Peb tsis xav ntau txog qhov mob uas peb hnov thaum peb nqos zaub mov, haus me ntsis dej, lossis mob caj pas, puas yog? Tab sis koj puas paub tias tom qab tag nrho cov no, muaj ib feem me me tab sis tseem ceeb heev ntawm peb lub cev uas ua haujlwm? Hnub no peb yuav tham txog ib qho hlab ntsha tshwj xeeb heev. Ntawd yog hlab ntsha glossopharyngeal. Txawm hais tias lub npe nyuaj me ntsis, txoj haujlwm uas nws ua yog yooj yim heev thiab tseem ceeb.
Cia peb xub saib seb, cov hlab ntsha no yog dab tsi?
Hais yooj yim xwb, cov hlab ntsha zoo li ib txoj kab ke me me uas khiav thoob plaws peb lub cev. Peb lub hlwb yog lub chaw tswj hwm tseem ceeb. Los ntawm lub chaw tswj hwm no, cov lus xa mus rau tag nrho peb cov kab ke hnov, xws li peb txhais tes, ceg, qhov muag, pob ntseg, thiab caj pas, thiab los ntawm cov kab ke ntawd, cov lus xa rov qab mus rau lub hlwb los ntawm txoj kab ke no ntawm cov xov hlau hu ua cov hlab ntsha. Nws zoo li lub kaw lus hluav taws xob hauv peb lub tsev. Cov lus hluav taws xob thiab tshuaj lom neeg (neurons) los ntawm lub hlwb taug kev raws cov no.
Yog li, qhov no yog dab tsi glossopharyngeal paj hlwb?
Cov hlab ntsha glossopharyngeal yog qhov thib cuaj ntawm 12 khub hlab ntsha tseem ceeb (9th Cranial Nerve lossis CN IX) uas pib hauv qab ntawm peb lub hlwb (brainstem). Lawv tuaj ua khub, txhais tau tias muaj ib qho ntawm sab xis ntawm peb lub caj dab thiab ib qho ntawm sab laug.
Qhov tshwj xeeb ntawm cov hlab ntsha no yog tias nws tuaj yeem ua peb hom haujlwm tseem ceeb, zoo li tib tus neeg ua peb txoj haujlwm.
- Lub cev muaj zog: Pab txav cov leeg nqaij. Qhov no yog qhov ua rau cov leeg nqaij hauv caj pas ua haujlwm thaum peb nqos zaub mov.
- Parasympathetic: Pab kom lub cev cov kabmob thiab cov nqaij so thaum peb tsis ua ub ua no, uas yog, thaum peb so. Piv txwv li, qhov no yog qhov uas txo cov qaub ncaug hauv qhov ncauj tom qab peb noj mov tas.
- Kev Xav: Muab kev xav rau peb. Qhov no pab peb hnov tej yam xws li saj, kov, thiab kub. Nws yog qhov no uas ua rau peb mob thaum peb lub caj pas mob lossis qhov kev xav thaum peb pob ntseg hnov tias puv.
Xav txog seb, tib lub hlab ntsha no pab koj nqos zaub mov, muab kev saj rau koj tom qab koj tus nplaig, thiab txawm xa xov mus rau koj lub hlwb txog qhov mob caj pas. Qhov ntawd zoo kawg nkaus li, puas yog?
Cov haujlwm tseem ceeb ntawm cov hlab ntsha no hauv peb lub cev yog dab tsi?
Cov hlab ntsha glossopharyngeal ua lub luag haujlwm tseem ceeb heev hauv peb lub caj pas thiab lub qhov ncauj. Cia peb saib seb nws ua dab tsi.
