Intercostal neuralgia yog cov txheej txheem pathological uas txhim kho yog tias cov hlab ntsha raug compressed lossis khaus. Kev mob tuaj yeem ua rau mob hnyav, muaj zog, nrog kev siv siab. Feem ntau lawv nyob hauv thaj tsam ntawm tus txha nraub qaum lossis sternum.
Mob feem ntau pom tau tias yog ib qho cim ntawm lwm yam kab mob, yog li nws yog ib qho tseem ceeb kom nkag siab tias dab tsi yog cov tsos mob tseem ceeb ntawm intercostal neuralgia ntawm sab xis thiab sab laug. Koj yuav tsum ua tib zoo mloog cov cim qhia uas lub cev muab thiab piav qhia meej txog koj tus mob rau tus kws kho mob.
Symptomatics
Lub intercostal neuralgia ntawm sab xis yog qhov kev txhawj xeeb tshwj xeeb rau cov neeg mob. Nws manifests nws tus kheej li mob hnyav, uas nce ntau zaus thaum exhaling los yog nqus tau pa, hnoos, txham. Tsis tas li ntawd, qhov mob mob uas tshwm sim ntawm sab xis nce nrog palpation ntawm qhov chaw intercostal thiab txha nraub qaum, tshwj xeeb tshaj yog tias tus kws kho mob tswj xyuas qhov chaw ntawm kev puas tsuaj rau cov paj hlwb.
Yog tias koj mob siab rau qhov mob raws li cov tsos mob tseem ceeb ntawm tus kab mob, ces nws tuaj yeem muaj qhov sib txawv. Siab heevFeem ntau nws hnov nyob rau hauv qhov chaw nruab nrab ntawm cov tav, nyob rau hauv lub lumbar cheeb tsam, nyob rau hauv lub cheeb tsam ntawm lub xub pwg hniav. Tus neeg mob yuav raug kev tawm tsam hnyav uas nyob ntev. Cov tsos mob tseem ceeb ntawm intercostal neuralgia ntawm sab xis yog raws li hauv qab no:
- mob hnyav uas kav ntev mus.
- mob lub sijhawm zoo ib yam li lub siab, excruciating thiab ntse.
- mob hnyav thaum tig, txham, hnoos. Cov paib no feem ntau txawv ntawm intercostal neuralgia.
- Cov tsos mob ntawm sab xis yog qhov tsis hnov tsw ntawm sab hauv siab.
Yog qhov mob nyob rau sab nraud, yuav muaj kev phom sij ntxiv. Nws yog ib qho tseem ceeb heev, thaum intercostal neuralgia tshwm sim ntawm sab laug, kom paub qhov txawv ntawm qhov mob hauv lub plawv. Cov cim hauv qab no yuav pab kom nkag siab qhov no:
- Kev tsis xis nyob hauv cheeb tsam plawv feem ntau kav ib lub sijhawm luv luv.
- Mob nres tom qab noj nitroglycerin.
- mob siab rau lub xub pwg, caj npab.
- Mob tsis hloov nrog ua pa tob.
- Tseem muaj suab nrov nrov.
Yog hais tias ib tug neeg raug kev txom nyem los ntawm neuralgia, qhov mob syndrome yog ib txwm nyob ntev thiab feem ntau tsis ploj thaum hmo ntuj, aggravated los ntawm palpation, tig thiab khoov. Cov tshuaj tua kab mob thiab daim ntawv thov cua sov pab tshem tawm nws.
Nrog rau kev loj hlob ntawm tus kab mob, lwm cov tsos mob ntawm intercostal neuralgia ntawm sab xis pib tshwm, uas tuaj yeem faib raws li hauv qab no:
- tawm hws ntau dhau.
- Redness los yog daj ntseg ntawm daim tawv nqaij nyob rau hauv qhov chaw ntawm o.
- Kev tsis txaus siab ntawm cov leeg nqaij ntawm qhov chaw ntawm neuralgia.
Ua rau kab mob
Ntau zaus, cov laj thawj uas ua rau kev txhim kho ntawm intercostal neuralgia yog inflammatory, degenerative, qog hloov pauv uas cuam tshuam rau lub paj hlwb. Cov hlab ntsha peripheral feem ntau cuam tshuam. Cov laj thawj tseem ceeb tuaj yeem sau tau raws li hauv qab no:
- Kev raug mob, kab mob ntawm cov tav thiab txha caj qaum.
- Kab mob ntawm txoj hnyuv thiab plab.
- Tsis muaj cov zaub mov thiab cov vitamins.
