Yu de gɛt ilɛktrik pen bak we yu nɔ go ebul fɔ bia na wan say na yu fes? Yu tink se na trigeminal nyuraljia?

Sɔntɛnde, yu kin fil bad bad pen na wan say na yu fes we yu nɔ go ebul fɔ imajin? Na shap pen lɛk ilɛktrik shɔk, ɔ pɔsin de chuk yu wit nɛf? Ɔ dis pen kin apin ivin we yu de laf, tɔk, ɔ it? Dɔn dis kin rili impɔtant to yu. Tide, wi go tɔk bɔt wan sik we dɛn kɔl Trigeminal Neuralgia.

Wetin na Trigeminal Nyuraljia?

Fɔ tɔk am simpul wan, trigeminal neuralgia na wan pen we rili bad, we yu nɔ go ebul fɔ bia we kin apin na wan say na yu fes, wan wan tɛm. Dis kin apin we dɛn kɔmprɛs wan blɔd vesel na yu bren stem we dɛn kɔl di trigeminal nerve . Tink bɔt am, dis trigeminal nerve na di men nerve we de briŋ senseshɔn to wi ed ɛn fes. I tan lɛk di sɛns we de na wi fes. So we prɛshɔn de pan dis nɛv, di sayn dɛn we de kɔmɔt frɔm am kin ambɔg, ɛn dis kin mek dis kayn pen bad bad wan. Dɛn kin tek dis as pen we gɛt fɔ du wit di nerve.

Dis nɔto sik we de mek pɔsin in layf de pan denja, bɔt i kin chenj in layf . Jɔs tink bɔt, bɔrku pipul dɛn kin gɛt pwɛl hat bikɔs ɔf dis bad bad pen wae kin kam fɔ sɔm sɛkɔn ɔr minit ivin wae dɛn de du ɔdinari tin lɛk fɔ it, tɔk, laf, ɔr fɔ brus dɛn tit. Dis kin bi wan sik wae kin teik lɔng tɛm `(Chronic)`. Bɔt nɔr wɔri, sɔm tritmɛnt dɛn de wae kin ɛp fɔ kɔntrol dɛn sik ya.

Sɔm pipul dɛn kin kɔl dis bak ‘tic douloureux’, we na ɔda nem fɔ di sem sik.

Aw dis sik kin kɔmɔn?

Pan ɔl we dɛn nɔ gɛt ɛni rayt statystik na Sri Lanka, akɔdin to sɔm kɔntri dɛn na di wɔl, lɛk wan ɛn af milyɔn pipul dɛn kin gɛt dis sik ɛvri ia. Uman dɛn kin gɛt dis sik pas man dɛn . Dɔn bak, i kin mɔs bi afta dɛn dɔn ol 50. Dis sik nɔ kin apin to yɔŋ pikin dɛn.

Wetin na di sayn dɛm wae de sho se yu gɛt Trigeminal Neuralgia?

Di men sayn na we i de fil pen wantɛm wantɛm na in fes . Bɔku tɛm, dis kin apin na wan say nɔmɔ na di fes. De pen kin kam insay bɔrku difrɛn we dɛn:

• I kin tan lɛk se laytin dɔn ambɔg yu .
• Sɔntɛm shap pen kin de , lɛk we pɔsin chuk am wit chukchuk .
• We di pen kam, i kin tan lɛk se di mɔsul dɛn na yu fes de shek shek .

Insay di tɛm we yu nɔ de fil pen, yu kin fil tin lɛk:

• Lɛk pɔsin we bɔn .
• Wan thud lɛk slap .
• Fɔ mek pɔsin nɔ ebul fɔ du natin .
• Wan pen we de sloslo ɛn we nɔ de mek pɔsin fil .

Tu kayn pen de dipen pan aw e kin apun:

1. Paroksismal TN: 1. .Wetin kin apin pan dis kes na dat, i kin gɛt wan pen we kin kam wantɛm wantɛm, we kin rili bad ɛn we kin shap. Dis pen kin te frɔm sɔm sɛkɔn to lɛk tu minit, sɔmtɛm kin kam wit bɔn na yu fes. Pan ɔl we sɔm tɛm kin de bitwin we di pen kin stɔp, di pen kin kam bak bak ɛn bak fɔ lɛk tu awa so. Imajin, lɛk Niluka, we i opin in mɔt fɔ it, i kin bigin wit wan tint layn na in rayt say na in fes, ɛn insay sɔm sɛkɔn, pen we i nɔ ebul fɔ bia kin kam, i kin stɔp afta sɔm tɛm, ɛn i kin kam bak we i tray fɔ it.

