Lefu la tsoekere le lefu la tsoekere ke lefutso le kotsi, le tsamaeang le tšenyo ea likarolo tsa tsamaiso ea methapo ea kutlo. Boloetse bona ke bothata ba lefu la tsoekere, matšoao a lona a pele a hlahang lilemo tse 'maloa ka mor'a ho fumanoa ke lefu la tsoekere. E tsoela pele butle butle, likarolo tsa pele tsa tsamaiso ea methapo ebe li kenya letsoho ts'ebetsong ea methapo ea methapo.
Polyneuropathy e fumanoa ho 70% ea bakuli ba nang le lefu la tsoekere mme, e le molao, e se e le boemong bo joalo ha phekolo hangata e sa kopane. Phekolo e sa reroang e lebisa ponahalong ea bohloko bo boholo, ts'ebetso e lahlehile. Ho na le kotsi ea lefu. Nahana ka mokhoa oa ho phekola polyneuropathy ho lefu la tsoekere.
Lisosa, pathogenesis ea polyneuropathy
Lebaka le ka sehloohong le tsosang mochine oa neuropathy ke khatello e eketsehileng ea tsoekere maling. Sephetho ke keketseho ea matla a lits'ebetso tsa oxidative. Li-radicals tsa mahala li bokella 'meleng, tse amang hampe neurons, li sitisa mesebetsi ea tsona.
Tsoekere e ngata e baka ts'ebetso ea ts'ebetso ea autoimmune e senyang lithane tsa methapo. Ho bokellana ha tsoekere ho baka tsitsinyeho ho osmolarity ea sebaka se kahare, methapo ea kutlo e ruruhileng, tsamaiso ea methapo e pakeng tsa lisele e ferekane. Khōlo ea lisele tsa fiber tsa methapo e ea fokola. Hyperglycemia ea kamehla e fokotsa botebo ba metabolism ea matla, tšusumetso ea conduction e mpefala. Qetellong ea lisele tsa methapo ea kutlo li na le hypoxia (tlala ea oksijene).
Lintho tse hlahisang nts'etsopele ea neuropathy:
- Nako e telele ea lefu la tsoekere;
- Lilemo tse tsoetseng pele;
- Ho ba teng ha mekhoa e mebe;
- Ho kenella ka har'a metsoako ea lik'hemik'hale, lithethefatsi.
Pathology e ka hlaha khahlano le semelo sa mafu a systemic:
- Ischemia
- Li-neoplasms tse kotsi;
- Hypothyroidism;
- Cirrhosis;
- Uremia.
Tlhomamiso
Ho latela hore na ke karolo efe ea ts'ebetso ea methapo e senyehileng, mefuta e 'maloa ea polyneuropathy e khetholloa:
- Boemo. E tšoauoa ka ho se sebetse hantle hoa litho tsa motho ka mong kapa litsamaiso. E boetse e arotsoe ka mefuta e mengata:
- Cardiac
- Gastrointestinal;
- Hlapollo
- Urogenital.
- Ea botho. Ka foromo ena, lefu lena le ama 'mele oohle.
Ho ea ka ho ruruha ha liso, mefuta e 3 ea methapo ea kutlo e khethollotsoe:
- Sensory. Boikutlo ba mokuli ho ba khopisang bo fokotseha.
- Motlakase. Ts'ebetso ea koloi e sa sebetseng hantle.
- Sebopeho sa distal (sensorimotor). Boloetse bona bo kopanya matšoao a mofuta oa 1 le oa 2.
Hangata ho fumanoa, ho itšireletsa ha maikutlo, lefu la tsoekere, mofuta oa distal polyneuropathy (mofuta o tsoakiloeng).
Matšoao
Manonyeletso a methapo ea kutlo a qholotsa matšoao a lefu la tsoekere la polyneuropathy. Lipontšo tsa lefu lena li latela hore na methapo ea methapo e kenella ts'ebetsong efe: e nyane kapa e kholo. Tabeng ea pele, mokuli:
- Maoto a holofetse (ka tlase, holimo);
- Ho na le maikutlo a tukang, a hohelang;
- Letlalo le fetoha le sa tsotelleng lithemparetjha tse phahameng le tse tlase;
- Letlalo la maoto le fetoha le khubelu;
- Matsoho le maoto a bata;
- Maoto a ruruhile, a fufuleloa haholo;
- Letlalo le maotong le ea phumola, le ome;
- Bosiu, bohloko bo hlaha maotong;
- Callus, makhopho a bohloko a maotong.
