Maoto a tukang a ke ke a bitsoa lefu le ikemetseng, ke letšoao le tla bontša li-pathologies tse ngata. Mathata a joalo a bophelo bo botle a kenyelletsa leqeba la letlalo la fungal, mafu a methapo ea mali, mesifa, masapo, metabolism le lefu la tsoekere.
Bothata ba neuropathy haufinyane e fetohile e 'ngoe ea tse hlokahalang haholo lenaneng la mathata a lefu la tsoekere. Ho latela data ea morao-rao, hoo e ka bang 90% ea batho bohle ba nang le lefu la tsoekere ba na le eona. Hobaneng o baka maoto le lefu la tsoekere? Lebaka le ka sehloohong ke liphetoho tsa sebopeho le tšebetso ho li-capillaries, tse ikarabellang bakeng sa phallo ea mali methapong ea methapo.
Ntle le moo, maoto a ka chesa ka lebaka la phepelo e fokolisang ea 'mele ea "tructose metabolism", e bakang ho ruruha ha mesifa ea methapo, ho fokotseha ha metabolism, ho sitisoa ha tšusumetso ea methapo ea kutlo le ho bokella lipeipi tsa mahala tse ka lematsang' mele. Ts'ebetso ea li-autoimmune complexes e ka lebisa ho atrophy ea methapo ea methapo, ka lebaka leo 'mele o hlahisang palo e kholo ea li-antibodies ho insulin ea hormone.
Bohloko boa matlafala, maoto a khathatsoa esita le ha a phomola, a ba boreleli, 'me hanyane ka hanyane menoana e ba le putsoa. Mofuta o sa tsotelleng oa lefu la tsoekere o tsosetsa necrosis ea menoana, liso tsa leoto.
Stage Diabetesic Neuropathy
Maoto a tukang a lefu la tsoekere a hlaha ka mor'a likhoeli tse 'maloa kapa esita le lilemo. Ka lebaka la manonyeletso a mangata a methapo ea kutlo e tlisoang ke ts'ebetso ea ts'ebetso ea methapo ea kutlo ea mokuli e etsahala.
Ka lefu la tsoekere le lefu la tsoekere, letlalo le maotong le omella, 'me le qala ho kokobela. Maemong a tsoetseng pele, mokuli o fumana liso le makhopho a manyane maotong. Ho se leka-lekane ha maoto le matsoho butle-butle ho fetoha sesosa sa ho hokahanngoa ka nakoana, mokuli o potlaka ho ba le botsitso maemong a emeng, 'me gait e tla lula e sa tsitsa.
Mokhahlelo oa pele oa lefu lena o tla iponahatsa o sa phuthuloha libakeng tse hole tsa maoto, pele lefu la tsoekere le tla hlokomela:
- goosebumps;
- maikutlo a tukang;
- bohloko ha o tobetsa menoaneng.
Kamora nako e itseng, neuropathy e fetela maotong a ka holimo, ho ba thata le ho feta hore motho a roale lieta, a etse metsamao e menyenyane ka matsoho.
Ho hlōloa ha methapo ea kutlo ha ho baka bohloko feela ka sebopeho sa maoto a tukang, empa le maikutlo a mang a sa thabiseng, ka mohlala, ho fokotseha ho matla ha kutlo ea metsi a chesang, mapetso, maqeba.
Tlhahlobo ea lefu la tsoekere le lefu la tsoekere
Ha a hlokomela lefu la tsoekere, ngaka e lokela ho nahana ka nako ea lefu la tsoekere, litletlebo tsa mokuli mabapi le liphetoho bophelong. Se latelang ke tlhahlobo e akaretsang ea ho bona matšoao a mang a lefu lena.
Pono ea Tactile e khethoa ka ho ama letlalo, li-tendon reflexes li hlahlojoa ke hamore ea methapo e sebelisang mokhoa oa ho thepa. Ho senola boleng ba conduction ea methapo ea kutlo ea mesifa ho etsoa ka lebaka la ts'ebetso ea electroneuromyography.
Haeba maoto a chesa ka lefu la tsoekere:
- ngaka e hlahloba botebo ba maoto le matsoho a eona a sebelisa forogo ea maoto, e amang maoto;
- ho khetholla tekanyo ea kutloelo-bohloko ea bohloko, tibia e tšoaelitsoe ka lehlakore le hlabang la nale ea bongaka;
- maikutlo a mocheso a thehoa ka ho sebelisa lintho tse chesang le tse batang ka mokhoa o fapaneng.
