He aha te io Trigeminal? Kia mārama tātou ki tēnei mea!

Kia ora! Kua whakaarohia e koe ngā io o tō mata? Kāore pea, tika? Engari he io motuhake kei roto i tō tātou mata e āwhina ana ki ngā mahi nui maha, pērā i te pā me te ngaungau kai. Koinei te io ka kōrerohia e tātou i tēnei rā.

He aha te io Trigeminal?

He whakarāpopototanga noa iho, he io nui tō io trigeminal , e toru ngā wāhanga i roto i tō mahunga. E kiia ana hoki ko te Nerve Cranial 5 , ko te CN V rānei. Hei whakamārama, ka tukuna ngā tohu mai i tō roro ki ngā wāhanga rerekē o tō mata, mai i tō mata ki tō roro. He rite ki te karere e rua ngā ara. E rua ōu io trigeminal—kotahi kei te taha matau o tō mata, ko tētahi kei te taha maui. Ko tētahi o ngā takirua io cranial 12 i roto i tō tātou mahunga. Ko te mea motuhake ko te io trigeminal te mea nui rawa atu o rātou katoa.

He io tino nui te io trigeminal e whakarato ana i te rongo ki tētahi wāhi nui o tō mata, ā, e āwhina ana hoki i a koe ki te mahi i ngā mea pēnei i te ngaungau kai. Engari kāore mātou e whakaaro nui ki tēnei io kia pā mai rā anō koe, tētahi atu rānei e mōhio ana koe ki tētahi mate pēnei i te trigeminal neuralgia (he mamae nui ki te mata), tika?

He aha ngā mahi a te io trigeminal?

Āe, kia titiro tātou ki te aha ka pā ki tēnei io. Mā tō io trigeminal e whakarato ngā mōhiohio nekeneke , ngā mōhiohio ā-tinana, ngā mōhiohio kare ā-roto, ngā mōhiohio kare ā-roto rānei ki tō mahunga me tō mata.

Mā ngā muka io nekeneke e tohutohu ō uaua mō te wā me te pēhea e neke ai. Mā ngā muka io pūoro e tohutohu tō roro mō ngā mea pēnei i te mamae, te pā, me te pāmahana o tō kiri.

E toru ngā peka matua o te io trigeminal:

• Io o te kanohi (V1)
• Te io o runga (V2)
• Te io o te kauae raro (V3)

He mahi motuhake tā ia peka. Me titiro anō tātou ki tēnā.

Te mahi a te peka io kanohi (V1)

Ko te tikanga o te kupu 'ophthalmic' he 'e pā ana ki te kanohi' . Ko tēnei peka o te io ophthalmic e tuku ana i ngā kare ā-roto ki tō mata me tō angaanga, inā koa mā te whakatuwheratanga i waenganui i ō kamo. E tuku ana hoki i ngā kare ā-roto ki ētahi wāhanga o tō ihu.

Mā ngā muka io atawhai i roto i tēnei peka o te io ka whānui ake ō karu. Ka whakaratohia hoki e ēnei he kare ā-roto ki ēnei wāhanga o tō kanohi:

• Tinana kiriuhi
• Iris (te iris o te kanohi)
• Repe wai
• Ngā kanohi kanohi
• Te kornea (te wāhanga mārama o te kanohi)

Te mahi a te peka io o te upoko (V2)

Ko te kauae o runga e pā ana ki tō kauae o runga . Mā tēnei io ka rongo, ka pā te kare ā-roto ki ngā wāhanga e whai ake nei o tō tinana:

• Ngā wāhanga o te kōhao ihu
• Ngā sinuses (ngā putea hau)
• Ngā niho o runga
• Te waha
• Te wāhanga waenga o tō mata me tō angaanga – arā, te wāhi i raro i ngā kanohi me runga ake i te waha.

