Ukuxilongwa nokwelashwa kwe-neuropathy yesifo sikashukela

Isifo sikashukela yisifo esingelapheki esibonakala ngokugcwala kweglucose egazini. Enye yezinkinga zayo i-neuropathy. Kuboniswa ngomonakalo engxenyeni eyedlula yonke yesistimu yezinzwa. Le nkinga yenzeka eminyakeni eyi-10-15 ngemuva kokuqala kwesifo sikashukela.

Yehlisa ushukela wegazi

I-Neuropathy yenzeka lapho ukuncipha kashukela wegazi kungabonakali. Imvamisa, umuntu ophile kahle une-glucose egxile ekujuleni kwe-3.5-6.2 mmol / L. Esikhathini sikashukela, le nkomba idlula i-6.5 mmol / L. Ukunciphisa ushukela wegazi kungumsebenzi obaluleke kakhulu ekwelapheni isifo sikashukela ebantwini.

Isifo sikashukela yisifo esingelapheki esibonakala ngokugcwala kweglucose egazini, enye yezinkinga zayo yi-neuropathy.

I-Alpha Lipoic Acid yesifo sikashukela

Ngokuntuleka kwe-insulin egazini noma ukuphinda kuthikamezwe kwamaseli we-receptor, i-alpha-lipoic acid ibaluleke kakhulu. Iphuzwa kokubili nge-prophylaxis kanye nokwelashwa kohlobo 1 nesifo sikashukela sohlobo 2. I-Lipoic acid inemiphumela elandelayo emzimbeni:

1. Kuyinto antioxidant enamandla. Le nto ivikela umzimba kuma-radicals wamahhala akhiwa ngenxa yezinqubo ze-metabolic. Izinga likashukela eliphezulu kushukela liholela ekwenyukeni kokuqukethwe kwamafomu we-oksijini omzimba, okubangela ukucindezela kwe-oxidative. Inendima ebalulekile ekuthuthukiseni i-neuropathy.
2. Ibopha izinto ezinobuthi.
3. Kuthuthukisa ukudluliswa kwezinzwa ze-nerve.
4. Kuthuthukisa ukuhanjiswa kwegazi kwezicubu zezinzwa.
5. Ihlanganyela kumetabolond cell cell metabolism.
6. Khuphula ukusetshenziswa kwe-glucose efana ne-insulin.

I-Lipoic acid iyatholakala ngohlobo lwezibhebhe zokulawulwa komlomo.

Izifo Zesifo Sikashukela

Ama-inhibitors we-Alpha glucosidase ayasebenza ekwelapheni isifo sikashukela se-neuropathy. IGlucobay ingeyabo. Into esebenzayo yi-acarbose. Le yi-hypoglycemic (yehlisa ushukela wegazi) umuthi womlomo wesifo sikashukela sohlobo 2.

I-Lipoic acid ibopha izinto ezinobuthi.

I-Lipoic acid ithuthukisa ukudluliswa kwezifiso ze-nerve.

IGlucobay imiselwe ukwelashwa okuyinkimbinkimbi kwesifo sikashukela sohlobo 2.

Umuthi uyasiza ekunciphiseni ukumuncwa kwama-carbohydrate kanye nokwenziwa kwamangqamuzana eglue. Umphumela uba ukudonsa kancane koshukela egazini kanye nokwehla kokuxineka kwaso. IGlucobay imiselwe ukwelashwa okuyinkimbinkimbi kwesifo sikashukela sohlobo 2. Ukuthatha umuthi kufanele kuhlanganiswe nokudla.

Izidakamizwa ezingezona ezokwehlisa ukuvuvukala ezingezona ezibangelwa ukuvuvukala

Ngomonakalo ezinhlakeni zezinzwa ezingezwani, izidakamizwa ezilwa nokuvuvukala eqenjini leNSAID zisetshenziswa kabanzi. Okubhalwe kakhulu yi-indomethacin, i-nimesulide ne-analgin. Banciphisa ukuvuvukala, ukuvuvukala nobuhlungu. I-Indomethacin isiza ukuqeda izimpawu zesifo sikashukela se-polyneuropathy (ubuhlungu, ukuqina kwemisipha). Izidakamizwa ezingezona ezokwehlisa ukuvuvukala kanye ne-non-narcotic analgesics zisebenza kahle kakhulu kwifomu lobuhlungu be-neuropathy.

