Pehea e hōʻike ʻia ai a mālama ʻia ʻo ka maʻi polyneuropathy maʻi?

ʻO ka Polyneuropathy o nā haʻahaʻa haʻahaʻa ke hoʻopiʻi maʻamau ʻana i ka maʻi maʻi. Hoʻopilikia kēia lesion i nā palaka olakino i mamao loa mai ka lolo a hiki ke hele pū ʻia me ka ʻeha, hele wāwae ʻole, e hoʻemi nui ana i ke ʻano o ka mea maʻi.

He aha ka diabetes polyneuropathy o nā lalo haʻahaʻa

ʻO ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa e hōʻike i ka hōʻino i kekahi nui o nā koina nerve e kuleana ai i ka hana o ka wāwae a me ke ʻano o ka naʻau - ke ʻeha, ke kākā, ka pālule (tactile).

ʻOnohono: polyneuritis maʻa diabetesic o nā haʻahaʻa haʻahaʻa, polyneuropathy wehe diabetes, distal symmetric sensorimotor polyneuropathy.

Hoʻomaka ka pathology me ka hoʻonāukiuki ʻana o nā uaua o ka nerve, ma luna o ke manawa, hiki mai ko lākou make. A ke hopena, hoʻokaʻawale ka ʻike i nā hōʻailona o ka lolo a me ka manamana lima i ka wāwae, a ke piʻi nei ka atrophy o ka ʻili a me nā ʻūpī. Hiki i kēia mau loli ke hoʻohui pū me ka eha, hoʻololi i ka hana.

Ma nā polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa, e hōʻino ana i nā fibers nerve

ʻO nā hōʻailona e hiki ai i ka pae i ke kanaka maʻi ma ke ʻano o ka hoʻomohala ʻana i ka polyneuropathy distal maʻi:

• ʻoi aku ka lōʻihi o ka maʻi ʻo ka maʻi diabetes.
• nā hopena hoʻopiʻi capinalary
• ʻopi momona
• haʻi maʻi
• maʻi maʻi coronary
• predisposition hoʻoilina
• ʻōwili kupaianaha: hoʻonui i nā lipids (kolamu, lipoproteins) o ke koko a me ka album urine.

ʻAʻole pili ka ʻano maʻi maʻi i ka ulu ʻana o ka polyneuritis autonomic.

Nā kumu kumu a me nā pilikia

ʻOi aku ka lōʻihi o ka kiʻekiʻe o ka glucose i loko o ke koko, ʻoi aʻe ka hoʻomohala ʻana o ka polyneuropathy distal e pili ana i ke kua o ka maʻi maʻi a me ka ʻoi aʻe o kona papa. ʻAʻole i mālamalama ʻia nā mīkini o ka hoʻomohala ʻana o nā maʻi, eia naʻe, ua manaʻo ʻia he mea pili nā make o nā hana nerve e pili ana i nā hana biochemical pathological i kumu ʻia e ka hōʻino ʻia o ka hoʻohana ʻana o nā hana maʻamau e nā ʻili kino.

No laila, ʻo ke kumu nui o ka hoʻomohala ʻana o ka polyneuritis mamao o ka maʻi mellitus, a me ke kumu nui koʻikoʻi ke hoʻomau nei i ka piʻi o ka glucose o ka toto (hyperglycemia).

ʻO nā kumu ʻē aʻe i pili i ka ulaula.

ʻO nā hōʻailona o ka polyneuritis maʻi autonomic

I ka lā mua (subclinical) manawa, ʻaʻole e hoʻopilikia ka maʻi i ka mea maʻi. I ka manawa like, ʻike ka maʻi neurological i nā hōʻailona aʻe:

• nā kuʻi ʻana i ka hoʻoweliweli kūpono o ka ʻili o ka wāwae,
• ho'ēmi i nā paila tendon hohonu.

Ke holomua nei ka maʻi, kahi hanana holomua (me ke hōʻike ʻana o nā hanana waho).

Nā hōʻailona o ka hele mua:

• ho'ēmi i ka hoʻohuihui ʻana o ka ʻili o ka wāwae,
• "manaʻoʻo" goosebumps ", tingling,
• pae kaumaha (hypersensitivity i ke kukui māmā),
• nahoa
• ʻeha o kahi ʻano ʻokoʻa a me ka ikaika.

I ka poʻe maʻi me ka polyneuritis distal distal, e nānā pinepine ʻia ka hopena paradoxical - ma ka lima hoʻokahi, ʻaʻohe hemahema i nā mana o waho, ma kekahi ʻaoʻao, ʻeha e pili ʻole i ka hoʻoulu ʻana.

Nā hōʻailona o ka polyneuropathy maʻi, ma ke ʻano he kānāwai, hoʻomaka e hōʻike wale i ka wā i alakaʻi ʻia ai ke kaʻina pathological i nā loli hou.

Hoʻopilikia hou ʻia nā ʻōlaʻi o nā nerve me nā hōʻailona aʻe:

• maloʻo a luhi ana i ka ʻili o ka wāwae,
• hōʻano kino
• ka manaʻo o "socks" i nā wāwae,
• hoʻohuihui i nā ʻōpū o nā wāwae, ke kūkulu ʻana o ka "iwi" i ka hui pūlima o ka lima,
• gait instability,
• paa o ka wāwae,
• ka manaʻo o nā "keiki lima" ma nā lima.

I ka polyneuritis maʻi, hele like nā wāwae ʻelua i ka hana pathological.

50-80% o nā maʻi e loaʻa ana i ka maʻi ʻeha (asymptomatic) kahi maʻi. I kēlā mau hihia, hiki ke loaʻa ka lesion i ka wā e hoʻopiʻi ai i ka hopena - me ke ʻano o nā ulia trophic.

Nā Diagnostics a me nā diagnostics hoʻolike

No ka hōʻike ʻana i ka polyneuritis autonomic, hoʻohana ʻia kahi loiloi neurological me nā hāmeʻa penei:

• monofilament - e loiloi i ka nānā naʻau,
• makeke fork - e loiloi i ka manaʻo kele ʻana,
• "Neuro-tips" (jarum neurological) - no ka loiloi ʻana i ka hōʻeha ʻana o ka ʻeha,
• "Type-term" - no ka nānā ʻana i ka ʻano mahana,
• malleus - e nānā i ka tendon reflex.

Eia kekahi, hana ʻia nā hoʻokolohua hoʻoliilo o ke koko a me ka urine e nānā ai i nā mea pili paha.

ʻO ka polyneuropathy wehe diabetes i hoʻokaʻawale loa ia mai ka polyneuropathy i kumu ʻia e nā kumu ʻē aʻe:

• waiʻona
• nā maʻi maʻamau
• maʻi ʻoe
• nā hemahema o vitamina
• nā maʻi oncological
• poakou loa
• nā loiloi autoimmune.

ʻO nā polyneuropathy Distal i ulu nui ma ke kua o ka maʻi diabetes, ʻaʻole mau ia he hopena o ia mea.

ʻO nā kuhikuhi nui o ka mālama maʻi no ka polyneuropathy mamao diabetes.

• pathogenetic - hoʻihoʻi hou o ka hana o nā fibers nerve,
• hōʻailona maʻi - attenuation of manifestations of pathology.

ʻAʻole e hoʻopau kēia mau ʻano i ke kumu kumu o ka maʻi, akā e lohi i kona hoʻomohala ʻana, e hōʻemi ana i ka hiki o nā hoʻopiʻi ʻana, hoʻomaikaʻi ʻia i ke kino o ke kino.

ʻO ka mālama ʻana i ka polyneuropathy distal polyneuropathy he conservative, e pili ana i:

• lāʻau lapaʻau lāʻau
• physiotherapy a me ke kino
• lāʻauʻai meaʻai
• lāʻau lapaʻau lāʻau.

ʻO ka hōʻaiʻē (me ke ʻano he ʻano ʻano like ʻole) ka hopena maikaʻi loa.

ʻAʻole kekahi o nā ʻano o ka lāʻau lapaʻau e ʻae ʻole me ka ʻae ʻole o ke kauka: ʻo ka hapa nui o nā lāʻau lapaʻau e pono ai e koho pono ʻia a me ka loiloi loiloi, a me nā hāmeʻa a me nā ʻano nā contraindicated i nā maʻi concomitant.

ʻO ka lāʻau lapaʻau

E hoʻihoʻi i ka hana o nā fibers nerve (hoʻomaikaʻi i kā lākou conductivity - hoʻoili ʻana i nā hōʻailona o ka pūnaehana nū nui), e noi:

• Mākaukau e pili ana i kahi paʻakikī o nā huaora o ka hui B (Milgamma) a i ʻole ka mea momona wale i ka momona o ka vitamin B₁ (Benfotiamine)
• α-lipoic acid (Thiogamma, Thioctacid).

Lawe ʻia ka hana pathogenetic i nā papa lōʻihi, ʻaʻole ʻike koke ʻia kona hopena.

E hoʻopau i nā hōʻeha a me nā pilikia e pili ana i ka hiamoe, hopohopo, ke kaumaha, ua kau ʻia nā lāʻau lapaʻau e like me kēia.

• antidepressants (amitriptyline, desipramine, paroxetine),
• anticonvulsants (gabapentin, carbamazepine),
• antiarrhythmic (mexiletine),
• painkillers a me nā injections (Tramadol), a me nā kāleka a me nā meaʻaila (Capsaicin).

Hiki ke kuhikuhi ʻia nā lāʻau anti-inflammatory nonsteroidal (Ibuprofen) i nā papa pōkole, ʻoiai ka lōʻihi o kā lākou hoʻohana ʻana me ka nui o ka hōʻeha ʻana i ka mucosa gastric.

Physiotherapy, hanaʻai, hoʻomaʻamaʻa lāʻau

Hiki i ka photherapyotherapy, massage a me ka leʻaleʻa i ke hōʻoluʻolu o ka hōʻeha ʻana a me ka hānai i nā ʻiʻo a me nā ʻoihana a me nā ʻoihana, ke pale aku i ka atrophy o ka iwi, a hoʻomaikaʻi hou i ka hoʻoulu ʻana iā neuromuscular.

• mangaluna
• phonophoresis,
• electrophoresis
• ho'ōla pala.

Hoʻohana ʻia ka Massage i ka maʻamau a me ka acupuncture.

Hoʻokomo ʻia nā Gymnastics i nā kui o ka lā, e hohola ana i nā wāwae me kou mau lima, ke holo ʻana a hoʻonui i kou mau manamana lima, e hoʻopulipula ana i nā kuʻekuʻe pūlima i nā pae ʻē aʻe.

Nā hiʻohiʻona huina

Hoʻomaopopo ʻia e hoʻolōʻihi i ka ʻai me nā macronutrients a me nā mea momona e loaʻa ai ka hoʻomaikaʻi ʻana i ka hoʻokele neuromuscular - pāhareaʻa, magnesium, B mau huaʻala.

• pīpī, piʻi, lentil,
• ʻōwili
• hua ʻala, nā huaʻala,
• bran
• kamato, kukama, pālato,
• kai loa.

