Mob neuropathy mob ntshav qab zib

Mob neuropathy mob ntshav qab zib
Tuning diav rawg - ib qho khoom siv rau kev kuaj mob ntawm qhov tsis haum nrog lub siab ntsws
ICD-10	G 63.2 63.2, E 10.4 10.4, E 11.4 11.4, E 12.4 12.4, E 13.4 13.4, E 14.4 14.4
ICD-9	250.6 250.6
ICD-9-KM	250.6
Medlineplus	000693
Ntxaij	D003929

Mob neuropathy mob ntshav qab zib (lwm hom lus Greek νεϋρον - "hlab ntsha" + lwm cov lus Greek πάθος - "kev txom nyem, mob") - cuam tshuam ntawm cov hlab ntsha cuam tshuam nrog kev yeej ntawm cov ntshav qab zib ntawm cov hlab ntsha me (vasa vasorum, vasa nervorum) - ib qho ntawm cov kev ua haujlwm cov teeb meem, tsis tsuas yog ua rau txo qis kev muaj peev xwm ua haujlwm, tab sis feem ntau kuj yog qhov ua rau kev txhim kho ntawm kev puas tsuaj loj thiab ua rau cov neeg mob tuag. Cov txheej txheem pathological cuam tshuam tag nrho cov hlab ntsha: piav thoob hlo, lub cev muaj zog thiab lub zog ntawm lub cev. Nyob ntawm seb qhov teeb meem ntawm kev puas tsuaj rau qee cov fibers, ntau yam sib txawv ntawm cov ntshav qab zib neuropathy tau pom: hnov ​​(hnov tsis tau), hnov ​​tsis hnov ​​tsw-lub cev muaj zog, autonomic (autonomous). Qhia qhov txawv ntawm nruab nrab thiab nruab nrab cov leeg hlwb. Raws li kev faib tawm ntawm V. M. Prikhozhan (1987), kev puas tsuaj rau lub hlwb thiab tus txha caj qaum yog suav tias yog qhov nruab nrab ntawm tus mob neuropathy thiab, raws li, tau muab faib ua:

Cerebrovascular kev huam yuaj

Tawm tsam keeb kwm ntawm chav kawm ntawm cov ntshav qab zib, qhov kev pheej hmoo ntawm kev tsim ischemic stroke ntawm lub hlwb nce. Raws li cov txiaj ntsig tau los ntawm kev tshawb nrhiav kabmob sib kis ntev ntev, nws tau pom tias ntau zaus ntawm cov neeg mob ntshav khov ntawm cov neeg mob ntshav qab zib nce mus txog 62.3 rau 1,000 tus neeg, thaum nyob hauv cov neeg tseem ceeb nws yog 32,7 rau 1,000 tus neeg nyob rau 12 lub sijhawm kev soj ntsuam. Txawm li cas los xij, kev tshwm sim ntawm hemorrhagic mob stroke thiab transserebrovascular kev raug mob tsis txawv qhov ntawd los ntawm cov neeg pej xeem. Nws tau tsim muaj tias cov ntshav qab zib mellitus yog qhov muaj kev pheej hmoo rau kev txhim kho ntawm cerebrovascular kev sib tsoo, tsis hais txog qhov muaj lwm yam kev pheej hmoo (arterial hypertension, hypercholesterolemia).

Txawm li cas los xij, chav kawm ntawm ischemic stroke ntawm cov neeg mob ntshav qab zib muaj ntau dua nyob rau hauv cov xwm txheej, kev mob tshwm sim ntau dua, kev tuag ntau dua thiab kev xiam oob qhab piv nrog mob stroke hauv cov neeg tsis muaj ntshav qab zib. Hauv kev tshawb nrhiav los ntawm Lithner et al hauv 1988, kev tuag ntawm txoj kev loj hlob ntawm cov neeg mob ntshav qab zib yog 28%, thiab ntawm cov neeg tsis muaj ntshav qab zib, 15%. Txoj kev tsis zoo thiab qhov tshwm sim ntawm cov mob stroke qhia tawm ntawm keeb kwm ntawm ntshav qab zib mellitus tshwm sim los ntawm kev mob siab ntawm kev rov ua haujlwm cerebrovascular siab dua. Kev tshawb nrhiav kab mob hauv Tebchaws Asmeskas pom tias kev pheej hmoo ntawm kev rov qab los dua li ntawm cov neeg mob ntshav qab zib yog thawj zaug ntawm cov neeg mob ntshav qab zib yog 5.6 npaug siab dua qhov kev pheej hmoo zoo sib xws hauv cov neeg muaj mob stroke tab sis tsis muaj ntshav qab zib (Alter thiab li al., 1993).

Tus nqi ntawm hyperglycemia yog qhov ua rau muaj feem cuam tshuam hauv txoj kev mob hlab ntsha tawg, ob leeg ntawm cov neeg uas muaj thiab tsis muaj ntshav qab zib, tseem muaj kev sib cav. Hyperglycemia feem ntau ua ke nrog mob stroke: ntawm ib sab tes, nws tuaj yeem yog qhov pom ntawm cov ntshav qab zib yav dhau los uas tsis tau paub txog, thiab ntawm qhov tod tes, nws tshwm sim los ntawm kev nyuaj siab yam uas txuas nrog kev loj hlob ntawm mob stroke. Nyob rau tib lub sijhawm, qhov tuab ntawm cov ntshav qab zib mellitus kuaj pom thaum lub sij hawm kev txhim kho ntawm cov hlab ntsha (tsis tau kuaj pom yav dhau los) tseem nyob siab thiab, raws li kev tshawb fawb ntau yam, kwv yees li ntawm 6 txog 42%. Thaum xyoo 1990, Davalos li al. Tau tsim kev sib txheeb ze ntawm qhov mob hnyav, qhov tshwm sim mob stroke, thiab ntshav qabzib thaum lub sijhawm pw hauv tsev kho mob. Txawm li cas los xij, lo lus nug tseem tsis tau qhia meej meej: yog hyperglycemia ib qho kev pheej hmoo ntawm kev pheej hmoo rau kev ua kom tsis zoo ntawm chav kawm ntawm cerebrovascular kev sib tsoo lossis nws tsuas yog xav txog qhov mob hnyav ntawm tus mob stroke, nws lub ntim thiab thaj chaw.

Kev soj ntsuam kev kis mob ntawm 411 tus neeg mob ntshav qab zib hom mob ntshav qab zib 2, ua rau 7 xyoo, pom tau hais tias kev yoo ntshav cov ntshav txhawm rau cuam tshuam nrog kev tuag ntawm cov neeg mob los ntawm cov kab mob ntawm cov hlab plawv thiab yog qhov tseem ceeb ywj pheej rau kev txhim kho macroangiopathy, suav nrog cerebrovascular cuam tshuam Cov.