I-Actovegin ye-polyneuropathy

Uma umuntu ene-neuropathy yesifo sikashukela, khona-ke izidakamizwa ezinomphumela we-neuroprotective ne-antihypoxic zifakwa kwirejimeni yokwelashwa. Lokhu kufaka i-Actovegin. Kusetshenziswa ngendlela yesisombululo somjovo kanye namathebulethi. Umkhiqizo uqukethe izingxenye zegazi lethole.

I-Actovegin inemiphumela elandelayo emzimbeni wabantu abanesifo sikashukela:

1. Kuthuthukisa ukuthuthwa kweseli nokusetshenziswa kweglucose. Lokhu kutholakala ngenxa yokuba khona kwe-inositol phospho-oligosaccharides lapho kulungiswa.
2. Khuphula ukuthathwa kwe-oxygen.
3. Yehlisa ukwakheka kwe-lactate (lactic acid) kwezicubu ezenziwa yi-ischemia.
4. Kuthuthukisa isimo sezicubu zezinzwa.
5. Kuthuthukisa i-microcirculation.

I-Actovegin iqukethe izingxenye zegazi lethole.

Izinhlobo ze-Diabetesic Neuropathy

I-neuropathy yesifo sikashukela ingaba ngezinhlobo eziningana. Izindlela ezilandelayo zalesi sifo zihlukaniswa:

1. I-Autonomic Neuropathy Syndrome. Izinhlobo zayo ezinhlanu zihlukaniswa: i-urogenital, i-gastrointestinal, i-sudomotor, ukuphefumula (ukuphefumula) kanye nenhliziyo (inhliziyo).
2. Syndrome ye-general symmetric neuropathy. Kungaba izinzwa (izinzwa zemizwa zithinteka kakhudlwana), ama-motor (ama-motor neurons abandakanyeka kwinqubo), axubekile ne-hyperglycemic.
3. I-Focal noma i-multifocal syndrome. I-Radiculoneuropathy (ukulimala kwezimpande zezinzwa emgogodleni noma ku-nerve plexuses), i-amyotrophy (izicubu zomthambo), ukudambisa i-polyneuropathy, umhubhe nezindlela ze-cranial.

Lezi zigaba ezilandelayo ze-neuropathy ziyahlukaniswa:

• subclinical (izimpawu zimnene);
• emtholampilo (kubuhlungu noma kubuhlungu);
• ubunzima besikhathi sekwedlule isikhathi (obonakaliswa ukukhula kwezinkinga ngesimo sikashukela sonyawo kanye nokulimala komlenze).

Futhi hlukanisa izinhlobo eziphakathi nendawo neziyizingxenye zale ndlela.

I-distal neuropathy

I-distal diabetesic neuropathy itholakala cishe kuzo zonke iziguli zesibili ezinesifo sikashukela. Leli fomu libonakaliswa ngumonakalo ohlelweni lwezinzwa kude nendiza ephakathi yomzimba. Kubonakaliswa ngomonakalo wezinzwa ezixhuma ngqo ubuchopho kanye nomgogodla emisipha. Ngalesi sifo, umsebenzi wezingalo nemilenze uphazamiseka.

Isifo sikashukela i-radiculoneuropathy sithinta izimpande zezinzwa emgogodleni.

Ngobuchopho be-distal neuropathy, ukungaqiniseki ku-gait kuyavela.

Nge-distal neuropathy, kubuthakathaka kwemisipha.

Nge-distal neuropathy, kukhona ukwehla kokuhamba ngokuhlanganyela.

Izimpawu eziphambili zalezi zindlela zokugula yilezi:

1. Ukuntuleka kokuxhumana kokunyakaza.
2. Ukuqina lapho uhamba.
3. Shaky gait.
4. I-muscle atrophy (ukwehla kwevolumu).
5. Ubuthakathaka bemisipha.
6. Yehlisiwe ukuhamba okuhlanganayo.
7. I-edipheral edema.
8. Ukuguqulwa kwezinyawo ezinyaweni nasezandleni.