Inā ʻaʻohe pōʻino concomitant, ʻo nā kahu holoholona (ka ʻai, ka moa, ka iʻa) ʻaʻole pono e palena: ʻo ko lākou hemahema ke hoʻomālamalama i ke ʻano o ka musstrular dystrophy.

ʻO ka hoʻōla ʻana o ka lapaʻau a me nā hoʻopiʻi hiki

ʻO ke kī i ke kūleʻa o ka mālama ʻana i ka polyneuropathy wehe diabetes i ke kinai ʻana i ke kumu nui o ka luku ʻia ʻana o nā nerve nerve: ka hoʻokomo ʻana a me ka hoʻokū i ka glucose o ke koko (glycemia). Ma waho o ka hoʻokō ʻana i kēia ʻano, ʻo ka ʻoihana o ka ʻoihana e hāpai i ka hoʻihoʻi ʻana i ka hana nerve.

Hāʻawi ʻia i ka mālama lōʻihi loa i ke kōpaʻa koko ma kekahi pae, hāʻawi ka mālama ʻana i ka polyneuropathy i ka hopena maikaʻi, ʻoiai inā hoʻomaka ka manawa. I nā hoʻomaka mua o ka maʻi, ua hoʻololi hou ʻia nā loli o ka pathological i nā nerve nerve.

I kekahi manawa ʻaʻole hiki ke loaʻa ke kala ʻana me ke ʻano o ka glycemia. ʻO kēlā mau maʻi, a me nā poʻe no kekahi mau kumu ʻaʻole i loaʻa i ka mālama paʻakikī, e hoʻoulu pinepine i nā hoʻopiʻi koʻikoʻi.

• wāwae maʻi maʻi
• ʻO ka wāwae o Charcot.

ʻAno paʻakikī kēia mau kūlana i ka gangrene, pili i ka amputation o ka wāwae.

ʻO ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa ma ke ʻano o ka mālama ʻana i ka paʻakikī pinepine o ka pathology e like me ka wāwae o Charcot

Kāohi

Nā hanana i ka mālama ʻana i ka hoʻomohala ʻana o ka polyneuritis diabetes autonomic:

• ka hakakā pono i ke kōnohi koko
• inu
• ka mālama kino kino.

ʻO ka mea nui ka hui like ʻole o ka hana a me ka hoʻomaha - kahi ʻuhane i palupalu ʻia e ka nele o ka hiamoe, ʻilihune, ke kaumaha, ʻoi aku ka paʻakikī o ka pale ʻana i ka maʻi.

He maʻi neuropathy maʻi maʻi maʻi a me kāna mālama ʻana - wikiō

ʻO ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa ʻo ia ka hoʻopiʻi neʻe nui ʻana o ka maʻi neurological maʻi o ka maʻi mellitus, i hele pū me ka hopohopo i ke ʻano o ka mea maʻi a me ka alakaʻi pinepine i ka maʻi. ʻO ka ʻike mua a me ka hōʻola paʻakikī o ka pathology hiki ke hoʻolohi i ka luku ʻana i nā aʻa o ke nerve, a ma kekahi mau mea ke hoʻokō nei ke kala paʻa.

Hoʻopilikia kekahi hana

He aha ka maʻi polyneuropathy maʻi? ʻO ka pilina pili ma waena o nā mele āpau a me ka lolo he mau ʻuhane. E pili ana kēia hoʻonohonoho i ka pūnaehana neʻe ma waena o ka pūnaehana (pūpū a me nā kaula spinal), nā ʻōnaehana autonomic a me peripheral. ʻO ka mahele peripheral e hele ana i nā aʻalolo neʻe e hele i nā hiʻona, kahi trunk a me ke poʻo. ʻO ia pū kekahi me 2 mau māhele: nā mea ulu lāʻau a me ka somatic. ʻO ka mea mua ke kuleana no ka hana o nā wahī o loko, ʻo ka lua no ka kāohi ʻana i ke kino. Me ka DP, pili nā ʻaoʻao ʻelua. No laila, loaʻa ka haukapila i kahi hōʻeha koʻikoʻi a hiki ke hoʻoweliweli i ke ola o kahi kanaka.

Hoʻopau ka gula koko hoʻoliʻi i nā paia o nā kīʻaha koko, a ʻaʻole hiki i nā huaʻala i nā keo ke loaʻa he nui o kaʻai a me ka oxygen ma muli o ke kahe neʻe. No laila ua pilikia ka hana o ka metabolism ma aneʻi, e kūleʻa ana ka ischemia, ʻaʻole hiki koke kēia. Ma muli o kēia, ke lohi nei ka lohi ʻana o nā pulses i hoʻōla ʻole a hoʻopau ʻole paha. Inā ua ʻike mua ʻia ka pōʻino o nā fibers nerve, a laila hiki ke hoʻihoʻi hou i nā neʻe.

Hoʻopilikia pinepine ʻo Polyneuropathy i nā lima, akā hoʻopilikia pinepine nā wāwae a me nā wāwae.

ʻO ke kumu, ʻo ia ka hyperglycemia, a me nā mea hoʻonāukiuki e hōʻike ʻia penei:

• elemakule
• ? ike a Hertertension,
• ulaula
• atherosclerosis
• nephropathy
• retinopathy maʻi maʻi.

Paeʻa ʻana o ka polyneuropathy ma ka maʻi diabetes

Hōʻike ka mahele i nā keʻena o nā nerve neʻe i komo i ke kaʻina - autonomous a me symmetrical generalized. I ka hopena hope loa, pili nā peka o ke kūpaʻa a me nā nūhou. Sensitive - ʻūpiki a mānoanoa a me nā lapalapa ʻē aʻe. Hāʻawi lākou i ka hoʻouna ʻana i nā maʻi kolo mai ka pili i ka lolo. Ke kaʻa - lawe i ke kauoha o ka lolo i nā ʻāpana āpau o ke kino. No ka laʻana, ua hoʻopā ke kanaka i kahi pā wela, i nā mea momona koke, i nā haneli haneli o ka lua, e hoʻoiho i kēia ʻike e pili ana i kēia i ka lolo. A laila hele ka ʻaoʻao i ka ʻaoʻao o ke kaʻaea e wehe i ka lima. ʻAʻole ʻoe ʻike i ka wikiwiki o kēia hana ʻana, a ʻaʻohe manawa e puhi. ʻO nā ʻano o polyneuropathy laulā o nā ʻano i lalo:

• hoʻonaninani - ua pau ka manaʻo o ka wela,
• ua paʻa ke kino nalo a kūwaliwali nā ʻeha o ke kaʻa,
• sensorimotor - kahi hui o nā mea ma mua.

Nā hōʻailona hōʻikeʻike

ʻO nā hōʻailona mua loa a me nā hōʻailona o ka polyneuropathy diabetic i kahiʻano hoʻomohala e hele i nā goosebumps a me nā ʻeha o ka wāwae, a me ka manawaleʻa. ʻIhaha ka ʻeha a hōʻea mai nā manamana lima a i nā wāwae. Ma hope mai, hoʻomaka nā manaʻo ʻino maikaʻi i ka pō a ʻike ʻia e puhi ana i nā wāwae. Hoʻomaka ka naʻau a me ke kaumaha. I nā hōʻailona ma hope, e hoʻomanaʻo:

• ʻeha i ka hoʻomaha a me ka hana nui, kūʻokoʻa mai ka posture,
• ka uala ʻana ma muli o ka ʻeha, hoʻonui ʻia i ka wā o ke kaumaha a hoʻemi i ka wā hele,
• hoʻomaka nā ʻiʻo o nā wāwae i ka atrophy, nā manamana lima a me nā wāwae.
• lilo nā wāwae a ʻulaʻula paha, ʻike paha nā pōuliuliʻeleʻele ma luna o lākou.

Hoʻololi nā kui ma luna o nā manamana lima: lilo lākou i mau a kūpilikiʻi a lahilahi paha. I ka hope hope loa, e loli kekahi ʻano o ka wāwae: ulu kēlā ma luna, kū i ka flatfoot, loli pū ka pūlima wāwae - ʻo kēia ka osteoarthropathy. I kēia hihia, mālama ka pulū ma ka wāwae. Ma ka hoʻokolohua ʻana e ka neurologist, ʻike ʻia kahi polymeuropathy sensormotor mamao mamao. ʻO ka mea mua, nā kelepona hele lōʻihi lōʻihi e hele i nā lima a me nā wāwae. Hoʻopilikia ʻia nā hope ma mua o nā lima. ʻO kēia ka mea i kapa ʻia - "nā kūmole pale."

Me ka hōʻalo ʻana o nā palapu aaniani palupalu, hele a paʻakikī loa ka ʻili, ʻoiai mai ka pā ʻana i ke kukui ʻā kekahi i kahi eha ʻeha (allodynia).

Akā i ka manawa like, ua nalowale ko nā manamana lima o ko lākou maʻa. Hōʻike ʻia kēia mau hiʻohiʻona he mau hiʻohiʻona no ka hoʻomaka o ke kaʻina hana. A laila pili pū nā palahalaha liʻiliʻi, ʻoiai ua pau ka nānā ʻana, a ʻike ka ʻemeni a me nā hā ʻana o nā wāwae i nā wāwae. ʻOi aku ka ʻeha o ka wāwae a me nā ʻāʻā nui ʻole ka pō. Hoʻolā pinepine ʻia nā wāwae a wīwī. Maloʻo nui ka ʻili a maloʻo paha a noho maloʻo mau ʻole. Hōʻike pinepine nā ʻūhā, nā hōʻeha a me nā calluses i nā wāwae. Ma muli o ka hoʻopōʻino ʻana i nā uaua o ka mīkini, nā nāwaliwali a me nā atrophy, nā deʻeʻelima a me nā wāwae.

ʻO ka hala ʻana o ka manawa, ʻoi aku ka palupalu o nā ʻōpū a me nā wīwī o tendon reflexes i ulu. ʻO nā hōʻike āpau i hōʻike ʻia wale nō ka holomua. Hoʻohui ʻia kēia i ka neuropathy visceral i hui pū ʻia, ka mea i hui pū ʻia e ka hewa o nā kino o loko. No ka mea, ulu paha ka hypotension orthostatic i ka hiki ʻole i nā kīʻaha ke mālama i kahi pae maʻamau o ke koko, aia nā pilikia o ka ʻeha i loko o ke ʻano o ka maʻi kuhiʻole o ka urinary, impotence a me kahi anorgasmia e hoʻomōhala i ka wahine, a hiki mai paha ka indigestion.

ʻO nā napu ka mea e hoʻouna aku i nā hōʻailona i nā ʻuhane o ka waihona kālā, pili i ka pākeke. A laila e hoʻomohala ka cataracts, anisocoria, noho ka hoʻomaha, a me nā mea hou i nā ʻūhā wikiwiki i loaʻa i loko o ka ʻōpū, ka ʻūhā, a me nā pharynx. Hōʻike nā hōʻailona hōʻino: ke lilo ka wāwae a like me ka manamana, hiki ke paʻakikī ke neʻe i nā wāwae a me nā wāwae me ka ʻole o ka hōʻeha, ka ʻāʻī ʻana a me ka tingling e lilo mau. ʻAʻole mauʻu ka gait, ke kū mau ke kanaka i ka hāʻule, no ka mea, ʻaʻole like me ke ʻano o ke kau nei ʻo ia, me he mea lā e hele ana ʻo ia ma ke ana. Hōʻike kēia i ka hōʻino o nā loli.

