Polyneuropathy ndi matenda omwe mitsempha ya pakhosi imapweteka. Malingana ndi chomwe chinayambitsa chifukwa cha polyneuropathy, pali malo osiyanasiyana a njira iyi, monga lamulo, kukhala ndi chikhalidwe cholingana.
Chiwerengero cha polyneuropathy
Malinga ndi zomwe zinayambitsa kugonjetsedwa kwa mitsempha, polyneuropathy imagawidwa mu:
- chowotcha;
- chowopsa;
- chisokonezo;
- zotsutsana ndi ena.
Mitundu yotsalira ya polyneuropathy ndi ya mitundu yosiyanasiyana ndipo ndi yochepa.
Malingana ndi chikhalidwe cha maphunziro, polyneuropathy imagawidwa m'magulu atatu:
- chowoneka;
- subacute;
- osatha.
Pathomorphology:
- kukonzera;
- axonal.
Zizindikiro za pulogalamu ya polyneuropathy
Zizindikiro za polyneuropathy m'mphepete mwachangu zikufanana ndi polyneuropathy za mbali zina za thupi. Popeza magulu a mitsempha ali ndi chikhalidwe chofanana ndi ntchito, matendawa amayenda pafupifupi mofananamo ndi kusiyana pakati pa zowawa.
Kuwonetsa poyera polyneuropathy - zizindikiro
Ndili ndi matenda a Guillain-Barre - kutupa kwapachirombo koyambitsa matenda omwe amayamba chifukwa cha matenda omwe amatha kale (asayansi ena amakhulupirira kuti chifukwa chake ndi zowopsa , osati matenda), wodwalayo amamva kuti ali wofooka komanso wamantha. M'milingo, amatha kupweteka, omwe ali ndi khalidwe labwino. Chikhalidwe cha matendawa ndi kufooka kwa minofu. Patapita kanthawi pali zizindikilo zoonekeratu zogwiritsiridwa ntchito kwa polyneuropathy - paresthesia. Kuchepetsa kuchepa kwa miyendo, komanso m'zinthu zovuta kwambiri m'chinenero ndi pakamwa. Pogwiritsa ntchito polyneuropathy, kawirikawiri sipangakhale matenda amphamvu, koma kugwedezeka kwa magalimoto kumachitika: choyamba pamilingo ndiyeno m'manja. Ngati mumagwiritsa ntchito mitengo ikuluikulu, ndiye kuti zowawa zimapweteka kwambiri. Kukula kwa matendawa kumatha pafupifupi masabata 4.
Mu diphtheritic polyneuropathy, mitsempha ya mitsempha yowopsya imachitika patatha masabata awiri, motero pakhungu la chinenero ndi chilankhulo limachitika, munthuyo amalepheretsedwa kumeza chakudya ndi matope. Kusokonezeka kwa kupuma kumakhalanso kotheka, ngati mitsempha ya diaphragm inakhudzidwa panthawiyi. N'zotheka kugonjetsa mitsempha ya oculomotor. Kawirikawiri polyneuropathy ya mtundu uwu imayambitsa paresis wa miyendo osati mwamsanga, koma kwa masabata anayi. Iwo akhoza kutsatiridwa ndi kusokonezeka pang'ono kwa kukhudzidwa.
Kugonjetsa zowonongeka kwa polyneuropathies kumaphatikizidwa ndi mawonekedwe ngati mawonekedwe amodzi ndipo amadziwika nthawi ndi nthawi kubwereranso. Zizindikiro sizisiyana ndi mawonekedwe akale, koma sichidziwika chomwe chimayambira kuti abwererenso.
Matenda omwe amachititsa kuti thupi likhale lopanda mphamvu, likhoza kukhala lobadwa, mankhwala kapena kutupa, iwo amakhala ndi nthawi yaitali.
Diabetic polyneuropathy imabweretsa chiyambi cha matenda a shuga ndipo nthawi zambiri imakhala ndi chikhalidwe chopita patsogolo. M'zaka zoyambirira, pangakhale kuchepa kwa zilakolako za achilles, ichi ndi choyamba choyamba cha matendawa. M'chigawo chachiwiri, zizindikiro zikhoza kuonekera m'mawonekedwe awiri ovuta komanso osagwirizana - mitsempha ya ulnar kapena ya m'mimba imakhudzidwa. Ndilo khalidwe limene pamakhala ululu wopweteka kwambiri. Mwina pangakhale minofu ya gangrenized,
Zizindikiro za axonal polyneuropathy
Mu chidziwitso chachikulu cha polyneuropathy pali zizindikiro za poizoni ya polyneuropathy, chifukwa nthawi zambiri zimayambitsidwa ndi poizoni chifukwa cha kudzipha kapena zifukwa zowononga. Kaŵirikaŵiri, zizindikiro zimakhalapo chifukwa cha kuledzeretsa koopsa chifukwa cha arsenic, carbon monoxide, mankhwala a methyl kapena mankhwala a phosphorous. Zizindikiro za mtundu uwu wa polyneuropathy zimasonyezedwa ndi paresis wa kumtunda ndi kumapeto kwenikweni, pambuyo pa masabata angapo, machiritso amabwera.
Mukamatsutsa zizindikiro zokhudzana ndi matenda a polyneuropathy zimapezeka mkati mwa miyezi ingapo.
Kugwiritsa ntchito mankhwala osokoneza bongo kumawonjezeka kwa nthawi yayitali - kuyambira theka la chaka, ndipo nthawi zambiri kumachitika chifukwa cha kudalira mowa. Amayamba ndi zilonda zam'mimba, ndipo apo palifooka ndi ziwalo za miyendo yonse.