Ua loaʻa anei iā ʻoe kahi ʻeha hiki ʻole ke hoʻomanawanui ma kekahi ʻaoʻao o kou maka i ka wā e palaki ai ʻoe i kou mau niho, kahi ʻumiʻumi, a i ʻole e hoʻopā wale i kou maka? No kekahi poʻe, hiki ke hoʻoulu ʻia kēia e ka makani a i ʻole ka pīpī ʻana o ka wai ma kou maka. Aia kekahi mau manawa i hiki ʻole ai i kēia ʻeha nui ke hana i nā hana o kēlā me kēia lā. ʻOiai he nui ka poʻe e manaʻo nei he ʻeha niho kēia, ʻo ke kumu o kēia he pilikia paha me kahi aʻalolo kūikawā e hele ana mai ko mākou lolo a i ko mākou maka. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o kēia aʻalolo trigeminal, ke kumu o ia mea, a no ke aha e loaʻa ai kēia ʻano ʻeha.
He aha ke aʻalolo Trigeminal?
I ka ʻōlelo maʻalahi, ʻo ke aʻalolo trigeminal ka lima o nā hui nui he 12 o nā aʻalolo e puka mai ana mai ko kākou lolo. Ua kapa ʻia hoʻi ʻo "cranial nerve number 5." Ua kapa ʻia ʻo ia he hui no ka mea he ʻelua ko kākou, hoʻokahi ma ka ʻaoʻao ʻākau o ko kākou maka a hoʻokahi ma ka hema. E like me ko kākou mau maka ʻelua a me nā pepeiao ʻelua.
ʻO ka hana nui o kēia aʻalolo, ʻo ia ke lawe i nā manaʻo āpau mai kou maka, ke poʻo, a i loko o kou waha, e like me ka pā ʻana, ka ʻeha, ka wela, a me ke anu, i ka lolo. ʻO ia hoʻi, inā hoʻopā kekahi i kou papālina, ʻike ʻoe iā ia no ka mea ke lawe nei kēia aʻalolo i kēlā leka i ka lolo.
Ma hope o ka haʻalele ʻana o kēia aʻalolo nui mai ka lolo, māhele ʻia ia i ʻekolu lālā nui, e like me nā lālā mai ke kumu lāʻau. ʻO ke ʻano o ka huaʻōlelo "tri" ʻo ia hoʻi "ʻekolu." No laila, ʻo nā lālā ʻekolu:
| Lālā Aʻalolo | ʻĀpana i uhi ʻia a me ka hana |
|---|---|
| 1. ʻO ke aʻalolo maka | Lawe kēia i nā manaʻo mai kou lae, ke alo o kou iwi poʻo, kou lihilihi luna, a me ka ʻāpana a puni kou maka i kou lolo. He aʻalolo sensory piha kēia. |
| 2. ʻO ke aʻalolo Maxillary | Hāpai kēia i ka manaʻo i ka ʻaoʻao waena o ka maka, ʻo ia hoʻi nā papālina, ka ihu, ka lihilihi o lalo, ka lehelehe o luna, a me nā ʻāʻī o luna. Hoʻomalu pū ia i ka manaʻo i ka lehelehe, nā niho o luna, a me nā sinus i loko o ka waha. |
| 3. ʻO ke aʻalolo mandibular | He mea kūikawā iki kēia. No ka mea, he ʻāpana sensory kona a me kahi ʻāpana e hoʻomalu ana i nā ʻiʻo (motor). Lawe ka ʻāpana sensory i nā manaʻo mai ka ʻāwae haʻahaʻa, ka lehelehe haʻahaʻa, nā ʻāʻī haʻahaʻa, a me ke alo o ke alelo (koe wale nō ka ʻono) i ka lolo. Hoʻomalu ka ʻāpana motor i nā ʻiʻo nui e pili ana i ka nau ʻana i ka meaʻai, ka ʻū ʻana i nā niho, a me ke ale ʻana. |
Pehea ʻoe e ʻike ai inā he pilikia me kēia aʻalolo?
Inā ua hōʻino ʻia, kaomi ʻia, a i ʻole ua hoʻopilikia ʻia ke aʻalolo trigeminal, hiki iā mākou ke ʻike i kekahi mau hōʻailona .
Nā loli i nā manaʻo
No ka mea, ʻo kēia ke aʻalolo sensory nui ma ka maka, ke kū mai kahi pilikia, kū mai nā ʻano ʻē i ka ʻike.
