Ntawm cov teeb meem ntawm ntshav qab zib, ib qho ntawm feem ntau mob thiab nyuaj rau pom zoo yog mob ntshav qab zib polyneuropathy. Vim cov leeg puas, ua rau tus neeg mob tsis nco qab cov nqaij ntshiv, ob txhais ceg caws los hlawv, zoo li nws loog, khaus heev, mob hnyav heev yuav tshwm sim. Cov kev xav zoo no tau ua tsis zoo los ntawm antihistamines thiab cov tshuaj pleev xim yooj yim. Raws li txoj cai, cov tsos mob hnyav zuj zus thaum hmo ntuj, tus neeg mob tau ua tsis tau zoo ntawm kev pw tsaug zog ib txwm, yog li kev nyuaj siab, kev tawm tsam, thiab lub siab ntsws tau ntxiv rau polyneuropathy.
Mob ntshav qab zib polyneuropathy tso nyiaj rau ib feem peb ntawm tag nrho cov tshuaj tiv thaiv mob hlwb. Qhov tshwm sim ntawm qhov kev pheej hmoo yog nyob ntawm lub sijhawm mob ntshav qab zib: nrog kev paub 5 xyoo, txhua tus neeg mob xya yog tus mob neuropathy, lub neej nrog ntshav qab zib rau 30 xyoo nce lub sijhawm ntawm cov hlab ntsha txog li 90%.
Cov tsos mob ntshav qab zib yog li cas
Kev tsis txaus siab ntawm cov carbohydrate thiab lwm yam metabolism hauv cov ntshav qab zib tsis zoo cuam tshuam rau tag nrho lub cev, ntawm lub hlwb mus rau qhov kawg ntawm daim tawv nqaij. Kev puas tsuaj rau lub hauv nruab nrab cov hlab ntaws hu ua mob ntshav qab zib encephalopathy, peripheral - mob ntshav qab zib neuropathy.
Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los
- Li qub ntawm qab zib -95%
- Kev tshem tawm ntawm cov hlab ntsha thrombosis - 70%
- Ntaus tau ntawm lub plawv dhia muaj zog -90%
- Kev tshem tawm ntshav siab - 92%
- Qhov nce hauv lub zog nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj -97%
Neuropathy tau muab faib ua:
- kev nkag siab - nrog kev ua txhaum ntawm rhiab;
- lub cev muaj zog - nrog rau kev puas tsuaj rau cov leeg ntshav uas pab rau cov leeg;
- kev noj zaub, thaum lub qab haus huv uas pabcuam tib neeg hloov khoom nruab nrog cev raug puas tsuaj.
Lub siab-lub cev muaj zog neuropathy yog hom ntau dua, feem ntau nws pib nyob rau hauv cov chaw deb tshaj plaws los ntawm lub hauv nruab nrab cov hlab hlwb, feem ntau nyob hauv qis qis kawg. Yog li ntawd, nws yog hu ua distal, los ntawm Latin disto - sediment. Feem ntau, qhov kev hloov pauv pib tam sim ntawm ob txhais ceg, lawv kuj nce mus yam tsawg. Distal symmetric sensorimotor neuropathy tau hu ua "mob ntshav qab zib polyneuropathy", hais txog qhov tsis sib kis ntawm neuropathies, nws nyob qib ua ntej, nws suav txog li 70% ntawm cov qhov txhab leeg.
Yog li, nws yog ib txwm ib txwm hu rau mob ntshav qab zib polyneuropathy ib qhov mob ntawm cov pob txha pob txha mos, cov tawv nqaij ua kom lub cev, txoj leeg tawv nqaij, mob rau qhov mob uas tshwm sim muaj ntshav qab zib hauv thaj chaw deb ntawm lub cev.
ICD-10 tus lej - G63.2 E10.4 - E14.4 nyob ntawm hom mob ntshav qab zib.
Polyneuropathy yog ib qho tseem ceeb hauv kev txhim kho mob ntshav qab zib mob ko taw, qhov kev sib kis tau ntxiv rau cov hlab ntsha ua rau muaj kev puas ntsoog thiab, vim li ntawd, qhov tob tob, cov nqaij tsis zoo ua rau cov nqaij ntshiv.
