Ua ʻike anei ʻoe i kahi ʻeha hiki ʻole ke hoʻomanawanui ma kekahi ʻaoʻao o kou maka, e like me ka haʻalulu uila, i kou wā e palaki ana i kou mau niho, e kahi ana, a i ʻole he makani wale nō? ʻO kēia ʻeha nui e hele mai a hele aku i loko o kekahi mau kekona, akā i kēlā manawa, e hoʻolilo iā ʻoe i mea ʻē loa, pono e waiho iā ʻoe me ka makaʻu nui a me ka hopohopo. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi e hoʻopilikia nei i nā poʻe he nui, akā ʻaʻole lākou i ʻike nui e pili ana i ia mea.
He aha kēia Tic Douloureux?
I ka ʻōlelo maʻalahi, ʻo Tic Douloureux kahi maʻi i ʻike ʻia ma ke ʻano lapaʻau ʻo 'trigeminal neuralgia' . He ʻano kēia e loaʻa ai i ke kanaka kahi ʻeha ʻoi, hou a i ʻole ka haʻalulu uila ma kekahi ʻaoʻao o ka maka ma muli o kahi pilikia me ke aʻalolo trigeminal, ke aʻalolo nui e hāʻawi ana i ka ʻike i ko mākou maka. He ʻeha nui loa kēia a i kekahi manawa e ʻoniʻoni ka maka me ka manaʻo ʻole i ka wā e loaʻa ai ka ʻeha. ʻO ia ke ʻano o ka huaʻōlelo Pelekania "tic".
ʻO ka maʻamau, ʻo kēia ʻeha ke mau nei mai kekahi mau kekona a i kekahi mau minuke. Akā hiki ke hana ʻia kēia mau hoʻouka ʻana i nā manawa he nui i ka lā. ʻO ka mea kupanaha, ʻoiai ʻaʻohe ʻeha, ʻaʻohe ʻūlū a i ʻole kekahi pilikia ʻē aʻe ma ka maka.
ʻO ka Trigeminal Neuralgia kekahi o nā maʻi ʻeha loa e hiki ke hoʻopilikia i nā kānaka. No laila, inā loaʻa iā ʻoe kēia ʻano ʻeha, mai hoʻowahāwahā iā ia.
He nui ka poʻe e ʻike i kēia ʻeha ma kekahi ʻaoʻao o ko lākou helehelena, ma ka ʻauwae, ka papālina, a i ʻole ka lehelehe. He ʻeha nui loa ia a makaʻu kekahi poʻe e kamaʻilio, ʻai, a inu wai paha i ka wā o ka hoʻouka ʻana.
He aha ke kumu o kēia ʻeha nui?
ʻOiai ʻaʻole hiki ke ʻōlelo pololei i ke kumu o kēia, aia kekahi mau manaʻo no kēia.
ʻO ke kumumanaʻo i ʻae nui ʻia, ʻo ia ka hoʻopaʻa ʻia ʻana o kahi kīʻaha koko (ʻo ia hoʻi he aʻa) i loko o ka lolo ma luna o ke aʻalolo trigeminal, e hōʻino ana i ke aʻalolo. E noʻonoʻo iā ia e like me ka paipu wai e kuʻi ʻia ana ke kau ʻia kekahi kaumaha ma luna. I ka hala ʻana o ka manawa, hōʻino kēia hoʻopaʻa ʻana i ka uhi pale a puni ke aʻalolo, i kapa ʻia ʻo ka ʻupena myelin . Ua like ia me ka insulation ma luna o kahi uea uila e mae ana. A laila lilo ke aʻalolo i hypersensitive a hoʻomaka e hoʻouna i nā hōʻailona ʻeha i ka lolo me ke kumu ʻole.
Eia kekahi, ʻo nā puʻupuʻu lolo, kekahi mau ʻano ʻē i loko o nā iwi o ke poʻo, nā ʻeha poʻo mai nā ulia, nā maʻi, a me ka Multiple Sclerosis ( MS) hiki ke hana i nā hopu ʻana.)` hiki nō hoʻi ke hōʻeha i ka ʻeha ma ka hōʻino ʻana i ke aʻalolo trigeminal.
He aha nā hōʻailona maoli?
