Kwayar cutar ciwon sukari - menene kuma yadda ake bi dashi

Kwayar cutar ciwon sikila cuta ce mai mahimmanci, tare da lalata lalacewar tsarin juyayi na gefe. Cutar ita ce rikicewar cutar sankara, alamunta na farko sun bayyana shekaru da yawa bayan kamuwa da cutar sankara. Yana ci gaba a hankali, da farko distal sannan gaɓoɓin sassa na tsarin juyayi yana shiga cikin tsarin ilimin cuta.

An gano polyneuropathy a cikin 70% na marasa lafiya da ciwon sukari kuma, a matsayin mai mulkin, riga a irin wannan matakin lokacin da sau da yawa ba a daidaita aikin jiyya ba. Ba tare da kulawa ba yana haifar da bayyanar ciwo mai raɗaɗi, wasan kwaikwayon ya ɓace. Akwai hadarin mutuwa. Yi la'akari da yadda ake bi da polyneuropathy a cikin ciwon sukari.

Sanadin, pathogenesis na polyneuropathy

Babban dalilin da ke haifar da hanyar neuropathy shine karuwar taro na glucose a cikin jini. Sakamakon shine karuwa a cikin yawan ayyukan hana ƙarfi. Icalwararrun masu tsattsauran ra'ayi suna tarawa a cikin jiki, wanda ke cutar da marasa ƙarfi, suna rushe ayyukansu.

Yawancin sukari mai yawa yana haifar da kunnawa ga ayyukan autoimmune wanda ke lalata ƙwayar jijiya. Yawan tarawar glucose yana haifar da damuwa a cikin osmolarity na sararin samaniya, kyallenwar jijiya tayi, aiki a tsakanin sel ya rikice. Edarfafawar ƙwayoyin jijiyoyin ƙwayar jijiya suna raguwa. Rashin daidaituwa na jiki yana rage yawan ƙarfin metabolism, motsa hanyar motsa jiki ya karu. Thearshen ƙwayoyin jijiya suna fuskantar matsalar hypoxia (yunwar oxygen).

Abubuwan da ke haifar da haɓaka ci gaban neuropathy:

• Tsawon lokaci na ciwon sukari;
• Shekarun ci gaba;
• Kasancewar munanan halaye;
• Cutar ciki tare da mahallin kemikal, kwayoyi.

Ilimin ƙwaƙwalwar ƙwayar cuta na iya haɓakawa daga asalin cututtukan cututtukan:

• Ischemia
• M neoplasms mara nauyi;
• Hypothyroidism;
• Cirrhosis;
• Uremia.

Rarrabawa

Dangane da wani ɓangare na tsarin juyayi ya lalace, ana bambanta nau'ikan polyneuropathy:

1. Tsayayyar. An gano shi ta hanyar lalata tsarin gabobin mutum ko tsarinsa. Haka kuma an kasu kashi da yawa:

• Cardiac
• Gastrointestinal;
• Numfashi
• Urogenital.

2. Somatic. Tare da wannan tsari, cutar ta shafi jiki baki daya.

Dangane da fassarar raunuka, nau'ikan nau'ikan neuropathy an bambanta su:

1. Abin sa hankali. Hankalin mai haƙuri ga mai sa haushi zai ragu.
2. Mota. Aikin mai rauni.
3. Distal (sensorimotor) nau'i. Cutar ta hada alamu na 1 da na 2.

Mafi sau da yawa, m, na ciwon kai, mai ciwon sukari, distal polyneuropathy (nau'i mai hade) ana gano shi.

Kwayar cutar

'Yan uwan ​​raunin jijiyoyin jiki suna tsokanar farkon alamun cututtukan ciwon sukari. Bayyanar cututtukan cutar sun dogara ne akan jijiyoyin jijiya waɗanda ke cikin aikin: ƙarami ko babba. A farkon lamari, mai haƙuri:

• Yatsun hannu yan dama ne (karami, babba);
• Akwai abin mamaki, mai nutsuwa;
• Fatar ta zama mara saukin kai ga yanayin zafi mai tsayi da mara nauyi;
• Fatar ƙafafun ƙafafun ta zama ja;
• Hannu da ƙafafun daskarewa;
• Swan ƙafa, gumi mai nauyi;
• Fatar kan kafafu tayi takatse, ta bushe;
• A cikin dare, jin zafi yana bayyana a gabar jiki;
• Kiran kira, fashewar bakin ciki yayi kafafu.

