Polyneuropathy sun ah oo ka mid ah jirka hoose: Sababaha, Calaamadaha iyo Daaweynta. polyneuropathy sun ah ka dib markii chemotherapy

Ra'yiga Polineytropatii ka mid ah koox ka mid ah cudurada, sababaha oo laga yaabo kala duwan. Muuqan midaynta cuduradan oo isku xigta - waa hawlaha aan caadi ahayn nidaamka durugsan dareemayaasha ama xidhmo xidhmo isugu dareemeyaasha qaarkood.

Tilmaamo caan ku tahay carqalad symmetrical polineytropatii oo ka mid ah murqaha oo ka mid ah jirka sare iyo hoose. Xaaladdan oo kale, waxaa jira ariinta ah ee socodka dhiigga iyo sii dareen oo ka mid ah gacmaha iyo cagaha. Badanaa, cudurkan saameeyaa addimada hoose.

Polyneuropathy Bilowgii sun ah ICD-10

Mid ka mid ah noocyada ugu badan ee cudurkan waa polyneuropathy a sun. Laga soo bilaabo magaca cudurka waxa uu noqonayaa mid cad in ay tahay natiijo ah oo saamaynta on habka dareemayaasha jirka ee kala duwan oo ka mid ah wakiilada sun. Sunta geli karin galay jidhka ka baxsan ama noqon natiijada cudurka.

Si loo fududeeyo go'aan ka soo baxay nooca cudurkan, waxaa la soo jeediyay in la tixgeliyo sababaha in uu sababay polyneuropathy a sun. ICD-10, ama Qoondaynta Caalamiga ah ee Cudurada Dib 10aad, waxay bixisaa qaab aad u sahlan-soociddiisa qabo cudurka. line hoose waa inuu ku meeleeyo code a in nooc gaar ah oo cudurka, ku salaysan sababaha. Sayidka, neuropathy sun waxaa loogu talagalay sida ay liiska ICD 10 G62 code. soo socda waa soocidda oo dheeraad ah la safeeyey,

• G62.0 - Magacani polyneuropathy, daawooyinka iyada oo suurtagal ah ee cadeeyo daroogada;
• G62.1 - code tani waxaa la yiraahdaa qaab khamriga cudurka;
• G62.2 - code for polyneuropathy sababa waxyaabaha kale ee sunta ah (code lagu calaamadeeyay laga yaabaa in sun);
• G62.8 - naqshada ah polyneuropathy kale ku qeexan, kaas oo ka mid ah foomka shucaac cudurka;
• G62.9 - code for qaab aan la shaacin oo neuropathy (NOS).

Sidii hore loo xusay, neuropathy a sun ah waxaa keeni kara laba nooc oo sababood awgood:

• Waxay leeyihiin shuruudo exogenous (noocaan ah waxaa ka mid ah diphtheria, herpes, sababa HIV, lead, arsenic, khamriga, keeni khubad FOS, daawo, neuropathy radiation).
• Noqo sabab u ah arrimo qoomiyadda (tus, macaanka, ama disproteinimiey paraproteinemia keena, lesions waajihi of unugyo).

neuropathy sun ayaa dhawaan noqday arrin caadi ah hadyada meejeeda, ay sabab u tahay kordhinta xiriirka aadanaha iyadoo sunta oo laga helay ilo kala duwan. Maaddooyinkan khatarta ahi yihiin oo dhan nagu wareegsan, ay ku jiraan cuntooyinka, badeecadda, daawo iyo deegaanka. cudurrada faafa ayaa sidoo kale inta badan sabab u ah cudurka. Micro-noolaha soo saaro sunta oo saamayn jidhka bini'aadamka, saamayn habka dareemayaasha jirka.

polineytropatii sun Exogenous

Sidii hore loo xusay, noocyada cudurada dhacaan markii loo feydo arrimaha aadanaha dibadda: fayrusyada iyo sunta bakteeriyada, biraha culus, kiimikooyinka, dawooyinka. Sida nooc kale oo polineytropatii, cuduradan waxaa laga yaabaa in daro ba'an.

