Har'a mathata a lefu la tsoekere, e 'ngoe ea tse bohloko ka ho fetisisa le eo ho leng thata ho e mamella ke lefu la tsoekere. Ka lebaka la tšenyo ea methapo, mokuli o utloa mesifa e bolaeang, maoto a baka kapa ho chesa, ho ikutloa eka o ts'oha, ho hlohlona ho matla, bohloko bo sa feleng. Maikutlo ana ha a tlosoe hantle ke li-antihistamines le li-painkillers tse bonolo. Ha e le molao, matšoao a mpefala bosiu, mokuli o imeloa ke boroko bo tloaelehileng, kahoo khatello ea maikutlo, tlhaselo ea letsoalo, le khatello ea kelello li eketsoa ho polyneuropathy.
Diabetesic polyneuropathy e ikarabella bakeng sa karolo ea boraro ea li-neuropathies tsohle. Monyetla oa ho thatafala ho latela nako ea lefu la tsoekere: ka boiphihlelo ba lilemo tse 5, mokuli e mong le e mong oa bosupa o fumanoa a na le neuropathy, bophelo bo nang le lefu la tsoekere ka lilemo tse 30 bo eketsa monyetla oa tšenyo ea methapo ho fihla ho 90%.
Polyneuropathy ea lefu la tsoekere ke eng
Mathata a amanang le lik'habohaedreite le mefuta e meng ea metabolism ho tsoekere e ama tsamaiso eohle ea methapo, ho tloha bokong ho isa pheletsong ea letlalo. Ho senyeha ha methapo ea methapo e bohareng ho bitsoa lefu la tsoekere le amanang le lefu la tsoekere, lefu la tsoekere - lefu la tsoekere.
Lefu la tsoekere le khatello e matla e tla ba ntho ea khale
- Ts'oarelo ea tsoekere -95%
- Ho felisoa ha vein thrombosis - 70%
- Ho felisa ho otla ha pelo e matla -90%
- Ho tlosa khatello e phahameng ea mali - 92%
- Keketseho ea matla mots'eare, ho ntlafatsa boroko bosiu -97%
Neuropathy e arotsoe ka:
- sensory - e nang le tlolo ea kutlo ea kutlo;
- motor - e nang le tšenyo ea methapo e sebeletsang mesifa;
- ea limela, ha methapo e sebelisang setho sa motho e senyehile.
Sensory-motor neuropathy ke mofuta o atileng ka ho fetisisa, hangata o qala libakeng tse hole le tsamaiso ea methapo e bohareng, hangata maemong a tlase. Ka hona, e bitsoa distal, ho tloha ho Latin disto - sediment. Ka tloaelo, liphetoho li qala hang-hang maotong ka bobeli, hape li tsoela pele ka tatellano. Distal symmetric sensorimotor neuropathy e ne e bitsoa "lefu la tsoekere" polyneuropathy ", ka maemo a atileng har'a li-neuropathies, e fihla pele, e fihla ho 70% ea methapo ea methapo ea kutlo.
Kahoo, ke moetlo oa ho bitsa lefu la tsoekere polyneuropathy lesapo la lesapo la mokokotlo oa mesifa, mechanoreceptors, tendons, li-receptor tsa bohloko tse bang teng le lefu la tsoekere libakeng tse hole tsa mmele.
Khoutu ea ICD-10 - G63.2 E10.4 - E14.4 ho latela mofuta oa lefu la tsoekere.
Polyneuropathy ke e 'ngoe ea lintlha tsa mantlha ntlafatsong ea lefu la tsoekere la lefu la tsoekere, moo ts'oaetso e eketsoang ka ts'enyo ea methapo, ka lebaka leo, likokoana-hloko tse tebileng tsa ho folisa leqeba le leng matsohong le matsoho.
Mefuta ea Diabetesic Polyneuropathy
Ho na le mefuta e 3 ea lefu la tsoekere:
- Mofuta oa ho ama. Tšenyo ea methapo ea kutlo ea kutlo, e leng methapo ea methapo ea methapo e fapaneng e bokellang tlhahisoleseling ka maikutlo a rona ebe e e fetisetsa bokong.
- Mofuta oa makoloi. Tšenyo e matla ea methapo ea koloi, e hlokahalang ho fetisetsa tlhahisoleseling ho mesifa mabapi le tlhokahalo ea konteraka le ho phomola.
- Mofuta o tsoakiloeng. 'Meleng, methapo eohle ea kutlo e sebetsa hammoho: ba kutlo ba khethang hore tšepe e chesa, ba tsamaisang thepa ba na le taelo ea ho khutlisa letsoho la bona ho qoba ho chesoa. Manonyeletso a senya hangata hangata ho rarahaneng, ka hona sensory-motor polyneuropathy ke eona e atileng haholo.