2. Kɔntinyu pen (TN wit kɔntinyu pen / Atypical TN): Insay dis kayn pen, di pen nɔ kin shap lɛk di wan we wi dɔn tɔk bɔt, bɔt pen kin de ɔltɛm . Sɔntɛm yu kin chuk yu chuk, yu kin bɔn, ɛn yu kin fil pen smɔl. insay dis atypical (atypical) trigeminal nyuraljia kכndishכn, i kin tranga sכmtεm fכ kכntrכl di simptom dεm.

trigeminal nyuraljia kin bi ``yunilateral`` kכndishכn we de afekt כnli wan sayd na di fes. Na sכm tεm, i kin afekt di tu say dεm na di fes (baylatarכl), bכt nכto כl tu di sem tεm. Sɔntɛnde, as tɛm de go, di pen kin bɔku, i kin te, ɛn i kin wɔs.

Wetin na di tin dɛm wae de mek dis pen (`Triggers`) bɔku?

Bɔrku tɛm, dis kayn pen kin kam bikɔs ɔf tin dɛm wae rili simpul, ɛvride, lɛk fɔ muv yu fes ɔr tɔch yu fes. Fɔ ɛgzampul:

• We yu de sheb, mek-ap, was yu fes.
• We yu de it it, we yu de drink wata.
• We yu de brus yu tit, we yu de was yu mɔt.
• We yu de tɔk, we yu de laf.
• If ɛni prɛshɔn de na di fes, mɔ na di chɛst ɔ di jaw eria.
• Ivin we briz de blo na yu fes (tink bɔt di briz we de kam tru di winda na bɔs) kin mek yu fil pen.

Bɔt i sɔprayz fɔ no se dis pen nɔ kin apin so ɔltɛm we yu de slip .

Wetin mek trigeminal nyuraljia kin apin? Wetin na di tin dɛn we kin mek i apin?

jεnarali, i kin kכz fכ prεshכn כ damej pan di trigeminal nerve. Dɔktɔ dɛn kin klas am akɔdin to wetin i mek:

Tri kayn dɛn akɔdin to di tin dɛn we kin mek i apin:

. Dis na di tin we kin mek bɔku pan di kes dɛn .

2. sεkכnd TN: dis kin apin we di trigeminal nεv dεn dכn pwεl bay כda kכndishכn. Fɔ ɛgzampul, sik lɛk Multiple Sclerosis (MS), bren tumor, ɔ arteriovenous malformation. Pipul wae gɛt sɛkɔndari TN kin yɔŋ, ɛn de pen kin de na ɔl tu di say dɛm na dɛn fes. Dis kayn de mek lɛk 15% pan ɔl di TN pasɛnt dɛn.

3. Idiopatik TN: .Sɔntɛnde, pan ɔl we dɛn dɔn du bɔku tɛst, dɛn nɔ kin ebul fɔ no klia rizin fɔ mek pɔsin in fes pen. Na da tɛm de dɔktɔ dɛn kin kɔl am idiopathic TN.

Udat de pan big risk fɔ gɛt dis? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik:

• Di ay blɔd prɛshɔn .
• Fɔ smok .
• We pɔsin de ol .
• Bikɔs na di uman sayd .
• Fɔ gɛt famili mɛmba wit dis sik (jɛnɛtik inflɔɛns).

Aw dɔktɔ kin no se yu gɛt trigeminal nyuraljia?

Fɔs, yu dɔktɔ go aks yu bɔt yu sik ɛn yu mɛrɛsin istri. Dɔn dɛn go chɛk yu ed ɛn yu nɛk, ɛn du nyurolɔjik ɛgzam. Bɔku tɛm, dɛn kin no di sik bay we dɛn tink bɔt sɔm tin dɛn:

• Di kayn pen wae yu de fil (lɛk ilɛktrik shɔk ɔr de chuk yu pen?).
• Di rayt say na di fes usay dɛn kin fil di pen .
• Us kayn tin dɛn kin mek pɔsin fil pen ?

Bikɔs bɔku ɔda sik dɛn de usay fes pen na big sayn (e.g. klasta ed pen, maygren, posthɛpɛtik nyuraljia, TMJ disfɔkshɔn), dɔktɔ go gɛt fɔ pul dɛn sik dɛn de bak.

