Me ka maʻi hānai, hoʻomohala kekahi kanaka i nā hoʻopiʻi he nui e hoʻopilikia i ka hana o nā hana o loko. Eia nō hoʻi, ua pinepine pinepine ʻia ka ʻōnaehana o peripheral - inā ua hoʻopilikia kekahi i nā nerve nerve, ʻike ʻia ke kauka i ka neuropathy maʻi maʻi, i kahi hihia nui, ʻike ʻia ka polyneuropathy diabetes.
Hoʻoulu kēia maʻi i ka maʻi maʻi me ka maʻi a me ka lua o ka maʻi maʻi, ʻo ka loaʻa ʻana o ka maʻi he 15-50 ka nui o nā hihia. ʻO ka maʻamau, maʻi ka maʻi polyneuropathy diabetes inā hele kekahi ke hele mai kahi nele o ka insulin i ka lōʻihi a hoʻokiʻekiʻe i ke kiʻekiʻe o ka glucose koko.
Kūkulu ʻia nā nerbates peripheral ma muli o nā loli i ka ʻoihana o ka hana kūlohelohe i loko o nā kiko. Hoʻopilikia ka mau hua momona i ka pololi o ka oxygen, hoʻoneʻe ke ʻano o ka nitric oxide, e hoʻolilo ai i ka emi ʻana o ke koko a me ka hoʻonāukiuki ʻana o ka nūnaehana.
He aha ka maʻi polyneuropathy maʻi
Ua hoʻokaʻawale ʻia kahi maʻi pathological i kekahi mau ʻano, e like me ke ʻano o ka lesion a me ka paʻakikī o ka maʻi. E like me ʻoe e ʻike ai, kahi ʻōnaehana hoʻonaninani peripheral kekahi somatic a me autonomic autonomic. E pili ana i kēia, aia kekahi polyneuropathy somatic a me awtonomous ma ka maʻi mellitus.
I ka hihia mua, hoʻonāukiuki ʻia ka polyneuropathy diabetic o nā ʻāpana haʻahaʻa loa i ke ʻano o nā maʻi ulcerative he nui. ʻO ke ʻano maʻi o ka maʻi ʻokoʻa ke alakaʻi pinepine i ka mea maʻi.
Hoʻololi ʻia ka maʻi i ka ʻano o ka hōʻino ʻana i nā hana o ka ʻōnaehana o ka lā. I ka pilikino, hōʻike ka maʻi polyneuropathy sensory form iā ia iho i ke ʻano o ka nalowale o ka hōʻeha ʻana i ka pālaʻeha kūlike.
Me ka ʻano o ke kaila, ua hele pū mai ka nāwaliwali o ka ʻōpū, me kahi ʻano somatic, nā hōʻailona o nā hōʻike o nā ʻano ʻelua.
Polyneuropathy wehe Diabetic
ʻO kēia ʻano kiʻo, hiki ke ʻike ʻia i ke kiʻi, pili ʻia i nā ʻano o ka maʻi. Ua hele pū ʻia me ka make o nā huelo o ke kino, ma muli o ka lilo o ke kanaka i ka ʻono o ka naʻau, a me nā ʻōpala he nui i kū aʻe i nā wāwae.
ʻO ke kumu o ka genesis o kēia ʻano hoʻopiʻi pinepine ka maʻi maʻamau i ka diabetes mellitus, aʻo ke ʻano o ka hana ʻana o kahi kanaka. Mahele maoli ka maʻi no ka olakino a me ke ola o ka maʻi maʻi.
Hoʻopau pinepine ʻia nā polyneuropathy Distal i nā ʻaoʻao haʻahaʻa haʻahaʻa, akā hiki i kekahi manawa ke hoʻopilikia i nā lima. Manaʻo kekahi kanaka i kahi ʻeha a paluhalelo, nui loa ka maʻi, ʻaʻole hiki i ka mea maʻi ke hiamoe maʻamau i ka pō. Hoʻonui ka ʻōpū i ka hoʻomaha a hōʻeha paha i ka wā o nā hele lōʻihi.
