Ukuxhatshazwa, Ukuhlunguphaza intlungu kwi-Side of Face Face
I-neuralgia ye-Trigeminal yintlungu engaqhelekanga yinto ebhekana nayo kubantu abanesifo se- sclerosis (MS). Enyanisweni, ingaba yenye yeempawu zokuqala ze-MS.
Le ngxaki ibandakanya uhlobo lweentlungu ezibizwa ngokuthi "intlungu ye-neurogenic," njengoko ibonakala ngokuthe ngqo kwinkqubo yesifo se-multiple sclerosis. Ukuxhatshazwa (ukulahlekelwa kwe-myelin sheath ejikeleze iimbilini ze-nerve) yiyona nto ibangela ukuba le ngxaki ibe kubantu abane-MS.
Izizathu
I-neuralgia ye-Trigeminal ibangelwa zizilonda ze -nerve trigeminal , ebizwa ngokuba yi-fifth cranial nererve. Iimbulunga ezili-12 ze-cranial ziphuma ngokuthe ngqo ukusuka kwingqondo (endaweni yokusukela emlanjeni we-spinal), kwaye i-nerve trigeminal ilawula izihlunu ezifunekayo zokufuna. I-nerve trigeminal nayo ixanduva lobuninzi bentloko.
Umntu unokuhlakulela i-neuralgia ye-trigeminal ngaphandle kokuba ne- multiple sclerosis . Ngalesi siboneko, umntu unokufumana utshintsho kwiingcambu zesigxina se-nerve kwi-compression compression okanye akukho nto engafanelekiyo. Olu hlobo lwe-neuralgia elingu-trigeminal lubizwa ngokuba yi- classical trigeminal neuralgia . Xa i-neuralgia ye-trigeminal ibangelwa yi-MS, ibhekiselwa kwi -neuralgia yesibini ye-trigeminal .
I-neuralgia ye-Trigeminal ayifumanekanga, kwaye i-4% kuphela yabantu abane-MS bafumana le ntlungu. Nangona kunjalo, abantu abane-MS banamathuba angaphezu kwama-400 ngaphezu kobonke abantu ukuba babe nesiganeko se-neuralgia ye-trigeminal.
Izimpawu kunye neMpawu
I-neuralgia ye-Trigeminal, ngamanye amaxesha kuthiwa i-tic doloureux (isiFrentshi ngokuba "intsumpa ebuhlungu"), mhlawumbi isifo esibangel
Nazi ezinye iinkalo ezisisiseko zesi sifo:
- Kukho malunga phantse kwicala elinye lobuso, nangona lingahle lenzeke ngamazwe (macala omabini) malunga neepesenti ezi-10 zabantu abane-MS abanemeko.
- Uvakalelwa njengejolt kunye / okanye ubukhali obukhulu, intlungu
- Ngokuqhelekileyo, intlungu eninzi ihlala emfutshane (ukusuka kumasekhondi ambalwa ukuya kutsho kwemizuzu emibini), kodwa kunokubangela ukutshisa okuqhubekayo okanye ukuva
Okuthakazelisayo, intlungu ye-neuralgia ye-trigeminal ingadlulisela kwindlebe, kwaye ngamanye amaxesha iphosakele ngenxa yentlungu yesifo. Ukongeza ngaphezu kokubangela ukuthetha, ukuhlafuna, ukusela, okanye ukuxubha amazinyo, i-neuralgia ye-trigemin ingabangela ukuba izandi ezivakalayo okanye ukukhupha umoya obandayo.
Ukunikezelwa kwendawo kunye nendalo yentlungu ehambelana ne-neuralgia ye-trigeminal, ngokuqhelekileyo iphosakele ngenxa yeentlungu zamathambo. Oku kungakhokelela kwiinkqubo ezingadingekile (kunye nezingenakwenzeka) ezinjengeziqhamo zinozinyo, iingcambu zengcambu, kunye neenkqubo zokubeka kwakhona umhlathi.
