Chithandizo cha neuropathy ndi ululu wa neuropathic

Chithandizo cha neuropathy chimaphatikizapo kuthana ndi zomwe zimayambitsa kapena kuchepetsa ululu ngati sizingatheke.

Pankhani ya diabetesic neuropathy: +

• Chepetsani kuchuluka kwa shuga m'magazi (mwa kubaya insulin mwachitsanzo) kuti mupewe kuwonongeka kwa mitsempha.
• Kuwongolera mapazi pafupipafupi kuti mupewe zovuta zazikulu. Izi ndichifukwa choti matenda a diabetesic neuropathy amatha kubweretsa kuvulala kwamapazi komwe sikudziwika chifukwa chakutaya kumva.

Ponena za ma neuropathies a chiyambi cha poizoni, ndikwanira kuchotsa kukhudzana ndi poizoni omwe akuganiziridwa kapena kuyimitsa mankhwala omwe akufunsidwa, omwe adzayimitsa kuwonongeka kwa mitsempha.

Mankhwala osokoneza bongo

• Mankhwala oletsa khunyu (mwachitsanzo, gabapentin ndi carbamazepine).
• Ma antidepressants a gulu la serotonin ndi norepinephrine reuptake inhibitors (monga duloxetine ndi venlafaxine) ndi tricyclics (monga nortriptyline ndi desipramine).
• Opioid analgesics (monga morphine). Mankhwalawa amakhala ndi zoopsa.
• Mankhwala oletsa kupweteka kwakanthawi kochepa.
• Matenda a shuga akawononga minyewa ya autonomic, magwiridwe antchito a thupi amatha kukhudzidwa. Pali zida zonse ndi mankhwala (anticholinergic kapena antispasmodic mankhwala) kuti athandizire pamavuto amkodzo.
• Chotsani ku tsabola wamtali okhala ndi capsaicin ndipo amapezeka mu zonona, amatha kuchepetsa ululu womwe ungachitike pambuyo pa totupa (onani pansipa). Palinso zonona zomwe zimakhala ndi mankhwala oletsa ululu otchedwa lidocaine.
• Mavuto am'mimba - gastroparesis (kuchedwa kutulutsa m'mimba) kumatha kuchepetsedwa posintha zakudya komanso kumwa mankhwala kuti mupewe kutsekula m'mimba, kudzimbidwa ndi nseru.
• Chiwopsezo cha postural hypotension (kutsika kwa magazi mukayima) kumatha kuchepetsedwa popewa kumwa mowa komanso kumwa madzi ambiri.
• Kusokonezeka kwa kugonana: Chithandizo choyenera cha mankhwala kwa amuna ena ndi sildenafil (Viagra), tadalafil (Cialis), ndi vardenafil (Levitra).

Zovala za thonje zimalimbikitsidwa chifukwa zimachepetsa kupsa mtima,

Njira zochepetsera nkhawa komanso kupumula (monga njira zopumula, kutikita minofu,kutema mphini, transcutaneous neurostimulation) imathandizanso anthu ena kuthana ndi ululu komanso kugwira ntchito bwino.

Chithandizo cha mononeuropathy

Pamene mitsempha ya mitsempha imayamba chifukwa cha kupanikizana kwa mitsempha imodzi, chithandizo chimakhala chofanana mosasamala kanthu kuti ndi mitsempha iti yomwe ikukhudzidwa, ndipo zimadalira ngati kuponderezedwako ndi kwanthawi yayitali kapena kosatha.

Chithandizo chimaphatikizapo kupuma, kutentha, ndi mankhwala omwe amachepetsa kutupa.

Mu Matenda a carpal, mankhwala amaphatikizapo mankhwala amkamwa kapena jekeseni corticosteroid, ndi ultrasound (njira yamayimbidwe vibration).

Ngati mononeuropathy ikuchulukirachulukira ngakhale njira zomwe zatengedwa, kuchitidwa opaleshoni kungakhale kofunikira. Ngati kupanikizika kwa mitsempha kumakonzedwa, mwachitsanzo pamene kumayambitsidwa ndi chotupa, chithandizocho chimachokera ku opaleshoni.

Njira zowonjezera

Njira zotsatirazi zimaganiziridwa kuti n'zotheka kapena zogwira ntchito pochiza matenda a neuropathy. ndi tsabola wamtali zikuwoneka kuti ndizothandiza kwambiri.

• Capsicum frutescens, kapena tsabola wa cayenne. Kafukufuku wina amasonyeza kuti kupaka zonona pakhungu kapena kugwiritsa ntchito chigamba chokhala ndi capsaicin (0,075%), mankhwala omwe amagwira ntchito mu capsicum, amachepetsa kupweteka kwa anthu omwe ali ndi matenda a ubongo chifukwa cha matenda a shuga.
• Acetyl-L-carnitine. Acetyl-L-carnitine (2000-3000 mg) amakhulupirira kuti amachepetsa ululu kwa anthu omwe ali ndi matenda a shuga posachedwapa omwe sanalamulire bwino matenda a shuga a mtundu wa 2 pambuyo pa chithandizo cha miyezi 6.
• Alpha lipoic acid. Kafukufuku wina akuwonetsa kuti alpha-lipoic acid (600 mpaka 1800 mg patsiku) amatha kuchepetsa zizindikiro (kuwotcha, kupweteka ndi dzanzi m'miyendo ndi manja) za zotumphukira za neuropathy mwa odwala matenda ashuga.
• Co-enzyme Q-10. Kafukufuku akuwonetsa kuti kutenga coenzyme Q10 kumachepetsa kupweteka kwa anthu omwe ali ndi matenda a shuga.