Mob ntshav qab zib yog ib qho mob hnyav ntxiv rau ntshav qab zib uas yog qhov kawg ntawm cov hlab ntshav cuam tshuam. Diffuse cov kev hloov tshwm sim hauv lawv, vim tias qhov rhiab ntawm lub siab qis yog cuam tshuam.
Feem ntau, polyneuropathy tshwm sim tom qab 15-20 xyoo ntawm ntshav qab zib, nyob rau hauv cov xwm txheej tsis tshua muaj, thawj qhov kev hloov kho tau pom tom qab 5 xyoo ntawm tus kab mob no. Nws yog qhov sib luag ntawm hom 1 thiab hom 2 ntshav qab zib mellitus. Nrog cov kev kho mob nyuaj ntawm kev ua kom mob ntshav qab zib polyneuropathy, nws muaj peev xwm nres sai.
Vim li cas polyneuropathy pib muaj ntshav qab zib
Txheeb cais qhia tau hais tias mob ntshav qab zib polyneuropathy tshwm sim hauv 65% ntawm cov neeg mob ntshav qab zib. Sij hawm dhau sijhawm, txoj kev pheej hmoo ntawm cov kab mob hloov pauv ntawm txoj hlab ntshav txuas tau nce siab. Tsis tas li, lub sijhawm ua rau muaj teebmeem yog cuam tshuam los ntawm qee tus yam ntxwv ntawm lub cev, nrog rau cov neeg muaj peev xwm tiv thaiv kev mob ntshav qab zib. Yog tias cov piam thaj hauv cov ntshav tuaj yeem khaws cia li 8 mmol / l, ces qhov kev pheej hmoo ntawm kev tsim muaj cov ntshav qab zib yuav muaj tsawg heev. Qhov nruab nrab, nws yuav txog 10%.
- Ib qho kev nce ntxiv ntawm cov ntsiab lus ntawm cov piam thaj hauv cov ntshav ua rau muaj kev nrawm dua ntawm cov kev ua tiav. Vim tias qhov no, ntau ntau ntawm cov dawb radicals tso rau hauv cov ntshav. Lawv cuam tshuam rau sab hauv cov plab hnyuv siab raum thiab cov ntaub so ntswg, cuam tshuam nrog lawv kev ua haujlwm.
- Ntxiv mus, tiv thaiv keeb kwm ntawm cov ntshav muaj pes tsawg leeg, autoimmune cov txheej txheem pib tsim. Lawv cuam tshuam nrog kev loj hlob li qub thiab kev loj hlob ntawm cov hlab hlwb, uas pathogenically cuam tshuam cov ntaub so ntswg.
- Vim yog cov metabolism hauv kev puas tsuaj hauv cov ntshav, cov piam thaj qib nce ntxiv. Nws ntau ntau hauv cov ntaub so ntswg, vim qhov twg osmolarity ntawm qhov chaw tsis ntxhov. Vim tias qhov no, qhov kev pheej hmoo ntawm kev tsim o ntawm cov hlab ntsha tshee nce ntxiv, kev coj ua ib txwm muaj cuam tshuam.
- Hauv cov kab mob, cov concentration ntawm myonositis poob qis, vim tias cov txheej txheem hauv cov metabolism hauv cov hlwb qeeb qeeb. Phosphoinositis kuj tseem raug tso tawm rau hauv cov ntshav, uas ua rau cov haujlwm qis ntawm lub zog metabolism.
Kev faib tawm
Txog rau hnub, kho tus kws kho mob tshwj xeeb cais 3 yam mob ntshav qab zib mob ntshav qab zib. Nws yog ib qho tseem ceeb heev uas yuav tau txiav txim siab txog hom mob tshwj xeeb no txhawm rau kom xaiv cov tshuaj kho tau zoo tshaj plaws. Cov hauv qab no ntau yam uas txawv:
- Generally symmetric polyneuropathy yog ib hom kev mob siab rau uas cov hlab ntaws ua rau muaj kev txom nyem tshaj plaws. Lub xeev ntawm lub cev muaj zog tseem hloov, uas ua rau lub qhov txhab txuas. Tawm tsam keeb kwm ntawm cov txheej txheem xws li pathogenic, hyperglycemic neuropathy yog tsim. Tus mob no yog kho mob, yuav tsum tau soj ntsuam tas li los ntawm tus kws kho mob.
- Autonomic mob ntshav qab zib polyneuropathy - ua haujlwm los ntawm kev ua haujlwm tsis zoo hauv kev ua haujlwm ntawm cov neeg coob ntawm cov hlab ntaws. Vim tias qhov no, tag nrho cov khoom nruab nrog sab hauv tuaj yeem cuam tshuam. Yuav tsum muaj kev kawm kom ntxaws, kev kho mob feem ntau yog siv sijhawm ntev.
