Mukati
Neuralgia, kana neuralgia, mamiriro ane chekuita nekukuvadzwa kwetsinga inotakura zvinokurudzira kuuropi. Inoperekedzwa nemarwadzo anouya kubva kunzvimbo iyo chiratidzo chetsinga chinobva. Imwe yacho inonzi intercostal neuralgia.
Chii chinonzi intercostal neuralgia?
Neuralgia chiitiko chinozviratidza mukurwadziwa kamwe kamwe uye kupisa. Dzimwe nguva ivo vanoperekedzwa nekurira uye kwenguva pfupi paresis. Izvo zvinokonzerwa nemaronda etsinga. Intercostal neuralgia, iyo inonziwo intercostal neuralgia, inokonzera kurwadziwa kwakanyanya muchipfuva, mbabvu, uye nzvimbo dze sternum. Dzinopenya kubva kune imwe kana yakawanda thoracic vertebrae munzira ye intercostal nerve kuburikidza ne intercostal space kusvika kune anterior midline yechipfuva.
Iyo mwaranzi maitiro eintercostal neuralgia yakanyanya kuchinjika munzvimbo dzepamusoro dzechipfuva uye yakawanda arched munzvimbo dzepasi. Isu tinosiyanisa pakati peunilateral uye bilateral intercostal neuralgia. Chikonzero chechirwere ndechekukuvadza kune intercostal nerves, iyo inokonzera, pakati pevamwe, nokuda kwekuchengetwa kwemukati we anterior intercostal area.
Zvikonzero zve intercostal neuralgia
Pane zvikonzero zvakawanda zvinokonzeresa intercostal neuralgia. Zvinonyanyozivikanwa ndezvi:
- kushayikwa kwevhitamini B,
- kuputsika uye kukuvara,
- kudzvinyirirwa pamitsipa inokonzerwa, pakati pevamwe kubva pakuzvimba kana kuchinja kwekenza,
- kushatirwa kwetsinga nekuda kwekukachidzwa kana kufamba kamwe kamwe
- kuchinja kwemusana kunokonzerwa nekumanikidzwa kwetsinga,
- shingles,
- systemic lupus erythematosus,
- RA - rheumatoid arthritis,
- zvirwere zvevascular nenzira ye nodular arteritis,
- osteoporosis,
- Hypothyroidism,
- scoliosis,
- discopathy,
- intercostal tsandanyama kuzvimba.
Vanhu vane zvirwere zvinopera zvakadai seshuga uye uremia vanotamburawo ne intercostal neuralgia. Chirwere ichi chinogona zvakare kukonzera kudzvanywa kweiyo intercostal tsinga uye zvimwe zvirwere senge chirwere cheLyme uye chinongedzo chenyama chirwere. Intercostal neuralagia inowanikwawo kune vanhu vanodhakwa nedoro, vane chepfu ne carbon monoxide kana lead. Vanhu vanoshandisa zvinodhaka, semuenzaniso kurapa tibhii, vanogonawo kutambura nazvo, dzimwe nguva zvichikonzera kukuvara kwetsinga dzinokonzerwa nemishonga.
Intercostal neuralgia dzimwe nguva chiratidzo chezvirwere zvinouraya. Kupwanya kurwadziwa kunopenya kushaya nemaoko kunogona kuva chiratidzo chekurwadziwa kwemoyo; uye kupinza, kubaya kurwadziwa shure kwepfupa rezamu, uye dzimwe nguva kupenya kumutsipa kana kuruboshwe, kunogona kuva chiratidzo che pericarditis. Imwe mhando yemarwadzo ndeyekubvarura muchipfuva kunopenya pakati pemapfudzi emafudzi - izvi zvinogona kuva chiratidzo cheaortic dissection.
Apo intercostal neuralgia inokonzera kurwadziwa kwakanyanya, kune rumwe rutivi uye kupenya pakati pemapfudzi emafudzi, iyo inova isina simba kana yakaiswa padivi rinorwadza, inogona kuva pleural pain. Intercostal neuralgia inogona kuva chiratidzo chepeptic ulcer chirwere uye gastroesophageal reflux - marwadzo asina kunaka, dzimwe nguva anoonekwa muchikamu chezasi chechipfuva, angaratidza chirwere chepeptic ulcer; uchipisa, dzimwe nguva kupwanya marwadzo munzvimbo ye sternum chiratidzo cheyambotaurwa reflux.
Intercostal neuralgia - zviratidzo
Varwere vanotsanangura intercostal neuralgia vanowanzotaura kuti yakasimba, inobaya, kupfura, kupisa uye dzimwe nguva kurwadziwa kunorwadza. Kuoma kwayo kunosiyana - dzimwe nguva kunongokonzera kusagadzikana kudiki, dzimwe nguva kurwadziwa kunodzivirira kushanda kwakajairika. Intercostal neuralgia inogona kuva chikonzero chekukuvara kumusana uye nzvimbo ye intercostal. Zvakakosha kuyeuka kuti haisi kurwadziwa kwese kwechipfuva kunofanira kuva intercostal neuralgia.
Kurapa kwe intercostal neuralgia
Kazhinji hazvidikanwi, nokuti intercostal neuralgia inogadzirisa pakarepo. Zvisinei, kana mamiriro acho adzoka, kurapwa ndekubvisa chikonzero chemarwadzo. Dzimwe nguva kurapwa kunodiwa kune marwadzo ari pasi anokonzera chirwere. Kana intercostal neuralgia iri padanho rayo rakaoma, inogona kurapwa nemishonga inoderedza kushushikana kwemhasuru.
