Polineuropathy (hu ua PNP) - yog qhov ua txhaum cai ntawm lub cev peripheral hlwb. Ntawm cov tsos mob tshwm sim, nws txo qis dua qhov ntawm lub cev, nyob ntawm seb pawg neeg nquab puas tsuaj, tiam sis feem ntau cuam tshuam cov nquab, nplaig, palate, thiab pharynx. Tsis tas li ntawd, PNP tau tshwm sim los ntawm kev txo qis dua lub cev muaj zog, kev mob leeg.
Kev kho mob ntawm cov kab mob polyneuropathy yog ntev thiab nyuaj, feem ntau nws yuav siv sij hawm nyob rau hauv ib tug ntev thiab hnyav xwm.
Ua rau polyneuropathy ntawm sab qis extremities
Los txiav txim qhov ua rau polyneuropathy, koj yuav tsum to taub qhov kev kawm ntawm kev kawm, uas yog - dab tsi yog qhov peripheral lub paj hlwb.
Tus PNS muaj cov paj hlwb ntau txheej txheem uas xa tawm cov ntawv xov xwm thiab ua li no reproduce sensory thiab motor functions. Lawv muaj kev sib raug zoo nrog tus txha caj qaum los ntawm kev nrhiav lawv cov nuclei muaj. Thaum lawv tawm hauv cov paj hlwb cortex, lawv pib muab cais ua cov leeg paj hlwb fibers. Ntawm cov zis lawv muaj intertwined nrog lub autonomic qab haus huv thiab yog li muaj tag nrho peripheral qab haus huv.
Thaum polyneuropathy tshwm sim, qee qhov ntawm cov hlab ntsha hauv pob txha los cuam tshuam, thiab raws li, cov tsos mob muaj nyob hauv cov cheeb tsam. Ntawm qhov extremities, polyneuropathy tau tshwm sim nws tus kheej symmetrically.
Nyob ntawm seb cov neeg nerves puas ntsoog, ntau hom polyneuropathies tau ua:
- Nrog rau kev puas hlwb, lub neurons lub luag haujlwm rau kev txav, yog li qhov peev xwm no muaj peev xwm heev poob nrog hom kab mob polyneuropathy.
- Thaum lub cev nqaij daim tawv raug cuam tshuam, lub luag hauj lwm rau kev xav, uas yog muaj kev puas tsuaj loj heev thaum cov pab pawg neeg neurons raug cuam tshuam.
- Thaum vegetative muaj kev ua txhaum ntawm vegetative ntxawg functions: hypothermia, atony, thiab lwm yam.
Ntawm qhov ua rau lub cev tseem ceeb ntawm polyneuropathy yog cov nram qab no:
- koom xeeb;
- autoimmune;
- metabolic;
- noj haus;
- lom;
- kis-mob lom.
Nyob rau hauv cheeb tsam uas cuam tshuam los ntawm polyneuropathy, muaj ob:
- axonal - axial lub tog raj kheej yog cuam tshuam;
- demyelinating - qhov cuam tshuam rau myelin.
Axonal polyneuropathy ntawm sab qis pob txha tshwm sim nrog txhua hom kab mob. Qhov txawv nyob hauv cov kev mob ntawm cov kab mob - nws tuaj yeem ua tus rhiab heev lossis ua txhaum ntawm lub cev muaj zog. Xav txog qhov tseeb tias polyneuropathy muaj tus cwj pwm ua tau zoo, nyob rau hauv lub yooj yim feem ntau rhiab heev thiab muaj peev xwm tsav thawj zaug tawg. Muaj qee zaum, muaj kev ruaj ntseg zoo, thiab muaj kev txav.
Nrog dismetabolic polyneuropathy ntawm sab qis extremities, cov hlab ntsha fiber ntau puas lawm thiab qhov no ua rau kom hnov mob heev.
Polyneuropathy ntawm qis limbs - kev kho mob
Nyob rau hauv cov kab mob polyneuropathy ntawm cov ceg tawv qis, cov tshuaj siv los ntxuav cov ntshav los ntawm cov tshuaj phem, thiab ces txhais tau tias siv txoj kev loj hlob tuaj.
Nrog distal kev xav ntawm polyneuropathy ntawm qis extremities
Kev kho mob ntawm txoj hlab ntsha polyneuropathy ntawm sab qis extremists kuj muaj nyob hauv zos kev kho mob - ntau cov tshuaj pleev (siv, Balsamed).
Yuav kom txo qhov mob, cov kev mob sib thooj yog siv los pleev rau hauv cov kua pleev los sis hauv. Thaum tsis muaj kev cuam tshuam, kev siv tshuaj tiv thaiv antidepressants yog siv.
Nyob rau hauv autoimmune polyneuropathy, prednisolone thiab membrane plasmapheresis yog sau.