Lub paj hlwb Trigeminal yog dab tsi? Cia peb kawm txog nws yooj yim!

Nyob zoo! Koj puas tau xav txog cov hlab ntsha hauv koj lub ntsej muag? Tej zaum tsis yog, puas yog? Tab sis muaj ib qho hlab ntsha tshwj xeeb hauv peb lub ntsej muag uas pab nrog ntau yam tseem ceeb, xws li kov thiab zom zaub mov. Ntawd yog cov hlab ntsha uas peb yuav tham txog hnub no.

Lub paj hlwb Trigeminal yog dab tsi?

Hais yooj yim xwb, koj lub paj hlwb trigeminal yog ib lub paj hlwb loj, peb ntu hauv koj lub taub hau. Nws tseem hu ua Cranial Nerve 5 , lossis CN V. Yog xav kom meej, nws xa cov cim los ntawm koj lub hlwb mus rau ntau qhov ntawm koj lub ntsej muag thiab los ntawm koj lub ntsej muag mus rau koj lub hlwb. Nws zoo li tus neeg xa xov ob txoj kev. Koj muaj ob lub paj hlwb trigeminal no—ib lub nyob rau sab xis ntawm koj lub ntsej muag, thiab ib lub nyob rau sab laug. Nws yog ib qho ntawm 12 khub ntawm cov paj hlwb cranial hauv peb lub taub hau. Qhov tshwj xeeb yog tias lub paj hlwb trigeminal yog qhov loj tshaj plaws ntawm lawv txhua tus.

Cov hlab ntsha trigeminal yog ib qho hlab ntsha tseem ceeb heev uas muab kev xav rau thaj chaw loj ntawm koj lub ntsej muag thiab pab koj ua tej yam xws li zom zaub mov. Tab sis peb tsis xav ntau txog cov hlab ntsha no kom txog thaum koj lossis ib tus neeg koj paub muaj mob zoo li trigeminal neuralgia (mob hnyav hauv lub ntsej muag), puas yog?

Cov haujlwm ntawm cov hlab ntsha trigeminal yog dab tsi?

Zoo, tam sim no cia peb saib seb muaj dab tsi tshwm sim rau cov hlab ntsha no. Koj cov hlab ntsha trigeminal muab kev txav mus los , cov ntaub ntawv, thiab kev hnov , lossis kev xav, cov ntaub ntawv rau koj lub taub hau thiab lub ntsej muag.

Cov hlab ntsha uas txav tau qhia rau koj cov leeg nqaij thaum twg thiab yuav txav li cas. Cov hlab ntsha uas hnov ​​​​​​lus qhia rau koj lub hlwb txog tej yam xws li mob, kov, thiab kub ntawm koj daim tawv nqaij.

Cov hlab ntsha trigeminal faib ua peb ceg tseem ceeb:

• Cov hlab ntsha ntawm qhov muag (V1)
• Cov hlab ntsha saum toj (V2)
• Cov hlab ntsha Mandibular (V3)

Txhua ceg ntawm cov ceg no muaj nws txoj haujlwm. Cia peb saib qhov ntawd thiab.

Kev ua haujlwm ntawm ceg ntawm cov hlab ntsha Ophthalmic (V1)

Lo lus 'ophthalmic' txhais tau tias 'hais txog lub qhov muag' . Cov ceg ntawm cov hlab ntsha qhov muag no muab kev xav rau koj lub ntsej muag thiab pob txha taub hau, tshwj xeeb tshaj yog los ntawm qhov qhib ntawm koj lub qhov muag. Nws kuj muab kev xav rau qee qhov ntawm koj lub qhov ntswg.

