Cia peb kawm txog Glossopharyngeal Neuralgia (GPN) li cas?

Koj puas tau muaj mob sai sai hauv koj tus nplaig, caj pas, tonsils, lossis pob ntseg? Nws zoo li hluav taws xob poob siab, kav ntev li ob peb feeb lossis feeb, tab sis nws tshwm sim ntau zaus hauv ib hnub. Yog tias qhov mob no tshwm sim thaum koj tham, noj mov, lossis luag, tej zaum koj yuav xav paub txog qhov mob no. Peb hu qhov mob no ua glossopharyngeal neuralgia, lossis luv luv GPN.

Mob glossopharyngeal neuralgia (GPN) yog dab tsi?

Hais yooj yim xwb, Glossopharyngeal Neuralgia (GPN) yog ib yam 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 khaus, kev nyem, lossis kev puas tsuaj rau cov hlab ntsha glossopharyngeal .

Koj puas paub tias muaj 12 hom hlab ntsha tseem ceeb hauv peb lub taub hau? Peb hu cov hlab ntsha cranial no ua. Cuaj (9th) ntawm kaum ob lub hlab ntsha cranial no yog cov hlab ntsha glossopharyngeal. Muaj ob lub hlab ntsha no nyob rau txhua sab ntawm koj lub taub hau, uas yog, ntawm sab xis thiab sab laug. Tab sis feem ntau, GPN tsuas cuam tshuam rau ib lub hlab ntsha ntawm ib sab ntawm lub taub hau.

Qhov mob no tuaj yeem tshwm sim thaum koj noj mov, tham lus, luag, lossis ua tej yam ib txwm uas koj tsis xav txog. Xav txog seb nws yuav ua rau koj chim siab npaum li cas yog tias koj mob caj pas thaum koj hnoos lossis txham? Nws tuaj yeem ua rau koj puas tsuaj tag nrho ib hnub. Tab sis tsis txhob txhawj , muaj kev kho mob uas tuaj yeem pab tswj cov tsos mob no.

Qhov mob GPN zoo li cas? Nws hnov ​​qhov twg?

Cov tsos mob tseem ceeb ntawm GPN yog mob. Qhov mob no tuaj yeem hnov ​​​​​​tau ntau txoj hauv kev:

• Mob ntse heev , zoo li raug riam chob .
• Mob sai sai , zoo li raug xob laim ntaus .
• Ib qho mob uas zoo li kub hnyiab los ntawm sab hauv.
• Ib txhia neeg tsuas xav tias tsis muaj zog xwb.

Qhov mob no feem ntau mob hnyav heev. Nws kav ntev li ob peb feeb mus txog ob peb feeb. Txawm li cas los xij, nws tsis yog tas li. Nws tuaj thiab mus. Qhov mob no tuaj yeem tshwm sim ntau zaus hauv ib hnub. Qee zaum nws tuaj yeem tsa koj sawv thaum nruab hmo vim qhov mob. Qhov mob no tuaj yeem kav ntev li ntau lub lis piam lossis txawm tias ntau lub hlis. Rau ntau tus neeg, qhov mob no ploj mus ib pliag thiab tom qab ntawd rov qab los rau ntau lub lis piam, ntau lub hlis, lossis txawm tias ntau xyoo tom qab.

Cov chaw tseem ceeb uas ua rau mob GPN yog:

• Sab nraub qaum ntawm koj lub qhov ntswg, qhov ncauj, thiab caj pas ( pharynx thiab nasopharynx ), tshwj xeeb tshaj yog nyob ib ncig ntawm cov tonsils.
• Nyob ib ncig ntawm cov vocal cords hauv koj lub caj pas ( larynx ).
• Cov cheeb tsam nyob ib puag ncig thiab hauv qab lub puab tsaig thiab pob ntseg.
• Sab nraub qaum ntawm tus nplaig.

