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[1](https://tkachevclinic.ru/articles/perifericheskaya-nevropatiya-chto-eto-kak-proyavlyaetsya-i-lechitsya)[2](https://tkachevmoscow.ru/articles/perifericheskaya-nevropatiya-prichiny-simptomy-i-podhody-k-lecheniyu)[3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). Может развиваться остро или постепенно, быть временным или прогрессирующим [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). \n\nПо типу повреждения нерва выделяют: \n- **Мононейропатию** — поражение одного нерва [11](https://cmrt.ru/zabolevaniya/nervnoy-sistemy/perifericheskaya-neyropatiya/); \n- **Полинейропатию** — поражение множества нервов [11](https://cmrt.ru/zabolevaniya/nervnoy-sistemy/perifericheskaya-neyropatiya/).\n\n\n\n## Причины\nНекоторые причины периферической невропатии: \n* **Травмы и переломы** — повреждение нерва может произойти при резкой травме (переломе кости, растяжении, разрыве мышцы) [6](https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/). \n* **Длительное сдавление** — нервы могут «зажиматься» в узких анатомических каналах (например, срединный нерв в запястье (синдром запястного канала)) [6](https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/). \n* **Инфекционные процессы** — вирусы и бактерии могут повреждать нервные волокна [8](https://gutaclinic.ru/articles/metody-lecheniya-i-reabilitatsii-pri-neyropatii/). \n* **Аутоиммунные реакции** — иммунная система по ошибке атакует собственные нервы (например, синдром Гийена — Барре) [6](https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/). \n* **Токсическое воздействие** — тяжёлые металлы (свинец, ртуть, мышьяк) и промышленные растворители накапливаются в нервных клетках и нарушают их функции [6](https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/).\n\n## Симптомы\nСимптомы зависят от количества и типа поражённых нервов [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). Некоторые возможные проявления: \n* онемение, покалывание, чувство «ползания мурашек» [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/); \n* снижение болевой и температурной чувствительности [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/); \n* жгучая или стреляющая боль [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/); \n* мышечная слабость, судороги [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/); \n* снижение рефлексов [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/); \n* нарушение координации [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/); \n* при поражении вегетативных волокон — потливость, нестабильность давления, сбои в работе ЖКТ и мочевого пузыря [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). \n\nПризнаки болезни могут развиваться постепенно (хроническая нейропатия, например, на фоне длительно нелеченного сахарного диабета), но иногда симптомы появляются резко (острая форма заболевания) [1](https://tkachevclinic.ru/articles/perifericheskaya-nevropatiya-chto-eto-kak-proyavlyaetsya-i-lechitsya).\n\n## Диагностика\nДля подтверждения диагноза используют: \n* **Клинический осмотр и неврологическое тестирование** [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). \n* **ЭНМГ (электронейромиографию)** — определяет скорость и качество проведения нервных импульсов [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). \n* **Анализы крови** (глюкоза, витамины, иммунные маркеры) [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). \n* **МРТ или КТ** — при подозрении на сдавление нервных стволов [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). \n* **Биопсию нерва** — в редких случаях при подозрении на системное заболевание [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/).\n\n## Лечение\nПодход к лечению зависит от причины нейропатии, выраженности симптомов и общего состояния пациента [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). Некоторые направления терапии: \n* **Медикаментозное лечение** — обезболивающие препараты, витамины группы B, медикаменты для улучшения обмена в нервной ткани [1](https://tkachevclinic.ru/articles/perifericheskaya-nevropatiya-chto-eto-kak-proyavlyaetsya-i-lechitsya). \n* **Физиотерапия** — электростимуляция нервных волокон, массаж и лечебная гимнастика [1](https://tkachevclinic.ru/articles/perifericheskaya-nevropatiya-chto-eto-kak-proyavlyaetsya-i-lechitsya). \n* **Коррекция образа жизни** — избегание положений, которые могут провоцировать дополнительную компрессию нервов, сбалансированное питание, контроль веса и физической активности [2](https://tkachevmoscow.ru/articles/perifericheskaya-nevropatiya-prichiny-simptomy-i-podhody-k-lecheniyu). \n\nЕсли причина обратима (например, дефицит витаминов или токсическое поражение), то при своевременном лечении возможно полное восстановление [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/). 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