Ofaya daga cikin rikice-rikice na yau da kullum na ciwon sukari shine polyneuropathy. Alamominsa suna da alaƙa da cututtukan da ke tattare da glukt zuwa jini. Mutuwar ƙwayoyin jijiya na haifar da asarar hankalin ƙafafun kafa da haɓakar lahani na mara fata.
Alamar farko ta ƙananan ƙwayar jijiya na iya kasancewa korafi cewa ƙafafun haƙuri sun daskare, ciwo da ƙyallen suna bayyana da daddare, kuma yatsun sun zama haske.
Yayinda ciwon sukari ke ci gaba, siffofin kamuwa da cutar siga, wanda a cikin manyan lokuta yakan haifar da yanke sassan.
Sanadin ciwon sukari a cikin kafafu
Tasirin lalacewar glucose a cikin tasoshin jini an bayyana shi a cikin ci gaban angiopathy. Canjin yanayin canzawar sautin jijiyoyin bugun gini, da ganuwar jijiyoyi suna yin kauri, kwararar jinni yana raguwa, kuma yawan danko zai haifar da samuwar kwayar cutar jini da jini. Abincin narkewa yana da damuwa, wanda ke haifar da ciwo na ischemic, jinkirin warkar da raunuka tare da raunin da ya faru.
Fiburorin jijiya a cikin ciwon sukari sun lalace duka biyu saboda wadataccen jini, kuma a ƙarƙashin rinjayar sorbitol, wanda aka kafa a cikin tantanin in babu isasshen glucose. Theara yawan matakan radicals masu ratsa jiki waɗanda suka biyo bayan cutar sankara kuma suna lalata tsarin ƙwayar jijiya.
Sakamakon haka, ana keta duk nau'in hankalin hankali - zuwa sanyi, zafi, zafi, rawar jiki, taɓawa. A lokaci guda, ƙananan raunin na iya tafiya a hankali, kuma daga baya lahani na gurbata suna wuri, waɗanda ba su warkar da dogon lokaci kuma suna iya kamuwa da cuta.
Bayyanar cututtukan cututtukan cututtukan zuciya na neuropathy
Yin gunaguni na marasa lafiya cewa ƙafafunsu suna daskarewa duk tsawon lokacin, Ba zan iya dumama ƙafafuna ba har ma da safa mai ɗumi, ƙafafuna ya zama shuɗi, ma'ana ga marasa lafiya tare da polyneuropathy. A lokaci guda, jin zafi da kunbura, jin jijiyoyin tururuwa suna haɗuwa. Da farko, yatsun sun dame, sannan aikin ya bazu zuwa ƙafar, kashi na ƙananan ƙafa.
Tare da wadatarwar jini, damuwa kafafu ba kawai a cikin hunturu ba, har ma a lokacin dumi, marasa lafiya sun lura cewa ciwo na faruwa lokacin tafiya: Ba zan iya tafiya na dogon lokaci ba, Dole ne in dakatar da sau da yawa. Bayan an huta, zafin zai tafi. A kan bincike, fatar kan kafafu kan tazarar fata ce, tare da laushi mai ɗanɗano. Lokacin da zazzage ƙwanƙwasa a kan jijiyoyin kafafu, yana da wuya a tantance ko ba ya nan.
A gaban microtraumas na ƙafa, ciwon sukari na iya haifar da haifar da cututtukan cututtukan trophic, waɗanda suke da wuyar magani. Irin waɗannan rikice-rikice halaye ne na uncompensated hanya na ciwon sukari, musamman a hade tare da atherosclerosis ko shafewa endarteritis.
Sakamakon rauni na tsoffin ƙwayoyin jijiya, marasa lafiya suna koka da raguwa a cikin jijiyoyi: ƙafafuna sun yi auduga, ba na jin zafi da sanyi, ba na jin zafi tare da yankan, kuma taɓa bargo na iya haifar da ciwo. Rashin hankali shine sifar nau'in "safa" ko "safofin hannu", kuma a lokuta mawuyacin hali na iya shafar fatar ciki da kirji.
A kan bincike, an lura da alamun masu zuwa:
- Fata na ƙafafu shine launi da aka saba.
- Warman ƙafa dumi ga taɓawa.
- A wuraren matsanancin matsin lamba da hulɗa da takalma, fatar ta yi kauri.
- Ragewar artery al'ada ce.
Gunaguni game da gaskiyar cewa ƙafafun na iya jin sanyi ko ƙoshin ƙafafu suna da wahala, a zahiri ba abin da ya faru.
Jiyya na yanki neuropathy na yanki
Abin da za a yi idan yatsan ya zama shuɗi tare da ciwon sukari kuma wane magani ya fi tasiri - irin waɗannan tambayoyin suna tashi a cikin marasa lafiya tare da bayyanar alamun bayyanar cututtuka na polyneuropathy mafi yawan lokuta. Don amfani da kowane nau'in magani don rikitarwa na ciwon sukari, dole ne a fara rage hyperglycemia.
Idan mai haƙuri ya ɗauki magunguna don ciwon sukari na 2, to, ana kara magani tare da allurar insulin ko kuma ya canza shi gaba daya. A sakamakon haka, dole ne a sami cikakken biyan diyya na hyperglycemia, hypercholesterolemia da kuma karfafa karfin hawan jini a matakin 130/80 mm Hg. Art.