- -qog ntawm cov nqaj qaum.
- Ntaus lossis o ntawm cov leeg nraub qaum.
- YProgressive osteochondrosis.
- Kev ua haujlwm dhau, kev ntxhov siab.
- Thoracic paj hlwb raug mob.
- Intoxication nrog microbial toxins, tshuaj, tshuaj lom neurotropic.
- Herpetic lesions ntawm lub paj hlwb.
- kev tiv thaiv tsis muaj zog.
- Kab mob ntawm cov hlab ntsha thiab lub plawv.
- Kev raug mob ntawm tus txha nraub qaum thiab malformations ntawm nws txoj kev loj hlob.
- Hormonal shifts and menopause in women.
Yam yuav tsum tau muaj rau kev tsim tus kab mob
Yog lub cev raug cuam tshuam los ntawm ib lossis ntau qhov ua rau, dhau sijhawm, raug mob, txheej txheem inflammatory lossis txhaws ntawm cov paj hlwb lossis nws lub cev raug tsim. Cov xwm txheej zoo li no ua rau lub paj hlwb muaj kev tsis txaus oxygen (hypoxia), tau txais ntau dhau ntawm impulses. Cov xwm txheej nohloov, ua rau mob hauv intercostal neuralgia.
Txoj kev ntawm poj niam lub cev
Cov poj niam raug rau lwm qhov kev pheej hmoo ntxiv - hnav ris tsho hauv qab nruj. Bras nrog lub hauv paus nqaim thiab tawv underwires compress lub hauv siab thiab mechanically thaiv cov hlab ntsha, ua rau kev puas tsuaj. Feem ntau, intercostal neuralgia nyob rau hauv cov poj niam tsim tawm tsam keeb kwm ntawm thinness, vim hais tias lawv muaj me me subcutaneous rog thiab cov hlab ntsha nyob ze ntawm daim tawv nqaij.
kab mob qhua pias thiab neuralgia
Cov tsos mob saum toj no ntawm intercostal neuralgia ntawm sab xis tuaj yeem ntxiv los ntawm qhov tsis tshua pom tshwm sim. Cov no yog cov pob khaus hauv qab thiab sternum. Nws muaj peev xwm hais tias kev loj hlob ntawm tus kab mob yuav tshwm sim vim tus kab mob khaub thuas. Qhov no yog shingles los yog herpes zoster. Nrog rau kev teem caij ntawm kev kho kom txaus, tag nrho cov vesicles thiab crusts ploj, tab sis qhov mob syndrome tuaj yeem nyob nrog ib tug neeg rau lub hlis. Hom neuralgia no feem ntau hu ua postherpetic.
Diagnosis
Kev kuaj mob thawj zaug los ntawm kev coj tus neeg mob keeb kwm. Tus kws kho mob tso siab rau tus qhua cov lus tsis txaus siab thiab ua tib zoo tshuaj xyuas nws, soj ntsuam thaj tsam cuam tshuam. Feem ntau, kev kuaj mob tau ua tom qab cov kev tswj hwm no, tab sis hauv cov xwm txheej nyuaj, kev tshuaj ntsuam xyuas tau ua tiav:
- Yog tias muaj qhov tsis txaus ntseeg ntawm cov hlab ntsha raug mob, ua haujlwm electroneurography.
- Thoracic intercostal neuralgia raug kuaj pom siv MRI, CT scan ntawm tus txha caj qaum. Qhov no kuj ua rau nws muaj peev xwm tshem tawmlub xub ntiag ntawm hernias thiab qog ntawm tus txha caj qaum nws tus kheej thiab cov ntaub so ntswg uas nyob ib sab.
- X-ray ntawm lub hauv siab thiab txha nraub qaum.
- Kev kuaj zis thiab ntshav, tshwj xeeb tshaj yog thaum mob kis ntawm lub hauv siab mus rau lub lumbar.
- Txhawm rau tshem tawm qhov kis kab mob ntawm cov hlab ntsha, kev tshuaj xyuas yog ua rau muaj cov tshuaj tiv thaiv kab mob rau tus kab mob herpes.
Tsuas yog tom qab kuaj pom tag nrho, kev kho kom tsim nyog tau raug sau tseg, txhawm rau tshem tawm cov kab mob xws li intercostal neuralgia. Kev kho mob (cov tshuaj, kho lub cev) yog ua raws li kev saib xyuas nruj ntawm tus kws kho mob.
