Ke ʻike nei hoʻi ʻoe i ka ʻeha uila hiki ʻole ke hoʻomanawanui ma kekahi ʻaoʻao o kou maka? He neuralgia trigeminal paha ia?

Ke ʻike nei ʻoe i kekahi manawa i kahi ʻeha nui i hiki ʻole ke noʻonoʻo ʻia ma kekahi ʻaoʻao o kou maka? He ʻeha ʻoi paha ia e like me ka haʻalulu uila, a i ʻole kekahi e hou ana iā ʻoe me ka pahi? A i ʻole ke loaʻa nei kēia ʻeha i ka wā e ʻakaʻaka ai ʻoe, kamaʻilio, a ʻai paha? A laila he mea nui loa kēia iā ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo Trigeminal Neuralgia.

He aha ka neuralgia trigeminal?

I ka ʻōlelo maʻalahi, ʻo ka neuralgia trigeminal kahi ʻeha koʻikoʻi loa a hiki ʻole ke hoʻomanawanui ʻia e kū mai ana ma kekahi ʻaoʻao o kou maka, i kēlā me kēia manawa. Hana pinepine kēia i ka wā e ʻomi ʻia ai kahi kīʻaha koko i loko o kou lolo, i kapa ʻia ʻo ke aʻalolo trigeminal. E noʻonoʻo e pili ana i ia mea, ʻo kēia aʻalolo trigeminal ke aʻalolo nui e lawe mai i ka manaʻo i ko mākou poʻo a me ka maka. Ua like ia me ka mea ʻike i loko o ko mākou maka. No laila, i ka wā e kaomi ʻia ai kēia aʻalolo, ua hoʻopilikia ʻia nā hōʻailona e hele mai ana mai ia mea, e hopena ana i kēia ʻeha nui. Ua manaʻo ʻia kēia he ʻeha pili i ke aʻalolo.

ʻAʻole kēia he maʻi e hoʻoweliweli i ke ola, akā hiki ke hoʻololi i ke ola . E noʻonoʻo wale, ua kaumaha ka poʻe he nui ma muli o kēia ʻeha nui e hiki mai ana no kekona a i ʻole mau minuke ʻoiai ke hana nei i nā mea maʻamau e like me ka ʻai ʻana, ke kamaʻilio ʻana, ka ʻakaʻaka ʻana, a i ʻole ka palaki ʻana i ko lākou mau niho. He maʻi lōʻihi kēia (Chronic)'. Akā, mai hopohopo, aia kekahi mau lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i kēia mau hōʻailona.

Ua kapa pū kekahi poʻe i kēia ʻo 'tic douloureux', ʻo ia kekahi inoa ʻē aʻe no ka maʻi like.

Pehea ka maʻamau o kēia ʻano?

ʻOiai ʻaʻohe helu kikoʻī ma Sri Lanka, e like me ka ʻikepili mai kekahi mau ʻāina o ka honua, ma kahi o hoʻokahi miliona a me ka hapa ka poʻe i ʻike ʻia me kēia maʻi i kēlā me kēia makahiki. ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine ma mua o nā kāne . Eia kekahi, ʻoi aku ka maʻamau ma hope o 50 mau makahiki. He mea kākaʻikahi loa kēia ʻano i nā keiki ʻōpio.

He aha nā hōʻailona o ka neuralgia trigeminal?

ʻO ka hōʻailona nui ka ʻeha koke a koʻikoʻi ma ka maka . ʻO ka hapa pinepine, loaʻa kēia ma kekahi ʻaoʻao o ka maka. Hiki ke loaʻa ka ʻeha ma nā ʻano like ʻole:

• Malia paha e like me ʻoe ua pā ʻia e ka uila .
• Aia paha he ʻeha ʻoi , e like me ke hou ʻana .
• Ke hiki mai ka ʻeha, manaʻo paha ia e like me ka ʻūlū ʻana o nā ʻiʻo o kou maka .

