He aha ka maʻi diabetes polyneuropathy - nā hōʻailona a me nā hōʻailona o kahi maʻi neurological

Hoʻoulu ka polyneuropathy diabetic i ke kua mua o ka mellitus maʻi lōʻihi, kahi e luku ʻia ai nā moku a me nā nerve. Hoʻololi kēia i ka hoʻoili ʻana o nā impulses o ke nerve, ka mea e hoʻonāukiuki i ka hoʻonaninani o peripheral.

ʻO ka maʻi diabetes mellitus, ka mea e ʻoi aku ma mua o 15 mau makahiki, e hoʻokau i ka luku ʻana i nā nui o nā kino o loko a alakaʻi i ka nele o ka oxygen i loko o ka papa hana peripheral. Hōʻike ka polyneuropathy Diabetic i 50% o nā maʻi maʻi.

Hoʻopilikia ka maʻi maʻi i nā mea maʻi me ka ʻano 1 a me ke ʻano 2. Hiki ke hōʻeha i ka aʻa o nā nerve me nā hoʻopiʻi koʻikoʻi, kahi e hoʻololi ai i ka wāwae a me ka make.

ʻO Etiology a me nā kumu kumu o ka maʻi

ʻO kahi maʻi mellitus o ka maʻi he hopena endocrine, i hele pū ʻia me ka hoʻonui nui o ke kō i loko o ke kahawai. 150 miliona ka poʻe o ka honua i ka maʻi diabetes. Inā mālama ka mea maʻi i ka neʻe o ka glucose, pale i ka piʻi ʻana ma luna o ke kumukūʻai o 8 mmol / l, a laila e liʻiliʻi iki ka hopena o ka ulu ʻana o ka polyneuropathy (neuropathy).

No ka hoʻomaopopo ʻana i ka mea maʻi polyneuropathy (DPN), pono ʻoe e hoʻomaopopo e hoʻonui ka nui o ke kōʻai koko i ke luku ʻia ʻana o nā paia vascular. Ma muli o kēia, ʻaʻole kiʻi nā iʻa o ka nerve i ka nui o ka oxygen, huehue ka pili o ke koko a me ka metabolism. Hoʻolālā koke ʻo Ischemia, ua hoʻokuʻu ʻia ka hoʻouna ʻana i kahi paʻa.

Ua hoʻokaʻawale ʻia ka ʻōnaehana kelepoli peripheral i autonomic a me somatic. ʻO ka hana i ka hana kekahi e mālama i ka hana o ke kino. Hoʻoponopono ka ʻōnaehana autonomic i nā hana o nā ʻōpū kūloko. Hoʻopilikia ke neuropathy diabetic i nā ʻōnaehana ʻelua. ʻO nā Patology (code ICD 10: G63.2) e pili ana i kekahi o nā kūlana e weliweli loa.

E makaʻala! Hiki ke kū mai ka maʻi ma hope o nā makahiki he nui mai ka wā i hoʻomaka ai ka maʻi o ka maʻi maʻi.

ʻO ke kumu nui o ka diabetes polyneuropathy o nā haʻahaʻa haʻahaʻa, ʻo ia ka nui o ke kāohi o ke kō a me ka nele o ka insulin. ʻO ka nāwaliwali o ka hana metabolism i ke kiʻekiʻe o ka ʻai me ka hopena hōʻino i nā wahi neʻe peripheral.

ʻO nā kumuhana ʻē aʻe e pili ana i ka hiki ʻana o ka pathology:

nā pilikia endocrine,
maʻi āpau, ate,
huʻi hopuna
hoʻohaʻahaʻa haʻahaʻa kūlana,
nā kūlana kaumaha
inu waiʻawa
hoʻonā waiʻona,
Nā neoplasms ʻaʻano.

Hele mai ka maʻi i ke ala e piʻi ai ke kō i ke koko. Hoʻopilikia ka mellitus maʻi i nā hoʻopiʻi i nā kaʻina metabol, ʻo ia ke kumu no ka haunaele i ka mahele o ka mea pili o ka pīpī. Hoʻomaka ka lolo i ka nele o ka oxygen, he nele o ka mea e alakaʻi ai i ka hoʻokahe koko a hōʻino ʻia i nā aʻalolo. Aia kahi weliweli ʻehaʻeha, nā mea maʻi e hoʻomaopopo i ka palupalu o nā māla, ka ʻāʻī o nā limahana.

ʻĀmaʻomaʻo

Hōʻikeʻo Neuropathy i ka maʻi diabetes i nā manawa he nui: subclinical and clinical. Ma ka pae mua, hōʻoluʻolu pono ke kanaka, ʻaʻohe nā hoʻopiʻi ʻana. Akā hōʻike kahi neurologist i kahi palupalu i ka paepae o ke aniani a me ke kaumahaʻana, hōʻemi nuiʻia ka hopena o ka Achilles.

