Ubuhlungu emisipha yamaphethelo aphansi onesifo sikashukela kungavela ngokukhuphuka futhi kuhambisane nokwehla okubukhali koshukela wegazi.
Ukuphazamiseka kokuhlinzekwa kwegazi, kanye nomonakalo ohlelweni lwezinzwa oluyingozi, ukuqoqwa kwemikhiqizo enobuthi emithanjeni kutholakala kwisifo sikashukela cishe kuzo zonke iziguli, ikakhulukazi ngokwanda kwesifo kanye nobudala.
Izimpawu zokulimala kwezicubu zomzimba zibonakaliswa yibuhlungu, ubuthakathaka bemisipha, imizwa ethuthumela kanye namaqhubu.
Kungani ushukela ubangela ubuhlungu bemisipha?
Ukuphazamiseka kokuhlinzekelwa kwegazi ku-mellitus yesifo sikashukela kuhlotshaniswa nomonakalo odongeni lwangaphakathi lwemithambo yegazi, okuthi, ngenani elikhulu le-glucose egazini, kulimale, ama-lipoprotein aphansi okufakwa emzimbeni kuwo, futhi amaseli abushelelezi emisipha ancipha umkhumbi ngenxa yokwanda okwandayo.
I-Neuropathy imvamisa ukwanda kwe-pathology yemikhumbi yamaphethelo aphansi, njengoba ikhula i-arterioles encane kanye nama-capillaries, ngenkathi igazi lihamba ngokuphuma kwe-sterts arteriovenous. Ngokushintshwa okunjalo, ukushintshanisa okunomsoco kanye negesi ku-izicubu izicubu kuyaqhubeka kuncipha kakhulu, okubangela, ngaphezu kobuhlungu, umuzwa ovuthayo emilenzeni.
Ukulimazeka kwemicu yezinzwa kushukela kuhlotshaniswa nokufakwa kwe-sorbitol, okubangela ukwehla kokugeleza kwegazi ngaphakathi kwezinzwa futhi kuholele ekubulaleni indlala komoya-mpilo ngokusebenza okuphazamisekile kanye nesakhiwo semithambo yezinzwa.
Izindlela eziholayo zokulimala kwe-nerve fiber ku-mellitus yesifo sikashukela:
- Ukubhujiswa kwe-membrane yeseli namaprotheni ngokwakhiwa kwama-radicals mahhala.
- I-Glycosylation yamaprotheni ngama-molecule eglucose ajikeleza egazini.
- Ukubhujiswa kwemikhumbi okunika amandla izinzwa.
- Ukwakheka kwama-autoantibodies ngokumelene ne-neurons.
Izinguquko ze-Neuropathic ekungeneni kwezicubu zomzimba nezemisipha ziqhubeka nokukhula kwe-hyperglycemia futhi zingancipha ngesinxephezelo sikashukela. I-Myalgia ingahle ihambisane nokuncipha kwe-glucose yegazi.
Ekuhlaselweni okukhulu kwe-hypoglycemia, kunezimpawu ezihambisana nesenzo se-catecholamines - i-adrenaline ne-norepinephrine, okuholela ekutheni izingalo nemilenze iqale ukusonteka, iziguli zikuchaza kanjena: "ushukela unciphile futhi wonke izicubu zomile"
Ubuhlungu emisipha yomlenze yesifo sikashukela
Ukubonakaliswa kobuhlungu bemisipha kuhlotshaniswa nezinga loshukela wegazi okhuphukile, kuyilapho i-hyperglycemia yehlisela umkhawulo wezinhlungu futhi ivimbela isenzo se-analgesics. Ngokuvamile izimpawu zobuhlungu zanda kancane kancane, kanye nokwenziwa kwezimpawu zesifo sikashukela.
Kuyaqabukela, kubuhlungu kakhulu ubunzima obuqhamukayo futhi kuhambisana nokuphazamiseka kokulala, ukucindezelwa, ukulahlekelwa kwesifiso sokudla kanye namazinga okushesha okunciphisa umzimba. Umtholampilo onjalo wenzeka ngesifo sikashukela esingapheli futhi esingaziwa, nokuthi isiguli siphathwa ngendlela engafanele.
