Koj puas hnov ​​mob zoo li raug hluav taws xob ntaus rau ntawm koj lub ntsej muag? Qhov no yog hais txog Tic Douloureux (Trigeminal Neuralgia)

Koj puas tau muaj ib zaug uas koj lub ntsej muag mob heev, xws li raug hluav taws xob tsoo, thaum koj txhuam hniav, txiav plaub hau, lossis tsuas yog cua tshuab xwb? Qhov mob hnyav no uas los thiab ploj mus hauv ob peb feeb xwb, tab sis thaum ntawd, ua rau koj xav tias koj tsis xis nyob kiag li, yuav tsum ua rau koj ntshai thiab ntxhov siab heev. Hnub no peb yuav tham txog qhov mob no uas cuam tshuam rau ntau tus neeg, tab sis lawv tsis paub ntau txog nws.

Qhov no yog dab tsi Tic Douloureux?

Hais yooj yim xwb, Tic Douloureux yog ib yam mob uas hu ua 'trigeminal neuralgia' . Qhov no yog ib yam mob uas ib tug neeg mob raug mob ntse, mob tapped lossis mob hluav taws xob rau ib sab ntawm lub ntsej muag vim muaj teeb meem nrog cov hlab ntsha trigeminal, cov hlab ntsha tseem ceeb uas muab kev xav rau peb lub ntsej muag. Qhov mob no hnyav heev uas qee zaum lub ntsej muag co thaum qhov mob tshwm sim. Ntawd yog lub ntsiab lus ntawm lo lus Askiv "tic".

Qhov mob no feem ntau kav ntev li ob peb vib nas this mus txog ob peb feeb. Tab sis cov kev tawm tsam no tuaj yeem tshwm sim ntau zaus hauv ib hnub. Qhov txawv txawv yog tias thaum tsis muaj mob, tsis muaj tingling lossis lwm yam teeb meem ntawm lub ntsej muag.

Muaj coob tus neeg uas muaj qhov mob no tsuas yog ib sab ntawm lawv lub ntsej muag xwb, xws li hauv lub puab tsaig, sab plhu, lossis daim di ncauj. Qhov mob no hnyav heev ua rau ib txhia neeg ntshai tham, noj mov, lossis haus dej thaum muaj mob.

Ua cas ho ua rau mob hnyav no?

Txawm hais tias nws tsis yooj yim sua kom paub meej tias yog vim li cas qhov no yog, muaj ntau lub tswv yim txog qhov no.

Lub tswv yim uas feem ntau lees txais yog hais tias cov hlab ntsha (feem ntau yog cov hlab ntsha) hauv lub hlwb raug nias rau ntawm cov hlab ntsha trigeminal, ua rau cov hlab ntsha puas tsuaj. Xav txog nws zoo li cov yeeb nkab dej raug tsoo thaum muaj qhov hnyav tso rau ntawm nws. Raws li lub sijhawm dhau mus, qhov kev nias no ua rau lub plhaub tiv thaiv ib puag ncig cov hlab ntsha puas tsuaj, hu ua myelin sheath . Nws zoo li cov rwb thaiv tsev ntawm cov xov hluav taws xob hnav tawm. Cov hlab ntsha ces dhau los ua hypersensitive thiab pib xa cov cim mob mus rau lub hlwb yam tsis muaj laj thawj pom tseeb.

Ntxiv rau, cov qog hauv hlwb, qee qhov tsis zoo hauv cov pob txha ntawm lub taub hau, kev raug mob taub hau los ntawm kev sib tsoo, kev kis kab mob, thiab Multiple Sclerosis ( MS) tuaj yeem ua rau qaug dab peg.) kuj tseem tuaj yeem ua rau mob los ntawm kev puas tsuaj rau cov hlab ntsha trigeminal.

Cov tsos mob yog dab tsi tiag?

Qhov mob tseem ceeb thiab tsuas yog ib qho tsos mob ntawm tus kab mob no yog mob xwb. Tiam sis qhov mob ntawd muaj ntau yam tshwj xeeb. Cia peb saib seb lawv yog dab tsi.

Qhov tseem ceeb tshaj plaws, qhov mob no tsis cuam tshuam rau saj, hnov, lossis ua haujlwm ntawm cov leeg nqaij ntawm lub ntsej muag. Qhov no txhais tau tias nws tsuas yog ib qho mob uas tsuas yog mob xwb .

Thaum twg zoo tshaj plaws los nrhiav kev pab kho mob?

• Yog tias qhov mob tsis raug tswj los ntawm cov tshuaj uas koj tus kws kho mob tau sau tseg, nco ntsoov mus ntsib koj tus kws kho mob dua.
• Yog tias koj muaj cov tsos mob tshiab ntxiv rau qhov mob (piv txwv li, lub ntsej muag tsis muaj zog, hnov ​​​​lus tsis zoo, kiv taub hau , pom kev tsis meej), koj yuav tsum qhia rau koj tus kws kho mob. Vim tias tic douloureux yog ib yam mob uas tsuas yog ua rau mob xwb, cov tsos mob tshiab yuav yog ib qho cim ntawm lwm yam mob.