Hoʻohui ʻia, hōʻike ka paresthesia iā ia iho, ka mea i hōʻike ʻia e ka ʻāʻī ʻana, "creeping goosebumps", tingling, chilling or burn, kaumaha a me ka nāwaliwali o nā wāwae, i kekahi manawa he ʻeha ma nā poʻohiwi, nā umauma, nā kuʻekuʻe. ʻO ka manaʻo o ka ʻeha i ka wā o ka palpation o ka wāwae haʻahaʻa e hōʻike ʻia ana i ka hōʻailona nui e hōʻike ʻia ai ka pathology.
- I ka hoʻomaka mua o ka maʻi, hoʻohaʻahaʻa ka ʻike ʻana i nā manamana wāwae, ma hope o kekahi manawa hiki ke hōʻailona nā hōʻailona i nā wāwae o luna. Inā hoʻomaka ʻia ka mālama ʻana i ka polyneuropathy maʻi o nā haʻahaʻa haʻahaʻa ma mua o ka manawa, hiki i ke kanaka ke hoʻomohala i nā hihia paʻakikī.
- Hoʻopili ʻia ka maʻi maʻi me ka uhai ʻole o nā mānoanoa a me kekahi mau nāwona o nā nerve. Inā ua hōʻino ʻia nā palahala maikaʻi, hoʻoliʻiliʻi ka pā a me ke ʻano o ka hōʻeha o nā wāwae. Inā pili ka pathology i nā mānoanoa o nā nerve, ʻo ka maʻi ma ka mahele a ʻoki paha e hoʻoweliweli i ka naʻau.
- Me ka hoʻomohala hou ʻana o ka maʻi, pilikia ka hana o ke ʻeka mīkini, hopohopo nā kānaka i nā wāwae, ulu ka atraphulo i loko, ulu ka ʻuha, hoʻomaloʻo nā aila, ʻikea nā iwi. Loaʻa i ka ʻili ka pona a ʻulaʻula paha, i ka pigmentation symmetrical e ʻike ʻia i ka wāwae i lalo a i hope hoʻi o nā wāwae, nā atravi a lalo i lalo o ka deformities.
- A ke kumu, hiki mai ka hoʻolālā ʻana o ka osteoarthropathy, ka mea i hōʻike ʻia e ka wāwae lehelehe a me ka longitudinal flat, hoʻomaikaʻi ʻia i ke ʻano o nā ankles, he nui i ka nui o nā wāwae ma ka ʻaoʻao lihalihi. ʻO nā mea hoʻonāukiuki ma nā wāwae he mau unilateral a bilateral paha.
- Ma muli o ke kaomi lōʻihi ma ka ʻaoʻao o ka iwi, ʻike ʻia nā maʻi ulia neʻe i ka ʻaoʻao waho o nā wāwae a ma waena o nā manamana wāwae. ʻAʻole ʻo ia e hōʻeha i kēlā mau hōʻeha ma mua o ka hōʻemi ʻana o ka naʻau, akā ma hope o kekahi manawa, i ka hoʻomaka ʻana o ke kaʻina hana, ua hāhai i ka maʻi maʻi i ka ʻoki kino.
I mea e pale ai i ka hoʻomohala ʻana o nā hoʻopiʻi koʻikoʻi e alakaʻi i ka amputation o ka limu haʻahaʻa, he mea nui ia i ka manawa kūpono a ʻike i ka mālama ʻana i kēia ʻano maʻi. No ka hoʻoholo pono ʻana i ka maʻi maʻi, ua hoʻomaʻamaʻa ʻia kahi loiloi neurological e aʻo i ka pae o ka naʻau a me ka reflexes o ka mea maʻi.
ʻO ke kumu nui no ka holomua o ka pathology he nui ka nui o ke kō i loko o ke koko, no laila, i nā keiki a me nā pākeke, ke lawe ʻia nei ka ʻoihana me nā mea maʻi hypoglycemic.
