Otani polyneuropathy ya m'munsi malekezero: Zoyambitsa, Zizindikiro ndi Chithandizo. Otani polyneuropathy pambuyo mankhwala amphamvu

Polineytropatii mfundo zikuphatikizapo gulu la matenda, zimayambitsa amene angakhale osiyana. Zimaonetseratu kulumikizanitsa matenda awa mu mzere - ndi nthenda kugwira ntchito dongosolo zotumphukira mantha kapena zina mitolo mitsempha.

mbali khalidwe ndi symmetrical polineytropatii kusokonezeka kwa minofu ya m'makona chapamwamba ndipo m'munsi. Pankhaniyi, pali slowdown ya magazi ndi tcheru kuwonongeka kwa manja ndi mapazi. Makamaka, matenda amakhudza miyendo m'munsi.

Polyneuropathy poizoni Genesis ICD-10

Za mtundu wina ambiri matenda ndi polyneuropathy poizoni. Dzina la matenda zimaonekeratu kuti ndi zotsatira za mmene wamanjenje dongosolo zosiyanasiyana wothandizila poizoni. Poizoni amatha kulowa mu thupi kuchokera kunja kapena chifukwa cha matenda.

Kuti atsogolere mtima wa mtundu wa matenda, wakhala akufuna kuti tione zifukwa zimene anali chifukwa cha polyneuropathy poizoni. ICD-10, kapena mayiko gulu la Matenda 10 kuzilembanso, amapereka mawonekedwe yabwino yolekanitsa matenda. Mfundo yofunika ndi kugaŵira code ku mtundu winawake wa matenda, zochokera zimayambitsa. Choncho, neuropathy poizoni ali anasankha mogwirizana ndi mndandanda wa ICD 10 kachidindo G62. Zotsatirazi ndi gulu zambiri woyengeka:

• G62.0 - chikhazikitso cha polyneuropathy mankhwala ndi kuthekera angalongosolere mankhwala;
• G62.1 - m'ndondomekozi amatchedwa mowa mawonekedwe a matenda;
• G62.2 - kachidindo kwa polyneuropathy chifukwa cha zinthu zina poizoni (malamulo lingamakumane poizoni);
• G62.8 - mapangidwe kwa polyneuropathy ena ananenera, monga mtundu cheza cha matenda;
• G62.9 - malamulo kwa mtundu yosadziŵika ya neuropathy (nos).

Monga tanena kale, ndi neuropathy poizoni bwino zimayamba ndi mitundu iwiri ya zifukwa:

• Ndi zinthu exogenous (kwa mtundu uwu monga diphtheria, nsungu, chifukwa cha HIV, kutsogolera Arsenic, mowa, chifukwa chiphe FOS, mankhwala, cheza neuropathy).
• Khalani chifukwa zinthu amkati (mwachitsanzo, matenda ashuga, kapena anachititsa paraproteinemia disproteinimiey, zotupa akakufunsani minofu connective).

Otani neuropathy zaposachedwapa kukhala ndithu matenda wamba chifukwa kuwonjezeka kukhudzana anthu ndi poizoni ku magwero osiyanasiyana. zinthu izi woopsawo ali ponseponse: ali mu zakudya, katundu wa ogula mankhwala ndi chilengedwe. matenda opatsirana kaŵirikaŵiri chifukwa cha matenda. Yaying'ono-zamoyo kutulutsa poizoni bwanji thupi, bwanji wamanjenje dongosolo.

Exogenous poizoni polineytropatii

Monga tanena kale, izi mitundu ya matenda zimachitika atadziŵa zinthu anthu akunja: ndi mavairasi ndi mabakiteriya poizoni, katundu zitsulo, mankhwala, mankhwala. Monga mtundu wina wa polineytropatii, matenda awa akhale aakulu kapena pachimake.

