Ke mālama nei i ka polyneuropathy diabetic o nā pākuhi haʻahaʻa

ʻO ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa ʻo ia ka hoʻopiʻi o nā ʻano 1 a me ke ʻano diabetes mellitus 2 i hiki i ke ola o ka mea maʻi ke hoʻohuli wale ʻia. I ka puhi ʻana a me ka hana ʻana i ka umauma, ka ʻalā ʻana o ka wāwae, a me ka haʻalulu ʻana o nā wāwae, a me ka nāwaliwali o ka wāwae - ʻo ia nā hōʻailona nui o ka hōʻino o ka maʻi peripheral i nā maʻi me ka maʻi mellitus Hoʻopili kēia mau mea āpau i ke ola piha o nā mea maʻi. Aneane ʻaʻohe mea maʻi me kēia neʻe endocrine hiki ke pale ʻole i ka pō hiamoe ʻole ma muli o kēia pilikia. Ma hope koke paha, e hopohopo kēia pilikia i kā lākou he nui. A laila ua hoʻokaʻawale ʻia nā hoʻoikaika nui no ka hakakā ʻana i ka maʻi, ʻo ka mālama ʻana i ka polyneuropathy maʻi diabetes o nā hana haʻahaʻa he hana koʻikoʻi loa ia. Inā ʻaʻole hoʻomaka ka mālama ʻana i ka manawa, hiki i ka mea maʻi ke hōʻeha i nā mea e hoʻoweliweli ʻole, ʻo ia hoʻi, ʻo ka nekrosis a me ka gangrene o ka wāwae, kahi e huli ai ka amputation. Hoʻohana ʻia kēiaʻatikala i nā ʻano hana o kēia wā e mālama ai i ka polyneuropathy maʻi o nā mea i lalo.

No ka mālama pono ʻana i nā hoʻopiʻi o ka maʻi mellitus, pono ia e ʻike i ka paʻakikī o ka mālama ʻana, ʻo ia ka hopena o ka hopena like i nā pilina āpau o ka pathogenesis (hoʻomohala hoʻomohala) o ka maʻi. A ʻo ka hana ʻino i nā ʻāpana peripheral o nā wāwae i ʻokoʻa ʻole kēia kānāwai. Nā loina kumu o ka mālama ʻana i ka pōʻino i ka nipili peripheral o nā wāwae me kēia pathology endocrine hiki ke hoʻonohonoho ʻia penei:

ka hoʻoponopono pono ʻana i ke kaʻe o ke kō, ʻo ia hoʻi, ke mālama nei i nā waiwai pili i kahi maʻamau e like me ka hiki ʻana ke loaʻa mau loa, me ka neʻe ʻana o ka hopena.
ka hoʻohana ʻana i nā lāʻau antioxidant e hōʻemi ana i ka ʻikepili o nā radical free e hōʻino i nā nūpepa peripheral,
ka hoʻohana ʻana o ka metabolic a me ka vascular hoʻomākaukau e kōkua ai i ka hoʻihoʻi ʻana o nā nerve momona i hoʻopau ʻia a pale i ka nalowale ʻana o ka poʻe i paʻi ʻole ʻia,
lawa ka ʻeha
ʻaʻole lapaʻau lāʻau lapaʻau.

E noʻonoʻo i nā kikoʻī pākahi i kēlā me kēia loulou i ka hana hoʻōla.

ʻO ka kaohi koko glucose

No ka mea ke hoʻonui nei i ka kao o ka glucose i loko o ke koko ke kumu nui o ka hoʻomohala ʻana i ka polyneuropathy diabetes o ka mahele haʻahaʻa a laila, a laila, e like me, ke ʻano o ka hana maʻamau ʻana i kēia mau mana nui e hoʻoluliluli ai i ka holomua o ke kaʻina a me ka hōʻole hou ʻana i ka hoʻomohala ʻana i nā hōʻailona mau. Ma ke ʻano 1 diabetes mellitus, ua hoʻohuihui ʻia ka lāʻau insulin no kēia kumu, a i ka papa ʻaina mellitus type 2 o nā ʻano kemika like ʻole (alpha-glucosidase inhibitors, biguanides a me sulfonylureas). ʻO ke koho ʻana i kahi pāpaona o ka insulin a i ʻole papaʻaʻa e hoʻohaʻahaʻa i ka papaʻaina he keʻokeʻo nui loa, no ka mea pono e hoʻokō wale ʻole i ka hoʻemi ʻana o ke kōpaʻa koko, akā e hōʻoia pū i ka haʻalele ʻana o nā kahuhila o nā paila i kēia kuhikuhi (ʻoi aku ka paʻakikī o ka hana ʻana me ka lāʻau lapaʻau). Eia kekahi, he ikaika kēia kaʻina hana, ʻo ia hoʻi, kahi loli o ka lāʻau lapaʻau i nā manawa āpau. Hoʻohālike ʻia kēia e nā kumu he nui: ʻo ka makemake o ka meaʻai i ka mea maʻi, ka ʻike i ka maʻi, ka ke ala o concomitant pathology.

ʻOiai inā hoʻohuli ia i mea e ʻike ai i nā pae o ka glucose i loko o ke koko, akā, ka mea pinepine loa i kēia ʻaʻole i lawa no ka hoʻopau ʻana i nā hōʻailona o ka hōʻino i nā nīpū peripheral. ʻO ka pau ʻana o nā nalo peripheral i kēia hihia ua paʻa, akā i mea e hoʻopau ai i nā ʻōmaka i loaʻa, pono ke hoʻokuʻi i kekahi i nā lāʻau lapaʻau ʻē aʻe. E kamaʻilio mākou e pili ana iā lākou ma lalo nei.

ʻO ka maʻi Antioxidant

ʻO ka hoʻomākaukau i ka wai acid Alpha-lipoic (thioctic) ke kumu gula ma waena o nā antioxidants i hoʻohanaʻia e mālama i ka pōpoki nerve peripheral i ka maʻi mellitus. ʻO kēia mau lāʻau lapaʻau e like me Thiogamma, Espa-lipon, Thioctacid, Tiolept, Neuroleptone, Berlition. Loaʻa iā lākou a pau he ʻano hana like ʻole, ʻokoʻa lākou e ka mea hana. Hoʻomāluulu ka hoʻomākaukau ʻana i nā wai hoʻoliʻiwa Thioctic i loko o nā aʻa o ka nerve, hoʻopili i nā hoʻopihapiha, a hoʻomaikaʻi i ka pono o nā nipina peripheral. Pono ka liʻiliʻi o ka lāʻau lapaʻau ma ka liʻiliʻi loa 600 mg. Kahi lōʻihi ka papa o ka mālama ʻana a mai nā wiki 3 a hiki i 6 mau mahina, e like me ka paʻakikī o nā hōʻailona o ka maʻi. ʻO ke ʻano o ka hoʻoponopono ʻia o ke ʻano ka mea nui loa: ʻo ka lā 10-21 mua, e mālama ʻia ka nui o 600 mg ma ka hopena o ka physiological o ka sodium chloride, a laila like pū ka like me 600 mg mau hapalua hola hola ma mua o ka papaʻaina ma mua o ka pau ʻana o ka papa hana. Hōʻike ʻia e hoʻomau i kēlā me kēia papa lāʻau lapaʻau, kā lākou helu i kēlā me kēia ʻano hoʻokahi o ka maʻi.