ʻO ka hōʻailona nui a hoʻokahi wale nō o kēia maʻi, ʻo ia ka ʻeha. Akā, he nui nā ʻano kūikawā o ia ʻeha. E nānā kākou i ke ʻano o ia mau mea.
| ʻAno | Wehewehena |
|---|---|
| ʻAno o ka ʻeha | Ka ʻeha koke, ʻoi a hiki ʻole ke hoʻomanawanui, e like me ke hou ʻana, ke kī pū ʻana, a i ʻole ke kuʻi uila. |
| Kahi e loaʻa ai ka ʻeha | I kekahi manawa ma kekahi ʻaoʻao wale nō o ka maka. Loaʻa pinepine ma ka papālina, ka ʻauwae, nā niho, nā ʻāʻī, a i ʻole ka ʻāpana lehelehe. He mea kākaʻikahi loa, hiki ke loaʻa a puni ka maka. |
| Ka lōʻihi o ka ʻeha | No ka manawa pōkole kēia mau hoʻouka ʻana, mai kekahi mau kekona a i ʻelua mau minuke paha, akā hiki ke hana i nā manawa he nui i ka lā a i ʻole he mau haneli manawa. |
| Nā mea hoʻoulu ʻeha | Hiki ke hoʻāla ʻia ka ʻeha ma ka hoʻopā ʻana i kahi kiko hoʻāla ma ka ʻaoʻao like o ka maka me ka ʻeha. Nā laʻana: kamaʻilio ʻana, ʻakaʻaka ʻana, palaki ʻana i kou mau niho, holoi ʻana i kou maka, kahi ʻumiʻumi, kau ʻana i ka make-up, ʻike ʻia i ka makani anuanu, ʻai ʻana a inu ʻana paha i kekahi mea. |
| ʻAno ʻeha | Hiki i nā hoʻouka ʻeha ke mau no nā pule a i ʻole nā mahina i ka manawa. Ma hope o kēlā, hiki iā ʻoe ke hele no nā mahina a i ʻole nā makahiki me ka ʻole o ka ʻeha. Eia nō naʻe, i ka hala ʻana o ka manawa, e hoʻi hou mai ka ʻeha. |
ʻO ka mea nui loa, ʻaʻole kēia kūlana e hoʻopilikia i ka ʻono, ka lohe, a i ʻole ka hana ʻiʻo o ka maka. ʻO ke ʻano kēia he kūlana ia i kaupalena ʻia i ka ʻeha wale nō .
I ka manawa hea ka maikaʻi e ʻimi ai i ke aʻo lapaʻau?
- Inā ʻaʻole i kāohi ʻia ka ʻeha e ka lāʻau lapaʻau a kāu kauka i kauoha ai, e ʻike hou i kāu kauka.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona hou ma waho aʻe o ka ʻeha (e laʻa, ka mae ʻana o ka maka, ka nalowale o ka lohe, ka poniuniu , nā loli o ka ʻike), pono ʻoe e haʻi aku i kāu kauka. No ka mea, ʻo ka tic douloureux kahi kūlana e hoʻoulu wale ai i ka ʻeha, hiki i nā hōʻailona hou ke lilo i hōʻailona o kahi maʻi olakino ʻē aʻe.
Āhea ʻoe e makemake ai e hele i ka ETU?
Inā ʻike ʻoe i nā hōʻailona e like me ke kuni, ka ʻulaʻula , a i ʻole ka poniuniu nui me ka ʻeha, he hōʻailona paha ia o kahi maʻi koʻikoʻi. I ia mau hihia, ʻoi aku ka maikaʻi o ka hele ʻana i ka lumi pilikia o ka haukapila (ETU) i ka wā hikiwawe. Eia kekahi, inā ʻaʻole hiki ke hoʻomanawanui i ka ʻeha a ʻaʻole hiki iā ʻoe ke kiʻi i kāu kauka, he mea naʻauao ke hele i ka ETU.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
ʻAʻohe hoʻāʻo kikoʻī hoʻokahi e ʻike ai i kēia maʻi. E hana kāu kauka i ka ʻike ma muli o kāu wehewehe ʻana i kāu mau hōʻailona, kahi hoʻokolokolo kino , a me ka hoʻoholo ʻana i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kou ʻeha maka .
1. Ka wehewehe ʻana i nā hōʻailona: ʻO ka ʻeha e like me ke kuʻi uila āu e wehewehe nei, ke ʻano o kona hana ʻana, a me nā mea hoʻonāukiuki e hāʻawi i ke kauka i kahi manaʻo maikaʻi e pili ana i kēia maʻi.
2. Hoʻokolokolo kino: ʻO ka maʻamau , ʻaʻohe ʻano ʻē i ʻike ʻia i ka wā e nānā ai i kahi mea maʻi me ka tic douloureux. Eia nō naʻe, inā he mea e like me ka mae ʻana o ka maka a i ʻole ka nalowale o ka lohe, e kānalua ke kauka i nā maʻi ʻē aʻe. Eia kekahi, hiki ke loaʻa nā mea e like me ka maʻi sinus , ka maʻi niho, a me nā pilikia temporomandibular joint (TMJ) ma kahi hoʻokolokolo kino.
3. Nā scan: Hiki i kahi scan CT a MRI paha o ka lolo ke nānā i kahi kīʻaha koko a i ʻole ka puʻupuʻu e kaomi ana i kahi aʻalolo. Hiki i kēia mau hoʻokolohua ke kōkua i ka kāpae ʻana i nā kumu ʻē aʻe o ka ʻeha o ka maka.
He aha nā lāʻau lapaʻau no kēia?
ʻAʻohe lāʻau lapaʻau home no kēia ʻeha. Pono e ʻimi ʻia ka lāʻau lapaʻau ma lalo o ke alakaʻi a ke kauka. I ka manawa pinepine, hiki ke hoʻomalu pono ʻia ka ʻeha me ka lāʻau lapaʻau. I kekahi manawa, pono ke ʻoki kino.
Nā lāʻau lapaʻau
ʻO nā lāʻau anticonvulsants nā lāʻau lapaʻau nui i hoʻohana ʻia e kāohi i kēia ʻeha. Hana kēia mau lāʻau lapaʻau ma ka hoʻōki ʻana i ke aʻalolo trigeminal i hōʻino ʻia mai ka hoʻouna ʻana i nā hōʻailona ʻeha pono ʻole.
- Nā lāʻau lapaʻau nui: ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo ia ʻo `Carbamazepine (Tegretol). Eia kekahi, ua hoʻohana pono ʻia nā lāʻau lapaʻau e like me `Oxcarbazepine (Trileptal)`, `Gabapentin (Neurontin)`, a me `Lamotrigine (Lamictal)`.
- Nā hopena ʻaoʻao: Hoʻomaka ʻia kēia mau lāʻau lapaʻau ma kahi mahele haʻahaʻa. Hoʻonui mālie ʻia ka mahele a hiki i ka wā e kāohi ʻia ai ka ʻeha. Hiki ke loaʻa nā hopena ʻaoʻao e like me ka hiamoe, ka poniuniu, ka ʻike pālua, a me ka nausea.
- Nā lāʻau lapaʻau ʻē aʻe: No ka poʻe i pane ʻole i nā lāʻau lapaʻau i luna a i ʻole he mau hopena ʻino koʻikoʻi, hiki ke kōkua ka mea hoʻomaha ʻiʻo ʻo Baclofen (Lioresal) a, i kekahi mau hihia, ʻo Pimozide (Orap). Ua hōʻike ʻia hoʻi nā inikini Botox e hāʻawi i ka hōʻoluʻolu nui i ka ʻeha.
He mea nui: Hiki i kekahi o kēia mau lāʻau lapaʻau ke hoʻopilikia i kāu mau hunaola koko a me ka hana o ke akepaʻa. No laila, he mea nui e loaʻa nā hoʻāʻo koko maʻamau e like me ke kuhikuhi a kāu kauka. Mai hoʻomaka a hoʻōki paha i ka lawe ʻana i kēia mau lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka no kekahi kumu.
ʻoki kino
Inā ʻaʻole hiki i ka lāʻau lapaʻau ke kāohi i ka ʻeha a i ʻole hiki ʻole ke hoʻomanawanui i nā hopena ʻaoʻao o ka lāʻau lapaʻau, hiki ke noʻonoʻo ʻia ke ʻoki kino. Pili paha kēia i ka ʻike ʻana i kahi neurosurgeon. Nui nā koho like ʻole, mai nā kaʻina hana maʻalahi e like me ke komo ʻana i kahi anesthetic kūloko i loko o ke aʻalolo a hiki i nā ʻoki kino paʻakikī e wehe ai i ka lolo. ʻOiai ʻo nā ʻoki kino paʻakikī e hāʻawi pinepine i ka hōʻoluʻolu lōʻihi, pili lākou me nā pilikia kiʻekiʻe.
Hiki ke pale ʻia kēia kūlana?
ʻO ka mea pōʻino, ʻaʻohe ala e pale ai i ka tic douloureux.
Leka Lawe-Home
- ʻO Tic douloureux (Trigeminal Neuralgia) kahi maʻi e hōʻeha nui ai, akā ʻaʻole ia he maʻi e hōʻeha ai i ke kino i ka wā lōʻihi a i ʻole he mea hoʻoweliweli i ke ola. He maʻi ia i kaupalena ʻia i ka ʻeha wale nō.
- ʻO ke kumu o kēia ʻeha pinepine ka kaomi ʻana o ke kīʻaha koko i kahi aʻalolo.
- ʻO ke kumu nui o ka ʻike ʻana ma muli o kāu mau hōʻailona.
- Hiki ke hoʻomalu pono ʻia kēia ʻeha me ka lāʻau lapaʻau a i ʻole ke ʻoki kino.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo, mai hoʻokaʻulua, e ʻike i ke kauka kūpono a loaʻa ka lāʻau kūpono. Ma kēlā ʻano, hiki iā ʻoe ke ola hou i kahi ola maʻamau a ʻoluʻolu hoʻi.
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