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печоре","retina":false,"avatarId":"0","isMacOS":false,"isEmbeddedFuturis":false,"brand":"yazeka","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Полиневропатия: что это?","markdown":"**Полинейропатия (полиневропатия)** — заболевание, при котором страдают сразу несколько периферических нервов, что нарушает нормальную передачу импульсов от головного и спинного мозга к мышцам, коже и внутренним органам [1](https://doct.ru/diseases/polineyropatiya.html)[2](https://locmr.ru/articles/polineyropatiya/)[5](https://www.smclinic-spb.ru/zabolevaniya/polinejropatiya). Чаще всего развивается полинейропатия нижних и верхних конечностей [1](https://doct.ru/diseases/polineyropatiya.html). \n\n**Лечением** заболевания занимается невролог [1](https://doct.ru/diseases/polineyropatiya.html)[5](https://www.smclinic-spb.ru/zabolevaniya/polinejropatiya).\n\n\n\n## Причины\nПолинейропатия не самостоятельное заболевание, а скорее следствие других состояний [1](https://doct.ru/diseases/polineyropatiya.html). Некоторые причины: \n* **Сахарный диабет** — нарушение углеводного обмена, при котором повышается уровень глюкозы в крови, что токсически воздействует на периферические нервы [6](https://tkachevclinic.ru/tpost/5r9jerrkj1-neiropatiya-nizhnih-konechnostei-simptom). \n* **Инфекционные заболевания** — некоторые вирусы (ВИЧ) могут повреждать оболочку периферических нервов, а также бактериальные инфекции (болезнь Лайма, дифтерия) [6](https://tkachevclinic.ru/tpost/5r9jerrkj1-neiropatiya-nizhnih-konechnostei-simptom). \n* **Токсические воздействия** — алкоголь, некоторые лекарственные препараты при длительном воздействии могут повреждать нервные волокна [6](https://tkachevclinic.ru/tpost/5r9jerrkj1-neiropatiya-nizhnih-konechnostei-simptom). \n* **Наследственные заболевания** — некоторые генетические мутации могут приводить к нарушениям проводимости по периферическим нервам [6](https://tkachevclinic.ru/tpost/5r9jerrkj1-neiropatiya-nizhnih-konechnostei-simptom). \n* **Аутоиммунные заболевания** — при этих состояниях в организме вырабатываются антитела, которые атакуют собственные ткани, в том числе периферические нервы [6](https://tkachevclinic.ru/tpost/5r9jerrkj1-neiropatiya-nizhnih-konechnostei-simptom).\n\n## Симптомы\nПроявления полинейропатии зависят от конкретной формы заболевания, причины и тяжести поражения нервных волокон [1](https://doct.ru/diseases/polineyropatiya.html). Некоторые симптомы: \n* онемение, покалывание, ощущение «ползания мурашек», особенно в пальцах ног и рук [1](https://doct.ru/diseases/polineyropatiya.html); \n* боли различной интенсивности, иногда жгучие или стреляющие [1](https://doct.ru/diseases/polineyropatiya.html); \n* снижение чувствительности к температуре, прикосновениям, боли [1](https://doct.ru/diseases/polineyropatiya.html); \n* слабость в мышцах, трудности при ходьбе, нарушенная координация [1](https://doct.ru/diseases/polineyropatiya.html); \n* судороги, особенно по ночам [1](https://doct.ru/diseases/polineyropatiya.html); \n* мышечная атрофия — в запущенных случаях [1](https://doct.ru/diseases/polineyropatiya.html); \n* сухость кожи, нарушение потоотделения, похолодание конечностей — признаки вегетативных нарушений [1](https://doct.ru/diseases/polineyropatiya.html).\n\n## Диагностика\nОбследование при подозрении на полинейропатию включает [1](https://doct.ru/diseases/polineyropatiya.html): \n* **Консультацию невролога** — оценку силы мышц, сухожильных рефлексов, чувствительности [1](https://doct.ru/diseases/polineyropatiya.html). \n* **Электронейромиографию (ЭНМГ)** — позволяет определить скорость и качество прохождения импульсов по нервам [1](https://doct.ru/diseases/polineyropatiya.html). \n* **Лабораторные анализы** — на глюкозу, витамины группы B, печёночные и почечные показатели, антитела [1](https://doct.ru/diseases/polineyropatiya.html). \n* **Тесты на инфекции** (ВИЧ, гепатиты, боррелиоз) [1](https://doct.ru/diseases/polineyropatiya.html).\n\n## Лечение\n**Цель лечения** — устранить причину заболевания и минимизировать симптомы [3](https://www.dikul.net/wiki/polinejropatija/). Например: \n* при сахарном диабете — подбирают диету и терапию, которая снижает уровень глюкозы [13](https://ProBolezny.ru/polinejropatiya/); \n* при дефиците витаминов — дают рекомендации по питанию и назначают витамины [13](https://ProBolezny.ru/polinejropatiya/); \n* при аутоиммунных воспалительных полинейропатиях — применяют плазмаферез и внутривенно вводят иммуноглобулин [13](https://ProBolezny.ru/polinejropatiya/). \n\n**Метод лечения**, препараты, дозы и схему лечения подбирает лечащий врач [9](https://Megapteka.ru/specials/polinejropatiya-lechenie-i-3111).","linksData":[{"sourceId":1,"url":"https://doct.ru/diseases/polineyropatiya.html","shownUrl":"https://doct.ru/diseases/polineyropatiya.html","title":"Полинейропатия - причины, симптомы, диагностика и лечение","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":2,"url":"https://locmr.ru/articles/polineyropatiya/","shownUrl":"https://locmr.ru/articles/polineyropatiya/","title":"Полинейропатия: лечение, признаки, симптомы, особенности, течение","shortUrl":"locmr.ru","isTranslated":false,"description":"","greenUrl":"locmr.ru"},{"sourceId":3,"url":"https://www.dikul.net/wiki/polinejropatija/","shownUrl":"https://www.dikul.net/wiki/polinejropatija/","title":"Полинейропатия - 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