Polyneuropathy ntawm qis qis yog qhov ncauj lus rau kev sib deev ntawm cov hlab ntsha. Tus kab mob no yog tus cwj pwm tsis zoo los ntawm txhawm txhawm ntawm ob txhais ceg, tsis muaj kev tiv thaiv yooj yim thaum kov thiab raug qhov kub thiab txias, thiab lwm yam kev tsis txaus siab ntawm qis qis.
Nrog rau qhov mob no, cov leeg ua lub luag haujlwm rau kev mus ncig thiab rhiab tau cuam tshuam, nrog rau thaj chaw nyob deb ntawm cov neurons uas nyob hauv taw. Yam tseeb thiab kev siv ntawm cov tsos mob mas nyob ntawm hom mob.
Hom mob polyneuropathy
Nws muaj cov kev mob zoo li no:
- Cov mob o - qhov tshwm sim ntawm qhov tsos yog mob hnyav uas tshwm sim hauv cov hlab ntsha;
- Mob khaub thuas - tshwm sim tom qab ntau yam kev raug mob, xws li hauv daim duab;
- Toxic - ua kom muaj tshwm sim yog lom ntawm lub cev nrog rau ib qho ntawm cov tshuaj lom (piv txwv li altait);
- Kev ua xua polyneuropathies ntawm qhov qis qis - tshwm sim vim qhov kev ua txhaum ntawm lub cev tsis ua haujlwm.
Ua tib zoo mloog! Polyneuropathy tuaj yeem mob siab lossis mob ntev, axonal (hauv qhov no axial lub tog raj kheej ntawm cov hlab ntsha xov xwm cuam tshuam) thiab demyelinating (zoo nkaus li vim pathological hloov nyob rau hauv daim nyias nyias ntawm neurons).
Hauv daim ntawv ntev, tus mob pib qeeb. Tab sis nws tseem tuaj yeem hloov kho tau sai sai, txuas nrawm nrawm mus rau lub zog nruab nrab.
Ua rau mob polyneuropathy
Ib tus kab mob tuaj yeem txhim kho nyob rau hauv kev cuam tshuam ntawm ntau yam, hmoov tsis, nws tsis yog ib txwm ua tau los tsim lawv.
Cov laj thawj rau kev nce qib ntawm polyneuropathy muaj ntau yam. Cov no suav nrog cov kab mob autoimmune (cuam tshuam hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob uas tshwm sim los ntawm kev tsis txaus ntseeg hauv lub cev), kev lag luam (hmoov txhuas), lossis qaug cawv nrog cov zaub mov tsis zoo thiab haus cawv.
Ib qho ntxiv, cov xwm txheej uas cuam tshuam qhov pib ntawm tus kab mob yog cov qog, mob caj ces, txhua yam kev kis mob uas ua rau kev mob ntawm cov leeg.
Lwm cov laj thawj rau kev nce qib ntawm polyneuropathy tuaj yeem yog: kev siv tshuaj tsis tau tswj (penicillin, streptomycin, azaserin, thiab lwm yam), mob siab, mob raum, mob raum, mob thiav vias, vitamin tsis muaj peev xwm thiab cov mob endocrine (ntshav qab zib mellitus).
Tab sis, raws li txoj cai, polyneuropathy ntawm ob txhais ceg tshwm thaum lub distal poob siab yog cov thawj cov lus teb rau cov kab mob pathological uas tshwm sim nyob rau hauv cov kab ke.
Lwm qhov laj thawj nyob hauv qhov tseeb tias cov neeg nyob deb ntawm neurons tsis muaj ntshav-hlwb lub cev.
Yog li, ntau yam kab mob thiab kab mob tuaj yeem nkag mus rau cov hlab ntsha sib txuas ntawm cov ntshav khiav.
Cov tsos mob
Nrog rau polyneuropathy, kev puas tsuaj rau cov leeg tactile thiab neurons lub luag haujlwm yog txav. Cov kab mob uas tshwm sim hauv cov nqaij mos ntawm cov hlab ntsha tuaj yeem tsim los ntawm:
- txo qis rhiab (tsis kov, tshav kub lossis txias)
- o thiab paresis (qaug zog, tuag tes tuag taw),
- leeg tsis muaj zog.
Tsis tas li ntawd, nrog rau kev tiv thaiv mob hlwb, cov tsos mob xws li txo qis lossis tsis muaj qhov leeg rov qab los thiab pob tawg thiab mob hnyav ntawm cov hlab ntsha sib puav tau pom. Txawm li cas los xij, muaj cov tsos mob nyob rau hauv daim ntawv ntawm paresthesia thiab goosebumps, thiab gait hloov vim yog cov nqaij ntshiv sib txawv.
Tseem Ceeb! "Cock's gait" yog ib qho ntawm cov tsos mob tseem ceeb uas tsis tsim los kho mob polyneuropathy.
Hauv cov theem tom qab ntawm kev txhim kho tus kabmob, polyneuropathy ntawm qis qis yog qhov txawv txav los ntawm qhov tseeb ntawm cov leeg mob tag nrho, mob Guillain-Barré mob (tuag tes tuag taw ntawm lub ceg, thiab tom qab ua pa ntawm cov leeg), thiab mob rau sab hauv trophic tshwm sim, uas tseem ua raws li cov tsos mob tseem ceeb ntawm qhov teeb meem.
Kev kuaj mob
Tus kab mob no raug kuaj los ntawm kev sib txawv, thaum tus kws kho mob ua tib zoo txheeb xyuas tag nrho cov tsos mob ntawm tus kab mob, thiaj li tshem tawm lwm cov kev mob uas muaj cov tsos mob sib xws. Sensorimotor polyneuropathy tseem tuaj yeem kuaj pom ntawm no.