Qhov no yog vim tias cov hlab ntsha glossopharyngeal txuas nrog ntau qhov ntawm koj lub taub hau, caj dab, thiab lub ntsej muag, yog vim li cas koj thiaj hnov ​​​​​​mob ntau qhov chaw. Feem ntau, qhov mob no tsuas hnov ​​​​​​ntawm ib sab ntawm koj lub taub hau.

Qee zaum, qhov mob tuaj yeem pib ntawm ib qho chaw thiab kis mus rau lwm qhov. Piv txwv li, qhov mob uas pib hauv caj pas tuaj yeem kis mus rau xub pwg lossis txawm tias nraub qaum.

Puas muaj hom GPN?

Yog, muaj ob hom GPN tseem ceeb nyob ntawm seb ua li cas:

1. Mob pob qhov muag sab laug thiab sab xis: Tsis muaj qhov ua rau mob no. Koj tus kws kho mob kuj hu nws ua idiopathic glossopharyngeal neuralgia , uas txhais tau tias "tsis paub ua rau mob."

2. Mob hlwb glossopharyngeal theem ob: Hauv qhov no, GPN tshwm sim vim yog lwm yam mob lossis ua rau.

Vim li cas GPN no thiaj tshwm sim? Cov laj thawj yog dab tsi?

Qhov ua rau muaj GPN yog qee yam kev nyem, kev nias, lossis kev puas tsuaj rau cov hlab ntsha glossopharyngeal . Muaj ntau yam ua rau muaj qhov no:

• Cov hlab ntsha nias rau ntawm cov hlab ntsha: Qee zaum qhov mob no tuaj yeem tshwm sim los ntawm cov hlab ntsha uas khiav ze ntawm cov hlab ntsha nias rau ntawm cov hlab ntsha.
• Muaj qog, kev loj hlob, lossis qhov txhab: Ib qho qog lossis lwm yam kev loj hlob hauv lub hlwb, txawm tias nyob rau ntawm lossis ze ntawm cov hlab ntsha, kuj tseem yuav yog ib qho ua rau.
• Kev kis kab mob: Kev kis kab mob hauv caj pas lossis thaj chaw ib puag ncig kuj tuaj yeem cuam tshuam rau cov hlab ntsha.

Qee zaum, cov kws kho mob tsis tuaj yeem paub meej tias muaj dab tsi tshwm sim rau cov hlab ntsha no. Tsis tas li ntawd, cov tsos mob ntawm GPN tuaj yeem tshwm sim los ntawm lwm yam mob uas ua rau muaj. Piv txwv li:

• Cov kab mob autoimmune lossis cov kab mob inflammatory , piv txwv li Sjögren's syndrome .
• Qee qhov kev puas tsuaj ( lesion ) rau lub hlwb .
• Cov mob demyelinating uas ua rau puas tsuaj rau myelin sheath ntawm lub paj hlwb hauv nruab nrab , piv txwv li , ntau yam sclerosis .
• Kab mob Eagle .
• Kev raug mob lossis raug mob lub cev.
• Muaj qee qhov kev loj hlob tsis zoo thaum yug los.
• Cov qog nqaij hlav xws li Schwannomas .
• Mob qog nqaij hlav ntawm tus nplaig .

Muaj dab tsi ua rau qhov mob no hnyav dua? (Triggers)

Qee yam kev ua ub ua no txhua hnub tuaj yeem ua rau mob GPN tshwm sim tam sim ntawd. Peb hu cov no ua "cov teeb meem". Xav txog, yuav ua li cas yog tias koj tab tom tham nrog cov phooj ywg zoo siab thiab luag ntxhi thiab mob heev hauv koj lub caj pas thiab qhov ncauj? Los yog, yuav ua li cas yog tias koj tsuas yog muab ib pluag mov qab qab uas ua hauv tsev rau hauv koj lub qhov ncauj thiab qhov mob tsis tuaj yeem ua tau thaum koj nqos? Txawm tias tej yam me me zoo li no tuaj yeem ua rau mob GPN.

Tej yam uas feem ntau ua rau mob yog:

• Kev zom zaub mov
• Hnoos
• Haus dej txias
• Luag
• Hnoos
• Nqos
• Tham lus
• Kov lub ntsej muag lossis caj dab, tshwj xeeb tshaj yog thaj chaw ib puag ncig thiab hauv qab pob ntseg
• Qhib lub qhov rooj

Leej twg muaj feem yuav mob GPN ntau dua?

GPN tuaj yeem tshwm sim thaum twg los tau, tab sis nws feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 50 xyoo .

Muaj teeb meem dab tsi tshwm sim vim yog GPN?

Feem ntau GPN tsis yog ib yam mob loj uas ua rau muaj teeb meem loj. Txawm li cas los xij, yog tias tus mob hnyav heev, nws tuaj yeem ua rau muaj qee yam teeb meem. Piv txwv li, mob thaum noj mov tuaj yeem ua rau tsis xav noj mov thiab poob phaus.

Hauv qee kis mob hnyav heev , qhov mob GPN no tuaj yeem cuam tshuam rau cov hlab ntsha Vagus ze. Cov hlab ntsha vagus no yog cov hlab ntsha uas tswj cov txheej txheem tseem ceeb, tsis siv neeg xws li peb lub plawv dhia, ntshav siab, thiab ua pa. Yog li, yog tias nws raug cuam tshuam los ntawm GPN, cov xwm txheej hauv qab no tuaj yeem tshwm sim:

• Lub plawv dhia tsis xwm yeem (arrhythmias)
• Lub plawv dhia qeeb (bradycardia)
• Ntshav siab qis (hypotension)
• Tsaus muag los yog tsis nco qab (syncope)
• Qaug dab peg

Tsis tshua muaj, yog tias qhov mob hnyav zuj zus, GPN tuaj yeem cuam tshuam rau lub plawv, ua rau lub plawv dhia qeeb qeeb thiab txawm tias lub plawv nres. Qhov no yog ib qho mob txaus ntshai heev. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob yog tias koj muaj cov tsos mob.

Yuav ua li cas thiaj paub txog GPN qhov xwm txheej?

Yuav kom paub tseeb tias koj puas muaj GPN, koj yuav tsum mus ntsib kws kho mob. Tus kws kho mob yuav kuaj koj, nug txog koj cov tsos mob, thiab tej zaum yuav ua qee qhov kev kuaj mob yog tias tsim nyog. Qhov kev kuaj mob no yuav siv sijhawm me ntsis, vim tias lawv yuav tsum nrhiav seb dab tsi ua rau koj cov tsos mob.

Cov kev ntsuam xyuas feem ntau yog:

• Kev kuaj ntshav
• Kev kuaj CT
• MRA scan - Qhov no xyuas seb cov hlab ntsha zoo li cas.
• Kev thaij duab MRI (MRI)
• X-ray

Qee zaum tus kws kho mob yuav siv daim ntaub paj rwb los maj mam kov qhov chaw uas koj mob. Tom qab ntawd,Muab tshuaj loog rau hauv qhov chaw ntawd thiab kov thaj chaw ntawd dua. Yog tias qhov mob ploj mus tom qab muab tshuaj loog rau hauv, nws yog ib qho cim qhia tias tej zaum nws yog GPN.

Cov kev kho mob rau GPN yog dab tsi?

Qhov xov xwm zoo yog tias muaj kev kho mob rau GPN. Koj tus kws kho mob yuav xaiv qhov kev kho mob uas zoo tshaj plaws rau koj.