ʻO ka lāʻau Metabolic a me ka vascular

ʻO ka mea mua i waena o nā mākau metabola no ka polyneuropathy diabetes o nā pākiki haʻahaʻa ʻo nā B huaora (B1, B6, B12). Hoʻokomo ʻo B1 i ke kāpili ʻana o kahi mea kūikawā (acetylcholine), me kahi neʻi a neʻe i hoʻouna ʻia mai ka fiber a fiber. Mālama ka B6 i ka hōʻiliʻili ʻana o nā radical manuahi, komo i ke kāpili ʻana o kekahi mau mea e hoʻouna ana i nā impulses nerve. Hoʻonui ka B12 i ka mālamaʻana i nā aʻa o nā nerve, e kōkua i ka hoʻihoʻi ʻana i ka membrane pōʻino i nā nipoli peripheral, a loaʻa kahi hopena analgesic. ʻAʻole ia he mea huna o ka hui pū ʻana o kēia mau vitamina i manaʻo ʻia ʻoi aku ka maikaʻi ma muli o ka potentiation o ka hopena o kekahi. Ma kēia hihia, makemake ʻia e hoʻohana i ka puka momona o ka momona o ka vitamin B1 (benfotiamine), ʻoiai ma kēia hana e komo maikaʻi aku ai i loko o ka māhele o nā fibers nerve. I ka mākeke lāʻau, nā mea hoʻohui o nā lāʻau lapaʻau e pālahalaha loa. Eia nā Milgamma, Compligam B, Neurobion, Kombilipen, Vitagamma. ʻO ka maʻamau, me nā maʻi koʻikoʻi, e hoʻomaka ʻia ka mālama ʻana me nā puka injection, a laila hoʻololi ʻia i nā papa. ʻO ka nui o ka hoʻohana ʻana he 3-5 wiki.

Ma waena o nā lāʻau lapaʻau mua e makemake wau e haʻi iā Actovegin. ʻO kēia lāʻau lapaʻau he mea hoʻoilina o ke koko o nā keiki bipi, hoʻomaikaʻi i ka pono o ke kino, paipai i nā hana hōʻola, ʻo ia hoʻi nā nerbona i hoʻopilikia ʻia e ka maʻi maʻi. Aia ma laila he hōʻike no ka hopena like me ka insulin o kēia lāʻau lapaʻau. Kōkua ka Actovegin e hoʻōla i ka hoʻoweliweli ʻana, hōʻemi i ka ʻeha. E koho iā Actovegin i nā ʻōlelo kuhi o 5-10 ml intravenously no 10-20 mau lā, a laila hoʻololi i ka lawe i ke ʻano papa papa (1 papa 3 mau manawa i ka lā). ʻO ke ala no ka mālama ʻana a hiki i ka 6 hebedoma.

ʻO nā hoʻomākaukau vascular, Pentoxifylline (Trental, Vasonite) i manaʻo ʻia e ʻoi aku ka maikaʻi loa no ka hōʻino ʻana i nā nipili peripheral o nā ʻoi loa. Hoʻonui ka lāʻau lapaʻau i ke kahe o ke koko ma o nā capillaries, e hoʻolaha ana i ka vasodilation, me ka hoʻomaikaʻi pinepine ʻana i ka mea ʻai o nā nip a peripheral. A me ka antiioxidants a me ka lāʻau lapaʻau metabolic, ʻoi aku ka maikaʻi o Pentoxifylline e lawelawe mua i ka hana intravenously, a laila e hoʻoponopono i ka hopena me ka hoʻohana ʻana i nā ʻano papa. I mea e loaʻa ai i ka lāʻau i kahi hopena therapeutic kūpono, pono e lawe ʻia i ka liʻiliʻi 1 mahina.

ʻO ka hōʻoluʻolu ʻeha

ʻO ka pilikia o ke ʻeha ma kēia maʻi ua aneane loa ka koʻikoʻi ma waena o nā hōʻailona āpau o kēia maʻi. Hoʻopilikia ka maʻi ʻeha, nā maʻi me ka hiamoe piha a paʻakikī paha ka mālama ʻana. ʻO ka ʻeha ma ka maʻi kēpau he neuropathic, ʻo ia ke kumu i hōʻeha ai i nā lāʻau lapaʻau anti-inflammatory, ʻaʻohe hopena i loko o kēia kūlana. ʻAʻole ʻike nā mea maʻi āpau e pili ana i kēia a hoʻohana pinepine i nā lima lima o kēia ʻano o nā lāʻau, ka mea pōʻino loa ia no ke kūkulu ʻana i nā hoʻopiʻi mai ka ʻōpū, duodenum, nā palula, aʻa a me nā ʻaoʻao o ka uila. E hōʻoluʻolu i ke kaumaha i kēlā mau hihia, e aʻo ʻia e hoʻohana i nā ʻano o nā lāʻau lapaʻau i lalo iho:

antiidepressants
antipoperiana,
mea hoowahawaha a me nā anesthetics kūloko,
nā lāʻau antiarrhythmic
analgesics o ka hana nui o ka pae non-opioid,
opiopa.

I waena o antidepressants, amitriptyline i hoʻohana ʻia no nā makahiki he nui. Hoʻomaka e lawe me ka 10-12.5 mg i ka pō, a laila hoʻonui iki ka nui o nā lāʻau i ka 10-12.5 mg e hoʻokō pono. ʻO ka palena kiʻekiʻe loa o kēlā me kēia lā he 150 mg. Inā pono, hiki ke hoʻokaʻawale i ka nui o ka lāʻau o ka lāʻau i loko o 2-3 mauʻai a lawe ʻia paha i ka pō. Hoʻonohonoho ʻokoʻa ka ʻahaʻike ʻana. Lawe i ka lāʻau lapaʻau no ka liʻiliʻi o 1,5-2 mau mahina. Inā no kekahi kumu ke kūpono ʻole ʻo Amitriptyline i ka mea maʻi, a laila pili lākou i ke kōkua o Imipramine, kahi lāʻau lapaʻau like o ka hui like ʻole. Inā keia Nine Inch pūʻulu ua contraindicated i loko o nā mea maʻi (e laʻa me, cardiac arrhythmia a huina-panina glaucoma), a laila ka mea i hiki ke hoʻohana 'o e wae serotonin reuptake nā mea kūpale a me noradrenaline (venlafaxine mai ka 150 a hiki i 225 mg no ka lā, duloxetine mai ka 60 a hiki i 120 mg no ka lā) antidepressants . ^ E Ha yM. ʻO ka hopena analgesic e kū pinepine ma mua o ka lua o ka pule mai ka hoʻomaka o ka hoʻokele. ʻO nā antidepressants (Fluoxetine, Paroxetine, Sertraline, a pēlā aku) kōkua liʻiliʻi i ka diabetes polyneuropathy o nā mea haʻahaʻa o ka manaʻo i ka hopena o ka hopena analgesic. ʻO ke kōkua ʻana i kā lākou hoʻohana me ka mea hōʻeha naʻauao hou a me ka ʻae ʻole ʻana o nā antidepressants ʻē aʻe.

