Xav txog seb koj puas tab tom luag thiab tham nrog koj cov phooj ywg, lossis noj koj cov zaub mov nyiam, thiab koj mam li hnov tias muaj hluav taws xob los ntawm koj lub caj pas lossis tus nplaig? Qhov mob hnyav no uas los thiab ploj mus hauv ob peb feeb xwb tuaj yeem ua rau koj ntxhov siab tag nrho ib hnub. Yog tias koj tau muaj qhov kev paub zoo li no, nws yog ib qho tseem ceeb heev rau koj kom paub txog qhov mob uas peb tab tom tham txog hnub no hu ua Glossopharyngeal Neuralgia (GPN).
Mob Glossopharyngeal Neuralgia (GPN) yog dab tsi?
Hais yooj yim xwb, GPN yog ib qho mob tsis tshua muaj uas ua rau mob sai sai, mob hnyav rau hauv koj tus nplaig, caj pas , tonsils , thiab pob ntseg. Nws yog tshwm sim los ntawm kev nias lossis kev puas tsuaj rau cov hlab ntsha glossopharyngeal .
Muaj 12 khub tseem ceeb ntawm cov hlab ntsha uas khiav ntawm peb lub hlwb mus rau peb lub ntsej muag thiab caj dab, hu ua cov hlab ntsha cranial . Cov hlab ntsha glossopharyngeal yog qhov cuaj ntawm cov no. Muaj ob ntawm cov hlab ntsha no ntawm txhua sab ntawm koj lub taub hau. Txawm li cas los xij, hauv GPN, nws feem ntau tsuas yog cuam tshuam rau ib sab ntawm lub taub hau.
Qhov mob no tuaj yeem tshwm sim rau lub sijhawm uas peb tsis tau xav txog nws, xws li thaum koj noj mov, tham, luag, tso zis, lossis qhib koj lub qhov ncauj. Qhov mob no tuaj yeem kav ntev li ob peb feeb mus txog li ob feeb. Txawm li cas los xij, vim tias qhov mob no tuaj yeem tshwm sim ntau zaus hauv ib hnub, nws tuaj yeem cuam tshuam loj rau lub neej. Tab sis tsis txhob txhawj, muaj kev kho mob zoo los tswj cov tsos mob no.
Puas muaj cov hom GPN tseem ceeb?
Yog, GPN muaj peev xwm muab faib ua ob hom tseem ceeb nyob ntawm seb muaj dab tsi ua rau.
| Hom GPN | Kev piav qhia |
|---|---|
| GPN tseem ceeb | Qhov no kuj hu ua idiopathic GPN . Idiopathic txhais tau tias "tsis muaj laj thawj twg nrhiav tau." Qhov no txhais tau tias tus mob no tshwm sim yam tsis muaj laj thawj meej. |
| GPN theem ob | Qhov no yog tshwm sim los ntawm kev nias rau ntawm cov hlab ntsha vim yog lwm yam mob, kev kis kab mob, lossis ib yam dab tsi zoo li qog. |
Cov tsos mob yog dab tsi? Peb yuav paub qhov mob no li cas?
Qhov mob tseem ceeb thiab tsuas yog ib qho tsos mob ntawm GPN yog mob. Qhov mob no tuaj yeem hnov tau ntau txoj kev sib txawv.
| Qhov xwm txheej ntawm qhov mob | Hais yooj yim xwb... |
|---|---|
| Ntse | Mob heev, mob khâu. |
| Kev tua | Mob sai sai, mob hnyav heev uas zoo li raug riam chob. |
| Kev tua phom | Ib qho mob uas pib ntawm ib qho chaw thiab txav mus rau lwm qhov nrog lub zog xob laim. |
| Xav tsis thoob | Mob loog, zoo li raug hluav taws xob txiav. |
| Mob siab | Ib qho mob khâu los ntawm sab hauv. |
| Zoo li kub hnyiab (Hlawv) | Mob kub hnyiab hauv caj pas. |
Feem ntau qhov mob no kav ntev li ob peb feeb mus txog ob feeb . Nws tuaj yeem tshwm sim ntau zaus hauv ib hnub. Qee zaum qhov mob tuaj yeem hnyav heev uas ua rau koj sawv thaum hmo ntuj. Qhov mob no tuaj yeem kav ntev li ob peb lub lis piam lossis ntau lub hlis, tom qab ntawd ploj mus li ob peb lub hlis lossis txawm tias ntau xyoo.
Qhov mob los qhov twg los?
Vim tias cov hlab ntsha glossopharyngeal txuas nrog ntau qhov chaw ntawm lub taub hau, caj dab, thiab lub ntsej muag, qhov mob tuaj yeem los ntawm ntau qhov chaw.