Yu dɔktɔ kin ɔda fɔ mek dɛn du yu bren MRI skan fɔ ɛp fɔ no di rayt tin we de mek yu fil pen – if na blɔd vesel we de prɛs pan yu bren ɔ sɔntin lɛk tumbu.

Wetin na di tritmɛnt fɔ trigeminal nyuraljia?

Dɔktɔ dɛn kin yuz wan kɔmbayn mɛrɛsin, ɔpreshɔn, ɛn ɔda tritmɛnt dɛn fɔ trit trigeminal nyuraljia. I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu.

Di mɛrɛsin dɛn we dɛn kin yuz:

Bɔrku tɛm, fɔ praymari (klasik) ɛn idiopatik TN kɔndishɔn, di fɔs tin we dɔktɔ dɛn kin tɔk bɔt na mɛrɛsin.

• Antiseizure medications: Dɛn mɛrɛsin ya kin blok di pen signal dɛm. Bɔku tɛm, dɔktɔ dɛn kin bigin wit kabamazɛpin ɔ ɔkskabazepin. Dɛn tin ya kin ɛp fɔ kɔntrol di pen na bɔku pipul dɛn we de na di fɔs stej fɔ T.N. Bɔt dɛn mɛrɛsin ya nɔ kin wok fayn as tɛm de go. Ɔda mɛrɛsin dɛn we de na dis grup na gabapentin, pregabalin, lamotrigine, lacosamide, topiramate, ɛn phenytoin.
• 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 mɛrɛsin we go fayn fɔ yu.

Ɔpreshɔn:

Dɔktɔ dɛn kin jɔs tink bɔt ɔpreshɔn pan dɛn kayn tin ya:

• If dɛn nɔ ebul fɔ kɔntrol di sayn dɛn wit mɛrɛsin.
• if yu gεt sεkכnd TN kכndishכn (e.g., tכmכro we de prεs pan wan nεv).

Di kɔmplisiti, di risk dɛm, ɛn di sayd ɛfɛkt dɛm fɔ ɔpreshɔn fɔ TN kin difrɛn. Yu dɔktɔ go ɛksplen ɔl dis to yu. Sɔm pan di ɔpreshɔn dɛn we dɛn kin du fɔ TN na:

• Maykrovaskul dεkכmprεshכn: Dis כpεrayshכn de rεliv prεshכn frכm di bכdi vεsul dεm we de kכmprεs di trigeminal nεv. Dis na di ɔpreshɔn we kɔmpleks pas ɔl fɔ TN. Bɔt na di bɛst we bak fɔ mek yu nɔ gɛt pen fɔ lɔng tɛm.
• rεdio sכjεri: insay dis prכsidכm, dεn de dayrεkt wan bim fכ rεdyushכn na di rכt fכ di trigeminal nεv fכ blכk di pen signal dεm. Dis kin tek lɛk wan mɔnt so fɔ ridyus di pen.
• rayzotomi: insay dis prosidכs, dεn kin dכn di rut fכ di trigeminal nεv bay wilful fכ blכk di pen signal dεm. Bɔku we dɛn de fɔ du dis. Fɔ ɛgzampul, mɛkanikal balyɔn kɔmpreshɔn, tɛmkoaguleshɔn, ɛn kemikal injɛkshɔn. Dis we aw dɛn kin du am kin mek sɔm kayn we fɔ mek yu fes nɔ fil fayn ɛn nɔ kin fil fayn ɔltɛm. Pan ɔl we i kin mek pɔsin nɔ fil pen fɔ sɔm ia, i nɔ kin ebul fɔ du wɛl fɔ lɔng tɛm.
• Pεrifεral nyurεktכmi: dis involv fכ damej כ pul wan pεrifεral branch na di trigeminal nεv. Dis kin bi bay we dɛn injɛkshɔn wit rɔm, kɔt kɔt, krayotɛrapi, ɔ rediofrikyuɛnsi lɛsin.

