ʻO kahi maʻi ʻo mellitus ka maʻi maʻi maʻi e hōʻike ʻia e kahi kiʻekiʻe o ka glucose i ke koko. ʻO kekahi o kāna mau hoʻopili he neuropathy. Hoʻohālikelike ia e ka hoʻoneʻe ʻana i ka hapa peripheral o ka papa o ka nupepa. ʻO kēia hoʻopiʻi loaʻa i nā makahiki 10-15 ma hope o ka hoʻomaka ʻana o ka maʻi diabetes.
Ke hoʻohaʻahaʻa nei i ke kō
Maʻa mau neuropathy ke ʻike ʻia ka emi ʻana o ke kōpaʻa koko. ʻO ka maʻamau, kahi kanaka olakino i ka wikiwiki o ka hoʻokahe koko glucose o 3.5-6.2 mmol / L. Ma ka maʻiʻai, hiki i kēia hōʻailona ma mua o 6.5 mmol / L. ʻO ka hōʻemi ʻana i ka glucose koko nui ka hana nui o ka mālama ʻana i ka maʻi diabetes i nā kānaka.
ʻO kahi maʻi maʻi mellitus ka maʻi maʻi maʻi e hōʻike ʻia e kahi kiʻekiʻe o ka glucose i loko o ke koko, ʻo kekahi o kāna hoʻopiʻi ʻana ʻo ka neuropathy.
Alpha Lipoic Acid no ka maʻi maʻi
Me ka nele o ka insulin i loko o ke koko a i ʻole kahi mea i mālama ʻia o nā ʻāpana receptor, ʻoi aku ka nui o ka alpha-lipoic acid. Lawe ʻia ia no ka prophylaxis a no ka mālama ʻana i ka maʻi diabetes type 1 a me ke ʻano. He hopena kēia o ka hopena Lipoic acid i ke kino:
- He antioxidant ikaika. Mālama kēia mea i ke kino mai nā radical manuahi i hoʻokumu ʻia ma ke ʻano o ke kaʻina metabola. Haki ka nui o ke kō i loko o ka maʻi diabetes i ka hoʻonui ʻana i nā mea o nā palapala ʻokoʻa manuahi i loko o ke kino, kahi e hōʻeha ai i ka maʻi oxidative. He hana koʻikoʻi ia i ka hiki ʻana o ka neuropathy.
- Hoʻopaʻa ka i nā mea ololi.
- Hoʻomaikaʻi i ka hoʻouna ʻana i nā impulses o nerve.
- Hoʻomaikaʻi i nā hāʻawi koko i ke aʻalolo.
- Hoʻokomo ka poʻe me ka mitochondrial cell metabolism.
- Hoʻonui i ka hoʻohana pono ʻana i ka hoʻohana like me ka insulin.
Loaʻa ka wai Lipoic i ka papa o nā papa no ka hoʻokolokolo waha.
Nā Mīkini Inikine
ʻO nā mea paʻa loa ka glucosidase pale e hoʻomaʻamaʻa pono i ka mālama ʻana i ka neuropathy maʻi maʻi. No Glucobay lākou. ʻO ka waiwai ikaika he acarbose. He hypoglycemic kēia (hoʻohaʻahaʻa i ke koko koko) lapaʻau waha no ka maʻi maʻamau o ka lā 2.
Kōkua ka lāʻau lapaʻau e hoʻolōʻihi i ka lilo ʻana o nā mea laʻa a me ke kūkulu ʻana i nā mololi glucose. ʻO ka hopena kahi wō lōʻihi me ke kō i loko o ke koko a me ka hoʻohaʻahaʻa ʻana i kona paʻa. Hoʻomaopopo ʻia ʻo Glucobay no ka mālama ʻana i ka maʻi maʻamau o ka maʻi maʻi 2. ʻO ka lawe ʻana i kahi lāʻau lapaʻau pono hoʻohui pū me kahi meaʻai.
