Intercostal neuralgia kurwadziwa kwechipfuva munzvimbo ye intercostal nerve. Inokonzerwa nekumanikidzwa kweimwe ye24 nerves iri pakati pembabvu uye intercostal muscles, pamwero wembabvu cage.

Tsanangudzo ye intercostal neuralgia

Intercostal neuralgia inoratidzwa nekurwadziwa muchipfuva kunokonzerwa nekuzvimba kana kukanganisa kune intercostal nerve, kureva, tsinga inotangira kubva pamudzi wepelinha uye iri pakati pembabvu.

Zvikonzero zve intercostal neuralgia

Intercostal neuralgia inogona kukonzerwa nemamiriro akasiyana-siyana akadai sehutachiona, kuzvimba, kukuvara pachipfuva kana mbabvu, kana kuvhiyiwa kunzvimbo yechipfuva. Semuenzaniso, kuvhiya kubviswa kweitsvo kunogona kukuvadza intercostal nerves.

Pane zvimwe zvikonzero zvakadai se:

• mbabvu yakatsemuka kana kutyoka kubva mukushungurudzika.
• Kuderera kwe intercostal nerves.
• Spinal osteoarthritis inokonzera kuzvimba kwetsinga.
• Kubvisa mudumbu.
• Kubata pamuviri, izvo zvinokonzera kuwedzera kwembabvu.
• Utachiona hwakadai seshingles (posttherpetic neuralgia inokonzerwa neshingles).
• Bundu rakashata kana rakashata muchipfuva kana mudumbu rinotsikirira pa intercostal nerves.
• Maronda eganda, tsandanyama uye ligament akatenderedza vertebrae.
• Post-thoracotomy kurwadziwa (mushure mekuvhiyiwa kuchekwa kwemadziro echipfuva).
• Intercostal neuritis (marwadzo ainzwika muchipfuva).

Mukurwadziwa kwakanyanya, kuzvimba kunoonekwa nekuwedzera kugadzirwa kwe cytokines (mamorekuru ekuzvimba) anoburitswa kubva munyama yakakuvadzwa. Muchiitiko chekurwadziwa kusingaperi kunoonekwa mu intercostal neuralgia, nzira dzinokonzera marwadzo dzichiri kunyatsonzwisiswa.

Ndiani anonyanya kubatwa?

Vanhu vanoita zvemitambo yepamusoro vanowanzotambura neintercostal neuralgia.

Kuongororwa kwe intercostal neuralgia

Kuongororwa kunoitwa nekushandisa:

• kuongororwa kwakadzama kwetsinga kwakaitwa kuona chikonzero chemarwadzo,
• mubvunzo wemarwadzo,
• x-ray bvunzo dzakadai sechipfuva x-ray kana MRI uye
• kubvunzurudza ne pulmonologist kuti aone kana pane hutachiona kana kwete.

Kazhinji, kumashure uye kuongororwa kwetsinga zvakakwana kuti chiremba aite chirwere.

Ziva intercostal neuralgia

Chiratidzo chikuru che intercostal neuralgia kurwadziwa munzvimbo yechipfuva. Marwadzo aya anoenderana neintercostal neuralgia anogona kunge ari maviri, sekubaya. Marwadzo ari mukati uye akatenderedza nzvimbo yechipfuva kune rumwe rutivi uye anogona kupenya kubva kumashure kuenda kumberi kwechipfuva. Dzimwe nguva marwadzo anonzwa zvakafanana pamwe chete nehurefu hwembabvu. Mune zvimwe zviitiko, kurwadziwa kunoonekwa nekufema, kuseka, kana kuhotsira. Marwadzo anowedzera nekuedza.

