Intercostal neuralgia waa xanuunka laabta ee aagga dareemayaasha intercostal. Waxaa sababa isku-duubka mid ka mid ah 24-da neerfo ee ku yaalla inta u dhexeysa feeraha iyo muruqyada intercostal, oo ah heerka qafiska feeraha.

Qeexida intercostal neuralgia

Intercostal neuralgia waxaa lagu gartaa xanuunka laabta oo uu keeno caabuq ama dhaawac soo gaara dareemaha intercostal, taas oo ah, neerfaha ka soo jeeda xididka laf dhabarta oo ku yaala inta u dhaxaysa feeraha.

Sababaha intercostal neuralgia

Intercostal neuralgia waxaa sababi kara xaalado kala duwan sida caabuq, barar, dhaawac laabta ama feeraha, ama qaliinka aagga laabta. Tusaale ahaan, ka saarista qaliinka kelyaha waxay dhaawici kartaa dareemayaasha intercostal.

Waxaa jira sababo kale sida:

• feeraha dillaacsan ama ka dillaacay dhaawac.
• Hoosudhaca dareemayaasha intercostal.
• Laf-dhabarta osteoarthritis oo sababa bararka neerfaha.
• Dareenka caloosha.
• Uurka, taas oo sababta kororka qafiska feeraha.
• Caabuqa sida shingles (neuralgia posttherpetic oo ay keento shingles).
• Buro aan fiicneyn ama malignant oo ku taal laabta ama caloosha oo cadaadineysa dareemayaasha intercostal.
• Nabarada maqaarka, murqaha iyo seedaha ee ku wareegsan laf dhabarta.
• Xanuunka thoracotomy ka dib (ka dib qalliinka qalliin ee gidaarka laabta).
• Intercostal neuritis (xanuun laga dareemay laabta).

Xanuunka ba'an, bararka ayaa lagu arkay kororka wax soo saarka cytokines (molecules of inflammation) oo laga sii daayo nudaha dhaawacan. Xaaladda xanuunka joogtada ah ee lagu arkay intercostal neuralgia, hababka xanuunka keena ayaa weli si liidata loo fahmay.

Yaa saamaynta ugu badan leh?

Shakhsiyaadka sameeya isboortiga saameynta sare leh waxay u badan tahay inay la kulmaan neuralgia intercostal.

ogaanshaha intercostal neuralgia

Cilad-sheegidda waxaa lagu sameeyaa:

• baaritaan neerfaha oo faahfaahsan oo la sameeyay si loo ogaado sababta xanuunka,
• xog-waraysi xanuun,
• Baaritaannada raajada sida raajo laabta ama MRI iyo
• la tashi lala yeesho dhakhtarka sambabada si loo go'aamiyo inuu jiro caabuq iyo in kale.

Guud ahaan, asalka iyo baaritaanka neerfaha ayaa ku filan dhakhtarka si loo ogaado cudurka.

Aqoonsiga neuralgia intercostal

Calaamadaha ugu muhiimsan ee neuralgia intercostal waa xanuunka aagga xabadka. Xanuunkan la xidhiidha neuralgia intercostal wuxuu noqon karaa laba geesood, sida mindi. Xanuunku waa gudaha iyo agagaarka laabta labada dhinac wuxuuna ka soo bixi karaa dhabarka ilaa xagga hore ee xabadka. Mararka qaarkood xanuunka waxaa si siman loo dareemaa dhererka feeraha. Xaalado kale, xanuunku wuxuu u muuqdaa neefsasho, qosol, ama hindhiso. Xanuunku wuxuu kordhiyaa dadaalka.

Calaamadaha kale

• Xanuunka feeraha, gaar ahaan dhinaca bidix, kaas oo lagu khaldi karo wadne xanuun ama angina. Digniin: kasta oo neuralgia intercostal waa in loo tixgeliyaa xanuun wadnaha ilaa la caddeeyo si kale.
• Kabuubyo iyo / ama hindhis
• Calool xanuun.
• Cunto xumo.
• Qandho
• Xanuun gacmaha iyo / ama garbaha. Xanuunka dhinaca bidix ee garabka iyo cududda cududda ayaa badanaa lagu qaldamaa wadnaha xanuunka ama angina.