Cov hlab ntsha sympathetic hauv ceg ntawm cov hlab ntsha no pab ua kom koj cov menyuam qhov muag dav. Lawv kuj muab kev hnov ​​​​​​​rau cov qhov no ntawm koj lub qhov muag:

• Lub cev ciliary
• Iris (lub iris ntawm lub qhov muag)
• Cov qog ntawm lub qhov muag
• Conjunctiva
• Cornea (qhov pom tseeb ntawm lub qhov muag)

Kev ua haujlwm ntawm ceg ntawm cov hlab ntsha Maxillary (V2)

Maxillary yog hais txog koj lub puab tsaig sab saud . Cov hlab ntsha no muab kev xav, lossis kev xav, rau cov qhov hauv qab no ntawm koj lub cev:

• Cov ntu ntawm lub qhov ntswg
• Sinuses (cov hnab cua)
• Cov hniav saum toj kawg nkaus
• Palate
• Nruab nrab ntawm koj lub ntsej muag thiab pob txha taub hau - uas yog, thaj chaw hauv qab lub qhov muag thiab saum lub qhov ncauj.

Kev Ua Haujlwm ntawm Mandibular (Mandibular - V3) ceg ntawm cov hlab ntsha

Lub 'Mandibular' muaj feem cuam tshuam nrog koj lub puab tsaig qis . Cov ceg hlab ntsha no yog qhov loj tshaj plaws ntawm peb ceg. Nws kuj muaj cov leeg nqaij sensory thiab cov leeg nqaij motor. Cov khoom uas muab kev xav, lossis kev xav, yog:

• Sab hauv ntawm koj lub puab tsaig (buccal mucosa)
• Hauv pem teb ntawm koj lub qhov ncauj
• Cov hniav ntawm sab hauv qab
• Koj tus nplaig
• Daim tawv nqaij hauv qab lub qhov ncauj

Qhov no yog qhov chaw uas cov leeg nqaij txav tau thiab muab cov ntaub ntawv hais txog kev txav ntawm txhua cov leeg nqaij uas xav tau rau kev zom zaub mov. Cov leeg nqaij no yog:

• Cov leeg nqaij masseter
• Cov leeg nqaij Temporalis
• Cov leeg nqaij Pterygoid

Tsis yog li ntawd xwb, tab sis cov hlab ntsha mandibular kuj tseem ua lub luag haujlwm tseem ceeb hauv kev nqos, pab koj cov leeg nqaij digastric thiab cov leeg nqaij mylohyoid .

Cov hlab ntsha trigeminal nyob qhov twg?

Zoo li kuv tau hais ua ntej lawm, koj muaj ob lub paj hlwb trigeminal, ib lub nyob rau txhua sab ntawm koj lub taub hau. Cov no pib hauv koj lub hlwb. Tom qab ntawd lawv kis thoob plaws koj lub taub hau thiab faib ua peb ceg ntawd.

Lub cev ntawm cov hlab ntsha trigeminal yog dab tsi?

Cov qauv, lossis cov duab, ntawm koj cov hlab ntsha trigeminal zoo li cov ceg ntoo uas txuas ntawm koj lub hlwb mus txog koj lub ntsej muag. Cia peb saib seb qhov ntawd ua haujlwm li cas:

• Cov hlab ntsha trigeminal pib hauv koj lub hlwb nrog plaub lub nuclei - plaub qhov chaw uas cov hlwb hlwb tau sib sau ua ke. Peb ntawm cov nuclei no yog lub luag haujlwm rau cov ntaub ntawv sensory. Lub thib plaub tswj kev ua haujlwm ntawm lub cev (kev txav mus los).
• Cov nuclei sensory peb no tuaj ua ke los tsim ib lub hauv paus sensory ze ntawm cov pons, qhov loj tshaj plaws, nruab nrab ntawm koj lub hlwb .
• Cov hlab ntsha no, thaum nws tawm ntawm lub hlwb ntawm ob sab, dhau los ua ib lub ganglion trigeminal . (Lub ganglion yog ib pawg ntawm cov hlwb hauv koj lub paj hlwb peripheral.)
• Txhua lub ganglion trigeminal nyob rau pem hauv ntej ntawm koj lub pob ntseg, ntawm ob sab ntawm koj lub taub hau, ze ntawm koj lub hauv pliaj. Tshwj xeeb, nws nyob rau hauv qhov chaw uas muaj cov kua dej hauv lub hlwb hu ua Meckel's cave . Qhov no yog nyob nruab nrab ntawm ob txheej ntawm daim nyias nyias hu ua dura mater uas npog koj lub pob txha temporal.
• Tom qab ntawd cov hlab ntsha trigeminal no faib ua peb ceg ntawm cov hlab ntsha ophthalmic, maxillary, thiab mandibular uas peb tau tham txog. Cov ceg no khiav raws ob sab ntawm koj lub taub hau, txuas mus rau txhua qhov ntawm koj lub cev.

