Izindlela zokwelapha i-polyneuropathy yesifo sikashukela

Isifo sikashukela i-polyneuropathy siyinkinga enkulu yesifo sikashukela lapho kuthinteka khona izinzwa. Izinguquko ezinzima zenzeka kuzo, ngenxa yokuthi ukuzwela kwemikhawulo ephansi kuphazamiseka.

Imvamisa, i-polyneuropathy yenzeka ngemuva kweminyaka eyi-15-20 yesifo sikashukela, ezimweni ezingavamile, izinguquko zokuqala zitholakala ngemuva kweminyaka engu-5 yalesi sifo. Kuvamile ngendlela efanayo kuhlobo 1 nohlobo 2 lwesifo sikashukela mellitus. Ngokulashwa okuyinkimbinkimbi kokubonakaliswa kwe-polyneuropathy yesifo sikashukela, kungenzeka ukuyeka ngokushesha.

Kungani i-polyneuropathy ikhula nesifo sikashukela

Izibalo zikhombisa ukuthi isifo sikashukela i-polyneuropathy senzeka ku-65% yeziguli ezinesifo sikashukela. Ngokuhamba kwesikhathi, ubungozi bezinguquko ze-pathogenic emiphumeleni yezinzwa zikhuphuka kakhulu. Futhi, ubude bezinkinga buthintwa yizimpawu zomzimba ngamunye, kanye nezinga lesinxephezelo sikashukela. Uma izinga le-glucose lingagcinwa ngaphakathi kwe-8 mmol / l, khona-ke ingozi yokuhlakulela i-polyneuropathy yesifo sikashukela izokwehla kakhulu. Ngokwesilinganiso, kuzoba cishe i-10%.

Ngoba, i-metabolism ejwayelekile iyaphazamiseka, uhlelo lokujikeleza kwegazi alukwazi ukusebenza njengoba kufanele. Ama-carbohydrate awakwazi ukukhishwa ngokujwayelekile emzimbeni, ukwakheka kwemithambo yegazi kuyashintsha, ngenxa yokuthi ijubane le-conduction of nerve impulses lehliswa kakhulu. Ngenxa yalokhu, ukugcwala kwe-hemoglobin ye-glycated egazini kukhuphuka kakhulu, okunganikeli umoya-mpilo ezicutshini. Kulesi simo, ukubhujiswa kwabo kwenzeka kancane kancane. Indlela yokuthuthukiswa kwesifo sikashukela se-polyneuropathy imi kanje:

• Ukwanda kokuhlungwa kweglucose egazini kuholela ekuphawulekeni kwezinqubo ze-redox. Ngenxa yalokhu, inamba enkulu yama-radicals mahhala idedelwa egazini. Zithinta kabi izitho nezitho zomzimba zangaphakathi, ziphazamisa ukusebenza kwazo okujwayelekile.
• Futhi, ngokumelene nesizinda sokuhlanganiswa kwegazi okunjalo, izinqubo ze-autoimmune ziqala ukukhula. Ziphazamisa ukukhula okujwayelekile nokukhula kwamaseli wezinzwa, okuthinta ngokweqile izicubu.
• Ngenxa yokuphazamiseka kwe-metabolic egazini, amazinga kashukela akhuphuka kakhulu. Iqongelela izicubu, ngenxa yokuthi i-osmolarity yesikhala iphazamiseka. Ngenxa yalokhu, ingozi yokuthola ukuvuvukala kwezicubu zezinzwa ikhuphuka, ukuhanjiswa okujwayelekile kuyaphazamiseka.
• Emangqamuzaneni, i-myonositis iyancipha, ngenxa yokuthi izinqubo ze-metabolic emangqamuzaneni zehla kancane. I-phosphoinositis nayo idedelwa egazini, eyehlisa umsebenzi we-metabolism yamandla.

Ukuhlukaniswa

Kuze kube manje, abelapha belapha bahlukanisa izinhlobo ezi-3 zesifo sikashukela se-polyneuropathy. Kubaluleke kakhulu ukunquma uhlobo oluthile lwalesi sifo ukuze ukhethe uhlobo oluningi kakhulu lokwelashwa. Izinhlobo ezilandelayo zihlukaniswa:

• I-symmetric polyneuropathy ejwayelekile yohlobo oluthile lwesilonda lapho izicubu zezinzwa ezibucayi zihlupheka kakhulu. Isimo sezinzwa zemoto futhi siyashintsha, okuholela kwisilonda esiseduze. Ngokuphikisana nesizinda sezinqubo ezinjalo ze-pathogenic, i-hyperglycemic neuropathy iyakhiwa. Lesi simo selashwa ngokwelashwa, sidinga ukubhekwa njalo ngudokotela oholayo.
• I-Autonomic diabetesic polyneuropathy - ebonakala ngokungasebenzi kahle ekusebenzeni kwenqwaba yemicu yezinzwa. Ngenxa yalokhu, izitho zangaphakathi zonke zingathinteka. Kudinga ucwaningo olunemininingwane eminingi, ukwelashwa kuvame ukuba yinde.
• I-Focal diabetesic polyneuropathy iyiqembu lezifo zohlelo lwezinzwa lapho kuvela khona izibonakaliso ezahlukahlukene. Ngokuvamile, i-tunop neuropathy yakhiwa, ivame kakhulu kubantu asebekhulile abanokuphazamiseka kwemizwa. I-Paresthesia nayo ingenzeka - ukwephulwa kokuzwela kokuphela kwezinzwa, ngenxa yokuthi umuntu uzizwa ekhathazekile njalo, ukubindeka nezinye izibonakaliso.

Ukuxilonga

Ukuxilonga i-polyneuropathy yeswekile kulula kakhulu. Ngendlela efanele, kuzokwazi ukunquma lesi sifo ngokoqobo ngosizo lwezifundo eziningana. Kodwa-ke, ukuthola inqubo efanelekile yokwelashwa, udokotela wenza ukuhlolwa okuningana kwesiguli. Kubaluleke kakhulu ukunquma izinga lomonakalo, ubukhulu bawo nobukhulu. Okokuqala, udokotela wenza ukuhlolwa okuzimele, kufaka phakathi ukuhlola okulandelayo:

• Ukubonakala kwemikhawulo ephansi;
• Ukuxinwa kwe-artery yabesifazane;
• Ubuhlungu besikhumba.

Ngemuva kwalokhu, isiguli siya kwi-ultrasound kanye ne-ECG yenhliziyo, ukuhlolwa kwegazi okujwayelekile kwama-lipoprotein ne-cholesterol. Ngemuva kwalokho, udokotela ulinganisa izinga lomfutho wegazi futhi enze ama-aphoyintimenti okuqala okwelashwa kwezidakamizwa. Kamuva, isiguli sithunyelwa ukuhlolwa kwelabhoratri, okubandakanya incazelo yokuthi:

• Ukugxila kwe-glucose;
• Izinga le-hemoglobin le-glycated;
• Izinga le-peptide;
• Ukugxilwa kwe-insulin.

Kulokhu, uchwepheshe uhlola ukuba khona kwe-tendon ekhombisa okuthile, unquma ukuzwela kwesikhumba, athole ukusabela ekuvezelweni amakhaza, unquma ukusabela kokuncenga kokudlidliza. Kungemva kokuphothula zonke izifundo, udokotela azokwazi ukuthola isifo sikashukela se-polyneuropathy. Ziyadingeka ukunquma ukwelashwa okunembe futhi okusebenzayo ngokwengeziwe.

Izindlela zokwelapha

Ngendlela ebanzi nehlanganisiwe, ukuqeda i-polyneuropathy yesifo sikashukela kuzokwenzeka ngokushesha okukhulu. Ukuthatha imithi eminingana kuzokusiza ukubuyisa ukuzwela kwakho kanye nokwenza okuhle kokuphelela kwezinzwa zakho. Ukwelashwa kufaka ukusetshenziswa kwe:

• Ama-Vitamin complexes - asiza ukuthuthukisa ukuqhutshwa kwemicu yezinzwa, ukuvikela imiphumela emibi ye-glucose engapheli. Ukusebenza okuhle kakhulu kuboniswa kuhlangene nokudla okukhethwe kahle.
• I-Alpha-lipoic acid - ivimbela ukunqwabelana koshukela yi-nerve endings, ibuyise amaseli alimele, isebenze ekukhiqizweni kwama-enzyme azuzisayo. Imvamisa, iTiogamma, i-Berlition, iThioctacid, i-Espalipon inqunywe.
• I-Actovegin - ithuluzi elenza ukuthi kukhishwe i-glucose emzimbeni, ibuyise inqubo yokujikeleza kwegazi, evikela amangqamuzana ezinzwa ekufeni.
• Ama-Painkiller - asiza ukuqeda ukungakhululeki okubangelwa yisifo sikashukela se-polyneuropathy. Imvamisa, abakwaKetanov, Ibuprofen, Diclofenac banqunyelwe.
• I-Aldose reductase inhibitors - isiza ukususa ushukela oqoqekile emzimbeni, isiza ukubuyisela umsebenzi we-nerve endings. Izidakamizwa ezidume kakhulu i-Izodibut ne-Epalrestat.
• Ama-antibiotic - anqunywa ezimweni lapho inkambo yesifo sikashukela se-polyneuropathy ihlangana nenkinga yokutheleleka ngegciwane noma ukutheleleka.
• I-Potassium ne-calcium - kubuyisela umsebenzi wesistimu yezinhliziyo, kunciphise ukubanjwa kwenhliziyo nokuqina.

