Cov paj hlwb intercostal yog nyob rau hauv qhov chaw intercostal ntawm cov leeg sab nraud thiab sab hauv intercostal. Txhua tus ntawm lawv thawj zaug hla hauv qab ntug ntawm cov kab sib txuas, poob rau hauv 1 zawj nrog cov hlab ntsha thiab cov hlab ntsha, xa mus rau hauv lawv.
Lub 6 lub paj hlwb sab sauv ncav cuag lub sternum, ntawm no lawv hu ua anterior cutaneous ceg thiab xaus rau ntawm daim tawv nqaij ntawm phab ntsa hauv siab. Lub 5 qis hauv qab no thiab thib rau, uas yog hu ua hypochondrium, txuas ntxiv mus rau hauv phab ntsa sab hauv ntawm lub plab, nkag mus ntawm cov leeg sab hauv oblique thiab transverse cov leeg, tho lub qhov quav ntawm lub plab thiab xaus rau ntawm daim tawv nqaij ntawm phab ntsa sab hauv plab. Lawv innervate tib leeg.
Cov ceg ntoo sab hauv ntawm sab sauv 6 lub paj hlwb innervate cov leeg hauv qab no: intercostal sab nraud thiab sab hauv, hypochondrium thiab levator tav cov leeg, transverse hauv siab thiab lub plab cov leeg, lub npe hu ua cov leeg plab, cov leeg nqaij ntawm sab nraub qaum thiab cov leeg ntawm lub cev. lub plab.
Nyob rau hauv qhov chaw mus txog rau lub kaum sab xis, cov hlab ntsha intercostal tau them los ntawm parietal pleura thiab intrathoracic fascia. Yog li, cov hlab ntsha thoracic innervate tag nrho cov nqaij thiab daim tawv nqaij ntawm lub hauv siab thiab lub plab mog pem hauv ntej thiablos ntawm sab, parietal pleura thiab peritoneum, thiab cov qog mammary.
Dab tsi suav nrog hauv paj hlwb
Tag nrho cov paj hlwb intercostal yog sib xyaw vim tias lawv muaj lub cev muaj zog, kev hnov mob thiab kev sib hlub.
- Lub cev muaj zog - innervate cov leeg nqaij intercostal, lub diaphragm, muab kev ua pa ua pa. Qhov no tso cai rau ib tug neeg kom tsis txhob suffocate. Ua ke nrog lub diaphragm, tus neeg tuaj yeem yeem ua pa tob.
- Sensitive - muab thiab nqa daim tawv nqaij, mob, tactile, kub thiab lwm yam rhiab heev rau qaum qaum. Lawv tsim qhov mob (thawj) cov tshuaj tiv thaiv hauv neuralgia.
- Cov Tsiaj - tswj kev ua haujlwm ntawm cov hlab ntsha, cov qog hws, thiab lwm yam. Lawv muaj lub luag haujlwm rau kev nce hauv daim tawv nqaij kub, vasodilation, qhov tsos ntawm goosebumps, tawm hws ntawm daim tawv nqaij ntawm lub hauv siab; tag nrho cov kev tshwm sim no tshwm sim ntawm qhov tsis nco qab.
Txoj Kev Mob
Nyob rau hauv cov ntaub ntawv ntawm neuralgia, tus thawj analyzer ntawm qhov mob yog cov thoracic ntu ntawm tus txha caj qaum, lawv cov gelatinous tshuaj. Nws yog nyob rau hauv daim ntawv ntawm ib pawg ntawm neurons nyob rau hauv lub grey teeb meem ntawm lub posterior horns ntawm tus txha caj qaum. Cov pab pawg no muaj kev sib txuas nrog rau tag nrho cov ntsug ntawm tus txha nraub qaum. Tsis tas li ntawd, cov ntaub qhwv ntsej muag ua ib feem ntawm tus ntoo khaub lig-thalamic ib puag ncig, dhau mus rau thalamus thiab tom qab ntawd mus rau lub paj hlwb cortex, qhov chaw mob yog xim xim. Nyob rau tib lub sijhawm, vegetative manifestations nyob rau hauv daim ntawv ntawm daim tawv nqaij hyperemia, kub hnyiab tau kuj yog yam ntxwv.
