Neuralgia

Neuralgia inorwadza, inorwadza inoteedzera nzira yetsinga uye inokonzerwa nekutsamwa kana kukuvara kwenzara.

Kazhinji neuralgias anosanganisira:

• Postherpetic neuralgia (kurwadziwa kunopfuurira mushure mekupunzika kwesimbi)
• Trigeminal neuralgia (kubaya kana yemagetsi-kuvhunduka-kunge kurwadziwa muzvikamu zvechiso)
• Doro neuropathy
• Peripheral neuropathy

Zvinokonzera neuralgia zvinosanganisira:

• Kemikari kutsamwa
• Chirwere chetsvo chisingaperi
• Chirwere cheshuga
• Zvirwere, zvakadai seherpes zoster (shingles), HIV / AIDS, chirwere cheLyme, uye syphilis
• Mishonga yakadai secisplatin, paclitaxel, kana vincristine
• Porphyria (kusagadzikana kweropa)
• Kushushikana pamitsipa nemapfupa ari padyo, mitsipa, tsinga dzeropa, kana mamota
• Dambudziko (kusanganisira kuvhiyiwa)

Muzviitiko zvakawanda, chikonzero hachizivikanwe.

Postherpetic neuralgia uye trigeminal neuralgia ndiwo maviri maitiro akajairika eiyo neuralgia. Iyo yakabatana asi isina kujairika neuralgia inokanganisa glossopharyngeal nerve, iyo inopa kunzwa kune huro.

Neuralgia inowanzoitika kune vanhu vakura, asi inogona kuitika chero pazera.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kuwedzera kwekunzwa kweganda munzira yemutsinga wakakuvara, zvekuti chero kubata kana kumanikidzwa kunonzwika sekurwadziwa
• Marwadzo ari munzira yemutsinga unopinza kana kubaya, munzvimbo imwechete chikamu chimwe nechimwe, chinouya chichienda (chiri pakati) kana chiri chenguva dzose uye chinopfuta, uye chinogona kuwedzera kana nzvimbo ichifambiswa.
• Kushaya simba kana kupora mitezo yemhasuru inopihwa neiyo tsinga imwe chete

Anopa hutano anoita bvunzo dzepanyama, uye obvunza nezvezviratidzo.

Bvunzo dzinogona kuratidza:

• Kunzwa kusingaite muganda
• Reflex matambudziko
• Kurasikirwa kwemhasuru
• Kusava nekudikitira (kudikitira kunodzorwa netsinga)
• Unyoro pamwe netsinga
• Matangi anokonzeresa (nzvimbo uko kunyangwe kubata kudiki kunokonzeresa kurwadziwa)

Iwe unogona zvakare kuda kuona chiremba wemazino kana kurwadziwa kuri muchiso chako kana shaya. Kuongororwa kwemazino kunogona kutonga kusagadzikana kwemazino kunogona kukonzeresa kurwadziwa kwechiso (senge zino zino).

Zvimwe zviratidzo (senge kutsvuka kana kuzvimba) zvinogona kubatsira kutonga kunze mamiriro akaita sehutachiona, kuputsika kwemapfupa, kana rheumatoid arthritis.

Iko hakuna chaiwo bvunzo dze neuralgia. Asi, bvunzo dzinotevera dzinogona kuitwa kuti uwane chinokonzera kurwadziwa:

• Kuongororwa kweropa kutarisa shuga yeropa, itsvo kushanda, uye zvimwe zvinokonzeresa neuralgia
• Magnetic resonance imaging (MRI)
• Tsinga kuitisa chidzidzo neelectromyography
• Ultrasound
• Musana pombi (lumbar puncture)

Kurapa kunoenderana nechikonzero, nzvimbo, uye kuomarara kwekutambudzika.

Mishonga yekudzora kurwadziwa inogona kusanganisira:

• Zvinodzvinyirira
• Antiseizure zvinodhaka
• Over-the-counter kana mishonga yemishonga inorwadza
• Mishonga yemarwadzo muchimiro chemakanda eganda kana mafuta

Mimwe mishonga inogona kusanganisira:

• Shots ine marwadzo-ekuregedza (anesthetic) zvinodhaka
• Tsinga dzinovhara
• Kurapa kwepanyama (kune mamwe marudzi e-neuralgia, kunyanya postherpetic neuralgia)
• Maitiro ekuderedza kunzwa muitsinga (senge kubviswa kwetsinga uchishandisa radiofrequency, kupisa, kudzvanya kwebhaluni, kana jekiseni remakemikari)
• Kuvhiya kutora kumanikidza kubva mutsinga
• Imwe nzira yekurapa, senge kugadzirira kana biofeedback

Maitiro haakwanise kuvandudza zviratidzo uye anogona kukonzera kurasikirwa kwekunzwa kana kusanzwisisika kwekunzwa.

Kana kumwe kurapa kukakundikana, vanachiremba vanogona kuyedza tsinga kana musana wekusimudzira. Muzviitiko zvisingawanzoitiki, maitiro anonzi motor cortex kukurudzira (MCS) anoedzwa. Electrode inoiswa pamusoro pechikamu chetsinga, musana, kana huropi uye yakasungirirwa kune jenareta yepasi pasi peganda. Izvi zvinoshandura mashandisiro anoita tsinga dzako uye zvinogona kudzora marwadzo.

Mazhinji maNeuralgias haasi kutyisidzira hupenyu uye haasi zviratidzo zvehumwe hutyisidziro hwehupenyu. Nekurwadziwa kwakanyanya kusiri kusimukira, ona nyanzvi yekurwadziwa kuitira kuti ugone kuongorora ese marapirwo.

Mazhinji neuralgias anopindura kurapwa. Kurwiswa kwemarwadzo kazhinji kunouya nekuenda. Asi, kurwiswa kunogona kuwedzera kuwanda mune vamwe vanhu sezvavanokura.

Dzimwe nguva, mamiriro acho anogona kusimukira ari ega kana kunyangarika nenguva, kunyangwe kana chikonzero chisingawanikwe.

Zvinetso zvinogona kusanganisira:

• Matambudziko kubva pakuvhiyiwa
• Kuremara kunokonzerwa nemarwadzo
• Zvimwe zvinokanganisa zvinodhaka zvinoshandiswa kudzora marwadzo
• Maitiro emazino asingadiwe neuralgia isati yaonekwa

Bata mupi wako kana:

• Iwe unogadzira shingles
• Iwe une zviratidzo zveeuralgia, kunyanya kana mishonga inopfuura-the-counter isingarape marwadzo ako
• Iwe une kurwadziwa kwakanyanya (ona nyanzvi yekurwadziwa)

Kunyatso kudzora shuga yeropa kunogona kudzivirira kukuvara kwemitsipa muvanhu vane chirwere cheshuga. Kana iri shingles, antiviral zvinodhaka uye herpes zoster hutachiona hutachiona hunogona kudzivirira neuralgia.

Kurwadziwa kwepfungwa; Inorwadza neuropathy; Neuropathic kurwadziwa

• Central nervous system uye yekumusoro tsinga system

Katirji B. Kukanganisika kwemitsipa yekunze. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 107.

Scadding JW, Koltzenburg M. Inorwadza periipheral neuropathies. Mu: McMahon SB, Koltzenburg M, Tracey I, Turk DC, eds. Wall uye bhuku raMelzack reMarwadzo. 6th ed. Philadelphia, PA: Elsevier Saunders; 2013: chits 65.

Smith G, Anonyara INI. Peripheral neuropathies. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 392.