Hoʻopili ʻia ʻo DP me ka puʻu ʻana a me ka hoʻoili ʻana o nā io o ka maka, nā ʻūhā, ua palū ʻia ke kai ʻana, ʻike ʻia ka hupa.

Hoʻololi nā huaʻōlelo: ua make ka huaʻa ʻōlelo, ʻaʻole hiki i ke kanaka ke haʻi i nā huaʻōlelo me nā ʻoi aʻe o 3 mau huaʻōlelo.ʻO ia, i nā huaʻōlelo ʻē, hoʻomaka ke neʻe a hoʻoikaika ʻia a hele kēia hele ʻana mai ka periphery a hiki i ka lolo.

Me ka polyneuropathy diabetic, hele nā ​​hōʻailona i nā mahele nui o ka hoʻomohala:

1. ʻO Subclinical - ʻaʻohe kanaka i nā hoʻopiʻi, akā hiki i ka neuropathologist ke ʻike i kahi hōʻemi o ke ʻeha, ke ana wela a me ka hoʻohaʻahaʻa nui, nā ʻōwili o ka Achilles reflex.
2. Clinical - hiki ke hōʻeha, ʻaʻohe ʻeha, amyotrophic. I ka ʻano mua, ʻike ʻia nā hana o nā pua wahine, ulnar, trigeminal, sciatic a me nā optic nā kino a me ka ʻeha o ke kino a me ka allodynia e ʻike ʻia. Nā ʻeha hōʻeha ʻole - nā ʻōkuhi maikaʻiʻole i ʻōlelo ʻia ma luna. ʻAʻole manaʻo ke kanaka i nā kāmaʻa ākea, nā wai wela, nā hōʻeha. E hōʻeha ʻia ka pōʻino, ʻaʻole manaʻo ka mea maʻi i kēia. Hōʻike ʻia nā ʻeha ma nā wāwae ma 75% o nā hihia.

ʻO nā hopena o ka maʻi

ʻO ka polyneuropathy ma ka maʻi mellitus ma ke ʻano he hanana nā hopena. Me ka nalowale o nā manaʻo ma nā wāwae, ʻaʻole kī ke kanaka i ke ahi, ʻoki ʻana, ʻōpala, kīlohelohe. Hoʻea i ka amputation. Me ka lanakila ʻana o nā palupalu kikoʻī, e loaʻa mau ana nā eha: ka pana ʻana, ka makaʻaluhi, ka hoʻokuʻi ʻana a me ka pahū. Hōʻeha nā wāwae i ka pō, hoʻomaha. Me ka hana maʻamau o ke kō, ua mau ka ʻoluʻolu ʻole, akā e mau nō naʻe nā hōʻailona ʻē aʻe.

ʻOi aku ka ʻino ma kahi o ka hōʻiliʻili o ke kūlana ke kiʻekiʻe o ke kō a ʻaʻohe ʻeha.

Kāhea ʻia ka Chilyiness, nā palupalu. ʻO ka hoʻololi ʻana ma luna o ka wāwae hele ʻoi ʻia ka maʻi maʻi maʻi diabetes. Hoʻomili kēia ʻano kolamu, i ka hoʻohui i nā hōʻailona i hōʻike ʻia, ka hiki ʻana o nā ʻōpala, nā hana purulent-necrotic, nā pāpale a me ka iwi. Hōʻike pinepine kēia hoʻonāukiuki o DP me nā maʻi diabetes type 2 kokoke loa i 10 mau manawa. Me ka wāwae maʻi maʻi, ʻike ʻia nā pilikia liʻiliʻi o ka wāwae.

• ingrown nail, hanaʻeleʻele i ke kui no ka hemorrhage subungual mai nā kāmaʻa paʻa,
• kui nail (onychomycosis) a me ka ʻili o ka wāwae,
• palaoa, a me ka palaoa
• ʻokiʻoki a me ka ʻili maloʻo o nā kuʻekuʻe - hyperkeratosis.

Ke loli nei ka hiʻohiʻona o ka wāwae: palalulu ʻo ia ma muli o nā wāwae mahele, ke kīwili, i ka iwi o ka manamana lima e nui, e lilo ana nā manamana lima e like me ka hammer, twisted, kūlou i ka hui mua

ʻO ka maʻi hoʻoliʻi o ka maʻi

ʻOiai inā ʻaʻole ka mea maʻi e hoʻopiʻi i nā hoʻopiʻi ʻano maʻamau o DP, ʻaʻole kēia manaʻo ke lilo. No ka noʻonoʻo ʻana, ua hoʻokō ʻia nā hana kūikawā o ka electroneuromyography a me ka hoʻowalewale i ka ʻike kuʻuna.

Electroneuromyography - ka hoʻoholo ʻana i nā mana uila e ʻoi i nā ʻōpū o nā wāwae, ke aʻo ʻana i nā impulses ma nā ʻaoʻao o nā koina a peripheral. Manaʻo kēia ʻano ala i ka ʻike, e hoʻoholo i nā pūnaewele a me ka nui o ka hōʻino o ka hoʻonaninani o peripheral. Hoʻopilikia ka haunaele i nā mea ʻeha.

Eia kekahi, ʻo ka ʻano o nā mea i hoʻolaʻa ʻia e hoʻohana ʻia: e nānā ana i ka pane ʻana o ka lolo i ka hoʻonāukiuki ʻana o kahi nerve nerve.

ʻIkilo ke kauka i ka mea maʻi, mālama i ka nānā ʻana i nā pihi o nā haʻahaʻa haʻahaʻa, pulsation i ka lāʻau o nā wāwae, ke koko a ka lima o nā wāwae a me nā wāwae, ECG a me ka ultrasound o ka naʻau. ʻO ke kūpaʻa o ka kolamu a me nā lipoproteins he kauoha. Hoʻoholo ʻia ka nui o ke kō a me ke kō. E nānā ka mea neʻepekema i nā tendon reflexes me nā hōʻeha o kahi lāʻau lapaʻau, tactile (me ka hoʻohana ʻana i kahi monofilament - kahi mea hana me ka laina lawaiʻa ikaika, ʻo ia ke kaomi ʻana i ke kauka ma ka ʻili o ka mea maʻi) a me ka mālama ʻana i ke ʻano, ka wīwī - i loiloi ʻia i kahi ʻula ʻeke (pono ia ma ka ʻaoʻao ʻelua). Ka loiloi PNP a me ka hoʻomau kūlike ma ke kūlana Romberg. ʻAʻole hōʻike ʻia kahi ʻano hoʻokahi.

A ʻo ka hopena, inā ua maʻi ka maʻi maʻi, hypervolemia ka lōʻihi ma muli o ka hyperglycemia, nā hōʻailona o ka mamao symmetric sensorimotor DP o nā haʻahaʻa haʻahaʻa, a me ka haʻalele ʻole o nā ala neurological ʻē aʻe, e ʻae nei i ka maʻi maʻi o ka maʻi polyneuropathy distal.

Ka hoʻomaʻamaʻa ʻana o ka polyneuropathy ma ka maʻi diabetes

Hoʻomaʻamaʻa ʻia ka mālama ʻana i ka hoʻokaʻa ʻana o ke kō i ke koko i ka maʻamau a i ʻole kokoke hoʻi iā ia e hiki, e hoʻihoʻi i ka protein a me ka momona o ka momona. Pono nā ʻōkuhi e hāʻawi ʻia i kahi meaʻai haʻahaʻa haʻahaʻa, a me T2DM, ka hana kino. Ua kau ʻia ka lāʻau Insulin, nā lāʻau antidiabetic, a me nā antioxidants.

ʻO ka mālama ʻana i ka polyneuropathy ma ka maʻi mellitus me ka hoʻoneʻe ʻana i ka ʻeha, hoʻomaikaʻi i ka microcirculation, hoʻihoʻi hou i ka conductivity a me nā meaʻai o nā kinipona nerve, e hoʻoulu ana iā lākou me ka oxygen, etc.

Hoʻomaha i ka hōʻeha i ka maʻi polyneuropathy maʻi

ʻO ka huhū o ka ʻeha a hiki i ka nalowale loa o ka maʻi a hiki i ka hoʻomaikaʻi ʻana i ke kō koko. No ka hoʻolalelale ʻana i nā pana a me nā puhi ʻana i nā ʻeha, hoʻohana ʻia nā anticonvulsants a me nā lāʻau antiarrhythmic. ʻIke ia i nā mea hou aku i nā hopena maikaʻi loa. Hoʻomaopopo pinepine ʻia ka aila hinu Capsaicin, akā ʻike pinepine ʻole ia i ka ʻohi ʻia, no ka mea ke kumu ikaika o ka ʻāʻī ʻana. Hoʻohana ʻia nā Ointments Finalgon, ʻo Apizartron i hoʻohana ʻia. Hoʻomaʻemaʻi maikaʻi nā maʻi neurological e ka lipoic acid.

Hoʻopau maikaʻi ʻole ka mālama ʻana i ka polyneuropathy diabetes o nā haʻahaʻa haʻahaʻa me ka ʻole o ka hoʻohana ʻana i ka wai thioctic.

Māno ia i ka hōʻiliʻili o ke kō i loko o nā aʻa me ke kino, hoʻāla i nā huina i loko o nā pūpuna, e kōkua ana i ka hoʻihoʻi ʻana i nā nuna poino. Ma waena o nā kumu nui o ka hiki ke hoʻomaopopo ʻia:

1. Thioctacid BV, Dialipon, Espa-Lipon, Berlition - i kēia lā lākou nā lāʻau lapaʻau nui loa no ka mālamaʻana i ka DP, ʻo ke ʻano o kā lākou lawelawe ma ka liʻiliʻi he 3 mau mahina.
2. Ua kuhikuhi ʻia nā huaora B - ua kālai lākou i ka hopena o nā mea i kūloe ʻia i ulu ʻia mai ka hana a nā glucose i nā cell nerve, a me ka hoʻihoʻi i ka hoʻopuka ʻana o nā impulses i nā hopena nerve. E lawe i ka lāʻau lapaʻau Milgamma Compositum no 1.5 mau mahina.
3. E hoʻomaikaʻi i ka microcirculation koko, Neurostabil, Actovegin, Trental, Ginkgo biloba, Tanakan i kuhikuhi ʻia no kahi papa o 3 mau mahina. Me nā ʻili o nā wāwae, hoʻohana ʻia nā mākau nui magnesium.
4. ʻO ka hopena o ka waikawa lipoic ma DP: komo i ka hoʻololi ʻana o ka glucose a me ka lipids a ʻaʻole i ʻae i ka cholesterol ke ʻano, he cytoprotector, hoʻopaʻa i nā membranes a hoʻonui i kā lākou hana antioxidant, he hopena anti-inflammatory a analgesic.