I-peripheral neuropathy yemikhawulo ephansi

I-Neuropathy enesifo sikashukela iholela ekulimaleni emaphethelweni aphansi. I-pathogenesis yayo ihlotshaniswa nesenzo se-glucose kwezicubu zezinzwa. Ushukela ekuhlushweni okuphezulu wenza kube nzima ukuhanjiswa kwezinzwa futhi kuthinte kabi izinqubo ze-metabolic. Izimpawu ezingaba khona zale ndlela ye-neuropathy yilezi:

1. Ukubuzwa kobuhlungu (nobuhlungu). Imvamisa, i-acute futhi yenzeka emilenzeni yomibili. Ubuhlungu buqhakaza bufika eminwe.
2. I-unilateral ne-bilateral paresis (imikhawulo yokuhamba).
3. Ukuhlasela kwemisipha okubandakanya (ukucubungula).
4. Izikhova.
5. Ubuthakathaka bemisipha.
6. Ukuqina kwemisipha.
7. Ubunzima bokuhamba.
8. Ukudonsa emilenzeni.
9. Umuzwa okhubazekile.
10. I-Ataxia (ukulahleka kokuxhumana).
11. Umuzwa wokuxinana ezingxenyeni ezithile zomlenze.
12. Ukulahlekelwa ukuzwela kokushisa.
13. Isisindo esibuthakathaka (idolo, i-Achilles) noma ukulahlekelwa kwabo.
14. I-Unilateral noma i-bilateral plegia (ukukhubazeka komzimba).

Nge-peropheral neuropathy, ukulimala emaphethelweni aphansi kwenzeka.

Isimo somtholampilo sincike ekutheni yimiphi imizwa ethintekile.

Nge-peropheral neuropathy yemikhawulo engezansi, ukuvela kungabonakala.

Nge-peropheral neuropathy yamaphethelo aphansi, kubuthaka kwe-kne reflexes kwenzeka.

Isimo somtholampilo sincike ekutheni iyiphi imizwa ethintekile (izinzwa noma imoto). Izimpawu ziqhubeka kancane izinyanga ezimbalwa.

I-sensensory neuropathy

Le pathology ibonakala ngokuphulwa komqondo wokulinganisa. Imvamisa, izinzwa ezibucayi zithinteka ebusweni, ezingalweni nasemilenzeni. Izimpawu ze-sensor neuropathy yilezi:

1. I-Hypnothesia Kubantu abagulayo, isikhumba endaweni yezinyawo, izandla noma ubuso buba hypersensitive to irritants. Kunobuhlungu obukhali lapho uthintana, ugoba futhi uvutha. Mhlawumbe umuzwa wokukhasa.
2. Ubumsulwa. Isizathu ukwanda kokuzwela kwesikhumba ekushiseni okuphansi.
3. Ukusabela okungalungile kwezihluthulelo ezishisayo nezomshini. Kungenzeka kube ne-tinnitus ne-aftertaste engathandeki emlonyeni lapho ivezwa ukukhanya.
4. Ukuzwela okwehlisiwe Ngasikhathi sinye, umkhawulo wokuzwela kobuhlungu kumuntu uyanda. Izinyawo nezintende (amagilavu ​​kanye namasokisi syndrome) zithinteka kakhulu.

I-Dysmetabolic neuropathy

Ku-endocrinology, kunento efana ne-dysmetabolic neuropathy. Lokhu kudalwa kwenhliziyo kwenzeka ngemuva kokuphulwa kwe-carbohydrate metabolism, ebonwa kwisifo sikashukela mellitus.

Izimpawu ze-sensor neuropathy zingobusika, ukukhulisa ukuzwela kwesikhumba emazingeni okushisa aphansi.

