Neuralgia thoracic. Ukwelashwa nokuvikelwa neuralgia thoracic. Neuralgia: Izimbangela, Izimpawu

Lapho kungazelelwe ubuhlungu obuhlabayo lihlaba esifubeni, iningi labo abaphethwe nakanjani elikucabangayo ngaye ngesikhathi esisodwa yinhliziyo. Nokho, ngokushesha ukulungiselela babi akudingekile. Ezimweni eziningi, lokhu intercostal neuralgia thoracic. Kuyinto ingozi njengoba ngemuva kokuhlaselwa yisifo senhliziyo, kodwa kakhulu, kubuhlungu. Uma akubekezelele phakade off kudokotela wezifo ukuqeda lesi sifo akunzima kangako.

definition

Igama elithi "neuralgia" livela ngesiGreki. Namangqamuzana ezinzwa kusho "nerve" futhi algos - ". Ubuhlungu" Neuralgia yomgogodla thoracic - reflex ubuhlungu syndrome, kuyashaqisa, nemvelo ukuvuvukala noma compressive, esukela kokucindezelwa noma ukuluma kwesikhumba ka umgogodla emsipheni izimpande.

zokugula Izimbangela

Ngokuqinisekile wonke umuntu uyazi ukuthi umuntu usenemigqa nambili lwezimbambo, futhi izinzwa ngamunye intercostal sihamba. Ngakho umthelela phezu kwakhe ingqondo ubuhlungu Amazing Ukhuthaza emagatsheni futhi isiqu.

Imbangela kokucindezelwa noma ukuluma kwesikhumba we izinzwa izenzo ukusonteka intercostal izikhala imbangela okungathi yamuva noma idluliselwe ukulimala zokugcina, isifo sokukhubazeka komgogodla (ugobile, ukhwaliti ubuhlungu emuva, umbhunu disk intervertebral), umphumela ubuthi webhaktheriya, izinsimbi ezisindayo, kunemithi noma amaphilisi owaphuzayo, izifo ezithile zesimiso sezinzwa (polyradiculoneuritis ehlakazekile sclerosis), isifo (isifo sofuba, Umkhuhlane), njengemithi yokungezwani komzimba nokuthile, kwehle amasosha omzimba.

Neuralgia thoracic zingaphinda zivele ngenxa pathologies zenhliziyo (isifo sokuqina kwemithambo yegazi, umfutho ophakeme wegazi, isifo sokulahlekelwa igazi) ngenxa enganele-mpilo ukugeleza impumuzo. Avuse isifo ikani ukuvuvukala nemisipha futhi kwenza amalunga omzimba yomgogodla, izinguquko ezihlobene ukuphazamiseka kwama-hormone kwabesifazane ngesikhathi menopause, imali nosawoti kabuhlungu emgogodleni.

Ngokuvamile neuralgia thoracic is phetho ngokusebenzisa kabi utshwala, isifo sikashukela, hypothermia, ukuntuleka kwamavithamini B-iqembu emzimbeni, okuyinto sivame ukuba khona kolwelwesi, nesifo, izilonda esiswini, isifo sokusha kwesibindi kohlobo (ukuthi lezi zifo umzimba e nerve izicubu abathintekayo kwasekuqaleni). Ukuthuthukiswa lesi sifo kungenzeka emva ukudluliswa herpes izifo, yezifo kwezitho zangaphakathi, le thoracic aorta useshonile.

Nokho, ezivame kakhulu imbangela intercostal neuralgia, yini izingxenye bonke ochwepheshe - kuyinto acute imisipha spasm, kwabangela, isibonelo, kwenzeka ushintsho ngeshwa noma ukunyakaza sezimiso abukhali yomzimba, ukuhlala isikhathi eside endaweni efanayo noma okusalungiswa, elele esimweni esiyinkinga, engavamile ukuvivinya umzimba ku yomgogodla. Kufanele kuphawulwe ukuthi asebekhulile neuralgia thoracic kwenzeka ku-oda izikhathi ezingaphezu abasha.

