ʻO Polyneuropathy o nā haʻahaʻa haʻahaʻa he lesion plural no nā nerve nerve. Hoʻohālikelike ʻia ka maʻi e ka maʻi parakiʻi o nā wāwae, ka nele o ka ʻalo i ka pā ʻana a kau ʻia i ke anuanu, a me nā pilikia ʻē aʻe o nā hopena haʻahaʻa.
Me kēia maʻi, ua pili nā nī pili i ka hoʻoweliweli a me ka ʻike ʻana, a me nā wahi mamao loa o nā neurons e waiho ana i nā wāwae. ʻO nā mea nui a me ka ikaika o nā hōʻailona e hilinaʻi nei i ke ʻano o nā maʻi.
Nā ʻano o polyneuropathy
Aia kekahi ʻano like ʻole:
- Hoʻopilikia - hoʻonāukiuki ke kumu o ka helehelena e kūleʻa ana i loko o nā nerve;
- Traumatic - kū ʻia ma hope o nā hōʻeha like, e like me ka kiʻi;
- Toxic - ke kumu o ka loaʻa i ka mea hōʻala o ke kino me kekahi o nā mea momona (no ka laʻana, altait);
- ʻO polyneuropathies allergic o nā haʻahaʻa haʻahaʻa - e kū nei ma muli o ka paleʻole o nā hana pale o ke kino.
E makaʻala! Hiki i ke polyneuropathy ke akule a i ʻole ai ke kūleʻa, axonal (ma kēia hihia ua pā ʻia ke cylinder axial o ka nerve nerve) a me ka demyelinating (ʻike ʻia nā loli pathological i ke membrane of neurons).
Ma ke ʻano maʻamau, hoʻomohala mālie ka maʻi. Akā hiki nō iā ia ke neʻe wikiwiki i ka wikiwiki, ka neʻe ʻana mai ka ʻōhumu ʻana i ka ʻōnaehana waena.
Nā kumu o ka polyneuropathy
Hiki i kahi maʻi ke hoʻomohala ma lalo o ka mana o nā kumu he nui, ʻaʻole naʻe, hiki ʻole ke hoʻokau iā lākou.
ʻO nā kumu ke ala o ka holomua o ka polyneuropathy. ʻO kēia ka poʻe i nā maʻi autoimmune (nā hana i ka hana o ka ʻōnaehana pale e kū mai ana ma muli o ka hoʻonāukiuki ʻana i ke kino), ʻona (alakaʻi), a i ʻole inu wai me ka meaʻai maikaʻi ʻole a me nā mea inu wai i inu ʻia.
Eia kekahi, ʻo nā mea i hoʻowalewale i ka hoʻomaka ʻana o ka maʻi he mau laka, he predisposition genetic, nā ʻano o nā maʻi āpau e hoʻonāukiuki i ka huhū o nā nerve nerve.
ʻO nā kumu ʻē aʻe no ka holomua o polyneuropathy hiki i: ka hoʻohana ʻole ʻana o nā lāʻau lapaʻau (penicillin, streptomycin, azaserin, etc.), nā mea i hoʻopilikia lūlū, ʻōpū, ka pancreas, ka hemahema o ka vitamina a me nā maʻi endocrine (diabetes mellitus).
Akā, ma ke ʻano he kānāwai, kū ka polyneuropathy o nā wāwae i ka wā o nā keʻena neʻe i ka mamao kahi mea e pane mua i nā hana pathological e kū nei i ka ʻōnaehana.
ʻO kekahi kumu ʻē aʻe e waiho nei i ka ʻoiaʻiʻo ʻo nā neurons mamao loa i loaʻa i kahi pale-lolo.
No laila, hiki i nā maʻi like ʻole ke komo i ka pili o ke kahawai mai ka kahe koko.
Nā Hoʻomaka
Me ka polyneuropathy, ʻike ʻia ka pōʻino o nā fibile tactile a me nā neurons e alakaʻi ai i ka neʻe. Hiki i nā alahele i hoʻoili ʻia i loko o nā ʻoihana nerve.
- hoʻemi ʻia ka mālamalama (ʻaʻohe pā, wela a wela paha)
- ka ʻōpū a me ka paresis (lethargy, paralysis),
- nāwaliwali mānoʻi.
Eia nō kekahi, me nā polyneuropathy, ʻike ʻia nā hōʻailona e like me ka emi ʻana a i ʻole ka hemahema o ka tendon reflexes a me ka hōʻeu ʻana a me ka hōʻeha a me nā ʻehaʻeha i nā nipipopa peripheral. Eia nō naʻe, aia kahi mau maʻi i ke ʻano o ka paresthesia a me goosebumps, a hoʻololi ʻia ka hana gait ma muli o ka degenerative muscle distort.
Nui! "Kaʻanuʻu ʻo titi" kekahi o nā hōʻailona nui e kū mai ana i ka hihia o ka mālama ʻana i ka polyneuropathy.
I nā piʻina hope o ka hoʻomohala ʻana o ka maʻi, polyneuropathy o nā haʻahaʻa haʻahaʻa e hōʻike ʻia e ka neʻe ʻana o nā muscities, ua loaʻa i ke ala Guillain-Barré (hōʻeha o nā wāwae, a ma hope o nā ʻōpū o ka hanu), a ʻike ʻia nā ulia trophic, he ʻano nui hoʻi nā hōʻailona o ka pilikia.
Diagnosis
Hōʻike ʻia kēia maʻi ma kahi ʻano ʻokoʻa, kahi e loiloi nei ke kauka i nā maʻi āpau o ka pathology, a laila e pau ana i nā maʻi ʻē aʻe me nā hōʻailona like. Hiki ke ʻike ʻia ma aneʻi Sensorimotor polyneuropathy.
