Mob neuropathy mob ntshav qab zib: nws yog dab tsi, ua rau mob, tsos mob, kuaj mob, kho, prophylaxis, mob ntshav tes taw

Ib qho ntawm cov teeb meem feem ntau ntawm ntshav qab zib yog mob ntshav qab zib neuropathy. Nws pom nyob hauv 30-50% ntawm cov neeg mob ntshav qab zib. Nws yog txoj kev coj los tham txog qhov muaj mob ntshav qab zib neuropathy tsuas yog muaj cov cim ntshiab ntawm cov leeg puas thiab ua rau tsis muaj lwm yam ua.

Hauv lwm lo lus, kev soj qab haus huv lub paj hlwb muaj kev ntxhov siab thiab kev tsis sib haum xeeb hauv kev ua haujlwm ntawm lub paj hlwb tau tshwm sim. Qhov tshwm sim ntawm qhov kev hloov pauv yog:

• Txo qhov tsis hnov ​​mob ntawm qis dua qhov mob mus rau qhov mob thiab kub,
• Ntshav ncig txawv txav
• Qhov ua tau yooj yim ntawm daim tawv nqaij mus rau ntau hom fungi thiab cov kab mob nce.

Mob ntshav qab zib neuropathy yog qhov kev paub tseeb ntawm qhov muaj qhov tsis haum cov hlab ntsha los ntawm cov txheej txheem dysmetabolic hauv lub cev ntawm cov ntshav qab zib. Tsis tas li, txoj kev loj hlob ntawm xws li lub caij ua tsis tiav (autonomic dysfunctions) tshwm sim - tachycardia, hypotension, dysphagia, raws plab, anhidrosis. Feem ntau muaj kev cuam tshuam ntawm cov plab hnyuv siab raum.

Cov tsos mob ntawm tus mob ntshav qab zib neuropathy tuaj yeem sib txawv, nyob ntawm hom mob thiab yam twg cuam tshuam twg. Thaum xub thawj, cov cim qhia ntawm tus kab mob tsis muaj zog, tab sis sijhawm dhau los lawv kuj tshaj tawm. Cov tsos mob tseem ceeb yog:

• Mob taub hau, loog ntawm qhov qis qis, tingling hnov ​​hauv taw thiab ntiv taw,
• Nqaij mob atrophy
• Ib qho kev poob siab hauv cov ntshav siab thiab yog vim li cas qhov tshwm sim ntawm kiv taub hau,
• Cov teeb meem tso zis,
• Vaginal mucosal kawg ua rau cov poj niam thiab kev mob hauv chaw mos ua rau txiv neej mob.

Txoj kev pheej hmoo ntawm tus neeg mob pib mob ntshav qab zib neuropathy nce nrog ntau xyoo nyob nrog cov ntshav qab zib.

Cov kab mob no cuam tshuam nrog cov polyneuropathies metabolic. Lub luag haujlwm tshwj xeeb yog muab rau cov neurovascular yam ntxwv: microangiopathy, uas cuam tshuam cov ntshav mus rau cov hlab ntsha tsis zoo, tawm tsam uas muaj ntau yam teeb meem ntawm cov metabolism. Lawv ua rau:

• Qhov tshwm sim ntawm edema ntawm cov hlab ntsha poob siab,
• Kev ntshaib plab cov teeb meem,
• Muaj tshwm sim hauv cov hlab ntaws,
• Tsis zoo ntawm cov leeg impulses,
• Kev ua kom lub zog ntawm oxidative kev nyuab siab thiab kev tsim kho ntawm autoimmune complexes.

Thaum kawg, txhua qhov kev hloov pauv ua rau qhov tshwm sim ntawm kev tsis tuaj yeem hloov pauv ntawm cov hlab ntaws.

Qhov tseeb uas ua rau muaj kev pheej hmoo ntawm kev mob neuropathy hauv cov ntshav qab zib, ntxiv rau lub sijhawm ua haujlwm ntawm cov ntshav qab zib, yog:

• Tseem pheej tiv tsis taus hyperglycemia,
• Hyperlipidemia - kev nce ntxiv hauv cov ntshav lipids,
• Arterial kub siab,
• Kev pham
• Neeg kho tshuab kev puas tsuaj thiab o ntawm cov leeg ntshav,
• Haus luam yeeb thiab haus.

Muaj ob peb hom mob ntshav qab zib mob hlwb. Lawv txawv hauv cov tsos mob thiab qhov mob tsis zoo uas tsis muaj kev hloov pauv hauv lub cev.