Haeba likhoele tse kholo tsa methapo li ameha, lipontšo tsa lefu li tla ba ka tsela e latelang:
- Tekano e ferekaneng ha o tsamaea;
- Ho ameha ka bohloko bo kopaneng;
- Letlalo la lipheletso tse tlase le fetoha le ho feta;
- Ka ho ama ho bobebe, bohloko bo hlaha;
- Ho hloka kelello ho metsamao ea menoana hoa bonoa.
Ntle le moo, polyneuropathy e tsamaisana le lipontšo tse senang maikutlo. Tsena li kenyeletsa:
- Bothata ba Bowel;
- Bofokoli ba mesifa;
- Ho tsekela
- Mathata a puo;
- Ho sitisoa ha pono.
Nahana ka matšoao a mefuta eo ea polyneuropathy e tsebahalang hangata. Ka liso tsa tsamaiso ea methapo e ikemetseng (mokhoa o ikemetseng), ts'ebetso ea tšilo ea lijo e mpefala, ho tsekela ho bonahala. Haeba motho a tsoha, ho ba lefifi mahlong a hae, a ka ba a akheha. Ka mofuta ona oa neuropathy, ho na le kotsi e kholo ea tšoaetso ea lefu la setho. Ho se sebetse hantle ka linako tse ling ka linako tse ling ho baka lefu la tšohanyetso.
Diabetesic distal polyneuropathy hangata e ama maoto le matsoho a ka tlase, tse holimo ha li amehe haholo. Ho na le mekhahlelo e 3 ea nts'etsopele ea pathology:
- Subclinical. Ha ho na litletlebo tse khethehileng, ke feela maikutlo a lipheletso ho bohloko, mocheso o phahameng le o tlase o fokotsehile.
- Tleliniki. Bakuli ba tletleba ka bohloko likarolong tse fapaneng tsa 'mele, ho ferekana ha maoto le matsoho, ho mpefala le ho feta. Ha nts'etsopele e tsoela pele ea ts'ebetso, ho tsota ho matla, ho chesa le bohloko bo hlaha. Bosiu, matšoao a mpefala le ho feta. Ho na le sebopeho se se nang bohloko, se tšoauoa ka: ho phahama ha maoto, tlolo e matla ea maikutlo, bofokoli ba mesifa, ts'ebetso ea koloi e senyehileng.
- Mathata Li-ulcers li theha maotong, ho tse ling li tsamaea le bohloko bo bobebe. Ho kula hona ho ka qholotsa nts'etsopele ea makhopho, joale ho etsoa qeto mabapi le ho khaoloa.
Lingaka li boetse li khetholla pakeng tsa matšoao a mabe le a fosahetseng a lefu la tsoekere. Melemo e hlaha maemong a pele, e kenyelletsa:
- Ho chesoa (leotong la 1 kapa ho potoloha mmele). E bonts'oa haholo haeba motho a phutholohile ka hohle kamoo ho ka khonehang, hammoho le bosiu.
- Ho opeloa ke 'metso molaleng, mpeng, ho hypochondrium e nepahetseng.
- Mokokotlo, lits'oso tse tšoanang tsa motlakase.
- Mehopolo e utloisang bohloko (allodynia) ka khanya e bobebe.
- Hypersensitivity ho bohloko bofe kapa bofe matla.
Matšoao a fosahetseng:
- Ho satalla ha maoto le matsoho;
- Ho opeloa ke maoto le matsoho, matsoho;
- Tingling;
- Botebo ba maoto le matsoho.
Ts'ebetso ea lisebelisoa tsa vestibular ha e ea hantle, mokuli ha a na botsitso ha a tsamaea. Ponahalo ea matšoao a seng matle e bonts'a ho qaleha ha lefu ha le lieha, ha liphetoho li se li sa fetohe.
Ts'oaetso
Ka ho belaella polyneuropathy, o hloka ho ikopanya le endocrinologist, ngaka ea methapo, ngaka e buoang. Ts'oaetso e etsoa motheong oa litletlebo, tlhahlobo ea mokuli le liphetho tsa lithuto tsa mahlale le tsa kalafo. Boemo bo lekotsoeng Lithuto tsa laboratori li kenyelletsa tlhaloso ea:
- Boemo ba kholesterol;
- Sekhahla sa tsoekere maling, moroto;
- Glycosylated hemoglobin, C-peptide;
- Mekha ea insulin ea mali.
