I-neuropathy yesifo sikashukela - izimpawu, ukwelashwa nokuvimbela lesi sifo

Isifo sikashukela sesifo sikashukela siwumphumela omubi wesifo sikashukela, esithinta isimo sohlelo lwezinzwa. Kubangela ukubhujiswa okusheshayo kwemicu yezinzwa ezingxenyeni ezisondelene nethambo, kuphazamisa ukuhanjiswa kwezifiso kanye nezinqubo. Kunzima ukubona izimpawu ze-neuropathy yesifo sikashukela, ngoba umuntu ngamunye unale ndlela yokusebenza komuntu ngamunye.

Esikhathini esiningi, abantu bakhala ngokulahlekelwa umuzwa, ukukhubazeka, ubuhlungu obukhulu emilenzeni. Ngenxa yokunganakwa isikhathi eside kwalesi simo, unyawo lwesifo sikashukela lungakhula. Ngezigaba ezithuthukile, leyo nkinga idinga ukunqunyelwa okuphelele noma okuyingxenye kwesitho.

Ukuhlukaniswa

Isifo sikashukela yisifo esijwayelekile esithinta abantu abayizigidi ezingama-330. Ngenxa yalokhu, abaningi babo babhekene ne-neuropathy yesifo sikashukela, esinciphisa kakhulu izinga lempilo. Izibalo zibonisa ukuthi i-neuropathy yenzeka ku-70-90% yabantu abanesifo sikashukela ngemuva kweminyaka engu-10-15 yokugula.

Ochwepheshe banamuhla bahlukanisa i-neuropathy yesifo sikashukela kulezi zinhlobo ezilandelayo:

• I-sensorimotor engapheli - izimpawu zesilonda zenzeka ekuphumuleni, kaningi ebusuku. Ukwehla kwezwela kuhambisana nokwakhiwa konyawo lukaCharcot.
• Umuzwa we-acute - ubonakala njenge-hyperesthesia, i-allodynia, i-dysesthesia, izinhlungu ezinzima, ukunciphisa isisindo, kanye nokuthuthukiswa kwezindawo ezicindezelayo.
• I-Hyperglycemic - ijubane lokusakazwa kokufakwa kwezinzwa emithanjeni liyaphazamiseka, isimo esivamile sesiguli siba sibi.
• I-Autonomous - Ukwephulwa okuqhubekayo kwakhiwa ekusebenzeni kwezinhlelo ngazinye. Le ndlela ye-neuropathy yesifo sikashukela ibonakala ngokufa okuphezulu.
• Ukugxila - kubonakaliswa yizinhlungu emunweni, okuthi ekugcineni kusabalale ehlombe nasengalweni.
• I-Multifocal - ukusakazwa kwegazi esibayeni sezipikili kwakhiwa, ngenxa yokuthi kwenzeka kanjani i-atrophy.
• I-Cranial iyindlela eyivelakancane yesifo sikashukela sesifo sikashukela, esitholakala ikakhulu kwiziguli esezikhulile.
• I-amyotrophy yesifo sikashukela yisifo esenzeka ngohlobo 2 sikashukela esineminyaka engama-50-60. Kubonakaliswa yi-atrophy yemisipha yamathanga nobuhlungu obukhulu.
• Isifo sikashukela i-radiculoneuropathy siyinkinga evamile ye-neuropathy eyenzeka kubantu asebekhulile. Ubuhlungu butholakala endaweni ku-peritoneum noma esifubeni. Ukujwayelekile nje koshukela wegazi okungasenza ngcono isimo.
• I-polyneuropathy engapheli yokuvuvukala - izibonakalisa ngobuhlungu obukhulu emuva, okunzima ukuyelapha. Kudingeka ukusetshenziswa kwe-corticosteroids ne-plasmapheresis.

