Polyneuropathy na-arịa ọrịa mamịrị - kedu ihe ọ bụ na otu esi eji ya

Ọrịa polyneuropathy na-arịa ọrịa shuga bụ nnukwu ọrịa, yana mmebi nke akụkụ akwara ndị nwere oke ụjọ. Ọrịa a bụ nsogbu nke ọrịa shuga, ihe ịrịba ama mbụ ya pụtara ọtụtụ afọ mgbe achọpụtachara ọrịa shuga. Ọ na-aga n'ihu nwayọ, na akụkụ mbụ ma akụkụ ahụ nke sistemụ akwara so na usoro ahụ.

Achọpụtara Polyneuropathy na 70% nke ndị ọrịa nwere ọrịa shuga na, dịka iwu, esonyelarị n'ọdịdị a mgbe ọgwụgwọ anaghị adịkarị. Ngwọta a na-achọghị na-eduga na nrịanrịa nke ihe mgbu dị ukwuu, arụmọrụ efuola. E nwere ọnwụ. Tụlee otu esi eji polyneuropathy na-arịa ọrịa shuga.

Ihe kpatara, pathogenesis nke polyneuropathy

Isi ihe na-akpali usoro nke neuropathy bụ ịba ụba nke glucose n'ọbara. Nsonaazụ bụ mmụba nke usoro ọrụ oxidative. Ihe na-akpata ihe na-ezighi ezi na-agbakọ n'ime ahụ, nke na-emetụta ndị neurons n'ụzọ na-adịghị mma, na-akpaghasị ọrụ ha.

Oké shuga na-eduga n'ịrụ ọrụ nke ihe ndị na-emebi mkpụrụ ndụ na-emebi akwara anụ ahụ. Nnukwu glucose na-akpata ọgba aghara na osmolarity nke oghere intracellular, akwara anụ ahụ na - emegharị, na - ebute nsogbu dị n’agbata sel. A na-agbadata uto nke akwara eriri akwara. Nnukwu hyperglycemia na-ebelata ike metabolism ike, na-ebute ụzọ na-akawanye njọ. Ọgwụgwụ mkpụrụ ndụ akwara na-enweta hypoxia (agụụ oxygen).

Ihe na-akpata mmepe nke neuropathy:

• Ọrịa shuga,
• Agadi
• Ọnụnọ nke omume ọjọọ,
• Ime mmiri ọgwụ, ọgwụ ọjọọ.

Ọrịa ụbụrụ pụrụ ịmalite megide ihe gbasara ọrịa ndị:

• Ischemia
• Nnukwu neoplasms dị njọ,
• Hypothyroidism,
• Cirrhosis
• Uremia.

Nkewa

Dabere na akụkụ nke sistem ahụ mebiri emebi, a na-amata ọtụtụ ụdị nke polyneuropathy:

1. Standalone. Ejiri mara ya akụkụ nke akụkụ ahụ ọ bụla ma ọ bụ sistemụ. E kewara ya iche iche:

• Cardiac
• Gastrointestinal,
• Ntughari
• Urogenital.

1. Somatic. Site n'ụdị a, ọrịa ahụ na-emetụta ahụ niile.

Dabere na ntụpọ ọnya dị iche iche, a na-ahụta ụdị 3 nke neuropathy:

1. Ihe mmetụta. Mmetụta nke onye ọrịa na-akpasu iwe.
2. Ọgbọ. Ọrụ moto adịghị arụ ọrụ.
3. Distdị Distal (sensorimotor). Ọrịa ahụ na-ejikọta akara nke ụdị 1st na nke abụọ.

Otutu mgbe, a na-achota ihe onodu, oria mamria, polyneuropathy distal.

Ahụhụ nke usoro ụjọ ahụ na-akpalite mmalite nke mgbanwe nke polyneuropathy mamịrị. Ihe ngosiputa oria a bu nke akwara akwara tinye aka n’usoro a: obere ma obu ibu. Na nke mbu, onye ọrịa:

• Ọkpụkpụ aka (akụrụngwa, elu),
• Enwere mmetụta na-enwu ọkụ, nke na-emegharị ahụ,
• Akpụkpọ ahụ na-aghọ enweghị mmetụta na ọnọdụ okpomọkụ dị elu ma dị ala,
• Ahụ akpụkpọ ụkwụ na-acha ọbara ọbara
• Aka na ukwu enweghị atụ
• Swkwụ zara aza, ọsụsọ na-agba,
• Ikpa ya n'ụkwụ na-apụ apụ, ọ na-akpọ nkụ,
• N’abalị, ihe mgbu na-apụta n’aka
• Calluses, mkpọka na-egbu mgbu na-etolite n'ụkwụ.

