I ṭhiante nêna nuih leh inbiakna ṭha tak i neih lai emaw, i ei duh berte i ei lai emaw, rang takin i rilru hnunglam emaw, i lei hnunglam emaw aṭanga electric shock tuar theih loh lo chhuak i hriat chuan han ngaihtuah teh? He natna nasa tak second tlemte chhunga lo thleng leh bo hian i nitin a ti lungngai thei a ni. Chutiang thil i tawn tawh chuan tunlaia kan sawi tak Glossopharyngeal Neuralgia (GPN) tih natna hi i hriat a pawimawh hle.
Glossopharyngeal Neuralgia (GPN) hi eng nge ni?
A awlsam zawngin, GPN hi thil awm lo tak a ni a, i lei, i rilru , i beng , leh i beng natna nasa tak thlentu a ni. Pressure vang emaw glossopharyngeal nerve tihchhiat vang emaw a ni .
Kan thluak atanga kan hmai leh kan kawng thlenga nerve pahnih lian ber 12 a awm a, chu chu cranial nerves an ti a ni. Glossopharyngeal nerve hi heng zinga 9-na a ni. I lu sir lehlamah heng nerve pahnih hi a awm a. Mahse, GPN-ah chuan lu sir khat chauh a nghawng tlangpui.
He natna hi kan ngaihtuah loh lai pawhin a thleng thei a, chu chu i ei lai te, i thusawi lai te, i nuih lai te, i zun lai te, i hmui i hawn lai te hi a ni. He natna hi second tlemte atanga minute hnih vel thleng a ni thei. Mahse, he natna hi ni khatah vawi eng emaw zat a awm theih avangin nun tibuaitu lian tak a ni thei. Mahse lungngai suh, heng symptoms te thunun nan hian enkawlna tha tak tak a awm.
GPN chi hrang hrang lian ber ber a awm em?
Ni e, GPN hi a chhan a zirin chi hnih lian takah then theih a ni.
| GPN type a ni | Hrilhfiahna |
|---|---|
| Primary GPN tih a ni | Hei hi idiopathic GPN an ti bawk. Idiopathic tih awmzia chu "a chhan hmuh theih loh" tihna a ni. Chumi awmzia chu a chhan chiang tak awm lovin a awm tihna a ni. |
| Secondary GPN a ni | Hei hi damdawi lam thil dang, natna hrik emaw, tumor ang chi emaw avanga nerve-a pressure vang a ni. |
Eng nge a lan chhuah dan? Engtin nge he hrehawmna hi kan hriat chian?
GPN chhinchhiahna ber leh awmchhun chu natna hi a ni. He natna hi kawng hrang hrangin hriat theih a ni.
| Nature of pain | A awlsam zawngin... |
|---|---|
| Hriam | Natna na tak, hliam na tak. |
| Stabbing a ni | Natna nasa tak, chemte hmanga vuak ang maia hriatna. |
| Shooting a ni | Hmun khata intan a, hmun danga lightning speed-a kal thin natna. |
| A mak khawp mai | Numbing pain, electric kah ang maia na. |
| A na hle | A chhungril atanga lo chhuak, hliam na tak. |
| Kang (Burning) ang maiin . | A kang na a ni. |
He natna hi second tlemte atanga minute hnih chhung a ni tlangpui . Ni khatah vawi eng emaw zat a lo thleng thei. A châng chuan a natna chu a na lutuk thei a, zanah a kaitho thei che a ni. He natna hi kar tam tak emaw thla tam tak emaw a awm thei a, chutah thla tam tak emaw kum tam tak emaw pawh a reh thei.
Khawi atanga lo chhuak nge hrehawmna chu?
Glossopharyngeal nerve hi lu, kawr leh hmai hmun engemaw zatah a inzawm tlat avangin hmun engemaw zat atangin natna hi a lo chhuak thei a ni.
- I hnar hnunglam, i hmui leh i rilru (a bik takin tonsils vel) te.
- Voice box vel a throat area chu.
- I hmui leh beng chhehvel leh hnuai lam.
- Lei hnunglam chu.
Vawi tam tak chu a na hi lu sir khatah chauh a awm thin. A chang chuan hmun khatah natna hi a intan thei a, kekawrte emaw hnungzang emaw thlengin a darh thei (radiating pain).
GPN awm chhante chu engte nge ni?
Sawi tawh ang khan hei hi a chhan ber chu glossopharyngeal nerve tihchhiat a ni. Hei hi a chhan tlangpui engemaw zat a awm a, chungte chu:
- Thisen kalna kawng hmanga Nerve compression: Natna hi nerve bula kal thisen kalnain nerve a nawr hian a na thei.
- Tumor emaw cancer emaw: Nerve vel a tumor lo awm hian nerve a ti compress thei a ni.
- Infection: Infectious condition chuan nerve a ti na thei a ni.
A châng chuan doctor-te chuan he nerve hi engvangin nge a nghawng tih chiang takin an hre thei lo. Damdawi lam thil dang hnuaia awm vang pawh a ni thei bawk. Entir nan:
- Sjögren’s syndrome ang chi autoimmune natna te .
- Nervous system tichhe thei natna, multiple sclerosis ( MS ) ang chi te.
- Eagle syndrome tih hi a ni.
- Lu emaw kawng emawa accident.
- Schwannomas (nerve sheath-a tumor lo awm).
- Lei cancer a ni.
Eng thilin nge he natna hi a tizual? (Triggers) 1.1.
Tunah en teh, he hrehawmna hi engmah ngaihtuah lova kan tih dan pangngai atanga lo chhuak thei a ni.
Heng thil i tih lai hian natna i neih chuan hre reng la, i doctor hnenah hrilh rawh.