Hiki iā ʻoe ke mālama me ka lāʻau ʻole. No nā lāʻau lapaʻau ʻaʻole hiki ke kapa ʻia he mea hana no nā wāwae, massage a me nā maʻi. Inā ʻike ʻoe i kekahi ʻano o nā kuhi i ka wāwae a hoʻoholo i ka hoʻoponopono ʻana, ʻaʻole hiki iā ʻoe ke hoʻohana i nā ʻaina ʻona no ka mea lohi lākou i ka hoʻōla (iodine, greenback, ka waiʻona, potassium permanganate). Hiki iā ʻoe ke hoʻohana i ka furatsilin, chlorhexidine, dioxidine. ʻAʻole hiki ʻoe ke hoʻohana i ka kānana no ka mea e pili ʻole i ka ʻeha. Ma ka laulā, ʻo ka hana hoʻokaʻawale loa i waiho ʻia i nā poʻe loea.

I ka hihia o ka pilikia i loko o nā moku o nā wāwae, e hana ana i nā hana shunting a i ʻole ka leʻaleʻa angioplasty.

I nā pilikia holomua, pono e mālama ʻia ka polyneuropathy me ke kōkua o nā mea lapaʻau: ma nā hana ʻoihana, gangrene, abscesses, phlegmon, necrectomy, amputation a me ka hoʻokau kūlike o ka hoʻokō (hana i loko o ka 15-20% o nā hihia). ʻO ke ʻano hemo hou a Extracorporeal i kahi maʻi lapaʻau hou. Hiki iā ia ke kapa ʻia i ka ʻoihana me nā mea ulu, ke mālama sela, nā ʻano jet plasma, ke ʻano biomekanika.

Hoʻopili i nā mea lapaʻau nui, ua ʻōlelo ʻia:

1. ʻO ka hoʻohanaʻana i ka maʻi lapaʻau ka mea pono ole ka lāʻau lapaʻau. Hoʻohana ʻia nā hana no ka mau minuke 10, i kēlā me kēia lā (i ke kāohi ʻana o ka manamana wāwae, ka neʻe o ka pehu a me nā kuʻekuʻe wāwae, nā kuʻekuʻe, e kau ana i nā kuʻekuʻe a me nā wāwae ma ka papahele, me ka huli ʻana me nā wāwae o ka pūlima paʻa, a laila.). Mālama kēia i nā leo mele.
2. Magnetotherapy - hoʻomaikaʻi i ka microcirculation i loko o nā lau, hoʻēmi i ka maʻi ʻaihue, hoʻoulu ʻia i ka hoʻoponopono hou ʻana o kahi nūna i hōʻino a hoʻomaha ʻia ke hōʻeha. Hoʻohana pū ʻia ka Acupuncture e hoʻomaikaʻi i ke kahe koko a hōʻemi i ke kōhi koko.
3. ʻO ka oxygenation Hyperbaric - hōʻike i ke kino ma lalo o ke kiʻekiʻe o ka oxygen kiʻekiʻe. I kēia hihia, puhi ʻia ke koko me ka oxygen a lilo nā ʻili i ka naʻau.
4. ʻO Vazaprostan - pale i nā kīʻaha koko mai nā puʻuwai koko, e hoʻonui ana i nā kahe koko a pale i ka haʻalele ʻana o ka cholesterol i ko lākou mau pā.

E pili ana i nā hoʻolapalapa a me nāʻaila, pono ia e hoʻomaopopo he kūpono ʻole ia no nā ʻūhā a me ka abses ma nā wāwae a me nā wāwae me ka polyneuropathy maʻi. Hoʻolahaʻo nā ʻaila i ka hōʻaha o nā ʻikepili mai ka ʻeha, a hiki ke lilo i mea hoʻonaninani no nā microbes, no laila i kēia lā ua hoʻohana lākou i nā holoi a me ka hana hoʻoulu (ʻo lākou nā antimicrobial) a hoʻohana paha i nā sponges collagen e hoʻopiha ai i nā hōʻeha.

ʻO ka hoʻomaʻamaʻa ʻana me nā kuʻemaka kūloko

Me ka polyneuropathy maʻi maʻi, hiki ke mālama ʻia me ka hoʻohana ʻana i nā mea lapaʻau kanaka, lāʻau lapaʻau lāʻau. Akā e like me kēlā ʻano lapaʻau e ʻae pū me ke kauka. E hōʻemi i ke kōpālā koko:

• infusion o lau lau lau a me fenugreek hua,
• kuhiū kālai,
• ka hui ʻana o nā mea kanu: ka mole burdock, ke kaula, nā cones hop a me nā pua birch,
• e hoʻoikaika i nā huaʻai i nā nerve me nā mea kanu - kahi pūpū o ke kefir, nā pālato, a me nā hua kanu ulu.
• no ka ʻikepili a me ka ʻōpū kino hoʻohana i ka ʻaila mai Wort a John's wort a me ka luʻi,
• wili i ka tincture o ka rosemary ma luna o ka vīeʻa e hoʻopili ʻia i nā wāwae.

Nā kumu kumu a me nā hopena paʻakikī

ʻO ke kumu koke o ka maʻi polyneuropathy maʻi, ʻo ia ka hoʻomau o ka hoʻonui ʻana i ke kōʻai koko i loaʻa i ka mellitus diabetes no ka hoʻohaʻahaʻa ʻana i ka hana o ka insulin. I ka manawa like, ʻo ka mika o ka hanaʻino i nā nerve nerve i loko o kēia kūlana he multifactorial a ua kumu ma nā hana pathological nui. Ke hoʻokele nei ka mana alakaʻi i kekahi mau mea.

1. ʻO ka maʻi ma waena o ka huapalapala. ʻO ka hemahema o ka insulin e alakaʻi i ka mea kuhi o ka glucose mai ke koko ʻaʻole i komo i loko o nā loko, i hōʻike ʻia e ka hyperglycemia. I ka manawa like, ʻo kēia kākowaō ka mea nui a ma ka aneane wale nō ke kumu o ka ikehu ana i nā aʻa. ʻO ka nele o ka ikehu e alakaʻi i ka fibeneration fiber a me ka hoʻolālāʻana o ka polyneuropathy maʻi.
2. ʻO nā maʻi ma ka metabolic nui . ^ E Ha yM. Ma muli o ka hapa ʻole o ka glucose i loko o nā kiko, ua hoʻokomo ʻia nā ala pākuʻu metabolic e uku ai i ka ikehu o ka ikehu. Ke alakaʻi kēia i ka hoʻokumuʻana i nā kino ketone (kahi huahana ʻokiʻoki i nā momona) a me nā mea kino ʻē aʻe e hiki ai ke hōʻeha i ka aʻalolo.
3. Hoʻopilikia i nā Ischemic. Ma ka maʻi mellitus, hoʻomohala ʻia ka hoʻomohala o nā angiopathies (les vascular) e pili ana i nā kaʻina pathological i ka pā vascular. Hoʻopili kēia i ka hāʻawi o ke koko i nā meaka a me nā kino, ʻoi aku ma ka pae microcirculatory. ʻO ka hema ʻana o ke kahe koko e hoʻonā i nā mea iʻike i ke kaohi o ka ikaika i nā uaua nerve a hoʻomaikaʻi i ko lākou hōʻemi.

ʻO ka loli o ka hoʻomohala ʻana i ka polyneuropathy diabetes, ʻoi aku ka kiʻekiʻe ma mua o nā mea maʻi me ka maʻi mellitus, no ka wā maʻamau ke kīloi i ka meaʻai a me ka lawe i nā lāʻau hypoglycemic. I kekahi mau hihia, nā pilikia o nā nūpepa peripheral ka hōʻailona mua loa o ka ʻai o ka insulin, akā ʻoi aku ka pinepine o ka neuropathy i nā makahiki he nui ma hope o ka hoʻomohala ʻana o ka maʻi diabetes. Hoʻololi ʻole nā ​​loli hoʻololi i ka ʻōnaehana.

Nā ʻano o ka maʻi

Hoʻohālikelike ʻia ka polyneuropathy diabetic e nā ʻano o ke ʻano o ke ʻano maʻi, ma muli o nā nēnē o ka hui kahi e pili ai i ka nui. Aia kekahi kūkākūkā pili e pili ana i ka helu ʻana i ke kaiāulu ʻepekema.

Me ka ulu ʻana o ka hanaʻino o ka nerve, hiki i ka loli pinepine ʻana o ka pathological, no laila he mea nui e pale i ka holomua o ke ʻano.

Wahi a kekahi mau noiʻi, pono ke nānā ʻia ka polyneuropathy diabetes maoli wale nō kekahi o nā ʻano o ka hoʻopōʻino i ka ʻōnaehana o ka maʻi ma ka maʻi mellitus - distal symmetric sensorimotor neuropathy. Mai kēia ʻano ke ʻano, eia nā kūlana me nā ʻano like ʻole o nā papa ma ka neʻe ʻana:

• ka paleʻana o ka hoʻoweliweli vibration a me nā tendon reflexes pilikino (no ka laʻana, Achilles). He ʻano ʻoluʻolu iki, i ka nui o nā makahiki i holomua me ka ʻole e holomua nui ana,
• hūnā i nā nīnū pilikino, loaʻa mai i kahi ʻano a i ʻole ka subacute. ʻO ka hapanui pinepine ka mea i hoʻopili ʻia i nā iwi o nā wāwae (ulnar, femoral, nian median) a me ke poʻo (facial, trigeminal, oculomotor),
• hoʻonāukiuki a me ka hoʻoneʻe ʻana i nā ʻina o ka lalo haʻahaʻa, e pili ana i ka kūloko autonomic. Hoʻonohonoho ʻia e ka ʻeha nui a paʻakikī i nā ʻōpala trophic o nā wāwae a me nā wāwae, gangrene.

ʻO kekahi hiʻohiʻona ʻo ia nā ʻano hana ʻino o ka peripheral i mālama ʻia i ka diabetes mellitus i kapa ʻia ʻo polyneuropathy diabetes. I kēia hihia, ua hoʻokaʻawale ka mea symmetric sensorimotor neuropathy a me nā neuropathy autonomic i loko. Hoʻokomo ʻia ka hope i ka pupillary, gastrointestinal, ka hoʻoheheʻe, nā ʻano cardiovascular - ma muli o ia ʻōnaehana a ʻona paha i hoʻopilikia ʻia e ka pathology. ʻOkoʻa ka hoʻokaʻawale ʻana, hoʻokaʻawale ka maʻi neuropathic cachexia - kahi maʻi ʻeha koʻikoʻi e pili ana i ka sensorimotor a me nā autonomathy auton e hui pū me kahi hoʻemi nui o ke kaupaona o ke kino.

