ʻO ka polyneuropathy Dysmetabolic kahi maʻi e hiki ai ke ulu kūʻē i ke kuana ʻana o ka loaʻa ʻana o nā pilikia somatic i hoʻomaka ʻia e nā maʻi kūloko:
- diabetes mellitus;
- nā maʻi o nā pēpē, ate;
- nā pilikia kōpili.
ʻO kēia mau maʻi i mea e pono ai no ka pau ʻana o ka thiamine a me nā vitamina ʻē aʻe. Eia kekahi, ʻike pinepine ʻia nā leʻaleʻa pinepine o nā paukū nerve peripheral.
Hoʻomohala ka polyneuropathy Diabetic i ka maʻi diabetes i ka 90% o nā hihia. Ka helu pololei o kēlā mau pilikia, e hilinaʻi pololei ia i ka lōʻihi o ke ʻano o ka maʻi maʻi, akā naʻe, ʻaʻohe mea e hilinaʻi nei i kona pohō.
Hiki nō hoʻi ke ʻano o nā hōʻailona o ka polyneuropathy.
ʻO kahi mea nui i ka hoʻolālā ʻana o ka neuropathy hiki ke lilo i hypoxia me nā loli. I ka nānāʻana o kēia, e hoʻomaʻamaʻa ʻia ka hoʻohana ʻana o ke kō ma nā niperi a peripheral.
Ma muli o ka hōʻole o ka kaʻina glycolysis, e hōʻiliʻili ka nui o ka waikika lactic a me ka waikawa pyruvic. Kuhi ʻia nā hihia o nā loli i ke kaʻina ʻo thiamine phosphorylation.
ʻAʻole ka hapa liʻiliʻi e hoʻokani ʻia e ka hana hewa ʻana i nā ʻano ʻē aʻe i hiki ke kū kūʻē i ka hope o ka maʻi mellitus.
- wai-electrolyte;
- lipid;
- ʻaʻano protein.
ʻO ke kiʻi haumanu o ka maʻi
I kēlā me kēia kūlana, ʻokoʻa paha ka papa o ka dysmetabolic polyneuropathy. Inā ulu koke ka maʻi a hōʻike ʻia e ka emi nui o ka naʻau me ka vibrational, ka nalowale o ke kuli a me nā ʻūpī o Achilles hiki ke ʻike.
ʻAʻole kēia mea kānalua kuhi i ka polyneuropathy, akā ulu ka nui o nā makahiki i kahi lālani.
Hiki ke hōʻailona ʻia ka polyneuropathy diabetic e ka subacute a i ʻole ka hoʻomohala ulu. I kēia hihia, hōʻino ʻia i kekahi mau ʻāpana o nā kahiʻeha o ka nerve. E like me ke kānāwai, hiki mai nā pōʻino o ka nerve:
- sciatic;
- media;
- ulnar;
- hapanui.
Hiki i kēia mau pilikia ke hoʻopili pū me nā paresis o nā hui pūkini kūpono, ʻeha a me ka hōʻiliʻili ʻana. Inā pili i ka nerve femoral, a laila ʻike ʻia ka nalo ʻana o ka ʻūlū luli.
Eia kekahi, ʻo kahi i hōʻino ʻia i nā nane cranial (lawe pio, trigeminal, oculomotor) i ʻike ʻia.
Aia kahi kolu o kahi papa o ka polyneuropathy diabetes. Hoʻohālike ia e ka pōʻino i kekahi mau nerves o nā limu a me ka hoʻomohala ʻana o ka sensory a me nā maʻi motor (e pili ana i nā pae haʻahaʻa haʻahaʻa)
Hiki i nā lewa Tendon ke nalowale a pau, a ma ka palpation soreness e kani ai ka nane.
Me ka polyneuropathy, ʻaʻole maʻamau nā mea kanu a me ka trophic. Hoʻopilikia ka pilikia me ka urination a me ka hypotension postural.
Pehea e mālama ai?
