Neuralgia

Neuralgia yog ib qho mob siab, ua rau poob siab uas ua raws txoj kev ntawm ib qho hlab ntsha thiab yog vim qhov khaus lossis puas tsuaj rau lub hlab ntshav.

Hom neuralgias suav nrog:

• Postherpetic neuralgia (mob mob uas txuas ntxiv tom qab muaj kev mob pob ntseg)
• Mob raum neuralgia (stabbing lossis hluav taws xob-poob siab zoo li mob hauv qhov chaw ntawm lub ntsej muag)
• Cawv mob neuropathy
• Mob paj hlwb peripheral

Ua rau ntawm neuralgia muaj xws li:

• Tshuaj khaus
• Mob raum
• Mob ntshav qab zib
• Cov kab mob sib kis, xws li mob herpes zoster (mob pob khaus), HIV / AIDS, mob Lyme, thiab mob syphilis
• Cov tshuaj xws li cisplatin, paclitaxel, lossis vincristine
• Porphyria (ntshav tsis zoo)
• Kev yuam rau cov leeg ntshav los ntawm cov pob txha ze, txhaws, hlab ntshav, lossis cov qog
• Kev poob plig (suav nrog kev phais mob)

Ntau qhov xwm txheej, tseem tsis paub meej.

Kev tom qab mob neuralgia thiab trigeminal neuralgia yog ob hom ntawv uas feem ntau ntawm neuralgia. Ib qho cuam tshuam tab sis tsis tshua muaj kev cuam tshuam neuralgia cuam tshuam rau hauv hlab ntsha lub plab, uas muab txoj kev xav rau caj pas.

Neuralgia muaj ntau dua rau cov neeg laus, tab sis nws yuav tshwm sim thaum muaj hnub nyoog.

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

• Ua kom rhiab ntxiv ntawm cov tawv nqaij raws txoj kev ntawm qhov puas ntawm cov hlab, thiaj li hais tias txhua qhov kov lossis lub siab hnov ​​zoo li mob
• Kev hnov ​​mob raws txoj kev ntawm txoj hlab ntaws uas yog ntse lossis txhaws, nyob rau tib qhov chaw txhua ntu, los thiab mus (sib quas ntus) lossis tsis tu ncua thiab kub hnyiab, thiab yuav mob heev ntxiv thaum thaj chaw tsiv.
• Tsis muaj zog lossis ua kom tag nrho cov tuag tes tuag taw ntawm cov leeg muab los ntawm tib lub paj hlwb

Tus kws kho mob yuav kuaj lub cev, thiab nug txog cov tsos mob.

Qhov ntsuas yuav tuaj yeem qhia:

• Qhov tsis zoo ntawm qhov tawv nqaij
• Teeb meem reflex
• Poob rau cov leeg
• Tsis muaj tawm hws (tawm hws yog tswj los ntawm qab haus huv)
• Kev sib haum xeeb raws txoj hlab
• Cov ntsiab lus tsis zoo (thaj chaw uas ib nyuag chwv cov mob)

Koj kuj tseem yuav tsum tau mus ntsib kws kho hniav yog tias qhov mob mob nyob hauv koj lub ntsej muag lossis lub puab tsaig. Kev kuaj hniav nws tuaj yeem txiav tawm qhov mob hniav uas tuaj yeem ua rau mob ntsej muag (xws li ua hniav qog).

Lwm yam tsos mob (xws li liab lossis o) yuav pab txiav txim tej yam mob xws li kis mob, pob txha lov, lossis mob caj dab.

Tsis muaj kev ntsuam xyuas tshwj xeeb rau tus mob neuralgia. Tab sis, cov ntawv sim hauv qab no tuaj yeem ua kom pom qhov ua rau mob:

• Kev kuaj ntshav los soj ntsuam cov ntshav qab zib, lub raum kev ua haujlwm, thiab lwm yam tuaj yeem ua rau neuralgia
• Magnetic resonance duab (MRI)
• Kev kawm txoj kev tsom xam nrog electromyography
• Ultrasound
• Tus txha caj qaum (caj pas sab nraud)

Kev kho mob yog nyob ntawm qhov laj thawj, thaj chaw, thiab mob hnyav heev.