Idan ana fuskantar manyan ƙwayoyin jijiya, alamun cutar za su kasance kamar haka:

• Rashin daidaituwa yayin damuwa;
• Damuwa game da ciwon haɗin gwiwa;
• Fata na ƙananan ƙarshen ya zama mafi hankali;
• Tare da taɓawa, haske ya bayyana;
• Ana lura da rashin hankali game da motsi na yatsa.

Bugu da kari, polyneuropathy yana tare da abubuwan da ba a bayyana ba. Wadannan sun hada da:

• Rashin hanji;
• Rashin rauni na tsoka;
• Dizziness
• Rashin hankalin magana;
• Rashin gani.

Yi la'akari da alamun halayyar waɗannan siffofin polyneuropathy waɗanda aka gano mafi yawan lokuta. Tare da raunuka na tsarin juyayi na autonomic (tsari mai cin gashin kansa), aikin narkewa yana ƙaruwa, tsananin rauni ya bayyana. Idan mutum ya tashi, duhu yayi duhu a idanun sa, yana iya kasawa. Tare da wannan nau'in neuropathy, akwai babban haɗarin kamuwa da cututtukan ƙwayar cuta. Rashin nutsuwa wani lokacin yakan haifar da mutuwa kwatsam.

Polyneuropathy na ciwon sukari yawanci yakan shafi ƙananan ƙafa, ƙananan na saurin rauni. Akwai matakai guda 3 na cigaban cigaban ilimin:

1. Subclinical. Babu wani gunaguni na musamman, kawai yanayin jijiyoyin jiki suna jin zafi, ƙarancin zafi da ƙasa yana raguwa.
2. Asibiti. Marasa lafiya suna koka game da jin zafi a sassa daban daban na jiki, ƙarancin ƙafa, da haɓaka yanayin jijiyoyin jiki. Tare da ci gaba na gaba, tsari mai ƙarfi, ƙonewa, da zafi suna bayyana. A dare, alamu na kara tsananta. Akwai wani nau'in rashin jin daɗi, ana kwatanta shi da: ƙarancin ƙafa, ƙetare ƙetaren ji na jijiya, rauni na tsoka, aiki mai rauni.
3. Tashin hankali Ulcers suna fitowa akan kafafu, a cikin wasu suna tare da raɗaɗi mai raɗaɗi. Wata cuta a wannan matakin na iya tsokani cigaban gangrene, sannan aka yanke shawara game da yanke.

Cutar alamar azaba yakan bayyana da dare. Wannan nau'in ana nuna shi ta hanyar paresthesia m. Ana nuna su ta hanyar jin magana, bayyanar "kumburin bugun", tartsatsi.

Hakanan likitocin sun bambanta tsakanin alamun kirki da marasa kyau na polyneuropathy na ciwon sukari. Tabbatacce ya bayyana a farkon matakan, sun haɗa da:

1. Ingonawa (a kan reshe na 1 ko a jiki gaba ɗaya). Mafi yawan sananne idan mutum yana da nutsuwa kamar yadda zai yiwu, haka kuma da dare.
2. Sharp jin zafi a cikin makogwaro, ciki, a cikin dama hypochondrium.
3. Ciwon baya, makamancin wutar lantarki.
4. Abun jin daɗi (allodynia) tare da taɓawar haske.
5. Rashin hankali ga zafin kowane tsananin.

Bayyanar cututtuka:

• Mutuwar wata gabar jiki;
• Jin zafi tare da kowane motsi na kafafu, makamai;
• Tingling;
• Numbness na wata gabar jiki.

Ayyukan kayan aikin vestibular ba shi da kyau, mara lafiya yana da tsayayyen kwanciyar hankali lokacin tafiya. Bayyanar alamun bayyanar cututtuka suna nuna farkon ɓata lokaci na cutar, lokacin da canje-canjen suka zama marasa juyawa.