Koj xav mus kawm ETU thaum twg?

Yog tias koj muaj cov tsos mob xws li kub taub hau, ntsej muag liab , lossis kiv taub hau hnyav nrog rau qhov mob, nws yuav yog ib qho cim qhia tias muaj mob hnyav dua. Hauv cov xwm txheej zoo li no, nws yog qhov zoo tshaj plaws mus rau chav kho mob ceev hauv tsev kho mob (ETU) sai li sai tau. Tsis tas li ntawd, yog tias qhov mob tsis tuaj yeem ua tau thiab koj tsis tuaj yeem mus cuag koj tus kws kho mob, nws yog qhov zoo kom mus rau ETU.

Koj nrhiav tau qhov no li cas, Kws Kho Mob?

Tsis muaj ib qho kev kuaj mob tshwj xeeb los kuaj mob no. Koj tus kws kho mob yuav kuaj mob raws li koj cov lus piav qhia txog koj cov tsos mob, kev kuaj lub cev , thiab txiav txim siab seb puas muaj lwm yam mob uas yuav ua rau koj mob ntsej muag .

1. Kev piav qhia txog cov tsos mob: Qhov mob zoo li hluav taws xob uas koj piav qhia, txoj kev uas nws tshwm sim, thiab cov yam ua rau mob yuav qhia rau tus kws kho mob txog tus kab mob no.

2. Kev kuaj lub cev: Feem ntau , tsis pom muaj qhov txawv txav thaum kuaj tus neeg mob uas muaj tic douloureux. Txawm li cas los xij, yog tias muaj qee yam xws li lub ntsej muag tsis hnov ​​​​lus lossis hnov ​​​​lus tsis zoo, tus kws kho mob yuav xav tias muaj lwm yam kab mob. Tsis tas li ntawd, tej yam xws li kev kis kab mob sinus , kev kis kab mob hniav, thiab teeb meem temporomandibular joint (TMJ) tuaj yeem pom thaum kuaj lub cev.

3. Kev Ntsuas: Kev ntsuas CT lossis MRI ntawm lub hlwb tuaj yeem kuaj xyuas seb puas muaj cov hlab ntsha lossis qog nqaij hlav nias rau ntawm cov hlab ntsha. Cov kev kuaj no kuj tseem tuaj yeem pab tshem tawm lwm yam ua rau mob ntsej muag.

Cov kev kho mob rau qhov no yog dab tsi?

Tsis muaj tshuaj kho mob hauv tsev rau qhov mob no. Yuav tsum nrhiav kev kho mob raws li kev qhia ntawm kws kho mob. Feem ntau, qhov mob tuaj yeem tswj tau zoo nrog tshuaj. Tsis tshua muaj, yuav tsum tau phais.

Cov tshuaj

Cov tshuaj tiv thaiv kev qaug dab peg yog cov tshuaj tseem ceeb uas siv los tswj qhov mob no. Cov tshuaj no ua haujlwm los ntawm kev tiv thaiv cov hlab ntsha trigeminal uas puas lawm kom tsis txhob xa cov cim mob tsis tsim nyog.

• Cov Tshuaj Tseem Ceeb: Cov tshuaj uas siv ntau tshaj plaws yog 'Carbamazepine (Tegretol). Tsis tas li ntawd xwb, cov tshuaj xws li 'Oxcarbazepine (Trileptal)', 'Gabapentin (Neurontin)', thiab 'Lamotrigine (Lamictal)' kuj tau siv tau zoo.
• Cov kev mob tshwm sim: Cov tshuaj no pib noj tsawg tsawg xwb. Maj mam nce cov tshuaj kom txog thaum qhov mob tswj tau lawm. Tej zaum yuav muaj cov kev mob tshwm sim xws li tsaug zog, kiv taub hau, pom ob sab, thiab xeev siab.
• Lwm cov tshuaj: Rau cov neeg uas tsis teb rau cov tshuaj saum toj no lossis cov neeg uas muaj cov kev mob tshwm sim hnyav, cov tshuaj ua kom cov leeg so Baclofen (Lioresal) thiab, qee zaum, Pimozide (Orap) yuav pab tau. Kev txhaj tshuaj Botox kuj tau pom tias muab kev txo qhov mob ntau heev.

Kev phais mob

Yog tias tshuaj tsis tswj tau qhov mob lossis cov kev mob tshwm sim ntawm tshuaj tsis tuaj yeem zam tau, kev phais yuav raug xav txog. Qhov no yuav suav nrog kev mus ntsib kws phais hlwb. Muaj ntau txoj kev xaiv, los ntawm cov txheej txheem yooj yim xws li txhaj tshuaj loog rau hauv cov hlab ntsha mus rau kev phais mob nyuaj uas qhib lub hlwb. Txawm hais tias kev phais mob nyuaj feem ntau muab kev pab mus sij hawm ntev, lawv cuam tshuam nrog kev pheej hmoo siab dua.

Puas tiv thaiv tau qhov teeb meem no?

Hmoov tsis zoo, tsis muaj txoj hauv kev los tiv thaiv tic douloureux kom tsis txhob tshwm sim.