Phekolo ea lefu la tsoekere la neuropathy ka lithethefatsi le mekhoa e meng

Lefu la tsoekere, ka lebaka la phetoho e sa khaotseng ea tsoekere maling, e baka tšenyo litsamaisong, ho litho tsa 'mele le mathata a tebileng.

E 'ngoe ea mathata ana ke lefu la tsoekere. Sena ke sesosa sa bohlokoa sa mafapha a methapo ea methapo ea kutlo, e lebisang tahlehelong ea kutlo, tšitiso ea ho se sebetse hantle ha genitourinary le autonomic dysfunction.

Ho etsahalang ka tsamaiso ea methapo ea lefu la tsoekere?

Tsamaiso ea methapo ea 'mele e na le mafapha a' maloa:

• bohareng - ho kenyelletsa makala a joalo ka lesapo la lesapo la mokokotlo le bokong;
• peripheral ke leqhubu la methapo ea methapo e fapohelang 'mele ho tsoa tsamaisong e bohareng.

Ho ea ka ts'ebetso e sebetsang, ts'ebetso ea methapo e arotsoe ka mokhoa o ikemetseng, o laolang tšebetso ea litho tsa ka hare le litšoelesa, le somatic, e laolang mosebetsi oa mesifa ea tsamaiso ea musculoskeletal.

Liphetoho maemong a tsoekere ea mali li ama methapo ea kutlo. Khokahano e sa lekaneng ea tsoekere e lebisa ho hlokeheng ha phepo e nepahetseng ea methapo, mme boemo bo phahameng bo tsamaisana le ho etsoa ha li-radicals tsa mahala, tse bakang oxidation ea sele.

Tsoekere e ngata e tlatsetsa ho bokelleng ha lik'habohaedreite liseleng, ka lebaka leo metsi le liminerale li kenang liseleng, tseo, li baka ho ruruha hoa methapo.

Haeba lefu la tsoekere le tsamaea le khatello ea mali, ho fokotseha hoa likepe tse fanang ka boko 'me lisele li shoa ka tšusumetso ea tlala ea oksijene.

Lintho tse latelang li ka ama nts'etsopele ea neuropathy:

• khatello ea mali
• lekhoba la nikotine;
• boima bo feteletseng;
• Hyperlipidemia
• nako ea lefu la tsoekere;
• ho hloka khalemelo le keketseho ea tsoekere ea mali;
• lebaka la lilemo.

Matšoao a lefu la tsoekere la lefu la tsoekere

Ho qala ha tšenyo ea tsamaiso ea methapo ho bontšoa ke ho ba sieo ha matšoao a matla. Lisele tse shoeleng li nkeloa sebaka ke tse phetseng hantle; mokuli ha a utloe liphetoho. Matšoao a pele a bonahala likhoeli tse 'maloa kamora ho qala ha lefu lena le ho ama, pele ho tsohle, maoto le matsoho a holimo le tlase. Matšoao a hlaha ho ipapisitse le sebaka sa ho ruruha hoa bohlokoa tsamaisong ea methapo le hore na lefu le tsoela pele hakae.

Ho na le likotsi tse 'maloa:

1. Subclinical neuropathy.
2. Clinical neuropathy e arotsoe ka mekhahlelo e meraro:
   • bohloko bo sa foleng;
   • bohloko bo boholo;
   • sethala se se nang bohloko, se tsamaeang le tahlehelo ea kutlo kapa ho fokotseha ha eona.
3. Mathata a morao-rao

Sensory

Tšenyo ea methapo e laolang maikutlo a letlalo la maoto le sefahleho e bonahatsoa ke matšoao a joalo:

1. Keketseho ea maikutlo a ho bonoa ka karabelo ea eona. Ho na le maikutlo a tukang le ho honotha letlalong. Nako ea bohloko bo hlobaetsang e bonoa mme "li-goosebumps" lia utloahala.
2. Karabelo ea ho ama letlalo e bonahala e le bohloko bo boholo.
3. Ntho e 'ngoe e khopisang e baka karabelo e mengata ea litlolo, litlolo le litatso.
4. Kutloisiso e ea fokotsoa kapa e lahlehile. Ho na le maikutlo a phehellang a hore liatlana kapa lisokisi li matsohong le maotong.

Motlakase

Ka motor neuropathy, methapo ea motlakase e ikarabellang bakeng sa khatello ea mali ea mesifa e ameha:

• boikutlo ba maoto a "cottony" le mesifa e fokolisang etsa hore ho be thata ho tsamaea;
• khokahano ea senyeha ka lebaka la tšenyo ea lisebelisoa tsa vestibular;
• manonyeletso a maoto le matsoho a lahleheloa ke ho sisinyeha, edema ea bona le boqhetseke ba bonoa, ts'ebetso ea ho feto-fetoha ha maemo le ho atoloha ha menoana ea sitisoa.