Nā papa hana o ka maʻi

I kēia manawa ʻaʻohe kumu hoʻohālikelike paʻa loa no nā papa lapaʻau o ka polyneuropathy diabetes. Eia nō naʻe, ua haʻi ka pathology i ke ʻano holomua, ʻo ka nui o ka hoʻonui ʻana i nā hōʻailona e hilinaʻi ana i ka nui o ka hyperglycemia, ke ʻano o ka neuropathy, ke ʻano o ka mea maʻi. I ka ʻōlelo maʻamau, hiki ke hoʻokaʻawale i ke ʻano o ka maʻi i nā ʻāpana:

1. Nā hōʻike neonspecific neʻe. Hoʻopili pū kēia mau i ka naʻau o ka ʻohi, a me ka manaʻo o "goosebumps" ma ka ʻili, i kekahi mau hiʻohiʻona - ʻeha ma ka huina a me nā wahi o ko lākou hohonu. Hiki i kēia ʻano ke hoʻomau i nā makahiki he nui a ʻaʻole i hele i nā palapala koʻikoʻi koʻikoʻi.
2. Na hoo- kauhewa. Kū lākou i ka pili ʻana o nā fibers motor i ke kaʻina pathological, a me ka ʻōnaehana autonomic. Hōʻeu kaʻiʻe ʻana, hiki ke hoʻomohala i ka paresis, a ākea loa - nā wīwī. Aia ka hopena o nā ʻiʻo o ka pūnao autonomic, pilikia i loko o ka noho ʻana, hoʻonaninani ka haumāna, ʻūleʻa, a me ka hana o ke ʻano o ka pūnao a me nā kūnaehana hoʻoiho.
3. Nā maʻi ʻino. ʻO ka hopena nui loa e hāpai ana i ka polyneuropathy diabetes i ka hopena o ka hui ʻana o ka pathology o autonomic innervation a me nā maʻi microcirculatory. Hiki iā lāua ke kūleʻa ʻelua (kūloko trophic, gangrene o nā wāwae), a me ka mea maʻamau ma ke ʻano (neuropathic cachexia).

ʻO kekahi hopena maʻamau o ka polyneuropathy maʻi maʻi o ka nalowale o ka hui a me ka hui o ka cranial 3 a me 4 ke kuleana no ka neʻe ʻana o ka maka. Hoʻopili ʻia kēia me ka nui o ka nāwaliwali i ka hihio ma muli o ke kue ʻana i nā kaʻina o ka noho, hoʻokipa, pupula haumāna, ka hoʻomohala ʻana o ka anisocoria a me ka strabismus. ʻO ka pinepine, ʻo ka kiʻi o kēia kiʻi e hoʻomohala i nā mea maʻi me ka maʻi o ka maʻi ma mua o 50 mau makahiki he ʻelele, ua lōʻihi ke ahonui i nā hōʻike ʻē aʻe o ka neuropathy.

Hōʻike ʻia ka polyneuropathy diabetic e kahi ʻano nui o nā hōʻike, ʻike ʻia ke kiʻi lapaʻau i ke ʻano o ka pathology, ka pae o kona holomua ʻana, a me ke ʻano o nā fibers nerve (motor, sensory, autonomic) i hoʻopili ʻia. ʻO ka hapanui pinepine, nā maʻi hōʻeha (ʻo ke kumu nui a me ka hiʻona) mua. Ma hope mai, nā pilikia o ke kaʻa (nāwaliwali o ka wāwae o ka umauma, paresis) hiki iā lākou ke hui pū me lākou. Inā pili i nā nerves o ka wahī, ua kū ʻia ka anisocoria a me nā strabismus.

Hoʻomaʻamaʻa ka maʻi i loko o ke kūlohelohe, hoʻonui pinepine ʻia kāna mau hōʻike no nā makahiki he nui, ʻo ka piʻi ʻana o ka hoʻolālā e hilinaʻi ana i ka lawa o ka mālama ʻana i ka maʻi diabetes a mālama i nā pae koko kō.

Hoʻohālike pinepine ʻia ka polyneuropathy diabetic i nā pilikia hoʻoponopono i ka vegetative, i ka maʻamau ma nā pae haʻahaʻa. I ka wā mua, hiki ke hoʻohaʻahaʻa i ka hōʻiliʻili o ka ʻili o nā wāwae a me nā wāwae haʻahaʻa, hoʻoneʻe ʻia nā hōʻino o ka ʻili - peeling, keratinization. ʻO nā hōʻeha a me nā hōʻeha o nā wāwae i mālama lōʻihi a paʻakikī.Ke holomua nei ka pathology, ʻo ka hōʻeha nui o nā wāwae i ka wāwae (ma ka hoʻomaha a i ka wā hana), ulu nā ʻōpala trophic. ʻO ka hala ʻana o ka manawa, pinepine pinepine ka nekrosis o nā ʻāpana pilikino o nā wāwae, a laila huli i loko o gangrene.

Hiki i nā hoʻopiʻi a me nā hopena

ʻO ka holomua o ka polyneuropathy diabetic hiki i ke kumu o ka paresis a me ka nāwaliwali o ka naʻau, e hoʻonā ana i ka mobility. Hōʻino i nā nane cranial nā alakaʻi i ka maʻi pākiha a me nā pilikia keu. ʻO nā maʻi hele palapona e hele pū ana me ka polyneuropathy o nā mea i hoʻohālike pinepine ʻia e ka maʻi ulia trophic a me ka gangrene, kahi hōʻailona kēia no ka ʻapohui o nā wāwae.

ʻO ka loli o ka hoʻomohala ʻana i ka polyneuropathy diabetes, ʻoi aku ka kiʻekiʻe ma mua o nā mea maʻi me ka maʻi mellitus, no ka wā maʻamau ke kīloi i ka meaʻai a me ka lawe i nā lāʻau hypoglycemic.

ʻO ka hoʻopiʻi ka hopena koʻikoʻi ma ka polyneuropathy diabetes, ʻo ka neuropathic cachexia, i ukali ʻia e ka hoʻolilo kaumaha, nā maʻi sensorimotor a me nā ala nui o nā kino kūloko.

ʻAʻole pono ke kau nā hoʻomaʻamaʻa ʻana, no ka mea hiki ʻole ke ʻano i ka maʻi i hoʻomohala ʻia. Eia naʻe, ʻo ka hiki ʻana i ka manawa kūpono o ka pathology me ka hui me ke kūpono i koho ʻia i hiki ke hoʻolōʻihi i kona holomua.

Nā wikiō mai YouTube ma ke kumuhana o ka ʻatikala:

ʻO ka maʻi polyneuropathy Diabetic (polyneuropathy) kahi pāpale o ka lawelawe nerve peripheral, kahi mea hōʻailona (hoʻohālikelike) o ka maʻi mellitus.

Hoike ʻike

ʻO ka ʻōnaehana nerve peripheral ka ʻano o ka spinal, cranial a me nā meaʻeha a me nā plexuses. ʻO kāna hana nui e hoʻopili ai i ka pūnaehana ma waena o ke kino me nā kino o ke kino. Ua hoʻokaʻawale ʻia ke ʻano peripheral i somatic a me autonomic (autonomous, visceral). ʻO ka somatic ke kuleana o ka holo ʻana o nā io, a ʻo ka mea kanu i ka mea i hoʻoponopono i nā hana nui - ka hanu, puʻuwai, ka synthesis o ka hormone a pēlā aku.

Hoʻopilikia ka polyneuropathy diabetes i nā pilina ʻelua. Loaʻa ia ma 75% o ka poʻe me ka maʻi maʻi (e pili ʻole i kona ʻano). Ma ke ʻano he kānāwai, nāʻike mua o ka pathology i hana iā lākou iho i ka poʻe 15-25 mau makahiki ma hope o ka hoʻomaka ʻana o ka hoʻomohala ʻana o ka maʻi.

Hoʻomaka ka polyneuropathy Diabetic ma muli o ka ulu mau o ka glucose koko. ʻElua mau mea nui i ka hoʻomohala ʻana:

• Ma muli o ke koʻikoʻi nui o ka glucose, e hoʻopau ʻia nā capillaries e hoʻopuni ana i nā aihina. Ua piʻo ka kahe koko, a loaʻa nā iʻa i ka nui o ka oxygen, nā mea a me nā minerala. Holo i lalo a i ʻole oki i ke kaʻina hoʻokele pulse.

1. Hoʻohana ikaika ka Glucose i nā protein, me ka mau o ka ʻāpana o nā kinipona nerve. Ma muli o kēiaʻano, ke hānai nei i kā lākou hana, a hōʻiliʻili i nā huahana glycation o nā mea make i ke kino.

Hiki ke hoʻopili ʻia ka polyneuropathy diabetic e nā ʻano ʻona o ka hōʻino o ka ʻenehana peripheral. Wahi a kēia, ua ʻokoʻa nā ʻano o kona mau ʻano a me nā ʻāpana o kēlā me kēia.

• ʻĀlili. ʻAʻole hōʻeha ka mea maʻi i ka pōʻino, akā i ka wā o ke nānā ʻana, ua ʻike ka neuropathologist i loko iā ia ka hōʻemi o ka hōʻeha ʻana i ka ʻeha, ka wīwī, ka pālahalaha, a me ka pahuhopu o Achilles reflexes.
• Kauaka. Hiki iā ia ke hōʻike iā ia iho i kekahi mau ʻano - ʻeha, ʻaʻohe ʻeha, amyotrophic.
• Nā hopena

ʻO nā hōʻailona o ka polyneuropathy maʻi maʻi, i loko o ka hana o ka femoral, ulnar, sciatic, trigeminal, abducent and optic nerves is impaired:

• nā ʻeha ma ke kino holoʻokoʻa, e hoʻomanaʻo ana i ka lāhe a i ʻole ka hoʻowalewale uila,
• ka hoʻowahāwahā ʻana
• tingling ma ka limu
• allodynia - ʻeha eha me kahi hoʻopā iki.

Ma kahi ʻano hana ʻole, ka polyneuropathy diabetic o nā peʻī haʻahaʻa e hele mai (sensory neuropathy). Hoʻopilikia i nā kinipona palupalu e hele i nā wāwae. Kāna mau hōʻailona:

• ʻeha a me ka ʻāʻī ʻana o nā wāwae,
• tingling
• ka hele ʻana i ka wā e hele ana.

Me ka hoʻomohala ʻana o nā hōʻailona o ka polyneuropathy diabetic o nā haʻahaʻa haʻahaʻa, a nalo loa ka ʻike ʻana: ʻaʻole i ka mea maʻi i ka paʻa ʻana o nā kāmaʻa me ka wai wela i loko o ka lumi kuhi, ʻaʻole i ʻike i nā pōʻino a pēlā aku.

Hōʻike ʻia ka puka amyotrophic e kahi lesion koʻikoʻi o nā kinipona hoʻoneʻe. Ua ukali ʻia me ka ʻeha, nā ʻāʻī i nā wāwae a me nā nāwaliwali o ka naʻau.

ʻO ka koho paʻakikī ʻo ka polyneuropathy diabetes, e pili ana i ka pūnaehana a me ka hoʻonaninani autonomic. ʻO nā hōʻailona o ka hoʻonāukiuki ʻana o nā kino o ka naʻau i loko o ka ʻike a me ka ʻehaʻeha, e pili ana,

• gastroparesis (hoʻonui i ka ulu ʻana o ka meaʻai), ke nānā ʻana, ka maʻi o ka maʻi,
• ʻeha, palupalu,
• lohi ka wikiwiki naʻau
• ka nalowale o ka pale ʻana i nā kipi (incontinence, piha piha),
• erectile dysfunction i loko o nā kāne, anorgasmia i loko o nā kāne,
• ka nele loa o ka olelo, ka pilikia e kanu, a pela aku.