I ka wā ʻeha ʻole, hiki iā ʻoe ke manaʻo i nā mea e like me:

• E like me ke ahi .
• He kuʻi e like me ka pā .
• Ka mae ʻana o ka ʻōpū .
• He ʻeha lohi a palupalu .

ʻElua ʻano ʻeha ma muli o ke ʻano o kona hana ʻana:

1. TN ʻeha loa:ʻO ka mea e hana ʻia ma kēia hihia, aia kahi ʻeha koke, koʻikoʻi, a ʻoi. Hiki i kēia ʻeha ke mau mai kekahi mau kekona a i ʻelua mau minuke, i kekahi manawa hele pū me kahi ʻano wela i ka maka. ʻOiai aia kekahi mau manawa ma waena o ka emi ʻana o ka ʻeha, hiki i ka ʻeha ke hoʻi hou mai a hou no kahi o ʻelua hola. E noʻonoʻo, e like me Niluka, i kona hāmama ʻana i kona waha e ʻai, hoʻomaka ʻo ia me kahi laina lahilahi ma ka ʻaoʻao ʻākau o kona maka, a i loko o kekahi mau kekona, hiki mai ka ʻeha hiki ʻole ke hoʻomanawanui, emi ma hope o kekahi manawa, a hoʻi mai i ka wā e hoʻāʻo ai ʻo ia e ʻai.

2. ʻEha mau (TN me ka ʻeha mau / Atypical TN): I kēia ʻano, ʻaʻole ʻoi ka ʻeha e like me ka mea i luna, akā aia kahi ʻeha mau . Hiki ke loaʻa kahi ʻō ʻana, ka wela, a me kahi ʻeha iki. I loko o kēia kūlana neuralgia trigeminal atypical ), hiki ke paʻakikī iki ke kāohi i nā hōʻailona.

ʻO ka neuralgia trigeminal he maʻi "unilateral" maʻamau e hoʻopilikia wale i hoʻokahi ʻaoʻao o ka maka. He mea kākaʻikahi loa, hiki ke hoʻopilikia i nā ʻaoʻao ʻelua o ka maka (bilateral), akā ʻaʻole i ka manawa like. I kekahi mau hihia, i ka hala ʻana o ka manawa, hiki i ka ʻeha ke hoʻonui pinepine ʻia, lōʻihi, a ʻoi aku ka ʻino.

He aha nā mea e hoʻonui ai i kēia ʻeha ('Triggers')?

I ka manawa pinepine, hoʻāla ʻia kēia ʻano ʻeha e nā mea maʻalahi loa o kēlā me kēia lā, e like me ka hoʻoneʻe ʻana i kou maka a i ʻole ka hoʻopā ʻana i kou maka. Eia kekahi laʻana:

• I ka wā e ʻumi ai, e kau ana i ka makeup, e holoi ana i kou maka.
• I ka wā e ʻai ai i ka meaʻai, i ka wā e inu ai i ka wai.
• I ka palaki ʻana i kou mau niho, i ka holoi ʻana i kou waha.
• I ke kamaʻilio ʻana, i ka ʻakaʻaka ʻana.
• Inā he kaomi ma ka maka, ʻoi aku hoʻi ma ka ʻāpana papālina a ʻauwae paha.
• ʻOiai ka makani e pā ana i ka maka (e noʻonoʻo i ka makani e komo mai ana ma ka puka makani o ke kaʻa) hiki ke hōʻeha.

Akā, ʻo ka mea kupanaha, ʻaʻole loa e loaʻa kēia ʻeha i ka wā e hiamoe ana .

No ke aha e kū mai ai ka neuralgia trigeminal? He aha nā kumu?

ʻO ka maʻamau, ua hana ʻia e ke kaomi a i ʻole ka hōʻino ʻana i ke aʻalolo trigeminal. Hoʻokaʻawale nā ​​​​kauka iā ia e like me kona kumu:

ʻEkolu mau ʻano e like me ke kumu:

1. TN mua (maʻamau): Hoʻokumu ʻia kēia e ke kaomi ʻana o kahi kīʻaha koko (ʻo ka maʻamau ka aʻa cerebellar kiʻekiʻe) ma ke aʻa o ke aʻalolo trigeminal (ka hoʻopili ʻana o ke aʻalolo). ʻO kēia ke kumu o ka hapa nui o nā hihia .

