Ntawm cov kab mob paj hlwb, intercostal neuralgia occupies ib qho chaw tshwj xeeb. Qhov no yog vim lub fact tias thaum lub sij hawm nws cov chav kawm, muaj zog mob siab heev raug pom, uas xyaum tsis tshwm sim nyob rau hauv lwm yam pathologies.
Ntau tus kab mob no tshwm sim rau cov neeg muaj hnub nyoog 25-65 xyoo thiab tsis tshua muaj tshwm sim rau menyuam yaus. Txiv neej thiab poj niam tuaj yeem raug kev txom nyem los ntawm pathology sib npaug. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias txhua yam khaus lossis compression ntawm cov paj hlwb tuaj yeem ua rau cov tsos mob ntawm intercostal neuralgia. Kev kho mob yuav tsum ua tiav, tsuas yog qhov no yuav ua tiav qhov txiaj ntsig zoo.
Ntxhais kab mob
Intercostal neuralgia yog tus cwj pwm los ntawm qhov tseeb tias qhov mob tsis yog tus txais, tab sis cov hlab ntsha xaus. Kev tawm tsam ntawm qhov mob nyob rau hauv cov ntaub ntawv no yog me ntsis reminiscent ntawm ib tug hluav taws xob tawm tam sim no. Lawv pib dheev, kav ntev li ob peb feeb, thiab tom qab ntawd cia li ploj mus. Qhov zaus ntawm qhov kev tawm tsam no tuaj yeem ncav cuag ntau kaum zaug hauv ib hnub.
Nrog rau qhov mob tshwm sim nyob rau hauv lub nraub qaum thiab sternum, o ntawm cov hlab ntsha intercostal feem ntau kuj pom nyob rau hauv thaj tsam ntawm nws tawm ntawm lub intervertebral foramen. Edema tuaj yeem txhim kho raws li qhov tshwm sim ntawm kev sib zog ntawm cov hlab ntsha xaus los ntawm intervertebral hernia, nrog rau cov leeg pob txha.
Raws li ICD 10 code, intercostal neuralgia (M 79.2) yog hais txog cov kab mob ntawm cov musculoskeletal cov ntaub so ntswg, vim qhov no yog vim lub fact tias spasmodic cov leeg koom nyob rau hauv cov txheej txheem pathological.
Kev tshwm sim
Muaj ntau yam ua rau intercostal neuralgia, uas suav nrog:
- osteochondrosis;
- kev mob;
- kab mob;
- hypothermia;
- intervertebral hernia;
- kev loj hlob tshiab;
- spondylolisthesis.
feem ntau ua rau osteochondrosis, txij li thaum nws tshwm sim, cov hlab ntsha xaus yog nyem los ntawm sagging vertebrae. Nws yog tsim nyog sau cia qhov tshwm sim ntawm o thiab irritation ntawm lub paj hlwb. Nrog lub zog ntse, tej zaum yuav muaj luv luv pinching ntawm hematomas thiab cov leeg.
Ntev hypothermia provokes qhov tshwm sim ntawm cov leeg nqaij spasms, nrog rau kev khaus ntawm cov paj hlwb. Ntawm cov kab mob sib kis, tuberculosis, herpes thiab mob khaub thuas tuaj yeem paub qhov txawv. Kev haus dej cawv muaj kev cuam tshuam zoo, txij li cawv co toxins, thaum tsis tu ncua ntawm cov ntaub so ntswg, ua rau khaus.
Cov tsos mob tseem ceeb
Cov tsos mob tseem ceeb ntawm intercostal neuralgia yog paroxysmal mob, uas zoo ib yam li hluav taws xob poob siab. Feem ntau raug kev txom nyemCov paj hlwb tsuas yog nyob ntawm ib sab, thiab qhov mob tsuas yog nyob hauv ib qho chaw intercostal xwb.
Lub sijhawm ntawm cov tsos mob ntawm intercostal neuralgia ntawm sab laug yog xam hauv ob peb feeb, tab sis nws zoo li tus neeg mob tias lawv nyob mus ib txhis. Cov paib feem ntau provoked los ntawm qee tus cwj pwm ntawm tus neeg nws tus kheej. Tshwj xeeb, qhov mob yuav tshwm sim thaum:
- sneeze;
- sudden motion;
- hnoos;
- luag;
- ua pa tob;
- cry.