Ho haella ha mali ho lebisa ho omiseng kantle le ho bokella ha mesifa ea marapo.

Boemo

Autonomic neuropathy e ama tsamaiso ea bobuelli, e bakang ho senyeha ha tšebetso ea litho tsa ka hare:

• bothata ba ho koenya;
• belching, ho hlatsa, tsitsipano ea pelo ea hlaha;
• tšilo ea lijo le mala a sebetsa ka tsela e tšoenyang, e tsamaeang le letšollo kapa ho sokela hangata;
• khafetsa ea ho ntša metsi ho ntša metsi e fokotsehile haholo, ho na le ntho e sa phethoang ea bladder, e lebisang tšoaetsong ea baktheria le ts'ebetso ea ho ruruha ho eona;
• ho se sebetse hantle ha erectile hoa tsebahala;
• palpitations, matšoao a arrhythmia a bonoa;
• teko ea ho nka boemo bo otlolohileng e tsamaea le ho theoha ho matla ha khatello le bofokoli;
• mofufutso o eketsehileng o nkeloa sebaka ke tlhahiso e sa lekanang ea mofufutso, e lebisang letlalong le omileng;
• ho fokotseha hoa letlalo la sefahleho le ponahalo ea matheba a lilemo ho bonoa;
• ts'ebetso ea pono e senyehile.

Mekhoa ea ho Tseba

Ts'ebetsong ea ts'oaetso, litsebi tse tšesaane li kenella moqoqong - ngaka ea methapo ea pelo, setsebi sa methapo ea mafu, ngaka ea mafu a mafu a basali, ramatiki le ramatiki:

• ho ntse ho etsoa lipatlisiso tsa litaba tsa insulin malingtsoekere le hemoglobin;
• litletlebo tsa mokuli le nalane ea bongaka lia hlahlojoa;
• khatello ea mali le boemo ba letlalo la maoto le matsoho (ho ba teng ha poone, maqeba, tšoaetso ea fungal) lia hlahlojoa.

Boemo ba pelo le methapo ea methapo ea methapo e ikemiselitse ho sebelisa lithuto tse joalo.

• urinalysis;
• thuto mabapi le k'holeseterole ea mali le lipoprotein;
• Ultrasound ea liphio le lesapo la senya;
• urology;
• cystography;
• x-ray ea mpeng;
• Ultrasound ea mpa;
• Endoscopy;
• liteko tsa pelo;
• electrocardiogram;
• Echocardiography;
• electromyography;
• electroneurography.

Ho hlahlojoa Reflexes 'me ho etsoa liteko tsa bosholu:

1. Phetoho - lekola ho sebelisa fereko ea ho sotha. Fereko e kang fereko ea tšepe e hokelletsoe leotong ebe e ea lipheletsong tsa sesebelisoa. Haeba mokuli a sa ikutloe a thothomela, hona ho tiisa ho fokotseha hoa kutloisiso.
2. Tactile - hlalosa monofilament e ts'oanang le pentšele e nang le mola oa litlhapi. Tobetsa ka matla letlalong. Kamora moo, lesela la boea ba k'hothone le fetisoa holim'a letlalo libakeng tse fapaneng tsa maoto le matsoho. Mokuli ka mahlo a hae a koetsoeng o tseba hore na ngaka e ama boea ba k'hothone kae.
3. Ho lekanya liphetoho tsa mocheso ho hlahlojoa ka ho ama letlalo ka botebo ka tšepe kapa polasetiki.
4. Karabelo ea bohloko e hlahlojoa ka leino kapa meno a hlabang. Haeba ha se bohloko bo utloiloeng, empa ke ho ama feela, joale mosebetsi oa li-receptors tsa methapo e senyehile.
5. Teko ea Reflex ea lengole e etsoa ka ho otla 'mila ka tlas'a patella. Leoto le lokela ho thekesela. Haeba sena se sa etsahale, joale methapo e senyehile.
6. Ha motho a sheba hore na Achilles ke mang, o inamela ka mangole. Leoto le phetseng hantle lea inama ha le otloa.

Ka kopanelo o ile a etsa sistimi ea electroneurography le electromyography. Lithuto tsena li khetholla karabelo ea methapo ea tšusumetso ea motlakase e tlang. Li-electrodes li kenngoa ka har'a mesifa ebe ho qaloa mochine o nyane oa motlakase, ebe li-sensor tse khomaretsoeng letlalong li bala lebelo la ho sisinyeha le karabelo ea methapo ea mesifa.

Lefu la kelello la lefu la tsoekere le netefalitsoe haeba:

• tšusumetso ea tšusumetso e hloka nako e eketsehileng;
• Ha se mesifa eohle eo matla a susumetsang a methapo ea kutlo a laolang lets'oao.

