ʻO ka neuropathy Diabetic: he aha ia, nā mea, nā hōʻailona, ​​ke nānā ʻana, ka mālama ʻana, prophylaxis, prognosis

ʻO kekahi o nā mea hoʻopiʻi pinepine ʻana i ka maʻi diabetes i ka neuropathy maʻi maʻi. Loaʻa ia ma 30-50% o nā maʻi me ka maʻi maʻi. He mea maʻamau ia e kamaʻilio e pili ana i ka hiki ʻana o ka neuropathy maʻi kanaluna wale me nā hōʻailona maʻalahi o ka hōʻino kino peripheral a me ka ʻole o nā kumu ʻē aʻe.

I ka huaʻōlelo ʻē aʻe, ke hauna nei ka conduction a me nā pilikia i ka hana ʻana o nā ʻōnaehana. ʻO ka hopena o ia mau loli,

• Hoʻemi ka hoʻonaninani ʻana i nā ʻoihana haʻahaʻa ma ka ʻeha a me ke ana,
• Hōʻeha ʻia ke ʻano koko
• ʻO ka ʻoluʻolu o ka ʻili i nā ʻano o nā fungi a me nā maʻi hoʻonui.

ʻO ka neuropathy Diabetic kahi leona kūikawā o ke kinipōpuni peripheral i hoʻokumu ʻia e nā kaʻina dysmetabolic i loko o ke kino o ka maʻi maʻi maʻi. Eia nō hoʻi, ua hoʻoulu ʻia ka hoʻomohala ʻana o nā ʻano autonomic - tachycardia, hypotension, dysphagia, ʻehaʻeha, anhidrosis. Aia pinepine nā pilikia o nā genitourinary o nā mea genitourinary.

Hiki ke ʻano ʻē aʻe nā ʻano o ke ʻano o ka neuropathy diabetic, ma muli o ke ʻano o nā maʻi a ua pā ʻia nā nerbona. I ka manawa mua, ʻōlelo ʻino ʻia nā hōʻailona o ka maʻi, akā ma ka manawa ua ʻōlelo mau ʻia. ʻO nā hōʻailona nui ka:

• ʻO ka ʻehaʻeha, nā leʻaleʻa o nā haʻahaʻa haʻahaʻa, ke nānā aku nei i ka wāwae a me nā wāwae.
• Hōʻailona huhū
• ʻO kahi hāʻule hāʻule i loko o ke koko a me ka hopena o ka loaʻa ʻana o ka ʻōpū,
• Pilikia pilikia,
• Hoʻokomo ʻia ka mucosal mucousal i loko o nā wahine a me ka maʻi erectile i nā kāne.

Hoʻonui ka pilikia o ka mea maʻi e hoʻomohala ana i ka neuropathy maʻi maʻi me ka nui o nā makahiki i noho me ka maʻi diabetes.

Pili kēia pathology i ka polyneuropathies metabolic. Hāʻawi ʻia kahi kuleana kūikawā i nā mea neurovascular: microangiopathy, ka mea e hōʻaki i ka hoʻokahe koko i nā ʻeha, ka mea i hoʻomohala i nā pilikia metabola. Ua alakaʻi lākou:

• Ka hopena o ka edema o ka wahī,
• ʻO ka hopena o ka metabolic,
• Hoʻokomo ʻia i nā fibers nerve,
• Hoʻemi ka maikaʻi o nā neʻe o ke nerve,
• Ka hoʻomohala ʻana o ke kaumaha oxidative a me ka hoʻomohala ʻana o nā ʻoihana paʻakikī autoimmune.

I ka hopena hope loa, alakaʻi nā loli āpau i ka loaʻa ʻana o ka umauma nerve.

ʻO nā mea i hoʻonui ʻia i ka hiki ke hoʻomohala ʻana i ka neuropathy i ka maʻi maʻi, i ka hoʻohui aʻe i ka lōʻihi o ke ʻano o ka papa maʻi,

• Ke hoʻomau nei ʻole i ka maʻi hyperglycemia,
• ʻO ka Hyperlipidemia - kahi hoʻonui o nā lipid koko,
• He maʻi hypertension,
• Nā ʻilima
• Hoʻopilikia a hoʻonāukiuki i nā ʻeha,
• Uahi a inu.

Aia kekahi ʻano nui o ka neuropathy diabetic. Hoʻololi lākou i nā hōʻailona a me ka paʻakikī o nā loli i hiki mai i ke kino.