Txhua yam no qhia tias qhov mob tuaj yeem tshwm sim los ntawm kev swb ntawm cov hlab ntsha o. Intercostal neuralgia, cov tsos mob thiab kev kho mob uas feem ntau yog nyob ntawm tus mob ntawm cov hlab ntsha cuam tshuam, yog qhov piv txwv zoo tshaj plaws ntawm qhov muaj cov leeg nqaij thiab qhov pib mob.
Txhawm rau sau cov kev kho mob kom raug, nws yog ib qho tseem ceeb kom paub qhov txawv ntawm cov kab mob pathological los ntawm lwm yam kab mob zoo sib xws hauv cov tsos mob. Cov tsos mob ntawm intercostal neuralgia yog tshwm sim los ntawm qhov tseeb tias qhov mob tshwm sim tshwm sim heev, thiab feem ntau tus neeg tsis tuaj yeem ntshai.
Tus neeg mob sim ua txoj haujlwm yooj yim tshaj plaws thiab tib lub sijhawm txav tsawg li sai tau. Nrog rau cov kab mob ntawm cov hlab plawv, ib tug neeg tuaj yeem maj nrawm, vim tias qhov kev hloov pauv ntawm txoj haujlwm thiab ua pa tob tob tsis muaj qhov cuam tshuam rau qhov mob. Tsis tas li ntawd, tej zaum yuav muaj blueness ntawm pob ntseg, nrog rau daim duab peb sab nasolabial. Qhov no tshwm sim los ntawm qhov tsis muajoxygen. Thaum muaj kab mob hauv lub plawv, qhov mob tuaj yeem nres nrog ib ntsiav tshuaj nitroglycerin, uas yuav tsum tau muab tso rau hauv qab tus nplaig. Cov tsos mob ntawm intercostal neuralgia yuav tsis kho los ntawm cov tshuaj no.
Ntau tus kab mob sib txawv tuaj yeem ua rau muaj qhov tshwm sim ntawm neuralgia, uas yog vim li cas nws nyuaj heev los kuaj xyuas qhov tseeb ntawm thawj theem ntawm cov kab mob. Tus kws kho mob yuav tsum ua tib zoo tshuaj xyuas tus neeg mob keeb kwm kom tsis suav nrog qhov tshwm sim ntawm cov kab mob nyuaj thiab txaus ntshai.
Diagnostics
Thaum thawj cov tsos mob ntawm intercostal neuralgia tshwm sim, koj yuav tsum sab laj nrog kws kho mob kom paub meej thiab kuaj xyuas kom raug. Thaum pib, tus kws kho mob sau cov neeg mob cov lus tsis txaus siab thiab anamnesis ntawm kev loj hlob ntawm tus kab mob, thiab tom qab ntawd sau ntau cov kev tshawb fawb ntxiv. Cov ntaub ntawv tshaj plaws ntawm lawv yog:
- kuaj ntshav;
- kuaj kab mob bacteriological;
- radioography;
- tomography;
- kuaj mob ultrasound;
- myelography.
Yog tias cov tsos mob ntawm intercostal neuralgia tshwm sim vim muaj cov txheej txheem sib kis hauv lub cev, tom qab ntawd kev kuaj ntshav bacteriological tuaj yeem pom tus kab mob ua rau tus kab mob, thiab hauv txhua kis, qhov ntsuas tseem tsis hloov pauv.
X-ray thiab tomography tuaj yeem kuaj pom txawm tias feem ntau cov kev ua txhaum cai me hauv cov pob txha, nrog rau kev txiav txim siab vim li cas rau kev loj hlob ntawm neuralgia. Nrog myelography, cov hlab ntsha xaus thiab tus txha caj qaum raug kuajlos ntawm kev txhaj tshuaj tus neeg sawv cev sib txawv ntawm lub tshuab X-ray, qhov no tso cai rau cov kev hloov pauv tam sim no hauv cov hlab ntsha tuaj yeem tshwm sim.
Txoj kev kho mob
Nyob ntawm qhov ua rau ua rau thiab cov tsos mob ntawm intercostal neuralgia, kev kho mob ntawm sab laug yog xaiv ib tus zuj zus los ntawm tus kws kho mob hlwb. Txawm li cas los xij, tus kws kho mob tuaj yeem xaiv txoj kev kho mob. Lub hauv paus ntsiab lus tseem ceeb yog ua tiav kev so, tshem tawm cov kev hnov mob mob, nrog rau kev tshem tawm qhov o ntawm cov leeg thiab cov hlab ntsha. Qhov no ua rau txo qis qhov mob sai, uas thaum kawg ploj mus tag nrho.
