Polyneuropathy ke sehlopha sa mafu a methapo ea methapo ea kutlo e bang teng nakong ea timetso ea methapo ea methapo.
Lisosa tsa psychology ena li kanna tsa fapana, empa lipontšo tsa bona tsa kliniki lia tšoana. Li tšoauoa ka molumo o tenang oa mokelikeli, phepo e sa lekanang ea lithane, liphetoho tsa maikutlo le ho holofala ha litho le matsoho.
Haeba re bapisa li-polyneuropathy tsa tsoekere le joala, hore na ke eng le hore na li bonahatsa eng, joale letšoao le tloaelehileng e tla ba tlolo ea phepelo ea mali le bolulo tlasa ts'usumetso ea lintho tse nang le chefo - glucose le ethanol.
Mabaka a nts'etsopele ea polyneuropathy
Li-polyneuropathies ke tsa mefuta e fapaneng ea tsoelo-pele, 'me e ba le ho pepeseha ka mokhoa o kotsi kapa o sa foleng oa ntho e senyehang methapong ea methapo. Sena se ka bakoa ke phello e chefo ea bacterium ho diphtheria kapa vaerase ts'oaetso ea HIV, likotsi, le lits'ebetso tsa tumor.
Meriana, ho kenyeletsoa Cordaron, Furadonin, Metronidazole le Isoniazid li ka kena-kenana le litšusumetso tsa methapo nakong ea tšebeliso ea nako e telele.
Li-neuropathies tsa maloetse a hlahala li ka hlaha ka lekhetlo la bobeli - ka lefu la lymphoma, myeloma le kankere ea matšoafo, 'me ea e-ba complication ea chemotherapy ea maloetse ana.
Li-neuropathies tse sa feleng li baka maemo a joalo a methapo:
- Maloetse a Autoimmune.
- Mathata a Metabolic - lefu la tsoekere, amyloidosis, hypothyroidism, khaello ea vithamine B12.
- Mafu a futsitsoeng.
- Bokhoba ba tahi
- Ho hloleha hape
- Cirrhosis ea sebete.
Bakeng sa lefu la tsoekere le lekhoba la tahi le tsoekere, tsoelo-pele e nang le boiphihlelo bo telele ba lefu lena le ntlafatso ea matšoao a kliniki a nang le phallo ea tekanyo ea tsoekere kapa joala ke tšobotsi.
Hobaneng ha methapo ea methapo e angoa ke lefu la tsoekere le joala?
Ho tsoekere ea lefu la tsoekere, polyneuropathies e hlaha ka tšenyo e atileng ea li-neuron karolong e haufi ea tsamaiso ea methapo. Ho shoa ha lisele joalo hangata ha ho fetohe ka lebaka la tokiso ea lithane tse holofetseng ho batho ba lefu la tsoekere.
Ho eketseha ha tsoekere maling ho potoloha ho lebisa ho hoholo ha marako a methapo ea mali, patency e senyehileng, sebopeho sa masela a mali le lipalo maboteng. Ka phepo e tlase joalo, lisele tsa methapo lia shoa, li nkeloa sebaka ke lithane tse sa sebetseng.
Ketsahalo e atisang ho hlaha ea neuropathy ho banna ba telele e netefalitsoe. Ntho e ka sehloohong e khethollang ho teba ha lefu lena ke boemo ba hyperglycemia. Maemo a ho fana a boima haholo, ho tsuba le tšebeliso e mpe ea joala.
Kotsi ea lefu la tsoekere la polyneuropathy le eketseha ka lintlha tse latelang:
- Tsela e telele ea lefu la tsoekere.
- Hyperglycemia e phahameng, liphetoho tse etsahalang khafetsa maemong a tsoekere.
- Botsofaling.
Bakeng sa neuropathy lekhoba la joala, sesosa e ka ba hypothermia, ts'oaetso le tšenyo ea sebete. Ethanol ka boeona le lihlahisoa tsa eona tsa metabolic li senya likhoele tsa methapo. Ka khaello e kopaneng ea vithamine B1 (thiamine), lipontšo tsa polyneuropathy li eketseha.