Te mahi a te peka io o te kauae raro (Mandibular - V3)

E pā ana te 'Mandibular' ki tō kauae o raro . Ko tēnei peka io te mea nui rawa atu o ngā mea e toru. Kei roto hoki i a ia ngā muka pūoko me ngā muka nekeneke. Ko ngā wāhanga e whakarato ana i te kare ā-roto, i te kare ā-roto rānei, ko:

• Te roto o ō paparinga (te kiriuhi waha)
• Papa o tō waha
• Ngā niho kauae
• Tō arero
• Te kiri i raro i te mangai

Ka whakaratohia e tēnei wāhanga nekeneke ngā mōhiotanga mō ngā nekehanga o ngā uaua katoa e hiahiatia ana mō te ngote. Ko ēnei uaua ko:

• Ngā uaua o te masseter
• Ngā uaua o te roro
• Ngā uaua pterygoid

Ehara i te mea koinā anake, engari he mahi nui anō tā te io kauae i roto i te horomitanga, e āwhina ana i tō uaua digastric me tō uaua mylohyoid .

Kei hea te tūnga o te io trigeminal?

E ai ki taku kōrero i mua, e rua ō io trigeminal, kotahi i ia taha o tō mahunga. Ka tīmata ēnei i roto i tō roro. Kātahi ka horapa puta noa i tō mahunga, ka wehea ki aua peka e toru.

He aha te hanganga o te nerve trigeminal?

He rite te hanganga, te āhua rānei, o tō io trigeminal ki ngā manga o te rākau e toro atu ana i tō roro tae noa ki tō mata. Me titiro tātou ki te āhua o tēnā mahi:

• Ka tīmata te io trigeminal i roto i tō roro me ngā karihi e whā – e whā ngā wāhi e huihuia ai ngā tinana pūtau io. E toru o ēnei karihi te kawenga mō ngā mōhiohio tairongo. Ko te tuawhā te kaiwhakahaere o te mahi nekenekehanga.
• Ka huihui ēnei karihi tairongo e toru hei hanga i tētahi pakiaka tairongo kotahi e tata ana ki ngā pons, te wāhanga nui rawa atu, pokapū o tō kakau roro .
• Ko tēnei io pūoro, ina puta mai i te kakau roro i ia taha, ka huri hei ganglion trigeminal . (Ko te ganglion he tautau pūtau io i roto i tō pūnaha io ā-taha.)
• Kei mua i tō taringa ia ganglion trigeminal, i ia taha o tō mahunga, e tata ana ki tō rae. Ina koa, kei roto i tētahi wāhi kī tonu i te wai cerebrospinal e kiia nei ko te ana o Meckel . Kei waenganui i ngā paparanga e rua o te kiriuhi e kiia nei ko te dura mater e hipoki ana i tō wheua temporal.
• Kātahi ka wehea tēnei ganglion trigeminal ki ngā peka e toru o ngā io ophthalmic, maxillary, me mandibular i kōrerotia e tātou. Ka rere ēnei peka i ngā taha o tō mahunga, ka toro atu ki ia wāhanga o tō tinana.

He aha ngā āhuatanga ka pā ki te io trigeminal?

Engari, i ētahi wā ka puta he maha ngā āhuatanga ka pā ki te mahi a te io trigeminal. Hei tauira:

• Ngā whara o te upoko, ngā mate roro rānei.
• Te pēhanga i puta mai i ngā oko toto tata, ngā pukupuku, te pupuhi rānei.
• Te mumura i puta mai i ētahi mate. Hei tauira , te huaketo Herpes Zoster (koinei te take o te mate e kiia nei ko te Shingles ).
• Ngā raruraru o te pūnaha tohanga toto, hei tauira, te mate microvascular .
• Ngā mate pūnaha ārai mate , pērā i te scleroderma me te mate Sjögren .
• Ngā whara aituā i te wā e pokanga ana te roro, te kanohi, te niho rānei.

Anei ētahi āhuatanga hauora e pā ana ki ngā raruraru o te io trigeminal:

