Isifo sikashukela sikashukela siyinkinga enkulu yesifo sikashukela. Amaseli wokuphela kwezinzwa ezisebuchosheni ayonakalisiwe, izinqubo ezakhiwe ekwakhiweni kweziqu zemizwa nazo ziyathinteka.
I-Neuropathy kwisifo sikashukela inezimpawu eziningi. Zincike engxenyeni ephazamisekile yohlelo lwezinzwa. Ukuthola ukuthi yini i-neuropathy yesifo sikashukela, udinga ukutadisha izimbangela, izimpawu kanye ne-pathogenesis ye-diopic neuropathy.
Lesi sifo esibucayi sinokuhlukaniswa okusobala. Uhlobo lokwelashwa lwe-neuropathy luza ngohlobo lokugula.
Izimpawu kanye nezinhlobo zesifo sikashukela sikashukela
Ukubonakaliswa kwalesi sifo kukhulu impela.
Ekuqaleni, izimpawu zesifo sikashukela ezinesifo sikashukela zimnene, kodwa ngemuva kwesikhashana, izinkinga ziya ziba zimbi.
I-neuropathy yesifo sikashukela inezimpawu ezilandelayo:
- ubuthakathaka bemisipha
- ukwehla okukhulu komfutho wegazi,
- isiyezi
- imincanyana emincane
- ukuzindla nokuqina kwezingalo,
- Izinkinga zokugwinya ukudla,
- ehlise i-libido
- Izinkinga zomgudu wokugaya ukudla, ukuphazamiseka kwamathumbu okwenzeka njalo,
- ukwephulwa kokuhamba kwamehlo,
- Ubuhlungu bemisipha
- ukungahambi kahle komchamo,
- inani elikhulu lokujuluka noma ukuntuleka kwalo,
- Ukwehla kwezinga lokushisa, izinhlungu nokuzwela okungajwayelekile,
- ukuxhumeka okungahambisani nokunyakaza.
I-neuropathy yesifo sikashukela ithinta imicu yezinzwa, kepha izinga lokulimala lingahluka. Uhlobo lokugula luza ngokuthi yimiphi imicu ethinteka kakhulu. Uma kukhulunywa ngezinzwa zobuchopho, ukuhlukaniswa ngezigaba kubiza ukwephulwa kwe-neuropathy yangaphakathi. Uma kuthinteka ezinye izinzwa nezinzwa, lokhu kungukuphatheka kwe-paral noma isifo sikashukela.
Lapho izinzwa zemoto ziphazamiseka, umuntu akakwazi ukudla, ukuhamba nokukhuluma, ngezinzwa zokuzwa, izinzwa ziyaqedwa. Ngokulimala kwemicu yezinzwa, i-autonomic neuropathy iyenzeka. Kulesi simo, isibonakaliso esibonakalayo ukungasebenzi kahle kwezitho eziningana ngasikhathi sinye, kufaka phakathi nenhliziyo.
I-Autonomic Neuropathy Syndrome:
- ukuphefumula
- i-urogenital
- kwenhliziyo
- emathunjini,
- injini yomkhumbi.
Okuvame kakhulu:
- izinzwa
- proximal
- ozimele
- i-neuropathy egxilile.
Nge-neuropathy ephakathi kukhona izici:
- migraines ephikelelayo nesiyezi,
- inkumbulo eyonakele, ukunakwa, ukugxila.
Umuntu uvame ukuhlushwa ukufeyila, futhi kube nokuchama kaningi.
Nge-sensorimotor neuropathy, ukuzwela kuyancipha, izicubu zomuntu zibuthakathaka, futhi nokuxhumana kukhubazekile. Njengomthetho, ukuphazamiseka kwengalo noma imilenze kuya kusiba nzima kusihlwa. Esigabeni esithuthukile, umuntu akazizwa ehlukile ekuthini ungena entweni ebukhali noma ngomunye umonakalo.
Izimpawu ze-neuropathy zesifo sikashukela zifaka nokulahleka okuphelele kokuzwela isikhathi. Ngakho-ke, izilonda nokulimala kwezinzwane nezinyawo kwenzeka.
