Zotsatira za Matenda A shuga

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Monga lamulo, mtundu wachiwiri wa matenda ashuga umayamba mwa anthu opitilira zaka 40. Izi matenda amtundu wa endocrine amapezeka motsutsana ndi maziko a kunenepa kwambiri kapena kuperewera kwa thupi m'thupi. Matendawa amakhala ndi kusokonezeka kwa kagayidwe kachakudya ndi shuga m'magazi, omwe amapezeka motsutsana ndi maziko a kuphwanya kwamphamvu kwa maselo amthupi kupita ku insulin (hormone ya pancreatic).

Chithandizo cha matenda a shuga a mtundu wachiwiri ndi njira yovuta komanso yopikidwirapo cholinga chokwaniritsa chipukutiro, kuchepetsa magazi, komanso kupewa kukula kwa zovuta zingapo. Chithandizo cha matenda a shuga a mtundu wachiwiri omwe ali ndi mankhwala wowerengeka ndi njira yovomerezeka, yomwe ndi yowonjezera ku mankhwala achikhalidwe. Njirayi iyenera kugwiritsidwa ntchito atakambirana ndi katswiri woyenerera komanso moyang'aniridwa ndi zizindikiro za glycemia.

Zakudya zamankhwala

Ndikosatheka kuchiritsa matenda ashuga kamodzi, komabe, kukwaniritsa kuti kuchuluka kwa glucose kumakhala m'malo ovomerezeka ndizowona. Njira imodzi yotsogolera ndi kudya. Akatswiri amalimbikitsa tebulo nambala 9. Mfundo zazikuluzikulu za kadyedwe:

• zakudya zopezeka m'magawo ang'onoang'ono (pafupifupi 4-5 pa tsiku),
• Kuchepetsa kudya kwa chakudya cham'mimba mosavuta, zokonda zimaperekedwa ku zovuta "zomanga" (fiber fiber, fiber),
• kukana shuga, m'malo mwake ndi zotsekemera zachilengedwe ndi zoyambira,
• makonda azakudya zamapuloteni ndi lipids za chiyambi,
• Kusunga bwino pakati pa mapuloteni, mafuta ndi mafuta,
• kukana okazinga, kusuta zakudya, mbale pogwiritsa ntchito zonunkhira zambiri.

Mankhwala azitsamba

Kuchiza ndi wowerengeka azitsamba kumaphatikizapo kugwiritsa ntchito mankhwala othandizira kuti achulukitse chidwi cha maselo ndi zimakhala kuti apatsidwe insulin, kuchepetsa glycemia ndikulimbitsa chitetezo cha mthupi.

Zitsamba zochepetsa shuga:

• mizu ya burdock
• maluwa okhazikika
• masamba a nyemba
• zipatso ndi mabulosi abulu,
• Midzi ya oman,
• oats tirigu.

Zida zoyipa pokonzekera infusions ndi decoctions ndi tonic zotsatira:

Zomera zomwe zimabwezeretsa njira ya metabolic:

• mbewu za fulakesi
• maluwa a linden
• masamba a hypericum
• Borovka
• udzu wa galu
• masamba ndi maluwa.

Kugwiritsa ntchito zitsamba

Chithandizo cha matenda a shuga 2 amtundu wa anthu okalamba ndi achinyamata zimaphatikizira kugwiritsa ntchito infusions, decoctions, tinctures, mafuta ochulukirapo, timadziti kuchokera ku zinthu zatsopano, ufa wa zouma zouma.

Malangizo ogwiritsira ntchito mankhwala azitsamba a matenda amtundu wa 2 ndikuti chithandizo chamankhwala azamankhwala chiyenera kuchitika moyang'aniridwa ndi adokotala ndi azitsamba. Zida zoyipa pokonzekera njira ziyenera kugulidwa ku malo ogulitsa mankhwala. Kudzikonzekereranso kumaloledwa, koma ngati wodwalayo amadziwa bwino oimira maluwa.

Ndi zomwe zimachitika mdera lanu kapena momwe thupi lanu silisintha, muyenera kusiya kugwiritsa ntchito njira zochizira ndi kupeza chithandizo kuchokera kwa katswiri woyenera.

Njira zochepetsera shuga

Nkhondo yolimbana ndi hyperglycemia ndi njira yolumikizira matenda ashuga. Otsatirawa ndi maphikidwe angapo ogwira mtima omwe adatsitsidwa kuchokera kumibadwo kupita ku mbadwo.

Chosamba ichi sichingangothandiza kuletsa mawonetsedwe a hyperglycemia, komanso kukonza zomwe wodwalayo ali nazo. Kuti muchite bwino, njira zingapo zogwiritsira ntchito zimayenera kuphatikizidwa. Ndikofunika kumwa 1 tbsp. l msuzi wamasamba pakati pa njira zomwe chakudya amapangira thupi.

Anyezi kulowetsedwa ayenera kugwiritsidwa ntchito. Chifukwa cha izi, zonse zomwe zimayeretsedwa zimathiridwa ndimadzi ofunda. Pambuyo maola 2,5, malonda amakhala okonzeka kugwiritsidwa ntchito. Muyenera kumwa gawo limodzi mwa magawo atatu a magalasi 3-4 patsiku.

Chida chothandiza chidadziwika kuti ndiwo masamba ophika. Kuchulukitsa zotsatira zake, kusenda anyezi sikuyenera kutero. Idyani mababu 6 tsiku lonse.

Izi zonunkhira sizimagwiritsidwa ntchito pongolimbitsa thupi. Imatha kuchepetsa shuga m'magazi chifukwa chakupezeka kwamafuta ofunikira, ma tannin ndi mavitamini ndi michere ina yofunikira, yomwe imakhudzanso osati dongosolo la endocrine, komanso matumbo a m'mimba, chikhodzodzo ndi ndulu.

Zofunika! Kuphatikiza pa zotsatira za hypoglycemic, sinamoni imatha kubwezeretsa chidwi cha maselo a thupi kulowa insulin. Zonunkhira zimatha kuwonjezeredwa pamaphunziro oyamba, mbale zam'mbali, zokomera, zakumwa.

Malangizo a shuga:

1. Kugwiritsa ntchito sinamoni ndi kefir ndi njira imodzi yothandiza kwambiri. Njira ya mankhwala sayenera upambana masiku 10. Pofuna kukonzekera chisakanizo chowonjezera, ndikofunikira kuwonjezera ndodo ya sinamoni kapena supuni ya zonunkhira zamafuta ndi kapu ya kefir (mutha kugwiritsa ntchito mkaka wophika). Ndikofunika kugwiritsa ntchito mankhwala amkaka okhala ndi mafuta ochepa, koma osakhala opanda mafuta konse.
2. Kuphatikiza kwa zonunkhira ndi uchi. Kuti mupewe matenda amtundu wa shuga, muyenera kusungunula supuni ya uchi ndi 1 g ya sinamoni ufa mu theka la kapu ya madzi otentha, sakanizani. Mankhwalawa amadya pambuyo pa theka la ola. Zotsatira zake ziyenera kuledzera mofunda (logawidwa mu 2 waukulu).
3. Kuti muthane ndi matenda a shuga a 2 kunyumba, muyenera kumwa tiyi ndi sinamoni tsiku lonse.