Cov tshuaj los tswj qhov mob kuj yuav suav nrog:

• Cov tshuaj tiv thaiv kab mob
• Antiseizure tshuaj siv
• Cov tshuaj yuav tom kiab khw lossis tshuaj loog mob kom tsis txhob mob
• Tshuaj pleev xim rau hauv cov qauv tawv nqaij lossis pleev tshuaj pleev ib ce

Lwm yam kev kho mob suav nrog:

• Kev txhaj tshuaj nrog qhov mob-txo qhov mob (ua kom loog) cov tshuaj
• Tsom nris
• Kev kho lub cev (rau qee yam neuralgia, tshwj xeeb tshaj yog postherpetic neuralgia)
• Cov txheej txheem los txo cov kev xav hauv cov hlab ntsha (xws li cov hlab ntuag siv hluav taws xob, hluav taws xob, kub zais pa, lossis txhaj tshuaj)
• Cov phais txhawm rau tshem tawm lub paj hlwb
• Lwm txoj kev kho, xws li acupuncture lossis biofeedback

Cov txheej txheem yuav tsis txhim kho cov tsos mob thiab tuaj yeem ua rau ploj lossis hnov ​​zoo.

Thaum lwm txoj kev kho mob tsis ua tiav, cov kws kho mob yuav sim ua lub zog lossis pob txha caj qaum. Muaj qee zaus, muaj txheej txheem hu ua motor cortex stimulation (MCS). Ib qho electrode tau tso rau ntawm ib feem ntawm cov hlab ntsha, tus txha nqaj qaum, lossis lub hlwb thiab tau sib txuas rau lub tshuab hluav taws xob hauv qab daim tawv nqaij. Qhov no hloov li cas koj cov qab haus huv lub teeb liab thiab nws tuaj yeem txo qhov mob.

Yuav luag txhua qhov kev mob hlwb (neuralgias) tsis yog kev phom sij txog lub neej thiab tsis yog cov cim ntawm lwm qhov kev phom sij hauv lub neej. Txog kev mob hnyav uas tsis ua kom zoo dua, mus ntsib tus kws kho mob kom koj tuaj yeem tshawb txhua hom kev kho mob.

Feem ntau neuralgias teb rau kev kho mob. Kev tawm tsam ntawm kev mob feem ntau tuaj thiab mus. Tab sis, kev tawm tsam tuaj yeem tshwm sim ntau dua rau qee tus neeg thaum lawv laus dua.

Qee zaum, tus mob yuav tuaj yeem hloov kho nws tus kheej lossis ploj nrog lub sijhawm, txawm tias tsis pom qhov ua rau.

Teeb meem yuav suav nrog:

• Teeb meem los ntawm kev phais mob
• Kev ua tsis taus los ntawm qhov mob
• Phiv los ntawm cov tshuaj siv los tswj qhov mob
• Cov txheej txheem kho hniav uas tsis xav tau ua ntej neuralgia kuaj

Hu rau koj tus kws khomob yog:

• Koj tsim kev thev qoob
• Koj muaj cov tsos mob ntawm neuralgia, tshwj xeeb tshaj yog tias cov tshuaj yuav tom kiab khw tsis txo koj qhov mob
• Koj muaj mob hnyav heev (saib kws kho mob)

Kev tswj xyuas cov ntshav qab zib ntau ntau yuav tiv thaiv cov hlab ntshav puas rau cov neeg muaj ntshav qab zib. Hauv kev muaj mob txhaws, tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv tus mob herpes zoster tuaj yeem tiv thaiv neuralgia.

Mob leeg; Mob mob neuropathy; Neuropathic mob

• Nruab nrab hauv lub paj hlwb thiab lub paj hlwb peripheral

Katirji B. Kev mob tsis zoo ntawm cov hlab ntsha leeg. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 107.

Scadding JW, Koltzenburg M. Kev mob siab ntawm cov leeg hlwb. Hauv: McMahon SB, Koltzenburg M, Tracey Kuv, Turk DC, eds. Phab ntsa thiab Melzack's Phau Ntawv Qhia Txog Kev MobCov. 6 tus ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2013: chap 65.

Smith G, txaj muag ME. Sab Sij Huam Rau Nruab Nrab. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 392.