Neuralgia

Neuralgia ke bohloko bo bohale, bo tšosang bo latelang tsela ea methapo mme e bakoa ke ho teneha kapa ho senya methapo.

Li-neuralgias tse tloaelehileng li kenyelletsa:

• Postherpetic neuralgia (bohloko bo tsoelang pele kamora ho shingles)
• Trigeminal neuralgia (bohloko bo hlabang joaloka motlakase likarolong tsa sefahleho)
• Ho lemalla ho noa joala
• Pheripheral neuropathy

Lisosa tsa neuralgia li kenyelletsa:

• Khalefo ea lik'hemik'hale
• Lefu le sa foleng la liphio
• Lefu la tsoekere
• Matšoao, a kang herpes zoster (shingles), HIV / AIDS, lefu la Lyme le syphilis
• Meriana e kang cisplatin, paclitaxel, kapa vincristine
• Porphyria (lefu la mali)
• Khatello ea methapo ke masapo a haufi, li-ligament, methapo ea mali kapa lihlahala
• Trauma (ho kenyelletsa le ho buuoa)

Maemong a mangata, sesosa ha se tsejoe.

Postherpetic neuralgia le trigeminal neuralgia ke mefuta e 'meli e tloaelehileng ea neuralgia. Neuralgia e amanang empa e sa tloaeleha e ama methapo ea glossopharyngeal, e fanang ka maikutlo ho 'metso.

Neuralgia e atile haholo ho batho ba baholo, empa e kanna ea ba teng ka lilemo tsohle.

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Ho eketsa kutloisiso ea letlalo tseleng ea methapo e senyehileng, e le hore ho thetsa kapa khatello e utloe e le bohloko
• Bohloko bo haufi le tsela ea methapo e bohale kapa e hlabang, sebakeng se le seng sekhechana se seng le se seng, sea tla 'me se ea (nako e telele) kapa se lula se chesa ebile se ka mpefala ha sebaka se sisinyeha
• Bofokoli kapa ho holofala ho felletseng ha mesifa e fanoang ke methapo e tšoanang

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele,' me a botse ka matšoao.

Tlhahlobo e ka bonts'a:

• Boikutlo bo sa tloaelehang letlalong
• Mathata a reflex
• Ho lahleheloa ke boima ba mesifa
• Ho hloka mofufutso (ho fufuleloa ho laoloa ke methapo)
• Bonolo hammoho le methapo
• Lintlha tse bakang (libaka tseo le ha ho ts'oaroa hanyane feela ho ka utloisang bohloko)

U kanna ua hloka ho bona ngaka ea meno haeba bohloko bo le sefahlehong kapa mohlahareng oa hau. Tlhahlobo ea meno e ka thibela mathata a meno a ka bakang bohloko ba sefahleho (joalo ka leino la meno).

Matšoao a mang (a kang bofubelu kapa ho ruruha) a ka thusa ho tlosa maemo a kang tšoaetso, ho robeha ha masapo kapa ramatiki ea ramatiki.

Ha ho na liteko tse ikhethang tsa neuralgia. Empa, ho ka etsoa liteko tse latelang ho fumana sesosa sa bohloko:

• Liteko tsa mali ho lekola tsoekere maling, ts'ebetso ea liphio le lisosa tse ling tse ka bang teng tsa neuralgia
• Litšoantšo tsa Magnetic resonance (MRI)
• Boithuto ba ho tsamaisa methapo le electromyography
• Ultrasound
• Pompo ea mokokotlo (ho hlaba lumbar)

Kalafo e ipapisitse le sesosa, sebaka le ho tiea ha bohloko.

Meriana ea ho laola bohloko e ka kenyelletsa:

• Ho imeloa kelellong
• Lithethefatsi tsa lithibela-mafu
• Meriana ea bohloko ea ho feta tekanyetso kapa ea ngaka
• Meriana ea bohloko ka mokhoa oa makhapetla a letlalo kapa litlolo

Mefuta e meng ea kalafo e ka kenyelletsa:

• Ho thunngoa ka lithethefatsi tse kokobetsang bohloko
• Matšoao a methapo
• Phekolo ea 'mele (bakeng sa mefuta e meng ea neuralgia, haholo-holo postherpetic neuralgia)
• Mekhoa ea ho fokotsa maikutlo mokokotlong (joalo ka ho tlosoa ha methapo ho sebelisa radiofrequency, mocheso, khatello ea ballo kapa ente ea lik'hemik'hale)
• Ho buoa ho tlosa khatello ea methapo
• Kalafo e 'ngoe, joalo ka ho hlaba ka linalete kapa biofeedback

Mekhoa e kanna ea se ntlafatse matšoao 'me e ka baka tahlehelo ea maikutlo kapa maikutlo a sa tloaelehang.

Ha mefuta e meng ea kalafo e hloleha, lingaka li kanna tsa leka tšusumetso ea methapo kapa ea mokokotlo. Maemong a sa tloaelehang, mokhoa o bitsoang motor cortex stimulation (MCS) oa lekoa. Electrode e beoa holim'a karolo ea methapo, lesapo la mokokotlo, kapa boko 'me e hokahane le jenereithara ea pulse tlasa letlalo. Sena se fetola tsela eo methapo ea hau e tšoaeang ka eona mme e ka fokotsa bohloko.

Boholo ba li-neuralgias ha li behe bophelo kotsing ebile ha se matšoao a mathata a mang a sokelang bophelo. Bakeng sa bohloko bo boholo bo sa ntlafatseng, bona setsebi sa bohloko e le hore u ka hlahloba mekhoa eohle ea kalafo.

Boholo ba li-neuralgias bo arabela kalafong. Hangata litlhaselo tsa bohloko lia tla ebe lia feta. Empa, litlhaselo li ka fetoha khafetsa ho batho ba bang ha ba ntse ba tsofala.

Ka linako tse ling, boemo bo ka ntlafala bo le bong kapa ba nyamela ka nako, leha sesosa se sa fumanoe.

Mathata a ka kenyelletsa:

• Mathata a tsoang ho buuoa
• Bokooa bo bakoang ke bohloko
• Litla-morao tsa lithethefatsi tse sebelisetsoang ho laola bohloko
• Mekhoa ea meno e sa hlokahaleng pele neuralgia e fumanoa

Ikopanye le mofani oa hau haeba:

• U hlahisa li-shingles
• U na le matšoao a neuralgia, haholo-holo haeba meriana ea bohloko e tlatsetsang ha e imolle bohloko
• U na le bohloko bo boholo (bona setsebi sa bohloko)

Taolo e matla ea tsoekere maling e ka thibela tšenyo ea methapo ho batho ba nang le lefu la tsoekere. Tabeng ea li-shingles, lithethefatsi tse thibelang likokoana-hloko le ente ea herpes zoster virus e ka thibela neuralgia.

Bohloko ba methapo; Bohloko ba methapo ea pelo; Bohloko ba Neuropathic

• Sisteme ea methapo e bohareng le methapo ea methapo

Katirji B. Mathata a methapo ea kutlo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 107.

Scadding JW, Koltzenburg M. Mahlaba a bohloko a methapo ea kutlo. Ho: McMahon SB, Koltzenburg M, Tracey I, Turk DC, bahlophisi. Wall le Melzack's Textbook of Pain. La 6th. Philadelphia, PA: Elsevier Saunders; 2013: khaolo ea 65.

Smith G, ke lihlong ME. Pheripheral neuropathies. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 392.