Kana intercostal neuralgia ichinetsa zvakanyanya, murwere anogona kupihwa NSAIDs, paracetamol kana opioid analgesics, kana kurwadziwa kwakanyanya. Vanachiremba vanokurudzira kuti ushandisewo chero rudzi rwepainkiller kana chigamba chekudziya. Mameseji anodziya uye laser inosimudzira inobatsira zvakare. Intercostal neuralgia inobatwawo nemishonga inorwisa-epileptic yakadai segabapentin, carbamazepine, pregabalin uye tricyclic antidepressants.
Intercostal neuralgia yakabatana neshingles inogona kurapwa ne-low-dose glucocorticoids. Nzira dzisina kujairika dzemishonga yemishonga inogonawo kubatsira (black elderberry, chamomile, mint - Mint muchimiro chechando-yakaomeswa organic tii inogona kuwanikwa nemutengo wakanaka paMedonet Market). Kana chikonzero chekukuvara kwetsinga chikaonekwa, semuenzaniso muchimiro chebundu rinomanikidza tsinga, ipapo kurapwa kwekuvhiya kunoitwa.
Kune neuralgia, zvakakosha kushandisa Green tea kuzorora neremoni balm uye verbena mukuumbwa, nekuda kweiyo inoderedza kushushikana uye inoita kuti zvive nyore kurara. Duva reChamomile rinobatsirawo neuralgia, saka zvakakodzera kuinwa setii.
Kuti hurongwa hwetsinga hushande zvakanaka, hunofanirwa kunge huine mavitamin B. iontophoresis, kureva maitiro munharaunda ye physiotherapy inosanganisira kushandisa mushonga kunzvimbo yakakanganisika uye nekuimhanyisa kuburikidza nekuyerera kwakananga ikozvino. Ionoferase inoshandiswa kunyanya mukurapa kwehutano hwekuputika kwepfupa, mushure mekukuvara uye neuralgia.
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Mishonga yemumba ye intercostal neuralgia
Mushonga wemusha we intercostal neuralgia mushonga wemishonga. Mavhitamini nemishonga zvinounza zvikomborero zvikuru mukurwisana neuralgia, nekuda kweiyo tsinga dzakakuvadzwa dzinokurumidza kukurumidza. Mishonga, kana yakanyatsosarudzwa, ichasimbisa mhedzisiro yemarwadzo - willow bark, elderberry uye noble chamomile inowanzoshandiswa.
Kune neuralgia, unogona zvakare kushandisa iyo Vitammy Thermo 1x Electric Blanket, iyo inonyaradza marwadzo uye inovandudza mafungiro ako.
Chifuva neuralgia - kuongororwa
Kuongororwa kwe intercostal neuralgia kunosanganisira kuitisa bvunzo dzemuviri uye dzemuviri. Vanachiremba dzimwe nguva vanokurudzira miedzo yakawedzerwa apo marwadzo anonzwawo mubhokisi - kuvonga kwavari, kukanganiswa kwekoronary kana pulmonary edema inogona kubviswa. Mimwe miedzo inoshandiswa mukuongororwa kweintercostal neuralgia iEKG (electrocardiogram) uye X-ray (X-ray uye kutsunga kwehuwandu hwemwoyo tropins).
Kudzvinyirirwa kwetsinga midzi dzimwe nguva kusingaoneki. Kuti uzive kuti chii chaiitika, chiremba wako anogona kuraira MRI. Miedzo yakakosha mukuongororwa kwe costal neuralgia zvakare bvunzo dzechirwere cheshuga, chirwere cheLyme, kuverenga kweropa uye urinalysis. Zvisinei, kusati kwatanga kurapwa kwekurapa, zvakakosha kunyatsoona zvikonzero zvekutambudzika. Chiremba wako anogona kukupa intravenous lidocaine uye maopioid kuti uderedze marwadzo.
Munhu ane chest neuralgia haafaniri kurovedza muviri zvakanyanya. Vanachiremba vanokurudzira kuti usiye kunwa doro uye kushandisa zvimwe zvinodhaka. Kuti asunungure musana, murwere anogona kupfeka collar kana orthopedic corset. Zvisinei, zvakakosha kuyeuka kuti nzira dzataurwa pamusoro apa dzekutarisana nemarwadzo anokonzerwa ne intercostal neuralgia dzingasaunza chigumisiro chinotarisirwa kana chikonzero chechirwere chiri bundu kana kukuvara kwetsinga - munyaya iyi kuvhiyiwa kuchadiwa.
Neuralgia yemuzongoza
Spinal neuralgia chirwere chinowanzoitika. Neuropathic kurwadziwa kunomuka mutsinga. Kana tsinga dzichishanda nemazvo, dzinotumira zviratidzo zvinorwadza kuburikidza nemuzongoza kuenda kuuropi. Zvisinei, semugumisiro wekukuvadza kwehutano hwemagetsi, vanogona kutanga kutumira ruzivo rwenhema pamusoro pemarwadzo. Chirwere ichi chinonetsa, chinoita kuti zviome kurara uye hazvigone kurapwa nemishonga yakajairika.
Neuralgia yemuzongoza inogona kukonzerwa ne discopathy, iyo inorwadza shure iyo inonyanya kukanganisa mutsipa uye chiuno; kana marwadzo ekumusana achiperekedzwa nekurwadziwa kwepamusoro, zvinogona kuva chiratidzo cheArthritis. Spinal neuralgia inowanzobatanidza kuvharirwa kwekunzwa kwepamusoro gluteal nerve uye inokonzerwa, pakati pevamwe, nekunyanya kudzvinyirira mumasuru emusana.
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