Njira zina zochizira matenda amishuga 2 ndizotheka. Muli zinthu zapamwamba zama protein, ma amino acid ofunika omwe amaphatikizidwa ndi kuphatikizika kwa insulin. Kuphatikiza apo, zopangira zimakhala ndi mavitamini ndi michere yambiri yomwe imasunga glycemia pamlingo wovomerezeka.

Njira zina zochizira zimagwiritsa ntchito masamba owuma. Kukonzekera kulowetsedwa kwamankhwala, muyenera kupera zinthu zofunika pa ufa. 3 tbsp. l ufa uyenera kudzazidwa ndi makapu awiri madzi otentha. Ndikofunikira kukolola kulowetsedwa madzulo. Pankhaniyi, m'mawa m'mimba yopanda kanthu mumatha kumwa kale chikho cha ½.

Njira yothandizira odwala matenda ashuga amaonanso kuti ndi decoction. Kuti aphike, 1 tbsp. Zinthu zophwanyika zosemedwa zimathiridwa mu kapu yamadzi ndikutumizidwa kusamba yamadzi. Pambuyo pa theka la ola, msuzi wotsatira ungachotsedwe, pang'ono pang'ono - kupsinjika. Tenga pakati pa chakudya chachikulu cha 1 tbsp. l

Njira zolimbana ndi insulin

Zithandizo za anthu amtunduwu zimagwiritsidwa ntchito pa matenda a shuga a 2 pofuna kupititsa chidwi cha maselo ndi minyewa yamthupi ku ma pancreatic hormone.

Matenda a shuga a Type 2 amatha kuthandizidwa ndi tiyi wa adyo. Kuti mupeze wothandizirana, muyenera kuthira mafuta oyeretsa komanso pansi ndi madzi otentha (chiŵerengero - 2 cloves pagalasi lamadzi). Malondawa ali okonzeka mumphindi 30. Muyenera kumwa pamaso pa 2 p.m. yaying'ono.

Kugwiritsa ntchito msuzi wa beetroot. Mwatsopano wosenda muzu ayenera kuledzera kanayi pa tsiku, 50-70 ml. Njira ya mankhwala ndi masiku 30. Kenako, kupuma kumafunika panthawi yomwe zizindikiro za glycemia ziyenera kuyang'aniridwa. Mkulu wa shuga akangoyamba kukwera, mankhwalawa ndi msuzi wa beetroot ayenera kubwerezedwanso.

Muzu wa Horseradish uyenera kudulidwa ndi kuthiriridwa ndi yogati (chiŵerengero - 1 tbsp. L. Zopanda zatsopano pa kapu yamadzi) Yankho limatumizidwa kuti likaponyedwe m'malo abwino. Tengani supuni musanadye chilichonse mthupi.

Zofunika! Kutalika kwa chithandizo kumayendetsedwa ndi wodwalayo. Zimapitilira mpaka zinthu zitakhala bwino.

Konzani zosakaniza zofanana (2 tbsp. L.):

• bulleter (masamba),
• mankhwala a mabulosi (udzu),
• dandelion (masamba).

1 tbsp. l kutsanulira zinthu zosaphika kapu ya madzi otentha, kuyatsidwa moto kwa mphindi 10. Msuzi utakhazikika, yovuta ndikuwonjezera theka lagalasi katatu patsiku.

Phatikizani supuni ya chilichonse cha zosakaniza:

• fulakesi (mbewu),
• linden (mtundu),
• Wort wa St. John (udzu)
• dandelion (muzu),
• kareha (muzu).

Njira yakukonzekera ndi yofanana ndi zomwe tapezapo kale. Kusiyanako ndikusowa kwa kulowetsedwa kwa maola 5.

Kuwonongeka kwa impso

Maphikidwe angapo omwe cholinga chake ndi kutsitsa magazi komanso kusintha kwamikodzo kwamikodzo:

• Thirani mapesi a maungu ndi madzi muyezo wa 1: 5. Valani moto, chotsani pakadutsa kotala la ola, mudzudzule, kupsinjika. Tengani 50-70 ml katatu patsiku.
• Tiyi wa Chamomile ndi njira yothandiza yomwe imathandizira pakugwira ntchito kwa impso, yomwe imakhala ndi antispasmodic komanso anti-kutupa.
• Zipatso za phulusa lofiira paphiri zimathira madzi otentha. Ikani madzi osamba kwa kotala la ola limodzi. Kenako, khalani m'malo otentha kwa mphindi 60 zina. Imwani akonzekereratu masana ang'onoang'ono.

Matenda aukatswiri wowonera

Ndi matenda a shuga a retinopathy, mabulosi am'mimba amatengedwa ngati chinthu chothandiza kwambiri. Ndikulimbikitsidwa kudya mpaka magalasi awiri a zipatso patsiku. Ndidakwanitsa kudzitsimikizira ndekha ndi mungu. Itha kugulidwa ku pharmacy, komabe, imatha kutengedwa pokhapokha ngati wodwala akukhulupirira kuti sakhudzidwa ndi chinthuchi. Tengani 1 tsp. katatu patsiku.

Njira ina yothetsera ndikutsukiza kwa maluwa a calendula. Kuti mumuphike, muyenera kuthira zinthu zosaphika ndi madzi otentha (supuni 1 pa makapu 1.5 amadzimadzi) ndikuumirira maola 4. Pambuyo pakuchita kusefa, muyenera kumwa mankhwalawo pakati theka kapu 4 pa tsiku. Yemwe kulowetsedwa anasambitsa maso.

Kuwonongeka kwa dongosolo lamanjenje

Izi zimaphatikizapo matenda a diabetesic encephalopathy (CNS pathology) ndi neuropathy (kuwonongeka kwa mbali zopumira, makamaka malekezero apansi).

• Kugwiritsa ntchito kulowetsedwa kwa maluwa a calendula (njira yophikira yomwe wafotokozedwera pamwambapa).
• Kukonzekera kwa decoction wa nettle ndi mankhwala chamomile. Kuti mupeze zopangira kuti muzisonkhanitsa, muyenera kuphatikiza zosakaniza ndi zofanana ndikusankha supuni ya osakaniza. Amathiridwa ndi kapu yamadzi ndikumatumizidwa kukasamba kwa madzi kwa kotala la ola. Unikani Mphindi 30 mutachotsa chochitikacho.
• Dongo lamtambo kapena lamtundu wobiriwira, mafuta a camphor amamuthira kumapeto kwenikweni, kuzikika ndi peel ya mandimu.

Momwe mungagwiritsire matenda amtundu wa endocrine ndi nkhani ya wodwala aliyense. Komabe, tiyenera kukumbukira kuti mankhwala azikhalidwe sangathe kugwiritsidwa ntchito ngati monotherapy. Zithandizo zoterezi zimagwirizana ndi njira zachikhalidwe. Pokhapokha ngati izi zitheka ndizomwe zingatheke.

Kugwiritsa ntchito ma horseradish pochiza matenda amtundu wa 2 shuga

Kugwiritsa ntchito horseradish yamatenda amtundu uliwonse wa shuga ndizoyenera monga zokometsera - zonse zosaphika komanso mawonekedwe a tinctures, decoctions. Anthu odwala matenda ashuga ayenera kukhala ndi horseradish mu zida zawo, chifukwa ndiothandiza kwambiri matendawa.

