Polyneuropathy yog ib qho kab mob uas ua rau cov neeg nchuav peripheral puas. Nyob ntawm seb yog vim li cas thiaj ua rau cov kab mob polyneuropathy, muaj ntau qhov chaw nyob ntawm tus txheej txheem no, raws li txoj cai, coj tus cwj pwm txawv.
Kev cais tawm ntawm kab mob polyneuropathy
Nyob ntawm seb vim li cas lub defeat ntawm lub nquab, polyneuropathy yog muab faib rau:
- inflammatory;
- lom;
- kev puas ntsoog;
- tsis haum thiab lwm tus.
Cov hom kab mob polyneuropathy tseem yog ib qhov sib xyaw thiab muaj tsawg.
Raws li qhov ntawm chav kawm, polyneuropathy tau muab faib ua 3 pawg:
- mob nyhav;
- subacute;
- mob ntev.
Pathomorphology:
- demyelinating;
- axonal.
Cov tsos mob ntawm peripheral polyneuropathy
Cov tsos mob ntawm polyneuropathy ntawm sab qis extremities zoo li polyneuropathy ntawm lwm qhov chaw hauv lub cev. Txij li cov pab pawg ntawm cov neeg muaj kev ntxhov siab muaj tib lub qauv thiab kev ua haujlwm, tus kab mob no muaj kwv yees li ntawm tib txoj kev nrog qhov sib txawv hauv cheeb tsam ntawm kev hnov qab.
Demyelinating polyneuropathy - cov tsos mob
Nrog Guillain-Barre Syndrome - yog cov kab mob ntawm cov kab mob los ntawm cov kab mob yav dhau los (cov kws tshawb fawb feem ntau ntseeg tias nws yog qhov kev tsis haum , tsis muaj kab mob), tus neeg mob xav tias qaug zog thiab kub cev. Nyob rau hauv lub nqua, nws muaj peev xwm muaj kev mob, uas muaj ib tug ua cim nkag. Ib tug yam ntxwv ntawm tus kab mob yog nqaij tsis muaj zog. Tom qab ib lub sij hawm muaj cov tsos mob ntawm cov tsos mob ntawm cov hlab ntsha polyneuropathy - tshau tawm. Tsis tshua mob heev, thiab mob hnyav dua hauv tus nplaig thiab ncig lub qhov ncauj. Nrog rau cov kab mob polyneuropathy no, tsis tshua muaj zog tsis muaj zog, tab sis lub cev tsis muaj zog: thawj hauv cov ceg thiab tom qab ntawd. Yog hais tias koj palpate tus hlab ntsha lub cev, ces qhov kev hnov mob yog mob. Qhov kev mob ntawm tus kab mob no yuav kav txog 4 lub lis piam.
Nyob hauv diphtheritic polyneuropathy, qhov chaw ntawm cov leeg hlwb hauv ob lub lis piam, thiab yog li cov lus taw qhia ntawm lub palate thiab tus nplaig yuav siv qhov chaw, tus neeg hampered hauv nqos zaub mov thiab qaub ncaug. Txoj kev ua pa nyuaj kuj zoo li qub, yog tias tus kab mob diaphragm tau cuam tshuam rau hauv tus txheej txheem. Nws tseem ua tau kom defeat oculomotor nerves. Feem ntau polyneuropathy ntawm no hom ua rau paresis ntawm lub limbs tsis sai li sai tau, tab sis rau 4 lub lis piam. Lawv tuaj yeem nrog nws tuaj yeem ua nrog me ntsis ntawm qhov kev txhawj xeeb.
Subacute demyelinating polyneuropathies yog nrog los ntawm ib nthwv dej zoo li tam sim no thiab yog cov ua los ntawm periodic relapses. Cov tsos mob tsis txawv ntawm daim ntawv yav dhau los, tab sis nws tseem tsis paub tias dab tsi yog qhov cuab yeej ua rau kev mob huam tuaj.
Cov kab mob demyelinating polyneuropathies ntev tuaj yeem ua rau me nyuam muaj mob, lam los yog mob hlab ntaws, lawv muaj mob ntev heev.
Diabetic polyneuropathy tsim tawm tsam tom qab ntawm ntshav qab zib thiab feem ntau muaj ib qho kev ua tau zoo. Nyob rau cov xyoo dhau los, tej zaum yuav muaj kev txo qis nyob rau hauv cov pob txha taub hau, qhov no yog thawj yam txawv ntawm cov kab mob. Hauv ob hom sib txawv, cov tsos mob tshwm sim tau tshwm nyob hauv ob hom kab mob thiab subacute - qhov tshwm sim sciatic, ulnar los yog nruab nrab yog qhov cuam tshuam. Nws yog yam ntxwv uas nyob rau hauv lub tshav kub ntawm qhov mob yuav ua kom ntau dua. Tej zaum yuav muaj cov ntaub so ntswg gangrenized,
Cov tsos mob ntawm axonal polyneuropathy
Cov kab mob polonceuropathy muaj cov tsos mob ntawm tus mob polyneuropathy muaj cov tsos mob ntawm tus mob polyneuropathy, raws li lawv feem ntau tshwm sim los ntawm kev raug mob loj vim yog kev ua phem lossis kev txhaum. Feem ntau, cov tsos mob tshwm sim tawm tsam tom qab kev qaug zog vim yog los ntawm arsenic, carbon monoxide, methyl cawv lossis phosphorous compounds. Cov tsos mob ntawm daim ntawv no ntawm cov kab mob polyneuropathy yog tshwm sim los ntawm cov paj hlwb ntawm sab qaum teb thiab qis dua, tom qab ob peb lub lis piam, qhov kev kho mob tuaj.
Thaum cov kabmob qaum faus cov kabmob polyneuropathy tshwm sim hauv ob peb lub hlis.
Cov roj phaus siab ntev polyneuropathy ntev ntev - los ntawm ib nrab xyoo, thiab feem ntau nws tshwm sim vim haus cawv. Nws pib mob ntawm nqaij tawv hauv cov leeg calf, thiab tom qab ntawd ces muaj qhov tsis muaj zog thiab tuag tes tuag taw ntawm tag nrho cov nqua.