Diabetes mellitus o se faʻamaʻi umi e iloga ona o le maualuga o le suka i le toto. O le tasi o ona faʻafitauli o le neuropathy. E faʻatinoina e ala i le faʻaleagaina o le sili ona tele o vaega o le neura. O lenei faʻafitauli e tupu i le 10-15 tausaga talu ona amata mai le maʻi suka.
Faʻaititia le suka i le toto
Ole neuropathy e tupu pe a le matauina le faʻaitiitia o le suka i le toto. Ile masani a, ole tagata soifua maloloina e iai le kulukose ole toto i aso ua maʻimau ole 3.5-6.2 mmol / L. I le maʻi suka, o lenei faʻailoga e sili atu i le 6.5 mmol / L. Ole faaitiitia ole kulukose ole toto o le galuega sili ona taua ile togafitiina ole ma isuka i tagata.
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Diabetes mellitus o se faʻamaʻi umi e faʻamatalaina i le maualuga o le kulukose i le toto, o se tasi o ona faʻafitauli o le neuropathy.
Alpha Lipoic Acid mo le maʻi suka
I le le lava o inisalini i le toto poʻo le le lelei le taliaina o le tali ole sela, ole alfa-lipoic acid e taua tele. E ave uma mo profilaksis ma mo le togafitiga o le ituaiga 1 ma le ituaiga 2 suka. O le lipoic acid e iai mea nei i luga o le tino:
- O se malosi faʻaʻiteʻio. Ole vailaʻau lenei e puipuia le tino mai le leai o se faʻamaʻi o mea e fai ona o metotia o faʻafitauli. O le maualuga o le suka i le maʻisuka e mafua ai le faʻaopopoina o mea i totonu o le maua fua o okesene i le tino, ma mafua ai ona faʻatupuina le faʻamalosi. E tele le sao taua ile atinaʻe ole neuropathy.
- E saisai ai vailaʻau oʻona.
- Faaleleia le auina atu o neura impuls.
- Faʻaleleia le sapalai ole toto ile neura o aano.
- Auai i le mitokondrial cell metabolism.
- Faʻaleleia atili le faʻaaogaina ole kulukose pei ole inisalini.
O le lipoic acid e maua i foliga o vailaʻau mo tuʻufofoga.
Maʻi suka
Alpha glucosidase inhibitors e aoga i le togafitia o le maʻi suka neuropathy. Glucobay ea latou. O le vailaʻau o le acarbose. Ole hypoglycemic (ole toto i lalo ole suka) ole vailaʻau tuʻufofoga lea mo le maʻi suka ituaiga 2.
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Ole vailaʻau e fesoasoani e faʻagesegese ai le mitiia o le carbohydrates ma le faʻatulagaina o suka. O le iʻuga, o le tuai o le inu i le suka i le toto ma le paʻu i lona palapala. Glucobay ua faatonuina mo le lavelave togafitiga o le maʻisuka ituaiga 2. Aina se vailaʻau e tatau ona tuʻufaʻatasia ma se taumafataga.
Nonsteroidal anti-inflammatory fualaau
Faatasi ai ma le faʻaleagaina o le vaega o neura, o loʻo faʻaaogaina tele vailaʻau anti-inflamasi mai le vaega NSAID. O mea e masani ona faʻatonuina o le indomethacin, nimesulide ma analgin. Latou faaitiitia pupuga, fulafula ma tiga. Indomethacin fesoasoani e aveese faʻailoga o le maʻi suka polyneuropathy (tiga, vaivai o maso). Nonsteroidal anti-inflammatory vailaau ma non-narcotic analgesics e sili ona aoga mo le tiga tiga o le neuropathy.
Actovegin mo le polyneuropathy
Afai o se tagata ua maua i le maʻi suka neuropathy, ona faʻaaoga lea o vailaʻau ma se neuroprotective ma antihypoxic aafiaga i le togafitiga togafitiga. E aofia ai Actovegin. E faʻaaogaina i le faʻaiuga o se fofo mo tui ma laulau. O le oloa e aofia ai povi toto vaega.
