Tšenyo ea tsamaiso ea methapo (neuropathy, neuropathy) ke e 'ngoe ea mathata a morao-rao a lefu la tsoekere le ileng la hlaha khahlano le semolao sa tlala ea "oxygen" ea tishu. Ho haella ha trophic ho hlaha ka lebaka la phetoho ea methapo ea methapo ea methapo e meholo le e kholo.
Lefu la tsoekere la lefu la tsoekere le liponahatso tse tlase ke ponahatso e atileng haholo ea likotsi tsa ho ipona ka tlung. Matšoao a mathata le nako ea lefu lena a ipapisitse le "boiphihlelo" ba lefu la tsoekere le mokokotlo oa ho tšoloha ka tšohanyetso ho glucose maling.
Sistimi ea nts'etsopele
Boemo ba hyperglycemia, e leng tšobotsi ea bakuli bohle ba nang le "lefu le monate", e lebisa phetohong ea methapo tsamaisong ea phepelo ea mali. Karolo e ka hare ea methapo e kenella lipenseng tsa lipids, triglycerides ka ho kenella ka hofetisisa ha likarolo tsa lithane tse sebetsang, 'me ea theha liathomo tsa methapo. Litlhaka tse joalo li nyenyefatsa leseli la mokokotlo, li sitisa tšebetso ea ho fepa lisele le lisele tsa mmele ka mali.
Li-Neurons (lisele tsa methapo e fetisang mehopolo e tsoang bokong) le tsona li qala ho tšoaroa ke khaello ea phepo e nepahetseng. Sena se baka liphetoho mekhoeng ea bona ea sebopeho le 'mele.
Matšoao a lefu lena
Polyneuropathy e tšoauoa ka tšenyo ea methapo e menyenyane le e meholo ea kutlo le koloi. Matšoao le liponahatso tsa mantlha li latela hore na ke mefuta efe ea methapo ea methapo e ka tlase e ileng ea angoa:
- Litšitiso tse hlokofatsang - nts'etsopele ea pono ea methapo ea ts'ebetso ea serame, vibrate, liphetoho maemong a mocheso, ho ferekana ha maikutlo ka mokhoa oa ho khopamisa ha bona, bohloko, ho isa moo ba hlahang ho li-agents tseo ka tloaelo li sa bakeng bohloko.
- Motor pathologies - ponahalo ea litlhaselo tse kholisang tsa lisebelisoa tsa mesifa, atrophy, ho hloka ts'ebetso e tloaelehileng le ponahalo ea methapo ea methapo ea kutlo, khokahano e senyehileng.
- Liphetoho tsa sensomotor (tšenyo e kopaneng ea methapo ea kutlo le koloi) - letsoalo, bohloko, ho fokotseha ha maikutlo a ho fifala, bofokoli ba mesifa, lefu le senyehileng, methapo ea kutlo.
Ho hlōloa ha polokelo ea maoto le maoto a tlase - lipontšo tsa pele tsa neuropathy
Litšobotsi tsa bohloko
Bohloko bo hlahang ha methapo ea methapo e ameha e na le tlhaho e fapaneng:
- ho thunya
- ts'oaroa
- ho tuka
- ho hlasela
- jerking.
Kaha li-capillaries tsa maoto le maoto a tlase li ameha haholo, mekhahlelo ea pele ea neuropathy e tsamaea le maikutlo a bohloko libakeng tse tšoanang. Hamorao, mehopolo ea methapo ea kutlo e "qepha" hammoho le liphetoho tse tšoanang maboteng a methapo ea methapo e meholo ea methapo ea methapo.
Liponahatso tse ling
Bakuli ba boetse ba tletleba ka matšoao a latelang a kliniki:
Mokhoa oa ho fana ka mali bakeng sa tsoekere nakong ea kemolo- maoto a batang;
- ho ruruha ho eketsehileng;
- mofufutso o feteletseng oa maoto kapa, ka lehlakoreng le leng, ho omella ho feteletseng;
- ho fifala ha letlalo;
- ho theha maqeba, ulcers, calluses;
- botenya ba lipente tsa lipekere;
- leoto leoto.
Pontšo khafetsa ke ts'oaetso ea liso le maqeba a thehiloeng. Ka lebaka la tlolo ea kutloelo-bohloko, mokuli a ka se hlokomele ho ba teng ha bona. Ho na le tlatsetso ea microflora ea baktheria ka nts'etsopele ea ho ruruha le ho fokotseha.
