I hmai sir khatah electric natna tuar theih loh i tawk bawk em? Trigeminal neuralgia a ni thei ang em?

I hmai sir khatah ngaihtuah phak loh khawpa natna nasa tak i nei fo thin em? Electric shock ang maia natna nasa tak a ni em, a nih loh leh mi pakhatin chemte hmanga a vuak che em ni? A nih loh leh he natna hi i nuih lai te, i thusawi lai te, i ei lai te pawhin a awm em? Tichuan hei hi i tan a pawimawh hle mai thei. Vawiin hian Trigeminal Neuralgia tih hming pu dinhmun kan sawi dawn a ni.

Trigeminal Neuralgia hi eng nge ni?

A awlsam zawngin sawi ila, trigeminal neuralgia hi natna khirh tak, tuar theih loh, i hmai sir khatah, a hun hunah a lo awm thin a ni. Hei hi i thluak bul chhunga thisen kalna kawng, trigeminal nerve , tih chu a compress hian a thleng tlangpui. Ngaihtuah teh, he trigeminal nerve hi kan lu leh hmaiah sensation thlentu ber a ni. Kan hmai a sensor awm ang mai a ni. Chuvangin he nerve-ah hian pressure a awm chuan a atanga signal lo chhuak te chu a buai a, chu chuan he natna nasa tak hi a thlen thin. Hei hi nerve nena inzawm natna anga ngaih a ni.

Hei hi nunna atana hlauhawm natna a ni lo va, mahse nun tidanglam thei a ni . Ngaihtuah teh, mi tam tak chu he natna nasa tak avang hian an lungngai a, chu chu thil pangngai tak tak ei leh in, thusawi, nuih, ha sil te tih lai pawhin second emaw minute emaw chhunga lo thleng thin a ni. Hei hi hun rei tak chhunga `(Chronic)` natna a ni tlangpui. Mahse lungngai suh, heng symptoms te hi control thei tur treatment engemaw zat a awm.

Mi thenkhat chuan hei hi ‘tic douloureux’ an ti bawk a, chu chu natna ang chiah hming dang a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Sri Lanka ramah hian statistics dik tak awm lo mah se, khawvel ram thenkhat data atanga a lan dan chuan kum tin mi maktaduai khat leh a chanve velin he natna hi an vei tih hmuhchhuah a ni. Hmeichhia hian mipa aiin he natna hi an vei tam zawk . Tin, kum 50 hnuah a tam ber a, naupang tê têah hian he natna hi a awm lo hle.

Trigeminal Neuralgia natna lan chhuah dan chu engte nge ni?

A lan chhuah dan ber chu hmaiah natna nasa tak a awm nghal a ni . A tam zawkah chuan hei hi hmai sir khatah chauh a thleng thin. A natna hi chi hrang hrang a awm thei a:

• Lightning in a rawn nuai ang maiin a lang mai thei .
• Natna nasa tak a awm thei a , hliam tuar ang maiin .
• Natna a lo thlen chuan i hmai ruhte chu a inzawm khawm ang maiin a lang thei .

Natna awm lohna hun chhung hian hetiang hi i hre thei ang:

• Kangmei ang maiin .
• A thud chu slap ang maiin a awm .
• Numbness a awm .
• A natna slow, dull tak a ni .

Natna hi a lo awm dan azirin chi hnih a awm a:

1. Paroxysmal TN tih chu: 1.1.Hetiang dinhmunah hian thil thleng chu natna rang tak, na tak, na tak a awm a ni. He natna hi second tlemte atanga minute hnih vel thleng a ni thei a, a chang chuan hmaiah kang a awm bawk. Natna a reh hun chhung hian hun engemaw chen awm mah se, darkar hnih vel chhung chu natna chu a lo let leh thei a ni. Niluka ang bawk hian chaw ei tura a hmui a han hawn hian a hmai dinglamah line te tak te hmangin a tan a, second tlemte chhungin tuar theih loh natna a lo thleng a, rei vak lo hnuah a reh a, ei a tum chuan a lo let leh thin tih han ngaihtuah teh.