Rau kev kho mob ntawm intercostal neuralgia, tshuaj tiv thaiv kab mob tau sau tseg, uas pab tshem tawm cov kev mob tshwm sim zoo heev. Thawj hnub, diuretics tuaj yeem siv los tshem tawm puffiness. Cov leeg nqaij relaxants muaj txiaj ntsig zoo. Thaum pib ntawm kev kho mob, cov tshuaj tau muab tshuaj intramuscularly, thiab tom qab ntawd koj tuaj yeem maj mam hloov mus rau hauv daim ntawv ntsiav tshuaj. Cov tshuaj yuav tsum tau muab los ntawm kws kho mob, coj mus rau hauv tus account contraindications, raws li zoo raws li lub xub ntiag ntawm concomitant kab mob.
Thaum thawj cov tsos mob tshwm sim, kev kho mob ntawm intercostal neuralgia hauv tsev yuav tsum hu rau tus kws kho mob kom sau tshuaj. Tom qab tshem tawm qhov mob hnyav, nws raug nquahu kom siv physiotherapy, ua kom sov nrog cov cua sov qhuav, rub cov tshuaj pleev rau hauv nraub qaum kom normalize ntshav ncig thiab tshem tawm spasm.
Nyob rau theem ntawm kev txo qis exacerbation, zaws tau qhia, nrog rau kev kho lub cev. Tom qabtxhawm rau tshem tawm qhov mob thiab tiv thaiv kev tiv thaiv, cov neeg mob tau sau ntawv ua luam dej thiab tswj kev ua neej nyob.
kev kho mob
Yuav ua li cas kho intercostal neuralgia, tsuas yog tus kws kho mob tuaj koom tuaj yeem txiav txim siab tom qab kev kuaj mob, txij li hauv txhua tus neeg cov tshuaj raug xaiv ib tus zuj zus. Thaum xaiv cov tshuaj, kev nyiam yuav tsum tau muab rau cov tshuaj analgesics. Tshwj xeeb, cov tshuaj xws li Ortofen, Analgin, Baralgin tuaj yeem siv.
Cov kws kho mob pom zoo kom siv cov tshuaj pleev ntxiv nrog tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob. Lawv yuav tsum tau siv rau ntawm daim tawv nqaij ntawm qhov chaw ntawm qhov mob mus txog 3-4 zaug ib hnub twg. Ntawm cov nyiaj hauv zos, nws yog ib qho tsim nyog los qhia txog xws li "Ketonal", "Voltaren emulgel", "Viprosal", "Apizartron", "Finalgon"
Cov tshuaj pleev uas muaj ibuprofen thiab diclofenac hauv lawv cov muaj pes tsawg leeg pab ua kom cov ntshav ncig hauv qhov chaw tsis xis nyob thiab tshem tawm qhov mob, yog li txo qhov mob. Cov khoom ua los ntawm muv venom tej zaum yuav nrov.
Patches impregnated nrog cream thiab gels muaj cov khoom zoo los pab tua qhov mob. Lawv normalize cov hlab ntsha thiab muaj cov nyhuv anti-inflammatory. Lawv yuav tsum tau muab txuas ncaj qha mus rau qhov chaw mob.
Iodine pab tshem tawm puffiness thiab tsis xis nyob. Nws yog ib qho tsim nyog yuav tau siv daim duab kos los ntawm daim phiaj iodine mus rau thaj tsam cuam tshuam. Cov vitamins tso cai rau koj kom ceev cov txheej txheem ntawm kev rov qab los ntawm cov paj hlwb,normalizes cov txheej txheem metabolic, nrog rau kev sib kis ntawm cov hlab ntsha impulses. Nrog rau qhov mob tseem ceeb, blockades yuav tsum tau ua. Txhawm rau ua qhov no, siv "Lidocaine", "Novocaine", nrog rau cov tshuaj los ntawm pab pawg tshuaj loog.