Kwa odwala matenda ashuga amtundu uliwonse, zabwino za horseradish ndizabwino. Kuphatikizika kwake kumaphatikizapo zinthu zambiri zogwira ntchito. Zomwezo zimapita ndi mavitamini ndi mafuta ofunikira. Pali mafuta okwanira mu mankhwala omwe ali ofunikira ku thupi. Chomera cha zipatso zokometsera izi ndizapamwamba kuposa ndimu zomwe zili ndi vitamini C wopindulitsa. Chifukwa cha kuchuluka kwakukulu kwa madera, shuga amapangidwa muzinthu. Masamba atsopano ndi olemera mu carotene.

Kapangidwe ka Horseradish

Horseradish ili ndi sulufule yambiri ndi faifi tambala. Zotsatira zake ndi zotsatira zabwino pa kapamba. Koma ndi matenda ashuga, kukanika kwa chiwalochi nthawi zambiri kumawonedwa. Zomwezo zimapita kwa chiwindi ndi impso.

Chifukwa cha kuchuluka kwa michere, michere ya horseradish imakulanso chifukwa cha matenda okoma:

• ndi chitetezo chachikulu ku matenda,
• lipindulitsa popewa kuteteza zotupa,
• kulakalaka kusangalala
• Njira zosinthana zikusintha.

Chochita ichi chimakhala ndi choleretic, mothandizidwa ndi ntchito yake ya kwamikodzo.

Momwe mungapangire osakaniza

Pofuna kuchepetsa kuchuluka kwa shuga m'magazi, ma horseradish amayenera kupukutidwa, kenako madziwo amawasakaniza ndi mkaka. Itha kukhala mkaka kapena kefir. Gawo liyenera kukhala limodzi mwa khumi. Gwiritsani ntchito mankhwala ozizwitsa ayenera kukhala kanayi patsiku, supuni musanadye.

Kuti mumve izi, zimayenera kutha nthawi. M'malo mkaka kapena kefir, mutha kuwonjezera yogati. Ndikofunikira kuti chidziwitsochi chikhale chatsopano panthawi yogwiritsira ntchito. Zothandiza maphikidwe zingathandize kuchepetsa matenda a shuga kwa odwala matenda ashuga.

Kwa matenda okoma, muyenera kumwa madzi a horseradish. Kuti akonzekere, kilogalamu kilogalamu ya horseradish imapukutidwa pa grater. Ndiye kuthira madzi atatu malita - ozizira nthawi zonse. Kenako chilichonse chithupsa kwa theka la ola. Pambuyo pa izi, kuzizira, kupsyinjika kudzera cheesecloth. Idyani supuni zingapo katatu patsiku.

Horseradish ndi mowa ndi mankhwala abwino kwambiri kwa iwo omwe ali ndi mtundu wachiwiri kapena woyamba wa matenda okoma. Ndikofunikira kutsuka muzu wa horseradish masentimita makumi awiri ndi kukula kwa chala. Palibenso chifukwa choyeretsera. Muzu ukadulidwa bwino, umathiridwa mu botolo la lita. Chotsatira, muyenera kusenda ma clove asanu ndi anayi a adyo, kutsuka ndikudula, inunso, ndikuphatikizira ku horseradish. Chilichonse chimathiridwa ndimowa watsopano - pamapewa a botolo. Njira zoikizira ziyenera kukhala sabata limodzi ndi theka pamalo amdima.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kenako kulowetsedwa kumasefedwa ndipo kumatengedwa motere:

• tsiku loyamba ndi lachiwiri la 1 tsp. angapo - katatu patsiku,
• kupitilira 2 tsp. katatu patsiku musanadye.

Njira ya mankhwala ndi masiku 30. Zotsatira zake ndi kutsika msanga kwa magazi.

Kodi mungagwiritse ntchito bwanji horseradish

Monga zokometsera, izi sizingatheke. Ndikoyeneranso kugwiritsa ntchito horseradish kuwonjezera pa goodies. Ndilabwino komanso thanzi labwino. Kuti zokolola za mahatchi zikhale zokometsera, ziyenera kupukuta. Pambuyo pake, imatsukidwa, koma osatsukidwa. Pambuyo pa izi, kuzikikita pa grater - muyenera kusankha grater yoyera. Unyinji woyambira umakutidwa ndi kutumizidwa kuti ukasungidwe m'malo amdima, ozizira nthawi zonse. Gwiritsani ntchito zokometsera izi ndizoyenera zabwino zosiyanasiyana.

Ndikofunikira kupukusa horseradish pa grater yabwino - muzu wake. Zomwezi zimayendera udzu winawake. Pulogalamuyi imakhuthulidwa pa grater yamafuta. Kenako theka la kapu ya yogati imawonjezeredwa ndipo chilichonse chimathiridwa mchere. Gwiritsani ntchito mankhwalawa ayenera kukhala kangapo patsiku - m'mawa, komanso masanawa.

Zabwino kwambiri chifukwa cha matenda ashuga

Pamodzi ndi matenda okoma, odwala matenda ashuga ali ndi ma comorbidities ena. Mwachitsanzo, neuralgia, neuritis mwina ndi omwe ali ndi matenda ashuga. Pofuna kuthana ndi matendawa, ndikofunikira kupera malo omwe ululu umamveka ndi madzi a horseradish popita ku mitsempha yomwe ikukhudzidwa. Ngati khungu limakhala lochepa kwambiri, ndiye kuti muyenera kudziwitsiratu mafuta oyenera a mpendadzuwa pamalo omwe akukhudzidwa.

Anthu odwala matenda ashuga amatha kukhala ndi osteochondrosis. Malo osambira momwe kulowetsedwa kwa tsamba la horseradish kumawonjezeredwa. Malita khumi ndi madzi otentha adzafunika masamba khumi ndi asanu. Masamba owuma amathiridwa ndi madzi otentha ndikuphatikizidwa kwa maola makumi awiri ndi anayi. Kenako malita atatu a kulowetsedwa osafunikira amayenera kuthiridwa mu madzi osamba. Izi zimachitika motsatizana kwa masiku atatu. Tengani malo osambira pafupifupi mphindi makumi awiri.

Momwe mungapangire marinade

Kuti muchite izi, phatikizani mchere makumi anayi amchere ndi magalamu makumi awiri a shuga granated mu theka la lita imodzi ya madzi otentha. Chotsatira chimawonjezeredwa pa gramu ya clove ndi sinamoni. Chombo chomwe chimakhala ndi marinade chimatsekedwa ndi chivindikiro ndikuyimilira mpaka madzi atazizira madigiri makumi asanu. Ndiye mazana awiri magalamu a viniga 9 peresenti amawonjezeredwa.

Pambuyo maola 24, marinade amasefedwa kudzera mu gauze ndi kilogalamu ya horseradish yokometsedwa imawonjezedwanso kwa iye. Chilichonse chimasakanizidwa ndikuikidwa m'matumba a theka-lita. Ayenera kutsekedwa mwamphamvu ndikutumizidwa kumalo ozizira kuti asungidwe.

Zothandiza pa matenda a shuga a beets ndi horseradish

Beets imazunguliridwa pa grater yabwino, kufinya msuzi kudzera cheesecloth. Ndikofunikira kusakaniza madzi ndi grated horseradish. Kuwerengera kuli motere: magalamu mazana asanu pa kilogalamu imodzi ya horseradish. Chilichonse chimaphatikizidwa ndi kapu ya viniga 9 peresenti ndi magalamu zana a shuga. Magalamu makumi asanu amowonjezera. Chilichonse chimasunthidwa ndikukhala m'matumba ang'onoang'ono. Wokhazikika ndikusungidwa pamalo abwino.