Izimpawu zingavela ekuqaleni kokwelashwa kwesifo sikashukela, zivele ngale ndlela:
- Ubuhlungu bulinganiswa, buqatha, buyasha.
- Imvamisa iqala kusuka ezinyaweni ikhuphukele okhalweni, kwesinye isikhathi kusukela ekuqaleni izicubu zomzimba wangaphandle wamathanga bezilimele.
- Ukuvinjelwa kokunyakaza kuhlotshaniswa nezimpawu zobuhlungu nobuthakathaka bemisipha.
Ezimweni ezinjalo, izinga lokujwayelekile kwe-glucose kufanele lehliswe, futhi ukuzinza kwamazinga kashukela kutholakala kancane kancane.
Ubuhlungu bemisipha nokuqina kuqina ebusuku, ekuphumuleni, ezigulini ezinesifo sikashukela, i-paresthesia nakho kuwuphawu - umuzwa wokukhasa, ukuzindla, imilenze ingagudla ngokuzithandela, buzz. Imvamisa, izicubu zamathole zithinteka kakhulu, kuncipha kakhulu izicubu zabesifazane nezengalo.
Ezimweni ezimbi kakhulu, kubuhlungu ukuqina emzimbeni wonke, i-hypersthesia, lapho ngisho nokuthinta kweshidi kubangela khona izinhlungu ezibukhali nezokuvutha. Lapho uhlola iziguli ezinjengalezi, kutholakala ukwehla kwe-tendon Reflexes, khona-ke kukhona ukwehla kwazo zonke izinhlobo zokuzwela - ukuthambisa, ukuvevezela, izinhlungu nobuhlungu obungebuhle. Kulesi sigaba, kuba khona unyawo lwesifo sikashukela.
Inkambo esehlisa ushukela wegazi ingadala izinkinga ezifana ne-hypoglycemia. Njengoba i-glucose ingumthombo oyinhloko wokondleka kohlelo lwezinzwa, lapho luqala ukuwa, kuvela ukubonakaliswa kwe-neuroglycopenic:
- Yehlise isikhathi sokunakwa, ukwesaba, ukushaya kwenhliziyo okusheshayo.
- Ubuhlungu bekhanda nesiyezi.
- Ukudonsa, ukukhasa, izicubu ziyaqhaqhazela.
- Imisipha isonta ezingxenyeni ezihlukene zomzimba.
- Ubuthakathaka bemisipha.
- Ubuhlungu bemisipha obungabukhali bendawo ehlukahlukene.
I-hypoglycemia enkulu ihambisana nobuthakathaka bemisipha obukhulayo, ukulahlekelwa ukwazi, i-conculsive syndrome. Uma kungalashwa, isiguli siwela ku-hypoglycemic coma.
Ukwelashwa kobuhlungu bemisipha yomlenze ezigulini ezinesifo sikashukela
Ekwelapheni i-myalgia, kusetshenziswa izinkomba ezintathu: isinxephezelo sikashukela, ukwelashwa okubonisa izimpawu ngama-painkillers kanye nokwelashwa kokuvuselela imicu yezinzwa ethintekile nemithambo yegazi.
Isinxephezelo sikashukela senziwa ngendlela yokulungiswa kokudla kanye nokuqina kwamazinga kashukela. Kulokhu, ukuqapha njalo amazinga e-glucose usuku lonke, kanye nokutadisha nge-glycated hemoglobin, kubalulekile. Ukwelashwa kwenziwa ngendlela yokuthi kuvikeleke ukwanda okungazelelwe kushukela wegazi.
Kulokhu, lokhu kudla kuqukethe okuqukethwe okukhawulelwe kwe-carbohydrate ngokufakwa ngokuphelele kwe-sucrose nemikhiqizo kafulawa kakolweni osendaweni ephezulu. Kuyanconywa futhi ukuthi kunciphiswe ukusetshenziswa kwemikhiqizo yenyama, ikakhulukazi inyama enamafutha kanye ne-offal, ukuze kungaqalwa utshwala.