I-Autonomic neuropathy

Le ndlela ye-neuropathy ibonakala ngokuzibandakanya kwinqubo yokuxhumeka kwesistimu yezinzwa. Ubhekene nomsebenzi wezitho zangaphakathi. Iminyango enozwela nokuhlukumezeka ingathinteka. Izimpawu ezilandelayo ziyabonakala:

1. I-Dysphagia (ubunzima bokugwinya ukudla namanzi).
2. Ukushaya kwenhliziyo Ukucwilisa noma ukuqhuma okubabayo.
3. Ukuqhafaza
4. Isicanucanu
5. Ukwephulwa kwesitulo njengokuqunjelwa noma isifo sohudo. Isizathu se-stool okuxekethile kukhuphuka kwe-peristalsis. I-Stool ingaba izikhathi ezingama-5-10 ngosuku noma kaningi.
6. Izimpawu zokungasebenzi kahle kwe-pelvic (ukuncipha kwe-potency, ukuchama okungavamile). Ukungasebenzi kahle kanye nethoni encishisiwe yemisipha yesinye iholela ekunamathisweni kokutheleleka nokukhula kwe-cystitis.
7. Izimpawu zokungasebenzi kahle kwenhliziyo nemithambo yegazi (ukuphazamiseka emsebenzini wenhliziyo, kwehlise umfutho wegazi, i-tachycardia, ubuthakathaka).
8. Ukujuluka.
9. Ubomvu bobuso.
10. Isikhumba esomile.
11. Ukulimazeka kokubonakalayo.

Kungani i-neuropathy yesifo sikashukela ikhula?

Isisekelo somonakalo wezicubu ze-nerve ngokumelene nesifo sikashukela yilezi: imiphumela elimazayo yemikhiqizo ye-oxidation, i-microangiopathy (ukulimala kwemikhumbi emincane), i-microcirculation ephazamisekile, i-metabolism kwezicubu zezinzwa nokwenziwa kwezakhiwo ze-autoimmune. Izici zobungozi zokuthuthukisa i-neuropathy yilezi: ukuguga, ukungahambelani nohlobo lokwelashwa, ukubhema, ukudakwa ngokweqile kanye nokukhuluphala ngokweqile.

Nge-neuronomic ye-autonomic, umbono ungonakala.

Nge-neuronomic ye-autonomic, kungahle kube ne-nausea nokuhlanza.

Nge-autonomic neuropathy, kungahle kube nokuqunjelwa.

Izimpawu ze-Diabetesic Neuropathy

Isithombe somtholampilo se-neuropathy siqukethe izimpawu ze-motor, sensory kanye ne-autonomic.

Ukushisa nokuhenda izingalo eziphansi

Ukutsha kanye nezimpawu eziwohlokayo zokuphazamiseka kwemizwa ebucayi. Azizwe esesiswini esithintekile. Kwesinye isikhathi izinzwa zobuso ziyathinteka.

Ukulahlekelwa ukuzwela kwezinyawo

Ukulahleka ngokuphelele kwemizwa kubizwa ngokuthi yi-anesthesia. Lesi simo siyingozi ngoba umuntu akazizwa eyinto elimazayo. Ukuchayeka kwamakhaza endawo kumakhaza, ukushiswa nokulimala akunakwa futhi kungaholela ekunciphiseni izicubu. Kunamanxeba.

Lesi sifo sitholakala kanjani?

Ukuthola i-neuropathy uzodinga:

1. Ukuxilongwa kwelabhoratri (ukuhlolwa kwegazi nokujwayelekile komchamo, ukuhlaziywa kwe-biochemical).
2. Inhlolovo.
3. Ukuhlolwa ngokomzimba.
4. Izifundo zensimbi (i-ultrasound, i-ECG, i-CT, i-MRI, i-radiography, i-electromyography, i-electroencephalography).
5. Ukuhlolwa kwe-Neurological.

Ukuthola i-neuropathy, kuzodingeka ukuhlolwa kwegazi nokujwayelekile komchamo.

Ukubona i-neuropathy, inhlolovo yesiguli iyadingeka.

I-ECG iyadingeka ukuthola i-neuropathy.

Umsebenzi kadokotela ukukhipha ezinye izifo ze-neurological, kufaka phakathi ezinye izindlela ze-neuropathy.

Ukunqunywa kokuzwela kokudlidliza

I-tuning tunk yeRiedel iyasetshenziswa. Kusetshenziswa idivaysi enyakazayo emzimbeni (imvamisa izinzwane) futhi impendulo yesiguli iyahlolwa.

