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Co je incip.poylyneuropathie?

 
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eva.vavrinova



Založen: 8.3.2010
Příspěvky: 1

PříspěvekZaslal: po březen 08, 2010 6:47 pm    Předmět: Co je incip.poylyneuropathie? Citovat

Mam oboustrane leze senzitivni v oblasti obou stredových nervu hranični senzitivni neurogramy loketniho a vřetenního nervu. Nevim co to obnaši a jestlí se tento stav zlepší, nic neudržim v rukou a v noci nemužu kvuli bolestem spat. Beru leky Gordius. Mám diabetes 2. Poraďte mi prosím. Nebudu mít potíže po lécích?
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MUDr. Dagmar Málková



Založen: 26.11.2008
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PříspěvekZaslal: út březen 16, 2010 9:59 am    Předmět: Re: Co je incip.poylyneuropathie? Citovat

Dobrý den,předpokládám ,že volně citujete nález z EMG. Incip. = incipit = z latiny "v začátku", tj. kognitivní porucha je v zárodku, v počáteční fázi. Polyneuropatie tvoří různorodou skupinu poruch periferních nervů. Jde většinou o vícečetné systémové postižení, které vzniká působením různých vnitřních i zevních vlivů. Diabetická neuropatie (podskupina polyneuropatie) je nezánětlivé poškození funkce a struktury periferních nervů vlivem dlouhodobě zvýšené glykémie (hyperglykémie) při diabetu. Mohou být poškozeny jak nervy motorické, senzitivní, tak i vegetativní. Jde o nejčastější chronickou komplikaci diabetu.
Z laické interpretace vyšetření lze odvodit,že máte postižený n.medianus oboustranně a z toho vyplývající obtíže,většinou shrnuty pod syndrom karpálního tunelu.Dále hraniční nález n.ulnaris a n.radialis.Nepíšete ,jak dlouho trpíte diabetem,ale lze předpokládat ,že obtíže jsou rázu diabetické senzitivní polyneuropatie,která je diabetiků letitých či špatně kompenzovaných ,typická.
Základní léčbou obtíží je dobrá kompenzace diabetu,aby nedošlo ke zhoršování stavu..Jinak lze nabídnout medikaci,tu kterou užíváte či podobnou,která obtíže zmírní,nikoli odstraní.O nežádoucích účincích by Vás měl informovat lékař,který ji předepsal,uvedený lék patří meti antiepileptika.
Dále lze obtíže / zejména sy karpálního tunelu/ ovlivnit obstřikem,laserem či operací. To je ale celkově nutno zvážit s ohledem na celkový zdravotní stav a tíži Vaši problémů,kterou nelze na dálku posoudit.
Ideálně tedy stav konsultovat s diabetologem,neurologem,aby se zvolil co nejlepší postup.
S pozdravem D.Máková
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