ʻO nā lāʻau anti-inflammatory Nonsteroidal
Me ka hōʻino ʻia o nā hana nerve peripheral, hoʻohana nui ʻia nā lāʻau anti-inflammatory mai ka pūʻulu NSAID. ʻO ka ʻōlelo maʻamau maʻamau ʻo indomethacin, nimesulide a me analgin. Hoʻemi lākou i ka mumū, ʻūlū a me nā ʻeha. E kōkua ana ʻo Indomethacin i kahi hoʻohemo i nā hōʻailona o ka polyneuropathy maʻi (ʻeha, hōʻeha nā naʻau). ʻO nā lāʻau anti-inflammatory nonsteroidal a me nā analgesics non-narcotic eʻoi aku ka maikaʻi no ke ʻano hōʻeha ʻeha o ka neuropathy.
Actovegin no ka polyneuropathy
Inā loaʻa kahi neuropathy maʻi maʻi maʻi, a laila komo nā lāʻau me ka hopena neuroprotective a me ka antihypoxic i loko o ka noho hoʻoponopono. Aia kēia mau Actovegin. Hoʻohana ʻia ia ma ke ʻano o kahi hopena no ka hoʻonā a me nā papa. ʻO ka huahana nā māhele koko koko.
Aia ka hopena o ka Actovegin i ke kino o ka poʻe me ka maʻi maʻi.
- Hoʻomaikaʻi i ka lawe ʻana i nā cell a me ka hoʻohana ʻana i ka maʻi glucose. Loaʻa kēia ma ka loaʻa ʻana o ka inositol phospho-oligosaccharides i ka hoʻomākaukau.
- Hoʻonui i ka uptake kūʻai o ka oxygen.
- Hoʻemi i ka hoʻokumuʻana o ka lactate (lactic acid) i nā kiko i loko o ischemia.
- Hoʻomaikaʻi i nā kūlana o nā palupalu.
- Hoʻomaikaʻi i ka microcirculation.
ʻO ka Actovegin he mau māhele koko koko.
Nā ʻano o ka maʻi neuropati Diabetic
Hiki i nā neuropathy Diabetic ke ʻano nui o nā ʻano. Hoʻokaʻawale ʻia nā ʻano o kēia ʻano pili:
- ʻO Kaomi Neuropathy Autonomic. ʻEpili ʻia kona mau ʻano 5: urogenital, gastrointestinal, sudomotor, ʻōpū (ʻōpū) a me ke ʻano maʻi (cardiovascular).
- ʻO ka Syndrome o ka neuropathy symmetric generalized. Hiki ke lilo i ka sensory (pili hou i nā nauna sensory), motor (pili nā neurons i ke kaʻina o ke kaʻina), hui ʻia a me ka hyperglycemic.
- ʻO ka pīkuhi a i ʻole multifocal. ʻO Radiculoneuropathy (hōʻino i nā aʻa aʻa i loko o ka pōkole a i ʻole nā plexuses nūnū), amyotrophy (muscle atrophy), demyelinating polyneuropathy, tunnel a me nā puka cranial e hoʻokaʻawale.
ʻOkoʻa nā pae hope o neuropathy:
- subclinical (mauʻoluʻolu nā hōʻailona);
- lāʻau lapaʻau (hōʻeha a ʻeha ʻole paha);
- nā hoʻopiʻi ma ka hopena hou (i hōʻike ʻia e ka hoʻomohala ʻana o nā hoʻopiʻi ma ke ʻano o kahi wāwae maʻi maʻi a me ka wāwae deformity).
E hoʻokaʻawale hoʻi i nā mea kikowaena a me peripheral o kēia pathology.
Nā neuropathy Distal
Hoʻololi ʻia ka maʻi neuropathy diabetic Distal i kahi kokoke i kēlā me kēia kekena maʻi me ka maʻi maʻi. Hōʻike ʻia kēia ʻano palapala e ka hōʻino ʻana i ka ʻōnaehana nalo i mamao loa mai ke kahua waena o ke kino o ke kino. Hoʻohālikelike ʻia ia e ka hōʻino ʻana i nā nerves e hoʻopili pono i ka lolo a me ka pōkole māku i nā kuli. Me kēia patula, pilikia ka hana a nā lima a me nā wāwae.
ʻO nā hiʻohiʻona nui o kēia alaʻala:
- ʻO ka hapa o ka hoʻonohonoho ʻana o nā neʻe.
