Okuqukethwe
I-neuralgia, noma i-neuralgia, yisimo esihlobene nokulimala kwenzwa ehambisa izinto ezishukumisayo ebuchosheni. Kuhambisana nobuhlungu obuvela endaweni lapho isignali yemizwa ivela khona. Enye yazo i-intercostal neuralgia.
Yiziphi i-intercostal neuralgia?
I-Neuralgia yisimo esizibonakalisa ngobuhlungu obuzumayo nobushisayo. Ngezinye izikhathi zihambisana nokuluma kanye ne-paresis yesikhashana. Zibangelwa izilonda zemizwa. I-Intercostal neuralgia, ebizwa nangokuthi i-intercostal neuralgia, ibangela ubuhlungu obukhulu esifubeni, ezimbanjeni nasezindaweni ze-sternum. Ziphuma ku-vertebrae eyodwa noma ngaphezulu ye-thoracic ekuhambeni kwe-intercostal nerve ngokusebenzisa isikhala esiphakathi kuya emgqeni ophakathi wesifuba.
Iphethini yemisebe ye-intercostal neuralgia ivundlile kakhulu ezingxenyeni ezingenhla zesifuba futhi i-arched ezingxenyeni ezingezansi. Sihlukanisa phakathi kwe-intercostal neuralgia ye-unilateral ne-bilateral. Imbangela yalesi sifo umonakalo emithanjeni ye-intercostal, enesibopho, phakathi kwabanye, ngenxa ye-innervation yendawo yangaphakathi ye-intercostal.
Izinkinga ze-intercostal neuralgia
Kunezimbangela eziningi ezibangela i-intercostal neuralgia. Okuvame kakhulu yilezi:
- ukuntuleka kwamavithamini B,
- ukuphuka nokulimala,
- ingcindezi emithanjeni ebangelwa, phakathi kokunye ngenxa yokuvuvukala noma izinguquko zomdlavuza,
- ukucasuka kwezinzwa ngenxa yokuklinywa noma ukunyakaza okungazelelwe
- izinguquko emgogodleni ngenxa yokucindezela kwemizwa,
- ama-shingles,
- i-systemic lupus erythematosus,
- I-RA - isifo samathambo,
- izifo ze-vascular ngesimo se-nodular arteritis,
- i-osteoporosis,
- I-Hypothyroidism,
- i-scoliosis,
- i-discopathy,
- ukuvuvukala kwemisipha ye-intercostal.
Abantu abanezifo eziwohlokayo ezifana nesifo sikashukela kanye ne-uremia nabo bahlushwa yi-intercostal neuralgia. Lesi sifo singabangela nokucindezelwa kwe-intercostal nerve nezinye izifo ezifana nesifo se-Lyme nesifo sezicubu ezixhumene. I-Intercostal neuralagia nayo iyenzeka kubantu abasebenzisa kabi utshwala, banoshevu we-carbon monoxide noma umthofu. Abantu abasebenzisa izidakamizwa, isb ukwelapha isifo sofuba, nabo bangaphathwa yiso, ngezinye izikhathi kubangele ukulimala kwemizwa okubangelwa izidakamizwa.
I-Intercostal neuralgia ngezinye izikhathi iwuphawu lwezifo ezisongela ukuphila. Ubuhlungu obuchotshozayo obuphuma emhlathini nasezingalweni kungaba uphawu lokuhlaselwa yinhliziyo; futhi ubuhlungu obubukhali, obuhlabayo ngemuva kwethambo lesifuba, futhi ngezinye izikhathi obukhazimulayo entanyeni noma ehlombe lesobunxele, kungase kube uphawu lwe-pericarditis. Olunye uhlobo lobuhlungu ukudabuka esifubeni okuphuma phakathi kwamahlombe - lokhu kungase kube uphawu lwe-aortic dissection.