Thiab qhov sib thooj ntawm cov kab hluav taws xob muaj kev xav tau tactilekov thiab kub tuaj yeem ua rau mob ntawm qhov sib txawv: excruciating, burning.
Intercostal neuralgia
Neuralgia ntawm cov hlab ntsha intercostal los yog thoracic sciatica yog ib qho mob neurogenic mob uas compression lossis irritation ntawm cov hlab ntsha hauv paus tshwm sim vim inflammatory thiab degenerative hloov nyob rau hauv tus txha nraub qaum.
Etiology tuaj yeem yog ib qho - hypothermia, intoxication, infringement, kis kab mob, thiab lwm yam. Lub hnub nyoog ntawm tus neeg mob yuav ua tau ib yam, rau cov me nyuam qhov kev kuaj mob yog uncharacteristic.
Neuralgia ntawm lub paj hlwb intercostal los yog thoracalgia tsis yog kev hem thawj rau lub neej, tab sis nws feem ntau tshwm sim tawm tsam keeb kwm ntawm cov kab mob hnyav dua thiab nyuaj. Mob hauv neuralgia ntawm qhov ntsuas yog nyob rau thib 3 tom qab lub raum colic.
Yog vim li cas
feem ntau ua rau neuralgia yog osteochondrosis ntawm thoracic qaum nrog radicular syndrome los yog intervertebral hernia thiab protrusion. Ces lawv hais tias pinched lub paj hlwb intercostal.
Neuralgia tuaj yeem ua rau mob herpes zoster (tus kab mob herpes nyiam zaum ntawm cov hlab ntsha). Feem ntau qhov no tuaj yeem yog qhov tshwm sim ntawm cov kab mob hauv nruab nrog cev - pleurisy, hlav ntawm tus txha caj qaum, hauv siab thiab mediastinum.
Kuj yog vim li cas:
- rov qab thiab mob hauv siab;
- txhua yam curvature ntawm qaum;
- intervertebral hernia;
- spondylosis, ntau yam sclerosis, Bechterew tus kab mob.
Kev mob ntawm lub paj hlwb intercostal tuaj yeem tshwm sim rau cov laj thawj hauv qab no:
- kab mob (TB, syphilis,flu);
- pathologies ntawm lub paj hlwb, endocrine, digestive systems: ulcers, gastritis, ntshav qab zib;
- mob ntshav siab, atherosclerosis, thyrotoxicosis.
Nyob rau hauv cov neeg laus, neuralgia tuaj yeem tshwm sim los ntawm kev tsis saib xyuas tam sim ntawd, uas cov leeg nqaij spasm, hypothermia, muaj hnub nyoog hloov pauv. Cov khoom muaj txiaj ntsig - cawv, qaug zog ntev, hypovitaminosis gr. B, txo kev tiv thaiv.
Cov tsos mob ntawm intercostal neuralgia
Cov tsos mob thiab kev kho mob ntawm cov hlab ntsha intercostal muaj kev sib raug zoo tshaj plaws. Cov tsos mob tseem ceeb yog ib qho ntse ntse unilateral nkag mus rau hauv lub siab mob (thoracalgia), uas khiav raws tav nyob rau hauv daim ntawv ntawm ib tug girdle los ntawm tus txha nraub qaum mus rau lub sternum. Cov neeg mob muab piv rau hluav taws xob thiab hu ua mob nraub qaum.
Qhov mob yuav tsis muaj zog thaum xub thawj, tab sis nws sai sai thiab ua rau mob tsis taus. Nws tuaj yeem muab rau sab nraub qaum, lub xub pwg hniav, lub plawv, epigastrium. Cov tsos mob sib xws: pallor lossis liab ntawm daim tawv nqaij, tawm hws hauv zos. Qhov no yog vim kev khaus ntawm cov sympathetic fibers nyob rau hauv muaj pes tsawg leeg ntawm cov hlab ntsha.
