Kukula Kosayembekezereka Kumene Kumayambitsa Mavuto
A neuroma ndi kukula kwakukulu kwa mitsempha ya mitsempha. Neuromas kawirikawiri zimakula bwino, koma zimaphatikizapo kuphulika kwa mitsempha ya mitsempha. Kuphulika uku, komwe kumachitika paliponse m'thupi, nthawi zambiri kumabweretsa ululu waukulu wa mitsempha . Neuroma ikhozanso kusokoneza ndi njira imene mumamasulira kugwira ndipo potero mumayambitsa matenda a allodynia, dysesthesia, ndi hypersensitivity, zonse zomwe zingakhale zopweteka komanso zosasangalatsa.
Mitsempha yodetsedwa yomwe ilipo kulikonse mu thupi idzapanga neuroma. M'mawu ena, paliponse m'thupi lanu komwe mitsempha yadulidwa imakhala yopanga neuroma yowawa. Chonde dziwani kuti sikuti neuromas yonse ndi yopweteka koma iyo yomwe ikupita ikuzindikiridwa.
Neuroma ndi mpira wa minofu yambiri ndi axon. Zomera za axon zimasonyeza kuti mitsempha imayesa kubwezeretsanso.
Neuromas ikhoza kuchitika pambuyo pa opaleshoni inayake, monga kupweteka kwa thupi kapena chiwalo, kutulutsa kupweteka kupitirizabe nthawi yayitali ya machiritso operekedwa opaleshoni. Izi zingapangitse ululu wopweteka kwambiri .
Chithandizo
Chithandizo choyamba cha neuroma ndichabechabe. (Chithandizo chachikulu cha mankhwala ndichisungidwe cha opaleshoni chifukwa cha mankhwala omwe sangathe kuchiritsidwa ndi mankhwala kapena njira zina zopanda mphamvu.) Mogwirizana ndi malo a neuroma, mankhwala enaake oyambirira a neuroma ndi awa:
- tricyclic zowonongeka
- anticonvulsants
- kuchotsa chilakolako
- kuyambitsa magetsi
- ultrasound
- zilonda za corticosteroid
Tsopano tiyeni tiyang'ane zitsanzo zenizeni za neuromas.
Neuroma mu Dzanja
Mitsempha yamtundu wapatali yomwe ili m'dzanja ili yowonjezera kukhala ndi neuromas. Mitsempha yapamwamba yamtunduwu imathandiza kumverera kumbuyo kwa dzanja.
Neuromas yomwe imakhudza mitsempha yapamwamba imatha kudziwika pogwiritsa ntchito mayeso a Tinel, komwe dokotala amatha kudutsa deralo kuti amve "zikhomo ndi singano".
Pamene mankhwala osagwiritsa ntchito mankhwala opangira mankhwala osokoneza bongo amatha kulephera, neuroma ikhoza kudulidwa kapena kudulidwa. Komabe, neuroma yatsopano idzamera m'malo mwake. Chithandizo chabwino cha neuroma imeneyi ndi kuyika m'manda kapena mfupa motero kusuntha neuroma kutali ndi pamwamba pa khungu kumene kungakhudzidwe ndi kukwiya. Mwa kuyankhula kwina, pobisalira neuroma, mosakayikira amakwiya ndipo amachititsa ululu.
Neuroma mu Lower Leg
Pambuyo pa bondo lamagetsi kapena bondo m'malo mwake , chipangizo cha infrapatellar cha mitsempha yotchedwa saphenous chingachotsedwe kotero kuti chikhale ndi neuroma. Nthambi ya infrapatellar ya mitsempha yotchedwa saphenous imapangitsa kuti khungu liziyenda pamtunda kapena pamatope.
Zotsatira:
Lifchez ndi SD, Kelamis J. Surgery of the Hand and Wrist. Mu: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. eds. Mfundo za Schwartz za Opaleshoni, 10e . New York, NY: Hill ya McGraw; 2014.
Marchie A, Freiberg AA, Kwon Y. Chaputala 13. Njira ya Wodwala ndi Mphulupulu Yopweteketsa Njoka kapena Knee. Mu: Imboden JB, Hellmann DB, Stone JH. eds. Kufufuza Koyamba ndi Kuchiza: Rheumatology, 3e . New York, NY: Hill ya McGraw; 2013.