Chilichonse chiri chanzeru kugwiritsa ntchito pang'ono. Izi zimagwiranso ntchito pa horseradish. Nthawi zambiri simungathe kudya. Koma nthawi zina pamlingo woyenera kumakhala koyenera matenda okoma. Ichi ndi chokometsera chabwino kwambiri cha nyama yophika kapena nkhuku.

Kutulutsa mafomu ndi kapangidwe kake

Pamsika wamankhwala m'dziko lathu, mankhwalawa atha kugulidwa pamapiritsi ndi ma ampoules a 3 ml.

Mapiritsiwo ndi biconvex, wokutidwa ndi chipolopolo choyera choyera pamwamba. Kupanga kwamankhwala kumapangidwira pamagome.

Mapiritsiwo ndi biconvex, wokutidwa ndi chipolopolo choyera choyera pamwamba.

Mankhwala ogwiritsa ntchito ngati kholo ndi madzi ofiira owonekera.

Zotsatira za pharmacological

Mavitamini a gulu B, ophatikizidwa ndi kapangidwe ka mankhwalawa, othandizira njira za redox, amawongolera kusintha kwa lipids, mapuloteni ndi chakudya. Mankhwalawa, mosiyana ndi mafuta osungunuka a mafuta, samayikidwa m'thupi la munthu, chifukwa chake, amayenera kukhala pafupipafupi komanso mokwanira kuti alowe mthupi ndi chakudya kapena monga gawo lamavitamini. Ngakhale kuchepa kwakanthawi kochepa mphamvu kumachepetsa ntchito za enzyme, zomwe zimalepheretsa kagayidwe kazakudya komanso kuchepetsa chitetezo.

Mavitamini a gulu B, omwe ali m'gulu la kapangidwe kamankhwala, amathandizira njira za redox.

Pharmacokinetics

Ndi kuchepa kwa thiamine m'thupi, njira yosinthira kwa pyruvate kukhala yodziyimira acetate acid (acetyl-CoA) imasokonekera. Zotsatira zake, ma keto acid (α-ketoglutarate, puruvate) amadziunjikira m'magazi ndi zimakhala za ziwalo, zomwe zimatsogolera "acidization" ya thupi. Acidosis imayamba pakapita nthawi.

The bioactive metabolite ya vitamini B1, thiamine pyrophosphate, imagwira ntchito ngati protein-cofactor ya decarboxylases ya pyruvic ndi α-ketoglutaric acids (i.e., imatenga nawo mbali mu catalysis of carbohydrate oxidation). Acetyl-CoA imaphatikizidwa kuzungulira kwa Krebs ndipo imaphatikizidwa ndi madzi ndi mpweya woipa, pomwe imakhala mphamvu. Nthawi yomweyo, thiamine hydrochloride imakhudzidwa ndikupanga mafuta acids ndi cholesterol, imayendetsa njira yosinthira chakudya chamafuta kukhala mafuta.

Mukapereka pakamwa, theka la moyo wa vitamini B1 ndi pafupifupi maola 4.

Mukapereka pakamwa, theka la moyo wa vitamini B1 ndi pafupifupi maola 4. Mu chiwindi, thiamine imapangidwa phosphorylated ndikusinthidwa kukhala thiamine pyrophosphate. Thupi la munthu wamkulu limakhala ndi pafupifupi 30 mg ya vitamini B1. Poganizira kwambiri kagayidwe, kamatuluka m'thupi mkati mwa masiku 5-7.

Pyridoxine ndi gawo lophatikizika la coenzymes (pyridoxalphosphate, pyridoxamine phosphate). Ndi kuchepa kwa vitamini B6, kusinthana kwa amino acid, ma peptides ndi mapuloteni amasokoneza. M'magazi, kuchuluka kwa maselo ofiira a m'magazi kumachepa, hemostasis imasokonekera, kuchuluka kwa mapuloteni a seramu amasintha. M'madera otukuka kwambiri, kuchepa kwa mavitamini osungunuka am'madzi kumabweretsa kusintha kwa khungu. Thupi limakhala ndi pafupifupi 150 mg ya pyridoxine.

Ndi kuchepa kwa vitamini B6, kusinthana kwa amino acid, ma peptides ndi mapuloteni amasokoneza.

Pyridoxalphosphate imathandizira pakupanga ma neurotransmitters ndi mahomoni (acetylcholine, serotonin, taurine, histamine, tryptamine, adrenaline, norepinephrine). Pyridoxine imathandizanso kupanga biosynthesis ya sphingolipids, zomwe zimapangidwa ndi ma myelin sheaths a minyewa yamitsempha.

Cyanocobalamin ndi mavitamini okhala ndi zitsulo zomwe zimathandizira kupangidwa kwa maselo ofiira am'magazi, zimayambitsa michere ya chiwindi yomwe imapangitsa kutembenuka kwa carotenoids kuti retinol.

Vitamini B12 imafunikira pakupanga kwa deoxyribonucleic acid, homocysteine, adrenaline, methionine, norepinephrine, choline ndi creatine. Kuphatikizika kwa cyanocobalamin kumaphatikizapo cobalt, gulu la nucleotide komanso radical cyanide. Vitamini B12 imayikidwa makamaka m'chiwindi.

Vitamini B12 ndiyofunikira pakapangidwe ka deoxyribonucleic acid.

Zizindikiro zogwiritsidwa ntchito

Mankhwala ndi mankhwala ochizira zotsatirazi:

• radiculopathy
• thoracalgia
• matenda a msana (spondylarthrosis, osteochondrosis, spondylosis),
• matenda a neuropathic
• herpes zoster,
• trigeminal neuralgia,
• lumbar syndrome
• Phale wamsana
• kuchuluka.

Contraindication

Mankhwalawa ali ndi zotsutsana zingapo pakusankhidwa kwake:

• thromboembolism
• zaka za ana
• erythremia
• Hypersensitivity
• zilonda zam'mimba
• ziwengo

Mankhwala amapatsidwa thoracalgia.
Matenda a Neuropathic ndiye chifukwa choika mankhwalawa.
Ndi herpes zoster, Neurobion ndiyabwino kwambiri.
Trigeminal neuralgia ndimatenda omwe minyewa yam'mimba imatengedwa.
Neurobion adalembedwa kuti Bell Ruole.
Ndi plexopathy, neurobion imatengedwa.
Neurobion imapangidwira radiculopathy.

Momwe angatenge

Pofuna kupewa kubwereranso kwa matendawa, mankhwalawa amalembedwera piritsi, 1 kapisozi katatu patsiku. Mukamamwa mapiritsi, muyenera kumwa ndi madzi ambiri. Kutalika kwa nthawi ya mankhwala kutsimikiza ndi dokotala.

Mankhwalawa mu ampoules amakhazikikanso kuti apangike. Musanachotse zizindikiro zazikulu za matendawa, tikulimbikitsidwa kupaka jekeseni 1 nthawi patsiku. Pambuyo kumva bwino, jakisoni imachitika kamodzi pa sabata kwa masabata awiri.