• Neuropathy peripheral - ua hiʻohiʻona e ka ʻeha a me ka nalowale ʻana o nā wāwae, nā wāwae a me nā manamana wāwae, a me nā mea pōkole pōkole. ʻO ka hapa pinepine, ʻo nā ʻekena a me nā maʻi kuʻi i hōʻala ʻia i hoʻopiʻi ʻia i kahi wāwae. Hoʻinoʻa nā hōʻailona i ke ahiahi a me ka pō. Eia kekahi, ua hele pū ʻia kēia ʻano me ka nāwaliwali o ka ʻāʻī, ka nalowale a i ʻole ka nāwaliwali ʻana o ka reflexes, e alakaʻi ai i ka posture a me ka gait, nā mea hoʻohālikelike o nā neʻe. I nā hopena i hala o ka maʻi neuropathy maʻi peripheral, nā maʻi hemahema o ka wāwae, ka hoʻololi ʻana i nā manamana wāwae, a me ka ʻohi ʻana o ka pū o ka wāwae. ʻO ka pinepine, ke ʻano o ke neʻe o ka neuropathy i mua i ka hoʻomohala ʻana o ka maʻi wāwae maʻi maʻi,
• Nā neuropathy Autonomic - kahi hoʻololi i ka hana o ka ʻawaʻawa, kūwili ʻana, hana o ka wahi ʻole, nā lūlū a me ka hoʻonaninani,
• Proopimalone neuropathy - nāwaliwali o nā ʻōpū o nā wāwae, ʻeha i ka wāwae, a me nā ʻūhā a me nā ʻūhā, pinepine i kekahi ʻaoʻao o ka ʻōpū.
• ʻO ka neuropathy maʻi maʻi maʻamau - ka hopena koke a pākia i nā ʻano like ʻole o nā wāwae, ka ʻoki a me ke poʻo, e hōʻeha ai i ka ʻeha a me nā ʻōpū o ka naʻau. ʻO kona mau ʻike ka: hōʻeha a me ka ʻike ʻelua, ʻo ka lolo o Bell (pālōlani o ka hapalua o ka maka), hōʻeha nui ma kekahi mau wahi o ke kino, ʻeha ma loko o ka ʻōpū a i ʻole umauma paha. ʻO ke ʻano o ka maʻi i kuhi ʻole a ʻike pinepine ʻole ʻia.

Nā huapau

Pākuʻi ʻia ka maʻi ma ke ʻano a me ke ʻano o ka maʻi. I ka wā o ka kūkākūkā mua ʻana, hoʻokō ʻia ka ʻike loiloi ʻana. ʻO ka nānā kūikawā e uku nei i nā hoʻopiʻi no ka poʻe maʻi e pili ana i nā loli i ke kūlana olakino. ʻIkuhi ʻia nā mea haʻahaʻa haʻahaʻa no ka palaoa, palaoa, nā huu a me nā deformities. ʻO kahi kaʻina kauoha he ana ke ana o ke kahe o ke koko, nā hōʻike kūpono e ʻike ai i ka pae o ka glucose, insulin, glycosylated hemoglobin a me C-peptide i ke koko.

Aia i nā hopena i loaʻa i ka wā o ka hopena o ka maʻi, i ka hoʻohui i ka endocrinologist, hiki i nā mea loea ʻē aʻe ke komo i ka hoʻokolohua:

• Cardiologist
• Neurologist
• ʻĀkopa,
• ʻOlogistkoi Hoʻokele
• Kahulapau
• ʻEkekekema
• Orthopedist.

I ka wā o ka hōʻike, ua nānā ʻia nā hana o ka endocrine, digestive, nerve, heart, a me nā ʻōnaehana urinary. I ka hapa nui, ʻike lākou i ka electromyography, electroneurography, ECG, echocardiography, ultrasound, radiography o ka ʻōpū, a me nā mea hou aku i nā loiloi:

• Ka ʻike hāmeʻa tactory (me ka hoʻohana 'ana monofilament),
• Ka mahana wela (ma ke ʻano he wela a wela ʻole kahi).
• ʻO ka pena (e ka ʻaihue ʻana i ka ʻili me ka ʻaoʻao o ka manamana)
• Ka maʻi hoʻonaninani (me ke hoʻohana ʻana i ke kani ma luna).

Me ka hoʻomohala ʻana i nā puka atypical, pili lākou i ka biopsies o ke keiki bipi a me nā ʻili.

I mea e pōmaikaʻi ai ka mālama ʻana o ka neuropathy maʻi maʻi, pono e hoʻokō pono i ka uku paʻa no ka diabetes mellitus, a hoʻāʻo e mālama i ka nui o ke kō o ke koko ma loko o nā palena maʻamau. No ka hōʻoluʻolu o ka ʻeha, ua kuhikuhi ʻia nā mea maʻi i nā ʻōpū e like me nā papa no ka hoʻokele waha, a me nā ʻano like ʻole, nā pālima me ka waiū a me nā ʻili me ka capsaicin no ka hana waho

ʻO kekahi manawa, e ʻōlelo ʻia e nā mea maʻi e hoʻohana i kahi kākoʻo kākoʻo kūikawā no ka moena, ka mea e pale aku ai i ka pili ʻana i ke ʻano maʻi o ka mea maʻi me nā wahi paʻakikī o ka moena. ʻO nā kaʻina hana Physiotherapeutic, acupuncture a me nā hana kūikawā e hoʻopiha i ke kumu nui o ke kōkua lapaʻau e kōkua i ka hoʻopau ʻana i ke kaumaha i kekahi mau hihia. E hoʻohana pono i ka hana ʻana i ka magneto-, laser- a me ka maʻi māmā.