polyneuropathy diphtheria

Laga soo bilaabo magaca cudurka waxaa iska cad in ay soo baxdo natiijo ahaan diphtheria daran, Ulasocto tallaabada of exotoxin. Inta badan this ifafaale ku dhacaa dadka waaweyn. Xaaladdan oo kale, waxaa jira saamayn on xuub ee dareemayaasha dhaladii iyo baabba'ooda. Calaamadaha cudurka isu mariyo ama toddobaadka ugu horreeya (gaar ahaan wadnaha khatar iyo pneumonia), ama ka dib markii todobaadkii la soo 4 th caabuqa ka dib. Waxay waxaa ka muujiyay in lesions hawlaha isha, hadalka, liqidda, waxaad la kulmi kartaa neefta oo ku qabata iyo tachycardia. Ku dhawaad mar kasta, calaamadaha bilaabaan inay baaba'aan 2-4 toddobaad ama dhowr bilood ka dib.

herpetic polineytropatiya

Noocan cudurka ku dhacaa sabab u tahay waxqabad ee virus Epstein-Barr Herpes simplex aniga iyo II nooc, varicella, cytomegalovirus. Cudurka mid ah cuduradaan ku dhaco caruurta, laakiin ka dib markii cudurka la soo saaray difaaca. Haddii difaaca jirka ee la daciifiyay, aad diyaarin kartaa neuropathy la finan sifo jirka oo dhan.

Polyneuropathy la xiriira HIV

In labo ka mid ah saddex xaaladood oo bukaanka qaba cudurka HIV waxaa lagu muujiyey dhibaatooyin maskaxda ah, inta badan waxay dhacaan ku jira marxaladaha hore ee cudurka.

Saamaynta sun ah fayraska, caabuq reaction, shalalka, horumarinta burooyinka iyo saamaynta qaadashada daawooyinka isku dhafan oo hogaanka si rabshooyin ah hawlaha caadiga ah ee jidhka. Sidaas darteed, waxaa encephalopathy, meningitis iyo polineytropatiya dareemayaasha cranial. xanuun la soo dhaafay waxaa inta badan ka muujiyeen in hoos u of dareen ah cagaha, xanuun gobolka lumbosacral. Waxay waa la daaweyn karaa, laakiin ben la dhibaatooyin dhimasho.

polyneuropathy hogaanka

Noocan cudurka ku dhacaa sabab u horseedi sumoobo, kaas oo geli karin galay jidhka bini'aadamka dhex Neefta ama iyada oo mareenka caloosha iyo mindhicirka. Wuxuu shubo lafaha iyo beerka. Lead waa polyneuropathy sun ah (ICD code 10 - G62.2) waxaa lagu qeexay in bukaanka qaab daciifnimo, daal sare "carrab la '" madax-xanuun, yaraynta xasuusta iyo dareenka, encephalopathy, dhiig yari, ulcerös, xanuun jirka, gariirka gacmahaaga. Waayo, cudurkan waxa lagu gartaa khasaaro of dogob iyo peroneal dareemayaasha. Sidaas daraaddeed marar badan waxaa jira syndromes "laalaadeen burush" iyo "wiiqmin baa ciyey." Xaaladahan, gebi ahaanba ku koobnayn soo xiriir la hogaanka. Saadaasha of takhalusaya cudurka - wanaagsan.

polyneuropathy arsenic

Arsenic wada geli karaan jidhka bini'aadamka la sunta cayayaanka, dawooyinka, rinjiga. Cudurku waa xirfadle in smelters. Haddii gaadhista maalkii sun ahayd hal, soo koraya hypotension vascular, lalabo iyo matag. 2-3 toddobaad ka dib markii ay u muuqataa polyneuropathy, tabar daran in murqaha lugta. Haddii ay jirto a soo noqnoqda sumowga arsenic, ka dibna waxaa jira symmetrical daliilka dareen-motor distal cudurka. In the case of sarkhaan walax sun chronic arkay hypersalivation, trophic iyo cudura vascular (hyperkeratosis maqaarka on calaacalaha iyo Timir, finan, strips on ciddiyaha, midabka on caloosha ee foomka of dhibco, hoolmay), ataxia. polyneuropathy arsenic waxaa lagu gartaa iyada oo loo marayo falanqayn kaadida halabuurka, timaha iyo ciddiyaha. Soo Celinta bukaanka ka dib markii cudurka socdaa muddo bilo ah.

neuropathy Qamriga

In daawada, waxaa la rumeysan yahay in ay asal ahaan sun ah khamriga polyneuropathy liidata fahamsan yahay, farsamo ee ay horumarka aan si buuxda u fahamsan yahay. Sababta ugu weyn ee waa la'aanta ah ee thiamine ee jirka iyo calool timi ku saabsan asalka ah ee ku xadgudubka qamriga. Waxaa intaa dheer, khamriga laftiisa uu saameyn ku sun on habka dareemayaasha jirka.