Lisosa tsa lefu lena
Nts'etsopele ea polyneuropathy ka kotloloho e latela boemo ba glycemia ba mokuli oa lefu la tsoekere. Ho pakoa ka tliliniki hore hangata lefu la tsoekere le tsoekere e ngata maling, mathata ohle a potlakileng, ho kenyeletsa polyneuropathy, a tla tsoela pele. Haeba tsoekere ea mali e tloaelehile haholo, lilemo tse 15 kamora lefu la tsoekere, matšoao a polyneuropathy a ngolisitsoe ho 15% ea bakuli, kaofela ha bona ba le bonolo.
Lisosa tsa tšenyo ea sele ea methapo ho hyperglycemia:
- Boloetse ba Metabolic.
- hyperglycemia e sa foleng e qobella 'mele ho sebelisa mekhoa e meng ea ts'ebeliso ea tsoekere, eo ho eona ho bokelloang sorbitol le fructose, ho kenyeletsoa liseleng tsa methapo le haufi le tsona. Lefu la methapo le tšoeroe ke sena, se nkang karolo e tobileng phetisong ea litšusumetso;
- glycation ea lisele tsa methapo;
- timetso ea khetla ea bona ka li-radicals tsa mahala;
- ho haella ha myelin mokokotlong ka lebaka la ho thibela ho tsamaisoa ha myoinositol.
- Tšenyo ea methapo ea mali. Lefu la tsoekere le lefu la tsoekere le ama likepe tse fepang methapo ea kutlo.
- Boholo. Boemo ba kameho ea lefu la tsoekere la polyneuropathy bo ile ba senoloa. Ho na le bopaki ba hore bathong ba bang, methapo ea kutlo e senyehile lilemo tse 'maloa ka mor'a ho fumanoa ke lefu la tsoekere, ha ba bang ba phela ntle le bothata bona ka lilemo tse mashome, leha ho ne ho e-na le tsoekere e ngata.
- Mathata a Ts'oaetso - lebaka le sa tsejoeng ka ho fetisisa. Ho na le mefuta eo polyneuropathy e ka ts'oaroang ke li-antibodies ho nts'etsopele ea methapo eo mmele oa mokuli o e hlahisang.
Matšoao a ikhethang le matšoao
Ka polyneuropathy, likhoele tse mahlonoko hangata ke tsona tse qalang ho utloa bohloko, ebe ho senyeha ha koloi ho qala. Hangata, matšoao a pele a bonoa maotong, ebe butle-butle a hasoa ho maoto le matsoho a tlase, ho tšoara matsoho le matsoho, le maemong a tebileng - mpa le sefuba.
| Mofuta oa polyneuropathy | Matšoao a tšobotsi |
| Sensory | Ho phahamisa maikutlo ho eketsehileng, ho se khotsofale ho tsoa ho amang kapa liaparo tse tloaelehileng. Goosebumps, tsebe, bohloko bo fetisisang ho phomola ntle le lebaka. Boitšoaro bo sa sebetseng ba 'mele ho motho ea halefisang, mohlala, ho hlohlona ha a khaohang. Ho fokola ha kutloelo-bohloko. Mokuli ea nang le lefu la tsoekere le lefu la tsoekere o khaotsa ho utloa lintho tseo a neng a li tloaetse: ho ruruha ha motho a tsamaea a sa roala lieta, bohloko ha a hata lintho tse nyane. Bokhoni ba ho khetholla mocheso oa letlalo ke letlalo ha le na letho, hangata le chesang le bonahala le futhumetse haholo. |
| Motlakase | Mokhathala o tla ka potlako ha o tsamaea, 'me matla a matsoho a fokotseha. Ho sisinyeha ha manonyeletso ho fokotseha, pele ho menoana ea mabala a holimo le a tlase, ho ba thata ho ba khumama le ho otloloha ka ho felletseng. Ho hokahanya metsamao ho mpefala, ho ba le litsebo tse ntle tsa makoloi mohlala, ho ke ke ha khoneha ho roala nale. Nakong e tlang, gaak e sa tsitsang ea eketsoa, ho tsitsipana ha boemo ba ho ema, molumo oa mesifa oa fokotseha. Matšoao ohle a bonahala hantle kamora ho phomola. |
| Sensor motor | Ho rarahana ha matšoao a kaholimo, qalong ea lefu lena la polyneuropathy sensory. Matšoao ohle a utloahala hamolemo bosiu kapa hang hoba a tsohe. |
Diabetesic distal polyneuropathy
Metsoako e melelele ka ho fetisisa 'meleng oa motho e maotong. Tšenyo ea bona sebakeng se seng le se seng e bolela ho lahleheloa ke ts'ebetso ea methapo, ka hona, polyneuropathy hangata e tebile haholo, e fumaneha libakeng tse tlase. Liphetoho tse tebileng haholo li bonoa sebakeng seo ho thoeng ke "libaka tsa likausi" - maotong le maqaqailaneng. Pele ho tsohle, tactile, mocheso, joale maikutlo a bohloko a tlotsoa mona.
