He aha ke aʻalolo Trigeminal? E aʻo maʻalahi kākou e pili ana iā ia!

Aloha! Ua noʻonoʻo paha ʻoe i nā aʻalolo ma kou helehelena? ʻAʻole paha, ʻeā? Akā, aia kekahi aʻalolo kūikawā ma ko kākou helehelena e kōkua ana i nā mea nui he nui, e like me ka hoʻopā ʻana a me ka nau ʻana i ka meaʻai. ʻO ia ke aʻalolo a kākou e kamaʻilio ai i kēia lā.

He aha ke aʻalolo Trigeminal?

I ka ʻōlelo maʻalahi, he aʻalolo nui kou aʻalolo trigeminal , ʻekolu ʻāpana i loko o kou poʻo. Ua kapa ʻia hoʻi ʻo Cranial Nerve 5 , a i ʻole CN V. I ka pololei, hoʻouna ia i nā hōʻailona mai kou lolo i nā ʻāpana like ʻole o kou helehelena a mai kou helehelena a i kou lolo. Ua like ia me kahi ʻelele ʻelua ala. Loaʻa iā ʻoe ʻelua o kēia mau aʻalolo trigeminal—hoʻokahi ma ka ʻaoʻao ʻākau o kou helehelena, a hoʻokahi ma ka hema. ʻO ia kekahi o nā hui 12 o nā aʻalolo cranial i loko o ko kākou poʻo. ʻO ka mea kūikawā, ʻo ke aʻalolo trigeminal ka mea nui loa o lākou a pau.

He aʻalolo koʻikoʻi loa ke aʻalolo trigeminal e hāʻawi ana i ka ʻike i kahi ʻāpana nui o kou maka a kōkua iā ʻoe e hana i nā mea e like me ka nau ʻana i ka meaʻai. Akā, ʻaʻole mākou e noʻonoʻo nui e pili ana i kēia aʻalolo a hiki i kou loaʻa ʻana a i ʻole kekahi āu i ʻike ai i kahi maʻi e like me ka trigeminal neuralgia (he ʻeha nui ma ka maka), ʻeā?

He aha nā hana o ke aʻalolo trigeminal?

ʻAe, i kēia manawa e nānā kākou i ka mea e hana ʻia me kēia aʻalolo. Hāʻawi kou aʻalolo trigeminal i ka ʻike motor , a i ʻole ka neʻe ʻana, ka ʻike, a me ka ʻike sensory , a i ʻole ka manaʻo, i kou poʻo a me kou helehelena.

Hōʻike nā olonā aʻalolo hoʻokele i kou mau ʻiʻo i ka wā a me pehea e neʻe ai. Hōʻike nā olonā aʻalolo sensory i kou lolo e pili ana i nā mea e like me ka ʻeha, ka pā ʻana, a me ka mahana ma kou ʻili.

Ua māhele ʻia ke aʻalolo trigeminal i ʻekolu mau lālā nui:

• ʻO ke aʻalolo maka (V1)
• ʻO ke aʻalolo Maxillary (V2)
• ʻO ke aʻalolo mandibular (V3)

He mau hana ponoʻī ko kēlā me kēia lālā. E nānā kākou i kēlā.

Hana o ka lālā aʻalolo Ophthalmic (V1)

ʻO ke ʻano o ka huaʻōlelo 'ophthalmic' ʻo ia hoʻi 'e pili ana i ka maka' . Hāʻawi kēia lālā o ke aʻalolo ophthalmic i ka ʻike i kou maka a me kou iwi poʻo, ʻoiai ma o ka puka ma waena o kou mau lihilihi maka. Hāʻawi pū ia i ka ʻike i kekahi mau ʻāpana o kou lua ihu.