• Peripheral neuropathy - mob tshwm sim los ntawm qhov mob thiab ploj ntawm qhov hnov ​​ntawm cov ceg, ko taw thiab ntiv taw, nrog rau mob hlwb ib ce luv. Feem ntau cov feem ntau, lub cev muaj zog thiab hnov ​​tau qhov txawv txav uas tau tshwm sim feem ntau tawm ntawm ib qho povtseg. Cov tsos mob hnyav dua nyob rau yav tsaus ntuj thiab tsaus ntuj. Tsis tas li, daim ntawv no nrog cov leeg ua kom tsis muaj zog, poob lossis ua rau lub ntsej muag tsis zoo, uas ua rau lub cev tsis zoo thiab lub cev tsis zoo, ua tsis tau zoo ntawm kev txav. Hauv cov theem tom qab ntawm kev mob ntsig txog ntshav qab zib neuropathy, mob txhaws ntawm taw, deformation ntawm cov ntiv taw, thiab vau ntawm tus taw ntawm lub taw yuav tshwm sim. Kuj ntau, daim ntawv peripheral ntawm neuropathy ua ntej txoj kev loj hlob ntawm tus mob ko taw mob ko taw,
• Autonomic neuropathy - hloov pauv ntawm txoj haujlwm ntawm txoj hnyuv, kev zom zaub mov, zais zis muaj nuj nqi, tawm hws thiab kev sib deev,
• Tso tawm neuropathy - qhov tsis muaj zog ntawm cov leeg ntawm ob txhais ceg, qhov mob ntawm ob txhais ceg, zoo li hauv cov leeg thiab pob tw, feem ntau nyob ntawm ib sab ntawm lub cev,
• Focal diabetic neuropathy - tshwm sim dheev thiab cuam tshuam ntau yam hlab ntsha hauv ob txhais ceg, pob tw lossis taub hau, ua rau mob thiab leeg tsis muaj zog. Qhov tshwm sim yog: mob thiab pom ob lub qhov muag, Tswb txhav (tuag tes tuag taw ntawm ib nrab ntawm lub ntsej muag), mob hnyav ntawm qee qhov ntawm lub cev, hnov ​​mob hauv plab lossis hauv siab. Lub chav kawm ntawm tus kab mob no yog tsis tau qhia thiab feem ntau tsis tau paub.

Kev kuaj mob

Kev kuaj mob yog nyob ntawm daim ntawv thiab theem ntawm tus kab mob. Thaum lub sijhawm sab laj thawj zaug, kev tshawb xyuas keeb kwm keeb kwm dhau los. Kev saib xyuas tshwj xeeb yog them rau cov neeg mob tsis txaus siab txog kev hloov pauv ntawm kev noj qab haus huv. Qhov qis qis kawg tseem raug kuaj xyuas rau corns, corns, fungal lesions thiab deformities. Cov txheej txheem ib qho yuav tsum tau ua yog ntsuas kev ntsuas ntshav siab, ntsuas kev ntsuas tsim nyog los txiav txim siab txog qib ntshav qabzib, insulin, glycosylated hemoglobin thiab C-peptide hauv cov ntshav.

Ua raws li cov txiaj ntsig tau txais thaum lub sij hawm kuaj pom, ntxiv rau tus kws endocrinologist, lwm tus kws tshaj lij kuj tuaj yeem koom nrog hauv kev tshuaj xyuas:

• Kev kho plawv
• Neurologist
• Kws kho mob plab,
• Urologist andrologist,
• Ophthalmologist
• Tus kws kho mob zuaj ib ce
• Pob Tsuas Thoj.

Thaum kuaj pom, kev ua haujlwm ntawm cov endocrine, plab zom mov, tshee, lub plawv, thiab lub plab kuaj. Feem ntau, lawv nyiam mus rau electromyography, electroneurography, ECG, echocardiography, ultrasound, radiography ntawm lub plab, thiab lwm yam. Reflexes kuj tau soj ntsuam:

• Kev hnov ​​mob tactile rhiab (siv monofilament),
• Kev ntsuas qhov kub thiab txias (los ntawm qhov kov qhov sov lossis qhov khoom txias),
• Mob (los ntawm pricking cov tawv nqaij nrog qhov tsis meej ntawm ib rab koob)
• Kev co nkag siab siv (siv tuning nkhaus).

Nrog rau kev tsim cov atypical cov ntawv, lawv kuj siv mus kuaj me me ntawm cov plab hlaub hlab ntsha thiab tawv nqaij.

Txhawm rau kom kho cov ntshav qab zib neuropathy kom ua tiav, nws yog qhov tsim nyog kom ua tiav kev them nyiaj ruaj khov rau cov ntshav qab zib mellitus, thiab sim ua kom cov ntshav qab zib cov ntshav nyob rau hauv ib txwm txwv. Yuav kom yooj yim mob, cov neeg mob tau sau tseg rau cov tshuaj pleev xim rau hauv daim ntawv rau cov tshuaj noj rau qhov ncauj, nrog rau ntau yam tshuaj txau, thaj ua rau thaj av nrog dej khov thiab cream ua nrog capsaicin rau kev siv sab nraud.

