Daga cikin rikice-rikice na ciwon sukari, ɗayan mai raɗaɗi da wahala mai haƙuri shine polyneuropathy na ciwon sukari. Sakamakon lalacewar jijiya, mai haƙuri yana jin tsoratarwar tsokoki, ƙafar kafafu ko ƙonewa, jin jin magana, ƙoshi mai tsanani, matsanancin zafi na iya faruwa. Wadannan muryoyin marasa amfani da magungunan maye gurbin marasa lafiya da kuma masu sa maye ke iya cire su. A matsayinka na mai mulki, alamu suna ƙaruwa da daddare, a zahiri an hana mara lafiya bacci na al'ada, don haka ɓacin rai, tashin hankali, da rikicewar kwakwalwa suna haɗu da polyneuropathy.
Cututtukan ƙwayar cutar ciwon sukari na kashi ɗaya cikin uku na duk cututtukan neuropathies. Yiwuwar rikitarwa ya dogara da tsawon lokacin ciwon sukari: tare da ƙwarewar shekaru 5, kowane mai haƙuri na bakwai yana kamuwa da cutar neuropathy, rayuwa tare da ciwon sukari na shekaru 30 yana ƙara haɗarin lalacewar jijiya har zuwa 90%.
Mene ne m polyneuropathy
Cuta na carbohydrate metabolism, da kuma sauran iri ciwon sukari mellitus yin mummunan tasiri a kan dukan juyayi tsarin daga kwakwalwa da kuma kawo karshen endings a cikin fata. Lalacewa a cikin tsarin juyayi na tsakiya ana kiran shi mai ciwon sikila mai hanawa, na yanki - neuropathy na cutar sankara.
Ciwon sukari da hauhawar jini zai zama abin da ya wuce
- Normalization na sukari -95%
- Cirewa kan jijiyoyin mara wuya - 70%
- Cire zuciyar mai karfin zuciya -90%
- Rabu da cutar hawan jini - 92%
- Increasearuwar kuzarin rana, inganta bacci da dare -97%
Neuropathy ya kasu kashi biyu:
- shãfe - mai azanci shine disturbances.
- abin hawa - tare da lalacewar jijiyoyi waɗanda ke bauta wa tsokoki;
- ciyawar, lokacin da jijiyoyin da ke yiwa jikin dan Adam suka lalace.
Sensory-motor neuropathy shine mafi yawan nau'ikan, mafi yawan lokuta yakan fara ne a cikin yankuna mafi nisa daga tsarin juyayi na tsakiya, yawanci a cikin ƙananan ƙarshen. Sabili da haka, ana kiran shi distal, daga murhun Latin - laima. Yawancin lokaci, canje-canje yana farawa nan da nan a ƙafafu biyu, suna kuma ci gaba da hankali. Distal Symmetric sensorimotor neuropathy an kira shi "ciwon suga polyneuropathy", dangane da yaduwar cutar tsakanin neuropathies, shi yayi farko, yakai kashi 70% na raunukan jijiya na jijiyoyin jiki.
Saboda haka, m polyneuropathy kira asarar motor zaruruwa na kwarangwal tsokoki, da fata mechanoreceptors agara zafi rabe da ya auku a ciwon sukari zuwa m jiki shafukan.
Lambar ICD-10 - G63.2 E10.4 - E14.4 ya danganta da nau'in ciwon suga.
Polyneuropathy shine ɗayan mahimmancin abubuwan haɓakawa na haɓaka cututtukan ƙafafun mahaifa, wanda aka ƙara kamuwa da cuta ga lalacewar jijiya kuma, sakamakon haka, zurfin rauni mai warkarwa yana haifar da ƙafar ƙafa.
Iri m polyneuropathy
Akwai nau'ikan nau'ikan cututtukan cututtukan mahaifa 3:
- Nau'in taɓawa. Mamaye da lalata m gefe jijiyoyi, wanda su ne jijiya zaruruwa na daban-daban diamita, tattara bayanai game da mu ji da kuma aika da shi zuwa ga kwakwalwa.
- Motor irin. Mugun lalace mota jijiyoyi, wanda ake bukata domin watsa bayanai zuwa tsokoki na bukatar kwangila da kuma shakata.