I ke kahua lapaʻau, hōʻikeʻike ʻia nā hōʻailona o ka maʻi. Ua huhū ʻia ka hana ʻana o nā mea ʻeha he nui. Hōʻea ka mea maʻi. ʻO ke hoʻokumuʻana o nā helu ulcerative ma nā haʻahaʻa haʻahaʻa.

I ka hoʻomaka, ua hōʻike ʻia ka polyneuropathy diabetes, i ka ʻehaʻeha, nā ʻeha a me nā "kuʻe alo" i ka limu. Hoʻomaʻi ʻia ka ʻeha hōʻeha ma ka hoʻomaha. Ma hope mai, hoʻomaka nā luhi ʻoluʻolu e hopohopo i ka wā o ke kaumaha a me ka pō, e hoʻomaʻamaʻa ʻia ka ʻalā ʻana i nā wāwae. E hōʻeha ʻia kahi kanaka e ka insomnia, hopohopo. Ua ho'ēmi ʻia ka paepae o ke ʻeha a me ka hōʻoluʻolu ʻana o ka mahana.

ʻO nā hōʻailona ʻē aʻe ka palupalu a me ka nāwaliwali o ka wāwae. Loaʻa nā wāwae i kahi ʻulaʻula, ʻike ʻia nā wahiʻeleʻele. Aia ka hoʻohālikelike ʻana o nā papa o nā nail: ʻoi aku ka mānoanoa a i ʻole a lahilahi paha nā kui. Hoʻololi ʻia ke ʻano o nā wāwae: e hoʻonui ʻia i ke ala huli, kūlehu nā wāwae wāwae, kahuli ʻia ka puʻupuʻu wāwae.

Ke piʻi nei ka maʻi, make ka mau wahi o ka wāwae, kahi e hele ai i gangrene.

I ka mua, ua pili nā musika lōʻihi e hele aku i nā wāwae a me nā lima. Hōʻeha wale nā wāwae ma kahi mua. Ma muli o ka hōʻino ʻana i ka hopena o nā nerve koʻikoʻi, lilo ka ʻili i ka hypersensitive. Loaʻa iā Allodynia - kahi kūlana e hōʻeha ai ka mea maʻi i ka hoʻopā maʻi.

ʻO nā palakae ua nalowale nei. Ma hope o ka hoʻopōʻino ʻia o nā kino liʻiliʻi, a laila, nalowale ka nānā ʻana o ke anuanu, ʻā ʻia ka ʻike. Nui ka ʻūhā o ka wāwae, ka ʻili e pohā ai a me nā ʻili. Hoʻokomo ʻia nā ʻōpala, nā mākeke, nā ʻōpū.

He aha ka polyneuropathy a me nā hōʻailona e pili pū me ia

Mai ka ʻōlelo Helene ua unuhi ʻia ka inoa o kēia maʻi me ka "maʻi a nā nēnē he nui", a e ʻike maoli kēia i kāna kumu. Me ka polyneuropathy, kokoke i nā nipili peripheral liʻiliʻi a pau. Hoʻololi ʻē nā kumu o nā maʻi, akā, like nā hōʻailona o ka polyneuropathy, ʻaʻohe kumu o ka mea i loaʻa ai ka maʻi:

nāwaliwali o ke kino o ka pae a me nā haʻahaʻa haʻahaʻa (ʻo ka mea maʻamau ka hoʻopiʻi mua ʻana i ka nāwaliwali o nā wāwae a me nā lima, a laila e pālahalaha ana i ka umauma holoʻokoʻa).
ka hōʻemi i ka naʻau (a hiki i kona nalowale hoʻopau ʻana), a me ka haʻalele ʻana o nā reflexes,
ke ʻano o ka ʻeha hōʻeha ʻeha ʻole,
nā manaʻo ʻē aʻe i loko o nā wāwae - goosebumps, kuni
ka ʻōpū ʻana o nā wāwae a me nā lima,
nā wīwī lima, i kekahi manawa he mau ʻōpū o ka leʻaleʻa,
ka ʻoluʻolu, kahi kūʻokoʻa i ke kūwaho a me ka hoʻoikaika kino,
hina hanu, pōkole o ka hanu, palpitations,
ʻeha, paʻakikī me ka kaulike, koikoi pūwā (pakanu me nā maka)
hoʻoluhi hoʻolōʻihi i nā hōʻeha.

ʻO ka hōʻeha o kēia mau hōʻailona hiki i ka ikaika a nawaliwali. I kekahi manawa ulu i kahi maʻi no ka manawa lōʻihi, ma luna o nā makahiki he nui, akā hiki ke loaʻa koke ia, i ka maʻi maoli i loko o nā hebedoma.

