Yu dɔn ɛva gɛt pen we yu nɔ go ebul fɔ bia na wan say na yu fes, lɛk ilɛktrik shɔk, we yu de brus yu tit, it, ɔ ivin jɔs smayl? Dis pen wae kin kam ɛn go fɔ sɔm sɛkɔn, kin so bad dat yu nɔr kin ivin ebul fɔ du yu ɛvride woke. I kin mek pɔsin in layf de pan denja. Na di kɔndishɔn we wi de tɔk bɔt tide, Trigeminal Neuralgia.
Wetin na Trigeminal Nyuraljia?
Fɔ tɔk am simpul wan, dis na pen we yu de fil na yu fes. Fɔ tɔk di kɔrɛkt tin, na nyuropatik pen. wan men nerve de we de kכri sens frכm wi ed to wi fes, we dεn kכl trigeminal nerve. dis nεv de akt lεk wan men ‘waya’ we de kכri sens to wi fes εn ed. Dis pen kin apin we sɔntin de put prɛshɔn pan dis nerve nia di bren stem.
Wetin kin apin bɔku tɛm na dat wan blɔd vesel we de nia usay dis nɛv de go insay di bren kin prɛs di nɛv. afta dat di nεv de ‘sכt’ εn i de sεnd siriכs pen signal to di bren fכ nכ rizin.
Di impɔtant tin na dat dis nɔto tin we go mek pɔsin in layf de pan denja. Bɔt na siriɔs tin wae kin chenj yu layf bikɔs de pen kin pwɛl yu woke ɛvride kpatakpata. Dɛn kin kɔl am bak ‘tic douloureux’.
Aw dis pen kin fil? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Di men sayn na we yu de fil bad bad wan na wan say na yu fes wantɛm wantɛm, we yu nɔ go ebul fɔ bia. Dɛn kin fil dis pen difrɛn we dɛn.
- Fɔ fil lɛk se laytin de bit yu
- Wan shap pen lɛk nɛf
- We pen kam , di mɔsul dɛn na di fes kin tɛns ɔtomɛtik wan .
Ivin insay di tɛm bitwin dɛn kayn bad bad pen ya, sɔm pipul dɛn kin gɛt ɔda tin dɛn we nɔ kin izi fɔ dɛn na dɛn fes.
- Fɔ mek yu fil lɛk se yu de bɔn
- Fɔ fil lɛk se sɔntin de blo (Throbbing) .
- Di fes we de swɛ
- Dul, pen ɔltɛm (Dull achiness) .
dipכnt pan aw dεn simptom dεm ya kin apin, dεn kin sheb trigeminal nyuraljia to tu men tכp dεm.
| Tayp fɔ Pen | Tɔk bɔt |
|---|---|
| Paroxysmal TN we gɛt di sik | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Di pen kin kam wantɛm wantɛm, shap shap, ɛn wan wan tɛm. De pen kin las frɔm sɔm sɛkɔn to lɛk tu minit. Pan ɔl we sɔm tɛm de bitwin we di pen dɔn go, di pen kin kam ɛn go fɔ lɛk tu awa so. |
| TN wit kɔntinyu pen (Atypical TN) . | Na dis kayn pen, de pen nɔr kin so bad, bɔt dɛn kin stil fil am ɔltɛm. Apat frɔm di pen we yu de chuk yu wit sɔd, yu kin fil pen ɔltɛm we yu de bɔn ɔ we yu nɔ de fil pen. Dis kayn kin tranga smɔl fɔ kɔntrol. |
Bɔrku tɛm, dis pen kin jɔs afɛkt wan say na di fes. Bɔt, i nɔ kin apin so ɔltɛm, i kin afɛkt ɔl tu di say dɛn na di fes (bɔt nɔto ɔl tu di say dɛn di sem tɛm). Fɔ sɔm pipul dɛm, de sik kin wɔs smɔl smɔl as tɛm de go, ɛn de pen kin bɔku.
Trigεr dεm we de mek yu fil bכku bכku wan
Imajin, di ɔdinari tin dɛn we yu kin du na yu ɛvride layf kin bi di tin we kin mek yu gɛt dis bad bad pen. Dis na de pat wae de mek wi at pwɛl pas ɔl pan dis sik.