Ngakho, njengoba cishe kakade siqonde umnyombo zezifo eziningi, futhi eqinisweni siye ohlwini akuyona uhlu oluphelele. Kuphela ngaphansi kwethonya iyiphi olulodwa isici intercostal neuralgia kukalutshwana kakhulu, ngokuvamile okuhilela izifo eziningana. Ngakho-ke, ukucacisa lapho igcina isifo esisodwa nomunye iqala, futhi ngezinye izikhathi awukwazi ngisho kudokotela onolwazi oluthé.

thoracic emgogodleni neuralgia: Izimpawu

Isici esiyinhloko we zokugula - ubuhlungu izimbambo. Kungaba ahlukene: abukhali, evutha, bezwe izinhlungu, zomile, futhi episodic noma njalo. Soreness kuvame okuthuthukiswa yimuphi umsebenzi, kwenta sibonelo, ngekuletsa sneezing, ukukhwehlela, ukunyakaza komzimba ngesikhathi esindayo ngisho ushintsho kancane endaweni umzimba. Futhi, kukhona ubuhlungu ku palpation ezindaweni ezithile: izindawo kanye yezinyoni ubambo nomgogodla, phakathi izimbambo.

Isikhathi esining impela, ukungakhululeki iyakhula ngesikhathi umoya / ephefumula, ukuphefumula kuba nzima ukuze ngisho ukunwetshwa elincane ngesikhathi inspiratory thoracic iyaphendula ubuhlungu obuhlabayo.

Izimpawu thoracic neuralgia kumele kube esihlukile kwezinye izimpawu, ukubona lesi sifo endaweni yokuqala endaweni ubuhlungu kwasendaweni. ubuhlungu Okokuqala wazizwa endaweni izimbambo (ezikhaleni intercostal), kodwa kungase futhi kumelwe kugujwe, isibonelo emhlane, ngesikhathi isiphanga, esifundeni lumbar. Imizwa enjalo okukhulunywa akubonisi umthombo oluvumelekile ukulimala kwenzwa. Ngokuvamile, ubuhlungu esifubeni has zoster uhlamvu: kungathatha indawo kuphela ngakwesokudla noma kuphela uhhafu kwesokunxele lokhu ingxenye yomzimba kanye emaphethelweni.

Neuralgia izimpawu thoracic ingaba nezinye. Ngokwesibonelo, ubuhlungu ngokuvamile kuhambisana Twitch abahlukene (ukunciphisa) imisipha ngazinye, isikhumba ukushintsha kombala (pallor okungenampilo, Ngakolunye uhlangothi, ububomvu), ukujuluka okukhulu. Esikhathini indawo umonakalo ngqo ezinzwa izingxenye kungase kudambise isikhumba, isb ulahlekelwe ukuzwela.

Ukwahlukana kusuka izifo nge nezimpawu ezifanayo

Ubuhlungu esifubeni singenzeka hhayi kuphela lapho zokugula ezifana thoracic neuralgia. Izimpawu bemvelo ezifanayo futhi avele ezinye izifo izitsha inhliziyo negazi. Ukuze wenze ithole ukuxilongwa okufanele, kubalulekile ukukhomba izici ukungakhululeki, ngoba ubuhlungu lihlukile. Ngakho, lapho i-neuralgia intercostal ngokuvamile samanje ngokuqhubekayo isikhathi eside, okuthuthukiswa zonke ukunyakaza komzimba futhi ayikwazi ukususwa noma iyiphi imithi. A pathologies inhliziyo nobuhlungu libhekene imvamisa, esifushane futhi kungenzeka ukuyiveza ehlukahlukene yokukhumbula imithi (isib nitroglycerin). Njengoba ubuhlungu esinjalo iyakhula lapho umzimba iphendula.

Ukwelashwa nokuvikelwa neuralgia thoracic

Kahle ukuthola imbangela ubuhlungu obukhulu esifubeni ngokwakho cishe ngeke ukwazi, ngakho-ke, ukuba bahlanganyele self-ukuxilongwa kanye ukuzinyeza medicate, ke akuvumelekile. Ngaphandle kokuchitha isikhathi, ubheke kudokotela oyisazi sezinzwa ngezindleko - wayengumuntu kuphela ngesisekelo inhlolovo uzokwazi ukusungula i ukusazi ngokunembile isifo esikuphethe futhi ukwelashwa okufanele kuye imbangela ukubonakaliswa isifo. Ngokwesibonelo, uma neuralgia thoracic iphutha ngenxa yokwephula Izinzwa izimpande, kufanele luphathwe isifo eyinhloko - idiski herniated noma osteochondrosis. Uma imbangela ezimise okwama-tile zokugula steel noma ezibandayo, kubalulekile ukuqeda lezi zifo.

