Lefu la tsoekere la lefu la tsoekere: ke eng, matšoao le kalafo

Litaba

• Matšoao a mantlha
• 1. Pheripheral neuropathy
• 2. Autonomic neuropathy
• 3. Proximal neuropathy
• 4. Phekolo ea methapo ea maikutlo
• Mokhoa oa ho netefatsa ts'oaetso
• Kalafo e etsoa joang
• Mokhoa oa ho thibela neuropathy

Lefu la tsoekere ke lefu le leng la mathata a mantlha a lefu la tsoekere, le khetholloang ke ho senyeha ho tsoelang pele ha methapo, ho ka fokotsang kutloisiso kapa ho baka ponahalo ea bohloko likarolong tse fapaneng tsa 'mele, e atileng haholo lipheletsong tse joalo ka matsoho kapa maoto.

Ka kakaretso, lefu la tsoekere la methapo le atile haholo ho batho ba sa sebetseng ka ho lekaneng lefu la tsoekere, hangata le nang le tsoekere e phahameng ea mali, e bakang tšenyo ea methapo e tsoelang pele.

Nts'etsopele ea pherekano ea methapo e ka lieha, ho se na matšoao mathatong a pele, empa ha nako e ntse e feta bohloko, ho hlohlona, ​​ho chesa kapa ho felloa ke maikutlo sebakeng se amehileng ho ka hlaha.

Lefu la lefu la tsoekere ha le na pheko, empa phetoho ea lona e ka laoloa ka ts'ebeliso ea lithethefatsi ho fokotsa maemo a tsoekere ea mali le ho kokobetsa bohloko ba methapo. Fumana ho eketsehileng ka hore na bohloko ba lefu la pelo bo phekoloa joang.

Matšoao a mantlha

Lefu la lefu la tsoekere le hola butle mme le ka hlokomeleha ho fihlela matšoao a matla a hlaha. Matšoao a fapana ho latela mofuta oa lefu la methapo:

1. Pheripheral neuropathy

Pheripheral neuropathy e tšoauoa ka ho nka karolo ha methapo ea kutlo, e leng mofuta o tloaelehileng haholo oa lefu la tsoekere la lefu la tsoekere. Hangata e qala maotong le maotong, e lateloa ke matsoho le matsoho. Matšoao a lula a mpefala bosiu 'me a kenyelletsa:

• Ho ba lerootho kapa ho hlohlona menoaneng kapa menoaneng ea maoto;
• Bokhoni bo fokolang ba ho utloa bohloko kapa ho fetoha ha mocheso;
• Ho chesa maikutlo;
• Bohloko kapa cramps;
• Boikutlo bo boholo ba ho ama;
• Ho lahleheloa ke ts'ebetso;
• Bofokoli ba mesifa;
• Ho lahleheloa ke maikutlo, haholo seretheng sa Achilles;
• Ho lahleheloa ke teka-tekano;
• Ho lahleheloa ke tšebelisano ea makoloi;
• Ho holofala le bohloko ba manonyeletso.

Ntle le moo, peripheral neuropathy e ka baka mathata a tebileng a maoto, joalo ka leoto la tsoekere, le khetholloang ke lisosa kapa tšoaetso. Utloisisa hantle hore na leoto la tsoekere ke eng le hore na u ka le phekola joang.

2. Autonomic neuropathy

Autonomic neuropathy e ama tsamaiso ea methapo e ikemetseng e laolang litho tse fapaneng tse sebetsang ntle le thato, joalo ka pelo, senya, mala, mala, litho tsa thobalano le mahlo.

Matšoao a neuropathy a latela sebaka se amehileng mme a kenyelletsa:

• Ho ba sieo ha matšoao a hypoglycemia, joalo ka pherekano, ho tsekela, tlala, ho thothomela kapa ho fokotsa tšebelisano ea makoloi;
• Ho patoa kapa letšollo;
• Ho nyekeloa ke pelo, ho hlatsa, ho thatafalloa ho sileha kapa ho koenya;
• Ho oma ha botshehadi;
• Ho se sebetse ha Erectile;
• Ho eketsa kapa ho fokotsa tlhahiso ea mofufutso;
• Khatello ea mali e fokotsehileng e ka bakang ho tsekela ha o ema;
• Ho ikutloa u le pelo e matha, leha u eme u khutsitse;
• Mathata a senya a joalo ka ho hloka ho ntša metsi khafetsa kapa ho ba le tlhoko e potlakileng ea ho ntša metsi, ho se ts'oarehe kapa ho tšoaetsoa khafetsa ha moroto.

Ntle le moo, neuropathy e ikemetseng e ka baka bothata ba phetoho ea pono ea leseli tikolohong e lefifi.

3. Proximal neuropathy

Proximal neuropathy, eo hape e bitsoang lefu la tsoekere amyotrophy kapa radiculopathy, e atile haholo ho batho ba tsofetseng mme e ka ama methapo ea serope, letheka, maraong kapa maotong, ntle le mpa le sefuba.

Hangata matšoao a hlaha ka lehlakoreng le leng la 'mele, empa a ka fetela ka lehlakoreng le leng mme a kenyelletsa:

• Bohloko bo boholo thekeng le seropeng kapa maraong;
• Tš'oeroe ke mala;
• Bofokoli mesifeng ea serope;
• Ho ba thata ho tsoha setulong;
• Ho ruruha mpeng;
• Ho fokotsa boima ba 'mele.

Batho ba nang le ts'oaetso ea methapo e haufi le bona ba kanna ba ba le leoto le oeleng kapa le otlang, joalo ka ha eka leoto le phutholohile, le ka bakang bothata ba ho tsamaea kapa ho oa.

