I-neuropathy yesifo sikashukela: izimpawu nokwelashwa

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I-neuropathy yesifo sikashukela - ukulimala kwezinzwa ezingokwesistimu ye-peripheral neva. Lezi izinzwa ubuchopho nomgogodla ezilawula ngazo izicubu nezitho zangaphakathi. I-neuropathy yesifo sikashukela iyinkinga evamile futhi eyingozi yesifo sikashukela. Kubangela izimpawu ezahlukahlukene.

Uhlelo lwezinzwa olungemuva luhlukaniswe nge-somatic and autonomic (autonomous). Ngosizo lohlelo lwezinzwa lwesisulu, umuntu ulawula ukuhamba kwemisipha ngonembeza. Uhlelo lwezinzwa lwe-autonomic lulawula ukuphefumula, ukushaya kwenhliziyo, ukukhiqizwa kwama-hormone, ukugaya ukudla, njll.

Ngeshwa, i-neuropathy yesifo sikashukela ithinta zombili. Ukungasebenzi kwesistimu ye-somatic yezinzwa kungadala izinhlungu ezinkulu noma kwenza abakhubazekile abanesifo sikashukela, ngenxa yezinkinga zomlenze. I-Autonomic neuropathy yandisa ingozi yokufa okungazelelwe - ngokwesibonelo, ngenxa yokuphazamiseka kwesigqi senhliziyo.

Imbangela eyinhloko yesifo sikashukela sikashukela ushukela wegazi ophakeme ngokungamahlalakhona. Le nkinga yesifo sikashukela ayikhuli ngokushesha, kodwa ngaphezu kweminyaka eminingi. Izindaba ezimnandi ukuthi: uma wehlisa ushukela wegazi futhi ufunde ukuligcina ligxilile, khona-ke izinzwa ziyabuyiselwa kancane kancane, bese izimpawu zokuthi isifo sikashukela siphele nya. Ungaqiniseka kanjani ukuthi ushukela wegazi uvamile ngokujwayelekile kushukela - funda ngezansi.

I-Diuricathy Neuropathy: Izimpawu

I-neuropathy yesifo sikashukela ingathinta izinzwa ezilawula imisipha ehlukene nezitho zangaphakathi. Ngakho-ke, izimpawu zayo zihlukahlukene kakhulu. Esimweni esejwayelekile kakhulu, zihlukaniswe zaba “zinhle” futhi “zimbi”.

Izimpawu ze-Neuropathic

Izimpawu "ezisebenzayo" (ezinhle)"Passive" (negative) izimpawu
  • Ukushisa
  • Ubuhlungu be-dagger
  • Ubuhlungu bekhanda, "ukushaqeka kukagesi"
  • Ukudonsa
  • I-Hyperalgesia - umuzwa ophakeme ongaphezu kobunzima bokuvuselelwa kobuhlungu
  • I-Allodynia - umuzwa wobuhlungu lapho uvezwa ekuvuseleleni okungeyona ebuhlungu, ngokwesibonelo, ekuthinteni okukhanyayo
  • Amandla
  • "Ukufa"
  • Amandla
  • Ukudonsa
  • Ukuqina lapho uhamba

Iziguli eziningi zinazo zombili

Uhla lwezimpawu ezibangelwa yi-neuropathy yesifo sikashukela:

  • ukuzindla nokuhwaqa emilenzeni;
  • isifo sohudo (isifo sohudo);
  • ukungasebenzi kahle kwe-erectile emadodeni (ukuthola eminye imininingwane, bheka "Impotence in sikashukela - ukwelashwa okusebenzayo");
  • ukulahleka kokulawulwa kwe-bladder - ukungasebenzi kwe-urinary noma ukungasebenzi ngokuphelele;
  • ukugoqa, izicubu zomzimba zobuso, zomlomo noma wamehlo;
  • Izinkinga zokubuka ngenxa yokuhamba kahle kwesikibha samehlo;
  • Isiyezi
  • ubuthakathaka bemisipha;
  • ukugwinya;
  • ukukhuluma okungahambi kahle;
  • izicubu zomsipha;
  • i-anorgasmia kwabesifazane;
  • Ubuhlungu bemisipha evuthayo noma “ukushaqeka kukagesi”.