Nakong e tlang, liphetoho mesifa ea qala, ka lebaka leo ponahalo ea leoto e fetohang - ba khumama mme ba fumana menoana, leralla le boreleli. Letlalo le boreleli le fetoha sepheo se setle bakeng sa likotsi tse fapaneng tseo, ka lebaka la khaello ea phepo e nepahetseng le lihlahisoa tsa metabolic, butle-butle li khaotsang ho fola, li ba le liso tsa trophic. Ts'oaetso ea kamehla ea lehae e senya lisele tsa masapo. Ka lebaka leo, polyneuropathy ea distal e ka fetoha gangrene le osteomyelitis ka tahlehelo ea ho itsamaela ka bolokolohi.
Lefu la tsoekere la polyneuropathy la maemo a tlase a tlase qalong le na le matšoao a kang ho akheha, ho tsikinyeha, ho imeloa maotong bosiu, ho sitoa ho utloa ho tšoaroa habobebe, ho ikutloa eka o bata ka menoana, ho fokotse mofufutso maotong kapa, ka lehlakoreng le leng, letlalo le mongobo kamehla, ho pepeta le bofubelu libakeng. moferefere.
Mokhoa oa ho phekola polyneuropathy ho bakuli ba nang le lefu la tsoekere
Phekolo ea lefu la tsoekere la polyneuropathy ea likarolo tse tlase mokhatlong oa pele ke katleho ea tsoekere e tloaelehileng ea mali. Ho pakoa hore taolo e ntle ea glycemic e lebisa ho regression ea neuropathy e sa tsoa fumanoa mme ke mokhoa oa pele bakeng sa kalafo e sebetsang ea mefuta e matla ea lefu lena.
Ho etsa hore tsoekere e maling e fokotsehe tlhahlobo ea litsebi tsa endocrinologist e hlokahalang, ea tla fana ka regimen e ncha, o tla khetha lithethefatsi tse sebetsang haholoanyane. Mokuli mohatong ona o hloka ho latela litlhahiso tsa setsebi ka botlalo, tseo ho phaella ho litlhare tse kenyelletsang thuto ea 'mele le lithibelo tsa bohlokoa tsa phepo - hangata li-carbohydrate tse potlakileng ha li kenoe ka botlalo lijong.
Phekolo ntle le lithethefatsi
Hoa khoneha ho ntlafatsa phallo ea mali, ka hona phepo ea linama maotong, u sebelisa mekhoa e bonolo eo e seng ea lithethefatsi. Makhetlo a 'maloa ka letsatsi u hloka ho ikoetlisa ka bonolo ka maoto. Haeba letlalo le omme haholo, ho bohlokoa ho sebelisa moisturizer nakong ea ho silila. Li-botlolo tsa metsi a chesang le li-tubs tse chesang ha li thibetsoe. ka lebaka la kotsi ea ho chesa, eo lefu la tsoekere le nang le polyneuropathy le eona e ka 'nang ea se ke ea ikutloa, kaha li-receptors tse holim'a letlalo li senyehile.
Ha ho na maemo haeba u ka fokotsa mosebetsi. Etsa bonnete ba hore u tsamaea nako e telele letsatsi le leng le le leng, empa ka nako e ts'oanang etsa bonnete ba hore maoto a hao ha a sebetse ho feta.
Ho ntlafatsa phallo ea mali, mokhoa o bonolo oa ho ikoetlisa o tla ba molemo:
- Lula setulong.
- Flex - otlolla menoana ea hau.
- Latela maoto a hau ka litsela tse fapaneng.
- Sutula lisokisi hole le uena - li lebise ho uena.
- Tšela lintho tse potileng ka maoto a hau fatše - libolo, likotoana tsa lipeipi, phini e bilikang.
Ka likamoreng tsa physiotherapy, li-electrophoresis, libate tsa parafini, libaka tsa ho hlapela tsa radon le hydrogen sulfide li ka laeloa ho fokotsa bohloko.