Sun polyneuropathy khamriga noqon kartaa poodostroy, ba'an, laakiin waa nooc ee ugu badan subclinical dareemi markii baadhaya bukaanka. Waxaa lagu muujiyay in yar joogsiga xadgudub ku dareen, liiditaan ama maqnaanshaha of hummaag gaaray lugtiisa muruqyada kubka xanuun on taataabasho. Inta badan polyneuropathy sun muujiyay in paresis symmetric, atrophy oo ka mid ah muruqyada cagta lugta ah iyo faraha lugeed, yaraynta goobaha dareenka ah "gashi" iyo "sharaabaad" xanuun cagaha iyo lugaha ama DC nooca howlgal, dareen gubasho in ay calaacalaha ah, barar, muuqaalka boogaha iyo hyperpigmentation maqaarka Addinka. Mararka qaarkood cudurkan la xidhiidha laga yaabaa in waallida qaba, xumaanshaha cerebellar, calaamad epileptiformii. bukaanka ayaa si tartiib ah ka soo kabsanaya. Guusha daaweynta ku xiran tahay soo celinta ama diido isticmaalka cabitaanka khamriga. Code ICD polyneuropathy sun ku saabsan asalka ah ee khamriga waa G62.1.

Polyneuropathy iyo FOS khubad

FOS ama xeryahooda organophosphorus waxaa la qaadi karaa in jidhka bini'aadamka wada jir ah ula sunta cayayaanka, saliidaha iyo plasticizers. At-sumowga ba'an calaamadaha xogta dhici walxaha soo socda: dhidid, dhareerka, miosis, xanuunada caloosha, bronchoconstriction, Xukun la'aanta kaadida, faskulyatsii, gariir, waxaana suurto gal dilaa. Dhowr maalmood ka dib ay ku horumarineyso polyneuropathy cilado motor. Curyaannimo adag tahay inuu ka soo kabsado.

polyneuropathy-laaluusheen daroogada

Noocan ah xanuunada maskaxda ah uu keeno soo dhaweynta ka mid ah daroogada ee soo socda:

• In daaweynta "Pergeksilenom" at dose oo ah 200-400 mg maalintii polyneuropathy dhacdaa ka dib markii kaliya labo toddobaad. Waxaa muuqato in hoos u of dareen, ataxia, paresis Addinka. Xaaladahan, daawada la joojiyo, xaaladda bukaanka ayaa fududeeyey.
• neuropathy Isoniazid horumarisa deficiency of vitamin B ₆ in dadka qaba cudur hidde ah oo ay dheef. Xaaladdan oo kale, pyridoxine xil gudaha.
• xad-dhaaf ah "Pyridoxine" (50-300 mg / maalintiiba) keenaysaa in formation of polineytropatii dareenka, madax xanuun daran, daal iyo caro.
• daaweyn muddo dheer "Gidrolazinom" waxay keeni kartaa in polineytropatii dysmetabolic oo u baahan oggolaanshaha of vitamin B _6.
• Daawada "Teturam" at dose oo ah 1.0-1.5 g / d lagu sheegi karaa in paresis, dareenka oo luma, neuritis optic.
• Daaweynta "kordaron" at dose oo ah 400 mg / maalintiiba muddo ka badan sannad ka badan waxay sababi kartaa polineytropatiyu sun.
• Iyadoo yaraanta ah ee vitamins B ₆ iyo E sidoo kale dhici polineytropatii, iyo sidoo kale at waxoodii badnaa.