2. TN Lua: Hana ʻia kēia ke hōʻino ʻia ke aʻalolo trigeminal e kekahi ʻano ʻē aʻe. No ka laʻana, kahi maʻi e like me ka Multiple Sclerosis (MS), kahi puʻupuʻu lolo, a i ʻole kahi maʻi arteriovenous. ʻO ka poʻe me ka TN lua he poʻe ʻōpio, a ʻo ka ʻeha paha ma nā ʻaoʻao ʻelua o ka maka. ʻO kēia ʻano no kahi o 15% o nā maʻi TN āpau.

3. TN Idiopathic:I kekahi manawa, ʻoiai ua hoʻāʻo nui ʻia, ʻaʻole hiki ke loaʻa ke kumu maopopo no ka ʻeha o ka maka. ʻO ia ka manawa e kapa ai nā kauka iā ia he idiopathic TN.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

Aia kekahi mau kumu pilikia e kōkua i ka ulu ʻana o kēia maʻi:

• Ke koko kiʻekiʻe .
• Puhipaka .
• Ka ʻelemakule ʻana .
• ʻOiai ka ʻaoʻao wahine .
• ʻO ka loaʻa ʻana o kahi lālā o ka ʻohana me kēia maʻi (ka mana hoʻoilina).

Pehea e ʻike ai ke kauka i ka neuralgia trigeminal?

ʻO ka mea mua, e nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila e nānā lākou i kou poʻo a me kou ʻāʻī, a hana i kahi hoʻokolohua neurological. I ka manawa pinepine, hana ʻia ka ʻike ma ka noʻonoʻo ʻana i kekahi mau kumu:

• Ke ʻano o ka ʻeha āu e manaʻo ai (e like me ka haʻalulu uila a i ʻole ka ʻeha hou?).
• ʻO kahi kikoʻī ma ka maka kahi i ʻike ʻia ai ka ʻeha .
• He aha nā ʻano mea e hoʻoulu ai i ka ʻeha ?

No ka mea he nui nā maʻi ʻē aʻe kahi i lilo ai ka ʻeha o ka maka i hōʻailona nui (e like me nā ʻeha poʻo cluster, migraines, postherpetic neuralgia, TMJ dysfunction), pono i ke kauka ke kāpae i kēlā mau maʻi.

Hiki i kāu kauka ke kauoha i kahi scan MRI lolo e kōkua i ka hoʻoholo pono i ke kumu o ka ʻeha - inā paha he kīʻaha koko e kaomi ana i kou lolo a i ʻole kekahi mea e like me ka puʻupuʻu.

He aha nā lāʻau lapaʻau no ka neuralgia trigeminal?

Hoʻohana nā kauka i ka hui pū ʻana o nā lāʻau lapaʻau, ke ʻoki kino, a me nā lāʻau ʻē aʻe e mālama ai i ka neuralgia trigeminal. Hiki ke lōʻihi ka manawa e loaʻa ai ka lāʻau kūpono nāu.

Nā lāʻau lapaʻau:

I ka hapanui o nā hihia, no nā kūlana mua (classic) a me idiopathic TN, ʻo ka mea mua a nā kauka e ʻōlelo ai, ʻo ia ka lāʻau lapaʻau.

• Nā lāʻau lapaʻau antiseizure: Ke ālai nei kēia mau lāʻau i nā hōʻailona ʻeha. Hoʻomaka pinepine nā kauka me ka carbamazepine a i ʻole oxcarbazepine. Kōkua kēia i ka hoʻomalu ʻana i ka ʻeha i nā poʻe he nui i nā pae mua o T.N. Akā hiki i kēia mau lāʻau ke lilo i mea emi ka maikaʻi i ka hala ʻana o ka manawa. ʻO nā lāʻau lapaʻau ʻē aʻe i loko o kēia hui ʻo gabapentin, pregabalin, lamotrigine, lacosamide, topiramate, a me phenytoin.
• Baclofen: He mea hoʻomaha ʻiʻo kēia.