Hom mob ntshav qab zib Polyneuropathy
Muaj 3 hom mob ntshav qab zib mob ntshav qab zib:
- Kov hom. Kev puas tsuaj ntawm qhov kev xav ntawm qhov kev xav ntawm cov leeg ntshav, uas yog cov hlab ntsha ntawm cov diameters sib txawv uas sau cov ntaub ntawv hais txog peb qhov kev xav thiab xa mus rau lub hlwb, feem ntau.
- Lub cev muaj zog hom. Kev rhuav tshem lub zog ntawm lub cev muaj zog, uas xav tau xa cov ntaub ntawv mus rau cov leeg txog qhov xav tau cog lus thiab so kom txaus.
- Hom sib xyaw. Hauv lub cev, tag nrho cov hlab ntsha ua haujlwm ua ke: cov txiav txim siab txiav txim siab tias hlau yog kub, cov neeg tsav lub cev nqa cov lus txib kom rub lawv txhais tes rov qab kom tsis txhob hlawv. Cov leeg hauv plab kuj puas ntsoog feem ntau hauv ib qho chaw hauv lub hlwb, yog li ntawd lub siab-lub cev muaj zog polyneuropathy yog qhov ntau.
Ua rau muaj tus kabmob
Kev loj hlob ntawm polyneuropathy ncaj qha nyob ntawm glycemia qib ntawm cov neeg mob ntshav qab zib. Nws yog qhov ua pov thawj qhia tau tias ntau dua uas tus mob ntshav qab zib tau muaj cov piam thaj hauv ntshav ntau dua, txhua qhov teeb meem sai dua, suav nrog kev saib xyuas mob polyneuropathy, yuav nce zuj zus. Yog tias ntshav qabzib nyob qis qis li qub, 15 xyoo tom qab mob ntshav qab zib, cov tsos mob polyneuropathy raug sau npe tsuas yog hauv 15% ntawm cov neeg mob, tag nrho cov tshuaj tiv thaiv tsis hnyav.
Ua rau cov hlab ntsha puas hauv hyperglycemia:
- Kev ntshaib plab cov teeb meem.
- Chronic hyperglycemia yuam kom lub cev siv lwm txoj hauv kev ntawm cov kua nplaum nyob hauv, uas sorbitol thiab fructose ntau zuj zus, suav nrog hauv thiab ib ncig ntawm cov leeg hlwb. Lub paj sheath poob siab los ntawm qhov no, uas siv ncaj qha rau hauv kev xa cov impulses;
- glycation ntawm cov hlab hlwb;
- kev rhuav tshem lawv lub plhaub los ntawm cov dawb radicals;
- tsis muaj myelin hauv cov hlab ntsha vim tias thaiv kev thauj mus los ntawm myoinositol.
- Kev puas tsuaj rau cov hlab ntshav. Mob ntshav qab zib microangiopathy cuam tshuam rau cov hlab ntsha uas pub lub tog raj txuas.
- Neeg muaj keeb. Qhia rau lwm tus txog tus mob ntshav qab zib polyneuropathy. Muaj pov thawj tias nyob hauv qee cov neeg, qab haus huv puas rau ntau xyoo tom qab kuaj mob ntshav qab zib, thaum lwm tus neeg nyob yam tsis muaj qhov cuam tshuam no tau ntau caum xyoo, txawm hais tias muaj qab zib.
- Kev Txhaj Tshuaj Tiv Thaiv - feem ntau tsis tau paub vim li cas. Muaj cov qauv uas polyneuropathy tuaj yeem ua rau cov tshuaj tiv thaiv rau cov kev loj hlob ntawm cov hlab ntsha uas tus neeg mob lub cev tsim tawm.
