Lefu la tsoekere ke lefu le sa foleng le tšoauoang ka bongata ba tsoekere maling. E 'ngoe ea mathata a eona ke neuropathy. E tšoauoa ka tšenyo ea tsamaiso ea methapo e ka sehloohong ea boko. Phepelo ena e etsahala lilemo tse 10-15 kamora ho qaleha ha lefu la tsoekere.
Ho theola tsoekere ea mali
Neuropathy e etsahala ha ho fokotseha ha tsoekere ea mali. Ka tloaelo, motho ea phetseng hantle o na le "glucose" e potlakileng ea khatello ea mali ea 3.5-6.2 mmol / L. Ho lefu la tsoekere, letšoao lena le feta 6.5 mmol / L. Ho fokotsa tsoekere ea mali ke mosebetsi oa bohlokoahali ho phekola lefu la tsoekere ho batho.
Lefu la tsoekere ke lefu le sa foleng le tšoauoang ke ho ba le tsoekere e ngata maling, e 'ngoe ea mathata a lona ke neuropathy.
Alpha Lipoic Acid ea lefu la tsoekere
Ka lebaka la ho haelloa ke insulin maling kapa ho senyeha ha lisele tsa li-receptor, alpha-lipoic acid e bohlokoa haholo. E nooa ka bobeli bakeng sa prophylaxis le kalafo ea mofuta oa 1 le lefu la tsoekere la 2. Lipoic acid e na le litlamorao tse latelang 'meleng:
- Ke antioxidant e matla. Ntho ena e sireletsa 'mele ho li-radicals tsa mahala tse thehiloeng ka lebaka la lits'ebetso tsa metabolic. Tekanyo e phahameng ea tsoekere ho lefu la tsoekere e lebisa hoketsong ha litaba tsa mefuta ea mahala ea oksijene 'meleng, e bakang khatello ea maikutlo. E bapala karolo ea bohlokoa kholisong ea neuropathy.
- E tlama lintho tse chefo.
- E ntlafatsa phetisetso ea litšusumetso tsa methapo.
- E ntlafatsa phepelo ea mali ho lithane tsa methapo.
- E nka karolo ho mitochondrial cell metabolism.
- E ntlafatsa ts'ebeliso ea tsoekere e tsoanang le insulin.
Lipoic acid e fumaneha ka mokhoa oa litafole tsa tsamaiso ea molomo.
Lithibela-mafu tsa lefu la tsoekere
Alfa glucosidase inhibitors e sebetsa hantle ho phekoleng lefu la tsoekere. Glucobay ke ea bona. Ntho e sebetsang ke acarbose. Ena ke hypoglycemic (e fokotsa tsoekere ea mali) meriana ea molomo bakeng sa lefu la tsoekere la mofuta oa 2.
Moriana o thusa ho fokotsa ho monya ha lik'habohaedreite le ho etsoa ha limolek'hule tsa glucose. Ka lebaka leo, tšebeliso ea tsoekere butle butle maling le ho fokotseha ha eona. Glucobay e fuoe kalafo e rarahaneng ea lefu la tsoekere la mofuta oa 2. Ho nwa moriana ho tlameha ho kopantshwa le phepo.
Lithethefatsi tse seng khahlanong le ho ruruha
Ka tšenyo ea likarolo tsa methapo ea kutlo, lithethefatsi tse khahlanong le ho ruruha tse tsoang sehlopheng sa NSAID li sebelisoa ka bongata. Tse hlalositsoeng hangata ke indomethacin, nimesulide le analgin. Ba fokotsa ho ruruha, ho ruruha le bohloko. Indomethacin e thusa ho tlosa matšoao a lefu la tsoekere la polyneuropathy (bohloko, ho fokola hoa mesifa). Lithethefatsi tse seng khahlanong le ho ruruha le li-analgesics tse seng tsa narcotic li sebetsa hantle bakeng sa mofuta o bohloko oa neuropathy.
Actovegin bakeng sa polyneuropathy
Haeba motho a e-na le lefu la tsoekere, ke moo lithethefatsi tse nang le neuroprotective le antihypoxic effect li kenyellelitsoeng kalafong ea kalafo. Tsena li kenyelletsa Actovegin. E sebelisoa ka mokhoa oa tharollo ea ente le matlapa. Sehlahisoa se na le likarolo tsa mali a namane.