Qee zaum, cov neeg mob tau qhia kom siv lub ntsej muag tshwj xeeb rau lub txaj, uas zam kev sib cuag ntawm cov tawv nqaij rhiab ntawm tus neeg mob nrog qhov nyuaj ntawm lub txaj. Cov txheej txheem ntawm lub cev, kho lub cev thiab ua kom ib ce muaj zog tshwj xeeb uas ua rau lub luag haujlwm tseem ceeb ntawm kev kho pab kom tshem tawm qhov mob ntawm qee kis. Nqa cov hlau nplaum-, laser- thiab kev kho lub teeb yuav pab tau.

Thaum kho, nws yog ib qho tsim nyog yuav tau soj ntsuam ntau txoj cai uas yuav pab ua kom nrawm dua thiab tswj hwm kev noj qab haus huv ntau, hu ua:

1. Tsis txhob nyob hauv ib qho xwm txheej twg nws tus kheej noj tshuaj, nws yog fraught nrog poob ntawm nqua,
2. Tsis txhob taug kev liab qab sab hauv tsev, sab hauv tsev los yog sab nraum zoov,
3. Hnav thom khwm uas nqus hws thiab tso koj txhais taw ua pa,
4. Nco ntsoov ua kom txoj hlua khi ntawm cov thom khwm thiab sab hauv qab tsis cuam tshuam rau cov ntshav ncig,
5. Ntxuav koj txhais taw kom huv si thiab txhua hnub, tsis txhob cia lawv nyob hauv dej ntev, zam kev kub. Siv txoj phuam mos kom qhuav qhuav tom qab ntxuav.
6. Siv cov tshuaj pleev xim emollient kom tsis txhob muaj ntau dhau ntawm qhov tawv nqaij ntawm tus taw thiab lub ntsej muag ntawm cov kab nrib pleb,
7. Tshawb xyuas koj ob txhais ceg tsis tu ncua hauv nruab hnub rau qhov kab nrib pleb, hlais, txha nqaj, txhuam, khawb tawv nqaij,
8. Xaiv koj cov khau kom zoo, nws yuav tsum txaus siab thiab nyiam ntuj,
9. Kev tawm dag zog tsis tu ncua los txhim kho microcirculation hauv koj nqua.

Txoj kev kho yuav tsum zoo sib xws thiab ntu. Txoj kev kho kom zoo yog tuaj yeem tsis tuaj yeem ua tiav yam tsis muaj kev tiv thaiv kev ntsuas mob ntshav qab zib. Yog li, ib qho ntawm cov ntsiab lus kho tau yog tswj hwm cov tshuaj tiv thaiv kab mob hauv cov ntsiav tshuaj lossis tshuaj insulin, nrog rau kev tshuaj xyuas cov ntshav qabzib tas li. Ib qho ntxiv, nws yog ib qho tseem ceeb kom txhim kho cov khoom noj kom zoo rau tus neeg mob, kwv yees lub cev qhov hnyav mus rau qhov qub thiab tswj hwm cov ntshav siab.

Lub hom phiaj tseem ceeb ntawm kev kho mob kuj suav nrog kev noj cov vitamins neurotropic (pawg B), cov ntsiab lus (kev npaj ntawm Mg thiab Zn) thiab tshuaj tua kab mob antioxidant (alpha-lipoic acid, vitamin E). Nrog rau kev txhim kho kev mob hauv daim ntawv uas mob ntshav qab zib mob neuropathy, nws yog ib qho zoo yuav tsum tau sau tshuaj rau kev ua kom loog thiab tshuaj anticonvulsants.

Kev twv ua ntej thiab Kev Tiv Thaiv

Tus yuam sij rau kev pom muaj txiaj ntsig yog qhov kev paub ntxov ntawm tus kab mob ntshav qab zib neuropathy. Txij li thaum pib rau theem pib ntawm tus mob tseem tuaj yeem thim rov qab, yuav raug them nyiaj tsis tu ncua. Tab sis daim ntawv nyuaj ntawm neuropathy yog qhov nyuaj los kho thiab yog qhov ua rau muaj kev pheej hmoo rau cov tsos ntawm lub plawv dhia tsis xwm yeem, qhov mob tsis muaj leeg ntshav myocardial infarction thiab tsis mob siab ntawm qhov qis qis.

Txoj kev tiv thaiv zoo tshaj plaws yog kev tswj xyuas cov ntshav qab zib kom tsis so, muaj kev kho kom tsim nyog thiab kho lub sijhawm, kev saib xyuas tas li los ntawm tus kws kho mob endocrinologist thiab kws kho ntshav qab zib.

