ʻO ka neuralgia intercostal ka ʻeha o ka umauma ma kahi o nā aʻalolo intercostal. Ma muli o ke kaomi ʻana o kekahi o nā aʻalolo he 24 ma waena o nā iwi ʻaoʻao a me nā ʻiʻo intercostal, ma ke kiʻekiʻe o ka iwi ʻaoʻao.

Ka wehewehe o ka neuralgia intercostal

Hōʻike ʻia ka neuralgia intercostal e ka ʻeha i loko o ka umauma i hana ʻia e ka mumū a i ʻole ka pōʻino o ke aʻalolo intercostal, ʻo ia hoʻi, he aʻalolo i puka mai ke aʻa i loko o ke kuamoʻo a aia ma waena o nā iwi ʻaoʻao.

ʻO nā kumu o ka neuralgia intercostal

Hiki ke hoʻokumu ʻia ka neuralgia intercostal e nā maʻi like ʻole e like me ka maʻi, ka mumū, ka ʻeha i ka umauma a i ʻole nā ​​iwi ʻaoʻao, a i ʻole ke ʻoki ʻana i ka ʻāpana o ka umauma. No ka laʻana, hiki i ka wehe ʻana o ke kīkī ke hōʻino i nā aʻalolo intercostal.

Aia nā kumu ʻē aʻe e like me:

• ʻaoʻao ʻaoʻao ʻaoʻao ʻaoʻao nahā a haki paha mai ka ʻeha.
• ʻO ka degeneration o nā aʻalolo intercostal.
• ʻO ka osteoarthritis spinal ka mea e hoʻonā ai i ke aʻalolo.
• Kuhi ʻōpū.
• ʻO ka hāpai ʻana, ka mea e hoʻonui ai i ka iwi ʻaoʻao.
• ʻO kahi maʻi e like me ka shingles (postherpetic neuralgia i hana ʻia e ka shingles).
• ʻO kahi maʻi maʻi ʻino a i ʻole ma ka umauma a i ʻole ka ʻōpū e kaomi ana i nā aʻalolo intercostal.
• ʻO ka ʻili, ka ʻiʻo a me ka ligament a puni ka vertebrae.
• ʻEha post-thoracotomy (ma hope o ka ʻoki ʻana i ka paia o ka umauma).
• Intercostal neuritis (ʻeha i loko o ka umauma).

I ka ʻeha nui, ʻike ʻia ka mumū me ka hoʻonui ʻana i ka hana o nā cytokines (molele o ka mumū) i hoʻokuʻu ʻia mai ka ʻiʻo ʻeha. I ka hihia o ka ʻeha mau loa i ʻike ʻia i ka neuralgia intercostal, ʻaʻole maopopo ka ʻano o ka ʻeha.

ʻO wai ka mea i hoʻopilikia loa ʻia?

ʻO ka poʻe e hana i nā haʻuki kiʻekiʻe e loaʻa i ka neuralgia intercostal.

ʻO ka hōʻailona o ka neuralgia intercostal

Hana ʻia ka diagnostic me ka hoʻohana ʻana i:

• kahi hōʻike neurological kikoʻī i hana ʻia e ʻike i ke kumu o ka ʻeha,
• he ninau berena,
• nā hoʻokolohua x-ray e like me ka x-ray umauma a i ʻole MRI a
• he kūkākūkā me ka pulmonologist e hoʻoholo inā he maʻi a ʻaʻole paha.

Ma keʻano laulā, lawa ke kāʻei kua a me ka hoʻokolokolo neurological no ke kauka e hana i kahi hōʻailona.

E ʻike i ka neuralgia intercostal

ʻO ka hōʻailona nui o ka neuralgia intercostal ka ʻeha ma ka ʻāpana o ka umauma. ʻO kēia ʻeha e pili ana me ka neuralgia intercostal hiki ke bilateral, e like me ke kī ʻana. Aia ka ʻeha i loko a puni ka ʻaoʻao o ka umauma ma kēlā ʻaoʻao kēia ʻaoʻao a hiki ke hoʻomālamalama mai ke kua a i mua o ka umauma. I kekahi manawa ua like ka ʻeha ma ka lōʻihi o nā iwi ʻaoʻao. I nā hihia ʻē aʻe, ʻike ʻia ka ʻeha me ka hanu ʻana, ʻakaʻaka, a i ʻole ke ʻoki ʻana. Piʻi ka ʻeha me ka hoʻoikaika.

ʻO nā hōʻailona ʻē aʻe

• ʻO ka ʻeha ma ka ʻaoʻao ʻaoʻao, ʻoi loa ma ka ʻaoʻao hema, hiki ke kuhihewa ʻia ʻo ka ʻeha puʻuwai a i ʻole ka angina. 'Ōlelo Aʻo: pono e noʻonoʻo ʻia kekahi neuralgia intercostal e ʻeha puʻuwai a hiki i ka hōʻoia ʻana ʻē aʻe.
• ʻO ka helu a me / a i ʻole ke kani ʻana.
• Abdominal eha.
• Loaʻa ka ʻai ʻole.
• Fiva.
• ʻEha ma nā lima a me / a i ʻole nā ​​poʻohiwi. ʻO ka ʻeha ma ka ʻaoʻao hema o ka poʻohiwi a me ka hui lima e kuhi pinepine ʻia no ka ʻeha puʻuwai a i ʻole ka angina.