Ma waena o nā anticonvulsants, carbamazepine (Finlepsin), Gabapentin (Neurontin, Gabagamma) a me Pregabalin (Lele) e hoʻohana ʻia ma kahi hōʻeha ʻeha. ʻO ka Carbamazepine kahi lāʻau lapaʻau hou aku ka hoʻohālikelike ʻia i nā poʻe ʻē aʻe i kēia hui, akā ʻoi aku ka nui. ʻO ka hoʻoponopono hoʻoponopono maʻamau no lākou: penei ka 200 mg i ke kakahiaka a me 400 mg i ke ahiahi, inā pono - 600 mg 2 mau manawa i ka lā. ʻO Gabapentin lāua ʻo Pregabalin nā lāʻau o ka wā kahiko o ka anticonvulsants, he mea maikaʻi loa i ka hoʻouka ʻana i ka maʻi neuropathic. Hoʻomaka ʻo Gabapentin e lawe ʻia me 300 mg ma ka pō, a laila 300 mg i ke kakahiaka a i ke ahiahi, a laila 300 mg 3 mau manawa i kahi lā a pēlā aku me ka hoʻonui hou ʻana i ka wai. Kuhi pinepine ʻia ka hopena analgesic e ʻike ʻia i kahi maʻa o 1800 mg i kēlā me kēia lā, i hoʻokaʻawale ʻia i ʻekolu mau hala, i nā hihia koʻikoʻi, hiki ke hoʻonui ʻia ke kūpaʻa i 3600 mg i kēlā me kēia lā. Kuhi ʻia ʻo Pregabalin 75 mg 2 mau manawa i ka lā. ʻO ka pinepine pinepine loa i kēia e hōʻemi ai i ka ʻeha, akā i nā hihia piʻi, hiki i ka dosage ke hoʻonui i ka 600 mg i kēlā me kēia lā. ʻO ka maʻamau, ʻo ka hōʻemi o ka ʻeha e hōʻeha i ka pule mua o ka maʻi, ma hope o ka mea e hoʻolako ʻia e hōʻemi i ka dosage i ka palena liʻiliʻi loa (75 mg 2 mau manawa i ka lā).

Ke hōʻemi nei i nā lāʻau lapaʻau (Capsicam, Finalgon, Capsaicin) i loko o ka hana maʻamau i kēlā me kēia lā ma muli o ka hana i kā kā lākou hana ma muli o ka hoʻopau ʻana o ka hopena paipai. ʻO ia, i ka wā mua, i ka wā i kau ʻia ma ka ʻili, hoʻoulu lākou i ka ʻeha, a ma hope o kekahi manawa - ua emi. ʻO ke kumu he nui o ka ʻulaʻula o ka ʻili, hōʻili ʻia nui, ʻaʻole hoʻi ia i hāʻawi i ka hoʻohana pālahalaha ʻana i kā lākou hoʻohana. No ka anesthetics, hiki i ka hoʻohana ʻana iā Lidocaine ma ke ʻano o ka infra neʻe i intravenous infusion ma kahi pae o 5 mg / kg, me ka hoʻopiha ʻana i nā ʻuʻeke, nā mea kuʻuna a me nā Versatis patch me 5% Lidocaine i ka ʻili o nā manamana.

No nā lāʻau lapaʻau antiarrhythmic no ka mālamaʻana, hoʻohana ʻia ʻo Mekiletine i loko o kahi waihona o 450-600 mg i kēlā me kēia lā, ʻoiai eia kēia ʻano o ka lapaʻau ʻaʻole manaʻo kaulana.

No nā analgesics non-opioid me ka hopena koʻikoʻi, ua hoʻohana hou ʻo Katadolone (Flupirtine) i kahi manawa hou o ka 100-200 mg 3 mau manawa i kahi lā.

Hoʻohana ʻia nā Opioids inā wale nō me ka maikaʻi ʻole o nā lāʻau lapaʻau ma luna. No kēia pahuhopu, hoʻohana ʻia ka oxygencodone (37-60 mg i kēlā me kēia lā) a me Tramadol. Hoʻomaka ʻia ʻo Tramadol e hoʻohana ʻia me kahi maʻi o 25 mg 2 mau manawa i kahi lā a 50 50 mau hoʻokahi i ka pō. Ma hope o hoʻokahi hebedoma, hiki ke hoʻonui ʻia ka nui i ka 100 mg i ka lā. Inā ʻaʻole maikaʻi ka maikaʻi, ʻaʻole e emi ka ʻeha i hoʻokahi, i laila hiki ke hoʻonui hou i ka wai i 100 mg 2-4 mau manawa i ka lā. Hoʻomoe ka mālamaʻana ʻo Tramadol ma kahi o ka 1 mahina. Aia ka hui pū ʻana o Tramadol me ka banal Paracetamol (Zaldiar) i hiki iā ia ke hōʻemi i ka nui o ka opioid i lawe ʻia. Hoʻohana ʻia ʻo Zaldiar i ka 1 papa 1-2 manawa i ka lā, inā pono, e hoʻonui i ka maʻi i nā papa 4 i kēlā me kēia lā. Hiki i ke kīkī ke kūkulu i nā opioids, ʻo ia ke kumu o kēia mau lāʻau i hoʻōla ʻia no ka manawa.

A eia kekahi ʻaʻohe lāʻau i hiki ke kapa ʻia ʻo ke ʻano o ka mālama ʻana i ka ʻeha o kēia maʻi. Hoʻomaʻamaʻa pinepine i ke ʻano o ka monotherapy, maikaʻi lākou. A laila pono ʻoe e hoʻohui iā lākou me kekahi me kēlā me kēia e hoʻomaikaʻi i ka hopena. ʻO ka hui maʻamau e hui pū ana me ka antidepressant me kahi anticonvulsant a i ʻole kahi anticonvulsant i kahi opioid. Hiki iā mākou ke haʻi i ka hoʻolālā o ke kāpae ʻana i ka hōʻeha ma kēia maʻi he ʻano holoʻokoʻa, no ka mea, ʻaʻohe ʻano e aʻo i ka hana.

ʻO ka lāʻau lapaʻau ʻole-lāʻau

I ka hoʻohui ʻana i nā lāʻau lapaʻau no ka hakakā ʻana i ka polyneuropathy maʻi maʻi o nā haʻahaʻa haʻahaʻa, ke hoʻohana nui nei nā ʻoihana physiotherapeutic i ke kaʻina hana hoʻomehana (magnetotherapy, currents diadynamic, stimutan electrical electrical stimutan, electrophoresis, balneotherapy, hyperbaric oxygenation, acupuncture). No ka mālama ʻana i ka ʻeha, hiki ke hoʻoulu ʻia ka hoʻihoʻi ʻana i nā hana kuʻekuʻe spinaling e nā mea hoʻokalakupua i nā mea hoʻokalakupua. Hōʻike ia i nā mea maʻi me nā ʻano lāʻau lapaʻau kūʻokoʻa.

Ke hōʻuluʻulu i nā mea āpau o luna, hiki iā mākou ke ʻōlelo ʻo ka mālama ʻana o ka polyneuropathy diabetes o ka mahele haʻahaʻa i hana ʻoi ia he hana paʻakikī a no ka mea he kaukau loea, no ka mea ʻaʻohe kanaka e wānana i ka pae o ka maʻi a me ka hopena hiki o ka lāʻau i kuhikuhi ʻia. Eia kekahi, ʻo ka lōʻihi o ke kauʻana o ka mālama i ka hapa nui o nā hihia he mea maikaʻi nā maʻi, pono e lawe i nā mea maʻi i nā lāʻau lapaʻau no nā mahina e hoʻokō ai i kekahi mau loli. Eia naʻe, hiki ke hoʻopau ʻia ka maʻi. ʻO kahi hike kanaka hoʻokahi, i ke ʻano ʻana i nā hiʻohiʻona o nā loiloi o kēlā me kēia hihia, e hiki ai ke puka i kahi lanakila i ke kaua me ka maʻi.

Pūnaewele prof. I. V. Gurieva ma ke kumuhana "Diagnosis a me ka mālama ʻana i ka maʻi neuropathy maʻi":

He aha ka maʻi polyneuropathy maʻi

ʻO ka poino i nā ʻeha o ka ʻōnaehana peripheral hiki ke alakaʻi i nā hopena i kuhi ʻia ʻole, mai ka hoʻololi ʻana o ka wāwae a hoʻopau i ka make wikiwiki. ʻO ka neuropathy Diabetic (code ICD 10: G63.2) i manaʻo ʻia ʻo ia kekahi o nā maʻi e koʻikoʻi loa e koi ana i ka mālama olakino. Hoʻopilikia ka maʻi maʻi i ka ʻōnaehana hoʻonaninani somatic a me nā autonomic, no laila ke hoʻoweliweli ʻia nei ʻo kekahi o lākou i ka mea maʻi me ka hopena i make. ʻO ka pōʻino o ka hiki ʻana i ka lolo a me nā kaula spinal e pāpālua i ka nui o ka make meka.

