Polineuropatia diabetike (lat. Polyneuropathia diabetic) ose neuropatia,\u00a0 \u00ebsht\u00eb nd\u00ebrlikimi m\u00eb i shpesht\u00eb por ende I pashpjeguar I cili ndodh shfaqet tek pacient\u00ebt me s\u00ebmundje sheqeri. Dr. Tatjana\u00a0 \u00c7epeganova \u00c7angovska neurologe n\u00eb Spitalin klinik \u2018Acibadem Sistina\u2019 shpjegoi se k\u00ebt\u00eb\u00a0 lloj komplikimi e kan\u00eb m\u00eb shum\u00eb se 80% e pacient\u00ebve me diabet. Shfaqja e neuropatis\u00eb nuk varet nga niveli i sheqerit n\u00eb gjak, ndikon n\u00eb m\u00ebnyr\u00eb t\u00eb barabart\u00eb tek t\u00eb dy gjinit\u00eb, shfaqet m\u00eb shpesh tek personat e moshuar dhe ndodh si rezultat I d\u00ebmtimit t\u00eb nervave tek k\u00ebmb\u00ebt dhe shputat e\u00a0 k\u00ebmb\u00ebve. Zakonisht preket nervi shiatik dhe deg\u00ebt e tij tek k\u00ebmb\u00ebt n\u00eb m\u00ebnyr\u00eb simetrike.<\/p>\n

Si manifestohet s\u00ebmundja?<\/span><\/p>\n

N\u00eb fillim, neuropatia shfaqet pa simptoma.\u00a0 N\u00eb k\u00ebt\u00eb faz\u00eb, nd\u00ebrkoh\u00eb q\u00eb ende nuk ka shqet\u00ebsime mjeku mund t\u00eb zbuloj\u00eb humbjen e reflekseve t\u00eb muskujve dhe \u00e7rregullimin e ndjenj\u00ebs s\u00eb dhimbjes gjat\u00eb prekjes si dhe \u00a0humbjen e ndjenj\u00ebs s\u00eb temperatur\u00ebs. Simptomat m\u00eb t\u00eb shpeshta: djegie, skuqje, mpirje, humbje t\u00eb ndjeshm\u00ebris\u00eb gjat\u00eb prekjes, temperatur\u00eb dhe dhimbje. Mund t\u00eb shfaqen dhe ng\u00ebr\u00e7e n\u00eb p\u00ebll\u00ebmb\u00ebn e k\u00ebmb\u00ebs, dhe rrall\u00eb her\u00eb tek duart. N\u00eb t\u00eb njejt\u00ebn koh\u00eb mund t\u00eb shfaqen edhe hipotrofe (humbje e mas\u00ebs muskulore) tek muskujt e vegj\u00ebl t\u00eb k\u00ebmb\u00ebve. Ecja v\u00ebshtir\u00ebsohet\u00a0 dhe t\u00eb s\u00ebmur\u00ebt e p\u00ebrshkruyjn\u00eb at\u00eb si\u00a0 ecje n\u00eb prush. Polineuropatia mund t\u00eb shkaktoj\u00eb v\u00ebshtir\u00ebsi n\u00eb ecje (parez\u00eb), por ndonj\u00ebher\u00eb tek rastet m\u00eb t\u00eb r\u00ebnda ecja mund t\u00eb jet\u00eb e kufizuar (paraliz\u00eb). Polineuropatia diabetike karakterizohet si\u00a0 simetri skajore sensorimotor polineuropati.\u00a0 Mund t\u00eb shfaqen edhe ndryshime trofike n\u00eb l\u00ebkur\u00ebn e k\u00ebmb\u00ebve (l\u00ebkur\u00eb e holl\u00eb dhe e that\u00eb e cila plasaritet leht\u00eb) si dhe plag\u00eb.<\/p>\n

Si diagnostikohet s\u00ebmundja?<\/h2>\n

Diagnoza gjendet me an\u00eb t\u00eb kontrollit neurologjik dhe me faktin se pacienti vuan nga s\u00ebmundja e diabetit.\u00a0 Konfirmohet me an\u00eb t\u00eb analizave neurofiziologjike,sidomos me elektromioneurografi \u2013EMNG. S[mundja fillon e fsheht\u00eb dhe pacienti mund t\u00eb jet\u00eb p\u00ebr nj\u00eb koh\u00eb t\u00eb gjat\u00eb pa\u00a0 problem subjektive, por gjith\u00ebsesi ka d\u00ebmtim t\u00eb nervave. Prandaj \u00ebsht\u00eb e nevojshme p\u00ebr \u00e7do t\u00eb s\u00ebmur\u00eb I cili ka t\u00eb diagnostikuar s\u00ebmundjen e sheqerit, t\u00eb kryej kontroll neurologjik, dhe n\u00ebse \u00ebsht\u00eb e nevojshme t\u00eb kryhen ekzaminime neurofiziologjike q\u00eb t\u00eb parandalohet shfaqja e polineuropatis\u00eb diabetike ose n\u00ebse ekziston t\u00eb pakt\u00ebn t\u00eb vihet n\u00ebn kontroll zhvillimi i k\u00ebsaj s\u00ebmundje.<\/p>\n