Ukwelashwa nokuvikelwa thoracic neuralgia kufanele kube olunzulu. Ngesikhathi besanda kuqala ukwelashwa igxile esiqoshiwe ubuhlungu nokwehlisa, ngenjongo enqunyiwe amaphilisi ezinhlungu. Neuralgia zisebenzisa izidakamizwa ezahlukene. Sizokwenza bakutshele okwengeziwe ngabo.

ukwelashwa

1. Analgesics (imithi "spazgan", "Analgin", "sedalgin" kanye nabanye). Eyayisetshenziselwa ukunciphisa izimpawu eziyinhloko - ubuhlungu. Kuye ukushuba emizweni, ezithathwe izinsuku emihlanu kuya kweyishumi, kathathu noma kane ngosuku. Uma usebenzisa izidakamizwa ngokuvamile, elamukelekile ngeke kwenzeke, kodwa kungase ukuthuthukisa engemihle.
2. Nonsteroidal eqeda ukuvuvukala izidakamizwa (imithi "Voltaren", "ibuprofen" "Diclofenac", "Indomethacin", "piroxicam" kanye nabanye). Ziklanyelwe ukuba alwe ukuvuvukala, kodwa futhi ukwazi ukuyeka ubuhlungu, nakuba ngezinga elincane kuka analgesics. izidakamizwa ezinjalo kumele usetshenziswe kanye, kabili ngosuku, ngoba ukusetshenziswa njalo kungase kubangele ukuthuthukiswa (noma eziya ziba zimbi) ka pathologies emathunjini. NPRC kuvunyelwe ukusebenzisa hhayi ningi than izinsuku eziyisihlanu kuya kweziyisikhombisa, ngaphandle uma udokotela akazange Kunconywa ngenye indlela. Lapho ekhetha ifomu umthamo kungaba umjovo akukhetha (imijovo) noma rectal (suppositories) samuntu. Ama-NSAID ungaba ifomu ezifana ukukhululwa, njengoba ijeli, ukhilimu, amafutha. Neuralgia kahle gel "Nimid". Ukuze isetshenziswe bangaphandle, it has analgesic nomphumela eqeda ukuvuvukala.
3. Imisipha relaxants (izidakamizwa "Sirdalud", "baclofen", "clonazepam" kanye nabanye). Le mithi kukhona ukulwa ephumelela kakhulu zokugula kubangelwa imisipha spasm. Udokotela kufanele ukhethe isikhathi ukusetshenziswa kwemithi enjalo ngabanye.
4. amavithamini B iqembu-(B1, B6, B12). Ukuntula kwabo - esinye sezizathu ukuthi kukhona neuralgia thoracic. Ukungabi idatha amavithamini ngokuvamile kubonakala abantu baphathwa izifo esiswini, isifo sikashukela, isifo wamathumbu, futhi labo ababusebenzisa kabi utshwala. amavithamini Ukuthatha kumele tisukele izinsuku eziyishumi ngenyanga eyodwa.
5. ukubulala izinzwa engxenyeni ethile ( "Novocaine" amalungiselelo "Lidocaine"). Lapho ubuhlungu uzwakalise syndrome Kunconywa ukwenza nokuvinjelwa izixazululo le mithi. Ngale ndlela kungenzeka kakhulu ukunciphisa abagulela ukufa. Inombolo blockades kuhluka amabili kuya kwamahlanu noma eziyisikhombisa. Kodwa khumbula: ukwenza manipulations ezinjalo kufanele kuphela onguchwepheshe, yena uveza inani elidingekayo of blockades.
6. Sedatives (imithi "Mina" "elenium"). Zisetshenziswa ukunqanda nesineke, ngomqondo ongokomfanekiso, ukuze unciphise ubuchopho ephendula ubuhlungu.
7. izidakamizwa kwangaphandle. Wamafutha ekamelweni kufanele kukhethwe ezifana eyayizoba izakhiwo eqeda ukuvuvukala kanye analgesic. Ngalezi zindlela kungaba imisipha futhi nokujikeleza kwegazi, kanjalo wehlise nobuhlungu. Isibonelo umuthi ngendlela ephumelelayo okugcoba turpentine. Ngemuva kwesicelo yayo esifubeni uyisonge. Futhi, qiniseka ukuthi igumbi awuzange ekubhaleni. A yi enhle ekwelapheni imithi inikezwe esekelwe bee Isihlungu, isibonelo, wamafutha "Apizartron". Ingqikithi asebenzayo kuveza imiphumela okuphumuzayo futhi ukufudumala.