Tshaj Tawm Tswv Yim
Yog tias cov tsos mob ntawm intercostal neuralgia tshwm sim, kev kho mob hauv tsev yuav tsum tau pib tam sim ntawd, vim qhov no yuav ua rau nws yooj yim dua thiab sai dua los tshem tawm cov tsos mob pathological. Tshuaj kho neeg muaj txiaj ntsig zoo heev.
Koj tuaj yeem rub thaj chaw cuam tshuam nrog cawv tinctures ntawm birch buds lossis valerian. Cov tshuaj uas ua rau cov khoom no ua zoo ib yam li cov tshuaj gels thiab tshuaj pleev. Txawm li cas los xij, tsis pom zoo siv cov tshuaj cawv thaum hmo ntuj, vim lawv tuaj yeem ua rau tawv nqaij kub hnyiab.
Hauv koj tuaj yeem noj cov tshuaj mint nrog zib ntab lossis lwm yam tshuaj loog. Kev kho mob ntawm intercostal neuralgia hauv tsev kuj tau ua nrog kev pab ntawm cua sov. Cov nyhuv kho yog muab los ntawm kev ua kom sov nrog qhov chaw ntawm qhov tsis ncaj qha tshav kub. Qhov chaw cuam tshuam tuaj yeem qhwv nrog phuam qhwv caj dab sov.
Thaum kho intercostal neuralgia hauv tsev, koj tuaj yeem siv cov tshuaj pleev npaj los ntawm iodine nrog glycerin. Freshly squeezed kua txiv ntawm dub radish los yog geranium tuaj yeem rubbed rau hauv qhov chaw cuam tshuam. Kev da dej muaj txiaj ntsig zoo, vim nws ua rau nws tuaj yeem tshem tawm cov kev mob tshwm sim sai heev thiab ua tau zoo. Txawm li cas los xij, nws tsis pom zoo kom ua cov txheej txheem zoo li no nyob rau lub sijhawm mob hnyav ntawm cov kab mob.
Koj yuav tsum tsis txhob siv lub qe kub los yog qos yaj ywm rau thaj tsam cuam tshuam, vim qhov mob yuav zoo zuj zus mus ib ntus vim qhov tseeb tias cov khoom kub me ntsis nce ntshav ncig. Txawm li cas los xij, yav tom ntej, qhov o ntawm cov nqaij mos yuav nce ntxiv, thiab qhov mob yuav mob hnyav dua.
Physiotherapy
Tshem tawm cov tsos mob ntawm intercostal neuralgia ntawm sab xis lossis sab laug yuav pab kho lub cev, hnav lub corset thiab kev noj zaub mov zoo. Tshwj xeeb, xws li txhais tau tias muaj txiaj ntsig zoo:
- electrophoresis;
- magnetotherapy;
- ultrasound;
- UHF txoj kev kho.
Lub ntsiab lus ntawm kev siv phau ntawv kho yog kom rov qab cov leeg txha caj qaum mus rau nws qhov qub. Txhawm rau tshem tawm cov hlab ntsha ntawm qhov kawg, massage yog siv. Cov txheej txheem tuaj yeem ua tiav tsuas yog tom qab tshem tawm qhov mob hnyav. Kev txav yuav tsum tau ceev faj heev, tsis txhob tso siab rau cov leeg. Acupressure ua rau nws muaj peev xwm cuam tshuam qee qhov chaw cuam tshuam nrog thaj chaw cuam tshuam.
Acupuncture tshem tawm qhov tsis txaus ntawm cov leeg nqaij uas nyob hauv cov txheej txheem tob tshaj plaws ntawm daim tawv nqaij. Nrog kev pab los ntawm cov txheej txheem zoo sib xws, qee cov ntsiab lus lub luag haujlwm rau cov leeg nqaij raug cuam tshuam.
Txo qhov mob, kho cov ntshav ncig, nthuav cov hlab ntsha, thiab normalize metabolism pab kho laser. Kev kho UHF pab txo qhov o ntawm cov leeg thiab cov hlab ntsha, pab tshem tawm cov kab mob sib kis,thiab txo qhov mob.
kev tawm dag zog tshwj xeeb pab tshem tawm cov leeg nqaij. Cov chav kawm yuav tsum tau ua tom qab lub ntsiab ntawm kev kho mob. Nyob rau theem mob hnyav, nruj txaj so yog pom zoo, thiab saum npoo ntawm lub txaj yuav tsum ruaj thiab txawm.
