Polyneuropathy ntawm qhov qis qis: mob tshwm sim, kho tshuaj, ua kom muaj tus kabmob

Polyneuropathy ntawm qhov qis qis yog qhov ncauj lus ntau rau cov leeg nqaij. Tus kab mob no yog tus cwj pwm tsis zoo los ntawm txhawm txhawm ntawm ob txhais ceg, tsis muaj kev muaj qhov tsis haum thaum chwv thiab kis rau qhov kub thiab txias, thiab lwm yam kev tsis txaus siab ntawm qis qis.

Nrog rau qhov mob no, cov leeg ua lub luag haujlwm rau kev mus ncig thiab rhiab tau cuam tshuam, nrog rau cov chaw nyob deb ntawm cov neurons uas nyob hauv taw. Yam tseeb thiab kev siv ntawm cov tsos mob mas nyob ntawm hom mob.

Hom mob polyneuropathy

Nws muaj cov kev mob zoo li no:

Cov mob o - qhov tshwm sim ntawm qhov tsos yog mob hnyav uas tshwm sim hauv cov hlab ntsha cov hlab ntsha,
Kev raug mob - tshwm sim tom qab raug mob ntau yam, xws li hauv daim duab,
Kev siv tshuaj lom - qhov ua kom tshwm sim yog lom ntawm lub cev nrog rau ib qho ntawm cov tshuaj lom (piv txwv, altait),
Kev ua xua polyneuropathies ntawm qhov qis qis - tshwm sim vim qhov kev ua txhaum ntawm lub cev tsis ua haujlwm.

Ua tib zoo mloog! Polyneuropathy tuaj yeem mob siab lossis mob ntev, axonal (hauv qhov no, axial lub tog raj kheej ntawm cov hlab ntsha muaj feem cuam tshuam) thiab demyelinating (zoo nkaus li vim pathological hloov nyob rau hauv daim nyias nyias ntawm neurons).

Hauv daim ntawv ntev, tus mob pib qeeb. Tab sis nws tseem tuaj yeem hloov kho tau sai sai, txuas nrawm nrawm mus rau lub zog nruab nrab.

Ua rau mob polyneuropathy

Tus kab mob tuaj yeem txhim kho nyob rau hauv kev cuam tshuam ntawm ntau yam, hmoov tsis, nws tsis yog ib txwm ua tau los tsim lawv.

Muaj ntau ntau yam rau qhov muaj mob ntawm polyneuropathy. Cov no suav nrog cov kab mob autoimmune (kev tsis haum xeeb hauv kev ua haujlwm ntawm lub cev tiv thaiv kab mob uas tshwm sim los ntawm kev tsis txaus ntseeg hauv lub cev), kev lag luam (hmoov txhuas), lossis qaug cawv nrog cov zaub mov tsis zoo thiab haus cawv.

Ib qho ntxiv, cov xwm txheej uas cuam tshuam qhov pib ntawm tus kab mob yog cov qog, mob caj ces, txhua yam kev kis mob uas ua rau cov leeg mob ntawm cov leeg.

Lwm cov laj thawj rau kev nce qib ntawm polyneuropathy tuaj yeem yog: kev siv tshuaj tsis raug tswj (penicillin, streptomycin, azaserin, thiab lwm yam), kev cuam tshuam ntawm daim siab, ob lub raum, tus txiav, voos vitamin thiab cov kab mob endocrine (mob ntshav qab zib mellitus).

Tab sis, raws li txoj cai, polyneuropathy ntawm ob txhais ceg tshwm thaum lub distal kev ntshai ntawm cov ceg yog thawj zaug los teb rau cov kab mob pathological uas tshwm sim hauv cov kab ke.

Lwm qhov laj thawj nyob hauv qhov tseeb tias cov neeg nyob deb ntawm neurons tsis muaj ntshav-hlwb lub cev.

Yog li, ntau yam kab mob thiab kab mob tuaj yeem nkag mus rau cov hlab ntsha sib txuas ntawm cov ntshav khiav.

Nrog rau polyneuropathy, kev puas tsuaj rau cov leeg tactile thiab neurons lub luag haujlwm yog txav. Cov kab mob uas tshwm sim hauv cov nqaij mos ntawm cov hlab ntsha tuaj yeem tsim los ntawm:

txo qis rhiab (tsis kov, tshav kub lossis txias)
o thiab paresis (qaug zog, tuag tes tuag taw),
leeg tsis muaj zog.

Tsis tas li ntawd, nrog rau kev tiv thaiv mob hlwb, cov tsos mob xws li txo qis lossis tsis muaj qhov leeg rov qab los thiab pob tawg thiab mob hnyav ntawm cov hlab ntsha sib puav tau pom. Txawm li cas los xij, muaj cov tsos mob nyob rau hauv daim ntawv ntawm paresthesia thiab goosebumps, thiab gait hloov vim yog cov nqaij ntshiv sib txawv.

Tseem Ceeb! "Tus Cock's gait" yog ib qho ntawm cov tsos mob tseem ceeb uas tsis tsim los kho mob polyneuropathy.

Hauv cov theem tom qab ntawm txoj kev loj hlob ntawm tus kabmob, polyneuropathy ntawm qis qis yog qhov txawv txav los ntawm qhov tseeb ntawm cov leeg mob tag nrho, mob Guillain-Barré mob (tuag tes tuag taw ntawm lub ceg, thiab tom qab ua pa ntawm cov leeg), thiab mob rau sab hauv trophic tshwm sim, uas tseem ua raws li cov tsos mob tseem ceeb ntawm qhov teeb meem.

Kev kuaj mob

Tus kab mob no raug kuaj los ntawm kev sib txawv, thaum tus kws kho mob ua tib zoo txheeb xyuas tag nrho cov tsos mob ntawm tus kab mob, thiaj li tshem tawm lwm cov kev mob uas muaj cov tsos mob sib xws. Sensorimotor polyneuropathy tseem tuaj yeem kuaj pom ntawm no.

Thaum kuaj mob polyneuropathy, tus kws kho mob tau coj los ntawm cov phiaj xwm kho mob, them nyiaj rau txhua qhov tsos mob.

Hauv qhov no, tus kws kho mob ua qhov kev kuaj sab nraud, kuaj kev tawm tsam thiab pom tias muaj keeb kwm muaj keeb kwm (muaj kab mob zoo ib yam li cov neeg nyob ze?), Ua tib zoo saib xyuas txhua tus tsos mob.

Nrog kev txhim kho sai ntawm tus kab mob thiab kev ua xyem xyav ntawm daim ntawv mob hnyav, lossis yog tias sensorimotor polyneuropathy kev txhim kho, tus kws kho mob nug tus neeg mob tias yam tshuaj twg thiab cov khoom siv rau tus neeg mob siv.

Seev suab seev qauv

Cov hau kev zoo ntawm cov cuab yeej siv kho mob ntsuas siv feem ntau:

me
kev kuaj ntshav biochemical,
palpation ntawm lub cev pob tw kom pom cov ntsaws ruaj ruaj hauv cov hlab ntaws, qhia tias qhov muaj mob muaj keeb hauv qhov pom ntawm tus kab mob,
duab hluav taws xob
electroneuromyography - ua tiav los txiav txim qhov ceev ntawm lub mem tes,
kev kuaj mob hauv nruab nrog cev,
txoj kev kawm ntawm reflexes
kev txheeb xyuas ntawm cerebrospinal kua (cerebrospinal kua).

Kev kho mob polyneuropathy, zoo ib yam li lwm yam kab mob cuam tshuam nrog kev puas siab puas ntsws, puas nyuaj. Hauv qhov no, ntau txoj kev siv tau siv.

Nyob rau hauv cov ntaub ntawv ntawm daim ntawv thib ob (ntshav qab zib, cov thyroid pathology), tom qab ntawd kev kho mob yog kho rau qhov pib ntawm kev puas tsuaj neuronal.

Hauv kev kho thawj tus mob polyneuropathy, siv cov tshuaj hauv qab no:

Nqaij ua kom nqaij ntsoj (baclofen),
txhais tau hais tias pab txhawb tus txheej txheem ntawm conduction ntawm pulses,
txob thaj
cov tshuaj hormones (glucocorticosteroids),
Tshuaj loog (cov tshuaj uas muaj cov tshuaj lidocaine),
cov vitamins
analgesics
tshuaj anticonvulsants (gabalentin),
tshuaj tiv thaiv kab mob.

Txhawm rau muaj kev mob tshwm sim, tus kws kho mob muab tshuaj plasmophoresis (cov txheej txheem ua ntshav ua kom huv si).

Kev tawm dag zog lub cev

Kev kho mob ntsig txog mob ntsws thiab mob caj pas polyneuropathy yog ib txoj kev ua ntev uas muaj ntau ntu.

Cov tshuaj yog ntxiv nrog cov kev ntsuas mob hauv lub cev, xws li kev siv lub cev ua haujlwm (los tswj cov leeg nqaij lub cev) thiab cov hlau nplaum kho, hauv cov hlau nplaum no tau xa mus rau thaj chaw muaj teeb meem ntawm qis qis.

Tsis tas li, kev kho mob yog nrog hluav taws xob txhawb, reflexology, zaws ntshav qab zib yog kho tau. Qee lub sij hawm tus kws kho mob sau cov khoom noj rau cov neeg mob, uas yog txwv tsis pub noj cov zaub mov carbohydrate, cov rog rog.

Thaum kho thiab nyob rau theem rov qab, tus neeg mob yuav tsum tsis txhob haus luam yeeb thiab haus tshuaj thiab haus dej uas muaj qhov ua rau lub zog thiab txaus siab.

Ua tib zoo mloog! Nrog kev kho kom raws sij hawm thiab ua tiav, kev soj ntsuam tuaj yeem pom zoo heev.

Ib qho zam yog kev kho mob ntawm hom mob tsis muaj keeb ntawm polyneuropathy. Hauv qhov no, tus kab mob tsis tuaj yeem tshem tawm tag nrho, tab sis qhov nyuaj thiab qhov mob hnyav ntawm cov tsos mob tuaj yeem txo tau.

Kev tiv thaiv kev ntsuas

Cov kev tiv thaiv tsis muaj ib qho tseem ceeb tshaj li kev kho mob thiab yog tsom rau tshem tawm yam uas tuaj yeem muaj kev cuam tshuam ncaj qha rau kev puas tsuaj neuronal.

Txhawm rau tiv thaiv polyneuropathy, nws yog qhov tsim nyog los kho cov kab mob sab hauv thiab kis kab mob kom ncav sijhawm, thiab tseem tsis txhob haus dej haus muaj cawv.

Ib qho ntxiv, cov kws kho mob pom zoo kom siv cov tshuaj tiv thaiv thaum ua haujlwm nrog cov tshuaj lom cov tshuaj lom, tsis txhob siv tshuaj phem (tsis txhob siv tshuaj yam tsis muaj tshuaj kho mob) thiab saib xyuas cov zaub mov zoo.

Raws li txoj cai, nws tsis tuaj yeem tiv thaiv polyneuropathy. Txawm li cas los xij, nrog thawj cov tsos mob ntawm tus kab mob, koj tuaj yeem sab laj nrog kws kho mob tam sim ntawd. Vim tias qhov no, lub sijhawm ntawm kev kho mob tom ntej yuav raug txo kom tsawg, thiab qhov kev pheej hmoo ntawm qhov tshwm sim yuav txo qis.

