Polyneuropathy rukuni ne na cututtukan cututtukan jijiyoyin jijiyoyi waɗanda ke faruwa yayin lalata ƙwayoyin jijiya.
Abubuwan da ke haifar da wannan cutar na iya zama daban, amma bayyanar cututtuka na asibiti iri ɗaya ne. Ana nuna su da yanayin rauni na jijiyoyin jiki, isasshen abinci mai gina jiki, canje-canje na ji da jijiyoyin ƙafafu.
Idan muka kwatanta masu ciwon sukari da polyneuropathy na giya, menene kuma yadda suke bayyana, to alama ce ta gama gari zai zama cin zarafin wadatar jini da ciki a ƙarƙashin ikon abubuwan guba - glucose da ethanol.
Dalilai don haɓakar polyneuropathy
Polyneuropathies suna da dabaru daban-daban, kuma suna haɓaka tare da matsanancin yanayi ko raɗaɗɗiyar haɗari ga mummunan haɗari akan ƙwayoyin jijiya. Wannan na iya zama sakamakon illa mai guba ta ƙwayoyin cuta a cikin diphtheria ko ƙwayar cuta a cikin kamuwa da kwayar cutar HIV, raunin da ke cikin, da kuma ciwukan tumo.
Magunguna, gami da Cordaron, Furadonin, Metronidazole da Isoniazid na iya tsoma baki tare da sha'awar jijiyoyi yayin tsawan lokaci.
Neuropathies a cikin cututtukan ƙwayar cuta na iya faruwa duka biyu a karo na biyu - tare da cututtukan ƙwayar cutar hanji, myeloma da cutar huhu, kuma kasance rikicewar ƙwaƙwalwar ƙwayar cuta ga waɗannan cututtuka.
Kwayoyin cutar na yau da kullun suna tsokani irin wannan yanayin:
- Cututtukan autoimmune.
- Rashin lafiyar metabolism - ciwon sukari, amyloidosis, hypothyroidism, rashi na bitamin B12.
- Cututtukan da aka gada.
- Al`amarin
- Rashin wahala.
- Cirrhosis na hanta.
Ga masu ciwon sukari da barasa, ci gaba tare da dogon ƙwarewar cutar da haɓakawa a cikin alamomin asibiti tare da raguwar ciwan glucose ko barasa halayen ne.
Me yasa cututtukan jijiya da cututtukan ƙwayar cuta suna shayar da su?
A cikin ciwon sukari na mellitus, polyneuropathies suna haɓaka tare da lalata lalata jijiyoyi a cikin sashin yanki na jijiya. Irin wannan mutuwar kwayar halitta ba sau da sauyawa ba saboda gyara lalacewar nama a cikin masu ciwon sukari.
Asedara yawan glucose a cikin jini wanda yake yaduwa yana haifar da ɗaukar katangar tasoshin jijiyoyin jini, ƙarancin ikon aiki, samuwar ƙyallen jini da filaye a jikin bango. Tare da irin wannan ƙarancin abinci mai gina jiki, ƙwayoyin jijiya suna mutuwa, ana maye gurbinsu da ƙwayoyin haɗin haɗin marasa aiki.
An tabbatar da yawan faruwawar cututtukan zuciya a cikin maza masu tsayi. Babban abin da ke tantance tsananin tsananin cutar shine matakin cutar hauhawar jini. Yanayin ba da tsoro ya wuce kima, shan sigari da barasa.
Hadarin cutar malariya na haɓaka tare da dalilai masu zuwa:
- Doguwar hanyar ciwon sukari.
- Hawan jini, canje-canje akai-akai a matakan sukari.
- A cikin tsufa.
Don neuropathy a cikin barasa, mai haifar da ciwo na iya zama hypothermia, kamuwa da cuta, da lalacewar hanta. Ethanol kanta da samfuran ta na rayuwa suna rushe zarurrukan jijiya. Tare da rashi na bitamin B1 (thiamine), alamu na polyneuropathy yana ƙaruwa.
Hypovitaminosis B1 yana faruwa ne tare da rashin isasshen abinci da kuma ƙarancin sha a cikin hanji. Shan giya yana ƙara buƙatar buƙatar thiamine, don haka bayyanannun abubuwan da ke cikin su sun karu. A wannan yanayin, ƙwayar jijiya ta zama mai hankali ga kowane lalacewa.
Barasa yana haifar da wuce haddi mai tsattsauran ra'ayi wanda ke lalata ruhin jijiyoyin, sakamakon wanda hypoxia yake ginawa a cikin jijiyoyin jijiyoyin kuma ana lalata su.
Alamomin cutar sankarar bargo
Rushewar jini, canje-canje a cikin tasirin ƙwayar jijiya a cikin ciwon sukari ya haifar da bambance-bambancen halayen guda uku na ƙananan ƙarshen: neuropathic, ischemic, gauraye.
Neuropathic syndrome ana nuna shi ta hanyar gurbata tunani game da jin zafi, wanda, tare da ƙananan taɓawa, ana jin jijiyoyin rauni, kuma lokacin tafiya ƙwallon ƙafa bai zama ba. Hargitsewa, jin zafi ko jin ƙonewa a ƙafafun na iya faruwa.