Ntle le moo, ho etsoa ECG, ho hlahlojoa li-ultrasound, ho etsoa li-electroneuromyography, 'me MRI e etsoa.
Phekolo
Ka ts'oaetso e tlang ka nako, kalafo e lekaneng ea polyneuropathy matsatsing a pele, li-prognosis tsa ho hlaphoheloa li tla ba hantle ho bakuli ba bangata.
Boemo ba bohlokoa ke ho boloka tsoekere ea mali.
Phekolo ea lefu la tsoekere la polyneuropathy ea likarolo tse tlase e rarahane, ho hlokahala ho susumetsa lisosa le matšoao a lefu la methapo. Mesebetsi ea kalafo e kenyelletsa:
- Ho tlosa glucose e feteletseng lithong tsa methapo, ho lokisa lisele tse senyehileng ka thuso ea litokisetso tsa alpha-lipoic acid. Ntho ke ea li-antioxidants, e nka karolo lits'ebetsong tsa metabolic. Alpha-lipoic acid e khelosa phello ea li-radicals tsa mahala, e khothaletsa ho phatloha ha tsoekere, e tsosetsa ts'ebetso ea ho tsamaisa ha eona.
- Ho khutlisetsa mokhoa oa ho fetisa litšusumetso, ho fokotsa litlamorao tse mpe tsa tsoekere e ngata liseleng tsa methapo. Bakeng sa morero ona, mokuli o fuoa livithamini tsa B, tse amang hantle boemo ba tsamaiso ea methapo le tsamaiso ea masculoskeletal. Vitamin E e thusa ho khelosa litlamorao tse mpe tsa tsoekere ho li-neuron.
- Ho khutlisetsa metabolism e tloaelehileng lithong tsa methapo ka ho sebelisa lithethefatsi tsa antioxidant. Liphetho tse ntle li fanoa Actovegin, e sa faneng ka litla-morao. Sesebelisoa se na le phello ea antihypoxic, e amang hantle ho monya le ts'ebeliso ea oksijene. Lithethefatsi li hlahisa phello e kang insulin, hobane e ntlafatsa ts'ebetso ea oxidation, tsamaiso ea tsoekere. Ho nka Actovegin ho tla u fa monyetla oa ho khutlisa pokello ea matla ho li-neuron.
- E fokotsa ts'ebetso ea motsoako oa tsoekere, e fokotsa litlamorao tsa eona tse mpe tsamaisong ea methapo ka ho nka lithethefatsi-inhibitors tsa aldose reductase (Olredaza, Isodibut, Sorbinyl). Meriana e fokotsa lipontšo tsa "neuropathy": tlosa matšoao a bohloko, khutlisetsa maikutlo a maoto le matsoho, u potlakise pholiso ea liso tsa ka mpeng.
- Phokotso ea letšoao la bohloko ke lithethefatsi tse seng khahlanong le ts'oaetso (Diclofenac, Ibuprofen).
- Ho felisoa ha botšehali, ho tsitsipana ka meriana, e kenyang potasiamo, calcium, le magnesium.
- Ha liso li hlaha lehanong, ho fanoa ka litlhare tse thibelang likokoana-hloko, basebetsi ba pholiso ea maqeba a sebakeng seo.
Ho eketsa katleho ea kalafo, ts'ebeliso ea lithethefatsi e lokela ho kopanngoa le mekhoa eo e seng ea meriana. Ho ntlafatsa phallo ea mali le ho boloka molumo oa mesifa, physiotherapy e fuoa mokuli (electrophoresis, magnetotherapy). Ts'ebetso ea koloi ea lipalo tse tlase e khutlisetsoa ka thuso ea ho silila ka kalafo.
Tšusumetso e ntle ke ho sesa, ho ikoetlisa. Ikoetlise letsatsi le leng le le leng, bakeng sa metsotso e 10-20.
Ho khothalletsoa ho futhumatsa maoto ka li-socks tse futhumetseng, hlokomela hore ka lebaka lena u ke ke ua sebelisa sethala sa ho futhumatsa, libate tsa maoto.