Tšebeliso ea meriana
| Tataiso ea kalafo | Litokisetso | Tekanyetso le kalafo |
| Nutralization ea li-radicals tsa mahala | Li-antioxidants, hangata ho na le acidic e ngata: Thioctacid, Thiogamma, Neyrolipon. | 600 mg ka letsatsi. Taba ea pele, ke ka molomo, ebe ka molomo. Ho tloha libeke tse 3 ho isa ho likhoeli tse tšeletseng. |
| Khalemelo ea metabolism | Li-vithamine, haholo-holo sehlopha B: Vitagamm, Milgamm, Neuromultivit. | Libeke tse 3-5, tekanyetso e bontšoa litaelong. |
| Angioprotectors le libui tsa potoloho: Actovegin | Kahare ho isa ho 10 ml ka letsatsi - libeke tse 3. Ka molomo, nka letlapa leo makhetlo a mararo ka letsatsi bonyane libeke tse 6. | |
| Ho phomola | Li-antidepressants: amitriptyline. | Ho tloha ho 10 mg ho ea holimo, thupelo ke bonyane likhoeli tse peli. |
| Lipheko tsa lehae: Capsicam, Finalgon. | Etsa kopo pele o robala. | |
| Li-analgesics tsa bohato bo bohareng: Catadolone. | 100-200 mg makhetlo a mararo ka letsatsi. | |
| Li-opioids: Tramadol. | Feela joalokaha ho laetsoe ke ngaka. |
E na le thuso: Re romelle lethathamo la livithamini tse lumelletsoeng batho ba lefu la tsoekere le papiso ea bona mona - //diabetiya.ru/lechimsya/vitaminy-dlya-diabetikov.html
Melemo e tsebahalang ea setso
Ha ho na bopaki ba katleho ea kalafo ea lefu la tsoekere la polyneuropathy le meriana ea setso, ka hona, kalafo e joalo e ka nkoa feela e le tlatsetso ho mekhoa ea setso ea kalafo.
Recipe nomoro ea 1
Hangata, li-compress tsa letsopa le botala kapa boputsoa li sebelisetsoa ho phekola maoto a batho ba lefu la tsoekere. 100 g ea letsopa e hlapolotsoe hore e thelle ka ho kenngoa ka chamomile (hlahisa mokotla oa chamomile ka khalase ea metsi). Clay e kenngoa letlalong ka mokhoa o futhumetseng hanyane mme o emetse ho omisoa ka botlalo. Likhatello li phetoa letsatsi le letsatsi bakeng sa libeke tse peli, ebe li lateloa ke nako e tšoanang.
Recipe nomoro ea 2
Mokhoa o tummeng oa ho theola tsoekere ka litlhare tsa setso: nka likarolo tse lekanang tsa motso oa dandelion, makhasi a linaoa, makhasi a nettle le galega, kopanya. Tšela khaba ea motsoako ona letsatsi le letsatsi hoseng ka khalase ea metsi. Noa moro nakong ea letsatsi.
Recipe nomoro ea 3
Clove phofo e na le thepa ea antioxidant. E riteloa le ginger le Cardamom ebile e tahiloe ke lefu la tsoekere joalo ka tee. Proportions - kotara ea khaba ea linoko tsohle ka nkhong e le 'ngoe ea metsi.
Thibelo
Ho thibela polyneuropathy, hang kamora ho sibolloa ha lefu la tsoekere, o tlameha ho haha bocha bophelo ba hau ka botlalo: laola phepo e nepahetseng mme o latele lijo tsa NU, ho ikoetlisa, ho ithuta ho bala ka nepo lethathamo la insulin, le ho itšireletsa hyperglycemia ka boithaopo. Letšollo la lefu la tsoekere le fokotsa kotsi ea likhathatso tsamaisong ea methapo ka lebaka la tse leshome, ho ka etsahala feela ka boemo bo mafolofolo ba mokuli le ho latela litaelo tsohle tsa lingaka.
Lithuto tsa khafetsa tsa livithamini (li-multivitamini kapa sehlopha sa B feela) le lipoic acid, boikoetliso, kapa mokhoa o mafolo-folo o tla ba molemo ho thibela lefu la tsoekere la polyneuropathy.
Ka lebaka la chefo e matla tsamaisong ea methapo, ha ho hlokahale hore u noe joala. Mathata a amanang le lefu la tsoekere le joala 'meleng a rarahane haholo le ho feta kalafo ea kalafo. Ntle le moo, ho nosetsa khafetsa ho etsa hore ho se khonehe ho fihlella tloaelo ea tlhaho.