Mob ntshav qab zib neuropathy yog dab tsi

Neuropathy yog kev puas tsuaj rau tib neeg cov leeg ntshav ntawm lub hauv paus rau qee yam laj thawj, thiab ntshav qab zib neuropathy yog kev puas tsuaj rau cov leeg ntshav los ntawm tus kab mob xws li ntshav qab zib. Nws ntseeg tau tias cov ntshav qab zib nws tus kheej tsis tuaj yeem ua tus kab mob no, tab sis kev tswj tsis muaj ntshav qab zib ntau yog qhov tseem ceeb. Yog hais tias tus neeg mob tau mob ntshav qab zib, thiab pib hnov ​​mob tsis kaj siab los ntawm cov leeg poob siab (piv txwv li, tsis muaj qhov nkag siab), ces nws yog qhov feem ntau tias qhov no yog tus mob ntshav qab zib neuropathy.

Tus txheej txheem kab mob tshwm sim vim cov ntshav qab zib ntau ntau, uas cuam tshuam tsis zoo rau txhua qhov system thiab kabmob ntawm ib tug neeg. Hyperglycemia rhuav tshem cov leeg hlwb qhov xaus, ob qho tib si lub hauv nruab nrab cov hlab hlwb thiab cov qhov hluav taws xob. Qhov tseem ceeb ntawm kev tiv thaiv qhov no yog ua kom koj cov piam thaj hauv ib qib li qub.

Cov Neeg Mob Ntshav Qab Zib Neuropathy

Lub hauv paus tseem ceeb ntawm cov mob tshwm sim no yog kev puas tsuaj rau cov leeg thiab cov hlab ntshav ntawm lub cev. Cov kev tshawb fawb pom tau tias ib theem siab ntawm cov piam thaj ntau ua rau kev puas tsuaj ntawm cov hlab ntsha thiab cov hlab ntsha kawg, uas tom qab ntawd ua rau kev tuag ua tiav thiab qhov tsis muaj peev xwm kis tau cov impulses.

Ntxiv rau qhov no, kev sib txuam ntawm ntau qhov laj thawj tseem tuaj yeem ua rau qhov kev tsis txaus siab no, uas:

• cov txheej txheem mob hauv cov hlab ntsha tshwm sim los ntawm cov tshuaj tiv thaiv autoimmune,
• muaj piam thaj ntau ntau rau lub sijhawm ntev,
• kev tswj tsis tau surges nyob rau hauv cov ntshav piam thaj,
• ntshav siab cov roj
• mechanical kev puas tsuaj rau qab haus huv,
• tsis muaj cov vitamins B12.

Muab cov txheej txheem ntawm tus kab mob

Cov neeg mob ntshav qab zib yog cov muaj pheej hmoo ntau los ntawm cov ntshav qab zib mob neuropathy. Txawm li cas los xij, muaj cov kev pheej hmoo txaus ntshai uas tuaj yeem cuam tshuam qhov muaj feem ntau ntawm tus kab mob. Ntawm lawv yog:

• kev tswj ntshav qab zib tsis zoo
• lub sijhawm muaj ntshav qab zib ntau dua 20 xyoo,
• mob raum thiab mob siab,
• thawj
• ntshav siab
• haus luam yeeb
• kev tshuaj ntsuam genetic predisposition
• quav cawv.

Cov neeg mob ntev dua yuav muaj tus kab mob xws li mob ntshav qab zib, muaj ntau dua qhov yuav tshwm sim muaj ntshav qab zib neuropathy. Ib qho ntxiv, cov neeg uas twb tau raug ntau yam kev raug mob hauv lwm yam kabmob vim tias cov ntshav qab zib muaj qhov pheej hmoo ntawm qhov kis tau tus mob no ntxiv.

Cov tsos mob ntawm tus mob ntshav qab zib Neuropathy

Cov tsos mob ntawm tus mob neuropathy nyob ntawm hom mob, nrog rau qhov chaw ntawm cov hlab ntaws (saib daim duab saum toj no). Feem ntau, cov tsos mob tshwm sim maj mam pib, thiab nyob rau theem pib, cov duab hauv chav soj ntsuam tej zaum yuav tsis pom txhua. Tsis tas li ntawd, qhov pib sai thiab mob ceev ceev ntawm tus kab mob, uas yog tus yam ntxwv ntawm qee hom neuropathy, tuaj yeem yog atypical.

Cov tsos mob tshwm sim ntawm ntshav qab zib mob neuropathy muaj xws li:

• loog
• hlawv
• tsis hnov
• tingling
• kev mob

Thaum xub thawj, cov kev tshwm sim no yuav tsis tseem ceeb lossis tsis tshwm sim txhua lub sijhawm, txawm li cas los xij, dhau sijhawm, vim cov hlab ntsha hloov zuj zus thiab puas, cov tsos mob yuav tshwm sim lawv tus kheej ntau.

