ʻO ka neuropathy Diabetic, ʻo ia ka mea maʻamau ka hoʻopiʻi nui o ka maʻi gula, e ulu ana i ka hapalua o nā maʻi.
Hoʻopau wale kēia ʻano iā kēia me nā hana o ka palu o ka lolo, akā, ʻo kā lākou hana huila, e hoʻohuli ana i ka holoʻokoʻa o ke kino.
Ua hoʻonui ʻia ke kumu o ke kō, kuleana no 90% o nā hōʻailona o ka neuropathy diabetic. ʻO nā hōʻailona o ka patology he mau lōʻihi me ka huhū huhū.
Kahi helu
Hoʻokaʻawale ʻia nā ʻano ala o neuropathy i loko o ka maʻi maʻi:
- muhua. ^ E Ha yM. ʻO kēia ʻano o ka neuropathy maʻi maʻi (DN) i hoʻoili ʻia e ka poʻohiwi o nā nerve nerve o nā lima a me nā wāwae, aia kahi mamao loa ma waena (a me ke poʻo a me ka puʻupuʻu), ʻo ia hoʻi, ma ka periphery. Hōʻike ia iā ia iho me ka ʻeha a me ke ahi ʻana i nā wāwae, aemaise i nā wāwae. ʻO ka ʻili ke ʻano he hypersensitive no kekahi paʻi, a ʻo ka maʻa liʻiliʻi, ʻaʻole paha e ho'ōla i ka lōʻihi. ʻO ka neuropathy peripheral, a me ka ʻoka, i hoʻokaʻawale i ka ʻalike (e pili i nā fibers nerve e kuleana ai i ka naʻau) a me ke kaʻa (e pili ana i nā neurons a hoʻolako i ka hana o ke kaola);
- makeoki. ^ E Ha yM. Pale i ke ʻōnaehana o nā mea kanu, ʻaʻole hiki iā mākou ke hoʻōho ma ka ʻike. ʻO kēia hanu a me ka blink, palpitations a me nā mea huna. Manaʻo kēia ʻano o ka neuropathy no ka mea ke hoʻonāukiuki i ka hana o nā mea āpau a pau.
Ua māhele ʻia ka DN Autonomous i:
- cardiovascular;
- urogenital;
- gastrointestinal;
- mea hanu
- endocrine a me nā mea ʻē aʻe.
Nā kumu o ke Diabetics
ʻO ke koko o kahi mea maʻi me ka maʻi maʻi pākahi i ka pae kiʻekiʻe o ka glucose. I ka haʻahaʻa, hele ka pololi i nā pololi.
Inā nānā ʻia ka nui o ka kō, ua hana ʻia nā mea hoʻonaninani o nā nui. Eia kekahi, ʻo ka nui o ka pulu o ka glucose e hoʻopili ai i ka hōʻiliʻili o ka fructose a me sorbidol i nā kiko, ʻo ia ke kumu e hiki ʻole ai i nā ʻili ke komo i ka wai a me nā mineral.
No laila aia kahi edema o nā pauʻa nerve. Hoʻokomo ʻia ke kiʻi me ka hypertension. No ka hana ʻia ka ʻōpala o nā nerve e nā capillaries liʻiliʻi, nui ke koko kiʻekiʻe e hōʻeha iā lākou, a make ka neurons.
Nā hōʻailona o ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa
I ka hihia o ka hōʻino i ka DN aila peripheral, ʻaʻole i ʻike koke ka hōʻailonaatology, akā ma hope o kekahi mau mahina.
ʻO ka ʻoiaʻiʻo nei he nui nā kinipona nerve i ke kino. A i ka wā e make ai kekahi o lākou, hana ka neurons olakino i kā lākou hana no kekahi manawa.
I ka hoʻomaka, hoʻomaka nā lima a me nā wāwae, no ka mea ua lōʻihi nā lelo o ka neʻe i kēia mau wahi, a he mau haʻawina no ia mau mea hou.
Pehea e hōʻike ʻia ai ke ʻano peripheral?
Aia a make nā nerve naʻau, ʻike ʻia ka neuropathy sensory.
ʻO nā hōʻike hōʻike aʻe he ʻano hiʻohiʻona o ka neuropathy sensory:
- hypersensitivity i kekahi mau huhū. Hoʻomaʻamaʻa ka mea maʻi i nā goosebumps ma luna o kona ʻili, hoʻomaʻamaʻa a i ʻole nā ʻeha ʻeha e kū mai me kahi kukui ʻē aʻe;
- hoʻohaʻahaʻa i ka paepae o ke kūpono, a i kekahi manawa me ka nalowale. Hoʻokele ke kanaka e pili ana i kahi mea i "ma ka lima." Nā kumu: ʻaʻole hōʻea i ka hōʻailona mai nā mea nānā mai nā lolo;
- ka hopena pololei i ka huhū. No laila, e pane ana i ka māmā, hoʻomaka ka mea maʻi i ka ʻono i loko o ka waha a i ʻole he walaʻauheʻe i nā pepeiao. Kumu: hoʻonāukiuki i kekahi o nā pauku o ka ʻeha a ke kanaka e hoʻihoʻi i nā mea ʻokoʻa ʻē aʻe (ʻono a auditory paha).
Inā pilikia ka ʻeha o ka motor, hele mai ka neuropathy motor.
