ʻO ka neuralgia Thoracic he maʻi koʻikoʻi akā maikaʻi ka maʻi pinepine. Eia naʻe, hiki i nā poʻe he nui ke huikau i kēia maʻi me nā ʻeha puʻuwai weliweli e alakaʻi i nā hopena hiki ʻole ke hoʻololi. ʻAʻole paʻakikī loa ka hoʻokaʻawale ʻana i nā maʻi puʻuwai weliweli mai nā neuralgia intercostal maʻamau.
Ke manaʻo nei i ka ʻeha nui ma ka ʻāpana thoracic, ʻōlelo ʻia e lawe i kahi hanu hohonu maikaʻi, a laila neʻe. Me ka neuralgia o ka umauma, e emi ana ka ʻeha a i ʻole ka hoʻoikaika ʻana. Inā ʻaʻole ia e hoʻololi i kona ʻano, hiki iā mākou ke kamaʻilio e pili ana i nā hewa o ka pulse a i ʻole ke koko. Pono e hoʻomanaʻo ʻia e wehe maʻalahi nā ʻeha puʻuwai āpau me ka nitroglycerin maʻamau.
ʻO ka neuralgia o ka umauma ka hōʻailona nui, ka mea i kapa ʻia ʻo ka ʻeha neuropathic, ka mea i hoʻokumu ʻia e nā pilikia i loko o ka ʻōnaehana nerve a i ʻole kekahi pōʻino. ʻO ia ka mea, i ka maʻi maʻi, lilo i kumu nui no ka hoʻokaʻawale ʻana i ka neuralgia a i ʻole ka maʻi puʻuwai. ʻOkoʻa ke ʻano o ka ʻeha neuropathic mai ka ʻeha cardiac.
Nā kumu o ka neuralgia o ka umauma
Hoʻokumu ʻia ka neuralgia o ka umauma ma muli o ke kaomi ʻana a i ʻole ka huhū nui o kekahi mau aʻalolo intercostal. Ma ke ʻano, hiki ke ʻeha a ʻeha paha, ʻeha a wela paha, mau a episodic paha. ʻOi aku ka ʻino me ka liʻiliʻi o ka hana, e like me ka ʻu ʻana a me ke kihe ʻana, ka neʻe koke ʻana o ke kino, a i ʻole ka wili maʻalahi o ke kino. I ka palpation o nā ʻāpana kikoʻī o ke kino – ma ka umauma o ka mea maʻi a i ʻole ka iwi kuamoʻo, ma kahi o uXNUMXbuXNUMXb nā iwi ʻaoʻao, ʻike kekahi kanaka i ka ʻeha.
Ma muli o kahi ʻāpana ʻeha o ke aʻalolo ma kekahi wahi o ke kino, ʻeha ka mea maʻi. I kekahi poʻe maʻi, piʻi nui ka ʻeha i ka wā e hanu ai a, ʻoiaʻiʻo hoʻi, i ka wā e hoʻoulu ai, a i ka wā o ka hoʻouka ʻana iā ia iho ua aneane hiki ʻole ke hanu ma muli o ka ʻeha. I ka manawa like, ʻo kahi hoʻonui liʻiliʻi o ka umauma e pane me ka ʻeha ʻeha i ke kaʻina o ka inhalation.
Loaʻa ka ʻeha ma muli o ke kuʻi ʻana o nā aʻalolo aia ma waena o nā iwi ʻaoʻao. Me ka neuralgia o ka umauma, ʻeha nui, ʻo ia ka hōʻailona nui o ka maʻi, kaohi i ka hanu. Ua hōʻoia ka poʻe akamai i kēia ma muli o ka deformation o ka intercostal space. ʻO nā kumu o kēia he hernia, hoʻololi i nā maʻi infectious a i ʻole ka pā ʻana ma ka ʻāpana o ka umauma.
ʻO ka wahi nui o ka localization o ka ʻeha ka wahi intercostal. Akā, hiki mai ka pilikia ma ke kua, ma ka ʻāpana lumbar a ma lalo o ka ʻāʻī poʻohiwi. ua kapa ʻia kēia hōʻailona ma ke ʻano he ʻeha "i kuhikuhi ʻia", ʻaʻole ia e hōʻike i ke kumu maoli o ka ʻeha aʻalolo. ʻO ka maʻamau, ʻo ka ʻeha nui o ka umauma he shingles. ʻIke ʻia ia ma nā wahi intercostal maʻamau a i ʻole ma ka ʻaoʻao hema a ʻākau paha o ka umauma.
ʻO ka hoʻonāukiuki ʻana a i ʻole ka paʻi ʻana o nā aʻalolo intercostal ke kumu o kekahi mau hōʻailona maikaʻi ʻole. ʻO ka ʻeha ponoʻī i loko o kēia maʻi e hui pū ʻia me ke kuʻi ʻana a i ʻole ka ʻoki ʻokoʻa ʻana o kekahi mau ʻiʻo, ka wela nui, a he loli nui nō hoʻi i ka waihoʻoluʻu ʻili - ʻeleʻele maikaʻi ʻole a ʻulaʻula nui paha. Me ka neuralgia o ka umauma, numbness, a i ʻole, i nā huaʻōlelo ʻē aʻe, ka nalowale o ka manaʻo, hōʻike iā ia iho ma kahi kokoke o uXNUMXbuXNUMXb pōʻino i kahi aʻalolo.
ʻO ka mālama ʻana i kēia maʻi ʻoluʻolu ʻole, ma ke ʻano he kānāwai, ʻo ia ka mea nui i ka hoʻomaha ʻana i ka mumū a me ka hoʻomaha ʻeha. Hoʻomaʻamaʻa maikaʻi ʻia ʻo Thoracic neuralgia i kēia lā me ka hui pū ʻana o nā lāʻau lapaʻau, nā huaora a me ka massage kūikawā. I ka hihia inā he maʻi ke kumu kumu o ka neuralgia umauma, a laila pono e koho i ka mālama maikaʻi loa no kēia maʻi. I ke koho ʻana, ʻo ke kauka, ma waho aʻe o ka hoʻokolokolo ʻana, e hōʻiliʻili i nā ʻike āpau e pili ana i nā hahau, nā ʻeha a me nā maʻi infectious i hala o ka mea maʻi.
Inā pono, kauoha ʻia kahi pahu x-ray. Hiki i kahi loea ke ʻōlelo i ka lāʻau lapaʻau manual, a me ke kuhikuhi ʻana i ka lawe ʻana i nā huaora B. Hiki ke kuhikuhi ʻia kēlā mau huaora ma nā papa a me nā injections hou. Hoʻonohonoho ke kauka i ke koho ʻana i nā anti-inflammatory kūpono a me nā ʻeha ma muli o ke kūlana maʻamau o ke kanaka. ʻO ka hoʻomaha lōʻihi o ka ʻeha no kēlā me kēia maʻi ke kumu nui o ke kipa ʻana i kahi keʻena olakino.
ʻO ka mea nui ma hope o ka mālama ʻana i ka neuralgia umauma ka meaʻai kūpono, ka nele o ke kaumaha a me ka hoʻomaha kūpono. Mai poina e hiki wale i kahi loea koʻikoʻi ke hoʻokaʻawale pololei i kēia maʻi koʻikoʻi. ʻO ia ka mea, ma ke ʻano o kekahi mau ʻeha ʻeha, hiki iā ia ke haʻalele i nā maʻi o ka ʻōnaehana cardiovascular. ʻAʻole ʻae ka lāʻau lapaʻau i ka manawa kūpono i ke ʻano o nā pilikia like ʻole.