Ib qho ntawm cov teeb meem uas ib txwm muaj ntawm cov ntshav qab zib yog polyneuropathy. Nws cov tsos mob cuam tshuam nrog cuam tshuam txog cov ntshav qabzib hauv ntshav. Kev tuag ntawm cov hlab ntsha ua rau poob ntawm qhov tsis hnov mob ntawm cov ceg thiab kev txhim kho ntawm ulcerative tsis xws luag.
Cov cim thawj zaug ntawm sab caj npab qis hauv nruab siab yuav yog kev tsis txaus siab tias tus neeg mob ob txhais ceg khov, mob thiab cramps tshwm sim thaum tsaus ntuj, thiab cov ntiv taw ua bluish.
Raws li mob ntshav qab zib nce zuj zus, cov kab mob ntshav qab zib taw ua ke, uas nyob rau hauv cov mob loj yuav ua rau txiav tes txiav taw.
Ua rau muaj ntshav qab zib nyob rau hauv ceg
Cov kev cuam tshuam ntawm cov piam thaj ntawm cov ntshav ntawm cov ntshav tau tshwm sim hauv kev txhim kho ntawm txoj hlab ntsws. Cov kev hloov pauv permeability thiab vascular hloov pauv, cov phab ntsa ntawm cov hlab ntsha thicken, cov ntshav ntws qeeb, thiab cov viscosity ntau ntxiv ntawm cov ntshav coj mus rau kev tsim cov ntshav txhaws. Cov nqaij mos ua rau lub cev tsis sib haum, uas ua rau mob ischemic, maj mam kho cov qhov txhab nrog kev raug mob.
Cov hlab ntsha hauv cov ntshav qab zib tau ua rau muaj kev puas tsuaj vim yog cov ntshav tsis txaus, thiab nyob hauv qab ntawm sorbitol, uas tau tsim nyob rau sab hauv lub cell thaum tsis muaj cov ntshav qabzib txaus. Qhov nce ntawm cov dawb radicals uas ua rau cov ntshav qab zib kuj ua rau tus qauv ntawm cov hlab ntsha poob siab.
Raws li qhov tshwm sim, txhua hom kev nkag siab tau ua txhaum - kom txias, kub, mob, tshee, kov. Hauv qhov no, kev raug mob me me tuaj yeem tsis paub txog, thiab tom qab ntawd ua rau qhov mob tsis zoo nyob rau hauv lawv qhov chaw, uas tsis zoo rau lub sijhawm ntev thiab muaj qhov kis tau yooj yim.
Cov tsos mob ntawm tus mob ntshav qab zib neuropathy
Kev tsis txaus siab ntawm cov neeg mob tias lawv ob txhais ceg txias txhua lub sijhawm, Kuv tsis tuaj yeem sov kuv ob txhais ceg txawm tias nyob hauv thom khwm sov, kuv txhais ko taw xiav xiav, zoo rau cov neeg mob polyneuropathy. Tib lub sijhawm, mob thiab loog, zoo nkaus cov nqaj ntsaum koom nrog. Ua ntej, cov ntiv taw cuam tshuam, thiab tom qab ntawd cov txheej txheem kis mus rau ko taw, qis dua ntawm qis ceg.
Nrog rau cov kev tsis txaus ntseeg hauv cov ntshav, txhais ceg txias tsis yog hauv lub caij ntuj no xwb, tab sis kuj nyob hauv lub caij sov, cov neeg mob nco ntsoov tias mob tshwm sim thaum taug kev: Kuv tsis tuaj yeem taug kev ntev, kuv yuav tsum tau nres ntau zaus. Tom qab so, qhov mob ploj mus. Ntawm kev txheeb xyuas, daim tawv nqaij ntawm txhais ceg yog daj ntseg, nrog ntsej pleev xiav. Thaum soj ntsuam cov mem tes ntawm cov hlab ntsha ntawm ob txhais ceg, nws yog qhov nyuaj rau kev txiav txim siab los yog qhaj ntawv.
Thaum muaj cov kab mob ko taw microtraumas, ntshav qab zib tuaj yeem ua rau tsim muaj cov qhov txhab ua rau mob ncauj plab, uas nyuaj kho. Cov teeb meem zoo li no yog cov yam ntxwv ntawm qhov tsis qhia txog tus mob ntshav qab zib, tshwj xeeb tshaj yog ua ke nrog atherosclerosis lossis obliterating endarteritis.
