Notalgia paresthetica, feem ntau hu ua NP, yog ib qho tab sis mob ntev ntawm cov hlab ntsha uas ua rau khaus khaus thiab hlawv ntawm koj lub xub pwg hniav. Nws tsis muaj kev phom sij thiab tsis ua rau muaj kev puas tsuaj rau koj lub cev, tab sis tuaj yeem ua rau muaj kev thab plaub thiab cuam tshuam. Hmoov tsis zoo, kws kho mob tau qhia me ntsis los ntawm NP, thiab tsis tau tsim txoj kev kho mob thoob ntiaj teb. Cov kev kho mob uas muaj txiaj ntsig tshaj plaws yog kev kho lub cev lossis kev kho kom txo tau cov hlab ntsha nyob sab nraub qaum. Kev kho tshuaj pleev tuaj yeem daws qhov khaus thiab hlawv ib ntus, tab sis cov no tsis kho tus mob. Yog tias koj tab tom ntsib NP, tom qab qee qhov kev kho mob hauv qab no tuaj yeem pab txhim kho koj cov tsos mob.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Thov Tshuaj Kho Mob
Kauj Ruam 1. Rub cov tshuaj nplaum capsaicin mus rau thaj tsam uas cuam tshuam
Cov tshuaj nplaum no tau siv rau ntau yam mob tsis zoo xws li mob caj dab, thiab nws yuav pab tau rau kev kho NP. Sim muab cov tshuaj pleev rau thaj tsam cuam tshuam 3 zaug hauv ib hnub rau 3-6 lub lis piam thiab saib seb koj cov tsos mob zoo li cas. Yog tias koj tsis pom ib qho kev txhim kho twg, tsum tsis txhob siv lub qab zib.
- Saib xyuas thaj tsam rau qhov liab lossis mob ntxiv thiab nres siv cov tshuaj yog tias koj pom cov tsos mob no.
- Capsaicin kuj tseem los ua thaj ua rau thaj. Qhov no tuaj yeem tiv thaiv qab zib los ntawm kev ua rau koj cov khaub ncaws.
- Cov tshuaj nplaum no, nrog rau lwm yam kev kho mob, feem ntau tsuas yog txo qhov mob lossis khaus ib ntus.
Kauj Ruam 2. Siv cov tshuaj lidocaine los yog thaj ua rau thaj tsam loog
Lidocaine yog tshuaj pleev ua kom loog koj cov tawv nqaij ib ntus. Nws feem ntau siv rau qhov khaus lossis kub hnyiab, tab sis nws kuj tseem tuaj yeem pab nrog NP. Sim txhuam ib co qab zib los yog siv ib thaj kom txog 3 zaug hauv ib hnub kom pom tias qhov no pab tau li cas.
- Ntau yam khoom lidocaine muaj muag tom khw, tab sis koj tuaj yeem tau txais hom muaj zog nrog kws kho mob daim ntawv xaj.
- Tsis txhob siv lidocaine rau ntawm qhov qhib qhov txhab lossis qhov txhab. Nws yuav ua rau mob hnyav heev.
Kauj Ruam 3. Tau txais cov tshuaj pleev tshuaj steroid qab zib rau kev kho kom zoo dua qub
Nov yog lwm qhov kev xaiv kho uas qee tus kws kho mob sim daws NP. Koj yuav xav tau cov ntawv yuav tshuaj no, yog li mus ntsib koj tus kws kho mob ua ntej. Tom qab ntawd ua raws koj tus kws kho mob cov lus qhia thiab muab cov tshuaj pleev rau thaj tsam uas muaj kev cuam tshuam ntau npaum li koj tau qhia rau.
