Whakaarohia mēnā kei te kata koe, kei te kōrero tahi me ō hoa, kei te kai rānei i tāu kai tino pai, ā, kātahi ka pā mai he ru hiko e kore e taea te u mai i muri o tō korokoro, o tō arero rānei? Ko tēnei mamae nui e puta mai ana, e ngaro atu ana i roto i ngā hēkona ruarua nei, ka raru pea tō rā katoa. Mēnā kua pā mai tēnei momo wheako ki a koe, he mea nui kia mōhio koe ki te mate e kōrerohia nei e tātou i tēnei rā, arā, ko te Glossopharyngeal Neuralgia (GPN).
He aha te Neuralgia Glossopharyngeal (GPN)?
He māmā noa iho, he tino onge te GPN e puta ai te mamae ohorere, te mamae nui i roto i tō arero, korokoro , tonsils , me ngā taringa. Ka puta mai i te pēhanga, i te kino rānei o te io glossopharyngeal .
Tekau mā rua ngā takirua matua o ngā io e rere ana mai i tō tātou roro ki tō tātou mata me tō tātou kaki, e kiia nei ko ngā io angaanga . Ko te io glossopharyngeal te tuaiwa o ēnei. E rua o ēnei io kei ia taha o tō upoko. Heoi, i roto i te GPN, kotahi anake te taha o te upoko ka pā ki tēnei.
Ka puta pea tēnei mamae i ētahi wā kāore tātou e whakaaro ana ki tēnā, pērā i te wā e kai ana koe, e kōrero ana, e kata ana, e mimi ana, e whakatuwhera ana rānei i tō waha. Ka roa pea tēnei mamae mai i ētahi hēkona ki te rua meneti pea. Heoi, nā te mea ka puta pea tēnei mamae i ētahi wā i te rā, ka taea te whakararuraru nui i te oranga. Kaua e manukanuka, he pai ngā maimoatanga hei whakahaere i ēnei tohu.
He momo matua o te GPN?
Ae, e rua ngā momo matua o te GPN, i runga i te pūtake.
| Momo GPN | Whakaahuatanga |
|---|---|
| GPN Matua | Ka kiia hoki tēnei ko te GPN idiopathic . Ko te tikanga o te idiopathic ko te "kāore e kitea he take". Ko te tikanga ka puta te mate me te kore he take mārama. |
| GPN Tuarua | Ka puta tēnei i te pēhanga ki te io nā tētahi atu mate hauora, mate pāwera, tētahi mea pērā i te pukupuku rānei. |
He aha ngā tohu? Me pēhea tātou e mōhio ai ki tēnei mamae?
Ko te mamae te tohu matua, ko te tohu kotahi anake o te GPN. He rerekē ngā huarahi e pā ai tēnei mamae.
| Te āhua o te mamae | Hei whakarāpopototanga... |
|---|---|
| Koi | He mamae koi rawa, he mamae wero. |
| Te Wero | He mamae ohorere, kino, e rite ana ki te werohia ki te maripi. |
| Te pupuhi | He mamae e tīmata ana i tētahi wāhi, kātahi ka neke ki tētahi atu me te tere o te uira. |
| Whakamataku | He mamae whakangāwari, me te mea e pāngia ana e te hiko. |
| Mamae ana | He mamae wero e puta mai ana i roto. |
| Pērā i te mura (e mura ana) | He mamae wera i te korokoro. |
Ko te tikanga, ka roa tēnei mamae mai i ētahi hēkona ki te rua meneti . Ka maha ngā wā ka pā mai i te rā. I ētahi wā, ka tino kaha te mamae, ā, ka ara ake koe i te pō. Ka roa pea tēnei mamae mō ngā wiki, mō ngā marama rānei, kātahi ka memeha haere mō ngā marama, mō ngā tau rānei.
Nō hea te mamae?
Nā te mea e hono ana te io glossopharyngeal ki ētahi wāhi o te māhunga, te kaki, me te mata, ka puta te mamae i ētahi wāhi.
