E aʻo pono kākou e pili ana i ka Glossopharyngeal Neuralgia (GPN)?

Ua loaʻa anei iā ʻoe kahi ʻeha koke a koʻikoʻi ma kou alelo, puʻu, tonsils, a i ʻole ka pepeiao? Ua like ia me ka haʻalulu uila, e mau ana no kekahi mau kekona a mau minuke paha, akā hana ʻia ia i nā manawa he nui i ka lā. Inā loaʻa kēia ʻeha i ka wā e kamaʻilio ai ʻoe, ʻai ai, a ʻakaʻaka paha, makemake paha ʻoe e aʻo e pili ana i kēia maʻi. Kāhea mākou i kēia maʻi ʻo glossopharyngeal neuralgia, a i ʻole GPN no ka pōkole.

He aha ka neuralgia glossopharyngeal (GPN)?

I ka ʻōlelo maʻalahi, ʻo Glossopharyngeal Neuralgia (GPN) kahi maʻi laha ʻole e hoʻoulu ai i ka ʻeha koke a koʻikoʻi i kou alelo, puʻu, tonsils, a me nā pepeiao. Hoʻokumu ʻia ia e ka huhū, ke kaomi, a i ʻole ka hōʻino ʻana i ke aʻalolo glossopharyngeal .

Ua ʻike anei ʻoe he 12 ʻano nui o nā aʻalolo i loko o ko kākou poʻo? Kāhea mākou i kēia mau aʻalolo cranial . ʻO ka ʻeiwa (9th) o kēia mau aʻalolo cranial he ʻumikūmālua ʻo ia ke aʻalolo glossopharyngeal. ʻElua o kēia mau aʻalolo ma kēlā me kēia ʻaoʻao o kou poʻo, ʻo ia hoʻi, ma ka ʻaoʻao ʻākau a ma ka ʻaoʻao hema. Akā i ka hapanui o nā hihia, hoʻopilikia wale ʻo GPN i hoʻokahi aʻalolo ma kekahi ʻaoʻao o ke poʻo.

Hiki ke loaʻa kēia ʻeha ke ʻai ʻoe, kamaʻilio, ʻakaʻaka, a hana paha i nā mea maʻamau āu e noʻonoʻo ʻole ai. E noʻonoʻo pehea ka hoʻonāukiuki inā loaʻa iā ʻoe ka ʻeha puʻu ke ʻū a ʻū paha ʻoe? Hiki iā ia ke hōʻino i kou lā holoʻokoʻa. Akā , mai hopohopo , aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i kēia mau hōʻailona.

Pehea ke ʻano o ka ʻeha GPN? Ma hea e ʻike ʻia ai?

ʻO ka hōʻailona nui o GPN ka ʻeha. Hiki ke ʻike ʻia kēia ʻeha ma nā ʻano like ʻole:

• He ʻeha ʻoi , e like me ke hou ʻia ʻana me ka pahi .
• He ʻeha koke , me he mea lā e pā ʻia ana e ka uila .
• He ʻeha e like me ka mea e ʻā ana mai loko mai.
• Manaʻo paha kekahi poʻe ua mae wale.

ʻO ka maʻamau, ʻeha loa kēia ʻeha. He mau ia mai kekahi mau kekona a i kekahi mau minuke. Eia naʻe, ʻaʻole ia he mau. Hele mai a hele aku. Hiki ke loaʻa kēia ʻeha i nā manawa he nui i ka lā. I kekahi manawa hiki iā ia ke hoʻāla iā ʻoe i waenakonu o ka pō ma muli o ka ʻeha. Hiki i kēia ʻeha ke mau no nā pule a i ʻole nā ​​mahina. No nā kānaka he nui, nalo kēia ʻeha no kekahi manawa a laila hoʻi mai i nā pule, nā mahina, a i ʻole nā ​​makahiki ma hope.

ʻO nā wahi nui kahi i ʻike ʻia ai ka ʻeha GPN:

• ʻO ke kua o kou ihu, waha, a me ka puʻu ( pharynx a me nasopharynx ), ʻoiai a puni nā tonsils.
• A puni nā kaula leo i loko o kou puʻu ( larynx ).
• ʻO nā wahi a puni a ma lalo o ka ʻauwae a me nā pepeiao.
• Ke kua o ke alelo.