Hoʻomaopopo

Hōʻike ka Polyneuropathy ma kahi o 2.5% o nā kānaka, i waena o nā poʻeʻelemakule ke kiʻekiʻe aʻe kēia hōʻailona - ma kahi o 8%.

Nā kumu kumu o ka maʻi

Hiki i kēia ke alakaʻi i ka neuropathy:

maʻi mellitus maʻiʻi . ^ E Ha yM. ʻO kekahi kumu maʻamau o ka polyneuropathy. Hoʻopilikia nā maʻi hakahaka i ka hana o nā moku e hānai i nā ʻeha a me nā mea ke hoʻopiʻi i ka metabolic i loko o ka myelin sheath of nerve fibers. Ke alakaʻi nei kēia i ko lākou hoʻohewa ʻana. Ma ka maʻi mellitus, hoʻomehana pinepine ʻia nā hopena haʻahaʻa e ka polyneuropathy,
ka pohō koʻikoʻi o nā huaora B . ^ E Ha yM. He mea nui kēia mau huaora no ka hana o ke ʻano piʻina, a me ko lākou wā lōʻihi i ka manawa lōʻihi ke alakaʻi nei i ka polyneuropathy,
ka ʻike ʻana i nā poʻomanaʻo . ^ E Ha yM. Hoʻopili ʻia kēia me nā mea ʻona a me nā mea make (me ka waiʻona) a me ka hoʻohuihui ʻana i nā maʻi lēʻeha, e pili ana i ka diphtheria, HIV, a me nā herpes. Ke pau nei ka maʻi me nā mea like ʻole e like me ka carbon monoxide, arsenic, polyneuropathy hiki ke hōʻike koke iā ia iho, i kekahi mau lā, a me nā maʻi a me ka waiʻona, e holomua ka maʻi.
nā hōʻeha . ^ E Ha yM. ʻO ka hōʻeha i nā fibers nerve i ka wā o nā hōʻeha a me nā hana i hiki ke hōʻeha paha i ka polyneuropathy. Hoʻokomo ʻia nā hōʻeha me ka hoʻopili ʻana i nā ʻeha, ka ʻano o nā maʻi o ka pōpoki e like me ka osteochondrosis a me ka herniation o nā disc intervertebral,
ʻO kahi maʻi Guillain-Barré - kahi maʻi autoimmune e ulu pinepine ma hope o nā maʻi maʻi maʻi,
hoʻoilina hoʻoilina . ^ E Ha yM. Ua ʻike ʻia aia kekahi mau maʻi metaboleka e alakaʻi ana i ka polyneuropathy hiki ke hoʻouna ʻia i ka genetically.

I kekahi manawa pili ka wahine polyneuropathy i nā wahine olakino olakino i ka wā hāpai . ^ E Ha yM. Hiki iā ia i kēlā me kēia manawa. Ua manaʻoʻiʻo ia ke kumu o ka polyneuropathy i nā wahine hāpai i ka nele o nā huaora B, nā toxicosis a me ka pane ʻole ʻana o ka ʻōnaehana pale i ka pūpū.

Nā ʻano o polyneuropathy

Hoʻololi ka lāʻau lapaʻau i kekahi mau ʻano o ka polyneuropathy:

hopohopo . ^ E Ha yM. Hōʻike ʻo ia iā ia iho me ka hōʻeha ʻana o nā maʻi pili i nā limu i hoʻopili ʻia - palupalu, tingling a goosebumps paha, wela ʻana o ka ʻāʻī ʻana,
hale kaʻa . ^ E Ha yM. Hōʻike ʻia ia e ka nāwaliwali o ke ʻōpū, a hiki i ka hiki ʻole ke neʻe i kahi lima a i ole wāwae. Ke alakaʻi wikiwiki nei kēia i ka atrophy muscul,
sensorimotor kahi e hui pū ai nā hōʻailona o ka ʻano sensory a me nā mīkini polyneuropathy. I ka nui o nā hihia, ʻike ʻia kēia ʻano
hoʻōla . ^ E Ha yM. ʻAʻole i like me nā ʻano ʻekolu mua, me ka polyneuropathy autonomic, nā hōʻailona o ka poʻokela a autonomic nerve e hele mai i mua o ka puʻu: hoʻoheheʻe, ka pallor o ka ʻili, ka dizziness, nā kahe a me ka constipation, tachycardia, pōkole o ka hanu.
huiia kahi i ʻike ʻia ai nā hōʻailona āpau aʻe.

ʻO nā hopena o ka patele

Pane loa ka Polyneuropathy. ʻAʻole haʻalele kēia maʻi mai iā ia iho, a inā ʻoe e ʻae e hoʻomohala, hiki i nā hopena koʻikoʻi loa. Hōʻalo koke ka naʻau nui i ke kaohi ʻana o ke kani a me ka hoʻonaninani o nā ʻōpū. ʻO kēia, ma ke ʻano o nā ʻūlū. I kekahi manawa, ʻo ka hopena o ka polyneuropathy he piha piha o nā wāwae a i ʻole nā mea hanu, a he mea make kēia.