Actovegin e na le litlamorao tse latelang 'meleng oa batho ba nang le lefu la tsoekere:
- E ntlafatsa tsamaiso ea lisele le ts'ebeliso ea tsoekere. Sena se fihlella ka lebaka la ho ba teng ha inositol phospho-oligosaccharides ha ho ntse ho hlophisoa.
- E ntlafatsa ho bokelloa hoa lithane tsa oksijene.
- Fokotsa sebopeho sa lactate (lactic acid) liseleng tse tlisoang ke ischemia.
- E ntlafatsa boemo ba lisele tsa methapo.
- E ntlafatsa microcirculation.
Actovegin e na le likarolo tsa mali a namane.
Mefuta ea lefu la tsoekere la lefu la tsoekere
Lefu la tsoekere le ka ba mefuta e fapaneng. Mefuta e latelang ea pathology ena e khetholle:
- Autonomic Neuropathy Syndrome. Mefuta ea eona e 5 e arotsoe: urogenital, gastrointestinal, sudomotor, phefumoloho (phefumoloho) le pelo (pelo).
- Syndrome ea "symmetric neuropathy" e akaretsang. E ka ba sensory (methapo ea kutlo e amehang haholo), motor (methapo ea koloi e amehang ts'ebetsong), e tsoakiloeng le hyperglycemic.
- Focal kapa multifocal syndrome. Radiculoneuropathy (tšenyo ea metso ea methapo mokokotlong kapa methapong ea methapo), amyotrophy (atrophy ea mesifa), demyelinating polyneuropathy, tunnel le mofuta oa cranial li khetholloa.
Mehato e latelang ea neuropathy e khetholloa:
- subclinical (matšoao a bobebe);
- ea bongaka (e bohloko kapa e se nang bohloko);
- mathata a morao-rao (a tšoailoeng ke nts'etsopele ea mathata a mofuta oa lephako la lefu la tsoekere le leoto le robehileng).
Hape khetholla mefuta e bohareng le e poteletseng ea pathology ena.
Bothata bo amanang le methapo ea kutlo
Ho tšoaroa ke lefu la tsoekere le amanang le lefu la tsoekere ho fumanoa ho mokuli e mong le e mong oa bobeli ea nang le lefu la tsoekere. Foromo ena e tšoauoa ka tšenyo ea tsamaiso ea methapo e hole le sefofane se bohareng sa 'mele. E tšoauoa ka tšenyo ea methapo e hokahanyang ka kotloloho bokong le mokokotlong oa mesifa. Ka ts'ebetso ena ea ts'ebetso, mosebetsi oa matsoho le maoto oa senyeha.
Matšoao a mantlha a lefu lena ke:
- Khaello ea ts'ebeliso ea mekhatlo.
- Ho tiea ha o tsamaea.
- Shaky gait.
- Atrophy ea mesifa (ho fokotseha ha molumo).
- Bofokoli ba mesifa.
- Tsamaiso e kopaneng ea kopaneng.
- Edema ea Peripheral.
- Ho fetoha ha maoto le matsoho le matsoho.
Pheripalal neuropathy ea likarolo tse tlase
Neuropathy e nang le lefu la tsoekere e baka tšenyo lipheletsong tse tlase. Pathogeneis ea eona e amahanngoa le ketso ea glucose ho lisele tsa methapo. Tsoekere e phahameng haholo e mpefatsa ho kenella ha methapo ea kutlo mme e ama hampe lits'ebetso tsa metabolic. Matšoao a ka bang teng a mofuta ona oa neuropathy ke:
- Phepelo ea bohloko (ka bohloko). Hangata, e hlobaetse ebile e etsahala ka maoto a mabeli. Bohloko bo ea le menoana.
- Li-paresis tse sa kopaneng le tse peli (thibelo ea metsamao).
- Ho ts'oaroa ha mesifa ho kenella (ho khahlisa).
- Maqhubu.
- Bofokoli ba mesifa.
- Bohloko ba 'mele.
- Ho thatafalloa ke ho sisinyeha.
- Ho inama maotong.
- Boikutlo bo haelloang.
- Ataxia (tahlehelo ea tumellano).
- Ho ikutloa eka o na le likarolo tse itseng tsa leoto.
- Ho felloa ke matla a mocheso.
- Ho fokola ha li-reflexes (lengole, Achilles) kapa tahlehelo ea bona.
- Unilateral kapa ba naha e le 'ngoe (plealia).
Setšoantšo sa tliliniki se itšetlehile ka hore na methapo e ameha efe (sensory kapa motor). Matšoao a tsoela pele butle ka likhoeli tse 'maloa.
Sensory neuropathy
Psychology ena e tšoauoa ka tlolo ea methapo ea kutlo. Hangata, methapo ea kutlo e ameha sefahlehong, matsoho le maoto. Matšoao a neuropathy ea sensory ke:
- Hypnothesia Ho batho ba kulang, letlalo le sebakeng sa maoto, matsoho kapa sefahleho le fetoha hypersensitive ho ba khopisang. Ho na le bohloko bo otlang pelo mabapi le ho ikopanya, ho honotha le ho cha. Mohlomong maikutlo a haholang.
- Kholofalo. Lebaka ke ho eketseha ha maikutlo a letlalo ho mocheso o tlase.
- Karabelo e fosahetse ho li-irritors tsa mochini le tsa mochine. Ho ka ba le tinnitus le tatso e sa thabiseng molomong ha e pepesoa leseling.
- Ho fokotsa maikutlo. Ka nako e ts'oanang, monyako oa maikutlo a bohloko ho motho oa eketseha. Maoto le matsoho (li-gloves le socks syndrome) li ameha hangata.
Dysmetabolic neuropathy
Ho endocrinology, ho na le ntho e kang dysmetabolic neuropathy. Psychology ena e hlaha khahlano le semelo sa tlolo ea 'mele ea "carbohydrate metabolism" e hlokometsoeng ho lefu la tsoekere.
Matšoao a neuropathy ea sensory ke chilliness, ho eketseha ha maikutlo a letlalo ho mocheso o tlase.
Autonomic neuropathy
Mofuta ona oa neuropathy o tšoauoa ka ho kenya letsoho ts'ebetsong ea sehokela sa tsamaiso ea methapo ea kutlo. O ikarabella bakeng sa mosebetsi oa litho tsa ka hare. Mafapha a nang le kutloelo-bohloko le a parasympatheathy a ka ameha. Matšoao a latelang a bonoa:
- Dysphagia (bothata ba ho koenya lijo le metsi).
- Ho opeloa ke pelo Monko kapa o hlaba habohloko.
- Ho phomola
- Nausea
- Tlolo ea setuloana sa phallo kapa lets'ollo. Lebaka la setuloana se sa thekeseleng ke peristalsis e eketsehileng. Stool e ka ba makhetlo a 5-10 ka letsatsi kapa hangata.
- Matšoao a ho hlohlona ha pelvic (ho fokotseha ha potency, ho ntša metsi ka seoelo). Ho haelloa ke matla le ho fokotseha ha molumo oa mesifa ea lesapo ho lebisa khokahanong ea tšoaetso le kholo ea cystitis.
- Matšoao a ho se sebetse hantle ha methapo ea pelo le methapo ea mali (ho kena-kenana le mosebetsi oa pelo, ho fokotse khatello ea mali, tachycardia, bofokoli).
- Ho rohaka.
- Boholo ba sefahleho.
- Letlalo le omeletseng.
- Ho sitisoa ha pono.
Hobaneng lefu la tsoekere le holofala?
Motheo oa tšenyo ea lisele tsa methapo khahlano le lefu la tsoekere ke: litlamorao tse senyehang tsa lihlahisoa tsa oxidation, microangiopathy (tšenyo ea likepe tse nyane), microcirculation e sa sebetseng, metabolism liseleng tsa methapo le ho theoa hoa li-autoimmune complexes. Lintho tse ka behang kotsing ea ho ba le neuropathy ke: botsofe, ho se latele mokhoa oa kalafo, ho tsuba, botahoa le ho nona haholo.
Matšoao a lefu la tsoekere la lefu la tsoekere
Setšoantšo sa kliniki sa neuropathy se na le matšoao a motor, sensory le autonomic.
Ho chesa le ho opisa maoto le matsoho a tlase
Ho chesa le ho tenisa matšoao a mafu a tebileng. Li utloahala lehong le amehileng. Ka linako tse ling methapo ea sefahleho ea ameha.
Ho lahleheloa ke kutloisiso ea maoto
Ho lahleheloa ke matla ka botlalo ho bitsoa ho tsitsipanya. Boemo bona bo kotsi hobane motho ha a utloe a senya. Ho pepesehela bateng, ho chesa le likotsi ha ho tsotelloe 'me ho ka lebisa ho feteng linama. Ho na le maqeba.