Nrog kev mob siab tshaj plaws ntawm cov hlab ntsha, cov neeg mob yws ntawm qhov kev txo qis hauv qhov mob: kuv ob txhais ceg yog lub paj taub, Kuv tsis tuaj yeem hnov qhov kub thiab txias, Kuv tsis xav tias mob nrog txiav, thiab chwv daim pam tuaj yeem ua rau mob. Kev tsis muaj qhov muag yog qhov tshwj xeeb ntawm hom "thom khwm" lossis "hnab looj tes", thiab tshwj xeeb tshaj yog qhov nyuaj nws yuav cuam tshuam rau daim tawv nqaij ntawm lub plab thiab hauv siab.
Ntawm kev kuaj, cov tsos mob hauv qab no yog qhia:
- Cov tawv nqaij ntawm ob txhais ceg yog cov xim ib txwm muaj.
- Taw kev sov ntawm qhov kev sib chwv.
- Hauv cov chaw ntawm kev kub siab thiab tiv tauj nrog khau, daim tawv yuav tuab.
- Artery ripple yog qhov qub.
Kev tsis txaus siab txog qhov tseeb tias ob txhais ceg yuav hnov txias txias lossis sov ob txhais ceg yog qhov nyuaj, kev xyaum tsis tshwm sim.
Kev kho mob ntawm peripheral neuropathy
Yuav ua li cas yog tias cov ntiv taw xiav xiav mob ntshav qab zib thiab txoj kev kho twg zoo tshaj plaws - cov lus nug no tshwm sim hauv cov neeg mob nrog cov tsos mob ntawm cov tsos mob polyneuropathy feem ntau. Txhawm rau siv txhua yam ntawm cov kev kho mob rau cov mob ntshav qab zib, koj yuav tsum xub txo hyperglycemia.
Yog hais tias tus neeg mob noj tshuaj rau cov ntshav qab zib hom 2, tom qab ntawv kho nrog txhab tshuaj insulin los yog hloov mus rau nws. Raws li qhov tshwm sim, ua tiav kev them nyiaj ntawm hyperglycemia, hypercholesterolemia thiab kev ruaj khov ntawm cov ntshav siab nyob rau theem ntawm 130/80 hli Hg yuav tsum ua tiav. Kos duab.
Rau qhov no, nrog hom 1 mob ntshav qab zib mellitus, kev siv tshuaj insulin ntau ntxiv yog siv: tus neeg mob tau muab tshuaj insulin ntev ntev ib hnub ob zaug, thiab 30 feeb ua ntej noj mov, insulins luv luv 3 zaug hauv ib hnub, thiab ntau dua yog tias tsim nyog.
Txhawm rau kho qhov mob nrog rau polyneuropathy, nws yog thawj zaug tsim nyog los kho microcirculation thiab kev ua haujlwm ntawm cov hlab ntsha. Actovegin yog tsim tau zoo xws li tshuaj. Nws lub ntsiab kev kho mob:
- Txhim kho qhov nqus ntawm cov pa thiab cov piam thaj los ntawm cov ntaub so ntswg.
- Ua kom muaj zog ntau ntxiv hauv cov cell.
- Vascular phab ntsa ntxiv dag zog
- Rov ua kom ntshav ntxiv rau cov ntaub so ntswg uas puas.
- Nyem qhov mob.
- Rov qab los ntawm rhiab thiab tendon reflexes.
Ntxiv nrog rau Actovegin, alpha-lipoic acid, B vitamins, tshuaj tua kab mob, ATP, thiab cov tshuaj nootropic yog siv los rov qab cov txheej txheem hauv metabolic nyob hauv qis qis. Txoj kev kho yog feem ntau ntev, tom qab 2-3 lub lim tiam ntawm kev txhaj tshuaj, lawv hloov mus rau kev kho kho nrog cov ntsiav tshuaj, kav ntev txog 2-4 hlis.
Cov tshuaj uas tau siv hauv kev kho mob ntshav qab zib polyneuropathy: Espa-Lipon, Thiogamma, Berlition, Milgamma, Neurobion, Trigamma, Neurobeks.
Tshem tawm cov kev mob duav nrog polyneuropathy yog qhov haujlwm nyuaj heev, vim tias tsis muaj kev cuam tshuam los ntawm kev siv tshuaj pleev xim. Yog li, cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob tiv thaiv yuav siv. Tricyclic antidepressants muaj cov ua haujlwm hauv nruab nrab analgesic, ua yeeb yam rau adrenaline thiab histamine receptors.
