Enye yezinkinga ezijwayelekile zesifo sikashukela yi-polyneuropathy. Izimpawu zalo zihambisana nemiphumela yobuthi ye-glucose ephezulu yegazi. Ukufa kwemisipha yezinzwa kuholela ekulahlekelweni kokuzwela kwemilenze nokukhula kwezimpawu zokulimala kwezilonda.
Izimpawu zokuqala ze-neuropathy ephansi yomzimba zingaba yizikhalazo zokuthi imilenze yesiguli iqine, izinhlungu nokuqaqeka kuqhamuka ebusuku, nezinzwani ziqhakaze.
Njengoba isifo sikashukela siqhubeka, amafomu kashukela wesifo sikashukela, esimweni esinzima esiholela ekunqunyweni kwemikhawulo.
Izimbangela zesifo sikashukela emilenzeni
Umphumela owonakalisayo we-glucose emithanjeni yegazi uboniswa ekuthuthukiseni i-angiopathy. Ukushintshashintsha kwezwi kanye nethoni ye-vascular, izindonga zama-capillaries ziyaqina, ukuphuma kwegazi kuyehla, bese kuthi ukubonakala kwegazi okuthe xaxa kuholele ekwakhekeni kweziqeshana nasekuqhekekeni kwegazi. Ukudla kwezicubu kuyaphazamiseka, okuholela ebuhlungwini be-ischemic, ukuphulukiswa kancane kwamanxeba okulimala.
Izicubu ze-nerve kushukela zikhubazeka zombili ngenxa yokuphazamiseka kwegazi, futhi ngaphansi kwethonya le-sorbitol, elakheka ngaphakathi esitokisini lapho kungekho khona ushukela omningi. Izinga elikhulayo lama-radicals mahhala ahambisana nesifo sikashukela nalo libhubhisa ukwakheka kwezicubu zezinzwa.
Ngenxa yalokhu, zonke izinhlobo zokuzwela kwephulwa - kuya kubanda, ekushiseni, ebuhlungwini, ekudlidlizeni, ukuthinta. Kulesi simo, ukulimala okuncane kungahle kungabonakali, bese kuthi kamuva kube nezimpawu zokulimala endaweni yazo, ezingapholi isikhathi eside futhi ezithambekele ekuthelelekeni.
Izimpawu zesifo sikashukela i-neuropathy
Izikhalazo zeziguli ukuthi imilenze yabo ibanda ngaso sonke isikhathi, angikwazi ukufudumala imilenze yami ngisho nangamasokisi afudumele, unyawo lwami lujika lube luhlaza okwesibhakabhaka, ejwayelekile ezigulini ezine-polyneuropathy. Ngasikhathi sinye, izinhlungu nokuqina, umuzwa wezintuthwane ezinwabuzelayo zijoyina. Okokuqala, izinzwane ziyahlupha, bese inqubo isakazekela onyaweni, ingxenye engezansi yomlenze ophansi.
Ngokuhlinzekelwa kwegazi okuphazamisekile, imilenze ebandayo hhayi ebusika kuphela, kodwa futhi nangesikhathi esifudumele, iziguli ziyaqaphela ukuthi izinhlungu zenzeka lapho zihamba: Angikwazi ukuhamba isikhathi eside, kufanele ngime kaningi. Ngemuva kokuphumula, izinhlungu zihamba. Lapho uhlolwa, isikhumba emilenzeni siphaphathekile, sinephunga elimnyama. Lapho ucwaninga ukushaya kwamathambo emithanjeni yemilenze, kunzima ukuthola ukuthi awukho noma awukho.
Lapho kukhona ama-microtraumas wonyawo, isifo sikashukela kungaholela ekwakhekeni kwezilonda zezimpawu ezinobunzima, okunzima ukuzelapha. Izinkinga ezinjalo zibonisa inkambo yesifo sikashukela engabhalisiwe, ikakhulukazi ehlanganiswa ne-atherosulinosis noma i-endarteritis eqeda amandla.