Si trajtohet polineuropatia diabetike?<\/h2>\n

Q\u00eb t\u00eb parandalohet neuropatia, \u00ebsht\u00eb e nevojshme q\u00eb t\u00eb ruhet niveli normal I sheqerit n\u00eb gjak, t\u00eb reduktohet pesha trupore, t\u00eb ruhet kontrolli I nivelit t\u00eb yndyr\u00ebs n\u00eb serum, t\u00eb ndalohet pirja e duhanit dhe konsumimi I tep\u00ebrt I alkoolit. Vitet e para t\u00eb shfaqjes s\u00eb s\u00ebmundjes jan\u00eb kritike p\u00ebr zhvillimin e neuropatis\u00eb, n\u00ebse kjo s\u00ebmundje shfaqet n\u00eb nj\u00eb form\u00eb t\u00eb leht\u00eb dhe trajtohet rregullisht, ka shum\u00eb gjasa q\u00eb gjat\u00eb viteve t\u00eb ardhshme kjo s\u00ebmundje t\u00eb mos p\u00ebrkeq\u00ebsohet dhe t\u00eb mbahet n\u00ebn kontroll. Megjithat\u00eb, format m\u00eb t\u00eb r\u00ebnda t\u00eb neuropatis\u00eb, gjenden tek ata persona t\u00eb cil\u00ebt nuk e kan\u00eb n\u00ebn k\u00ebntroll s\u00ebmundjen e diabetit. Trajtimi bazohet n\u00eb aplikimin e acidit alfa-lipoik, n\u00eb nj\u00eb doze ditore prej 600 mg. infusion p\u00ebr nj\u00eb periudh\u00eb tre javore dhe m\u00eb pas n\u00eb form\u00eb orale p\u00ebr nj\u00eb periudh\u00eb m\u00eb t\u00eb gjat\u00eb. P\u00ebrdorimi I hersh\u00ebm I k\u00ebtij ila\u00e7i, mund ti parandaloj\u00eb pasojat e neuropatis\u00eb diabetike. P\u00ebr reduktimin e dhimbjeve, jepen analgjetik\u00eb dhe rekopmandohet trajtim fizikal n\u00eb fazat e fundit t\u00eb s\u00ebmundjes.\u00a0<\/p>\n

\n","protected":false},"excerpt":{"rendered":"

Polineuropatia diabetike (lat. Polyneuropathia diabetic) ose neuropatia,\u00a0 \u00ebsht\u00eb nd\u00ebrlikimi m\u00eb i shpesht\u00eb por ende I pashpjeguar I cili ndodh shfaqet tek pacient\u00ebt me s\u00ebmundje sheqeri. Dr. Tatjana\u00a0 \u00c7epeganova \u00c7angovska neurologe n\u00eb Spitalin klinik \u2018Acibadem Sistina\u2019 shpjegoi se k\u00ebt\u00eb\u00a0 lloj komplikimi e kan\u00eb m\u00eb shum\u00eb se 80% e pacient\u00ebve me diabet. Shfaqja e neuropatis\u00eb nuk varet nga niveli i sheqerit n\u00eb gjak, ndikon n\u00eb m\u00ebnyr\u00eb t\u00eb barabart\u00eb tek t\u00eb dy gjinit\u00eb, shfaqet m\u00eb shpesh tek personat e moshuar dhe ndodh si rezultat I d\u00ebmtimit t\u00eb nervave tek k\u00ebmb\u00ebt dhe shputat e\u00a0 k\u00ebmb\u00ebve. Zakonisht preket nervi shiatik dhe deg\u00ebt e tij tek k\u00ebmb\u00ebt n\u00eb m\u00ebnyr\u00eb simetrike.<\/p>\n","protected":false},"author":2,"featured_media":3299,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[336],"tags":[],"doktori":[],"class_list":["post-5575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-familijarno-zdravje-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5575","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=5575"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/5575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/3299"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=5575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=5575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=5575"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=5575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}