ELECTROTHERAPY AND VACUUM EXPOSURE IN COMPLEX REHABILITATION OF PATIENTS WITH DIABETIC POLYNEURATHY
Oxunjanova Madina Zafarovna
Department of Neurology, Bukhara State Medical Institute Republic of Uzbekistan
Abstract
The number of patients with diabetes mellitus is progressively growing and in the Russian Federation is about 3 million. One of the most common complications of diabetes is neuropathy and it is detected in 50% of patients. Almost all patients develop DPN at various times. The most common chronic sensorimotor polyneuropathy occurs, including in 7-10% of patients with newly diagnosed type 2 diabetes [1]. The pathogenesis of DPN is multifactorial, one of the established factors is hyperglycemia, which has a damaging effect on the nervous tissue. Along with the metabolic theory, the vascular theory is also considered. The defeat of Vasa nervorum as a result of glycation of endothelial cells and impaired endoneurial circulation leads to a decrease in blood flow in the nerve, axonal atrophy and degeneration of nerve fibers. Changes in the peripheral nerve are formed as a result of nerve ischemia, which develops in violation of the production of vasoactive relaxing agents (NO), endoneural hypoxia. [5]