ʻO kēia no ka mea ua pili ke aʻalolo glossopharyngeal i nā ʻāpana he nui o kou poʻo, ʻāʻī, a me ke alo, ʻo ia ke kumu e ʻeha ai ʻoe ma nā wahi he nui. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia ʻeha ma kekahi ʻaoʻao o kou poʻo.

I kekahi manawa, hiki i ka ʻeha ke hoʻomaka ma kekahi wahi a laha i kekahi. No ka laʻana, hiki i ka ʻeha e hoʻomaka ana ma ka ʻāʻī ke laha i ka poʻohiwi a i ke kua paha.

Aia kekahi mau ʻano o GPN?

ʻAe, aia ʻelua ʻano nui o GPN ma muli o ke kumu:

1. Neuralgia glossopharyngeal mua: ʻAʻohe kumu maopopo e loaʻa ai no kēia. Hiki i kāu kauka ke kapa aku iā ia he idiopathic glossopharyngeal neuralgia , ʻo ia hoʻi "ʻaʻohe kumu i ʻike ʻia."

2. Neuralgia glossopharyngeal lua: I kēia hihia, kū mai ʻo GPN ma muli o kekahi kūlana olakino a kumu paha.

No ke aha e hana ʻia ai kēia GPN? He aha nā kumu?

ʻO ke kumu nui o GPN kekahi ʻano kaomi, kaomi, a i ʻole ka hōʻino ʻana i ke aʻalolo glossopharyngeal . Aia kekahi mau kumu maʻamau e kōkua i kēia:

• Ke kaomi ʻana o ke aʻalolo e kahi kīʻaha koko: I kekahi manawa hiki ke hana ʻia kēia ʻeha e kahi kīʻaha koko e holo kokoke ana i ke aʻalolo e kaomi ana ma ke aʻalolo.
• Ke alo ʻana o kahi puʻupuʻu, ulu ʻana, a i ʻole ka lesion: ʻO kahi puʻupuʻu a i ʻole ka ulu ʻana o kekahi mea i loko o ka lolo, ma kahi kokoke a i ʻole ke aʻalolo, hiki ke lilo i kumu.
• Maʻi: Hiki i kahi maʻi ma ka ʻāʻī a i ʻole ka ʻāpana a puni ke hoʻopilikia i ke aʻalolo.

I kekahi manawa, ʻaʻole hiki i nā kauka ke hoʻomaopopo pono i ka mea e hana nei i kēia aʻalolo. Eia kekahi, hiki ke hana ʻia nā hōʻailona GPN e nā kūlana olakino ʻē aʻe. Eia kekahi laʻana:

• Nā maʻi autoimmune a i ʻole nā ​​​​maʻi mumū , no ka laʻana ʻo Sjögren's syndrome .
• Kekahi pōʻino ( ʻeha ) i ke kumu lolo .
• ʻO nā kūlana demyelinating e hōʻino ana i ka ʻūpā myelin o ka ʻōnaehana nerve waena , no ka laʻana , ka sclerosis maha .
• ʻO ka maʻi ʻaeto .
• He ulia kino a ʻeha paha .
• Aia kekahi mau ʻano ulu ʻole i ka wā hānau.
• Nā puʻupuʻu aʻalolo e like me Schwannomas .
• ʻO ke kanesa o ke alelo .

He aha nā mea e hoʻonui ai i kēia ʻeha? (Nā mea hoʻonāukiuki)

Hiki i kekahi mau hana o kēlā me kēia lā ke hoʻoulu i ka ʻeha GPN e ʻike koke ʻia. Kāhea mākou i kēia mau "mea hoʻoulu". E noʻonoʻo, pehea inā ʻoe e kamaʻilio hauʻoli ana me nā hoaaloha a ʻakaʻaka koke a manaʻo i ka ʻeha nui ma kou puʻu a me kou waha? A i ʻole, pehea inā ʻoe e hoʻokomo wale i kahi meaʻai ʻono i kuke ʻia ma ka home i loko o kou waha a lilo ka ʻeha i mea hiki ʻole ke hoʻomanawanui i kou moni ʻana? ʻOiai nā mea liʻiliʻi e like me kēia hiki ke hoʻoulu i ka ʻeha GPN.