Lwm cov tsos mob atypical suav nrog:

• leeg txo rau hauv txhais ceg thiab caj npab,
• kem plab, xeev siab, ntuav,
• tachycardia
• zawv plab
• cem quav
• teeb meem ntawm kev tso zis
• impotence
• paum dryness
• kiv taub hau
• cramps
• feem ntau tsis muaj zog
• nkees.

Vim lub blurring ntawm cov tsos mob, cov neeg uas mob neuropathy mob ntshav qab zib feem ntau tsis to taub tus twg yog puas lawm ua ntej cov tsos mob pib ua kom nrov dua.

Hom thiab theem

Kev faib tawm ntawm neuropathy yuav muaj plaub yam ntawm cov neuropathy uas mob ntshav qab zib:

• Mob paj hlwb peripheralCov. Nws yog feem ntau hom mob ntshav qab zib neuropathy. Ua ntej tshaj, nws ua rau cov ceg qis dua, thiab tom qab ntawd ces lub sab saud. Nws cov tsos mob feem ntau tshwm sim thaum tsaus ntuj thiab sawv ntxov. Cov tsos mob tseem ceeb ntawm hom no suav nrog:
  • loog thiab poob qis rhiab ntawm ob txhais ceg, thiab tom qab ntawd ces txhais caj npab,
  • tingling thiab kub yus tso rau hauv nqua,
  • ntse mob pob tw thiab mob plab
  • mob ntawm daim tawv nqaij,
  • leeg tsis muaj zog
  • poob ntawm reflexes
  • tsis tshuav nyiaj li cas thiab ua kom sib haum,
  • kev tshwm sim ntawm qhov mob txhab, mob thiab mob hauv pob txha thiab pob qij txha.

Qhov kev cuam tshuam no tuaj yeem cuam tshuam ib qho hlab ntsha hauv ob txhais ceg, qhov thiaj li hu ua ntshav qab zib neuropathy ntawm qis qis, thiab ntau yam - mob ntshav qab zib polyneuropathy ntawm qhov qis qis.

• Autonomic neuropathyCov. Qhov ob yam mob feem ntau yog thaum txoj hlab ntshav tswj lub cev txoj haujlwm ua kom tsis taus, xws li kev zom, ua rau lub cev puas ntsoog. Ntxiv rau, hom kab mob no tuaj yeem ua kev puas tsuaj rau cov hlab ntsha hauv lub nruab nrog xws li genitourinary, tawm hws, hlab plawv. Kuj suav nrog hauv nruab nrab cov ntshav qab zib mob neuropathy, nyob rau hauv uas tag nrho cov hlab ntsha hlwb puas lawm.

Kev puas tsuaj rau cov hlab ntsha hauv lub plab zom mov tuaj yeem ua ke nrog quav tawv, zawv plab, nqos nyuaj, thiab lub plab (muaj cov leeg tsawg ntawm lub plab), uas tuaj yeem ua rau xeev ntuav thiab ntuav.

Nyob rau tib lub sijhawm, autonomic neuropathy tuaj yeem tsim teeb meem nrog cov kab mob genitourinary. Hauv cov txiv neej, qhov no tuaj yeem pom los ntawm kev ua haujlwm erectile kawg, thiab hauv cov poj niam los ntawm qhov chaw mos ua lub cev qhuav. Raws li rau qhov mob txhab ntawm cov hlab ntsha ntawm lub zais zis, lawv tuaj yeem nrog cov zis tsis ua haujlwm thiab tsis ua haujlwm khoob.

Kev puas tsuaj rau cov hlab plawv cov ntshav tuaj yeem hloov pauv lub plawv thiab ntshav siab. Qhov no yog tshwj xeeb tshaj yog hais tawm tom qab lub sijhawm zaum ntev lossis pw hauv ib qho haujlwm. Ntxiv rau, kev mob neuropathy, uas ua rau cov hlab ntshav ntawm lub plawv, yog ib qho ua rau muaj kev tuag. Yog li, nws tuaj yeem ua rau mob plawv, cov tsos mob uas tau ua txhaum zoo li lwm yam kab mob.

• Tsis sib thooj neuropathyCov. Ib daim ntawv dua ntawm neuropathy, tseem hu ua amyotrophy ntshav qab zib. Hom mob neuropathy no tshwm sim ntau rau cov neeg laus uas muaj ntshav qab zib hom 2 no. Feem ntau, qhov mob tshwm sim rau ib sab ntawm lub cev, tshwj xeeb tshaj yog ntawm lub duav, txhais ceg thiab sab ceg qis. Cov tsos mob tseem ceeb ntawm tus mob no suav nrog:
  • mob heev hauv lub pob tw, lub duav thiab txhais ceg nruab hnub,
  • teeb meem sawv,
  • qaug zog tsis mob cov leeg nqaij,
  • poob phaus.