Kev kho mob
Tus kws kho mob tshwj xeeb uas kho cov kab mob intercostal neuralgia yog tus kws kho mob hlwb. Hauv cov xwm txheej tshwj xeeb, yuav tsum muaj kev cuam tshuam ntawm tus kws kho mob neurosurgeon. Lub hauv paus ntsiab lus ntawm kev kho yog ua raws li kev tshem tawm qhov ua rau ntawm tus kab mob, uas ua rau pinching thiab o ntawm cov hlab ntsha.
Thaum lub sijhawm tus neeg mob ntsib qhov mob hnyav, cov haujlwm hauv qab no tau qhia:
- Paj so ob peb hnub. Lub txaj yuav tsum ruaj thiab txawm, nrog ib daim ntaub thaiv nyob rau hauv lub txaj.
- Tsov rau sab xis ntawm lub hauv siab nrog cua sov qhuav. Nws tuaj yeem yog phuam so sov, compression, phuam qhwv caj dab.
- Mustard plasters tuaj yeem siv rau thaj tsam paravertebral.
- Massage effect nrog sov thiab tshuaj pleev tiv thaiv kab mob.
- Kev noj tshuaj nrog cov nyhuv sedative, tsis yog-steroidal analgesics.
- Nws yog ib qho tsim nyog kom tsis txhob haus cawv, ua si lub cev, kev ntxhov siab, txwv tsis pub qhov mob yuav nce ntxiv,nyob rau hauv xws li kab mob xws li intercostal neuralgia.
kho tsev hauv tsev yuav tsum tau ua raws li txhua qhov kev pom zoo saum toj no.
Txoj kev kho tshuaj
Nrog rau qhov mob hnyav, novocaine thaiv tuaj yeem siv tau. Tsis tas li ntawd, thaum tus kab mob siv daim ntawv ntev, cov kws kho mob tau sau cov tshuaj uas tshem tawm qhov mob nco, uas suav nrog qee cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kev nyuaj siab. Ib feem tseem ceeb ntawm kev kho tshuaj yog analgesics. Cov tshuaj pab tshem tawm qhov mob thiab yuav tsum tsis pub ntau tshaj 4 zaug hauv ib hnub (Pentalgin, Sedalgin).
Nws yog ib qho tseem ceeb kom tshem tawm cov o ntawm cov ntaub so ntswg yog tias nws nrog tus kab mob thiab txhim kho lub xeev tsis zoo. Rau qhov no, venotonics, diuretics (Lasix, Hypothiazid) feem ntau siv.
Non-steroidal anti-inflammatory tshuaj nyob rau hauv daim ntawv ntawm kev txhaj tshuaj los yog suppositories, tshuaj pleev yog sau nyob rau hauv ua ke nrog, nyob rau hauv ua ke nrog nrog rau cov leeg nqaij relaxants uas txo spasms thiab tshem tawm cov txheej txheem pathological (Atracurium, Tubocurarine, Diclofenac).
Tshuaj kho cov ntshav khiav kom sov cov leeg. Apizatron siv tau zoo heev.
Sedatives rau neuralgia ("Gelarium", "Deprim") yuav txo tau kev ntxhov siab tom qab mob thiab ua kom tsaug zog.
Rehab
Cov tswv yim ntawm kev kho mob tom ntej muaj cov haujlwm hauv qab no:
- UVI ntawm txoj cai ntu ntawm lub hauv siab, electrophoresis.
- Acupuncture.
- Laser kho.
- Osteopathy.
- noj ntau cov vitamins B. Vitamins restore lub paj hlwb, ua kom ruaj khov.
Raws li ib feem ntawm lub sijhawm kho kom rov zoo, tus neeg mob tau sau ntawv thov ntawm ozocerite thiab paraffin ntawm sab xis ntawm lub hauv siab, zaws, kho av nkos, da dej nrog hydrogen sulfide thiab radon, ua luam dej, kho kev tawm dag zog.
Kev phais yog nqa tawm thaum kuaj pom cov kab mob hauv lub cev, thaum lawv nthuav tawm cov paj hlwb thiab ua rau mob. Kev kho ib txwm yog qhov tseem ceeb, tab sis tsis yog tib txoj hauv kev los tshem tawm cov kab mob xws li intercostal neuralgia. Kev kho mob nrog pej xeem tshuaj tuaj yeem muaj txiaj ntsig zoo. Txawm li cas los xij, nws raug pom zoo kom mus ntsib kws kho mob.
kev kho neeg zoo
Ntau zaus, cov zaub mov txawv pej xeem siv los ntsuas ntxiv los tiv thaiv cov kab mob tsis zoo. Cov zaub mov uas tau nthuav tawm pab daws cov kab mob tseem ceeb ntawm lub paj hlwb, nrog rau thaum tus neeg mob muaj intercostal neuralgia. Kev kho mob (cov tshuaj, cov txheej txheem kho mob) yuav tsum ua kom tiav. Koj tsis tuaj yeem siv tshuaj kho pej xeem raws li kev kho mob.