Ho feta moo, ho ithutoa ka boemo ba tšilo ea lijo, tsamaiso ea pelo le methapo. Bakeng sa morero ona, radiogra, tekanyo ea khatello ea mali ea letsatsi le letsatsi, ECG, ultrasound li etsoa.
Ho hlokahala hape ho etsa liteko bakeng sa palo ea protheine e maling, urea, creatinine le glomerular filtration rate.
Kalafo ea lefu la tsoekere la lefu la tsoekere
Ho fokotsa tsoekere ea mali, ke moetlo ho fana ka litlhare tse eketsang secretion ea insulin, kutlo ea methapo ho eona, le lithethefatsi khahlanong le ho kenngoa ha lik'habohaedreite ka mala a mokuli.
Ho ka etsahala hore kalafo e reriloeng ha e fane ka litholoana, moo ho nang le matšoao a ho qala ente ea insulin (ho fihlela makhetlo a mararo ka letsatsi). Nakong ea kalafo, matšoao a neuropathy le ho chesa a ka eketseha hanyane, karabelo ena e bakoa ke liphetoho tse sa fetoheng tsa methapo ea methapo methapong ea methapo.
Ho teneha, bofubelu le ho chesa maoto ho lefu la tsoekere le nyamela haeba kalafo e etsoa hanghang maemong a 'maloa:
- normalization ea tsoekere ea mali;
- tsosoloso ea likhoele tsa methapo;
- phomolo ea bohloko.
Ho ntlafatsa tšusumetso ea methapo ea methapo, ho khothalletsoa ho nka thupelo ea li-vithamine tsa B. Ho fokotsa tsoekere ea mali, ho khutlisa likhoele tse senyehileng, ho ntlafatsa phallo ea mali ka har'a lijana, ho hlokahala hore ho sebelisoe sena:
- alpha lipoic acid;
- aldose reductase inhibitors;
- Actovegin.
Litokisetso tsa potasiamo le calcium li thusa ho tlosa letsoalo menoaneng ea maoto. Ha motho ea nang le lefu la tsoekere a e-na le liso maotong, li-ulph tsa bohloko, o tlameha ho fana ka litlhare tsa lithibela-mafu. Ho felisa bohloko, antispasmodics e nkuoa, leha ho le joalo, ho khethoa ha bona ho lokela ho atameloa ka bomong, kaha ba ka fana ka litla-morao.
Ntle le moo, physiotherapy e bontšoa: electrophoresis, boikoetliso, ho tsosa motlakase, acupuncture. Sena se thusa ho khutlisetsa mesifa ea mesifa, e tlatselletsa molemong oa kalafo.
Ho phekola lefu la neuropathy ho lefu la tsoekere ho hlokahala ka bomong, maqheka a ipapisitse le sethala sa lefu lena, ho teba le ho ba teng ha mafu a mang. Nakong e tlang, mokuli o lokela ho lekola tsoekere ea hae ea mali ka tatellano, a e boloke e le maemong a lekaneng.
Ho felisa maikutlo a tukang maotong, kalafo ea lithethefatsi e tšehetsoa ke meriana ea litlama. Litlama tse folisang li thusa ho fokotsa botebo ba bohloko, li liehisa nts'etsopele ea tsoelo-pele ea methapo ea methapo, e ntlafatsa mosebetsi oa methapo ea methapo.
Bakeng sa matla a khabane, sebelisa limela tse ntlafatsang metabolism, tse nang le thepa e matla:
- li-painkiller;
- antioxidant;
- neuroprotective.
Motsoako oa lijalo tsa analgesic joalo ka wort ea St. John le angelica o thusa ho kokobetsa bohloko maotong le ho fana ka phello e phethahetseng ea kalafo. Scutellaria baicalensis e tla fana ka phello e khahlanong le ho ruruha pokello ea phyto; melilot ea meriana e tla fetoha anticoagulant ea semela.
Bofubelu bo tla theoha haeba o laola boemo ba glycemia ka thuso ea tholoana ea lebese e bonts'a, ho boloka mosebetsi oa antioxidants ginger. Hoa khoneha ho fokotsa phello e mpe ea li-enzyme tse eketsang khatello ea tsoekere ea mali ka ts'ebeliso ea kemolo ea celery.