Ndi matenda ashuga

Chida pamwambapa ndi chabwino pochiza ululu wa neuropathic odwala omwe ali ndi matenda ashuga a polyneuropathy. Zinakhazikitsidwa kuti mankhwalawa amachepetsa kuuma kwa kupweteka kwa paresthesia, amachepetsa kukhudzika kwa khungu, amathandizanso kupweteka.

Pofuna kupewa kubwereranso kwa matendawa, mankhwalawa amalembedwera piritsi, 1 kapisozi katatu patsiku.

Kuchokera ku chitetezo chamthupi

• Edincke's edema,
• dermatitis
• chikanga
• anaphylactoid zimachitika.

• zotupa
• kuyabwa
• Hyperemia,
• thukuta kwambiri
• kupweteka
• ziphuphu
• urticaria
• necrosis pa jekeseni malo.

Mukamamwa mankhwala angayambitse mseru, kusanza.Chimodzi mwazotsatira zoyipa za kutenga Neurobion ndi kutsekula m'mimba.
Kutupa, kuyabwa, dermatitis - mavuto obwera chifukwa cha kumwa mankhwalawa.
Mukamatenga Neurobion, thukuta kwambiri limatha kuchitika.
Pa chithandizo ndi Neurobion, kupezeka kwa kugunda kwamtima, kupweteka kwamtima kumatheka.
Mukamamwa mankhwalawa, chizungulire amatha.
Kukhumudwa, migraine - mavuto obwera chifukwa chotenga Nerobion.

Malangizo apadera

Mankhwalawa sanapangidwe kuti apangidwe. Komanso, mankhwalawa sangathe kugwiritsidwa ntchito mwa odwala omwe ali ndi vuto lalikulu la mtima. Mosamala kwambiri, mankhwalawa amayenera kuperekedwa kwa anthu omwe ali ndi vuto loopsa la neoplasms.

Mankhwalawa sanapangidwe kuti apangidwe.

Gwiritsani ntchito pa nthawi yoyembekezera komanso mkaka wa m`mawere

Pa kubereka mwana, mankhwalawa amatha kugwiritsidwa ntchito pokhapokha ngati pali umboni wowoneka wa mavitamini B1, B6 ndi B12 m'thupi la mayi woyembekezera. Mphamvu ya mankhwala pa mimba, mwana asanabadwe ndi pambuyo pake.

Dokotala amayenera kudziwa kuyenera kwa kupereka mankhwala panthawi yomwe ali ndi pakati, kudziwa mgwirizano womwe ulipo pakati paubwino ndi chiwopsezo.

Mavitamini omwe amapanga mankhwalawa amachotsedwa ndi chinsinsi cha tiziwalo ta mammary, komabe, chiopsezo cha hypervitaminosis mwa makanda sichinakhazikitsidwe. Kulandila kwa pyridoxine mu milingo yayikulu (> 600 mg patsiku) kungayambitse hypo- kapena agalactia.

Pa kubereka mwana, mankhwalawa amatha kugwiritsidwa ntchito pokhapokha ngati pali umboni wowoneka wa mavitamini B1, B6 ndi B12 m'thupi la mayi woyembekezera.

Bongo

M'mabuku apadera, milandu ya mankhwala osokoneza bongo a mankhwala ambiri imafotokozedwa. Odwala amadandaula chifukwa chodwaladwala, kupweteka minofu, mafupa, nseru komanso kutopa kwambiri. Ngati mukupeza zizindikiro zomwe zili pamwambapa, mankhwalawa ayenera kuthetsedwa ndikuyang'ana kwa dokotala. Adziwa chomwe chimayambitsa mavutowo, kupereka mankhwala othandizira.

Vitamini B1

Pambuyo poyambitsa thiamine mu mlingo wopitilira nthawi yopitilira 100, Hypercoagulation, mkodzo purine metabolism, curariform ganglioblocking zotsatira zomwe zimayambitsa kutsika kwa kukhudzika kwa mitsempha.

Kumva kusayenda bwino, kufooka kwathunthu ndi zizindikiro za kuchuluka kwa mankhwalawa.

Kuchita ndi mankhwala ena

Malangizo ogwiritsira ntchito akuwonetsa kuti mankhwala ena sagwirizana ndi mankhwala omwe ali pamwambawa. Nthawi zina, kuyendetsa limodzi kumabweretsa kufooka kwa chithandizo chamankhwala kapena kuwonjezeka kwa chiwonetsero chotsatira:

1. Thiamine imawonongedwa chifukwa cha kulumikizana ndi mankhwala omwe ali ndi sulfites (potaziyamu metabisulfite, potaziyamu), sodium hydrosulfite, sodium sulfite, etc.).
2. Kugwiritsira ntchito pamodzi kwa cycloserine ndi D-penicillamine kumawonjezera kufunikira kwa pyridoxine.
3. Mankhwalawa sayenera kusakanikirana ndi mankhwala ena omwe ali mu syringe yomweyo.
4. Makonzedwe a okodzetsa amatsogolera kutsika kwa vitamini B1 m'magazi ndipo imathandizira kwambiri impso yake.

Mankhwalawa sayenera kusakanikirana ndi mankhwala ena omwe ali mu syringe yomweyo.

Wodwalayo ayenera kudziwitsa adotolo za mankhwala omwe akumwa. Dokotala pankhaniyi amasintha dongosolo la mankhwalawo, potero amachepetsa kuyambitsa mavuto.

Ngati ndi kotheka, mankhwalawa atha kusinthidwa ndi njira monga:

• Neurolek,
• Kombilipen
• Milgamma
• Vitaxon
• Neuromax
• Zosathandiza
• Neuromultivitis,
• Esmin,
• Neurobeks-Teva,
• Selmevit
• Dynamizan
• Unigamm
• Kombilipen
• Centrum
• Pantovigar
• Farmaton
• Ginton
• Nerviplex,
• Aktimunn,
• Berocca kuphatikiza,
• Encaps
• Detoxil
• Pregnakea
• Neovitam
• mavitamini B1, B12, B6,
• Megadine
• Neurobeks-Forte.

Neuromax ndi analogue osauka a Neurobion.
M'malo mwa Neurobion, mutha kutenga Revalid.
Neuromultivitis ndi analogue ya Neurobion.
Pantovigar ali ndi mankhwala ofanana ndi Neurobion.
Combiplane imawerengedwa kuti ndi analogue ya Neurobion.
Milgamm imakhala ndi chinthu chofanana ndi Neurobion.

Tsiku lotha ntchito

Matenda a shuga Momwe mungakhalire POPANDA NDI INSULIN NDI TABLETS! SYMPTOMS NDI ZIWEREZO! Neuromidin, malangizo ogwiritsira ntchito. Matenda a zotumphukira zamitsempha zam'mimba Zokhudzana ndizofunikira kwambiri: Mavitamini a gulu B, nyamakazi, khansa ya m'mphuno wamatenda a shuga a 1 ndi 2. Ndikofunikira kuti aliyense adziwe! Zoyambitsa ndi Chithandizo.

Ndemanga za madotolo ndi odwala za Neurobion

Svetlana wazaka 39, ku Kiev: "Ndakhala ndi mavuto a msana kuyambira ndili ndi zaka 18. Osteochondrosis adapezeka. Dokotala adapereka ma jakisoni jakisoni. Mankhwalawa adalowetsa intramuscularly, 1 ampoule patsiku. Pambuyo pa maphunziro a milungu iwiri, thanzi langa linakhala bwino, kupweteka kwakumaloko. Pazolinga za prophylactic, ndimagwiritsa ntchito mankhwalawa mawonekedwe a piritsi.

