Ukulimala ohlelweni lwezinzwa (i-neuropathy, i-neuropathy) kungenye yezinkinga ezifika sekwephuzile kwesifo sikashukela esiqubuka ngemuva kwesizinda sokubulawa yindlala kwezicubu. Ukuntuleka kwe-Trophic kuvela ngenxa yokushintshwa kwe-pathological emikhunjini yamandla amancane namakhulu.
I-neuropathy yesifo sikashukela semikhawulo ephansi iyisibonakaliso esivame kakhulu sokuphazamiseka kwe-peripheral innervation. Izimpawu zezinkinga kanye nenkambo yalesi sifo kuncike "kulwazi" lwesifo sikashukela kanye nemvamisa yokuqhuma okungazelelwe kwe-glucose egazini.
Indlela yokuthuthukisa
Isimo se-hyperglycemia, okuyisimo sazo zonke iziguli ezinesifo "esimnandi", okuholela ekushintsheni kwe-pathological ohlelweni lokunikezela ngegazi. Ungqimba lwangaphakathi lwemithambo luhamba ngokufakwa kwe-lipids, i-triglycerides ngokunamathiselwa okwengeziwe kwezakhi zezicubu ezithintekayo, zakha izingqimba ze-atherosranceotic. Ama-plaque anjalo anciphisa i-lumen ye-vascular, ephazamisa inqubo yokondla amaseli nezicubu zomzimba ngegazi.
Ama-Neurons (amangqamuzana ezinzwa adlulisa izisulu ezivela ebuchosheni) nawo aqala ukuhlushwa ukungondleki. Lokhu kudala ushintsho ezimweni zabo ze-anatomical nezomzimba kanye nokusebenza okujwayelekile.
Izimpawu zesifo
I-Polyneuropathy ibonakala ngomonakalo ezinhlizweni ezincane nezinkulu zemizwa nezemoto. Izimpawu nokubonakaliswa okuyinhloko kuxhomeke kuhlobo luni lwemicu yezinzwa yemikhawulo engezansi ethintekile:
- Ukuphazamiseka okuzwelayo - ukuthuthukiswa kombono we-pathological wesenzo sokubanda, ukuvevezela, izinguquko ezimweni lokushisa, ukuphazamiseka kwemizwa ngesimo sokuhlanekezela, ubuhlungu, kuze kufike lapho kwenzeka khona kulawo ma-ejenti ngokuvamile angabangeli buhlungu.
- I-motor pathologies - ukubukeka kokuhlaselwa okukhanyisayo kwemishini yokusebenza kwemisipha, i-atrophy, ukuntuleka okujwayelekile nokubukeka kokukhombisa kwe-pathological, ukuhlangana okungahambi kahle.
- Izinguquko ze-Sensomotor (ukulimala okuhlanganisiwe kwezinzwa nezinzwa zemoto) - ukuzindla, izinhlungu, ukuncipha kokuzwela okuphathelene nobuthakathaka, ubuthakathaka bemisipha, i-gait ephazamisekile, i-perceptual pathology.
Ukunqotshwa kwe-innervation yezinyawo nemilenze ephansi - ukubonakaliswa kokuqala kwe-neuropathy
Izici zobuhlungu
Ubuhlungu obukhona lapho imithambo yezinzwa ithinteka kunemvelo ehlukile:
- ukudubula
- ukudinwa
- evutha
- ukubabaza
- jerking.
Njengoba ama-capillaries ezinyawo nemilenze ephansi ethinteka ngokuyinhloko, izigaba zokuqala ze-neuropathy zihambisana nemizwa ebuhlungu ezindaweni ezifanayo. Kamuva, imizwa ye-pathological "iyagcwala" kanye nezinguquko ezifanayo ezindongeni zemithambo yemithambo yegazi emikhulu.
Izibonakaliso ezingeziwe
Iziguli zibuye zikhononde ngalezi zimpawu zomtholampilo ezilandelayo:
Unganikela kanjani ngegazi ushukela ngesikhathi sokukhulelwa- izinyawo ezibandayo;
- ukukhuphuka kokuqina;
- ukujuluka ngokweqile kwezinyawo noma, ngakolunye uhlangothi, ukoma ngokweqile;
- ukucwilisa isikhumba;
- ukwakheka kwamanxeba, izilonda, ukumemeza;
- ukuqina kwamapuleti ezipikili;
- ukukhubazeka kwezinyawo.
Ukubonakaliswa okujwayelekile ukutheleleka kwezilonda nezilonda ezakhekile. Ngenxa yokwephula uzwela, isiguli kungenzeka singabazi ubukhona babo. Kukhona okungeziwe kwe-microflora yamagciwane ngentuthuko eyengeziwe yokuvuvukala nokuqina.
