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Opioide sind sehr starke Schmerzmedikamente, die aber schnell abhängig machen können. Die Einnahme muss daher vom Arzt genau überwacht werden. Einige Patienten berichten von einer Besserung der Symptome durch bestimmte Antidepressiva wie beispielsweise Amytryptilin.
Deshalb werden sie auch vorrangig zur Vorbeugung von Krampfanfällen eingesetzt. Bei einer Polyneuropathie können diese Medikamente zusätzlich die Schmerzen lindern.
Eine Stimulation der Nerven in der betroffenen Hautregion kann die Schmerzen einer Polyneuropathie bessern.
Dazu wird eine kleine Elektrode auf der schmerzhaften Hautregion positioniert, über die kleine elektrische Impulse abgegeben werden.
Die Hautnerven werden also elektrisch gereizt. Es gibt jedoch zahlreiche Patienten, die durch diese Behandlung eine Besserung ihrer Polyneuropathie-Symptome erfahren.
Ein möglicher Erklärungsansatz dafür ist, dass die abgegebenen elektrischen Impulse schneller sind als die Schmerzreize, also vor diesen das Rückenmark erreichen, wo sie die Schmerzweiterleitung blockieren.
Einer anderen Theorie zufolge setzen die elektrischen Impulse körpereigene Botenstoffe Endorphine frei. So fördern Krankengymnastik, Wechselbäder oder Elektrobehandlungen die Durchblutung und stärken geschwächte Muskeln.
So gut verschiedene Therapien auch die Beschwerden lindern können, möchten viele Patienten dennoch wissen: Je früher die Nervenschädigung erkannt wird, desto besser ist die Prognose.
Der Polyneuropathie-Verlauf kann aber nur dann positiv beeinflusst werden, wenn die Grunderkrankung diagnostiziert ist und behandelt wird. Da die Polyneuropathie oftmals lange Zeit symptomlos verläuft, sollten erste Anzeichen stets ernst genommen werden.
Leider ist in vielen Fällen ist eine komplette Heilung nicht mehr möglich. Dabei helfen die richtige Schmerztherapie und unterstützende Verfahren wie Krankengymnastik oder Wechselbäder.
Polyneuropathie-Symptome variieren je nachdem, welche Nervenfaserqualität geschädigt ist. So kann etwa eine Muskelerschlaffung der Beine auftreten, wenn motorische Nervenfasern geschädigt sind.
Auch Sensibilitätsstörungen der Haut treten häufig auf. Das Schmerzempfinden und das Temperaturempfinden können herabgesetzt sein. Sind autonome Nervenfasern betroffen, kann es zu einer Beeinträchtigung lebenswichtiger Organfunktionen kommen, etwa von Lunge oder Herz.
Erfahren Sie alles Wichtige über Polyneuropathie-Symptome. Die Polyneuropathie-Symptome sind davon abhängig, welche Nerven geschädigt sind.
Je stärker fortgeschritten die Nervenschädigung ist, desto langsamer können die Nervensignale weitergeleitet werden. Bei einer schweren Polyneuropathie kann der Nerv eventuell gar keine Befehle mehr weiterleiten, und das zu versorgende Gewebe degeneriert daraufhin.
Gewebe, das vom Körper nicht gebraucht oder genutzt wird, stellt sonst eine unnötige Energieverschwendung für den Körper dar.
Muskeln degenerieren dabei besonders schnell Muskelatrophie. Die Polyneuropathie Symptome werden unter anderem nach ihrer Lokalisation klassifiziert.
Bei einseitigem Befall handelt es sich um eine asymmetrische Polyneuropathie. Nerven, die von der Haut zum Gehirn führen, sind von sensibler Qualität.
Wenn die Sensibilität durch eine Polyneuropathie gestört wird, leidet oftmals die Wahrnehmung in Armen und Beinen.
Die Zehen sind häufig als erstes betroffen. Durch ein herabgesetztes Temperaturempfinden, kann es leichter zu Verletzungen kommen. Das Schmerzempfinden kann bei einer ausgeprägten Polyneuropathie ebenfalls eingeschränkt sein und das Verletzungsrisiko erhöhen.
Motorische Nerven leiten Befehle vom Gehirn zu den Skelettmuskeln. Die Befehle veranlassen einen Muskel, sich zu kontrahieren.
Bei einer motorischen Polyneuropathie kann es dementsprechend zum Ausfall bestimmter Muskelgruppen kommen.
Die Muskeln können je nach Schweregrad der Polyneuropathie an Kraft verlieren, oder es kommt zu Muskelkrämpfen. Siesind nicht dem Willen unterworfen.
Man kann also nicht zum Beispiel gezielt entscheiden, ob der Herzmuskel sich jetzt kontrahieren soll oder nicht. Zieht eine Polyneuropathie die autonomen Nerven in Mitleidenschaft, kann es zu lebensbedrohlichen Symptomen kommen.
Bei der Lunge kann die Nervenschädigung zu einem Atemstillstand führen, und auch am Herzen kann die Polyneuropathie schwerwiegende Schäden verursachen.
Bei der Diabetischen Polyneuropathie werden in der Regel die sensiblen Nervenfasern als erstes geschädigt. Dementsprechend treten oftmals ein Taubheitsgefühl oder Kribbeln in den Beinen auf.
Dabei klagen die Betroffenen besonders nachts in Ruhe über eine Verschlimmerung der Polyneuropathie-Symptome. Die Diabetische Polyneuropathie kann aber auch zu einer Verminderung der Schmerzempfindung führen.
Kleine Verletzungen werden von den Patienten dann oft nicht bemerkt. Das betroffene Gewebe kann sogar absterben. Als weitere Polyneuropathie-Symptome können sich im Verlauf der Krankheit auch autonome Störungen einstellen.
Auch unkontrolliertes Wasserlassen sowie Potenzstörungen bei Männern können sich als Polyneuropathie-Symptome entpuppen. Bei der häufigen alkoholischen Polyneuropathie werden Nerven durch den Alkohol geschädigt.
Besonders schädlich unter anderem für die Nerven ist dabei eine unzureichende Aufnahme von Vitamin B Die alkoholische Nervenschädigung schreitet in der Regel langsam voran.
Polyneuropathie-Symptome bei Alkoholikern zeigen sich vor allem an den Beinen, und zwar an beiden symmetrische Polyneuropathie. Hier kann es etwa zu Schmerzen, Missempfindungen, Sensibilitätsstörungen, Muskelschwund und schweren Muskelerschlaffungen Paresen kommen, wodurch die Patienten nicht mehr stehen können.
In schweren Fällen zeigen sich Polyneuropathie-Symptome auch im Augenbereich wie etwa Pupillenstörungen und eventuell Augenmuskellähmungen.
In einigen Fällen verläuft eine alkoholische Polyneuropathie aber auch ohne Symptome. Polyneuropathie-Symptome sollten umgehend von einem Arzt abgeklärt werden.
Bei frühzeitigem Erkennen der Symptome kann rasch eine geeignete Behandlung eingeleitet werden, die den Verlauf der Erkrankung positiv beeinflussen kann.
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