Lapho i-intercostal neuralgia ibangela ubuhlungu obunzima, uhlangothi olulodwa futhi olukhazimulayo phakathi kwamahlombe ehlombe, okuba buthakathaka lapho ibekwe ohlangothini olubuhlungu, kungase kube ubuhlungu be-pleural. I-Intercostal neuralgia ingaba uphawu lwesifo se-peptic ulcer kanye ne-reflux ye-gastroesophageal - ubuhlungu obunzima, ngezinye izikhathi obuvela engxenyeni engezansi yesifuba, bungase bubonise isifo se-peptic ulcer; ngenkathi kushisa, ngezinye izikhathi ubuhlungu obucindezelayo endaweni ye-sternum kuwuphawu lwe-reflux eshiwo ngenhla.
I-Intercostal neuralgia - izimpawu
Iziguli ezichaza i-intercostal neuralgia ngokuvamile zithi iwubuhlungu obunamandla, obuhlabayo, obudubulayo, obuvuthayo futhi ngezinye izikhathi obunzima. Ubukhulu bayo buyahlukahluka - ngezinye izikhathi kubangela ukungakhululeki okuncane, ngezinye izikhathi ubuhlungu obuvimbela ukusebenza okuvamile. I-Intercostal neuralgia ingaba umphumela wokulimala komgogodla kanye nesikhala se-intercostal. Kufanele kukhunjulwe ukuthi akubona bonke ubuhlungu besifuba okufanele bube yi-intercostal neuralgia.
Ukwelashwa kwe-intercostal neuralgia
Ngokuvamile akudingekile, ngoba i-intercostal neuralgia ixazulula ngokuzenzekelayo. Nokho, lapho isimo sibuya, ukwelashwa kuwukususa imbangela yobuhlungu. Ngezinye izikhathi ukwelashwa kuyadingeka ngenxa yesifo esibangela ubuhlungu. Uma i-intercostal neuralgia isesigabeni sayo esibucayi, ingelashwa ngezidakamizwa ezinciphisa ukungezwani kwemisipha.
Uma i-intercostal neuralgia ihlupha kakhulu, isiguli singase sinikezwe ama-NSAID, i-paracetamol noma ama-opioid analgesics, uma ubuhlungu bukhulu kakhulu. Odokotela batusa ukuthi usebenzise noma yiluphi uhlobo lwesinqamuleli sezinhlungu noma isiqephu sokufudumala. Ukubhucungwa okufudumele kanye ne-laser evuselelayo nakho kuyasiza. I-Intercostal neuralgia iphinde yelashwe ngemithi elwa nesithuthwane njenge-gabapentin, i-carbamazepine, i-pregabalin ne-tricyclic antidepressants.
I-Intercostal neuralgia ehambisana nama-shingles ingelashwa nge-glucocorticoids yedosi ephansi. Izindlela ezingajwayelekile zokwelapha ngamakhambi nazo zingase zibe usizo (i-elderberry emnyama, i-chamomile, i-mint - I-Mint ngendlela yetiye le-organic efriziwe ingatholakala ngentengo evumayo eMakethe ye-Medonet). Uma imbangela yokulimala kwezinzwa kutholakala, isb ngesimo sesimila esicindezela inzwa, khona-ke ukwelashwa kokuhlinzwa kuyenziwa.
Nge-neuralgia, kufanelekile ukusebenzisa itiye elihlaza lokuphumula nge-lemon balm kanye ne-verbena ekubunjweni, ngenxa yalokho kunciphisa ukucindezeleka futhi kwenza kube lula ukulala. Imbali ye-Chamomile nayo iyasiza nge-neuralgia, ngakho-ke kufanelekile ukuyiphuza njengetiye.
Ukuze isimiso sezinzwa sisebenze kahle, kufanele sibe namavithamini B. i-iontophoresis, okungukuthi inqubo endaweni ye-physiotherapy ehlanganisa ukusebenzisa umuthi endaweni ethintekile nokuwusheshisa ngokugeleza kwamanje okuqondile. I-Ionoferase isetshenziswa ngokuyinhloko ekwelapheni ukuphazamiseka kwe-bone fusion, ngemuva kokulimala kanye ne-neuralgia.
Ingabe uhlushwa yi-neuralgia? Finyelela ku-VITAMMY Heat Electric Heating Cushion.