Actovegin ei ai aafiaga nei i luga o le tino o tagata maʻisuka:
- Faaleleia le feaveaʻi feaveaʻiga ma le faʻaaogaina o le kulukose. Lenei ua ausia ona o le iai o inositol phospho-oligosaccharides i le sauniuniga.
- Faʻaleleia atili le faʻaaogaina o le okesene.
- Faʻaititia le faia o lactate (lactic acid) i totonu o auga o loʻo i totonu ischemia.
- Faaleleia le tulaga o le neura uaua.
- Faʻaleleia microcirculation.
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Actovegin o loʻo aofia ai vaega ole toto povi.
Ituaiga o Neuropathy Diabetic
O le maʻi suka neuropathy e mafai ona tele ituaiga. E iloga ituaiga nei o faʻasologa:
- Autonomic Neuropathy Syndrome. O ona ituaiga e 5 ua faʻavasega: urogenital, gastrointestinal, sudomotor, respiratory (respiratory) ma le cardiovascular (cardiovascular).
- Faailoga o le lautele lautele symmetric neuropathy. E mafai ona lagona (lagona o neura e sili atu ona afaina), afi (afi neurons ua aʻafia i le faiga), fefiloi ma hyperglycemic.
- Focal poʻo le multifocal syndrome. Radiculoneuropathy (faʻaleagaina o aʻa namu i le tui poʻo plexuses saraf), amyotrophy (maso atrophy), demyelining polyneuropathy, tunnel ma cranial foliga iloga.
O vaega nei o le neuropathy e iloga:
- subclinical (faʻailoga e agamalu);
- fomai (tiga pe tiga);
- tuai ona faigata (faʻailoaina i le atinaʻeina o faʻafitauli i le foliga o se maʻisuka vae ma vae vae).
Foi iloga ituaiga tutotonu ma tulaga lautele o lenei faʻatonuga.
Distal neuropathy
O le gasegase o le distal diabetes neuropathy e maua i le toetoe o le lua tagata gasegase e maua i le maʻisuka. O lenei faiga e faʻatatau i le faʻaleagaina o le neura e mamao ese mai le vaʻai o le tino. E iloga i le faʻaleagaina o neura e fesoʻotaʻi saʻo le faiʻai ma le tui i musele. Faatasi ai ma lenei faʻamaʻi, ua le toe faʻaaogaina le galuega o lima ma vae.
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O faʻailoga autu o lenei faʻailoga:
- Le lava le faamaopoopoina o gaioiga.
- Lelei faaletonu pe a savali.
- Gatete le malosi.
- Musika atrophy (faaitiitia i le tele).
- Ua vaivai le maso.
- Faaitiitia le feoai soʻofaʻatasi.
- Peripheral edema.
- Le suia o vae i vae ma lima.
Peripheral neuropathy o le pito maualalo
Neuropathy ma le maʻi suka e mafua ai le faaleagaina o pito maualalo. O lona pathogenesis e fesoʻotaʻi ma le gaioiga o le kulukose i luga o neura. O le suka i le maualuga o lona faʻaletonu e leaga ai le faʻatupuina o neura ma afaina ai gaioiga o le metabolic. Mafai ona faʻaalia lenei ituaiga o neuropathy o:
- Sasi o tiga (ma le tiga). O le tele lava o taimi, e tigaina ma tupu i vae uma. O le tiga e susulu atu i tamatamai lima.
- Tulaga tasi ma tuʻufaʻatasia paresis (faʻatapulaʻa o gaioiga).
- Leo o le faʻamalositino uaua (faʻaoso).
- Cramps.
- Ua vaivai le maso.
- Maso atrophy.
- Faigata ile gaoioi.
- Tulu i vae.
- Faʻasolosolo lagona.
- Ataxia (leiloa o le faamaopoopo).
- Lagona o le le mautonu i nisi vaega o le vae.
- Leiloa o le vevela lagona.
- Vaivai o reflexes (tulivae, Achilles) poʻo lo latou leiloa.
- Tulaga e le tuʻufaʻatasi pe tuʻufaʻatasia ole peʻa (pipili).
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Ole ata faʻafomaʻi e faʻalagolago I fea neura ua afaina (sensory poʻo le afi). Faailoga lemu alualu i luma mo le tele o masina.
