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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/). В хронических или наследственных формах лечение направлено на замедление прогрессирования и облегчение симптомов [3](https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/).","linksData":[{"sourceId":1,"url":"https://tkachevclinic.ru/articles/perifericheskaya-nevropatiya-chto-eto-kak-proyavlyaetsya-i-lechitsya","shownUrl":"https://tkachevclinic.ru/articles/perifericheskaya-nevropatiya-chto-eto-kak-proyavlyaetsya-i-lechitsya","title":"Периферическая невропатия: лечение, симптомы, причины","shortUrl":"tkachevclinic.ru","isTranslated":false,"description":"","greenUrl":"tkachevclinic.ru"},{"sourceId":2,"url":"https://tkachevmoscow.ru/articles/perifericheskaya-nevropatiya-prichiny-simptomy-i-podhody-k-lecheniyu","shownUrl":"https://tkachevmoscow.ru/articles/perifericheskaya-nevropatiya-prichiny-simptomy-i-podhody-k-lecheniyu","title":"Периферическая невропатия: лечение, что это простыми словами, симптомы | Клиника Доктора Ткачева в Москве","shortUrl":"tkachevmoscow.ru","isTranslated":false,"description":"","greenUrl":"tkachevmoscow.ru"},{"sourceId":3,"url":"https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/","shownUrl":"https://cmrt.ru/stati/kak-lechit/perifericheskaya-neyropatiya-nerva/","title":"Что такое периферическая нейропатия нерва и как ее лечить | Как лечить заболевания и избавиться от симптомов","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":4,"url":"https://gemotest.ru/info/spravochnik/zabolevaniya/neyropatiya-nevropatiya/","shownUrl":"https://gemotest.ru/info/spravochnik/zabolevaniya/neyropatiya-nevropatiya/","title":"Нейропатия (невропатия) — что это такое, как лечить, симптомы","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":5,"url":"https://www.dikul.net/wiki/nejropatija-nerva/","shownUrl":"https://www.dikul.net/wiki/nejropatija-nerva/","title":"Периферическая нейропатия нерва - лечение, симптомы, причины, диагностика | Центр Дикуля","shortUrl":"dikul.net","isTranslated":false,"description":"","greenUrl":"dikul.net"},{"sourceId":6,"url":"https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/","shownUrl":"https://www.Renewal.ru/voprosy-zdorovya/nevropatiya-neyropatiya-prichiny-simptomy-i-lechenie/","title":"Невропатия (нейропатия): виды, причины, симптомы и современные подходы к лечению","shortUrl":"Renewal.ru","isTranslated":false,"description":"","greenUrl":"Renewal.ru"},{"sourceId":7,"url":"https://comfort.sovamed.ru/zabolevaniya/neyropatiya/","shownUrl":"https://comfort.sovamed.ru/zabolevaniya/neyropatiya/","title":"Невропатия: причины, симптомы и лечение","shortUrl":"comfort.sovamed.ru","isTranslated":false,"description":"","greenUrl":"comfort.sovamed.ru"},{"sourceId":8,"url":"https://gutaclinic.ru/articles/metody-lecheniya-i-reabilitatsii-pri-neyropatii/","shownUrl":"https://gutaclinic.ru/articles/metody-lecheniya-i-reabilitatsii-pri-neyropatii/","title":"Методы лечения и реабилитации при нейропатии: подходы специалистов ГУТА КЛИНИК","shortUrl":"gutaclinic.ru","isTranslated":false,"description":"","greenUrl":"gutaclinic.ru"},{"sourceId":9,"url":"https://rehabfamily.com/articles/nevropatiya-neyropatiya/","shownUrl":"https://rehabfamily.com/articles/nevropatiya-neyropatiya/","title":"Невропатия (нейропатия) | Клиника Rehab Family","shortUrl":"rehabfamily.com","isTranslated":false,"description":"","greenUrl":"rehabfamily.com"},{"sourceId":10,"url":"https://polyclinika.ru/tech/neyropatiya-simptomy-i-lechenie-nevropatii/","shownUrl":"https://polyclinika.ru/tech/neyropatiya-simptomy-i-lechenie-nevropatii/","title":"Нейропатия (невропатия) - причины, симптомы, признаки, диагностика, лечение, профилактика","shortUrl":"polyclinika.ru","isTranslated":false,"description":"","greenUrl":"polyclinika.ru"},{"sourceId":11,"url":"https://cmrt.ru/zabolevaniya/nervnoy-sistemy/perifericheskaya-neyropatiya/","shownUrl":"https://cmrt.ru/zabolevaniya/nervnoy-sistemy/perifericheskaya-neyropatiya/","title":"Периферическая нейропатия, причины, симптомы и лечение | Заболевания нервной системы","shortUrl":"cmrt.ru","isTranslated":false,"description":"","greenUrl":"cmrt.ru"},{"sourceId":12,"url":"https://xn--g1ajj1a.xn--p1ai/articles/nevropatiya/","shownUrl":"https://xn--g1ajj1a.xn--p1ai/articles/nevropatiya/","title":"Невропатия - симптомы и признаки, лечение, стадии и последствия болезни","shortUrl":"мцпз.рф","isTranslated":false,"description":"","greenUrl":"мцпз.рф"},{"sourceId":13,"url":"https://ProBolezny.ru/perifericheskaya-nyayropatiya/","shownUrl":"https://ProBolezny.ru/perifericheskaya-nyayropatiya/","title":"Периферическая нейропатия: причины, симптомы и лечение в статье невролога Великосельская М. 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