Chirwere cheshuga neuropathy: chii zvazviri, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• 1. Peripheral neuropathy
• 2. Autonomic neuropathy
• 3. Proximal neuropathy
• 4. Focal neuropathy
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• Maitiro ekudzivirira neuropathy

Dhiyabhorosi neuropathy ndeimwe yematambudziko akakura echirwere cheshuga, anoonekwa nekufambira mberi kwekudzikira kwemitsipa, iyo inogona kudzikisira kunzwisisika kana kukonzera kuoneka kwekurwadziwa mumativi akasiyana emuviri, ichinyanya kuwanda mumativi senge maoko kana tsoka.

Kazhinji, chirwere cheshuga chirwere cheuropathy chinowanzoitika kune vanhu vasingarape zvakakwana chirwere cheshuga, kazhinji zvine huwandu hweshuga yeropa, izvo zvinokonzeresa kukuvara kwenzara.

Iko kusimudzira kweheripheral neuropathy kunogona kunonoka, pasina zviratidzo mumatanho ekutanga, asi nekufamba kwenguva kurwadziwa, kurira, kupisa kutsva kana kurasikirwa kwekunzwa munharaunda yakakanganiswa kunogona kuoneka.

Dhiyabhorosi neuropathy haina mushonga, asi shanduko yayo inogona kudzorwa nekushandiswa kwemishonga kudzikisa huwandu hweshuga yeropa uye kubvisa marwadzo europathiki. Tsvaga zvimwe nezve marapirwo eurouropathic anorapwa.

Zviratidzo zvikuru

Dhiyabhorosi neuropathy inokura zvishoma nezvishoma uye inogona kuenda isingazivikanwe kudzamara zviratidzo zvakanyanya zvikaonekwa. Zviratidzo zvinosiyana maererano nerudzi rweeuropathy:

1. Peripheral neuropathy

Peripheral neuropathy inoratidzirwa nekubatanidzwa kwehutachiona hwemitsipa, iri iro rakajairika rudzi rwechirwere cheshuga neuropathy. Inowanzo tangira kutsoka nemakumbo, ichiteverwa nemaoko nemaoko. Zviratidzo zvinowanzo kuwedzera usiku uye zvinosanganisira:

• Unhu kana kugwinha zvigunwe kana zvigunwe;
• Kuderedzwa kugona kwekunzwa kurwadziwa kana shanduko mukushisa;
• Kutsva kwekunzwa;
• Kurwadziwa kana kurwadziwa;
• Kunzwisisa kukuru kubata;
• Kurasikirwa kwekubata;
• Tsvina kushaya simba;
• Kurasikirwa kwekufungisisa, kunyanya muchitsitsinho chaAchilles;
• Kurasikirwa kwechiyero;
• Kurasikirwa kwekubatana kwemotokari;
• Kuremara uye kurwadziwa kwekubatana.

Uye zvakare, peripheral neuropathy inogona kukonzera zvakakomba tsoka tsoka, senge chirwere cheshuga tsoka, inozivikanwa nemaronda kana hutachiona. Zvirinani unzwisise kuti rutsoka rwechirwere cheshuga chii uye maitiro ekurapa.

2. Autonomic neuropathy

Autonomic neuropathy inokanganisa iyo autonomic nervous system iyo inodzora nhengo dzakasiyana dzinoshanda dzakazvimiririra nechido, senge moyo, dundira, mudumbu, ura, nhengo dzebonde nemaziso.

Zviratidzo zveeuropathy zvinoenderana nenzvimbo yakakanganiswa uye zvinosanganisira:

• Kushaikwa kwezviratidzo zve hypoglycemia, senge kuvhiringidzika, dzungu, nzara, kudedera kana kudzikira kufambisa mota;
• Kuzvimbirwa kana kuita manyoka;
• Kusvotwa, kurutsa, kunetseka kugaya kana kunetseka kumedza;
• Kusangana nekutsi kwemukadzi;
• Kusagadzikana kweErectile;
• Yakawedzera kana yakaderedzwa kugadzirwa kwe sweat;
• Yakadzikira BP iyo inogona kukonzera dzungu kana wakamira;
• Kunzwa kwemoyo unomhanya, kunyangwe kana wakamira wakamira;
• Matambudziko edundira akadai sekuda kuita weti kakawanda kana kuve nechido chinokurumidza kuita weti, kusagadzikana kweweti kana kutapurika kweweti yeturakiti.

Uye zvakare, kuzvionera kweuropathy kunogona kukonzera kuoma mukuona kwekugadzirisa kwechiedza munzvimbo ine rima.

3. Proximal neuropathy

Proximal neuropathy, inonziwo chirwere cheshuga amyotrophy kana radiculopathy, inowanzoitika kune vakwegura uye inogona kukanganisa tsinga muzvidya, chiuno, magaro kana makumbo, kuwedzera padumbu nepachipfuva.

Zviratidzo zvinowanzoitika kune rumwe rutivi rwemuviri, asi zvinogona kupararira kune rumwe rutivi uye zvinosanganisira:

• Kurwadziwa kwakanyanya muhudyu uye chidya kana magaro;
• Marwadzo emudumbu;
• Kushaya simba mumhasuru dzechidya;
• Kunetsekana kusimuka kubva panzvimbo yekugara;
• Kuzvimba mudumbu;
• Kuonda.

