Ukwelashwa kwe-neuropathy yesifo sikashukela ngezidakamizwa nangezinye izindlela

Isifo sikashukela i-mellitus, ngenxa yokushintsha okungaguquki kwenani likashukela egazini, kuholela kulimaza amasistimu, izitho zomzimba kanye nezinkinga ezinkulu.

Enye yalezi zinkinga i-neuropathy yesifo sikashukela. Lokhu kungumbala obalulekile weminyango yohlelo lwezinzwa oluzungezile, okuholela ekulahlekelweni kokuzwela, ukuphazamiseka kokungasebenzi kahle kwezitho zangasese kanye nokuzibusa.

Kwenzekani ohlelweni lwezinzwa kushukela?

Uhlelo lwezinzwa lomzimba luqukethe iminyango eminingana:

• maphakathi - kubandakanya iminyango efana nentambo yomgogodla nobuchopho;
• i-peripheral iyinethiwekhi yezinqubo ze-nerve ezigobhoza emzimbeni wonke kusuka ohlelweni oluphakathi.

Ngokomsebenzi osebenzayo, uhlelo lwezinzwa luhlukaniswe kwi-autonomic, elawula umsebenzi wezitho zangaphakathi nezindlala, kanye nesomatic, elawula umsebenzi wezicubu zohlelo lwe-musculoskeletal.

Izinguquko emazingeni kashukela egazini zithinta imicu yezinzwa. Ukuqoqeka okunganele kwe-glucose kuholela ekungondlekeni kwezinqubo zezinzwa, futhi izinga eliphakeme lihambisana nokwakhiwa kwama-radicals mahhala, okubangela i-cell oxidation.

Ushukela omningi umthelela ekuqongeleleni ama-carbohydrate ezicutshini, ngenxa yalokho amanzi namaminerali angena kumaseli, wona, abangela ukuvuvukala kwezinzwa.

Uma isifo sikashukela sihambisana nomfutho wegazi ophakeme, kukhona ukuncipha kwemikhumbi enikeza ubuchopho bese amangqamuzana efa ngaphansi kwethonya lokudalwa komoya-mpilo.

Izici ezilandelayo zingathinta ukukhula kwe-neuropathy:

• umfutho wegazi ophakeme
• umlutha we-nicotine;
• isisindo ngokweqile;
• i-hyperlipidemia
• isikhathi sesifo sikashukela;
• ukuntuleka kokulungiswa ngokwanda ushukela wegazi;
• isici sobudala.

Izimpawu ze-Diabetesic Neuropathy

Ukuqala komonakalo ohlelweni lwezinzwa kuvezwa ukungabikho kwezimpawu ezinzima. Amaseli wokufa athathelwa indawo anempilo; isiguli asizizwa sishintsha. Izimpawu zokuqala ziyabonakala ezinyangeni ezimbalwa emva kokuqala kwesifo futhi zithinte, okokuqala, izitho zomzimba ezingenhla nezingaphansi. Izimpawu zivele ngokuya ngendawo yezilonda ezibalulekile ohlelweni lwezinzwa kanye nezinga lokuqhubeka kwezifo.

Kunamazinga amaningana omonakalo:

1. I-Subclinical neuropathy.
2. I-Clinical neuropathy ihlukaniswe izigaba ezintathu:
   • Ubuhlungu obungamahlalakhona;
   • Ubuhlungu obukhulu;
   • isigaba esingezinhlungu, esihambisana nokulahlekelwa ukuzwela noma ukuncipha kwaso.
3. Izinkinga ezifika ngemuva kwesikhathi

Ukuzwela

Ukubhujiswa kwezinzwa ezilawula ukuzwela kwesikhumba semilenze nobuso kuboniswa yizimpawu ezinjalo:

1. Kukhuliswa imizwa yokuthambekela ekuphenduleni. Kukhona umuzwa ovuthayo nokuhebeza esikhunjeni. Izikhathi zobuhlungu obukhulu ziyabonakala futhi "goosebumps" kuzwakala.
2. Ukusabela kokuthinta isikhumba kubonakala kubuhlungu obukhali.
3. Into eyodwa ecasulayo idala ukuphendula okuningi kwe-olildory, i-auditory, nokunambitheka kwama-buds.
4. Ukuzwela kuyancipha noma kulahleke. Kunomuzwa ophikelelayo wokuthi amagilavu ​​noma amasokisi asezandleni nasezinyaweni.