- Pono kahi hele.
- Hana pūpū.
- Hōʻaloʻeha o ka ʻōpū (hoʻemi i ka leo).
- Nāwaliwali o ka ʻōpū.
- Hoʻemi i ka ʻololua ʻano hui.
- ʻO ka edema Peripheral.
- Hoʻohuli o nā wāwae i nā wāwae a me nā lima.
ʻO peropheral neuropathy o nā haʻahaʻa haʻahaʻa
ʻO Neuropathy me ka maʻi diabetes e alakaʻi i ka hoʻopōʻino i nā lalo o lalo. Pili kona pathogenesis me ka hana a ka maʻi glucose i ka kiko nīne. Hoʻopilikia ka Sugar i ke hoʻokūkū kiʻekiʻe i ka hoʻokō ʻana o nā mea hoʻonani i ke aʻa a maikaʻi ʻole e pili ana i nā kaʻina metabola. ʻO nā hōʻailona hiki i kēia ʻano o ka neuropathy:
- Keʻano o ka ʻeha (me ke kaumaha). ʻO ka hapanui o ka manawa he lahilahi a hana ʻia i nā wāwae ʻelua. Hōʻike ka ʻeha i nā manamana lima.
- Paresis Unilateral a me bilateral (palena o nā neʻe).
- Involuntary muscle twitching (fasciculation).
- Nā uhi momona.
- Nāwaliwali o ka ʻōpū.
- Hōʻailona huhū.
- Paʻakikī i ka neʻe ʻana.
- Ke ʻaʻe ʻana i nā wāwae.
- Hewa ka ʻaʻawaha.
- Ataxia (nalowale kikowaena).
- Ke kuʻi nei i ka palu i kekahi mau wahi o ka umauma.
- Hōʻailona ka nānā ʻana.
- ʻO ka palupalu ʻana o nā reflexes (kuli, Achilles) a i ʻole ko lākou nalowale ʻana.
- Unilateral a bilateral plegia (paralysis).
Hoʻokumu ʻia ke kiʻi lapaʻau e pili ana i nā nerb i pili (sensory a i ʻole ka mīkini). Ke holomua nei ka maʻi mau mahina.
ʻO ka neuropathy sensory
Hōʻike ʻia kēia ʻano me ke kuʻikahi symmetric o ka ʻike ʻana. ʻO ka hapanui o nā manawa, ua kau ʻia nā neʻe palupalu i ka maka, nā lima a me nā wāwae. ʻO nā hōʻailona o ka neuropathy sensory:
- Kahulaau I nā poʻe maʻi, ka ʻili o ka ʻili o nā wāwae, nā lima a me ka maka paha e lilo i hypersensitive i ka huhū. Aia ka eha ma kahi e pili ana i ka hoʻopili, tingling a me ka puhi. Malia paha kahi luhi weliweli.
- Kalani. ʻO ke kumu ke hoʻonui nei i ka hoʻololi ʻana o ka ʻili i ka mahana haʻahaʻa.
- ʻO ka hala ʻole hoʻohālikelike i ka wela wela a me ka mechanical. Aia paha i tinnitus a me kekahi aftertaste leʻaleʻa i ka waha i ʻike ʻia i ka mālamalama.
- Hoʻopauʻia ka mālamalama. I ka manawa like, nā mahuahua o ka ʻehaʻeha o ke hōʻino. ʻO ka wāwae a me ka pālapa (nā pale lima me nā socks syndrome) e pili pinepine ʻia.
Dernmetabolic neuropathy
I ka endocrinology, aia kahi mea'ē aʻe o ka neuropathy dysmetabolic. Hoʻokumu kēia ʻano pili i ke kuana o kahi kolohe o ka hoʻonaninamu o ka paʻakai, ka mea i ʻike ʻia ma ka maʻi mellitus.
ʻO nā mea hōʻailona o ka neuropathy sensory he chilliness, hoʻonui ka naʻau o ka ʻili i ka wela haʻahaʻa.
