{"id":141,"date":"2019-10-01T08:44:35","date_gmt":"2019-10-01T06:44:35","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/paresteziile\/"},"modified":"2025-03-10T17:13:54","modified_gmt":"2025-03-10T15:13:54","slug":"paresteziile","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/paresteziile\/","title":{"rendered":"Ce sunt paresteziile?"},"content":{"rendered":"\n<h2>Ce sunt paresteziile?<\/h2>\n<p>Paresteziile se manifest\u0103 prin senza\u021bii de furnic\u0103turi, arsuri, \u00een\u021bep\u0103turi, m\u00e2nc\u0103rime sau amor\u021beal\u0103, care pot ap\u0103rea \u00een orice parte a corpului, f\u0103r\u0103 o cauz\u0103 extern\u0103 evident\u0103. Pot s\u0103 fie tranziente &#8211; \u00een majoritatea cazurilor &#8211; sau cronice. Cele din urm\u0103 pot semnala o problem\u0103 medical\u0103.<\/p>\n<p>Unul dintre simptomele cele mai frecvente cu care se prezint\u0103 un pacient la un consult neurologic este <strong>parestezia<\/strong>. Majoritatea oamenilor vor experimenta parestezii la un moment dat, de exemplu noaptea, atunci c\u00e2nd o m\u00e2n\u0103 sau un picior devin amor\u021bite din cauza presiunii asupra nervilor \u00eentr-o pozi\u021bie nepotrivit\u0103.<\/p>\n<h2>Cum se manifest\u0103 paresteziile?<\/h2>\n<p>Simptomele paresteziei includ:<\/p>\n<ul>\n<li>furnic\u0103turi sau senza\u021bia de ace;<\/li>\n<li>durere sau arsur\u0103;<\/li>\n<li>amor\u021beal\u0103 sau senza\u021bie redus\u0103 \u00een zona afectat\u0103;<\/li>\n<li>senza\u021bie de m\u00e2nc\u0103rime;<\/li>\n<li>piele cald\u0103 sau rece.<\/li>\n<\/ul>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1660\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-scaled.jpg\" alt=\"\" width=\"650\" height=\"288\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-300x133.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-1024x454.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-768x341.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-1536x681.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-2048x909.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-750x333.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/simptome-1140x506.jpg 1140w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p>Simptomele pot fi constante sau intermitente, \u00een zona afectat\u0103, sau pot radia spre exterior.<\/p>\n<h2>Care sunt cauzele principale ale paresteziilor?<\/h2>\n<p>Paresteziile pot ap\u0103rea din cauze diverse, iar severitatea lor difer\u0103 \u00een func\u021bie de zona afectat\u0103 \u0219i de durata simptomelor [1-8].<\/p>\n<h3>Compresia nervilor periferici<\/h3>\n<p>C\u00e2nd paresteziile sunt localizate \u00eentr-o anumit\u0103 regiune a unui membru, prima cauz\u0103 care trebuie exclus\u0103 este compresiunea unui nerv periferic \u00een zone unde acesta vine \u00een contact cu structuri osoase sau tendinoase \u0219i este mai vulnerabil la presiune.<\/p>\n<p><strong>La membrul superior,<\/strong> cele mai frecvente cauze sunt compresia nervului median \u00een tunelul carpian (care provoac\u0103 parestezii \u00een primele trei degete \u0219i jum\u0103tate din al patrulea) \u0219i compresia nervului ulnar la cot (care duce la parestezii \u00een degetul mic \u0219i jum\u0103tate din inelar).<\/p>\n<p><strong>La membrul inferior,<\/strong> nervul fibular (peroneal) este foarte sensibil la compresiune \u00een zona lateral\u0103 a genunchiului (de exemplu, c\u00e2nd stai cu \u201epicior peste picior\u201d). Astfel pot ap\u0103rea senza\u021bii de furnic\u0103turi sau amor\u021beal\u0103 pe partea lateral\u0103 a gambei.<\/p>\n<p>Al\u021bi factori:<\/p>\n<ul>\n<li>mi\u0219c\u0103rile repetitive,<\/li>\n<li>cre\u0219terea \u00een greutate,<\/li>\n<li>repausul prelungit la pat.<\/li>\n<\/ul>\n<p>Netratate, aceste compresiuni nervoase pot duce la sl\u0103biciune muscular\u0103 \u0219i atrofie \u00een zonele afectate. De obicei, paresteziile sunt \u00eenso\u021bite de durere pe traiectul r\u0103d\u0103cinii nervoase afectate.