Qee qhov tsis muaj zog cov tshuaj steroid cov khoom lag luam muaj nyob ntawm lub txee, txawm li cas los xij cov no yuav tsis ua haujlwm ib yam
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog kev siv cov kev kho mob no mus sij hawm ntev
Hmoov tsis zoo, thaum cov kev kho mob no tuaj yeem muab kev pab ib ntus los ntawm koj cov tsos mob, lawv yuav tsis kho koj li NP. Koj yuav xav tau txuas ntxiv thov koj cov kev kho tshuaj pleev ntawm kev xaiv nyob rau lub sijhawm ntev, lossis koj cov tsos mob tuaj yeem rov qab los. Nug koj tus kws kho mob ntev npaum li cas koj thiaj tuaj yeem siv tshuaj tau zoo.
Muaj qee qhov txaus ntshai uas cov kev mob tshwm sim tuaj yeem txhim kho yog tias koj siv cov tshuaj steroids tas li nyob rau lub sijhawm ntev. Yog tias koj tab tom pib pom cov tsos mob xws li ua pob tawv nqaij lossis tawg tawm, cov plaub hau loj hlob ntau dhau, lossis hloov pauv ntawm koj cov tawv nqaij xim, tham nrog koj tus kws kho mob txog lwm txoj kev xaiv kho
Txoj Kev 2 ntawm 3: Sim Tshuaj Sab Hauv
Kauj Ruam 1. Siv gabapentin txhawm rau txo qhov mob neuropathic
Gabapentin yog cov tshuaj paj hlwb uas feem ntau siv los kho tus mob vwm, tab sis nws kuj tuaj yeem pab txo qhov mob leeg. Tham nrog koj tus kws kho mob thiab saib seb gabapentin yuav yog qhov zoo los txo koj cov tsos mob NP. Nov yog cov tshuaj yuav tshuaj, yog li ua raws txhua yam ntawm koj tus kws kho mob cov lus qhia kom noj kom raug.
- Koj feem ntau yuav tsum maj mam nce koj cov tshuaj gabapentin. Koj tus kws kho mob yuav pib nrog 300 mg rau ob peb hnub ua ntej qhia koj kom noj ntau dua.
- Gabapentin muaj ntau yam tshuaj sib cuam tshuam, yog li yog tias koj noj tshuaj yuav tshuaj, tom qab ntawd koj tus kws kho mob yuav tsis xav kom koj noj.
Kauj Ruam 2. Sim siv tshuaj tua kab mob los tiv thaiv qhov mob hauv koj nraub qaum yog tias tsis muaj dab tsi ntxiv
Muaj qee qhov pov thawj tias cov tshuaj antidepressant tuaj yeem pab ua rau cov hlab ntsha tsis zoo xws li NP los ntawm kev nce qib serotonin hauv koj lub cev. Yog tias tsis muaj lwm txoj kev kho mob ua haujlwm, ces koj tus kws kho mob yuav sim sau tshuaj antidepressants los pab koj tus mob.
Antidepressants tuaj yeem ua rau muaj kev xav lossis teeb meem tus cwj pwm xws li ntxhov siab, qaug zog, lossis ntxhov siab. Tiv tauj nrog koj tus kws kho mob thiab qhia rau lawv paub tam sim yog tias koj xav tias cov tshuaj muaj qhov tsis zoo rau koj
Kauj Ruam 3. Tau txhaj tshuaj botulinum yog tias lwm yam kev kho mob tsis pab
Botulinum toxin feem ntau paub txog kev txhaj tshuaj Botox rau lub ntsej muag txhawm rau txhawm rau txhawm rau pob tw, tab sis nws kuj tseem siv rau lwm yam kev kho mob. Cov tshuaj lom yuav ua rau cov hlab ntsha nyob ib puag ncig koj tus txha nqaj qaum thiab txhim kho koj cov tsos mob. Tham nrog koj tus kws kho mob txog kev txhaj tshuaj nyob ib puag ncig thaj tsam cuam tshuam los kho koj li NP. Hmoov tsis zoo, kev sim tshuaj kho mob no tsis tau qhia tias nws muaj txiaj ntsig tshwj xeeb rau kev kho NP, yog li nws yog qhov zoo tshaj los sim lwm txoj kev kho ua ntej.