I ka wā mālama, pono nō e nānā i nā lula e kōkua i ka hōʻeuʻeu ʻana o ka hoʻolaʻa ʻana a mālama pono i ke olakino, ʻo ia hoʻi:

1. Inā ʻaʻole i lalo iki i kekahi lāʻau lapaʻau ponoʻī, piha iā ia me ka nalowale o nā wāwae,
2. Mai hele i nā wāwae ʻole, i loko a i waho paha.
3. E hoʻopaʻa i nā hāmeʻulu e hoʻopili ai i ka nāu a hoʻokuʻu i kou mau wāwae e hanu,
4. Hoʻomaopopo mau loa i nā kāpili elastic ma nā kaili a me ke kapa komoʻole, ʻaʻole e hoʻonāukiuki i ka kahe koko,
5. Holoi i kou mau wāwae a me kēlā me kēia lā, mai mālama iā lākou i ka wai no ka manawa lōʻihi, a pale i nā wela wela. E hoʻomoʻo maikaʻi me kahi kāwele palupalu ma hope o ka holoi ʻana.
6. E hoʻohana i nā creoll emollient e pale aku i ka maloʻo nui loa o ka ʻili o nā wāwae a me nā hiʻohiʻona o nā kīʻaha,
7. E nānā maʻamau i kou mau wāwae i ke ao no nā palaka, nā hōʻoki, nā calluses, nā huʻihue, nā ʻāpana ʻili.
8. E koho pono i kou mau kāmaʻa, pono e ʻoluʻolu a me ka kūlohelohe,
9. Hoʻomaʻamaʻa pinepine e hoʻomaikaʻi i ka microcirculation i loko o kou mau wāwae.

Pono ke kūleʻa a hoʻomehana ʻia. ʻAʻole hiki ke hoʻohana ʻia ka ʻoihana kūpono me ka ʻole e hoʻokō i nā ʻōmaʻomaʻo mau o ka hoʻōki ʻana i ka maʻi diabetes. No laila, ʻo kekahi o nā wahi lapaʻau ka hoʻomalu ʻia o nā lāʻau antidiabetic i nā papa a i ʻole ʻolua, a me ka mālama mau loa ʻana i nā pae glucose. Eia kekahi, pono e hoʻomohala i kahi papa kūpono no ka mea maʻi, ʻoi loa ka paona o ke kino i ka maʻamau a mālama i ka neʻe koko.

ʻO ke kumu nui o ka mālama ʻana ke komo pū ʻana o nā huaora neurotropic (pūʻulu B), nā mea trace (hoʻomākaukau o Mg a me Zn) a me nā antioxidants (alpha-lipoic acid, ka huaora E). Me ka hoʻomohala ʻana i kahi mea hōʻeha ʻeha o ka neuropathy maʻi maʻi, e aʻo ʻia e kuhikuhi i nā analgesics a me nā anticonvulsants.

ʻO ka wānana a me ke kālai

ʻO ke kī i kahi hoʻomaʻamaʻa maikaʻi ʻo ia ka ʻike mua o ka maʻi neuropathy maʻi. No ka hiki ke hoʻololi hou ʻia nā hana mua o ka maʻi, e pili ana i ka uku hoʻomau. Akā ʻo ke ʻano paʻakikī o ka hiki ʻana o ka neuropathy he mea paʻakikī e mālama ai a he kumu koʻikoʻi no ka nānā ʻana i ka arrhythmias cardiac, nā ʻeha ʻole aʻolima, a me ka hopena o ka traumatic o ka hopena haʻahaʻa.

ʻO nā ala e pono ai ka pale ʻana ka mālama mau ʻana i nā ʻōnaehana kō i ke kō, hoʻokaʻa kūpono a kūpono hoʻi i ka mālama ʻana, mālama mau ʻia e kahi endocrinologist a me kahi maʻi maʻi maʻi.

He aha ka mea maʻi neuropathy maʻi

ʻO ka Neuropathy he pōʻino i ka ʻōnaehana o ke kanaka no kekahi kumu, a me ka neuropathy maʻi diabetes ua hōʻino i nā nerbi e hopena ana i kahi maʻi e like me ka maʻi maʻi. Manaʻo ia ʻaʻole hiki i ka maʻi diabetes ke hoʻopuka i kēia ʻanoʻai, akā, ʻaʻole i kāohi i ke kō nui o ke kō. Inā maʻi ka mea maʻi ma ka maʻi, a hoʻomaka ka manaʻo i nā hōʻailona leʻaleʻa mai ka lā nīpili (no ka laʻana, ka nalowale ʻana o ka naʻau), a laila ʻoi aku paha ka neuropathy maʻi maʻi.