A saboda wannan, tare da nau'in ciwon sukari na 1 na mellitus, ana amfani da tsarin insulin na ƙara ƙarfi: ana tsara mai haƙuri yana tsawaita aikin-insulin sau-biyu sau biyu a rana, da mintuna 30 kafin abinci, gajerun insulins sau 3 a rana, kuma mafi yawan lokuta idan ya cancanta.
Don kula da jin zafi tare da polyneuropathy, yana da farko Dole a dawo da microcirculation da aikin jijiyoyin jijiya. Actovegin an kafa shi sosai azaman irin wannan magani. Babban tasirin warkewa:
- Inganta sha da oxygen da glucose ta kyallen.
- Productionara yawan samar da makamashi a cikin tantanin halitta.
- Bugun jini na jijiyoyin bugun gini
- Mayar da bayarda jini zuwa kyallen kayan da suka lalace.
- Jin zafi.
- Farfaɗowar jijiyoyin jiki da kuma raunin jijiya.
Baya ga Actovegin, alpha-lipoic acid, bitamin B, maganin antioxidants, ATP, da magungunan nootropic ana amfani da su don dawo da hanyoyin metabolism a cikin ƙananan ƙarshen. Jiyya yawanci yana da tsawo, bayan sati-2-3 na allura, suna canzawa zuwa aikin kulawa tare da allunan, har zuwa watanni 2-4.
Magunguna waɗanda ake amfani da su don maganin polyneuropathy na ciwon sukari: Espa-Lipon, Thiogamma, Berlition, Milgamma, Neurobion, Trigamma, Neurobeks.
Cire ciwo na ciwo tare da polyneuropathy babban aiki ne mai wahala, tunda babu wani sakamako daga amfani da magungunan jinya na al'ada. Sabili da haka, ana amfani da maganin antidepressants da anticonvulsants. Magungunan rigakafin ƙwayoyin cuta na Tricyclic suna da tasirin analgesic na tsakiya, suna aiki akan adrenaline da masu karɓar maganin ሂimin.
Abubuwan da aka fi amfani dasu sune amitriptyline da imipramine. Contraindications zuwa ga rubutattun magunguna sune tsufa da cututtukan zuciya. A irin wa annan halayen, ana wajabta lafiyar venlafaxine da fluoxetine, amma tasirin analgesic din ba shi da cikakkiyar sanarwa.
Anticonvulsants yana toshe abubuwan jin zafi. Ana amfani da magungunan masu zuwa:
- Carbamazepine: Finlepsin, Zeptol, Tegretol.
- Oxcarbazepine: Trileptal, Oxapine.
- Gabapentin: Gabagamma, Neurontin, Tebantin.
- Pregabalin: Lyrics.
Don amfani da Topical, magani tare da cire barkono, Capsicam, an bada shawarar, yana ƙarfafa sakin mai matsakaici na jin zafi, yana rage ajiyar ajiyar sa, wanda ke haifar da hanawa game da watsa abubuwan jin zafi. Ana nuna tasirin sakamako a cikin ƙonewa da ƙonewar fata. Contraindicated a na kullum venous insufficiency.
Don maganin sa barci na gida, ana kuma amfani da magungunan da ke ɗauke da lidocaine - facin ko maganin shafawa na Versatis, Lidocaine aerosol. Don taimaka jin zafi, ba da shawarar amfani da damfara mai dumin dumama ko murfin dumama, saboda akwai haɗarin ƙone-ƙere na zafi a kan tushen rage zafin ji na zafin jiki.
Yin amfani da Tramadol ya barata ne idan babu tasirin sauran hanyoyin magani, tunda ana nuna manyan magunguna don rage jin zafi a cikin cututtukan ciwon sukari, waɗanda ke jaraba, haɗarin hakan yana ƙaruwa idan kana buƙatar dogon magani.
Daga cikin hanyoyin rashin magunguna da aka yi amfani da su (in babu ma'amala ko rashin yanayin haƙuri):
- Kawancen iska.
- Ammar
- Jiyya Laser.
- Magnetotherapy.
- Daskararru igiyoyi.
- Acupuncture.
- Rage wutar lantarki.
Cutar sankarar cututtukan zuciya
Don hana rikice rikice na ciwon sukari mellitus a cikin hanyar polyneuropathy, ya zama dole don cimma raguwar sukari jini da kwantar da hankali a matakin da aka ba da shawara. Wani muhimmin yanayi shine bin umarni game da abinci mai gina jiki da kuma amfani da magunguna.
Kulawa don sukarin jini ya kamata ya zama kullun, kuma tare da gabatarwar insulin maimaita yayin rana da lokacin bacci. Bugu da kari, ana bada shawara don auna karfin jini sau biyu a rana. Ana yin nazarin abubuwan da ke cikin cholesterol da lipids a cikin jini, da kuma matakan gemoclobin na jini.
Ana buƙatar barin watsi da nicotine da barasa gaba daya, tunda tasirin su yana bayyana ta vasospasm da sakamako mai guba akan ƙwayoyin jijiya. Don rigakafin rauni daga cikin ƙananan ƙarshen, aƙalla minti 20 a rana ya kamata a shiga cikin motsa jiki na warkewa, mafi yawan lokuta yin tafiya. Duk da haka yana da amfani yoga ga masu ciwon sukari da kuma iyo.
Bidiyo a cikin wannan labarin zai yi magana game da magani da rigakafin cutar neuropathy a cikin ciwon sukari.
