Diabetic neuropathy: mea, lalau mai

I keia wa, na maʻi like mimikō mellitus ua noʻonoʻo i ka papa kuhikuhiE "ole-infectious laha ana o ka 21st kenekulia." O ke kumu ho i kona prevalence, a me ka loa i ke kīnā o ka hoʻomanawanuiʻana, e like me ke kiʻekiʻe make holo 'awelika i waena o lākou. More o 200 miliona kanaka ma ka honua nei e ae mai i kēia maʻi nui, i na lalani kolu o ka make ma hope o kāna hana mea'ōnaehana mānowai koko a me ka maʻi 'aʻai. Kēlā me kēia makahiki, mimikō i kanaka ola oi aku mamua o ekolu haneri tausani.

Kekahi o ka loa e like me ka complications o ka ulu mimikō mellitus mea diabetic polyneuropathy, a ua wehewehe aku ma ka poho o nā aʻalolo olona, e alakai ana i ka hooulu ana o ka wāwae ulcers a me ka poho o ka pā lonoaʻili. Eia hou, i ka ulu ana o keia complication hiki aku i ka helu o Hawaii, hoemi i ka auhau o ke kanaka, a me ka olelo hooweliweli aku i kona ola.

Ka manawa "neuropathy" pili i nā aʻalolo poho a ua kauoha ia e ka maʻi, a me nā complications o kela systemic ka maʻi. Ma ke alo o ka mau lesions o kaʻike ākea ko mākou hopohopo'ōnaehana aicieeaao "neuropathy", a mea he maʻi o ka pau meaola. Polyneuropathy hoike aku i numbness i na lala a me ka poho o ka pā lonoaʻili, he pinepine ka mea, he flaccid lōlō.

Central hehee ai o diabetic polyneuropathy mea oxidative stress, nona ka waiwai o ka hopena o ka mea hoʻonāwaliwali maoli nō o ka antioxidant pale nenoai. I mimikō e hoʻomōhala ana i maʻi hyperglycemia, mai endoneurial moku koko ia lŘlŘ excessive ho okumu o glycated nā polokina, e alakai ana i ka emi ana i loko o ke koko kahe, a hoomahuahua i ka ia'ku o ka vascular pa. Mau loli paipai hoʻomāhuahua i loko o ke aʻalolo'aʻaʻa o oxygen noa radicals, a pela, aia no he "vicious kaiapili" - 'aʻe' endoneurial koko entails ke kahua o ka noa radicals i mea hiki nui poho i vascular endothelium.

Diabetic neuropathy: Symptoms.

Aia i kekahi mau koho no ka lapaʻau hoike ana o ka maʻi. Ke kakahiaka nui hoike ana i ke ola no na makahiki, nā mea hoʻonāwaliwali maoli nō o ka Achilles reflex a me ka kamakawiwo ole pā lonoaʻili. Ma ka pili ke kahua o ka maʻi ua hoikeia huʻi a me ka subacute ole o kanaka nä olonä loa o ka sciatic, femoral, ulnar a me Media. Eia hou, ka mea hiki ke loli ma ka oculomotor, trigeminal a me abducens. Ka loa, he pono ole hoopii i ke alo o ka eha, Muscle paresis a me ka haunaele pā lonoaʻili. E möakäka hou e holumua ai diabetic neuropathy hoikeia aku ai e kaʻeha ma na lala aie i ka nui loa ana o ka 'ikepili koʻikoʻi nā aʻalolo kāna hana a me ka paresis. Nō hoʻi, he pinepine ka mea, he haunaele o ka autonomic innervation. Me ka hou holomua o ka maʻi ua mahuahua eha, i nā pōpō kekahi ili mau mea i loko o ka poni, a me ka hikiʻeleʻele ia lŘlŘ mummification nā'aʻaʻa, trophic ulcers ala mai, maneo a me deformation o ka holo ana.

Diabetic neuropathy ia lŘlŘ i loko o 85% o nā mea maʻi me mimikō mellitus, a me na symptoms kānāwai mau makahiki ma hope o ka loaʻaʻana o ka mimikō. I kekahi manawa, diabetic polyneuropathy e ia i ka mua symptom o mimikō, a me ka hoike e pili ana i kona mau wahi huna loko. Ka maʻi o ka hopena o ka make ana o neurons a me neuronal keʻano o ka hanaʻana o kaʻike ākea, a Central ko mākou hopohopo nenoai, a pinepine mea irreversible no ka mea, ke kali hou e noho keʻano o ka hanaʻana i loko o ke alo o ka mimikō.

I ka papa kuhikuhiE kamepiula kumumea, i ke alo o ka i ulu diabetic neuropathy (symptoms paha hoi ma kahi ee i ka ia manawa): ka lōʻihi like 'ole o ka maʻi (mimikō), i ke ahonui o ka makahiki, i ka degere o ka hyperglycemia, palaoa a me ka ulu kiʻekiʻe. Na Mea Maluna o ka maʻi ua huikau lokomaikaʻi he symptoms.

E pale aku i ka iniiaiie hoikeana o diabetic polyneuropathyʻano nui pono ka hana o nń ku maʻi, oa. E. mimikō mellitus, a me ka nui ana o ka ka ho'ēmiʻana i ka maʻamau kiʻekiʻe o glycated hemoglobin, ke koko, normalization a me ka naʻokoko, a lipoprotein naʻokoko, a triglyceride pae, a hoemi koko clotting.