2. Continuous pain (TN with continuous pain / Atypical TN): Hetiang chi ah hian a chunga kan sawi ang khan natna hi a na lo hle a, mahse natna awm reng a awm thung . Chaw vuak, kang, leh natna tlemte a awm thei. He atypical (atypical) trigeminal neuralgia condition ah hian a symptoms control a harsa deuh thei.

Trigeminal neuralgia hi a tlangpuiin ``unilateral`` condition a ni a, hmai sir khat chauh a nghawng thin. A tlem hle a, hmai sir lehlamah (bilateral) a nghawng thei a, mahse a rualin a nghawng ve ve lo. A châng chuan hun kal zelah a natna chu a pung zêl thei a, a rei thei a, a na zual thei bawk.

He natna (`Triggers`) tipungtu thilte chu engte nge ni?

Vawi tam tak chu he natna hi thil awlsam tak tak, nitin thil tih, i hmai tihchet emaw, i hmai khawih emaw avanga lo awm a ni. Entir nan:

• Sam i sam lai te, makeup i vuah lai te, i hmai sil lai te.
• Chaw ei lai te, tui in lai te.
• Ha i sil lai te, i hmui i silfai lai te.
• Thusawi lai te, nuih lai te.
• Hmaiah pressure a awm chuan, a bik takin hmui emaw, jaw area-ah emaw.
• Hmaiah thlipui tleh pawh (bus window atanga thli lo lut kha han ngaihtuah teh) hian natna a thlen thei.

Mahse mak tak maiin, he natna hi i mut lai hian a thleng tlem hle .

Engvangin nge trigeminal neuralgia hi a lo awm? A chhante chu engte nge ni?

A tlangpuiin, pressure emaw, trigeminal nerve tihchhiat emaw avanga lo awm a ni. Doctor-te chuan a chhan a zirin an thliar hrang a:

A chhan a zirin chi thum: 1.1.

1. Primary (classic) TN: Hei hi thisen kalna (a tlangpuiin superior cerebellar artery) in trigeminal nerve root (nerve compression) a press vang a ni. Hei hi case tam zawk chhan a ni .

2. Secondary TN: Hei hi thil dangin trigeminal nerve a tihchhiat chuan a thleng thin. Entirnan, Multiple Sclerosis (MS) ang chi natna, thluaka tumor emaw, arteriovenous malformation emaw ang chi natna. Secondary TN vei te hi an naupang zawk tlangpui a, a na hi hmai sir lehlamah a awm thei bawk. Hetiang chi hi TN vei zawng zawng zinga 15% vel a ni.

3. Idiopathic TN: 1. A rilru a hah lutuk chuan a rilru a buai em em a.A châng chuan test nasa tak nei mah se, hmai na chhan chiang tak hmuh tur a awm lo. Chu chu doctor ten idiopathic TN an tih lai a ni.

Tute nge hetiang hi vei theihna hlauhawm zawk? (Risk Factor hrang hrang) 1.1.

Hetiang dinhmun lo awm chhan hi risk factor engemaw zat a awm a:

• Thisen sang sang .
• Meizial zuk leh hmuam .
• Kum upa lam .
• Hmeichhe lam a nih avangin .
• He natna vei chhungkaw member neih (genetic influence).

Engtin nge doctor hian trigeminal neuralgia hi a hriat theih ang?

A hmasa berin i doctor chuan i symptoms leh medical history te a zawt ang che. Tichuan i lu leh i kawng an enfiah ang a, neurological exam an ti ang. Vawi tam tak chu, thil engemaw zat ngaihtuah chungin diagnosis hi siam a ni:

• I natna awm dan (electric shock emaw, hliam tuar emaw ang chi?).
• Hmai a natna hriatna hmun dik tak .
• Eng ang thil nge natna thlentu ?