Cov tsos mob ntawm cov hlab ntsha ntawm lub paj hlwb muab cov yam ntxwv rov ua dua uas nyob ntawm ob peb feeb mus rau 2-3 feeb. Tus neeg mob nyob rau tib lub sij hawm freezes ntawm kev tshoov siab, sim tsis txav, vim qhov no ua rau kom qhov mob. Txhua yam kev txav mus los, txawm tias ua tsis taus pa, hnoos, luag, hais lus - txhua yam ua rau muaj mob ntxiv.
Nyob rau lub sijhawm ntawm qhov mob tshwm sim, cov tsos mob ntawm cov hlab ntsha intercostal tshwm sim, xws li paresthesia raws cov hlab ntsha - kev xav ntawm tickling, nkag mus.
Thaumkab mob herpetic, intercostal neuralgia yog ntxiv ua ntej los ntawm khaus, tom qab ntawd los ntawm daim tawv nqaij ua pob khaus ntawm qhov chaw intercostal uas tshwm sim rau hnub 2-4 ntawm neuralgia. Thaum xub thawj, cov no yog cov pob liab liab, lawv tig mus ua npuas, tawg thiab tom qab ntawd qhuav tawm nrog kev tsim cov crusts.
Ua kom thoracalgia nrog lawv qhov mob. Ib ntus hyperpigmentation tseem nyob hauv qhov chaw ntawm cov crusts.
Kev kho mob ntawm intercostal neuralgia
Kev kho mob ntawm cov hlab ntsha intercostal yuav tsum tau ua tiav. Nws yog etiotropic, i.e. yog tsom rau kev tshem tawm tus kab mob ua ntej.
Ntxiv mus, qhov mob raug tshem tawm thiab cov hlab ntsha cuam tshuam rov qab los. Ua li no, lawv siv cov tshuaj tiv thaiv, kev kho mob analgesic, antispasmodics, sedatives, neurotropes, cov leeg nqaij so, nrog rau lwm cov tshuaj: physiotherapy, massage, osteopathy, IRT, pej xeem txoj kev.
Txoj kev Folk tuaj yeem pab hauv tsev tsuas yog mob me me mus rau nruab nrab neuralgia. Nyob rau hauv cov xwm txheej hnyav, nws yog ib qho tsim nyog yuav tsum tau ua cov blockade mus tas li.
Hauv kev kho tshuaj tiv thaiv kab mob, NSAIDs ua ntej, thaum mob hnyav - GCS.
Y Anti-inflammatory non-steroids - Piroxicam, Ibuprofen, Diclofenac, Nimesulide. Lawv daim ntawv thov yog dav dav thiab hauv zos.
Ib qho cuab yeej pabcuam hauv kev kho mob ntawm cov hlab ntsha hauv nruab nrab txhawm rau txo qhov mob yog kev teem sijhawm ntawm cov tshuaj sedatives uas yuav pab txo qis qhov muaj zog ntawm lub paj hlwb. Tshuaj pleev ib ce - cream, tshuaj pleev, thaj ua rau thaj thiab gels nrog anti-inflammatory,relaxing, analgesic thiab warming nyhuv.
Nws yog qhov zoo rau siv cov tshuaj pleev uas muaj tshuaj lom ntawm muv thiab nab. Lawv muaj tag nrho cov yam ntxwv no. Cov no suav nrog Viprosal, Apizartron, thiab lwm yam. Ntxiv nrog rau tus nab venom, Viprosal kuj muaj camphor thiab fir, uas muab cov nyhuv analgesic.
Miorelaxants yog siv nyob rau hauv lub xub ntiag ntawm muscular-tonic syndrome: "Tizanidine", "Tolperisone hydrochloride".
Nyob rau hauv kev kho mob ntawm pinching ntawm cov hlab ntsha intercostal ntawm qhov tawm ntawm lub intervertebral foramen vim osteochondrosis, nrog rau kev hloov ntawm lub vertebrae, phau ntawv kho mob, spinal traction pab. Qhov no yuav tshem tawm qhov compression tawm. Yog hais tias neuralgia yog qhov tshwm sim ntawm cov qog, kev kho mob yog phais.