Zvimwe zviratidzo

• Kurwadza kwembabvu, kunyanya kuruboshwe, izvo zvinogona kukanganisa nekurwadziwa kwemoyo kana angina. Yambiro: chero intercostal neuralgia inofanira kutorwa sekurwadziwa kwemoyo kusvika zvaratidzwa neimwe nzira.
• Chiveve uye / kana kurira.
• Marwadzo emudumbu.
• Kupererwa nechido.
• Kupindwa nechando.
• Marwadzo mumaoko uye / kana mapfudzi. Marwadzo ari kuruboshwe rwebendekete uye ruoko rwejoinhi kazhinji anokanganisa kurwadziwa kwemoyo kana angina.

Zviratidzo zvakakomba, izvo zvinofanirwa kukutungamirira kudana SAMU centre 15, ndezvi:

• Chest pressure kana kunzwa kudambuka muchipfuva.
• Chikosoro chinoramba chine machuru.
• Mwoyo palpitations.
• Kufema matambudziko.
• Kurwadza kwemudumbu kwakapinza.
• Kuvhiringidzika, dzungu, kana kuderera kwekuziva.
• Kuora mitezo uye atrophy yemamhasuru.

Zvinetso zvinogona kusanganisira kurwadziwa kwechipfuva kusingaperi, kuderera kwekufamba, mabayo, kana kutadza kufema.

Zvinhu zvinotyisa

Pane zvimwe zvengozi zvakadai se:

• Kubatwa nevaricella zoster virus. Hutachiona uhu hunogona kutangazve mushure memakore makumi matanhatu.
• Kutora chikamu mukumhanya kana kubata zviitiko zvemitambo zvakaita seskiing, snowboarding uye nhabvu.
• Kushungurudzika kunokonzerwa netsaona yemumugwagwa inokonzera kukuvara kwembabvu uye intercostal nerves.

dziviriro

Kudzivirira kunosanganisira kudzikisa njodzi, semuenzaniso nekubaiwa nhomba yehuku uye herpes zoster, nekutora kutyaira kwakachengetedzeka kuitira kudzivirira tsaona. Midziyo inodzivirira inogona kubatsira kudzivirira intercostal neuralgia. Izvi zvinosanganisira kupfeka ngowani kana kushandisa padding paunenge uchitora chikamu mumitambo yekusangana. Kudziya kunokurudzirwa zvakare usati wadzidzira mutambo.

Nzira yekurapa intercostal neuralgia?

Kana zvimwe zvose zvinokurumidzira uye zvakakomba zvinokonzera intercostal neuralgia zvabviswa, chiremba wako acharatidza, zvichienderana nehuwandu hwemarwadzo, analgesics akareruka akadai separacetamol kana anti-inflammatory drugs kana chibviro chinotapukira chikabviswa. Chechipiri, kurapwa kwechikonzero kwakakosha, osteoarthritis, kufamba kwenhema, kuzvimba Kana marapirwo aya asina kukwana, zvakanaka kubvunza chiremba anorapa marwadzo kana chiremba wetsinga anogona kupa sechisarudzo:

• Mishonga yakaita seiya inoshandiswa mukurwadziwa neuropathic (eg capsaicin-based cream) inobatsira kubvisa marwadzo anoenderana neintercostal neuralgia, sezvinoita non-steroidal anti-inflammatory drugs (eg ibuprofen) kana antidepressant mishonga inobatsira kudzikamisa marwadzo etsinga.
• Radiofrequency kurapwa.
• A anesthetic yemunharaunda kana corticosteroid inogona kupihwa kune yakabatwa tsinga. Corticosteroids inobatsira kuderedza njodzi ye postherpetic neuralgia.
• Antihistamines inoshandiswa kubvisa kuputika.
• Antiviral mishonga inoderedza kuoma uye nguva yezviratidzo.
• Anticonvulsants.

Nzira dzekuwedzera

Mamwe marapirwo eintercostal neuralgia anogona kuperekedzwa nemishonga yakajairika uye anosanganisira masaja, kuzorora kurapa, acupuncture, uye yoga. Hapana humbowo hwekurapa huri kuburitswa parizvino, zvakadaro zvinozivikanwa kuti chero nzira yakanangana nekuzorodza intercostal tsandanyama inogona kuva nemhedzisiro inobatsira.