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Выделяют: \n- **Мононевропатию** — поражён один нерв (например, лучевой нерв руки или седалищный нерв) [3](https://medlineservice.ru/articles/neyropatiya/); \n- **Полинейропатию** — затронуто сразу несколько периферических нервов с обеих сторон тела [3](https://medlineservice.ru/articles/neyropatiya/).\n\n\n\n## Причины\nПовреждение нервов редко возникает само по себе — как правило, это признак или осложнение другого заболевания или состояния [6](https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/). Некоторые причины: \n* **Травмы и повреждения нервов** (переломы, растяжения, ушибы) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Метаболические нарушения** (сахарный диабет, нарушения функции щитовидной железы, авитаминозы, особенно дефицит витаминов группы B) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Инфекции и воспалительные процессы** (герпес-вирусные инфекции, болезнь Лайма (боррелиоз), дифтерия) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Токсическое воздействие** (алкоголь, отравление тяжёлыми металлами (свинец, ртуть), длительное использование некоторых лекарств) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Аутоиммунные заболевания** (синдром Гийена-Барре, васкулиты) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Наследственные факторы** (генетические заболевания, такие как болезнь Шарко-Мари-Тута) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n\nВ некоторых случаях причину невропатии установить не удаётся (идиопатические случаи) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/)[6](https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/).\n\n## Симптомы\nСимптоматика зависит от типа поражения нерва (чувствительного, двигательного или вегетативного) и его локализации [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). Некоторые проявления: \n* **Болевые ощущения** (жгучие, колющие или режущие боли, усиление болей в ночное время) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Нарушение чувствительности** (ощущение онемения, покалывания («мурашек»), гипестезия (снижение чувствительности)) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Двигательные нарушения** (слабость в мышцах, мышечные судороги, атрофия мышц в запущенных случаях) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Вегетативные расстройства** (нарушение потоотделения, сухость кожи, колебания артериального давления, нарушения сердечного ритма) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n\nСимптомы могут быть как локальными, затрагивающими отдельные части тела, так и системными, если поражены многочисленные нервы (полиневропатия) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/).\n\n## Диагностика\nДля постановки диагноза применяют следующие методы: \n* **Клинический осмотр** — оценка рефлексов, мышечной силы и чувствительности, выявление специфических признаков [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Лабораторные исследования** — анализы крови для исключения сахарного диабета, дефицита витаминов, аутоиммунных и воспалительных процессов, исследования уровня токсинов в организме [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). \n* **Инструментальные методы** — электронейромиография (оценка проводимости нервных импульсов), магнитно-резонансная томография (МРТ) для выявления компрессии или воспаления, биопсия нерва (в редких случаях) [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/).\n\n## Лечение\nЛечение невропатии зависит от её причины, степени тяжести и типа поражения [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/). Комплексный подход включает [1](https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/): \n* **Медикаментозную терапию** — противовоспалительные препараты, противосудорожные, антидепрессанты, витамины группы B [3](https://medlineservice.ru/articles/neyropatiya/). \n* **Физиотерапию** — магнитотерапию, лечебный массаж, ЛФК, ультразвуковую терапию [3](https://medlineservice.ru/articles/neyropatiya/). \n* **Хирургическую помощь** — при туннельных синдромах, опухолях [3](https://medlineservice.ru/articles/neyropatiya/). \n* **Программы реабилитации** — под контролем специалиста [3](https://medlineservice.ru/articles/neyropatiya/). \n\n**Самолечение** при невропатии не рекомендуется — оно может быть опасно и ухудшить состояние [3](https://medlineservice.ru/articles/neyropatiya/).","linksData":[{"sourceId":1,"url":"https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/","shownUrl":"https://Medgorod-clinic.ru/stati/nevropatiya--prichiny--simptomy-i-metody-terapii/","title":"Невропатия - 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