Kev siv ntau tshaj plaws yog amitriptyline thiab imipramine. Cov tshuaj tsis txuam rau lawv cov tshuaj yog hnub nyoog laus thiab mob plawv. Hauv cov xwm txheej zoo li no, kev noj qab haus huv ntawm venlafaxine thiab fluoxetine raug kho, tab sis lawv cov nyhuv analgesic tsis tshua tau hais tawm.
Anticonvulsants thaiv qhov ua kom mob siab. Cov tshuaj hauv qab no yog siv:
- Carbamazepine: Finlepsin, Zeptol, Tegretol.
- Oxcarbazepine: Trileptal, Oxapine.
- Gabapentin: Gabagamma, Neurontin, Tebantin.
- Pregabalin: Hais Kwv txhiaj.
Rau kev siv tshuaj, siv yeeb tshuaj nrog kua txob tawm, Capsicam, pom zoo, nws txhawb kev tso tawm ntawm tus neeg kho mob uas tsis hnov qab, tshem tawm nws cov peev xwm, uas ua rau muaj kev cuam tshuam ntawm kev xa mus ntawm qhov mob impulses. Cov kev mob tshwm sim hauv cov roj ntsha thiab tawv nqaij. Contraindicated nyob rau hauv ntev venous tsis txaus.
Rau cov tshuaj loog hauv zos, cov tshuaj uas muaj cov tshuaj lidocaine kuj tseem siv - thaj lossis Versatis tshuaj pleev, Lidocaine aerosol. Txhawm rau txo qhov mob, nws tsis pom zoo kom siv cov roj sov ua kom sov lossis cua kub, vim tias muaj kev pheej hmoo ntawm lub cev kub hnyiab tawm tiv thaiv keeb kwm yav dhau los ntawm kev txo qhov kub thiab txias.
Kev siv cov tshuaj Tramadol tsuas yog txiav txim siab tsis muaj txiaj ntsig ntawm lwm txoj hauv kev kho, vim tias ntau ntawm cov tshuaj tau pom tias ua rau mob txo cov mob ntshav qab zib, uas muaj yees, qhov kev pheej hmoo uas nce ntxiv yog tias koj xav tau kev kho mob ntev.
Ntawm cov tsis siv tshuaj (thaum tsis decompensation los yog mob hnyav ntawm tus neeg mob):
- Hyperbaric oxygenation.
- Electrophoresis
- Kev kho laser.
- Hlau nplaum kho.
- Diadynamic dej tsaws ntxhee.
- Kev Siv Tshuaj Tua Tsiaj.
- Kev txhawb hluav taws xob.
Kev Tiv Thaiv Kab Mob Ntshav Qab Zib
Txhawm rau tiv thaiv cov kev mob tshwm sim ntawm ntshav qab zib mellitus nyob rau hauv daim ntawv ntawm polyneuropathy, nws yog qhov tsim nyog kom ua tiav kev txo qis hauv cov ntshav qab zib thiab nws cov stabilization nyob rau qib siab pom zoo. Ib qho tseem ceeb yog kev ua raws li cov lus qhia txog kev noj zaub mov zoo thiab kev siv tshuaj.
Kev soj ntsuam rau cov ntshav qab zib yuav tsum nyob txhua hnub, thiab nrog kev qhia cov insulin dua thaum nruab hnub thiab thaum mus pw. Ib qho ntxiv, nws raug nquahu kom ntsuas ntshav siab ob zaug ib hnub. Cov ntsiab lus ntawm cov roj (cholesterol) thiab lipids hauv cov ntshav, ntxiv rau theem ntawm glycated hemoglobin, raug tshuaj xyuas tsis tseg.
Nws yog qhov yuav tsum tau tso tseg cov nicotine thiab dej cawv, vim tias lawv cov nyhuv yog pom los ntawm vasospasm thiab muaj tshuaj lom rau ntawm cov hlab ntsha. Txog kev tiv thaiv qhov mob ntawm qhov mob qis qis, tsawg kawg 20 feeb ib hnub twg yuav tsum tau ua kev rau qoj ib ce, ntau zaus taug kev. Tseem siv tau yog yoga rau cov neeg mob ntshav qab zib thiab ua luam dej.
Cov yeeb yaj kiab hauv tsab xov xwm no yuav tham txog kev kho mob thiab tiv thaiv neuropathy hauv ntshav qab zib.