Moriana oa litlama
Ntle le mehato ea kalafo e boletsoeng ke ngaka, o ka phekoloa ka meriana ea setso. Moriana oa litlama o tla thusa ho fokotsa bongata ba matšoao.
Tloaetsa maemo a tsoekere a sebelisa decoction, e kenyeletsang:
- Peppermint - 30 g;
- Li-stigmas tsa poone - 60 g;
- Galega (poli) - 100 g;
- Bean Sash - 100 g.
Tšela tafole ea 6. l Bokella litara e le 1 ea metsi a belang ebe o beha mocheso o tlase metsotso e 5. Pele o sebelisa, sefa moea le ka pele ho lijo. Sekhahla se le seng ke 100 ml.
Ho fa li-neurons ka limatlafatsi, nka motsotsoana oa Vitamin letsatsi le letsatsi. O tla hloka:
- Kefir - 1 tbsp .;
- Peo ea soneblomo - tafoleng e 2. l .;
- Parsley - ho latsoa.
Ebola ebe u khaola lipeo tsa sonobolone, eketsa ho kefir. Kenya meroho le kopanya. - Noa lino tse 1 ka nako ea halofo ea hora pele ho lijo tsa hoseng (ka mpeng e se nang letho).
Clove (senoko) se na le phello e ntle ea antioxidant. Ho lokisa tlhahiso eo o tla e hloka:
- Clove - 30-35 g;
- Metsi - 3 tbsp.
Grila linoko, tšela ho thermos. Tšela metsi a belang, tlohela lihora tse 2. Sebelisa infusion 3 r. / Letsatsi.
Sekhahla se le seng e tla ba 1⁄4 tbsp. Nako ea thupelo ea kalafo ke libeke tse peli. Pheta hape ka matsatsi a 10.
Ho khutlisa botebo ba li-receptors, o ka li koahela ka letsopa le leputsoa. E tlatse ka metsi, ho ts'oana ha eona ho lokela ho tšoana le tranelate e bolila e bolileng. Etsa kopo libakeng tse utloang bohloko, tlohella ho omella. Nako ea ts'ebeliso - libeke tse 2.
Ka mofuta oa distal oa polyneuropathy, phekolo ea ka ntle e thehiloeng ho leadum e tla thusa. O tla hloka:
- Ledum - 0.5 tbsp .;
- Tafoleng ea asene ea tafoleng (9%) - 0.5 tbsp.
Motsoako o lokela ho kenngoa matsatsi a 10. Pele o sebelisa, hlapella tincture e nyane ka metsi (ka karolelano ea 1: 1). Tšela sehlahisoa maotong a hau 3 r. / Letsatsi.
Ho silila matsoho le maoto ho ka etsoa ka oli e lokiselitsoeng ho tsoa ho setoto sa St. Sebopeho sa sesebelisoa se kenyeletsa:
- Makhasi, lipalesa tsa hypericum (tse ncha) - tafole e 3. l;
- Oli ea limela - 1 tbsp .;
- Khemere (motso) - tafoleng e 1. l
Grind wort ea St. John, tšela oli e chesang. Tlohela sebakeng se lefifi bakeng sa libeke tse 3. Tšela sehlahisoa, eketsa motso o sehiloeng oa ginger. Boloka oli ea Hypericum ka sehatsetsing.
Ho ntlafatsa metabolism ka har'a likarolo tsa tsamaiso ea methapo, ho nooa motsoako oa litlama tse phekolang:
- Burdock (motso);
- Birch (makhasi);
- Bedstraw;
- Mahapu (li-cone);
- Elderberry e ntšo (lipalesa);
- Mofuta;
- Licorice (motso);
- Letoto la.
Tsamaea likarolo ka likarolo tse lekanang. Beha litafole tse peli ka har'a thermos. l kopanya, tšela metsi a belang (4 tbsp.), behelle ka thoko bakeng sa lihora tse 8 (o ka feta bosiu). E-noa lino thapama ho fapana le tee. Nako ea ts'ebeliso ke khoeli e le 'ngoe. Pheta thupelo ka matsatsi a 10.
Thibelo
Bakeng sa ho thibela ponahalo ea polyneuropathy, tsoekere e lokela ho laoloa. Mehato e meng:
- Ho tsamaisana le lijo tse khothalletsoang;
- Ho etsa boikoetliso ba boikoetliso ba bongaka;
- Ho hana mekhoa e mebe;
- Ho hlahlojoa khafetsa ke ngaka.