| Qhov chaw ntawm lub cev uas muaj feem cuam tshuam | Txoj hauj lwm yooj yim heev. |
|---|---|
| Tom qab ntawm tus nplaig | Cov hlab ntsha no yog lub luag haujlwm rau qhov saj ntawm cov khoom noj uas peb noj, tshwj xeeb tshaj yog nyob rau sab nraub qaum peb ntawm tus nplaig. Thaum peb noj ib yam dab tsi iab, xws li taub dag iab, qhov saj iab feem ntau hnov nyob rau tom qab ntawm tus nplaig, yog li qhov no yog cov hlab ntsha uas ua rau qhov ntawd. |
| Cov txheej txheem nqos | Cov leeg nqaij stylopharyngeus hauv caj pas raug ua haujlwm, pab tsa peb lub caj pas thiab lub qhov ncauj. Cov txheej txheem no yog qhov uas tso cai rau peb nqos zaub mov thiab haus dej yam tsis muaj teeb meem. |
| Cov pob qij txha | Nws yog qhov rhiab heev ntawm cov hlab ntsha no uas xa qhov mob uas peb hnov thaum peb mob caj pas lossis o ntawm cov tonsils mus rau lub hlwb. |
| pob ntseg nruab nrab | Cov hlab ntsha no yog qhov ua rau peb hnov qhov mob uas peb hnov thaum peb muaj kab mob pob ntseg, lossis qhov puv peb hnov thaum pob ntseg puv nrog cov kua dej zoo li cov hnoos qeev. |
| Cov qog ntawm lub qhov ntswg | Thaum peb noj mov tas, cov hlab ntsha no tswj cov qaub ncaug tsis tsim nyog hauv qhov ncauj thiab txo cov qaub ncaug tsim tawm. |
| Carotid sinus | Qhov no yog ib txoj hlab ntsha hauv peb lub caj dab. Cov hlab ntsha no pab tswj peb cov ntshav siab, uas yog, ua kom nws nyob rau theem uas xav tau. |
Cov kab mob dab tsi cuam tshuam rau cov hlab ntsha no?
Ib yam li lwm yam kab mob hauv lub cev, cov hlab ntsha glossopharyngeal tuaj yeem raug cuam tshuam los ntawm ntau yam kab mob thiab kev raug mob, qee qhov tuaj yeem muaj kev cuam tshuam loj rau peb lub neej txhua hnub.
Mob Glossopharyngeal Neuralgia (GPN)
Qhov no yog qhov mob uas tshwm sim ntau tshaj plaws thiab mob heev uas cuam tshuam nrog cov hlab ntsha no. Hais yooj yim xwb, qhov no yog qhov mob hnyav heev rau cov hlab ntsha.
- Muaj dab tsi tshwm sim?: Tsis muaj laj thawj pom tseeb, koj mam li hnov mob hnyav, ntse, zoo li hluav taws xob hauv koj lub caj pas, nraub qaum ntawm koj tus nplaig, lossis sab hauv koj pob ntseg.
- Qhov mob no tshwm sim li cas?: Qhov mob no tuaj yeem kav ntev li ob peb feeb mus txog ob peb feeb. Nws tuaj yeem tshwm sim sai sai thaum nqos, tham lus, txham, hnoos, lossis luag nrov nrov.
- Kev Cuam Tshuam: Qhov mob no hnyav heev ua rau qee tus neeg ntshai noj lossis haus dej vim ntshai tias qhov mob yuav rov qab los.
Kev Mob Plab Hlwb Glossopharyngeal
Qhov no tshwm sim thaum muaj xwm txheej, mob hlwb, lossis lwm yam mob uas ua rau cov hlab ntsha no puas tsuaj thiab ua rau nws tsis ua haujlwm. Cov hlab ntsha no yuav ua rau nws tsis ua haujlwm ib nrab lossis tag nrho.
- Cov tsos mob:
- Nyuaj nqos (dysphagia).
- Tsis hnov qab saj ntawm sab nraub qaum ntawm tus nplaig.
- Kev hloov suab.
- Tsis muaj zog lossis tsis hnov lus zoo nyob rau tom qab ntawm lub caj pas (gag reflex).
Lwm yam laj thawj
Ntxiv rau cov mob saum toj no, cov hlab ntsha no tuaj yeem raug puas tsuaj rau ntau yam laj thawj.
- Cov qog nqaij hlav thiab mob qog noj ntshav: Cov qog nqaij hlav lossis lwm yam qog nqaij hlav hauv lub hlwb, qhov ncauj, caj pas, tonsils, lossis lub hauv paus pob txha taub hau tuaj yeem ua rau cov hlab ntsha no raug nias.
- Cov teeb meem ntawm qee qhov kev phais:
- Carotid Endarterectomy: Cov hlab ntsha no tuaj yeem raug puas tsuaj thaum lub sijhawm phais kom tshem tawm cov rog ntawm cov hlab ntsha loj hauv caj dab.