diphtheria polyneuropathy

Dzina la matenda zikuonekeratu kuti ukapezeka chifukwa cha diphtheria aakulu limodzi ndi zochita za exotoxin. Nthawi zambiri zodabwitsazi amapezeka akulu. Pankhaniyi, pali yaikulu nembanemba wa misempha chigaza ndi kuonongeka kwawo. Zizindikiro za matenda zimapezeka kapena mu sabata loyamba (makamaka oopsa mtima kulephera ndi chibayo), kapena pambuyo 4 TH sabata pambuyo matenda. Iwo anafotokoza mu zotupa ntchito diso, kalankhulidwe Pomeza, mungachite kufupika kwa mpweya ndi tachycardia. Pafupifupi nthawi zonse, zizindikiro anayamba kutha pambuyo masabata 2-4 kapena miyezi ingapo.

herpetic polineytropatiya

Mtundu wa matenda kumachitika chifukwa ntchito ya Epstein-Barr HIV Herpes simplex Ine ndi mitundu II, varicella, cytomegalovirus. Infection matendawa zimachitika ana, koma pambuyo matenda opangidwa chitetezo chokwanira. Ngati chitetezo cha thupi ndi wofooka, mukhoza kukhala neuropathy ndi zotupa khalidwe lonse thupi.

Polyneuropathy kugwirizana ndi HIV

Mu awiri milandu atatu odwala ndi HIV ndi kuwonetseredwa mavuto ubongo, nthawi zambiri zidzachitika mu magawo mochedwa matenda.

Zotsatira poizoni kachilombo koyambitsa matenda a, autoimmune anachita matenda sekondale, kukula kwa zotupa ndi zotsatira za kumwa mankhwala osakaniza patsogolo kwa zipolowe za uziyenda yachibadwa ya thupi. Chifukwa, pali encephalopathy, bongo ndi polineytropatiya cranial misempha. matenda wotsiriza kaŵirikaŵiri mu kuchepetsa tilinazo mapazi, kupweteka kwa dera lumbosacral. Iwo n'ngochiritsika, koma zinadzala ndi mavuto oopsa.

polyneuropathy kutsogolera

Mtundu wa matenda kumachitika chifukwa kutsogolera kawopsedwe, amene amatha kulowa mu thupi mwa kupuma kapena kudzera thirakiti m'mimba. Iye waikamo mu mafupa ndi chiwindi. Kutsogolera ndi poizoni polyneuropathy (ICD kachidindo 10 - G62.2) yafotokozedwera wodwala mu mawonekedwe a kufooka, mkulu kutopa "wosalankhula" mutu, kuchepetsa kukumbukira kwambiri, encephalopathy, kuchepa magazi, matenda a m'matumbo, ululu malekezero, kugwedeza kwa manja. Pakuti matenda yodziwika ndi imfa ya mtengo ndi peroneal misempha. Nthawi zambiri pali syndromes "alenjeka burashi" ndi "tambala gait." Mu milandu, kwathunthu okha funsani ndi patsogolo. Ulosi wa ndiyotani pakuchotsa matenda - yabwino.

Arsenic polyneuropathy

Arsenic asalowe thupi limodzi ndi tizirombo, mankhwala, utoto. Matendawa ndi akatswiri smelters. Ngati kukhudzana ndi thunthu poizoni anali wosakwatiwa, osauka mtima hypotension, kunyansidwa ndi kusanza. Patapita masabata 2-3 limapezeka polyneuropathy, aakulu kufooka mu minofu mwendo. Ngati pali mobwerezabwereza Arsenic poizoni, ndiye pali symmetrical wapotalikira kwenikweni-galimoto kuwonekera kwa matenda. Pankhani ya aakulu poizoni mankhwala kuledzera anati hypersalivation, trophic ndi matenda mtima (hyperkeratosis wa khungu pa zidendene ndi makhwatha, totupa, n'kupanga pa misomali, mtundu pa pamimba mu mawonekedwe a m'malovu, ukuchoka), ataxia. Arsenic polyneuropathy amawapeza kudzera kusanthula mkodzo zikuchokera, tsitsi ndi misomali. Kubwezeretsa wodwala pambuyo matenda kumatenga miyezi.

neuropathy mowa

Mu mankhwala, akukhulupirira kuti pa poizoni maziko polyneuropathy mowa bwino bwino, limagwirira wa chitukuko si bwino. Mfundo yaikulu ndi kupanda thiamine mu thupi ndi gastro akuwuka pa maziko a uchidakwa. Komanso, mowa iyoyomwe zotsatira poizoni pa wamanjenje dongosolo.