- Fɔ sheb, mek-ap, ɔ was yu fes
- Fɔ it ɛn drink wata/drink
- Brush yu tit, rins yu mɔt
- Fɔ tɔk, fɔ laf
- Tayt smɔl na di fes, mɔ di chɛst ɔ di jaw eria
- Smɔl briz de blo na di fes.
De bεst tin na dat dis pen nɔr kin apin wae yu de slip.
Wetin mek dis kin apin? Wetin na di rizin dɛn?
i kin apin we prεshכn de כ damej pan di trigeminal nerve. Dɔktɔ dɛn kin klas dis sik bay dis kɔz.
| Mek | Fɔ ɛksplen |
|---|---|
| Praymari/Klasik TN | Dis na di tin we kin mek pɔsin gɛt dis sik. wetin de apin ya na dat wan bכdi vεsεl (bכku tεm na di supεriכr sεribεl at) de kכmprεs di trigeminal nεv rכt , we de mek di nεv fכ wok nכ de wok fayn. |
| Sɛkɔndari TN | Dis na we ɔda mɛrɛsin kin pwɛl di nerve. Fɔ ɛgzampul, multiple sclerosis (MS) , wan bren tumor, ɔ wan arteriovenous malformation kin mek dis pen. Pipul wae gɛt dis kayn tin kin yɔŋ. |
| Idiopatik na TN | Sɔntɛnde, pan ɔl we dɛn kin du ɔl di tɛst dɛn we dɛn nid, dɛn nɔ kin ebul fɔ no klia rizin fɔ mek pɔsin in fes pen. If na so i bi, dɛn kin kɔl am Idiopathic TN. |
Udat de pan denja fɔ gɛt dis sik?
- Fɔ gɛt ay blɔd prɛshɔn
- Fɔ smok
- I dɔn pas 50 ia
- Bi uman (uman dɛn kin gɛt dis) .
- Sɔmbɔdi na di famili gɛt dis sik
Dɔktɔ, aw yu kin no dis?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sik dɛn we yu gɛt ɛn di mɛdikal istri. Dɔn, dɛn go chɛk yu ed ɛn nɛk eria ɛn du nyurolɔjik ɛgzam. Bɔrku tɛm, de diagnosis kin dipen pan de infɔmeshɔn wae yu gi.
- Di kayn pen wae yu de fil (lɛk ilɛktrik shɔk? Lɛk fɔ chuk yu wit nɛf?)
- Di rayt say we di fes de usay dɛn kin fil di pen
- Us kayn tin yu kin du wae kin stat de pen?
Bikɔs bɔku ɔda tin dɛn de we kin mek pɔsin fil pen na in fes (fɔ ɛgzampul, tin dɛn lɛk ed we de at na di klas, maygren, nyuraljia we pɔsin kin gɛt afta i gɛt hεpi, ɛn TMJ we nɔ de wok fayn), di dɔktɔ go mek shɔ fɔs se nɔto dɛn tin ya kin mek pɔsin fil pen.
Fɔ no di rayt rizin, lɛk if blɔd vesel dɔn blok ɔ if sɔntin lɛk tumbu de, dɛn kin aks yu fɔ du MRI skan .
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔt gud tin na dat, bɔku tritmɛnt dɛn de fɔ ɛp fɔ mɛn dis bad bad pen. I kin tek sɔm tɛm fɔ fɛn di tritmɛnt we go wok fɔ yu.
Di mɛrɛsin dɛn we dɛn kin yuz
Bɔku tɛm, di dɔktɔ kin fɔs tɛl yu fɔ tek mɛrɛsin.
- Antiseizure medications: Dɛn mɛrɛsin ya de wok bay we dɛn de blok di transmishɔn fɔ pen signal to di bren. Di tritmɛnt kin bigin wit mɛrɛsin dɛn we dɛn kɔl `Carbamazepine` ɔ `Oxcarbazepine`. Pan ɔl we dɛn tin ya kin rili wok fayn na di biginin, di wok we dɛn kin du kin go dɔŋ as tɛm de go. Dɛn kin yuz ɔda mɛrɛsin dɛn lɛk `Gabapentin`, `Pregabalin`, `Lamotrigine` bak.
- Baclofen: Dis na tin we de mek di mɔsul dɛn rilaks.
