Peripheral Diabetic: izimbangela

Njengamanje, izifo ezifana ngifundise ngesifo sikashukela kubhekwa main "kuyinkinga non-esithathelanayo kwekhulu lama-21." Lokhu kungenxa nokudlanga yayo kanye ukukhubazeka zangaphambili, iningi lalezi iziguli, kanye eliphezulu lokushona kwabantwana bezalwa phakathi kwabo. abantu abangaphezu kwezigidi ezingu-200 emhlabeni yilesi lwesifo esibi, okuyinto lifaka lwesithathu futhi ngokwempilo yangenyama ngemva iziyaluyalu senhliziyo nomdlavuza. Minyaka yonke, isifo sikashukela ithatha izimpilo zabantu abangaphezu kwamakhulu ayizinkulungwane ezintathu.

Enye yezinkinga ezivamile asathuthuka ngifundise ngesifo sikashukela kuyinto polyneuropathy sikashukela, okuyinto libhekene ukulahlekelwa yezinzwa, okuholela ukuthuthukiswa ngezinyawo nezilonda futhi ukulahlekelwa ukuzwela. Ngaphezu kwalokho, kwenziwa le inkinga kuholela eziningi uthi, ukunciphisa umthamo yomuntu futhi zisongele ukuphila kwakhe.

Igama elithi "peripheral" libhekisela ukulimala kwenzwa okuyinto kubangelwe isifo, kanye nezinkinga zezifo ezihlukahlukene letindzala. Ephambi kwezinduna izilonda eziningi neuropathy isimiso sezinzwa kuphakama "peripheral", okuyinto isifo wonke umzimba. Polyneuropathy obonakala njengenhlangano ndikindiki ezingalweni nasemilenzeni kanye nokulahlekelwa ukuzwela, kaningi kukhona ukukhubazeka flaccid.

elementi Central of polyneuropathy sikashukela kuyinto oxidative ukucindezeleka, ogama inzuzo kuwumphumela buthakathaka isimiso sokuzivikela antioxidant. Ngo sikashukela eba Hyperglycemia okungamahlalakhona, kusukela imithambo yegazi endoneurial kwenzeka kumiswa ngokweqile amaprotheni glycated, okuholela ukwehla nokugeleza kwegazi futhi ukwandisa ukumelana odongeni semithambo. Lezi zinguquko ukukhuthaza sokuzuza emsipheni izicubu -mpilo free radicals, futhi ngaleyo ndlela, kukhona "umjikelezo omubi" - ukwephulwa endoneurial ukugeleza kwegazi kubandakanya ukwakheka radicals khulula ezibangela umonakalo nakakhulu endothelium semithambo.

peripheral Diabetic: Izimpawu.

Kunezindlela eziningana ongakhetha kuzona kube yikwembulwa emitholampilo ye isifo. I ukubonakaliswa ekuseni esingaba khona iminyaka eminingi, zihlanganisa buthakathaka Achilles reflex vibration ukuzwela. Ngo esigabeni esilandelayo sifo kubonakala ukwehluleka oyingozi futhi subacute of izinzwa ngabanye iningi sciatic, femoral, ulnar noma lesemkhatsini. Ngaphezu kwalokho, zingase ehlaselwe oculomotor, trigeminal futhi abducens. Izikhalazo ezivamile khona ubuhlungu, kwemisipha paresis kanye ukuphazamiseka ukuzwela. Ngaphezu kwalokho okuqhubekayo peripheral sikashukela owabonakaliswa nobuhlungu ezingalweni nasemilenzeni ngenxa ekubhujisweni abalulekile ebucayi okungabangela inkinga yezinzwa futhi paresis. Futhi, kaningi kukhona ukuphazamiseka innervation autonomic. Nge intuthuko kwaleso sifo liyakhula ubuhlungu, ezindaweni ezithile zesikhumba kuthiwa enombala in purple, ngisho black kwenzeka mummification kwezicubu, kuphakama izilonda trophic, ukulunywa futhi ukusonteka of esitobhini.

peripheral Diabetic kwenzeka e-85% kweziguli ngifundise ngesifo sikashukela, futhi izimpawu kungenzeka iminyaka eminingana ngemva kokuzalwa ukuthola sikashukela. Ngezinye izikhathi polyneuropathy sikashukela kungase kube uphawu lokuqala sikashukela, futhi ukuba afakaze yakhe kufihlwe ngaphakathi. Lesi sifo umphumela nolokubhujiswa sezinzwa izinqubo neuronal izinhlelo neuropathy sezinzwa, okuvame awushintsheki ngoba izinqubo ukubambezeleka ekuvuseleleni khona sikashukela.

The main engcupheni, khona lapho siqhamuka peripheral sikashukela (izimpawu kungenzeka ukuthi ingabi khona ngesikhathi esifanayo): isikhathi isifo (isifo sikashukela), ubudala lesiguli, degree of Hyperglycemia, phansi nokukhula okusezingeni eliphezulu. Ukwahlukaniswa kwamadamu isifo nzima izimpawu ezininginingi.

Ukuvimbela ukubonakaliswa eyinhloko polyneuropathy sikashukela kubalulekile ukwelashwa okuphumelelayo yesifo eziyimbangela, isb. E. Diabetes mellitus, futhi isimo ebaluleke kakhulu ukunciphisa yezinga evamile-hemoglobin glycated, umfutho wegazi ukuzinza kanye cholesterol kanye Esilula cholesterol kanye namazinga triglyceride futhi yehlise igazi ekunqandeni.