I-Intercostal neuralgia ubuhlungu besifuba endaweni yezinzwa ze-intercostal. Kubangelwa ukucindezelwa kolunye lwezinzwa ezingama-24 eziphakathi kwezimbambo nemisipha ye-intercostal, ezingeni lezimbambo.

Incazelo ye-intercostal neuralgia

I-Intercostal neuralgia ibonakala ngobuhlungu esifubeni obubangelwa ukuvuvukala noma ukulimala kwenzwa ye-intercostal, okungukuthi, inzwa evela empandeni esemgogodleni futhi itholakala phakathi kwezimbambo.

Izimbangela ze-intercostal neuralgia

I-Intercostal neuralgia ingadalwa yizimo ezahlukahlukene njengokutheleleka, ukuvuvukala, ukulimala esifubeni noma ezimbanjeni, noma ukuhlinzwa endaweni yesifuba. Isibonelo, ukususwa kokuhlinzwa kwezinso kungalimaza izinzwa ze-intercostal.

Kunezinye izimbangela ezifana nalezi:

• ubambo oluqhekekile noma oluqhekekile kusuka ekulimaleni.
• Ukwanda kwemithambo ye-intercostal.
• I-Spinal osteoarthritis ebangela ukuvuvukala kwemizwa.
• Ukuhlukaniswa kwesisu.
• Ukukhulelwa, okwenza ukwanda kwezimbambo.
• Ukutheleleka okunjenge-shingles (i-postherpetic neuralgia ebangelwa ama-shingles).
• Isimila esibi noma esibi esifubeni noma esiswini esicindezela izinzwa ze-intercostal.
• Isikhumba, imisipha nezilonda izilonda ezizungeze ama-vertebrae.
• Ubuhlungu be-Post-thoracotomy (ngemuva kokuqhekeka kokuhlinzwa kodonga lwesifuba).
• I-Intercostal neuritis (ubuhlungu obuzwakala esifubeni).

Kubuhlungu obukhulu, ukuvuvukala kuyabonakala ngokukhiqizwa okwandayo kwama-cytokines (ama-molecule wokuvuvukala) akhishwe ezicutshini ezilimele. Endabeni yobuhlungu obungapheli obubonwa ku-intercostal neuralgia, izindlela ezibangela ubuhlungu zisazwisiseka kahle.

Ngubani othinteka kakhulu?

Abantu abenza imidlalo enomthelela omkhulu kungenzeka bahlupheke nge-intercostal neuralgia.

Ukuxilongwa kwe-intercostal neuralgia

Ukuxilongwa kwenziwa kusetshenziswa:

• ukuhlolwa okuningiliziwe kwemizwa okwenziwe ukukhomba imbangela yobuhlungu,
• uhlu lwemibuzo ngobuhlungu,
• ukuhlolwa kwe-x-ray njengesifuba x-ray noma i-MRI kanye
• ukubonisana nodokotela wamaphaphu ukuthola ukuthi ngabe kukhona yini ukutheleleka.

Ngokuvamile, isizinda nokuhlolwa kwemizwa kwanele kudokotela ukwenza ukuxilongwa.

Yazi i-intercostal neuralgia

Uphawu oluyinhloko lwe-intercostal neuralgia ubuhlungu endaweni yesifuba. Lobu buhlungu obuhambisana ne-intercostal neuralgia bungaba buhlangene, njengokugwaza. Ubuhlungu buphakathi nendawo ezungeze indawo yesifuba ngapha nangapha futhi bungaphuma kusukela emuva kuye phambili kwesifuba. Kwesinye isikhathi izinhlungu zizwakala ngokulinganayo ngobude bezimbambo. Kwezinye izimo, ubuhlungu buvela ngokuphefumula, ukuhleka, noma ukuthimula. Ubuhlungu buyanda ngomzamo.

Ezinye izimpawu

• Ubuhlungu ezimbanjeni, ikakhulukazi ohlangothini lwesobunxele, obungaphutha ngobuhlungu benhliziyo noma i-angina. Isexwayiso: noma iyiphi i-intercostal neuralgia kufanele ibhekwe njengobuhlungu benhliziyo kuze kufakazelwe ngenye indlela.
• Ukuba ndindawonye kanye / noma ukuncinza.
• Ubuhlungu besisu.
• Ukuphelelwa isifiso sokudla.
• Imfiva.
• Ubuhlungu ezingalweni kanye / noma emahlombe. Ubuhlungu ohlangothini lwesobunxele lwehlangothini lengalo nengalo kuvame ukuphutha ngobuhlungu benhliziyo noma i-angina.

