Ashuga neuropathy: zimayambitsa

Pakali pano, matenda monga shuga imatengedwa waukulu "si opatsirana mliri wa m'ma 21." Ichi ndi chifukwa kuchuluka kwake ndi chilema oyambirira odwala ambiri, komanso ziwawa imfa pakati pawo. Anthu oposa 200 miliyoni padziko lapansi akudwala matenda aakulu, zomwe tithe wachitatu mu imfa pambuyo matenda a mtima ndiponso a khansa. Chaka chilichonse, matenda a shuga akutenga miyoyo anthu oposa mazana atatu ndi zikwi.

Chimodzi mwa mavuto ambiri osauka shuga ndi matenda ashuga polyneuropathy, amene amakhala ndi imfa ya ulusi mitsempha, zikubweretsa chitukuko cha zilonda phazi ndi imfa ya tilinazo. Komanso kukula kwa vuto umenewu umatipatsa angapo limati, kuchepetsa mphamvu mwamuna ndi zingawononge moyo wake.

Mawu akuti "neuropathy" amatanthauza kuwononga mitsempha yomwe amayamba ndi matenda, ndipo mavuto a matenda osiyanasiyana zokhudza zonse. Pamaso pa zotupa angapo a mantha dongosolo zotumphukira n'lakuti "neuropathy", umene ndi matenda a chamoyo wonse. Polyneuropathy chidawoneka dzanzi mu nthambi ndi imfa ya tilinazo, nthawi zambiri pali flaccid ziwalo.

Chapakati mchitidwe ashuga polyneuropathy ndi nkhawa zobwera chifukwa cha okosijeni, amene phindu chifukwa cha kufooka kwa kachitidwe chitetezo antioxidant. Mu shuga akufotokozera hyperglycemia aakulu, kuyambira ziwiya endoneurial magazi kumachitika mapangidwe kwambiri mapulotini glycated, zikubweretsa kuchepa magazi ndi kuonjezera kukana a linga mtima. kusintha amenewa amalimbikitsa kudzikundikira mu mitsempha minofu mpweya ufulu ankafuna kusintha zinthu mopitirira, ndipo motero, pali "mwankhanza bwalo" - kuphwanya endoneurial magazi kumatanthauza mapangidwe ankafuna kusintha zinthu mopitirira kwaulere kuwononga kwambiri kwa endothelium mtima.

Ashuga neuropathy: Zizindikiro.

Pali zingapo zimene mungachite kuti mawonetseredwe matenda a matenda. Mawonetseredwe oyambirira kuti angathe kukhala kwa zaka zambiri, monga kufooka kwa Achilles reflex ndi kugwedera tilinazo. Mu siteji yotsatira ya matenda akuwonetseredwa pachimake ndi subacute kulephera kwa mitsempha munthu ambiri sciatic ndi, femoral, ulnar kapena apakatikati. Komanso, iwo akhoza kukhudzidwa ndi oculomotor, trigeminal ndi abducens. Madandaulo ambiri ali pamaso pa ululu, minofu paresis ndi chisokonezo tilinazo. Komanso mwapang'onopang'ono ashuga neuropathy anaonetsa ululu nthambi chifukwa chiwonongeko kwambiri matenda tcheru mitsempha ndi paresis. Komanso, nthawi zambiri pali chisokonezo wa innervation autonomic. Ndi patsogolo pa matenda zikuchulukirachulukira ululu, m'madera ena khungu akuda chibakuwa, ngakhale wakuda amapezeka kukonzera mitembo kuti isawonongeke zimakhala, zilonda trophic uka, kuyabwa ndi mapindikidwe wa siteji.

Ashuga neuropathy akupezeka 85% odwala ndi shuga, ndi zizindikiro kumachitika zaka zingapo kudziwika a shuga. Nthawi zina matenda ashuga polyneuropathy akhale ndi chizindikiro choyamba a shuga, ndi umboni wake obisika mkati. matenda chifukwa cha kuwonongedwa kwa manyuroni ndi njira okhudza mitsempha ya zotumphukira ndi pakati machitidwe mantha, nthawi zambiri ndi kulisiya chifukwa njira kuchedwa kusinthika mu kukhalapo kwa shuga.

Waukulu mfundo zoopsa, pamaso pa amene akutukuka ashuga neuropathy (zizindikiro mwina kwina pa nthawi yomweyo): nthawi ya matenda (matenda a shuga), m'badwo wodwala, mlingo wa hyperglycemia, pansi ndi kukula mkulu. Gulu la nthendayo kumva zizindikiro zobwezedwa.

Pofuna kupewa mawonetseredwe chachikulu cha matenda ashuga polyneuropathy kwambiri mankhwala a matenda vutoli, E. shuga mwachitsanzo., Ndi chikhalidwe zofunika kwambiri ndi kuchepetsa kuti kambiri wa hemoglobin glycated, kuthamanga kwa magazi normalization ndi mafuta ndi lipoprotein mafuta ndi milingo triglyceride ndi kuchepetsedwa magazi clotting.