I kēia hihia, he mea nui ia e kiaʻi pinepine i nā hōʻailona glucose, inā pono, loaʻa ka maʻi maʻi maʻi painkillers.
Hoʻolālā polyneuropathy hoʻomōkohu: nā hōʻailona
I nā ʻokoʻa o ka maʻi o ka maʻi, hiki i nā hōʻailona ke ʻokoʻa koʻikoʻi - me kahi ʻaina ʻole, ʻokoʻa ʻole nā hōʻailona. ʻAʻohe hele mua i ka hōʻailona mua, akā hiki i ke kauka ke mālama i ka maʻi ma o ka hoʻopaʻa ʻana i nā hoʻāʻo koko ʻē aʻe a me nā hopena o ka hōʻike hoʻoliʻi ma ka ʻoihana neurophysiological.
Ma ka lua o ke kahua maʻi maʻi, maʻi maʻamau, ʻeha o ka ʻeha, amyotrophy a me nā ʻano ʻeha ʻole e hōʻike ʻia. I loko o ka maʻi maʻamau o ka maʻi, ʻike ka maʻi maʻi maʻi a me ka hōʻeha ʻana i nā wāwae, aʻo ka hopena o ka hoʻohaʻahaʻa ʻana me ka ʻike nui, ma muli o ka hopena o ka polyneuropathy o nā haʻahaʻa haʻahaʻa. Maikaʻi ka makaʻaka ʻana āpau i ka pō.
Ke ulu ka ulu ʻana o nā maʻi ʻeha, hoʻomaka ka ʻā ʻana o ka ʻeha e hōʻeha i loko o ke kino, i kekahi mau hihia, ua ʻike ʻia ka mahele nui o nā ʻili haʻahaʻa. Hoʻokomo ʻia ka Amyotrophy e ka nāwaliwali o ka ʻiʻo a me ka ʻeha nui i ka pō. Me kahi ʻano ʻeha ʻole, ʻaʻole maʻī ke kanaka i ka ʻeha a me ka loli o ke kala.
Hoʻomaʻamaʻa ke kauka i ke kolu o ka maʻi āpau i ka wā e nānā ʻia ai nā hopena paʻakikī. Ma ka ʻaoʻao o nā wāwae, ʻike ʻoe i ka nui o nā ʻeha a me nā ʻula, hiki i ka hoʻomohala ʻana o ka wāwae o Charcot, ma kēia hana, e hele pinepine ana ka maʻi iā amputation o ka wāwae.
Hiki i nā hōʻailona āpau o ka hōʻike ʻana i ka maʻi ma ke ʻano he ʻekolu mau hui:
- ʻO nā ʻōuli manawaleʻa e komo i nā maʻi o ke ʻano o ka hōʻeha, ka hōʻoki ʻana, ka pana ʻana, ka puhi ʻana o nā hōʻeha. I nā maʻi maʻi, emi ka palaki ʻana a, inā ʻole, e māhuahua ka naʻau, paʻa nā lima a me nā wāwae. Eia kekahi, ʻaʻole paha ka mea maʻi paha e luhi a loli paha ke ʻano.
- Hoʻomaʻamaʻa ʻia nā hōʻailona o ka hana kaʻa ma ka nāwaliwali a i ʻole ka atrophy o nā ʻiole o ka wāwae o ka wāwae, ka hapa ʻole o ka noʻonoʻo ʻana, nā ʻūhā ʻana o nā limu, nā kīwaha o nā ʻūā caviar.
- Hoʻokomo i loko o ka maʻi maʻi maʻi, ʻōpala ka autonomic, ʻike ʻia kēia e tachycardia, ka nui o ke kahe ʻana o ke koko, ke hoʻololi nei ke kanaka i kona kūlana kino, constipation, ʻeha, ʻeha, ka ʻōpūʻeha o ka edema, edema.