<\/p>\n<h3>Afec\u021biuni ale sistemului nervos<\/h3>\n<p>Paresteziile pot fi cauzate de tumori cerebrale, hemoragii cerebrale, <a href=\"https:\/\/roneuro.ro\/blog\/ce-sunt-traumatismele-craniocerebrale\/\">leziuni cerebrale traumatice<\/a>, hernia de disc, leziuni \u00een urma arsurilor sau degeraturilor, nevralgii, <a href=\"https:\/\/roneuro.ro\/blog\/accidentul-vascular-cerebral\/\">accident vascular cerebral <\/a>sau <a href=\"https:\/\/roneuro.ro\/blog\/atacul-ischemic-tranzitoriu\/\">atacuri ischemice tranzitorii<\/a>.<\/p>\n<h3>Cauze metabolice sau endocrine<\/h3>\n<p>Paresteziile pot ap\u0103rea ca urmare a neuropatiei legat\u0103 de diabet, obezit\u0103\u021bii (prin comprimarea nervilor) dezechilibrelor electrolitice, hipoglicemiei, hipotiroidismului, schimb\u0103rilor hormonale cauzate de menopauz\u0103 sau sarcin\u0103, precum \u0219i deficitului de vitamina B1, B5, B6 sau <a href=\"https:\/\/roneuro.ro\/blog\/deficitul-de-vitamina-b12\/\">B12<\/a>.<\/p>\n<h3>Cauze circulatorii<\/h3>\n<p>Paresteziile pot ap\u0103rea din cauza unei circula\u021bii sanguine deficitare, a unor afec\u021biuni vasculare periferice, precum \u0219i a sindromului Raynaud, care determin\u0103 reducerea fluxului de s\u00e2nge c\u0103tre extremit\u0103\u021bi.<\/p>\n<h3>Cauze infec\u021bioase<\/h3>\n<p>Paresteziile pot fi cauzate \u0219i de infec\u021bii virale sau bacteriene, precum virusul HIV sau boala Lyme, care pot afecta sistemul nervos \u0219i circula\u021bia sanguin\u0103, determin\u00e2nd senza\u021bii anormale la nivelul extremit\u0103\u021bilor.<\/p>\n<h3>Afec\u021biuni autoimune<\/h3>\n<p>Paresteziile pot ap\u0103rea \u0219i \u00een cadrul afec\u021biunilor autoimune, precum fibromialgia, lupusul sau <a href=\"https:\/\/roneuro.ro\/blog\/ce-este-scleroza-multipla\/\">scleroza multipl\u0103<\/a>, deoarece aceste boli pot afecta sistemul nervos periferic \u0219i circula\u021bia sanguin\u0103, determin\u00e2nd senza\u021bii anormale, amor\u021beal\u0103 sau furnic\u0103turi \u00een diverse zone ale corpului.<\/p>\n<h3><img decoding=\"async\" class=\"aligncenter wp-image-1661\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor.jpg\" alt=\"\" width=\"650\" height=\"288\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor.jpg 1600w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor-300x133.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor-1024x454.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor-768x341.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor-1536x682.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor-750x333.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2019\/10\/cauzele-paresteziilor-1140x506.jpg 1140w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/h3>\n<h3>Alte cauze<\/h3>\n<p>Alte cauze includ:<\/p>\n<ul>\n<li>Deshidratarea;<\/li>\n<li>Migrenele;<\/li>\n<li>Atacurile de panic\u0103, hiperventila\u021bia;<\/li>\n<li>Substan\u021bele toxice (ex. arsenic, monoxid de carbon, chimioterapie, plumb, mercur, consum de alcool, radia\u021bii).<\/li>\n<\/ul>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>Suferi\u021bi de parestezii? Programa\u021bi-v<span style=\"font-weight: 400;\">\u0103<\/span> acum la un consult<span style=\"font-weight: 400;\">\u00a0<\/span><span style=\"font-weight: 400;\">contact\u00e2nd recep\u021bia <strong>Institutului RoNeuro<\/strong> la num\u0103rul de telefon<\/span><b> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/b><span style=\"font-weight: 400;\">, <strong>luni \u0219i mar\u021bi \u00eentre orele 08:00 &#8211; 19:00<\/strong>, iar de <strong>miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 &#8211; 18:00<\/strong>.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate.\u00a0<\/span><\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online neurologie<\/a><\/p>\n<p><span style=\"font-weight: 400;\">Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? Institutul RoNeuro ofer\u0103 \u0219i op\u021biunea de <\/span><b><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/b><\/p>\n<h2>C\u00e2nd devin periculoase paresteziile?<\/h2>\n<p>Apela\u021bi imediat serviciile de urgen\u021b\u0103 dac\u0103 amor\u021beala este \u00eenso\u021bit\u0103 de:<\/p>\n<ul>\n<li>Sl\u0103biciune brusc\u0103 sau paralizie;<\/li>\n<li>Confuzie sau dificult\u0103\u021bi de vorbire;<\/li>\n<li>Ame\u021beli severe;<\/li>\n<li>Durere de cap brusc\u0103 \u0219i intens\u0103;<\/li>\n<li>Pierderea controlului vezicii urinare sau a intestinelor.<\/li>\n<\/ul>\n<p>Programa\u021bi un consult medical dac\u0103 amor\u021beala persist\u0103 \u0219i este \u00eenso\u021bit\u0103 de:<\/p>\n<ul>\n<li>Spasme musculare;<\/li>\n<li>Erup\u021bii cutanate;<\/li>\n<li>Amor\u021beal\u0103 la nivelul picioarelor \u00een timpul mersului;<\/li>\n<li>Urinare mai frecvent\u0103 dec\u00e2t de obicei;<\/li>\n<li>O leziune recent\u0103 la spate, g\u00e2t sau cap;<\/li>\n<li>Modific\u0103ri ale vederii;<\/li>\n<li>Durere sever\u0103 sau sl\u0103biciune muscular\u0103.<\/li>\n<\/ul>\n<p>Amor\u021beala poate avea multiple cauze, de la deficien\u021be nutri\u021bionale \u0219i afec\u021biuni ale nervilor p\u00e2n\u0103 la probleme circulatorii sau neurologice. Diagnosticul precoce \u0219i tratamentul adecvat sunt esen\u021biale pentru prevenirea complica\u021biilor. Dac\u0103 simptomele persist\u0103 sau se agraveaz\u0103, adresa\u021bi-v\u0103 unui medic specialist.<\/p>\n<h2>Cum se diagnosticheaz\u0103 paresteziile?<\/h2>\n<p>Atunci c\u00e2nd o persoan\u0103 resimte parestezii, primul pas pe care trebuie s\u0103 \u00eel fac\u0103 este un consult neurologic, care va include o evaluare detaliat\u0103 a problemei medicale. \u00cen Institutul Roneuro, printre investiga\u021biile medicale utilizate \u00een diagnosticarea paresteziilor, sunt disponibile:<\/p>\n<ul>\n<li><a href=\"https:\/\/roneuro.ro\/blog\/cand-se-recomanda-un-control-enmg\/\">electroneuromiografia<\/a> care poate confirma o afectare a nervilor periferici,<\/li>\n<li><a href=\"https:\/\/roneuro.ro\/blog\/ce-este-un-eeg\/\">electroencefalografia<\/a> pentru suspiciunea de crize epileptice<\/li>\n<li>poten\u021bialele electrice somato-senzitive pentru suspiciunea de afectare a m\u0103duvei spin\u0103rii sau cerebral\u0103.<\/li>\n<\/ul>\n<p>Paresteziile pot fi confundate cu neuropatii sau amor\u021beli, \u00eens\u0103 exist\u0103 o distinc\u021bie \u00eentre acestea. Neuropatiile sunt orice boli care afecteaz\u0103 func\u021bia nervilor (paresteziile pot fi un simptom al neuropatiilor). Amor\u021beala se manifest\u0103 prin pierderea senza\u021biilor \u00een zona afectat\u0103, \u00een timp ce paresteziile sunt percepute sub form\u0103 de furnic\u0103turi, \u00een\u021bep\u0103turi sau arsuri.<\/p>\n<p style=\"text-align: left;\">Pentru mai multe informa\u021bii despre ENMG, accesa\u021bi interviul video cu specialistul nostru dr. Maria Balea:<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/-HleXKdJtcY?si=ggmwuVQt2niDvR-O\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p style=\"text-align: left;\">Pentru mai multe informa\u021bii despre EEG, accesa\u021bi interviul video cu specialistul nostru dr. Livia Popa:<\/p>\n<p style=\"text-align: center;\"><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/kYxo8gHfkG4?si=Rt3IITc8EtUTTFvc\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2>Cum se trateaz\u0103 paresteziile?<\/h2>\n<p>Forma tranzient\u0103 a paresteziilor nu are nevoie de tratament, \u00eens\u0103 atunci ea poate ap\u0103rea ca simptom al altei afec\u021biuni. Din acest motiv este important\u0103 evaluarea neurologic\u0103 la persisten\u021ba simptomelor, deoarece pot ap\u0103rea complica\u021bii.<\/p>\n<p>Tratamentul, \u00een general, se bazeaz\u0103 pe tratarea cauzei subiacente a paresteziei, astfel acesta este foarte variabil [4].