Muaj ntau txoj kev kho mob tseem ceeb:

• Noj tshuaj: Cov tshuaj no ua haujlwm los ntawm kev txo cov haujlwm ntawm cov hlab ntsha thiab txo qhov mob.
• Cov tshuaj tiv thaiv kev qaug dab peg xws li carbamazepine, gabapentin, oxcarbazepine, lossis phenytoin feem ntau yog muab ua ntej.
• Cov tshuaj xws li baclofen thiab tricyclic antidepressants kuj tseem yuav pab tau.
• Siv tshuaj loog hauv zos: Koj tuaj yeem siv tshuaj loog hauv zos, xws li lidocaine, rau tom qab koj lub caj pas. Qhov no tuaj yeem txo qhov mob ib ntus.
• Kev thaiv cov hlab ntsha: Qhov no suav nrog kev txhaj tshuaj ze ntawm cov hlab ntsha uas ua rau mob. Qhov no tiv thaiv cov hlab ntsha kom tsis txhob xa cov cim qhia mob.
• Kev Phais Mob: Qee zaum mob hnyav heev, yuav tsum tau phais mob.
• Kev tshem tawm cov hlab ntsha me me (microvascular decompression): Qhov no yog kev phais mob kom txo qhov kev nyem rau ntawm cov hlab ntsha, uas yog, kom tiv thaiv nws kom tsis txhob raug nias.
• Rhizotomy: Qhov no cuam tshuam txog kev txiav cov hlab ntsha uas nqa cov cim qhia mob.

Koj tus kws kho mob yuav nrog koj tham, nrhiav seb dab tsi ua rau koj mob, thiab txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj. Lawv kuj tseem yuav qhia koj txog tej yam tshwm sim ntawm kev kho mob.

Puas tiv thaiv tau GPN?

Qhov tseeb, tsis muaj ib txoj kev tshwj xeeb los tiv thaiv GPN. Vim tias nws feem ntau tshwm sim tsis tau xav txog, thiab qee zaum tsis muaj laj thawj pom tseeb, tsis muaj dab tsi koj tuaj yeem ua los txo qhov kev pheej hmoo ntawm tus mob no.

Puas kho tau GPN? Nws yuav kav ntev npaum li cas?

Yog, GPN tuaj yeem ploj mus nws tus kheej. Thiab, nrog kev kho mob, nws yuav ploj mus ntau dua. Kev kho mob feem ntau ua tiav. Yog tias xav tau kev phais, nws tuaj yeem muab kev pab txo qhov mob ib ntus lossis ntev.

Feem ntau GPN yog ib qho teeb meem ib ntus xwb. Nws kav ntev li ob peb lub lis piam lossis ob peb lub hlis. Cov neeg feem coob tsuas muaj nws ib zaug xwb hauv lawv lub neej. Txawm li cas los xij, qee tus neeg yuav muaj cov tsos mob GPN rau ob peb lub lis piam lossis ob peb lub hlis, tom qab ntawd ploj mus, thiab tom qab ntawd rov muaj cov tsos mob dua. Qhov no tuaj yeem tshwm sim tsis tu ncua rau ntau xyoo.

Lub neej nrog GPN zoo li cas?

Feem ntau GPN tsis cuam tshuam rau koj lub neej. Feem ntau cov neeg uas muaj GPN zoo li yuav zoo. Rau cov neeg feem coob, cov tsos mob ploj mus thiab tsis rov qab los.

Txawm li cas los xij, yog tias cov tsos mob hnyav heev, tshwj xeeb tshaj yog tias muaj mob ntawm ob sab ntawm lub taub hau, yog tias muaj mob tas li, thiab yog tias muaj mob tsis tuaj yeem tiv taus, qhov kev cia siab yuav tsawg dua me ntsis. Yog tias muaj cov tsos mob xws li tsaus muag, hloov pauv ntawm lub plawv dhia, qhov tshwm sim ntawm cov txiaj ntsig tsis zoo yuav siab dua.

Thaum twg koj yuav tsum nrhiav kev pab kho mob?