Ọ bụrụ na emetụta nnukwu akwara akwara, ngosipụta nke ọrịa ahụ ga-abụ ihe ndị a:

• Walkinggharighi ije
• Na-echebara mgbu mgbu
• Akpukpo aka nke ukwu aka na-akpachapụ anya,
• Site na mmetụ ọkụ, ihe mgbu na-apụta
• A na-ahụta ntụgharị nke mmegharị mkpịsị aka.

Na mgbakwunye, polyneuropathy na-esite na ngosipụta ndị na-enweghị isi. Ndị a gụnyere:

• Ọrịa afọ
• Akwara ike
• Dizziness
• Ọrịa anaghị ekwu okwu
• Ahụhụ anya.

Tụlee njirimara nke njiri mara ụdị polyneuropathy ndị a na-achọpụta ọtụtụ mgbe. Site na ọnya nke sistemụ akwara autonomic (n'ụdị akpati), ọrụ digestion na-akawanye njọ, ọgbụgba na-apụta. Ọ bụrụ na mmadụ eteta, anya ya na-agba ọchịchịrị, ọ nwere ike ịda mba. Site n'ụdị neuropathy a, enwere nnukwu ihe ize ndụ nke ọrịa genitourinary. Myocardial dysfunction mgbe ụfọdụ na-akpata ọnwụ mberede.

Ọrịa polyneuropathy na-arịa ọrịa mamịrị na-emetụtakarị aka na ụkwụ, nke dịkarịsịrị emetụta ndị nke dị elu. E nwere usoro ato nke mmepe pathology:

1. Subclinical. Enweghị mkpesa pụrụ iche, naanị na mmetụta nke nsọtụ nke ihe mgbu, a na-ebelata obere ala.
2. Clinical. Ndị ọrịa na-eme mkpesa maka ihe mgbu n'akụkụ dị iche iche nke ahụ, akwara aka na ụkwụ, na-akawanye njọ. Site na usoro mmepe na-aga n'ihu, mgbanye, ọkụ, na ihe mgbu na-apụta. N’abalị, ihe mgbaàmà ahụ na-akawanye njọ. Formdị na-adịghị egbu mgbu, a na-eji ya eme ihe: njupụta nke ụkwụ, oke mmebi nke uche, adịghị ike, ọrụ moto.
3. Nsochi Ọkpụkpụ na-etolite n'ụkwụ, ụfọdụ n'ime ha ka mgbu na-eso ya. Ọrịa na-eto eto nwere ike ịkpalite mmepe nke gangrene, mgbe ahụ, a ga-eme mkpebi gbasara mbepu.

Ndị dọkịta na-achọpụta ọdịiche dị n'etiti akara dị mma na nke ọjọọ nke polyneuropathy mamịrị. Ihe oma putara na mbido, ha gunyere:

1. Ingkwanye ọkụ (na aka nke 1st ma ọ bụ n’ahụ niile). N ’ịkacha mara, ọ bụrụ n’onweghị onye ahụ zuru ike, ma n’abali.
2. Mgbu mgbu na akpịrị, afọ, na hypochondrium kwesịrị ekwesị.
3. Ọkpụkpụ azụ, ihe egwu ọkụ eletrik yiri.
4. Mmetụta mmetụta na-egbu mgbu (allodynia) na mmetụ ọkụ.
5. Akpachapụ anya na ihe mgbu ike ọ bụla.

• Isi akwara,
• Mgbu ọ bụla nke ụkwụ, ogwe aka,
• Mgbanye
• Odikwa aka ukwu.

Ọrụ nke ngwa agha vestibular adịghị mma, onye ọrịa ahụ kwụsiri ike mgbe ọ na-aga ije. Ọdịdị nke mgbaàmà na-adịghị mma na-egosi mmalite nke ọrịa ahụ, oge mgbanwe ndị ahụ agabigaghị.