Hmai natna hi a lan chhuahna lian ber natna dang tam tak a awm avangin (e.g. cluster headaches, migraines, postherpetic neuralgia, TMJ dysfunction) doctor chuan chutiang natnate pawh chu a paih chhuak a ngai dawn a ni.

I doctor chuan thluak MRI scan a ti thei a, chu chuan natna thlentu dik tak a hriat theih nan – thisen kalnain i thluak a nawr emaw, tumor ang chi emaw pawh nise.

Trigeminal neuralgia hi eng enkawlna nge ni?

Doctor-te chuan trigeminal neuralgia enkawlna atan hian damdawi, surgery leh enkawlna dangte an hmang dun a. I tana enkawlna dik tak zawn nan hun engemaw chen a la ngai mai thei.

Damdawi hman tur: 1.1.

A tam zawkah chuan primary (classic) leh idiopathic TN condition tan chuan doctor-te’n an rawt hmasak ber chu damdawi a ni.

• Antiseizure damdawi: Heng damdawi te hian natna signal a block thin. Doctor-te chuan carbamazepine emaw oxcarbazepine emaw hmangin an tan fo thin. Hengte hian T.N. Mahse heng damdawi te hi hun kal zelah a hlawk lo thei hle. He pawla damdawi dangte chu gabapentin, pregabalin, lamotrigine, lacosamide, topiramate, leh phenytoin te an ni.
• Baclofen: Hei hi taksa ruh tichaktu a ni.

Heng damdawi tin hian side effect engemaw zat a nei thei a, chuvangin nang leh i doctor hian i tan damdawi tha ber tur chu i thlang chhuak tur a ni.

Inzai:

Doctor-te chuan hengte hi surgery hi an ngaihtuah chauh a ni:

• Damdawi hmanga symptoms control theih loh chuan.
• Secondary TN condition (e.g., nerve pakhata tumor press) i neih chuan.

TN tana surgery tih hian a buaithlakna, a hlauhawmna leh a side effects te hi a inang lo hle. I doctor chuan heng zawng zawng hi a hrilhfiah ang che. TN tana surgical option thenkhat chu:

• Microvascular decompression: He surgery hian trigeminal nerve compress tu thisen kalna kawng atanga pressure a tihziaawm a ni. Hei hi TN tan chuan surgery buaithlak ber a ni. Mahse, hun rei tak chhunga natna venna kawng tha ber a ni bawk .
• Radiosurgery: Hetiang tihnaah hian trigeminal nerve bul lamah radiation beam a kal a, chu chuan natna signal a block a ni. Hei hian natna tihziaawm nan thla khat vel a la ngai thei.
• Rhizotomy: Hetiang tih danah hian trigeminal nerve zung chu tumruh takin tihchhiat a ni a, chu chuan natna signal a block a ni. Chutianga tih theih dan kawng hrang hrang a awm. Entirnan, mechanical balloon compression, thermocoagulation leh chemical injection te hi a ni. Hetiang tih hian hmai eng emaw chen a ti na a, hriatna a hloh fo bawk. Kum tlemte chhung hrehawmna tihziaawm thei mah se, hun rei tak chhunga hlawhtlinna chu a tlem hle.
• Peripheral neurectomy: Hei hian trigeminal nerve peripheral branch pakhat tihchhiat emaw, lakchhuah emaw a huam a ni. Hei hi zu injection, incision, cryotherapy, radiofrequency lesioning hmanga tih theih a ni.

Enkawlna dang: 1.1.

I doctor chuan trigeminal neuralgia natna thunun thei tur enkawlna dang a rawt thei bawk - a tlangpuiin damdawi bakah hian. Chung zingah chuan:

• Botulinum toxin injection emaw nerve block emaw hian hun eng emaw chen atan natna a tiziaawm thei a ni.
• Acupuncture hmanga tih a ni .
• Biofeedback a ni a .
• Psychotherapy (thusawi hmanga enkawlna) `(Psychotherapy)` .
• Yoga hmanga tih a ni .
• Inngaihtuah muk .
• Aromatherapy hmanga enkawlna .