Cov zaub mov zoo tshaj plaws
- Txhawm rau tshem tawm tus kab mob, nws raug nquahu kom siv cov tawv ntoo willow. Kwv yees li 15 grams ntawm crushed zaub raw cov ntaub ntawv yog brewed nrog 250 ml ntawm boiling dej. Qhov sib tov yog boiled rau li 20 feeb ntawm qhov tsawg kawg nkaus tshav kub. Tom qab ntawd lub broth yuav tsum txias, lim thiab haus 20 ml plaub zaug ib hnub twg.
- Ib ob peb kab ntawm ib qho yooj yim sab hauv tsev geranium yog nteg tawm ntawm ib daim ntaub linen. Ib tug compress nrog nplooj yog siv rau sab cuam tshuam, bandaged thiab insulated. Qhov mob yuav tsum tau qis tom qab ob teev. Kev siv zog ntawm cov txheej txheem yog 2-3 zaug hauv ib hnub.
- Qej roj pab tshem tawm neuralgia. Tsis pub ntau tshaj 25 ml ntawm cov roj yog diluted nyob rau hauv 500 ml ntawm cognac los yog cawv. Lub resulting essence yuav tsum tau lubricated nyob rau hauv lub hauv pliaj thiab lub tuam tsev, uas yuav pab tshem tawm qaug dab peg. Cov nyhuv homeopathic tau paub.
- Kev kho neeg pej xeem ntawm intercostal neuralgia muaj cov hauv qab no daim ntawv qhia: ib qho yooj yim-boiled qe. Thaum kub, nws yog siv rau qhov chaw mob kom txog thaum nws txias tag. Thaum lub qe txias, qhov mob yuav tsum ploj mus.
- Fuck tuaj yeem ua tau zoo. Cov nplooj tawg ntawm cov nroj tsuag tau muab tso rau ntawm sab xis ntawm lub hauv siab thiab npog nrog phuam qhwv caj dab sov.
- Kua txiv yog nyem tawm ntawm ib qho dub radish. Thaum sov, nws yog rubbed raws cov hlab ntsha hauv kev kho mob ntawm intercostal neuralgia.
- Nws kuj pom zoo kom npaj thyme tincture. Cov nroj tsuag zoo relieves qhov mob uas ib txwm nrog intercostal neuralgia. Kev kho mob nrog pej xeem kev kho mob suav nrog kev siv cov ntawv qhia nram qab no: kaum grams ntawm cov nroj tsuag tivthaiv yog nchuav rau hauv 100 ml ntawm cawv. Cov sib tov yog infused rau 24 teev, lim thiab noj peb zaug ib hnub twg, 15 tee txhua.
Kev Tiv Thaiv
Rau kev tiv thaiv kev rov qab los, txoj hauv kev ntxiv dag zog rau cov leeg nraub qaum tau qhia. Tus neeg mob yuav tsum zamhypothermia. Kev noj qab nyob zoo thiab kev noj qab haus huv ntawm cov vitamin yog qhov tseem ceeb. Kev kwv yees yuav luag ib txwm muaj txiaj ntsig.
Zoo kawg
Raws li cov kws kho mob hlwb, ib qho ntawm cov kab mob insidious tshaj plaws yog intercostal neuralgia. Cov tsos mob, tshwm sim rau sab xis lossis sab laug ntawm tus txha nraub qaum, ua rau cov neeg mob xav tias lawv mob nrog cov kab mob sib txawv kiag li. Cov lus pom zoo rau kev kho mob tseem ceeb yog tias tus neeg, hnov mob, yuav tsum tsis txhob poob nws nrog tshuaj tua kab mob, tab sis yuav tsum hu rau tus kws kho mob tshwj xeeb kom tau txais txiaj ntsig ntawm lawv tus kheej noj qab haus huv.
Yog tias koj tsis ua, cov teeb meem xws li mob ntev hauv lub sternum, oxygen tshaib plab ntawm cov ntaub so ntswg, kev txwv ntawm ntau yam kev txav ntawm lub cev thiab lub xub pwg nyom tuaj yeem tsim. Hauv qhov mob hnyav tshaj plaws, ua tsis taus pa.