Manje sizokuchaza ngokuningiliziwe izimpawu zezinhlobo ezi-2 ze-neuropathy yesifo sikashukela, iziguli okudingeka zazi ngayo, ngoba zivame kakhulu.

I-Alpha lipoic acid yokwelashwa kwe-neuropathy yesifo sikashukela - funda lapha kabanzi.

I-Sensorimotor neuropathy

Imicu yezinzwa ende kunazo zonke ifinyelela emaphethelweni aphansi, futhi yibona abasengozini enkulu kumiphumela elimazayo yesifo sikashukela. I-Sensomotor neuropathy ibonakaliswa yiqiniso lokuthi isiguli siyayeka kancane kancane ukuzwa izimpawu ezivela emilenzeni. Uhlu lwalezo zimpawu lubandakanya ubuhlungu, izinga lokushisa, ingcindezi, ukudlidliza, isikhundla emkhathini.

Isifo sikashukela esihlakulele i-sensorimotor neuropathy, ngokwesibonelo, singagibela isikhonkwane, silimale, kodwa singazizwa futhi siqhubeke ngokuthula. Futhi, ngeke ezwe uma unyawo lilinyazwa izicathulo ezicishe kakhulu noma ezingakhululekile, noma uma izinga lokushisa egumbini lokugezela liphezulu kakhulu.

Kulesi simo, amanxeba nezilonda emlenzeni kuvame ukwenzeka, ukuphuma noma ukuqhekeka kwamathambo kungenzeka. Konke lokhu kubizwa ngokuthi yi-diabetesic foot syndrome. I-Sensomotor neuropathy ingaboniswa hhayi ngokulahlekelwa umuzwa kuphela, kepha futhi ngokushisa noma ukushaya izinhlungu emilenzeni, ikakhulukazi ebusuku.

Ukukhunjulwa kwesiguli esinesifo sikashukela sohlobo 2, esivele sanyamalala izinkinga zomlenze ngemuva kokuba ushukela wegazi sithuthukile ...

Ishicilelwe nguSergey Kushchenko Disemba 9, 2015

I-Diabetesic Autonomic Neuropathy

Uhlelo lwezinzwa lwe-autonomic luqukethe izinzwa ezilawula inhliziyo, amaphaphu, imithambo yegazi, izicubu zamathambo ne-adipose, isistimu yokugaya ukudla, uhlelo lwezitho zofuzo kanye nezindlala zezithukuthuku. Noma iyiphi yalezi zinzwa ingathinteka yi-diabetesic autonomic neuropathy.

Imvamisa, kubangela isiyezi noma kufiphala kukhuphuke okubukhali. Ingozi yokufa kungazelelwe ngenxa yokuphazamiseka kwesigqi senhliziyo ikhuphuka cishe izikhathi ezi-4. Ukunciphisa ukuhamba kokudla kusuka esiswini kuya emathunjini kuthiwa yi-gastroparesis. Le nkinga iholela eqinisweni lokuthi izinga le-glucose esegazini liya ngokuya lishintsha, futhi kuba nzima kakhulu ukulondolozela ushukela wegazi ngokujwayelekile.

I-neuronomic ye-Autonomic ingadala ukungasebenzi kwe-urinary noma ukungasebenzi ngokuphelele kwe-bladder. Esimweni esilandelayo, ukutheleleka kungakhula kwesinye isimila, okugcina kuphakame kulimaze nezinso. Uma izinzwa ezilawula ukuhanjiswa kwegazi kuyethweni zithintekile, khona-ke amadoda abhekana nokungasebenzi komzimba.

Izimbangela ze-Diabetesic Neuropathy

Isizathu esiyinhloko sazo zonke izinhlobo ze-neuropathy yesifo sikashukela izinga loshukela wegazi ophakeme esigulini, uma eqhubeka njalo ephakama iminyaka eminingana. Kunezindlela eziningi zokuqalwa kwale nkinga yesifo sikashukela. Sizocubungula ezimbili ezibalulekile zazo.

Iglucose ephakeme ilimaza imithambo yegazi emincane (ama-capillaries) aphakamisa izinzwa. Ukuvunyelwa kwe-capillary yokugeleza kwegazi kuyancishiswa. Ngenxa yalokhu, izinzwa ziqala “ukwenelekela” ngenxa yokuntuleka komoya-mpilo, futhi ukuqhutshwa kokuqina kwezinzwa kuncipha noma kunyamalale ngokuphelele.

I-Glycation iyinhlanganisela ye-glucose namaprotheni. Lapho likhuphuka kakhulu iglucose egazini, amaprotheni amaningi abhekana nalokhu kusabela. Ngeshwa, i-glycation yamaprotheni amaningi iholela ekuphazamiseni ukusebenza kwawo. Lokhu kuyasebenza nakumaprotheni akha uhlelo lwezinzwa. Imikhiqizo eminingi yokugcina ye-glycation ingubuthi bomzimba womuntu.

Udokotela wenza kanjani ukuxilongwa

Ukuxilonga i-neuropathy yesifo sikashukela, udokotela ubheka ukuthi isiguli sizwa yini ukuthinta, ingcindezi, ukujova kobuhlungu, ukubanda nokushisa. Ukuzwela kokudlidliza kuhlolwa kusetshenziswa imfoloko yokuqondisa. Ukuzwela kwengcindezi - ngedivayisi ebizwa nge-monofilament. Udokotela uzophinde athole ukuthi isiguli siyasabela emadolweni.

Ngokusobala, umuntu onesifo sikashukela ngokwakhe angazihlola kalula i-neuropathy. Ngokwesifundo esizimele sokuzwela ukuthinta, isibonelo, ama-buds ekotini afanelekile. Ukubheka ukuthi izinyawo zakho ziyaluzwa yini amazinga okushisa, noma yiziphi izinto ezifudumele nezipholile zizokwenza.

Udokotela angasebenzisa imishini yezokwelapha eyinkimbinkimbi ukuthola ukuxilongwa okunembe ngokwengeziwe. Uzocacisa uhlobo lwe-neuropathy yesifo sikashukela kanye nesigaba sokukhula kwayo, i.e., ukuthinteka kabi kwezinzwa. Kepha ukwelashwa nganoma yisiphi isimo kuzoba cishe okufanayo. Sizoxoxa ngakho kamuva kulesi sihloko.

Ukwelashwa Kwesifo Sikashukela Sikashukela

Indlela enkulu yokwelapha i-neuropathy yesifo sikashukela ukwehlisa ushukela wegazi futhi ifunde ukugcina izinga layo lizinze, njengasebantwini abaphilile abangenaso isifo sikashukela. Zonke ezinye izindlela zokwelapha azinayo ingxenye encane yomphumela wokulawula ushukela wegazi. Lokhu akusebenzi ku-neuropathy kuphela, kepha nakuzo zonke ezinye izinkinga zesifo sikashukela. Sincoma izindatshana zakho zokunaka:

  • Ama-insulin nama-carbohydrate: iqiniso okufanele ulazi;
  • Indlela enhle yokwehlisa ushukela wegazi futhi ugcine ijwayelekile.

Uma i-neuropathy yesifo sikashukela ibangela ubuhlungu obukhulu, udokotela angakunikeza imithi yokudambisa ukuhlupheka.