Izimpawu ezimbi kakhulu, okufanele zikuholele ekufoneleni isikhungo se-SAMU 15, yilezi:

• Ukucindezela kwesifuba noma ukuzwa ukudabuka esifubeni.
• Ukukhwehlela okuphikelelayo okunamafinyila.
• Inhliziyo ishaya ngamandla.
• Ubunzima bokuphefumula.
• Ubuhlungu besisu obukhali.
• Ukudideka, isiyezi, noma izinga eliphansi lokwazi.
• Ukukhubazeka kanye nokudleka kwemisipha.

Izinkinga zingabandakanya ubuhlungu besifuba obungapheli, ukwehla kokunyakaza, inyumoniya, noma ukwehluleka kokuphefumula.

Izici zengozi

Kunezici ezithile zobungozi ezinjengalezi:

• Ukutheleleka ngegciwane le-varicella zoster. Leli gciwane lingasebenza ngemuva kweminyaka engama-60.
• Ukubamba iqhaza ekusheshiseni noma ekuthintaneni nemisebenzi yezemidlalo efana nokushushuluza, ukushibilika eqhweni kanye nebhola.
• Ukuhlukumezeka okubangelwe yingozi yomgwaqo okuholele ekulimaleni ezimbanjeni nasezinhlakeni ze-intercostal.

Prevention

Ukuvimbela kuhilela ukunciphisa izinto ezinobungozi, ngokwesibonelo ngokugomela ingxibongo kanye ne-herpes zoster, ngokusebenzisa ukushayela okuphephile ukuze ugweme ingozi. Amadivayisi wokuvikela angasiza ukuvimbela i-intercostal neuralgia. Lokhu kufaka ukugqoka isigqoko sokuzivikela noma ukusebenzisa okokugwedla lapho ubamba iqhaza kwezemidlalo. Ukuzifudumeza nakho kuyanconywa ngaphambi kokuzijwayeza umdlalo.

Ungayelapha kanjani i-intercostal neuralgia?

Lapho nje zonke ezinye izimbangela eziphuthumayo nezibi ze-intercostal neuralgia sezisusiwe, udokotela wakho uzophakamisa, ngokuya ngezinga lobuhlungu, ama-analgesics alula njenge-paracetamol noma imishanguzo elwa nokuvuvukala uma kuqedwa imvelaphi ethathelanayo. Okwesibili, ukwelashwa kwembangela kubalulekile, i-osteoarthritis, ukunyakaza okungelona iqiniso, ukuvuvukala Uma lezi zindlela zokwelapha zinganele, kuhle ukubonisana nodokotela onguchwepheshe wezinhlungu noma udokotela wezinzwa onganikela njengokuzikhethela:

• Imithi efana naleyo esetshenziselwa ubuhlungu be-neuropathic (isb. Ukhilimu we-capsaicin-based) isiza ukudambisa izinhlungu ezihambisana ne-intercostal neuralgia, njengoba kwenza nemithi engeyona i-steroidal anti-inflammatory (isib ibuprofen) noma imishanguzo elwa nokucindezela esiza ukudambisa ubuhlungu bezinzwa.
• Ukwelashwa kwe-Radiofrequency.
• I-anesthetic yendawo noma i-corticosteroid inganikezwa ku-nerve ethintekile. I-Corticosteroids isiza ukunciphisa ubungozi be-postherpetic neuralgia.
• Ama-antihistamine asetshenziselwa ukuqeda ukulunywa.
• Imithi elwa namagciwane inciphisa ubunzima nobude bezimpawu.
• Ama-anticonvulsants.

Izindlela ezihambisanayo

Ezinye izindlela zokwelapha i-intercostal neuralgia zingahambisana nokwelashwa okuvamile futhi zibandakanye ukusikhipha umzimba, ukwelashwa okuphumuzayo, ukukhipha i-acupuncture ne-yoga. Abukho ubufakazi bezokwelapha obushicilelwe okwamanje, kodwa kuyaqashelwa ukuthi noma iyiphi inqubo ehlose ukukhulula imisipha ye-intercostal ingaba nomphumela omuhle.