ʻO nā mea e hoʻonāukiuki pinepine ai i ka ʻeha:

• Nau ʻana i ka meaʻai
• Kuke
• Ke inu nei i nā mea inu anu
• ʻAkaʻaka
• Ke kunu ʻana
• Ke ale ʻana
• Kamaʻilio ʻana
• Ka hoʻopā ʻana i ka maka a i ʻole ka ʻāʻī, ʻoiai ka ʻāpana a puni a ma lalo o nā pepeiao
• Ke wehe nei i ka puka

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka GPN?

Hiki ke ulu aʻe ʻo GPN i kēlā me kēia makahiki, akā ʻoi aku ka maʻamau i nā poʻe ma luna o 50 mau makahiki .

He aha nā pilikia e hiki ke hana ma muli o GPN?

ʻAʻole maʻamau ka GPN he maʻi koʻikoʻi e hoʻoulu ai i nā pilikia koʻikoʻi. Eia nō naʻe, inā koʻikoʻi ke ʻano, hiki iā ia ke hana i kekahi mau pilikia. No ka laʻana, hiki i ka ʻeha i ka wā e ʻai ai ke alakaʻi i ka nalowale o ka makemake a me ka pohō kaumaha.

I kekahi mau hihia koʻikoʻi loa , hiki i kēia ʻeha GPN ke hoʻopilikia i ke aʻalolo Vagus kokoke. ʻO kēia aʻalolo vagus kahi aʻalolo e hoʻomalu i nā kaʻina hana koʻikoʻi a hana ponoʻī e like me ko mākou puʻuwai puʻuwai, ke koko, a me ka hanu ʻana. No laila, inā pili ia i ka GPN, hiki ke loaʻa nā kūlana penei:

• Nā ʻano hewa o ka puʻuwai (arrhythmias)
• Ka lohi o ka puʻuwai (bradycardia)
• Ke koko haʻahaʻa (hypotension)
• Ka nawaliwali a nalowale paha o ka ʻike (syncope)
• Nā hopu ʻana

He mea kākaʻikahi loa, inā lilo ke ʻano i mea koʻikoʻi, hiki i ka GPN ke hoʻopilikia i ka puʻuwai, e hoʻolohi nui ai i ka helu o ka puʻuwai a hiki i ka hopu ʻana o ka puʻuwai. He ʻano weliweli loa kēia. No laila, he mea nui e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

Pehea e ʻike ai i ke kūlana o GPN?

I mea e ʻike pono ai inā he GPN kou, pono ʻoe e ʻike i ke kauka. E nānā ke kauka iā ʻoe, e nīnau e pili ana i kāu mau hōʻailona, ​​a e hana paha i kekahi mau hoʻokolohua inā pono. Hiki i kēia ʻike ke lōʻihi i kekahi manawa, no ka mea, pono lākou e ʻike pono i ke kumu o kāu mau hōʻailona.

ʻO nā hoʻokolohua i hana pinepine ʻia:

• Nā hoʻāʻo koko
• Nānā CT
• MRA scan - Nānā kēia i ke kūlana o nā kīʻaha koko.
• MRI scan (MRI)
• X-ray

I kekahi manawa e hoʻohana ke kauka i kahi pulupulu e hoʻopā mālie i kahi āu e ʻeha nei. A laila,Hoʻopili ʻia kahi anesthetic kūloko a hoʻopā hou ʻia ka wahi. Inā pau ka ʻeha ma hope o ke kau ʻia ʻana o ka anesthetic, he hōʻailona ia he GPN paha.

He aha nā lāʻau lapaʻau no GPN?

ʻO ka nūhou maikaʻi, aia nā lāʻau lapaʻau no GPN. Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.