- Koj yuav xav tau ntau dua ib qho kev txhaj tshuaj botulinum rau kev kho mob kom ua haujlwm tau zoo.
- Tsis txhob sim txhaj tshuaj botulinum toxin los ntawm koj tus kheej. Qhov no txaus ntshai heev thiab yuav tsum tsuas yog ua los ntawm tus kws tshaj lij.
Txoj Kev 3 ntawm 3: Txhim Kho Siab Siab
Kauj Ruam 1. Mus ntsib kws kho mob pob txha txhawm rau txhawm rau txhawm rau rov ua haujlwm
Qhov no yog qhov tseem ceeb ntawm hom zaws uas siv qhov siab nrog koj sab nraub qaum thiab tso cov leeg nruj thiab qab haus huv. Txij li cov hlab ntsha pinched tuaj yeem ua rau NP, tso siab rau ntawm cov hlab ntsha raws koj lub nraub qaum yuav pab tau rau kev kho tus mob. Phau ntawv teem sijhawm nrog kws kho mob osteopathic rau kev sib tham ntawm kev rov ua haujlwm rov qab. Nws yuav siv sijhawm ob peb zaug ua ntej koj pom qhov hloov pauv.
Hom kev kho no txawv ntawm qhov zaws tas li. Thaum cov kws kho mob zaws muaj peev xwm tso tawm qhov nro, lawv tsis muaj qib kev qhia ib yam li kws kho mob pob txha, uas tau kawm tiav tsev kawm ntawv kho mob thiab chaw nyob. Yog tias koj xav txo NP, mus ntsib kws kho mob pob txha es tsis yog kws kho zaws
Kauj Ruam 2. Ua kom tiav ib puag ncig ntawm kev kho lub cev kom muaj zog hauv koj nraub qaum
Muaj qee qhov pov thawj tias nce lub zog thiab yoog raws koj lub nraub qaum tuaj yeem pab nrog NP. Sim mus ntsib kws kho mob lub cev thiab piav qhia qhov teeb meem. Lawv tuaj yeem tsim qauv qoj ib ce, ncab, thiab lub zog tsim lub zog kom ntxiv dag zog rau koj cov leeg nraub qaum. Ua kom tiav tag nrho lawv cov kev tawm dag zog pom zoo thiab ua raws li koj lub sijhawm teem tseg. Koj yuav pom qee qhov kev txhim kho hauv koj tus mob.
- Tej zaum koj yuav xav tau daim ntawv yuav tshuaj los ntawm koj tus kws kho mob xub thawj rau kev kho lub cev. Txawm hais tias lub chaw haujlwm kho mob lees txais cov neeg mob yam tsis muaj ntawv yuav tshuaj, koj li ntawv pov hwm kev noj qab haus huv yuav tsis them rau kev kho mob yog tias koj tsis tau txais daim ntawv yuav tshuaj ua ntej.
- Kev kho lub cev xav tau ntau txoj haujlwm sab nraum koj lub sijhawm teem tseg. Feem ntau koj yuav tsum tau ncab lossis qoj ib ce hauv tsev txhawm rau txhawm rau kho tus kws kho mob lub cev. Nyob saum cov dej num uas koj tus kws kho mob muab rau yog li kev kho mob zoo li sai tau.
- Txog kev ncab uas yuav pab daws NP, zaum ncaj thiab nthuav koj txhais caj npab tawm ntawm koj sab. Tom qab ntawd rub koj lub xub pwg nyom ua ke thiab tuav nws li 5-10 vib nas this. Rov ua qhov no 5-10 zaug kom nthuav koj lub nraub qaum.
Kauj Ruam 3. Tshaj tawm cov hluav taws xob hluav taws xob hluav taws xob hluav taws xob (TENS)
TENS yog kev kho mob uas siv hluav taws xob qis rau ntawm cov leeg paj hlwb kom loog qhov kev xav uas koj hnov. Tus kws kho mob yuav txuas cov hluav taws xob rau thaj chaw cuam tshuam thiab tswj hwm qhov ua rau me me, tsis muaj kev poob siab. Qhov no yog ib qho kev kho mob ib txwm muaj teeb meem mob xws li fibromyalgia, thiab tej zaum yuav pab tau rau NP ib yam. Tham nrog koj tus kws kho mob kom tau txais kev xa mus rau TENS chaw kho mob.
