ʻO ka neuropathy Diabetic kahi maʻi holomua holomua e alakaʻi ana i ka maʻi. I nā hoʻomaka mua, hikiʻole ke nānā aku ke heleʻana.
No laila, hana pinepine ʻia ka maʻi inā ʻaʻole hiki ke kōkua hou ka lāʻau lapaʻau. Pehea e mālama ai i ka maʻi diabetes neuropathy, a ka ʻatikala e haʻi.
ʻO ka neuropathy Diabetic o nā haʻahaʻa haʻahaʻa: he aha ia?
Polyneuropathy a i ʻole neuropathy diabetic o kahi ʻoi loa o kahi mau haʻahaʻa - kahi kūlana patologis e hōʻike ʻia ana e ka maʻi i loko o nā mea pili o peripheral.
ʻO ka maʻi ka hoʻopiʻi ʻana i ka puka o ka maʻi mua (lua) o ka maʻi maʻi, hoʻomaikaʻi nui loa i ka papa o ka maʻi i lalo.
Wahi a nā helu helu, ʻike ʻia ka polyneuropathy ma kēlā me kēia maʻi maʻamau. Pōʻino kēia hōʻeha a hiki ke make i ka make. I ke kanaka, ua emi nā sensitivity kiko, me ka ʻeha, nā ulia trophic ma nā wāwae.
Nā hōʻailona a me nā hōʻailona i nā maʻi maʻi maʻi
Hoʻomaopopo ʻia nā hōʻailona o ka neuropathy holomua o ka hopena haʻahaʻa. Ua hoʻopiʻi ka mea maʻi:
- ʻeha i nā kuʻekuʻe a me nā wāwae;
- nahoa
- ka hoʻohaʻahaʻa haʻahaʻa o ka ʻili i ka hōʻeha, ke mahana;
- kuolo;
- ka hōʻā ʻana o ka ʻili o ka wāwae;
- hypotension;
- tachycardia;
- hāpau
- ka lāliʻi o nā ʻūhā o nā wāwae, nā manamana nail;
- nā ʻōpū;
- nāwaliwali mānoʻi.
Nā hōʻailona koʻikoʻi i ka pō a me ka hana ʻana. I ka hele ʻana, e emi ka ʻeha. I ka manawa hope loa o ka polyneuropathy, ua hoʻohālikelike ʻia ka piko o ke kuʻekuʻe, ʻike ʻia na flatfoot.
ʻO ka noiʻi Monofilament a me nā ʻano hana ʻē aʻe
E hōʻike i ka polyneuropathy i nā hoʻomaka mua o kāna hoʻomohala, hana ʻia kahi noi monofilament. ʻO ka mea mua, ua nānā ke kauka i nā mea hohonu o kahi maʻi maʻi.
A laila pomi ʻo ia i ka hāmeʻa ma kāna huluhulu e hoʻākāka i ke kanaka i nā manaʻo e manaʻo ai. No laila ke noi ʻia e kanu i kona mau maka.
Hoʻokū ke kauka i ka monofilament o ka lāʻau plantar o ka wāwae i kahi papa 3-5. I ka wā o ka hoʻokolokolo, hōʻike ka mea maʻi i ke kauka ma kahi āna i manaʻo ai he paʻi.
ʻO ka malalo aʻe kahi loiloi o ka hoʻouluulu ʻana me ka wili kani a i ʻole biotheziometer. ʻO ke ʻano o ka ʻeha o ka ʻeha e nānā ʻia me ka hoʻohana ʻana i kahi pono neurological. Hoʻopili ʻia, hiki ke kuhikuhi ʻia kahi biopsy nerve nerve a me ka electroneuromyography.
Nā Kūlana Kūlana a me nā Kūlana Kūlana No ka Pōkīpika Diabetic
He mea nui ke komo komo ʻana me ka hakakā maikaʻi i ka hoʻopiʻi ʻana i ka maʻi o ka maʻi maʻi.