Ngesilonda esidala kakhulu semicu yezinzwa, iziguli zikhononda ngokuncipha kokuzwela: imilenze yami iyinqolobane, angizwa ukushisa nokubanda, angizwa buhlungu ngokusikeka, futhi ukuthinta ingubo kungabuhlungu. Ukulahlekelwa ukuzwela kuyimpawu yohlobo “lwamasokisi” noma “amagilavu”, futhi ezimweni ezinzima kakhulu kungathinta isikhumba sesisu nesifuba.
Ekuhlolweni, kuboniswa lezi zimpawu ezilandelayo:
- Isikhumba semilenze sivamile
- Izinyawo zifudumele ekuthintweni.
- Ezindaweni zokucindezelwa okuphezulu nokuxhumana nezicathulo, isikhumba siqweqwe.
- I-Artery ripple ijwayelekile.
Izikhalazo ngeqiniso lokuthi imilenze ingazizwa imnandi noma ifudumele imilenze inzima, empeleni akwenzeki.
Ukwelashwa kwe-peropheral neuropathy
Okufanele ukwenze uma uzwane luhlaza okwesibhakabhaka sinesifo sikashukela futhi yikuphi ukwelashwa okusebenza kakhulu - kuphakama imibuzo enjalo ezigulini ngokubonakala kwezimpawu ze-polyneuropathy kaningi. Ukuze usebenzise noma yiziphi izinhlobo zokwelapha zezinkinga zesifo sikashukela, kufanele uqale wehlise i-hyperglycemia.
Uma isiguli sithatha amaphilisi esifo sikashukela sohlobo 2, lapho-ke ukwelashwa kuyasekelwa ngemijovo ye-insulin noma ushintshe ngokuphelele kuyo. Njengomphumela, isinxephezelo esiphelele se-hyperglycemia, i-hypercholesterolemia kanye nokuzinza kwengcindezi yegazi ezingeni le-130/80 mm Hg kumele izuzwe. Ubuciko.
Kulokhu, ngohlobo lwe-1 mellitus yesifo sikashukela, kusetshenziswa uhlobo lokuqinisa i-insulin olwengeziwe: isiguli sinqunywa i-insulin yesikhathi eside kabili ngosuku, nemizuzu engama-30 ngaphambi kokudla, i-insulin emfushane kathathu ngosuku, futhi kaningi uma kudingeka.
Ukuze ulaphe izinhlungu nge-polyneuropathy, okokuqala kudingekile ukubuyisela i-microcirculation kanye ne-conduction of nerve fibers. I-Actovegin isungulwe kahle njengesidakamizwa esinjalo. Imiphumela yaso eyinhloko yokwelapha:
- Ukwenza ngcono ukufakwa komoya-mpilo kanye noshukela ngama-tishu.
- Khuphula ukukhiqizwa kwamandla ngaphakathi kweseli.
- Ukuqiniswa kodonga lwamaseli
- Ukubuyisela ukunikezwa kwegazi kwezicubu ezonakele.
- Ukukhululeka kobuhlungu.
- Ukubuyiselwa kokuzwela kanye ne-tendon ekhombisa.
Ngaphezu kwe-Actovegin, i-alpha-lipoic acid, amavithamini e-B, ama-antioxidants, i-ATP, nezidakamizwa ze-nootropic asetshenziselwa ukubuyisela izinqubo ze-metabolic emaphethelweni aphansi. Ukwelashwa kuvame ukuba yinde, ngemuva kwenkambo yemijovo yamaviki ama-2-3, bashintshela ekwelashweni kwesondlo ngamathebhulethi, ahlala izinyanga ezi-2.
Izidakamizwa ezisetshenziswa ekwelapheni isifo sikashukela se-polyneuropathy: i-Espa-Lipon, iTiogamma, i-Berlition, iMilgamma, i-Neurobion, iTrigraine, iNeurobeks.
Ukususa i-pain syndrome nge-polyneuropathy kungumsebenzi onzima impela, ngoba akukho mphumela ovela ekusetshenzisweni kwama-painkillers ajwayelekile. Ngakho-ke, ama-antidepressants nama-anticonvulsants asetshenziswa. Ama-anticepressants e-Tricyclic anomphumela ophakathi we-analgesic, esebenza nge-adrenaline ne-histamine receptors.