- Te tuara o tō ihu, waha, me tō korokoro (ina koa i te taha o ngā tonsils).
- Te rohe korokoro e karapoti ana i te pouaka reo.
- Te rohe huri noa me raro i tō kauae me ō taringa.
- Te tuara o te arero.
He maha ngā wā ka pā te mamae ki te taha kotahi o te māhunga. I ētahi wā ka tīmata te mamae i te wāhi kotahi ka horapa ki te pakihiwi, ki te tuara rānei (ka horapa te mamae).
He aha ngā take o te GPN?
E ai ki te kōrero i mua ake nei, ko te tino take o tēnei ko te pakaru o te io glossopharyngeal. He maha ngā take noa ka whai wāhi ki tēnei:
- Te pēhitanga o te io e te uaua toto: Ka pā te mamae ina pēhia te io e te uaua toto e rere ana i te taha o te io.
- He pukupuku, he matepukupuku rānei: Ka taea e te pukupuku e puta mai ana i te taha o te io te mea ka pēhia te io.
- Mate urutā: Ka mumura pea te io i te mate urutā.
I ētahi wā, kāore e taea e ngā tākuta te tino mārama he aha te take e pāngia ai tēnei io. Tērā pea ka puta mai i ētahi atu mate hauora. Hei tauira:
- Ngā mate pūnaha ārai mate pērā i te mate Sjögren .
- Ngā mate e pā ana ki te pūnaha io, pērā i te sclerosis maha ( MS ).
- Te mate o te īkara.
- He aituā ki te upoko, ki te kaki rānei.
- Ngā Schwannomas (ngā pukupuku e puta mai ana i roto i ngā pukupuku io).
- Te mate pukupuku o te arero.
He aha te mea e kino ake ai tēnei mamae? (Ngā mea e whakaoho ana)
Titiro mai, ka puta mai pea tēnei mamae i ngā mea tonu e mahia ana e tātou i ia rā, me te kore e whakaaro ki tetahi mea.
Ki te pāngia koe e te mamae i a koe e mahi ana i ēnei mahi, kia mōhio koe ki tēnā, ā, kia kōrero ki tō tākuta.
- Te ngaungau kai
- Te maremare
- Te inu i ngā inu matao
- Ko te tangata e menemene ana
- Kei te haere te korokotairo.
- Te horomi i tētahi mea (kai, huware rānei)
- Te kōrero
- Te mirimiri i te mata, i te kaki rānei i ngā taringa
- Te whakatuwhera i te tatau
He pānga kino kino kei te GPN?
Kāore te GPN e puta he raruraru nui, engari ki te tino mamae, ka heke pea te taumaha o te tinana nā te wehi ki te kai me te inu.
He mea tino nui: Ki te kaha rawa te GPN, ka pā pea ki te io vagus , e tata ana ki te io glossopharyngeal. Mā tēnei io vagus e whakahaere ngā tukanga nui, aunoa pērā i te tere o te manawa, te toto toto, me te manawa. Ki te pāngia hoki tēnei io e te GPN, ka puta pea ēnei āhuatanga kino:
- Te pā o te manawa kāore i te tika (Arrhythmias)
- Te puhoi o te manawa (Bradycardia)
- Te toto toto iti (hypotension)
- Te ngoikore o te ngākau
- Ngā mate hopuhopu
Ahakoa he tino onge, ki te kaha rawa tēnei āhuatanga, ka taea e ia te arahi ki te hopukanga o te ngakau. He āhuatanga ohorere tino kino tēnei. Nō reira, ki te pāngia koe e te mamae me te whakapairuaki, rapua tonutia he tohutohu hauora.
E te tākuta, me pēhea e tautuhia ai tēnei?
Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, kātahi ka whakahaere i tētahi whakamātautau tinana. Nā te mea he mate onge te GPN, tera pea ka roa te wā e kitea ai te tino take.