Kev kho mob phais rau intercostal neuralgia tsis siv tau. Qhov tsuas yog qhov tshwj xeeb yog pathology ntawm tus txha caj qaum, uas tuaj yeem ua rau muaj tus kab mob thiab yuav tsum tau phais.
Kev kho mob thaum cev xeeb tub
Mob hauv qhov chaw intercostal ntawm cov poj niam thaum cev xeeb tub yog qhov tshwm sim ntau. Lub fetus loj hlob nyob rau hauv lub tsev menyuam, uas tsis dhau tsis muaj ib tug kab rau ib tug poj niam nyob rau hauv txoj hauj lwm. Nrog intercostal neuralgia, koj yuav tsum hu rau tus kws kho mob tam sim ntawd uas yuav pab koj xaiv txoj kev maj mam tshem tawm qhov mob.
Thaum lub sijhawm kho, cov kev kho pej xeem thiab cov hau kev lossis kev kho mob hauv zos nrog cov cua sov qhuav qhuav. Ib qho txiaj ntsig zoo yog muab los ntawm kev kho mob, tab sis txhua qhov kev tawm dag zog yuav tsum tau ua nyob rau hauv nruab nrab. Nws yog tsim nyog sau cia tias tom qab yug me nyuam, qhov teeb meem feem ntau ploj mus ntawm nws tus kheej yam tsis muaj kev kho tshwj xeeb.
Muaj Teeb Meem
Cov teeb meem tsis cuam tshuam txog intercostal neuralgia nws tus kheej, tab sis cov kab mob hnyav dua ntawm cov hlab plawv, uas yog qhov zais cia li pinched paj paj. Qee zaum, nrog tus kab mob herpetic, mob ntev thiab ntev neuralgiatuaj yeem ua rau insomnia, kev nyuaj siab, chim siab, thiab txawm tias sim tua tus kheej. Txij li qhov mob hnyav heev, qee zaum muaj qhov mob tshwm sim, ua rau muaj kev poob qis hauv siab, nce mus txog faus.
Yog vim li cas qhov tseem ceeb yuav tsum tau muab tso rau hauv kev tiv thaiv kab mob, qhov no tseem ceeb tshwj xeeb rau cov neeg ua haujlwm hauv chaw ua haujlwm. Kev zaum tsis tu ncua ua rau cov ntshav txaus rau cov leeg, thiab kev hnyav hnyav ua rau muaj kev mob hnyav.
prophylaxis
Raws li kev tiv thaiv kev tshwm sim ntawm intercostal neuralgia, koj yuav tsum ua raws li cov cai yooj yim. Nws yog ib qho tseem ceeb kom tsis txhob muaj qhov kub thiab txias, kho cov kab mob raws sij hawm uas tuaj yeem ua rau cov hlab ntsha tawg, thiab txwv tsis pub haus cawv. Thaum ua hauj lwm nyob rau hauv ib tug monotonous, tsis xis nyob rau lub sij hawm ntev, nws raug nquahu kom so luv luv ntawm ob peb feeb txhua teev.
Yog tias muaj kab mob ntawm tus txha caj qaum thiab lwm yam kabmob thiab cov kab ke tshwm sim, koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd. Nws yog ib qho tseem ceeb kom tswj lub cev kom raug. Tsis tas li ntawd, koj yuav tsum tau kho koj cov zaub mov ib txwm, kev noj haus yuav tsum raug thiab sib npaug. Koj yuav tsum noj zaub thiab txiv hmab txiv ntoo ntau li ntau tau, nqaij qaib, khoom noj siv mis, ntses. Nws tsim nyog muab cov txuj lom kub, kib, cov kaus poom.
Nws yog ib qho tseem ceeb uas yuav tau ua lub cev qoj ib ce kom ntxiv dag zog rau cov leeg ntawm nraub qaum thiab hauv siabhlwb. Tshwj xeeb, kev tawm dag zog, gymnastics, thiab cov cuab yeej siv dag zog muaj txiaj ntsig zoo. Nws yog ib qho tseem ceeb kom tsis txhob raug mob, vim lawv cuam tshuam rau lub xeev ntawm cov leeg nqaij corset.
Nrog txoj hauv kev zoo, koj tsis tuaj yeem tshem tawm qhov mob sai sai, tab sis kuj tiv thaiv lawv qhov tshwm sim.