Ɛni wan pan dɛn mɛrɛsin ya kin gɛt sɔm bad bad tin dɛn, so yu ɛn yu dɔktɔ fɔ wok togɛda fɔ pik di bɛst mɛrɛsin fɔ yu.
Ɔpreshɔn
Bɔku tɛm, dɛn kin tink bɔt ɔpreshɔn pan kes dɛn lɛk dɛn wan ya:
- If dɛn nɔ ebul fɔ kɔntrol di pen wit mɛrɛsin.
- if sεkכnd TN kכndishכn de (e.g., tכmכro).
Difrɛn kayn ɔpreshɔn dɛn de, ɛn di prɔblɛm dɛn we kin apin ɛn di tin dɛn we kin apin kin difrɛn bak.
- Microvascular decompression: Dis na di ɔpreshɔn we kin wok fayn pas ɔl. I involv fɔ ɔpreshɔn fɔ pul di blɔd vesel we de prɛs di nerve ɛn put smɔl ‘pad’ bitwin am.
- Redio ɔpreshɔn: Dis kin min fɔ dayrɛkt wan bim we gɛt raytin na di nerve rut fɔ blok di pen signal dɛn. I kin tek lɛk wan mɔnt so fɔ si di rizɔlt.
- Rhizotomy: Dis involv fכ dεmεj di nεv rכt bay wilful fכ stכp di pen signal dεm. Dɛn kin du dis difrɛn we dɛn. Bɔt, i kin lɛf sɔm tin dɛn we kin mek pɔsin nɔ fil fayn na in fes.
Ɔda tritmɛnt dɛn
Apat frɔm mɛrɛsin, ɔda tin dɛn kin ɛp fɔ kɔntrol di pen.
- Botulinum toxin injection ɔ nerve blocks de gi fridɔm fɔ sɔm tɛm.
- Akupankcha we dɛn kin du
- Bayofidbak we dɛn kin gi
- Saykotɛrapi
- Yoga ɛn Meditashɔn
Us ɔda prɔblɛm dɛn dis kin mek wi gɛt?
De pen wae de kam wit trigeminal neuralgia kin so bad dat e kin gɛt big impak pan yu maynd wɛl bɔdi ɛn ɛvride layf. Pipul wae gɛt dis sik kin gɛt:
- Pwɛl at
- Wɔri
- Soshal ayzolayshɔn
If dis pen de afɛkt yu maynd, i rili impɔtant fɔ go to pɔsin we sabi du in wok, lɛk dɔktɔ ɔ pɔsin we de stɔdi bɔt pɔsin in maynd.
Dɔn bak, kɔmplikeshɔn kin apin frɔm di tritmɛnt dɛn. Fɔ ɛgzampul, if yu yuz mɛrɛsin fɔ lɔng tɛm fɔ mek yu nɔ gɛt sik, dat kin mek yu bon dɛn tan (ɔstioporosis). Ɔpreshɔn kin mek bak in fes swɛla sote go.
Ustɛm a fɔ go to dɔktɔ?
Nɔbɔdi nɔ want fɔ liv wit pen ɔltɛm ɛn bad bad wan. If yu gɛt bad bad pen na yu fes, go to dɔktɔ wantɛm wantɛm. If dɛn dɔn no se yu gɛt dis sik, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek shɔ se yu tritmɛnt plan de wok.
Mɛsej we dɛn kin kɛr go na os
- Trigeminal nyuraljia (TN) na wan bad bad pen we de fil lɛk ilɛktrik shɔk na di fes.
- Dis pen kin bigin wit rili ɔdinari tin dɛm lɛk fɔ brus yu tit, it, ɛn laf.
- Pan ɔl we dis nɔ kin mek pɔsin in layf de pan denja, i kin rili afɛkt di kwaliti fɔ layf. So nɔ sɔfa wit di pen.
- Bɔku tritmɛnt dɛn de we kin wok fayn, lɛk fɔ tek mɛrɛsin ɛn ɔpreshɔn.
- Tɔk opin wan wit yu dɔktɔ bɔt yu pen ɛn aw e de afɛkt yu maynd wɛl bɔdi. If dɛn trit am fayn, dɛn kin ebul fɔ kɔntrol dis sik fayn fayn wan.
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