Eia kekahi, hāʻawi ka polyneuropathy holomua i kahi kanaka i kahi pilikia paʻakikī, e hoʻololi maoli ana i kona ʻano maʻamau o ke ola. Hōʻalo ka poʻe i ko lākou hiki ke hele a mālama pono iā lākou iho; ʻo ke kōkua ʻole e alakaʻi i ka hopohopo a me ke kaumaha.

Diagnosis o ka polyneuropathy

Hiki ke paʻakikī, ke like me ka hōʻailona o ka maʻi e pili ana i nā maʻi like ʻole. ʻAʻole hiki ke hana i kahi maʻi maʻi i ka mea pili i nā hoʻopiʻi o ka mea maʻi: pono kēia i kahi ʻano o nā mea hana a me nā noiʻi noiʻi.

Hoʻomaka ka maʻi maʻi me kahi kūkākūkā me kahi neurologist: e nānā ke kauka i nā wāwae i hoʻopilikia ʻia a nānā aku i nā reflexes. Inā kānalua ka polyneuropathy, pono e hana ʻia ka hoʻokahe koko maʻamau, pono ʻia ka electroneuromyography - kahi hōʻike e hōʻike ana pehea e ala ʻia ai ka hōʻailona ma nā ʻōiwi, i kekahi manawa i koi ʻia kahi biopsy nerve. Malia paha e pono ke kūkā kamaʻilio me ka endocrinologist.

ʻO ka hoʻomaʻamaʻa ʻana a me nā lāʻau lapaʻau no polyneuropathy

Pono e hoʻomākaukau i kahi mea maʻi i hōʻike ʻia me ka polyneuropathy no ka mālama lōʻihi ʻana i ka lōʻihi. ʻAʻole kaupae ʻia i ke kaua ʻana i nā hōʻailona. Me ka polyneuropathy, ua luku ʻia ka nerve nerve, a nui ka manawa e hoʻihoʻi ai.

Hoʻomaka ka mālama ʻana i ka ʻike i ka mea i kumu i ka maʻi, ʻo ia hoʻi, me ka mālama ʻana o ka maʻi lalo, a i ʻole ka liʻiliʻi me ka kūpaʻa ʻana. No kahi laʻana, me ka polyneuropathy i hoʻoiho ʻia e ka maʻi maʻi, e hoʻihoʻi ana nā hana i ka hoʻohaʻahaʻa ʻana i ka pae o glucose, me kahi ʻano pāpaʻomaʻi - e hakakā i ka maʻi ʻana, a inā he kīpē ka hopena o nā huaora B, pono ia e hoʻopiha. Me ka polyneuropathy, ke kumu o ia mau mea abnormalities i ka ʻoihana endocrine, hōʻike ʻia ka lāʻau hormone.

Hoʻohana nui ka lāʻau lapaʻau i ka mālamaʻana i ka polyneuropathy. Hāʻawi ʻia kahi hopena maikaʻi e nā lāʻau lapaʻau e hoʻomaikaʻi i ka microcirculation, a no laila ke kīpona ʻana o nā huaʻai nerve. Hoʻohana ʻia nā hana Physiotherapeutic, i ka electrophoresis kūikawā, i ke ʻano o ka mālama ʻana. Inā mālama ʻia ka polyneuropathy me ka ʻeha nui, ʻōlapa ʻia ka ʻeha ʻana i ka maʻi a me ka poʻomanaʻo.

Hiki paha ke pale i ka hoʻomohala ʻana o ka polyneuropathy? ʻAʻole hiki ke hōʻoia piha iā ia, akā e kōkua ka pale mua ʻana i ka liʻiliʻi. ʻO ke ʻano nui, hiki iā ʻoe ke hana me nā mea ʻona me nā pale kūpono, pono nā lāʻau lapaʻau e mālama wale ʻia e like me ke alakaʻi ʻana i kahi kauka a ma lalo o kona kaohi ʻana, a ʻaʻole e waiho ʻia nā maʻi maʻi mai ka manawa. ʻO kahi papaʻai kaulike momona momona, nā hana pilikino, hōʻole i ka waiʻona - hiki ke hōʻemi iki kēia mau hana maʻalahi i ka hiki ke hoʻomohala i ka polyneuropathy.

Hoʻāla

ʻOiai inā kūleʻa ka mālama ʻana a ua hoʻihoʻi hou nā mau nerve, ʻoi koke ke hoʻomaha. Ma hope o kahi papa hana e hoʻoponopono ai pono. Me ka polyneuropathy, pilikia nui nā ʻōpū: ʻo ka hemahema o ka neʻe e alakaʻi i ko lākou nāwaliwali. E hoʻihoʻi hou i ka ʻaihue mau, pono ia i nā hana a me nā hana a nā poʻe loea.