Yingakho kubaluleke kakhulu ukuba ubone i- neurologist yakho ukuba ucinga ukuba unokuba ne-neuralgia ye-trigeminal, ingakumbi ngaphambi kokuba uphumelele naluphi na uhlobo lomsebenzi wamazinyo.
Isiqendu ngasinye se-neuralgia esisigxina sithatha iiveki ezimbalwa. Iziqhelo zivame ukuphindaphinda kwaye zenzeke rhoqo njengoko zizonke iinyanga ezimbalwa, nangona abanye abantu baya kuhamba iminyaka phakathi kweepisodes. Ngelishwa, njengoko ixesha lidlulayo, ixesha eliphakathi kwamabhodlela ngokuqhelekileyo liba lincinci.
Unyango
Ukuba unesigxina se-neuralgia, ugqirha wakho unokuyalela iTegretol (carbamazepine) okanye i-Trileptal (oxcarbazepine) ukuze unciphise iimpawu.
Amanye amayeza angabandakanya:
- I-Baclofen: I-muscle ephumayo
- I-Lamictal (lamotrigine): Iyeza-anti-seizure
- Uhlobo lwe-toxin ye-Botulinum (i-Botox): Injoza kwiindawo zeentloko nentamo ezithiwa
Ukongeza ekuboneni i-neurologist yakho kunye nokuthatha imishanguzo (xa kuyimfuneko), ukufikelela kwiqela elenkxaso kunokuba luncedo ekubonakalisweni kwengqondo ye-neuralgia ye-trigeminal. Ekugqibeleni, abanye abantu bafuna ukuhlinzwa ngolu hlobo.
Ukuphila Ngee-Neuralgia eziPhezulu
I-neuralgia ye-Trigeminal ingaba nzima kakhulu kwaye ixakeke kangangokuba ingafuna ukunakekelwa kwezibhedlele kunye neepilisi ezinikezwa nge-vein (intraveous). Iyakwazi ukuphazamisa ukusela komntu ngamanzi, ngoko ke ngamanye amaxesha kufuneka banikezwe ngaphakathi nangaphandle.
Ngaphandle kweengxaki zengqondo ezithintekayo ze-neuralgia ezibangela, umntu udla ngokubandezeleka kwengqondo. Abantu abaninzi banenkxalabo kwaye besaba malunga nokuphindaphinda, okubangela ukubandezeleka okukhulu nokuphazamisa ubomi bemihla ngemihla.
ILizwi
I-neuralgia ye-Trigeminal iyimeko ebuhlungu kwaye iphosakele. Njengoko ingaba enye yeempawu zokuqala ze-MS, qiniseka ukuba ubone ugqirha wakho ukuba uhlakulele naziphi na iimpawu.
Ekugqibeleni, hlala unamandla njengoko uhamba ngeendlela zakho zokonyango kunye nogqirha wakho.
> Imithombo:
> Cruccu G. Trigeminal neuralgia. Ulwahlulo olutsha kunye nokuxilonga ukuhlola nokusebenza. Neurology. 2016 Julayi 12; 87 (2): 220-28.
> Krafft RM. I-neuralgia yamaTrigeminal. I-Phys Physician. 2008; 77 (9): 1291-96.
> Montano N, Conforti G, Di Bonaventura R, Meglio M, Fernandez E, Papacci F. Intuthuko ekuxilongweni nasekunyangeni kwe-neuralgia yezihlwele. Ulawulo lweKlinikhi yoKhuseleko lweTher . 2015; 11: 289-99.
> Morra ME et al. Ukusebenza ngonyango kunye nokhuseleko lwe-Botulinum Toxin A unyango kwi-Trigeminal Neuralgia: uhlolo olusisiseko kunye nokuhlaziywa kwemeta yezilingo ezilawulwa ngononophelo. J Ubuhlungu bentloko . Ngo-2016 Dec; 17 (1): 63. dx.doi.org/10.1186/s10194-016-0651-8