Cov tsos mob sib txawv thiab cov paib
Nrog polyneuropathy, cov tshuaj fiber ntau feem ntau yog thawj zaug raug kev txom nyem, tom qab ntawd lub cev muaj zog pib. Feem ntau, cov tsos mob thawj zaug tau pom ntawm taw, thiab tom qab ntawd maj mam kis mus rau txhua tus ceg qis, ntes ob txhais tes thiab caj npab, thiab muaj mob hnyav - lub plab thiab hauv siab.
| Hom mob polyneuropathy | Cov yam ntxwv ntawm tus yam ntxwv |
| Hnov | Ua kom rhiab ntxiv, tsis xis nyob los ntawm kev kov lossis khaub ncaws zoo tib yam. Goosebumps, loog loog, hnov qab ntawm mob thaum so tsis muaj laj thawj. Ib qhov tsis hnov lus ntawm lub cev ua rau tsis haum xeeb, piv txwv, khaus thaum stroking. Kev qaug zog ntawm rhiab. Tus neeg mob ntshav qab zib polyneuropathy nres kom tsis hnov qhov nws tau paub yav dhau los: nto ntawm tawv nqaij thaum taug kev liab qab, mob thaum nqis taw ntawm cov khoom me me. Lub peev xwm los txiav txim siab qhov kub ntawm qhov tawv nqaij los ntawm daim tawv nqaij yog qhov tsis muaj zog, feem ntau yog qhov kub ib qho zoo li tsis tshua muaj sov. |
| Lub cev muaj zog | Qaug zog tuaj nrawm dua thaum taug kev, thiab lub zog ntawm txhais tes txo qis. Lub cev muaj zog hauv cov pob qij txha tsawg dua, thawj zaug ntawm cov ntiv tes ntawm sab sauv thiab qis dua, nws nyuaj rau lawv khoov thiab ua ncaj rau lawv. Kev saib xyuas ntawm kev txav mus rau sab nraud, kev tsav tsheb zoo raug kev txom nyem, piv txwv li, nws tsis yooj yim sua kom xov ib rab koob. Nyob rau hauv lub neej yav tom ntej, cov khoob khoob khoob tau ntxiv, muaj kev ruaj khov ntawm txoj haujlwm sawv ntsug, cov nqaij ntshiv qis dua. Tag nrho cov tsos mob ci ci dua tom qab so. |
| Sensor lub cev muaj zog | Cov kab mob ntawm cov tsos mob saum toj no, thaum pib ntawm tus mob polyneuropathy sensory yeej dhau mus. Tag nrho cov paib zoo dua thaum tsaus ntuj lossis tam sim ntawd tom qab yaws. |
Ntshav qab zib distal polyneuropathy
Cov hlab ntsha ntev tshaj plaws hauv cov tib neeg lub cev yog nyob hauv ob txhais ceg. Kev puas tsuaj rau lawv nyob rau txhua thaj chaw txhais tau hais tias qhov poob ntawm txoj hlab ntshav, yog li polyneuropathy feem ntau cuam tshuam, nyob hauv thaj chaw qis qis. Cov kev hloov pauv loj tshaj plaws tau pom nyob hauv thaj chaw ntawm thaj chaw ntawm lub npe thom khwm "- ntawm txhais taw thiab pob taws. Ua ntej tshaj plaws, tactile, qhov kub thiab txias, tom qab ntawd qhov mob hnov mob yog ua txhaum ntawm no.
Nyob rau hauv lub neej yav tom ntej, kev hloov ntawm cov leeg pib, vim qhov tshwm sim ntawm qhov uas pom ntawm ko taw hloov - lawv khoov thiab pom cov ntiv tes ntawm ib leeg, lub koov yog tiaj. Cov tawv nqaij rhiab dhau los ua lub hom phiaj zoo tshaj plaws rau ntau qhov kev raug mob uas, vim yog ua haujlwm tsis zoo thiab ua kom cov khoom lag luam tsis txaus, maj mam kho kom zoo, ua rau muaj qhov mob rau trophic. Mob hauv zos tas mus ua rau cov nqaij pob txha puas tas. Raws li qhov tshwm sim, kev puas siab puas ntsws polyneuropathy tuaj yeem hloov mus ua kev mob caj dab thiab osteomyelitis uas tsis muaj peev xwm txav mus los ntawm nws tus kheej.