• Te Neuralgia Trigeminal: He mate mamae roa tēnei e puta ai te mamae nui, te mamae o te mata. He maha ngā wā ka puta mai ina pēhia te io trigeminal e te uaua toto e tata ana ki te take roro.
• Te Neuropathy Trigeminal: He ingoa whānui tēnei mō te kino (neuropathy) ki te io trigeminal. He maha ngā wā ka puta ngā tohu pēnei i te ngoikore, te mamae, me ētahi atu kare ā-roto rerekē ( paresthesia ).
• Te Ānini o te Upoko: He momo ānini tēnei e pā ana ki te taha kotahi o te upoko, ā, e 15 meneti ki te 3 hāora te roa. Ka pā pea tēnei mamae i ia rā, i ia wiki, i ia marama rānei. He maha ngā wā ka pā mai i te wā kotahi o te rā, tae atu ki te 8 ngā wā i te rā. Ka pā pea tēnei ānini o te upoko mā te whiu, te mumura rānei o tētahi wāhanga o te io trigeminal.
• Te Mate Puku o te Roro o te Waewae, te Mate Puku o Wallenberg rānei:Ka puta tēnei āhuatanga i muri i tētahi āhuatanga e pā ana ki te rere o te toto ki tō roro, pērā i te whiu, i te toto totoka rānei. Ka pā tēnei ki te mahi a te io trigeminal, ka puta ngā tohu pērā i te uaua ki te horomi, te whanoke, me ngā nekehanga kanohi koretake.

Ka rongoatia ngā raruraru o te io trigeminal i runga i te pūtake. Ko ngā kino iti ka ora i te nuinga o te wā. Heoi, i ētahi wā onge, ka hiahiatia pea he pokanga hei hono anō i te io kua motu. Tērā pea ka hiahia ētahi tāngata ki tētahi hononga io hauora ( whakakotahi io ) hei whakakapi i te io kua pakaru.

He aha ngā tohu o te pakaru o te io trigeminal?

Ka rerekē rawa ngā tohu o te kino o te io trigeminal. Nā te mea he nui rawa te io, ā, he maha ngā mahi a te io. I runga i te wāhi i pakaru ai te io, ka pā pea te kino ki tētahi wāhi iti noa iho (pēnei i tētahi wāhanga o ō kapia) ki tētahi wāhi nui rānei (pēnei i tētahi taha o tō mata).

Ko ētahi o ngā tohu me ngā āhuatanga o te pakaru o te io trigeminal ko:

• He kare ā-kanohi, he mākūkū rānei i te mata.
• Te mamae o te mata.
• Ngā karawarawa i runga i te kornea o te kanohi ( ngā karawarawa i runga i te kornea o te kanohi).
• Te ngoikore o te tirohanga.
• Te wiri, te ngoikore rānei o ngā uaua o te kauae.
• Te uaua ki te ngaungau, te kōrero, te horomi rānei.

He mea nui: Mena kei a koe tētahi o ēnei tohu, he mea nui kia toro atu koe ki te tākuta tonu atu .

Me pēhea taku pupuri i te hauora o taku io trigeminal?

Ki te pono, kāore e taea te ārai i ngā kino katoa ki te io trigeminal. Heoi, mā ēnei mahi ka āwhina i te pupuri i te hauora o tō pūnaha io – tae atu ki te io trigeminal:

• Kai i ngā kai whai kiko, inā koa ngā kai e nui ana te huaora D me te huaora B12 . He mea tino nui ēnei huaora mō te hauora o ngā io.
• Whakahaerehia ngā āhuatanga roa ka kino ki ngā io, pērā i te mate huka me te toto toto tiketike .
• Ki te kai paipa koe, tonoa he āwhina kia mutu. Ka whakaitihia e te kai paipa te rere o te toto ki ō io.
• Kia mau ki te taumaha hauora e tika ana mōu.
• Whakaitihia te ahotea mā roto i ngā tikanga hauora pēnei i te whakaaroaro me te hikoi.

Hei whakamutunga, ngā mea hei maumahara

Nō reira, ka kite koe i te hiranga o tēnei io trigeminal mō ngā mea pēnei i te pā ki tō mata me te ngaungau kai. Whakaarohia te uaua o ngā mea mō tātou me te kore tēnei io.

Mena ka pāngia koe e ngā raruraru o ō kanohi, o tō kauae, o tētahi atu kare ā-kanohi rānei, pērā i te mamae, te ngoikore rānei, tera pea nā tētahi momo kino ki te io trigeminal. Mena ka tupu tēnā, me toro atu ki te tākuta. Ka taea e rātou te whakahaere i ngā whakamātautau e tika ana hei whakatau mena nā te kino ki te io trigeminal tēnei.

Pērā i ngā wāhanga katoa o te tinana, me tiaki pai ēnei io.

` Ngā io trigeminal, io kanohi, neuralgia, mamae kanohi, ānini, io angaanga, pūnaha io