I ka wā i hoʻolaʻa ʻia ma hope o ka polyneuropathy, ua hōʻike ʻia kahi massage therapeutic. Hoʻonui ʻo ia i ka kahe koko, e hoʻihoʻi i ka elasticity muscle a hoʻomaikaʻi i ke kaʻina metabolic i nā kiko.

ʻO nā ala ʻē aʻe o ka physiotherapeutic ke hāʻawi i ka hopena maikaʻi. Hoʻomaʻi hou lākou i ka microcirculation, hōʻoluʻolu i ka hōʻeha a hoʻihoʻi i nā ʻeha kinipōpō.

I ka hihia o nā leʻaleʻa koʻikoʻi, i ka wā e hiki ai i ka hoʻihoʻi piha ʻana o ka hana hana lima hiki ʻole, hiki i nā papa me kahi mea lapaʻau hana. Hana ʻia ka Ergotherapy ma ka hana. Kōkua ka mea hānai i ka mea maʻi e hoʻohālikelike i kahi kūlana hou, e hoʻokau i kahi algorithm hou o ka neʻe no ka hana ʻana i nā hana o kēlā me kēia lā.

Hoʻolālā ʻia ke ʻano hana o ka hoʻoponopono hou ʻana i kēlā me kēia maʻi. Hiki pū kekahi i nā lāʻau lapaʻau, nā hana me kahi psychologist, ka mālamaʻai i ka meaʻai a me nā ʻano hana ʻē aʻe.

Pono hoʻomaka koke ka mālama ʻia o ka polyneuropathy. Ke ʻole o ka maʻi maʻi, ʻo ka loaʻa ʻana o ka maʻi o ka maʻi pēpē, ʻo nā haunaele ma ka hana o ka puʻuwai a me nā ʻōnaehana. Kōkua ka mālama ʻana i ka hōʻemi i nā pane a mālama i ka hana pono. ʻAʻole ʻoi aku ka liʻiliʻi o ke ʻano o ka hoʻoponopono hou ʻana: e hoʻohui i ka hopena o ka mālama ʻana.

No ke aha e hoʻomohala ai ka polyneuropathy diabetes?

Me ka maʻi maʻamau, e piʻi nui ka nui o ka glucose koko. ʻO ka hapanui o nā glucose i loko o nā poli neʻe e hana i nā huahana toxic. Hoʻopilikia loa kēia mau huahana i nā selamela a lākou iho a me nā pale palu o nā napu.

Hoʻopiliʻia, me nā maʻi o ka maʻi, ʻaʻa nā microvessel e hānai nei i nā nerbates, e alakaʻi ana i ka wīwī o ka oxygen a me ka make o nā pūnaewele nerve.

ʻO ka pilikia o ka hoʻomohala ʻana i ka polyneuropathy diabetes, aia nō i nā maʻi āpau me ka maʻi maʻi. Hoʻonui ia me ka lōʻihi o ka maʻi i nā maʻi me nā kuʻukū ʻole ʻole i ke kiʻekiʻe o ka glucose koko, a me ka poʻe i loaʻa i kēia pae ke kiʻekiʻe critically kiʻekiʻe.

Polyneuropathy wehe Diabetic

ʻO ka mea maʻamau ka maʻamau maʻamau o ka polyneuropathy diabetes, ʻo ka distal, a i ʻole sensorimotor, ʻano. Me ia, ua pili nā māhele ʻanaluna o nā nerb, e pili ana i ka hopohopo a me nā naʻau.

Nā hōʻailona o ka diabetes polyaluropathy mamao o nā pākaha haʻahaʻa.

ʻO ka hōʻeha ʻana i nā ʻeha ma ka wāwae, hoʻopili i ka pō, i ka ʻike me ka lole, hiki ke hoʻomālamalama, ʻoha, hoʻemi ʻia i ka wā e hele ana.
ʻĀwau, wīwī, peleha.
Hoʻolaha i nā ʻanoʻokoʻa āpau - ka wela, ke ʻeha, paʻakikī, kāhea.
ʻIli maloʻo, huʻihuʻi, ʻōpala.
Hoʻonui ka lole, huehue o nā wāwae.
ʻO nā palaka ma nā mau keiki bipi.
ʻAno nāwaliwali, gait unstable.
I nā hihia koʻikoʻi - loaʻa ke ʻano o nā pale ulcerative i nā wāwae.

ʻO ka hōʻailona maikaʻi loa ka nalowale o ka hōʻeha ʻana i nā wāwae ma kā lākou pono ʻole me ka mālama ʻana a me ka normalization o nā pae glucose koko. Hōʻike kēia i ka hōʻino ʻole ʻana i nā napu a me ka mea e hiki ke nānā aku i nā ʻōpala trophic.