Hypovitaminosis B1 e hlaha ka ho ja lijo tse sa lekanang le ho kenngoa ka mpeng ka mpeng. Ho nwa joala ho eketsa tlhoko ea thiamine, ka hona lipontšo tsa eona lia eketseha. Tabeng ena, lisele tsa methapo ea kutlo li ameha ka tšenyo efe kapa efe.
Tšebeliso ea joala e baka sebopeho se fetelletseng sa li-radicals tsa mahala tse sithabetsang marang-rang a likepe, ka lebaka leo hypoxia e hahang methapong ea methapo ebe ea senyeha.
Matšoao a lefu la tsoekere la polyneuropathy
Ho sitisoa ha phepelo ea mali, phetoho ea methapo ea methapo ho lefu la tsoekere e hlahisa mefuta e meraro ea liso tsa maemo a tlase: neuropathic, ischemic, e tsoakiloeng.
Neuropathic syndrome e bonahatsoa ke pono e sothehileng ea bohloko, eo ho eona, ha a ts'oaroa hanyane, a utloang bohloko, le ha a ntse a tsamaea leoto le ts'ohile. Ho sisinyeha, bohloko bo tukang kapa maikutlo a tukang maotong le tsona li ka etsahala.
Mocheso o senyehileng le ho hlonama ha bohloko ho baka ho lemala letlalong. Manonyeletso a maoto a haelloa ka lebaka la bofokoli ba mesifa le maemo a emeng a maoto ha a tsamaea, ho ba le mathata a hlahang. Letlalo le omile, le boreleli, ha lefu le ntse le tsoela pele sebakeng sa makhopho kapa ts'enyo, ho hlaha sekoli sa ho ruruha.
Karolo e ikhethileng ea khetho ea neuropathic ke ho ba teng ha pulse maotong, letlalo le futhumetseng le ho etsoa ha liso ka har'a masapo a metatarsal.
Phapang ea ischemic ea nts'etsopele ea lefu la tsoekere le polyneuropathy e tsamaisana le:
- Ho felisoa ha methapo ea methapo le li-capillaries.
- Sebaka sa k'holeseterole le khalsiamo leboteng la vascular.
- Sebopeho sa li-plaque le madi a mali.
- Lerako la methapo le fetoha le thata ebile le leholo.
- Phepelo ea mali e ntse e fokotseha.
Ho eketseha ha mali ka mpeng ea venous le ho thekesela ho eona ho etsa hore ho be le edema le hemorrhage letlalong. Letlalo le ba mosesane, le lemala habonolo, maqeba le ulcers form. Letšoao la ischemia ke lets'oao la phallo ea nakoana, ha mokuli a tlameha ho emisa ha a tsamaea ka lebaka la bohloko bo boholo ba maoto.
Mofuta o kopaneng o bonahatsoa ke ho khutsufatsa hoa mofuta oa "tendon" le "liprotheine" tsa "protein" tse nang le "glucose" holima sefahleho sa methapo. Matšoao a tlhekefetso e joalo ke:
- Ho satalla manonyeletsong.
- Ramatiki, bofokoli bo kopaneng le dislocations.
- Maoto a bata hofihleha.
- Letlalo le le khubelu ka letlalo le leputsoa,
- Li-ulc li hlaha maqaqailaneng kapa serethe.
Ulcers ho bokuli bo matla ea tšoaetsoa, e ka thatafalloang ke osteomyelitis le ts'ebetso ea septic, tsoelo-pele ea ischemia e lebisa bohlokong.
Leoto la tsoekere ke sesosa se tloaelehileng sa ho khaoloa leoto.
Matšoao a prolineuropathy ho joala
Karohano ka mefuta ea polyneuropathy ea joala le lefu la tsoekere e na le maemo, kaha ha ho na tšenyo e ka thoko ea tsamaiso ea methapo le ea potoloho ea mali. Mefuta e atileng haholo ea lefu lena e fumanoa.