Diagnostics

Site na inyo enyo nke polyneuropathy, ịkwesịrị ịkpọtụrụ endocrinologist, neurologist, dọkịta na-awa ahụ. A na-eme nchọpụta ahụ dabere na mkpesa, nyocha onye ọrịa na nsonaazụ ụlọ nyocha na akụrụngwa. Ọnọdụ amụrụ, aka nke aka na aka, azịza. Ihe omumu ulo abuo putara ihe:

• Cholesterol
• Ego ole shuga di n’ọbara, mmamịrị,
• Glycosylated haemoglobin, C-peptide,
• Ọbara insulin ọbara.

Na mgbakwunye, a na-eme ECG, nyocha ultrasound, electroneuromyography, na MRI.

Site na nyocha oge, ọgwụgwọ zuru oke nke polyneuropathy n'oge mmalite, ịkọ maka mgbake ga-adị mma n'ọtụtụ ndị ọrịa.

Ọnọdụ dị mkpa bụ ịnọgide na-enwe shuga ọbara.

Ngwọta nke polyneuropathy nke ọrịa mamịrị nke mpaghara ala dị mgbagwoju anya, ọ dị mkpa iji metụta ihe ndị na-akpata na mgbaàmà nke ọrịa. Usoro ọgwụgwọ ọgwụgwọ gụnyere:

1. Mwepu nke oke glucose na akwara akwara, mweghachi nke mkpụrụ ndụ ndị mebiri emebi site n'enyemaka nke usoro alfa-lipoic acid. Ihe a sitere na antioxidants, na-ekere òkè na usoro metabolic. Alfa-lipoic acid na - egbochi mmetụta nke radicals, na - akwalite mbibi nke glucose, na - akpali usoro nke njem ya.
2. Weghachite usoro nke ịnyefe, na -ebelata mmetụta na-adịghị mma nke oke shuga na mkpụrụ ndụ akwara. Nzube nke a, a na-enye onye ọrịa ọgwụ vitamin B, nke na-emetụta steeti nke isi akwara na sistemụ akwara. Vitamin E bara uru na ibelata mmetụta ọjọọ nke glucose na neurons.
3. Iweghachi metabolism nkịtị na akwara akwara site na ị drugsụ ọgwụ antioxidant. Enyere ezigbo nsonaazụ bụ Actovegin, nke anaghị enye nsonaazụ ya. Ngwá ọrụ ahụ nwere mmetụta antihypoxic, na-emetụta n'ụzọ dị omimi na ojiji nke oxygen. Ọgwụ na-egosipụta mmetụta insulin yiri, ebe ọ na-eme ka usoro oxidation dịkwuo elu, glucose. Iwere Actovegin ga - enye gi ohere imeghachite ikike ike n'ime neurons.
4. Na-emebi usoro nke usoro glucose, na -ebelata mmetụta ọjọọ ya na akụkụ nke sistem ụjọ site na ị nervousụ ọgwụ mgbochi-aldose reductase inhibitors (Olredaza, Isodibut, Sorbinyl). Ọgwụ na-ebelata ngosipụta nke neuropathy: iwepu akara mgbu, weghachite mmetụta nke aka, mee ka ọgwụgwọ nke ọnya dịkwuo ngwa.
5. Enyemaka nke ihe mgbu mgbu site na ọgwụ mgbochi mkpali na - abụghị steroidal (Diclofenac, Ibuprofen).
6. Mwepu nke ọnya, ihe ọdịdọ na ọgwụ, nke gụnyere potassium, calcium, magnesium.
7. Mgbe ọnya ahụ pụtara n'akụkụ ya, a na-edenye usoro ọgwụ mgbochi, ndị na-agwọ ọnya mpaghara.

Iji bulie ịdị irè nke ọgwụgwọ, ekwesịrị ịjikọta ojiji nke ọgwụ na ụzọ ndị na-abụghị ọgwụ ọgwụ. Iji meziwanye mgbasa ọbara na ijigide ụda olu, a na-edenye onye ọrịa ahụ physiotherapy (electrophoresis, magnetotherapy). E weghachiri arụmọrụ nke ala nke ala site na enyemaka nke ịhịa aka n'ahụ, acupuncture.

A na-enye nsonaazụ dị mma site na igwu mmiri, mmega ahụ mmega ahụ. Na-emega ahụ kwa ụbọchị, maka nkeji 10-20.