- Sab nraub qaum ntawm koj lub qhov ntswg, qhov ncauj, thiab caj pas (tshwj xeeb tshaj yog nyob ib ncig ntawm cov tonsils).
- Thaj tsam caj pas nyob ib puag ncig lub thawv suab.
- Thaj chaw nyob ib puag ncig thiab hauv qab koj lub puab tsaig thiab pob ntseg.
- Sab nraub qaum ntawm tus nplaig.
Feem ntau qhov mob tsuas yog nyob rau ib sab ntawm lub taub hau xwb. Qee zaum qhov mob tuaj yeem pib ntawm ib qho chaw thiab nthuav mus rau lub xub pwg lossis nraub qaum (mob kis mus rau sab nraud).
Dab tsi yog cov ua rau muaj GPN?
Raws li tau hais ua ntej lawm, qhov ua rau qhov no yog kev puas tsuaj rau cov hlab ntsha glossopharyngeal. Muaj ntau yam ua rau qhov no tshwm sim:
- Kev nias ntawm cov hlab ntsha: Qhov mob tuaj yeem tshwm sim thaum cov hlab ntsha uas khiav ze ntawm cov hlab ntsha nias rau ntawm cov hlab ntsha.
- Ib qho qog nqaij hlav lossis mob qog noj ntshav: Ib qho qog nqaij hlav uas tsim nyob ib puag ncig cov hlab ntsha tuaj yeem ua rau cov hlab ntsha raug nias.
- Kev kis kab mob: Ib qho mob kis tau tuaj yeem ua rau cov hlab ntsha o.
Qee zaum cov kws kho mob tsis paub meej tias yog vim li cas cov hlab ntsha no thiaj raug cuam tshuam. Nws kuj tseem tuaj yeem tshwm sim los ntawm lwm yam mob uas ua rau mob. Piv txwv li:
- Cov kab mob autoimmune xws li Sjögren's syndrome .
- Cov kab mob uas cuam tshuam rau lub paj hlwb, xws li ntau yam kab mob sclerosis ( MS ).
- Kab mob noog.
- Muaj xwm txheej rau lub taub hau lossis caj dab.
- Schwannomas (qog uas tsim nyob rau hauv cov hlab ntsha sheaths).
- Mob qog nqaij hlav ntawm tus nplaig.
Dab tsi ua rau qhov mob no hnyav dua? (Triggers)
Tam sim no saib seb, qhov mob no tuaj yeem los ntawm tej yam uas peb ua ib txwm yam tsis tau xav txog nws.
Yog koj mob thaum ua cov dej num no, nco ntsoov paub txog qhov mob thiab qhia rau koj tus kws kho mob txog qhov mob ntawd.
- Kev zom zaub mov
- Hnoos
- Haus dej txias
- Tus uas luag ntxhi
- Tus khej tab tom mus.
- Nqos ib yam dab tsi (khoom noj los yog qaub ncaug)
- Tham lus
- Txhuam lub ntsej muag lossis caj dab ncig pob ntseg
- Qhib lub qhov rooj
Puas muaj tej yam kev mob tshwm sim loj heev ntawm GPN?
GPN feem ntau tsis ua rau muaj teeb meem loj, tab sis yog tias qhov mob hnyav heev, lub cev yuav poob phaus vim ntshai noj thiab haus.
Tseem ceeb heev: Yog tias GPN hnyav zuj zus, nws kuj tseem tuaj yeem cuam tshuam rau cov hlab ntsha vagus , uas nyob ze rau cov hlab ntsha glossopharyngeal. Cov hlab ntsha vagus no tswj cov txheej txheem tseem ceeb, tsis siv neeg xws li peb lub plawv dhia, ntshav siab, thiab ua pa. Yog tias GPN kuj cuam tshuam rau cov hlab ntsha no, cov mob hnyav hauv qab no tuaj yeem tshwm sim:
- Lub plawv dhia tsis xwm yeem (Arrhythmias)
- Lub plawv dhia qeeb (Bradycardia)
- Ntshav siab qis (Hypotension)
- Ua tsis taus pa
- Qaug dab peg
Txawm hais tias tsis tshua muaj los xij, yog tias qhov mob no hnyav zuj zus, nws tuaj yeem ua rau lub plawv nres. Qhov no yog qhov xwm txheej ceev heev. Yog li ntawd, yog tias koj mob nrog rau xeev siab, nrhiav kev pab kho mob tam sim ntawd.
Kws kho mob, koj kuaj qhov no li cas?