Imoto

Nge-motor neuropathy, izinzwa zemoto ezibhekene nokuqunjelwa kwemisipha ziyathinteka:

• umuzwa wemilenze "ye-cottony" nemisipha ebuthakathaka kwenze kube nzima ukunyakaza;
• ukuxhumeka kukhubazekile ngenxa yomonakalo wezinto ezisetshenziswayo ze-vestibular;
• ukuhlangana kwamalunga kuphelelwa ukuhamba, i-edema ne-curvature yazo kuyabonakala, umsebenzi wokuguquguquka nokwelulwa kweminwe uyavinjwa.

Ukuhlinzekwa kwegazi okungahambi kahle kuholela ekomeni ukuphuma nasekulandeleni okulandelayo kwezicubu zamathambo.

I-Standalone

I-Autonomic neuropathy ithinta uhlelo lwe-autonomic, olubangela ukuwohloka emsebenzini wezitho zangaphakathi:

• ukugwinya;
• i-belching, ukuhlanza, ukushisa kwenhliziyo kwenzeka;
• ukugaya kanye nokusebenza kwamathumbu kuyaphazamiseka, okuhambisana nokuhudula kaningi noma ukuqunjelwa;
• imvamisa yokuchama ukuchama incishiswa kakhulu, kunokungapheleli kokuphelele kokulimala, okuholela ekungeneni kwamagciwane kanye nezinqubo zokuvuvukala kuwo;
• ukungasebenzi kahle kwe-erectile kuyaphawulwa;
• i-palpitations, izimpawu ze-arrhythmia ziyabonakala;
• ukuzama ukuthatha isikhundla sibheke phezulu kuhambisana nokwehla okubukhali kwengcindezi nobuthakathaka;
• ukujuluka okwandayo kubuye kuthathelwe indawo ukukhiqizwa okunganele kwezithukuthuku, okuholela esikhunjeni esomile;
• ukuncishiswa kwesikhumba sobuso kanye nokuvela kwamabala amabala kuyaphawulwa;
• umsebenzi wokubuka ukhubazekile.

Izindlela Zokuxilonga

Ngenqubo yokuxilongwa, ochwepheshe abancane bayabandakanyeka ekubonisaneni - isazi sezinhliziyo, isazi sezinzwa, i-podologist, i-gynecologist, i-andrologist, i-gastroenterologist, i-orthopedist:

• kwenziwa isifundo ngokuqukethwe kwe-insulin egaziniushukela kanye ne-hemoglobin;
• izikhalazo zesiguli kanye nomlando wezokwelapha kuyahlolwa;
• umfutho wegazi kanye nesimo sesikhumba sezikhumba (ukuba khona kwamabele, amanxeba, ukutheleleka ngefungal) kuyahlolwa.

Isimo sezinhlelo zenhliziyo, somchamo, wezinzwa nokugaya ukudla sinqunywa kusetshenziswa izifundo ezifana nalezi:

• urinalysis;
• isifundo nge-cholesterol yegazi nama-lipoprotein;
• I-Ultrasound yezinso kanye nesinye;
• i-urography;
• i-cystography;
• x-ray yesisu;
• I-Ultrasound yesisu;
• I-Endoscopy;
• ukuhlolwa kwenhliziyo;
• i-electrocardiogram;
• I-Echocardiography;
• i-electromyography;
• electroneurography.