- Focal diabetic polyneuropathy yog ib pawg kab mob ntawm cov hlab ntsha tsis sib haum xeeb hauv ntau cov tsos mob tshwm sim. Feem ntau cov feem ntau, kab mob neuropathy tau tsim, nws yog qhov ntau ntawm cov neeg laus uas muaj teeb meem ntawm lub plab zom mov. Paresthesia kuj tseem tuaj yeem tshwm sim - ua txhaum ntawm lub rhiab heev ntawm qhov kawg ntawm cov hlab, vim qhov uas ib tug neeg hnov lub cev tas li, txhaws qa thiab lwm yam kev ua rau pom tseeb.
Kev kuaj mob
Kev kuaj mob ntshav qab zib polyneuropathy yog qhov yooj yim heev. Nrog rau txoj kev haum, nws yuav muaj peev xwm txiav txim siab tus kab mob no cia nrog kev pab los ntawm ntau cov kev tshawb fawb. Txawm li cas los xij, txhawm rau txiav txim siab txog kev kho mob uas tsim nyog dua, tus kws kho mob yuav soj ntsuam kev ncua ntev ntawm tus neeg mob. Nws yog qhov tseem ceeb heev los txiav txim siab qhov ntau ntawm kev puas tsuaj, lawv siv thiab qhov loj. Ua ntej txhua yam, tus kws kho mob ua qhov kev soj ntsuam sab nraud, nws suav nrog qhov ntsuas ntawm:
- Cov tsos ntawm qis qis dua;
- Kev txhaj tshuaj ntawm cov pob txha femoral;
- Kev mob ntawm daim tawv nqaij.
Tom qab qhov no, tus neeg mob mus rau ib qho ultrasound thiab ECG ntawm lub plawv, ib qho kev kuaj ntshav dav dav rau lipoproteins thiab roj (cholesterol). Tom qab ntawd, tus kws kho mob ntsuas theem ntshav siab thiab ua thawj zaug teem tseg rau kev kho tshuaj. Tom qab, tus neeg mob xa mus rau qhov kuaj sim, uas suav nrog cov ntsiab lus ntawm:
- Cov ntsiab lus qabzib;
- Glycated hemoglobin qib;
- C theem peptide;
- Cov tshuaj insulin ntau.
Cov hau kev kho
Nrog rau kev tshaj lij thiab kev ua ke mus kom ze, kom tshem tau cov mob ntshav qab zib polyneuropathy yuav ua tau sai heev. Noj ntau cov tshuaj yuav pab rov ua kom koj qhov kev xav tau zoo thiab kev coj ua zoo rau koj cov paj hlwb kawg. Kev kho mob suav nrog kev siv:
- Vitamin complexes - lawv pab txhim kho kev ua zoo ntawm cov hlab ntaws, tiv thaiv qhov tsis zoo ntawm cov piam thaj tsis tas. Qhov txiaj ntsig zoo tshaj plaws tau tshwm sim ua ke nrog kev xaiv cov khoom noj zoo.
- Alpha-lipoic acid - tiv thaiv kev tsub zuj zuj ntawm cov piam thaj los ntawm cov leeg txoj hlab, rov qab cov hlwb ua kom puas, ua haujlwm ntawm cov enzymes uas tau txais txiaj ntsig zoo. Feem ntau, Tiogamma, Berlition, Thioctacid, Espalipon raug kho.
- Actovegin - cov cuab yeej uas ua kom cov ntshav qabzib tawm ntawm lub cev, rov qab kho cov ntshav kev, tiv thaiv cov hlab ntsha ntawm kev tuag.
- Cov tshuaj pleev xim - pab tshem tawm ntawm qhov tsis xis nyob los ntawm cov mob ntshav qab zib polyneuropathy. Feem ntau cov feem ntau, Ketanov, Ibuprofen, Diclofenac tau kho.
- Aldose reductase inhibitors - pab tshem tawm cov piam thaj hauv lub cev, pab ua kom txoj haujlwm ua haujlwm ntawm qhov kawg. Cov tshuaj uas nrov tshaj plaws yog Izodibut thiab Epalrestat.
- Tshuaj tua kab mob - yog kws kho mob rau cov mob ntshav qab zib polyneuropathy yog qhov nyuaj los ntawm cov kab mob los yog kev kis mob.
- Cov poov tshuaj thiab calcium - rov qab ua haujlwm ntawm cov hlab plawv, daws kev chua leeg thiab loog.
Cov txheej txheem siv lub cev ua haujlwm
Rau txoj kev kho mob zoo dua rau cov mob ntshav qab zib polyneuropathy, cov kws kho mob feem ntau sau ntawv cov txheej txheem ntawm lub cev. Feem ntau, kev ua kom zoo nkauj tam sim no, kev kho hluav taws xob, kev siv tshuaj electrophoresis, kev siv hluav taws xob, kev kho kom lub cev, kev tso pa tawm, kho mob acupuncture thiab ntau dua li tau hais tseg. Nrog lawv cov kev pab, nws yog qhov ua tau sai sai rau kev tsim tsa hauv kev sib txuas ntawm cov leeg. Kuj, txhawm rau kom rov ua kom rov qab, txha caj qaum tuaj yeem ua tau. Cov txheej txheem kho lub cev yog ib txwm coj los ua ke nrog kev kho tshuaj.