Andrey wazaka 37, Astrakhan: "Posachedwa adayamba kuda nkhawa ndi kuyabwa kwambiri komanso kupweteka m'malo a minofu. Atayikidwa ndi adotolo, adazindikira kuti ndili ndi radicular neuritis. Dotolo wamatsenga adapereka jekeseni wa Neurobion. Zovuta zonsezo zidachoka pomwepo.Kwa masiku anayi mankhwalawa adalandiridwa tsiku lililonse. 1 wokwanira pa sabata anali atalembedwa. Ndine wokhutira ndi zotsatira za mankhwalawo. "

Sabina wazaka 30, ku Moscow: "Ndakhala ndikugwiritsa ntchito mavitamini a lumbar neuralgia kwa nthawi yayitali. Pakapita nthawi, adasiya kuthandiza. Nditapita kwa dokotala, adalandira jekeseni wa Neurobion. Patatha masiku ochepa ndatsitsimuka. Nditachira, ndidzagwiranso ntchito ngati prophylactic. mankhwala ngati mapiritsi. "

Artyom wazaka 25, Bryansk: "Ndinagwiritsa ntchito mankhwala osokoneza bongo a mavitamini a neuro-mapewa. Ndinkapanga jakisoni tsiku lililonse kwa masiku 5. Mankhwalawa amathandizanso kupweteka komanso kubwezeretsa thupi ndi kuchuluka kwa mavitamini. Pambuyo pa maphunziro a milungu itatu, dotolo adapereka mapiritsi kuti agwiritsidwe ntchito mosalekeza. amagwiritsidwa ntchito ngati mankhwala ochiritsira kuti musadzabwerenso. "

Khalidwe la Neurobion

Neurobion imapezeka mu mawonekedwe a jekeseni wambiri mu ma ampoules ndi mapiritsi. Uku ndikukonzekera kuchokera ku Germany ndi ku Austria.

Mndandanda wazinthu zomwe zimagwiritsa ntchito mankhwalawa zimakhala ndi mavitamini a B, makamaka B1 kapena thiamine, B12 (cyanocobalamin), ndi B6, yemwe dzina lawo ndi pyridoxine. Mwa zina zowonjezera ndi lactose ndi sucrose, yomwe imayenera kuganizira za anthu osalolera pazinthu izi.

Chithandizo chachikulu cha mankhwalawa ndicholinga chodzaza kuperewera kwa mavitamini B mthupi. Neurobion imagwiritsidwa ntchito mu neurology - imalembedwa kwa odwala omwe ali ndi nkhope ya paresis, plexitis, neuralgia, omwe akuvutika ndi ululu chifukwa cha matenda a msana. Ndi gawo limodzi la mankhwala osokoneza bongo a chidakwa komanso matenda ashuga a polyneuropathy.

Vitamini B1 ndiyofunikira pakukhazikitsa mphamvu ya kagayidwe kazinthu m'maselo, pyridoxine (B6) amawongolera magwiridwe antchito amanjenje, amalimbikitsa mapangidwe a maselo ofiira a magazi ndi ma antibodies. Vitamini B12 imafunika kuti mtima ugwire bwino - umatsitsa cholesterol ndikulimbikitsa kupangidwa kwa hemoglobin. Cyanocobalamin imathandizanso pa kapangidwe kazinthu zoteteza ma cell amitsempha.

Mankhwala sayenera kumwedwa ngati pali ziwopsezo zomwe zimapangidwa, odwala omwe ali ndi zaka 18 ndi azimayi panthawi yoyembekezera komanso mkaka wa m`mawere.

Zotsatira zoyipa ndizosowa kwambiri ndipo zimatha kuwonetsedwa ndi kusintha kwa khungu, tachycardia ndi matenda am'mimba.

Neurobion imalembedwa kwa odwala omwe ali ndi nkhope ya paresis, plexitis, neuralgia, ndi omwe akuvutika ndi ululu chifukwa cha matenda a msana.

Makhalidwe a Neuromultivitis

Mapangidwe a Neuromultivitis amaphatikizapo mavitamini a B: thiamine, pyridoxine ndi cyanocobalamin. Mankhwala amapezeka mu ampoules, omwe ali ndi yankho la jekeseni, komanso mapiritsi.

Mankhwalawa amathetsa mavuto obwera chifukwa chosowa mavitamini a B, kusintha magazi ndi mitsempha, kumachepetsa zotsatira za matenda a musculoskeletal system.

Amalembera polyneuropathy yamavuto osiyanasiyana, neuralgia, nkhope yamitsempha, mawonekedwe am'mimba, lumbar ischalgia ndi zina zomwe zimayendera limodzi ndi kusowa kwa mavitamini a B.

Simalimbikitsidwa kwa ana, amayi apakati komanso oyamwitsa, anthu omwe ali ndi vuto lalikulu la mtima. Zotsatira zoyipa zimachitika padera.

Kuyerekezera Mankhwala

Mankhwala osokoneza bongo ndi fanizo, chifukwa chake ali ndi machitidwe ambiri ofanana.

Neuromultivitis ndi Neurobion zimagwirizana kwathunthu pazogwira, motero, ali ndi zisonyezo zofananira. Contraindication ndi zovuta zake ndizofanana, chifukwa mphamvu ya mankhwalawa ndi yofanana. Mankhwala onse awiriwa amapezeka m'mitundu iwiri: yankho la jakisoni wa intramuscular mu ampoules ndi mapiritsi.

Ndibwino - Neurobion kapena Neuromultivitis?

Mankhwala onsewa ali ndi mawonekedwe ofanana, ali ndi malingaliro abwino kuchokera kwa madokotala ndi odwala. Ndi mankhwala ati omwe mungasankhe, Neurobion kapena Neuromultivitis, wodwalayo ayenera kusankha ndi dokotala wopezekapo, kutengera zomwe munthu wodwala ali nazo, kupezeka kwa mankhwala ndi mtengo wake.

Ndikwabwino kwa anthu omwe aphatikizidwa ndi lactose kusankha Neuromultivitis, chifukwa mankhwalawa sapezeka m'mapiritsi, mosiyana ndi Neurobion.

Anthu omwe aphatikizidwa ndi lactose, ndikofunikira kusankha Neuromultivitis, chifukwa mankhwalawa sapezeka m'mapiritsi.

Ndemanga za Odwala

Victoria, wazaka 28, Volgograd

Mayi anga atayamba kudandaula za kupweteka kwambiri khosi, adotolo adauza Neurobion. Zinapezeka kuti ndikutupa kwa mitsempha ya trigeminal. Mankhwalawa adagulidwa mu ampoules; atatha jakisoni 10, kusintha kunawonekera. Panalibe zovuta zilizonse panthawi ya chithandizo. Sizikudziwika kuti ndi mankhwala ati omwe adakhudzanso kuchira, chifukwa adotolo adalemba mankhwala ena, koma kuyambira pamenepo, amayi anga asungabe Neurobion m'mapiritsi ku nyumba yake yanyumba yamankhwala, amamuthandiza pakuwonjezera matendawa.

