ʻO ka Polyneuropathy kahi hui o nā maʻi o ka ʻōpiopio o ka peripheral i hele i ka wā o ka luku ʻia o nā kinipona nerve.
Heʻokoʻa paha nā kumu o kēia ʻano, akā like nā ʻano like o kā lākou lapaʻau. Hāʻawi lākou iā lākou me ke kani vascular impaired, lawa ʻole i kaʻai pono ʻana, hoʻololi i ka naʻau a me ka palaka flaccid o nā manamana.
Inā e hoʻohālikelike mākou i ka polyicuropathy diabetes a me nā waiʻona, he aha ia a pehea lākou e hōʻike ai, a laila he hōʻailona maʻamau ka mea e hōʻino i ke kahe o ke koko a me ka hoʻowalewale i lalo o ka mana o nā mea o nā meaʻona - glucose a me ka ethanol.
ʻO nā kumu no ka hoʻomohala ʻana i ka polyneuropathy
ʻO nā polyneuropathies o nā etiologies o kēlā me kēia, a ke hoʻomohala ʻia me ka ʻike ʻole a i ʻole ka maʻi poka i kahi mea huna e hoʻopiʻi ai i nā kinina nerve. ʻO kēia paha ma muli o ka hopena o ke ʻano o ka bacteria i ka diphtheria a i ʻole ka maʻi i ka maʻi ʻana o ka maʻi HIV, nā hōʻeha, a me nā kaʻina hana hōʻino.
Nā lāʻau lapaʻau, e komo pū ai ʻO Cordaron, Furadonin, Metronidazole a me Isoniazid e hoʻopili i ka hoʻonāukiuki o nā nerve i ka wā o ka hoʻohana lōʻihi.
Hiki i nā neuropathies i nā maʻi maʻi ke kū hoʻokahi i ka lua o ka manawa - me ka lymphoma, myeloma a me ka maʻi māmā, a me ka hoʻopiʻi ʻana i ka chemotherapy no kēia mau maʻi.
Hoʻokumu nā neuropathies maʻi i kēlā me kēia ʻano palolo.
- Nā maʻi Autoimmune.
- ʻO nā maʻi ma ka hopena metabol - maʻi maʻi, amyloidosis, hypothyroidism, hemahema o ka vitamin B12.
- Nā maʻi hoʻoili.
- Alikaihue
- ʻO Renal hiki ʻole.
- ʻO Cirrhosis o nā palani.
No ka maʻi diabetes a me ka waiʻona polyneuropathy, ka holomua me ka lōʻihi o ka maʻi o ka maʻi a me ka hoʻomaikaʻi ʻana i nā māka lapaʻau me ka hoʻohaʻahaʻa ʻana i ka komo o ka glucose a i ʻole ka waiʻona he ʻano.
No ke aha i hoʻopilikia ai nā kuhi nerve i nā maʻi maʻi a me ka waiʻona?
I loko o ka maʻi mellitus, hoʻomohala ʻia ka polyneuropathies me ka hoʻomohala pālahalaha o nā neurons ma ke ʻano o ka lā o ka pīpī. Kēia mau maʻi keu ʻole ka hoʻēmi ʻia ʻana ma muli o ka loaʻa ʻole o ka hoʻolaʻa iwi i nā maʻi maʻi.
Hoʻonui ka nui o ka glucose i ka kahe koko e alakaʻi ai i ka palalike ʻana i nā paia o nā kīʻaha koko, ke ʻano hoʻomāliʻi ʻole, ka hoʻokumu ʻana o nā kīwaha koko a me nā kīpē ma nā paia. Me kahi meaʻai haʻahaʻa haʻahaʻa, make nā cell nerve, ke hoʻololi ʻia e ka huina nonoke ʻole lawelawe.
Ua hōʻike ʻia nā hopena pinepine o ka neuropathy i nā kāne kiʻekiʻe. ʻO ka mea koʻikoʻi e hoʻoholo i ka paʻakikī o ka papa o ka maʻi, ʻo ka piʻi o ka hyperglycemia. ʻOi aku ka momona o ke kīhaha, ʻawaʻawa a me ka inu ʻona.
Hōʻalo ka pilikia o ka polyneuropathy diabetic me kēia mau mea:
- ʻO ke ala lōʻihi o ka maʻi maʻi.
- ʻO ka hyperglycemia kiʻekiʻe, loli pinepine ka pae o ke kō.
- Ona elemakule.
No ka neuropathy i loko o ka palaka, hiki i ka ʻeha ke hypothermia, maʻi, a me ka ʻeha kino. ʻO Ethanol ponoʻī a me kāna mau huahana metabolic e wāwahi i nā kinona nerve. Me ka hapaʻole o ka vitamin B1 (thiamine), ke hōʻike mai nei o ka polyneuropathy hoʻonui.