ʻO ka mea mua, pono ʻoe e hana i ka hoʻoponopono i ka metabolism ketone me ka hoʻohana ʻana i nā inikini insulin a me kahi meaʻai kūpono. Hiki paha i ke kauka ke ʻōlelo:
- ʻaukā;
- Nā huaora B;
- paulo;
- ganglion blockers (gangleron);
- espa lipon (berlition).
E hōʻike ʻia ke kaʻina o nā ana e hoʻohana ai e hōʻoki i ka neuropathy.
ʻO Polyneuropathy me nā maʻi ʻōnaehana
Inā he lupus erythematosus ka mea maʻi e pili ana i ka ʻili, nā ʻōpū a me nā hui, a laila ʻike ʻia ka polyneuropathy e ka hoʻomohala ʻana o ka maʻi pālule a i ʻole nā paresis o nā musim proximal, ka nalowale o kekahi mau refon tendon. Ma ka emi mau o ka ʻeha i ka ʻeha e hōʻoli ʻia paha.
I kekahi mau hihia, hiki i nā hōʻailona o ka polyneuropathy keʻike mua i ka hoʻomohala ʻana o ka maʻi lalo. Ua ʻike ke lāʻau lapaʻau i nā mea nui me ka hōʻeha nui i nā ʻano like ʻole o nā lima a me nā wāwae.
I kēia hihia, e kamaʻilio mākou e pili ana i ka mononeuropathy. Ma ka lāʻau nui ka maʻi rheumatoid, ʻike ʻia ka polyneuropathy. I ka mua, e hōʻike ʻia ʻo ia iho i ka maʻi ʻeha, a laila paʻakikī i ka neuropathy sensorimotor.
Inā hele ka periarteritis nodosa, ulu ka neuropathy o nā cranial a me nā kuʻina i nā iwi. E pili pū kekahi mau hewa like ʻole i nā pilikia ʻino:
- kūlohelohe;
- motor;
- hoʻokolohua.
Hoʻohui pinepine ʻia ke ʻano like o ka neuropathy me nā hōʻailona o ka angiopathy maʻi i nā hana a me nā ʻōnaehana.
Heneritary polyneuropathy
ʻO ka mea mua, he polyneuropathy, nāna e hoʻomohala me ka porphyria (nā kaila ʻano genetic). ʻO nā mea nui o kēia maʻi hoʻoilina.
- ʻeha i ka ʻōpū o ka ʻōpū;
- hoʻonui i ke koko;
- hana ʻino i ka pūnaehana koa waena;
- kaʻai urine me kahi hiʻohiʻona uliuli hiʻohiʻona.
E hōʻike ʻia ka porphyric polyneuropathy ma muli o ka paʻakikī o ka neurological o nā hōʻailona. I kēia hihia, hōʻeha ka naʻau, nāwaliwali o ka naʻau, paresthesia (ʻo luna a i lalo haʻahaʻa). Hiki i nā hōʻike motor ke piʻi mālie, a hiki i ka lolo ākea a paresis paha.
Me kēia maʻi, e kani ka mea maʻi:
- ke ʻeha o nā puʻuwai;
- nalowale o nā ʻano a pau ʻole.
No ka hana ʻana i kahi maʻi kūpono, e noʻonoʻo ke kauka i nā maʻi āpau o nā pehu metabolism porphyrin. E hoʻopau i ka maʻi, hōʻike ke kauka i ka maʻi intravenous a me ka waha o ka glucose i kahi Dosis a hiki i 400 mg (hōʻike like ka lāʻau like no nā ʻano like o ka polyneuropathy).
Amyloid polyneuropathy
Kūkulu ʻia kahi ʻano amyloid polyneuropathy i loko o kēlā mau maʻi e loaʻa nei i ka moʻolelo o ka amyloidosis hoʻoilina. ʻO kāna mau kumu lapaʻau nui ʻia:
- nā maʻi stool (constipation a me nā maʻi);
- ʻeha i ka hoʻowalewale ʻana;
- hana ʻole naʻau;
- macroglossia (kahi nui o ka nui o ka ʻōlelo).