Calaamadaha ugu daran, ee kugu hogaaminaya inaad wacdo xarunta SAMU 15, waa:

• Cadaadiska laabta ama dareenka dillaaca laabta.
• Qufac joogto ah oo xab leh.
• Wadna xanuun.
• Dhibaatooyinka neefsashada.
• calool xanuun fiiqan.
• Jahawareer, dawakhaad, ama miyir beel hoose.
• Curyaan iyo atrophy murqaha.

Dhibaatooyinka waxaa ka mid noqon kara xanuunka laabta oo raaga, dhaqdhaqaaqa dhaqdhaqaaqa oo yaraada, oof-wareen, ama neefsashada oo xumaada.

Waxyaabaha khatarta

Waxaa jira arrimo halis ah sida:

• Caabuqa fayraska varicella zoster. Fayraskani waxa uu dib u hawlgeli karaa ka dib da'da 60.
• Ka qayb qaadashada xawaaraha ama la xidhiidh hawlaha ciyaaraha sida skiing, snowboarding iyo kubbadda cagta.
• Dhaawac ka dhashay shil baabuur oo sababay dhaawacyo ka soo gaaray feeraha iyo neerfaha intercostal.

Ka Hortagga

Ka-hortagga waxa ku jira dhimista arrimaha khatarta ah, tusaale ahaan in laga tallaalo busbuska iyo herpes zoster-ka, iyada oo la qaadanayo wadista badbaadada leh si looga fogaado shil. Qalabka difaaca ayaa kaa caawin kara ka hortagga neuralgia intercostal. Tan waxa ka mid ah xidhashada koofiyadda ama isticmaalka suufka marka aad ka qayb qaadanayso ciyaaraha xidhiidhka. Diirinta ayaa sidoo kale lagula talinayaa ka hor inta aanad jimicsiga samayn.

Sidee loo daaweeyaa neuralgia intercostal?

Marka dhammaan sababaha kale ee degdega ah iyo kuwa halista ah ee intercostal neuralgia la tirtiro, dhakhtarkaagu wuxuu soo jeedin doonaa, iyadoo ku xiran heerka xanuunka, xanuunka fudud sida paracetamol ama daawooyinka ka hortagga bararka haddii asalka caabuqa la tirtiro. Marka labaad, daaweynta sababtu waa muhiim, osteoarthritis, dhaqdhaqaaqa been abuurka ah, bararka Haddii daaweyntan aysan ku filneyn, waxaa fiican inaad la tashato dhakhtar ku takhasusay xanuunka ama neerfayaasha oo bixin kara doorasho ahaan:

• Daawooyinka sida kuwa loo isticmaalo xanuunka neuropathic (tusaale kareemka capsaicin ku salaysan) waxay kaa caawiyaan yaraynta xanuunka la xidhiidha intercostal neuralgia, si la mid ah daawooyinka aan steroidal-ka ahayn ee ka hortagga bararka (tusaale ibuprofen)
• Daawaynta soo noqnoqda raadiyaha.
• Suuxinta deegaanka ama corticosteroid ayaa la siin karaa dareemaha ay saamaysay. Corticosteroids waxay caawisaa dhimista khatarta neuralgia postherpetic.
• Antihistamiinada waxaa loo isticmaalaa in lagu yareeyo cuncunka.
• Daawooyinka ka hortagga fayraska waxay yareeyaan darnaanta iyo muddada calaamadaha.
• Anticonvulsants.

Habab dhammaystiran

Daawaynta kale ee neuralgia intercostal waxay la socon kartaa daaweynta caadiga ah waxaana ka mid ah duugista, daaweynta nasashada, acupuncture, iyo yoga. Ma jiro caddayn caafimaad oo hadda la daabacay, si kastaba ha ahaatee waxaa la aqoonsan yahay in farsamo kasta oo loogu talagalay in lagu nasto muruqyada intercostal ay yeelan karto saameyn faa'iido leh.