A na-atụ aro iji sọks na-ekpo ọkụ kpoo ụkwụ gị, rịba ama na maka nzube a, ịnweghị ike iji paịlị na-ekpo ọkụ, ịsa ahụ ụkwụ.

Ogwu ogwu

Na mgbakwunye na usoro ọgwụgwọ dọkịta nyere gị, enwere ike ịgwọ gị na ọgwụ ọdịnala. Ọgwụ herbal ga - enyere aka belata ihe mgbaàmà.

Dezie ogo shuga na iji decoction, nke gụnyere:

• Pepemint - 30 g
• Ọkpa ọka - 60 g,
• Galega (ewu) - 100 g,
• Bean Sash - 100 g.

Yet 6 tebụl. l Na-anakọta 1 liter nke esi mmiri ma gbanye obere okpomọkụ maka 5 nkeji. Tupu ojiji, kpachie ofe ma were nri tupu nri. Otu ego bụ 100 ml.

Iji nye neurons ihe nri, shake ga-enye vitamin kwa ụbọchị. Will ga - achọ:

• Kefir - 1 tbsp.,
• Mkpụrụ osisi sunflower - 2 okpokoro. l.,
• Pasili - nụrụ ụtọ.

Bee gbue mkpụrụ sunflower, gbakwunye kefir. Tinye elu na mix. Aụọ mmanya mmanya 1 p / ụbọchị ọkara ọkara awa tupu nri ụtụtụ (na afọ efu).

Clove (ose) nwere ezigbo antioxidant utịp. Iji kwadebe infusion ị ga-achọ:

Ghee isi ahụ, gbanye n'ime thermos. Wunye esi mmiri, hapụ maka awa 2. Jiri infusion 3 r / ụbọchị.

Otu ego ga-abụ 1⁄4 tbsp. Oge ọgwụgwọ bụ izu abụọ. Tinyegharịa na ụbọchị 10.

Iji weghachi ọgụgụ isi nke ndị nabatara ya, ị nwere ike iji ụrọ na-acha anụnụ anụnụ mee ihe mkpuchi. Itughari ya na mmiri, ihe mejuputara kwesiri iyi akwa utoojoo. Tinye ebe a na-enwe ihe mgbu, hapụ ka nkụ. Oge ojiji - izu abụọ.

Site n'ụdị polyneuropathy dịpụrụ adịpụ, ọgwụgwọ mpụga nke sitere na ledum ga-enyere aka. Will ga - achọ:

• Ledum - 0,5 tbsp.,
• Mbadamba okpokoro (9%) - 0,5 tbsp.

Na ngwakọta kwesịrị inye 10 ụbọchị. Tupu ojiji, jiri mmiri mmiri ghee obere tincture (na 1: 1). Kechie ngwaahịa a n'ụkwụ gị 3 / ụbọchị.

Enwere ike iji mmanu nke aka na ukwu mee mmanu eji si John's wort. Ngwakọta nke ngwá ọrụ gụnyere:

• Epupụta, ifuru hypericum (ọhụrụ) - okpokoro 3. l
• Mmanụ oriri - 1 tbsp.,
• Ginger (mgbọrọgwụ) - 1 tebụl. l

Mike Stick wort, wụsa mmanụ ọkụ. Hapụ n'ebe gbara ọchịchịrị maka izu 3. Ntị ngwaahịa ahụ, gbakwunye mgbọrọgwụ ginger a kụrụ. Debe mmanụ Hypericum na friji.

Iji mee ka metabolism dị na akụkụ nke sistemụ ụjọ, drinkụọ ọgwụ mkpụrụ ọgwụ ọgwụ:

• Burdock (mgbọrọgwụ),
• Birch (epupụta),
• Bedstraw,
• Hops (cones)
• Nwa Elderberry (okooko osisi),
• Gimlet,
• Ikikere (mgbọrọgwụ),
• Usoro nke.

Were ihe mejupụtara akụkụ akụkụ hà nha. Debe tebụl abụọ na thermos. l gwakọtara, wụsa esi esi mmiri (4 tbsp.), wepụta maka elekere 8 (ị nwere ike ịbọchi abali). Aụọ mmanya n’ehihie kama ị .ụ tii. Oge ihe eji eme ya bụ ọnwa 1. Tinyegharịa N'ezie na 10 ụbọchị.