- Nau'in Cakuda. A cikin jikin, duk jijiyoyi suna aiki tare: masu azanci suna ƙayyade cewa baƙin ƙarfe yana da zafi, masu motoci suna ɗaukar umarni don ja da hannun su don gujewa ƙonawa. Hakanan jijiyoyi suna lalata mafi yawan lokuta a cikin hadaddun, saboda haka ƙwaƙwalwar motsi-motor polyneuropathy shine mafi yawancin.
Sanadin cutar
Haɓaka ƙwayar polyneuropathy kai tsaye ya dogara da matakin glycemia na haƙuri mai haƙuri. An tabbatar da shi a asibiti cewa yayin da masu ciwon sukari ke da yawan sukari a cikin jini, da sauri duk rikitarwa, gami da polyneuropathy, zai ci gaba. Idan glucose na jini ya kasance tabbatacce al'ada, shekaru 15 bayan ciwon sukari, alamun polyneuropathy suna rajista ne kawai a cikin 15% na marasa lafiya, dukansu a cikin tsari mai sauƙi.
Sanadin lalacewar ƙwayar jijiya a cikin hyperglycemia:
- Rashin lafiyar metabolism.
- hyperglycemia na kullum yana tilasta jiki yayi amfani da wasu hanyoyi na amfani da glucose, wanda a ciki akwai tarin sorbitol da fructose, gami da ƙwayoyin jijiya da kewaye. Ya sha wuya jijiya daina kai hare hare, wanda aka kai tsaye da hannu a cikin riwayar hasken dake fitowa.
- glycation jijiya Kwayoyin.
- lalata lalata harsashi ta hanyar tsattsauran ra'ayi;
- karancin myelin a cikin jijiya saboda toshewa da jigilar myoinositol.
- Lalacewar da jini. Microangiopathy na ciwon sukari yana shafar tasoshin da ke ciyar da jijiyoyin gefe.
- Kashi. Wani abu ne dake nuna rashin lafiyar cutar kansa. Akwai shaidu cewa a cikin wasu mutane, jijiyoyi sun lalace shekaru da yawa bayan kamuwa da cutar sankara, yayin da wasu ke rayuwa ba tare da wannan rikice-rikice ba tsawon shekaru, duk da yawan sukari.
- Rashin Tsarin cuta - mafi rashin dalili. Akwai nau'ikan da polyneuropathy za su iya tsokanar su ta hanyar rigakafi don abubuwan ci gaban jijiya wanda jikin mai haƙuri ya haifar.
Rarrabe ãyõyi da cututtuka
Tare da polyneuropathy, ƙwayoyin cuta masu mahimmanci yawanci sune farkon waɗanda ke wahala, to, lalacewar motar zata fara. Mafi yawan lokuta, ana lura da alamun farko a ƙafa, sannan sannu a hankali yada zuwa dukkan ƙananan ƙafa, kama hannaye da hannu, da kuma a cikin manyan lokuta - ciki da kirji.
| Nau'in polyneuropathy | Alamar halayyar mutum |
| azanci shine | Asedara jin hankali, rashin jin daɗi daga taɓawa ta al'ada ko sutura. Goosebumps, numbness, na sama jin zafi a hutawa ba tare da dalili ba. Uncharacteristic dauki wani mai kara kuzari, kamar itching lokacin stroking. A weakening na ji na ƙwarai. Marasa lafiya da ciwon sukari polyneuropathy daina jin saba abubuwa kafin: surface roughness lokacin tafiya m, da zafi na fatar a kan kananan abubuwa. Ikon tantance zazzabi na fata ta fata yana da rauni, yawanci mai zafi yana da alama yana da dumin dumin. |
| Mota | Gajiya tana zuwa da sauri lokacin tafiya, kuma ƙarfin hannayen yana raguwa. Motsi a cikin gidajen abinci yana raguwa, da farko akan yatsun manya da ƙananan, ya zama da wahala a lanƙwasa su kuma daidaita su gaba ɗaya. Gudanar da motsi yana ƙaruwa, ƙwarewar motsa jiki tana wahala, alal misali, ba shi yiwuwa a taɓa allura. A nan gaba, an kara madaidaiciyar ma'ana, rashin kwanciyar hankali a matsayin tsaye, ƙarar tsoka ta ragu. Duk alamu suna da haske bayan hutawa. |
| Motocin abin motsa jiki | Hadadden alamomin da ke sama, a farkon cutar rarrabuwar ƙwayar cuta ta ƙwaƙwalwa. All ãyõyi ake ji mafi alhẽri a dare ko dama bayan tashi mai gidan. |
M distal polyneuropathy
Mafi tsofaffin ƙwayoyin jijiya a jikin mutum suna cikin kafafu. Lalacewa a cikin su a kowane yanki yana nufin asarar aikin jijiya, saboda haka polyneuropathy ne mafi yawan lokuta kusanci, an sanya shi a cikin ƙananan ƙarshen. A mafi muhimmanci canje-canje suna lura a cikin abin da ake kira "sashi na safa" - da ƙafafunsa da wuyan sawunsa. Da farko dai, abin shafawa, zazzabi, sannan jin rauni ya keta zuwa nan.