Sensory neuropathy
O lenei faʻailogaina ua faʻatinoina e se faʻatusatusaga solia o lagona. I le tele o taimi, o neura maaleale e aafia i foliga, lima ma vae. Faailoga o sensory neuropathy o:
- Maʻi maualuga I tagata mamai, o le paʻu i le nofoaga o vae, lima po o foliga avea ma hypersensitive i irants. O loʻo iai le maʻai tele ile faʻafesoʻotaʻi, le mautonu ma le faʻamuina. Masalo o se lagona fetogia.
- Le gaoia. O le mafuaʻaga o le faʻaopopoina o le paʻu maʻaleʻale ile tau maualalo.
- E saʻo le tali atu i mea vevela ma masini initini. E i ai tinnitus ma o se mea leaga i le gutu pe a faʻapalafi i le malamalama.
- Faaitiitia le malamalama lelei. I le taimi lava e tasi, o le pito o le tiga faʻaititia i se tagata faʻateleina. O vae ma alofilima (totini lima ma totini sapalai) e masani lava ona afaina ai.
Dysmetabolic neuropathy
I le endocrinology, e iai le mea e pei o le dysmetabolic neuropathy. O lenei faʻatonuga e tupu i luga o le faʻavae o le solia o le carbohydrate metabolism, lea e matauina i le maʻi suka.
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Faailoga o sensory neuropathy o le malulu, faʻateleina paʻu o le paʻu i lalo ifo o le vevela.
Autonomic neuropathy
O lenei ituaiga o neuropathy e iloga i le aafia ai i le gaioiga o le autonomic sootaga o le neura. O ia e nafa ma le galuega o totoga i totonu. O lagona agaalofa ma parasympathetic e mafai ona afaina. O loʻo maitauina auga nei:
- Dysphagia (faigata ona foloina meaai ma vai).
- Loto nutimomoia Fatu poʻo le oona matuitui.
- Vomita
- Manava
- Faʻaleagaina le paʻu o le manava poʻo le manava manava. Ole mafuaaga ole ala e tatala ai le paʻu ua faateleina. O le paʻu e mafai 5-10 taimi i le aso pe sili atu foi.
- Faailoga o pelvis dysfunction (faaitiitia malosi, seasea faanatinati). Le lelei o le faʻagaogao ma faʻaititia le leo o maso o le bladder agai atu i le faʻapipiʻi o faʻamaʻi ma le atinaʻeina o le cystitis.
- Faailoga o le le lelei o le fatu ma le toto toto (faʻalavelavea i le galuega o le fatu, faʻaititia o toto toto, tachycardia, vaivai).
- Afu afu.
- Mumu o le mata.
- Mamago paʻu.
- Faʻaletonu le vaʻai.
Aisea e tupu ai le maʻi suka oona?
O le faʻavae o le faʻaleagaina o le neura e faasaga i le maʻi suka o: mea leaga e oʻo i le okesene o oloa, microangiopathy (faʻaleagaina i tamai vaʻa), faʻaleagaina microcirculation, metabolism i le neura tisu ma le faʻavaeina o autoimmune complexes. O tulaga lamatia mo le fausiaina o le neuropathy o le: matua, le usitaia o togafitiga, ulaula, ava malosi ma le mamafa tele.
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Faailoga o Maʻi suka Neuropathy
O le faʻamatalaga faʻailo o neuropathy e aofia ai faʻalogo, sensory ma autonomic faʻailoga.
Mumu ma mimigi lalo vae
Maliu ma mumusu o faʻailoga o maʻi afaina. E lagonaina i latou i le vae lalata. O nisi taimi o neura o foliga e afaina.
Leiloa o vae sogasoga
Atoa leiloa o lagona e taʻua o le anesthesia. O lenei tulaga e mataʻutia ona e le lagona e se tagata se mea leaga. O le aafia i le lotoifale i le malulu, mu ma manuʻa e le amanaʻiaina ma e mafai ona oʻo atu ai i le lapoʻa o tisu. E i ai manua.
Faʻafefea ona faʻamaonia le faʻamaʻi?
