Kua pāngia koe e te mamae ohorere, nui i roto i tō arero, korokoro, tonsils, taringa rānei? He rite ki te ru hiko, he torutoru hēkona, he meneti rānei te roa, engari ka pā mai i ētahi wā i te rā. Mena ka pā mai tēnei mamae i a koe e kōrero ana, e kai ana, e kata ana rānei, tera pea ka hiahia koe ki te ako mō tēnei mate. Ka karangatia tēnei mate ko te glossopharyngeal neuralgia, ko te GPN rānei te poto.
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He aha te neuralgia glossopharyngeal (GPN)?
He māmā noa iho, he mate onge te Glossopharyngeal Neuralgia (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 riri, te pēhanga, te kino rānei o te io glossopharyngeal .
I mōhio koe e 12 ngā momo io matua o roto i tō tātou mahunga? Ka karangatia ēnei ko ngā io angaanga . Ko te tuaiwa (9) o ēnei io angaanga tekau mā rua ko te io glossopharyngeal. E rua o ēnei io kei ia taha o tō mahunga, arā, kei te taha matau me te taha maui. Engari i te nuinga o te wā, ka pāngia e te GPN te io kotahi anake i te taha kotahi o te mahunga.
Ka pā mai tēnei mamae ina kai koe, ina kōrero koe, ina kata koe, ina mahi rānei i ngā mea noa kāore koe e tino whakaaro ana. Whakaarohia te whakarihariha o te mamae o te korokoro ina maremare koe, ina tihe rānei? Ka taea e ia te whakararu i tō rā katoa. Kaua e manukanuka , kei reira ngā maimoatanga hei āwhina i te whakahaere i ēnei tohu.
He aha te āhua o te mamae o te GPN? Kei hea e pāngia ai?
Ko te tohu matua o te GPN ko te mamae. Ka kitea tēnei mamae i ngā huarahi rerekē:
- He mamae koi , me te mea e werohia ana ki te maripi .
- He mamae ohorere , me te mea e pāngia ana e te uira .
- He mamae e rite ana ki te kare ā-wera e puta mai ana i roto.
- Tērā pea ka ngoikore noa iho ētahi tāngata.
He tino kino te mamae nei. E rua hēkona te roa, e rua meneti pea. Heoi, ehara i te mea pumau. Ka haere mai, ka haere atu. Ka maha ngā wā ka pā mai tēnei mamae i te rā. I ētahi wā ka ara ake koe i waenganui pō nā te mamae. Ka roa pea tēnei mamae mō ngā wiki, mō ngā marama rānei. Mō te tini o te tangata, ka memeha haere tēnei mamae mō tētahi wā, kātahi ka hoki mai anō i roto i ngā wiki, i ngā marama, i ngā tau rānei i muri mai.
Ko ngā wāhi matua e pāngia ai te mamae o te GPN ko:
- Te tuara o tō ihu, waha, me tō korokoro ( pharynx me te nasopharynx ), inā koa i te taha o ngā tonsils.
- Huri noa i ngā taura reo i roto i tō korokoro ( larynx ).
- Ngā wāhi huri noa me raro i te kauae me ngā taringa.
- Te tuara o te arero.
Nā te mea he maha ngā wāhanga o tō upoko, o tō kaki, me tō mata e hono ana te io glossopharyngeal, koia te take ka maha ngā wāhi e pāngia ai koe e te mamae. I te nuinga o te wā, ka pāngia te taha kotahi o tō upoko e tēnei mamae.
I ētahi wā, ka tīmata te mamae i tētahi wāhi, ka horapa ki tētahi atu wāhi. Hei tauira, ko te mamae e tīmata ana i te korokoro ka horapa ki te pakihiwi, ki te tuara rānei.
He momo GPN kei reira?
Āe, e rua ngā momo matua o te GPN i runga i te take:
1. Te neuralgia glossopharyngeal tuatahi: Kāore e kitea he tino take mō tēnei. Tērā pea ka kiia e tō tākuta he idiopathic glossopharyngeal neuralgia , arā, "kāore e mōhiotia te take".