Izizathu

I-neuropathy yesifo sikashukela ikhula ngokumelene nesizinda sokuphazamiseka kwe-metabolic. Lapha isici esinqumayo yisimo semithambo yegazi. Ngenxa yokuqukethwe okuphezulu kweshukela egazini, aqala ukuwohloka, ukuqubuka kwegazi kungenzeka. Ngenxa yokuphazamiseka okuningi kwe-metabolic, ukubhujiswa kwezicubu kohlelo lwezinzwa kwenzeka, okugcina kuholele ekuvuvukeni kwezicubu nokwephulwa kokusebenza kwayo. Lokhu kuthuthukisa izinqubo ze-oxidative, ezibangela i-atrophy yemicu yezinzwa.

Ngenxa yalokhu, izitho ziyalahlekelwa umuzwa wazo, zingaqala ukuzilimaza futhi zikindiki.

Isisindo somzimba ngokweqile, umfutho wegazi ophakeme, ukuntuleka kokulawulwa ushukela, ukuphazamiseka kwe-metabolic, kanye notshwala nokubhema kungasheshisa ukwakhiwa kwezinqubo zokuwohloka.

Izimpawu

Ukubona izimpawu ze-neuropathy yesifo sikashukela kunzima kakhulu. Lesi simo isikhathi eside singazivezi njengezimpawu ezihlukile. Kaningi, ukuphazamiseka kokuqala kohlelo lwezinzwa kwenzeka ngemuva kweminyaka eyi-15 ukuya kwengama-20 yokuphila nesifo sikashukela. Inkambo yalesi sifo iyinkimbinkimbi yokuthi iziguli isikhathi eside azikuboni ukwephulwa okunjalo, ngenxa yokuthi i-pathology iyaqhubeka ukuthuthuka. Izimpawu zokuqala zesifo sikashukela ezinesifo sikashukela zingabonakala ngo:

• Ubuthakathaka bemisipha, izinhlungu ngemuva kokuzivocavoca ukukhanya;
• Ukuhamba kwamathumbu okungaphelelanga nokungapheli kokuchama;
• Ukuhamba okungalungile kwe-eyeballs;
• Ukwebeka isikhumba entanyeni;
• Ukuphazamiseka okujwayelekile ekusebenzeni kwendlela yokugaya ukudla;
• Ukulimala kwekhanda langasese nesiyezi;
• Ukuphefumula njalo kwamalungu omzimba;
• Ukungasebenzi ngocansi: emadodeni - ukungabi namandla, kwabesifazane - kunciphise i-libido;
• Ukwehla okubonakalayo okwehlisiwe;
• Ubunzima obukhulu bokugwinya.

Futhi ungathola i-neuropathy yesifo sikashukela ngokubonakaliswa okuningi okubonakalayo:

• Ukusika kobuhlungu emilenzeni;
• I-Hypersensitivity;
• Umuzwa ovuthayo emilenzeni;
• Ukuphaphama njalo emilenzeni ngaphambi kokulala.

I-neuropathy yesifo sikashukela nayo ingaqashelwa umuzwa wokuqina kwesiphetho: ngezikhathi ezithile balahlekelwa ngokuphelele umuzwa wabo, futhi bangalawulwa kabi. Esimweni sokungazinaki isikhathi eside senkinga, umuntu uqala i-tis necrosis, ethembisa izinkinga ezinkulu ngokuzayo. Uma ubona okungenani izimpawu ezimbalwa zesifo sikashukela se-neuropathy, zama ukubona udokotela ngokushesha. Uma uqala ukwelapha lesi sifo kusigaba sokuqala, ukwephulwa kungaqedwa kalula.

Ukuxilonga

Kunzima impela ukuthola i-neuropathy yesifo sikashukela ezigabeni zokuqala. Isifo esinjalo isikhathi eside kungenzeka singakhombisi zimpawu. Ngenxa yalokhu, umuntu ulahlekelwa isikhathi esiyigugu ngesikhathi angakwazi ukubuyisela ngaso umsebenzi wezicubu zakhe zemizwa. Ukuxilongwa kwe-neuropathy yesifo sikashukela kungenzeka kuphela ngosizo lwezindlela zanamuhla zokucwaninga.

