Intercostal neuralgia shine ciwon kirji a yankin jijiyoyin intercostal. Ana haifar da shi ta hanyar matsawa ɗaya daga cikin jijiyoyi 24 da ke tsakanin haƙarƙari da tsokar intercostal, a matakin ƙashin haƙarƙarin.

Ma'anar intercostal neuralgia

Intercostal neuralgia yana da alamun ciwo a kirji wanda ke haifar da kumburi ko lalacewar jijiyoyin intercostal, wato jijiya wacce ta samo asali daga tushe a cikin kashin baya kuma tana tsakanin hakarkarin.

Sanadin intercostal neuralgia

Intercostal neuralgia na iya haifar da yanayi daban -daban kamar kamuwa da cuta, kumburi, rauni ga kirji ko hakarkarinsa, ko tiyata zuwa yankin kirji. Misali, cire tiyata na koda zai iya lalata jijiyoyin intercostal.

Akwai wasu dalilai kamar:

• tsagewar hakarkari ko karaya daga rauni.
• Rushewar jijiyoyin intercostal.
• Osteoarthritis na kashin baya wanda ke haifar da kumburin jijiya.
• Ciwon ciki.
• Ciki, wanda ke haifar da ƙaruwa a cikin haƙarƙarin haƙarƙari.
• Wani kamuwa da cuta kamar shingles (neuralgia postherpetic da shingles ke haifarwa).
• Ciwon daji mara kyau ko mara kyau a cikin kirji ko ciki wanda ke matsa kan jijiyoyin intercostal.
• Fata, tsoka da raunin ligament a kusa da kashin baya.
• Ciwon bayan thoracotomy (bayan tiyata ta bangon kirji).
• Intercostal neuritis (jin zafi a kirji).

A cikin matsanancin zafi, ana lura da kumburi tare da haɓaka samar da cytokines (ƙwayoyin kumburi) waɗanda aka saki daga lalacewar nama. Game da ciwo mai ɗorewa da aka lura a cikin intercostal neuralgia, hanyoyin da ke haifar da ciwo har yanzu ba a fahimta sosai.

Wanene abin ya fi shafa?

Mutanen da ke yin wasanni masu tasiri suna iya fuskantar wahala daga intercostal neuralgia.

Binciken intercostal neuralgia

Ana yin ganewar asali ta amfani da:

• cikakken binciken jijiyoyin jiki da aka yi don gano dalilin ciwon,
• tambaya mai zafi,
• gwajin x-ray kamar x-ray na kirji ko MRI da
• shawara tare da likitan huhu don sanin ko akwai kamuwa da cuta.

Gabaɗaya, bayanan baya da gwajin jijiyoyin jiki sun ishe likita don yin ganewar asali.

Gane intercostal neuralgia

Babban alamar intercostal neuralgia shine zafi a yankin kirji. Wannan zafin da ke da alaƙa da intercostal neuralgia na iya zama na biyu, kamar soka. Ciwon yana ciki da wajen yankin kirji a kowane bangare kuma yana iya haskawa daga baya zuwa gaban kirjin. Wani lokaci ana jin zafi daidai gwargwado na tsawon haƙarƙarin. A wasu lokuta, ciwon yana bayyana tare da numfashi, dariya, ko atishawa. Ciwon yana ƙaruwa tare da ƙoƙari.

Sauran alamu

• Ciwo a haƙarƙari, musamman a gefen hagu, wanda za a iya kuskure don ciwon zuciya ko angina. Gargadi: duk wani intercostal neuralgia yakamata ayi la'akari da ciwon zuciya har sai an tabbatar da hakan.
• Lalaci da / ko tingling.
• Ciwon ciki.
• Rashin ci.
• Zazzaɓi.
• Ciwo a cikin makamai da / ko kafadu. Jin zafi a gefen hagu na kafada da haɗin gwiwar hannu galibi ana kuskure don ciwon zuciya ko angina.

Alamomin da suka fi tsanani, waɗanda ya kamata su sa ku kira cibiyar SAMU 15, sune:

• Matsewar kirji ko tsagewar hawaye a kirji.
• Ciwon tari mai ɗaci tare da gamsai.
• Bugun zuciya.
• Busa wahaloli.
• Sharp ciwon ciki.
• Rikici, dizziness, ko ƙananan matakin sani.
• Shan inna da atrophy na tsokoki.

Matsalolin na iya haɗawa da ciwon kirji na kullum, raguwar motsi, ciwon huhu, ko gazawar numfashi.

hadarin dalilai

Akwai wasu abubuwan haɗari kamar:

• Kamuwa da cutar varicella zoster. Wannan kwayar cutar na iya sake farfadowa bayan shekaru 60.
• Shiga cikin sauri ko tuntuɓar ayyukan wasanni kamar kankara, kankara da ƙwallon ƙafa.
• Tashin hankali da hatsarin mota ya haifar wanda ya haifar da raunuka ga haƙarƙari da jijiyoyin intercostal.

rigakafin

Rigakafin ya haɗa da rage abubuwan haɗari, misali ta hanyar yin allurar rigakafin cutar ƙyanda da kuma herpes zoster, ta hanyar ɗaukar tuƙi mafi aminci don gujewa haɗari. Na'urorin kariya na iya taimakawa hana intercostal neuralgia. Wannan ya haɗa da sanya kwalkwali ko yin amfani da padding lokacin shiga wasannin tuntuɓar juna. Hakanan ana ba da shawarar yin ɗumi kafin yin wasa.

Yadda za a bi da intercostal neuralgia?

Da zarar an kawar da duk sauran abubuwan da ke haifar da kumburi na intercostal neuralgia, likitanku zai ba da shawarar, gwargwadon matakin jin zafi, masu saukin ciwo kamar paracetamol ko magungunan kumburi idan an kawar da asalin cutar. Abu na biyu, maganin sanadin yana da mahimmanci, osteoarthritis, motsi na ƙarya, kumburi Idan waɗannan jiyya basu isa ba, yana da kyau tuntuɓi likita ƙwararre akan ciwo ko kuma ƙwararren masani wanda zai iya bayarwa azaman zaɓi:

• Magunguna kamar waɗanda ake amfani da su a cikin ciwon neuropathic (misali cream-tushen capsaicin) suna taimakawa rage zafin ciwon da ke da alaƙa da intercostal neuralgia, haka ma magungunan hana kumburi marasa steroidal (misali ibuprofen) ko magungunan rage kumburin da ke taimakawa kwantar da ciwon jijiya.
• Maganin radiyo.
• Ana iya ba da maganin rigakafi na gida ko corticosteroid ga jijiyar da abin ya shafa. Corticosteroids suna taimakawa rage haɗarin postherpetic neuralgia.
• Ana amfani da maganin antihistamines don rage ƙaiƙayi.
• Magungunan rigakafi suna rage tsananin da tsawon alamun.
• Anticonvulsants.

Ƙarin hanyoyin

Sauran jiyya don intercostal neuralgia na iya biye da jiyya na al'ada kuma sun haɗa da tausa, wartsakewa, acupuncture, da yoga. Babu shaidar likita a halin yanzu da aka buga don ɗan lokaci, amma an gane cewa duk wata dabara da ake nufin shakatawa tsokoki na intercostal na iya samun fa'ida mai amfani.