Ọrịa neuropathy: akpata

Ugbu a, ọrịa ndị dị ka ọrịa shuga mellitus a na-ewere isi "na-abụghị ndị na-efe efe ọrịa narị afọ nke 21." Nke a bụ n'ihi ya njupụta na kasị n'oge nkwarụ nke ọrịa, nakwa dị ka ndị dị elu enwe udu n'etiti ha. Karịrị 200 nde mmadụ ndị na-ata ahụhụ site na a oké ọrịa, nke kwubara otutu atọ na enwe mgbe obi na-anaghị ekwe na cancer. Kwa afọ, ọrịa shuga na-ewe ihe karịrị puku narị atọ mmadụ.

Otu n'ime ihe ndị kasị nsogbu nke na-emepe emepe-arịa ọrịa shuga mellitus-arịa ọrịa shuga polyneuropathy, nke e ji ọnwụ nke akwara ozi, na-eduga mmepe nke ụkwụ ọnyá na ọnwụ nke uche. Ke adianade do, mmepe nke a sikwuoro na-eduga ná a ọnụ ọgụgụ nke na-ekwu, na-ebelata ikike nke mmadụ na-eyi egwu ndụ ya.

Okwu ahụ bụ "neuropathy" na-ezo aka mmebi akwara nke e mere site a ọrịa, na nsogbu dị iche iche systemic ọrịa. Na ọnụnọ nke multiple ọnya nke elu ụjọ usoro na-ebilite "neuropathy", nke a ọrịa nke dum organism. Polyneuropathy gosipụtara dị ka nkụnwụ na aka na ụkwụ na ọnwụ nke uche, ezi mgbe e nwere a flaccid mkpọnwụ.

Central mmewere nke ọrịa polyneuropathy bụ oxidative nchegbu, onye uru bụ n'ihi nke idem emem nke antioxidant agbachitere usoro. Na-arịa ọrịa shuga na-amalite na-adịghị ala hyperglycemia, ebe endoneurial ọbara arịa emee oké guzobere glycated edozi, na-eduga a ọnụ ke ọbara ma na-amụba na-eguzogide ndị vaskụla mgbidi. Mgbanwe ndị a na-akwalite ìgwè ke akwara anụ ahụ oxygen free radicals, na otú a, e nwere a "na ajọ gburugburu" - mebiri endoneurial ọbara gụnyere guzobe free radicals na-eme ka ọbụna ihe ka ukwuu mmebi vaskụla endothelium.

Ọrịa neuropathy: Mgbaàmà.

E nwere ọtụtụ nhọrọ maka adakarị ngosipụta nke ọrịa. The n'oge ngosipụta na pụrụ ịdị ọtụtụ afọ, na-agụnye idem emem nke òtù Achilles mpiaji na vibration uche. Na ọzọ ogbo nke ọrịa na-egosipụta nnukwu na subacute odida nke onye akwara ọtụtụ ndị sciatic, femoral, ulnar ma ọ bụ etiti. Ke adianade do, ha nwere ike na-emetụta oculomotor, trigeminal na abducens. The kasị mkpesa na ọnụnọ nke ihe mgbu, muscle paresis na nsogbu uche. Ọzọkwa na-aga n'ihu-arịa ọrịa shuga neuropathy gosipụtara mgbu aka na ụkwụ n'ihi ịrịba mbibi nke mwute akwara ọrịa na paresis. Ọzọkwa, ezi mgbe e nwere a nsogbu nke autonomic innervation. Na efen ọganihu nke ọrịa na-amụba ihe mgbu, ụfọdụ akpụkpọ ebe na-acha na-acha odo odo, na ọbụna na nwa emee mummification anụ ahụ, trophic ọnyá, bilie, itching na deformation nke akwụsị.

Ọrịa neuropathy n'akparamagwa 85% nke ọrịa na-arịa ọrịa shuga mellitus, na mgbaàmà nwere ike ime ọtụtụ afọ mgbe nchọpụta nke-arịa ọrịa shuga. Mgbe ụfọdụ, ọrịa polyneuropathy nwere ike mbụ mgbaàmà nke ọrịa shuga, na-agba akaebe na ihe ya zoro n'ime. The ọrịa bụ n'ihi mbibi nke akwara ozi na neuronal Filiks nke elu na Central ụjọ usoro, nke na-bụ irreversible n'ihi igbu oge imu Filiks ke ọnụnọ nke-arịa ọrịa shuga.

Isi ihe ize ndụ ihe, ọnụnọ nke nke na-emepe emepe-arịa ọrịa shuga neuropathy (mgbaàmà nwere ike ịbụ na-anọghị n'otu oge): oge nke ọrịa (ọrịa shuga), ọrịa na-afọ, ogo hyperglycemia, n'ala na elu ibu. The nhazi ọkwa nke ọrịa na-gbagwojuru anya manifold mgbaàmà.

Iji gbochie isi ngosipụta nke-arịa ọrịa shuga polyneuropathy oké mkpa irè ọgwụgwọ nke kpatara ọrịa, ie. E. Diabetes mellitus, na ihe ndị kasị mkpa ọnọdụ bụ Mbelata nkịtị larịị nke glycated haemoglobin, ọbara mgbali normalisation na cholesterol na lipoprotein cholesterol na triglyceride etoju na-ebelata ọbara clotting.