Okokuqala, uchwepheshe wenza ukuhlolwa okubonakalayo kwendawo ethintekile. Kubalulekile kuye ukuthi anqume ukudonsela kwemithambo yegazi, ukubukeka kwesilonda, ukukala izinga lomfutho wegazi, ukuqhuba i-ECG kanye ne-ultrasound yenhliziyo, ukunquma inani lamafutha ne-cholesterol egazini. Lokhu kwenzeka, isiguli sithunyelwa ezindleleni zocwaningo lwelebhu, njenge:

• Ukuhlolwa kweglucose yegazi;
• Ukuhlolwa kwegazi okujwayelekile;
• Ukuhlolwa kwegazi kwe-biochemical;
• I-Urinalysis;
• Ukutholwa kwe-C-peptide egazini;
• Ukunqunywa kokuhlushwa kwe-insulin egazini.

Ngemuva kokuphumelela kuzo zonke izivivinyo, udinga ukuya kudokotela wezinzwa. Ekwamukeleni, kufanele enze ukuhlolwa okusebenzayo, okubandakanya:

1. Ukuhlolwa kwe-tendon ekhombisa;
2. Ukuhlolwa kokuqina komzimba osesimweni seRomberg - kuyadingeka esifundweni sokuzwela okujulile kokuzwela;
3. Ukunqunywa kokuzwela usebenzisa i-monofilament;
4. Ukunqunywa kokuzwela kokudlidliza usebenzisa imfoloko yokuqondisa;
5. Incazelo yokwephulwa kokuzwela kokushisa ngokusebenzisa izinto ezibandayo nezifudumele.

Uma uchwepheshe ebona ukuthi kukhona ngempela ukuphambuka ekusebenzeni kohlelo lwakho lwezinzwa, uzokuthumela ukuthi uhlolwe ngensimbi. Kubandakanya ukuskena kwe-Doppler kwemithambo yegazi, engasetshenziswa ukuthola ukuqothuka.

Futhi, isiguli siya ku-electroneuromyography, evumela ukunquma amandla kagesi wezicubu. Kungemva nje kokwenza isifundo esinwetshiwe lapho isiguli singatholakala nesifo sikashukela se-diabetes.

Ukuxilongwa okuthuthukile kusiza ukunquma ukwelashwa okusebenzayo futhi okufanelekile.

Ingozi enkulu

Ngokuhamba kwesikhathi, abantu abaningi abanesifo sikashukela bazobhekana nezinkinga ezifana nesifo sikashukela se-neuropathy yemikhawulo ephezulu noma ephansi. Isifo esinjalo sibonisa izimpawu eziningi ezilimaza kakhulu impilo yabantu. Kuboniswa inkambo ehamba kancane eqhubekayo, ngokuhamba kwesikhathi, umuntu angakwazi ngokuphelele ukulahlekelwa amandla akhe okusebenza.

Ezimweni eziningi, i-neuropathy yesifo sikashukela ivela ngemuva kweminyaka engamashumi eminyaka yokuphila nesifo sikashukela. Ngokuvamile lokhu kwenzeka kubantu abanesifo sikashukela, abanolwazi olungaphezu kweminyaka engama-20. Kodwa-ke, uma ingekho indlela efanelekayo yokwelashwa kwalesi sifo, izinkinga zingenzeka nakubantu abahlaselwa isifo sikashukela iminyaka engaba mi-5.

Ekuqaleni nje kokukhula kwe-neuropathy yesifo sikashukela ngaphansi kwethonya lokugcwala okukhulu kweglucose egazini, ukubhujiswa kwezicubu zemizwa ye-peripheral nerve. Konke lokhu akuzivezi kunoma yiziphi izimpawu ezihlukile ezigabeni zokuqala. Ngokuhamba kwesikhathi, umuntu uqaphela ukuthi umsebenzi wezimoto zezithupha zakhe uncishiswe kakhulu, emva kwalokho bangalahlekelwa ngokuphelele ukuzwela.

