa

Anthu omwe ali ndi matenda a shuga ali pachiwopsezo chachikulu chotenga matenda a shuga. Komabe, pali zinthu zina zomwe zimayambitsa matenda. Zina mwa izo ndi:

• kusamalira bwino shuga
• nthawi yodwala matenda ashuga yoposa zaka 20,
• matenda aakulu a impso ndi chiwindi,
• onenepa kwambiri
• kuthamanga kwa magazi
• kusuta
• chibadwa
• uchidakwa.

Wodwalayo akamadwala matenda monga matenda ashuga, amatha kukhala ndi matenda ashuga. Kuphatikiza apo, anthu omwe ali kale ndi zovulala zosiyanasiyana ziwalo zina chifukwa cha matenda a shuga ali pachiwopsezo chambiri chotenga mavutowa.

Zizindikiro za matenda ashuga a shuga

Zizindikiro za neuropathy zimatengera mtundu wamatendawa, komanso komwe kuli mitsempha yowonongeka (onani chithunzi pamwambapa). Nthawi zambiri, zizindikiro zimayamba pang'onopang'ono, ndipo m'magawo oyamba, chithunzi cha chipatala sichitha kupezeka konse. Kuphatikiza apo, matendawa atadwala mwadzidzidzi komanso mwamphamvu, omwe ndi amtundu wina wamitsempha, amatha kukhala atypical.

Zizindikiro zodziwika bwino za matenda a shuga:

• dzanzi
• kuyaka
• kutaya mtima
• kumva kulira
• kupweteka

Poyamba, mawonetserowa amatha kukhala osafunikira kapena osawonekera konse, komabe, pakapita nthawi, pamene mitsempha imayamba kuwonongeka kwambiri, zizindikirazi zimawonekera kwambiri.

Zizindikiro zina za atypical zimaphatikizapo:

• kuchepa kwa minofu ndi miyendo,
• kudzimbidwa, mseru, kusanza,
• tachycardia
• kutsegula m'mimba
• kudzimbidwa
• mavuto pokodza
• kusabala
• ukazi wowuma
• chizungulire
• kukokana
• kufooka wamba
• kutopa.

Chifukwa cha kusokonezeka kwa zizindikiro, anthu omwe ali ndi matenda ashuga nthawi zambiri samvetsa kuti mitsempha iti imawonongeka zizindikiro zisanayambe kutchulidwa.

Mitundu ndi magawo

Gulu la neuropathy limaphatikizapo mitundu inayi yayikulu ya matenda a shuga:

• Peripheral neuropathy. Ndi mtundu wofala kwambiri wamatenda a matenda ashuga. Choyamba, imawononga miyendo, kenako cham'mwamba. Zizindikiro zake nthawi zambiri zimawonekera usiku komanso m'mawa kwambiri. Zizindikiro zazikulu zamtunduwu ndi monga:
  • dzanzi komanso kuchepa mphamvu kwa miyendo, kenako mikono,
  • kumva kulira kwa miyendo,
  • zowawa ndi zowonda
  • zilonda pakhungu,
  • kufooka kwa minofu
  • kutayika kwa malingaliro
  • Kutaya bwino komanso kulumikizana,
  • kupezeka kwa zilonda, matenda ndi kupweteka m'mafupa ndi mafupa.

Vutoli limatha kukhudza mitsempha imodzi m'miyendo, yomwe imatchedwa diabetesic neuropathy yam'munsi malekezero, ndipo ambiri - odwala matenda ashuga a polyneuropathy am'munsi.

• Autonomic neuropathy. Mtundu wachiwiri wofala wamatenda ndi pamene mitsempha yomwe imawongolera zochita za thupi, monga kugaya chakudya, iwonongeka. Kuphatikiza apo, matenda amtunduwu amatha kuwononga mitsempha ya machitidwe monga genitourinary, thukuta, mtima. Zina zomwe zimaphatikizidwa ndi matenda am'mimba a shuga.

Kuwonongeka kwa mitsempha m'mimba kumatha kutsagana ndi kudzimbidwa, kutsekula m'mimba, kumeza movutikira, ndi gastroporesis (minofu yafupika yam'mimba), yomwe ingayambitse nseru komanso kusanza.

Nthawi yomweyo, autonomic neuropathy imatha kuyambitsa mavuto ndi genitourinary system. Mwa abambo, izi zimatha kuwonetsedwa ndi kukokoloka kwa erectile, komanso mwa akazi ndi kuwuma kwa maliseche. Zokhudza zotupa za chikhodzodzo, zimatha kutsagana ndi kwamikodzo kutuluka ndi kusakwanira.