Hoʻopau a me ka mālama ʻana i ka polyneuropathy
Hoʻokumu ʻia ka maʻi mai nā hoʻopiʻi o ka maʻi maʻi, nā hōʻailona i hōʻike ʻia a me kekahi mau mea. He mea paʻakikī paha ka maʻi e ʻike ai, ʻoiai ke hiki paha ka poʻe kahiko i nā ʻōmaʻomaʻi like like me nā loli.
Kūkulu ʻia i kekahi manawa ʻaʻole hōʻike ka maʻi āpau i kēlā me kēia ala, no laila, hiki ke ʻae wale i kahi hewa i ke komo ʻana i ka hoʻokau kūikawā.
ʻO ka pinepine loa o ka maʻi o ka maʻi i ʻike ʻia i nā kāne a pau, loaʻa nō ka pilikia o ka hoʻomohala ʻana i ka polyneuropathy diabetes me ka maʻi mellitus me ka hyperglycemia lohi, kiʻekiʻe ke ahonui, ka noho ʻana o ka retinopathy diabetes a me ka nephropathy, hōʻemi i ka hoʻoweliweli ʻana i ka vibration, nāwaliwali tendon reflexes.
- Inā loaʻa i kahi kanaka ka mana o ka maʻi, no ka mea diagnostic, hoʻohālikelike ʻia ka pale ʻana me ka hoʻohana ʻana i ka puʻu mākeke, ʻike ʻia ke ʻano o ka hoʻololi ʻana i nā loli, ʻike ʻia ka maʻi ʻeha ma ke kau ʻana i nā wāwae me kahi pono. Hoʻohui me ka ʻike loiloi paʻa ʻana a me ka hiki o ka maʻi maʻi maʻi e ʻike i ke kūlana o nā ʻāpana o ke kino.
- Inā he kānalua ka ʻano o nā ʻūhā, ua loiloi ʻia ka tendon reflexes a hana ʻia kahi electromyography, aia i loko o ke noiʻi ʻana i ka hana bioelectric o nā kiko o ka ʻiʻo.
- I ka hihia o ka polyneuropathy autonomous, ke ana ka nui o ka puʻuwai ma ka wā inhalation a me ka exhalation, e ʻano ʻia kahi gastroenterological a me ka urological, a ʻike ʻia ka nui o ka hoʻomaʻamaʻa ʻana o kahi kanaka i ka hypotension orthostatic.
I ka wā o ka nānā ʻana, e nānā pono ke kauka inā he mau maʻi ka maʻi, ʻeha, wela, hoʻā, a me ke kaumaha. Hoʻohana ʻia nā ʻano ʻano like ʻole no kēia, akā ʻo ka mea maʻi, inā pono, hiki iā ia ke nānā pono iā ia iho me nā mea mahana a me ke anu. Hiki ke ʻike ʻia nā lula a me ka pīpī, i lawe ʻia i ka ʻili.
Inā hōʻike ka maʻi maʻi maʻi diabetes polyneuropathy, pono ke kūpono i ka lāʻau, pono ia e hoʻopau i nā kumu āpau e hoʻonāukiuki i ka maʻi. No kēia, ma ke kauoha a ke kauka e komo ana, ua ʻōlelo ʻia nā ʻano lāʻau like ʻole e hōʻoluʻolu i nā hōʻailona a e hōʻoluʻolu i ke ʻano o ka mea maʻi.
- E hoʻohaʻahaʻa i ke kō koko, e lawe i nā lāʻau lapaʻau haʻahaʻa.
- E hoʻohiolo i ka hana o ka ʻōnaehana o ka pīpī, ke kau nei ke kauka i ka hoʻokomo ʻana i nā huaora B, nā antidepressants ma kahi liʻiliʻi liʻiliʻi, ʻo Thioctacid a i ʻole hoʻomākaukau ʻana ʻo Berlition i loaʻa ka thioctic acid.