Izindlela Zokuxilonga
Ngaphezu kwe-endocrinologist, isiguli sidinga ukubonana nodokotela ohlinzayo nodokotela oyi-neurologist. Ukuhlolwa okubukwayo kwamaphethelo aphansi kuyenziwa, kuhlolwa ubukhona bezindlela zokwakheka komhlaba, isikhumba esomile, kanye nesimo sentambo yezinwele. Bheka ukuthi ukhona yini ishayela emithanjeni emikhulu, okuwubufakazi bokuqina kwabo. Umfutho wegazi ulinganiswa.
Ukuhlolwa ngokomzimba kwamaphethelo aphansi - isigaba sokuqala sokuxilongwa
Ukuhlolwa kwelebhu kufaka:
- izinga loshukela;
- i-glycosylated hemoglobin;
- I-peptide;
- izinkomba zokulinganisa ze-insulin;
- i-biochemistry yegazi.
Ukuhlolwa kwe-Neurological
Uchwepheshe unquma ubukhona bekhombisa bezinto ezingokomzimba kanye ne-pathological, uhlola umuzwa we-tactile nge-monofilament kanye nekotini. Umuzwa we-vibration uyahlolwa kuwo womabili umkhawulo asezansi usebenzisa amafolokogi. Sebenzisa izinto ezifudumele nezibandayo, setha izinga lokuzwela ushintsho lokushisa.
Okulandelayo, izindlela zokuxilonga ezithize zisetshenziselwa ukucacisa ukuthi kungenzeka ukuthi kudluliswe iziphikiso zezinzwa futhi kuhlolwe isimo sokugcinwa endaweni ethile yomlenze:
- i-electroneuromyography;
- wakhipha amandla.
Izimiso Zokwelapha
Ukwelashwa kwe-neuropathy yesifo sikashukela kuqala ngokubukeza ukusetshenziswa kwezidakamizwa ukulungisa amazinga kashukela egazini. Uma imali esetshenzisiwe ingaphumeleli, basebenzisa noma bengezelela lolu hlelo neminye imithi. Basebenzisa amalungiselelo e-insulin nabamele ama-hypoglycemic (Metformin, Diabeteson, Glibenclamide, Glurenorm, Amaryl).
Imikhiqizo ye-antioxidant
Izidakamizwa zokukhetha ze-polyneuropathy ezinoshukela zikhipha i-thioctic acid. Lawa ma-ejenti athela ukunqwabelana emithanjeni yezinzwa, amukele ama-radicals mahhala, futhi athuthukise i-trophism ye-peripheral system system.
| Igama lezidakamizwa | Izici zohlelo lokusebenza | Imikhombandlela |
| I-Berlition | Kutholakala kumathebulethi, kumakhompiyutha, kuzixazululo zokulawulwa kwabazali. Ngokuhambisana nokujwayelekile kwamazinga kashukela, umuthi uvuselela ukubuyiselwa kwezakhiwo ezihlangene zomsebenzi wegazi nesibindi. | Ayibekelwe izingane, ngesikhathi sokukhulelwa nokukhulelwa |
| I-Tiogamm | Ngendlela yamathebulethi nesixazululo sokufakwa. Inkambo yokwelashwa ifinyelela ezinyangeni ezi-2 ezinamandla okuphinda futhi ezinyangeni ezi-2-3 | Imiphumela emibi ingafaka ukusabela komzimba, inguquko, ukunambitheka, ukunyuka kwengcindezi ye-intracranial |
| Neuro lipone | Kutholakala emaphaketheni. Ibandakanya ukulawulwa kwe-cholesterol, ukuvimbela ukukhula kwenqubo ye-atherosclerotic | Ukwamukela okungenzeka ngesikhathi sokukhulelwa ezimweni ezihlukile |
| I-Tiolepta | Kutholakala ngesimo samathebulethi nesixazululo. Ngcono isenzo se-insulin, asisetshenziswa ngasikhathi sinye nge-iron, i-magnesium, imikhiqizo yobisi | Kuyenqatshelwa ngesikhathi sokukhulelwa, ukukhipha isisu. Akuhambisani notshwala, njengoba i-ethanol inciphisa umphumela wento esebenzayo |
Isimiso se-Metabolic
Ukulungiswa kwamavithamini kuyindlela yokukhetha ukubuyisa inqubo yokudluliselwa kwe-nerve impulses kanye nokusebenza okujwayelekile kohlelo lwezinzwa. IPyridoxine ivimbela ukunqwabelana kwama-radicals wamahhala egazini futhi ikhuthaza ukwenziwa kwezinto ezithile ezithuthukisa izinga lokudluliselwa kwezifiso.