Hoʻolālā: nā loina, nā lāʻau lapaʻau, nā ʻano hana o nā kānaka

Hoʻomaka ka hoʻomaʻamaʻa o ka polyneuropathy diabetes, e like me nā mea āpau o ka maʻi maʻi, e hoʻomaka me ka hana maʻamau o nā pae glucose o ke koko. ʻO kahi pae kuʻina o ka hemoglobin glycated, e hōʻike ana i ka uku diabetes, pono ke loaʻa. ʻAʻole pono e oi aku i 7%. Inā kūpono, nā hoʻoponopono ʻana i nā lāʻau lapaʻau haʻahaʻa o ke kō a i ʻole insulin.

ʻAʻole pono i hoʻohaʻahaʻa i ka cholesterol a me ka triglycerides i kahi maʻamau. Hoʻomaikaʻi kēia i ke kūlana o nā kīʻaha koko a hoʻonui i nā nerbi me ka oxygen.

I ka mālamaʻana i ka polyneuropathy diabetes hānai, he nui nā hui o nā lāʻau lapaʻau.

E hōʻemi i ka ʻeha, ua kuhikuhi ʻia lākou anticonvulsants a me antidepressants. ^ E Ha yM. Hoʻopili lākou i ka hana hoʻokaumaha, hōʻemi i ka hoʻokuʻu ʻana i nā mea e hoʻoulu ai i ka ʻeha, loaʻa kahi hopena hōʻoluʻolu. ʻO nā hoʻohana maʻamau he gabapentin, lamotrigine, duloxetine.

Hiki i nā Opioids (Tramadol) ke hoʻohana pū e mālama i ka hōʻeha ʻeha. ʻO ka lapaʻau ʻana o nā maʻi, e like me ka Analgin a i ʻole Nimesulide, ʻaʻole pono.

Nā huaora B hoʻomaikaʻi i ke kūlana o nā nerb, e komo i ka hoʻihoʻi ʻana o kā lākou pale pale ʻana, hōʻemi i ka ʻeha. ʻO ka lāʻau lapaʻau kaulana loa o kēia pūʻulu ʻo Milgamma, kahi hui pūliki a me nā vitamin B1, B6 a me B12.
Antioxidants pale i nā cell nerve mai ka hōʻino ʻia e nā huahana momona. ʻO ka hopena koʻikoʻi ma luna o nā ʻiʻo ka nerve me ka α-lipoic, a i ʻole acid thioctic, ʻike ʻia ʻo Thioctacid a me Thiogamma. Ma kahi o ka hopena antioxidant nui, hiki i kēia mau lāʻau ke hoʻohaʻahaʻa i nā pae glucose o ke koko, no laila me ka hoʻomaka ʻana o ka mālama ʻana, pono paha ka hōʻemi e hōʻemi i nā lāʻau antidiabetic.
Hoʻomākaukau kālā (Actovegin) hoʻohana i ka mālama ʻana o ka polyneuropathy diabetes, ʻoiai ʻaʻole i hōʻoia ʻia kā lākou hopena.

Pono e mālama i ka polyneuropathy diabetes, e hoʻohana i nā pūʻulu o nā lāʻau lapaʻau, a i nā wā lōʻihi o nā papa he 2-3 mau mahina.

ʻAʻohe o nā palapala hōʻike no ka hoʻohana ʻana i ka hopena. Loaʻa paha he hoʻonui i ka nui o nā meaʻai i loaʻa nā huaora B (nā huaʻai wholemeal, nā ʻōpū, ka ʻiʻo, nā iʻa, nā cereals) i ka meaʻai, akā ʻo ka mea ʻai wale nō ʻaʻole ia e hōʻola i ka polyneuropathy diabetes.

Kahi helu

Hoʻokumu ʻia e ka maʻi e pili ana i ka ʻōnaehana o ka nupepa, aia i ʻelua mau ʻōnaehana, ua hoʻoholo ʻo nā kauka i ka helu hoʻokahi o ka maʻi e hoʻohele i ka polyneuropathy i loko o kahi somatic a me autonomous.

Ua hoʻolaha nui nā kauka i ka hoʻonohonoho ʻana i nā ʻano o nā pathology e hoʻokūkū i ka lesion. ʻEkolu mau ʻano i hōʻike ʻia i ka papa, e hōʻike ana i kahi wahi ʻino i ka ʻōnaehana.

hopohopo - ʻike i ke ʻano o ke kūleʻa o waho.
ka kaʻa - hōʻike e ke ʻōpū hele,
leo formimotor - hui ʻia o nā ʻano ʻelua.