Hoʻopilikia ka ʻōnaehana maʻi ma muli o ka hoʻonui ʻia o ke kō koko, kahi e hoʻopilikia kino ai i nā ʻōnaehana āpau a me nā kino o kekahi kanaka. Hoʻopau ʻo Hyperglycemia i nā palena o ka nerve, nā ʻōnaehana waena a me ke peripheral. ʻO ke ala nui e pale i kēia mea e mālama i nā pae o ke kō i loko o ka maʻamau maʻamau.

Nā kumu o ka maʻi Neuropathy Diabetic

ʻO ke kumu nui o kēia hoʻopiʻi ʻana ka hōʻino ʻana i nā ʻili a me nā kīʻaha koko o ke kino. Ua hōʻike ʻia nā haʻawina ʻo ke kī ʻana o ka nui o ke kō e hiki ai i ka luku ʻia o nā kīʻaha koko a me nā pau ʻole o ke nerve, kahi e hiki ai ke hoʻopau i ka make a me ka nalowale o ka hiki ke hoʻouna i nā impulses.

Eia kekahi, ʻaʻole i hiki i kahi hui o nā kumu like ke alakaʻi i kēia hoʻopiʻi, i waena o lākou:

• nā hana ʻeha ma nā nī nā kumu a ka hopena o ka autoimmune,
• hānai nā papahana kiʻekiʻe no ka lōʻihi o ka manawa,
• kahe kuʻukū ʻole i ka hoʻokahe o ke koko,
• kolamu kiʻekiʻe koko
• hana ʻino i ka neʻe,
• nele o vitamin B12.

Hāʻawi i nā kumu o ka maʻi

Loaʻa nā poʻe me ka maʻi maʻi maʻi i ka hoʻomohala ʻana i ka maʻi neuropathy maʻi. Eia nō naʻe, aia nā mea pōʻino e hiki ke hoʻopilikia i ka hopena o kahi maʻi. I waena o lākou:

• ʻohi kālā kōʻai koko
• ʻO ka lōʻihi o ka maʻi ma mua o 20 mau makahiki,
• nā maʻiʻeha a me nā puʻuwai,
• momona momona
• koko koko kiʻekiʻe
• ulaula
• predisposition genetic
• waiʻona.

Hoʻomaʻamaʻa ka lōʻihi i kahi maʻi e like me ka maʻi maʻi e like me ke ka maʻi maʻi, ʻoi aku ka kiʻekiʻe o ka ulu ʻana o ka neuropathy maʻi maʻi. Eia kekahi, ʻo kēlā poʻe i loaʻa i nā hōʻeha i nā ʻokoʻa ʻē aʻe ma muli o ka maʻi diabetes, he nui nō ka loaʻa o kēia hōʻino.

Nā hōʻailona o ka maʻi Neuropathy Diabetic

Hoʻomaopopo ka hōʻailona o ka neuropathy i ke ʻano o ka maʻi, a me ka wahi o ka nū i hōʻino ʻia (e nānā ke kiʻi ma luna). ʻO ka maʻamau, ulu pinepine nā hōʻailona, ​​a i nā hoʻomaka mua, ʻaʻole paha iʻike ʻia ke kiʻi kilokilo i ka manawa. Eia kekahi, ʻo ka hoʻomaka koke a me ka hoʻomaka ʻana o ka maʻi, ka ʻano o kekahi mau ʻano o ka neuropathy, hiki i ka atypical.

ʻO nā hōʻailona maʻamau o ka neuropathy diabetic ka mea:

• nā ʻōpū
• kuni ana
• lilo ka lealea ana
• tingling
• ʻeha

I ka manawa mua, ʻike paha i kēia mau ʻōuli a ʻaʻole i ʻike maoli ʻia, akā naʻe, i ka manawa ka wā, ʻoiai e hele a nui aʻe ka neʻe, a laila e hōʻike ʻia ana nā hōʻailona iā lākou iho.

ʻO nā maʻi ʻē aʻe hāmeʻa i loaʻa:

• ka hōʻemi ʻana o nā wāwae a me nā lima,
• indigestion, pua nani, luaʻi,
• tachycardia
• nā ninia
• constipation
• pilikia me ka urination
• huakai
• maloʻo maloʻo
• āhāhuʻe
• nahoa
• nāwaliwali laulā
• mea momona.

Ma muli o ka luhi ʻana o nā hōʻailona, ​​ʻaʻole maopopo ka poʻe i ka neuropathy maʻi i ka neʻe a maʻi ʻole ka neʻe ma mua o ka hoʻomaka ʻana o nā hōʻailona.