- Hyperesthesia: Lilo kekahi mau wahi o ka maka i hypersensitive me ke kumu ʻole. ʻOiai ka hoʻopā wale ʻana a i ʻole ka puhi ʻana i ka makani hiki ke hoʻoulu i ka ʻeha hiki ʻole ke hoʻomanawanui a me ka wela.
- Anesthesia: Hiki i kekahi mau wahi o ka maka ke manaʻo he mae, me he mea lā ua mae lākou e ka anesthesia no ka unuhi ʻana i ka niho.
- Ka nalowale o ke kūlana o ka ʻauwae: Hiki iā ʻoe ke ʻike inā ua hāmama a pani ʻia paha kou waha, ʻoiai ʻaʻole ʻoe i mua o ke aniani. Inā ua hōʻino ʻia kēia aʻalolo, e nalowale paha kēlā manaʻo.
Ka paʻakikī o ka nau ʻana i ka meaʻai
Inā ua hōʻino ʻia ka ʻāpana neʻe o kēia aʻalolo, e nāwaliwali paha nā ʻiʻo i hoʻohana ʻia no ka nau ʻana i ka meaʻai.
- Lilo i mea paʻakikī ke nau i ka meaʻai .
- Lilo i mea paʻakikī ke nau me kou mau niho.
- Ke hāmama kou waha, e hāʻule kou ʻauwae i kekahi ʻaoʻao.
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka . E nānā ʻo ia iā ʻoe a kōkua iā ʻoe e ʻike i ke kumu pololei.
Ke nānā kāu kauka iā ʻoe, e hoʻopā mālie ʻo ia i nā wahi like ʻole o kou helehelena me kahi pulupulu a i ʻole kahi pine liʻiliʻi a nīnau iā ʻoe pehea kou manaʻo. Hiki iā lākou ke hoʻopaʻa i kahi pulupulu kokoke i kou maka e nānā i ka ʻālohilohi ʻana (reflex corneal). Hoʻomalu ʻia kēia reflex e kēia aʻalolo, no laila inā ʻaʻole ia e hana ana, hiki iā ʻoe ke kānalua i kahi pilikia me ke aʻalolo.
Nā kūlana e pili ana i ke aʻalolo trigeminal
ʻO ka Neuralgia Trigeminal
ʻO kēia ka ʻeha maʻamau a koʻikoʻi loa e pili ana i kēia aʻalolo. E noʻonoʻo iā Mr. Nimal e hoʻomākaukau ana e kahi i ke kakahiaka. I kona kau ʻana i ka pahi ʻumiʻumi i kona papālina, ua manaʻo ʻo ia i kahi ʻeha hiki ʻole ke hoʻomanawanui no kekahi mau kekona, e like me ka haʻalulu uila . ʻAʻole hiki iā ia ke kamaʻilio a ʻai paha. Hiki i kēia ʻeha ke mau mai kekahi mau kekona a i ʻelua mau minuke. A laila nalo loa ia. Akā hiki i kēia ʻano ʻeha ke hele mai i nā nalu i nā manawa he nui i ka lā.
- Nā mea hoʻonāukiuki: Nui nā mea e hiki ke hoʻonāukiuki i kēia ʻeha. ʻO nā mea maʻalahi e like me ka palaki ʻana i kou mau niho, ka holoi ʻana i kou maka, ka ʻumiʻumi ʻana , ke kamaʻilio ʻana, ka nau ʻana i ka meaʻai, ka ʻakaʻaka ʻana, a i ʻole ka makani iki ma kou maka e hiki ke hoʻomaka i kēia ʻeha.
- Nā Kumu: ʻO ka hapa pinepine, ʻo kēia ke kumu o kahi kīʻaha koko e holo kokoke ana i ke aʻalolo kahi e puka ai i waho o ka lolo. Hoʻopilikia kēia i ka ʻōnaehana hōʻailona o ke aʻalolo, a ʻo kahi pā wale nō e hoʻoili ʻia i ka lolo ma ke ʻano he ʻeha nui. Eia kekahi, hiki i nā maʻi o ka ʻōnaehana nerve (e like me ka 'Multiple Sclerosis') a me nā puʻupuʻu lolo ke loaʻa kahi hopena liʻiliʻi. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu.