Hedgehogs thiab kev noj qab haus huv

Txij li thaum me nyuam yaus, txhua tus paub txog qhov kev xav ntawm "hedgehogs" hauv lawv cov ceg, yog tias koj zaum ntev nrog koj txhais ceg hauv koj thiab tom qab ntawd txo qis rau hauv av. Koj yuav tsis muaj peev xwm sawv tam sim ntawd - lub siab ntsws yuav tsis kaj siab. Tab sis, hmoov tsis zoo, tib neeg muaj hnub nyoog txawv tuaj yeem tshwm sim cov tsos mob no ntawm lawv tus kheej. Hauv qhov no, loog, tingling, muaj zog tactile rhiab heev, mob yuav tsis muaj cim ntawm menyuam yaus pranks, tab sis teeb meem kev noj qab haus huv loj.

Cov kab mob ntawm lub paj hlwb, qhia hauv cov yam ntxwv me, tuaj yeem ua rau lub cev tsis taus. Ib ntawm lawv yog polyneuropathy ntawm qhov kawg ntawm sab sauv thiab hauv qab. Cov tsos mob ntawm cov teeb meem no zoo li tus menyuam yaus kev ua si ntawm "hedgehogs" khiav ntawm ob txhais ceg lossis caj npab, tab sis qhov mob hnyav ntawm cov teeb meem xav tau hu rau tus kws tshaj lij kom kuaj thiab xaiv txoj kev kho mob zoo.

Lub paj hlwb peripheral puas tsuaj

Lub paj hlwb ntawm txhua cov kab mob muaj sia yog ib txoj kev sib txuas ua ke ntawm cov ntau cov hlab ntsha lub luag haujlwm rau tag nrho cov txheej txheem tshwm sim hauv lub cev thiab rau nws cov kev sib txuas nrog lub ntiaj teb sab nraud. Qhov sib xyaw ua ke ntawm tib neeg lub cev yog raug faib los ntawm ntau lub chaw haujlwm. Ib qho ntawm lawv yog qhov kev xav ntawm qhov txuas ntawm lub tshuab hlwb hlau. Nws tau txais nws lub npe vim qhov tseeb tias nws nyob sab nraud ntawm cov qauv tseem ceeb - lub hlwb thiab tus txha caj qaum. Nws yog qhov yooj yim los ntawm kev siv tshuab kev nyuaj siab, co toxins, vim tias nws tsis tiv thaiv lub cev pob txha lossis ntshav-thaiv cov hlab. Polyneuropathy ntawm qhov qis qis yog qhov kev coj ncaj ncees rau cov neeg muaj hnub nyoog sib txawv thiab poj niam txiv neej.

Cov kws tshwj xeeb tshwj xeeb hais txog cov teeb meem no ua txhaum kev ua haujlwm kom tsim nyog txhawm rau tshem tawm cov hlab ntsha hlwb, hais hauv lub cev tsis muaj zog, ua rau lub cev tsis zoo, ua rau lub cev tsis muaj zog thiab ua rau lub cev puas tsuaj.

Cov txheej txheem pathological no tau nce mus ncaj rau hauv qhov chaw uas tsis txaus siab, feem ntau nyob hauv ob txhais ceg - qis qis dua.

Kev faib tawm polyneuropathy

Cov tsos mob polyneuropathy ntawm qhov qis qis hauv tsev pab tshawb pom qhov ua rau pom qhov tshwm sim ntawm qhov teeb meem no, yog li keeb kwm yuav tsum khaws zoo zoo. Muaj ntau txoj kev kws kws kho mob cais cov kabmob no.

Vim yog qhov tshwm sim ntawm qhov teeb meem (etiology), polyneuropathy tau muab faib ua:

ua xua
mob
lom
kev poob plig.

Cov txheej txheem tom ntej rau kev sib cais ntawm hom mob no yog qhov pathomorphology ntawm kev puas tsuaj. Hauv qhov no, axonal thiab demyelinating polyneuropathy yog raug rho tawm. Zoo li lwm yam kab mob, cov teeb meem no tseem raug faib raws li kev muaj tseeb. Caws cov mob hnyav, subacute thiab daim ntawv ntev.

Kab mob ntawm ob txhais ceg, caj npab, thiab tsis yog

Cov kab mob ntawm cov kab mob hauv lub paj hlwb yuav tsum tau kuaj mob kom zoo. Nws yog tsis yooj yim sua tsuas yog los ntawm kev hais ntawm tus neeg mob tus mob kom paub tseeb tseeb. Ib qho nyuaj tshaj plaws rau kev kuaj mob tus kab mob yog mob polyneuropathy ntawm qhov mob sab sauv thiab qis dua. Cov tsos mob thiab kho tus kab mob no hauv txhua kis yuav yog tus neeg nruj me ntsis, txawm hais tias theem pib ntawm txoj kev kho yuav luag zoo ib yam.

Kev poob ntawm cov hlab ntaws ntawm lub paj hlwb paj hlwb feem ntau pib nrog cov ntu sib faib. Thaum tsis muaj kev kho kom tsim nyog lossis ib chav kawm tshwj xeeb ua rau tus mob, qhov chaw mob dhau mus rau ntawm qhov kawg ntawm txoj hlab. Feem ntau, pathology captures symmetrical qhov ntawm lub cev. Kev hnov mob tsis hnov lus tuaj yeem suav tias yog pib ntawm tus mob, tom qab ntawd teeb meem vegetovascular tshwm sim.

Kev kho mob polyneuropathy ntawm qis dua qhov kawg yuav tsum tau txheeb xyuas qhov tseeb yog vim li cas nws tshwm sim. Feem ntau, kev ua txhaum tshwm sim vim yog haus dej cawv, kis tau cov pa roj carbon monoxide, arsenic, thiab organophosphorus tebchaw. Cov pab ntxiv yog vim yog intoxication, ntshav qab zib mellitus, diphtheria lossis vitamin tsis txaus. Nws kuj tseem tuaj yeem tsim qhov teeb meem no nrog kev siv sijhawm ntev ntawm qee yam tshuaj siv.

Kev haus dej cawv thiab kab mob hauv lub paj hlwb

Kev quav dej cawv yog suav tias yog ib qho mob hnyav tuaj yeem ua rau muaj mob xiam oob qhab thiab tuag taus. Qhov teeb meem ntawm qee tus neeg uas raug mob los ntawm kev quav tshuaj no yog polyneuropathy ntawm qis qis. Ib daim duab ntawm kab mob no qhia pom dab tsi txaus ntshai nws tuaj yeem ua. Raws li txoj cai, hauv qhov no nws yog qhov nyuaj heev, kom tshem lawv.

Cawv polyneuropathy ntawm qhov qis qis yog qhov cuam tshuam kev noj qab haus huv feem ntau los ntawm kev haus cawv. Ethyl cawv thiab nws cov metabolites cuam tshuam tsis zoo rau txhua cov ntaub so ntswg thiab cov plab hnyuv siab raum, thaum lub tshuab hluav taws xob tseem ceeb tau thov rau lub nruab nrog cov hlab ntsha. Cov microcirculation ntawm cov ntshav, ua haujlwm ntawm lub siab, cov hnyuv cuam tshuam. Kev hloov kab mob hauv lub plawv txoj hlab ntshav tau tshwm sim.

Hom kab mob no pheej loj zuj zus tuaj yog tus neeg haus cawv tsis tu ncua. Tab sis kev puas tsuaj rau peripheral lub paj hlwb thiab qis kawg tuaj yeem tshwm sim nyob rau hauv ob peb hnub, piv txwv li, nrog haus cawv ntau ntawm cov cawv uas tsis muaj qab hau. Feem ntau cov tib neeg uas muaj kev qaug cawv quav cawv tsis quav ntsej thawj cov tsos mob ntawm tus mob hnyav no - cramps hauv ob txhais ceg, loog ntawm ko taw thiab ntiv taw. Tus kab mob kis tau, nce siab tshaj hauv lub cev thiab ntes tsis tsuas yog txhais ceg, tab sis kuj caj npab. Tom qab ntawd muaj cov cim sab nraud ntawm kev puas tsuaj rau qhov kawg ntawm cov hlab - cov tawv nqaij xiav, sab saud thiab qis dua. Daim tawv nqaij ntawm sab caj npab thiab ceg yuav ua nyias, zoo li "marbled." Koj tuaj yeem tuaj yeem pom qhov hloov pauv ntawm gait.

Polyneuropathy ntawm qhov chaw sab sauv thiab qis dua tawm tsam keeb kwm ntawm kev quav dej quav cawv yog kho nrog kev quav dej cawv tag nrho. Cov txheeb ze nyob ze yuav tau yaum kom nws tso txoj kev quav yeeb tshuaj no. Yog tsis muaj cov kauj ruam no, txawm hais tias qhov kev kho mob siab tshaj plaws yuav tsis coj cov txiaj ntsig zoo txaus siab.

Mob ntshav qab zib mellitus

Ib qho ntawm cov teeb meem ntawm cov ntshav qab zib tuaj yeem yog qis dua cov mob polyneuropathy. Cov tsos mob ntawm tus kab mob no feem ntau tshwm sim nrog cov teeb meem uas twb muaj nrog kev nqus ntawm qab zib.

Vim lub fact tias lub cev raug kev txom nyem los ntawm ib tug tshaj ntawm carbohydrates, ib tug malfunction ntawm lub paj kawg ntawm peripheral system tshwm sim. Cov hmoov nplej muaj qeeb qeeb, hemoglobin vim tias cov ntshav qab zib nce siab tsis zoo yog cov pa oxygen. Cov ntaub so ntswg tau txais nws hauv cov khoom me me, txij li lawv cov txheej txheem metabolic tau cuam tshuam.

Thawj qhov tshwm sim ntawm cov mob ntshav qab zib polyneuropathy ntawm qhov qis qis yog qhov ntxim nyiam nyob hauv ob txhais ceg, nrog rau qhov mob ntxiv los ntawm cov lus qhia ntawm cov ntiv tes mus rau qij taws. Nrog cov kev nce qib ntawm cov kab mob pathology, qhov mob hnyav heev hauv cov ceg yuav tshwm sim, uas tshwj xeeb tshaj yog khaus hmo ntuj. Lawv kawm ntau ntxiv hauv cov xwm txheej ntxhov siab, ua haujlwm dhau, tab sis thaum taug kev lawv txo qis me ntsis. Nws yog qhov tsim nyog tias qhov kev hnov zoo nkauj tsis hloov yog tias koj hloov chaw ntawm ceg. Cov tsos mob hauv qab no tseem siv rau cov cim qhia qeeb ntawm tus kab mob:

atrophy ntawm txhais ceg leeg,
leeg tsis muaj zog hauv cov ntiv taw,
kev hloov pauv ntawm cov tawv nqaij xim - nws dhau los ua liab dawb lossis liab, thiab kev ua txhaum cai tsuas yog tshwm sim hauv chaw, me ntsis, qee qhov ntawm daim tawv nqaij tuaj yeem tsaus ntuj,
lub thickness thiab cov duab ntawm cov ntiv taw hloov.

Ntawm theem kawg ntawm polyneuropathy tiv thaiv cov ntshav qab zib mellitus, tus neeg mob nthuav dav osteoarthropathy ntawm ko taw - flatfoot tshwm sim. Txhais ko taw ua dav, pob qij txha pob qij txha tsis tu ncua.

Kev kho mob polyneuropathy ntawm qis qis, uas tsim tawm tsam keeb kwm ntawm ntshav qab zib mellitus, yuav tsum tau nqa tawm nrog kev kho mob ntawm cov mob hauv qab, siv cov tshuaj kho mob thiab kho lub cev.

Cov hau kev tseem ceeb ntawm kev kho

Kev mob ntshav qab zib lossis dej cawv polyneuropathy ntawm qhov qis qis, yuav tsum kuaj kom zoo thiab sijhawm, nrog rau cov kev kho mob nyuaj. Kev cuam tshuam nyob rau hauv kev ua haujlwm ntawm txoj hlab ntshav ntawm lub paj hlwb peripheral tuaj yeem kho nrog txoj kev kho mob nyuaj siv cov kev ua tiav ntawm cov kws tshuaj, pov thawj cov tshuaj ua kom zoo nkauj, thiab qoj ib ce.

Lub hauv paus rau kev muaj peev xwm kho tau tus mob xws li polyneuropathy yog kev tswj hwm tshuaj kho mob. Ib txoj hauv kev siv tshuaj los txhawm rau ua haujlwm ntawm lub paj hlwb peripheral yuav tsum raug xaiv los ntawm kws tshaj lij. Nws sau tshuaj kho mob, tsom mus rau cov teeb meem tsis sib haum xeeb, tus neeg mob keeb kwm, chav kawm ntawm tus kab mob, nws theem thiab etiology. Raws li txoj hauv kev ntxiv ntawm kev kho, koj tuaj yeem siv cov qauv tshuaj ntsuab, uas tus kws kho mob yuav pom zoo. Feem ntau, nws sau ntawv txheej txheej txheej txheem ntawm kev kho lub cev uas pab tshem tawm cov tsos mob tsis zoo.

Cov nqaij thiab cov ntshav ntws stimulants

Ib qho teeb meem loj tshaj plaws ntawm lub paj hlwb yog polyneuropathy ntawm qis qis. Cov tshuaj uas tau siv hauv cov tshuaj niaj hnub ua rau nws muaj peev xwm ua tau rau qee qhov kev ua haujlwm ntawm lub xeev ntawm qhov txuas ntawm cov hlab ntsha lawv tus kheej, nrog rau cov ntaub so ntswg uas lawv ua haujlwm. Tam sim no muaj ntau heev, ntau cov tshuaj siv tam sim no muaj. Lawv koom rau nyias pab nyias pawg pharmacological, uas tau sib cais los ntawm kev sib xyaw ua ke thiab cov ntsiab cai ntawm kev ua haujlwm.

Piv txwv li, cov tshuaj Actovegin muaj Actovegin mloog zoo, uas tau ua los ntawm cov ntshav ntawm plab hlaub. Cov cuab yeej no zwm rau pab pawg ntawm cov nqaij ua kom muaj zog. Nws thaj chaw ntawm kev ua haujlwm yog qhov ib txwm ua ntawm cov metabolism hauv kev ua haujlwm los ntawm kev ua kom rov ua lawv txoj haujlwm zoo.

Lwm cov tshuaj uas feem ntau tau teem tseg thaum kho polyneuropathy yog Instenon. Nws zwm rau pab pawg ntawm vasodilating tshuaj kho mob. Nws muaj cov khoom hauv qab no:

Hexobendin hydrochloride. Vim tias kev ua haujlwm ntawm anaerobic glycolysis thiab pentose to, nws nce kev siv cov kua nplaum thiab oxygen. Lub zog tau dhau los ntawm cov txheej txheem no tau siv los txhim kho cov synthesis thiab metabolic cov voj voog ntawm synaptic kis tau tus mob.
Etamivan. Koom tes nrog kev ua kom khov kho ntawm lub xeev ntawm cov neural ua rau lub cortex thiab qia qauv ntawm lub hlwb thiab lub paj hlwb.
Etofillin. Pab tswj cov kev ua ub no hauv lub plawv.

Hauv kev kho mob ntshav qab zib lossis dej cawv polyneuropathy ntawm qhov qis qis, yuav tsum tau siv ib yam tshuaj xws li Trental. Nws lub ntsiab lus nquag yog cov tshuaj pentoxifylline, uas yog ib qho kev tso tawm ntawm purine. Nws muaj antiaggregatory, angioprotective, vasodilating teebmeem, thiab tseem txhim kho microcirculation ntshav.

Xaiv cov tshuaj hauv pawg no yuav tsum yog tus kws kho mob uas paub txog txhua tus nuances ntawm cov kab mob thiab tus mob ntawm tus neeg mob.

Dab tsi yog polyneuropathy ntawm qhov qis qis thiab yog nws puas tuaj yeem kho tus mob?

Lub sij hawm "polyneuropathy" sib txuas nrog ntau tus kab mob pathologies los ntawm ntau yam, tab sis nyob rau hauv uas muaj kev ua txhaum ntawm kev ua haujlwm tsis tseem ceeb ntawm qhov muaj qhov tsis taus.

Feem ntau, tus kab mob cuam tshuam rau txhais ceg thiab caj npab, txo qis cov leeg kev ua haujlwm, ua rau cov ntshav ncig mus hauv cov ceg tawv, txo lawv cov neeg mob. Qhov tshwm sim ntawm polyneuropathy yog qhov txaus ntshai heev, vim hais tias tej zaum yuav ua rau ib nrab lossis ua tiav qhov tsis tau rhiab ntawm qhov nqaj lossis ua tiav immobilization ntawm thaj chaw cuam tshuam.

Polyneuropathy feem ntau cuam tshuam rau sab qis thiab sab nraud, thaum qhov ntau tsis quav ntsej ntawm lub pathology, qhov ntau dua qhov muaj peev xwm ua kom tuag tes tuag taw

Txhais los ntawm Greek polyneuropathy txhais tau tias "kev txom nyem ntawm ntau lub hlab ntsha." Qhov ua rau ntawm cov kab mob pathology yog ntau yam - yuav luag txhua qhov cuam tshuam uas tsawg kawg ib zaug muaj qhov tsis zoo ntawm qhov tsis xws luag hlab ntsha tuaj yeem ua rau mob polyneuropathy.

Video (nyem mus ua si).

Txij li qhov tseem ceeb ntawm lub cev yog nyob ntawm kev xa cov lus txib mus rau lub hlwb los ntawm qhov kawg ntawm cov hlab ntsha, nrog rau txoj kev txhim kho polyneuropathy, qhov kev ua txhaum ntawm kev xav thiab lub cev muaj zog ua haujlwm ntawm nqaj tau tshwm sim.

Tseem Ceeb!Polyneuropathy ntawm qis qis dua yog qhov ntau dua, vim hais tias ob txhais ceg muaj lub nra hnyav dua lub cev sab saud.

Nrog rau polyneuropathy, feem ntau cov leeg me me cuam tshuam, vim lawv cov myelin sheath yog cov tawv nyias, thiab cov khoom tsis zoo yog yooj yim rau kev nkag mus rau hauv cov hlab ntsha. Yog li ntawd, polyneuropathy ntawm qaum thiab qis kawg feem ntau tshwm sim - kev puas tsuaj rau taw thiab tes.

Feem ntau, thaum txiav txim kev kuaj mob, tus neeg mob tsis yog sau lo lus “polyneuropathy ntawm ob txhais ceg lossis caj npab” xwb, lawv paub tseeb ntxiv qee cov lus txhais uas nyob ntawm hom mob. Kev faib tawm thoob ntiaj teb muaj ntau yam kab mob suav nrog ntau yam kab mob polyneuropathy (ICD code - G60-G64), uas sib txawv ntawm qhov chaw, qib thiab thaj chaw ntawm lub qhov txhab, rau cov laj thawj tshwm sim.

Yog hais tias lub peripheral lub paj hlwb malfunctioned tsawg kawg ib zaug nyob rau hauv lub dhau los, ces tej zaum yuav muaj ntau yam yog vim li cas rau polyneuropathy

Cov hlab ntsha tuaj yeem muab faib ua ntau hom - lub cev muaj zog, lub zog, lub cev. Nyob ntawm seb qhov kev mob tso zis ntau ntxiv, polyneuropathy tseem muab cais:

Lub cev muaj zog (lub cev muaj zog). Qhov xwm txheej ib txwm ntawm cov leeg ua rau tsis zoo, uas ua rau lawv tsis ua haujlwm: cov leeg tsis muaj zog, cramps, atrophy thiab leeg mob hypotrophy tshwm sim. Cov tsos mob kis tau txij li hauv qab mus rau hauv thiab tuaj yeem ua rau tag nrho cov kev txav tsis ua tiav.

Nroj Tsuag. Lub zog ntawm lub cev hluav taws xob muaj qhov cuam tshuam, uas nyob ntawm lub xeev ntawm kev ua haujlwm nruab nrog. Muaj qhov nce hauv kev tawm hws, teeb meem nrog tso zis, ib qho nyiam ua tawv ncauj, tawv nqaij qhuav.
Hnov polyneuropathy. Cov kev mob siab tshwm sim: qhov hnov ntawm qoj ib ce, kub taub hau, loog, "nkag hauv tob," qhov hnov thiab mob siab txawm tias tau chwv ntawm tus ceg pov.
Sensomotor polyneuropathy. Nws ua ke cov tsos mob ntawm kev puas tsuaj rau hnov thiab cov leeg.
Sib xyaw. Nrog rau cov cim qhia ntawm txhua yam kev cuam tshuam.

Hauv nws daim ntawv dawb huv, cov foos no tuaj yeem pom tsis tshua pom, feem ntau hnov thoob-kev noj, lub cev muaj zog-hnov thiab lwm hom sib xyaw ua ke yog kuaj mob.

Polyneuropathy cuam tshuam rau cov hlab ntsha cov hlab ntsha, uas muaj cov axons thiab myelin sheaths. Ua raws li lesion, lawv cais:

Axonal polyneuropathy - tshwm sim thaum lub axon raug puas tsuaj nyob rau hauv ntau yam kev mob tshwm sim: nrog rau kev qaug cawv nrog arsenic, hmoov txhuas, mercury, cawv,
Demyelinating polyneuropathy - tshwm sim nrog demyelination ntawm cov hlab ntaws, tus kab mob loj hlob sai, feem ntau lub cev muaj zog thiab cov ntsaws siab yog cuam tshuam.

Hauv nws daim ntawv dawb huv, cov hom tsis muaj nyob ntev: nrog kev puas tsuaj axon, qhov kev cuam tshuam demyenilizing maj mam koom nrog, thiab nrog demyelination, hom axonal.

Nyob ntawm qhov chaw hauv zos, distal polyneuropathy thiab qhov sib thooj tau ntsib: nrog rau qhov tsis sib luag, ua ntej txhua yam, ceg nyob hauv qab yog cuam tshuam, nrog qhov sib thooj, qhov feem ntawm cov nqua uas nyob saum toj no.

Txhawm rau kev kho mob polyneuropathy kom muab cov txiaj ntsig, nws yog qhov yuav tsum tau txheeb xyuas qhov laj thawj uas ua rau nws.

Vim li cas polyneuropathy ntawm nqua thiab txhais ceg tshwm sim:

Ua tib zoo mloog!Polyneuropathy feem ntau tshwm sim los ntawm cov kab mob hauv lub cev tsim cov tshuaj phem uas cuam tshuam rau cov hlab ntsha tsis zoo.

Thawj hom ntawm cov kabmob muaj xws li cov mob caj ces polyneuropathy thiab daim ntawv ideopathic (Guillain-Barré syndrome). Lub etiology ntawm cov ntawv no tsis tau txhais tag nrho, uas ua rau kev kho mob ntawm qee yam nyuaj.

Cov ntaub ntawv thib ob ntawm polyneuropathy ntawm qhov ncauj sab sauv thiab sab saud suav nrog cov hom uas tshwm sim los ntawm cov kab mob kis, kev mob plab zom mov, lom, kab mob ntawm lub raum thiab mob siab, kev ua haujlwm ntawm cov qog endocrine, thiab cov qog ntawm ntau yam.

Polyneuropathy muaj lub ntsej muag luag saib tsis taus tus yam ntxwv. Cov tsos mob tseem ceeb ntawm tus kab mob tuaj yeem suav hais tias yog qhov kev ntsuas ntawm qhov yeej ntawm qhov qis dua thiab sab saud, vim hais tias pathological yam circulate los ntawm cov ntshav.

Feem ntau cov tsos mob ntawm tus kab mob:

Kev mob ntawm ntau qhov, muaj tus mob neuropathic ("hlawv") Hawj txawm.
Hloov ntiv tes.
Cov tsos ntawm cov leeg sib tw uas tshwm sim tsis kam.
Kev ua txhaum ntawm kev nkag siab (mob, nruj, kub). Nrog rau kev txhim kho cov kabmob, tus neeg mob yuav tsis xav tias muaj lub pob zeb nyob hauv khau, qhov chaw kub thiab lwm yam ua rau mob.
Kev tsis muaj zog ntawm cov leeg nqaij, qhov nyuaj hauv qhov txav nrog qhov loj dav.
O ntawm qhov qis qis,
Ib nrab loog ntawm ob txhais ceg.

Cov tsos mob tsis zoo ntawm cov kab mob suav nrog cov tsos ntawm lub siab ntawm chilliness, tsis muaj zog ntawm cov ntiv tes, mob ntshav tawm (lim ntawm cov xim ntawm cov ceg tawv, tsis zoo ntawm qhov txhab, thiab lwm yam), kub xaim.

Mob ntshav qab zib polyneuropathy ntawm qhov qis qis ua rau pom cov duab hauv qab no:

Cov tsos ntawm excruciating, mob hnyav nyob rau hauv ob txhais ceg thiab taw, uas ua rau muaj zog ntawm sov:
Muaj tsis muaj zog hauv tus taw,
Cov phiajcim muaj ntau zuj zus
Qhov mob pib maj mam nce ntxiv, thaum khaus tshwm thiab cov xim ntawm daim tawv nqaij hloov (tsaus xim doog, yuav luag dub),
Mob taw yog ua.

Cawv polyneuropathy nthuav dav zuj zus, nws cov tsos mob tshwm sim vim yog cov tshuaj lom cawv los ntawm ethanol nyob rau hauv nruab nrab lub paj hlwb thiab cov teeb meem hauv lub cev tsis ua haujlwm:

Ua ntej, kev mob ntawm thaj chaw plab hlaub tshwm sim, uas sib zog nrog nias
Muaj kev qaug zog, tuag tes tuag taw tshwm sim, ob qho tib si ntawm sab qaum thiab sab ceg qis,
Atrophy ntawm cov leeg nqaij tshwm sim
Thawj qhov kev ntxhov siab uas tsis hnov pom tshwm tuaj (uas yog cov thom khwm thiab hnab looj tes),
Muaj kev tawm hws ntau ntxiv, o ntawm lub ntsej muag distal, qhov hloov pauv ntawm daim tawv nqaij.

Polyneuropathy tuaj yeem tshwm sim vim kev haus cawv ntau dhau, vim qhov kev txiav txim siab ntawm lub hauv nruab nrab yog lom los ntawm ethanol.

Polyneuropathy tsis tshwm sim tas mus li: muaj mob tshwm sim, cov tsos mob tuaj yeem tshwm sim hauv ib lub lis piam, nrog hom subacute - tshwm sim ntau ntxiv tuaj txog ib hlis, nrog daim ntawv ntev - cov kab mob tuaj yeem txhim kho rau xyoo.

Ua ntej txoj kev kho mob ncaj qha rau polyneuropathy, nws qhov kev kuaj mob yog nqa tawm, uas cov kev ua kom pom tus kabmob, thiab nws cov kev mob tshwm sim, thiaj li yuav cheb cov pathologies uas tau tshwm sim los ntawm cov cim zoo sib xws.

Yuav kuaj li cas thiaj paub:

Kev tsis txaus siab ntawm tus neeg mob tau ntsuas.
Lub sijhawm tau teeb tsa thaum tsim thawj cov tsos mob tshwm sim.
Nws hloov tawm seb tus neeg mob cov haujlwm puas cuam tshuam nrog kev siv tshuaj.
Nws yog txiav txim siab seb tus neeg mob puas haus cawv tau.
Tsim los ntawm cov muaj keeb yam muaj keeb.
Yuav kuaj ntshav ntxiv.
Siv me me ntawm qhov kawg ntawm txoj hlab ntshav tau txais.
Electroneimography tau ua.
Ib qho kev kuaj yog tshuaj los ntawm tus kws kho paj hlwb, qee kis - los ntawm endocrinologist, kws kho mob.

Txij li thaum polyneuropathy tsis yog ib tus kab mob ywj pheej, nws txoj kev kho mob tseem ceeb yuav tau coj los txiav tawm yam tseem ceeb uas ua rau pib muaj mob. Txawm li cas los xij, kev kho mob yuav tsum tau ua kom nkag siab, thiaj li yuav tshem tawm cov kev mob tsis zoo ntawm polyneuropathy tib lub sijhawm ua kev kho mob tseem ceeb.

Cov tshuaj tau siv nyob ntawm hom thiab ntau yam ntawm tus kabmob, nrog rau theem ntawm polyneuropathy thiab qhov mob hnyav ntawm nws cov tsos mob:

Cov vitamins Qhov Kev Nyiam yog muab rau cov vitamins B ua ke nrog lwm yam minerals thiab vitamins. Vitamin npaj txhim kho lub peev xwm ntawm qab haus huv los kho lawv tus kheej cov yam ntxwv hauv cheeb tsam, muab kev tiv thaiv antioxidant.
Pob Taum Pleev Txo qhov mob, cov neeg mob tau sau tshuaj analgesics (mob siab, tshuaj aspirin) lossis tshuaj tsis-steroidal anti-inflammatory, thiab tshwj xeeb tshaj yog mob hnyav, cov neeg mob tau muab codeine lossis morphine.
Kev siv tshuaj tua kabmob thiab siv tshuaj tiv thaiv kab mob. Kev kho cov tshuaj hormones (methylprednisolone) yog kws kho mob tau sau tseg los ntawm tus kws kho mob, suav txog qhov nce thiab txo qis hauv koob tshuaj. Kev kho tshuaj hormones yog ntxiv los ntawm kev teem sijhawm los ntawm immunoglobulins (sandoglobulin), thiab kev kho mob zoo li no tsuas yog coj mus kho rau hauv tsev kho mob.
Cov tshuaj uas txhim kho cov ntshav ncig hauv thaj chaw ntawm cov hlab ntaws (trinthalum, vasonite, pentoxifylline).
Cov tshuaj uas ua kom leeb cov zaub mov rau cov nqaij mos (piracetam, midronate).

Hauv kev kho mob polyneuropathy, nws yuav tsum nkag siab tias nws tsis tuaj yeem kho tus kab mob nrog cov tshuaj ib leeg. Lub luag haujlwm tseem ceeb hauv kev kho mob yog ua si los ntawm kev tswj hwm kom yog, khoom noj khoom haus, ntsuas kev kho kom rov qab zoo, nrog rau kev saib xyuas tshwj xeeb thiab kev saib xyuas tas mus li ntawm tus neeg mob.

Kev tawm dag zog lub cev ua lub luag haujlwm tseem ceeb hauv kev kho mob polyneuropathy, tshwj xeeb tshaj yog tias tus kabmob muaj cov keeb kwm muaj keeb lossis mob ntev.

Cov txheej txheem hauv qab no yog nqa tawm:

Raug rau cov nqaj paj hlwb ntawm lub cev sib nqus,
Zaws Kho
Electrophoresis
Kev kho ua kom tawm dag zog.

Zaws nrog polyneuropathy pab ntxiv dag zog rau cov leeg, txhim kho thiab txhawb lawv cov kev ua haujlwm. Vim tias qhov no, lub zog ua haujlwm rov qab sai dua, qhov kev pheej hmoo ntawm cov leeg atrophy yog txo qis. Txawm li cas los xij, nws yuav tsum tau qhia rau hauv lub siab tias nyob rau hauv cov ntaub ntawv mob ceev, zaws yuav tsum tsis txhob ua.

Ua tib zoo mloog!Thaum muaj tshuaj lom, thiab tshwj xeeb tshaj yog haus dej cawv polyneuropathy, cov txheej txheem kho mob tsuas yog ua tiav tom qab kev ua kom huv ntawm cov ntshav tsim nyob rau hauv chaw mob.

Kev tawm dag zog ib ce tawm dag zog tuaj yeem nqa tawm, ob leeg ntawm nws tus kheej hauv tsev, thiab nyob rau hauv kev qhia ntawm kws kho mob. Lawv pab tsim kho cov leeg ua haujlwm, uas tso cai rau koj qee los yog tag nrho rov qab ua haujlwm tau zoo ntawm nqaj.

Ntawm cov txuj ci pej xeem, kev kho mob nrog cov roj yam tseem ceeb yog pom zoo - niaj hnub txhaws ntawm ko taw nrog eucalyptus, fir, clove roj yuav pab daws qhov mob thiab txhim kho ntshav ncig hauv cov ceg tawv.

Cov dej da dej kho tus mob polyneuropathy ntawm qhov qis hauv qab tau zoo: 100 grams vinegar thiab sodium chloride (300 g) yaj hauv dej (3 liv dej), dip dej rau hauv chav dej rau 20-30 feeb txhua hnub rau ib hlis.

Yog tias koj tsis nrhiav kev kho mob kom ncav sijhawm, ces tus kab mob tuaj yeem ua rau muaj kev phom sij hnyav.

Ua ntej tshaj plaws, polyneuropathy tuaj yeem hloov kho mus rau hauv daim ntawv ntev, uas tsis kho kiag li. Ua haujlwm dhau sijhawm, ib tus neeg ua rau tag nrho tsis zoo siab hnov lawv nqua, thiab cov leeg nqaij los ntawm cov qauv uas ib tus neeg tuaj yeem ua kev tsis taus, vim tias ua tsis tiav nws lub peev xwm txav tau.

Tseem Ceeb!Nws muaj peev xwm ua kom tiav kiag rau kev kho mob polyneuropathy nrog xws li hom kab mob xws li kis, cawv, thiab lom. Nrog rau daim ntawv ntshav qab zib, nws tsuas yog ua tau kom qee qhov txo cov tsos mob ntawm tus kab mob.

Hauv cov qauv mob hnyav nrog kev ua haujlwm tsis zoo ntawm cov hlab ntsha uas yog lub luag haujlwm rau kev ua haujlwm ntawm lub plawv, qhov mob tsis xwm yeem tuaj yeem tshwm sim, uas tuaj yeem ua rau tuag.

Hauv daim ntawv uas muaj cov ntshav qab zib, kev kis mob theem ob, qhov mob tsis haum rau lub cev, cov qhov txhab ua tsis zoo yog qhov ua tau.

Nrog cov kev kho mob txaus tsim nyog pib hauv lub sijhawm, kev ntsuas ntawm tus kabmob yog qhov muaj txiaj ntsig zoo, tab sis tseem tseem muaj tus kabmob zoo los tiv thaiv dua li kho nws ntev, kev txom nyem los ntawm cov tsos mob tsis zoo.

Nws tsis tuaj yeem tiv thaiv polyneuropathy, tab sis cov kev pheej hmoo rau nws txoj kev txhim kho tuaj yeem txo qis: tso dej cawv, kho cov kis mob thiab cov kab mob kis tau raws sijhawm, saib xyuas qhov zoo ntawm cov khoom siv, txwv kev sib cuag nrog tshuaj lom cov tshuaj lom.

Ib qho mob hnyav ntawm cov hlab ntsha ntawm lub leeg yog qis dua ntawm lub cev neuropathy. Nws txoj kev kho mob yog nqa tawm nrog kev siv ntau yam tshuaj, nrog rau kev siv lub cev kho mob, cov txheej txheem tshwj xeeb, kev kawm txog lub cev.

Neuropathy yog qhov txhab mob ntawm cov hlab ntsha leeg thiab cov hlab ntsha muab rau lawv. Thaum pib, tus kab mob no tsis yog kis nyob rau hauv qhov, tab sis tom qab neuritis, o ntawm cov hlab ntsha ntawm cov hlab ntsha, tuaj yeem yog superimposed rau nws. Neuropathy ntawm qis qis tshaj yog suav nrog cov pab pawg hauv polyneuropathies, lub hauv paus ntawm cov khoom siv yog cov teeb meem metabolic, cov ntaub so ntswg ischemia, kev puas tsuaj rau lub cev, kev tsis haum.

Raws li hom ntawm chav kawm, neuropathy yog qhov txawv:

Los ntawm hom txheej txheem pathological hauv cov hlab ntsha cov leeg, neuropathy yog axonal (ua rau cov txheej txheem ntawm cov neurons - axons) thiab demyelinating (txuas rau lub plhaub ntawm cov hlab ntsha). Raws li cov tsos mob, tus kab mob no tshwm sim:

HnovCov. Cov tsos mob ntawm tus neeg hnov mob ua txawv thiab mob predominate.
Lub cev muaj zogCov. Nws yog manifested feem ntau los ntawm kev ntshawv siab.
Nroj TsuagCov. Muaj cov cim ntawm autonomic thiab trophic mob.

Cov ua ntawm lub pathology muaj ntau yam. Yog li, daim ntawv qhia txog ntshav qab zib yog cov yam ntxwv ntawm kev mob metabolic tsis txaus nyob rau hauv neurons hauv ntshav qab zib mellitus. Kev haus dej cawv, haus dej cawv tshwm sim los ntawm kev lom, intoxication. Lwm qhov ua tau yog qog, cov vitamins ntawm pawg B, hypothyroidism, HIV, kev poob plig, lub nra hnyav.

Cov Cwj Pwm Tsis Txaus Siab - Cov Pab Pawg Tseem Ceeb Cov tsos mob

Qhov tshwm sim ntawm pathology hauv ob txhais ceg tuaj yeem muaj ntau yam, feem ntau lawv nyob ntawm qhov ua rau ntawm neuropathy. Yog hais tias tus kab mob tshwm sim los ntawm kev poob plig, cov tsos mob npog ib qho ntawm ib qho. Ntawm cov ntshav qab zib mellitus, kab mob autoimmune, cov tsos mob kis tau rau ob txhais ceg.

Cov kev cuam tshuam rau cov neeg tsis sib haum xeeb tuaj yeem ua rau tsis txaus siab uas lawv ua rau lub xeev tsis txaus ntseeg nyob hauv tus neeg mob.

Kev hnov mob tsis zoo kuj muaj nyob hauv txhua qhov teeb meem ntawm lub cev nqaj qis. Cov tsos mob feem ntau yog pom tas li, tsis yog nyob ntawm qhov chaw ntawm lub cev, hnub nruab hnub, so, feem ntau ua rau insomnia.

Ntxiv nrog rau cov tsos mob tau piav qhia, feem ntau muaj qhov mob rhiab heev - paub qeeb ntawm qhov txias, kub, qhov hloov pauv ntawm qhov mob pib, qhov tsis ploj ntawm lub cev tsis tu ncua vim qhov txo qis ntawm qhov mob ntawm taw. Kev mob kuj tseem tshwm sim - mob lossis txiav, qaug zog lossis tsis tuaj yeem, lawv nyob hauv thaj chaw ntawm thaj chaw muaj kev cuam tshuam ntawm txoj hlab ntshav.

Raws li pathology ntawm qhov kawg ntawm kev txhim kho, lub cev muaj zog ntawm cov hlab ntsha tau puas ntsoog, yog li lwm qhov kev tsis sib haum xeeb koom nrog. Cov no suav nrog cov leeg mob ntswj, cov leeg ib ce ntawm ob txhais ceg, tshwj xeeb tshaj yog nyob hauv cov nyuj. Yog hais tias tus neeg mob mus ntsib tus kws kho paj hlwb ntawm qib no, tus kws kho mob sau ntawv txo qis rau hauv lub ntsej muag - lub hauv caug, achilles. Qhov qis qis dua lub zog ntawm qhov rov ua dua, ntxiv cov kab mob loj zuj zus. Ntawm cov theem kawg, cov leeg rov qab xav dua tuaj yeem tsis tuaj kiag li.

Mob ua kom tsis muaj zog yog lub cim tseem ceeb ntawm txhais ceg mob neuropathy, tab sis nws yog cov yam ntxwv ntawm cov theem tom kawg ntawm tus kab mob. Thaum xub thawj siab, qhov kev xav ntawm cov leeg tsis muaj zog yog qhov hloov, tom qab ntawd nws ua tas mus li. Hauv theem siab heev, qhov no ua rau:

txo tus tes taw ua si,
nyuaj txav tsis muaj kev txhawb nqa,
thinning ntawm cov leeg, lawv atrophy.

Kev noj zaub mov-trophic mob ntxiv yog lwm pab cov tsos mob ntawm tus mob neuropathy. Thaum kev noj qab haus huv ntawm cov hlab ntsha peripheral cuam tshuam nrog, cov tsos mob hauv qab no tshwm sim:

plaub hau poob tawm ntawm ob txhais ceg
daim tawv nqaij ua nyias, daj ntseg, qhuav,
thaj chaw ntawm cov xim sib txuam ntau tshwm sim

Hauv cov neeg mob neuropathy, txiav, abrasions ntawm ob txhais ceg zoo tsis zoo, lawv yuav luag ib txwm npau taws. Yog li, nrog tus mob ntshav qab zib neuropathy, kev hloov pauv trophic yog qhov hnyav heev uas qhov mob rwj tshwm sim, qee zaum txheej txheem yog qhov nyuaj los ntawm kev tawm tsam.

Tus kws kho neurologist muaj peev xwm ua tau yooj yim ua rau kev kuaj mob muaj peev xwm ua tau raws li cov kev piav qhia raws li tus neeg mob thiab raws li cov hom phiaj muaj - cov tawv nqaij hloov, qhov tsis zoo, thiab lwm yam.

Kev kuaj mob muaj ntau yam sib txawv, ntawm no yog qee qhov ntawm lawv:

Cov qauv tseem ceeb rau kev kuaj teeb meem nrog cov hlab ntsha tseem yog cov txheej txheem yooj yim ntawm electroneuromyography - nws pab qhia meej txog kev kuaj mob.

Nws yog ib qho tsim nyog los kho tus kab mob no hauv txoj kev nyuaj, tas nrog kev kho ntawm cov kab mob tseem ceeb. Nyob rau hauv cov kab mob autoimmune, cov tshuaj hormones, cytostatics yog cov kws kho mob ntshav qab zib - cov ntshav qab zib - cov tshuaj qis los yog insulin, nyob rau hauv kev lom hom ntawm tus kab mob - txoj kev ntxuav (hemosorption, plasmapheresis).

Lub hom phiaj ntawm txoj kev kho rau txo tus leeg nqaj tes taws yog:

rov qab ntawm cov ntaub so ntswg hlab ntsha,
resumption ntawm conduction,
kev kho cov kev tsis sib haum xeeb hauv cov ntshav ncig,

Muaj ntau txoj kev kho, qhov ib yog yog tshuaj noj.

Kev phais mob phais mob tsuas yog nyob ntawm qhov muaj qog, hernias, tom qab raug mob. Txhawm rau tiv thaiv cov leeg mob hauv plab, txhua tus neeg mob tau pom tias yog kev tawm dag zog los ntawm kev tawm dag zog tshwj xeeb, thawj zaug lawv tau ua los ntawm kev saib xyuas ntawm kws kho mob rov qab los.

Nrog neuropathy, kev noj zaub mov nrog kev nce ntxiv hauv cov ntsiab lus ntawm cov vitamins ntawm pawg B yuav tsum tau ua raws, thiab haus dej cawv, zaub mov nrog tshuaj ntxiv, marinades, kib, thiab haus luam yeeb yuav tsum tau muab cais tawm.

Tus kab mob no ua tiav zoo rau kev kho lub cev. Kev zaws, kev kho hluav taws xob, kho cov av nkos, kho kom zoo nkauj, ua kom lub zog ua kom muaj zog. Txhawm rau tiv thaiv kev tsim cov mob txhab yuav tsum hnav cov khau tshwj xeeb, siv orthoses.

Cov tshuaj yeeb yaj kiab ua lub luag haujlwm tseem ceeb hauv kev kho mob ntawm neuropathy. Txij li lub hauv paus yog qhov ua kom tsis zoo ntawm cov hlab ntsha cov ntaub so ntswg, nws yog qhov tsim nyog los ua cov qauv ntawm cov hlab ntsha hauv kev kho mob. Qhov no yog ua tiav los ntawm kev siv cov tshuaj:

Neuroprotectors

Tsis tas poob, cov vitamins ntawm pab pawg B tau siv nyob rau hauv chav kawm ntawm kev kho mob, B12, B6, B1 yog qhia tshwj xeeb. Feem ntau, cov kab mob sib xyaw ua ke raug sau - Neuromultivit, Milgamma hauv cov ntsiav tshuaj, txhaj tshuaj. Tom qab lawv nkag mus, qhov mob rhiab heev tshem tawm, txhua tus tsos mob txo qis heev.