Otani mowa polyneuropathy kungakhale poodostroy, pachimake, koma ambiri subclinical mawonekedwe zimadziŵika pamene kufufuza mtima. Iwo yafotokozedwera zazing'ono kuphwanya amasiya tilinazo, kuwonongeka kapena kusapezeka kwa bongo Achilles tendon ululu ng'ombe minofu pa palpation. Nthawi zambiri poizoni polyneuropathy m'kukoma paresis ofananira, manja a minofu ya flexor phazi ndi zala, kuchepetsa mabacteria tilinazo "magolovesi" ndi "masokosi" ululu mapazi ndi miyendo kapena DC zikulilima mtundu, moto kumverera mu zidendene ndi, edema, maonekedwe a zilonda ndi nthambi khungu hyperpigmentation. Nthawi zina matenda akhoza kugwirizana ndi maganizo, cerebellar alibe, chizindikiro epileptiformii. The wodwala akuchira pang'onopang'ono. Bwino chithandizo kumatengera kubwerera kapena kukana kumwa mowa. Code ICD poizoni polyneuropathy pa maziko a uchidakwa ndi G62.1.

Polyneuropathy ndi FOS chiphe

FOS kapena mankhwala organophosphorus akhoza kukodwa mu thupi limodzi ndi tizirombo, lubricants ndi plasticizers. Pa poyizoni pachimake zizindikiro deta zimachitika zotsatirazi zinthu: thukuta, salivation, miosis, a m'mimba, bronchoconstriction, incontinence mkodzo, faskulyatsii, khunyu, mwina amapha. Patapita masiku angapo akufotokozera polyneuropathy ndi zilema galimoto. Ziwalo zovuta kuti achire.

mankhwala anachititsa polyneuropathy

Mtundu wa matenda a ubongo amayamba ndi phwando mankhwala zotsatirazi:

• Mankhwalawa "Pergeksilenom" pa mlingo wa 200-400 mg ndi patsiku polyneuropathy amapezeka patangopita masabata. Izo kumaonekera kuchepetsa tilinazo, ataxia, nthambi paresis. Mu milandu, mankhwala ndi anaima, mmene alili ndi ntchito.
• Isoniazid neuropathy akufotokozera mu akusowa vitamini _B6 anthu ndi matenda majini a kagayidwe ake. Pankhaniyi, tisonyezeni pyridoxine mkati.
• The owonjezera "Pyridoxine" (50-300 mg / tsiku) kumabweretsa mapangidwe a polineytropatii kwenikweni, mutu kwambiri, kutopa ndi irritability.
• chithandizo yaitali "Gidrolazinom" zingachititse polineytropatii dysmetabolic ndipo amafuna chikuonetseratu vitamini _B6.
• Mankhwala "Teturam" pa mlingo wa 1.0-1.5 g / D tingasonyezere paresis, imfa tilinazo, chamawonedwe neuritis.
• Chithandizo "kordaron" pa mlingo wa 400 mg / tsiku pa nthawi ya chaka kuposa zingachititse polineytropatiyu poizoni.
• Ndi kuchepa kwa mavitamini B ₆ ndi E kudzali polineytropatii, komanso kuchuluka kwawo.

Mankhwala poizoni polyneuropathy ICD 10 ndi malamulo G62.0.