Mekhoa ea ho Tseba
Ntle le setsebi sa endocrinologist, mokuli o hloka ho buisana le ngaka e buoang le ngaka ea methapo. Tlhahlobo ea pono ea libaka tse tlase tse tlaase e etsoa, ho hlahloba ho ba teng ha methapo ea methapo ea letlalo, letlalo le omileng le boemo ba mohala oa moriri. Lekola boteng ba pulse ho methapo e meholo, e leng bopaki ba matla a bona. Khatello ea mali e lekantsoe.
Tlhahlobo ea 'mele ea malebela a tlase - mohato oa mantlha oa tlhahlobo ea mafu
Liteko tsa laboratori li kenyeletsa:
- boemo ba tsoekere;
- glycosylated hemoglobin;
- C peptide;
- matšoao a insulin;
- biochemistry ea mali.
Tlhahlobo ea methapo
Setsebi se khetholla boteng ba maikutlo a 'mele le a pathological, se lekola maikutlo a tactile ka monofilament le k'hothone. Sensation vibration e lekoa ka lipheletso tse tlase tse tlase ho sebelisa lifereko. U sebelisa lintho tse futhumetseng le tse batang, beha boemo ba kutlo ba liphetoho tsa mocheso.
E latelang, mekhoa e ikhethang ea tlhahlobo ea ho hlahloba e beoa ho hlakisa monyetla oa phetisetso ea litšusumetso tsa methapo le ho hlahloba boemo ba ho boloka sebaka se itseng sa leoto:
- electroneuromyography;
- susumetsa lintho tse ka khonehang.
Melao-motheo ea Phekolo
Phekolo ea lefu la tsoekere le lefu la tsoekere e qala ka ho hlahloba tšebeliso ea lithethefatsi ho lokisa likhahla tsa tsoekere ea mali. Haeba lichelete tse sebelisitsoeng li sa sebetse, li nka sebaka sa tsona kapa li tlatselletsa moriana o mong. Ba sebelisa litokisetso tsa insulin le li-agents tsa hypoglycemic (Metformin, Diabetes, Glibenclamide, Glurenorm, Amaryl).
Lihlahisoa tsa antioxidant
Lithethefatsi tsa khetho bakeng sa polyneuropathy e nang le lefu la tsoekere ke li-thioctic acid. Lisebelisoa tsena li batla li bokellana ka methapo ea methapo, li monya li-radicals tsa mahala, le ho ntlafatsa tsamaiso ea methapo ea kutlo.
| Lebitso la lithethefatsi | Likarolo tsa ts'ebeliso | Litataiso |
| Berlition | E fumaneha matlapeng, likhabaneng, tharollo bakeng sa tsamaiso ea batsoali. Tumellanong le tloaelo ea maemo a tsoekere, moriana o khothaletsa tsosoloso ea thepa ea rheological ea mali le mesebetsi ea sebete. | Ha e ngoletsoe bana, nakong ea kemaro le lebone |
| Tiogamma | Ka mokhoa oa litafole le tharollo ea infusion. Nako ea kalafo e fihlile ho likhoeli tse peli ka monyetla oa ho pheta hape ka likhoeli tse 2-3 | Litla-morao li ka kenyelletsa ho hlaseloa ke lintho tse amang lintho tsohle, ho fetoha ha tatso, ho fokola, khatello e eketsehileng ea methapo |
| Neuro lipone | E fumaneha ka likhabapo. E nka karolo taolong ea cholesterol, e thibela nts'etsopele ea ts'ebetso ea atherosulinotic | Ho amoheloa ho ka khonehang nakong ea kemolo maemong a ikhethang |
| Tiolepta | E fumaneha ka mokhoa oa litafole le tharollo. E ntlafatsa ketso ea insulin, ha e sebelisoe ka mokhoa o ts'oanang le tšepe, magnesium, lihlahisoa tsa lebese | Ha ea lumelloa nakong ea bokhachane. Ha e lumellane le joala, ha ethanol e fokotsa phello ea ntho e sebetsang |
Molao oa metabolic
Litokisetso tsa vithamine ke mokhoa oa khetho bakeng sa ho khutlisetsa ts'ebetso ea phetisetso ea methapo ea kutlo le ts'ebetso e tloaelehileng ea ts'ebetso ea methapo. Pyridoxine e thibela ho bokelloa ha li-radicals tsa mahala maling mme e khothaletsa tlhahiso ea lintho tse ikhethileng tse ntlafatsang sekhahla sa phetisetso ea litšusumetso.