Mob ntshav qab zib polyneuropathy ntawm qhov qis qis thaum pib ntawm lub sijhawm muaj cov tsos mob xws li loog, tingling, hnyav ntawm taw hauv qhov tsaus ntuj, ua rau lub siab tsis hnov qhov kaj, tsis nco qhov txias nyob hauv cov ntiv taw, tsis tawm hws ntawm taw lossis, hloov pauv, tsis tu ncua ntawm daim tawv nqaij, tev thiab liab ntawm qhov chaw txhuam
Yuav kho polyneuropathy li cas rau cov neeg mob ntshav qab zib
Kev kho mob ntshav qab zib polyneuropathy ntawm qhov qis qis hauv thawj theem yog qhov ua tiav ntawm cov ntshav qab zib tas li. Nws yog qhov tseeb tias kev tswj tau zoo glycemic ua rau kev regression ntawm cov nyuam qhuav pib mob neuropathy thiab yog qhov yuav tsum tau ua ua ntej rau kev kho kom zoo ntawm cov hom mob hnyav.
Yuav kom cov ntshav qabzib li qub paub tab endocrinologist sab laj yuav tsum tau, uas yuav sau tshuaj rau lub txheej txheem tshiab, yuav xaiv cov tshuaj zoo dua. Tus neeg mob nyob rau theem no yuav tsum tau ua raws li cov lus qhia tshwj xeeb, uas ntxiv nrog rau kev noj tshuaj suav nrog kev kawm txog lub cev thiab kev txwv zaub mov tseem ceeb - feem ntau cov zaub mov carbohydrates yog cais tawm ntawm kev noj haus.
Tshuaj kho mob pub-dawb
Nws ua tau los txhim kho cov ntshav ncig, thiab yog li kev noj haus ntawm cov nqaij hauv cov taw, siv cov qauv tsis siv tshuaj. Ob peb zaug hauv ib hnub koj yuav tsum ua lub teeb nws tus kheej-taw ntawm taw. Yog tias cov tawv nqaij qhuav dhau, nws yog qhov yuav tsum tau siv lub tshuab moisturizer thaum zaws. Txwv tsis pub nqa taub dej kub thiab dej kub. vim tias muaj qhov phom sij ntawm qhov kub hnyiab, uas cov ntshav qab zib uas mob polyneuropathy kuj yuav tsis hnov, vim tias cov txais nyob rau thaj tsam ntawm daim tawv nqaij tau pov tseg.
Nyob rau hauv tsis muaj qhov xwm txheej yuav tsum tau koj txwv kev ua si. Nco ntsoov taug kev ntev ntev txhua hnub, tab sis tib lub sijhawm nco ntsoov tias koj ob txhais ceg tsis dhau hwv.
Txhawm rau txhim kho cov ntshav ncig, cov kev tawm dag zog yooj yim yuav muaj txiaj ntsig:
- Zaum saum ib lub rooj zaum.
- Caws kom ntev - cuag koj cov ntiv taw.
- Ua raws li koj txhais taw nyob rau hauv cov ntawv cev kev sib txawv hauv ntau txoj kev qhia.
- Rub cov thom khwm deb ntawm koj - ntawm koj.
- Dov puag ncig cov khoom nrog koj txhais taw rau hauv av - npas, pob yeeb nkab, dov ib tus pin.
Hauv cov chav siv dag zog hauv lub cev, tshuaj electrophoresis, cov dej da dej paraffin, kev kho ultratonotherapy, chav da dej radon thiab hydrogen sulfide tuaj yeem kho kom txo tau qhov mob.
Kev siv tshuaj
| Kho kev taw qhia | Kev Npaj | Tsuas tshuaj thiab kho mob |
| Neutralization ntawm cov dawb radicals | Cov tshuaj tiv thaiv kabmob, feem ntau muaj lipoic acid: Thioctacid, Thiogamma, Neyrolipon. | 600 mg toj ib hnub. Ua ntej, intravenously, ces hais tawm. Txij li 3 lub lis piam mus txog rau lub hlis. |
| Kev paub kho lus los qhia | Cov vitamins, tshwj xeeb tshaj yog cov pawg B: Vitagamma, Milgamma, Neuromultivit. | 3-5 lub lis piam, ntau npaum li cas yog qhia hauv cov lus qhia. |
| Angioprotectors thiab ncig kho: Actovegin | Tso dej txog 10 ml hauv ib hnub - 3 lub lis piam. Qhov ncauj, noj cov ntsiav tshuaj peb zaug ib hnub hauv tsawg kawg 6 lub lis piam. | |
| Nyem qhov mob | Cov tshuaj tiv thaiv kab mob: amitriptyline. | Txij 10 mg thiab siab dua, cov chav kawm yog tsawg kawg 2 hlis. |
| Cov tshuaj hauv zos: Capsicam, Finalgon. | Thov ua ntej yuav mus pw. | |
| Analgesics ntawm kev txiav txim siab central: Catadolone. | 100-200 mg peb zaug ib hnub. | |
| Opioids: Tramadol. | Tsuas yog kws kho mob hais. |
Pab Tau Zoo: Peb tau tshaj tawm cov npe vitamins qhia rau cov neeg mob ntshav qab zib thiab lawv sib piv ntawm no - //diabetiya.ru/lechimsya/vitaminy-dlya-diabetikov.html
Cov tshuaj kho qhov muag nrov
Tsis muaj pov thawj dab tsi ntawm kev ua tau zoo ntawm kev kho mob ntshav qab zib polyneuropathy nrog cov tshuaj kho mob pej xeem, yog li ntawd, kev kho mob zoo li no tuaj yeem txiav txim siab tshwj xeeb ntxiv rau txoj kev kho mob ib txwm muaj.