Amkati poizoni polineytropatii

Mtundu wa matenda limapezeka nthawi zambiri chifukwa kukanika kwa zopangitsa za endocrine monga chotsatira cha kuchepekedwa mahomoni bwino kapena kulakwila ntchito za ziwalo zina za m'kati. Pali mitundu zotsatirazi:

• Ashuga neuropathy angayambe bwinobwino, patsogolo pang'onopang'ono kapena mwamsanga mokwanira. Anawonetseredwa koyamba mu mawonekedwe a ululu ndi dzanzi ku malekezero.
• Polyneuropathy kugwirizana ndi paraproteinimeey ndi dysproteinemia n'lakuti anthu makamaka achikulire ndipo amagwirizana ndi matenda monga myeloma angapo ndipo macroglobulinemia. Matenda mawonetseredwe onse akuonekera ululu ndipo paresis wa m'munsi malekezero ndi chapamwamba.
• Polyneuropathy komanso akufotokozera matenda monga akakufunsani connective minofu nodular periarthritis, nyamakazi, zokhudza zonse lupus erythematosus, matendawa.
• Kwa chiwindi neuropathy ndi zotsatira za shuga ndi uchidakwa, ndipo ali ofanana mawonetseredwe matenda.
• matenda a ubongo matenda a thirakiti m'mimba kugwirizana ndi kudwala a dongosolo m'mimba, zikubweretsa beriberi. matenda Celiac zingachititse polyneuropathy, amene anasonyeza matenda psychomotor, khunyu, matenda zithunzi, ataxia.

Polyneuropathy pambuyo mankhwala amphamvu

Otani polyneuropathy pambuyo mankhwala amphamvu gulu osiyana matenda, chifukwa akhoza kukhala mbali-kwenikweni kwa mankhwala, kapena kukhala chifukwa azingokhala maselo chotupa. Iwo amayamba ndi zokhudza zonse kutupa, maselo mitsempha kuonongeka ndi msewu. zodabwitsazi angakhale ovuta kumvetsa ndi kukhalapo kwa shuga, uchidakwa, chiwindi ndi impso kukanika. Kulankhula matenda kuphwanya tilinazo ndi galimoto matenda, kutsitsa kamvekedwe ka minofu. Polyneuropathy pambuyo mankhwala amphamvu, zizindikiro zomwe zafotokozedwa pamwamba akhoza kuyambitsa maonekedwe a dysfunctions galimoto. Kupondelezedwa kwa dongosolo autonomic ndi chapakati mantha sakhala wamba.

Mankhwala a mtundu wa matenda yafupika mankhwala symptomatic. Wodwalayo mwina mankhwala odana ndi yotupa, analgesic, immunosuppressant, mankhwala timadzi, "Neyromultivit" mavitamini ndi "Thiamine".

matenda matenda

Otani polyneuropathy wa malekezero a m'munsi anapezeka ndi maphunziro zotsatirazi:

• Ultrasound ndi X-ray a ziwalo;
• Analysis wa madzimadzi cerebrospinal;
• Kuphunzira bongo ndi liwiro la kufalitsa ake pamodzi ndi ulusi mitsempha;
• biopsy.

The molondola ndi Timeliness matenda zimadalira bwino chithandizo polyneuropathy.

Makamaka mankhwala a matenda

Otani polyneuropathy, chithandizo makamaka kwenikweni ndi kuwonongedwa kwa zimayambitsa tiyenera kuziganizira comprehensively.

Malinga mtundu wa matenda ndi kuopsa kwa nthenda amapatsidwa mankhwala zotsatirazi:

• "Tramadol" ndi "analgina" - zopweteka amphamvu.
• "Methylprednisolone" - matenda makamaka kwambiri.
• "Pentoxifylline," "M'phika", "Trental" - kuti amveke magazi ulusi ziwiya mitsempha.
• mavitamini B
• "Piracetam" ndi "Mildronat" - kumapangitsanso nsalu michere mayamwidwe.

Mu ingagwiritsidwe ntchito ngati njira ndi physiotherapeutic:

• magetsi kukondoweza ya ubongo;
• achire kutikita;
• maginito kukondoweza ya ubongo;
• amadza mozungulira ziwalo;
• hemodialysis, magazi kuyeretsa.
• LFK.

Kodi njira kuchitira polyneuropathy ndi abwino kwambiri pa nkhani zosiyanasiyana, dokotala aganizire. Amanyalanyaza zizindikiro matenda, musachite. Pachimake polyneuropathy angakhale aakulu, amene agonjetsa imfa ya nthambi tilinazo, minofu ya manja ndi kulephera kuyenda wathunthu.