Neuropathy Diabetic: sababaha

Waqtigan xaadirka ah, cudurada sida diabetes mellitus waxaa loo arkaa "faafa non-faafa ee qarniga 21aad." Ugu weyn Tan waxa u sabab ay baahsanaanta iyo iinta ugu hore ee bukaanka, iyo sidoo kale heerka dhimashada sare iyaga ka mid ah. In ka badan 200 oo milyan oo qof oo dhulka ku xanuunsado cudurkaan halista ah, taas oo ka dhigeysa saddexaad ee dhimashada ka dib xanuunada wadnaha iyo kansarka. Sannad kasta, diabetes qaadataa saddex boqol oo kun in ka badan noloshooda aadanaha.

Mid ka mid ah dhibaatooyinka ugu badan ee soo koraya mellitus diabetes waa polyneuropathy diabetic, taas oo ah waxa lagu gartaa khasaaro macdantaa dareemayaasha, taasoo keentay in horumarinta boogaha cagaha iyo luminta dareenka. Intaa waxaa dheer, horumarinta dhibaato waxay keenaysaa in tiro ka mid ah dalalka, yaraynta awoodda ninka iyo nafta halis.

"Neuropathy" Ereyga waxaa loola jeedaa dhaawaca dareemaha oo waxaa keena cudur, iyo dhibaatooyinka cudurada systemic kala duwan. In joogitaanka lesions badan ee habdhiska ka durugsan baxdo "neuropathy", taas oo ah cudur ka mid ah u shaqeeyo oo dhan. Polyneuropathy muujiyey sida kabuubyada ee addimaha iyo luminta dareenka, marar badan waxaa jira curyaannimo a flaccid.

element Dhexe ee polyneuropathy diabetic waa murqo-jilicsanaan, kuwaas oo faa'iido waa natiijo ah oo diciifinaya oo ka mid ah nidaamka difaaca antioxidant. In diabetes yeesho hyperglycemia chronic, tan iyo xididdada dhiigga endoneurial dhacaa formation-dhaafka ah ee borotiinada glycated, taasoo keentay in hoos u dhac in qulqulka dhiigga iyo in la kordhiyo iska caabin ah ee derbiga vascular. Isbeddelladan kor u raasamaal ee unugyada neerfaha xagjirka lacag la'aan oxygen, iyo sidaas, waxaa jira a "goobaabin sharta" - socodka dhiigga xadgudub endoneurial weeyaan formation of xagjirka lacag la'aan keeni dhaawac weyn in endothelium vascular.

neuropathy Diabetic: Astaamaha.

Waxaa jira fursado badan oo ah muujinta caafimaad ee cudurka. The daliilka hore waxaa laga yaabaa in ay jiraan sanado badan, waxaa ka mid ah itaal reflex iyo gariirka dareen dhaawac ah. In marxaladda soo socota ee cudurka lagu muujiyey failure ba'an iyo subacute ee dareemayaasha shaqsi inta badan inay markeedii ugu, bidig, ulnar ama bartamaha. Intaa waxaa dheer, waxay saamayn kara oculomotor, trigeminal iyo abducens. The cabashooyinka ugu badan yihiin joogitaanka xanuun, paresis muruqa iyo dareenka qas. neuropathy horumar dheeraad ah diabetic muujiyey by xanuun addimmada waxay sabab u baabba 'weyn oo dareenka xasaasi ah oo paresis. Sidoo kale, marar badan waxaa jira khalkhal ah innervation ku autonomic. Iyada oo horumar dheeri ah cudurka waxaa sii kordhaya xanuun, meelaha maqaarka qaarkood la midab guduud, iyo xataa madow dhacdaa unugyada mummification, boogaha trophic kac, cuncun iyo calaamadaha lahayo ee joogsiga.

neuropathy Diabetic ku dhacaa 85% bukaannada qaba diabetes mellitus, iyo calaamadaha laga yaabaa inuu dhaco dhowr sano ka dib markii la ogaado cudurka macaanka. Mararka qaarkood polyneuropathy diabetic laga yaabaa in calaamadaha ugu horeeya ee cudurka macaanka, iyo in laga marag furo oo ku saabsan qarsoonaa gudahood. Cudurku waa natiijada burburinta neurons iyo geedi socodka neuronal oo ka mid ah hababka dareemayaasha durugsan iyo bartamaha, taas oo inta badan laga soo noqon karin, sababtoo ah hababka nadiifinta dhalashadii labaad dib u dhac ay goobjoog ka ahaayeen sonkorowgu.

Ugu weyn sababaha halista, joogitaanka kaas oo la soo koraya neuropathy diabetic (astaamaha waxaa laga yaabaa maqan waqti isku mid ah): muddada cudurka (diabetes), da'da bukaanka, heerka uu hyperglycemia, dabaqa iyo koritaanka sare. kala soocidda cudurka ayaa ah mid qasan calaamado kala cayncayn ah.

Si looga hortago daliilka koowaad ee polyneuropathy diabetic daaweyn muhiim ah oo waxtar leh cudurka sababaya, ie. E. Diabetes mellitus, iyo xaaladda ugu muhiimsan waa hoos u heer caadi ah glycated haemoglobin, caadi cadaadiska dhiigga iyo kolestaroolka iyo kolestaroolka lipoprotein iyo heerka triglyceride oo xinjirowga dhiigga hoos.