ʻO nā paona koʻikoʻi a me nā alakaʻi alakaʻi no ka mālama ʻana i ka polyneuropathy ma kahi maʻi maʻi maʻi.- ka pale ʻana i ka maʻi hyper-or hypoglycemia;
- kahi ʻemi o ka hoʻokaʻawale ʻana o nā ʻimi manuahi e hoʻopōʻino i nā ʻeha o ka periphery;
- hoʻoponopono kūwaho a pale aku i nā aʻa nerve ʻole;
- ka hoʻohana ʻana mai i nā hana o ka lāʻau lapaʻau (folk, physiotherapy);
- palekana anesthesia.
He aha nā lāʻau e mālama ai?
I mea e ho'ōla ai i ka neuropathy diabetic o ka ʻaha haʻahaʻa haʻahaʻa a i ʻole e pale aku i ka holomua o ka patology, hoʻohana ʻia nā lāʻau lapaʻau kūikawā. Hoʻomaopopo i ka metabolic, antioxidant, miki, vasoactive, vascular drug, painkillers.
Alpha Lipoic Acid a me nā Antioxidants'ē aʻe
ʻO ka pinepine, ʻo nā mea maʻi me ka maʻi maʻi o ka maʻi maʻi i kuhikuhi ʻia i nā lāʻau lapaʻau e pili ana i ka waika alpha-lipoic: Berlition, Espa-lipon, Tiolepta, Neuroleepone, Tiogamma.
ʻO ka lāʻau Berlition
Hoʻomaikaʻi lākou i ka trophism, hoʻolaʻa i ka metabolism i loko o nā kiko, hoʻoikaika i ka hoʻoulu hou. ʻAʻole pono nā hoʻonā o ka lāʻau lapaʻau ma mua o 600 mg. He lōʻihi ka papa o ka mālama ʻana a mai nā mahina a hiki i ʻeono mahina.
ʻO ka lāʻau Metabolic a me ka vascular
ʻO ka hōʻemi a me ka pono metabolic e pale aku ai i ka holomua o ka pathology, hoʻihoʻi i ka naʻau, hoʻohaʻahaʻa i ka hōʻeha ʻana, hoʻonui a hoʻoikaika i ka ʻili o ke kaʻa, a hoʻomaikaʻi hou i nā mea kanu o nā nipili o ka peripheral.
Nā Papa Hoʻi
ʻO ka hui o nā lāʻau lapaʻau e hōʻike ʻia e Trental, Vasonite, Pentoxifylline. He hopena maikaʻi ka Actovegin ma nā moku koko a me ka ʻaila. Mālama ka mea hoʻomaʻi i ka pono o ke kiko, hoʻihoʻi i nā nerbi i loaʻa i ka maʻi maʻi. Aia kahi manaʻo e pili ana i ka hana like-insulin e like me ka Actovegin.
Nā huaora B
Me nā hana hoʻokūkū o ka metabolism, ka lilo ʻole o ka mau huaora. No laila, ʻo nā maʻi maʻi maʻi me ke polyneuropathy e pono e hāʻawi i nā huaora B. Hoʻolaha ʻo B1 i ka hana o ka acetylcholine, e hoʻoiho i nā impulses ma waena o nā fibers.
Hoʻohui
ʻAʻole ʻo B6 i ʻae nā mea i hōʻiliʻili ai i nā ʻikepili. Hoʻonui ka B12 i ka mālamaʻana o nā aʻa o nā nerve, hoʻomaha i ka ʻeha a hoʻihoʻi i nā nipipopa peripheral. ʻO ka hui pū ʻana o kēia mau huaora ma ke ʻano o Kompligam B, Milgamma, Vitagamma, Combilipen, Neurobion.
ʻO ka lāʻau lapaʻau ʻeha
ʻO ka hōʻailona ʻeha loa o ka neuropathy diabetic o ka maʻa haʻahaʻa ʻoi ke ʻeha. Mālama i kahi kanaka i ka hiamoe, hoʻohemo i ke kahu o ke kino. He mea paʻakikī ka mālama ʻana: ʻaʻole kōkua nā non-steroidal anti-inflammatory a me nā mea hōʻeha maʻalahi.