Cov vitamins uas muaj cov tshuaj tua kab mob ntau yam xws li ascorbic acid, vitamins E, A yog qhov muaj txiaj ntsig zoo rau lub cev hauv txhua hom kev neuropathy ntawm qhov qis qis.

Nrog rau cov leeg mob ua kom lub cev muaj zog, tus neeg mob yuav tau txais kev pab los ntawm cov leeg ua kom muaj zog ntau dua - Sirdalud, Baclofen, uas tsuas yog siv nrog cov tshuaj ntawm tus kws kho mob - yog tias raug tsim txom, lawv tuaj yeem ua rau cov leeg tsis muaj zog.

Muaj lwm yam tshuaj tawm tsam cov pathology no. Lawv raug xaiv ib tus zuj zus. Cov no yog:

tshuaj hormonal kom tsis txhob mob, o - Prednisone, dexamethasone,
vascular tshuaj los txhim kho cov ntshav ncig hauv cov ntaub so ntswg - Pentoxifylline, Trental,

Hauv zos, nws raug nquahu kom siv cov tshuaj pleev pleev nrog novocaine, lidocaine, tsis muaj tshuaj tiv thaiv kev tiv thaiv kab mob, nrog rau ua kom sov pleev nrog kua txob liab, tshuaj lom tsiaj. Nrog rau cov kab mob ua kom puas rau ntawm daim tawv nqaij ntawm taw, txhais ceg, kev hnav ris tsho nrog cov tshuaj tua kab mob yog siv (Tetracycline ointment, Oxacillin).

Kev kho mob nrog tshuaj ntsuab tshuaj yog siv nrog ceev faj, tshwj xeeb tshaj yog rau ntshav qab zib. Cov zaub mov txawv yuav yog raws li nram no:

Ua ke cov nkaub ntawm ib lub qe nyoos thiab 2 tablespoons ntawm txiv roj. Ntxiv 100 ml ntawm cov kua txiv carrot, ib tablespoon ntawm zib ntab. Haus 50 ml peb zaug ib hnub tom qab noj mov. Hoob no yog 14 hnub.
Ncuav 2/3 khob ntawm vinegar 9% rau hauv ib lub thoob dej sov, nchuav ib khob ntsev. Tuav koj txhais taw hauv dej rau 15 feeb. Qhov kev kawm yog ib hnub ib hlis.

Nrog kev kho kom raws sij hawm, tus kab mob no muaj kev kwv yees zoo. Txawm hais tias qhov ua rau mob neuropathy mob hnyav heev, nws tuaj yeem ua kom qeeb lossis txiav tu qhov nce zuj zus, ntxiv rau txhim kho tib neeg lub neej.

Qhov ua rau, cov tsos mob thiab kev kho mob polyneuropathy ntawm qhov qis qis - dab tsi yog qhov txawv ntawm cov ntshav qab zib, cawv thiab lwm yam mob ntawm tus kab mob

Polyneuropathy yog cov kab mob sib kis, qhov ua rau tuaj yeem sib txawv, tab sis lawv cov yam ntxwv dav dav yog malfunction ntawm peripheral poob siab thiab cov tib neeg cov leeg, tab sis nyob rau hauv coob leej thoob plaws lub cev.

Feem ntau, nws cuam tshuam rau caj npab thiab txhais ceg, ua rau pom nws tus kheej hauv qhov kev txo qhov ua tau zoo hauv cov leeg, ua tsis tau cov ntshav cov ntshav hauv thaj chaw muaj kev cuam tshuam, thiab txo qis rhiab. Ob txhais ceg raug kev txom nyem ntau tshaj los ntawm tus kab mob no.

Polyneuropathy ntawm qhov qis qis tau faib ua plaub yam, thiab txhua ntawm lawv, nyob rau hauv lem, nws muaj nws tus kheej subspecies.

Txhua txoj hlab ntaws tau faib ua peb hom: piav thoob hlo, lub cev muaj zog thiab lub zog ntawm lub cev. Thaum lawv txhua tus cuam tshuam, ntau cov tsos mob tshwm sim. Tom ntej no, peb xav txog txhua hom polyneuroglia:

Lub cev muaj zog (lub cev muaj zog). Cov hom no yog tus cwj pwm los ntawm cov leeg tsis muaj zog, uas sib kis ntawm sab hauv qab thiab tuaj yeem ua rau lub qhov tsis muaj peev xwm txav tag nrho. Kev txiav txim siab ntawm lub cev li qub ntawm cov leeg, uas ua rau lawv tsis kam ua haujlwm thiab nquag tshwm sim ntawm qaug dab peg.
Hnov polyneuropathy ntawm qhov qis qis (ceev faj). Cov mob tsis zoo, ua qhov quav, qhov kev xav paub ntau ntxiv, txawm tias lub siab kov ntawm ko taw, yog tus yam ntxwv. Muaj cov xwm txheej ntawm qhov kev mob rhiab.
Nroj Tsuag. Hauv qhov no, muaj hws tawm hws, impotence. Teeb meem ntawm kev tso zis.
Sib xyaw - suav nrog tag nrho cov tsos mob saum toj no.

Cov hlab ntaws muaj cov axons thiab myelin sheaths ncig cov axons no. Hom kab no tau muab faib ua ob qho subspecies:

Tus ntawm kev puas tsuaj ntawm axon myelin sheaths kev loj hlob sai dua. Cov cuab yeej siv hluav taws xob thiab lub cev muaj zog cuam tshuam ntau dua. Cov zaub noj raug muab pov tseg me ntsis. Ob feem ntawm qhov sib thooj thiab seem feem cuam tshuam.
Axonal tib lub cim hauv qhov kev txhim kho ntawd qeeb. Txoj kev noj haus cov hlab ntsha tsis sib xws yog ntxhov. Cov leeg mob ceev heev. Kev faib khoom pib nrog qhov seem distal.

Los ntawm cheeb tsam muaj:

Distillation - hauv qhov no, thaj chaw ntawm ob txhais ceg uas nyob deb tshaj yog cuam tshuam.
Qhov kwv yees - Qhov seem ntawm ob txhais ceg uas tau nyob siab dua tau cuam tshuam.

Vim li cas muaj:

Dysmetabolic. Nws nthuav tawm los ntawm kev ua txhaum ntawm cov txheej txheem hauv cov hlab ntsha cov hlab ntsha, uas yog qhov kev npau taws los ntawm cov tshuaj tsim nyob rau hauv lub cev ntawm tom qab qee yam kab mob. Tom qab lawv tshwm sim hauv lub cev, cov tshuaj no pib thauj nrog ntshav.
Cawv polyneuropathy ntawm qis qis dua. Nws tshwm sim nrog kev siv tshuaj lom mob xws li mercury, txhuas, arsenic. Feem ntau manifested thaum

Lub yees duab qhia tau hais tias kev haus dej cawv ua rau lub hlwb puas thiab ua rau mob polyneuropathy ntawm qis qis.

kev siv tshuaj tua kab mob, tab sis hom tshuaj tiv thaiv polyneuropathy ntau dua yog haus cawv.

Hauv kis cawv polyneuropathyCov tsos mob hauv qab no tshwm sim nyob rau hauv qis qis: txhawm rau mob, tsis muaj zog tuaj yeem txav mus los hauv ob txhais ceg, tsis hnov mob. Kev pib nrawm nrawm ntawm kev sib tw hauv cov leeg.

Ntshav qab zib polyneuropathy ntawm qis qis dua. Nws tshwm sim hauv cov neeg kev mob ntshav qab zib ntev ntev, muaj li 5-10 xyoo. Nws ua tau nws tus kheej hauv daim ntawv ntawm cov tsos mob zoo li no: tsis hnov mob, muaj pob tshwm rau ntawm daim tawv nqaij, qhov khaus ntawm taw.

Rau thawj polyneuropathies suav nrog cov tsiaj keeb thiab ideopathic. Nov yog tus mob zoo li Guillain-Barré syndrome.
Rau theem nrab polyneuropathy tshwm sim los ntawm kev lom, kev zom zaub mov tsis haum lub cev, kis kab mob.

Tus kab mob no tuaj yeem tshwm sim rau ntau yam, tab sis nws tsis tshua muaj peev xwm ua tau kom paub tseeb lawv. Polyneuropathy ntawm qis dua qhov qis muaj qhov pib vim li cas:

vim li cas muaj keeb
muaj teeb meem nrog lub cev tiv thaiv kab mob uas tshwm sim los ntawm qhov ua haujlwm tsis zoo ntawm lub cev,
ntau hom qog,
tsis muaj cov vitamins nyob rau hauv lub cev,
kev siv cov tshuaj yam tsis tsim nyog los yog tsis raws li cov lus qhia,
cuam tshuam ntawm cov qog endocrine,
raum thiab mob siab teeb meem
cov mob uas ua rau cov txheej txheem uas ua rau muaj mob hauv cov leeg kho qhov muag,
lom lub cev nrog txhua yam tshuaj lom neeg.

Thaum muaj kab mob tshwm sim, lub cev muaj zog thiab cov roj hluav taws xob zoo. Hauv qhov no, xws li cov tsos mob ntawm polyneuropathy ntawm qis dua nqua:

ib nrab khaus ntawm ob txhais ceg,
o ntawm qis qis dua,
hnov mob
plooj ncus
leeg tsis muaj zog
ntau dua lossis tsis hnov rhiab.

Kev kuaj mob yog los ntawm kev txheeb xyuas tus kabmob thiab nws cov tsos mob, thaum muab pov tseg cov kabmob uas tuaj yeem tsim cov tsos mob uas zoo sib xws.

Hauv cov txheej txheem, tus kws kho mob yuav tsum ua tib zoo saib xyuas txhua daim paib sab nraud thiab kev hloov pauv, pom ntawm tus neeg mob seb nws tsev neeg puas muaj mob tib yam.

Polyneuropathy kuj tseem kuaj tau siv ntau yam cov txheej txheem:

me
ultrasound kuaj mob rau sab hauv plab hnyuv siab raum,
cerebrospinal kua tshuaj,
Kev kuaj mob xoo hluav taws xob
kev kuaj ntshav biochemical,
kawm txog qhov nrawm nrawm nrog qhov chaw reflex kis tau los ntawm cov hlab ntaws,
txoj kev kawm ntawm reflexes.

Kev kuaj mob ntshav qab zib mob polyneuropathy

Kev kho mob polyneuropathy ntawm qhov qis hauv qab nws muaj nws tus yam ntxwv. Piv txwv li, kev kho mob ntawm cov mob ntshav qab zib polyneuropathy ntawm qhov qis qis hauv yuav tsis muaj kev cia siab rau kev tsis kam lees haus cawv, hauv kev sib piv ntawm daim ntawv cawv ntawm tus kab mob.

Polyneuropathy yog ib qho mob uas tsis tshwm sim nws tus kheej.

Yog li, thaum thawj zaug tshwm sim ntawm nws cov tsos mob, nws yog ib qho tsim nyog yuav tsum tau txiav txim siab tam sim ntawd qhov ua rau ntawm nws tshwm sim.