Kōkua nā olonā ʻaʻalolo sympathetic i loko o kēia lālā o ke aʻalolo i ka hoʻonui ʻana i kāu mau haumāna. Hāʻawi pū lākou i ka ʻike i kēia mau ʻāpana o kou maka:

• Kino ciliary
• ʻIris (ka iris o ka maka)
• ʻO ke kelepaʻi lacrimal
• ʻO ka maka ʻōniʻoniʻo
• ʻO ka Cornea (ka ʻāpana moakaka o ka maka)

Hana o ka lālā aʻalolo Maxillary (V2)

ʻO Maxillary ke ʻano o kou ʻāwae luna . Hāʻawi kēia aʻalolo i ka manaʻo, a i ʻole ka manaʻo, i nā ʻāpana aʻe o kou kino:

• Nā ʻāpana o ka lua ihu
• Nā Sinuses (nā ʻeke ea)
• Nā niho maxillary
• ʻAla
• ʻO ka ʻāpana waena o kou helehelena a me kou iwi poʻo - ʻo ia hoʻi, ka ʻāpana ma lalo o nā maka a ma luna o ka waha.

Hana o ka lālā aʻalolo Mandibular (Mandibular - V3)

Pili ka 'Mandibular' i kou ʻāwae haʻahaʻa . ʻO kēia lālā aʻalolo ka mea nui loa o nā mea ʻekolu. Loaʻa iā ia nā olonā sensory a me nā olonā motor. ʻO nā ʻāpana e hāʻawi i ka manaʻo, a i ʻole ka manaʻo, penei:

• ʻO loko o kou mau papālina (buccal mucosa)
• Papahele o kou waha
• Nā niho mandibular
• Kou alelo
• ʻO ka ʻili ma lalo o ka waha

Hāʻawi kēia ʻāpana motika i ka ʻike e pili ana i nā neʻe ʻana o nā ʻiʻo āpau e pono ai no ka nau ʻana. ʻO kēia mau ʻiʻo:

• Nā ʻiʻo masseter
• Nā ʻiʻo temporalis
• Nā ʻiʻo pterygoid

ʻAʻole wale kēlā, akā he kuleana koʻikoʻi ko ke aʻalolo mandibular i ka moni ʻana, e kōkua ana i kou ʻiʻo digastric a me ka ʻiʻo mylohyoid .

Aia i hea ke aʻalolo trigeminal?

E like me kaʻu i ʻōlelo ai ma mua, loaʻa iā ʻoe ʻelua mau aʻalolo trigeminal, hoʻokahi ma kēlā me kēia ʻaoʻao o kou poʻo. Hoʻomaka kēia mau mea i loko o kou lolo. A laila hohola lākou ma kou poʻo a māhele i kēlā mau lālā ʻekolu.

He aha ke ʻano anatomia o ke aʻalolo trigeminal?

ʻO ke ʻano, a i ʻole ke ʻano, o kou aʻalolo trigeminal ua like ia me nā lālā o kahi lāʻau e hoʻolōʻihi ana mai kou lolo a hiki i kou alo. E nānā kākou pehea e hana ai:

• Hoʻomaka ke aʻalolo trigeminal i loko o kou lolo me ʻehā mau nuclei - ʻehā mau wahi i hui pū ʻia ai nā kino o nā cell nerve. ʻEkolu o kēia mau nuclei ke kuleana no ka ʻike sensory. ʻO ka hā ke kaohi i ka hana motor (neʻe).
• Hoʻohui pū kēia mau nuclei sensory ʻekolu e hana i hoʻokahi aʻa sensory kokoke i nā pons, ka ʻāpana nui loa a waena o kou lolo .
• ʻO kēia aʻalolo sensory, i kona puka ʻana mai ka lolo ma nā ʻaoʻao ʻelua, lilo ia i ganglion trigeminal . (ʻO ka ganglion kahi hui o nā kino cell nerve i loko o kāu ʻōnaehana nerve peripheral.)
• Aia kēlā me kēia ganglion trigeminal ma ke alo o kou pepeiao, ma kēlā ʻaoʻao kēia ʻaoʻao o kou poʻo, kokoke i kou lae. ʻO ke kikoʻī, aia ia ma kahi i piha i ka wai cerebrospinal i kapa ʻia ʻo ke ana ʻo Meckel . Aia kēia ma waena o ʻelua papa o ka membrane i kapa ʻia ʻo dura mater e uhi ana i kou iwi temporal.
• A laila māhele ʻia kēia ganglion trigeminal i nā lālā ʻekolu o nā aʻalolo ophthalmic, maxillary, a me mandibular a mākou i kamaʻilio ai. Holo kēia mau lālā ma nā ʻaoʻao o kou poʻo, e hohola ana i kēlā me kēia ʻāpana o kou kino.