Hiki i kēlā me kēia o kēia mau lāʻau lapaʻau ke loaʻa kekahi mau hopena ʻaoʻao, no laila e hana pū ʻoe a me kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.

ʻO ke ʻoki kino:

Manaʻo wale nā ​​​​kauka i ke ʻoki ʻana i kēia mau hihia:

• Inā ʻaʻole hiki ke hoʻokele ʻia nā hōʻailona me ka lāʻau lapaʻau.
• Inā loaʻa iā ʻoe kahi maʻi TN lua (e laʻa, kahi puʻupuʻu e kaomi ana i kahi aʻalolo).

ʻOkoʻa ka paʻakikī, nā pilikia, a me nā hopena ʻaoʻao o ke ʻoki kino no TN. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe. ʻO kekahi o nā koho ʻoki kino no TN:

• Hoʻohemo ʻana i ke koko liʻiliʻi: Hoʻomaha kēia ʻoki kino i ke kaomi mai nā kīʻaha koko e hoʻopaʻa ana i ke aʻalolo trigeminal. ʻO kēia ke ʻoki kino paʻakikī loa no TN. Eia nō naʻe, ʻo ia ke ala kūpono loa e pale aku ai i ka ʻeha i ka wā lōʻihi.
• ʻO ke ʻoki kino radio: Ma kēia kaʻina hana, ua kuhikuhi ʻia kahi kukuna o ka radiation i ke kumu o ke aʻalolo trigeminal e ālai i nā hōʻailona ʻeha. Hiki i kēia ke hala ma kahi o hoʻokahi mahina e hōʻemi ai i ka ʻeha.
• Rhizotomy: Ma kēia kaʻina hana, ua hōʻino ʻia ke aʻa o ke aʻalolo trigeminal e ālai i nā hōʻailona ʻeha. Nui nā ala e hana ai i kēia. No ka laʻana, ka hoʻopili ʻana i ka balloon mechanical, thermocoagulation, a me ka inikini kemika. Hoʻoulu mau kēia kaʻina hana i kekahi ʻano o ka numbness o ka maka a me ka nalowale o ka ʻike. ʻOiai hiki iā ia ke hōʻemi i ka ʻeha no kekahi mau makahiki, ua kaupalena ʻia ka holomua lōʻihi.
• ʻO ka neurectomy peripheral: Pili kēia i ka hōʻino ʻana a i ʻole ka wehe ʻana i kahi lālā peripheral o ke aʻalolo trigeminal. Hiki ke hana ʻia kēia ma o ka hoʻokomo ʻana i ka waiʻona, ka ʻoki ʻana, ka cryotherapy, a i ʻole ka radiofrequency lesioning.

Nā Lapaʻau ʻē aʻe:

Hiki paha i kāu kauka ke kuhikuhi i nā lāʻau ʻē aʻe e kōkua i ka kaohi ʻana i ka ʻeha o ka neuralgia trigeminal - ma ka hapa nui me ka lāʻau lapaʻau. ʻO kēia mau mea:

• Hāʻawi nā inikini toxin botulinum a i ʻole nā ​​​​poloka aʻalolo i ka hōʻoluʻolu ʻeha no ka manawa pōkole.
• ʻAkipikipi .
• Manaʻo Olaola .
• Hoʻōla ʻuhane (hoʻōla kamaʻilio) (Psychotherapy) .
• ʻIoga .
• Hoʻomanaʻo ʻana .
• ʻAla lāʻau lapaʻau .

He aha ka mea e ʻike ai kekahi me ka neuralgia trigeminal?

