Lefu la tsoekere la polyneuropathy - ke eng?

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Polyneuropathy ha e hlahe hanghang: hangata e iponahatsa ho lefu la tsoekere le lilemo tse leshome ho isa ho tse leshome le metso e mehlano. Empa, ka bomalimabe, ho na le maemo ha, lilemo tse hlano feela ka mor'a ho fumanoa ha lefu la tsoekere, mokuli o qala ho ba le lefu la neuropathy.
Polyneuropathy
- Tšenyo ea methapo ea kutlo, e 'ngoe ea mathata a kotsi ka ho fetisisa a lefu la tsoekere mellitus (ka bobeli ke mofuta oa I le mofuta II).
E hlaha ka lebaka la tlala ea tlala ea methapo: methapo e menyenyane ea mali e ikarabella bakeng sa phepo e nepahetseng ea lisele tsa methapo, tse nkang karolo e phahameng ea tsoekere maling maling.

Matšoao a polyneuropathy

Ho na le mekhahlelo e mengata ea polyneuropathy:

  • subclinical;
  • tsa bongaka;
  • le ho feta pontsho ka mokhoa oa mathata.
Mokhahlelong oa pele oa lefu lena (subclinical) mokuli ha a utloe bohloko. Ke litsebi feela - li-neuropathologists tse ka lemohang lefu lena. E bontšoa ka ho fokotseha ha kutloelo-bohloko ea bohloko, mocheso le vibrate.
Mokhahlelo oa bobeli (oa bongaka) e hlahisitsoeng ho e 'ngoe ea liforomo tse latelang:

  • bohloko (a hlobaetsang) - bohloko hohle 'meleng ho ba teng nako le nako, likarolo tse ling tsa' mele lia akheha, mafu a kutloelo-bohloko a bitsoa haholo ho feta sethaleng sa pele;
  • bohloko bo sa foleng - ho ba le tsitsipano, ho luma, bohloko bo hlaha maotong le likarolong tse ling tsa 'mele. Maikutlo ana a matla ka ho khetheha bosiu;
  • ho haella ha bohloko - ntlheng ena, lefu la tsoekere le amehile ka botšehali (hangata sebakeng sa maoto) le tlolo ea kutloelo-bohloko;
  • mofuta oa amiotrophic - bofokoli ba mesifa bo eketsoa ke bohloko le ho tepella maotong, mokuli ho thata ho tsamaea;
Boemong ba boraro ba lefu lena Ho hlaha mathata a rarahaneng: li-ulc letlalong (hangata hangata maotong, maotong). Li ka ba bohloko kapa tsa tsamaisoa ke bohloko bo bobe. Leha ho le joalo, 15% ea bakuli ba sethaleng sena ba khaola libaka tse amehileng.

Mefuta ea lefu la tsoekere

Diabetesic polyneuropathy e iponahatsa ka mefuta e fapaneng. Nahana ka tse tloaelehileng haholo.

  • Phello ea pelo
  • Gastrointestinal
  • Urogenital
  • Bohareng (sensory-motor)
E etsahala ka tšenyo ea likepe tse kholo, matšoafo le pelo. Leqhubu la botšehali ke la pele ho otloa. Phekolo ea methapo ea pelo e bontšoa ke ho ba le pelo e potlakileng (tachycardia) phomolong, ho fokotseha ha khatello (orthostatic hypotension), le tahlehelo ea kelello ea nakoana. Liphetho tsa mofuta ona oa neuropathy e ka ba lefu la pelo le se nang bohloko.
Ha mofuta ona oa neuropathy o hlaha, atony ea esophagus, gastroparesis, lets'ollo le mathata a mang li a bonoa.
Sebopeho sa urogenital se tsamaea le atony ea li-ureters le senya mme e bonahatsoa ka ho ntša metsi ho sa laoleheng.
Boholo ba lefu la tsoekere bo tšoeroe ke mofuta ona oa polyneuropathy. Ho fapana le mefuta e meng, e tsamaisana le ho tsitsipana, bohloko ba symmetrical maotong (haholo-holo bosiu).