Cyanocobalamin e ntlafatsa li-neuron tsa trophic, e na le phello e nyane ea analgesic, 'me e khutlisa phetiso ea lits'oaetso ka methapo ea methapo. Thiamine le eona e na le phello e tšoanang. Ho kopana ha livithamini tse tharo ho ka ntlafatsa ts'ebetso ea e mong.
Mekhoa e meng e laolang tšebetso ea metabolic 'meleng ke:
- Actovegin,
- Pentoxifylline
- Palesa ea lipalesa
- Trental.
Trental - vasodilator e ntlafatsang lisele tsa trophic le metabolism
Tsamaiso ea bohloko
Bohloko ke e 'ngoe ea matšoao a hlokang hore a rarolloe hanghang. Ke mofuta oa bohloko o lebisang ponahalong ea ho hloka boroko, khatello ea maikutlo, ho ba mabifi, ho se khonehe ha bakuli. Li-analgesics tse tloaelehileng le lithethefatsi tse khahlanong le ho ruruha li ke ke tsa emisa bohloko nakong ea neuropathy e nang le lefu la tsoekere, empa ho na le linyeoe tse tsebahalang tsa nako ea bona.
Litsebi li khetha lihlopha tse latelang tsa meriana:
- Li-antidepressants - amitriptyline, imipramine, paroxetine. Qala ho nka ka litekanyetso tse nyane, hanyane ka hanyane u li hloka.
- Li-anticonvulsants - Phenytoin, Carbamazepine, Primidone. Qala ka litekanyetso tse phahameng, butle-butle u fokotsa bongata ba lithethefatsi.
- Li-anesthetics tsa lehae ka mokhoa oa lits'ebeliso - Lidocaine, Novocaine. E sebelisoa hangata, e kopantsoe le lihlopha tse ling.
- Antiarrhythmic - Mexico. E sebelisoa hangata.
- Opioids - Fentanyl, Promedol, Nalbuphine. E ka kopantsoe le li-analgesics tse bonolo le ho se sebetse hantle ha monotherapy.
- Bangoli - Finalgon, Capsicum. Mekhoa e khona ho fokotsa ho ruruha ha bohloko ha e sebelisoa ka ho panya ha leihlo.
Mekhoa e meng ea phekolo
Har'a mekhoa ea physiotherapeutic, acupuncture, ts'ebeliso ea matla a khoheli le laser, electrophoresis, hyperbaric oxygenation, balneotherapy, ts'usumetso ea motlakase oa transcutaneous li tumme ka bongata.
Phekolo ka meriana ea setso e bontša ts'ebetso feela e le karolo ea kalafo e kopaneng. Ho sebelisoa li-compress tse koahetsoeng ka Clay kapa seno se nang le meriana ka tšebeliso ea sona. Letsopa le leputsoa kapa le botala, le rekiloeng ka har'a k'hemiste, ka bongata ba 20 g e tšeloa ka senoelo sa ½ sa metsi mme se arotsoe ka litekanyetso tse tharo. Noa metsotso e 20 pele o ja.
Ho sebelisa letsopa le leputsoa ke mokhoa o mohlolo oa ho khutlisa bolulo
Liphetho tse ling tse sebetsang:
- Hlahla matsatsi ka blender. Nka boima bo hlahang ba 2 tbsp. makhetlo a mararo ka letsatsi ka mor'a lijo tsa khoeli. E ka kopanngoa le lebese la poli.
- Ho tsamaea lehlabatheng le chesang letsatsi le letsatsi.
- Lokisetsa infusion ea lipalesa tsa calendula ebe o nka senoelo sa ½ makhetlo a mararo ka letsatsi. Nako ea thupelo ha e na moeli ebile e ka tsoela pele ho fihlela mesebetsi e lahlehileng e fela.
Mokuli e mong le e mong ka boeena a ka khetha mokhoa oa kalafo oo a ka o khethang: mekhoa e meng ea ho pheha, physiotherapy kapa ho sebelisa meriana. Ntho ea bohlokoa eo u lokelang ho e hopola ke hore ntho e ngoe le e ngoe e lokela ho etsahala tlasa taolo e sa feleng ea setsebi se tšoanelehang. Ho lemoha kapele le ho latela likeletso ho tla qoba nts'etsopele ea mathata a tebileng le ho khutlisa mesebetsi e lahlehileng.