Paarancin zafin jiki da azanci mai mahimmanci yana haifar da rauni ga fata. Theunƙun ƙafafun kafafu sun lalace saboda rauni na tsoka da rauni wurin sanya kafafu lokacin tafiya, subluxations faruwa. Fatar ta bushe, kauri, tare da ci gaba da cutar a wurin fasa ko lalacewa, lahani na tasowa.
Wani mahimmin fasali na zabin neuropathic shine kasancewar bugun jini a ƙafafun, fata mai daɗi da kuma samuwar raunuka a cikin ƙasusuwa na metatarsal.
Bambancin ischemic na ci gaban ciwon sikila yana tare da:
- Rashin nasarar arteries da capillaries.
- Yanayin cholesterol da alli a cikin bango na jijiyoyin jiki.
- Samuwar plaques da jini.
- Bango na jijiyoyin jiki suna zama da kauri da kauri.
- Tsarin jini yana raguwa.
Flowara yawan zubar jini a cikin ɗakin mazaunin mazaunin gado da tsinkaye a ciki suna taimakawa ga samuwar edema da basur a cikin fata. Fata ya zama na bakin ciki, mai sauƙin rauni, rauni da raunuka. Alamar ischemia alama ce ta daidaituwa, lokacin da mara lafiya yakamata ya tsaya idan yana tafiya saboda tsananin ciwo a kafafu.
Ana nuna nau'in gauraye ta gajarta jijiyoyin jiki da kuma adiburin hadaddun sunadarai tare da glucose a saman bangarorin articular. Bayyanar cututtuka irin wannan take-taken su ne:
- Magewa a cikin gidajen abinci.
- Raunin jijiyoyin jiki, nakasar haɗin gwiwa da kuma rarrabawar.
- Coldan sanyi sanyi ga taɓawa.
- Fatar ta yi launin ja da launin shuɗi,
- Ulcers suna bayyana a gwiwoyin ko diddige.
Ulcers a cikin mummunan ciwo ya kamu da cutar, wanda zai iya rikitarwa ta hanyar osteomyelitis da tsarin septic, ci gaban ischemia yana haifar da gangrene.
Footafarin mai ciwon sukari shine sanadiyyar gama gari na yanke ƙafa.
Bayyanar cututtuka na prolineuropathy a cikin barasa
Rarraba cikin nau'ikan cututtukan giya da masu ciwon sukari suna da matukar ƙarfi, tunda babu lalacewa ta jiki da tsarin jijiya da jijiyoyin jini. Mafi yawan lokuta ana hade nau'ikan cutar.
Bayyanar cututtuka na asibiti na polyneuropathy na giya ana wakilta su da irin waɗannan syndromes: azanci, motsi, gauraye, atactic.
Ana nunawa jijiyoyin ƙwayaji da ciwon ƙafa, jinƙai, ƙonawa, ƙwanƙwasa ƙafa, jin tsoka. Take hakkin jijiyoyi, gami da kara ko rage zafi da zazzabi halaye ne na nau'in "safa da kwafi." Ana nuna halayen jijiyoyin jiki ta hanyar bayyanar da fata, wucewa gumi.
Tsarin motar yana bayyana:
- Rage raguwar ƙafa ko yatsun kafa.
- Take hakkin juyawa da ƙafa.
- Rashin iya tafiya akan yatsun kafa.
Idan jijiyoyin na peroneal ya shafa, wata '' kafaffen kafaffun kafa '' kafaffun kafa, wanda wuya ne a kara kafa.
Hanyar gaurayawa na faruwa ne a cikin paresis ko gurguntar ƙafa, hannaye, jin zafi, ƙarancin hannu ko ƙafa. Tsokoki na hannaye da hannuwan daskararru. A cikin yankin da abun ya shafa na iya samun karuwa ko rage yawan ji.
Psepheotral pseudotabes, ko kuma tsarin kula da ƙwayar cuta na yau da kullun, yana faruwa ne ta hanyar rikicewar hankali. A cikin marasa lafiya, daidaituwa na motsi da madaukai suna gurbata, kafafu sun ƙage, ji na jiki ya ragu, yayin gwaji, ƙuruƙun gwiwoyin gwiwa da na gwiwa ba su nan.
Da farko, marasa lafiya suna haɓaka rauni na tsoka da kuma rauni a cikin hannu da kafafu, sannan a cikin yanayin fadada paresis ko gurguwa yana tasowa, kuma yanayin jijiyar gani yana cikin rauni.
A cikin matsanancin matakai, tsokoki na numfashi, tsoka mai rauni, wanda ke bayyane ta hanyar rudani da tashin hankali.
Jiyya da rigakafin neuropathy a cikin ciwon sukari
Don bi da neuropathy a cikin marasa lafiya da ciwon sukari, dole ne a tsayar da matakan sukari na jini. Bugu da ƙari, alamomi na hanya mai rama na ciwon sukari sune raguwa a cikin matakin glycated haemoglobin, alamu na metabolism na lipid, gami da cholesterol, da hawan jini.