Hoʻokomo ka Hypovitaminosis B1 me ka lawa ʻole o ka ʻai o ka meaʻai a me ke kōpona paʻa ʻole i loko o ka ʻōpū. Hoʻonui ka mea inu wai i ka pono o ka thiamine, no laila e hoʻomaʻamaʻa ʻia kona mau ʻike. I kēia hihia, lilo ka iwi lahilahi i mea ʻino.
Hoʻopilikia ka lāʻauʻona i ka hoʻoulu ʻana o nā ʻimi manuahi e hoʻopilikia ai i ka laka o loko o ka moku, ma muli o ke ʻano e kūkulu ʻia ai ka hypoxia i nā fibers nerve a ua luku ʻia lākou.
ʻO nā hōʻailona o ka polyneuropathy diabetes
ʻO ka hoʻopauʻana o ke kahe koko, nā hoʻololi i loko o ka halihali ʻana i nā aʻa o ke kino i ka maʻi diabetes i kahi ʻano ʻekolu o nā leʻaleʻa o nā ʻoi loa o ke poʻo: ʻo ka neuropathic, ischemic, hui ʻia.
Hōʻike ʻia ka maʻi neuropathic e kahi noʻonoʻo noʻonoʻo i ka ʻeha, kahi, me nā pā liʻiliʻi, ʻeha ʻia ka maʻi, a me ka hele ʻana o ka wāwae. ʻO ke kuʻekuʻe, ʻaihā ʻana i nā hōʻeha a i ʻole nā hōʻā ʻana paha i nā wāwae e hūnā paha.
Hoʻonui ka pāpaʻi a me ka hōʻeha ʻana i ka hōʻeha ma ka ʻeha. Hoʻololi ʻia nā mea like o nā wāwae ma muli o ka nāwaliwali o ka naʻau a i ke kau ʻana i nā kūlana o nā wāwae i ka wā e hele ai, subluxations e hele mai ana. Maloʻo ka ʻili, hoʻomoʻa, me ka hoʻomohala ʻana o ka maʻi i ka wahi i hōʻeha ʻole a hōʻino paha, he mea maʻi ulcerative e ulu nei.
ʻO kahi hiʻohiʻona hiʻohiʻona o ka koho neuropathic kahi mea i loaʻa i ka pulse ma nā wāwae, kaʻili mahana a me ke kūkulu ʻana i nā ʻeha ma nā iwi metatarsal.
Ka laulā ischemic o ka hoʻomohala ʻana o ka polyneuropathy diabetes me ka:
- ʻO ka pau ʻana o nā lāʻau hāpau a me nā capillaries.
- Ka hopena o ka cholesterol a me ka calcium ma ka paia vascular.
- ʻO ke ʻano o nā pākiki a me nā kahakaha koko.
- Hoʻopili a paʻa ka pā o ke vascular.
- Ke iho nei ke ʻano o ke koko.
Hoʻopili i ke kahe koko i loko o ka moe venous a me ka stagnation ma i ke kōkua ʻana i ka hoʻokumu o edema a me ka hemorrhage i ka ʻili. ʻO ka ʻili, hōʻili ʻia ka ʻili, nā hōʻeha a me nā ʻōpū. ʻO kahi hōʻailona o ka ischemia kahi hōʻailona o ka claudication intermittent, i ka wā e hoʻokaʻawale ke mea maʻi i ka wā e hele ana ma muli o ka hōʻeha o ka ʻeha o nā wāwae.
Hōʻike ʻia ka ʻano like ʻole e ka pōkole o nā tendons a me ka lawe ʻana o nā paʻapū i ka protein me ka glucose ma luna o ka papa articular. ʻO nā hōʻailona o nā lawehala ʻia:
- Hoʻopau i nā mea pili.
- ʻO ka ʻōpū, ka hui pū ʻana a me nā dislocations.
- E ʻoluʻolu i ka pā.
- ʻUlaʻula ʻia ka ʻili me ka ili blint,
- Hōʻike nā ʻūhā ma nā kuʻekuʻe a i ke kuʻekuʻe wāwae.
Hoʻokomo ʻia nā ʻōpū ma nā maʻi koʻikoʻi, hiki ke paʻakikī i ka osteomyelitis a me ke kaʻina septic, ka holomua o ischemia e alakaʻi i ka gangrene.
ʻO kahi wāwae maʻi maʻi kumu maʻamau no ka amputation o ka wāwae.