Nā ʻano a me nā pae

Penei ka papa o ka neuropathy i ʻehā mau ʻano nui o ka maʻi neuropathy maʻi:

• ʻO ka neuropathy peripheral. ^ E Ha yM. ʻO ka mea maʻamau ka maʻamau o ka neuropathy diabetes. ʻO ka mua, hōʻino ia i nā wāwae haʻahaʻa, a laila ʻo luna. Hōʻike pinepine ʻia kona mau hiʻohiʻona i ka pō a i ke kakahiaka nui. ʻO nā hōʻailona nui o kēia ʻano ka:
  • ʻeha ka hoʻohaʻahaʻa ʻana a me ka hoʻohaʻahaʻa ʻana i nā wāwae, a laila ma nā pūhaka,
  • ʻālei a hōʻā i ka hoʻāʻo ʻana i ka wāwae,
  • nā hōʻeha koʻikoʻi
  • ʻeha ka ʻili o ka ʻili,
  • nāwaliwali mānoʻi
  • nalowale o ke kaʻaila
  • ka lilo ʻana o ka kaulike a me ke hoʻonohonoho ʻana,
  • ka loaʻa ʻana o nā ʻeha, ka maʻi a me nā ʻeha ma nā iwi a me nā ʻāpana.

Hiki i kēia hoʻopiʻi ka hopena i hoʻokahi neʻe i nā wāwae, ka mea i kapa ʻia ʻo ka maʻi neuropathy diabetic o nā pākuʻi haʻahaʻa, a he nui - polyneuropathy diabetic o kahi o ka hopena haʻahaʻa.

• Nā neuropathy ʻĀina. ^ E Ha yM. ʻO ke ʻano o ka maʻi maʻamau ka ʻā ʻana o nā nerb e kāohi ana i nā hana ʻokoʻa o ke kino, e like me ke kahe ʻana, ua hōʻino ʻia. Eia kekahi, hiki i kēia ʻano maʻi ke hōʻino i nā kino o nā ʻōnaehana e like me ka genitourinary, kaomi, ka cardiovascular. Hoʻokomo pū ʻia ʻo neia neuropathy maʻi waena, kahi e hoʻopōʻino ai ka ʻoihana a pau.

Hiki i ka poʻokela i ka nīnao o ka papa hana hiki ke hele pū me ka constipation, ke kō ʻana, ke pilikia paʻakikī, a me ka gastroporesis (hoʻoliʻiliʻi ka hana o ka ʻōpū) e hiki ai i ka nausea a me ka luaʻi.

I ka manawa like, hiki i nā neuropathy autonomic ke hoʻoulu i nā pilikia me ka ʻōnaehana genitourinary. I nā kāne, hiki ke hōʻike ʻia kēia e ka erectile dysfunction, a i loko hoʻi o nā wahine ma ka maloʻo o nā ʻili. E like me nā leʻaleʻa o nā ʻōpala o ka pāla, hiki iā lākou ke hoʻohui ʻia me ka piʻokeʻo urinary a piha ʻole.

Hiki i nā meaʻino i ka ʻōnaehana cardiovascular ke hana i nā loli i ka helu ʻana o ka puʻuwai a me ke koko. Hoʻomaopopo nui ʻia kēia ma hope o ka noho ʻana a noho ʻole ʻana ma kahi hoʻokahi. Eia kekahi, ʻo neuropathy, ka mea hōʻino i nā pili koko o ka puʻuwai, kekahi o nā kumu maʻamau o ka make. No laila, hiki iā ia ke hōʻeha i ka puʻuwai puʻuwai, nā hōʻailona o ka hoʻohālikelike ʻia e like me nā maʻi ʻē aʻe.

• Hoʻolālā neuropathy. ^ E Ha yM. ʻO kahi ʻano maʻamau o ka neuropathy, ʻike ʻia ʻo ia ka maʻi suka maʻi diabetes. ʻO kēia ʻano o ka neuropathy maʻamau i waena o nā poʻe kahiko me ka maʻi diabetes type 2. I ka nui o nā hihia, ua pili ka lesion i hoʻokahi ʻaoʻao o ke kino, ʻoi aku hoʻi nā hope, nā wāwae a me nā wāwae haʻahaʻa. ʻO nā kumu nui o kēia hoʻopiʻi e komo ana:
  • hōʻeha nui ma luna o nā ʻūhā, ka hope a me nā wāwae i ke ao,
  • paʻakikī e kū,
  • nāwaliwali ikaika ʻōiwi,
  • mea kaumaha.

I nā hihia koʻikoʻi, hiki i ka neuropathy proximal ke alakaʻi i ka nalowale o ke kani kino, a ma hope ke kumu e hiki ʻole ai ke neʻe kūʻokoʻa.