Okunye zokwelapha

imithi ye neuralgia - akuyona indlela kuphela yokubhekana ukugula. kakade Sithe imishanguzo kumelwe abe oluphelele. Isiguli bunikezwe fiziolechenie usebenzisa ka kazibuthe kanye kagesi, amaza okushisa futhi ultraviolet, izidakamizwa electrophoresis, imisinga pulsed imvamisa ongaphakeme ababuthakathaka voltage ultrasound. Kungasetshenziswa ukutshopa, acupressure, ukuqondiswa kwamathambo, i ukutshopa, moksoterapiya, ukwelashwa laser. Uma intercostal neuralgia kuwumphumela ezinye izifo yomgogodla (disc herniated noma ukugobeka komhlandla), izifundo enqunyiwe umzimba zokwelapha, futhi wenze, uma kunesidingo, traction umgogodla.

ethnoscience

Uma ungeke ukwazi izimpawu lokuqala neuralgia thoracic bonana nodokotela wakho ukuze uqede isimo ekuqaleni ukusebenzisa amakhambi abantu. Kodwa khumbula ukuthi ngosizo kubo ungakwazi lokunciphisa izinhlungu okwesikhashana kuphela, kodwa musa ukususa isizathu esiyinhloko ivela khona. Ngakho-ke umsebenzi oyinhloko - ngokushesha ngangokunokwenzeka ukuze kudlule luhlolo Yiqiniso futhi ukuthola usizo lochwepheshe.

Ngakho lokho nemithi kazwelonke ingakusiza? Mhlawumbe ethandwa kakhulu futhi ngempumelelo ikhambi - isichibi pepper. Ngaphambi silisebenzise endaweni ubuhlungu, kumele degreased ngotshwala futhi Sula yomile. akufanele igqoke patch uze bazizwa ukushisa zisakazekela emzimbeni.

Enye indlela enhle okudambisa ubuhlungu esifubeni kuhilela ukusetshenziswa turpentine. Thela esitsheni eziyikhulu namamililitha amanzi abilayo bese wengeza eziyikhulu amagremu turpentine. Govuza ingxube kahle bese cwilisa it in gauze noma indwangu ethambile kancane wring bese unamathisele endaweni obuhlungu. Beka phezulu ifilimu noma cindezela iphepha bayigubungele ithawula. cindezela okunjalo ovunyelwe ukuqukatha ezingaphezu kuka imizuzu emithathu kuya kwemihlanu emva ukususwa endaweni ethintekile povyazhite iduku efudumele futhi isikhafu noma cwilisa isikhathi embhedeni.

Self-massage

Kunganciphisa ubuhlungu by bezihlikihla futhi kuwukuziphulula kalula yakhe intercostal izikhala. Lokhu kumele kwenziwe ngendlela awulutho kuNkulunkulu. Kungaba izandla ezimbili xova imisipha emuva noma ugoba isandla enqabeni futhi enze ukugaya kusukela okhalweni izindwani ehlombe. Ngaphezu kwalokho, ungakwazi ukusiza massage zone reflexogenic esisogwini zombili izinhlangothi thoracic kanye lumbar kwabokuqala lesikhombisa vertebra wesibeletho. I nomkhombe kahle kakhulu imizuzu emibili ukhomba phakathi lesine nelesihlanu thoracic amathambo usebenzisa namafutha "Gold Star". Uma namafutha Ukugunda nje massage iminwe ahlanzekile, bese kuze kube seqophelweni ecacisiwe nokunamathisela pepper patch.

Prevention intercostal neuralgia

Iziguli eziningi ukubuza ukuthi ungakwazi ukuvimbela kuhlasela. Yiqiniso, unga. Phela, uma ukwazi izizathu zokuthi kungani kukhona zokugula olungavimba lapho ivela khona. Into ebaluleke kakhulu ngesilinganiso zokuvimbela thoracic neuralgia - ejwayelekile ngokomzimba Ezifundweni. Ehlelekile ukuvivinya umzimba ngendlela yokuqinisa yomgogodla, okwandisa ukuhamba alo, ukuthuthukisa imisipha. Ngaphezu kwalokho, gwema hypothermia kanye okusalungiswa, umsebenzi ngokweqile, kokuhlala isikhathi eside izikhundla ungakhululekile. Lokhu kuyiqiniso ikakhulukazi abantu ongaqeqeshiwe nasebekhulile.

Buka ukuma yakho uma behlezi etafuleni, musa siphakamise isisindo, udle olinganiselayo futhi enengqondo, musa ucede ngokwakho nokuzila ukudla futhi mono-ekudleni. Futhi-ke, abaphathe izifo ukuthi ngandlela-thile kuholele intercostal neuralgia: .. Isifo sokuqina kwemithambo yegazi, neuropathy isifo semithambo, isifo sikashukela, njll Cheers!