Hoʻolaha polyonomeuropathy

He nui nā ʻano o ka maʻi e pili ana, kēlā me kēia pili i kahi pūnaewele kūikawā ma ke kino o ke kanaka. Hōʻike ʻia ka neuropathy Autonomic i ka mellitus maʻi diabetes e nā hana kīnā o kekahi mau ʻāpana a i ʻole nā ʻōnaehana holoʻokoʻa, hiki ke alakaʻi i nā maʻi e like me ka orthostatic hypotension a i ka osteoarthropathy. I waena o nā mea maʻi, aia nā ʻano like ʻole o ka neuropathy visceral, ka mea maʻamau ka mea maʻamau:

ʻano ʻano urogenital
ʻōpū hanu
ʻano ʻano cardiovascular
ʻeka kau
ʻano hana.

Polihurimurma Somatic

ʻO nā hoʻopiʻi neurological e pili ana i ka hana ʻana o ka ʻōnaehana peripheral i ʻike ʻia i loko o nā pōpoki olakino e like me ka maʻi e hoʻopilikia ana i ke kino holoʻokoʻa. ʻAʻole maopopo ka ʻike ʻia o ka polyneuropathy Somatic, ʻoiai ʻaʻole hiki ke hoʻomaopopo ʻia ke kumu o kāna mea i loaʻa i 25% o nā hihia a nā ʻepekema kaulana kaulana loa.

Nā kumu o Polyneuropathy

Hiki i ka polyneuropathy diabetic ke hele mai ma muli o nā mea like ʻole, ʻo ka mea nui o ia ka hoʻoluʻu gula. Wahi a nā haʻawina hou, ʻo ka lāʻau lapaʻau e kuhikuhi ana i ka hoʻemi ʻana o ka manaʻo o kēia mau mea e kōkua i ka hooki ʻana i ka hoʻomohala ʻana o nā hoʻopiʻi. Eia nō naʻe, aia kekahi mau kumu o ka polyneuropathy diabetes, no ka laʻana, ke kū nei me ka pūlea a me nā mea kanu lāʻau. ʻO ka pinepine ke loaʻa nā maʻi i hoʻoiho ʻia e kahi maʻi hoʻoneʻe (vitamin deficiency). Hiki i nā ʻōmole holomua hou ke alakaʻi i ka hiʻohiʻona o nā maʻi:

nā huinaʻi
ischemia
nā maʻi oncological
uremia
hypothyroidism
cirrhosis o nā ʻiʻo.

Kahi ʻano o ka polyneuropathy

Hoʻomaʻamaʻi ka maʻi i ka hoʻolālā ʻana o kahi kaʻina pathological i ke kino, ka mea e hoʻonāukiuki i nā helu o nā ʻōpiopio, mai ka hōʻalo o nā kiʻekiʻe o ka lalo a hiki i nā maʻi hōʻola. ʻAʻole hiki ke hoʻokaʻawale ʻia kēlā mau hōʻike mai ka etiological factor wale nō. Aia kahi hoʻokaʻawale i ka maʻamau o ka polyneuropathy maʻi, ua loaʻa i ʻelua ʻano - ʻo ia ka ʻōpala pili hewa a me ke ʻano o nā puʻina o ka nerve fiber.

Ua hoʻokaʻawale ʻia kēlā me kēia mahele i nā subspecies, no ka laʻana, e like me ka pauna hōʻino, kahi ʻōnaehana neuropathic, demyelinating a maʻi maʻi axonal. ʻO nā ala e pili ana i ke ʻano o ka nerve nerve he meaʻokoʻa loa aʻe: ua hui ʻia: ʻano kāwili, ʻeka ʻana, autonomic, motor a me sensorimotor. ʻOi aku pinepine ma mua o nā mea ʻē aʻe, e hele mai ana ka sensic polyneuropathy maʻi, i mea e hoʻonāwaliwali ana i ka naʻau o ka vibrational.

Polyneuropathy kaʻa

ʻO kahi maʻi mellitus kahi ʻāina momona no ka hoʻomohala ʻana i nā maʻi maʻi he nui, e like me ka axonal motor polyneuropathy. Hōʻike ʻia ka maʻi maʻamau he pilikia maʻamau ma waena o ka poʻe e loaʻa nei i nā ʻeha o ka ʻoihana peripheral a i ʻole ka maʻi maʻi. ʻO nā mea ʻē aʻe e pili ana i ka hoʻomohala ʻana o ka pathology i ʻike ʻia i ka lāʻau lapaʻau - eia kahi predisposition ʻōuli a i ʻole hemahema o ka vitamin B.

Hoʻomaʻi pinepine ʻia ka maʻi diabetes polyneuropathy me nā manaʻo ʻino ʻole i ke kaʻo haʻahaʻa, akā, i kekahi manawa ke hoʻopilikia ʻia nei ka maʻi ma ka lima. Lolo ka ʻili o nā mea maʻi i kona elasticity mua, lilo a maloʻo a paʻakikī, e like me ka ʻike ʻia e ke nānā ʻana i kekahi mau kiʻi ma ka Pūnaewele.

Sensory ʻano polyneuropathy

Me ka pau ʻole o ke kākā o nā neurons e kuleana i nā hana ʻeha o ke kino, e hoʻopau paha ka hana o ka ʻenehana kaʻa. ʻO ka ʻano sensory o ka polyneuropathy diabetic i manaʻo ʻia he hopena ia o kēia mau kuhihewa, ʻo ke kumu nui a he nui ka nui o ke kō i loko o ke koko. Eia nō naʻe, aia kekahi mau hihia o kahi etiology o kēia, e like me ka pale neurogen a mummification o ka gangrenized tissue.

ʻO ka ʻano ala e hiki ke mālama ʻia i loko o ke ʻano he ʻano hoʻoilina, no ka mea aneane hiki ʻole ke hoʻōla i kēlā maʻi. ʻO ka hemahema o nā limahana a me nā paresis o nā uaua he mau hōʻailona nui e hōʻike ana i ka hiki ʻana o ka maʻi. Hiki paha i ka mea maʻi ke hōʻā, ʻo ka ʻalā, a me ke ʻano ʻūlū paha e kū nei no kahi kumu ʻike ʻole.

Dernal polyneuropathy

Nui nā ʻano he leki CNS, e like me distal a sensory-motor polyneuropathy paha. ʻO ke ʻano maʻamau kahi hoʻopiʻi maʻamau, ka mea e alakaʻi ai i ka make o nā nerve nerve. ʻO ka mea hope loa, hiki i ke kaʻina ke hana i nā nalowale o ka nānāʻana i nā haʻahaʻa ma lalo o nā limu a ma luna paha, anisocoria, a i ʻole strabismus. Aia nā hōʻailona ʻohi o ka patology:

wahī ʻaʻe
progitus uremic,
kuʻi ʻana i nā pila kauaka,
hōʻeha nui ma nā wāwae,
mummification o gangrenized kiko.

Hiki i ka maʻi hōʻeha ke hōʻeha i nā kūlana koʻikoʻi inā ʻaʻole hiki i ka mea maʻi ke neʻe a hana i kahi ʻano hana ʻē aʻe. I ka wā o ka hoʻomohala ʻana o nā hoʻopiʻi mamao, ua ʻike ʻia nā hōʻailona o ka paresthesia, e uhi ana i nā puhaka, nā wāwae o luna a ʻo nā poʻohiwi hoʻi. ʻO nā manamana lima o nā haʻahaʻa haʻahaʻa loa ka mea e ʻehaʻeha, no ka mea me lākou e hoʻomaka ai ka holomua o nā hōʻike maikaʻi ʻole o ka maʻi maʻi.