• ʻO ka neuropathy kumu. ^ E Ha yM. ʻO ke ʻano hope loa o ka neuropathy ʻo fēnopati focal or mononeuropathy.Ke ʻano o kēia ʻano neuropathy i ka wā i hōʻino ai i kekahi neʻe a i ʻole hui o nā nauna, ʻoiai e hoʻonāwaliwali i ka wahi i hōʻino ʻia. Hōʻike pinepine lākou iā ia iho a me ke kaumaha loa. Hiki i ke neuropathy puna ke hoʻomaikaʻi i ke poʻo, ke kino, a me nā wāwae. Nā hōʻailona o ka mononeuropathy:
  • hiki ʻole i ka hoʻokū
  • ka ʻike ʻelua a me ke ʻeha i nā maka
  • ʻ pallelo kino palsy (unilateral facial paralysis),
  • carpal tunnel syndrome
  • ʻeha i nā hōʻeha (ʻūhā, lalo i lalo, pelvis, ʻōpū, ka ʻōpū, nā wāwae a i ʻole ka wāwae haʻahaʻa).

ʻO ka lāʻau lapaʻau

Hoʻomaʻamaʻa ka mālama ʻana i ka neuropathy diabetic o ka lalo a me ka puʻuwai kiʻekiʻe me ka lāʻau lapaʻau, ʻo ka mea mua loa, ke huli nei e kāpae i nā hōʻailona pili i ka maʻi. ʻO ka maʻi nui, he ʻeha, no ka mālama ʻia ʻana o nā ʻano lāʻau like ʻole e hoʻopau ai.

ʻO nā lāʻau lapaʻau e hōʻoluʻolu i ka ʻeha e pili ana:

• Hoʻokuʻu i nā mea lawe. ^ E Ha yM. Hoʻohana pinepine ʻia lākou e mālama i ka hoʻokuʻi o ka maʻi epilepsy, akā hana kūpono ʻia hoʻi e hōʻoluʻolu i ke kaumaha i hōʻeha ʻia e ka nerve. Hoʻokomo kēia mau lāʻau pregabalin, gabapentin a me carbamazepine. ^ E Ha yM. ʻO nā hopena ʻaoʻao ka hopena paha o ka hiamoe, dizziness, a me ka puhi.
• Hoʻopau. ^ E Ha yM. Hoʻopili kekahi mau antidepressants i nā kaʻina loina i loko o ka lolo i kuleana no ka ʻeha. No laila, pili nui kēlā mau lāʻau lapaʻau no ka mālama ʻana i ke ʻeha me ka neuropathy. Hoʻohana ʻia nā papa he ʻelua o ka antidepressants:
  • Tricyclic antidepressants e hōʻoluʻolu i ke aniani i nā hōʻailona maʻalahi. Hoʻokomo kēia mau lāʻau amitriptyline, desipramine a imipramine. ^ E Ha yM. Hiki i nā hopena ʻaoʻao ke kū i ka waha maloʻo, ka huki ʻana, ka paona ʻana, ke constipation, a me ka dizziness.
  • Selotonin reuptake inhibitors (SSRIs) hoʻomaha i nā ʻeha me nā hopena liʻiliʻi. Hoʻokomo kēia mau lāʻau fluoxetine, paroxetine a me sertraline. ^ E Ha yM. ʻO nā hopena ʻaoʻao ka hopena o ka nausea, ka hoʻomaha, ke kaumaha a me ka nalowale o ka makemake.

Hana hoʻomaʻamaʻa

Hoʻohana maikaʻi ka hoʻomaʻamaʻi maʻi wale nō no ka mālama ʻana o ka neuropathy peripheral. Kōkua ia i ka hoʻokau ʻana i nā hōʻailona i hoʻomohala ʻia e like me ka paluhalelo, tingling a me ke ʻeha, a i ʻole pū me ka pale ʻana i ka amputations. I ka nui o nā manawa, ʻo kēia mau maʻi ke hoʻoili ʻia mai kahi neʻe a kahi pūʻulu paha a i ʻole hui o nā nīnū. No kēia, hana ʻia ka decompression nerve, ka mea ia e lawe ʻia ana e kahi liʻiliʻi liʻiliʻi a me nā kaumaha.

Hoʻopau ʻia ka hana lapaʻau inā ʻaʻole i pau nā hana mālama ʻē aʻe. Nā hōʻike hōʻike no kēia kaʻina hana:

• polyneuropathy diabetic o nā ʻoi aʻe o nā haʻahaʻa,
• polyneuropathy maʻi maʻi form o ka sensorimotor form,
• ʻeha mau ka hoʻopoina ʻana, nā ʻōpū a me ke ahi.

Ke hoʻolālā i kēia hana, ua hoʻokō ʻia nā kaʻina hana e hoʻomākaukau no ia a hōʻoia i ke ʻano maʻi. Ma mua o ke kaʻina hana, pono e pale aku i ka ulaula, ka inu ʻona, ka ʻai ʻana i nā mea momona a me ka iʻa, a me ke kāpae ʻana i ka hapa nui o nā lāʻau lapaʻau. ʻO ka hapa nui, hoʻohana ʻia nā anesthesia aoao maʻamau, akā no kekahi mau mea maʻi, hiki ke hoʻohana ʻia nā ʻano ala e like me ka anesthesia kūloko a me ka hana sedation. Ma hope o ka pau ʻana, pono pono e hahai pono i nā ʻōlelo a ke kauka e komo ana, me ka mālama ʻana i ke ʻano olakino olakino.

