Chirwere cheshuga neuropathy: zvinokonzera

Parizvino, zvirwere zvakadai cheshuga mellitus ichaongororwa huru "dzisiri kutapuriranwa kupararira remakore rechi21." Izvi imhaka kwayo kuwanda uye vokutanga kupfuura urema wevarwere, uyewo hunofa mukuru prices pakati pavo. Vanopfuura mamiriyoni 200 vanhu panyika vanotambura nechirwere ichi chakakomba, izvo zviri pokutanga wechitatu munyama pashure zvemwoyo nepfungwa uye kenza. , Gore roga roga chirwere cheshuga anotora upenyu vanopfuura zviuru mazana matatu evanhu.

Chimwe chezvinhu zvakafanana nemamwe matambudziko kuva cheshuga mellitus chirwere cheshuga polyneuropathy, iyo inozivikanwa nokurasikirwa tsinga fibers, zvichiita kuti pave netsoka maronda uye kurasikirwa nehanya. Uyezve, kukura kuomesa ichi kunoita kuti vakawanda rinoti, kuderedza vanokwanisa womunhu uye vanotyisidzira hwake.

Shoko rokuti "neuropathy" rinoreva kukuvara tsinga iri kukonzerwa nechirwere, uye zvakaoma kunzwisisa-siyana systemic zvirwere. In pamberi vakawanda maronda ari peripheral tsinga unovapo "neuropathy", inova chirwere yose muviri. Polyneuropathy akaratidza sezvo chiveve ari makumbo uye kurasikirwa nehanya, kazhinji pane flaccid dzomuviri.

Central che shuga polyneuropathy ndiko oxidative kushushikana, vane pfuma nemhaka kwakaderera ari antioxidant kudzivirira hurongwa. In cheshuga hwapedyo chisingaperi hyperglycemia, sezvo endoneurial midziyo ropa kunoitika kunyanya inotungamirwa glycated mapuroteni, zvichitungamirira vasanyanye ropa kuyerera uye kuwedzera kurwisa ari vascular rusvingo. kuchinja izvi pave kuunganidza mu etsinga rinenge okisijeni vakasununguka radicals, uye nokudaro, pane "denderedzwa utsinye" - ropa kutyora endoneurial aibuda rinobatanidza paumbwe vakasununguka radicals anokonzera kunyange mukuru kukuvadza vascular endothelium.

Chirwere cheshuga neuropathy: Zviratidzo.

Pane nzira dzakawanda kwazvo kunotoda nokuratidzwa chirwere. The kuratidzwa vokutanga kuti pangangova kwemakore akawanda, anosanganisira kwakaderera ari achilles dzepanguva uye vibration wanda. Muchikamu chinotevera pavaipfuura chirwere kunoratidzwa chakasimba uye subacute kukundikana nomumwe tsinga dzakawanda sciatic, femoral, ulnar kana evaMedhia. Mukuwedzera, vanogona kukanganiswa oculomotor, trigeminal uye abducens. Rakajairika zvichemo zviri pamberi marwadzo, tsandanyama paresis uye nyonganyonga wanda. Uyezve mberi chirwere cheshuga neuropathy kwakaratidzwa marwadzo ari makumbo nokuda kuparadzwa kukosha anenge tsinga zvirwere uye paresis. Uyewo, kazhinji pane nyonganyonga yacho autonomic innervation. With mberi chirwere iri kuwedzera marwadzo, dzimwe nzvimbo ganda vari mavara dzepepuru, uye kunyange dema kunoitika pakuomesa zvitunha munyama, trophic nemaronda simuka, kuvaviwa uye deformation yacho chemabhazi.

Chirwere cheshuga neuropathy kunoitika muna 85% varwere cheshuga mellitus, uye zvingaratidza kuitika makore akawanda pashure kuziva miedzo cheshuga. Dzimwe nguva chirwere cheshuga polyneuropathy angava ari chiratidzo cheshuga wokutanga, uye kupupura pamusoro wake zvakavanzika mukati. The chirwere mugumisiro kuparadzwa Tutsinga tunofambisa mashoko utwu uye neuronal pezvakaitwa pamusoro peripheral uye nechepakati huta hurongwa, izvo kazhinji ndiyo kusingarapiki nokuti Kunonoka patsva pezvakaitwa pamberi chirwere cheshuga.

Huru zvinokonzera njodzi, kuvapo riri kugadzira shuga neuropathy (zvingaratidza kusava panguva): ya chirwere (chirwere cheshuga), murwere zera, ukuru hyperglycemia, uriri uye yakakwirira kukura. The kupatsanura chirwere rakaoma siyana zviratidzo.

Kudzivisa chikuru kuratidzwa chirwere cheshuga polyneuropathy inokosha anobudirira Mabatirwo zvinokonzera chirwere, kureva. E. Diabetes mellitus, uye chinonyanya kukosha ezvinhu ndiwo rutapudzo chaiko pamwero glycated Chizenga, BP normalization uye remafuta akawandisa uye lipoprotein remafuta akawandisa uye triglyceride mumatunhu uye kuderedzwa kweropa.