Lipontšo tsa kliniki tsa joala ba polyneuropathy li emeloa ke li-syndromes tse joalo: sensory, motor ,xube, atactic.
Sensory neuropathy e tšoauoa ka bohloko ba leoto, ho akheha, ho chesa, maqhubu a leoto, bohloko ba mesifa. Tlolo ea maikutlo, ho kenyelletsa bohloko bo eketsehileng kapa bo fokotsehileng le mocheso ke tšobotsi ea mofuta oa "li-socks le li-prints." Boitšoaro ba mokokotlo bo bonahatsoa ke ho tsikinyeha ha letlalo, ho feta ka mofufutso.
Ho bontšoa foromo ea koloi:
- Ho fokotseha ha maoto kapa menoana ho fokotsehile
- Tlolo ea ho potoloha ha maoto.
- Ho sitoa ho tsamaea ka menoana.
Haeba methapo ea kutlo e amehile, ho na le liforomo tsa “leoto le koehileng,” moo ho leng thata ho le phahamisa leoto.
Sebopeho se kopaneng se hlaha ka mokhoa oa ho penta kapa ho holofala maoto, matsoho, bohloko, ho ba le matsoho kapa maoto. Mesifa ea matsoho le matsoho a matsoho a atrophy. Sebakeng se amehileng ho ka ba le maikutlo a eketsehileng kapa a fokotsehileng.
Pseudotabes ea Peripheral, kapa mofuta oa atactic oa joala ba joala bo tahang, e bakoa ke mathata a tebileng a kutloisiso. Ho bakuli, ho hokahanoa ha metsamao le khaello ea sefahleho lia sothoa, maoto a fokotseha, maikutlo a fokotseha, nakong ea tlhatlhobo, Achilles le knee reflexes ha li eo.
Pele, bakuli ba ba le bofokoli ba mesifa le ho tepella matsohong le maotong, ebe sethaleng se atolositsoeng kapa ho holofala ho hlaha, 'me ho sithabela ha sefahleho hoa senyeha.
Mehatong e matla, mesifa ea ho hema, mesifa ea pelo ea fokola, e bonahatsoang ke ho tsitsipana ha morethetho le ho theoha ha khatello.
Phekolo le thibelo ea neuropathy ho lefu la tsoekere
Ho phekola neuropathy ho bakuli ba nang le lefu la tsoekere, maemo a tsoekere ea mali a tlameha ho tsitsisoa. Ntle le moo, matšoao a netefatso ea lefu la tsoekere ke ho fokotseha hoa hemoglobin ea glycated, matšoao a metabolism ea lipid, ho kenyelletsa cholesterol le khatello ea mali.
Sena se fihlelloa ka ho latela lijo le ho fana ka kalafo ea insulin bakeng sa mofuta oa pele oa lefu la tsoekere. Bakuli ba nang le lefu la tsoekere le sa itšetlehang ka insulin le bona ba ka fetisetsoa ho insulin ka nakoana, haeba lithethefatsi tsa ho fokotsa tsoekere matlapeng li ke ke tsa li fokotsa.
Kamora ho tsebahala ha matšoao a carbohydrate le metabolism ea mafura, ho fokotseha ho hoholo hoa lipontšo tsa lefu la tsoekere ho qala ka likhoeli tse peli.
Phekolo ea lithethefatsi e etsoa ho sebelisoa litokisetso tsa thioctic acid: Berlition, Thiogamma, Espa-lipon. Ho bonts'oa moralo oa livithamini tsa B - Milgamma ea lefu la tsoekere, Neurobeks Neo, Neurovitan, Neuroorubin.
Bakeng sa analgesia, lithethefatsi tse khahlanong le ho ruruha li sebelisoa - Indomethacin, Diclofenac, Nimesulide, hammoho le anticonvulsants - Gabalept, Lyrics. Ho latela lipontšo, li-antidepressant li ka khethoa - amitriptyline, clofranil, imipramine, venlafaxine.
