Phakathi kwezinkinga zesifo sikashukela, enye ebuhlungu futhi okunzima ukubekezelela i-polyneuropathy yesifo sikashukela. Ngenxa yomonakalo wezinzwa, isiguli sizwa imisipha ebulalayo, imilenze ibhake noma ishise, umuzwa wokukhathazeka, ukulunywa kanzima, ubuhlungu obude obude kungenzeka. Le mizwa isuswe kabi ngama-antihistamines nama-painkillers alula. Njengomthetho, izimpawu ziya ziqina ebusuku, isiguli sincishwa ubuthongo obujwayelekile, ngakho-ke ukucindezelwa, ukuhlaselwa ukwethuka, nokuphazamiseka kwengqondo kufakwa ku-polyneuropathy.
Isifo sikashukela se-polyneuropathy siyingxenye yesithathu yazo yonke i-neuropathies. Amathuba okuba nenkinga incike esikhathini sesifo sikashukela: nesipiliyoni seminyaka emihlanu, zonke iziguli zesikhombisa zitholakala zinomdlavuza, impilo enesifo sikashukela seminyaka engama-30 inyusa amathuba wokulimala kwezinzwa kuze kufike ku-90%.
Kuyini isifo sikashukela polyneuropathy
Ukuphazamiseka kwe-carbohydrate nezinye izinhlobo zokudla emzimbeni kushukela kuthinta kabi lonke uhlelo lwezinzwa, kusukela ebuchosheni kuya emaphethelweni esikhunjeni. Ukulimala ohlelweni oluyisisekelo lwezinzwa kubizwa ngokuthi yisifo sikashukela sokuqina kwesifo sikashukela, okuphathelene nesifo sokuqina kwesifo sikashukela.
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
I-Neuropathy ihlukaniswe:
- umuzwa wezinzwa - ngokuphulwa kokuzwela;
- motor - ngomonakalo wezinzwa ezisebenzela izicubu;
- -mvelo, lapho izinzwa ezisebenzela isitho somuntu sezonakalisiwe.
I-Sensory-motor neuropathy luhlobo oluvame kakhulu, imvamisa iqala ezindaweni ezikude kakhulu kusuka ohlelweni lwezinzwa oluphakathi nendawo, imvamisa emaphethelweni aphansi. Ngakho-ke, ibizwa ngokuthi i-distal, kusuka ku-Latin disto - sediment. Imvamisa, izinguquko ziqala masinyane emilenzeni yomibili, futhi zithuthuka ngokulinganayo. I-distal symmetric sensorimotor neuropathy yabizwa nge- "diabetesic polyneuropathy", ngokuya ngokwanda kwama-neuropathies, ifika kuqala, ifinyelela ku-70% wezilonda ezihlasela izinzwa.
Ngakho-ke, kuyisiko ukubiza i-diabetesic polyneuropathy a lesion of skeletal izicubu motor motor fibers, isikhumba mechanoreceptors, tendons, pain receptors okwenzeka ngesifo sikashukela ezindaweni ezikude zomzimba.
Ikhodi ye-ICD-10 - G63.2 E10.4 - E14.4 kuya ngohlobo lwesifo sikashukela.
I-Polyneuropathy ingesinye sezici ezibalulekile ekwakhekeni kwesifo sikashukela sikashukela, lapho ukutheleleka kufakwa emonakalweni wezinzwa futhi, ngenxa yalokho, ukuqina kwezilonda ezijulile nokwenziwa kabi emalungeni.
Izinhlobo ze-Diabetesic Polyneuropathy
Kunezinhlobo ezi-3 ze-polyneuropathy zesifo sikashukela:
- Uhlobo lokuthinta. Ukucekelwa phansi kwemizwa yezinzwa ezungeze imizwa, okuyizithambo zezinzwa zamadayimitha ahlukene aqoqa imininingwane mayelana nemizwa yethu futhi ayidlulisele ebuchosheni, i-predominates.
- Uhlobo lwemoto. Ukubhujiswa okuqinile kwezinzwa zemoto, ezidingekayo ukudlulisa imininingwane emisipha ngesidingo senkontileka nokuphumula.
- Uhlobo oluhlanganisiwe. Emzimbeni, zonke izinzwa zisebenza ngokubambisana: abezwela ukuqonda banquma ukuthi i-iron iyashisa, abahamba ngemoto bathwala umyalo wokudonsa isandla sabo emuva ukugwema ukushiswa. Imisipha nayo ilinyazwa kaningi endaweni eyinkimbinkimbi, ngakho-ke i-sensory-motor polyneuropathy iyona evame kakhulu.