- Qhov kev kho mob no yuav mloog me ntsis txaus ntshai, tab sis nws ib txwm ua thiab tsis mob. Koj yuav hnov siab me ntsis, tab sis qhov hluav taws xob tsis muaj zog txaus ua rau koj raug mob.
- Koj tus kws kho mob yuav tsis pom zoo TENS kev kho mob yog tias koj muaj ntshav siab, mob qog noj ntshav, teeb meem plawv, lossis ntshav tsis xwm yeem. Cov hluav taws xob tuaj yeem cuam tshuam nrog koj lub plawv dhia yog tias koj muaj lub hauv paus, thiab cov hluav taws xob tuaj yeem ua rau nqaij tawv yog tias koj muaj ntshav tsis xwm yeem.
Kauj Ruam 4. Kho lub herniated disc nrog phais yog tsim nyog
Nws muaj peev xwm tias herniated disc tuaj yeem ua rau NP ib yam nkaus. Mus ntsib kws kho mob kom xoo hluav taws xob lossis CT scan txhawm rau txheeb xyuas qhov puas ntawm koj nraub qaum. Yog tias koj tau kuaj pom tias muaj herniated disc, kev phais me me tuaj yeem kho qhov teeb meem. Tus kws phais yuav tshem tawm qhov feem herniated ntawm koj lub vertebrae kom txo qhov siab ntawm koj lub nraub qaum. Cov neeg feem coob tshaj qhia txog kev txhim kho tseem ceeb hauv lawv qhov mob thiab tsis xis nyob tom qab kev phais mob no, yog li nws yuav zoo rau koj.
- Kev phais tsis tas yuav xav tau rau herniated disc. Qee zaum kev kho lub cev thiab so yog txhua yam koj xav tau. Ua raws koj tus kws kho mob cov lus qhia rau kev kho mob zoo tshaj plaws.
- Feem ntau, cov kws kho mob yuav tsis pom zoo rau koj rau kev phais tom qab tshwj tsis yog qhov mob tau ua raws koj lub neej niaj hnub. Qhov no vim tias txhua qhov kev phais cuam tshuam nrog kev pheej hmoo, thiab lawv yuav tsis xav tias qhov kev pheej hmoo tsim nyog nws tshwj tsis yog tias koj lub neej muaj kev cuam tshuam.
Lub tswv yim
- Cov tshuaj kho mob feem ntau tsuas yog kho koj cov tsos mob ib ntus. Yog tias koj xav tau kev pab mus sij hawm ntev, koj yuav tsum tau noj tshuaj lossis kho lub cev.
- NP tsis ua rau muaj cov cim ntawm daim tawv nqaij. Txawm li cas los xij, qee tus neeg tsim qhov nqaij liab hla thaj chaw cuam tshuam los ntawm khaus lossis rub qhov mob.
- NP yog qhov xwm txheej tsis muaj kev phom sij, txawm hais tias nws tuaj yeem ua rau muaj kev ntxhov siab heev. Nco ntsoov qhov no, vim tias nws yuav tsis tsim nyog nws yuav muaj kev phom sij los ntawm kev kho mob sib txawv thiab tshuaj rau qhov tsis muaj mob.
- Yog tias koj ua rau khaus ntawm koj lub xub pwg hniav, ua tib zoo saib thaj tsam saib seb puas muaj pob khaus tshwm. Cov tsos mob ntawm NP tuaj yeem zoo sib xws rau cov tsos mob ntawm tus mob shingles (herpes zoster). Txawm li cas los xij, nrog cov kab mob shingles, cov pob yuav tshwm sim tom qab ob peb hnub ntawm qhov khaus, tingling, lossis mob.