Ukususwa kwesifo sezinhlungu kwenziwa ngezindlela ezingezona izidakamizwa, ezibandakanya:
- Ukuhlanzeka.
- I-electrophoresis yokwelapha.
- I-Darsonvalization.
- I-Laser Therapy
- Ukuwohloka kokuhlinzwa kwezinzwa.
- I-Magnetotherapy.
- Ukusetshenziswa kokunyuswa kukagesi ngemisinga eyenziwe nge-sinusoidally modised.
Isici sokulashwa kobuhlungu ngesifo sikashukela ukuntuleka komphumela we-analgesics elula nezidakamizwa ezingezona ezika-antiidal. Ngakho-ke, ama-anticonvulsants, ama-antidepressants, ama-opioid analgesics nama-anesthetics endawo asetshenziselwa ukwelashwa.
Ama-anticonvulsants adambisa izinhlungu ngenxa yokuvinjwa kweziteshi ze-sodium futhi anciphise ukudluliswa kwezifiso zobuhlungu. Kusetshenziswa le mithi elandelayo: iFinlepsin, iGabapentin, iPregabalin.
I-antidepressant ephumelela kakhulu yokunciphisa izinhlungu yi-amitriptyline. Kusetshenziswa kumithamo ephansi. Ngenxa yemiphumela emibi, ukuqaphela kufanele kusetshenziswe ezigulini ezinomfutho we-arterial hypertension, ukuhluleka kwenhliziyo, i-glaucoma. Ezigulini esezikhulile, ama-anticepressants ama-tricyclic angadala ukungazinzi kwe-gait, ukudideka.
Ama-analgesics we-opioid asetshenziswa ezimweni ezingandile ngama-syndromes aphikisayo nobuhlungu obukhulu ngenxa yokuthuthukiswa kokuxhomekeka kwengqondo nangokomzimba. I-Tramadol ijwayele ukusetshenziswa, okungamlutha omncane. Imvamisa, ukusetshenziswa kwayo kungadala i-orthostatic hypotension, isiyezi.
Ukwelashwa kwendawo kwenziwa nge-plasters kanye nama-oint ngama-lidocaine (iVersatis), iCapsaicin, enamandla okuphelisa abalamuli bezinhlungu emaphethelweni wezinzwa zepherishi futhi ekuqaleni kungakhuphula izinhlungu nobuhlungu obuvuthayo endaweni yesicelo.
Ukubuyisela umsebenzi owenziwe ngemicu yezinzwa elimele, kusetshenziswa amaqembu alandelayo wezidakamizwa:
- I-Thioctic acid: I-Berlition, i-Espa-Lipon, iTiogamm, iDialipon.
- I-Benfotiamine, iCyanocobalamin.
- Isici sokukhula kwe-nerve - Neurophazole.
- I-Alpha reductase inhibitor - Avodart.
- Amaprotheni kinase inhibitors - Nexavar, Spraycel, Tasigna.
- Ukulungiswa kwamavithamini ayinkimbinkimbi - Neurorubin, Milgamm.
Izidakamizwa ezithinta i-neuromuscular conduction kanye nokubuyiselwa kwemicu yezinzwa zisetshenziselwa okungenani inyanga, njengoba izinqubo zokuvuselela kabusha ziqhubeka kancane, ikakhulukazi ezimweni zikashukela kanye ne-carbohydrate kanye nama-metabolism we-fat.
Kunconyelwe nokuvimbela ukuqhubekela phambili kokulimala kwemisipha ohlelweni lwansuku zonke ukuze kufakwe iqoqo lokuzivocavoca ngokuzivocavoca, ukuyeka ukubhema, okunyusa ukuqina kwe-vascular futhi kuphazamise ukunikezwa kwegazi ezicutshini ezithintekile. Ividiyo ekulesi sihloko ikhuluma ngezimpawu eziphambili zesifo sikashukela.