Mafura a sebelisoang sebakeng sa heno ka lidocaine - Versatis kapa lithethefatsi tse seng khahlanong le ts'oaetso tsa 'mele - Ketoprofen, Dolgit.
Mekhoa e seng ea meriana e sebelisoa bakeng sa kalafo ea polyneuropathy ho lefu la tsoekere: hyperbaric oxygenation, balneotherapy, electrophoresis, ho tsosa ka maqhubu a fetotsoeng, magnetotherapy, percutaneous electroneurostimulation. Li ka laeloa ntle le mafu a matla a kopaneng.
Ha ho phekoloa lefu le sa feleng la bohloko, le sa tlosoang ke meriana, ho khothatsa motlakase oa lesapo la mokokotlo.
Thibelo ea nts'etsopele ea polyneuropathy ke ho laola boemo ba tsoekere le litekanyetso tsa lithethefatsi tse fokotsang tsoekere. Ntle le moo, bakuli ba nang le lefu la tsoekere ba khothalletsoa hore ba hlahlojoe mali khafetsa bakeng sa hemoglobin ea glycated, a renal le hepatic, le lipoprotein.
Ho ka khona ho thibela tšenyeho ea methapo ea mali le methapo ea methapo ho latela likhothaletso tse latelang:
- Boloka khatello ea mali ho 130/80 e le hore e se ke ea sitisa phepelo ea mali ho lisele tse amehang.
- Khela tsoekere le phofo e tšoeu lijong, ebe u eketsa meroho le lihlahisoa tse nang le mafura a fokolang.
- Joala bofe kapa bofe le ho tsuba li lokela ho thibeloa.
- Tsamaea letsatsi le leng le le leng, ikoetlise ka ho lekaneng.
- Sheba bohloeki 'me u hlahlobe maoto letsatsi le letsatsi.
Phekolo ea polyneuropathy ea joala
Bakeng sa kalafo ea polyneuropathy e bakoang ke tšebeliso e mpe ea joala, ho bohlokoa ho tlohela joala le lijo tse felletseng, ho kenyelletsa le vithamine e lekaneng le lijo tse nang le protheine e phethahetseng.
Bakeng sa kalafo ea physiotherapeutic, electromyostimulation, galvanization le electrophoresis ea livithamini, novocaine e sebelisoa.
Etsa kopo ea methapo ea letsoho, kalafo ea laser, maqhubu a sebetsoang ka boomo, acupuncture. Bakuli ba bontšoa boikoetliso ba 'mele, ho silila, ho sesa le ho tsamaea.
Phekolo ea lithethefatsi ea joala ba joala bo tahang e etsoa ka litlhare tse latelang:
- Livithamini tsa B: Milgamma, Neurorubin, Thiamine chloride, Pyridoxine hydrochloride, cyanocobalamin (intravenously kapa intramuscularly).
- Ascorbic acid ea entoa.
- Pentoxifylline, Trental kapa Pentilin, Cytoflavin ho ntlafatsa microcirculation.
- Actovegin ea lefu la tsoekere bakeng sa ho hanyetsa hypoxia.
- Neuromidin ho ntlafatsa phetisetso ea methapo.
- Anesthesia: Lithethefatsi tse se nang lithibela-mafu tse thibelang ho ruruha Voltaren, Revmoxicam; anticonvulsants - Gabalept, Finlepsin; li-antidepressants - Anafranil, Venflaxin.
- Lithethefatsi tsa anticholinesterase bakeng sa paresis kapa ho holofala - Neuromidine, Galantamine, Proserin.
Hepatoprotectors (Essentiale, Hepabene, Liv) ba bontšoa ho bakuli ba joalo ho ntlafatsa ts'ebetso ea meriana le ts'ireletso ea lisele tsa sebete. Hape, ho ile ha fumaneha litholoana tse ntle ha u sebelisa lithethefatsi tse nang le thioctic acid - Thiogamma, Espa Lipon, Thioctacid, Berlition.
Diabetesic polyneuropathy ke eng? Tlhahisoleseling mabapi le ketsahalo ena e fanoa video videong ena.
