Zamkatimu
Neuralgia, kapena neuralgia, ndi chikhalidwe chokhudzana ndi kuwonongeka kwa mitsempha yomwe imanyamula zolimbikitsa ku ubongo. Zimatsagana ndi ululu wochokera kudera lomwe chizindikiro cha mitsempha chimachokera. Chimodzi mwa izo ndi intercostal neuralgia.
Kodi intercostal neuralgia ndi chiyani?
Neuralgia ndi chikhalidwe chomwe chimawonekera mwadzidzidzi ndi ululu woyaka. Nthawi zina iwo limodzi ndi kumva kulasalasa ndi zosakhalitsa paresis. Zimayambitsidwa ndi zotupa za mitsempha. Intercostal neuralgia, yomwe imatchedwanso intercostal neuralgia, imayambitsa kupweteka kwambiri pachifuwa, nthiti, ndi madera a sternum. Amachokera ku vertebrae imodzi kapena zingapo za thoracic panjira ya mitsempha ya intercostal kupyolera mu danga la intercostal kupita kumtunda wapakati pa chifuwa.
The poizoniyu chitsanzo cha intercostal neuralgia kwambiri yopingasa mu kumtunda kwa chifuwa ndi arched m'munsi. Timasiyanitsa pakati pa unilateral and bilateral intercostal neuralgia. The chifukwa cha matenda ndi kuwonongeka kwa intercostal misempha, amene ali ndi udindo, mwa zina, kwa innervation a anterior intercostal dera.
Zifukwa za intercostal neuralgia
Pali zifukwa zambiri zomwe zimayambitsa intercostal neuralgia. Zofala kwambiri ndi:
- kuchepa kwa vitamini B,
- fractures ndi kuvulala,
- kupanikizika kwa mitsempha chifukwa cha, pakati pa ena chifukwa cha kutupa kapena kusintha kwa khansa,
- kukwiya kwa minyewa chifukwa cha kutsamwitsidwa kapena kusuntha mwadzidzidzi
- kusintha kwa msana chifukwa cha kupanikizika kwa mitsempha,
- shingles,
- systemic lupus erythematosus,
- RA - nyamakazi ya nyamakazi,
- matenda a mtima monga nodular arteritis,
- matenda osteoporosis,
- Hypothyroidism,
- scoliosis,
- discopathy,
- intercostal minofu kutupa.
Anthu omwe ali ndi matenda osokoneza bongo monga shuga ndi uremia amadwalanso intercostal neuralgia. Matendawa angayambitsenso psinjika ya intercostal mitsempha ndi matenda ena monga matenda Lyme ndi connective minofu matenda. Intercostal neuralagia imapezekanso mwa anthu omwe amamwa mowa mopitirira muyeso, ali ndi poizoni wa carbon monoxide kapena lead. Anthu amene amagwiritsa ntchito mankhwala, mwachitsanzo kuchiza chifuwa chachikulu, amathanso kudwala, nthawi zina kuwononga mitsempha chifukwa cha mankhwala.
Intercostal neuralgia nthawi zina ndi chizindikiro cha matenda oopsa. Kupweteka kwapang'onopang'ono kumatulutsa nsagwada ndi manja kungakhale chizindikiro cha matenda a mtima; ndi lakuthwa, kubaya ululu kuseri kwa breastbone, ndipo nthawi zina kutulukira kwa khosi kapena kumanzere phewa, kungakhale chizindikiro cha pericarditis. Mtundu wina wa ululu ndi misozi pachifuwa chomwe chimatuluka pakati pa mapewa - izi zikhoza kukhala chizindikiro cha kung'ambika kwa aortic.
Pamene intercostal neuralgia imayambitsa ululu wowawa kwambiri, mbali imodzi ndi kutuluka pakati pa mapewa, zomwe zimakhala zofooka zikayikidwa pambali, zikhoza kukhala zowawa za pleural. Intercostal neuralgia ikhoza kukhala chizindikiro cha matenda a zilonda zam'mimba ndi gastroesophageal reflux - kupweteka kwapang'onopang'ono, nthawi zina kumawoneka m'munsi mwa chifuwa, kungasonyeze matenda a zilonda zam'mimba; kuyaka, nthawi zina kupweteka kwa sternum ndi chizindikiro cha reflux yomwe tatchulayi.
Intercostal neuralgia - zizindikiro
Odwala kufotokoza intercostal neuralgia nthawi zambiri amanena kuti ndi wamphamvu, mbola, kuwombera, moto ndi nthawi zina ululu ululu. Kuuma kwake kumasiyanasiyana - nthawi zina kumayambitsa kusapeza bwino, nthawi zina kupweteka komwe kumalepheretsa kugwira ntchito bwino. Intercostal neuralgia ikhoza kukhala chifukwa cha kuvulala kwa msana ndi malo a intercostal. Ndikoyenera kukumbukira kuti si ululu wonse pachifuwa uyenera kukhala intercostal neuralgia.
Chithandizo cha intercostal neuralgia
Kawirikawiri sikofunikira, chifukwa intercostal neuralgia imathetsa zokha. Komabe, matendawa akabwerera, chithandizo ndicho kuchotsa chomwe chimayambitsa ululu. Nthawi zina chithandizo chimafunika chifukwa cha matenda omwe amayambitsa kupweteka. Ngati intercostal neuralgia ili pachimake, imatha kuthandizidwa ndi mankhwala omwe amachepetsa kupsinjika kwa minofu.