Izimbangela zesifo
Ukuthuthukiswa kwe-polyneuropathy ngqo kuncike ezingeni le-glycemia lesiguli sikashukela. Kuyafakazelwa ngokomtholampilo ukuthi imvamisa isifo sikashukela sinoshukela omningi egazini, ngokushesha zonke izinkinga, kufaka phakathi i-polyneuropathy, zizoqhubeka. Uma i-glucose yegazi ijwayelekile kakhulu, eminyakeni eyi-15 ngemuva kwesifo sikashukela, izimpawu ze-polyneuropathy zibhaliswe kuphela ezigulini eziyi-15, zonke zisesimweni esithobekile.
Izimbangela zokulimala kwamangqamuzana ezinzwa ku-hyperglycemia:
- Ukuphazamiseka kwemetabolic.
- I-hyperglycemia engamahlalakhona iphoqa umzimba ukuba usebenzise ezinye izindlela zokusebenzisa ushukela, lapho kunqwabelana khona i-sorbitol ne-fructose, kufaka phakathi amangqamuzana ezinzwa nawazungezile. I-nerve sheath ihlushwa yilokhu, okuthatha ingxenye eqondile ekudluliseleni izifiso;
- i-glycation yamangqamuzana ezinzwa;
- ukucekelwa phansi kwegobolondo labo ngama-radicals wamahhala;
- ukuntuleka kwe-myelin ku-nerve ngenxa yokuvinjwa kokuhamba kwe-myoinositol.
- Ukulimala emithanjeni yegazi. Isifo sikashukela i-Microangiopathy sithinta nemikhumbi eyondla izinzwa zepherishi.
- Isizungu. Kwembulwa isiphetho se-polyneuropathy yeswekile. Kunobufakazi bokuthi kwabanye abantu, izinzwa zilimala iminyaka eminingana ngemuva kokuxilongwa kwesifo sikashukela, kanti ezinye zihlala ngaphandle kwale nkinga amashumishumi eminyaka, yize kukhona ushukela omningi.
- Ukuphazamiseka Kwemikhuba Yomzimba - Isizathu esingathandeki kakhulu. Kunezinguqulo ezenziwa yi-polyneuropathy ezingacasulwa ngama-antibodies to the nerve factor ezikhiqizwa ngumzimba wesiguli.
Izimpawu nezimpawu ezihlukile
Nge-polyneuropathy, imicu ebucayi imvamisa ingeyokuqala ukuhlupheka, bese kuthi ukulimala kwemoto kuqale. Imvamisa, izimpawu zokuqala zibonwa ezinyaweni, bese zisakazeka kancane kancane kuwo wonke amalungu aphansi, zibambe izandla nezangalo, nakuzimo ezinzima - isisu nesifuba.
| Uhlobo lwe-polyneuropathy | Izimpawu zomuntu |
| Ukuzwela | Ukuzwela okwandayo, ukungakhululeki ngokuthinta noma izingubo ezijwayelekile. Ama-Goosebumps, ukuzindla, izinhlungu ezingekho ngaphezu kokuphumula ngaphandle kwesizathu. Ukusabela okungakhethi komzimba kumuntu okucasulayo, ngokwesibonelo, ukulunywa lapho ugwazwa. Isisindo sokuzwela. Isiguli esine-polyneuropathy yesifo sikashukela siyeka ukuzizwa izinto esizijwayele: ubulukhuni bangaphezulu lapho uhamba ungafake zinyawo, nobuhlungu lapho ungena ezintweni ezincane. Amandla wokunquma izinga lokushisa kwesikhumba akhinyabezeka, imvamisa okushisayo kubonakala kungafudumele kangako. |
| Imoto | Ukukhathala kuza ngokushesha lapho uhamba, namandla ezandla ancipha. Ukuhamba emalungeni kuyancipha, okokuqala emilenzeni yemikhawulo ephezulu nangaphansi, kuba nzima ukugoba bese uqonde ngokuphelele. Ukuhlanganisa ukunyakaza kuya ngokuba kubi, amakhono emoto amahle ayahlupheka, ngokwesibonelo, akunakwenzeka ukufaka inalithi. Esikhathini esizayo, kufakwa i-shaky gait, ukungazinzi esimeni sokuma, ivolumu yemisipha iyancipha. Zonke izimpawu zikhanya kakhulu ngemuva kokuphumula. |
| Inzwa yemoto | Ubunzima bezimpawu ezingenhla, ekuqaleni kwesifo se-polyneuropathy sensory sension. Zonke izimpawu zizwakala kangcono ebusuku noma ngokushesha nje ngemuva kokuvuka. |
I-Diabetesic distal polyneuropathy
Imicu emide kakhulu emizimbeni yabantu itholakala emilenzeni. Ukulimala kubo kunoma iyiphi indawo kusho ukulahleka komsebenzi wezinzwa, ngakho-ke i-polyneuropathy imvamisa kakhulu isendaweni, ibe sendaweni emaphethelweni aphansi. Ushintsho olukhulu kakhulu lubonwa endaweni ebizwa ngokuthi yi "zone of socks" - ezinyaweni nasezinyaweni. Okokuqala, i-tactile, izinga lokushisa, khona-ke ukuzwela kobuhlungu kuyaphulwa lapha.