Natalia, wazaka 33, Moscow

Adotolo adandipangira jakisoni wa mankhwalawa omwe ali ndi mavitamini a B. Ndidasankha Neuromultivitis, chifukwa ndi mawonekedwe omwewo mtengo wake unali wotsikirapo kuposa womwe amafanana nawo. Mtengo wotsika komanso kapangidwe kake ndizabwino za mankhwalawa, koma pakati pa minus ndi kupweteka ndi intramuscular management. Chifukwa cha izi, ndinasinthira ku analogue yodula kwambiri, koma ndizomwe zili ndi lidocaine.

Olga, wazaka 41, St. Petersburg

Nthawi yoyamba yomwe ndinayesa Neuromultivitis zaka 5 zapitazo pa upangiri wa dokotala. Adapempha thandizo chifukwa chogona nthawi zonse komanso alibe chidwi. Ndidatenga mapiritsi mwezi umodzi, 3 ma PC. patsiku. Zotsatira zake, adakhala wodekha, wakhama, wogona. Ndimamwa Neuromultivit kawiri pachaka, kasupe ndi kugwa. Ndayesa analogue ya Milgamm, koma ndimakonda Neuromultivit kwambiri, ngakhale anali okwera mtengo.

Madokotala amawunika za Neurobion ndi Neuromultivitis

Alexander, wazaka 54, trichologist, Chelyabinsk

Nthawi zambiri ndimalembera Neuromultivitis kwa odwala omwe ali ndi psoriasis monga gawo la zovuta mankhwala. Amachotsa bwino ululu pambuyo pakuchepa chifukwa chakuti mavitamini a gulu B abwezeretsa minyewa yamanjenje, yomwe idawonongeka chifukwa cha njira yotupa. Mwa zabwino za mankhwalawa ndizothandiza, mtengo wotsika, njira yosavuta yotulutsira ndi kumwa.

Olga, wazaka 36, ​​wamisala, Nizhny Novgorod

Neurobion ndi zovuta za vitamini B mu Mlingo wokwanira wochizira. The kapangidwe alibe lidocaine wa, chifukwa pomwepo pali zovuta ziwengo odwala ntchito. Chidachi chimagwira ntchito zosiyanasiyana kuvulala kwamanjenje yamanjenje. Ndimasankha odwala omwe ali ndi maresi amitsempha yamaso, polyneuropathy, kupweteka kumbuyo. Zimathandizira kupweteka kosagwirizana ndi mankhwala ena.

Igor, wazaka 40, wamisala, Simferopol

Neurobion ndi mankhwala abwino kwambiri ochokera pagulu la mavitamini B pamsika waku Russia. Mtengo wokwera ndi wolungamitsidwa ndi mtundu wabwino kwambiri. Chida chikuwonetsa bwino ngati chikugwiritsidwa ntchito pochiritsa pambuyo pang'onopang'ono, pochotsa zakumwa zoledzeretsa.

Sindikizani mtundu

Kutengera ndi zotsatira za phunziroli, nkhaniyi ikuwonetsa kugwiritsidwa ntchito bwino kwa mavitamini a B (Neurobion) ndi Actovegin a matenda ashuga a polyneuropathy.

Chidule Munkhaniyi pamaziko azopezazo mudawonetsa kufunikira kwa kugwiritsa ntchito mavitamini a B (Neurobion) ndi Actovegin ku matenda ashuga a polyneuropathy.

Chidule Ziwerengero pazotsatira za magwiridwe antchito zimawonetsa kugwira bwino ntchito komwe gulu la V (Neurobion) likuchita posachedwa komanso Actovein mothandizidwa ndi polyneuropathy.

Diabetesic polyneuropathy, chithandizo, Neurobion, Actovegin.

Mawu ofunikira: matenda a shuga a polyneuropathy, chithandizo, Neurobion, Actovegin.

Mawu ofunikira: matenda ashuga polyneuropathy, likuvannya, Neurobion, Actovegin.

Monga mukudziwa, matenda ofala kwambiri a endocrine ndi matenda a shuga a mellitus (DM). Chifukwa chake, mu 2011, odwala 275 miliyoni omwe ali ndi matenda ashuga adalembetsedwa padziko lonse lapansi, koma kuchuluka kwa anthu omwe akudwala matendawa kumapitilirabe kuchulukana chaka chilichonse (mwa 6%% ya milandu pachaka) komanso, malinga ndi kulosera kwa World Health Organisation, pofika chaka cha 2025 adzafika anthu miliyoni 350 1, 11, 19.

Ntchito zachipatala komanso chikhalidwe cha anthu odwala matenda ashuga sizikhala zofunikira kwenikweni, komanso kuchuluka kwa odwala, kuchuluka kwa odwala omwe ali ndi zovuta za matenda opatsirana, zomwe zimatsogolera kulumala koyambirira komanso kufa.

Matenda omwe amapezeka kwambiri kwa odwala omwe ali ndi matenda ashuga ndi matenda ashuga neuropathy (DN), zomwe zimapangitsa kuwonongeka kwa magawo osiyanasiyana amanjenje komanso kukhala ndi chithunzi cha chipatala. Kuphatikiza apo, kupsinjika kumeneku kumayambitsa kuwonongeka kwa moyo wa odwala, kusokonezeka kwa mphamvu yogwira ntchito, ndipo kumayambitsa kukulira kwa zovuta zazikulu monga matenda a shuga matenda a matenda ashuga 7, 18.

Malinga ndi kafukufuku wosiyanasiyana, matenda am'mimba a shuga amawonongeka mu 10-100% ya odwala matenda a shuga 1, 2. Komanso, ndizosavuta kudziwa njira zomwe zimagwiritsidwa ntchito pozindikira (mwachitsanzo, electromyography), kuchuluka kwake. Chifukwa chake, zaka 5 atadwala matendawa, DN yapezeka mu 12.5-14.5% ya odwala, ndipo patatha zaka 25, chizindikirochi chikufika kale pa 55-65% 2, 4.

Mpaka pano, magawo angapo azachipatala a matenda am'mbuyomu afotokozedwa. Malinga ndi olemba ena, gulu lotsatirali la ma DN lakwanira kwambiri (I.G. Rudakova, S.V. Kotov, 2009).

1. Symmetric, makamaka yotupa komanso ya distal polyneuropathy.

2. Asymmetric, makamaka mota ndipo nthawi zambiri proximal neuropathy.

5. Autonomic (visceral) neuropathy.

1. Matenda a diabetes a encephalopathy:

2. Shuga encephalomyelopathy.

3. pachimake encephalopathy.

Njira zotsatirazi za chitukuko cha DN zimasiyanitsidwa: kutsegulira kwa njira ya polyol ya kagayidwe kazinthu kakang'ono ndi kuchuluka kwa sorbitol, oxidative nkhawa, activation yopanda enzymatic glycosylation ya mapuloteni, kusokonekera kwa kagayidwe kazinthu zosiyanasiyana za neurotrophic komanso kukula, kuperewera kwa metabolism ofunikira amafuta acids, endoneural microangiopathy 6, 10anis Ductho 6, 10 17.4 Dorat ya 6, 10 ndi 17 ya patatu. multifactorial. Kusiyanasiyana kwa chithunzi chachipatala kumapereka lingaliro kuti pali njira zingapo zothandizira kupangira neuropathy, zomwe, mwachiwonekere, zimalumikizana. Malingaliro a pathogenesis azaka zaposachedwa amachepetsedwa kukhala madera awiri otukuka kwambiri - malingaliro am'mimba ndi a metabolic, omwe ali ndi michereopathy komanso majini ndizofunikira kwambiri. Komabe, matenda oopsa a hyperglycemia, omwe amachititsa kuti pakhale kusintha kwa zinthu zamkati zomwe zimapangitsa kuti ziwonongeke ndikuwonongeka kwa minyewa ya mitsempha 2, 5, 9, idakalibe gawo losagwiritsidwa ntchito popanga DN.