Izidakamizwa ezisetshenziselwa ukwelashwa okubonakalayo kobuhlungu ku-polyneuropathy yesifo sikashukela

Isigaba sezidakamizwaIsihlokoUmthamo wansuku zonke, mgUkuqina kwemiphumela emibi
Ama-anticepressants e-TricyclicI-Amitriptyline25-150+ + + +
Imipramine25-150+ + + +
I-Serotonin / Norepinephrine Reuptake InhibitorsDuloxetine30-60+ +
I-Paroxetine40+ + +
I-Citalopram40+ + +
Ama-anticonvulsantsUGabapentin900-1800+ +
Lamotrigine200-400+ +
Carbamazepinekuze kube ku-800+ + +
I-Pregabalin300-600
Ama-antiarrhythmicsIMexileinekufika ku-450+ + +
Ama-opioidsITramadol50-400+ + +

Ukunaka! Yonke le mithi inemiphumela emibi ebalulekile. Zingasetshenziswa kuphela njengoba kushiwo udokotela uma izinhlungu zingabekezeleleki ngokuphelele. Iziguli eziningi ziyaqiniseka ukuthi ukukhuthazelela imiphumela emibi yale mishanguzo kubi kakhulu kunokukhuthazelela izinhlungu ngenxa yokulimala kwezinzwa. Futhi, le mithi ingakhuphula ushukela wegazi.

Ama-antioxidants nama-B B, ikakhulukazi i-B12 ngendlela ye-methylcobolamine, asetshenziselwa ukwelapha isifo sikashukela se-neuropathy. Ubufakazi ekusebenzeni kwalokhu kuyangqubuzana. Kunoma ikuphi, sincoma ukuthi uzame i-alpha-lipoic acid kanye namavithamini eqembu B. Funda futhi i-athikili ethi "Yimaphi amavithamini angaletha izinzuzo zangempela kushukela".

I-neuropathy yesifo sikashukela selapheka ngokuphelele!

Ekugcineni, sikusindisele izindaba ezinhle. I-Neuropathy ingenye yezinkinga eziguqukayo zesifo sikashukela. Lokhu kusho ukuthi uma uphatha ukwehlisa ushukela wegazi lakho bese uligcina livamile, lapho-ke ungalindela ukuthi izimpawu zomonakalo wezinzwa zizonyamalala ngokuphelele.

Kungathatha izinyanga ezimbalwa kuya eminyakeni eminingana kuze kube yilapho izinzwa seziqala ukululama, kepha lokhu kwenzeka ngempela. Ikakhulu, ukuzwela kwemilenze kuyabuyiselwa, futhi usongo "lonyawo lwesifo sikashukela" luyanyamalala. Lokhu kufanele kube yisisusa kuwe sokwenza yonke imizamo yokulawula ushukela wegazi kakhulu.

Ukungasebenzi kwe-erectile emadodeni kungabangelwa ukulimala kwezinzwa ezilawula i-penis, noma ngokuqhekeka kwemithambo ekhipha igazi emzimbeni we-cavernous. Esimweni sokuqala, i-potency ibuyiselwa ngokuphelele kanye nokunyamalala kwezinye izimpawu ze-neuropathy yesifo sikashukela. Kepha uma isifo sikashukela sikwazile ukubangela izinkinga ngemikhumbi, khona-ke i-diagnostic yona iba kubi.

Siyethemba i-athikili yethu namuhla ibelusizo ezigulini. Khumbula ukuthi, kuze kube manje, azikho izidakamizwa ezisiza kahle ekwelapheni i-neuropathy yesifo sikashukela. Imininingwane yokusebenza kwe-alpha-lipoic acid namavithamini we-B iyaphikisana. Ngokushesha lapho kuvela izidakamizwa ezinamandla ezintsha, sizokwazisa. Ufuna ukwazi ngaso leso sikhathi? Bhalisela i-newsletter yethu.

Indlela enhle yokwelapha i-neuropathy yesifo sikashukela ukugcina ushukela wakho wegazi ujwayelekile. Ngemuva kokufunda isiza sethu, usuyazi manje ukuthi iyiphi indlela yangempela yokufeza lokhu. Ngaphezu kokudla okuphansi kwe-carbohydrate, sincoma ukuthi uzame i-alpha lipoic acid ephezulu ne-B. Ngokuqinisekile ngeke kulethe ukulimaza umzimba, futhi izinzuzo zingabaluleka. Izithasiselo zingasheshisa ukukhishwa kwakho kwezimpawu zokuphazamiseka kwensiza ye-nerve.

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