Motso oa Dandelion o thusa ka neuropathy, o hloka ho nka khaba ea lisebelisoa tse tala, tšela khalase ea metsi a belang, pheha ka bateng ea metsi metsotso e 10- 10, ebe o tlohela metsotso e meng e 45 ka mocheso oa kamore. Hoa hlokahala ho e sebelisa makhetlo a mararo ka letsatsi bakeng sa likhaba tse peli, ho molemo pele ho lijo.
Li-clove tsa linoko li na le phello e ntle ea antioxidant, khaba ea semela e hlahisoa ka halofo ea litha e le ngoe ea metsi a belang, e ts'oaroang lihora tse peli tlas'a sekwahelo. U hloka ho nka kalafo bakeng sa 200 ml, litekanyetso li arotsoe letsatsi lohle. Ho kenngoa ha lefu la tsoekere ho nkuoa libeke tse peli, ebe ho nka matsatsi a 10 a phomolo. Ka karolelano, nako ea kalafo e bonyane likhoeli tse 4-5.
Mokhoa o mong oa ho tlosa maikutlo a tukang maotong ke ho sebelisa pokello ea phyto e rarahaneng, eo likarolo tsa eona li loanelang lefu la tsoekere le ho fokotsa ho teba ha neuropathy.
Mehato ea thibelo
Motheo oa thibelo ea lefu la tsoekere ke ho hlahloba kamehla hypoglycemia. Mokuli o tlameha ho utloisisa ho teba ha boemo le ho boloka bophelo ba bona bo botle ka insulin le lithethefatsi tse ling tse fuoeng eena.
Ho thibela maoto a tukang ho lefu la tsoekere, ho hlokahala makhetlo a 'maloa ka selemo ho hlahlojoa ke' mele ho endocrinologist, ho latela litlhahiso tsa hae.
Mohato o ka thibeloang ho chesa maotong e tla ba tloaelo ea ho roala lisokisi tse entsoeng feela ka thepa ea tlhaho e sa kena-kenaneng le phallo ea mali. Bakeng sa ho se lematse letlalo la maoto, ho molemo ho qoba ho tsamaea ntle le lisokisi le lieta, kapa ho sebelisa li-insoles tsa lefu la tsoekere.
Tlas'a maemo a taolo ea khatello ea mali:
- capillary spasm e fokotseha;
- e felisa tlala ea oksijene ea lisele tsa maoto.
Haeba ho na le tšenyo letlalong la maoto, ho etsoa tlhahlobo ea kamehla ea mapetso, makhopho, lithutsoana le likutu. Leoto le senyehileng le tšoaroa ka hloko ka metsi a futhumetseng, a hlakoloa ka thaole e bonolo, e omisa letlalo pakeng tsa menoana.
Haeba motho a e-na le maikutlo a tukang maotong a hae, ho bohlokoa hore a apare lieta tse boreleli, tse phahameng tseo leoto le ke keng la li baka. Ha ho na le phetoho e kholo ea maoto, lieta tsa orthopedic tse entsoeng ho reka lia apesoa.
Mokuli e mong le e mong o lokela ho hopola hore ho lokile hore bophelo bo botle bo phele bophelo bo mafolofolo, ho boloka boima bo le tlasa taolo. Ka botenya, boima ba 'mele bo ama hampe methapo ea kutlo, sesole sa' mele, ke ka lebaka leo metabolism e ferekaneng.
Ha letlalo le tsofala, ho bontšoa mongobo:
- mohloaare, oli ea perekisi;
- tranelate.
Ho bohlokoa ka mokhoa o tšoanang ho tlohela mekhoa e mebe, hobane joala le nikotine li senya methapo ea kutlo, ka tsela eo li eketsa kotsi ea ho khaoloa litho le matsoho.
Ha u belaela hanyane ka hanyane ho ba le lefu la tsoekere le neuropathy, o lokela ho batla thuso ea ngaka hanghang. Qeto ea ho inehela e tla tlisa litlamorao tse mpe tse ke keng tsa fetoloa.
Elena Malysheva videong ena o tla bua ka lefu la tsoekere le lefu la tsoekere le mekhoa ea lona ea kalafo.