Me kēia mahele, nā luhi ʻano naʻau, no ka laʻana, ka ʻeha o nā ʻōwili, ka nalowale o ka hōʻeha a me ke ʻano. Ma nā papa hope aʻe, hui pū ʻo paresis i ka maʻi.
E like me ka lāʻau kūpono, i kēia manawa ʻaʻole mau.
Distal sensory-motor polyneuropathy
Me ka maʻi maʻamau, ʻoi aku ka nui o nā fibers nerve. Hoʻomaopopo ka polyneuropathy diabetik ma 40% o nā maʻi maʻi. Hōʻike ʻia kēia ʻano maʻi o ka nele o ka paʻakikī o ke kaomi, ke hoʻololi ʻana i ke ʻano ambient, ʻeha, ke kulu a me ka wahi e pili ana i nā mea ʻē aʻe.
Pōʻī ka polyneuropathy Sensory no ka mea maʻi maʻa kahi maʻi maʻi ʻeha a ʻaʻole hoʻi i nā kiʻekiʻe.
Hōʻike ʻia nā ʻūhā ma lalo o ka hopena haʻahaʻa, nā hōʻeha ma nā wāwae fester. ʻAʻohe hōʻeha maikaʻi a me nā ʻeha i hoʻoholo ʻia.
Hiki ke hōʻike ʻia ka polyneuropathy Sensomotor e nā hōʻailona ikaika, no ka laʻana, ʻeha ka ikaika o ka ʻeha ma nā wāwae, ʻoi aku ka nui o ka pō.
Ke ulu nei ka maʻi, e ʻike ʻia kahi hana ʻole ma ka hana o ka ʻōnaehana musculoskeletal. I ka hiki ʻana aku:
- e'ōpio i ka iwi;
- musstrophy ʻaʻa;
- maloʻo loa o ka ʻili;
- ka helehelena o nā makahiki;
- ʻulaʻula kala ʻulaʻula;
- pulau ʻaʻū pulupulu.
ʻO nā hōʻailona nui loa o ka polyneuropathy mamao o ka diabetes i ka maʻi ʻōpio e loaʻa ana ma waena o nā manamana wāwae a ma nā wāwae o nā wāwae. ʻAʻole hiki i nā ʻōleʻa ke hoʻoulu i ka pōʻino ma muli o ka loaʻa ʻole o ka ʻeha. Ma nā kūlana holomua, e kamaʻilio mākou e pili ana i ka nui o kaʻeha.
Autonomous polyneuropathy ma ka maʻi maʻi
I mua o nā leʻaleʻa o ka ʻōnaehana autonomic kūʻē i ke kua o ke ala o ka maʻi maʻi, e manaʻo ka mea maʻi:
- ʻeleʻele i nā maka;
- palupalu i ka wā e kūpono ai;
- āhāhuʻe.
ʻO kēia ʻano o ka polyneuropathy e hele pū me nā malfunctions ma ka hana maʻamau o ke a ka pēpē, ka mea i hōʻike ʻia e ka hoʻoluhi ʻana i ka ʻai o ka meaʻai. Ma muli o kēia, hoʻomaʻamaʻa hiki ʻole e hoʻokūkū i ka luhi o ka glucose i ke koko o kahi maʻi maʻi.
Hiki i ke kumu o ka make make hiki ke hoʻonāukiuki i ka ʻatikala o ka naʻau ma ka polyneuropathy diabetes.
E mau ka poʻe i loaʻa i kēia maʻi e loaʻa nā pilikia mai ka ʻōnaehana genitourinary - loaʻa kahi urinary incontinence. ʻO ka mea palaki e nalowale i kona hiki o ka piha piha, ka mea i lilo i mea no ka hoʻomohala ʻana i nā maʻi infectious. Hoʻolaha nā kuhi Erectile i ka polyneuropathy autonomic e ʻike ʻia i nā kāne, a me ka dyspareunia i nā wahine (hiki ʻole ke hoʻokō orgasm).