Kusintha kwa morphological mu dongosolo lamanjenje ngati DN yachitika chifukwa cha kuwonongeka kwa mitsempha ndi njira zake, nthawi zambiri zosasinthika, chifukwa chophwanya njira zosinthira mu shuga 12, 15, 18. Pa magawo oyamba a kugonjetsedwa kwake, zizindikiritso za kusowa kwa ulusi woonda womwe si wa myelin zimapezeka, ndiye kuti kupendekeka kwa mafupa a myelin, magawo a demyelination ndi kukonzanso kumapangidwa, komwe kumayambitsa kuphwanya kwamitsempha.

Nthawi zambiri, pochita izi, madokotala amayenera kuthana ndi matenda ashuga a m'mitsempha a chiwindi (DPN), omwe amawonetsedwa ndi vuto lakuthwa, galimoto, komanso zovuta zamasamba. Nthawi zambiri mawonetseredwe amtunduwu wa zotupa ndi ma paradoxical kapena "zabwino" zomwe zimachitika kapena zimawonjezeka usiku kapena kupuma: kuwotcha, kugwedezeka, chisokonezo (mawonekedwe a ululu poyankha zovuta zomwe zimapweteka), hyperalgesia. Zizindikiro "Zosasangalatsa" - dzanzi, kusakhazikika pamakhala gawo lalikulu la mitsempha yamitsempha. Mkhalidwe wamanjenje mu matenda amtunduwu udzadziwika ndi kuphwanya mitundu yonse yamatenda: kugwedezeka, kupweteka, kutentha, kutentha, kuchepa kapena kuwonongeka kwa Achilles ndi knee Reflex. Kutsika kwa chidwi cha kuphatikizira kophatikizana ndi kupweteketsa mtima mobwerezabwereza kungayambitse kupangika kwa osteoarthropathy (phazi la Charcot).

Osachepera awiri mitsempha ya m'mitsempha (Zizindikiro, kusintha kwa kuchuluka kwa kufalikira kwa mzere m'mitsempha ya mitsempha, kusokonezeka malinga ndi kuchuluka kwa masensa kapena kudziyimira pawekha) kuyenera kudziwa DPN. Pankhaniyi, ndikofunikira kuchita njira zowonjezera pakufufuza. Ndipo kukwera kwazovuta zakuzindikira kovuta, kulondola kwachidziwikire ndiko kuzindikira kwa DPN.

Ndi zizindikiro ziti zachipatala za polyneuropathy zomwe zimatha kupezeka ndi dokotala pakuwunika kwa mitsempha?

Chofunikira mu pulogalamu yofunsa matenda ndikumayang'ana kwamapazi kuti mupeze kuperewera kwa zipatso - kuwuma, kupatulira khungu la miyendo, hyperkeratosis, zilonda zam'mimba, osteoarthropathy. Komanso, simuyenera kuyang'ana kumbuyo kwamapazi okha, komanso kokha, komanso malo opatsirana.

Mukamayesa kuchipatala, ndikofunikira kuwunika kuwopsa kwa zizindikiro zomwe zilipo komanso kuperewera kwa mitsempha. Kuwonetsera kwakanthawi kachipatala kwa DPN kunathandizira kukulitsa miyeso yapadera ndi mafunso omwe amagwiritsidwa ntchito poyerekeza mawonekedwe oyenera komanso kuchuluka kwake ndikuwunika kochita bwino kwa mankhwalawa. Zodziwika kwambiri ndi izi:

1. Kukula kwakukulu kwa zizindikiro zamitsempha (Kukula kwa Zizindikiro Zonse - TSS), yomwe imawunika kuopsa kwa zizindikiro za DPN (kuchuluka ndi pafupipafupi paresthesia, dzanzi, kupweteka koyaka) (Gome 1).

2. The Neuropathy Disability Score (NDS) pamlingo wowunika kusintha kwa tendon Reflex, kupweteka kwamkati, tactile, kutentha, kugwedeza mwamphamvu (tebulo 2).

3. Mlingo wa Neuropathy Syndromeomatic Score (NSS), womwe umatsimikizira kupezeka kwa zizindikiro za neuropathic - kugunda, kuwotcha, kumva kupweteka, kupweteka, kukokana, hypnothesia, poganizira momwe zimakhalira masana komanso nthawi yanthawi yomwe zimachitika masana.

Poganizira kuti mawonekedwe akale kwambiri komanso otsogola kwambiri a DPN ndi kuchepa kwa kugunda kwa mphamvu ya vibration sensitivity threshold (VPT) 1, 16, ndikofunikira kuti muziphunzire pogwiritsa ntchito biotensiometer kapena foloko yomaliza maphunziro ndi pafupipafupi ya 128 Hz. Foloko yophimba ikuwikidwa pamwamba pa cholumikizira cha 1 metatarsophalangeal, cholocha cham'mimba, ndipo, ngati kuli kotheka, pakati pa tibia pamiyeso yokhazikika. Monga foloko yotchinga, biotensiometer imayikidwa pamalo okwanira, matalikidwe amakhazikitsidwa pamlingo wokonzedweratu ndipo pang'onopang'ono amawonjezeka mpaka poyandikira mphamvu yogwedezeka itafika. Komabe, mosiyana ndi foloko ya kuwombera, womwe ndi njira yokhayo yodziwira momwe muliri wazinthu zamagetsi, biotensiometer imatanthauzira kuchuluka kwa maphunziro a chidwi. Tiyenera kudziwa kuti pali kuwonjezereka kwokhudzana ndi zaka zapakati pa kugunda kwa chidwi, komwe sikunasonyeze kukula kwa zotumphukira ndipo mwa anthu omwe ali ndi matenda osokoneza bongo samapereka zofunikira pakuzindikira kwa DPN, komabe, ndi chiopsezo chowonjezereka cha kuwonongeka kwa phazi mwa odwala.

Kafukufuku wokhudzana ndi tactile sensitivity amachitika pogwiritsa ntchito monofilaments wolemera 10 g. The monofilament amaikidwa perpendicular pamalo oyeserera ndipo amakanikizidwa mpaka tsitsi la nayiloni litapinda masekondi awiri. Kukhudza kuyenera kuchitika kawiri konse pamphindi iliyonse, ndipo kukhudza kumakhala konyenga. Kulingalira kwamkati kumawerengedwa ngati wodwalayo akumva kuwiri 1, 2, 4. Phunziroli, zigawo za hyperkeratosis ndi zilonda zam'mimba ziyenera kupewedwa. Kutsika kwamphamvu kwa tactile kumadziwika kumapeto kwa DN ndikuwonetsa kusokonezeka kwakukulu.

Kufika kwa ululu ndi kutentha kwa kutentha kumatsimikizika pogwiritsa ntchito singano yamtengo wapatali ndi Tipterm yopaka mafuta m'dera la khungu la chala chachikulu chakumbuyo, kumbuyo kwa phazi, kumbuyo kwa phazi lanu ndi kumbuyo.

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