ʻO kahi papa maʻi polyneuropathy maʻi

He paʻakikī loa kekahi mau maʻi i ka hoʻomaka ʻana o ka hoʻolālā e hiki wale me ke kōkua ʻana o nā lako hana kūikawā hiki ke hōʻoia i ka maʻi maʻi. ʻO ka Neuropathy ma ka hoʻomehana maʻi ʻekolu mau lā o ka hoʻomohala ʻana, ʻo kēlā me kēia me kekahi mau mau maʻi. I ka manawa mua, ʻaʻole maopopo nā hohoʻike, akā ma ka lua o ke kekona nā hōʻailona āpau o ka hoʻomohala ʻana o ke alaʻala - ʻike aʻeha paha a subacute mau puhipuhi i kekahi mau lolo o ka lolo.

hapanui
sciatic
oculomotor
trigeminal.

Loaʻa ka hapa nui o ka poʻe maʻi i ka hōʻemi o nā reflexes, hōʻeha nui, hōʻā, ʻili, etc. Hoʻomaka hoʻomaka ka poʻe ʻōpio i ka emi ʻana o ka paona, ʻo ia hoʻi kahi ʻano o nā maʻi maʻi holomua. ʻO ke kolu o ka maʻi o ka maʻi ua pono ke koi i nā kaʻina therapeutic wikiwiki. I kekahi mau hihia, aia kahi manaʻo e kāhea ʻia i ka ʻokiʻoki i ka poʻe ulia trophic a i ʻole gangrene, i ka manawa mua i hoʻopaʻa ʻia ma ka palena o ke kino.

Nā maʻi no ka polyneuropathy maʻi

ʻAʻole hiki ke ʻike i ke ʻano o ka hoʻopiʻi ʻana a hōʻike i kēlā me kēia ʻāpana i nā maʻi me ka ʻole o nā mea hana kūikawā. Pono ka mea maʻi e hāʻawi i nā pane kikoʻī e pili ana i ke olakino a ʻeha paha e pili ana i ka hana ʻana o nā ʻōnaehana. Ma hope o ka anamnesis, pono ʻoe e hoʻohana i ka kit neurologist e hōʻike i ka neuropathy maʻi maʻi i mea e hoʻoholo ai i ke kiʻekiʻe o ka glucose i ke koko a hoʻokō i nā kaʻina hou:

encephalopolneuropathy,
nā loiloi o Achilles reflexes,
electromyography
ECG
Kawaikuna,
Uiuei
ka nānā ʻana o ka mimi.

Pehea e mālama ai i ka neuropathy

Pākuʻi ʻo ka Therapy i kahi ala komo no ka hoʻoponopono ʻana i ka pilikia ma hope o ka hoʻomaikaʻi ʻana i nā hana mua. He mea koʻikoʻi loa ia e hoʻoholo i ke kumu o ka hoʻomaka ʻana o ka maʻi, ma hope iho o ke hiki ke hoʻomaka i ka mālama ʻana i ka polyneuropathy ma ka maʻi mellitus. Ua kau aku nā kauka i nā lāʻau lapaʻau glucocorticoid e pale i nā ʻōnaehana autoimmune i ke kino, ma ka manawa pū, lawe nā mea maʻi i nā lāʻau lapaʻau e pili ana i ka paʻakai pākiko a pili i ka ʻai. Loaʻa i nā lāʻau āpau ka nui o nā huaora o nā hui B a me C, a lawe ʻia ka lāʻau detoxification i ka ʻokoʻa.

ʻO ka hoʻohaʻahaʻa ʻana i ke kō koko

Nui kekahi mau ala no ka hoʻohaʻahaʻa i ke kō koko koko i loko o nā kānaka, kahi e hoʻohana ʻia no ka mālama i nā maʻi maʻi me ka maʻi maʻi. Hoʻomaopopo nā kauka i ke hoʻohana ʻana i nā lāʻau lapaʻau wale nō e hoʻohaʻahaʻa i ke kōpaʻa koko, akā hoʻololi maoli i ka meaʻai. ʻAi ʻia ka meaʻai i ka lā e hoʻokaʻawale i ka maʻemaʻe o ka nui o nā peka ʻona o ka huehue nui. ʻAʻole ʻae ʻia ka poʻe maʻi e ʻai i nā meaʻai e like me ka pasta a i nā ʻuala paha. ʻO nā laupala e hiki ai ke hoʻohaʻahaʻa i nā pae kōpili e pono i ko lākou wahi.

Alpha Lipoic Acid no ka maʻi maʻi

Hoʻokomo pololei ka Thioctic acid i nā hana o ka metabolism a me ka hoʻomakeʻe o ka ikehu e ke kino. Hoʻomaopopo kēia ʻano i ka ikaika loa o nā antioxidant, e kōkua i ka wāwahi i ka glucose a hoʻokaʻawale i nā hopena o nā radical manuahi. Kuhi ʻia ka lipo alika lipoic ma ke ʻano heʻai meaʻai a hoʻohana ʻia no nā kumu therapeutic no nā maʻi koʻikoʻi o ka puʻuwai a i ʻole nā nalo. E hoʻoikaika ana ka antioxidant i nā kaʻina hoʻonaninani o ka glucose, ma muli o kēia e hoʻopili ai lākou.

Nā Mīkini Inikine

Hoʻohana maikaʻi kēia pūʻulu o nā mea e mālama ai i nā poʻe maʻi e loaʻa ana i ka hypertension. ʻO ka inhibitor ACE ma ka maʻi māmā ʻo ia nā lāʻau lapaʻau e loaʻa ai ka hopena palekana ma ke kino o ka mea maʻi. Ke pale nei lākou i ka holomua o ka maʻi, no laila, ʻo ka mea koho mua loa no nā poʻe ma kēlā me kēia manawa o ka maʻi maʻi. Eia nō naʻe, hiki i ka lawe ʻana i ka ACE inhibitors ke hiki i nā hopena ʻino e like me ka asymptomatic glycemia a i ʻole hyperglycemia.

ʻO nā lāʻau anti-inflammatory Nonsteroidal

Hoʻohana pinepine nā lāʻau anti-inflammatory a i ke ʻano hōʻeha i ka lāʻau lapaʻau. Manaʻo ʻia ka lāʻau lapaʻau ʻoi aku ka maikaʻi loa ma waena o nā mea ʻelele o nā mālamalama terapi, naʻe naʻe, ʻaʻole i hoʻomoʻi ʻia ka hoʻohana ʻana o nā NSAID no ka ʻeha hiki ke hōʻeha i nā hopena ʻino loa mai ke kino o ka mea maʻi. No ka pale ʻana i ka hoʻomohala ʻana o nā pilikia kaila, mālama nā kauka i nā hoʻokolokolo maʻamau o ke kūlana o ka mea maʻi.

Actovegin no ka polyneuropathy

Kōkua nā Antioxidant i ka hoʻonā ʻana i nā maʻi metabolic i loko o ka nerve, a i nā makahiki i hala aku nei ua hoʻohana ʻia lākou e mālama i ka maʻi maʻi. ʻO ka mālama Actovegin o ka polyneuropathy diabetes, he palekana maoli no ka mea, ʻaʻole i make ka hopena i nā hopena ʻaoʻao. Ma ke kau ʻana o kekahi mau makahiki, ʻaʻole i kākau ʻia ka hopena mua o ke ʻano o kēia lāʻau lapaʻau;

Ke mālama nei i ka polyneuropathy o nā haʻahaʻa haʻahaʻa haʻahaʻa

Hiki ke kākoʻo ʻia ka lāʻau lapaʻau me ka ʻae ʻia o kahi kauka e nā ala ʻē aʻe o ka ʻoihana e like me nā hana hou. Aia a he mau ʻoniʻoni kūpono, aʻo kekahi o ia no ka hoʻokele waha, ʻoiai ʻo ia wale nō ke hoʻohana ʻokoʻa i waho. ʻO ka heʻe nui loa ka hehi ʻana i nā lau a me nā ʻōpala o nā upena me nā wāwae hema. Hiki ke hoʻohana ʻia ka mālama ʻana o ka polyneuropathy me nā kūlohelohe kanaka kahiko inā he kāohi ʻia e kahi loea.