Cov mob dab tsi cuam tshuam rau cov hlab ntsha trigeminal?

Tu siab kawg li, qee zaum muaj ntau yam mob uas cuam tshuam rau kev ua haujlwm ntawm cov hlab ntsha trigeminal. Piv txwv li:

• Kev raug mob taub hau lossis cov mob hlwb.
• Kev ntxhov siab los ntawm cov hlab ntsha nyob ze, cov qog nqaij hlav, lossis o.
• Kev o ntawm qee yam kab mob. Piv txwv li , tus kab mob Herpes Zoster (qhov no yog qhov ua rau muaj tus kab mob hu ua Shingles ).
• Cov teeb meem ntawm cov hlab ntsha hauv lub cev, piv txwv li cov kab mob microvascular .
• Cov mob autoimmune , piv txwv li , scleroderma thiab Sjögren's syndrome .
• Kev raug mob los ntawm kev sib tsoo thaum lub sijhawm phais hlwb, lub ntsej muag, lossis phais hniav.

Nov yog qee yam mob tshwj xeeb uas cuam tshuam nrog cov teeb meem ntawm cov hlab ntsha trigeminal:

• Mob Trigeminal Neuralgia: Qhov no yog ib qho mob uas mob ntev ntev uas ua rau mob hnyav, mob plawv dhia ceev ceev. Feem ntau nws tshwm sim thaum cov hlab ntsha ze ntawm lub hlwb nias rau ntawm cov hlab ntsha trigeminal.
• Trigeminal Neuropathy: Qhov no yog lub npe dav dav rau kev puas tsuaj (neuropathy) rau cov hlab ntsha trigeminal. Nws feem ntau ua rau muaj cov tsos mob xws li loog, mob, lossis lwm yam kev xav tsis zoo ( paresthesia ).
• Mob taub hau sib koom ua ke: Qhov no yog ib hom mob taub hau uas tshwm sim rau ib sab ntawm lub taub hau thiab kav ntev li 15 feeb txog 3 teev. Qhov mob no tuaj yeem tshwm sim txhua hnub, rau ntau lub lis piam, lossis ntau lub hlis. Feem ntau, nws tshwm sim tib lub sijhawm ntawm ib hnub, txog li 8 zaug hauv ib hnub. Mob stroke lossis o ntawm ib feem ntawm cov hlab ntsha trigeminal tuaj yeem ua rau mob taub hau sib koom ua ke no.
• Lateral Medullary Syndrome los yog Wallenberg Syndrome:Qhov mob no tshwm sim tom qab muaj xwm txheej uas cuam tshuam rau cov ntshav ntws mus rau koj lub hlwb, xws li mob stroke lossis ntshav txhaws. Qhov no cuam tshuam rau kev ua haujlwm ntawm cov hlab ntsha trigeminal, ua rau muaj cov tsos mob xws li nyuaj nqos, kiv taub hau, thiab txav lub qhov muag tsis kam.

Cov teeb meem ntawm cov hlab ntsha trigeminal raug kho nyob ntawm seb qhov ua rau muaj qhov teeb meem yog dab tsi. Feem ntau, kev puas tsuaj me me tuaj yeem kho tau raws sijhawm. Txawm li cas los xij, qee zaum, yuav tsum tau phais kom rov txuas cov hlab ntsha uas raug txiav. Qee tus neeg yuav tsum tau muaj cov hlab ntsha noj qab haus huv ( nerve graft ) los hloov cov hlab ntsha uas puas lawm.