Thiab tsuas yog tom qab ntawd tshem tawm cov yam tseem ceeb uas yuav ua rau nws. Yog li, kev kho mob polyneuropathy ntawm qhov qis qis kawg yuav tsum tau muaj kev qhia dav dav thiab tsom feem ntau ntawm kev tshem tawm lub hauv paus ntawm qhov teeb meem no, vim tias lwm txoj kev xaiv yuav tsis cuam tshuam dab tsi.

Ua raws li hom kabmob, xws li Npaj:

Thaum muaj mob hnyav, methylprednisolone raug tshuaj,
nrog rau qhov mob hnyav, analgin thiab tramadol tau sau tseg,
tshuaj uas txhim kho cov ntshav kev nyob hauv cov hlab ntsha hauv thaj av ntawm cov hlab ntsha: vasonite, trinthal, pentoxifylline.
cov vitamins, nyiam kom tau yog muab rau pawg B,
cov tshuaj uas txhim kho cov txheej txheem ntawm kev tau txais cov nqaij hauv cov nqaij mos - ua kom mob mos mos, piracetam.

Kev kho rau tus kab mob no yog cov txheej txheem nyuajsiv sij hawm ntev lub sijhawm.

Tshwj xeeb tshaj yog yog hais tias polyneuropathy tshwm sim los ntawm nws mob ntev los yog cov mob muaj keeb. Nws pib tom qab kho mob.

Nws muaj xws li cov txheej txheem:

kev kho zaws
raug rau cov teb sib nqus ntawm cov hlab ntsha tawg paj hlwb,
kev tsim kho lub paj hlwb nrog cov khoom siv hluav taws xob,
qhov cuam tshuam ntawm cov kabmob.

Nyob rau hauv rooj plaub thaum lub cev muaj kev cuam tshuam los ntawm cov tshuaj lom neeg mob, piv txwv li, yog tias tus neeg mob tau haus cawv ntau dua ntawm qhov qis qis, kev kho mob yuav tsum tau siv ntshav ntxuav nrog lub tshuab tshwj xeeb.

Nco ntsoov sau daim ntawv qhia kev kho mob lub cev rau polyneuropathy ntawm qhov qis qis uas ua rau nws muaj peev xwm tswj hwm cov leeg nqaij.

Nws tsis pom zoo kom pib txoj kev pib ntawm tus kabmob thiab coj mus rau kev tsis sib haum xeeb.

Txwv tsis pub nws tuaj yeem dhau los ua mob ntev thiab coj ntau yam teeb meem. Yog tias koj tsis tau zoo los ntawm tus kabmob no, qhov no tuaj yeem ua rau koj tsis tuaj yeem hnov koj nqaj qis, cov leeg nqaij mus rau hauv qhov tsis zoo thiab vim li ntawd, koj yuav poob qhov muaj peev xwm txav mus los.

Yog hais tias kev kho mob tau pib raws sijhawm, ces kev kuaj pom yog qhov muaj txiaj ntsig zoo. Tsuas yog muaj ib qho kev zam - kev kho mob ntsig txog mob polyneuropathy ntev. Nws tsis tuaj yeem ua kom tiav qhov kab mob no, tab sis muaj ntau txoj hauv kev los txo qhov hnyav ntawm nws cov chav kawm.

Txhawm rau tshem tawm qhov ua tau ntawm qhov tshwm sim ntawm tus kab mob xws li polyneuropathy, koj yuav tsum ua raws li cov lus pom zoo thiab tshuaj kho.

Lawv cuam tshuam nrog kev ntsuas uas tuaj yeem ceeb toom tiv thaiv kev puas tsuaj uas cuam tshuam thiab cuam tshuam kev ua haujlwm ntawm lub luag haujlwm ntawm qhov leeg.

Cov no yog cov hauv qab no cov lus qhia:

Tsim nyog tshem tawm cov cawv tawm hauv koj lub neej.
Yuav tsum tau noj tshuaj tiv thaiv thaum ua haujlwm nrog cov khoom siv roj ntsha hauv kev tiv thaiv kom tiv thaiv lawv txoj kev nkag mus rau hauv lub cev.
Pom zoo taug qab cov khoom zoo, uas koj siv, vim tias muaj tshuaj lom nrog cov khoom no, cov txheej txheem ntawm kev rhuav tshem thiab cuam tshuam ntawm kev ua haujlwm li qub ntawm cov hlab ntaws tau pib. Qhov no txhawb txoj kev loj hlob ntawm polyneuropathy.
Yuav tsum ua tib zoo tswj xyuas hauv cov koob tshuaj twg koj noj tshuaj thiab tsis muaj qee yam tsis siv lawv yam tsis tas yuav tsum muaj. Nws yuav tsum nruj me ntsis ua raws li tus kws kho mob cov lus qhia thiab tsis txhob noj nws tus kheej.
Yuav tsum tau nqis tes yog tias koj pom koj tus kheej kis los yog kis kab mob. Qhov mob maj nrawm yuav tsum sab laj tus kws kho mob thiab tsis pib cov kab mob no, uas tuaj yeem tom qab ntawd yog qhov ua rau muaj kev mob txha caj qaum.

Raws li txoj cai, tsis muaj txoj hauv kev los tiv thaiv polyneuropathy.

Tab sis, yog tias koj pom nws, koj yuav tsum sab laj nrog tus kws kho mob tam sim ntawd, yog li koj yuav muaj peev xwm txo qis ntau txoj kev loj hlob ntawm tus kab mob thiab lub sijhawm ntawm kev kho kom rov zoo. Nws muaj nyob rau hauv kev mus ntsib chav kho lub cev thiab muab tshuaj zaws.

Txawm hais tias koj muaj qee yam muaj mob qhia rau tus kws kho mob sai ntau dua li kev siv tshuaj rau tus kheej, vim tias koj tsis tuaj yeem paub tus tsos mob ntawm tus kabmob no, tsis meej pem rau lwm tus, thiab pib kho tsis yog.

Thiab, nyob rau hauv hauv paus ntsiab lus, nws yooj yim dua rau tus kab mob uas nyuam qhuav pib tsim dua nrog kev txhim kho ntev ntev, uas tom qab ntawd tuaj yeem ua rau txhua yam kev nyuaj.

Video: Mob ntshav qab zib polyneuropathy ntawm qhov qis qis

Yuav kuaj polyneuropathy ntawm koj tus kheej li cas? Dab tsi yog peculiarity ntawm diabetic daim ntawv ntawm tus kab mob. Vim li cas cov hlab siv rhiab tsis ploj?

Dedov I.I., Fadeev V.V. Qhia txog Ntshav Qab Zib. Moscow, Bereg Luam Tsev, 1998, 200 nplooj ntawv, ncig 9000 daim qauv.
Cov kab mob endocrine thiab cev xeeb tub hauv cov lus nug thiab lus teb. Cov lus qhia rau cov kws kho mob, E-tsis - M., 2015. - 272 c.
Balabolkin M.I. Endocrinology. Moscow, tshaj tawm tsev "Tshuaj", 1989, 384 pp.
Stroykova A.S. Peb kho ntshav qab zib hauv tsev hauv tus menyuam. Daim ntawv nthuav qhia, tshaj tawm ntawm lub tuam txhab Novo Nordisk, tuaj yeem yog xyoo 1999, 31 nplooj ntawv, tsis tas yuav muaj qhov ntsuas ncig

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog cov kws tshwj xeeb ib txwm tsim nyog.

Cov tshuaj Neurometabolic

Cov tsos mob polyneuropathy ntawm sab sauv thiab qis sab heev tiag tiag cuam tshuam qhov zoo ntawm lub neej. Kev kho mob yuav tsum tau ua tib zoo saib los ntawm cov kws tshaj lij hauv txhua kis. Piv txwv li, qhov ntev-paub thiab nrov tshuaj "Cerebrolysin" pab ntau tus neeg mob. Nws yog ib qho ntawm cov neeg ua haujlwm neurometabolic uas muaj zog tshaj plaws. Nws cov tshuaj nquag pab ua kom rov qab ua cov nqaij mos ntawm cov hlab ntaws, ua kom cov protein nyob hauv lawv thiab tib lub sijhawm tiv thaiv lawv los ntawm cov tshuaj phem.

Tsis tas li, ntau zaus nyob rau hauv kev kho mob polyneuropathy ntawm qis qis, npaj muaj thioctic acid, piv txwv li, "Pobzeb", tuaj yeem siv. Cov tshuaj no yog cov tshuaj tiv thaiv kab mob uas cuam tshuam rau cov txheej txheem uas tshwm sim hauv cov nqaij hauv lub cev, tshwj xeeb, hauv cov leeg hlwb. Cov tshuaj no lossis nws cov analogues muaj cov tshuaj antioxidant, hypocholesterolemic, hepatoprotective, hypolipidemic thiab detoxifying effect hauv lub cev.

Lwm pab pawg ntawm cov tshuaj siv nyob rau hauv kev kho mob ntawm tus kab mob no kho txhim kho kev txhim kho ntawm cov hlab ntaws pa. Qhov no tej zaum yuav yog cov tshuaj "Neuromidin", uas muaj cov tshuaj ipidacrine, uas zwm rau cholinomimetics thiab muaj cov nyhuv ntawm lub paj hlwb.

Kev Kho Mob Txom Nyem

Kev kho mob ntshav qab zib polyneuropathy ntawm qhov qis qis yuav tsum tau siv tshuaj kho mob. Lawv yuav tsum pab tus neeg mob xis nyob dua, ua kom nws tus mob zoo dua qub. Cov tshuaj twg xaiv cov tshuaj ib tus kheej tau txiav txim los ntawm tus kws kho mob koom nrog ua ke nrog tus neeg mob. Cov tshuaj loog sab nraud yuav pab ib qho, thiab lwm tus yuav tau txais txiaj ntsig los ntawm kev siv tshuaj tiv thaiv kab mob, tiv thaiv kev ua kom tsaug zog, lossis tshuaj tsaug zog.

Nrhiav kev pab ntawm cov tshuaj loog siv tsis muaj nqis. Kev tshawb nrhiav mob Polyneuropathy tau qhia tias lawv tsis nqa tshuaj pab. Ib qho ntawm cov tshuaj nrhiav tom qab rau cov mob zoo li no yog Gabapentin. Cov tshuaj nquag hauv nws muaj tib lub npe xws li cov tshuaj nws tus kheej. Nws yog ob qho tib si analgesic thiab anticonvulsant. Tus kws kho mob tuaj yeem sau ntawv yuav rau cov tshuaj xws li Pregabalin, uas kuj tseem muaj cov nyhuv anticonvulsant.

Tshuaj loog rau polyneuropathy ntawm qhov qis qis yog nyob ntawm tus neeg ntawd tus yam ntxwv ntawm tus mob, thiab yog li qhov kev xaiv tshuaj yog kev txiav txim siab ntawm tus kws kho mob thiab tus neeg mob.

Antioxidant kev kho

Kev kho mob ntawm ib tus kab mob xws li polyneuropathy ntawm qhov qis qis, feem ntau ntawm cov neeg mob, suav nrog tus neeg sawv cev uas muaj lub cev tsis zoo. Txawm li cas los xij, qee cov tshuaj los ntawm neurometabolics tuaj yeem muaj cov nyhuv ntawm lub cev.

Mob ntshav qab zib polyneuropathy ntawm qhov qis qis tshaj tshwj xeeb tshaj yog yuav tsum siv cov tshuaj no. Thioctic acid, uas tau hais los saum toj no, muaj kev tiv thaiv tsis zoo rau cov nqaij hauv cov hlab hlwb. Piv txwv li, nws muaj nyob hauv cov tshuaj niaj hnub "Berlition". Nws khi cov dawb radicals, uas muaj cov kab mob pathological rau tag nrho cov ntaub so ntswg thiab kabmob. Mexidol muaj tib lub txiaj ntsig.

Cov vitamins rau polyneuropathy

Kev kho mob ntshav qab zib polyneuropathy ntawm qhov qis qis tsis tuaj yeem xav tias tsis muaj cov vitamins xaiv kom zoo. Nws yog qhov zoo thaum ib tus neeg tau txais txhua yam tseem ceeb rau kev ua haujlwm kom zoo ntawm lub cev nrog rau zaub mov noj. Tab sis feem ntau cov khoom noj tsis txaus kom ua rau ntau yam. Cov kws kho mob tau ntxiv qee cov vitamins.

Piv txwv li, cov vitamins ntawm pawg B1, 6, 12, uas muaj cov nyhuv nootropic, tsim nyog rau kev ua haujlwm ntawm lub paj hlwb thiab cov leeg hlwb. Vitamin E yog ib qho muaj zog tshaj plaws. Nws tiv thaiv cov hlwb ntawm cov leeg hlwb los ntawm kev tsim txom oxidation ntawm dawb radicals lossis lwm yam tshuaj. Tsis tas li ntawd, cov vitamin no cuam tshuam cov elasticity ntawm cell daim nyias nyias.

Kev kho mob ntawm polyneuropathy ntawm qhov qis qis ntawm txhua qhov kev etiology yuav tsum suav nrog cov txheej txheem ntawm cov vitamins xaiv raws li chav kawm ntawm tus kab mob. Koj tus kws khomob yuav pom zoo kom noj folic acid. Nws qee zaum hu ua vitamin B9. Nws muaj lub zog tseem ceeb hauv kev tsim cov hlwb tshiab thiab pab tswj lawv txoj kev noj qab haus huv.

Cov yam ntxwv ntawm tus kab mob thiab nws ntau yam

Tseem Ceeb!Polyneuropathy ntawm qis qis dua yog qhov ntau dua, vim hais tias ob txhais ceg muaj lub nra hnyav dua lub cev sab saud.

Yog hais tias lub peripheral lub paj hlwb malfunctioned tsawg kawg ib zaug nyob rau hauv lub dhau los, ces tej zaum yuav muaj ntau yam yog vim li cas rau polyneuropathy

Cov txheej txheem siv lub cev ua haujlwm

Kev npaj rau kev kho mob polyneuropathy ntawm qhov qis hauv qab yog txiav txim los ntawm tus kws kho mob hlwb. Nws yuav yeej ntxiv rau lawv nrog kev tawm dag zog, uas pab ua kom lub cev tsis ua haujlwm ntawm qis dua thiab sab saud, ntxiv rau kev ua haujlwm ntawm cov txheej txheem hauv cov metabolism hauv cov ntaub so ntswg, txhim kho tus neeg mob kom zoo. Cov neeg mob zoo li no yuav tsum muaj kev zaws zaws thiab cov kis las tas li. Txoj hauv kev zoo yog:

Kev qoj ib ce yog tsom rau kev txhim kho cov leeg nruj leeg. Ib txoj kev kho mob zoo tshaj plaws ntawm polyneuropathy ntawm qhov qis dua thiab sab saud tsis tuaj yeem xav tias tsis muaj txoj kev yooj yim tab sis muaj txiaj ntsig zoo - sprains, khoov, viav vias. Hais txog kev tawm dag zog uas tus neeg mob yuav tsum ua, tus kws kho mob koom yuav qhia.

Pej xeem noj tshuaj

Kev kho mob polyneuropathy ntawm qhov qis qis tsis tas rau tshuaj. Nws tuaj yeem ntxiv los ntawm kev siv tshuaj ntsuab. Tus neeg mob yuav tsum nco ntsoov tias kev siv tshuaj ntsuab yuav tsum tau pom zoo los ntawm tus kws kho mob. Yog li, rau kev kho mob polyneuropathy ntawm qhov qis hauv qab yog siv:

Ledum,
John lub wort
Bay nplooj ntoos
fenugreek
mis thistle
hops
sage
eleutherococcus.

Cov nroj tsuag no tau siv rau hauv daim ntawv ntawm infusions thiab decoctions, lotions thiab da dej ntxiv. Kev siv cov tshuaj kho mob pej xeem hauv kev kho mob polyneuropathy yuav tsum pom zoo nrog tus kws kho mob uas koom nrog. Nws yuav tsum nco ntsoov tias kev kho mob tuaj yeem yog 6 lossis ntau dua hli. Yog li no, koj yuav tsum tau npaj rau kev npaj txhua hnub ntawm decoctions lossis infusions, kom qhov tshwm sim tau tshaj tawm thiab ruaj khov.

Polyneuropathy ntawm qhov qis qis yog qhov teeb meem loj uas tuaj yeem tshwm sim rau ntau yam. Koj yuav tsum them sai sai rau qhov tsis hnov tsw ntawm kev hnov mob, txhaws ceg ntawm txhais ceg thiab caj npab, txhawm rau kom muaj kev soj ntsuam zoo hauv lub sijhawm thiab kuaj pom tus kab mob thaum ntxov. Tsuas yog tom qab ntawd kev kho mob yuav pab rov qab lub neej zoo li qub, tsis muaj kev txwv tsis pub txav mus los.

Los ntawm degree thiab thaj tsam ntawm kev puas tsuaj

Cov hlab ntsha tuaj yeem muab faib ua ntau hom - lub cev muaj zog, lub zog, lub cev. Nyob ntawm seb qhov kev mob tso zis ntau ntxiv, polyneuropathy tseem muab cais:

Nroj Tsuag. Lub zog ntawm lub cev hluav taws xob muaj qhov cuam tshuam, uas nyob ntawm lub xeev ntawm kev ua haujlwm nruab nrog. Muaj qhov nce hauv kev tawm hws, teeb meem nrog tso zis, ib qho nyiam ua tawv ncauj, tawv nqaij qhuav.
Hnov polyneuropathy. Cov kev mob siab tshwm sim: qhov hnov ntawm qoj ib ce, kub taub hau, loog, "nkag hauv tob," qhov hnov thiab mob siab txawm tias tau chwv ntawm tus ceg pov.
Sensomotor polyneuropathy. Nws ua ke cov tsos mob ntawm kev puas tsuaj rau hnov thiab cov leeg.
Sib xyaw. Nrog rau cov cim qhia ntawm txhua yam kev cuam tshuam.

Hauv nws daim ntawv dawb huv, cov foos no tuaj yeem pom tsis tshua pom, feem ntau hnov thoob-kev noj, lub cev muaj zog-hnov thiab lwm hom sib xyaw ua ke yog kuaj mob.

Los ntawm hom txheej txheem pathological

Polyneuropathy cuam tshuam rau cov hlab ntsha cov hlab ntsha, uas muaj cov axons thiab myelin sheaths. Ua raws li lesion, lawv cais:

Axonal polyneuropathy - tshwm sim thaum lub axon raug puas tsuaj nyob rau hauv ntau yam kev mob tshwm sim: nrog rau kev qaug cawv nrog arsenic, hmoov txhuas, mercury, cawv,
Demyelinating polyneuropathy - tshwm sim nrog demyelination ntawm cov hlab ntaws, tus kab mob loj hlob sai, feem ntau lub cev muaj zog thiab cov ntsaws siab yog cuam tshuam.

Hauv nws daim ntawv dawb huv, cov hom tsis muaj nyob ntev: nrog kev puas tsuaj axon, qhov kev cuam tshuam demyenilizing maj mam koom nrog, thiab nrog demyelination, hom axonal.

Cov tsos mob thiab kev loj hlob ntawm tus kab mob

Feem ntau cov tsos mob ntawm tus kab mob:

Kev mob ntawm ntau qhov, muaj tus mob neuropathic ("hlawv") Hawj txawm.
Hloov ntiv tes.
Cov tsos ntawm cov leeg sib tw uas tshwm sim tsis kam.
Kev ua txhaum ntawm kev nkag siab (mob, nruj, kub). Nrog rau kev txhim kho cov kabmob, tus neeg mob yuav tsis xav tias muaj lub pob zeb nyob hauv khau, qhov chaw kub thiab lwm yam ua rau mob.
Kev tsis muaj zog ntawm cov leeg nqaij, qhov nyuaj hauv qhov txav nrog qhov loj dav.
O ntawm qhov qis qis,
Ib nrab loog ntawm ob txhais ceg.

Mob ntshav qab zib polyneuropathy ntawm qhov qis qis ua rau pom cov duab hauv qab no:

Cov tsos ntawm excruciating, mob hnyav nyob rau hauv ob txhais ceg thiab taw, uas ua rau muaj zog ntawm sov:
Muaj tsis muaj zog hauv tus taw,
Cov phiajcim muaj ntau zuj zus
Qhov mob pib maj mam nce ntxiv, thaum khaus tshwm thiab cov xim ntawm daim tawv nqaij hloov (tsaus xim doog, yuav luag dub),
Mob taw yog ua.

Ua ntej, kev mob ntawm thaj chaw plab hlaub tshwm sim, uas sib zog nrog nias
Muaj kev qaug zog, tuag tes tuag taw tshwm sim, ob qho tib si ntawm sab qaum thiab sab ceg qis,
Atrophy ntawm cov leeg nqaij tshwm sim
Thawj qhov kev ntxhov siab uas tsis hnov pom tshwm tuaj (uas yog cov thom khwm thiab hnab looj tes),
Muaj kev tawm hws ntau ntxiv, o ntawm lub ntsej muag distal, qhov hloov pauv ntawm daim tawv nqaij.

Polyneuropathy tuaj yeem tshwm sim vim kev haus cawv ntau dhau, vim qhov kev txiav txim siab ntawm lub hauv nruab nrab yog lom los ntawm ethanol.

Cov hau kev kho

Yuav kuaj li cas thiaj paub:

Kev tsis txaus siab ntawm tus neeg mob tau ntsuas.
Lub sijhawm tau teeb tsa thaum tsim thawj cov tsos mob tshwm sim.
Nws hloov tawm seb tus neeg mob cov haujlwm puas cuam tshuam nrog kev siv tshuaj.
Nws yog txiav txim siab seb tus neeg mob puas haus cawv tau.
Tsim los ntawm cov muaj keeb yam muaj keeb.
Yuav kuaj ntshav ntxiv.
Siv me me ntawm qhov kawg ntawm txoj hlab ntshav tau txais.
Electroneimography tau ua.
Ib qho kev kuaj yog tshuaj los ntawm tus kws kho paj hlwb, qee kis - los ntawm endocrinologist, kws kho mob.

Tshuaj kho mob nkeeg