A nan gaba, canje-canje a cikin tsokoki suna farawa, wanda sakamakon kamannin kafa ya canza - sun tanƙwara kuma sami yatsunsu a kan juna, maɓallin ya faɗi. Fata mai hankali ya zama kyakkyawan manufa ga raunin raunin da ya faru, sakamakon rashin abinci mai gina jiki da kuma samfuran samfuran metabolism, sannu a hankali dakatar da warkarwa, yana haifar da cututtukan trophic. Ciwon cikin gida na dindindin yana lalata kasusuwa. A sakamakon haka, polyneuropathy na nesa na iya juya zuwa gangrene da osteomyelitis tare da asarar iya motsawa daban.
Cututtukan ƙwayar cuta daga cikin ƙananan hanji a matakin farko yana da alamomi kamar suwu, ƙwanƙwasawa, nauyi a ƙafafu da dare, rashin iya taɓa taɓawa, jin sanyi a cikin yatsun, Rage gumi a ƙafa ko, a zahiri, fata kullun rigar, bawo da jan launi a wurare gogayya.
Yadda za a kula da polyneuropathy a cikin marasa lafiya da ciwon sukari
Kulawa da cututtukan ciwon sukari na ƙananan ƙarshen a farkon matakin shine cin nasarar sukarin jini na yau da kullun. An tabbatar da cewa ingantaccen iko na glycemic yana haifar da rikicewar sabon cututtukan neuropathy kuma ana yin buƙatacce don ingantaccen maganin cututtukan cututtukan cututtukan.
Domin daidaita jini glucose matakan a cikin jini Ana buƙatar cikakken kwarewar endocrinologist, wanda zai tsara sabon tsari, zai zaɓi ƙarin magunguna masu inganci. A haƙuri a wannan mataki na bukatar tsananin riko da gwani shawara, wanda a Bugu da kari ga magunguna sun hada da ilimin motsa jiki da kuma muhimmanci da ake ci hani - yawanci daga cikin abinci gaba daya ware azumi carbs.
Jiyya ba tare da kwayoyi
Inganta wurare dabam dabam, sabili da haka da abinci mai gina jiki na kyallen takarda a ƙafafunsa, yana yiwuwa ta hanyar sauki ba-miyagun ƙwayoyi hanyoyin. Sau da yawa a rana kuna buƙatar yin sauƙin kai tausa ƙafafu. Idan fatar ta bushe sosai, to tilas ne a yi amfani da daskararru a lokacin tausa. An hana kwalabe da ruwa mai zafi da baho mai zafi. saboda haɗarin ƙonawa, wanda mai ciwon sukari tare da polyneuropathy bazai iya jin kansa ba, tunda an lalata masu karɓa a saman fata.
A cikin wani hali ya kamata ka iyakance aiki. Tabbatar yin tafiya na dogon lokaci a kowace rana, amma a lokaci guda tabbatar da cewa ƙafafunku ba su yin nauyi.
Don haɓaka wurare dabam dabam na jini, tsari mai sauƙi zaiyi amfani:
- Zauna a kan kujera.
- Bend - unbend yatsun kafa.
- Yi tafiya da ƙafãfu da madauwari motsi a gaban kwatance.
- Ja da safa daga gare ku - zuwa gare ku.
- Mirgine abubuwa zagaye tare da ƙafafunku a kasa - kwallaye, bututu, mai mirgine fil.