Hauv cov xwm txheej loj, cov neeg nyob ze neuropathy tuaj yeem ua rau cov leeg mob, uas thaum kawg yuav ua rau lub cev tsis tuaj yeem txav mus ntawm nws tus kheej.

• Focal neuropathyCov. Hom kawg ntawm neuropathy yog focal neuropathy lossis mononeuropathy.Hom kev mob neuropathy no tshwm sim thaum muaj kev puas tsuaj rau ib qho ntawm cov leeg lossis cov leeg, thaum ua rau thaj chaw tsis muaj zog. Feem ntau nws ua tau nws tus kheej dheev thiab mob heev. Focal neuropathy tuaj yeem ua kev puas tsuaj rau lub taub hau, lub cev sab saud, thiab ceg. Cov tsos mob ntawm mononeuropathy muaj xws li:
  • tsis muaj peev xwm mloog
  • ob lub zeem muag thiab qhov mob hauv qhov muag
  • Bell palsy (lub ntsej muag lub ntsej muag tuag tes tuag taw),
  • carpal qhov syndrome
  • mob hauv cov chaw sib cais (ob txhais ceg, sab nraub qaum, pelvis, hauv siab, lub plab, ko taw lossis txhais ceg qis).

Tshuaj kho mob nkeeg

Kev kho mob ntshav qab zib neuropathy ntawm qhov qis thiab qis dua nrog cov tshuaj, ua ntej txhua yam, yog txhawm rau tshem tawm cov tsos mob cuam tshuam nrog tus kab mob. Cov tsos mob tseem ceeb yog qhov mob, rau kev kho mob uas siv ntau yam tshuaj los kho nws.

Cov tshuaj uas daws qhov mob muaj xws li:

• Tso tus neeg sawv cevCov. Lawv feem ntau yog siv los kho mob qaug dab peg, tab sis kuj zoo rau txhawm rau txo kev mob los ntawm kev puas ntsoog. Cov tshuaj no suav nrog pregabalin, gabapentin thiab carbamazepineCov. Cov kev mob tshwm sim yuav suav nrog kev tsaug zog, kiv taub hau, thiab o.
• Cov tshuaj tiv thaiv kab mobCov. Qee cov tshuaj tiv thaiv kev ntxhov siab ua rau cov txheej txheem tshuaj lom neeg hauv lub hlwb uas ua lub luag haujlwm rau mob. Yog li, cov tshuaj no yog siv dav rau kev kho mob nrog mob neuropathy. Ob chav kawm tshuaj tiv thaiv kev ntxhov siab yog siv:
  • Tricyclic cov tshuaj tiv thaiv kev ntxhov siab uas txo cov mob mus rau mob me. Cov tshuaj no suav nrog amitriptyline, desipramine thiab imipramineCov. Cov kev mob tshwm sim tuaj yeem suav nrog lub qhov ncauj qhuav, tawm hws, nce phaus, cem quav, thiab kiv taub hau.
  • Xaiv serotonin reuptake inhibitors (SSRIs) daws qhov mob nrog tsawg phiv. Cov tshuaj no suav nrog fluoxetine, paroxetine thiab sertralineCov. Cov kev mob tshwm sim suav nrog xeev siab, tsaug zog, kiv taub hau thiab tsis qab los.

Kev phais mob

Kev phais mob tsuas yog siv tau rau kev kho tus mob hlwb ib leeg xwb. Nws pab tiv nrog cov tsos mob tshwm sim xws li loog, khaus thiab mob, thiab tseem tiv thaiv kom tsis txhob muaj mob. Feem ntau, cov tsos mob no tshwm sim los ntawm kev zaws ntawm cov hlab ntsha tshwj xeeb lossis pawg ntawm cov leeg. Rau qhov no, hlab ntsha decompression yog siv, uas nqa tawm los ntawm kev phais me me thiab depressurization.

Kev phais mob yog nqa tawm yog tias lwm txoj hauv kev ua qauv zoo tau ua tsis tiav. Qhov qhia rau txoj kev ua no yog:

• mob ntshav qab zib polyneuropathy ntawm qhov qis qis,
• cov kab mob ntshav qab zib ntawm daim ntawv sensorimotor,
• mob tas li, loog thiab hlawv.

Thaum npaj txoj haujlwm no, ntau cov txheej txheem tau ua los npaj rau nws thiab paub meej tias txoj kev kuaj mob. Ua ntej cov txheej txheem, nws yog ib qho tsim nyog kom tsis txhob haus luam yeeb, haus dej cawv, noj zaub mov muaj roj thiab kib, thiab tseem yuav zam cov tshuaj feem ntau. Feem ntau, siv tshuaj loog dav dav siv, tab sis rau qee cov neeg mob, cov hau kev siv tshuaj loog hauv zos thiab kev tso tshuaj kom tsaug zog siv. Tom qab kev ua haujlwm, nws yog ib qho tsim nyog kom ua raws li cov lus pom zoo ntawm tus kws kho mob koom nrog, nrog rau kev tswj hwm kev noj qab haus huv.

Siv cov kev coj ua thiab lwm yam kev kho mob hauv tsev

Kho cov mob ntshav qab zib neuropathy hauv tsev yog qhov tseem ceeb heev rau kev tiv thaiv kom tsis txhob muaj mob thiab muaj mob ntxiv. Cov hau kev siv hauv tsev yog yooj yim thiab tsis kim. Lawv pab tiv thaiv nrog cov tsos mob thiab tiv thaiv kev phom sij rau tib neeg.

Cov ntsiab kev kho mob hauv tsev muaj xws li:

• noj zaub mov zoo
• kev tawm dag zog txhua hnub
• kev siv cov vitamins ntxiv thiab kev pabcuam kev noj haus muaj txiaj ntsig,
• txiav luam yeeb
• sov so dej
• kev xyaum ua kom zoo
• acupuncture zaws,
• pej xeem tshuaj.

Nws yuav tsum raug sau tseg tias cov hau kev no tsis siv rau cov theem siab ntawm tus mob neuropathy, yog li ntawd, nrog cov tsos mob hnyav, koj yuav tsum sab laj nrog kws kho mob.

Khoom Noj Khoom Haus thiab Khoom Noj Khoom Haus

Khoom noj khoom haus tsis yog tsuas yog ib feem tseem ceeb ntawm kev kho mob ntawm neuropathy, tab sis kuj muaj ntshav qab zib nws tus kheej. Kev ua raws li cov kev cai txhawm rau kev noj qab zib tuaj yeem txo cov txheej txheem ntawm cov leeg puas. Noj tshuaj pab tseem yog ib qho tseem ceeb hauv kev kho mob ntshav qab zib polyneuropathy, vim lawv ua cov haujlwm xws li: tiv thaiv, rov qab thiab txhim kho kev ua haujlwm ntawm cov ntaub so ntswg.

Khoom noj khoom haus rau neuropathy yuav tsum noj qab nyob zoo. Zam cov khoom noj xws li cov hmoov txhuv nplej tshiab thiab qab zib, trans nqaijrog thiab cov rog nyeem, pob kws, kua roj thiab kua roj nyeem, nrog rau dej cawv. Lub hauv paus ntawm cov khoom noj yuav tsum yog cov khoom noj uas muaj cov tshuaj fiber ntau, xws li: zaub, txiv hmab txiv ntoo, txiv ntoo thiab taum.

Raws li rau ntau yam tshuaj, lawv tsuas yog tsim nyog rau kev mob ntshav qab zib neuropathy. Cov txiaj ntsig ntawm txoj kev tshawb no tau ua pov thawj tias cov kev pabcuam zoo li no tuaj yeem tiv thaiv kev loj hlob ntawm tus kabmob. Ntawm cov tseem ceeb rau ntxiv yog:

• Vitamin B-12Cov. Nws lub luag haujlwm tseem ceeb hauv tib neeg lub cev, pabcuam kev ua haujlwm ntawm lub paj hlwb thiab kev tsim cov qe ntshav liab. Qhov tsis txaus ntawm cov vitamin no tuaj yeem ua rau cov mob hlwb. Txoj kev ntxiv no muaj kev nyab xeeb yog tias tus kws kho mob tau qhia. Lub ntuj tso ntawm B-12 yog ntses thiab nqaij liab.
• Lipoic acidCov. Cov tshuaj antioxidant uas tau siv los ntawm lub cev los tiv thaiv cov ntaub so ntswg vim cov txheej txheem oxidative uas yog yam ntxwv ntawm tus mob ntshav qab zib neuropathy. Cov lus ntxiv pom tau tias muaj kev nyab xeeb, tab sis tuaj yeem ua kom muaj kuab lom yog tias thiamine (B-1) yog qhov tsis txaus. Lub hauv paus ntuj ntawm lipoic acid yog zaub ntsuab, zaub paj ntsuab thiab poov xab.
• L-carnitineCov. Nws muaj lub luag haujlwm tseem ceeb hauv kev txo cov txheej txheem oxidative, thiab koom nrog hauv kev tsim kho ntawm cov leeg hlwb. Nws yog kev nyab xeeb ntxiv, tab sis kev sib koom tes nrog warfarin ua rau muaj kev pheej hmoo los ntshav. Cov khoom siv ntuj tsim ntawm L-carnitine yog nqaij, cov khoom noj siv mis thiab ntses.