He aha nā kūlana e hoʻopilikia ai i ke aʻalolo trigeminal?

ʻO ka mea pōʻino, i kekahi manawa hiki ke loaʻa nā ʻano maʻi like ʻole e hoʻopilikia i ka hana o ke aʻalolo trigeminal. Eia kekahi laʻana:

• Nā ʻeha poʻo a i ʻole nā ​​​​​​kūlana o ka lolo.
• Kaomi i hoʻokumu ʻia e nā kīʻaha koko kokoke, nā puʻupuʻu, a i ʻole ka pehu ʻana.
• ʻO ka mumū i hoʻokumu ʻia e kekahi mau maʻi. No ka laʻana , ʻo ka Herpes Zoster Virus (ʻo ia ke kumu o ka maʻi i kapa ʻia ʻo Shingles ).
• Nā pilikia o ka ʻōnaehana kaʻa, no ka laʻana maʻi microvascular .
• ʻO nā kūlana Autoimmune , no ka laʻana , scleroderma a me Sjögren's syndrome .
• Nā ʻeha ulia pōpilikia i ka wā o ke ʻoki ʻana o ka lolo, ka maka, a i ʻole ka niho.

Eia kekahi mau pilikia olakino e pili ana i nā pilikia o ke aʻalolo trigeminal:

• ʻO Trigeminal Neuralgia: He ʻano ʻeha lōʻihi kēia e hoʻoulu ai i ka ʻeha nui a ʻūlū hoʻi i ka maka. Hoʻomaka pinepine ia i ka wā e kaomi ai kahi kīʻaha koko kokoke i ka lolo i ke aʻalolo trigeminal.
• ʻO Trigeminal Neuropathy: He inoa maʻamau kēia no ka hōʻino (neuropathy) i ke aʻalolo trigeminal. Hoʻoulu pinepine ia i nā hōʻailona e like me ka numbness, ka ʻeha, a i ʻole nā ​​​​manaʻo ʻē aʻe ( paresthesia ).
• ʻEha Poʻo Hui: He ʻano ʻeha poʻo kēia e kū mai ana ma kekahi ʻaoʻao o ke poʻo a mau no 15 mau minuke a 3 mau hola. Hiki ke loaʻa kēia ʻeha i kēlā me kēia lā, no nā pule, a i ʻole nā ​​mahina. I ka manawa pinepine, hiki mai ia i ka manawa like o ka lā, a hiki i ka 8 mau manawa i ka lā. ʻO ka hahau ʻana a i ʻole ka mumū ʻana o kahi ʻāpana o ke aʻalolo trigeminal hiki ke hana i kēia ʻeha poʻo hui.
• ʻO ka Lateral Medullary Syndrome a i ʻole Wallenberg Syndrome:Hiki mai kēia kūlana ma hope o kahi hanana e hoʻopilikia ai i ke kahe koko i kou lolo, e like me ka hahau ʻana a i ʻole ke koko ʻūlū. Hoʻopilikia kēia i ka hana o ke aʻalolo trigeminal, e hana ana i nā hōʻailona e like me ka paʻakikī i ka moni ʻana, ka poniuniu, a me nā neʻe ʻana o nā maka me ka makemake ʻole.