Kev kho mob rau cov mob ntshav qab zib polyneuropathy yuav tsum muaj kev tawm los ua ke. Nws yog ib qho tseem ceeb heev uas txoj kev kho tau tsuas yog los ntawm kev paub txog tus kws kho mob tau kawm dhau los. Nws yuav xaiv rau koj xws li cov tshuaj uas yuav tsis tso cai tshwm sim ntawm cov kev mob tshwm sim.
Nws tsis pom zoo rau kev haus tshuaj rau tus kheej, uas tuaj yeem ua rau muaj kev mob hnyav. Qhov nruab nrab, lub sijhawm siv tshuaj kho mob tuaj yeem siv sijhawm ntau lub hlis lossis ntau dua. Hauv txhua kis, ib tus neeg mus kom ze yog qhov tseem ceeb.
Huab Cua
Kev ntsuas mob ntshav qab zib ua raws li kev puas tsuaj ntawm kev puas tsuaj. Qhov me me nws yog, qhov siab dua yog kev cia siab rau kev tswj hwm lub cev muaj zog thiab kev hnov mob. Ib qho txiaj ntsig tau hais tias tuaj yeem xav tau yog tias:
- Mob taub hau tshwm sim tsawg dua 6 lub hlis dhau los;
- Lwm yam kev mob tshwm sim tsis tuaj lossis ua ntu zus;
- Cov piam thaj nyob ntawm theem ib txwm;
- Qhov tshwm sim ntawm ntshav qab zib polyneuropathy sawv tom qab surges hauv qabzib hauv qib.
Hauv lwm qhov xwm txheej, chav kawm ntawm tus kab mob tuaj yeem raug txiav txim siab tias qhov tsis zoo. Nws tsis tuaj yeem ua kom tiav kom tshem tau cov mob ntshav qab zib polyneuropathy, tab sis tus kws kho mob yuav ua txhua yam ua tau kom nres qhov tsis txaus siab tshwm sim ntawm tus kab mob.
Nrog txoj kev sib txuam, nws yuav muaj peev xwm kom tshem tawm cov cim tseg ntawm tus mob ntshav qab zib polyneuropathy thiab rov ua lub neej paub.
Kev Tiv Thaiv
Thawj txoj kev tiv thaiv los tiv thaiv kev txhim kho mob ntshav qab zib polyneuropathy yuav tsum pib tam sim ntawd tom qab kuaj mob ntshav qab zib. Nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas cov ntshav qabzib hauv cov ntshav, koj yuav tsum ua txhua yam kom ua tau li qub. Kuj kuaj koj cov glycated hemoglobin qib xwm yeem. Kev tiv thaiv kev tiv thaiv los tiv thaiv kev txhim kho mob ntshav qab zib polyneuropathy muaj xws li:
- Cov khoom noj kom zoo thiab sib npaug, uas koj tuaj yeem nqa cov suab thaj kom rov qab zoo li qub;
- Kev ua neej nquag, kev ntaus pob ncaws pob, uas pab ua kom muaj kev daig hauv qhov qis;
- Ua tau tshwj xeeb kev qoj ib ce;
- Ua cov txheej txheem ntawm lub cev kev kho mob uas kho cov ntshav ncig;
- Tsis kam haus dej haus cawv thiab haus luam yeeb;
- Txais tos ntawm cov vitamins complex uas ua kom lub cev muaj peev xwm tiv thaiv kab mob;
- Tu kom zoo rau cov nqaj qis;
- Kev mus ntsib kws kho mob tas li los kuaj xyuas qee qhov txawv txav hauv thawj theem.
Mob ntshav qab zib polyneuropathy yog ib qho mob uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem hauv cov hlab ntsha vim muaj cov ntshav qab zib ntau ntxiv. Vim tias cov piam thaj hauv lub cev, lub xeev ntawm cov hlab ntsha ntawm lub ntsej muag yog qhov txawv txav, uas yog vim li cas lawv cov kev hloov pauv tshwm sim.
Cov neeg muaj mob ntshav qab zib yuav tsum ua tib zoo saib xyuas lawv lub xeev kev noj qab haus huv. Thaum thawj cov cim qhia txog kev puas tsuaj rau cov qis dua tshwm sim, koj yuav tsum hu rau koj tus kws kho mob sai. Nrog rau txoj kev kho kom zoo, nws muaj peev xwm los kho tus kab mob no hauv 6-20 lub hlis.