Kuhlaziywa ama-Reflexes bese kwenziwa izivivinyo zokuzwela:

1. Ukudlidliza - hlola usebenzisa imfoloko. Imfoloko yefoloko yensimbi efana nokufakelwa insimbi inamathiselwe emlenzeni futhi igasele emikhawulweni yensimbi. Uma isiguli singazizwa sidlidliza, lokhu kufakazela ukuzwela okunciphile.
2. I-Tactile - chaza i-monofilament efana nepensela enentambo yokudoba. Cindezela ngamandla esikhunjeni. Ngemuva kokuthwalwa esikhunjeni ezindaweni ezihlukile zezitho ngebhola loboya bekotini. Isiguli esivalwe ngamehlo sinquma ukuthi udokotela uthinte kuphi uboya bekotini.
3. Ukuzwela ekushintsheni kwezinga lokushisa kuhlolwa ngokuthinta isikhumba ikakhulu ngensimbi noma ngeplastiki.
4. Impendulo ebuhlungwini ihlolwe nge-toothpick noma ngenalithi ephukile. Uma kungabuhlungu obuzwayo, kepha kuthintwa kuphela, khona-ke umsebenzi wama-nerve receptors ukhubazekile.
5. Ukuhlolwa kwe-knee Reflex kwenziwa ngokushaya i-malleus ngaphansi kwe-patella. Unyawo kufanele lusonteke. Uma lokhu kungenzeki, khona-ke izinzwa zilimele.
6. Lapho ubheka i-Achilles Reflex, umuntu ushaya i-tendon emadolweni esiguli. Unyawo olunempilo luyagoba ngokushaywa.

Kwenziwe ngokuhlangana inqubo ye-electroneurography ne-electromyography. Lezi zifundo zinquma ukuphendula kwezinzwa ekuthonyweni kukagesi okuzayo. Ama-electrodes afakwa ezicutshini bese kuthulwa okokuncipha okuncane kwamandla kagesi, bese izinzwa ezinamathiselwe esikhumbeni zifunde ijubane lokushayela kanye nokusabela kwemicu yemisipha.

I-neuropathy yesifo sikashukela iqinisekiswa uma:

• ukudlula kokuthatheka kudinga isikhathi esithe xaxa;
• Akuwona wonke imisipha elawulwa wukhula lwenzwa elawula isiginali.

Ezimweni ezinzima, i-biopsy yamaseli esikhumba ne-nerve nerve isetshenziselwa ukuxilongwa.

Ukwelashwa kwezifo

Izinhloso eziphambili zokwelapha i-neuropathy yilezi:

• ukwehlisa kanye nokuzinza kokugxilisa ushukela wegazi;
• ukususwa kokuboniswa kobuhlungu;
• ukuvusa amandla okuvuselela kabusha kwamaseli ezinzwa.

Ukuze ulondoloze amazinga eglucose ngaphakathi kwemikhawulo eyamukelekayo, izidakamizwa ezinciphisa ushukela zinqunyelwe:

• neqhaza ekukhiqizweni kwemvelo kwe-insulin ye-hormone ku pancreas (Repaglinide, Glimepiride, Liquidvon);
• ukukhula kwe-insulin kokuthola amaseli (i-Fenformin, i-Ciglitazone, iTroglitazone);
• ukuvimbela ukumuncwa kwama-carbohydrate odongeni lwamathumbu (Miglitol, Acarbose);
• ukungabikho komphumela, imijovo ye-insulin inikezwa izikhathi ezingama-1-3 ngosuku.

Kwesinye isikhathi ukubonakaliswa okwandisiwe kwezimpawu ze-neuropathy kungenzeka ngokumelene nesizinda sokuqina kwezinkomba zoshukela wegazi. Lesi isibonakaliso esihle. Lokhu kusho ukuthi ukuvuselelwa kwezinzwa ezilimele kwenzeka. Imvamisa, ngemuva kwezinyanga ezimbalwa, isimo sibuyele kwesejwayelekile.

Izindlela eziyinkimbinkimbi zezindlela zokwelapha zifaka ukuqapha izinga lomfutho wegazi, ukulungiswa kokudla, izinyathelo okuhloswe ngazo ukunciphisa isisindo ngokweqile, ukuhlela ukusebenza komzimba.