Ngokuzayo, izinguquko emisipha ziqala, ngenxa yalokho ukubukeka kwonyawo kushintsha - bagoba bese bethola iminwe bodwa, i-arch ithambile. Isikhumba esithambile siba ilitshe elihle kakhulu lokulimala okuhlukahlukene okuthi, ngenxa yokungondleki kahle kanye nokuphuma kwemikhiqizo ye-metabolic, kancane kancane iyeke ukuphulukisa, yakha izilonda ezilingana nezimpawu zomzimba. Ukuvuvukala kwasendaweni kwaphakade kubhubhisa izicubu zamathambo. Ngenxa yalokho, i-distal polyneuropathy ingaphenduka i-gangrene kanye ne-osteomyelitis ngokulahlekelwa amandla okuhamba ngokuzimela.
Isifo sikashukela se-polyneuropathy yamaphethelo aphansi esiteji sokuqala sinezimpawu ezinjengokukindindizela, ukudinwa, ukusindeka ezinyaweni ebusuku, ukungakwazi ukuzwa ukuthinta okukhanyayo, umuzwa wokubanda wobandayo ezinzwaneni, kwehlisile ukujuluka ezinyaweni noma, ngakolunye uhlangothi, isikhumba esimanzi njalo, sikhonkotha kanye nokubomvu ezindaweni. ukuxabana.
Ungayiphatha kanjani i-polyneuropathy ezigulini ezinesifo sikashukela
Ukwelashwa kwe-polyneuropathy yesifo sikashukela semikhawulo ephansi esigabeni sokuqala kufinyelela ushukela wegazi ojwayelekile njalo. Kufakazelwe ukuthi ukulawula okuhle kwe-glycemic kuholela ekubuyiselweni kwe-neuropathy esanda kutholwa futhi kuyisidingo sokwelashwa okusebenzayo kwezinhlobo ezinzima zesifo.
Ukushintsha ushukela wegazi Ukubonisana nekhono le-endocrinologist kuyadingeka, ozonquma irejimeni entsha, uzokhetha izidakamizwa ezisebenza kahle. Ukusuka esigulini esikulesi sigaba, ukunamathela ngokuqinile ezincomeni zochwepheshe kuyadingeka, okungezwa emithini kufaka phakathi imfundo yezomzimba kanye nemikhawulo ebalulekile yokudla - imvamisa carbohydrate esheshayo ayifakwa ngokuphelele ekudleni.
Ukwelashwa ngaphandle kwezidakamizwa
Kungenzeka ukuthuthukisa ukuhamba kwegazi, ngakhoke ukondleka kwezicubu ezinyaweni, usebenzisa izindlela ezilula ezingezona izidakamizwa. Izikhathi eziningana ngosuku udinga ukwenza ukuzivocavoca okulula kwezinyawo. Uma isikhumba some kakhulu, kubalulekile ukusebenzisa i-moisturizer ngesikhathi sokuwola. Amabhodlela anamanzi ashisayo namabhubhu ashisayo akuvunyelwe. ngenxa yengozi yokushiswa, umuntu onesifo sikashukela esine-polyneuropathy kungenzeka angaze azizwe, ngoba ama-receptors ebusweni besikhumba abhujisiwe.
Akunasici uma kufanele ukhawule umsebenzi. Qiniseka ukuthi uhamba isikhathi eside nsuku zonke, kepha ngasikhathi sinye qiniseka ukuthi imilenze yakho ayisebenzi kakhulu.
Ukwenza ngcono ukuhamba kwegazi, isethi elula yokuzivocavoca izoba wusizo:
- Hlala esihlalweni.
- I-Flex - yelula izinzwane zakho.
- Landela izinyawo zakho emnyakazweni oyindilinga ngezindlela ezihlukile.
- Donsela amasokisi kude nawe - kuwe.
- Roll izinto eziyindilinga ngezinyawo zakho phansi - amabhola, izingcezu zamapayipi, iphini yokugoqa.
Emakamelweni we-physiotherapy, ama-electrophoresis, amabhafu weparafini, i-ultratonotherapy, i-radon ne-hydrogen sulfide bath angabekwa ukuthi anciphise izinhlungu.
