Izikhukhula ezingavamile ezingabangela ubuhlungu
I-neuroma ukukhula okungavamile kwezicubu zezinzwa. I-Neuromas ivame ukukhula kahle, kepha ihlanganisa ukuqina kwezicubu zomzimba. Lokhu kuqina, okungahle kwenzeke noma kuphi emzimbeni, ngokuvamile kubangele ubuhlungu obukhulu bezinzwa . I-Neuroma ingabuye ihlaziye ngendlela oyihumusha ngayo futhi yenza kanjalo ku-allodynia, i-dysesthesia, ne-hypersensitivity, konke okungaba buhlungu futhi kungakhululekile.
I-nerve enesisindo esitholakala noma kuphi emzimbeni iyokwenza i-neuroma. Ngamanye amazwi, noma yikuphi emzimbeni wakho lapho kutholakala khona inzwa ejwayele ukwakha i-neuroma ebuhlungu. Sicela uqaphele ukuthi akuzona zonke i-neuromas ezibuhlungu kodwa lezo ezihamba ziyaziwa.
I-neuroma ibhola lesisindo esibuhlungu kanye namahlumela e-axon. Lezi zihlumela ze-axon zimelela umzamo wesibindi sokuvuselela.
I-Neuromas ingenzeka ngemva kokuhlinza okuthile, njengokwenza i- mastectomy noma i-legation amputation, okwenza ubuhlungu buqhubeke isikhathi eside ngemuva kwesikhathi esilindelekile sokuphulukisa ukuhlinzwa. Lokhu kungaholela ekubuyeni okungapheli kokulandela .
Ukwelapha
Ukwelashwa kokuqala kwe-neuroma akuyona ingozi. (Isimiso esijwayelekile semithi kufanele sigcinwe ukuhlinzekwa ngezimo ezingenakwelashwa ngemithi noma ezinye izindlela ezingavumelekile.) Ngokuya kwendawo ye-neuroma, ezinye izindlela zokwelapha ezingenasidakamizwa ze-neuroma zifaka okulandelayo:
- i-tricyclic antidepressants
- ama-anticonvulsants
- ukungafuneki
- ukuvuselela kagesi
- i-ultrasound
- ama-corticosteroid injections
Manje ake sibheke ezinye izibonelo ezithile ze-neuromas.
I-Neuroma esandleni
I-neral yangempela engxenyeni yesandla ijwayele ukuthuthukisa i-neuromas. I-nerval radial yangaphandle yenza inzwa ngemuva kwesandla.
I-Neuromas ethinta i-neral yangaphandle engasetshenziswa ingatholakala ngokuhlola kweTinel, lapho udokotela ephawula khona indawo phezu kwesibindi sokufaka "izikhonkwane nezinaliti" inzwa.
Uma ukwelashwa okungenasidingo kwe-radial nealoma neuroma ngaphandle kwehluleka, i-neuroma ingahle isetshenziswe noma inqunywe. Nokho, i-neuroma entsha izohluma ukuze ithathe indawo yayo. Ukwelashwa kangcono kwalolu hlobo lwe-neuroma ukuwufaka emsimbeni noma emathunjini ngaleyo ndlela kuhambisa i-neuroma kude nenhla yesikhumba lapho ingaba nomthelela futhi icasulwe. Ngamanye amazwi, ngokufihla i-neuroma, cishe akunakucasulwa futhi kubangele ubuhlungu.
I-Neuroma e-Lower Leg
Ngesikhathi sokuguqula i-arthroplasty noma idolo , indawo ye-infrapatellar ye-nerf saphonous ingakwazi ukuhlukaniswa ngaleyo ndlela ibe ne-neuroma. Igatsha le-infrapatellar le-nerve saphenous linomuntu ovikela isikhumba esithinta i-patella noma i-kneecap.
Imithombo:
I-Lifchez ne-SD, iKelamis J. Ukuhlinzwa kwe-Hand and Wrist. Ku: Brunicardi F, Andersen DK, B Billiar, Dunn DL, Hunter JG, Matthews JB, Pollock RE. ama-eds. Izimiso Zokuhlinza Schwartz, 10e . ENew York, NY: McGraw-Hill; 2014.
UMarchie A, Freiberg AA, Kwon Y. Isahluko 13. Indlela yokuthola isiguli esineziphuzo ze-Prosthetic Hip noma iKnee. Ku: Imboden JB, Hellmann DB, Stone JH. ama-eds. Ukuqaphela nokuqapha kwe-CURRENT: I-Rheumatology, 3e . ENew York, NY: McGraw-Hill; 2013.