Kuwonongeka kwamitsempha kumatha kubweretsa kusintha kwa kugunda kwa mtima komanso kuthamanga kwa magazi. Izi zimatchulidwa makamaka atakhala nthawi yayitali kapena atagona pamalo amodzi. Kuphatikiza apo, neuropathy, yomwe imawononga mitsempha ya mtima, ndi imodzi mwazomwe zimapangitsa kuti anthu azifa. Chifukwa chake, zimatha kuyambitsa matenda a mtima, zomwe zimadziwika kuti ndi matenda ena.

• Proximal neuropathy. Mtundu wocheperako wa neuropathy, wotchedwanso diabetesic amyotrophy. Mtundu uwu wa neuropathy umafala kwambiri pakati pa achikulire omwe ali ndi matenda a shuga a 2. Nthawi zambiri, chotupa chimakhudza mbali imodzi ya thupi, makamaka m'chiuno, miyendo ndi mwendo wotsika. Zizindikiro zazikulu zavutikazi ndi monga:
  • kupweteka kwambiri matako, m'chiuno ndi miyendo masana,
  • zovuta kuyimirira,
  • minofu yofooka yopanda malire,
  • kuwonda.

Woopsa milandu, proximal neuropathy imatha kubweretsa kutaya kwa minofu kamvekedwe, komwe pamapeto pake kumapangitsa kulephera kuyendayenda pawokha.

• Focal neuropathy. Mtundu wotsiriza wa neuropathy ndi focal neuropathy kapena mononeuropathy.Mtundu wamtunduwu wa neuropathy umachitika pakaonongeka mitsempha imodzi kapena gulu la mitsempha, ndikupangitsa kufooka m'dera lowonongeka. Nthawi zambiri zimadziwoneka mwadzidzidzi komanso zopweteka kwambiri. Focal neuropathy imatha kuwononga mutu, thupi lapamwamba komanso miyendo. Zizindikiro za mononeuropathy zimaphatikizapo:
  • kulephera kulolera
  • kuwona kawiri ndi kupweteka m'maso
  • Mphepo yammbuyo (ziwalo zamkati)
  • carpal tunnel syndrome
  • kupweteka kumadera akutali (ntchafu, mmunsi kumbuyo, pelvis, chifuwa, m'mimba, mapazi kapena mwendo wotsika).

Mankhwala

Chithandizo cha matenda a shuga a m'magawo am'munsi komanso apamwamba omwe ali ndi mankhwalawa, choyambirira, cholinga chake ndikuchotsa zizindikiro zomwe zimayenderana ndi matendawa. Chizindikiro chachikulu ndizopweteka, chifukwa cha mankhwalawa omwe mankhwala osiyanasiyana amagwiritsidwa ntchito kuti athetse.

Mankhwala omwe amachepetsa ululu amaphatikizapo:

• Omasulidwa. Amagwiritsidwa ntchito makamaka pothandizira kukomoka, koma amakhalanso bwino kuti athetse kupweteka chifukwa cha kuwonongeka kwa mitsempha. Mankhwalawa akuphatikizapo pregabalin, gabapentin ndi carbamazepine. Zotsatira zoyipa zingaphatikizepo kugona, chizungulire, ndi kutupa.
• Ma antidepressants. Ma antidepressants ena amalepheretsa njira zamkati zomwe zimayambitsa kupweteka. Chifukwa chake, mankhwalawa amagwiritsidwa ntchito kwambiri pochiza ululu wa neuropathy. Magulu awiri a antidepressants agwiritsidwa ntchito:
  • Tricyclic antidepressants omwe amachepetsa kufatsa kwa zizindikiro zoyenera. Mankhwalawa akuphatikizapo amitriptyline, desipramine ndi imipramine. Zotsatira zoyipa zimaphatikizapo kukamwa kowuma, thukuta, kunenepa kwambiri, kudzimbidwa, komanso chizungulire.
  • Kusankha serotonin reuptake inhibitors (SSRIs) kumachepetsa ululu ndi zovuta zochepa. Mankhwalawa akuphatikizapo fluoxetine, paroxetine ndi sertraline. Zotsatira zoyipa zimaphatikizapo nseru, kugona, chizungulire komanso kusowa chilakolako cha chakudya.

Mankhwala othandizira

Mankhwala othandizira opaleshoni ndi othandiza pokhapokha pochita zotumphukira neuropathy. Zimathandizanso kuthana ndi zizindikiro zakukhazikika monga kugona dzanzi, kumva kuwawa ndi kupweteka, komanso kupewa kudula. Nthawi zambiri, zizindikirazi zimayamba chifukwa cha kukakamira kwa mitsempha inayake kapena gulu la mitsempha. Pachifukwa ichi, kuwonongeka kwa mitsempha kumagwiritsidwa ntchito, komwe kumachitika pang'onopang'ono komanso kukhumudwa.