Cov tsos mob ntawm kev puas tsuaj ntawm cov hlab ntsha trigeminal yog dab tsi?

Cov tsos mob ntawm kev puas tsuaj ntawm cov hlab ntsha trigeminal tuaj yeem sib txawv heev. Qhov no yog vim tias cov hlab ntsha loj heev thiab muaj ntau yam haujlwm. Nyob ntawm qhov chaw uas cov hlab ntsha raug puas tsuaj, qhov kev puas tsuaj tsuas yog cuam tshuam rau ib cheeb tsam me me (xws li ib feem ntawm koj cov pos hniav) lossis ib cheeb tsam loj (xws li ib sab ntawm koj lub ntsej muag).

Qee cov cim thiab cov tsos mob ntawm kev puas tsuaj ntawm cov hlab ntsha trigeminal suav nrog:

• Muaj qhov tingling lossis tickling ntawm lub ntsej muag.
• Mob ntsej muag.
• Kev khawb ntawm lub qhov muag ( kev khawb ntawm lub qhov muag).
• Kev puas tsuaj ntawm qhov muag.
• Mob tingling lossis qaug zog hauv cov leeg nqaij ntawm lub puab tsaig.
• Nyuaj siab tom, hais lus, lossis nqos.

Tseem Ceeb: Yog tias koj muaj ib qho ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tam sim ntawd .

Kuv yuav ua li cas thiaj li khaws kuv cov hlab ntsha trigeminal kom noj qab nyob zoo?

Yog hais qhov tseeb, nws tsis yooj yim sua kom tiv thaiv tau txhua yam kev puas tsuaj rau cov hlab ntsha trigeminal. Txawm li cas los xij, cov kauj ruam no tuaj yeem pab ua kom koj lub paj hlwb - suav nrog cov hlab ntsha trigeminal - noj qab nyob zoo:

• Noj cov khoom noj muaj txiaj ntsig zoo, tshwj xeeb yog cov khoom noj uas muaj vitamin D thiab vitamin B12 ntau. Cov vitamin no tseem ceeb heev rau kev noj qab haus huv ntawm cov hlab ntsha.
• Tswj cov mob mus sij hawm ntev uas tuaj yeem ua rau cov hlab ntsha puas tsuaj, xws li ntshav qab zib thiab ntshav siab .
• Yog koj haus luam yeeb, thov kom lawv pab koj tso tseg. Kev haus luam yeeb ua rau cov ntshav ntws mus rau koj cov hlab ntsha tsis zoo.
• Tswj koj qhov hnyav kom noj qab nyob zoo thiab haum rau koj.
• Txo kev ntxhov siab los ntawm kev siv cov txheej txheem noj qab haus huv xws li kev xav thiab kev taug kev.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Yog li, koj tuaj yeem pom tias cov hlab ntsha trigeminal no tseem ceeb npaum li cas rau tej yam xws li kev kov koj lub ntsej muag thiab kev zom zaub mov. Xav txog seb tej yam yuav nyuaj npaum li cas rau peb yog tsis muaj cov hlab ntsha no.

Yog tias koj muaj teeb meem nrog koj ob lub qhov muag, lub puab tsaig, lossis lwm yam kev xav txawv txawv ntawm koj lub ntsej muag, xws li mob lossis loog, nws yuav yog vim muaj qee yam kev puas tsuaj rau cov hlab ntsha trigeminal. Yog tias qhov ntawd tshwm sim, nco ntsoov mus ntsib kws kho mob. Lawv tuaj yeem khiav cov kev kuaj mob tsim nyog los txiav txim siab seb qhov no puas yog vim muaj kev puas tsuaj rau cov hlab ntsha trigeminal.

Ib yam li txhua feem ntawm peb lub cev, peb yuav tsum tau saib xyuas cov hlab ntsha no kom zoo.

Cov hlab ntsha Trigeminal, cov hlab ntsha ntawm lub ntsej muag, neuropathy, mob lub ntsej muag, mob taub hau, cov hlab ntsha cranial, lub paj hlwb