Cov tshuaj kho neeg mob

Kev kho mob nrog tshuaj ntsuab rau cov neeg mob ntshav qab zib neuropathy pab daws cov tsos mob ib nrab xwb, lawv yuav tsis pab kho tus mob. Thaum lub sij hawm tseem ceeb nrog tus kab mob no yog tswj hwm cov ntshav qab zib kom nyob li qub. Raws li ntau cov tshuaj kho mob ib txwm qhia, kev siv cov hnub, zib ntab, txiv qaub thiab tshis mis yog qhov tseem ceeb rau cov ntshav qab zib mob neuropathy. Txawm li cas los xij, qhov no tsis yog li ntawd. Xws li cov khoom lag luam raug txwv tsis pub muaj ntshav qab zib thiab tsuas yog ua rau kev nce hauv qab zib thiab kev nce qib ntawm tus kab mob.

Tib lub sijhawm, muaj cov hau kev ua haujlwm tiag tiag. Ua ntej tshaj plaws, qhov no ua kom sov zaws siv siv calendula tinctureroj camphor lossis haus cawv kom yajCov. Cov txheej txheem no sov thiab ua kom cov ntshav khiav, uas tswj qhov mob thiab tingling nrog neuropathy ntawm qhov qis dua thiab sab saud.

Kuj tseem muaj txiaj ntsig zoo rau kev txhim kho tag nrho cov kev nyob zoo hauv neuropathy yog kev siv muaj ntxhiab da dej siv tshuaj ntsuab.

Kev tawm dag zog

Kev qoj ib ce tawm hauv kev txheeb xyuas tus mob ntshav qab zib neuropathy ntawm qhov qis qis yog qhov tseem ceeb, vim nws tso cai rau koj tswj kev noj qab haus huv thiab kom tshem tawm cov kev cuam tshuam ntawm cov kev mob tshwm sim. Kev ua si nawv yog txoj hauv kev zoo kom tswj koj cov ntshav qab zib, txhim kho insulin rhiab thiab txo qhov o. Tsis tas li ntawd, kev tawm dag zog nce cov ntshav, oxygen thiab lwm yam ntxiv rau cov leeg ntshav ntawm lub hlwb, uas pab txhim kho kev mob ntawm tus neeg mob neuropathy.

Txo cov kev pheej hmoo ntawm cov tsos mob tsis zoo thiab txhim kho lub cev, kev nyiam ua ntej yuav tsum tau muab rau cov kev qhia no:

• Tsawg Tsawg Siv CardioCov. Kev tawm dag zog hauv pawg yuav pab txo cov ntshav qab zib thiab cov roj cholesterol, ntxiv rau kev txhim kho cov ntshav ntws mus rau ceg thiab caj npab. 30 rau 50 feeb ntawm qhov kev thauj khoom yog pom zoo.
• YogaCov. Txo cov ntshav siab, txo qis mob thiab txo cov mob.

Kev Tiv Thaiv

Txhawm rau kom tsis txhob muaj teeb meem ntawm cov mob neuropathy, kev tiv thaiv raws sij hawm yog tsim nyog, uas suav nrog:

• qab zib thiab roj tswj hwm
• ua tib zoo saib xyuas ko taw (kuaj rau tej kab nrib pleb, doog ntshav, txiav, kev tu cev tus kheej txhua hnub, khaws cia kom huv thiab qhuav, ya raws thaum nws qhuav, hnav khau orthopedic),
• kev tawm dag zog tas li
• cov khoom noj kom zoo, uas yog ntxiv nrog cov vitamins thiab tshuaj,
• txiav kev haus luam yeeb
• cawv kev txwv
• ua raws li tus kws kho mob pom zoo.

Ntshav qab zib mob neuropathy yog ib yam mob cuam tshuam ntau tshaj plaws ntawm ntshav qab zib. Kwv yees li 50% ntawm cov neeg muaj ntshav qab zib muaj qee yam mob neuropathy. Feem ntau, nws yuav siv sijhawm ntev ntev li 20 xyoo thiab yuav tsis pom cov tsos mob tshwm sim. Txawm li cas los xij, nws tsim nyog sau cia tias tus mob yuav hnyav zuj zus thaum tus kab mob zuj zus tuaj.

Kev kho mob ntawm tus kab mob tsis yooj yim sua, tab sis kev paub ntxov thiab kev tiv thaiv ua rau tus neeg mob muaj lub neej ntev thiab puv. Kev kho mob kom raws sij hawm, nrog rau kev tiv thaiv kev tiv thaiv kev phom sij muaj txoj hauv kev rau kev muaj sia nyob tau 20 xyoo. Noj zaub mov kom zoo, ua lub neej noj qab nyob zoo, ua si lub cev, nrog rau ua raws li kws kho mob pom zoo, yuav ua rau lub neej muaj sia nyob ntev rau ntawm cov ntshav qab zib neuropathy.