E 'ngoe ea mathata a tloaelehileng a lefu la tsoekere ke polyneuropathy. Matšoao a eona a tsamaisana le litlamorao tse chefo tsa tsoekere e phahameng ea mali. Ho shoa ha methapo ea methapo ho lebisa ho lahleheng ha kutloelo-bohloko ea maoto le nts'etsopele ea bofokoli ba ulcerative.
Matšoao a pele a neuropathy ea maoto le ka tlase e ka ba litletlebo tsa hore maoto a mokuli a ts'oeroe, bohloko le makhopho a hlahe bosiu, menoana ea hae e boreleli.
Ha lefu la tsoekere le ntse le tsoela pele, mefuta ea lefu la tsoekere le tsoekere e atisang ho khaola litheko.
Lisosa tsa lefu la tsoekere maotong
Tšusumetso e senyang ea tsoekere methapong ea mali e bontšoa kholisong ea angiopathy. Phallo ea methapo le methapo ea methapo ea mokokotlo, mabota a li-capillaries a thatafala, phallo ea mali e ea fokotseha, 'me phallo ea mali e ntseng e eketseha e lebisa ho hotseng hoa metjeko le maratsoana a mali. Lijo tsa linama li ferekanngoa, e lebisang ho bohloko ba ischemic, pholiso e liehang ea maqeba le likotsi.
Lithapo tsa methapo ho lefu la tsoekere li senyehile ka bobeli ka lebaka la phepelo e mpe ea mali, le ka tlasa ts'usumetso ea sorbitol, e thehiloeng kahare ho sele ha ho na tekanyo e lekaneng ea tsoekere. Boemo bo eketsehang ba li-radicals tsa mahala tse tsamaeang le lefu la tsoekere le tsona bo senya sebopeho sa lisele tsa methapo.
Ka lebaka leo, mefuta eohle ea maikutlo e hatakeloa - ho bata, mocheso, bohloko, vibrate, ho ama. Maemong ana, likotsi tse nyane li ka 'na tsa se ke tsa bonoa,' me ka mor'a moo tsa ba le likoli tse amanang le ulcerative sebakeng sa tsona, tse sa fole nako e telele ebile li tloaetse tšoaetso.
Matšoao a lefu la tsoekere
Litletlebo tsa bakuli hore maoto a bona a hoama ka linako tsohle, ha ke khone ho futhumatsa maoto le lisokisi tse mofuthu, leoto la ka le fetoha le leputsoa, le tloaelehileng ho bakuli ba nang le polyneuropathy. Ka nako e ts'oanang, bohloko le ho akheha, maikutlo a likokoanyana tse hahabang a kenella. Taba ea pele, menoana ea menoana e ea pele, le ts'ebetso e namela leotong, karolo e tlase ea leoto le tlase.
Ka phallo ea mali e ferekaneng, maoto a batang eseng feela mariha, empa le nakong ea mofuthu, bakuli ba hlokomela hore bohloko bo hlaha ha o tsamaea: Ha ke khone ho tsamaea halelele, ke tlameha ho emisa khafetsa. Kamora ho phomola, bohloko bo ea fela. Tlhahlobo, letlalo le maotong le boreleli, le boreleli. Ha o batla ho ruruha methapong ea maoto, ho thata ho tseba hore na o teng kapa o le sieo.
Boteng ba microtraumas ea leoto, lefu la tsoekere le ka lebisa ho hlahisoeng ha liso tsa trophic, tseo ho leng thata ho li phekola. Mathata a joalo a tšoauoa ka tsela e sa lefelloeng ea lefu la tsoekere, haholoholo hammoho le atherosclerosis kapa endarteritis e timelisang.
Ka lesapo le nang le bothata ba mesifa ea methapo, bakuli ba tletleba ka ho fokotseha ha kutloelo-bohloko: maoto a ka a boreleli, ha ke utloe mocheso le serame, ha ke utloe bohloko ke ho khaola, 'me ho ama kobo ho ka utloisa bohloko. Ho lahleheloa ke maikutlo ke mofuta oa "li-socks" kapa "liatlana", 'me maemong a thata haholo ho ka ama letlalo la mpa le sefubeng.
Tlhahlobo, matšoao a latelang a bonoa:
- Letlalo la maoto ke 'mala o tloaelehileng.
- Maoto a futhumetse ho ama.
- Libakeng tsa khatello e phahameng le ho kopana le lieta, letlalo le boreleli.
- Artery ripple ke ntho e tloaelehileng.
Ho tletleba ka taba ea hore maoto a ka ikutloa a le mosesane kapa a futhumetse maoto, ha ho etsahale.
Phekolo ea peripheral neuropathy
Seo u lokelang ho se etsa haeba menoana e putsoa e na le lefu la tsoekere mme ke kalafo e sebetsang ka ho fetisisa - lipotso tse joalo li hlaha ho bakuli ba nang le ponahalo ea matšoao a polyneuropathy hangata. Bakeng sa ho sebelisa mefuta efe kapa efe ea kalafo bakeng sa mathata a lefu la tsoekere, u lokela ho fokotsa hyperglycemia pele.
Haeba mokuli a nka lipilisi tsa lefu la tsoekere la mofuta oa 2, kalafo eo e tlatsana le ka ente ea insulin kapa o e sebelisa ka botlalo. Ka lebaka leo, matšeliso a felletseng a hyperglycemia, hypercholesterolemia le botsitso ba khatello ea mali maemong a 130/80 mm Hg e tlameha ho fihlella. Art.
Bakeng sa sena, ka mofuta oa lefu la tsoekere la 1 lefu la tsoekere, ho sebelisoa mofuta o matlafatsang oa kalafo ea insulin: mokuli o fuoa insulin ea nako e telele habeli ka letsatsi, le metsotso e 30 pele ho lijo, insulin e khutšoane makhetlo a 3 ka letsatsi, le hangata ha ho hlokahala.