I-Physiotherapy iyasetshenziswa futhi:

• i-magnetotherapy;
• ukwelashwa kwe-laser;
• izivivinyo zokuzivocavoca umzimba;
• ukukhuthaza imicu yezinzwa nge-kagesi yamanje;
• ukwelashwa okukhanyayo.

Izindlela zokwelapha

Ukwelashwa kokubuyiselwa kwamaseli wezinzwa athintekile nokunciphisa izinhlungu kwenziwa ngosizo lokwelashwa ngezidakamizwa:

• izidakamizwa ze-neurotropic - ama-vitamin complexes aqukethe amavithamini we-B, akhuphula ukuqina kwemicu yezinzwa futhi anciphise ukuvuvukala;
• ama-antioxidants - i-alpha lipoic acid, uvithamini E enza inqubo ye-metabolic noshukela omncane wegazi;
• ama-painkiller kanye nama-anesthetics endawo;
• izidakamizwa ze-anticonvulsant nezokulwa nokuvuvukala;
• izidakamizwa ze-antibacterial zokwelashwa kwamanxeba okulimala nezilonda emilenzeni;
• I-Mixelitin ukuze ulondoloze umsebenzi wenhliziyo futhi ususe i-arrhythmias;
• imikhiqizo equkethe i-potassium, i-magnesium ne-calcium.

Amakhambi esintu

Njengesinyathelo esisizayo ekwelapheni i-neuropathy, abantu bavame ukusebenzisa izindlela zokupheka zokwelapha abantu.

Lezi zimali zinganikeza lonke usizo olunokwenzeka ekwelapheni okuyinkimbinkimbi futhi lungasetshenziswa kuphela ngemvume kadokotela:

1. Amafutha weCamphor. Ukusuka ezandleni zeminwe bese uqhubekela phambili kwaleli dolo, thinta unyawo olubucayi ngenani elincane lamafutha. Ngemuva kokufakwa, thambisa umlenze, umanzise izandla ngotshwala noma ngevodka futhi ufudumele. Inyanga yokuphinda inqubo ngaphambi kokulala. Amafutha weCamphor upholisa izilonda zesikhumba futhi anciphise izinhlungu. Kuyacasula nokuphela kwezinzwa, kufaka isandla ekululameni kwabo.
2. Ulamula. Imisipha entsha yelamula ezandleni zakho kuze kube yilapho i-oyile ebalulekile igqamile kubo. Phatha ingaphandle ngamafutha omnqumo noma elanga bese ufaka lolu cala esikhunjeni sezinyawo. Bopha ubeke phezulu kwesokisi. Inkambo yama-compress yenziwa amaviki ama-3. Amafutha kalamula anomthelela omuhle ohlelweni lwezinzwa futhi kuthuthukisa ukusebenza kwawo.
3. Ukupholisa ubumba iqukethe izinto eziwusizo ezithuthukisa umsebenzi wokuphelela kwezinzwa. Faka umbala obumba oluhlaza ekuvumelaneni okungafaniyo bese usabalalisa phezu kwendwangu. Faka isicelo kwisilonda esinesifo, lungisa bese ushiya ukomile. Phinda amasonto amabili nsuku zonke, usebenzisa okusha okusha isikhathi ngasinye. Ngemuva - ikhefu lezinsuku eziyi-10 uphinde uphinde.
4. I-Chamomile ne-nettle. 1 tsp. pheka izimbali ze-chamomile namaqabunga akhula kancane imizuzu engu-15 kubhavu wamanzi enkomishini e-1 yamanzi. Faka imizuzu engama-30 futhi uphuze ekuseni, ntambama nakusihlwa cishe izinyanga ezintathu. Ithuluzi elinjalo lehlisa kahle ushukela wegazi, lisiza ekujwayezeni ukondleka kwemicu yezinzwa.
5. Calendulaiqeda ukuvuvukala nokuvuvukala futhi inomphumela we-analgesic. Ukuvikela izinkabi ezimbalwa zezimbali isikhathi esingamahora ama-2 ezingilazini ezi-2 zamanzi abilisiwe. Ngemuva kokucindezela, thatha isigamu sengilazi esiswini esingenalutho izinyanga ezimbili.
6. Eleanuelococcus. Cindezela isipuni se-Eleutherococcus izimpande imizuzu engu-15 ingilazi yamanzi abilayo phezu kokushisa okuphansi. Ngemuva kokupholisa, thela umhluzi 2 tbsp. l ujusi kalamula kanye nezipuni uju. Umhluzi kufanele udakwe ngosuku ngamawele amancane. Phinda ukwelashwa izinsuku ezingama-30. Ithuluzi linomphumela we-tonic ohlelweni lwezinzwa futhi lonyusa izivikeli mzimba.