Ka taea te whakahaere i ngā whakamātautau e whai ake nei hei whakaū i te mate:
- Ngā whakamātautau toto
- Matawai CT
- Matawai MRA
- Matawai MRI
- Ngā whakamātautau hihi-X
Tērā pea ka whakahaerehia e te tākuta tētahi whakamātautau māmā. Ka pā mārire ia ki te wāhi e mamae ana koe me tētahi miro iti. Kātahi ka pania he rongoā whakamoe ki te wāhi, ā, ka mahi anō i taua mahi. Ki te kore te mamae i muri i te paninga o te rongoā, tera pea he GPN.
He aha ngā maimoatanga mō te GPN?
Waimarie, kei reira ngā maimoatanga whai hua hei whakahaere i te GPN.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā | Ka hoatu ngā rongoā hei whakaiti i te mahi a ngā pūtau io, hei whakahaere hoki i te mamae. Ko ngā rongoā ārai harore pērā i te Carbamazepine, Gabapentin, me te Oxcarbazepine ngā mea tuatahi ka whakamahia. |
| Whakamamae ā-Rohe | Ka taea te rehu, te mirimiri rānei i tētahi rongoā whakangote pēnei i te Lidocaine ki te tuarā o te korokoro hei whakaiti i te mamae mō tētahi wā. |
| Ngā Poraka Io | Ka werohia he rongoā ki roto i te io e tata ana ki te pūtake o te mamae, hei aukati i ngā tohu mamae kei tae ki te roro. |
| Pokanga | Ki te kore e taea e ētahi atu maimoatanga te whakahaere i te mamae, ka whakaarohia pea te pokanga. Kei roto i ēnei ko te tango i te pēhanga toto iti, te rhizotomy rānei, arā, ko te tapahi i ngā muka io e tuku ana i te mamae. |
Ka kōrero tō tākuta ki a koe, ā, ka āwhina i a koe ki te whiriwhiri i te maimoatanga e tino tika ana mō tō āhua.
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ētahi o ngā mamae kua whakaahuatia i roto i tēnei tuhinga i tō mata, i tō waha, i tō kaki rānei, me toro atu koe ki te tākuta. Ahakoa he mate onge te GPN, kei tētahi wāhanga tino nui o te upoko me te kaki ngā io e pā ana. Nō reira, mā te kimi i te take me te rongoā ka āwhina i te ārai i ngā mate kino ā muri ake nei.
Āhea ahau me haere ki te ETU?
Ehara te GPN i te mea ohorere i te nuinga o te wā. Heoi, e ai ki te kōrero i mua ake nei, ki te pāngia koe e ngā tohu kino, me haere tonu koe ki te Tari Ohorere (ETU) . Ko ēnei tohu ko:
- Te whanoke, te ngaro rānei o te māramatanga e puta ana i te wā e puaki ana te mangai, e kōrero ana rānei.
- Te ngaronga o te māramatanga mō te kore take.
- Ngā huringa o te tere o te ngakau (ngā palpitations, te ngakau pākiki).
Karere Tangohia ki te Kāinga
- Ko te Glossopharyngeal Neuralgia (GPN) he mamae ohorere, kino, rite ki te hiko i roto i te korokoro, i te arero, i ngā taringa rānei. Ka taea te whakaoho e ngā mea ngawari pēnei i te kai, te kōrero rānei.
- Nā te pakaru o te io glossopharyngeal tēnei i hua ai. He maha ngā wā, kāore e kitea te pūtake.
- Ahakoa ka whakararuraru tēnei mamae i tō oranga, kaua e mataku. Ka taea te whakahaere pai mā te rongoā me ētahi atu maimoatanga. Kaua e mamae ko koe anake me te mamae.
- Ki te pāngia koe e te whakapairuaki, te whanoke, te ngaro o te māramatanga, te rerekētanga rānei o te tere o te manawa me te mamae, he āhuatanga ohorere pea tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Mena kei a koe ēnei tohu, me toro atu ki tō tākuta kia tika ai te tautuhi me te mahere maimoatanga.
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