Trigeminal neuralgia vei chuan eng nge a tawn?

Hei hian mi zawng zawng a nghawng dan a inang vek lo a, chuvangin engtin nge a nghawng ang che tih chiang taka sawi a harsa hle. Mi thenkhat chuan kar tam tak emaw, thla tam tak emaw chhung natna an nei thei a, chu chu natna nei lo hun chhung an nei thei bawk. Mi dangte chuan an beihna rualin hmai natna chhunzawm zel an nei thei bawk. Mi thenkhat tan chuan hun kal zelah an attack chu a na zual sauh sauh thin. Tin, TN enkawlna atana hman damdawi te pawh hun kal zelah a hlawhtling lo thei bawk.

Heng zawng zawng avang hian i TN hian engtin nge a nghawng che tih leh i enkawlna ruahmanna a thawk tha em tih hriat nan i doctor nen inbiakna neih fo a pawimawh hle . I hrehawm chhunzawm zel duh lo.

Hetiang dinhmun hian eng harsatna nge a thlen?

Trigeminal neuralgia natna hi a nasat em avangin i rilru hriselna leh nitin nunah nghawng lian tak a nei thei a ni . TN vei te hi natna hrang hrang lo awm thei tura hlauhawm an ni a, chungte chu:

• Lungngaihna .
• Hlauhthawnna .
• Khawtlang nun atanga inthiarfihlim .

Hetiang dinhmun hian i rilru hriselna a nghawng a nih chuan professional tanpuina dil a pawimawh . I doctor emaw, rilru lam hriselna lama counselor emaw, psychologist ang chi emaw nen inbia ang che.

TN enkawlna hian harsatna a thlen thei bawk. Hun rei tak chhunga epilepsy damdawi hman hian ruh natna ang chi harsatna a thlen thei a ni. Surgery hian hmêl natna (permanent facial numbness) ang chi harsatna a thlen thei bawk.

Engtikah nge Doctor ka hmuh ang?

Tumah hian natna attack fo tawh nen nun an duh lo. Hmai natna nasa tak i neih chuan doctor pan ngei ngei tur a ni . TN i vei tih hmuhchhuah a nih chuan i enkawlna ruahmanna a thawk tha em tih hriat nan doctor i pan fo a ngai dawn a ni.

Doctor hnenah eng zawhna nge i zawh tur?

Trigeminal neuralgia chungchangah hian i doctor hnenah heng zawhnate hi zawh hi a \angkai thei ang:

• Engvangin nge trigeminal neuralgia ka neih?
• Eng ang TN nge ka neih?
• Ka hmai ka khawih emaw, ka vawrh emaw hian ka natna tihziaawm nan eng nge ka tih theih ang?
• Eng enkawlna kawng nge ka neih?
• Chutiang enkawlna kawng hrang hrangte chu eng nge a thatna leh a that lohna?
• Trigeminal neuralgia vei te tan support group a awm em?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Trigeminal neuralgia hi taksa lam natna ni mahse, i rilru leh rilru hriselnaah pawh nghawng lian tak a nei thei bawk. Thil pangngai tih emaw, vantlang hmuna chhuah emaw i hlau mai thei a, a chhan chu attack na tak i neih i hlauh vang a ni. Mahse thu lawmawm tak chu i duh angin i nun i hman theih nan enkawlna kawng hrang hrang a awm a ni. Hei hi i dam chhung zawnga i nunpui tur dinhmun a nih laiin, enkawl theih a ni tih hre reng ang che. Nangmah chauh i ni lo va, tanpuina dawn theih dan pawh a awm.

` Trigeminal neuralgia, hmai na, nerve na, natna enkawl dan, cranial nerve, hmai na