I-Autonomous diabetesic neuropathy ivela ngenxa yokungasebenzi kahle kohlelo lwe-autonomic. Ukuhlinzekwa komoya-mpilo kuyancishiswa, izakhi zomzimba azigaywanga ngokwanele, okuholela ekuphazamisweni komsebenzi:
- amathumbu
- isinye
- inhliziyo nezinye izitho.
Imvamisa kunezinkinga ngesifiso sobulili kanye nobungako bezithukuthuku. Nge-genitourinary neuropathy, umuntu uphazanyiswa umuzwa womchamo osasele esigaxeni. Kwezinye izimo, umchamo ugeleza udonsa ngemuva kwesenzo sokuchama, ukungabinamandla kuyabonakala futhi.
Kwembulwa ukuphazamiseka kwe-urodynamic - ukwehla kwezinga lokuhamba komchamo. Isikhathi sokuchama siyakhuphuka futhi nomkhawulo we-reflex wokuchama uyakhuphuka. Isinye umchamo wesisu uchaza kahle isidingo sokuchama. Konke lokhu kuyinkimbinkimbi indlela yokuphila ejwayelekile.
I-Proximal neuropathy ibonakaliswa ebuhlungwini nasezinkalweni, futhi nokuhlangana kwama-hip kuyathinteka. Umuntu uqala ukubona ukuthi izicubu zakhe azilaleli, futhi ziyahamba ngokuhamba kwesikhathi.
I-neuropathy ye-Focal ivame ukuvela ngokungazelelwe futhi ithinte izinzwa ngazinye zesiqu, imilenze noma ikhanda. Umuntu unombono ophindwe kabili, kubuhlungu bendawo emzimbeni kuyavela, ukukhubazeka kwengxenye yobuso kungenzeka. Isifo sikashukela se-neuropathy yisifo esingalindeleki, i-prognosis esivame ukungaziwa.
I-Diabetesic optic neuropathy iyindlela eholela ekulahlekelweni kombono okwesikhashana noma unomphela. I-Neuropathy yemikhawulo engezansi iyinkimbinkimbi yezifo eziningana, ezihlanganiswa ngokuba khona kwezinkinga zesistimu yokwehla kwezinzwa yemilenze.
Izimbangela ze-Diabetesic Neuropathy
I-Pathology ivela kancane, ngokumelene nesizinda senkambo ende yohlobo 1 noma uhlobo 2 sikashukela. Odokotela bathi lesi sifo singabonakala eminyakeni eyi-15 ukuya kwengama-20 ngemuva kokuxilongwa kwesifo sikashukela.
Njengomthetho, lokhu kwenzeka ngokungaphathwa kahle kwesifo nokungahambisani nezincomo zikadokotela ngendlela yokuphila enempilo. Isizathu esiyinhloko sokubonakala kwe-pathology ukugxuma okuvamisile emazingeni kashukela egazini lapho kwenzeka into evamile, okuholela ekuphazamiseni ukusebenza kwezitho zangaphakathi, kanye nohlelo lwezinzwa.
I-nerve fiber igcwala isitsha segazi, futhi ngaphansi komthelela omubi kashukela, ukondleka kuyaphazamiseka bese kuthi ukuqala indlala komoya-mpilo. Ngakho-ke, kuqala izimpawu zesifo.
Uma ukudla komuntu onesifo sikashukela kugcwele ngezinto zokulandela kanye namavithamini, ngenxa yezinkinga ngezinqubo ze-metabolic, imicu yezinzwa ingathola nalezi zinto zempilo yabo.
Ngokulashwa okufika ngesikhathi kwe-neuropathy yesifo sikashukela, kunethuba lokumisa ukugula futhi uvikele nezinkinga eziningi eziyingozi. Kepha udokotela kuphela owaziyo ukwelapha i-pathology. Ukuzelapha kuyenqatshelwe ngokuphelele.
Uma ukwelashwa kungenziwa ngokugcwele, futhi kungekho zindlela zokuvimbela, khona-ke ukugula kungenzeka kubuye ngendlela enzima kakhulu.
Izimbangela zesifo:
- isikhathi sesifo sikashukela
- ushukela ophakeme njalo
- anda amazinga we-lipid
- ukuvuvukala kwemizwa
- imikhuba emibi.