Hoʻōla ʻia nā pilikia o ke aʻalolo trigeminal ma muli o ke kumu kumu. Hiki i nā pōʻino liʻiliʻi ke ho'ōla pinepine i ka hala ʻana o ka manawa. Eia nō naʻe, i nā hihia kakaikahi, pono paha ke ʻoki ʻana e hoʻopili hou i ke aʻalolo i ʻoki ʻia. Pono paha kekahi poʻe e loaʻa kahi graft nerve olakino ( nerve graft ) e pani i ke aʻalolo i hōʻino ʻia.

He aha nā hōʻailona o ka hōʻino ʻia ʻana o ke aʻalolo trigeminal?

Hiki ke ʻokoʻa loa nā hōʻailona o ka hōʻino ʻia ʻana o ke aʻalolo trigeminal. ʻO kēia no ka mea he nui loa ke aʻalolo a he nui nā hana. Ma muli o kahi i hōʻino ʻia ai ke aʻalolo, hiki i ka hōʻino ke hoʻopilikia i kahi wahi liʻiliʻi wale nō (e like me kahi ʻāpana o kou mau ʻāʻī) a i ʻole kahi wahi nui (e like me kekahi ʻaoʻao o kou maka).

ʻO kekahi mau hōʻailona a me nā ʻōuli o ka hōʻino ʻia ʻana o ke aʻalolo trigeminal:

• He ʻano ʻūlū a ʻoniʻoni paha ma ka maka.
• ʻEha maka.
• Nā ʻūlū ʻana o ka cornea ( nā ʻōpala ma ka cornea o ka maka).
• Ka hemahema o ka ʻike maka.
• Ka ʻūlū a nāwaliwali paha o nā ʻiʻo o ka ʻāwae.
• Ka paʻakikī i ka nau ʻana, ka ʻōlelo ʻana, a i ʻole ke ale ʻana.

Mea nui: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke i ke kauka .

Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu aʻalolo trigeminal?

ʻO kaʻoiaʻiʻo, ʻaʻole hiki ke pale aku i nā pōʻino āpau i ke aʻalolo trigeminal. Eia nō naʻe, hiki i kēia mau ʻanuʻu ke kōkua i ka mālama ʻana i kou ʻōnaehana nerve - me ke aʻalolo trigeminal - olakino:

• E ʻai i nā meaʻai momona, ʻoiai nā meaʻai waiwai i ka wikamina D a me ka wikamina B12 . He mea nui loa kēia mau wikamina no ke olakino o nā aʻalolo.
• E mālama i nā kūlana lōʻihi e hiki ke hōʻino i nā aʻalolo, e like me ka maʻi diabetes a me ke koko kiʻekiʻe .
• Inā ʻoe e puhipaka, e noi i ke kōkua e haʻalele. Hoʻemi ka puhipaka i ke kahe o ke koko i kou mau aʻalolo.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E hōʻemi i ke kaumaha ma o nā hana olakino e like me ka noʻonoʻo ʻana a me ka hele wāwae.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, hiki iā ʻoe ke ʻike i ke koʻikoʻi o kēia aʻalolo trigeminal no nā mea e like me ka manaʻo ʻana i kou maka a me ka nau ʻana i ka meaʻai. E noʻonoʻo wale i ka paʻakikī o nā mea no mākou me ka ʻole o kēia aʻalolo.

Inā loaʻa iā ʻoe nā pilikia me kou mau maka, ʻauwae, a i ʻole kekahi mau manaʻo ʻē i kou alo, e like me ka ʻeha a i ʻole ka mae ʻana, hiki ke kumu o kekahi ʻano hōʻino i ke aʻalolo trigeminal. Inā hana ʻia kēlā, e ʻike pono i ke kauka. Hiki iā lākou ke hana i nā hoʻokolohua e pono ai e hoʻoholo inā ma muli kēia o ka hōʻino ʻana i ke aʻalolo trigeminal.

E like me nā ʻāpana a pau o ko kākou kino, pono kākou e mālama pono i kēia mau aʻalolo.

ʻO ke aʻalolo trigeminal, ke aʻalolo maka, neuropathy, ʻeha maka, ʻeha poʻo, nā aʻalolo cranial, ʻōnaehana nerve