Chithandizo cha opaleshoni chimachitika ngati njira zina zolumikizira zalephera. Zizindikiro za njirayi ndi:

• matenda ashuga polyneuropathy a m'munsi malekezero,
• matenda ashuga polyneuropathy a mawonekedwe a sensorimotor,
• kupweteka kosalekeza, dzanzi ndi kuyaka.

Pokonzekera opaleshoni iyi, njira zingapo zimachitika kuti zimukonzekeretse ndikutsimikizira matenda ake. Pamaso pa njirayi, ndikofunikira kupewa kusuta fodya, kumwa mowa, kudya mafuta osakanizika ndi zakudya, komanso kupatula mankhwala ambiri. Nthawi zambiri, opaleshoni ya m'magazi imagwiritsidwa ntchito, koma kwa odwala ena, njira monga anesthesia yakumalo ndi sedation ingagwiritsidwe ntchito. Pambuyo pa opaleshoni, ndikofunikira kutsatira mosamalitsa zomwe adokotala amapeza, komanso kukhalabe ndi moyo wathanzi.

Njira zowonjezera komanso njira zina zochiritsira kunyumba

Kuthandiza odwala matenda a shuga a matenda a shuga kunyumba ndikofunikira kwambiri kupewa mavuto komanso kuwonjezereka kwa matenda. Njira zomwe zimagwiritsidwa ntchito kunyumba ndizosavuta komanso sizokwera mtengo. Amathandizira kuthana ndi zizindikiro komanso kupewa malo owopsa kwa anthu.

Njira zazikulu zakuchiritsira kunyumba ndi monga:

• kudya zakudya zopatsa thanzi
• zolimbitsa thupi tsiku lililonse
• kugwiritsa ntchito mavitamini owonjezera komanso zowonjezera pazakudya,
• kusiya kusuta
• malo osambira ofunda
• chizolowezi chosinkhasinkha
• kutikita minofu,
• wowerengeka azitsamba.

Tiyenera kudziwa kuti njirazi sizigwira ntchito pamatanthwe apamwamba a neuropathy, chifukwa chake, ndi zizindikiro zowopsa, muyenera kufunsa dokotala.

Zopatsa Thanzi ndi Zowonjezera

Thanzi siliri gawo lofunika kwambiri pakuchiza matenda a neuropathy, komanso matenda a shuga palokha. Kutsatira kwambiri kudya shuga kungachedwetse kupita patsogolo kwa kuwonongeka kwa mitsempha. Zakudya zowonjezera zakudya zimathandizanso pakuthandizira odwala matenda ashuga polyneuropathy, chifukwa amagwira ntchito monga: kuteteza, kubwezeretsa ndikuwongolera magwiridwe antchito.

Thanzi la neuropathy liyenera kukhala lathanzi. Pewani zakudya monga wowuma wowoneka bwino ndi shuga, mafuta opatsirana ndimafuta ambiri, chimanga, soya ndi mafuta osalala, komanso mowa. Maziko ake azikhala zakudya zomwe zimakhala ndi fiber yambiri monga: masamba, zipatso, mtedza ndi nyemba.

Ponena za zowonjezera zosiyanasiyana, ndizofunikira pa matenda a shuga. Zotsatira za phunziroli zidatsimikizira kuti zowonjezera zoterezi zitha kupewa kupitilira kwa matendawa. Zina mwazofunikira:

• Vitamini B-12. Zimagwira gawo lofunikira mthupi la munthu, zimathandiza kugwira ntchito kwamanjenje komanso kupanga maselo ofiira amwazi. Kuperewera kwa vitaminiyu kungayambitse matenda amitsempha. Chowonjezera ichi ndichabwino ngati chimatengedwa ndi dokotala. Gwero lachilengedwe la B-12 ndi nsomba ndi nyama yofiira.
• Lipoic acid. Antioxidant yomwe imagwiritsidwa ntchito ndi thupi kuteteza minofu chifukwa cha oxidative yomwe imadziwika ndi matenda a shuga. Chowonjezeracho chimawoneka kuti ndi chotetezeka, koma chitha kukhala chowopsa ngati thiamine (B-1) ndiwosakwanira. Zachilengedwe zachilengedwe za lipoic acid ndi sipinachi, broccoli ndi yisiti.
• L-carnitine. Imagwira gawo lofunikira kwambiri pakuchepetsa njira ya oxidative, komanso imathandizira kukonzanso maselo amitsempha. Ndiwowonjezera bwino, koma kuchitira limodzi ndi warfarin kumawonjezera mwayi wokhetsa magazi. Zachilengedwe zachilengedwe za L-carnitine ndi nyama, mkaka ndi nsomba.