Ukusetshenziswa kwemithi
| Inkomba yokwelashwa | Ukulungiselela | Umthamo nokwelashwa |
| Ukungathathi hlangothi kwama-radicals mahhala | Ama-antioxidants, evame kakhulu i-lipoic acid: iThioctacid, iTogog, iNeololipon. | I-600 mg ngosuku. Okokuqala, ngaphakathi, ngomlomo. Kusuka emavikini lamatsatfu kuya etinyangeni letisitfupha. |
| Ukulungiswa kweMetabolic | Amavithamini, ikakhulukazi iqembu B: iVitagamma, iMilgamma, iNeuromultivit. | Amaviki angama-3-5, umthamo uboniswa kwimiyalo. |
| Ama-Angioprotectors nabaqondisi bokujikeleza: Actovegin | Intravenally kuze kube ngu-10 ml ngosuku - amasonto ama-3. Ngomlomo, thatha ithebhulethi kathathu ngosuku okungenani amaviki ayi-6. | |
| Ukukhululeka kobuhlungu | Ama-antidepressants: amitriptyline. | Ukusuka ku-10 mg nangaphezulu, isifundo okungenani izinyanga ezimbili. |
| Amakhambi endawo: Capsicam, Finalgon. | Faka isicelo ngaphambi kokulala. | |
| Ukuhlaziywa kwesenzo esimaphakathi: I-Catadolone. | I-100-200 mg kathathu ngosuku. | |
| Ama-Opioid: Tramadol. | Njengoba kuyalelwe udokotela kuphela. |
Ngilusizo: Sithumele uhlu lwamavithamini avunyelwe abanesifo sikashukela nokuqhathanisa kwabo lapha - //diabetiya.ru/lechimsya/vitaminy-dlya-diabetikov.html
Amakhambi esintu athandwayo
Akunabufakazi bokuthi impumelelo yokwelashwa kwe-polyneuropathy yesifo sikashukela ngamakhambi esintu, Ngakho-ke, ukwelashwa okunjalo kungabhekwa njengokungeziwe ezindleleni zokwelashwa zendabuko.
Inombolo yeresiphi
Ngokuvamile, ama-compress obumba oluhlaza okotshani noma oluhlaza okwesibhakabhaka asetshenziselwa ukwelapha izinyawo zabanesifo sikashukela. I-100 g yobumba ifakwa ku-slurry ngokufakwa kwe-chamomile (phonsa isikhwama se-chamomile engilazini yamanzi). I-Clay ifakwa esikhunjeni ngendlela efudumele kancane futhi ilinde ukoma ngokuphelele. Izingcindezi ziphindwa nsuku zonke amasonto amabili, zilandelwa ikhefu lesikhathi esifanayo.
Inombolo yeresiphi 2
Iresiphi ethandwayo yokwehlisa ushukela ngemithi yabantu: thatha izingxenye ezilinganayo zezimpande ze-dandelion, amaqabunga obhontshisi, amaqabunga we-nettle ne-galega, hlanganisa. Faka isipuni sale nhlanganisela nsuku zonke ekuseni engilazini yamanzi. Phuza umhluzi phakathi nosuku.
Inombolo yeresiphi 3
I-Clove powder inezinto ezingama-antioxidant. Kwenziwa nge-ginger ne-Cardamom futhi kudakwe ngesifo sikashukela esifana netiye. Ama-Proportions - ikota yesipuni sakho zonke izithako nge mug ngalinye lamanzi.
Ukuvimbela
Ukuvimbela i-polyneuropathy, ngokushesha ngemuva kokutholwa kwesifo sikashukela, kufanele uvuselele ngokuphelele indlela yakho yokuphila: lawula umsoco futhi ulandele ukudla kwe-NU, uqeqeshe, ufunde ukuthi ungabala kanjani ngokunembile umthamo we-insulin, futhi uzilungisele ngokuzimela i-hyperglycemia. Isinxephezelo sikashukela sinciphisa ubungozi bezinkinga ohlelweni lwezinzwa ngesizathu esiyishumi, kungenzeka kuphela ngesikhundla esisebenzayo sesiguli futhi sigcine yonke imiyalo kadokotela.
Izifundo ezijwayelekile zamavithamini (ama-multivitamini noma kuphela iqembu B) ne-lipoic acid, ukuzivocavoca, noma nje indlela yokuphila esebenzayo izoba wusizo ekuvinjelweni kwe-polyneuropathy yeswekile.
Ngenxa yomphumela onobuthi ohlelweni lwezinzwa, akunakuphikwa ukuthi kufanele uphuze utshwala. Ama-polyneuropathies ezinesifo sikashukela notshwala kuleso sakhiwo ayisixaka kakhulu lesi sifo sokwelashwa, izinkinga zanda ngokushesha okukhulu. Ngaphezu kwalokho, ukuphuza ejwayelekile kwenza kube nzima ukufeza i-standardoglycemia.