- Chaw ei chhuah
- Khuh a awm
- Cold drinks in thin
- A nuihzatthlak thin chu
- Crocodile chu a kal ta a.
- Thil (ei tur emaw, chil emaw) ei .
- Thusawi
- Hmai emaw, kawr emaw beng bulah hnawih
- Kawngkhar chu a hawng a
GPN hian side effect na tak a nei em?
GPN hian harsatna lian tham a thlen lo tlangpui a, mahse a natna a nasat chuan ei leh in hlauhna avangin taksa rihna a tlahniam thei.
Pawimawh tak: GPN a nasat chuan vagus nerve , glossopharyngeal nerve bula awm pawh a nghawng thei bawk. He vagus nerve hian kan heart rate, thisen sang, leh thawk dan ang chi thil pawimawh tak tak, automatic-a thil thlengte a control a ni. GPN pawhin he nerve hi a nghawng a nih chuan a hnuaia dinhmun khirh tak takte hi a lo awm thei a ni:
- Thinlung thawk mumal lo (Arrhythmias) .
- Lung natna (Bradycardia) .
- Thisen sang hniam (Hypotension) .
- Syncope a ni
- Seizures a awm thin
A tlem hle nachungin, he natna hi a nasat chuan cardiac arrest pawh a thlen thei a ni. Hei hi emergency pawi tak a ni. Chuvangin, natna ruala natna i neih chuan damdawi lam thurawn la nghal rawh.
Doctor, engtin nge hei hi i diagnose?
I doctor chuan i natna lan chhuah dan a zawt hmasa ang che a, chutah chuan taksa enfiahna a nei ang. GPN hi natna awm lo tak a nih avangin a chhan dik tak hriat nan hun engemaw chen a ngai mai thei.
Diagnosis finfiah nan a hnuaia test te hi tih theih a ni:
- Thisen test a ni
- CT scan a ni
- MRA scan a ni
- MRI scan a ni
- X-ray test neih a ni
Doctor pawhin test awlsam tak a ti thei bawk. I natna hmun chu cotton te tak te hmangin zawi zawiin a khawih ang. Tichuan, chu hmunah chuan local anesthetic an hnawih ang a, chutiang bawk chuan an ti leh ang. Damdawi hnawih hnua a natna a reh chuan GPN a nih a rinawm.
GPN enkawl dan tur chu engte nge ni?
Vanneihthlak takin GPN control nan hian enkawlna tha tak tak a awm a.
| Enkawl dan tur | Hrilhfiahna |
|---|---|
| Damdawi chi hrang hrang | Nerve cell hnathawh tihziaawmna leh natna control thei damdawi an pe thin. Anticonvulsant damdawi Carbamazepine, Gabapentin, leh Oxcarbazepine te hi hman hmasak ber an ni. |
| Local Anesthetic hmanga tihdam theih a ni | Lidocaine ang chi numbing medication chu ka hnungzang lamah spray emaw rub emaw theih a ni a, chu chuan natna chu rei lo te chhung atan a tiziaawm thei a ni. |
| Nerve block a awm | Natna thlenna bul hnaia nerve-ah damdawi an inject a, natna signal te thluak thleng tur chu a titawp a ni. |
| Inzai | Enkawlna dangin a natna a thunun theih loh chuan operation tih ngaihtuah theih a ni. Chung zingah chuan microvascular decompression emaw rhizotomy emaw a tel a, chu chu natna thlentu nerve fibers te tan a ni. |
I doctor chuan a bia ang che a, i dinhmun nena inmil ber enkawlna thlan turin a pui ang che.
Engtikah nge Doctor ka hmuh ang?
He thuziaka kan sawi ang hian i hmaiah, i hmuiah emaw, i kawngah emaw natna i neih chuan doctor i pan ngei ngei tur a ni. GPN hi natna hlauhawm tak ni mahse, a kaihhnawih nerve te hi lu leh kawr hmun pawimawh takah a awm a. Chuvangin, a chhan zawng chhuakin a enkawl hian nakin lawkah dinhmun hlauhawm tak tak a awm loh nan a pui thei a ni.
Engtikah nge ETU ah ka kal ang?
GPN hi emergency a ni tlangpui lo. Mahse, a hmaa kan sawi tawh ang khan natna lanchhuahna na tak i neih chuan Emergency Department (ETU) pan nghal tur a ni. Chutiang chhinchhiahnate chu:
- Kawng hawn emaw, thusawi emaw avanga luak chhuak emaw, hriatna hloh emaw .
- Chhan awm lovin hriatna hloh .
- Heart rate inthlak danglam (palpitations, heartbeat mumal lo).
Take-Home Thuchah a ni
- Glossopharyngeal Neuralgia (GPN) hi kawr, lei emaw beng emaw a na nghal, na tak, electric shock ang maia natna a ni. Ei leh in emaw, thusawi emaw ang chi thil awlsam tak tak atanga lo chhuak thei a ni.
- Hei hi glossopharyngeal nerve tihchhiat vang a ni. Vawi tam tak chu a chhan hi hmuh theih a ni lo.
- He natna hian i nun a tibuai a nih pawhin hlauthawng suh. Damdawi leh enkawlna dang hmangin a thunun tha thei hle. Natna nen chuan nangmah chauhin tuar suh.
- I natna nen hian rilru hah, luak chhuak, hriatna hloh, emaw i thinlung thawk dan inthlak danglam emaw i neih chuan emergency a ni thei. Damdawi in pakhat Emergency Department (ETU) ah kal nghal rawh.
- Hetiang symptoms i neih chuan doctor pan ngei ngei tur a ni a, diagnosis leh treatment plan mumal tak i nei ang.











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