Thaum kuaj xyuas tus mob polyneuropathy, tus kws kho mob tau coj los ntawm cov cim kho mob, them sai sai rau txhua qhov tsos mob.
Tib lub sijhawm, tus kws kho mob ua qhov kev kuaj sab nraud, kuaj xyuas cov tshuaj tiv thaiv thiab pom tias muaj keeb kwm muaj keeb kwm (muaj kab mob zoo sib xws hauv cov txheeb ze?), Ua tib zoo saib xyuas txhua tus tsos mob.
Nrog kev txhim kho sai ntawm tus kab mob thiab kev ua xyem xyav ntawm daim ntawv mob hnyav, lossis yog tias sensorimotor polyneuropathy kev txhim kho, tus kws kho mob nug tus neeg mob tias yam tshuaj twg thiab cov khoom siv rau tus neeg mob siv.
Seev suab seev qauv
Feem ntau siv cov qauv ntawm cov kev kuaj mob:
- me
- kuaj ntshav biochemical;
- palpation ntawm lub cev pob tw kom pom cov ntsaws ruaj ruaj hauv cov hlab ntaws, qhia qhov muaj keeb muaj keeb hauv qhov tsos ntawm tus kabmob;
- xoo hluav taws xob;
- electroneuromyography - ua tiav los txiav txim qhov ceev ntawm lub mem tes;
- kev kuaj mob ntawm cov khoom hauv nruab nrog cev;
- kawm txog reflexes;
- kev txheeb xyuas ntawm cerebrospinal kua (cerebrospinal kua).
Kev Kho Mob
Kev kho mob polyneuropathy, zoo ib yam li lwm yam kab mob cuam tshuam nrog cov leeg hlwb, nws yog txoj. Hauv qhov no, ntau txoj kev siv tau siv.
Nyob rau hauv cov ntaub ntawv ntawm daim ntawv thib ob (ntshav qab zib, cov thyroid pathology), tom qab ntawd kev kho mob yog kho rau qhov pib ntawm kev puas tsuaj neuronal
Hauv kev kho thawj tus mob polyneuropathy, siv cov tshuaj hauv qab no:
- Nqa cov leeg ua kom mob (baclofen);
- txhais tau tias ua kom yooj yim cov txheej txheem ntawm kev sib sau ntawm cov pulses;
- txob thaj;
- cov tshuaj hormones (glucocorticosteroids);
- cov tshuaj loog (cov tshuaj pleev muaj lub hau lidocaine);
- cov vitamins;
- analgesics;
- anticonvulsants (gabalentin);
- tshuaj tiv thaiv kab mob.
Txhawm rau muaj kev mob tshwm sim, tus kws kho mob muab tshuaj plasmophoresis (cov txheej txheem ua ntshav ua kom huv si).
Kev tawm dag zog lub cev
Kev kho mob ntsig txog mob ntsws thiab mob caj pas polyneuropathy yog ib txoj kev ua ntev uas muaj ntau ntu.
Cov tshuaj yog ntxiv nrog cov kev ntsuas mob hauv lub cev, xws li kev siv lub cev ua haujlwm (los tswj cov leeg nqaij lub cev) thiab cov hlau nplaum kho, hauv cov hlau nplaum tau xa mus rau thaj chaw muaj teeb meem ntawm qhov qis qis.
Tsis tas li, kev kho mob yog nrog hluav taws xob txhawb, reflexology, zaws ntshav qab zib yog kho tau. Qee lub sij hawm tus kws kho mob sau cov khoom noj rau cov neeg mob, uas yog txwv tsis pub noj cov khoom noj carbohydrate, cov rog.
Thaum kho thiab nyob rau theem rov qab, tus neeg mob yuav tsum tsis txhob haus luam yeeb thiab noj tshuaj thiab haus uas muaj qhov ua rau lub zog loj thiab zoo siab.
Ua tib zoo mloog! Nrog kev kho kom raws sij hawm thiab ua tiav, kev soj ntsuam tuaj yeem pom zoo heev.
Ib qho zam yog kev kho mob ntawm hom mob caj dab polyneuropathy. Hauv qhov no, tus kab mob tsis tuaj yeem tshem tawm tag nrho, tab sis qhov nyuaj thiab qhov mob hnyav ntawm cov tsos mob tuaj yeem txo tau.
Kev tiv thaiv kev ntsuas
Cov kev tiv thaiv tsis muaj ib qho tseem ceeb tshaj li kev kho mob thiab yog tsom rau tshem tawm yam uas tuaj yeem muaj kev cuam tshuam ncaj qha rau kev puas tsuaj neuronal.
Txhawm rau tiv thaiv polyneuropathy, nws yog qhov yuav tsum tau los kho lub sijhawm thiab kis kab mob, thiab tseem yuav tsum tsis txhob haus cov dej cawv uas muaj cawv.
Tsis tas li, cov kws kho mob pom zoo kom siv cov tshuaj tiv thaiv thaum ua haujlwm nrog cov tshuaj lom cov tshuaj lom, tsis txhob siv tshuaj phem (tsis txhob siv tshuaj yam tsis muaj tshuaj kho mob) thiab saib xyuas cov zaub mov zoo.
Raws li txoj cai, nws tsis tuaj yeem tiv thaiv polyneuropathy. Txawm li cas los xij, nrog thawj cov tsos mob ntawm tus kab mob, koj tuaj yeem sab laj nrog kws kho mob tam sim ntawd. Vim tias qhov no, lub sijhawm ntawm kev kho mob tom qab yuav raug txo qis, thiab qhov kev pheej hmoo ntawm cov kev mob tshwm sim yuav txo qis.