Binciko

Tare da tuhuma na polyneuropathy, kuna buƙatar tuntuɓar endocrinologist, neurologist, likita mai fiɗa. An gano cutar ne bisa koke-koke, bincike na mara lafiya da kuma sakamakon bincike da kayan aiki. Yanayin da aka ƙididdige, ji na hannu, da reflexes. Karatun dakin gwaje-gwaje sun hada da ma'anar:

• Matsayi na cholesterol;
• Adadin sukari a cikin jini, fitsari;
• Glycosylated haemoglobin, C-peptide;
• Matakan insulin na jini.

Bugu da ƙari, ana yin ECG, ana yin gwajin duban dan tayi, electroneuromyography, da MRI.

Jiyya

Tare da ganewar asali, isasshen magani na polyneuropathy a farkon matakan, hangen nesa don murmurewa zai zama tabbatacce a yawancin marasa lafiya.

Wani muhimmin yanayin shine kula da sukari na jini.

Kulawa da cututtukan cututtukan cututtukan ƙwayar cuta daga cikin ƙananan ƙananan hadaddun abu ne, ya zama dole don tasiri cikin abubuwan da ke haifar da alamun cutar. Ayyukan warkewa sun haɗa da:

1. Ana cire karin glucose daga ƙwayar jijiya, gyaran sel da suka lalace tare da taimakon alpha-lipoic acid. Abinda ke tattare da maganin antioxidants, yana cikin tafiyar matakai na rayuwa. Alpha-lipoic acid yana magance tasirin tsattsauran ra'ayi, yana inganta rushewar glucose, yana motsa hanyoyin tafiyar da sufuri.
2. Sake dawo da tsarin wucewar abubuwa, da rage mummunan tasirin sukari a jikin jijiyoyin. Don wannan dalili, an wajabta mai haƙuri bitamin B, wanda ya cutar da lafiyar yanayin jijiyoyin tsakiya da tsarin musculoskeletal. Vitamin E yana da amfani wajen magance mummunan tasirin tasirin glucose a jikin neurons.
3. Mayar da metabolism na al'ada a cikin ƙwayoyin jijiya ta hanyar shan magungunan antioxidant. Ana ba da kyakkyawan sakamako na Actovegin, wanda ba ya haifar da sakamako masu illa. Kayan aiki yana da sakamako na antihypoxic, yana da tasiri sosai a kan sha da kuma amfani da iskar oxygen. Magungunan yana nuna sakamako mai kama da insulin, tunda yana inganta matakan hadawan abu da iskar shaka, jigilar glucose. Aaukar Actovegin zai ba ku damar sake cika taskokin kuzarin a cikin abubuwan neurons.
4. Rage tsarin aiwatar da kwayar glucose, rage tasirinsa mara kyau a kan tsarin tsarin juyayi ta hanyar shan magungunan hana maye gurbin (maganin Oldodaza, Isodibut, Sorbinyl). Magunguna suna rage bayyanar cututtukan neuropathy: kawar da alamar jin zafi, dawo da jijiyoyin ƙwallon ƙafa, hanzarta warkar da raunuka.
5. Taimakawa da alamar jin zafi ta hanyar magungunan anti-steroidal anti-inflammatory (Diclofenac, Ibuprofen).
6. Cire numbness, kamawa tare da magunguna, wanda ya haɗa da potassium, alli, magnesium.
7. Lokacin da raunuka suka bayyana a kan wata gabar jiki, an tsara hanyar maganin rigakafi, wakilai na warkar da rauni na gida.

Don haɓaka tasiri na jiyya, amfani da magunguna ya kamata a haɗe tare da hanyoyin da ba magunguna ba. Don haɓaka keɓaɓɓen jini da kuma kula da sautin tsoka, an wajabta physiotherapy ga mai haƙuri (electrophoresis, magnetotherapy). An dawo da aikin motar ƙananan ƙarshen tare da taimakon ta hanyar warkewa, acupuncture.

Kyakkyawan sakamako shine yin iyo, motsa jiki. Yi motsa jiki kullun, tsawon mintuna 10-20.

An ba da shawarar yin ɗumi ƙafafunku da safa mai ɗorewa, lura cewa saboda wannan dalili ba za ku iya amfani da matattarar dumama, wanka na ƙafa ba.