ʻO nā hopena o ka polyneuropathy diabetes me ka hana ʻole:

• ulia ʻole uliaola (i 70-75% o nā mea maʻi),
• hoʻohuli o nā wāwae,
• hana ʻino i nā nū optic, nā kumu strabismus a,
• ke ʻano o nā pūnaewele gangrenized, e alakaʻi ana i ka amputation o nā manamana.

Nā hiʻohiʻona hāʻawi

Ke kōkua nei nā mea i lalo i ka hoʻomohala ʻana o ka polyneuropathy ma ka maʻi diabetes mellitus:

• ka hana ʻauʻa ʻana i ka mālama pono ʻana i ke kō o ke koko,
• ka lōʻihi o ka maʻi o lalo
• koko koko kiʻekiʻe
• ulu kiʻekiʻe
• elemakule
• ka hele ʻana o nā hana ʻino (inu ʻole, inu ʻawa),
• kūlia
• predisposition genetic.

Nā hiʻohiʻona o ke kaʻina pathological me nā palepae he nui o nā fibers nerve

Wahi a ka paʻakikī o nā hōʻike, e hoʻākāka ʻia nā ʻōpū o kēia mau wahi, ma ka mea i hoʻoholo ʻia ai ka mālama pono ʻana no ka polyneuropathy:

• 0 - ʻaʻohe ʻike ʻike ʻike
• 1 - ke aʻo hou ʻana o ka hoʻopiʻi.
• 1a - ʻaʻohe hewa hoʻopiʻi mai ka mea maʻi, akā hiki ke hoʻoholo ʻia nā loli pathological me ka hoʻohana ʻana i nā hoʻokolohua diagnostic,
• 1b - ʻaʻohe hewa hoʻopiʻi, hiki ke hoʻoholo ʻia nā loli a ʻaʻole wale ma nā hoʻokolohua kūikawā, akā ma nā loiloi neurological,
• 2 - hana hōʻikeʻike like i nā maʻi lapaʻau,
• 2a - hui pū ʻia nā hōʻailona o ka lesion me nā hoʻokolohua hōʻoia maikaʻi,
• 2b - kūlohelohe 2a + nāwaliwali o nā ʻili o hope o nā wāwae,
• 3 - polyneuropathy paʻakikī e ke kīnā.

Nā hōʻailona o ka polyneuropathy diabetes, ke hilinaʻi nui loa i ke kahua a me ke ʻano o ka ulu ʻana o ka hoʻomohala ʻana, a me ka lāʻau i hoʻohana ʻia.

Nā maʻi Pāpaʻi

Hōʻike hiʻohiʻona o ka pathology sensory. Hiki iā lākou ke hoʻoholo i nā hana maʻi ma ke ʻano loiloi (subclinical form) a lilo i nā hoʻopiʻi o ka poʻe maʻi (puka kūpaʻa). Hoʻomaʻamaʻa ka poʻe maʻi i ka ʻeha. Hiki i ka ʻeha ke kuni, kīʻī, ʻaihue, hakakā. Hiki ke hoʻokau ʻia kona helehelena e nā kumuwaiwai ʻaʻole i hoʻonāukiuki i ka poʻe olakino.

Nui! Hōʻike ʻia ka polyneuropathy Diabetic o nāʻaoʻao haʻahaʻa e like me nā hōʻike like mai ka ʻaoʻao o nā wāwae a me nā wāwae haʻahaʻa, ʻoiai e loaʻa ana ka moku endoneural i ke kahua mua.

Hiki i ka mea maʻi ke ʻōhumu i ka ʻāʻī ʻana, ka manaʻo e like me ke goosebumps, ke hōʻā ʻana o ka nānā, hypersensitivity i nā hopena o ke anuanu, wela, uila. Ke hoʻomau nei nā paila physiology, a hala ʻole nā ​​mea pathological.

E like me ke kānāwai, he mau ʻoluʻolu nā haunaele. Me ka ʻike o ka pathology asymmetric, hoʻomaka ka maʻi hōʻeha mai ka wahi pelvic a iho i ka ʻūhā. Hoʻopili ʻia kēia me ka hoʻemi ʻana o ka nui o ka limu i hoʻopili ʻia, ka ʻaki ʻole o ka hoʻohālikelike ʻana me ka mahalo i ke koena o ke kino.

ʻO ka wehe ʻana o ka hōʻeha ʻana o ka ʻeha, ʻo kekahi o nā ʻōmaʻomaʻo loa o ka polyneuropathy

Hoʻolālā kuʻina

ʻO ka hoʻomohalaʻana o ka polyneuropathy sensory-motor i ka hapa nui he papa maʻi. Hoʻopiʻi ka maʻi diabetes me nā hōʻike aʻe:

• nā ʻōpū
• ʻeha o kahi ʻano ʻokoʻa
• uʻi ʻana o ka ʻike e hiki ʻole i kahi hala ʻole,
• nāwaliwali mānoʻi
• ka nele o ke kino a me ka nānā ʻana o nā pehu o ka pathological,
• nā pōkole pōkole o nā pae haʻahaʻa a me nā ʻaoʻao o luna,
• nele i ka kūpaʻa i ka wā e hele ana.

ʻO ka hoʻopiʻi pinepine ʻana o nā hanana kūlohelohe e hui pū me ka hoʻopōʻino ʻana i ka wāwae maʻi - kahi maʻi pathological i kahi i hopu ai ka lesion i nā ʻōnaehana āpau, e komo pū ana me nā iwi a me nā iwi. Ka hopena - hoʻonāukiuki a me nā hana hoʻohaunaele.

ʻO kahi mea nui ka hoʻokaʻawale o ke ʻano sensorimotor maʻi me ka polyneuropathy alkohol.

ʻO ka hoʻoluhi hewa

Hiki ke hoʻopili ʻia nā pūpū mālama i paʻa ʻia i loko o nā kino o loko. Pākuʻi ʻia nā ʻōmaʻomaʻi i pili a i ke ʻano a i ʻole ka ʻōnaehana. Hōʻike ka ala o ke kīʻaha o ka puʻuwai a me ke koko e ka hypertension orthostatic, pulemaary edema, ʻike ʻole i ka hoʻoikaika kino. Hoʻopiʻi ka poʻe maʻi i ka palaualelo o ka puʻuwai puʻuwai, hoʻonui i ke koko, hakina o ka hanu, ka ʻōpala. ʻO ka hōʻemi o ka wā kūpono e hiki ke hōʻeha.

ʻO ka haunaele o ka puʻuwai pu - kahi hōʻailona hiki ke ʻano o ke ʻano o ke ʻano autonomous

Hōʻike ka pōʻino i ka gastrointestinal tract e nā paresis, kahi kahi o ka leo o kona mau keʻena, he kipi no ka microflora maʻamau, a me ka maʻi reflux. E hoʻopiʻi ana ka poʻe maʻi mai nā luhi o ka hoʻopuka, ka ʻōpū ʻana o ka ʻōpū, ke nānā ʻana, ka nui o ka kaumaha, ka ʻeha.

Hoʻopili ʻia nā genitourinary polyneuropathy me ka atony o ka wahi pāpale, a me ka hopena o ka urine reflux, hana pilikino ʻole, pili i nā maʻi maʻi lua. Hōʻike ka ʻeha i ka hope o lalo a ma luna o ka pubis, hele pinepine ka urination, ka hele ʻana me ka ʻeha a me ka puhi ʻana, ala mai ke ʻano kino, hele mai ka maʻi patele mai ka ʻū a me ka urethra.

• ka hana hōʻeuʻeu ʻana o nā hana kahe (ka nui a i ʻole ka hoʻēmi ʻana a hiki i ka pau ʻole ʻana o nā pulima palau)
• ke ʻano o ka loiloi ʻike maka (kahi i emi ai ka haumana i ka diameter.
• ʻaʻohe hanana o ka adrenal polyneuropathy.

Nā hiʻohiʻona hana

No ka mālamaʻana i ka polyneuropathy diabetic, kahi mea mua ke hoʻoponopono ʻia i ke kō o ke kō. Hana ʻia kēia e kahi endocrinologist, ka mea e nānā nei i ka insulin therapy regimens a me ka hoʻohana ʻana i nā lāʻau lapaʻau haʻahaʻa. Inā makemake, e hoʻololi ʻia ke kālā e nā mea keu a oi aku paha i kuhikuhi i nā lāʻau lapaʻau hou.

Hoʻoholo ʻia ka hoʻoponopono ʻana i ka meaʻai, ua koho ʻia ke ʻano kūpono o ke ʻano kino. Hāʻawi ke kauka i ke aʻo ʻana pehea e mālama ai i ke koko a me ke kaumaha o ke kino i loko o nā palena i manaʻo ʻia.

Koho ʻia nā pūʻulu o nā lāʻau lapaʻau:

1. ʻO nā kumumana o ka alpha lipoic acid ka mea hoʻohana i nā lāʻau i koho. Hiki iā lākou ke hoʻokaʻawale i nā kolamu nui, e pani i ka hopena o nā hopena o nā kumu waho ma ka pehu a me nā kīʻaha koko. Nā manaʻo - Berlition, Lipoic acid, Thiogamma. ʻO ka papa hana o ka mālamaʻana ma kahi o 2 mau mahina.
2. Ma ka momona o ka huaola - e hoʻomaikaʻi i ka hana o nā ʻāpana a me nā peripheral o ke ʻano o ka nupepa, e komo i ka hana maʻamau o ka hoʻoili ʻana o nā hoʻonā a neuromuscular (Pyridoxine, Cyanocobalamin, Thiamine).
3. Antidepressants - ua hoʻohana ʻia e hōʻemi i nā hōʻike hōʻeha (amitriptyline, nortriptyline). Hoʻonohonohoʻia ma nā liʻiliʻi liʻiliʻi, e hōʻoki i ka hopena me ka hopena therapeutic e pono ai.
4. Hoʻolaha nā loea redosease inhibitors - nā ʻano kūpono i loko o nā lāʻau ma o kēia ʻano o kēia pūʻulu, akā ʻaʻole lākou i ola i ko lākou mau manaolana. Hoʻohana ʻia ma ka ʻoniho o ka kauka hele mai (Olrestatin, Izodibut, Tolrestat).
5. Anesthetics kūloko - i hoʻohana ʻia e hoʻomaha i ke kaumaha ma nā ʻano o nā noi. Hōʻike ka hopena ma hope o nā minuke 10-15.
6. Anticonvulsants - Carbamazepine, Finitoin. Pono kēia pūʻulu e koho pono ai i ka papaʻa. E hoʻomaka me nā liʻiliʻi liʻiliʻi, ʻoi aku ka nui o nā hebedoma.

Kūkulu o ka waika alpha-lipoic (thioctic) - nā mea kanu e hoʻolaʻa i ka moku'āina o nā kīʻaha koko a hoʻopau i nā manaʻo leʻaleʻa i ka hōʻemi kino o ka wahī

ʻO nā hopena palekana

Hiki ke mālama i ka polyneuropathy diabetes i ka maʻi lapaʻau wale nō e pili pū ana, akā, me nā ʻano like ʻole a me nā infusion i hoʻomākaukau ʻia ma ka home.