No kēia hoʻokuʻu i nā manaʻo leʻaleʻa, ʻaʻole i hoʻohanaʻia nā lāʻau lapaʻau mai nā pūʻulu like:
- nā antaniumvulsants (Finlepsin, Pregabalin, Neurontin, Carbamazepine, Gabagamma);
- kikowaena analgesics (Flupirtine, Catadolone);
- anesthetics kūloko (Versatis, Lidocaine), nā mea lapaʻau huhū (Capsaicin, Finalgon, Capsicam);
- antiidepressants (Amitriptyline, Fluoxetine, Venlafaxine, Sertraline, Duloxetine, Paroxetine);
- opiopa (Tramadol, Oxycodone, Zaldiar).
I ka manawa pinepine, ʻaʻole i lawa ka lāʻau lapaʻau: loaʻa ka ʻeha i ka hoʻohui ʻana o kekahi mau lāʻau mai nā hui like ʻole. ʻO ka hui hui e kūleʻa nui ana he opioid a i ʻole antidepressant me kahi anticonvulsant.
ʻO ka papa inoa kēia o nā lāʻau lapaʻau hou e, i ka hoʻohui ʻana i ka hopena analgesic, hoʻihoʻi i ka hana o nā nilo peripheral:
- Kelepona. ^ E Ha yM. Lawa nā huaora a me nā mea waiwai e hoʻopili ai i ka metabolism. Loaʻa ia he hopena neurometabolic a me analgesic;
- Nimesulide. ^ E Ha yM. ʻO ka lāʻau anti-inflammatory non-steroidal, ka mea e hōʻoluʻolu i ka edema o nā nīnū, e hōʻemi i ka nui o ka hōʻeha;
- Kaukaila. ^ E Ha yM. ʻO ka lāʻau antiarrhythmic. Ma muli o ka hiki ke pale ʻia nā pāla sodium, pilikia ka hoʻouna ʻana o nā maʻi hōʻeha.
Hoʻomaʻamaʻa maikaʻi ʻo ke kino physiotherapeutic
I ka mālamaʻana i ka neuropathy haʻahaʻa haʻahaʻa haʻahaʻa, ʻoi aku i nā lāʻau lapaʻau, hoʻohana ʻia nā hana physiotherapeutic:
- ka hoʻāʻo ʻana o ka uila
- magnet;
- electrophoresis;
- balneotherapy;
- ka hoʻohoihoi ʻana;
- ʻaʻa.
Kahi papa hana e hoʻomaikaʻi ai i ke kahe koko i nā wāwae
I ka launa ʻana me nā lāʻau lapaʻau, ua paipai ʻia e hana i nā haʻuki kūikawā, kahi e noʻonoʻo ai i ka hoʻomaikaʻi ʻana i ke kahe koko i nā puʻu haʻahaʻa. Hiki ke lawe ʻia ma ka home.
He hoʻonohonoho o ka hana kino therapeutic:
- kūpeʻe / pale ʻole i nā manamana wāwae;
- e hoʻomaha i kou wāwae ma ka papahele a huki i nā pōpoki me kou kuʻekuʻe wāwae;
- kau i ka kuʻekuʻe ma ka papahele, hana i nā neʻe paʻa i ka wāwae;
- e hana i ka pōpō wāwae i nā nūhou kahiko;
- e alo i kou mau wāwae a kau i kou mau wāwae;
- e kiʻi i nā hōʻailona, nā helu, nā leka i ka lewa me nā wāwae hema;
- e kāwili i ka kui kuʻekuʻe i kou mau wāwae.
ʻO ka ukana i hoʻoneʻe ʻia ma luna o nā wāwae he mea pale maikaʻi i ka hoʻomohala ʻana o ka polyneuropathy.
ʻO ka Therapy o nā lāʻau lapaʻau
Ma waho o nā hoʻomākaukau lāʻau lapaʻau, nā hana ʻē aʻe o ka mālama ʻana i ka neuropathy wāwae maʻi maʻi maʻi. Hoʻohana lākou i nā mea kanu, pālolo hoʻonaninani, ʻaila camphor, turpentine, etc. Ua kōkua nā ʻano hoʻohālikelike i ka wehe ʻana i kahi hōʻike o ka maʻi ma nā hana mua.