Ezisetshenziswa kakhulu yi-amitriptyline ne-imipramine. Ukuphikiswa kokubhalwe emgqonyeni kadokotela kukhona ukuguga kanye nesifo senhliziyo. Ezimweni ezinjalo, i-venlafaxine ephephile ne-fluoxetine inqunyelwe, kepha umphumela wazo we-analgesic awubizwa kangako.
Ama-anticonvulsants avimba izifiso zobuhlungu. Kusetshenziswa le mithi elandelayo:
- I-Carbamazepine: I-Finlepsin, i-Zeptol, i-Tegretol.
- I-Oxcarbazepine: I-Trileptal, i-Oxapine.
- UGabapentin: IGabagamma, Neurontin, Tebantin.
- Pregabalin: Iculo ishosha esihlatshelelwayo.
Ukuze usebenzise i-topical, isidakamizwa esine-pepper ekhishwe, i-Capsicam, siyanconywa, sivuselela ukukhishwa komlamuli wobuhlungu, sichithe izinqolobane zayo, okuholela ekuvinjelweni kokudluliselwa kwezifiso zobuhlungu. Imiphumela emibi ibonakaliswa ekushiseni nasekucasheni isikhumba. I-Contraindified in chronic venous insuffability.
Kwi-anesthesia yendawo, izidakamizwa eziqukethe i-lidocaine nazo ziyasetshenziswa - isichibi noma i-oli yamafutha iVersatis, iLidocaine aerosol. Ukudambisa izinhlungu, akunconywa ukusebenzisa ama-compress okushisa noma i-pads yokushisa, ngoba kunengozi yokushiswa okushisa ngokubhekisele emuva ngemuva kokuzwela kokushisa okuncishisiwe.
Ukusetshenziswa kweTramadol kunobulungiswa ngokungabikho komphumela wezinye izindlela zokwelashwa, ngoba imithamo emikhulu yesidakamizwa iboniswa idambisa izinhlungu ku-polyneuropathy yesifo sikashukela, okuyimilutha, ubungozi bokuthi ikhuphuke uma udinga inkambo ende yokwelashwa.
Izindlela ezingezona izidakamizwa ezisetshenzisiwe (lapho kungenakubalwa noma isimo esibucayi sesiguli):
- Hyperbaric oxygenation.
- I-Electrophoresis
- Ukwelashwa kwe-Laser.
- I-Magnetotherapy.
- Imisinga yeDiadynamic.
- Ukuhlonza.
- Ukugqugquzelwa kukagesi.
I-Diabetesic Neuropathy Prevention
Ukuze uvimbele ubunzima be-mellitus yesifo sikashukela ngendlela ye-polyneuropathy, kuyadingeka ukufezekisa ukuncipha koshukela wegazi kanye nokuqina kwalo ezingeni elinconywayo. Isimo esibalulekile ukunamathela ngokuqinile kwizincomo zokudla kokudla kanye nokusetshenziswa kwemithi.
Ukuqapha ushukela wegazi kufanele kube nsuku zonke, nangokwethulwa kwe-insulin ephindaphindwe phakathi nosuku nangesikhathi sokulala. Ngaphezu kwalokho, kunconywa ukukala umfutho wegazi kabili ngosuku. Okuqukethwe kwe-cholesterol kanye ne-lipids esegazini, kanye nezinga le-hemoglobin ye-glycated, kuyahlolwa ngezikhathi ezithile.
Kuyadingeka ukulahla ngokuphelele i-nicotine notshwala, ngoba umphumela wabo ubonakaliswa yi-vasospasm kanye nemiphumela enobuthi kuma-nerve fibers. Ngokuvimbela izilonda zamaphethelo aphansi, okungenani imizuzu engama-20 ngosuku kufanele ubandakanyeke kwezokuzivocavoca okwelapha, okuvame ukuhamba kakhulu. Okusewusizo yi-yoga yabanesifo sikashukela nokubhukuda.
Ividiyo ekulesi sihloko izokhuluma ngokuphathwa kanye nokuvinjwa kwe-neuropathy kushukela.