Koj tus kws kho mob yuav nug koj txog koj cov tsos mob ua ntej thiab tom qab ntawd kuaj koj lub cev. Vim tias GPN yog ib qho mob tsis tshua muaj, nws yuav siv sijhawm me ntsis los nrhiav qhov ua rau tseeb.
Cov kev kuaj mob hauv qab no tuaj yeem ua tau los xyuas kom meej tias muaj tus kab mob:
- Kev kuaj ntshav
- Kev kuaj CT
- Kev kuaj MRA
- Kev kuaj MRI
- Kev kuaj mob X-ray
Tus kws kho mob kuj tseem yuav ua ib qho kev kuaj yooj yim. Nws yuav maj mam kov qhov chaw uas koj hnov mob nrog ib daim paj rwb me me. Tom qab ntawd, lawv yuav siv tshuaj loog rau thaj chaw ntawd thiab ua tib yam dua. Yog tias qhov mob ploj mus tom qab siv tshuaj, tej zaum nws yog GPN.
Cov kev kho mob rau GPN yog dab tsi?
Zoo hmoo, muaj cov kev kho mob zoo los tswj GPN.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Cov tshuaj | Cov tshuaj uas txo cov haujlwm ntawm cov hlab ntsha thiab tswj qhov mob raug muab. Cov tshuaj Anticonvulsant xws li Carbamazepine, Gabapentin, thiab Oxcarbazepine yog thawj cov tshuaj siv. |
| Tshuaj loog hauv zos | Cov tshuaj loog xws li lidocaine tuaj yeem txau lossis txhuam rau hauv qab caj pas kom txo qhov mob ib ntus. |
| Cov hlab ntsha thaiv | Yuav muab tshuaj txhaj rau hauv cov hlab ntsha ze ntawm qhov mob, ua kom cov cim qhia mob tsis txhob mus txog lub hlwb. |
| Kev phais mob | Yog tias lwm yam kev kho mob tsis ua haujlwm tswj qhov mob, yuav xav txog kev phais mob. Cov no suav nrog microvascular decompression lossis rhizotomy, uas yog txiav cov hlab ntsha uas xa qhov mob. |
Koj tus kws kho mob yuav nrog koj tham thiab pab koj xaiv txoj kev kho mob uas zoo tshaj plaws rau koj tus mob.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog tias koj muaj ib qho mob uas tau piav qhia hauv tsab xov xwm no hauv koj lub ntsej muag, qhov ncauj, lossis caj dab, koj yuav tsum mus ntsib kws kho mob. Txawm hais tias GPN yog ib qho mob tsis tshua muaj, cov hlab ntsha uas koom nrog nyob hauv ib feem tseem ceeb ntawm lub taub hau thiab caj dab. Yog li ntawd, nrhiav qhov ua rau thiab kho nws tuaj yeem pab tiv thaiv cov mob txaus ntshai yav tom ntej.
Kuv yuav tsum mus kawm ETU thaum twg?
Feem ntau GPN tsis yog xwm txheej ceev. Txawm li cas los xij, raws li tau hais ua ntej lawm, yog tias koj muaj cov tsos mob hnyav, koj yuav tsum mus rau Chav Kho Mob Xwm Ceev (ETU) tam sim ntawd. Cov tsos mob no suav nrog:
- Kiv taub hau lossis tsis nco qab uas tshwm sim thaum qhib qhov ncauj lossis hais lus.
- Tsis nco qab vim tsis muaj laj thawj.
- Kev hloov pauv ntawm lub plawv dhia (palpitations, lub plawv dhia tsis xwm yeem).
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Glossopharyngeal Neuralgia (GPN) yog ib qho mob sai sai, hnyav, zoo li hluav taws xob hauv caj pas, tus nplaig, lossis pob ntseg. Nws tuaj yeem tshwm sim los ntawm tej yam yooj yim xws li noj mov lossis tham lus.
- Qhov no yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha glossopharyngeal. Feem ntau, tsis tuaj yeem nrhiav tau qhov ua rau.
- Txawm tias qhov mob no cuam tshuam koj lub neej los xij, tsis txhob ntshai. Nws tuaj yeem tswj tau zoo nrog cov tshuaj thiab lwm yam kev kho mob. Tsis txhob raug kev txom nyem ib leeg nrog qhov mob.
- Yog koj xeev siab, kiv taub hau, tsis nco qab, lossis hloov pauv koj lub plawv dhia nrog rau qhov mob, qhov no yuav yog xwm txheej ceev. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog koj muaj cov tsos mob zoo li no, nco ntsoov mus ntsib koj tus kws kho mob kom tau txais kev kuaj mob thiab kev npaj kho mob kom 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