Kākoʻo o polyneuropathy

ʻAʻole hiki ke pale ʻia ke nānā ʻia o nā maʻi o ka hoʻoilina, eia naʻe, i nā mea ʻē aʻe a pau, ʻo ke kūpaʻa ʻana o ka maʻi neuropathy maʻi he mea hoʻoikaika ʻia ka hopena therapeutic. ʻO nā kumu nui o ka mālama ʻia ke ʻoki ʻia i nā kumu o ka hoʻomaka ʻana o ka maʻi. I mea e makemake ai i ka ʻike kīnā maikaʻi, pono ka mea maʻi e hoʻopili i kahi meaʻai kūikawā a alakaʻi i kahi ʻano hana ikaika, e pili ana i ka hana ʻana a haʻuki paha.

ʻEnehana hana

ʻO ka maʻalahi, ke hoʻopilikia nei ka pathology i nā kiʻekiʻe o lalo a i lalo o kahi kanaka. I kēia hihia, hōʻemi nui ka hana ʻana i ka mea maʻi, aia ka hōʻemi ʻana i ka microcirculation koko ma ke wahi i hoʻopilikia ai i ka maʻi. Aia ka emi o kaʻili.

Hoʻopilikia ka polyneuropathy Diabetic i nā hōʻeha excruciating i nā wāwae. Hoʻomaʻamaʻi mua ka maʻi mua i nā fibers nerve lōʻihi, a laila lūlū maikaʻi ia i loko o ke kino.

Hoʻomaka ka hōʻike ʻana o nā hōʻailona me nā haʻahaʻa haʻahaʻa haʻalulu, a laila e hoʻomake ka maʻi mai ka lalo a lalo.

ʻO ka polyneuropathy diabetes (he aha ia, e lilo ai ia i ʻike ma hope o ka heluhelu ʻana i kēia ʻatikala) he maʻi maʻamau loa ia. Me kona hoʻomohala ʻana, hōʻeha nui ka ʻeha o nā wāwae, ua emi iho ko lākou naʻau. Inā ʻaʻole e lawe ʻia nā ana kūpono, ʻike ʻia ka hoʻomanawanui ʻana o ka maʻi. ʻO ia ka hoʻopiʻi nui ʻana i ka maʻi mellitus o ka maʻi mika a me ka lua.

ʻO ka polyneuropathy diabetic o nā mea haʻahaʻa haʻahaʻa ma ke papa o ka papa e kau ai i nā nalu o nā iwi o nā ʻano like ʻole, e hoʻoponopono ana i ka hoʻohele ʻia ʻana o nā ʻano hana hoʻonaninani o ka somatic a me autonomic.

No laila, ʻo ka diabetes mellitus ka mea i lilo i ka impetus no ka hoʻomohala ʻana o ka polyneuropathy. A hoʻomohala pinepine kahi hoʻopiʻi like - ma mua o ka hapalua o nā poʻe me ka maʻi maʻi. No ka laʻana, inā he maʻi ʻelima ka mea maʻi no ʻelima mau makahiki, a laila e kūkulu ka polyneuropathy i nā umikumamalima kenekulia. I ka hanana a loaʻa ke kanaka i ka maʻi diabetes no ka lōʻihi, no ka mea he kanakolu makahiki, a laila hiki i ka hoʻomohala ʻana o ka hoʻopiʻi ʻana.

Hoʻomaka ka hoʻomohala ʻana o nā māhu inā loaʻa ka nui o ka glucose i ke koko. Ke hoʻāʻo nei ke kino e hoʻopau i ka glucose. ʻElua mau ala nui e hoʻohana ai i nā kaluna. Pehea e mālama ai i ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa, mākou e noʻonoʻo nei ma lalo nei.

A ke hopena, e hoʻomaikaʻi ai ke ʻano o nā neurons i nā loli. Pōʻalo lākou i ka wikiwiki a me ka ikaika o ka hoʻouna ʻana i nā impulses o nerve. A ke kumu, ua ala aʻe ke kiʻekiʻe o ka hemoglobin glycated - ua hoʻoneʻe ʻia ke kaʻina o ka hāʻawi o ka oxygen i nā ʻāpana. ʻO kēia ka uluʻana o ka polyneuropathy diabetes.

ʻĀmaʻomaʻo

Hoʻomaʻamaʻa ka maʻi i ka hiki ʻana mai o nā pilikia o ka maʻi, ka hana a me nā hana autonomic. I nā maʻi maʻi like, ʻike pinepine ʻia nā hōʻailona, akā maʻamau ka ʻokoʻa o ka ʻano o ka hōʻeha. Eia kekahi, hiki ke loaʻa i nā hōʻailona like i ka manawa like. Hoʻololi ʻia nā hōʻailona no kēia maʻi.

Nā hōʻailona liʻiliʻi.
Nā hōʻailona piʻi loa.
Nā hōʻailona wānana.
Hāmamaʻa wikiwiki.

Pono ka manawa no ka maʻi maʻi neuropathy.

ʻO ka mea mua, hiki ke ʻike ʻia ka maʻi e ka nānā ʻana o nā eha e hikiʻole ke hoʻomālamalama. ʻO ka emi o nā maʻi o ka mea maʻi e hoʻonāwaliwali, nāwaliwali o nā wāwae, a me ke ʻano o ka pae ʻana. Eia kekahi, ʻike pinepine nā poʻe maʻi i nā maʻi vegetative.

Inā ʻoe e kūkulu ma ke ala o ka maʻi, a laila hiki ke polyneuropathy hiki i ke aʻala, subacute, maʻi maʻamau.

ʻO ka wehe ʻana i nā ʻano leʻaleʻa hikiʻole ke paʻakikī ma muli o ko lākou pale ʻana i ka analgesics kuʻuna. Hiki i nā mea hōʻeha kino ke liʻiliʻi, wela, wāwahi.

Hiki i nā ʻeha hōʻeha ke kūʻokoʻa a i ʻole ka hopena o ka hana a nā mea huhū. Hōʻike ʻia ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa ma lalo o ke "wāwae hānai". ʻO kēia ka hopena o ka hopena o ke ʻeha e hiki ke paʻi i ka ritadian sirkadian: hiki i ka ʻeha ke hōʻike kūʻokoʻa iā ia iho i ke ahiahi.

I kēia hihia, ʻo kekahi mau mea hoʻopunipuni, e like me ka hele, hoʻōla, ka mālamalama a i ʻole a iʻa mau paha, hiki ke hōʻemi i ka ʻoluʻolu. Ua loaʻa ka maʻi ʻoma "pale maluhia" i kona inoa ma muli o ka neʻe ʻana o ka neʻe ʻana i ka hiamoe maʻamau. Ma ke kakahiaka, hiki ke hele i ka ʻeha, a i ke ahiahi e ʻike hou ʻia.