Zithandizo za anthu

Kuchiza ndi wowerengeka azitsamba a matenda a shuga a m'magazi amathandiza kuthana ndi zizindikiro zochepa chabe, sizithandiza kuchiritsa matendawa. Pomwe chinthu chachikulu ndi matendawa ndi kukhalabe ndi shuga. Monga asing'anga ambiri azikhalidwe, kugwiritsa ntchito masiku, uchi, ndimu ndi mkaka wa mbuzi ndizothandiza pakadwala matenda ashuga. Komabe, sizili choncho. Zogulitsa zotere ndizoletsedwa kwathunthu ndi odwala matenda ashuga ndipo zimangowonjezera kuchuluka kwa shuga ndi kupitirira kwa matendawa.

Nthawi yomweyo, pali njira zomwe zimathandizadi. Choyamba, izi kutikita minofu pogwiritsa ntchito calendula tincturecamphor mafuta kapena mowa wothira. Njira zoterezi zimasangalatsa kutuluka kwa magazi, ndipo zimathandizira kupweteka komanso kumva ululu wam'munsi komanso kumtunda.

Yothandizanso kukonza bwino muuropathy ndikugwiritsa ntchito osambira onunkhira pogwiritsa ntchito zitsamba.

Zochita zolimbitsa thupi

Zochita zolimbitsa thupi pozindikira matenda ashuga a m'munsi ndizofunikira, chifukwa zimakuthandizani kukhala ndi thanzi ndikuchotsa zomwe zimapangitsa kuti pakhale zovuta. Masewera ndi njira yabwino yothanirana ndi glucose wamagazi anu, kusintha kukhudzidwa kwa insulini komanso kuchepetsa kutupa. Kuphatikiza apo, kuchita masewera olimbitsa thupi kumawonjezera kuyenda kwa magazi, mpweya, ndi michere ina m'maselo amitsempha, omwe amathandizira kusintha kwa wodwala yemwe ali ndi neuropathy.

Kuti muchepetse kuwopsa kwa zizindikiro zosasangalatsa ndikuwongolera magwiridwe antchito, makonda ayenera kuperekedwa ku mitundu iyi ya maphunziro:

• Kutsika Kwambiri Cardio. Kuchita masewera olimbitsa thupi kwa aerobic kumathandizira kuchepetsa shuga zamagazi ndi cholesterol, komanso kukonza magazi kupita kumiyendo ndi mikono. Mphindi 30 mpaka 50 za katundu woterewu ndikulimbikitsidwa.
• Yoga. Amachepetsa kuthamanga kwa magazi, amachepetsa ululu komanso amachepetsa kutupa.

Kupewa

Pofuna kupewa zovuta za neuropathy, kupewa kwa panthawi yake ndikofunikira, komwe kumaphatikizapo:

• shuga ndi cholesterol control
• kusamalira bwino miyendo (kuyang'ana ming'alu, mikwingwirima, kudula, ukhondo wa tsiku ndi tsiku, kuwasunga oyera ndi owuma, kupukutira mafuta mopitirira muyeso, kuvala nsapato zamadzimadzi),
• masewera olimbitsa thupi nthawi zonse
• zakudya zoyenera, zomwe zimaphatikizidwa ndi mavitamini ndi zowonjezera,
• kusiya kusuta
• kuletsa mowa
• kutsatira malangizo a dokotala.

Matenda a shuga ndi matenda a shuga. Pafupifupi 50% ya anthu odwala matenda ashuga ali ndi mtundu wina wa neuropathy. Nthawi zambiri, zimatha nthawi yayitali kwa zaka 20 ndipo mwina siziwonetsa zodziwikiratu. Komabe, ndikofunikira kudziwa kuti matendawo adzakulirakulira matendawa akamakula.

Kuchiritsa matendawa ndikosatheka, koma kuzindikira koyambirira ndi kupewa kumapangitsa wodwalayo kukhala ndi moyo wautali komanso wathunthu. Kuchiza kwakanthawi, komanso kupewa zinthu zoopsa kumapereka mpata wopulumuka kwa zaka 20. Zakudya zoyenera, moyo wathanzi, kuchita masewera olimbitsa thupi, komanso kutsatira malingaliro a dokotala, zidzakulitsa moyo mu matenda a shuga.