Izinqubo zomzimba

Ukwelashwa okuphumelela kakhudlwana kwe-polyneuropathy yesifo sikashukela, odokotela bavame ukunquma izinqubo zomzimba. Imvamisa, imisinga ye-diadynamic, i-magnetotherapy, i-electrophoresis, ukukhuthaza kukagesi, i-balneotherapy, i-oxygenation, i-acupuncture nokunye okuningi. Ngosizo lwabo, kungenzeka ukuthi kusheshe kusungulwe i-conduction kumaseli wezinzwa. Futhi, ukusheshisa ukululama, ukukhuthaza umgogodla kungenziwa. Izinqubo zomzimba zihlala zinqunywa ngokuhambisana nokwelashwa kwezidakamizwa.

Ukwelashwa kwe-polyneuropathy yeswekile kudinga indlela ehlanganisiwe ehlanganisiwe. Kubaluleke kakhulu ukuthi irejimeni yokwelashwa inqunywa kuphela ngudokotela onolwazi wokuya kudokotela. Uzokukhethela umuthi onjalo ongeke uvumele ukwenzeka kwemiphumela emibi.

Akunconyelwe ukuzindla, okungaholela ezinkingeni ezinkulu. Ngokwesilinganiso, isikhathi sokwelashwa singathatha izinyanga ezimbalwa noma ngaphezulu. Esimweni ngasinye, indlela yomuntu ngamunye ibalulekile.

Isimo sezulu

Ukuqagela kwe-polyneuropathy yesifo sikashukela kuya ngesilinganiso somonakalo. Uma lilincane, liphakeme ithuba lokugcina umsebenzi ojwayelekile wemoto nokuzwela. Ukulindeleka okuhle kungahle kulindeleke uma:

• Ubuhlungu bomlenze buvele ngaphansi kwezinyanga eziyisithupha;
• Izinkinga azikho noma zisesigabeni sokuqala;
• Izinga le-glucose lisezingeni elijwayelekile;
• Imiphumela yesifo sikashukela se-polyneuropathy yavela ngemuva kokuqothuka kwamazinga kashukela.

Kwezinye izimo, inkambo yesifo ingabhekwa njengengathandeki. Akunakwenzeka ukuqeda ngokuphelele i-polyneuropathy yesifo sikashukela, kepha udokotela uzokwenza konke okusemandleni ukumisa ukubonakaliswa kwesifo okungathandeki.

Ngendlela ehlanganisiwe, kuzokwazi ukususa izimpawu zesifo sikashukela se-polyneuropathy futhi ubuyisele indlela ejwayelekile.

Ukuvimbela

Izindlela zokuqala zokuvimbela ukukhula kwesifo sikashukela se-polyneuropathy kumele ziqale ngokushesha ngemuva kokuxilongwa kwesifo sikashukela. Kubaluleke kakhulu ukubheka njalo izinga le-glucose egazini, kumele wenze konke okusemandleni ukuyihlela. Bheka futhi izinga le-hemoglobin yakho ye-glycated. Izindlela zokuvimbela ukuvimbela ukuthuthukiswa kwe-polyneuropathy yesifo sikashukela zifaka:

• Ukudla okunempilo nokunokulinganisela, ongabuyisela amazinga kashukela kujwayelekile;
• Indlela yokuphila esebenzayo, ezemidlalo, ezisiza ukuqeda ukuxinana ezindaweni eziphansi;
• Ukwenza isethi ekhethekile yokuzivocavoca;
• Ukwenza izinqubo zomzimba ezibuyisa ukugeleza kwegazi;
• Ukwenqaba iziphuzo ezidakayo nokubhema;
• Ukwemukelwa kwama-vitamin complexes akhulisa amandla omzimba wokuzivikela;
• Ukunakekelwa okufanele kwemilenze ephansi;
• Ukuvakashela udokotela njalo ukuthola izifo ezisesigabeni sokuqala.

Isifo sikashukela i-polyneuropathy yisifo esenzeka ngokumelene nesizinda sezinqubo zokuwohloka emithanjeni yegazi ngenxa yokwanda koshukela begazi. Ngenxa ye-glucose emzimbeni, isimo semithambo yezinzwa siphazamiseka ngokujwayelekile, yingakho izinguquko zazo zivela.

Abantu abanesifo sikashukela kufanele banake kakhulu isimo sabo sempilo. Lapho kuvela izimpawu zokuqala zokulimala emaphethelweni aphansi, kufanele uthintane nodokotela wakho ngokushesha. Ngokwelashwa okufanele, kungenzeka ukwelapha le-pathology ezinyangeni ezingama-6 - 20.