'Meleng oa rona, methapo e melelele ka ho fetisisa ea methapo e ea lipheletsong tse tlase. Ke tsona tse hlaselehang habonolo ho lefu la tsoekere. Mokuli a ka lahleheloa ke kutloelo-bohloko ea maoto a hae hoo esita le ho phunya letheka ho tla tsoelapele. Haeba lieta tse thata li itlotsa maoto, a ke ke a ikutloa.

Li-ulcers, maqeba, dislocation le masapo a robehileng li tloaelehile maotong. Motsoako oa mathata ana o bitsoa "leoto la tsoekere." Empa eseng ho bakuli bohle khatello ena ha e utloe bohloko - ba bangata ba nang le lefu la tsoekere ba utloa bohloko kapa bo utloisa bohloko.

Phekolo

Phekolo ea lefu la tsoekere la polyneuropathy e sebelisa tšebeliso ea lithethefatsi tse etselitsoeng ho felisa mats'oao a ntlafatso ea ts'ebetso ena:

  • Li-vithamine tsa B - e sebelisoa ho fetisetsa litšusumetso liphellong tsa methapo le ho thibela ts'ebetso ea chefo e bang teng ka lebaka la ho pepesehela glucose e feteletseng liseleng tsa methapo;
  • Alpha lipoic acid - e sebetsana le ho bokellana ha glucose kahare ho lithane tsa methapo. Setlhare sena se ama ts'ebetso ea li-enzyme tse ling tse ka lokisang methapo e amehileng.
  • Li-inhibitors tsa Aldose reductase ho khona ho thibela phetoho ea tsoekere le ho fokotsa phello e senyang methapong.
  • Actovegin - e thibela ho shoa ha lisele tsa methapo, e thusa 'mele ho sebetsana le ts'ebeliso ea tsoekere ebile e na le phello e ntle maemong a kakaretso a methapo e fokolang ea mali ea tsamaiso ea potoloho.
  • Litokisetso calcium le potasiamo - fokotsa meroalo le ho fifala ha likarolo tse tlase. Leha ho le joalo, ho lokela ho hlokomeloe tse latelang: haeba mokuli a e-na le bothata ba ho phekoloa ka lefu la tsoekere (ho lebisang ho lefu la tsoekere), litokisetso tsa potasiamo li lokela ho nkuoa ka hloko e kholo: keketseho ea potasiamo maling (hyperkalemia) e kotsi bophelong ba mokuli. Maemong a joalo, ho khothalletsoa haholo ho buisana le ngaka ea hau.
Empa meriana ena kaofela e tla nyenyefatsa boemo ba mokuli mme e tla thusa ho fokotsa ho phahama ha mathata maemong a le mang - haeba mokuli a tla lekola boemo ba tsoekere ea mali ka tieo mme a nke mehato eohle ho netefatsa hore o boloka ka har'a meeli e lumellehang.

Karolo ea bohlokoa kalafong ea polyneuropathy e ea bapala massage, physiotherapy, Ho ikoetlisa. Haeba ho tlaleha ho senyeha ha leoto, o hloka ho ikopanya le orthopedist bakeng sa khetho ea lieta kapa li-insoles tse khethehileng.

Mehato ea thibelo

Ha nako e ntse e ea, lefu la tsoekere la polyneuropathy le tla ikutloa, empa ho lieha ho qala ha lona ke matla a motho e mong le e mong oa lefu la tsoekere ea mamelang bophelo ba hae. Ntoa khahlanong le bothata bona e tla atleha haeba u latela melao ea mantlha:

  • etsa boiteko bohle ho lefella lefu la tsoekere;
  • a lekole khatello ea mali khafetsa 'me ka nako a tšoenyehe ka ho tloaeleha ha eona;
  • e 'ngoe ea matšoao a lulang a beiloe leihlo bakeng sa hau e lokela ho ba profil ea lipid;
  • ho tsuba ho kotsi ho motho ea phetseng hantle, haholo ho lefu la tsoekere. Fana ka mokhoa ona o mobe, o tla fana ka thuso ea bohlokoa likepeng tsa hau;
  • e tšoanang e etsa joala: ha joala feela bo ka bakang hypoglycemia mme bo lebisa ho lefu la tsoekere, li baka tšenyo e kholo lithong tse ka hare. Empa sebete sa hau, liphio le pelo li se li qobelloa ho sebetsa maemong a feteletseng.

Ho khetha ngaka le ho etsa tumellano ea kopano:

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