<\/p>\n<h2>Concluzii<\/h2>\n<p>\u00cen general paresteziile sunt experien\u021be tranziente care sunt des \u00eent\u00e2lnite, f\u0103r\u0103 s\u0103 reprezinte o cauz\u0103 de \u00eengrijorare. Totu\u0219i, \u00een unele cazuri ele pot semnala patologii serioase, motiv pentru care diagnosticul timpuriu este extrem de important.<\/p>\n<p>\u00cen cele mai multe cazuri acestea se rezolv\u0103 de la sine, dar \u00een func\u021bie de cauz\u0103, pot necesita tratament specific.<\/p>\n<h2>Referin\u021be<\/h2>\n<ol>\n<li><a href=\"https:\/\/my.clevelandclinic.org\/health\/symptoms\/24932-paresthesia\" target=\"_blank\" rel=\"noopener\"><em>Paresthesia<\/em>.<\/a> (n.d.). Cleveland Clinic. Retrieved February 7, 2025.<\/li>\n<li>Pietrangelo, A. (2016, April 12). <a href=\"https:\/\/www.healthline.com\/health\/paresthesia\" target=\"_blank\" rel=\"noopener\">Parethesia: Causes, treatment, and more<\/a>.<\/li>\n<li>Nicole Galan, R. N. (2017, August 9). What is paresthesia? Causes and symptoms. Medicalnewstoday.com. https:\/\/www.medicalnewstoday.com\/articles\/318845<\/li>\n<li>Paresthesia. (n.d.). Brainfacts.org. Retrieved February 7, 2025, from https:\/\/www.brainfacts.org\/diseases-and-disorders\/neurological-disorders-az\/diseases-a-to-z-from-ninds\/paresthesia<\/li>\n<li>Sottosanti, K. (2025). paresthesia. In Encyclopedia Britannica.<\/li>\n<li>Healthdirect Australia. (2024). <em>Limb numbness<\/em>. https:\/\/www.healthdirect.gov.au\/limb-numbness<\/li>\n<li>Pal B. 10-minute consultation: Paraesthesia. BMJ. 2002 Jun 22;324(7352):1501. doi: 10.1136\/bmj.324.7352.1501. PMID: 12077040; PMCID: PMC116450.<\/li>\n<li>McKnight JT, Adcock BB. Paresthesias: a practical diagnostic approach. Am Fam Physician. 1997 Dec;56(9):2253-60. PMID: 9402811.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ce sunt paresteziile? Paresteziile se manifest\u0103 prin senza\u021bii de furnic\u0103turi, arsuri, \u00een\u021bep\u0103turi, m\u00e2nc\u0103rime sau amor\u021beal\u0103, care pot ap\u0103rea \u00een orice parte a corpului, f\u0103r\u0103 o cauz\u0103 extern\u0103 evident\u0103. Pot s\u0103 fie tranziente &#8211; \u00een majoritatea cazurilor &#8211; sau cronice. Cele din urm\u0103 pot semnala o problem\u0103 medical\u0103. Unul dintre simptomele cele mai frecvente cu care [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":647,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"1","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"right-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"top","share_float_style":"share-monocrhome","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"0","post_reading_time_wpm":"300","show_zoom_button":"0","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"1","show_popup_post":"1","number_popup_post":"1","show_author_box":"0","show_post_related":"0","show_inline_post_related":"0","post_calculate_word_method":"str_word_count"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0","format":"standard","subtitle":""},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":{"override_view_counter":"0","view_counter_number":"0","override_share_counter":"0","share_counter_number":"0","override_like_counter":"0","like_counter_number":"0","override_dislike_counter":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[6],"tags":[],"class_list":["post-141","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/141","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=141"}],"version-history":[{"count":3,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/141\/revisions"}],"predecessor-version":[{"id":1662,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/141\/revisions\/1662"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/647"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=141"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=141"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}