Nā pae palapala

ʻO ka hōʻailonaatology o ka maʻi ma ke ʻano o ka hoʻomohala ʻana o ka maʻi a hiki ke hōʻike iā ia iho i nā ʻano like ʻole:

Hōʻike ʻia ke hana mua e ka waiho ʻole ʻana o kekahi hoʻopiʻi mai ka mea maʻi. Hiki i ke kauka ke hoʻokolokolo i ka maʻi. Hōʻike ia iā ia iho i ke ʻano o nā hiʻona, e hoʻohaʻahaʻa i ka paepae o ke nānāʻana, ke kauwela. ʻAʻole ʻike pinepine ʻia ka hana mua, akā inā hele mau ʻoe i kahi loiloi maʻamau, a laila hiki ke hoʻomaopopo. ʻO ka mālamaʻana i ka neuropathy maʻi maʻi i kēia manawa e kūpono loa.
No ka lua o ka ʻāpana, ka ʻōpū i nā ʻeha nā ʻano. Hoʻohui pinepine ʻia lākou me nā hōʻeha, overstrain a me nā sprains. ʻO nā ʻōmaʻomaʻo o ka lua o ka papa ke komo pū ka lehulehu ma mua o ka lalo, akā i kekahi manawa ma luna o nā limu. ʻO ka pōkole ke lōʻihi. Eia kekahi, ʻoi aku ka maikaʻi o ka maikaʻi, a i ka wā e hele ai, he mau wāwae nui.ʻO ka mālama ʻana i ka polyneuropathy maʻi maʻi i ka lua o ka hana e pale ai i nā hoʻopiʻi.
Hōʻike ʻia ke kolu o ka lāʻala i ka ulu mau ʻana a me ka hoʻohaʻahaʻa ʻana i ka ʻano naʻau o waho. Pono e ʻike ʻia paha nā ʻano lapalapa e like me nā ulia trophic ma luna o ka ʻili.

Eia kekahi, ʻo nā hōʻailona nui o ka polyneuropathy e pili ana i ka ʻeha ma nā kuʻekuʻe wāwae, e pālahalaha ana mai nā manamana wāwae a i nā wāwae. Ke kuni ʻana i nā wāwae a me ko lākou ʻāʻī ʻana, ʻaʻole i haʻalele ʻia.

Hoʻopilikia i ka maʻi neuropathy i ka maʻi diabetes

Pono ke ʻano o ka maʻi o ka maʻi āpau, e komo pū me nā lāʻau lapaʻau, ʻāʻī a me ka hoʻōki.

ʻĀnō ka kumu o ke ʻano maʻi i nā kumu i kū ai ka maʻi. No ka laʻana, inā ua puka mai ka polyneuropathy ma muli o kahi predisposition me ka hoʻoilina, a laila e noʻonoʻo ke ʻano o ka hoʻomaʻamaʻa, ʻo ia hoʻi, e ʻāpono ia e kāpae i nā hōʻailona nui.

ʻO ke kānāwai nui loa i ka mālama ʻana i ka polyneuropathy diabetes, ʻo ka hana maʻamau o nā pae glucose koko.

ʻO ka lāʻau lapaʻau

Hiki ke ho'ōla piha i nā hoʻopiʻi i nā hihia maʻamau, eia naʻe, he mea pono ke hoʻomau ʻia i kahi papa o ka lāʻau. E hōʻemi kēia i ka hōʻeha a hoʻohuihui i ke ola o ka mea maʻi:

Ma mua o ka hōʻeha nui, pono e lawe i nā lāʻau lapaʻau me kahi hopena anesthetic. I ka hapanui pinepine, hōʻike ʻo nā loea i ka lawe ʻana i nā lāʻau lapaʻau e like me Tramadol a i ʻole Analgin.
I mea e hoʻomaikaʻi ai i ka hāʻawi ʻana i ke koko i nā kiko nerve, ua ʻōlelo aku nā kauka e lawe i nā lāʻau lapaʻau o kahi pūʻulu o nā neuroprotectors, e like me Mildronate, Piracetam. I kekahi mau hihia, manaʻo ʻia e lawe i ka lāʻau lapaʻau vascular, e like me Trental, Pentoxifylline. He aha nā lāʻau lapaʻau e hoʻohana ʻia ana i ka mālama ʻana i ka neuropathy maʻi maʻi?
No ka hoʻoikaika i ka hoʻoili ʻana o nā mea hoʻokalakupua o nā nerve, ua hōʻike ʻia ka lāʻau lapaʻau.
I mea e hoʻihoʻi hou i nā wahi i maʻi, hiki i ka hoʻohana ʻana i nā inikini o ka puna alpha-lipoic.
ʻO ka komo ʻana o ka glucose i nā kaʻina hana i pale aku ʻia e ka aldose reductase inhibitors.
Pono ʻoe e lawe i nā lāʻau i loaʻa i ka calcium a me ka pāhare.

Inā ʻaʻole i hoʻohālikelike ʻia nā hōʻailona o ka neuropathy diabetic, a laila hiki ke hōʻemi ʻia e nā ala ʻē aʻe o nā ʻano maʻi.

ʻO ka hoʻomaʻamaʻa ʻana me nā kuʻemaka kūloko

Pono e hoʻomaopopo koke ʻia ka hoʻohana pono ʻana o nā lāʻau ku pono a pau me ke kauka hele mai. A i ʻole, hiki mai nō nā hopena i ʻike ʻole ʻia.

Ma waena o nā ʻano hana o ka mālama ʻana i ka polyneuropathy, hiki i kekahi ke hoʻākāka:

Ke hoʻomau nei i nā lau o nā ʻōpio hou. ʻOiai ke ʻano, he maikaʻi i ke ʻano.
Rosemary kahiʻano. No ka hoʻomākaukau ʻana, e ninini i nā lau o ka mea kanu me ka vodka a hoʻomau ʻia no ka liʻiliʻi o nā lā he iwakālua. Pono e holoi ʻia kēlā infusion i nā wahi i hōʻino ʻia.

Nā ala Diagnostic no ka polyneuropathy diabetes

Aneane aneane maʻi āpau me nā maʻi maʻi i ka maʻi. Hiki ke hoʻomaopopo i ka neuropathy diabetic o nā peekele o nā haʻahaʻa loa i pinepine i ka hana hope loa. Eia nō naʻe, inā e hoʻolohe pono ʻoe i kou olakino a ʻike pinepine i ke kauka, a laila ʻike ʻia kēia ʻano kuʻuna e ʻike i nā wā mua a kū i kona hoʻomohala ʻana i ka wā e hiki mai ana. I kekahi mau hihia, hiki ke pale ʻia nā hopena maikaʻi ʻole.

Hoʻoulu ka lōʻihi o ka maʻi wāwae, ʻo ia hoʻi, ʻike nā hōʻailona ʻike mua i ʻelua a ʻekolu paha mau makahiki ma hope o ka hoʻomaka ʻana o kona hoʻomohala ʻana. Loha pinepine nā hanana i ka huli ʻana o ke kanaka i kekahi loea no kekahi kumu ʻē aʻe, a ʻike pū ʻia kekahi i ka diabetes mellitus a me ka neuropathy diabetic o nā haʻahaʻa haʻahaʻa.

Pono ke koho o ka maʻi e ka endocrinologist.

Hiki i ka hoʻomanawanui ʻana o ka maʻi ke kau mai i kekahi mau hoʻopiʻi o ka mea maʻi, me ka hoʻokumu ʻia ʻana i ka ʻikepili ʻōlima.

ʻO nā ala Physiotherapeutic no ka mālamaʻana i ka polyneuropathy

Me ka hoʻopiʻi like ʻana e pili ana i nā wāwae, hoʻolaha pinepine nā kauka i ka hana ʻana i nā mea laila. Kōkua ia i ka hoʻihoʻi ʻana i ka hana kūlohelohe a hoʻomaikaʻi i ke kahe koko. I mea e hoʻoponopono pilikino i ke kaila, e hana ʻia nā neʻe pihi o kēlā me kēia lā, a me ke neʻe ʻana a me ka hoʻonui ʻana i nā wāwae.