- Nā Hoʻāʻo a me ka Lāʻau Lapaʻau: Ma hope o ka nānā pono ʻana o kāu kauka i kāu mau hōʻailona, hiki iā ia ke kauoha i kahi MRI a i ʻole CT scan e hoʻoholo ai i ke kumu. Hiki i ka lāʻau lapaʻau ke komo pū me nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i ka ʻeha.
ʻEha o ke aʻalolo trigeminal
Aia kahi manawa liʻiliʻi e hōʻino ʻia ai ke aʻalolo mandibular ke unuhi ʻia ka niho, ʻoiai ka niho hope loa ma ka ʻāwae lalo. Hiki ke hōʻino ʻia kēia aʻalolo i ka wā o nā ulia pōpilikia, nā ʻoki kino, a me nā mea hoʻokomo niho. Hiki i nā hōʻino liʻiliʻi ke hōʻeha, a inā ʻoki ʻia ke aʻalolo, hiki i ka wahi ke mae loa. Inā ʻūlū mau kou lehelehe lalo i nā hola ma hope o ka unuhi ʻia ʻana o ka niho, e ʻike koke i kāu kauka a kauka niho paha. ʻO ka manawa kūpono loa e mālama ai i ka hōʻino ʻana, ʻo ia ka wā e hana mua ai.
He aha kā mākou e hana ai e mālama i ke olakino o kēia aʻalolo?
ʻOiai ʻaʻohe hoʻomaʻamaʻa kino a i ʻole nā meaʻai kikoʻī no ke aʻalolo trigeminal, aia kekahi mau mea hiki iā mākou ke hana e mālama i ko mākou ʻōnaehana nerve holoʻokoʻa i ke olakino a me ka ikaika. Kōkua kēia mau mea i ke olakino o kēia aʻalolo.
- ʻAi kaulike: He mea maikaʻi loa nā meaʻai i waiwai i nā wikamina, ʻoiai hoʻi nā wikamina B, no ka ʻōnaehana nerve. E hoʻokomo i nā mea kanu, nā huaʻai, nā legumes, a me nā palaoa i kāu papaʻai o kēlā me kēia lā.
- He nohona hana: Hoʻomaikaʻi ka hoʻoikaika kino i kēlā me kēia lā i ke kahe koko i loko o ke kino, ʻo ia hoʻi, loaʻa i nā aʻalolo ka oxygen a me nā meaʻai e pono ai lākou.
- E hōʻemi i ke kaumaha: He mea hōʻino ke kaumaha nui i ka ʻōnaehana nerve. E hoʻokele i ke kaumaha ma o nā mea e like me ka noʻonoʻo ʻana, ka yoga, a me ke komo ʻana i kahi hana leʻaleʻa āu e koho ai.
- E pale i ka puhipaka a me nā lāʻau lapaʻau: ʻO kēia nā mea e hōʻino pololei i nā hunaola nerve.
- Hiamoe kūpono: Kōkua ka hiamoe maikaʻi i ke kino a me ka ʻōnaehana nerve e hoʻōla.
- Ka mālama ʻana i nā maʻi maʻi mau loa: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe, he mea nui loa ia e kaohi pono iā lākou, no ka mea, hiki i kēia mau maʻi ke hōʻino i nā aʻalolo i ka hala ʻana o ka manawa.
Leka Lawe-Home
- He aʻalolo koʻikoʻi loa ke aʻalolo trigeminal e lawe ana i nā manaʻo mai kou maka a me ke poʻo i ka lolo a kōkua iā ʻoe e nau i ka meaʻai.
- ʻO ka ʻeha koke, ʻoi a koʻikoʻi ma kekahi ʻaoʻao o ka maka, e like me ka haʻalulu uila, he hōʻailona koʻikoʻi ia o ka neuralgia trigeminal.
- Hiki ke hana ʻia kēia ʻeha e nā mea maʻalahi e like me ka palaki ʻana i kou mau niho, ke kamaʻilio ʻana, a i ʻole ka hanu ʻana.
- Inā ʻike ʻoe i nā hōʻailona e like me ka mae ʻana o ka maka, ka nalowale o ka ʻike, a i ʻole ka paʻakikī i ka nau ʻana i ka meaʻai, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka.
- ʻO ka hahai ʻana i kahi nohona olakino a me ka kaohi ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe he mea nui ia no ke olakino o ka ʻōnaehana nerve holoʻokoʻa.
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