I-algorithm yesifo eyaziwayo: i-glucose ephezulu iqala ukulimaza imikhumbi emincane ekondla izinzwa. Ama-capillaries alahlekelwa yi-patency, futhi izinzwa ziqala "ukwanda" kusuka ekushoda kwe-oksijini, ngenxa yalokho, i-nerve ilahlekelwa umsebenzi wayo.
Ngasikhathi sinye, ushukela uthinta kabi amaprotheni futhi aqala ukwenza umsebenzi wawo ngokungalungile, echitha isikhathi eside futhi imfucumfucu iba yingozi emzimbeni.
Ukuxilonga
Lesi sifo sinezinhlobo eziningi ezinezimpawu zomlingiswa. Ngesikhathi sokuhlolwa okubonakalayo, udokotela uhlola izinyawo, amalunga kanye nezandla, ukuguqulwa kwalokho okubonisa ukuthi i-neuropathy. Kunqunywa ukuthi kukhona ukoma, ubomvu, noma ezinye izimpawu zesifo esikhumbeni.
Ukuhlolwa kwenhloso yomuntu kuveza ukukhathala, kanye nezinye izindlela ezibalulekile zesifo. I-cachexia yesifo sikashukela i-pathology eyedlulele ngokweqile, lapho umuntu ephelelwa ngokuphelele amafutha angenasisekelo nokufakwa esifundeni sesisu.
Ngemuva kokuhlola izitho ezingezansi nezingaphezulu, kwenziwa ucwaningo lokuzwela kokudlidliza usebenzisa i-apparatus ekhethekile. Ucwaningo kufanele lwenziwe kathathu.
Ukunquma uhlobo lokugula, kanye nokunquma uhlobo lokwelashwa, izindlela ezithile zokuxilonga ziyadingeka ezinganquma i-pathology. Ukuzwela kuyambulwa:
- kubuhlungu
- lokushisa
- i-tactile.
Ngaphezu kwalokho, i-diagnostic tata ifaka ukuhlolwa kwezinga lokukhombisa.
Inkambo ehlukile iyimpawu ye-neuropathy, ngakho ezimweni eziningi kwenziwa isinqumo sokuqhuba uhla oluphelele lwezinqubo zokuxilonga.
Lesi sifo singalashwa ngokuhamba kwesikhathi ngokukhethwa okufanele kwemithi.
Kunokwehluka futhi ekwelashweni kohlobo lokuqala noma lwesibili sikashukela.
Izici zokwelapha
I-neuropathy yesifo sikashukela, i-pathogeneis eyaziwa ngayo, idinga ukwelashwa.
Ukwelashwa kwe-neuropathy yesifo sikashukela kusekelwe ezicini ezintathu. Kuyadingeka ukwehlisa ukugcwala kwe-glucose egazini, ukunciphisa isimo somuntu, ukunciphisa izinhlungu nokubuyisela imicu yezinzwa eyonakele.
Uma umuntu ene-neuropathy yesifo sikashukela, ukwelashwa kuqala ngokulungiswa kwe-glucose egazini. Umsebenzi oyinhloko ukuhlela ushukela ngokujwayelekile futhi uzinze ezingeni elifanele. Kulezi zimo, kunconywa izidakamizwa ezisiza ukwehlisa ushukela emzimbeni womuntu.
Amaphilisi okunciphisa ushukela wegazi eza ngamaqembu amaningana. Isigaba sokuqala sifaka imali ekhulisa ukukhiqizwa kwe-insulin emzimbeni.
Iqembu lesibili lifaka izidakamizwa ezandisa ukuzwela kwezicubu ezithambile - Metformin 500. Eqenjini lesithathu, amaphilisi avimbela ingxenye yokufakwa kwe-carbohydrate emgodini wokugaya ukudla, sikhuluma ngeMiglitol.
Ngale genesis, udokotela ukhetha izidakamizwa ngokungafani nalutho. Imithamo kanye nemvamisa yokuphathwa kwezidakamizwa zohlobo 1 sikashukela kungahluka kakhulu.