Ɔda Tritmɛnt dɛn:

Yu dɔktɔ kin tɔk bak bɔt ɔda tritmɛnt fɔ ɛp fɔ kɔntrol di pen we de kam pan trigeminal nyuraljia - bɔku tɛm apat frɔm mɛrɛsin. Dɛn tin ya na:

• Botulinum toxin injection ɔ nerve blocks de mek yu nɔ fil pen fɔ sɔm tɛm.
• Akupankcha we dɛn kin du .
• Bayofidbak .
• Saykotɛrapi (tɔk tɛrapi) `(Saykotɛrapi)` .
• Yoga we dɛn kin du .
• Tink dip .
• Aromatɛrapi .

Wetin pɔrsin wae gɛt trigeminal neuralgia kin gɛt?

Dis nɔ kin afɛkt ɔlman di sem we, so i nɔ kin izi fɔ tɔk di rayt we aw i go afɛkt yu. Sɔm pipul kin gɛt sɔm kayn pen wae kin las fɔ sɔm wik ɔr mɔnt, dɔn dɛn kin gɛt sɔm kayn pen wae nɔr kin fil pen. Ɔda pipul dɛn kin gɛt pen na dɛn fes ɔltɛm wit di atak we dɛn kin atak. Fɔ sɔm, dɛn atak kin wɔs as tɛm de go. Dɔn bak, di mɛrɛsin dɛn we dɛn kin yuz fɔ trit TN nɔ kin wok fayn as tɛm de go.

Fɔ ɔl dɛn rizin ya, i impɔtant fɔ tɔk to yu dɔktɔ ɔltɛm fɔ si aw yu TN de afɛkt yu ɛn if yu tritmɛnt plan de wok. Yu nɔ want fɔ kɔntinyu fɔ de fil pen.

Wetin na de prɔblɛm wae kin kam wit dis sik?

Di pen wae de kam wit trigeminal neuralgia kin so bad dat e kin gɛt bɔrku impak pan yu maynd wɛl bɔdi ɛn ɛvride layf . Pipul wae gɛt TN de pan de risk fɔ gɛt sik lɛk:

• Pwɛl at .
• Wɔri .
• Soshal ayzolayshɔn .

If dis sik de afɛkt yu maynd, i impɔtant fɔ go to pɔrsin wae sabi yu . Tɔk to yu dɔktɔ ɔ pɔsin we de advays yu bɔt mental wɛlbɔdi biznɛs, lɛk pɔsin we de stɔdi bɔt pɔsin in maynd.

Tritmɛnt fɔ TN kin mek kɔmplikeshɔn bak. If yu yuz di mɛrɛsin fɔ mɛn sik fɔ lɔng tɛm, dat kin mek yu gɛt prɔblɛm lɛk ɔstioporosis. Ɔpreshɔn kin mek prɔblɛm dɛn bak lɛk we yu fes kin swɛla ɔltɛm.

Ustɛm a fɔ go to dɔktɔ?

Nɔbɔdi nɔr want fɔ liv wit pen ɔltɛm. If yu gɛt bad bad pen na yu fes, mek shɔ se yu go to dɔktɔ . If dɛn no se yu gɛt TN, yu go nid fɔ go to dɔktɔ ɔltɛm fɔ mek shɔ se yu tritmɛnt plan de wok.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

I kin fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya bɔt trigeminal nyuraljia:

• Wetin mek a bin gɛt trigeminal nyuraljia?
• Us kayn TN a gɛt?
• Wetin a go du fɔ ridyus di pen we a kin fil we a tɔch ɔ shek mi fes?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin na di bɛnifit ɛn bad tin dɛn we ɛni wan pan dɛn tritmɛnt dɛn de gɛt?
• Sɔpɔt grup de fɔ pipul dɛm wae gɛt trigeminal nyuraljia?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Pan ɔl we trigeminal nyuraljia na wan sik we de apin na yu bɔdi, i kin gɛt bɔku impak bak pan yu maynd ɛn filin wɛlbɔdi. Yu kin fred fɔ du nɔmal tin ɔ go na pɔblik bikɔs yu de fred fɔ gɛt bad bad atak. Bɔt di gud nyus na dat, bɔku tritmɛnt dɛn de we go ɛp yu fɔ liv yu layf di we aw yu want. Pan ɔl we dis kin bi wan kɔndishɔn we yu go gɛt fɔ liv wit fɔ di res ɔf yu layf, mɛmba se yu kin ebul fɔ kɔntrol am. Nɔto yu wan de, ɛn we dɛn de fɔ gɛt ɛp.

` Trigeminal nyuraljia, fes pen, nεv pen, pen mεnejmεnt, kraynia nεv, fes pen