ʻO ka hoʻomaʻamaʻa piha a me nā koho ʻē aʻe ma ka home

ʻO ka mālamaʻana i ka neuropathy maʻi maʻi ma ka home he mea nui loa ia e pale ai i nā hōʻeha a me ka hoʻomau ʻia ʻana o ka maʻi. ʻO nā ala e hoʻohana ʻia ma ka home he maʻalahi a ʻaʻole ke kumu kūʻai. Kōkua lākou i ka pale ʻana i nā hōʻailona a pale i nā kūlana pōʻino no nā kānaka.

ʻO nā kumu lāʻau mālama home nui ka:

• e ʻai ana i nā meaʻai maikaʻi
• i kēlā me kēia lā
• ka hoʻohana ʻana o nā huaora hou a me nā mea hoʻohui meaʻaiʻai,
• kū ʻole ka ulaula
• lumi ʻauʻau mahana
• hana e noʻonoʻo ai
• acupuncture massage,
• pono poʻe hoʻōla.

Pono e hoʻomaopopo ʻia ʻaʻole kēia mau kumu kūpono loa no nā pae holomua o ka neuropathy, no laila, me nā hōʻailona koʻikoʻi, pono ʻoe e nīnau i ke kauka.

Mea Hoʻohui a me nā Hoʻohui

ʻAʻole maikaʻi ka meaʻai nui i kahi mea nui o ka mālama ʻana o ka neuropathy, akā ʻo ka maʻi diabetes nō hoʻi ia. Hiki i ke kau ʻana i ke kōʻai e hiki ai ke hoʻolohi i ka holomua o ke kaʻina o ka hōʻino ʻana o ka nerve. Hoʻohana nui ʻia nā kumukanawai kai i ka mea nui o ka mālama ʻana i ka polyneuropathy diabetes, ke hana nei lākou i nā hana e like me: pale, hoʻihoʻi a hoʻomaikaʻi i ka hana ʻana o nā kiko.

Pono ke olakino no ka neuropathy. Hōʻalo i nā meaʻai e like me ka loiloi mika a me nā kō, nā momona trans a me nā akeʻa saturated, palaoa, soybean a me nā hinu hoʻolaʻa, a me ka waiʻona. ʻO ke kumu o ka meaʻai, ʻo ia nā meaʻai me ka nui o ka fiber, e like me: nā lau, nā hua, nā huaʻai a me nā pīni.

Aia no nā kumuwaiwai ʻē aʻe, pono wale lākou no ka neuropathy maʻi maʻi. Ua hōʻike ʻia nā hualoaʻa e hiki i nā mea hoʻohui ʻia ke pale i ka holomua o ka maʻi. I waena o kēia mau hoʻohui mea pono:

• Waiora B-12. ^ E Ha yM. He hana koʻikoʻi ia i loko o ke kino o ke kanaka, kōkua i ka hana o ke ʻano pīpī a me ka hana ʻana o nā ʻāpana o ke koko. ʻO kahi nele o kēia huaora e hiki ke hōʻeha i nā maʻi neurological. Mālama ʻia kēia supplementine inā lawe ʻia e ke kauka. ʻO ka kumu kūlohelohe o B-12 ka iʻa a me ka ʻiʻo ʻulaʻula.
• Lipoic acid. ^ E Ha yM. An antioxidant e hoʻohana ʻia e ke kino e pale i nā io ma muli o ke kaʻina hana oxidative me keʻano o ka neuropathy maʻi. Manaʻo ʻia nā kumukanawai he mau palekana, akā hiki nō ke nalo ke inā nele ka thiamine (B-1). ʻO nā kumuwaiwai kumu maoli o ka lipoic acid he spinach, broccoli a me ka mea hū.
• L-carnitine. ^ E Ha yM. Ke hana nui nei ia i ka hōʻemi ʻana i ke kaʻina oxidative, a ua pili i ka hoʻoponopono hou ʻana o nā sela nerve. ʻO ia ka palekana palekana, akā i ka hoʻokele hui me nā warfarin i hoʻonui i ka hopena o ke kahe. ʻO nā kumu maoli o L-carnitine ka ʻiʻo, nā huahana dairy a me nā iʻa.

ʻO nā hopena palekana

Hoʻomaʻamaʻa ka mālama ʻana i nā hana me ka folk no ka maʻi neuropathy maʻi e hoʻokō wale i nā hōʻailona ʻāpana, ʻaʻole lākou e kōkua i ka mālama ʻana i ka maʻi. ʻOiai ka mea nui me kēia maʻi e mālama i nā pae kō koko koko maʻamau. E like me nā mea lapaʻau kuʻuna maʻamau, pono ka hoʻohana ʻana i nā lā, meli, lemon a me ka waiu kao i mea maʻi neuropathy maʻi. Akā naʻe, ʻaʻole kēia. Kūpono ia mau huahana e kahi maʻi maʻi maʻi a hoʻonāukiuki wale i ka nui o ke kō a me ka ulu ʻana o ka maʻi.