Pamene intercostal neuralgia ndi yovuta kwambiri, wodwalayo angaperekedwe NSAIDs, paracetamol kapena opioid analgesics, ngati ululu uli waukulu kwambiri. Madokotala amalangiza kuti mugwiritsenso ntchito mtundu uliwonse wa mankhwala opweteka kapena kutentha. Kusisita kotentha ndi laser yolimbikitsa ndizothandiza. Intercostal neuralgia imathandizidwanso ndi antiepileptic mankhwala monga gabapentin, carbamazepine, pregabalin ndi tricyclic antidepressants.
Intercostal neuralgia yokhudzana ndi shingles imatha kuthandizidwa ndi mlingo wochepa wa glucocorticoids. Njira zosagwirizana ndi mankhwala azitsamba zitha kukhala zothandiza (black elderberry, chamomile, timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta timbewu ta tiyi towuma tiyi timapezeka pamtengo wabwino pa Msika wa Medonet). Ngati chifukwa cha mitsempha kuwonongeka ndi matenda, mwachitsanzo mu mawonekedwe a chotupa compressing mitsempha, ndiye opaleshoni mankhwala akuyendera.
Kwa neuralgia, ndi bwino kugwiritsa ntchito tiyi wobiriwira kupumula ndi mandimu ndi verbena muzolembazo, zomwe zimachepetsa nkhawa ndikupangitsa kugona. Maluwa a Chamomile amathandizanso ndi neuralgia, choncho ndi bwino kumwa ngati tiyi.
Kuti dongosolo lamanjenje lizigwira ntchito bwino, liyenera kukhala ndi mavitamini a B. iontophoresis, mwachitsanzo, njira ya physiotherapy yomwe imaphatikizapo kugwiritsa ntchito mankhwala kudera lomwe lakhudzidwa ndikulifulumizitsa pogwiritsa ntchito njira yachindunji. Ionoferase imagwiritsidwa ntchito makamaka pochiza matenda a mafupa a mafupa, pambuyo pa kuvulala ndi neuralgia.
Kodi mumadwala neuralgia? Fikirani ku VITAMMY Heat Electric Heating Cushion.
Zothandizira kunyumba za intercostal neuralgia
Chithandizo cha kunyumba cha intercostal neuralgia ndi mankhwala azitsamba. Mavitamini ndi zitsamba zimabweretsa phindu lalikulu polimbana ndi neuralgia, chifukwa chomwe mitsempha yowonongeka imabwereranso mofulumira. Zitsamba, ngati zitasankhidwa bwino, zidzakulitsa zotsatira za mankhwala opweteka - khungwa la msondodzi, elderberry ndi noble chamomile amagwiritsidwa ntchito nthawi zambiri.
Kwa neuralgia, mutha kugwiritsanso ntchito Blanket ya Magetsi ya Vitammy Thermo 1x, yomwe imachepetsa ululu ndikuwongolera malingaliro anu.
Chifuwa neuralgia - kuzindikira
Kuzindikira kwa intercostal neuralgia kumaphatikizapo kuyeserera molunjika komanso mwakuthupi. Madokotala nthawi zina amalimbikitsa mayesero owonjezera pamene ululu umamvekanso pachifuwa - chifukwa cha iwo, matenda a coronary kapena pulmonary edema akhoza kuchotsedwa. Mayesero ena omwe amagwiritsidwa ntchito pozindikira matenda a intercostal neuralgia ndi EKG (electrocardiogram) ndi X-ray (X-ray ndi kudziwa kuchuluka kwa mtima wa tropin).
Kupanikizika kwa mitsempha ya mitsempha nthawi zina sikuoneka. Kuti mudziwe kumene zimachitika, dokotala wanu akhoza kulamula MRI. Mayesero ofunikira pakuzindikira kwa costal neuralgia amayesanso matenda a shuga, matenda a Lyme, kuchuluka kwa magazi ndi kukodza. Komabe, chithandizo chamankhwala chisanakhazikitsidwe, ndikofunikira kudziwa bwino zomwe zimayambitsa kupweteka. Dokotala wanu akhoza kukupatsani mtsempha wa lidocaine ndi ma opioid kuti muchepetse ululu.
Munthu amene ali pachifuwa neuralgia sayenera kuchita masewera olimbitsa thupi kwambiri. Madokotala amalangiza kuti musiye kumwa mowa ndi kugwiritsa ntchito zina zoledzeretsa. Pofuna kuthetsa msana, wodwalayo akhoza kuvala kolala kapena corset ya mafupa. Komabe, ndi bwino kukumbukira kuti njira zomwe tazitchula pamwambapa zothandizira kupweteka kwa intercostal neuralgia sizingabweretse zotsatira zomwe zimayembekezeredwa ngati chifukwa cha matendawa ndi chotupa kapena kuwonongeka kwa mitsempha - pamenepa opaleshoni idzafunika.
Neuralgia ya msana
Msana neuralgia ndi matenda wamba. Ululu wa neuropathic umayamba mu dongosolo lamanjenje. Mitsempha ikamagwira ntchito bwino, imatumiza zizindikiro zowawa kudzera mumsana kupita ku ubongo. Komabe, chifukwa cha kuwonongeka kwa dongosolo lamanjenje, angayambe kutumiza mauthenga abodza okhudza ululu. Matendawa ndi ovuta, amachititsa kuti munthu asagone ndipo sangathe kuthandizidwa ndi mankhwala oletsa ululu wamba.
Neuralgia ya msana imatha chifukwa cha discopathy, yomwe ndi ululu wammbuyo womwe umakhudza kwambiri khosi ndi m'chiuno; ngati ululu wammbuyo umatsagana ndi ululu wochepa, ukhoza kukhala chizindikiro cha nyamakazi. Neuralgia ya msana nthawi zambiri imaphatikizapo kutsekeka kwa mitsempha yam'mwamba ya gluteal ndipo imayambitsidwa, mwa zina, chifukwa cha kupsyinjika kwakukulu kwa minofu yam'mbuyo.
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