Ukuvimbela I-Pathology

Isinyathelo esiyinhloko sokuvimbela ukuqeda ubungozi be-neuropathy ukugcina njalo ukugcotshwa koshukela egazini kungakapheli imingcele eyamukelekayo.

Inani lezincomo kufanele zilandelwe:

4. Kala ushukela izikhathi eziningana ngosuku, ngaphambi kokudla nangemva kokudla, lungisa ukukhula noma ukuncipha koshukela ngesikhathi esifanele.
5. Bukela umfutho wegazi lakho. I-Hypertension iholela emonakalweni wamaseli wezinzwa.
6. Landela isheduli yokuhambela kudokotela ohambelayo. Ngokushesha wazise udokotela nganoma iziphi izinguquko empilweni (ukoma okhuphukile, ukuchama kaningi, ubuthakathaka).
7. Namathela ezimisweni zokudla. Khipha ukudla okugcwele ama-carbohydrate ashukela noshukela, udle imifino eminingi, amakhambi nezithelo. Gwema ukulamba nokudla ngokweqile. Phuza okungenani amalitha amabili amanzi nsuku zonke.
8. Thatha ama-vitamin complexes, ahlanganisa amavithamini eqembu B.
9. Gcina umzimba ulungile. Ukuhamba ngokwengeziwe, ukubhukuda, ukuvivinya umzimba nsuku zonke nemidlalo efinyelelekayo.
10. Lawula isisindo sakho. Ukukhulupha ngokweqile kubangela ama-spikes emazingeni kashukela olimaza imicu yezinzwa.
11. Yenqaba imikhuba emibi. Ukusetshenziswa kophuzo oludakayo kulimaza umzimba, kanti i-nicotine iholela ekunciphiseni kwemithambo yegazi, ngenxa yalokho ukuhamba kwegazi kuphazamiseka futhi izinzwa zithola ukungondleki okwanele.
12. Kuyadingeka ukubheka isimo sesikhumba semilenze, simise bese siyithambisa ngama-okhilimu. Zama ukungalimazi isikhumba futhi uphulukise ngokucophelela amanxeba nezikhwehlela.
13. Thola izicathulo ezilingana kahle.
14. Ungazami ukuzelapha ngokwakho. Ukusetshenziswa kwemithi, kanye nokusetshenziswa kwezindlela zokupheka zemithi yendabuko kufanele kwenziwe kuphela ngemuva kokubonisana nodokotela.

Ividiyo evela kuDkt Malysheva mayelana ne-neuropathy ku-mellitus yesifo sikashukela:

Kunconywa ukwenza njalo izivivinyo ezisiza ukubuyisela ukuhamba kwegazi ezinsikeni zezinyawo futhi zivikele izinguquko ze-atherosclerotic emithanjeni. Isakhiwo sihlanganisa ukuzungeza ngezinyawo, ukushintshashintsha nokwelulwa kweminwe nezinyawo, ukugoqa izinyawo zebhola noma ibhodlela elingenalutho.

Ukuhambisana nayo yonke imithetho, kuhlanganiswe nokwelashwa okunekhono, kunomthelela ekubuyiselweni okuphelele kokusebenza kwamangqamuzana ezinzwa ezinyangeni ezimbalwa.