Lapho kwenzeka kuzinza izinga le-glucose egazini lesiguli, kusengaba nokwanda kwe-neuropathy. Izimpawu zidinga ukususwa ngama-painkiller. Ukuvezwa kukhombisa ukuthi izinguquko ziyaphenduka. I-neuropathy yesifo sikashukela, elashwa ngesikhathi, ingalapheka futhi imicu yezinzwa ibuyiselwe.
Izidakamizwa ezahlukahlukene zisetshenziselwa ukuthuthukisa umsebenzi wezinzwa ne-analgesia. Okokuqala, kubalulekile ukuphawula ukuthi iTiolept ilawula izinqubo ze-metabolic, ivikela amangqamuzana ezinzwa esenzweni sama-radicals wamahhala nezinto ezinobuthi.
I-Cocarnit yinkimbinkimbi yamavithamini nezinto ezithinta umetabolism womuntu. Izinto ezisetshenziswayo ziqede ngempumelelo izinhlungu futhi ziveze umphumela we-neurometabolic. Umuthi uphathwa ama-ampoules amaningana ngosuku intramuscularly. Isikhathi sokwelashwa kuya ngesimo esithile somtholampilo.
I-Nimesulide idambisa ukuvuvukala kwezinzwa, iphinde futhi inciphise nobuhlungu. IMexileine ivimba iziteshi ze-sodium, ngakho-ke ukudluliswa kwezifiso zobuhlungu kuyaphazamiseka futhi isilinganiso senhliziyo sijwayelekile.
Nge-neuropathy yesifo sikashukela, imithi iyadingeka ukufeza umphumela wokwelashwa odingekayo. Indlela ebuhlungu ye-neuropathy yeswekile idinga ukusetshenziswa kwama-analgesics, ama-anticonvulsants asetshenziswa futhi ngokuhlanganiswa.
Kuyadingeka ukwelapha i-neuropathy ephansi yemilenze ngezifundo zemithi e-vasoactive:
- I-Pentoxifylline
- I-Instenon
- I-Nicotinic acid
- Izimbali.
Ama-antioxidants alandelayo asetshenziswa:
- Vitamin E
- I-Mexicoidol
- I-Oktolipen
- ICytochrome S.
Izenzo zokuvimbela
Lapho i-neuropathy isivele ikhona, kubalulekile ukuphuza umuthi ngokuhlelekile. Kodwa ukuvimbela lokhu ukuthi kungenzeki, izindlela ezisetshenziswayo ze-prophylactic kufanele zisetshenziswe. Okokuqala, udinga ukulawula ingcindezi, ngoba umfutho wegazi ophakeme ungavusa ama-spasms ama-capillaries, okuholela nasekubulaleni kwemicu yezinzwa.
Ngokweqile, kumele unamathele ngokuqinile ekudleni ukuze ulawule isisindo somzimba. Ukukhuluphala ngokweqile kusithinta kabi isimo sokuphela kwezinzwa. Kubalulekile ukuqeda imikhuba emibi, ngoba utshwala ne-nicotine kubhubhisa ukuphela kwezinzwa.
Kuyadingeka ukuhola indlela yokuphila yezemidlalo nokusebenza, lokhu kuvamisa izinqubo ze-metabolic futhi kukhuphule izinga lokungazethembi. Njengoba unesifo sikashukela, awudingi ukuzivocavoca ukuhamba ngezinyawo ukuze ungavimbi ukulimala esikhunjeni. Umlenze owonakele kufanele uphathwe ngokushesha ngamakhompiyutha akhethekile, kungaba ngamafutha noma ukhilimu.
Ngokuthayipha kwesifo sikashukela sohlobo 2, odokotela bakweluleka ukuthi uvame ukwenza isethi ekhethekile yokuzivocavoca. Kuyadingeka ukugcina ukuhamba kwegazi okusebenzayo emilenzeni nokuvimbela ukubonakala kwe-atherosclerosis. Kufanele ukhethe izicathulo ezikhululekile futhi ezifanelekileyo kuphela ezenziwe ngesikhumba sangempela. Udokotela wakho angaphinde akunikeze izicathulo zamathambo zesifo sikashukela.
Imininingwane nge-neuropathy inikezwe kuvidiyo ekulesi sihloko.