Nā uku lāʻau
Hoʻomaopopo nā kauka lapaʻau kuʻuna i kēlā mau mea kanu lāʻau no ka mālama ʻana i ka polyneuropathy:
- ʻO nā hua fenugreek, ʻele mau lau maloʻo i lawe ʻia ma ka ʻano o ka 3 a i ka 1. ʻO kahi kīʻaha e ninini ʻia i loko o kahi thermos. E ninini i kahi lita o ka wai wai. Ma hope o kekahi mau hola, kānana a inu i ka lā;
- bedstraw, nā momi momomi momomi, nā pua kahikoberry ʻeleʻele, kahi kaula, kahi hua lāʻau, nā lau birch, ka mana licorice, nā hopes hop i lawe ʻia i loko o ka nui o ka like a hui pū ʻia. ʻElua mau kulu i ninini ʻia ka 800 ml o ka wai hoʻolapalapa a hoʻopaʻa i nā hola 7. Ma kahi o ka pipi, inu lākou i ka papa papa;
- ua lawe ʻia nā lau ʻili a me nā ʻili i nā ʻāpana like. Hoʻomoʻa ʻia kahi papa kīʻaha o nā lako maka me kahi aniani o ka wai wai. Lawe iā 4 mau i ka lā.
ʻO ka pāma ʻōmaʻomaʻo a me ka polū
Hiki iā ʻoe ke hōʻalo i nā hōʻailona kūpono ʻole o ka maʻi me ke kōkua o ka pālolo. ʻO 20 mauʻaina o ka lole (uliuli) polū i ninini ʻia me ka wai mahana (150 ml).
Hōʻalo ka mea hoʻonā i 25 mau minuke ma mua o ka ʻaina kakahiaka a me ka pāʻina no 14 lā. E hoʻopili i ka pālolo a waho.
No ka hana ʻana i kēia, ua ninini ʻia me ka wai ma kahi kūlana mushy. Hoʻohui ʻia ka nui ma ka ʻeha a mālama ʻia a maloʻo maloʻo.
ʻO ka aila a me ka ʻolekū
I ka hihia o ka polyneuropathy, ua ʻōlelo ʻia ka ʻaila turpentine a i ʻole ʻoni camphor. Pono e huki ʻia i loko o ka wahi i hoʻopili ʻia me nā neʻe halihali. Ma hope o 15 mau minuke, hoʻomoʻo i ka vodka. A laila e uhaʻi i kou mau wāwae no 3 mau hola.
Kāohiʻana i ka maʻi maʻi
ʻO ka Polyneuropathy kekahi mea hoʻopiʻi maʻamau i ka maʻi maʻi. I mea e pale ai i ka hoʻomohala ʻana o ka maʻi, pono ia e hoʻokō i nā hana pale:
- e nānā i nā moku ʻelua i kēlā me kēia makahiki a e hoʻomaʻamaʻa i ke ʻano me ka lāʻau lapaʻau e hoʻomaikaʻi i ke ʻano o nā kīhaka;
- nānā i nā pae o ke kō;
- Inā manaʻo ʻino ʻia ka neuropathy, e nīnau koke i ka endocrinologist;
- hahai i kahi meaʻai;
- hana i nā hoʻomaʻamaʻa kūikawā e hoʻomaikaʻi i ke kahe koko i nā wāwae.
Nā wikiō pili
E pili ana i ka pale ʻana a me ka mālama ʻana i ka polyneuropathy diabetes i ke wikiō:
No laila, ke mālama ʻia nei ka mālama ʻana o ka neuropathy maʻi maʻi ma o ka hoʻohana ʻana i nā vascular, analgesic, metabolic, a me ka hoʻomākaukau ʻana i ka vitamina. Hoʻohana hou ʻia nā ʻano hana hou a me ka physiotherapeutic.
Hana ʻia ka pathology i ka hoʻomaka ʻana o ka hoʻomohala ʻana. Ma hope pinepine e hoʻopau i ka maʻi kīnā. No laila he mea nui ia e pale a pale aku i ka ulu ʻana o ka maʻi.