ICyanocobalamin ithuthukisa i-trophic neurons, inethonya elincane le-analgesic, futhi ibuyisa ukudluliswa kwezihibe ngokuhambisana nemicu yezinzwa. I-Thiamine inomphumela ofanayo. Ukuhlanganiswa kwamavithamini amathathu kungakhuthaza ukusebenza komunye nomunye.
Ezinye izindlela ezilawula izinqubo ze-metabolic emzimbeni yilezi:
- I-Actovegin,
- I-Pentoxifylline
- Izimbali
- Trental.
I-Trental - i-vasodilator ethuthukisa izicubu ze-trophic kanye nezinqubo ze-metabolic
Ukuphathwa kobuhlungu
Ubuhlungu bungenye yalezo zimpawu ezidinga isixazululo sokwelashwa ngokushesha. Yisifo esibuhlungu esiholela ekubonakaleni kokuqwasha, ukudangala, ulaka, ukungaxineki kweziguli. Ama-analgesics ajwayelekile nezidakamizwa ezilwa nokuvuvukala azikwazi ukuyeka izinhlungu ngesikhathi se-neuropathy nesifo sikashukela, kepha kunezimo ezaziwayo zokuqokwa kwazo.
Ochwepheshe bakhetha la maqembu alandelayo emithi:
- Ama-antidepressants - i-amitriptyline, imipramine, i-paroxetine. Qala ukuthatha imithamo emincane, kancane kancane ukhula ube kunesidingo.
- Ama-Anticonvulsants - Phenytoin, Carbamazepine, Primidone. Qala ngemithamo ephezulu, kancane kancane unciphise inani lomuthi.
- Ama-anesthetics endawo ngendlela yezicelo - iLidocaine, Novocaine. Kusetshenziswe kaningi, kuhlanganiswe namanye amaqembu.
- I-Antiarrhythmic - iMexipeine. Kusetshenzisiwe akuvamile.
- Ama-Opioids - i-Fentanyl, i-Promedol, i-Nalbuphine. Ungahlanganiswa nama-analgesics alula nokungasebenzi kwe-monotherapy.
- Izithasazi - Finalgon, Capsicum. Izindlela ziyakwazi ukunciphisa ukudonsa kwezinhlungu lapho zisetshenziswa ngokuphezulu.
Ezinye izindlela zokwelapha
Phakathi kwezindlela zokwakha umzimba, i-acupuncture, ukusetshenziswa kwezibuthe ne-laser, i-electrophoresis, i-hyperbaric oxygenation, i-balneotherapy, ukukhuthaza kukagesi okuguqukayo sekutholwe ukuthandwa okubanzi.
Ukwelashwa ngemithi yesintu kukhombisa ukusebenza kuphela njengengxenye yokwelashwa okuhlangene. Izindunduma ezenziwa ngofishi noma isiphuzo sokwelapha ezisetshenziswa. Ubumba oluhlaza okwesibhakabhaka noma oluhlaza okotshani, othengwe ekhemisi, ngenani lama-20 g lithululelwa ½ inkomishi yamanzi futhi ihlukaniswe ngemithamo emithathu. Phuza imizuzu engama-20 ngaphambi kokudla.
Sebenzisa ubumba oluhlaza okwesibhakabhaka kuyindlela eyisimangaliso yokuvuselela ukwabiwa kwezindlu
Izindlela zokupheka ezisebenzayo:
- Gaya izinsuku ku-blender. Thatha isisindo somphumela we-2 tbsp. kathathu ngosuku emva kokudla inyanga. Ungahlanganiswa nobisi lwembuzi.
- Ukuhamba esihlabathini esishisayo nsuku zonke.
- Lungiselela ukumnika kwezimbali ze-calendula bese uthatha inkomishi ye-½ kathathu ngosuku. Isikhathi sesifundo asinamkhawulo futhi singakwazi ukuqhubeka kuze kube ukubuyiselwa kwemisebenzi elahlekile.
Isiguli ngasinye ngokwaso singazikhethela ukuthi iyiphi indlela yokwelashwa efanelekayo: ezinye izindlela zokupheka, ukuqinisa umzimba noma ukuthatha imishanguzo. Into ebalulekile okufanele uyikhumbule ukuthi konke kumele kwenzeke ngaphansi kokubhekwa njalo kukachwepheshe ofanelekayo. Ukuxilongwa kusenesikhathi nokuhambisana nezincomo kuzogwema ukuthuthukiswa kwezinkinga ezinkulu kakhulu nokubuyisa imisebenzi elahlekile.