Neurotorps - yuav txhim kho kev rov qab los ntawm cov hlab ntsha cuam tshuam: cov no yog, ua ntej ntawm tag nrho cov, vitamins gr. B - B1, B6, pantothenic acid (B5), "Pentovit".
Anspasmodics yog tshuaj rau spasms, i.e. nce nqaij tone nyob ib ncig ntawm paj fibers nrog lawv puas. Tsuav muaj cov leeg nqaij spasm, qhov mob tsis ploj mus. Muab "Galidor", "Besalol", "Papazol", "Drotaverin" thiab lwm yam. Yuav siv tau rau hauv cov ntsiav tshuaj lossis ampoule daim ntawv.
Los ntawm cov tshuaj kho mob qhia "Analgin", "Baralgin", "Spazdolzin", "Tempalgin", "Ketorol" thiab lwm yam.
Txoj kev kho lub cev - ultraphonophoresis, laser kho, magnetotherapy, electrophoresis, UHF, "Darsonval". Tag nrho cov ntawm lawv qhib kev tiv thaiv mechanisms thiab txo qhov mob,txo qhov mob.
tshuaj kho mob
Tshuaj pleev thiab gels yog siv rau kev kho mob:
- "Fastum-gel" - txo qis puffiness, muaj cov nyhuv analgesic.
- "Capsicam" - siv tau los ua kom sov. Cov tshuaj pleev ua kom cov ntshav khiav thiab pab kho cov ntaub so ntswg trophism.
- "Finalgon" kuj yog tshuaj pleev kom sov. Nthuav cov hlab ntsha vim cua sov, nce cov pa oxygen rau cov ntaub so ntswg, txhim kho trophism.
- "Indomethacin", "Ortofen", "Naklofen", "Ibuprofen" - tshuaj pleev nrog cov tshuaj tiv thaiv, decongestant thiab analgesic.
- "Menovazin" - tshuaj loog tshuaj loog. Cov nyhuv los ntawm qhov txias txias ntawm daim tawv nqaij.
- "Chondroxil" - suav tias yog chondroprotector, txhim kho kev txav ntawm tus txha nraub qaum.
Rau tshuaj pleev ib ce, nws yog qhov zoo dua los siv cov tshuaj pleev, vim tias lawv muaj lub zog nkag siab dua. Nrog rau qhov mob hnyav, cov tshuaj pleev ua kom sov feem ntau tsis tau sau tseg, vim tias lawv ua rau muaj kev txhawb nqa thiab tuaj yeem ua rau muaj teeb meem ischemic, lub plawv nres vim muaj cov ntshav tawm hauv lub plawv ntau ntxiv.
massage rau neuralgia
Nws siv dab tsi? Nws txhim kho cov ntshav khiav hauv cov hlab ntsha thiab cov hlab ntsha me, txhim kho cov txheej txheem metabolic, ua kom tshem tawm cov co toxins thiab cov khoom uas txhawb kev mob, txo qhov mob thiab txhim kho cov hlab ntsha impulses.
Acupuncture rau intercostal neuralgia
Acupuncture (Acupuncturelos yog TCI) - hais txog TCM (tshuaj suav tshuaj). Nrog rau txoj kev kho no, cov koob tshwj xeeb nyias nyias tau muab tso rau hauv cov ntsiab lus nquag ntawm qhov xav tau meridians.
Cov txiaj ntsig ntawm acupuncture: txo qhov mob, mob, muaj cov nyhuv sedative, nce kev tiv thaiv los ntawm kev ua kom cov metabolism thiab txhim kho cov ntshav khiav.
Kev kho mob rau kev sib deev neuralgia
Txij li thaum neuralgia feem ntau tshwm sim los ntawm cov hlab ntsha pinched thaum nws tawm ntawm tus txha caj qaum, qhov kev ua ntawm tus kws kho mob tshem tawm qhov kev sib tw no. Nyob rau tib lub sijhawm, tus cwj pwm ncaj ncees thiab kev ua haujlwm ntawm tag nrho vertebral kem txhim kho.