Futhi, ngenxa yesifo sikashukela se-neuropathy, ukwehla noma ukungabikho kokuqonda kokucasulwa onyaweni kukhula. Umuntu ubhekana nobunzima obukhulu lapho ehamba, njengoba ezizwa engeluhle kahle ngezingalo zakhe. Lokhu kudala ukulimala okukhulu nomonakalo.

Ukwelashwa Kwesifo Sikashukela Sikashukela

Ukwelashwa kwe-neuropathy yesifo sikashukela kwenziwa ngokuphelele futhi ngaphansi kokuqondisa kukadokotela ohambelayo. Kubaluleke kakhulu ukwenza ngokungaguquki futhi ulandele yonke imiyalo uchwepheshe ofanelekile. Ukulungisa ushukela wegazi ngokwejwayelekile, okuthinta kabi ukusebenza kohlelo lokujikeleza, izidakamizwa ze-antidiabetic noma i-insulin zibekiwe. Kubaluleke kakhulu ukubheka njalo izinga le-glucose. Kuyadingeka futhi ukulandela ukudla okusiza ngokwejwayelekile imetabolism.

Ukususa i-neuropathy yesifo sikashukela, kubaluleke kakhulu ukuphuza amavithamini eqembu B. Bayakuvumela ukuthi usungule ukuqhuba kahle kwemicu yezinzwa. Akubalulekanga kangako ekwelashweni kwezidakamizwa ama-antioxidants nama-macronutrients. Uma umuntu enenkinga yezinhlungu ezibizwa ngokuthi yi-pain syndrome, anikezwa ama-analgesics kuye. Lapho kuvela ukuquleka okukholisayo, kunqunywa ama-anticonvulsants.

Ngokuvamile, ukwelashwa kwalokhu kuphazamiseka kunikezwa ukwelashwa kokuzivocavoca, ukushukumisa kagesi, i-magnetotherapy, i-acupuncture ne-laser therapy. Kubaluleke kakhulu futhi futhi ukunakekela isimo sezinyawo zakho eziphansi: gqoka kuphela izicathulo ezisezingeni eliphakeme, geza izinyawo zakho njalo, wenze nezinyawo ezikhethekile.

Ukuvimbela

Ukuvimbela ukuthuthukiswa kwe-neuropathy yesifo sikashukela, udinga ukwenza konke okusemandleni ukuguqula amazinga kashukela egazini abe nawo. Izindlela zokuvikela ezibaluleke kakhulu zibandakanya:

• Ukugcina indlela yokuphila esebenzayo - kuvimbela ukuzuma;
• Ukuhambisana nokudla okwenzelwe ngokukhethekile - kuvamisa izinga le-glucose namanye amapharamitha egazini;
• Ukuhambisana nokubusa kosuku - kuthinta kahle amandla omzimba;
• Ukuyeka ukubhema nokuphuza utshwala;
• Yehla ngokweqile - amakhilogremu angeziwe enza umsebenzi wesistimu yokujikeleza kwegazi, wandise ingcindezi;
• Ukusetshenziswa kwayo yonke imithi ebekwe udokotela;
• Ukuhlelwa ngokweqile kwengcindezi yegazi - kuthinta kabi isimo semithambo yegazi;
• Ukuhlolwa njalo ngchwepheshe okwelapha - kukuvumela ukuthi unqume noma yikuphi ukuphambuka ekusebenzeni komzimba ezigabeni zokuqala.

Ukuze ulondoloze impilo yezinyawo zakho eziphansi, ungenza izivivinyo ezikhethekile. Umgomo wayo ukuthuthukisa ukujikeleza kwegazi futhi uqede ukuxinana. Kunezinhlobo eziningana zezakhiwo ezihlukene udokotela wakho azokusiza uzikhethe. Futhi sondela ekukhetheni izicathulo, kufanele kube yi-orthopedic futhi ihlale yenziwe ngezinto zemvelo. Qinisekisa ukuthi awukho imifantu noma amanxeba avele ebusweni besikhumba.