4. Phekolo ea methapo ea maikutlo

Fibra neuropathy, eo hape e bitsoang mononeuropathy, e tšoauoa ka ho nka karolo ha methapo e itseng matsohong, maotong, maotong, kutung kapa hloohong.

Matšoao a ipapisitse le methapo e amehileng mme a kenyelletsa:

• Ho lahleheloa ke maikutlo sebakeng sa methapo e amehileng;
• Ho otloa kapa ho shoeloa ke matsoho kapa menoana ka lebaka la khatello ea methapo ea ulnar;
• Bofokoli letsohong le amehileng, bo ka etsang hore ho be thata ho ts'oara lintho;
• Bohloko bo ka ntle ba leoto kapa bofokoli ho monoana o motona oa leoto, ka lebaka la khatello ea methapo ea kutlo;
• Ho shoa litho ka lehlakoreng le leng la sefahleho, ho bitsoang ho holofala ha Bell;
• Mathata a pono joalo ka bothata ba ho tsepamisa mohopolo nthong kapa pono e habeli;
• Bohloko bo ka morao ho leihlo;

Ntle le moo, matšoao a mang, joalo ka bohloko, ho ba shohlo, ho hlohlona kapa ho chesa maikutlo ka monoana o motona, monoana oa letsoho le monoana o bohareng, a ka hlaha ka lebaka la khatello ea methapo e bohareng, e fetang ka letsohong ebe e otlolla matsoho, e tšoaeang kotopo ea carpal lefu. Ithute haholoanyane ka Carpal Tunnel Syndrome.

Mokhoa oa ho netefatsa ts'oaetso

Ho fumanoa ha lefu la tsoekere la lefu la tsoekere ho etsoa ke endocrinologist mme ho ipapisitse le matšoao le matšoao a hlahisitsoeng le nalane ea lefu lena. Ntle le moo, ngaka e tlameha ho etsa tlhahlobo ea 'mele ho lekola matla le molumo oa mesifa, ho leka tendon reflex le ho sekaseka kutlo ea ho ama le ho fetoha ha mocheso, joalo ka serame le mocheso.

Ngaka e kanna ea etsa kapa ea odara liteko tse khethehileng ho netefatsa phumano, joalo ka tlhahlobo ea methapo ea kutlo, e lekanyang hore na methapo ea matsoho le maoto e tsamaisa matšoao a motlakase kapele hakae, elektroneuromyography, e lekanyang ho tsoa hoa motlakase ho hlahisoang ke mesifa, kapa ho ikemela. teko, e ka etsoang ho fumana liphetoho khatello ea mali maemong a fapaneng.

Kalafo e etsoa joang

Kalafo ea lefu la tsoekere la lefu la tsoekere e lokela ho tataisoa ke setsebi sa methapo ea mafu 'me hangata e etsoa ho fokotsa matšoao, ho qoba mathata le ho liehisa kholo ea lefu lena.

Kalafo ea lefu la tsoekere la lefu la tsoekere e kenyelletsa meriana e kang:

• Li-antidiabetics, joalo ka liente tsa insulin kapa ho noa li-antidiabetics tsa molomo ho laola maemo a tsoekere maling;
• Li-anticonvulsants, e le pregabalin kapa gabapentin ho imolla bohloko;
• Ho imeloa kelellong, joalo ka amitriptyline, imipramine, duloxetine kapa venlafaxine e thusang ho kokobetsa bohloko bo bobebe ho isa ho bo itekanetseng;
• Li-analgesics tsa li-opioid e nkiloe ka molomo, joalo ka tramadol, morphine, oxycodone kapa methadone, kapa patch, joalo ka transdermal fentanyl kapa transdermal buprenorphine.

Maemong a mang, ho imeloa kelellong ho ka sebelisoa hammoho le anticonvulsant kapa lithethefatsi tsena li ka sebelisoa le liphokotso tsa bohloko ho thusa ho laola bohloko.

Ntle le moo, bakeng sa kalafo ea mathata a lefu la tsoekere la lefu la tsoekere, ho ka hlokahala tlhokomelo le litsebi tse fapaneng, joalo ka ngaka ea meno ho phekola mathata a pampiri ea moroto, ka meriana e laolang tšebetso ea senya kapa litlhare tsa ho se sebetse ha erectile, ka mohlala, kapa setsebi sa lefu la pelo bakeng sa taolo khatello ea mali 'me u qobe lefu la tsoekere le lefu la tsoekere. Fumana hore na lefu la tsoekere le lefu la tsoekere ke eng le hore na o ka le phekola joang.

Mokhoa oa ho thibela neuropathy

Lefu la tsoekere le nang le lefu la tsoekere hangata le ka thibeloa haeba maemo a tsoekere ea mali a laoloa ka thata. Ho etsa sena, mehato e meng e kenyelletsa:

• Tlhatlhobo khafetsa ea bongaka;
• Lekola maemo a tsoekere ea mali lapeng le li-glucometers, ho latela likeletso tsa bongaka;
• Ho noa meriana kapa ho kenya insulin, joalo ka ha ho laetsoe ke ngaka;
• Itloaetse ho ikoetlisa khafetsa joalo ka ho tsamaea ha bobebe, ho sesa kapa metsi aerobics, mohlala.

U lokela hape ho ja lijo tse nang le phepo e nepahetseng tse kenyelletsang likhoele tse ntle, liprotheine le mafura, 'me u qobe lijo tse nang le tsoekere e ngata joalo ka cookies, lino-mapholi kapa likuku. Sheba mokhoa oa ho ja lijo tsa lefu la tsoekere.