Nā hōʻailona o ka prolineuropathy i loko o ka waiʻona
Ua hoʻokaʻawale ka hoʻokaʻawale ʻana i nā ʻano ʻelua a me ka polyneuropathy diabetes, no ka mea, ʻaʻohe kaʻawale kahi i hōʻino ʻia i ka nū a me ka uila. Loaʻa nā ʻano ʻona like ʻole o nā maʻi.
Hōʻike ʻia nā hōʻike olakino o ka polyneuropathy alakoko e nā syndromes: sensory, motor, hui ʻia, atactic.
Hōʻike ʻia ka sensor neuropathy e ka ʻeha wāwae, hōʻeha ʻana, ka puhi ʻana, nā wāwae ʻeha, ʻehaʻeha o ka naʻau. ʻO ka hala o ka sensitivity, e komo pū ana a hōʻemi paha i ka hōʻeha a me ke pālua i ke ʻano o nā ʻano "socks and prints." Hōʻike ʻia nā ʻano kikoʻī e ka neʻe ʻana o ka ʻili, ʻoi aku ka nui o ka ahe nui.
Hōʻike ʻia ka ʻano kiʻi uila:
- Hoʻohālikelike ʻia i nā wāwae a i nā wāwae.
- Hoʻopilikia wale o kaʻili o nā wāwae.
- ʻO ka hiki ʻole ke hele ma luna o nā manamana wāwae.
Inā pili ka ʻiʻo peroneal, hana i kahi ʻano "clawed foot", kahi paʻakikī i hoʻonui ʻia i ka wāwae.
Aia ke ʻano hui i loko o ke ʻano o ka paresis a i ʻole ka ʻōpū i nā wāwae, nā lima, ka ʻeha, ka ʻeha o nā lima a i ʻole wāwae. ʻO nā pūpū o nā lima a me nā lāhā. I ka wahi i hoʻopili ʻia ai paha ke hoʻonui a hōʻemi paha i ka naʻau.
ʻO nā pseudotabes peripheral, a i ʻole ka hopena atactic o ka polyneuropathy alkohol, e hoʻoulu ʻia e nā maʻi naʻau hohonu. I ka maʻi, hiki ʻole ke hoʻonohonoho ʻana o nā neʻe a me ka gait, hele ka wāwae, hoʻoliʻiliʻi ka naʻau, i ka wā o ka loiloi, ua hala ʻole ʻo Achilles a me nā kuli.
I ka hoʻomaka, hoʻomohala ka poʻe maʻi i ka nāwaliwali o ka naʻau a me ka tingling i loko o nā lima a me nā wāwae, a laila hoʻomohala ʻia i ka paresis kahi e hoʻomehana ai a i ʻole ka lolo.
Ma nā hōʻemi nui, nāwaliwali o ka ʻōpū, nāwaliwali o ka puʻuwai puʻu, ka mea i hōʻike ʻia e nā ʻehaʻena a me kahi hāʻule o ke kaomi.
Hoʻomaʻamaʻa a me ka pale ʻana i ka neuropathy ma ka maʻi diabetes
No ka mālamaʻana i ka neuropathy i nā maʻi me ka maʻi maʻi, pono e hoʻokū ʻia nā pae kōkō o ke koko. Eia kekahi, ʻo nā hōʻailona o ka papa o ka maʻi maʻi e hoʻemi i ka pae o ka hemoglobin glycated, nā hōʻailona o ka hana lipid metabolism, me ka kolamu, a me ke koko.
Loaʻa kēia ma ka hahai ʻana i kahi papaʻai a kuhikuhi i ka maʻi insulin no ka maʻi maʻi mua. ʻO nā maʻi me ka maʻi non-insulin-dependence hiki ke hoʻokaʻawale iki i ke insulin, inā nā lāʻau lapaʻau e hōʻemi ai i ke kōpaʻa i loko o nā papa i hiki ʻole ke hōʻemi ia i ka pae i ʻōlelo ʻia.
Ma hope o ka maʻamau o nā hōʻailona o nā kaila a me ka momona o ka momona, hiki ke ʻike nui ʻia i ka hōʻike ʻana o ka polyneuropathy diabetes.
Hoʻohana ʻia ka lāʻau lapaʻau me ka hoʻohana ʻana i nā hoʻomākaukau waikawa thioctic: Berlition, Thiogamma, Espa-lipon. Hōʻike ʻia ka paʻakikī o nā huaora B - Milgamma no ka maʻi maʻi, Neurobeks Neo, Neurovitan, Neuroorubin.
No ka analgesia, hoʻohana ʻia nā lāʻau anti-inflammatory - Indomethacin, Diclofenac, Nimesulide, a me nā anticonvulsants - Gabalept, Lele. E like me nā hōʻike, hiki ke kuhikuhi i nā antidepressants - amitriptyline, clofranil, imipramine, venlafaxine.