Magungunan ganye

Baya ga matakan warkewa wanda likita ya tsara, ana iya bi da ku da maganin gargajiya. Magunguna na ganye zai taimaka rage yawan bayyanar cututtuka.

Normalize matakan sukari ta amfani da kayan ado, wanda ya haɗa:

• Peppermint - 30 g;
• Masara stigmas - 60 g;
• Galega (akuya) - 100 g;
• Bean Sash - 100 g.

Zuba tebur 6. l 1ara 1 lita na ruwan zãfi kuma saka a kan zafi kadan domin 5 da minti. Kafin amfani, zartar da broth kuma kai kafin abinci. Kyautar guda shine 100 ml.

Don samar da abubuwa masu narkewar abinci mai gina jiki, ɗaukar bitamin a kullun. Kuna buƙatar:

• Kefir - 1 tbsp .;
• Tsarin Sunflower - 2 tebur. l.;
• Faski - dandana.

Kwasfa da sara da sunflower, ƙara a kefir. Gara ganye da Mix. Sha wani hadaddiyar giyar na 1 p / Rana rabin sa'a kafin karin kumallo (a kan komai a ciki).

Clove (yaji) yana da kyakkyawan tasirin antioxidant. Don shirya jiko zaka buƙaci:

• Clove - 30-35 g;
• Ruwa - 3 tbsp.

Niƙa da kayan ƙanshi, a zuba a thermos. Zuba ruwan zãfi, bar awa 2. Yi amfani da jiko 3 r. / Day.

Singleaya daga cikin adadin zai zama 1⁄4 tbsp. Tsawon lokacin karatun shine makonni 2. Maimaita a cikin kwanaki 10.

Don dawo da hankalin mai karɓar masu karɓa, zaku iya yi shafe tare da yumɓu mai shuɗi. Tsarma shi da ruwa, daidaito ya yi kama da kirim mai tsami. Aiwatar da wuraren da ake jin zafi, bar don bushewa. Yawan amfani - makonni 2.

Tare da nau'in nesa na polyneuropathy, magani na waje wanda aka dogara da jagora zai taimaka. Kuna buƙatar:

• Ledum - 0.5 tbsp .;
• Alkalin tebur (9%) - 0.5 tbsp.

Ya kamata a saka cakuda har tsawon kwana 10. Kafin amfani, tsarma karamin tin tin da ruwa (a cikin rabo 1: 1). Rub da samfurin a cikin kafafunku 3 / Rana.

Massage hannaye da kafafu za'a iya yi da mai wanda aka shirya daga St John's wort. Abun kayan aikin ya hada da:

• Bar, furanni hypericum (sabo) - tebur 3. l;
• Man kayan lambu - 1 tbsp.;
• Ginger (tushe) - 1 tebur. l

Nika St John na wort, zuba mai mai zafi. Bar cikin wuri mai duhu na makonni 3. Iri samfurin, ƙara yankakken ginger tushe. Adana man Hypericum a cikin firiji.

Don inganta metabolism a cikin tsarin jijiya, sha wani jiko na ganye ganye:

• Burdock (tushen);
• Birch (ganye);
• Bedstraw;
• Hops (cones);
• Dattijon baƙar fata (furanni);
• A frat;
• Lasisi (tushe);
• A jerin.

Auki kayan aikin daidai. Sanya alluna 2 a cikin thermos. l Mix, zuba tafasasshen ruwa (4 tbsp.), ajiye shi tsawon awanni 8 (zaku iya tsawan dare). Sha abin sha da rana maimakon shayi. Yawan amfani shine wata 1. Maimaita hanya a cikin kwanaki 10.

Yin rigakafin

Don hana bayyanar polyneuropathy, dole ne a sarrafa sukari. Wasu matakan:

• Yarda da abincin da aka ba da shawarar;
• Yin aikin motsa jiki na ilimin likita;
• Karyatar da munanan halaye;
• Gwada na yau da kullun da likita.

Canje-canje da aka gano lokaci-lokaci na polyneuropathy ana iya juyawa idan aka sami sakamako na dindindin ga masu ciwon sukari.