Amakhambi asekhaya we-intercostal neuralgia
Ukwelashwa kwasekhaya kwe-intercostal neuralgia umuthi we-herbal. Amavithamini namakhambi aletha izinzuzo ezinkulu ekulweni ne-neuralgia, ngenxa yokuthi izinzwa ezilimele zivuselela ngokushesha. Amakhambi, uma ekhethwe kahle, azoqinisa umphumela wama-painkillers - i-willow bark, i-elderberry kanye ne-chamomile ehloniphekile isetshenziswa kaningi.
Nge-neuralgia, ungasebenzisa futhi i-Vitammy Thermo 1x Electric Blanket, epholisa ubuhlungu futhi ithuthukise isimo sakho sengqondo.
I-neuralgia yesifuba - ukuxilongwa
Ukuxilongwa kwe-intercostal neuralgia kuhlanganisa ukwenza izivivinyo ezizimele nezomzimba. Ngezinye izikhathi odokotela batusa ukuhlolwa okwengeziwe lapho ubuhlungu buzwakala nasesifubeni - ngenxa yabo, ukuphazamiseka kwe-coronary noma i-pulmonary edema kungakhishwa. Okunye ukuhlola okusetshenziselwa ukuxilongwa kwe-intercostal neuralgia yi-EKG (i-electrocardiogram) kanye ne-X-ray (i-X-ray kanye nokunqunywa kwenani le-tropin yenhliziyo).
Ukucindezela kwezimpande zemizwa ngezinye izikhathi akubonakali. Ukuze uthole ukuthi kwenzekani, udokotela wakho angase alawule i-MRI. Ukuhlolwa okubalulekile ekuxilongeni kwe-costaal neuralgia nakho kuwukuhlolwa kwesifo sikashukela, isifo seLyme, ukubalwa kwegazi kanye nokuhlaziywa komchamo. Kodwa-ke, ngaphambi kokuba kusungulwe ukwelashwa kokwelapha, kuyadingeka ukukhomba ngokuqondile izimbangela zobuhlungu. Udokotela wakho angakunikeza i-lidocaine efakwe emthanjeni nama-opioid ukuze adambise izinhlungu.
Umuntu one-neuralgia yesifuba akufanele azivocavoce kakhulu. Odokotela batusa ukuthi uyeke ukuphuza utshwala nokusebenzisa ezinye izinto ezidakayo. Ukuze ukhulule umgogodla, isiguli singase sigqoke ikhola noma i-orthopedic corset. Kodwa-ke, kufanelekile ukukhumbula ukuthi izindlela ezibalulwe ngenhla zokubhekana nobuhlungu obubangelwa yi-intercostal neuralgia zingase zingalethi umphumela olindelekile uma imbangela yokugula i-tumor noma ukulimala kwezinzwa - kulokhu ukuhlinzwa kuyodingeka.
I-Neuralgia yomgogodla
I-neuralgia yomgogodla yisifo esivamile. Ubuhlungu be-neuropathic buvela ohlelweni lwezinzwa. Lapho izinzwa zisebenza kahle, zithumela izimpawu zobuhlungu ngomgogodla ziye ebuchosheni. Kodwa-ke, ngenxa yokulimala kwesakhiwo sezinzwa, bangaqala ukuthumela ulwazi lwamanga mayelana nobuhlungu. Lesi simo sinzima, senza kube nzima ukulala futhi asikwazi ukwelashwa ngamaphilisi ezinhlungu ajwayelekile.
I-neuralgia yomgogodla ingabangelwa i-discopathy, okuwubuhlungu beqolo obuthinta kakhulu intamo nezinkalo; uma ubuhlungu emuva buhambisana nobuhlungu obuphansi emuva, kungase kube uphawu lwe-arthritis. I-neuralgia yomgogodla ngokuvamile ihilela ukuboshwa kwenzwa engenhla ye-gluteal nerve futhi ibangelwa, phakathi kokunye, ukungezwani okukhulu emisipha yangemuva.
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