A physiotherapy ga zafi taimako za a iya sanya electrophoresis, paraffin baho, ultratonotherapy, Radon da hydrogen sulfide baho.
Amfani da magunguna
| Jagorar jiyya | Shirye-shirye | Sashi da magani |
| Rashin daidaituwa na tsattsauran ra'ayi | Antioxidants, mafi yawan lokuta lipoic acid: Thioctacid, Thiogamma, Neyrolipon. | 600 MG kowace rana. Da farko, cikin intravenally, sannan a baka. Daga makonni 3 zuwa watanni shida. |
| metabolism gyara | Bitamin, musamman rukuni na B: Vitagamma, Milgamma, Neuromultivit. | Makonni 3-5, ana nuna sashi a cikin umarnin. |
| Angioprotectors da masu gyaran wurare: Actovegin | Intravenously zuwa 10 ml a kowace rana - 3 makonni. Da bakin ciki, ɗauki kwamfutar hannu sau uku a rana don aƙalla makonni 6. | |
| Jin zafi | Antidepressants: Amitriptyline. | 10 MG ko mafi girma, da kudi na ba kasa da 2 watanni. |
| Local kafofin watsa labarai: Kapsikam, Finalgon. | Aiwatar kafin lokacin bacci. | |
| Analgesics na tsakiya mataki: Catadolone. | 100-200 MG sau uku a rana. | |
| Opioids: Tramadol. | Kawai kamar yadda likita ya umarce shi. |
Da amfani: Mun sanya jerin bitamin da aka yarda wa masu ciwon sukari da kwatancen su anan - //diabetiya.ru/lechimsya/vitaminy-dlya-diabetikov.html
Shahararren magunguna na jama'a
Babu wata hujja game da tasirin magani na cututtukan cututtukan cututtukan ƙwayar cuta tare da magungunan jama'a, sabili da haka, ana iya ɗaukar irin wannan maganin kawai azaman ƙarin don hanyoyin maganin gargajiya.
Yawan cin abinci 1
Mafi sau da yawa domin lura da ƙafa a ciwon sukari ta amfani da fakitoci na kore ko blue lãka. 100 g daga lãka slurry aka diluted zuwa jihar jiko na chamomile (chamomile sachet bane girkawa kofin ruwa). Ana amfani da Clay a kan fata a cikin ɗan ƙaramin yanayi mai ɗan haske kuma jiran cikakken bushewa. Ana maimaita motsa jiki na yau da kullun don makonni biyu, tare da hutu na tsawon lokaci.
Girke-girke mai lamba 2
Popular girke-girke don rage sugar jama'a magunguna: Take daidai sassa Dandelion tushen, wake shutters, nettle ganye da kuma galega Mix. Buɗe tablespoon na cakuda yau da safe a gilashin ruwa. Sha broth a lokacin.
Yawan cin abinci 3
Clove foda yana da kaddarorin antioxidant. An haɗa shi da ginger da cardamom kuma an bugu da ciwon sukari kamar shayi. Yankin - kwata na rabin kayan abinci guda ɗaya da digo na ruwa.
Yin rigakafin
Don hana polyneuropathy, nan da nan bayan gano ciwon sukari mellitus, dole ne a sake gina rayuwarku gaba ɗaya: sarrafa abinci kuma ku bi abincin NU, kuyi horo, koyon yadda za ku ƙididdige ainihin insulin, kuma da daidaituwa ku magance hyperglycemia. Diyya ciwon sukari rage hadarin da rikitarwa a cikin juyayi tsarin da dama, sau, yana yiwuwa ne kawai tare da aiki matsayi na haƙuri, kuma ta yarda da duk likita prescriptions.
Darussan na yau da kullun na bitamin (multivitamins ko kawai rukunin B) da lipoic acid, motsa jiki, ko kawai salon rayuwa mai aiki zai zama da amfani ga rigakafin cutar ciwon sukari.
Sakamakon sakamako mai guba akan tsarin mai juyayi, a cikin kowane hali ya kamata ku sha barasa. Kwayar cutar siga da giya ta giya a cikin hadaddun sun kara dagula yanayin aikin jiyya, rikice-rikice suna haɓaka da sauri. Bugu da kari, yau da kullum amfani da barasa da ke sa shi ba zai yiwu ba a cimma normoglycemia.