I ka manawa like, aia nā ala e hana maoli ana. Akahi, na mea ke aloha wela ʻana me ka hoʻohana ʻana i ka tendure calendulaaʻa ʻaʻa hinu a i ʻole inu ʻia. ^ E Ha yM. Hoʻokomo ʻia kēia mau kaʻina hana i ke kahe o ke koko, e hōʻoluʻolu i ka ʻeha a me nā ʻili ʻana me ka neuropathy o nā haʻahaʻa haʻahaʻa a ma luna.

Maikaʻi hoʻi no ka hoʻomaikaʻi maikaʻi ʻana i ka maikaʻi o ka hana i loko o ka neuropathy ko ka hoʻohana ʻana o lāʻau ʻauʻau e hoʻohana ana i nā lāʻau kanu.

Nā hoʻomaʻamaʻa

ʻO ka hana pilikino i ka hoʻomohala ʻana o ka maʻi neuropathy o ka lalo o ka lalo o ka mea nui, ʻo ia ka mea e hiki ai iā ʻoe ke mālama i ke olakino a hōʻalo i nā mea hoʻonāukiuki o ka hoʻopiʻi. ʻO ke hāmeʻa kahi ala maikaʻi loa e pale ai i kāu kaila koko, hoʻomaikaʻi i ka naʻau o ka insulin a hōʻemi i ka mumū. Eia kekahi, hoʻonui ka hoʻomaʻamaʻa i ke kahe o ke koko, ka oxygen, a me nā mea pono ʻē aʻe i nā ʻōpū o nā nerve, e kōkua ana i ka hoʻomaikaʻi ʻana i ke ʻano o ka mea maʻi me ka neuropathy.

No ka hōʻemi ʻana i nā mea kūpono o nā hōʻailona leʻaleʻa a hoʻomaikaʻi i ka hana kino, pono e hāʻawi ʻia i nā ʻano aʻoaʻo.

• Kahilime Card Low. ^ E Ha yM. Kōkua ka Aerobic hoʻemi i ka hoʻokahe koko a me ka kolamu, me ka hoʻomaikaʻi ʻana i ka kahe koko i nā wāwae a me nā lima. 30 a 50 mau minuke o ia ukana i hāpai ʻia.
• ʻĀina yoga. ^ E Ha yM. Hoʻemi i ke koko, hoʻemi i ka ʻeha a hoʻohemo i ke aʻalolo.

Kāohi

I mea e pale aku ai i nā hoʻopiʻi o ka neuropathy, pono ke pale ʻana i ka manawa, kahi e:

• ka hāpū a me ka kolamu
• ka nānā ʻana i ka wāwae wāwae (nānā i nā ʻōmaka, nā hōʻiliʻili, ke hōʻoki ʻana, ka nānā ʻana i ka hoʻomaʻemaʻe pilikino o kēlā me kēia lā, mālama iā lākou he maʻemaʻe a maloʻo hoʻi, palūlū ʻana i ka wā e maloʻo ai, e kau ana i nā kāmaʻa orthopedic).
• hana maʻamau
• meaʻai kūpono, i hoʻohui ʻia me nā mea momona a me nā mea hoʻohui,
• ka ulaula
• kaohi ʻona
• e pili ana i nā manaʻo o kekahi kauka.

ʻO ka neuropathy Diabetic ka hoʻopiʻi pinepine loa o ka maʻi maʻi. Ma kahi o 50% o ka poʻe me ka maʻi maʻi e loaʻa kekahi ʻano o ka neuropathy. I ka nui o nā manawa, lōʻihi ka lōʻihi no kahi o 20 mau makahiki a ʻaʻole paha e hōʻike i nā hōʻailona ākea. Eia nō naʻe, he mea ia e moʻi ai, e pōʻino ana ke ʻano o ka hoʻomau ʻana o ka maʻi.

ʻAʻole hiki ke ho'ōla ʻia ka maʻi maʻi, akā no ka hoʻomaka ʻana o ka maʻi a me ke pale ʻana e hāʻawi i ka mea maʻi i ola lōʻihi a piha. ʻO ka mālama ʻana i ka manawa kūpono, a me ka pale ʻana o nā mea pōpilikia he manawa kūpono no ke ola no ka 20 mau makahiki. ʻO ka meaʻai kūpono, kahi ola olakino, hoʻōpiopio maʻalahi, a me ka hoʻopili ʻana i nā ʻōlelo a ke kauka, e hoʻomohala i ke ola ma ka neuropathy maʻi.