- Kev phais mob Tonsillectomy: Qee zaum, cov nqaij caws pliav uas tsim tom qab cov tonsils raug tshem tawm thiab kho tau tuaj yeem nias cov hlab ntsha no, ua rau mob. Qhov mob no hu ua Eagle Syndrome.
- Thaum lub sijhawm siv tshuaj loog: Qee cov raj (lub qhov ncauj qhov ntswg) uas muab tso rau hauv caj pas thaum lub sijhawm siv tshuaj loog tuaj yeem ua rau cov nqaij mos ntawm caj pas thiab cov hlab ntsha no puas tsuaj.
Peb ua tau dab tsi los tiv thaiv cov hlab ntsha no?
Qee zaum, cov mob xws li mob glossopharyngeal neuralgia tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb, ua rau nws nyuaj rau tiv thaiv lawv. Txawm li cas los xij, los ntawm kev txo cov yam txaus ntshai uas peb tuaj yeem tswj tau, peb tuaj yeem txo qhov kev puas tsuaj rau cov hlab ntsha no.
- Kev ua neej noj qab haus huv: Yog tias koj haus luam yeeb, qhov zoo tshaj plaws uas koj ua tau yog tso tseg. Kev txwv kev haus cawv kuj tseem ceeb heev. Cov no txo qhov kev pheej hmoo ntawm mob qog noj ntshav hauv qhov ncauj thiab caj pas.
- Tau txais kev txhaj tshuaj tiv thaiv HPV:Kab mob Human Papillomavirus (HPV) tuaj yeem ua rau mob qog nqaij hlav caj pas. Kev txhaj tshuaj tiv thaiv kab mob no tuaj yeem txo qhov kev pheej hmoo ntawd.
- Kev noj zaub mov zoo thiab kev tawm dag zog: Kev noj zaub mov kom sib npaug thiab kev tawm dag zog tsis tu ncua tuaj yeem pab tswj kev noj qab haus huv zoo.
- Xaiv ib tug kws phais mob uas muaj kev paub dhau los rau kev phais: Yog tias koj xav tau kev phais mob caj pas lossis caj dab, nws yog ib qho tseem ceeb heev uas yuav tsum xaiv ib tug kws phais mob uas muaj kev paub dhau los zoo hauv daim teb no. Qhov no tuaj yeem txo qhov kev pheej hmoo ntawm cov teeb meem.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no, tsis txhob tsis quav ntsej lawv thiab mus ntsib koj tus kws kho mob kom tau txais lus qhia.
- Nyuaj nqos zaub mov thiab dej haus (dysphagia).
- Yog tias koj hnov mob lossis tsis xis nyob thaum qhib koj lub qhov ncauj.
- Yog tias koj feem ntau hnov qhov ncauj qhuav.
- Yog tias koj xav tias koj tsis hnov tsw ntxhiab hauv qab koj lub qhov ncauj lossis caj pas.
- Yog tias qhov gag reflex zoo li tsis muaj zog lossis tsis muaj.
- Yog tias koj muaj mob tam sim ntawd, ntse, zoo li hluav taws xob hauv caj pas, pob ntseg, lossis thaj tsam tus nplaig.
Tsis txhob tsis quav ntsej cov tsos mob no zoo li tsuas yog mob caj pas xwb. Tej zaum lawv yuav yog ib qho cim qhia tias muaj mob hnyav. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha glossopharyngeal yog ib lub hlab ntsha tshwj xeeb uas los ntawm peb lub hlwb thiab nws tseem ceeb rau kev nqos, saj, thiab kev hnov mob caj pas.
- Glossopharyngeal neuralgia, qhov mob tam sim ntawd, ntse hauv caj pas, pob ntseg, lossis nraub qaum ntawm tus nplaig yam tsis muaj laj thawj pom tseeb, tej zaum yuav yog ib qho mob ntsig txog cov hlab ntsha no.
- Tsis txhob tsis quav ntsej cov tsos mob xws li nyuaj nqos, hloov lub suab, lossis tsis saj ntawm tus nplaig.
- Yog koj muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib koj tus kws kho mob sai li sai tau kom tau txais cov lus qhia thiab kev kho mob zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus