Ukuqonda i-Pain Pain, apho ivela khona, nendlela yokuyiphatha ngayo
Ngamanye amaxesha xa abantu bachaza intloko, basichaza ubuhlungu besobuso. Nangona kukho iindidi ezahlukeneyo zesifo seentlungu zesifo, into eqhelekileyo yi-neuralgia ye-trigeminal.
Nangona kungenakunqabile kwimeko, i-neuralgia ye-trigemine ithinta i -nerve trigeminal , eyinambuzane eyenza inzwa ebusweni kwaye inokunceda ukulawula ukuhamba komhlathi.
Ukuba unesigxina se-neuralgia, uyazi bhetele kunomnye umntu, intlungu ephawulezayo, ngokukhawuleza, kunye nokugubha amandla kombane. Masihambe ngokunyanisekileyo kwi "kutheni" emva kwesi simo sengqondo, nokuba sinokuphathwa njani.
Iimpawu zeTrigeminal
I-nerve trigeminal ne-cranial nerve five (kwi-12). Ithumela ulwazi olusisiseko kumntu kwaye lukunceda ukulawula imisipha yokuhlafuna.
I-nerve trigeminal inamagatsha amathathu amakhulu:
- Ophthalmic (kufuphi neliso)
- U-Maxillary (umhlathi-indawo)
- I-Mandibular (indawo yomhlathi)
Amasebe e-trigeminal nerve echaphazelekayo ngokubanzi kwi-neuralgia ye-trigemine yi-maxillary okanye i-mandibular yesebe. Yingakho abantu abane-trigeminal neuralgia bahlala bekhononda ngobuhlungu bezinyo kwaye bafumana iinkqubo ezibuhlungu kunye nezindleko zamazinyo ngaphambi kokuba bafumaneke kakuhle.
Ukuqonda Intlungu ye-Trigeminal Neuralgia
Intlungu ye-neuralgia ye-trigemin ivela kwiindawo ezincinane. iphela ukusuka kumnye ukuya kumasekhondi amaninzi, kwaye ichazwa ngokugqithisileyo nokugwaza. Le ngxaki iphantse iphazamise isantya esisodwa se-trigeminal (unomlenze wesigxina kwicala ngalinye lobuso bakho) kodwa ayikwazi ukuchaphazela kabini.
Iimbangela ze-Trigeminal Neuralgia
Uninzi lweziganeko ze-neuralgia ezizinzileyo zibangelwa ukunyanzelwa kweengcambu zentambo yokuhlala, ngokuqhelekileyo ngumngqumbo ongaqhelekanga we-artery okanye i-vein ebusweni. Ngokuqhelekanga, ukunyanzeliswa kwentlanzi ye-trigeminal kungenziwa kwi-cyst okanye i-tumor, njenge- neuroma yama - acoustic . Ukuvuvukala kwentsholongwane, njengaleyo eyenzeka kwi- multiple sclerosis, kunokudala i-neuralgia ye-trigeminal.
Abagxeki be-Trigeminal Neuralgia
Kuqhelekileyo kwimisebenzi ethile yokubangela ukuhlaselwa kwentlungu. Imizekelo ibandakanya:
- Ukuhlafuna
- Ukuxhaphaza amazinyo akho
- Ukumamatheka
- Ukuthetha okanye ukuhleka
- Ukwahlula
- Ukubonakalisa ubuso bakho emoyeni abandayo
- Ukuchukumisa ukukhanya kobuso
Ukuxilongwa kwe-Trigeminal Neuralgia
Ugqirha wakho osisiseko okanye ugqirha we-neurologist uya kuluxilonga. Ngokuphindaphindiweyo ukucinga ngengqondo (njengengqondo ye- MRI ) iyadingeka ukulawula izibini zesekondari ezinjenge-tumor okanye i- multiple sclerosis .
Unyango lwe-Trigeminal Neuralgia
Unyango luvame ukufumana imithi yokulwa ne-anti-seizure ebizwa ngokuba yi-carbamazepine. Ngexesha eliqhelekileyo lisebenza, lithatha imiphumo emibi (ingakumbi ngamanani aphezulu, afunwa ngabantu abathile ngexesha).
Ezinye zeziphumo ezibi zibandakanya:
- Ukulala
- Utywala
- I sizathu
- Ukuvutha
Abanye abantu bahlakulela inani elincinci lamaseli egazini amhlophe (amaseli ekulwa nosuleleko) kwi-carbamazepine. Ngokuqhelekileyo, umntu unokuhlakulela i-aplastic anemia-isifo esichaphazela umongo wakho wethambo apho kwenziwa iiseli zegazi.
Kwakhona, abantu abathile, ngokukodwa abantu base-Asiya abaphethe ummakethi othile wezityalo, bangabungozi bokunyuka kwengxaki yokufa yesikhumba ebizwa ngokuba yi- Stevens-Johnson syndrome kunye / okanye i-epidermal necrolysis .
Ukuba ungumzali wase-Asia, ugqirha wakho uya kukuvavanya ukuba lo mfuzo ngaphambi kokuchaza i-carbamazepine.
Ugqirha wakho unokuqwalasela amanye amayeza, njenge-oxcarbazepine efana nesakhiwo kwi-carbamazepine kwaye ingaba nemiphumo embalwa yecala. Ukuba unentlungu naphezu kwe-carbamazepine okanye i-oxcarbazepine (okanye ayikwazi ukuthatha okanye ukunyamezela enye yezi yobisi), ugqirha unokumisela i-baclofen ephumayo.
Ukuba uqhubeka uhlaselwa yi-neuralgia ye-trigeminal nxamnye nonyango olufanelekileyo lwezonyango, okanye ukuba awukwazi ukunyamezela imiphumo emibi yonyango, i-neurologist yakho ingakuthetha ekutyathweni.
Iindaba ezilungileyo kukuba kukho iinkqubo ezininzi zokuhlinzwa ezikhoyo. Oko kuthethwa, kuseyi-operesheni kwaye ibeka ingozi, ngoko kufuna ingxoxo ngokucokisekileyo kunye ne-neurologist yakho kunye nodokotela ogqirha.
ILizwi
Ukuba ufumaniswe ukuba une-trigeminal neuralgia, yibani nethemba kwaye niqinisekise ukuba nilandela ngokusondeleyo ne-neurologist yakho. Nangona kungenako ukuphiliswa, unokuyilawula ngokufanelekileyo kwaye uphumele phambili ngobomi bakho.
Imithombo:
Bajwa ZH, Ho CC, Khan SA. (2017). I-neuralgia yamaTrigeminal. UShefner JM, uSwitanson JW, ii-eds. Isemgangathweno. Waltham, MA: UpToDate Inc.
UGronseth G, uCruccu G, uAlksne J, Argoff C, uBrainin M, uBurchiel K, et al. I-parameter yokusebenza: uvavanyo lokuhlola kunye nokunyangwa kwe-neuralgia ye-trigeminal (uhlolo olusekelwe kwisiseko): ingxelo yeComitric Subcommittee ye-American Academy ye-Neurology kunye ne-European Federation ye-Neurological Societies. Neurology . 2008: 71: 1183-1190.
Ikomidi elincinci leNgcaciso yeNtloko ye-International Headache Society. Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia 2013; 24 (9): 629-808.
I-Zakrzewska JM, i-Linksey ME. I-neuralgia yamaTrigeminal. BMJ. 2014 Feb 17; 348: g474.