Hoʻololi pinepine ka hōʻailona symptomatic o ka neuropathy motor a hōʻike pinepine iā ia i ka pō a i ka wā hoʻomaha:
- ka manawa o ka kūlana ("wāwae wāwae");
- ka hoʻonohonoho paʻa ʻole (ka hopena o ka hōʻino o ka neurons utukino);
- hoʻowalewale i nā ʻōpū, huehue, paʻakikī lākou e hoʻoponopono;
- ua hoʻemi ʻia ka ikaika o ka ʻiʻo. ʻO ke kumu: hoʻonāukiuki i ka maʻi koko a i ke kahe hohonu. ʻO ka manawa kikoʻī o ka naʻau ke hele mai ka wā.
Nā hōʻailona o kahi ʻano otona
Ma kahi o kahi ʻano autonomous, ʻeha nā nīneo o ka autonomic NS. Aneane pili ʻia nā pahuhopu kino āpau:
- hoʻoweliweli: puʻuwai a me ke kala, maʻi constipation;
- na maka: nāwaliwali o ka ʻike;
- loli ka ʻili (nā hualoaʻa o nā keluhilele palaka maikaʻi). I ka mua, ʻike ʻia ka luhi ʻana (ma ka pō maʻamau). Ma muli o ka capillaries dilated, ʻulaʻula a ʻulaʻula. Kahi i kū mai kahi puaʻa maikaʻi ʻole. Ma hope mai, hōʻemi nā ea kulu i kā lākou hana, a maloʻo ka ʻili. E nawaliwali kāna hana pale, a inā i kekahi mea pōʻino no ka lōʻihi o ka ʻoliʻoli ʻana, ʻaʻole hoʻi e hoʻōla;
- pelvic mau lālā: loaʻa ʻole a lawa ʻole i ka urination, impotence;
- ua haki ka hana o ka naʻau: arrhythmia, pulse pinepine. Ma muli o ka emi ʻana o ka paepae o ka luhi ʻana o ka puʻuwai, ʻoi aku ka hōʻeha ʻana i ka naʻau me ka ʻole o ka ʻeha.
Diagnosis a me ka maʻi ʻaʻai
ʻO ka rula nui ʻo ka mālama mau ʻana i ka dinamics o ka glucose i ke koko. ʻOi aku ka maʻi o ka neuropathy Diabetic ma mua o ka nui o ke kō.
ʻO ka hoʻohanaʻana i ka ultroper Doppler i nā wāwae
Ma mua o ka hana ʻana i kahi maʻi, hoʻomaʻamaʻa ke kauka i ka kani a me ka refones tendon, ke ʻano o ka hōʻono ʻana (i hoʻoholo ʻia e ka ʻokoʻa microfloment kūikawā), ka hana i nā hoʻokolohua wela.
Hoʻomaʻamaʻa
ʻO ke kumu nui a me ka hopena kūpono ka uku kūpono no ka maʻi maʻi maʻi, ʻo ia hoʻi, ke kaohi pono ʻana i nā kolo o ke kō. Loaʻa kēia i ka mālama ʻana me nā papa papa (ʻ diseaselelo type 2) a i ʻole ʻo ka inene insulin (type 1 type diabetes).
ʻO nā lāʻau lapaʻau i hōʻike ʻia:
- Nā māmā B a me nā antioxidants: Milgamma, Neurobion;
- hoʻomākaukau me ka magnesium a me ka zinc;
- inā makemake ʻoe e hōʻoluʻolu i ka ʻeha, kuhikuhi i nā analgesics: Finlepsin, Neurontin.
Physiotherapy:
- ka hoʻāʻo ʻana o ka uila
- nā māmā māmā a me ka electrophoresis;
- magneto a me ka acupuncture;
- Hoʻomaʻamaʻaʻike (10 mau minuke i kahi lā).
He mea nui ia e nānā i ke kūlana o nā wāwae: hana i nā wāwae (lapaʻau), kāmaʻa i nā kāmaʻa hoʻoluʻu, hoʻoluʻu i ka ʻili o nā wāwae.
Mai nā kānaka olakino (i hāʻawi ʻia e ke kauka iā lākou), hiki iā ʻoe ke ʻōlelo:
- paliona ʻulaʻula polū;
- umauma piʻi me ka aila camphor;
- Kaukau ʻana i ka chamomile a i ʻole nettle.
Pono e hoʻoponopono ʻia nā kaʻina hana no nā minuke 20 i hoʻokahi lā.
Hiki i nā hoʻopiʻi a me nā prognosis
Hoʻomaʻamaʻa ka neuropathy Diabetic.
Hiki iā ʻoe ke kamaʻilio e pili ana i ka prognosis maikaʻi inā:
- ʻeha ka ʻeha i ka wahi wāwae i ka mea maʻi ma lalo o ʻeono mahina;
- Ua ulu ka NAM e pili ana i ka hoʻololi ʻana o ka hoʻololi koke i ke kō;
- ua hoʻomaka ʻia ka maʻi ma ka hoʻomaka ʻana, ma hope o ka mālama ʻia o ke kō i loko o nā palena maʻamau.
ʻO ka polyneuropathy piha ke kumu nui o ka hōʻeha ʻana o ka puʻuwai hōʻeha, nā puʻuwai paikiki puʻuwai a me nā amputations o nā haʻahaʻa haʻahaʻa (kahi "wāwae maʻi" i hana ʻia).
Nā wikiō pili
E pili ana i ka pale a me ka mālama ʻana i ka maʻi neuropathy maʻi ma ke wikiō:
I mea e kū ai i ka maʻi, hiki iā ʻoe, ʻoi aku ka mea nui loa, e makaʻala nui i kou olakino a me ka hana i nā ʻōlelo lapaʻau.