Yog koj xav tias koj muaj GPN vim koj mob 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 yog nyob rau hauv ib feem tseem ceeb ntawm koj lub taub hau thiab caj dab. Kev paub txog dab tsi ua rau nws thiab kev kho mob tuaj yeem pab tiv thaiv cov teeb meem yav tom ntej, uas yuav txaus ntshai.

Yog koj muaj GPN, koj tus kws kho mob yuav teem sijhawm mus ntsib kws kho mob tsis tu ncua. Koj tus kws kho mob yuav saib xyuas koj cov tsos mob, txhua yam kev hloov pauv, thiab kev vam meej ntawm koj txoj kev kho mob.

Thiab, qhia rau koj tus kws kho mob tam sim ntawd yog tias koj pom cov no:

• Yog koj xav tias cov tshuaj uas koj noj tsis ua haujlwm zoo li yav dhau los.
• Yog tias cov tsos mob hnyav zuj zus.
• Yog tias muaj cov tsos mob tshiab tshwm sim.

Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?

Feem ntau GPN tsis yog xwm txheej ceev, tsuas yog tias cov tsos mob hnyav heev xwb. Yog tias koj muaj mob zoo li GPN thiab muaj ib qho ntawm cov tsos mob hauv qab no, koj yuav tsum nrhiav kev kho mob ceev tam sim ntawd:

• Tsaus muag lossis tsis nco qab uas tshwm sim nrog ib qho kev ua ub no tshwj xeeb, xws li qhib qhov ncauj lossis hais lus.
• Tsis nco qab sai sai yam tsis muaj laj thawj.
• Kev hloov pauv ntawm lub plawv dhia, tshwj xeeb tshaj yog lub plawv dhia tsis xwm yeem lossis xav tias koj lub plawv dhia ceev dhau ( palpitations ).

Muaj lwm yam mob dab tsi uas qhia cov tsos mob zoo ib yam li GPN?

Muaj ntau lwm yam mob uas muaj cov tsos mob zoo ib yam li GPN. Yog li ntawd, cov mob no tuaj yeem tsis meej pem nrog GPN. Lawv yog:

• Mob paj hlwb trigeminal
• Jacobson tus mob neuralgia
• Cov teeb meem ntawm kev ua haujlwm tsis zoo ntawm cov pob qij txha Temporomandibular (TMJ)
• Lwm hom mob ntsej muag tsis zoo li qub

Kev piav qhia luv luv thiab tej yam yuav tsum nco ntsoov

Thaum koj muaj GPN, nws yuav nyuaj rau koj ua koj tus kheej. Nws ua rau koj chim siab npaum li cas thaum koj mob hnyav thaum koj tham nrog cov phooj ywg lossis tsev neeg zoo siab, luag? Tej zaum koj yuav ntshai mus rau lub tsev noj mov tshiab vim koj xav tias nws yuav mob thaum koj nqos. Cov no yog cov khoom uas coj kev xyiv fab rau lub neej, tab sis qhov mob tuaj yeem hloov txhua yam ntawd. Tab sis, koj tsis tas yuav nyob nrog qhov mob no.

GPN yog ib yam kab mob uas kho tau yooj yim heev.Mob. Feem ntau nws teb tau zoo rau cov tshuaj. Kuj tseem muaj lwm yam kev kho mob uas haum rau koj cov kev xav tau. Thaum koj kuaj mob thiab kho mob sai npaum li cas, koj yuav rov qab ua tej yam uas koj nyiam sai npaum li ntawd yam tsis tas txhawj txog qhov mob.

Yog li ntawd, yog tias koj muaj ib qho ntawm cov tsos mob no, thov nrhiav kev pab kho mob. Koj txoj kev noj qab haus huv yog qhov tseem ceeb tshaj plaws.

` GPN, mob hlwb glossopharyngeal, mob hlab ntsha, mob caj pas, mob pob ntseg, mob lub ntsej muag, mob hlwb