Drug polyneuropathy sun ICD 10 waa G62.0 xeerka.

polineytropatii sun qoomiyadda

Noocan cudurka dhacdaa mararka ay sabab u tahay cillad qanjidhada hormoonada jidhka ah sida natiijo ah oo ka mid ah hormoonada u dhaca loo baahan yahay ama xadgudub ku ah hawlaha xubnaha kale ee gudaha ugu. Waxaa jira noocyada soo socda:

• neuropathy Diabetic bilaabi laga yaabaa in nafaqo, horumar tartiib tartiib ah ama si deg deg ah oo ku filan. Muujiyey horeysay ee foomka of xanuun iyo kabuubyo in jirka ah.
• Polyneuropathy la xidhiidha paraproteinimeey iyo dysproteinemia baxdo gaar ahaan dadka waayeelka ah iyo waxaa la xidhiidha cudurada sida myeloma iyo macroglobulinemia. daliilka Clinical loogu muujiyo xanuunka iyo paresis oo ka mid ah jirka hoose iyo sare.
• Polyneuropathy sidoo kale uu yeesho in cudurada sida unugyo ku waajihi periarthritis nodular, rheumatoid arthritis, lupus erythematosus oo nidaamsan, scleroderma.
• neuropathy cagaarshowga waa natiijo ah oo diabetes iyo Khamriga, oo uu leeyahay daliilka kiliinikada la mid ah.
• xanuunada maskaxda ah in cudurada of mareenka caloosha iyo mindhicirka la xiriira cudurada nidaamka dheefshiidka, taasoo keentay in beriberi. cudurka cøliaki keeni kartaa polyneuropathy, kaas oo muujiyay in xanuunada psychomotor, qalalka, xanuunada la daawado, ataxia.

Polyneuropathy ka dib markii chemotherapy

polyneuropathy sun ah ka dib markii chemotherapy in koox gaar ah ee cudurrada, tan waxay noqon kartaa dhinaca saamayn ka daawo, ama noqon natiijo ah oo daraawiishi ay of unugyada burada. Waxaa keena caabuq systemic, unugyada dareenka waxyeelo iyo wadada. Tani waxay ifafaale keeni kartaa jiritaanka cudurka macaanka, Khamriga, beerka iyo kelyaha cillad. Muujiyeen cudurkan xad gudub ku ah dareenka iyo motor xanuunada, hoos ku oqoonsan muruqyada. Polyneuropathy ka dib markii chemotherapy, calaamadaha of kuwaas oo lagu sifeeyey korka sidoo kale waxay keeni kartaa muuqaalka u sobob ah motor. Xadgudubyada of habdhiska ku autonomic iyo bartamaha yar yihiin.

Daaweynta noocan ah ee cudurka waa la dhimay si therapy astaamaha. Bukaanku waxaa laguu qori karaa, xanuunka, immunosuppressant, daroogada hormone, vitamins anti-bararka "Neyromultivit" iyo "thiamine".

ogaanshaha cudurka

polyneuropathy sun ah oo ka mid ah jirka hoose laga helay by daraasaadka soo socda:

• Ultrasound iyo X-ray ah xubnaha gudaha,
• Falanqaynta cerebrospinal;
• waxbarasho ee hummaag iyo xawaaraha ay isugu gudbiyo ay weheliyaan fiiloyin dareemaha,
• biopsy.

The saxnaanta iyo khadka waqtiyeynta cudurka ku xiran tahay guusha polyneuropathy daaweynta.

Gaar ahaan daaweynta cudurka

polyneuropathy sun ah, daaweynta waa horrayn xadidan oo ay ku tirtiridda sababaha waa in la tixgeliyaa buuxda.

Iyada oo ku xidhan nooca cudurka iyo darnaanta socodka waxaa loo xilsaaray daawooyinka soo socda:

• "Tramadol" iyo "analgina" - iyadoo xanuun xoog leh.
• "Methylprednisolone" - in cudur gaar ah oo qatar.
• "Pentoxifylline," "Pot", "Trental" - for cod ah macdantaa weelashii dareemayaasha dhiigga.
• vitamins B
• "Piracetam" iyo "Mildronat" - si kor loogu qaado dhar nuugista nafaqo.

In lagu saleyn karaa sida hababka duugduugis ah:

• dareenka korontada ah ee habka dareemayaasha jirka,
• massage-ku-daweyn;
• Carbinta magnetic of habka dareemayaasha jirka,
• saamaynta aan tooska ahayn ee xubnaha ah;
• kelyaha sifeeya, dhiig daahirintiisa aawadeed.
• LFK.

Waa maxay hab lagu daaweeyo polyneuropathy ugu habboon kiis gaar ah, dhakhtarku waa inuu go'aan. Iska indha calaamadaha cudurka, waa in aad. Ma polyneuropathy Xiisad noqon kartaa chronic, taas oo halis luminta dareenka addinka, atrophy muruqa ah oo dhamaystiran muddaada.