Boloetse bo fumanoa joang?
Ho tseba neuropathy o tla hloka:
- Tlhahlobo ea laboratori (liteko tsa mali le moroto ka kakaretso, tlhahlobo ea biochemical).
- Tlhahlobo.
- Tlhahlobo ea 'mele.
- Lithuto tsa liletsa (ultrasound, ECG, CT, MRI, radiography, electromyography, electroencephalography).
- Tlhahlobo ea methapo.
Mosebetsi oa ngaka ke ho qolla mafu a mang a methapo, ho kenyeletsa mefuta e meng ea neuropathy.
Boikemisetso ba maikutlo a vibration
Fereko ea tuning ea Riedel e sebelisoa. Sesebelisoa se thothomelang se kenngoa 'meleng (hangata menoana) mme karabelo ea mokuli e ea hlahlojoa.
Thibelo ea Tactile Sensitivity
Boithuto bo etsoa ho sebelisoa monofilometer. Sena ke sesebelisoa se phahameng le mohala o teteaneng oa ho tšoasa litlhapi. Ba beha khatello letlalong mme ba lekola kutloisiso. Bakeng sa morero ona, hangata sebelisa boea ba k'hothone, bo amang 'mele ho tloha maotong ho ea molaleng.
Tlhahlobo ea maikutlo a mocheso
Ho etsa sena, sesebelisoa se sebelisoa e le mofuta oa silinda, o koetsoeng ka lehlakoreng le leng ka tšepe le polasetiki ka lehlakoreng le leng. Karolo e 'ngoe ea sesebelisoa e bata ebile e' ngoe e futhumetse. Ka tsela e fapaneng, li ama letlalo.
Kalafo ea lefu la tsoekere la lefu la tsoekere
Phekolo e reretsoe ho felisa mats'oao a ho felisa matšoao a lefu lena le lefu la tsoekere le ho ntlafatsa phepo ea lithane tse nang le methapo. Pheko e kenyelletsa lijo tse nang le carb e fokolang, kalafo ea boikoetliso, meriana le physiotherapy (ho tsosa motlakase, Phototherapy, magnetotherapy). Bakuli ba hloka ho roala lieta tsa meroho, ho nolofatsa letlalo la bona, ho hlapa le ho ikoa ka maoto.
Phekolo ea lithethefatsi
Ka neuropathy ho sebelisoa:
- Litokisetso tsa livithamini tsa sehlopha B (Combilipen, Milgamm).
- Litokisetso tsa alpha-lipoic acid (Thiogamma, Tiolept, Oktolipen, Espa-Lipon).
- Li-antioxidants.
- Li-Painkiller le lithethefatsi tse thibelang mafu.
- Li-anticonvulsants (Gabapentin, Convalis, Tebantin) le li-agents tse ling tsa matšoao. Li sebetsa hantle ho neuronomic neuropathy.
Mofuteng oa 1 oa lefu la tsoekere, ho hlokahala ente insulin. Ka mofuta oa 2, ho sebelisoa li-hypoglycemic agents (Metformin, Glucofage, Formmetin).
Mekhoa e meng ea ho phekola lefu la tsoekere
Litlhare tsa setso ha li na thuso. Ho felisa bohloko, ho fokotsa ho ruruha, ho ntlafatsa ts'ebetso ea lisele tsa methapo le ho fetisetsa litšusumetso, ho sebelisoa tse latelang:
- infusion ea calendula;
- zest ea lemone;
- decoction e thehiloeng mahe a linotši, eleutherococcus le lime;
- infusion ea nettle le chamomile;
- letsopa le leputsoa (le sebelisetsoang compress).
Mathata
Litlamorao tsa neuropathy e ka ba: arrhythmia, lefu la tsoekere, ho nyekeloa ke pelo, atrophy ea mesifa, ho hloka matla, pono e fokotsehileng, ulcer, gastritis, dysbiosis, ho holofala le lefu la reflux.
Thibelo ea lefu la tsoekere
Ho thibela mafu ho itjarisa lijo tse matla, kalafo e nepahetseng ea lefu la tsoekere, ho khaotsa ho tsuba le joala, tekanyo e tloaelehileng ea tsoekere ea mali, ho lokisa boima ba 'mele, ho fumana ts'oaetso kapele, thuso ka matšoao a pele a lefu la tsoekere (lenyora, bofokoli, polyuria, tlala) ) le ho boloka bophelo bo botle.
