Neuralgia

Neuralgia ciwo ne mai kaifi, mai ban tsoro wanda ke bin hanyar jijiya kuma saboda fushi ko lalacewar jijiyar.

Neungiyoyin gama gari sun haɗa da:

• Neuralgia na baya-bayan nan (ciwon da ke ci gaba bayan fadan shingles)
• Neuralgia na asali (soka ko zafi-kamar zafi a sassan fuska)
• Neuropathy na giya
• Neuropathy na gefe

Dalilin neuralgia sun hada da:

• Chemical haushi
• Ciwon koda na kullum
• Ciwon suga
• Cututtuka, kamar su herpes zoster (shingles), HIV / AIDS, cututtukan Lyme, da syphilis
• Magunguna kamar cisplatin, paclitaxel, ko vincristine
• Porphyria (cutar jini)
• Matsi akan jijiyoyi ta kusa ƙasusuwa, jijiyoyi, jijiyoyin jini, ko ƙari
• Rauni (ciki har da tiyata)

A lokuta da yawa, ba a san dalilin ba.

Neuralgia na bayan fage da ƙananan ƙwayoyin cuta sune nau'ikan nau'ikan nau'ikan ciwan biyu. Abun da ke da alaƙa amma ƙananan ƙarancin jijiyoyin jiki yana shafar jijiyar glossopharyngeal, wanda ke ba da ji a maƙogwaro.

Neuralgia yafi yawanci ga tsofaffi, amma yana iya faruwa a kowane zamani.

Kwayar cutar na iya haɗawa da ɗayan masu zuwa:

• Sensara ƙwarewar fata tare da hanyar jijiyar da ta lalace, don haka duk wani taɓawa ko matsa lamba ana jin shi azaba ne
• Jin zafi a kan hanyar jijiyar da ke kaifi ko soka, a wuri guda kowane ɓangare, ya zo ya tafi (tsaka-tsalle) ko ya kasance mai ci da wuta, kuma yana iya zama mafi muni idan aka motsa yankin
• Rauni ko cikakkiyar inna na tsokoki da wannan jijiya ta bayar

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki, kuma ya yi tambaya game da alamun.

Jarabawar na iya nuna:

• Abin mamaki mara kyau a cikin fata
• Matsalar tunani
• Rashin ƙwayar tsoka
• Rashin gumi (jijiyoyi suna sarrafa gumi)
• Jin tausayi tare da jijiya
• Matsaloli masu jawowa (yankunan da koda ɗan taɓawa ke haifar da ciwo)

Hakanan zaka iya buƙatar ganin likitan hakora idan ciwon yana cikin fuskarka ko haƙar. Gwajin hakori na iya kawar da cututtukan hakori wanda zai iya haifar da ciwon fuska (kamar ƙoshin hakori).

Sauran cututtukan (kamar su ja ko kumburi) na iya taimaka sarautar da yanayi kamar cututtuka, ɓarkewar ƙashi, ko cututtukan zuciya na rheumatoid.

Babu takamaiman gwaji don neuralgia. Amma, ana iya yin gwaje-gwaje masu zuwa don gano dalilin ciwo:

• Gwajin jini don bincika sukarin jini, aikin koda, da sauran dalilan da ke haifar da neuralgia
• Hanyoyin fuska ta maganadisu (MRI)
• Nazarin tafiyar da jijiyoyi tare da ilimin lantarki
• Duban dan tayi
• Matsalar kashin baya (hujin lumbar)

Jiyya ya dogara da dalilin, wuri, da tsananin azabar.

Magunguna don sarrafa ciwo na iya haɗawa da:

• Magungunan Magunguna
• Magungunan rigakafi
• Sama-da-kan-kan-kan-gado ko magungunan raɗaɗin magani
• Magungunan ciwo a cikin sifofin fata ko mayuka

Sauran jiyya na iya haɗawa da:

• Shots tare da kwayoyi masu rage zafi (maganin sa barci)
• Toshin jijiya
• Jiki na jiki (ga wasu nau'o'in neuralgia, musamman maƙasudin neuralgia)
• Hanyoyi don rage jin jiki a cikin jijiya (kamar cire jijiya ta amfani da yanayin rediyo, zafi, matsi na balan-balan, ko allurar sunadarai)
• Yin aikin tiyata don cire jijiya
• Madadin farji, kamar acupuncture ko biofeedback

Hanyoyi na iya inganta alamun ba kuma na iya haifar da asarar ji ko abubuwan da ba na al'ada ba.

Lokacin da sauran jiyya suka kasa, likitoci na iya gwada jijiya ko kashin baya. A cikin wasu lokuta ba safai ba, ana gwada hanyar da ake kira motsin motsa jiki (MCS). Ana sanya wutan lantarki akan wani sashi na jijiya, kashin baya, ko kwakwalwa kuma an makala shi da janareto na bugun jini a karkashin fata. Wannan yana canza yadda jijiyoyinku ke nuna alama kuma yana iya rage zafi.

Yawancin ƙananan ƙwayoyin cuta ba sa barazanar rai kuma ba alamun wasu rikice-rikice masu barazanar rai bane. Don ciwo mai tsanani wanda bai inganta ba, ga ƙwararren mai ciwo don ku sami damar bincika duk zaɓukan magani.

Yawancin ƙananan ƙwayoyin cuta suna amsawa ga magani. Haɗarin ciwo yawanci yakan zo ya tafi. Amma, hare-hare na iya zama sau da yawa a cikin wasu mutane yayin da suka tsufa.

Wani lokaci, yanayin na iya inganta da kansa ko ya ɓace tare da lokaci, koda kuwa ba a gano musababin ba.

Matsaloli na iya haɗawa da:

• Matsaloli daga tiyata
• Rashin lafiya da ciwo ya haifar
• Sakamakon sakamako na kwayoyi da ake amfani dasu don sarrafa ciwo
• Hanyoyin hakori waɗanda ba a buƙata kafin a gano cutar neuralgia

Tuntuɓi mai ba da sabis idan:

• Kuna bunkasa shingles
• Kuna da alamun cututtukan neuralgia, musamman idan magungunan ciwon kan-kantoci ba sa sauƙaƙar azabar ku
• Kuna da ciwo mai tsanani (duba ƙwararren mai ciwo)

Tsananin sarrafa suga na jini na iya hana lalacewar jijiya ga mutanen da ke da ciwon sukari. Game da shingles, magungunan ƙwayoyin cuta da maganin alurar rigakafin ƙwayar cuta na iya hana neuralgia.

Jin zafi; Neuropathy mai raɗaɗi; Neuropathic zafi

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Katirji B. Rashin lafiyar jijiyoyi na gefe. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi 107.

Scadding JW, Koltzenburg M. neuroananan cututtukan neuropathies. A cikin: McMahon SB, Koltzenburg M, Tracey I, Turk DC, eds. Wall da Melzack's Littafin rubutu na Ciwo. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2013: babi na 65.

Smith G, Mai Jin kunya NI. Neuroananan neuropathies. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi 392.