Bakeng sa ho phekola bohloko ka polyneuropathy, ho hlokahala pele ho khutlisetsa microcirculation le conduction ea methapo ea kutlo. Actovegin e thehiloe hantle joalo ka lithethefatsi tse joalo. Litlamorao tsa eona tsa kalafo:
- Ho ntlafatsa ho kenngoa ha oksijene le glucose ka lisele.
- Ho eketsa tlhahiso ea matla kahare ho sele.
- Vascular wall wall
- Ho khutlisetsa phallo ea mali liseleng tse senyehileng.
- Ho phomola.
- Pholoso ea maikutlo le maikutlo a tendon.
Ntle le Actovegin, alpha-lipoic acid, livithamini tsa B, li-antioxidants, ATP, le lithethefatsi tsa nootropic li sebelisoa ho khutlisetsa lits'ebetso tsa metabolic libakeng tse tlase. Phekolo hangata e telele, kamora thupelo ea libeke tse 2-3 e fetotsoeng, 'me ba chencha phepelo ea tlhokomelo ka matlapa, ho fihlela likhoeli tse 2 ho isa ho tse peli.
Lithethefatsi tse sebelisoang ho phekola lefu la tsoekere la polyneuropathy: Espa-Lipon, Thiogamma, Berlition, Milgamma, Neurobion, Trigamma, Neurobeks.
Ho tlosa lefu la bohloko ka polyneuropathy ke mosebetsi o boima, hobane ha ho na phello e tsoang ts'ebelisong ea li-painkillers tse tloaelehileng. Ka hona, ho sebelisoa li-antidepressants le anticonvulsants. Li-antidepressants tsa Tricyclic li na le phello e bohareng ea li-analgesic, li sebetsa ho adrenaline le histamine receptors.
Tse sebelisoang haholo ke amitriptyline le imipramine. Ho hanyetsana le litlhahiso tsa bona ke ngaka ea khale le lefu la pelo. Maemong a joalo, venlafaxine e sireletsehileng le fluoxetine li laetsoe, empa phello ea tsona ea analgesic ha e phatlalatsoe.
Li-anticonvulsants li thibela tšusumetso ea bohloko. Ho sebelisoa litlhare tse latelang:
- Carbamazepine: Finlepsin, Zeptol, Tegretol.
- Oxcarbazepine: Trileptal, Oxapine.
- Gabapentin: Gabagamma, Neurontin, Tebantin.
- Pregabalin: Lipina.
Bakeng sa tšebeliso ea li-topical, sethethefatsi se nang le pepere ea pepere, Capsicam, se khothalletsoa, se khothaletsa tokollo ea mokena-lipakeng oa bohloko, e hlakola mehloli ea sona, e lebisang ho thibeng phetiso ea litšusumetso tsa bohloko. Litla-morao li bonahala ka ho chesa le ho teneha hoa letlalo. E kopantsoe le bokuli bo sa feleng ba venous.
Bakeng sa ho phekola ka lapeng, lithethefatsi tse nang le lidocaine le tsona li sebelisoa - patch kapa oli ea Veratis, Lidocaine aerosol. Ho kokobetsa bohloko, ha ho kgothaletswe ho sebelisa li-compress tsa ho futhumatsa kapa lipitsa tsa ho futhumatsa, kaha ho na le kotsi ea ho chesoa ke mocheso khahlanong le semelo sa mocheso o fokotsoang oa mocheso.
Ts'ebeliso ea Tramadol e utloahala ntle le phello ea mekhoa e meng ea kalafo, hobane litekanyetso tse kholo tsa moriana li bonts'oa ho fokotsa bohloko ho lefu la tsoekere le polyneuropathy, e leng tlatsetso, kotsi ea ho eketseha ha o hloka kalafo e telele.
Bakeng sa mekhoa eo e seng ea lithethefatsi e sebelisitsoeng (ha ho na phello kapa pherekano e mpe ea mokuli):
- Hyperbaric oxygenation.
- Electrophoresis
- Kalafo Laser.
- Magnetotherapy.
- Maqhubu a Diadynamic.
- Thupelo.
- Ho tsosa motlakase.
Thibelo ea lefu la tsoekere
Bakeng sa ho thibela khatello ea "tsoekere" ea "tsoekere" ka mofuta oa polyneuropathy, ho bohlokoa ho fihlela phallo ea tsoekere ea mali le ho tsitsa ha eona maemong a khothalelitsoeng. Boemo ba bohlokoa ke ho latela litlhahiso mabapi le phepo e nepahetseng mabapi le phepo e nepahetseng le tšebeliso ea meriana.
Ho beha leihlo tsoekere ea mali e lokela ho ba letsatsi le letsatsi, 'me ka ho kenngoa ha insulin e phetoang mots'eare le ka nako ea ho robala. Ntle le moo, ho khothalletsoa ho lekanya khatello ea mali habeli ka letsatsi. Litaba tsa k'holeseterole le lipids maling, hammoho le boemo ba hemoglobin ea glycated, li hlahlojoa nako le nako.
Ho hlokahala ho lahla ka botlalo nicotine le joala, hobane phello ea bona e bonahatsoa ke vasospasm le litlamorao tse chefo litsing tsa methapo. Bakeng sa thibelo ea ho ruruha hoa mapheo a tlase, bonyane metsotso e 20 ka letsatsi e lokela ho ikoetlisa hangata, hangata e tsamaea. E ntse e sebetsa ke yoga bakeng sa batho ba tsoekere le ho sesa.
Video e sehloohong sena e tla bua ka kalafo le thibelo ea neuropathy ho lefu la tsoekere.