Mākaha i nā māla i hoʻomākaukau ʻia i mua ʻole. Pono ka mea maʻi e hoʻomau iā lākou ma kahi o 7-10 mau minuke i ka lā.

Ua hoʻopili ʻia nā aʻa o ka burdock hina a me nā lau blueberry. 3 tbsp ua kulu ʻia ka hopena hopena me kahi lita o ka wai anuanu a hoʻomoole ʻia ma kahi o 8 mau hola. A laila e kau i ke ahi a hoʻohemo paha no 3 mau hola. Ma hope o ka hoʻomoʻa ʻana o ka kupa, pono e hoʻoponopono ʻia. E inu i ka nui o nā wai i loaʻa i ke ao.

Hoʻokomo ʻia kahi aniani o ka oats i loko o ka 1 lita o ka wai wai. E kuhi no 10 mau hola, a laila pono ʻoe e hoʻomoʻi i ka palu no ka liʻiliʻi loa 40 mau minuke. Hoʻokuʻu ʻia mai ka hākaukau a hoʻouna ʻia i kahi wahi mahana. Ma hope o ke kānana ʻia a lawe ʻia i loko o kahi aniani i ka hapalua hola ma mua o kēlā me kēia pāʻina.

Pono e hoʻomanaʻo ʻia he mea hiki ʻole ke haʻalele i ka polyneuropathy me nā koikoi o ka maka o ka wai ʻole me ka lāʻau lapaʻau a me ka kaohi o ke kō koko. Akā ʻo ka hopena hui ʻia o kēia mau mea hiki ke alakaʻi i kahi hopena maikaʻi o ka pathology.

ʻO ka polyneuropathy Diabetic he pathology koʻikoʻi, ka hele pū ʻana me ka poino i nā hoʻonohonoho ʻana o ka lawelawe pono peripheral. ʻO ka maʻi ke hoʻopiʻi ʻana i nā maʻi maʻi, nā hōʻailona mua i ʻike ʻia i kekahi mau makahiki ma hope o ke kūʻana o ke maʻi maʻi. Ke holomua nei, me ka neʻe mua a laila pili i nā ʻāpana o ka palupalu i loko o ke kaʻina pili.

ʻIke ʻia ka Polyneuropathy ma 70% o nā maʻi me ka maʻi maʻi a, ma ke ʻano he kānāwai, ua i kēlā me kēia ʻano ke ʻano pinepine ka maʻi. Ma kahi kūpono ʻole e alakaʻi ai i ke ʻano o ke ʻeha kaumaha, ua nalowale ka hana. Aia kahi make o ka make. E noʻonoʻo pehea e mālama ai i ka polyneuropathy i ka maʻi diabetes.

Nā kumu, pathogenesis o polyneuropathy

ʻO ke kumu nui e hoʻonāukiuki i ka hana o ka neuropathy he nui ka piʻi ʻana o ka glucose i loko o ke koko. ʻO ka hopena ka hoʻonui ʻana i ka nui o nā kaʻina oxidative. Hoʻopili nā radical manuahi i loko o ke kino, ka mea e hoʻopilikia kino i nā neurons, e hoʻopōʻino i kā lākou hana.

Hōʻalo ka nui o ke kō i ke hoʻōla ʻana o nā kaʻina autoimmune e hoʻopau ai i nā aʻa. ʻO ka hōʻiliʻili o ka glucose e hoʻonāukiuki i ka osmolarity o ka wahi intracellular, e kūwili ana nā io o nā nerve, a me nā ʻano o nā kuhi. Ke hoʻolōʻihi nei ka uluʻana o nā selamela nerve. ʻO ka hoʻololi mau i ka hyperglycemia e hoʻonui i ka nui o ka ikehu o ka ikehu, hoʻonāukiuki ka lawe ʻana. Loaʻa ka hope o nā cell nerve i ka hypoxia (starness oxygen).

Hoʻokomo i nā mea hōʻike i ka hoʻomohala ʻana o ka neuropathy:

• ʻO ka papa lōʻihi o ka maʻi maʻi,
• Mamua
• ʻO ka hele mua ʻana o nā hana maikaʻi,
• Hoʻopuka me nā pūhui kemika, nā mea kanu.

Hiki i ka pathology ke hoʻomohala i kahi o nā maʻi o nā ʻōnaehana:

Hoʻopili ka hopena o ka polyneuropathy i loko o ka maʻi āpau me ka hypertension arterial, obesity, hyperlipidemia.

Mau lāʻau lapaʻau

Hoʻopiliʻia i nā mea hoʻohālike i kuhikuhi ʻia e ke kauka, hiki ke mālama ʻia me ka lāʻau lapaʻau kuʻuna. E kōkua ka lāʻau lapaʻau e hōʻemi i ka nui o nā hōʻailona.

Hoʻohālikelike i nā pae gula ma ke hoʻohana decoction, kahi a:

• Peppermint - 30 g
• Nā kuʻi pahu - 60 g,
• Galega (kao) - 100 g,
• Bean Sash - 100 g.

E ninini i ka papa ʻaina 6. la l E hōʻiliʻili i ka 1 lita o ka wai paʻū a kau i ka wela wela no 5 mau minuke. Ma mua o ka hoʻohana ʻana, e kānalua i ka mea momona a lawe i mua o ka papaʻaina. ʻO ka nui hoʻokahi he 100 ml.

E hoʻolako i nā neurons me nā meaʻai, lawe i ka haʻalulu huaʻai i kēlā me kēia lā. Pono ʻoe:

• Kefir - 1 tbsp.,
• Nā Waihona puaʻa - 2 papa. l., taai a.
• Pāoʻi - ke hoʻāʻo.

Peel a hoʻōla i nā hua kanu sunflower, hoʻohui i ke kefir. Hoʻohui i nā greens a hoʻāla. E inu i kahi pōkole o 1 p. / Lā hapalua hola ma mua o ka ʻaina kakahiaka (ma kahi ʻōpū ʻole).

Loaʻa i ka clove (spice) kahi hopena antioxidant maikaʻi. E hoʻomākaukau i ka infusion āu e pono ai:

ʻO ka polyneuropathy Diabetic kekahi o nā hoʻopiʻi e hele pū ana me ka mellitus maʻi. Hana kēia ʻano ma muli o ka hanaʻino o ka palaka a ke kino e ka poʻe pathological i hana ʻia i ka hoʻopilikia ʻana i nā hana o ka hoʻoneʻe.

Hōʻike nā hōʻike ma ka diabetes mellitus i ka helehelena o nā hoʻopiʻi pinepine ʻana ma hope o nā makahiki 15-20 mai ka hoʻomaka ʻana o ke kaʻina pili. Ma hope o ka hoʻomohala ʻana o ka maʻi, hiki i ka wā lōʻihi ke neʻe nei, ʻoiai ka holomua o ka maʻi maʻi.

ʻO ka nui o ka polyneuropathy diabetes i Moscow i nā maʻi e pili ana i ka 50-60%. ʻO ka hoʻopiʻi ka hiʻohiʻona o nā maʻi diabetes mellitus a me nā lua. ʻAno ʻia ka mālama ʻia ʻana o ka maʻi ma nā haukapila kūikawā, ka helu kelepona a me ka ʻōlelo noho kahi e hiki ke loaʻa ma ka pūnaewele.

Hoʻomoʻa ʻia ka hoʻomake ʻana o ka polyneuropathy diabetic i loko o ka papa inoa o nā maʻi o ka maʻi - ICD. Kuhi ʻia kēia maʻi i loko o ka ʻōnaehana i ka helu G63.2.

ʻO ka ʻōnaehana o ka pilikia o ke kanaka kahi ma ka ʻāpana waena, i hōʻike ʻia e ka lolo a me nā māka, a me nā aʻehā o ka nerve e hele mai ana mai iā lākou, ʻo ia ka mea i hana ʻia ai ka lālani peripheral. Loaʻa ia mau ʻano ʻelua o nā nauna:

Hoʻokomo ʻia nā pona nerve neʻe kūpono no ka hana o loko o nā uaua striated. Hāʻawi kēia mau hana anatomical i kahi neʻe kanaka kūʻokoʻa, ʻano ʻole.

Hāʻawi ka pūnaehana autonomic i nā trunks nerve nui i hele i nā kino o loko a pau. Loaʻa ia i ka hana o nā ʻōnaehana penei:

1. ʻĀpelu kikowaena
2. Nā kīʻaha koko
3. ʻŌnaehana huhū
4. Hoʻokomo ʻia i ka maʻi mimi, etc.

Hoʻokumu ka pūnaehana hoʻonaninani autonomic, ʻo ia hoʻi, ʻaʻole ia e hoʻolohe i nā makemake kaulike o kekahi kanaka.

Hoʻonui ka polyneuropathy diabetika i nā nika peripheral āpau o nā ʻāpana o nā mana autonomic a me somatic. ʻO nā maʻi e hele mai i kahi kanaka e hilinai i kahi o ka poino.

I ka hihia o nā nalo somatic, ua hoʻoneʻe ʻia ka hana o nā māhaka o nā iwi. Ma waho, hōʻike ʻia kēia i ka ʻeha ʻeha ma nā ʻōpū a me nā ʻāpana ʻē aʻe e loaʻa ai nā hōʻuluʻulu nui o nā ʻōpū (ʻōpū o ka ʻōpū, hope).

Hōʻino i nā ʻōpū i hana i ka ʻōnaehana hoʻonaninani autonomic e hoʻonāukiuki i nā kino o loko. Hana ʻino kēia kaʻina no ke kino o ke kanaka, ʻo ia e alakaʻi i ka holo ʻana o ka lawelawe ʻana o nā pīpī a me nā ʻōnaehana o ke kino.

Hoʻololi ʻia ka hana o ka ʻōnaehana o ka piʻina ma muli o ka piʻi ʻana o ka glucose koko. Me kahi kiʻekiʻe o ka honu i hoʻokiʻekiʻe ʻia, hoʻomaka ka metabolism i nā ʻili a me nā ʻili. Hoʻokuʻu ʻo Glucose i ke kahe a kau a i nā ʻano anatomical ʻano, me ke ʻano o ka pīpī.

Hoʻopilikia ka hōʻeha o ka nane lewa i kahi e hoʻonāukiuki ai i ka hohonu o nā kino o nā kino. ʻO ka mea nui nui i ka hiki ʻana o ke kaʻina pili pathological kekahi kumu ʻē aʻe - i ka pōloli oxygen (hypoxia). I ka pale hewa ʻana o ka metabolism ka nui o kahi kanaka me ka maʻi maʻi, ka wikiwiki o ka hele ʻana o ke koko ma o nā moku. Ma muli o kēia, ʻaʻole ka loaʻa o nā ʻōpala o ka nerve, kahi i hōʻemi ai i kā lākou hana hana.

ʻO ke kiʻi haumanu o ka maʻi

Hoʻomaopopo ka hōʻailona o polyneuropathy i ka nui o nā hihia. I nā hihia liʻiliʻi, ulu i nā loli pathological i loko o nā nerve i nā lima.