Ana samun wannan ta hanyar bin abinci da kuma rubabbatar maganin insulin don nau'in ciwon sukari na farko. Hakanan za'a iya tura marasa lafiya masu fama da cutar rashin insulin-insulin na dan lokaci zuwa insulin, idan magunguna don rage sukari a cikin allunan ba za su iya rage shi zuwa matakin da aka ba da shawarar ba.
Bayan al'ada na alamomi na carbohydrate da mai metabolism, raguwa mai yawa a cikin bayyanar cututtukan ƙwayar cutar sankara ta fara a cikin watanni biyu.
Ana gudanar da magani ta hanyar amfani da shirye-shiryen acid na thioctic: Berlition, Thiogamma, Espa-lipon. An nuna hadadden bitamin B - Milgamma don ciwon sukari, Neurobeks Neo, Neurovitan, Neuroorubin.
Don analgesia, ana amfani da magungunan anti-mai kumburi - Indomethacin, Diclofenac, Nimesulide, har da anticonvulsants - Gabalept, Lyrics. Dangane da alamun, ana iya tsara magungunan rigakafi - amitriptyline, clofranil, imipramine, venlafaxine.
Maganin shafawa na cikin gida tare da lidocaine - Versatis ko tare da magungunan anti-steroidal anti-inflammatory marasa amfani - Ketoprofen, Dolgit.
Ana amfani da hanyoyin rashin magunguna don maganin polyneuropathy a cikin ciwon sukari: hyperbaric oxygenation, balneotherapy, electrophoresis, ƙarfafawa tare da igiyoyin zamani, magnetotherapy, electroneurostimulation na rikicewar rikice-rikice. Ana iya tsara su alhalin rashin cututtukan rikitarwa masu wuya.
A cikin lura da ciwo mai ƙoshin ciwo, wanda ba a cire magunguna ba, ana yin motsawar wutan lantarki na kashin baya.
Yin rigakafin haɓakar polyneuropathy shine don sarrafa matakin sukari da daidaitawa da magunguna masu rage sukari. Bugu da ƙari, marasa lafiya da ciwon sukari suna bada shawarar gwaje-gwajen jini na yau da kullun don glycated haemoglobin, renal da hepatic hadaddun, da kuma matakan lipoprotein.
Zai yuwu a hana lalata rukunin jijiyoyin jini da jijiyoyin jijiyoyin da ke ƙarƙashin shawarar da ke gaba:
- Kula da karfin jini a 130/80 domin kar a lalata fitar da jini zuwa ƙwayar da abin ya shafa.
- Cire sukari da farin gari daga abincin, kuma ƙara kayan lambu da samfuran furotin mai ƙamshi.
- Duk wani barasa da shan sigari ya kamata a haramta.
- Yi tafiya na yau da kullun, kula da ayyukan motsa jiki masu dacewa.
- Kula da tsabta da bincika ƙafafun yau da kullun.
Jiyya na polyneuropathy na giya
Don lura da ƙwaƙwalwar ƙwayar cuta ta hanyar ƙwayar cuta, yana da mahimmanci a bar barasa da abinci mai gina jiki, gami da isasshen adadin bitamin da firam na abin da ake ci, da kuma cikakken furotin.
Don maganin likita, aikin electromyostimulation, galvanization da electrophoresis na bitamin, ana amfani da novocaine.
Aiwatar da magnetotherapy, laser therapy, sinusoidally simulated currents, acupuncture. An nuna masu haƙuri suna motsa jiki, tausa, iyo iyo tafiya.
Ana gudanar da magani na maganin cututtukan neuropathy tare da kwayoyi masu zuwa:
- Bitamin B: Milgamma, Neurorubin, Thiamine chloride, Pyridoxine hydrochloride, Cyanocobalamin (cikin jijiya ko intramuscularly).
- Ascorbic acid yana da amfani.
- Pentoxifylline, Trental ko Pentilin, Cytoflavin don inganta microcirculation.
- Actovegin don ciwon sukari don tsayayya da hypoxia.
- Neuromidin don inganta aikin neuromuscular.
- Anesthesia: magungunan anti-inflammatory marasa steroidal Voltaren, Revmoxicam; anticonvulsants - Gabalept, Finlepsin; maganin rigakafi - Anafranil, Venflaxin.
- Magungunan Anticholinesterase don paresis ko ingarma - Neuromidine, Galantamine, Proserin.
An nuna masu maganin hepatoprotectors (Essentiale, Hepabene, Liv) don irin waɗannan marasa lafiya don inganta haɓakar magunguna da kariya daga ƙwayoyin hanta. Hakanan, an samu sakamako mai kyau yayin amfani da kwayoyi tare da maganin thioctic acid - Thiogamma, Espa Lipon, Thioctacid, Berlition.
Menene cututtukan ciwon sukari? Ana ba da bayani game da wannan sabon abu a cikin bidiyon a cikin wannan labarin.