Daim ntawv qhia tus lej 1
Feem ntau, cov compresses ntsuab lossis xiav av nplaum yog siv los kho lub taw ntawm tus mob ntshav qab zib. 100 g ntawm av nplaum yog diluted rau slurry nrog Txoj kev lis ntshav ntawm chamomile (brew ib lub hnab ntawm chamomile hauv ib khob dej). Av nplaum yog siv rau daim tawv nqaij ua ib daim ntawv sov me ntsis thiab tos kom ua tiav ziab. Kev zom zaws rov ua dua txhua hnub rau ob lub lis piam, tom qab los so ntawm tib lub sijhawm.
Daim ntawv qhia tus lej 2
Daim ntawv qhia nrov rau txo qis qab zib nrog cov tshuaj ntsuab: siv qhov sib npaug ntawm cov dandelion hauv paus, taum nplooj, nplooj nettle thiab galega, sib tov. Brew ib tablespoon ntawm no sib tov txhua hnub thaum sawv ntxov nyob rau hauv lub khob dej. Haus dej si thaum nruab hnub.
Daim ntawv qhia tus lej 3
Clove hmoov muaj cov khoom ua antioxidant. Nws yog brewed nrog qhiav thiab cardamom thiab qaug cawv nrog ntshav qab zib zoo li tshuaj yej. Kev faib ua feem - ib feem peb ntawm ib me nyuam diav ntawm tag nrho cov khoom xyaw ib mug dej.
Kev Tiv Thaiv
Txhawm rau tiv thaiv polyneuropathy, tam sim ntawd tom qab kuaj pom tus mob ntshav qab zib mellitus, koj yuav tsum tsim kho koj txoj kev ua neej tag nrho: tswj kev noj zaub mov noj thiab ua raws li kev noj haus NU, kev qhia kev kawm, kawm paub ntsuas qhov tseeb ntawm cov tshuaj insulin, thiab ntawm nws tus kheej kho hyperglycemia. Them cov ntshav qab zib txo txoj kev pheej hmoo ntawm cov kev mob tshwm sim hauv cov hlab ntsha los ntawm ib qho ntawm kaum, nws yog ua tau tsuas yog nrog txoj haujlwm ua ke ntawm tus neeg mob thiab soj ntsuam txhua qhov tshuaj ntawm cov kws kho mob.
Cov kev kawm ntxiv ntawm cov vitamins (multivitamins los yog tsuas yog pawg B) thiab lipoic acid, kev tawm dag zog, lossis tsuas yog ib lub neej muaj sia yuav muaj txiaj ntsig zoo rau kev tiv thaiv kev mob ntshav qab zib polyneuropathy.
Vim muaj cov tshuaj lom rau lub paj hlwb, nyob rau hauv tsis muaj ib qho twg yuav tsum koj haus cawv. Mob ntshav qab zib thiab haus dej cawv polyneuropathies nyob rau hauv qhov nyuaj heev cuam tshuam qhov tshwm sim ntawm kev kho mob, kev mob tshwm sim sai dua. Tsis tas li ntawd, kev haus cawv tsis tu ncua ua rau nws ua tsis tiav kom muaj kab mob normoglycemia.