Aia kekahi mau ʻano lapaʻau nui:

• Ke lawe ʻana i nā lāʻau lapaʻau: Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hana o nā hunaola nerve a me ka hōʻemi ʻana i ka ʻeha.
• Hoʻolako pinepine ʻia nā lāʻau anticonvulsant e like me carbamazepine, gabapentin, oxcarbazepine, a i ʻole phenytoin .
• Hiki ke kōkua nā lāʻau lapaʻau e like me ka baclofen a me nā antidepressants tricyclic .
• Ke kau ʻana i kahi anesthetic kūloko: Hiki iā ʻoe ke kau i kahi anesthetic kūloko, e like me ka lidocaine, ma ke kua o kou puʻu. Hiki i kēia ke hōʻoluʻolu i ka ʻeha no kekahi manawa.
• Nā ālai ʻana o ke aʻalolo: Pili kēia i ka hoʻokomo ʻana i kahi lāʻau kokoke i ke aʻalolo e hoʻoulu ai i ka ʻeha. Hoʻōki kēia i ke aʻalolo mai ka hoʻouna ʻana i nā hōʻailona ʻeha.
• ʻoki kino: I kekahi mau hihia koʻikoʻi, pono paha ke ʻoki kino.
• Microvascular decompression: He ʻoki kino kēia e hoʻomaha ai i ke kaomi ma luna o ke aʻalolo, ʻo ia hoʻi, e pale aku iā ia mai ka hoʻopaʻa ʻia ʻana.
• Rhizotomy: ʻO kēia ka ʻoki ʻana i nā olonā nerve e lawe ana i nā hōʻailona ʻeha.

E kamaʻilio kāu kauka me ʻoe, e ʻike i ke kumu o kou ʻeha, a e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu. E aʻo pū lākou iā ʻoe e pili ana i nā hopena ʻaoʻao o ka lāʻau lapaʻau.

Hiki ke pale ʻia ka GPN?

ʻO kaʻoiaʻiʻo, ʻaʻohe ala kikoʻī e pale aku ai i ka GPN. No ka mea, hiki pinepine mai ia me ka manaʻo ʻole ʻia, a i kekahi manawa me ke kumu ʻole, ʻaʻohe mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o kēia maʻi.

Hiki ke ho'ōla ʻia ʻo GPN? Pehea ka lōʻihi o kona mau ʻana?

ʻAe, hiki i ka GPN ke hele wale aku. A, me ka mālama ʻana, ʻoi aku ka nui o ka hele ʻana. Hoʻomaikaʻi pinepine nā lāʻau lapaʻau. Inā pono ke ʻoki ʻana, hiki iā ia ke hāʻawi i ka hoʻomaha ʻeha no ka manawa pōkole a lōʻihi paha.

He pilikia manawa pōkole wale nō ka GPN. He mau ia no kekahi mau pule a i ʻole mau mahina. Hoʻokahi wale nō manawa o ka hapa nui o ka poʻe i loaʻa iā ia i ko lākou ola. Eia nō naʻe, loaʻa paha i kekahi poʻe nā hōʻailona GPN no nā pule a i ʻole nā ​​mahina, a laila e hoʻomaha ʻia, a laila loaʻa hou nā hōʻailona. Hiki ke hana pinepine ʻia kēia no nā makahiki.

Pehea ke ola me GPN?

ʻAʻole maʻamau ka GPN e hoʻopilikia i kou ola. ʻO ka nānā ʻana no ka poʻe me GPN he maikaʻi maʻamau. No ka hapa nui o ka poʻe, nalowale nā ​​​​hōʻailona a ʻaʻole hoʻi mai.

Eia nō naʻe, inā koʻikoʻi nā hōʻailona, ​​ʻoiai inā he ʻeha ma nā ʻaoʻao ʻelua o ke poʻo, inā he ʻeha mau, a inā he ʻeha hiki ʻole ke hoʻomanawanui, ʻoi aku ka liʻiliʻi o ka nānā ʻana. Inā he mau hōʻailona e like me ka mae ʻana, nā loli o ka puʻuwai, ʻoi aku ka kiʻekiʻe o ka hiki ke loaʻa nā hopena maikaʻi ʻole.

Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?