Ma ka ulu o ka maʻi, hoʻokaʻawale nā kauka i kēlā mau ʻano - ka maʻi, ke kumu, ka ʻeha ʻole a me ka amyotrophic.

Kāohi

Inā ua loaʻa kahi mea maʻi ma ka maʻi maʻi, a laila pono ʻoe e makaʻala a hiki i nā hōʻeha. Pākuʻi ʻia nā hana kūʻē e pale ana i ka polyneuropathy me kahi meaʻai kaulike, kahi ala ola, hoʻolaʻa mai nā ʻano maikaʻi ʻole, a pono ke nānā ke nānā pono i ke kaumaha o ke kino a nānā i nā pae o ka glucose koko.

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.

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.
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.
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:

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.
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.
Nā maʻi ʻino. ʻO ka hopena nui loa e hāpai ana i ka polyneuropathy diabetes i ka hopena o ka hui pū 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.

Nā hōʻailona o ka polyneuropathy maʻi

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.

ʻO ka polyneuropathy maʻi maʻi e like me ICD-10

I kēia hihia, nui mau pūʻulu māhele o kēia loiloi i loaʻa kā lākou palapala:

G61. Inā kūleʻa ka palauwai kū'ē i ke kua o nā hanana kumu lāʻau e kū ana i loko o ke kino o ke kanaka.
G62. Hōʻike i nā ʻano like ʻole o ka polyneuropathy. Hopu kēia pūʻulu i kekahi mau māhele i ka manawa hoʻokahi.
G63 ʻO kēia kahi hui nui. Ma loko wale nō e hiki ai iā ʻoe ke ʻike i ka pauku pono. I kēia hihia, nā code ICD-10 no ka polyneuropathy maʻi maʻi ma o G63.2.

No laila, ke hāʻule nei kēia pathology i kahi ākea ākea o ka papa kuhikuhi honua. He mea kūpono nō hoʻi e hoʻomaopopo hou aku i ka maʻi iho.

Distal

I kēia hihia, ke kamaʻilio nei mākou e pili ana i ke kaʻina o ka make o nā nerve nerve i ke kino o ke kanaka. Hoʻopau kēia ma hope o kekahi manawa o ka hoʻomohala ʻana o ka maʻi, hoʻomaka ka mea maʻi i ka lilo ʻana i ka naʻau tactile, ʻo ia ka mea iʻike pinepine ʻia i nā haʻahaʻa haʻahaʻa (a i ʻole nā wāwae).

Inā loaʻa i kahi maʻi maʻi o kēia ʻano ka palolo, a ma kēia mea e hoʻopiʻi ʻo ia i kahi ʻeha hōʻeha, a i kekahi manawa e lilo ia i mea ikaika loa i hiki ʻole ke hiamoe a hana paha i nā mea maʻamau. Hoʻomaka ka poʻe he nui i nā poʻohiwi maikaʻi loa.

Inā hele ka lōʻihi o ka polyneuropathy diabetic, a laila e alakaʻi i kēia a me ka pili ʻana o ka iwi, a me ka iwi. E hoʻomohala nā wāwae Flat. Hiki i kēia ke alakaʻi i ka pono o ka huina o ka wāwae.

Peripheralā

Inā mākou e kamaʻilio e pili ana i kēia ʻano ʻano o ke kuʻuna, a laila ma kēia hihia ua nui nā pilikia koʻikoʻi o ka hana sensorimotor o nā pae haʻahaʻa. I kekahi mau kūlana, ʻike ʻia nā luhi keu ʻole i nā maʻi maʻi ma ka lima.

Ma ke kānāwai, ke ʻano pinepine nei nā ʻano kuʻuna o kēia ʻano me ke kūkaʻi ʻana o ka mea maoli e hoʻoholo nei nā kauka e hoʻohana i nā lāʻau antiviral ikaika. ʻIke ʻia lākou he nui ke ʻano o nā hopena ʻaoʻao. No laila, i ka puka ʻana o nā hōʻailona like, pono e haʻalele koke i ke ʻano o ka lāʻau lapaʻau me ka hoʻohana ʻana i kekahi mea lapaʻau, e koho i kahi ʻano o ke ʻano lāʻau.

Dysmetabolic

Hōʻike ʻia kēia ʻano ʻano kuʻuna e nā maʻi hou e ʻike pū me ia me ka maʻi diabetes. Hoʻomaka ka poʻe maʻi i nā pilikia me ka ʻōpū, ka ʻōpū, a me nā aʻalā. Hoʻokomo ʻia ka nui o nā plexuses nerve, aia ma luna o nā palena kiʻekiʻe a lalo. Ua luku ʻia nā neurons sciatic a i ʻole. I kēia hihia, ʻeha kahi hōʻeha o ke kanaka i ka ʻāina i hoʻopili ʻia, e ulu paha nā ʻōpala trophic.