ʻO nā hōʻailona koʻikoʻi loa, e alakaʻi iā ʻoe e kāhea i ke kikowaena SAMU 15, ʻo ia:

• ʻO ke kaumaha o ka umauma a i ʻole ka ʻeha o ka umauma.
• ʻO ka ʻuʻu mau me ka ʻūhū.
• Palpitations puʻuwai.
• Nā pilikia paʻakikī.
• ʻEha ʻōpū ʻoi.
• ʻO ka huikau, ka noʻonoʻo, a i ʻole ka haʻahaʻa o ka ʻike.
• ʻO ka lolo a me ka atrophy o nā ʻiʻo.

Hiki i nā pilikia ke komo i ka ʻeha umauma mau, ka emi ʻana o ka neʻe ʻana, ka maʻi maʻi, a i ʻole ka hanu ʻana.

Nā mea pilikino

Aia kekahi mau mea pilikia e like me:

• ʻO ka maʻi me ka maʻi varicella zoster. Hiki i kēia maʻi ke hoʻāla hou ma hope o ke 60 makahiki.
• ʻO ke komo ʻana i ka wikiwiki a i ʻole ka hoʻopili ʻana i nā hana haʻuki e like me ka skiing, snowboarding a me ka pôpeku.
• He ʻeha i hana ʻia e kahi ulia kaʻa i hōʻeha ʻia i nā iwi ʻaoʻao a me nā aʻalolo intercostal.

Kāohi

ʻO ka pale ʻana e pili ana i ka hōʻemi ʻana i nā mea pilikia, no ka laʻana ma ka hoʻopaʻa ʻana i ka moa a me ka herpes zoster, ma ka hoʻohana ʻana i ke kaʻa kaʻa palekana i mea e pale aku ai i kahi pōʻino. Hiki i nā mea pale ke pale i ka neuralgia intercostal. ʻO kēia ke komo ʻana i ka mahiole a i ʻole ka hoʻohana ʻana i ka padding i ka wā e komo ai i nā haʻuki pili. Hoʻomaʻamaʻa pū ʻia ka hoʻomaʻamaʻa ma mua o ka hoʻomaʻamaʻa ʻana i kahi haʻuki.

Pehea e mālama ai i ka neuralgia intercostal?

Ke hoʻopau ʻia nā kumu koʻikoʻi a me nā kumu koʻikoʻi o ka neuralgia intercostal, e ʻōlelo aku kāu kauka, ma muli o ke kiʻekiʻe o ka ʻeha, nā analgesics maʻalahi e like me ka paracetamol a i ʻole nā ​​​​lāʻau anti-inflammatory inā hoʻopau ʻia kahi kumu maʻi. ʻO ka lua, he mea koʻikoʻi ka mālama ʻana i ke kumu, ʻo ka osteoarthritis, ka neʻe wahaheʻe, ka ʻāʻī Inā ʻaʻole lawa kēia mau lapaʻau, maikaʻi e nīnau i ke kauka loea i ka ʻeha a i ʻole ka neurologist hiki ke hāʻawi i kahi koho:

• ʻO nā lāʻau lapaʻau e like me nā lāʻau i hoʻohana ʻia i ka ʻeha neuropathic (e laʻa me ka capsaicin-based cream) kōkua i ka hoʻopau ʻana i ka ʻeha e pili ana i ka neuralgia intercostal, e like me nā lāʻau anti-inflammatory non-steroidal (eg ibuprofen) a i ʻole nā ​​lāʻau antidepressant e kōkua i ka hoʻomaha ʻana i ka ʻeha aʻalolo.
• Lapaʻau radiofrequency.
• Hiki ke hāʻawi ʻia kahi anesthetic kūloko a i ʻole corticosteroid i ke aʻalolo i hoʻopilikia ʻia. Kōkua nā Corticosteroids e hōʻemi i ka hopena o ka neuralgia postherpetic.
• Hoʻohana ʻia nā antihistamines e hoʻopau i ka ʻeha.
• Hoʻemi nā lāʻau antiviral i ka paʻakikī a me ka lōʻihi o nā hōʻailona.
• Nā Anticonvulsants.

Nā hoʻokokoke ʻana

Hiki i nā lāʻau lapaʻau ʻē aʻe no ka neuralgia intercostal ke hele pū me nā lāʻau lapaʻau maʻamau a me ka lomilomi, hoʻomaha hoʻomaha, acupuncture, a me yoga. ʻAʻole paʻi ʻia kahi hōʻike olakino i kēia manawa, akā naʻe, ʻike ʻia ʻo kēlā me kēia ʻano hana e hoʻomaha ai i nā ʻiʻo intercostal hiki ke loaʻa ka hopena maikaʻi.