Aia i ke kahua o ka hoʻomohalaʻana a me ka paʻakikī o nā hōʻailona lāʻau, nā hōʻailona nui o ka polyneuropathy maʻi. E pili ana kēia:

1. Kūʻai preclinical
2. Nā maʻi maʻi
3. ʻO nā pae hoʻohālikelike.

Hōʻike ʻia ke ʻano o nā loli preclinical e ka pani piha ʻana o nā hoʻopiʻi i ka mea maʻi. Hōʻike nā hōʻailona mua o ka hōʻino i nā aʻa me ke kūlohelohe - hoʻoli ʻia ka naʻau ma luna o nā wāwae. ʻO ka mea mua, ʻo ka ʻike o ka uila, loli ka pālei a me ke kaumaha.

I ka hoʻomaka ʻana o nā hōʻailona haumania, ua hōʻike ka mea maʻi i ke kiʻi kauka o ka maʻi. ʻIke ʻia kahi maʻi ʻeha ikaika, hiki i nā ʻāpana o ke kino. Hoʻololi ka ulu ʻana o ka ʻeha mai ka maʻi a me ka hōʻeha, i hui pū ʻia me ka hoʻēmi ʻana i ka ʻike. ʻO nā maʻi ʻē aʻe o ka maʻi e pili ana i ka:

1. Kaheʻe o nā wāwae
2. ʻO ka pohō nui o ka manaʻo,
3. ʻO nā hōʻeha pō o ka pō e hiki ai ke lele mai kekahi wahi a i kekahi,
4. Nā ʻike makaʻa
5. ʻAʻano ka ʻāʻī.

I kahi kaʻawale, pono ke haʻi i nā ʻano kikoʻī o nā polyneuropathy maʻi maʻi. Hōʻike ʻia ke kiʻi olakino o ke ʻano hōʻeha ʻole e nā hōʻailona neʻe - nā mākaʻikaʻi o nā wāwae a me nā ʻike hiʻona. ʻO Amyotrophic polyneuropathy, i kahi o ka nalowale o ka hōʻiliʻili ʻana, ka hiʻohiʻona e ka hiʻohiʻona o ka nāwaliwali o ka ikaika a me ka hoʻohaʻahaʻa i ka hana o ke kaʻa kanaka.

Hiki i ka hele ʻana o nā maʻi me ka ʻike o nā hōʻailona maʻamau ʻole maʻamau. E pili ana kēia:

1. Nā Aliʻi
2. Nā uhi momona
3. ʻʻAla
4. Hoʻemi i ka hoʻāʻo ʻana
5. ʻO ka maʻi huakaʻi a me ka maʻi nausea
6. Ka huhū ʻana
7. ʻO ka hoʻolohe a me ka hihiʻo,
8. Loaʻa i nā wahine nā anorgasmia,
9. Hōʻino ʻia ka hana ʻōlelo.

ʻO ka hana hou e hāpai ana i nā maʻi ka pae o ka hoʻopiʻi. Me ka holoʻana o ka polyneuropathy diabetes, ua ulu ka hopena ʻino o ka nerve. I kēia manawa, loaʻa i ka mea maʻi ka hui o nā "hōʻailona" kino o ka maʻi, ka mea:

1. ʻIliʻili
2. ʻO ka ʻeha ākea o nā wāwae a me nā lima,
3. ʻO ka hele kūpono ke hele nei, me ka ʻeha nui,
4. "Make" o ka ʻili.

ʻO ka loaʻa ʻana o kēia mau ʻōuli e hōʻike nei i kahi prognosis maikaʻi ʻole no ka mea maʻi. Ma ke kaʻina o ka manawa, hoʻomaka nā ulia trophic e hoʻomohala ma luna o nā wāwae o ka mea maʻi, e hōʻino ana i ka kūpaʻa o ka ʻili.

Me ka holomua o ke kaʻina hana, hoʻonui ʻia nā ʻōuli, hiki iā ia ke alakaʻi i kahi palaki piha ʻole i ka hana o nā haʻahaʻa haʻahaʻa. Ua hoʻoweliweli ka manaʻo i haʻalele ʻia o ke kaʻina hana i kahi hoʻoweliweli i ke ola o ka mea maʻi, no laila, ma ka manawa hope loa, hiki i ka mea maʻi ke koi aku i ka nui o ka limu i hoʻopilikia ʻia.

ʻO ka maʻi maʻi

No ka mālamaʻana i ka polyneuropathy maʻi maʻi, hoʻohana ʻia kahi ʻano lapaʻau holoʻokoʻa, kahi e pili ana i ka hooki ʻana i ka mana o nā ʻano pathological e hoʻoikaika nei i ka hoʻomohala ʻia o nā maʻi.

ʻO ka mea nui i ka mālama ʻia ʻana o ka maʻi ka maʻamau o ka glucose i ke koko. No ka mea, he polyneuropathy he hoʻopiʻi o ka maʻi mellitus o ka maʻi mellitus, ʻo ka hana mua i ka hoʻihoʻi ʻana o ka mea maʻi e hoʻomaʻamaʻa i ke ala o ka maʻi. Pono ke mea maʻi e kūkākūkā me ka endocrinologist e koho i ka palena kiʻekiʻe o ka insulin. Hoʻopau maʻalahi kēia i nā kiko o ke kō i loko o ka serum koko o ka mea maʻi.

Hoʻomaʻamaʻa ka mālama ʻana i ka polyneuropathy maʻi maʻi e hoʻohana i nā lāʻau e hōʻola i ka ʻōnaehana o ka mea maʻi. Kūkala ke kauka i nā lāʻau lapaʻau penei:

1. ʻO nā hōʻiliʻili huaola, nui nā huaora B, e hoʻihoʻi ana i ka hana hana o nā fibers nerve,
2. Hoʻomākaukau Antioxidant (mau huaʻāina o nā pūʻulu C a me E),
3. Nā mea hoʻohana i loko
4. Actovegin,
5. Nā poʻe antibiotics i mua o nā maʻi maʻi concomitant,
6. Hoʻomaʻemau nā poʻe hōʻeha maʻi i nā hōʻailona koʻikoʻi.

Me ka hoʻohana pinepine ʻana i nā lāʻau lapaʻau i hoʻokomo ʻia i loko o ka hōʻino o ka lāʻau, hoʻomaikaʻi nui ke kūlana o ka mea maʻi, e emi ana ka nui o nā hōʻailona. No ka loaʻa o ka hopena wikiwiki, ʻoi aku ia e hoʻohui i nā waihona o ka papa i hoʻopaʻa ʻia kekahi me kekahi, no ka mea, e hoʻopilikia koke ʻia kēia mau mea pili i nā pathological he mea i hoʻomōhala ʻia ai ka maʻi maʻi. Mahalo i kēia, e ʻoi aku ka maikaʻi o ka lāʻau lapaʻau.

ʻO ka mea nui o ka hoʻihoʻi ʻana a me ka hoʻi hou ʻana o ka mea maʻi ma hope o ka polyneuropathy diabetic he mau lāʻau lapaʻau lāʻau ʻole. Ua kuhikuhi ʻia nā kaʻina hana ʻ patele i ka mea maʻi:

1. Hoʻohana ʻia ka physiotherapy
2. Hoʻomaʻamaʻa i nā hōʻeha ʻili a me nā kīpaha i nā hopena ākea me ka antiseptics i mea e pale ai i ka maʻi concomitant,
3. ʻO ka hoʻohana ʻana i nā ʻōpiopio orthopedic kūikawā,
4. Nā wāwae a me nā wāwae haʻahaʻa
5. Hōʻalo i nā mea haʻahaʻa haʻahaʻa loa me nā kūmole mahana (ʻaʻole ia e laʻa ke hoʻohana i nā kau wela a me nā ʻauʻau wela no kēia mau mea).
6. Hoʻomaʻamaʻa nā hana physiotherapy i ka hoʻihoʻi ʻana i ka hana maʻi.

ʻO nā gymnastics ma ka polyneuropathy diabetes o nā pākuhi haʻahaʻa e komo i ka hana maʻamau, hiki ke hana ʻia ma kahi noho.

I ka hōʻola ʻana mai kahi maʻi, hiki ke hoʻohana ʻia nā ʻano lāʻau lapaʻau kuʻuna. E pili ana kēia:

1. Nā puka
2. Clay
3. Nā decoction o nā mea kanu (calendula, burdock pakiaka),
4. ʻO ka meli a me ka lemon
5. O ka waiū kao
6. Kāmaʻomaʻo
7. Māmama.

ʻAʻole hiki ke hoʻohana ʻia nā ala ʻē aʻe ma mua o nā lāʻau lapaʻau, ʻoiai hiki i kēia ke alakaʻi i nā hoʻopiʻi o nā maʻi. Hoʻopau i nā ʻōlelo aʻoaʻo a ke kauka. Hiki ke hoʻohana ʻia nā ʻano lāʻau lapaʻau e hōʻoluʻolu i nā hōʻailona o ka maʻi.

ʻO ka wānana a me ke kālai

ʻO ka hoʻākāka ʻana o kahi kanaka me ka polyneuropathy maʻi diabetes o nā mea i hoʻohālikelike ʻia i ka mea i hōʻike ʻia ai ka hoʻopiʻi ʻana. Inā hōʻike ka maʻi ma ke kahua preclinical, a laila hiki ke hoʻōla holoʻokoʻa o ka mea maʻi. Inā ʻike ʻia kahi pae holomua o ka pathology me nā hoʻopiʻi koʻikoʻi, ʻoi aku ka maikaʻi o ka prognosis.

ʻO ka pale ʻana i ka maʻi nui ke kuleana o ka poʻe maʻi me ka maʻi diabetes. Pono lākou e hahai i nā ʻōlelo koi a ke kauka e hele ana, e ʻai pono, e lawe i nā lāʻau lapaʻau i ka manawa. He mea nui e alakaʻi i ke ola olakino, hāʻawi i nā ʻano maikaʻi ʻole a mālama i ka kaumaha o kou kino.

No laila, ʻo ka diabetes polyneuropathy o nā mea huli loa he hoʻopiʻi koʻikoʻi o ka maʻi maʻi. Inā kānalua ʻoe i kēia maʻi, pono e ʻimi e huli i ka helu kelepona a me ka helu ʻana o ke kauka loea i mea e hoʻoholo ai me ia.

Ke hoʻāʻo nei mākou e hāʻawi i ka ʻike pili pono a me ka pili pono no ʻoe a i kou olakino. ʻO nā kumuhana ma kēia ʻaoʻao no ka hana ʻike a he kumu no nā pahuhopu hoʻonaʻauao. ʻAʻole pono nā malihini e hoʻohana iā lākou e like me nā ʻōlelo lapaʻau. Ke koho nei i ka nānā ʻana a me ke koho ʻana i nā kaʻina lapaʻau e hoʻomau ʻia ka kūʻokoʻa kūʻokoʻa o kāu kauka! ʻAʻole mākou he kuleana no kekahi mau hopena maikaʻi ʻole e kū mai i ka hoʻohana ʻana i ka ʻike i hoʻopili ʻia ma ka pūnaewele