Ke hōʻike nei i ka polyneuropathy, alakaʻi ke kauka i nā hōʻailona lapaʻau, e mālama pono ana i nā hōʻailona āpau.
Ma kēia hihia, e hana ke kauka i kahi hoʻokolokolo o waho, e nānā i ka hōʻike a ʻike ʻia ka mōʻī hoʻoilina hoʻoilina (aia kekahi mau maʻi like i nā ʻohana pili kokoke?), E noʻonoʻo pono ana i nā maʻi āpau.
Me ka piʻi wikiwiki o ka maʻi a me ka kānalua o kahi ʻano koi, a inā e ulu ka sensorimotor polyneuropathy, nīnau aku ke kauka i ka mea maʻi i nā lāʻau a me nā huahana a ka mea i hoʻohana ai i ka mea maʻi.
Ka hana hoʻokūkū instrumental
Hoʻohana pinepine ʻia nā ʻano o nā hoʻokolohua instrumental:
- biopsy
- hōʻike hōʻike koko biochemical;
- palpation o nā kahiʻeha o ka nīpona e ʻike i nā hōʻailona i loko o nā uaua nerve, e hōʻike ana i kahi mea hoʻohele i ke ʻano o ka maʻi;
- hoʻokaumaha;
- electroneuromyography - ua hana e hoʻoholo i ka wikiwiki o ka pulse;
- ʻO ka nānā ʻana aku i nā ʻōnaehana kūloko;
- hoʻopaʻaʻike o nā reflexes;
- ka nānā ʻana i ka wai o cerebrospinal (cerebrospinal fluid).
Hoʻomaʻamaʻa
ʻO ka paʻakikī o ka polyneuropathy, e like me nā maʻi ʻē aʻe e pili ana i ka ʻoihana nīkī, he paʻakikī. I kēia hihia, ua hoʻohana ʻia nā ʻano hana like ʻole.
Ma ka hihia o ka puka lua (diabetes, pathology thyroid), a laila e kuhikuhi ʻia ana ka mālama ʻana no ke kumu kumu o ka hōʻino o ka neuronal.
I ka mālamaʻana i ka polyneuropathy primle, ke hoʻohana ʻia nā lāʻau lapaʻau e like me kēia:
- ʻO nā mea hoʻomaha ʻoliʻoli (baclofen);
- ʻo ke ʻano he mea maʻalahi i ke kaʻina o ke kao ʻana o nā pulses;
- pepa laupili;
- nā lāʻau lapaʻau hormonal (glucocorticosteroids);
- anesthetics (nā ʻāpana e pili ana i ka lidocaine);
- nā huaora;
- analgesics;
- anticonvulsants (gabalentin);
- antiidepressants.
I ka hihia o kahi mea i make ai o ka maʻi, ke kauka ke kauka i ka plasmophoresis (kahi kaʻina hana hoʻomaʻemaʻe koko hāmeʻa).
Physiotherapy
ʻO ka hoʻopaʻa ʻana o ka polyneuropathy maʻi a me nā hoʻoilina he hopena lōʻihi e kū nei i nā nui he nui.
Hoʻohui ʻia ka lāʻau lapaʻau me nā hana physiotherapeutic, e like me ka physiotherapy (e mālama i ka kani ʻana i ke ʻano o ka māka) a me ka magnetotherapy, kahi e hoʻouna ʻia ai nā māla a me nā wahi pilikia o nā pae haʻahaʻa.
Eia kekahi, mālama ʻia ka hoʻomaʻamaʻa ʻana e ka hoʻoulu ʻana i ka uila, reflexology, massage no ka maʻi diabetes. I kekahi manawa ua kuhikuhi ke kauka i ka mea ʻai i ka mea maʻi, i pāpā ʻia ʻole ai i ka ʻai me nā momona momona.
I ka wā o ka mālama ʻana a ma ka hana hoʻolaʻa, ʻaʻole pono ka mea maʻi e inu a lawe i nā paʻi a me nā mea inu e loaʻa ai ka hopena hōʻeuʻeu.
E makaʻala! Me ke kūpono o ka manawa a me ka paʻa, hiki ke kūpono i ka prognosis.
ʻO kahi ʻokoʻa'ē aʻe o ka mālama ʻana i ka ʻano hoʻoilina no ka polyneuropathy. I kēia hihia, ʻaʻole hiki ke hoʻopau ʻia ka maʻi, akā ka hōʻemi a me ka hōʻeha o nā hōʻailona.
Nā hana kūpono
ʻAʻole pono ka nui o nā hana kūpono i ka mālama ʻana a ke manaʻo nei e kāpae i nā mea hiki ke hopena pololei i ka hōʻino ʻana o ka neuronal.
I mea e pale ai i ka polyneuropathy, pono ia i ka manawa kūpono e mālama i nā maʻi o loko a me nā maʻi pūpū, a me ka inu ʻole ʻole i ka inu ʻawa.
Eia kekahi, hoʻolaha nā kauka i ka hoʻohana ʻana i nā mea pale i ka wā e hana nei me nā ʻalopona mea hoʻonāukiuki, mai hōʻino ʻole i ka hoʻohana ʻana i nā lāʻau lapaʻau (mai lawe i nā lāʻau lapaʻau me ke ʻano lāʻau lapaʻau) a nānā i ka maikaʻi o ka ʻai i hoʻopau ʻia.
Ma ke kānāwai, ʻaʻohe hiki ke pale aku i ka polyneuropathy. Eia nō naʻe, me nā hōʻailona mua o ka maʻi, hiki iā ʻoe ke nīnau koke i ke kauka. Ma muli o kēia, e hōʻemi nui ʻia ka manawa o ka lapaʻau ma hope, e hōʻemi nui ʻia ka hōʻemi o nā maʻi hōʻeha.