- ʻO Gabapentin kahi hana hoʻoponopono e kū'ē ai i nā huhū, a e pono pū ʻia hoʻi nā analgesics a me nā anesthetics. Hoʻomaopopo ka mākaukau o ka Magnesium i ka hōʻoluʻolu ʻana i nā minamina o ka iwi, nā hoʻomaha ʻoluʻolu o ka hōʻoluʻolu i nā spasms.
- No ka hoʻonui i nā kumu o ka ikehu o nā neurons, ua ʻōlelo ʻia e lawe i ka lāʻau Actovegin.
- Inā loaʻa ka tachycardia ke kanaka, lawe iā Nebivolol a i Metoprolol.
- No ka hoʻopauʻana i ka hoʻonāukiuki ma ka ʻili, hoʻohana ʻia ʻo Kapsikam, Apizartron, Finalgon.
Mai i nā lāʻau lapaʻau, nā maʻi pilikino kūikawā, ka hoʻomaha hoʻomaha, ka acupuncture, ka mālama ʻana i ka magnet, hiki i ka hoʻoulu ʻana i ka uila ke hoʻōla i nā pathology.
Hiki ke kōkua ʻia nā ala ʻōiwi i ka hōʻeha ʻana a me nā ʻūhā ma ka ʻili me ka polyneuropathy diabetic; no ka mea, ua pau nā lāʻau lapaʻau, nā aila hoʻōla, a me nā decoction pōmaikaʻi.
ʻO nā mea inu ʻona ʻē aʻe e haʻalele i ka meaʻai no ka ikaika a kino ke kino.
Nā hana kūpono
Me ka hoʻokolohua kūpono, ʻo ka hoʻomohala kūpono, a me ke keʻakeʻa, hiki iā ʻoe ke kāpae i ka hoʻomohala ʻana o nā maʻi i ka manawa. No kēia hopena, he mea nui no nā maʻi maʻi ʻelima ma hope o ka ʻike ʻana i ka maʻi mellitus e kūkākūkā i ke kauka a nānā ʻia no ka hiki ʻana a i ʻole ka maʻi o ka polyneuropathy diabetes i kahi keiki a i ʻole nā pākeke. Ma hope o kēlā, pono ʻoe e hoʻoheo i kēlā me kēia makahiki.
Inā ʻike kekahi kanaka i ka nalowale i ka nānā ʻana, hoʻōki i ka ʻeha ʻana, loli a loli paha ke ʻano, ʻoiai ke ʻano o nā ʻano loiloi o nā haʻahaʻa haʻahaʻa, pono ʻoe e ʻimi pono i kāu kauka no ka ʻōlelo aʻo.
Pono e nānā pinepine ʻia nā wāwae ma mua o ka hiki ke hoʻomaopopo i nā hōʻeha a me nā hōʻeha. I ka kikoʻī, pono ke nānā i nā maʻi kuʻuna i kā lākou koko koko i kēlā me kēia lā me kahi glucometer. Pono ʻoe e hoʻomanaʻo e pili ana i nā hoʻomaʻamaʻa therapeutic, mālama i kahi ʻano hana ikaika, kaʻai kūpono a me ka pāʻai.
Hoʻomaopopo ʻia e lawe i nā hoʻomākaukau multivitamin kahi e hoʻomōlama ai ka huaʻai A, C, E, B (ʻ Compllelo Pale Hie, Diabetes Diabetes, Doppelherz Asset). Inā ʻike ʻia nā hōʻailona mua o ka polyneuropathy diabetes, ʻaʻole pono ʻoe e hōʻola ponoʻī, hiki i kekahi lāʻau lapaʻau ke hiki ke hoʻohana ʻia ma hope o ka hoʻomaikaʻi ʻana a koho i ka mālama kūpono.
Hāʻawi ʻia ka ʻike ma ka maʻi a me ka mālama ʻana i ka polyneuropathy diabetic i loko o ke wikiō ma kēia ʻatikala.