Maemong a thata, ho sebelisoa biopsy ea lisele tsa letlalo le mokokotlo oa namane bakeng sa tlhahlobo ea mali.

Phekolo ea mafu

Lipheo tsa mantlha tsa kalafo ea neuropathy ke:

• ho theola le ho tsitsisa khatello ea mali;
• ho tlosoa ha lipontšo tsa bohloko;
• tshusumetso ea bokhoni bo nchafatsang ba lisele tsa methapo.

Ho boloka boemo ba tsoekere ka har'a meeli e amohelehang, ho fanoa ka litlhare tse fokotsang tsoekere:

• kenya letsoho tlhahisong ea tlhaho ea insulin ho li-pancreas (Repaglinide, Glimepiride, Liquidvon);
• ho eketsa insulin habonolo ea lisele (Fenformin, Ciglitazone, Troglitazone);
• ho thibela ho kenngoa ha lik'habohaedreite leboteng la mala (Miglitol, Acarbose);
• ha ho se na sephetho, liente tsa insulin li fanoa makhetlo a 1-3 ka letsatsi.

Ka linako tse ling ponahatso e atileng ea matšoao a neuropathy e ka etsahala khahlano le semelo sa mats'oaiso a matšoao a tsoekere ea mali. Ena ke pontšo e ntle. Sena se bolela hore nchafalo ea methapo e senyehileng ea etsahala. Hangata, kamora likhoeli tse 'maloa, boemo bo khutlela boemong bo tloaelehileng.

Mehato e rarahaneng ea kalafo e kenyelletsa ho lekola boemo ba khatello ea mali, phetoho ea lijo, mehato e reretsoeng ho theola boima ba 'mele haholo, ho hlophisa ho ikoetlisa.

Physiotherapy e sebetsa ka ho eketsa:

• magnetotherapy;
• kalafo ea laser;
• Boikoetliso ba 'mele;
• ho hlohlona ha likhoele tsa methapo ka motlakase oa motlakase;
• phekolo e bobebe.

Mekhoa ea kalafo

Pheko e khutlisang ea lisele tse amehileng tsa methapo le ho fokotsa bohloko li etsoa ka thuso ea kalafo ea lithethefatsi:

• lithethefatsi tsa neurotropic - li-complexes tsa vithamine tse nang le livithamini tsa B, li eketsa ts'ebetso ea methapo ea methapo le ho fokotsa ho ruruha;
• li-antioxidants - alpha lipoic acid, vithamine E e tloaelehileng le mekhoa ea metabolic le tsoekere e tlase ea mali;
• li-painkillers le lithibela-mafu tsa sebakeng seo;
• li-anticonvulsant le lithethefatsi tse khahlanong le ho ruruha;
• li-antibacterial lithethefatsi bakeng sa kalafo ea maqeba a ho hlatsoa le ho ruruha maqaqaoleng;
• Mixelitin ho boloka ts'ebetso ea pelo le ho felisa arrhythmias;
• lihlahisoa tse nang le potasiamo, magnesium le calcium.

Litlhare tsa setso

E le mohato o thusang bakeng sa kalafo ea methapo ea kutlo, hangata batho ba sebelisa litlolo bakeng sa pholiso ea setso.

Lichelete tsena li ka fana ka thuso eohle e ka bang teng kalafong e rarahaneng mme li ka sebelisoa feela ka tumello ea ngaka:

1. Oli ea camphor. Ho qala ka menoana le ho tsamaea ka nqa ea mangole, itlotsa leoto le bohloko ka e nyane ea oli. Kamora ho monya, ho silila leoto, ho kolobisa matsoho ka joala kapa vodka le mofuthu. Khoeli ea ho pheta mokhoa pele o robala. Oli ea camphor e folisa liso tsa letlalo le ho imolla bohloko. E boetse e halefisa mamello ea methapo, e ba thusa ho fola.
2. Lemon. Tlatsa makhapetla a linoko tse ncha matsohong a hao ho fihlela oli ea bohlokoa e hlahella ho bona. Roala bokantle ka oli ea mohloaare kapa ea soneblomo ebe o kenya lehlakoreng lena letlalong la maoto. E potlakisa 'me u behe holim' a sock. Nako ea li-compress e etsoa libeke tse 3. Oli ea lemone e na le phello e molemo tsamaisong ea methapo ebile e ntlafatsa ts'ebetso ea eona.
3. Pholiso ea letsopa e na le lintho tse sebetsang tse ntlafatsang ts'ebetso ea methapo ea methapo. Tšela letsopa le letala ka mokhoa o ts'oanang oa seretse mme o se tsamaise holim'a lesela. Etsa kopo ho leoto le kulang, lokisa 'me u tlohele hore le ome. Pheta libeke tse peli letsatsi le leng le le leng, u sebelisa sesebelisoa se secha nako le nako. Kamora - phomolo ea matsatsi a 10 le ho pheta.
4. Chamomile le nettle. 1 tsp. pheha lipalesa tsa chamomile le makhasi a nettle bakeng sa metsotso e 15 ka bateng ea metsi ka kopi e le 'ngoe ea metsi. Tsitlella metsotso e 30 'me u noe hoseng, thapama le mantsiboea bakeng sa likhoeli tse 3. Sesebelisoa se joalo se theola tsoekere e maling hantle, se thusa ho etsa hore phepo e nepahetseng ea methapo ea methapo.
5. Calendulae tlosa ho ruruha le ho ruruha mme e na le phello ea analgesic. Ho buella likhaba tse 'maloa tsa lipalesa bakeng sa lihora tse peli ka likhalase tse peli tsa metsi a belisitsoeng. Kamora ho hatella, nka halofo ea khalase ka mpeng e se nang letho bakeng sa likhoeli tse peli.
6. Eleutherococcus. Tšela khaba ea motso oa Eleutherococcus metsotso e 15 ka khalase ea metsi a belang ka holim'a mocheso o tlase. Kamora ho pholile, hlapela ka moro 2 tbsp. l lero la lemone le khaba ea mahe a linotsi. Moro o lokela ho tahoa ka letsatsi ka sips tse nyane. Pheta kalafo matsatsi a 30. Sesebelisoa se na le phello ea tonic tsamaisong ea methapo mme se eketsa ts'ireletso ea 'mele.

Thibelo ea Pathology

Mohato oa mantlha oa thibelo o ka felisang kotsi ea lefu la neuropathy ke ho boloka tsoekere e maling maling ka mokhoa o amohelehang.

Ho lokela ho latela likeletso tse 'maloa:

4. Lekanya tsoekere e ngata makhetlo a 'maloa ka letsatsi, pele u e-ja le ka mor'a lijo, lokisa tsoekere kapa ho fokotseha ha tsoekere ka bongata.
5. Shebella khatello ea mali a hau. Hypertension e baka tšenyo liseleng tsa methapo.
6. Latela kemiso ea maeto a ho ea ngakeng. Hang-hang tsebisa ngaka ka liphetoho life tsa bophelo bo botle (ho nyoroa ho eketsehileng, ho rota khafetsa, bofokoli).
7. Khomarela melao-motheo ea lijo. Khetholla lijo tse nang le lik'habohaedreite tse ngata tse potlakileng le tsoekere, ja meroho e mengata, litlama le litholoana. Qoba tlala le ho ja ho feta tekano. Noa bonyane lilithara tse peli tsa metsi letsatsi le letsatsi.
8. Nka li-vitamini complexes, tse kenyeletsang livithamine tsa sehlopha sa B.
9. Lula u ikoetlisa ka tsela e loketseng. Ho tsamaea haholo, ho sesa, ho ikoetlisa letsatsi le letsatsi le lipapali tse fumanehang.
10. Laola boima ba hau. Ho nona haholo ho baka li-spikes maemong a glucose a senya methapo ea methapo.
11. Qoba mekhoa e mebe. Ts'ebeliso ea lino tse tahang e senya 'mele,' me nicotine e baka methapo ea mali e fokotsehang, ka lebaka leo phallo ea mali e ferekaneng mme methapo e fumana phepo e sa lekanang.
12. Ho hlokahala ho hlokomela boemo ba letlalo la maoto, ho le boreleli le ho le nolofatsa ka litlolo. Leka hore u se ke oa senya letlalo 'me ka hloko folisa maqeba le scuffs.
13. Fumana lieta tsa boholo bo nepahetseng.
14. Se ke oa leka ho phekola lefu la tsoekere le lefu la tsoekere. Ts'ebeliso ea meriana, hammoho le ts'ebeliso ea litlhare tsa setso tsa kalafo li lokela ho etsoa feela kamora ho buisana le ngaka.

Video e tsoang ho Dr. Malysheva mabapi le neuropathy ho lefu la tsoekere:

Ho khothalletsoa ho etsa boikoetliso khafetsa bo thusang ho khutlisetsa phallo ea mali meralong ea maoto le ho thibela liphetoho tsa atherosselotic likepeng. Ho rarahana ho kenyelletsa ho potoloha ka maoto, ho fetoha ha maoto le ho otlanya menoana le maoto, ho phunyeletsa maoto a bolo kapa botlolo e se nang letho.

Ho lumellana le melao eohle, hammoho le kalafo e nang le bokhoni, ho kenya letsoho ho khutliseng ka botlalo ts'ebetsong ea lisele tsa methapo ka mor'a likhoeli tse 'maloa.