Liloi aila i loko o nā wahi a me ka lidocaine - Versatis a i ʻole me nā lāʻau lapaʻau anti-inflammatory '- Ketoprofen, Dolgit.
Hoʻohana ʻia nā ʻano lāʻau non-pharmacological no ka mālama ʻana i ka polyneuropathy i ka maʻi pākeke: hyperbaric oxygenation, balneotherapy, electrophoresis, hoʻoulu ʻia me nā haʻahaʻa modulated, magnetotherapy, electroneurostimulation. Hiki ke kuhikuhi ʻia lākou ma ka waiho ʻana o nā maʻi concomitant koʻikoʻi.
Ke mālama nei i ka hoʻomanawanui ʻana o ka maʻi ʻeha, ʻaʻole i hoʻokaʻawale ʻia e nā lāʻau lapaʻau, hoʻonā ʻia ka hana hoʻowaliwa uila
ʻO ka pale ʻana i ka hoʻomohala ʻana o ka polyneuropathy ke hoʻomalu nei i ka pae o ke kō a me ka hoʻoponopono ʻana o ka hoʻōla i ka lāʻau hoʻohiolo ʻana i ke kō. Eia kekahi, ua hoʻolako ʻia nā mea maʻi me ka maʻi maʻi maʻi maʻamau no nā hemoglobin glycated, renal a me ka hepatic complex, a me nā pae lipoprotein.
Hiki iā ia ke pale aku i ka luku ʻana o nā moku koko a me nā huaʻala o ka nerve ma lalo o kēia mau ʻōlelo ʻōlelo:
- Mālama i ke koko i ka wa o 130/80 i ʻole e hoʻohaumia i ka hāʻawi ʻana i ke koko i ka maʻa i pā ʻia.
- ʻAno i ka kōpī a me ka palaoa palaoa mai ka meaʻai, a hoʻohui i nā mea kanu i nā huahana a me nā momona o ka momona momona.
- ʻO kahi wai ʻona a me nā uahi e pono e pale ʻia.
- E hele i nā wāwae i kēlā me kēia lā, mālama i ka hana kino kūlohelohe.
- E nānā i ka hoʻomaʻemaʻe a nānā i nā wāwae i kēlā me kēia lā.
Ke mālama nei i ka polyneuropathy alkoholā
No ka mālamaʻana i ka polyneuropathy i hoʻokumu ʻia e ka waiʻona, pono nui e haʻalele i kahi mea inu a me ka mea ʻai i ka meaʻai, me ka nui o ka nui o nā huaora a me ke akeʻaiʻai, a me ka protein piha.
No ka mālama kino physiotherapeutic, electromyostimulation, galvanization a me nā electrophoresis o nā huaora, ua hoʻohana ʻia ka novocaine.
E hoʻopili i ka magnetotherapy, laser therapy, sinusoidally simulate currents, acupuncture. Hōʻike ʻia nā mea maʻi i nā hoʻomaʻamaʻa physiotherapy, ke ʻano, ka ʻauʻau a me ka hele.
Ke lawe ʻia nei ka lāʻau lapaʻau o ka neuropathy alaka i ke ʻano ʻana me kēia lākiō.
- Nā huaora B: Milgamma, Neurorubin, Thiamine chloride, Pyridoxine hydrochloride, Cyanocobalamin (intravenously a intramuscularly).
- Huʻi ʻia ka ascorbic acid.
- Pentoxifylline, Trental a Pentilin, Cytoflavin e hoʻomaikaʻi i ka microcirculation.
- ʻO ka Actovegin no ka maʻi diabetes no ka pale ʻana i ka hypoxia.
- Hoʻokomoʻo Neuromidin i ka hoʻonuiʻana i ka neuromuscular conduction.
- Anesthesia: ole-steroidal anti-inflammatory drugs Voltaren, Revmoxicam; anticonvulsants - Gabalept, Finlepsin; antidepressants - Anafranil, Venflaxin.
- ʻO nā lāʻau Anticholinesterase no ka paresis a i ʻole paralisis - Neuromidine, Galantamine, Proserin.
ʻO ka Hepatoprotectors (Essentiale, Hepabene, Liv) kahi mea i hōʻike ʻia no nā mea maʻi e hoʻomaikaʻi i ka assimilation o nā lāʻau lapaʻau a me ka pale o nā puʻuwai. Eia kekahi, loaʻa nā hopena maikaʻi i ka wā e hoʻohana ai i nā lāʻau lapaʻau me ka waihiko thioctic - Thiogamma, Espa Lipon, Thioctacid, Berlition.
He aha ka maʻi polyneuropathy maʻi? Hōʻike ʻia ka ʻike e pili ana i kēia ʻano mea i loko o ke wikiō ma kēia ʻatikala.