Inā ka polyneuropathy diabetic o nā peʻī haʻahaʻa loa (nā hōʻailona a mākou i nīnau ai) aia i ke kahua mua o kona hoʻomohala ʻana, a laila ʻo ka massage ka ala ka hopena loa loa o ka mālama kino. Eia nō naʻe, liʻiliʻi kekahi hiki ke kipa i kahi kauka lapaʻau ʻoihana maʻamau. Ma kēia mea, i ka hālāwai mua, pono ʻoe e hoʻomanaʻo i ka papahele o kāna mau hana, a laila e hana hoʻi i ka massage ma ka home ma kāu iho. E hoʻokokoke kēia ala ʻike i nā hopena maikaʻi loa, i kekahi manawa e hōʻoki loa i ka maʻi.

Nā hoʻomaʻamaʻa

Eia kekahi mau hana maʻalahi e pono e hana i kēlā me kēia lā:

Pono ʻoe e hopu i kou manamana lima me kou mau lima a huki iā lākou no ma kahi o ʻekahi kekona. Ma hope o kēia, pono ʻoe e hana i nā neʻe ākea i nā wāwae. I ka hopena, pono ʻoe e hoʻoponopono i kou mau manamana lima a me nā wāwae me kahi neʻe māmā.
Pono e hoʻomaʻamaʻa kēia hana i ke kū ʻana. Pono ʻoe e hoʻokiʻekiʻe ma luna o kou mau manamana wāwae, a laila e lūlū aū mālie i ke kaumaha o ke kino i nā kuʻekuʻe. E hana hou i kēia hana i ʻelua a ʻekolu mau manawa. Pono e hoʻomanaʻo ʻia he hana like pono e hana me ka akahele. Kēia pono e kū mai mai ka ʻoiaʻiʻo ke hele nei a nui loa ka holo ʻana me ke ʻano o kahi maʻi like.
I ka noho e noho ana, pono ia e hilinaʻi ma luna o ka lima, e kūlou i kekahi wāwae i ke kuli, a laila ʻae i ke kuhikuhi i nā ʻaoʻao like ʻole. ʻO kēia hoʻomaʻamaʻa ka maʻalahi, akā, ʻaʻole liʻiliʻi ka mea nui no ka polyneuropathy.
Hoʻohana ʻia kēia ʻano hoʻomaʻamaʻa like me ke ʻano like ʻole, me ka ʻokoʻa hoʻokahi - pono ʻoe e haehae i ka kuʻekuʻe pālule. Mālama maikaʻi kēlā hoʻomaʻamaʻa i ke kahe koko.
Pono e hoʻōla i ka wāwae, a laila pāpū a wehe ʻole ma ke ʻano ʻole o ka papahele. E hana ʻelua i ʻekolu manawa. Hoʻomaʻamaʻa kēia hoʻomaʻamaʻa i ke kahe koko, kākoʻo i ka leo kani.
Pono kēia hoʻomaʻamaʻa i kahi pōkole gym. I ke kūlana kiʻekiʻe, pono ʻoe e kau i kou mau wāwae ma ka pōpō, a laila e ʻokiʻoli i ka manawa i kekahi mau manawa. Hiki i kēia hoʻomaʻamaʻa ke hoʻomaha i nā wāwae.
I ka noho ana, pono ʻoe e kau i kekahi wāwae ma ke kuli o kekahi wāwae a e ʻuli i ka wāwae me kou lima. ʻO ia ʻano hana e kūleʻa nui loa no ke alakaʻi ʻana i kahi massage kūʻokoʻa, no ka mea he kūpono loa ke noho i kahi kūlana like.
Pono e hoʻākoakoa i nā wāwae, e hoʻopaʻa iā ia me kou mau lima a neʻe i kou mau kuli i luna a i lalo. He paʻakikī kēia ʻano hana; ʻaʻole pono ʻoe e hana ma mua o ʻelua mau manawa ʻelua.

He mea kūpono ia e hoʻokō i ka massage me nā hōʻailona o ka polyneuropathy diabetes. Hiki ke hoʻohana ʻia nā hiʻohiʻona maʻalahi:

Hoʻopili i nā wāwae me ke kihi o ka pāma.
Ke kaomi nei mākou i nā manamana lima ma waena o ka wāwae, a me ka lima ʻē aʻe mākou e hoʻokau ʻia ai ka wāwae mai waho aku.
Palapalaʻi nā palma i ka wāwae, i ka ʻāpana haʻahaʻa.
Ke paʻa ʻana i ka kuʻekuʻe liʻiliʻi, hana mākou i ka huli o nā wāwae i nā ʻaoʻao like ʻole.
Hoʻopau i nā wāwae i nā ʻaoʻao like ʻole.
Hoʻoweliweli i ka wāwae me kou manamana.
Hāpai mākou i nā neʻe lūlū me nā manamana ma nā kuʻekuʻe.
Hoʻopili i kou mau manamana lima mai ka kuʻekuʻe a me nā kuʻekuʻe wāwae.

He mea kūpono no ka hoʻomanaʻo ʻana, ʻaʻole pono nā mākeke i mua o ʻelima mau minuke, a pono hoʻi e māmā a me ka pōkole kahi pākiko. He kūpono ia i kahi mau lā i ka lā.

He kūpono kūpono e hoʻopaʻa i ka physiotherapy me polyneuropathy. Eia nō naʻe, kākau lākou ia i ka hapa nui ma hope o ka pau ʻana o kahi papa o ka lāʻau lapaʻau.

ʻO nā loiloi ākea o nā mea maʻi i loaʻa i ka maʻi lapaʻau

Hoʻomaopopo ʻia nā mea maʻi e hoʻomaʻamaʻa ana i nā lāʻau lapaʻau e hoʻohana ana i nā ʻano aʻoaʻo like ʻole e haʻalele i kahi kipa koke ʻana i kekahi loea inā he mau hōʻailona mua o ka maʻi. Hiki ke kuhikuhi ʻia ka hoʻomaʻamaʻa kūpono ʻana e ka endocrinologist a i ʻole kekahi lāʻau lapaʻau.

E hāʻawi ka mea loea i kahi loiloi no kahi hōʻike hoʻokaʻina i hoʻokaʻawale i ke kiʻekiʻe o ka glucose a ke ʻōlelo aku nei e ʻimi i nā ʻōlelo aʻo mai kahi loea e hōʻoia i ka maʻi maʻi. Ma hope o kēia, e hiki ke kauka nei ke kauka komo, i ka hopena o nā hoʻokolohua, e kuhikuhi i ka hana kūpono. ʻAʻole pono ia e mālama ʻia me nā hōʻola home - ʻaʻole kēia e hōʻoluʻolu wale iā ʻoe i ka ʻeha, akā hiki pū nō hoʻi i nā hopena hopena.

ʻO nā kaʻina physiotherapeutic e hiki ke kōkua i ka hōʻoluʻolu o ka ʻeha, hoʻokumu i ka microcirculation, a hoʻonoho i nā kaʻina metabolic i nā kiko neuromuscular hiki ke hoʻoulu i ka hōʻailona o ka maʻi polyneuropathy kuʻekuʻe o nā haʻahaʻa haʻahaʻa. Eia naʻe, hiki ke hoʻolako ʻia ka physiotherapy i ke ʻano o ka mālama lāʻau i ka wā o ka lāʻau lapaʻau e hoʻonui ai i ka hopena.

Eia kekahi, hōʻike nā mea maʻi i ka hopena maikaʻi o nā hoʻomaʻamaʻa gymnastic, e ʻae ana iā lākou e hōʻea i ka palaka a loaʻa ka hiki ke neʻe me ka hōʻeha ʻole me ka polyneuropathy maʻi maʻi. Pehea, he mau mea ʻoe i kēia manawa.