ʻAʻole like ka hopena o kēia i nā kānaka a pau, no laila he paʻakikī ke ʻōlelo pololei pehea e pili ai iā ʻoe. Loaʻa paha i kekahi poʻe nā wā ʻeha e mau ana no nā pule a i ʻole nā ​​mahina, a ukali ʻia e nā wā ʻeha ʻole. Loaʻa paha i kekahi poʻe ka ʻeha maka e hoʻomau nei me kā lākou mau hoʻouka kaua. No kekahi poʻe, ʻoi aku ka ʻino o kā lākou mau hoʻouka kaua i ka hala ʻana o ka manawa. Eia kekahi, hiki i nā lāʻau lapaʻau i hoʻohana ʻia e mālama ai iā TN ke lilo i mea emi ka maikaʻi i ka hala ʻana o ka manawa.

No kēia mau kumu a pau, he mea nui e kamaʻilio pinepine me kāu kauka e ʻike pehea e hoʻopilikia ai kāu TN iā ʻoe a inā paha e holo pono ana kāu hoʻolālā lapaʻau. ʻAʻole ʻoe makemake e hoʻomau i ka ʻeha.

He aha nā pilikia o kēia maʻi?

Hiki i ka ʻeha o ka neuralgia trigeminal ke koʻikoʻi loa a hiki ke loaʻa ka hopena koʻikoʻi i kou olakino noʻonoʻo a me ke ola o kēlā me kēia lā . Loaʻa i ka poʻe me TN ka pilikia no ka hoʻomohala ʻana i nā kūlana e like me:

• Kaumaha .
• Hopohopo .
• Ka hoʻokaʻawale ʻana o ka nohona .

Inā hoʻopilikia kēia ʻano i kou olakino noʻonoʻo, he mea nui e ʻimi i ke kōkua loea . E kamaʻilio me kāu kauka a i ʻole kekahi kākāʻōlelo olakino noʻonoʻo, e like me ke kauka noʻonoʻo.

Hiki i nā lāʻau lapaʻau no TN ke hana i nā pilikia. ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau epilepsy hiki ke alakaʻi i nā pilikia e like me ka osteoporosis. Hiki i ke ʻoki kino ke hana i nā pilikia e like me ka mae mau ʻana o ka maka.

Āhea wau e ʻike ai i ke kauka?

ʻAʻohe mea makemake e ola me nā hoʻouka pinepine ʻana o ka ʻeha. Inā loaʻa iā ʻoe ka ʻeha nui o ka maka, e ʻike pono i ke kauka . Inā ua ʻike ʻia ʻoe me TN, pono ʻoe e ʻike pinepine i ke kauka e hōʻoia i ka holo pono ʻana o kāu hoʻolālā lapaʻau.

He aha nā nīnau āu e nīnau ai i ke kauka?

He mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau e pili ana i ka neuralgia trigeminal:

• No ke aha i loaʻa ai iaʻu ka neuralgia trigeminal?
• He aha ke ʻano o ka TN iaʻu?
• He aha kaʻu e hana ai e hōʻemi i ka ʻeha aʻu e ʻike ai i ka wā e hoʻopā ai a lūlū paha i kuʻu maka?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia o kēlā mau koho lapaʻau?
• Aia kekahi mau hui kākoʻo no ka poʻe me ka neuralgia trigeminal?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻOiai he maʻi kino ka neuralgia trigeminal, hiki iā ia ke loaʻa ka hopena nui i kou olakino noʻonoʻo a me kou naʻau. Makaʻu paha ʻoe e hana i nā mea maʻamau a i ʻole e hele i waho i ka lehulehu no ka mea makaʻu ʻoe i ka loaʻa ʻana o kahi hoʻouka kaua koʻikoʻi. Akā ʻo ka nūhou maikaʻi, aia kekahi mau koho lapaʻau e hiki ke kōkua iā ʻoe e ola i kou ola e like me kou makemake. ʻOiai he kūlana paha kēia e pono ai ʻoe e noho me ke koena o kou ola, e hoʻomanaʻo hiki ke mālama ʻia. ʻAʻole ʻoe hoʻokahi, a aia nā ala e loaʻa ai ke kōkua.

ʻO ka neuralgia trigeminal, ʻeha maka, ʻeha aʻalolo, hoʻokele ʻeha, nā aʻalolo cranial, ʻeha maka