Nā neuropathy ʻĀina
Hōʻike ʻia kēia ʻano o ka neuropathy me ke komo ʻana i ke kaʻina o ka pilina o ka autonomic. Nāna ke kuleana no ka hana ʻana o nā wahī. Hiki i ka ʻoihana keʻena a me ke ʻano parasympathetic ke pā mai. ʻO nā hōʻailona i ʻae ʻia:
- Dysphagia (paʻakikī ka moni ʻana i ka meaʻai a me ka wai).
- Lōkuhi Hoʻokomo a ʻawaʻawa paha.
- Lohea
- Kahula
- ʻO ka pale ʻana o ka papa ma ka constipation a i ʻole ka lolo ʻana. Hoʻonui ʻia ke kumu o ka papaʻa wī peristalsis. Hiki i ka Stool ke lilo i 5-10 manawa i kahi lā a i ʻole pinepine.
- Nā hōʻailona o ka pelvic disfunction (hoʻemi i ka potency, urination rare). ʻO ka hoʻolalelale ʻana ʻana a me ka hoʻohaʻahaʻa i nā leo o nā ʻili o ke kukui e alakaʻi ai i ka hoʻopili ʻana o ka maʻi a me ka hoʻomohala ʻana o ka cystitis.
- Nā hōʻailona o ka puʻuwai o ka puʻuwai a me nā vascular (kahi kīʻaha i ka hana o ka naʻau, ka hoʻemi ʻana i ke koko, nā tachycardia, nā nāwaliwali).
- ʻOhua.
- Keʻula o ka maka.
- ʻIli maloʻo.
- Hoʻopiʻi ʻike ʻia.
No ke aha i hoʻomohala ai ka maʻi neuropathy maʻi?
ʻO ke kumu o ka hōʻino o ka aʻa ma ke kūlohelohe i ka maʻi maʻi: nā hopena hōʻino o nā huahana oxidation, microangiopathy (ʻeha i nā moku liʻiliʻi), microcirculation impaired, metabolism i loko o ka palupalu a me ke kūkulu ʻana o nā mea paʻakikī autoimmune. ʻO nā mea pilikia no ka hoʻomohala ʻana i ka neuropathy: ʻo ka ʻelemakule, ka hoʻopaʻi ʻole ʻana i ka regimen mālama, ka ulaula, ka ʻalowa a me ka momona nui.
Nā hōʻailona o ka maʻi Neuropathy Diabetic
ʻO ke kiʻi like kino o ka neuropathy me nā hōʻailona o ka motor, sensory a me autonomic.
Kūʻā ʻana a mālama hoʻi i nā wāwae haʻahaʻa
ʻO ka puhi ʻana a me nā nānā ʻana i nā hōʻailona kūpono ʻole. Hoʻomaopopo lākou i ka lālā pili. ʻO kekahi manawa pili nā nerves o ka maka.
Hōʻeha nā wāwae
ʻO ka nalowale holoʻokoʻa keu ʻike ʻia ʻia he anesthesia. Pōʻino kēia kūlana no ka mea ʻaʻoleʻike ke kanaka i kahi mea e hōʻino ai. Hoʻololi ka ʻike maka i ke anuanu, puhi a me nā hōʻeha a hiki ke alakaʻi i ka suppuration o nā pā. Aia nā puʻuwai.
Pehea e ʻike ai ka maʻi?
E hoʻomaopopo i ka neuropathy āu e pono ai:
- Nā diagnostics Laboratory (he koko ākea a me nā hoʻāʻo i ka urine, ka nānā ʻana biochemical).
- ʻO ka hoʻokele waiwai.
- ʻO ka hoʻokolokolo kino.
- Nā haʻawina kaha (ultrasound, ECG, CT, MRI, radiography, electromyography, electroencephalography).
- ʻO ka hoʻokolokolo neurological.
ʻO ka hana a ke kauka e hoʻokaʻawale i nā maʻi neurological ʻē aʻe, e komo pū ana nā ʻano ʻē aʻe o ka neuropathy.
Ka hoʻonāʻana o nā kūlaʻi kaha
Hoʻohana ʻia ka mākele tuning o Riedel. Hoʻohui ʻia kahi ʻōnaehana uila i ke kino (ma nā wāwae āpau) a e loiloi ʻia ka pane ʻana o ka mea maʻi.