Osteopathy rau neuralgia
Osteopathy yog hais txog ntau yam kev kho mob etiotropic. Nws zoo ib yam li kev zaws thiab phau ntawv kho mob, tab sis tus kws kho mob txoj kev txav yog sib dua, raug thiab nias. Lub osteopath yuav tsum yog ib qho zoo heev manipulator. Kev kos duab ntawm osteopathy tau kawm ntau xyoo.
Tus kws kho mob ntawm no siv lub zog ntawm nws txhais tes, tsis muaj zog. Lub hom phiaj yog kom tshem tawm cov hlab ntsha pinched. Kev kho mob ntawm tes yog kev sib xyaw ua ke ntawm kev cuam tshuam ntawm tus kws kho mob ob txhais tes ntawm lub cev musculoskeletal. Osteopathy, ntawm qhov tod tes, cuam tshuam ntau yam hauv nruab nrog cev, coj lub cev mus rau "txoj cai yoj". Nws yog lub hom phiaj kom tshem tawm qhov ua rau ntawm tus kab mob tag nrho. Tsis mob kiag li.
kho mob ce rau intercostal neuralgia
Qhia tsuas yog thaum qhov mob tshwm sim ntawm tus kab mob ploj mus. Ua thiab xaiv raws li kev saib xyuas ntawm tus kws qhia kho mob. Nrog neuralgia ntawm cov hlab ntsha intercostal, nws tau lees paub tias muaj txiaj ntsig zooua luam dej.
Yuav ua li cas kho mob hnyav neuralgia?
Thaum muaj mob hnyav neuralgia, kev kho mob tsuas yog nyob hauv tus neeg mob xwb. Ntawm no nws muaj peev xwm siv zog txhais tau tias:
- thaiv ntawm cov hlab ntsha intercostal - chipping ntawm cov paj hlwb nrog cov tshuaj loog (novocaine, lidocaine, thiab lwm yam);
- tranquilizers - txhawm rau txhim kho thiab so kev ntxhov siab, ntxhov siab thiab tsis ncaj, txhim kho kev xav;
- tshuaj sedative ntawm ntau pab pawg.
Qhia rau kev phais kev kho mob ntawm intercostal neuralgia
Kev phais yog siv rau herniated intervertebral discs, hais txog kev hloov pauv hauv kab vertebral hauv osteochondrosis. Tsis tas li ntawd, kev phais yog tsim nyog rau cov qog ntawm tus txha caj qaum thiab ib puag ncig cov ntaub so ntswg.
Yuav ua li cas kho intercostal neuralgia tom tsev?
Kev kho mob hauv tsev yuav tsum nyob hauv kev saib xyuas ntawm tus kws kho mob. Los ntawm nws kev tso cai, qee cov tshuaj pleev tuaj yeem siv tau uas yuav ua tau zoo tshaj plaws - tiv thaiv kev mob thiab ua kom sov.
Ntau tsev neeg muaj sijhawm los siv cov cuab yeej siv kho mob hauv tsev thiab cov hau kev:
- "Darsonval" - khoom siv rau kev kho mob magnetotherapy;
- koj tuaj yeem hu rau tus kws kho mob lossis tus kws kho mob rau cov txheej txheem;
- siv tes massagers.
Nrog kev tso cai los ntawm kws kho mob, koj tuaj yeem npaj cov tshuaj pleev hauv tsev raws li cov zaub mov txawv.
Kev Ntsuas thiab Kev Tiv Thaiv ntawm intercostal neuralgia
Neuralgia kho tau zoo kawg nkaus. Kev tiv thaiv yog kev kho thaum ntxovCov kab mob vertebral, tiv thaiv scoliosis thiab kyphosis, kho mob hauv siab. Nws yog ib qho tsim nyog kom tsis suav nrog hypothermia. Kev tiv thaiv kab mob yuav muaj kev tiv thaiv kab mob siab, uas ua kom muaj kev noj qab haus huv thiab ua kom tawv nqaij.