I-Tactile Sensitivity Detection

Ucwaningo lwenziwa kusetshenziswa i-monofilometer. Le yidivayisi ephakeme enomugqa wokudoba obukhulu. Bafaka ingcindezi esikhunjeni futhi bahlole ukuzwela. Ngale njongo, uvame ukusebenzisa uvolo wekotini, othinta umzimba kusuka emilenzeni kuya entanyeni.

Ukutholwa kokuzwela kokushisa

Ukuze wenze lokhu, isisetshenziswa sisetshenziswa ngendlela yesilinda, ehlanganiswa ngakolunye uhlangothi ngensimbi nopulasitiki ngakolunye. Elinye isiphetho sezinto zokusebenza liyabanda kanti elinye lifudumele. Bathinta ngokwahlukile isikhumba.

Ukwelashwa Kwesifo Sikashukela Sikashukela

Ukwelashwa kuhloswe ukuqeda izimpawu, kuqedwe lesi sifo esingaphansi (isifo sikashukela) kanye nokwenza ngcono umsoco wezicubu zemizwa. Ukwelashwa kufaka phakathi ukudla okune-carb ephansi, ukwelashwa kokuzivocavoca, umuthi kanye ne-physiotherapy (ukukhuthaza kagesi, i-Phototherapy, i-magnetotherapy). Iziguli zidinga ukugqoka izicathulo zamathambo, zithambisa isikhumba sabo, zigeze bese zenza izinyawo.

Iziguli ezine-neuropathy yesifo sikashukela zidinga ukuthambisa isikhumba sazo.

Nge-neuropathy, amalungiselelo eqembu lamavithamini B, isibonelo iMilgma, asetshenziswa.

Ngohlobo 2, ama-ejenti we-hypoglycemic womlomo, isibonelo i-Glucophage, asetshenziswa.

Isiguli sinqunywe ngama-anticonvulsants, anjengeConvalis.

Ukwelashwa kwezidakamizwa

Nge-neuropathy kuyasetshenziswa:

1. Ukulungiselela amavithamini eqembu B (Combilipen, Milgamm).
2. Ukulungiswa kwe-Alfa-lipoic acid (Thiogamma, Tiolept, Oktolipen, Espa-Lipon).
3. Ama-antioxidants.
4. Ama-Painkiller nezidakamizwa ezilwa nokuvuvukala.
5. Ama-anticonvulsants (uGabapentin, uConvalis, uTebantin) namanye ama-ejenti anezimpawu. Ziyasebenza e-neuronomic ye-autonomic.

Ngohlobo 1 sikashukela, imijovo ye-insulin iyadingeka. Ngohlobo 2, kusetshenziswa ama-hypoglycemic agents (Metformin, Glucofage, Formmetin) womlomo.

Izindlela ezihlukile zokwelapha i-neuropathy yesifo sikashukela

Amakhambi e-Folk awasebenzi. Ukuqeda izinhlungu, ukunciphisa ukuvuvukala, ukwenza ngcono ukusebenza kwamaseli wezinzwa kanye nokudlulisa ukuthambekela, kusetshenziswa okulandelayo:

• ukumiliselwa kwe-calendula;
• i-zest zest;
• i-decoction esekwe uju, i-eleutherococcus kanye ne-lime;
• ukumiliselwa kwe-nettle ne-chamomile;
• ubumba oluhlaza okwesibhakabhaka (okusetshenziselwa ama-compress).

Izinkinga

Imiphumela ye-neuropathy ingaba yilezi: i-arrhythmia, unyawo lwesifo sikashukela, ukushaya kwenhliziyo, i-atrophy yemisipha, ukungabi namandla, ukubona okunciphile, isilonda, i-gastritis, i-dysbiosis, ukukhubazeka kanye nesifo se-Reflux.

I-Diabetesic Neuropathy Prevention

Ukuvimbela lesi sifo kuhambisana nokubambelela ngokuqinile ekudleni, ekwelashweni okufanele kwesifo sikashukela, ukuyeka ugwayi notshwala, ukukala ushukela wegazi njalo, ukulungiswa kwesisindo (uma ukukhuluphala ngokweqile), ukuxilongwa kusenesikhathi, usizo ngezimpawu zokuqala zesifo sikashukela (ukoma, ubuthakathaka, i-polyuria, indlala ) kanye nokugcina impilo enempilo.