ʻIkeʻike ʻo Tactile
Hoʻopuka ʻia ka ʻike ma ke ʻano he monofilometer. He mīkini elongated kēia me kahi laina lawaiʻa mānoanoa. Kau lākou i ka paipai i ka ʻili a loiloi i ka ʻike ʻana. No kēia hana, hoʻohana pinepine i nā hulu hulu, e hoʻopā i ke kino mai nā wāwae a i ka ʻāʻī.
Kuhi ke nānā ʻana i ke ʻano
No ka hana ʻana i kēia, hoʻohana ʻia kahi hāmeʻa i ke ʻano o ka mea kuana, i honi ʻia ma kekahi kihi me ka metala a me ka palaki ma ka ʻaoʻao. Hoʻokahi kahi ʻaoʻao o ka hāmeʻa a ʻoluʻolu hoʻi kekahi. Hoʻopili hou lākou i ka ʻili.
Hoʻopilikia i ka maʻi Neuropathy Diabetic
Hoʻomaʻamaʻa ka mālama ʻana i ka hoʻopau ʻana i nā hōʻailona, hoʻopau i nā maʻi lalo (diabetes) a hoʻomaikaʻi hou i nā mea kanu o ka nisa. Hoʻokomo pū me ka Therapy i kaʻai haʻahaʻa-haʻahaʻa, hana hoʻōla, lāʻau lapaʻau a me ka pehu (stim stimical electrical, phototherapy, magnetotherapy). Pono nā mea maʻi e kau i nā kāmaʻa orthopedic, hoʻomālamalama i ko lākou ʻili, lawe i ka ʻauʻau a hana i nā hana wāwae.
ʻO ka lāʻau lapaʻau
Hoʻohana ʻia me ka neuropathy:
- Hoʻomoe a me nā huaora o ka pūʻulu B (Combilipen, Milgamma).
- Hoʻom hoʻomākaukau ka pāpaʻi Alpha-lipoic acid (Thiogamma, Tiolept, Oktolipen, Espa-Lipon).
- Antioxidants.
- ʻO nā hōʻeha a me nā lāʻau anti-inflammatory.
- Anticonvulsants (Gabapentin, Convalis, Tebantin) a me nā mea pena'ē aʻe maʻi. Hoʻohana lākou i ka neuropathy autonomic.
I ke ʻano maʻi diabetes type 1, koi ʻia nā inikini insulin. Me ka ʻano 2, hoʻohana nā mea hana waha hypoglycemic (Metformin, Glucofage, Formmetin).
Nā kumumana okoa no ka mālama ʻana i ka neuropathy maʻi maʻi
Hōʻola kaolaʻi pono ʻole. E hoʻoneʻeneʻe i ka ʻeha, hōʻemi i ka hana ʻana, hoʻomaikaʻi i ka hana ʻana o nā aʻa a me ka lawe ʻana i nā impulses, ua hoʻohana ʻia nā mea penei:
- infusion calendula;
- lemon lemon;
- decoction e pili ana i ka meli, eleutherococcus a me ka lemon;
- ʻōpū a me ka chamomile infusion;
- lepo polū (hoʻohana ʻia no nā compresses).
Nā hopena
Hiki i nā hopena o ka neuropathy: arrhythmia, maʻi diabetes, atake puʻuwai, hōʻeha kino, impotence, hōʻemi ʻia ka ʻike, ʻīlī, gastritis, dysbiosis, paralysis a me ka maʻi hōʻohi.
Kālā papa lōkopa Neuropathy
Ka pale ʻana i ka maʻi mai ka pili ʻana i ka ʻaʻai kūpono, mālama pono ʻana i ka maʻi maʻi, ka haʻalele ʻana i nā mea ulaula a me ka waiʻona, hoʻāla ʻia ka nui o ke kō koko, ke hoʻoponopono ʻana i ke kaupaona (inā ma ke kaupaona ʻoi paha), ke ʻano maʻi mua, ke kōkua me nā hōʻailona mua o ka maʻi maʻi (make wai, nāwaliwali, polyuria, pōloli. ) a mālama i ka olakino olakino.