Inā kānalua ʻoe he GPN kou no ka mea he ʻeha kou ma kou maka, waha, a ʻāʻī paha, pono ʻoe e ʻike i ke kauka. ʻOiai he maʻi kakaikahi ka GPN, aia nā aʻalolo i pili i kahi ʻāpana koʻikoʻi loa o kou poʻo a me kou ʻāʻī. ʻO ka ʻike ʻana i ke kumu o ia mea a me ka loaʻa ʻana o ka lāʻau lapaʻau e hiki ke kōkua i ka pale ʻana i nā pilikia e hiki mai ana, hiki ke hoʻoweliweli ʻia.

Inā loaʻa iā ʻoe ka GPN, e hoʻonohonoho kāu kauka i nā kipa hahai maʻamau. E nānā kāu kauka i kāu mau hōʻailona, ​​​​nā loli, a me ka holomua o kāu lāʻau lapaʻau.

Eia kekahi, e haʻi koke aku i kāu kauka inā ʻike ʻoe i kēia mau mea:

• Inā manaʻo ʻoe ʻaʻole e hana maikaʻi ana ka lāʻau lapaʻau āu e lawe nei e like me ka wā ma mua.
• Inā e ʻoi aku ka ʻino o nā hōʻailona.
• Inā ʻike ʻia nā hōʻailona hou.

Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia?

ʻAʻole maʻamau ka GPN he pilikia, ke ʻole he koʻikoʻi nā hōʻailona. Inā loaʻa iā ʻoe ka ʻeha e like me GPN a me kekahi o nā hōʻailona ma lalo nei, pono ʻoe e ʻimi koke i ke kōkua lapaʻau pilikia:

• Ka nawaliwali a i ʻole ka nalowale ʻana o ka ʻike e kū mai ana me kahi hana kikoʻī, e like me ka wehe ʻana i ka waha a i ʻole ka ʻōlelo ʻana.
• Ka nalowale koke ʻana o ka ʻike me ke kumu ʻole.
• Nā loli i ka helu o ka puʻuwai, ʻoiai ka puʻuwai kūpono ʻole a i ʻole ka manaʻo o kou puʻuwai e kuʻi wikiwiki ana ( palpitations ).

He aha nā kūlana ʻē aʻe e hōʻike ana i nā hōʻailona like me GPN?

Aia kekahi mau maʻi ʻē aʻe e hōʻike ana me nā hōʻailona like me GPN. ʻO ia hoʻi, hiki ke huikau kēia mau maʻi me GPN. ʻO lākou:

• ʻO ka neuralgia trigeminal
• ʻO ka neuralgia o Jacobson
• Nā maʻi hana ʻino o ka hui Temporomandibular (TMJ)
• ʻO nā ʻano ʻē aʻe o ka ʻeha maka atypical

Hōʻuluʻulu manaʻo a me nā mea e hoʻomanaʻo ai

Ke loaʻa iā ʻoe ka GPN, hiki ke paʻakikī ke lilo iā ʻoe iho. Pehea ka hoʻonāukiuki ke loaʻa iā ʻoe ka ʻeha nui ke kamaʻilio hauʻoli ʻoe me nā hoaaloha a ʻohana paha, e ʻakaʻaka ana? Makaʻu paha ʻoe e hele i kahi hale ʻaina hou no ka mea ke manaʻo nei ʻoe e ʻeha ia ke moni ʻoe. ʻO kēia nā mea e lawe mai ai i ka hauʻoli i ke ola, akā hiki i ka ʻeha ke hoʻololi i kēlā mau mea āpau. Akā, ʻaʻole pono ʻoe e noho me kēia ʻeha.

He maʻi hiki ke mālama pono ʻia ʻo GPN.Kūlana. Hoʻoponopono maikaʻi ia i ka lāʻau lapaʻau. Aia kekahi mau lāʻau lapaʻau ʻē aʻe e kūpono i kāu mau pono. ʻO ka wikiwiki o kou loaʻa ʻana o kahi hōʻailona a me ka lāʻau lapaʻau, ʻo ka wikiwiki o kou hiki ke hoʻi i ka hana ʻana i nā mea āu e aloha ai me ka hopohopo ʻole e pili ana i ka ʻeha.

No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e ʻimi i ke kōkua lapaʻau. ʻO kou olakino ka mea nui loa.

ʻGPN , neuralgia glossopharyngeal, ʻeha aʻalolo, ʻeha puʻu, ʻeha pepeiao, ʻeha maka, neuralgia