Vanhu vane proximal neuropathy vanogona zvakare kunge vane rakadonha kana tsoka flabby, sekunge rutsoka rwakareruka, izvo zvinogona kukonzera kunetsekana kufamba kana kudonha.

4. Focal neuropathy

Focal neuropathy, inonziwo mononeuropathy, inoratidzirwa nekubatanidzwa kweimwe tsinga mumaoko, tsoka, makumbo, trunk kana musoro.

Zviratidzo zvinoenderana nehutano hwakakanganiswa uye zvinosanganisira:

• Kurasikirwa kwekunzwa munzvimbo yenzara yakakanganiswa;
• Kuchenesa kana kuvevesa maoko kana zvigunwe nekuda kwekumanikidza kweiyo ulnar nerve;
• Kushaya simba muruoko rwakakanganiswa, izvo zvinoita kuti zviome kubata zvinhu;
• Kurwadziwa kwekunze kwegumbo kana kushaya simba pachigunwe chikuru, nekuda kwekumanikidza kweiyo yegaoneone.
• Kuoma mitezo kune rumwe rutivi rwechiso, kunonzi kuora mitezo kwaBell;
• Zviratidzo zvekuona senge kunetsekana kutarisa chinhu kana kuona kaviri;
• Kurwadziwa shure kweziso;

Uye zvakare, zvimwe zviratidzo, sekurwadziwa, chiveve, kurira kana kutsva kwekunzwa pachigunwe, munwe wekunongedza uye wepakati munwe, zvinogona kuitika nekuda kwekumanikidza kweiyo median nerve, iyo inopfuura nepamaoko uye inosunungura mawoko, ichiratidza carpal tunnel chirwere. Dzidza zvakawanda nezve Carpal Tunnel Syndrome.

Maitiro ekusimbisa kuongororwa

Kuongororwa kwechirwere cheshuga neuropathy kunoitwa neye endocrinologist uye kunoenderana nezviratidzo nezviratidzo zvinoratidzwa uye nhoroondo yechirwere. Uye zvakare, chiremba anofanira kuita ongororo yemuviri kuti aone kusimba uye mhasuru toni, kuyedza tendon reflex uye kuongorora kunzwisisika kwekubata uye shanduko mukushisa, senge kutonhora uye kupisa.

Chiremba anogona zvakare kuita kana kuraira yakatarwa bvunzo kuti asimbise kuongororwa, senge yekutsvagisa tsinga, iyo inoyera kuti nekukurumidza sei tsinga dzemaoko nemakumbo dzinoitisa masaini emagetsi, electroneuromyography, inoyera kuburitswa kwemagetsi kunogadzirwa mumhasuru, kana kuzvitonga test, iyo inogona kuitwa kuti uone shanduko mukumanikidza kweropa munzvimbo dzakasiyana.

Kurapwa kunoitwa sei

Kurapa kwechirwere cheshuga neuropathy kunofanirwa kutungamirwa neye endocrinologist uye inowanzoitwa kugadzirisa zviratidzo, kudzivirira kunetseka uye kunonoka kufambira mberi kwechirwere.

Kurapa kwechirwere cheshuga neuropathy kunosanganisira mishonga yakadai se:

• Antidiabetics, senge insulin jekiseni kana kutora emuromo antidiabetics kudzora huwandu hweshuga yeropa;
• Anticonvulsants, se pregabalin kana gabapentin kubvisa marwadzo;
• Zvinodzvinyirira, senge amitriptyline, imipramine, duloxetine kana venlafaxine inobatsira kubvisa marwadzo epakati nepakati;
• Opioid analgesics inotorwa nemuromo, senge tramadol, morphine, oxycodone kana methadone, kana chigamba, senge transdermal fentanyl kana transdermal buprenorphine.

Mune zvimwe zviitiko, iyo inodzvinyirira inogona kushandiswa pamwe chete neanticonvulsant kana iyi mishonga inogona kushandiswa nemarwadzo ekudzora kuti ubatsire kudzora marwadzo.

Uye zvakare, pakurapa kwezvinetso zvechirwere cheshuga neuropathy, kutarisirwa nehunyanzvi hwakasiyana kunogona kudikanwa, senge chiremba wezveurapi kurapa matambudziko eurinary, nemishonga inodzora chinoshanda chedundira kana mishonga ye erectile dysfunction, semuenzaniso, kana chiremba wezvemwoyo wekutonga BP uye dzivisa chirwere cheshuga cardiomyopathy. Tsvaga kuti chirwere cheshuga chirwere cheshuga chii uye kuti ungachirapa sei.

Maitiro ekudzivirira neuropathy

Chirwere cheshuga chirwere cheuropathy chinogona kudzivirirwa kana huwandu hweshuga yeropa yakanyatso kudzorwa. Kuti uite izvi, mamwe matanho anosanganisira:

• Kugara uchitevera kurapwa;
• Tarisa mazinga eropa glucose kumba ne glucometers, zvinoenderana nezano rekurapa;
• Kutora mishonga kana kubaya jekiseni insulin, sekurairwa nachiremba;
• Dzidzira mabasa epanyama nguva dzose zvakadai sekufamba kwechiedza, kushambira kana mvura aerobics, semuenzaniso.

Iwe unofanirwawo kudya chikafu chakaringana chinosanganisira yakanaka tambo, mapuroteni nemafuta, uye dzivisa chikafu chine yakawanda shuga yakaita semakuki, zvinwiwa kana makeke. Tarisa uone maitiro ekudya kwechirwere cheshuga.