Какво е интеркостална невралгия

Интеркосталната невралгия не е често срещано явление, което причинява болки по дължината на интекосталните нерви. Интеркосталните нерви са разположени междо ребрата. Ребрата са дълги, плоски кости които се извиват в гърдите ви, за да изградят гръдната клетка. Горните 10 двойки ребра се залавят за торакалният дял на гръбначния стълб и за стернума (гръдната кост). Долните две двойки са заловени само за гръбначния стълб и се наричат плаващи ребра. Интеркосталната зона между ребрата съдържа мускули и нерви. Тези интеркостални нерви  могат да бъдат увредени или възпалени в следствие на различни болести или увреждания и състояния, които водят до интеркостална невралгия.

Интеркосталната невралгия може да предизвика епизодични пристъпи на болка, която е тъпа и продължителна. Болката често може да бъде описана и  като пробождане, разкъсване, остра, подобна на спазъм, може да предизвика тежест. Обикновенно болката се усеща по протежение на ребрата сякаш се е „овила” около гърдите. Тя става по-интензивна по време на екстензия или внезапни движения в които участва горната част на гръдния кош( кашляне или смях).

Интеркосталната невралгия често се асоциира с нараняване или възпаление на мускули, нерви, хрущяли или връзки в гръдната клетка и средната част на гръбначния стълб. Други чести причинители на интеркостална невралгия са бременност, тумори, нараняване на гърдите или ребрата, хирургическа операция на гърдите или органи от гръдната кухина или херпес зостер. Херпес зостер може да атакува нервите в гърдите или горната част на гърба.

Интеркосталната невралгия може да се предотврати както и да се лекува. Следете здравословното си състояние както и регулярно се изследвайте за Херпес Зостер, както и при първи прояви на гореспоменатите симптоми се консултирайте със специалист, за да се уточни кой е конкретния причинител възможно най-бързо.

В някои случаи интеркосталната невралгия може да причини сериозна, дебилитираща болка, която пречи на извършването на нормални ежедневни дейности, да се движите или дори да дишате ефективно. Допълнително, болката в гръдната клетка може да бъде причинена от състояние, което е различно от интекосталната невралгия, което трябва задължително да бъде диагностицирано в болнична среда. Прост пример за това е сърдечен удар. Незабавно потърсете спешна медицинска помощ ако вие или някой който е с вас изпита необяснима силна болка в областта на ребната, болка в гърдите, смазващо чувство или тежест и напрежение в гърдите, трудност при дишането, къси вдишвания или загуба на съзнание.

Какви са симптомите на интеркосталната невралгия

Главният симптом при итнеркостална невралгия е болка в областта на гръдната клетка, често описване като пронизваща, остра, подобна на спазъм, разкъсваща и носеща усещане за теженст. Болката може да обхване едната страна на гръдния кош подобно на „лента” като произлиза от гърба.

Интеркосталната невралгия може да се появи на спорадични епизоди носещи остра болка или болката може да е тъпа и продължителна. Болката съща така може да се увеличи в следствие на усилие като вдигане на тежест, усукване на торса, кашляне, кихане или смях.

Интеркосталната невралгия може да предизвика и следните симптоми:

* Коремна болка

* Треска

*  Сърбеж

*  Безчувственост

*  Болка в ръката, рамото и гърба

* Ограничена мобилност на рамото или гърба

* Бодежи/иглички

Серзиозни симптоми, които индикират животозастрашаващи състояния:

* Болка в гърдите и ребрата, която може да се разпространи по лявата ръка, челюсттта, рамо и гръб

* Натиск в гърдите, крампи, стягане или разкусващо усещане в гърдите

* Изкашляне на жълто-зелен секрет

* Сърцебиене или пърхащо чувство в гърдите

* Респираторни проблеми, невъзможност да си поемем  дъх или трудност при дишането, или невъзможност да поемем дълбоко дъх.

* Силна абдоминална голба

* Силна болка в гърдите когато дишаме или кашляме

* Внезапно объркване, замаяност, или промяна във възможностите ни да възприемаме околния свят( безсузнание или невъзможност да отговорим)

Comments

comments

93 Responses

  1. Леле,страшно! Получих междуребрена невралгия на 37 години след варицела.

  2. Имам сащите симтоми но за жалост лекарите в германия не могат да намерят диагнозата ми от 2 години се мача с тая болест много болки искам понякога да умра да не ги тегля

    1. На мен ми обясняват, че имам такава невралгия. Ходя на процедури. Проблемът е, че имам пърхащото чувство в гърдите и поняога сърцебиене. Двама кардиолози, след ЕКГ, а единият ехограф и стрес тест ми казаха, че е невралгия. Въпреки всичко, леко ускореният пулс и пърхането понякога ме събуждат и през нощта. Големи мъки. Ани, дано не си се поддала на тези суицидни мисли. Епопеята при мен продължава вече два месеца. Но терапията я започнах скоро.

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