Mo le faailoaina o le neuropathy o le ae manaʻomia:
- Suʻesuʻega faʻataʻitaʻi (suʻega lautele toto ma mimiti, suʻesuʻega o le biochemical).
- O le suʻesuʻega.
- Suesuega tino.
- Instrumental suesuega (ultrasound, ECG, CT, MRI, leitio, electromyography, electroencephalography).
- Neurological suʻega.
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O le galuega a le fomaʻi o le faʻateʻeseina o isi faʻamaʻi faʻafitauli taua, e aofia ai isi ituaiga o neuropathy.
Fuafuaina o lagona gatete
O le tuning gark o Riedel ua faʻaaogaina. E faʻaaogaina se masini faʻaalu i le tino (e masani ona o tamatamaʻivae) ma iloilo le tali a le maʻi.
Tactile Sensitivity Vaʻaiga
O le suʻesuʻega o loʻo faia e faʻaaoga ai le monofilometer. Ole aufaʻi umi lenei ma le mafiafia o le laina fagota. Latou te tuu le faʻamalosi i le paʻu ma iloilo le ola maloloina. Mo lenei faʻamoemoe, faʻaoga faʻaaoga laupepa fulufulu, lea e paʻi mai ai le tino mai vae i le ua.
Le iloaina o le vevela faʻaalia
Mo le faia o lenei mea, o le masini e faʻaaogaina i le ituaiga o se ogāumu, faʻapipiʻi i le tasi pito i le uʻamea ma palasitika i le isi. O le tasi pito o le masini e malulu ma le isi e mafanafana. Latou suia le paʻu.
Suka Togafitiga Neuropathy Togafitiga
Ole togafitiga e faʻamoemoe e faʻateʻia ia faʻailoga, tineia le faʻamaʻi o loʻo i lalo ole maʻi (suka) Ole togafitiga e aofia ai meaʻai e maualalo le gaʻo, togafitiga o togafitiga, vailaʻau ma physiotherapy (eletise eletise, phototherapy, magnetotherapy). O tagata gasegase e tatau ona ofuina ofu orthopedic, faʻamalūina o latou paʻu, taele ma faia pedicures.
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Fualaau togafitiga
Ma le neuropathy e faʻaaogaina:
- Sauniuniga o vitamini o le kulupu B (Combilipen, Milgamma).
- Tapenaga a le Alpha-lipoic acid (Thiogamma, Tiolept, Oktolipen, Espa-Lipon).
- Antioxidants.
- Painkillers ma anti-inflammatory vailaau.
- Anticonvulsants (Gabapentin, Convalis, Tebantin) ma isi sui faʻatusa. E aoga i le autonomic neuropathy.
E i le ituaiga 1 ole ma isuka, inisalini e manaʻomia. Faatasi ai ma le ituaiga 2, tuʻutuʻu mea e fai ai hypoglycemic (Metformin, Glucofage, Formmetin).
Isi auala e togafitia ai le maʻi suka
E le aoga le fofoaina o tagata. Ina ia faʻaitiitia le tiga, faʻaititia le afaina, faʻaleleia le gaioiga o neura sela ma faʻafeiloaʻi lagona, ua faʻaaogaina mea nei:
- calendula infusion;
- tipolo kulimi;
- decoction e faʻavae i luga o le meli, eleutherococcus ma tipolo;
- nettle ma chamomile tui;
- lanumoana lanumoana (faaaoga mo compresses).
Manaia
O faʻaiuga o le neuropathy e mafai ona: arrhythmia, maʻi suka vae, fatu fatu, maso atrophy, le lava le mafaufau, faʻaititia le vaʻai, papala, gastritis, dysbiosis, fiva ma faʻamamaʻi ose.
Maʻi suka Neuropathy Puipuiga
O le puipuia mai le faʻamaʻi e oso mai i le soʻona 'ai ma le soifua lelei, togafitia lelei o le maʻi suka, tuu le sikaleti ma le ava malosi, fuaina o le suka i le toto, faʻafetaui o le mamafa (i le ova o le mamafa), faʻailoaina vave, fesoasoani ma muamua auga o le maʻi suka (fiainu, vaivai, polyuria, fiaaai) ) ma faʻatumauina le ola maloloina olaga.