E kūʻē i ke ʻano o kēia ʻano o nā kulekele, ʻo ia ka mea i lilo i mea paʻakikī loa no kahi kanaka e hele a puni. ʻO ka tendon a me ke kuli hoʻi i nalowale i nalo. Hōʻike pinepine nā kauka i nā kūlana e hōʻeha ʻia ai nā maʻi i nā ulnar, ocular, a i ʻole nīnūnū.

Eia nō naʻe, he mea ia e hoʻomaopopo no hiki i kēia ʻano maʻi ke hana pū me ka ʻole o kahi ʻeha.

ʻO nā kumu kumu no ka hoʻomohala ʻana i nā pathology

Inā mākou e kamaʻilio e pili ana i nā hōʻailona nui e pili ana i ka nānā ʻana o ka polyneuropathy diabetes o nā mahele haʻahaʻa, a laila ma kēia ke ʻano, ke ʻōlelo paʻa nei nō nā huka koko nui a me nā kūlana i ʻike ʻia e kahi kanaka ka lōʻihi o ka insole o ka insulin.

Eia kekahi, hiki i kēia pathology ke hoʻohālikelike i ka ʻikepili o:

ʻO nā maʻi Endocrine.
ʻO kaʻeha huehue a me nā maʻi pūpū.
Hōʻikeʻike
Hoʻowalewale i ke ʻano palekana.
Nā maʻi ʻē aʻe.
Nā pilikia Alakona.
Poino.

Eia kekahi, hoʻomohala kekahi kanaka i kēia pathology inā e loaʻa iā ia i ka atherosclerosis, nephropathy, retinopathy, hypertension arterial, hōʻemi i ka waikawa, a me nā momona. ʻAʻole ka hopena maikaʻi loa o ka ulaula. He mea kūpono ia e mālama pono i nā poʻe kahiko, ʻoiai ʻo kēia mea ka mea nui o ka hiki ke hoʻomohala i nā patology nui aʻe.

ʻO ka lāʻau lapaʻau

No ka hoʻihoʻi wikiwiki ʻana i ka hana o nā fibers nerve a kōkua i ka hoʻihoʻi ʻana i kā lākou kamaʻi, ʻike pinepine nā kauka i nā kālā i ke ʻano o nā paʻakikī bitamina. E like me ke kānāwai, e kuhikuhi ana ka pūʻulu B iā lākou A, hiki i ka mea loea ke kuhikuhi i ka waikena alpha-lipoic.

He mea kūpono ia no ka mālama ʻana me ka maʻi pathogenetic, ʻaʻole pono ke manaʻo koke. He lōʻihi lōʻihi ke ʻano o ka papa hana, no laila e pono ʻoe e ahonui.

Eia nō naʻe, e hōʻeha ʻia nā mea maʻi e nā ʻeha nui ʻaʻole hiki iā lākou ke hiamoe a komo i nā hana maʻamau. Nui ka hoʻomaka ʻana e hoʻomohala i ka hopohopo a me ke kaumaha. No ka mālama ʻana i ka mea maʻi mai nā manaʻo ʻino ʻole, hiki i ke kauka ke kuhikuhi i nā antidepressants, nā lāʻau anticonvulsant, a me nā mea hōʻehaʻeha.

Nui nā manaʻo e hoʻomaka e lawe iā Ibuprofen iā lākou iho. Eia nō naʻe, eia nō e pono e kau i ka noʻonoʻo hiki iā ʻoe ke hoʻohana i kēia lāʻau lapaʻau anti-inflammatory ʻole i nā papa pōkole loa. A iʻole, aia nō kahi pilikia o ka hōʻino o ka gastosa mucosa.

Hoʻopili hou

Hiki paha i ke kauka ke ʻōlelo aku e hana i kahi papa o ka physiotherapy, ʻoi a maʻemaʻe paha. E kōkua ana kēlā mau hanana i ka hoʻokuʻu aku i ka maʻi ʻeha. Hoʻomaikaʻi ka maikaʻi o nā kino o nā nerve. Mahalo i kēia, hiki ke pale aku i ka atrophy.

Hāʻawi ʻia ʻo Massage e hana, ʻelua mau paina a me ke acupuncture. Ke koho ʻana i kahi lua, pono e hoʻokaʻaʻike i kahi loea. Mai hoʻomaʻamaʻa i ka acupuncture ma ka home.

Hāʻawi ʻia kahi hopena maikaʻi ma ka papaʻaina. I ka ʻai a nā mea maʻi e pono nō eʻai i ka nui o ka ʻai, e waiwai no nā mea i loaʻa i nā ʻoni a me nā huaora. Paipai nā mea hōʻike i ka ʻai ʻana i nā lentil, nā huaʻala, nā huaʻala, nā pōpō, ka ʻakaʻaka, ka pāhala, ka pī, ka bran, ka wai kai.