2. Te neuralgia glossopharyngeal tuarua: I tēnei wā, ka puta te GPN nā tētahi atu mate, take rānei.
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Check Availability →He aha i puta ai tēnei GPN? He aha ngā take?
Ko te tino take o te GPN he pēhanga, he kōpeketanga, he kino rānei ki te io glossopharyngeal . He maha ngā take noa e whai wāhi ana ki tēnei:
- Te pēhitanga o te io e te oko toto: I ētahi wā ka puta tēnei mamae i te pēhitanga o te io e te oko toto e tata ana ki te io.
- Te noho mai o te pukupuku, te tipu, te whara rānei: Tērā pea he pukupuku, he tipu rānei i roto i te roro, i runga, i te taha rānei o te io, tētahi atu take pea.
- Mate urutā: Ka pāngia hoki te io e te mate urutā i te korokoro, i te rohe rānei e karapoti ana.
I ētahi wā, kāore e taea e ngā tākuta te tino mōhio he aha te mea e pā ana ki tēnei io. Waihoki, ka puta pea ngā tohumate GPN i ētahi atu mate hauora. Hei tauira:
- Ngā mate pūnaha ārai mate , ngā mate mumura rānei, hei tauira te mate Sjögren .
- He pakaru ( whāngai ) ki te kakau roro .
- Ngā āhuatanga tango-myelination e kino ai te pūkahu myelin o te pūnaha io matua , hei tauira , te sclerosis maha .
- Te mate o te Ēkara .
- He aituā tinana, he whara rānei .
- Ka puta ētahi āhuatanga tipu kāore i te tino tika mai i te whānautanga.
- Ngā pukupuku io pērā i te Schwannomas .
- Te mate pukupuku o te arero .
He aha ngā mea e kino ake ai tēnei mamae? (Ngā mea e whakaoho ake ai)
Ka taea e ētahi mahi o ia rā te puta ohorere mai o te mamae GPN. Ka kiia ēnei e mātou he "whakaoho". Whakaarohia, me pēhea mēnā kei te kōrero harikoa koe me ō hoa, ā, ka kata ohorere koe, ka pāngia e te mamae koi i roto i tō korokoro me tō waha? Me pēhea rānei mēnā ka maka noa e koe he kai reka i tunua ki te kāinga ki roto i tō waha, ā, ka kore e taea te manawanui te mamae i te wā i horomia ai e koe? Ahakoa ngā mea iti pēnei ka taea te whakaoho i te mamae GPN.
Ko ngā mea e whakaoho pinepine ana i te mamae ko:
- Te ngaungau kai
- Maremare
- Te inu i ngā inu matao
- Kata
- Te tihe
- Te horomitanga
- Te kōrero
- Te pā ki te mata, ki te kaki rānei, inā koa te rohe huri noa me raro i ngā taringa
- Te whakatuwhera i te tatau
Ko wai kei te nui ake te mōrearea ki te whakawhanake i te GPN?
Ka taea te whakawhanake i te GPN i ngā tau katoa, engari he nui ake te kitea i roto i te hunga neke atu i te 50 tau te pakeke .
He aha ngā raruraru ka puta mai i te GPN?
Ehara te GPN i te mate kino e puta ai ngā raruraru nui. Heoi, ki te kino te mate, ka puta pea ētahi raruraru. Hei tauira, ko te mamae i te wā e kai ana ka arahi ki te ngaronga o te hiahia kai me te hekenga taumaha.
I ētahi wā tino kino , ka pā pea tēnei mamae GPN ki te io Vagus e tata ana. Ko tēnei io vagus he io e whakahaere ana i ngā tukanga nui, aunoa pērā i te manawa o te ngakau, te toto toto, me te manawa. Nō reira, ki te pāngia e te GPN, ka puta pea ēnei āhuatanga:
- Ngā koretake o te manawa o te ngakau (arrhythmias)
- Te puhoi o te manawa (bradycardia)
- Te toto toto iti (hypotension)
- Te ngoikore, te ngaro rānei o te māramatanga (syncope)
- Ngā mate hopuhopu
He tino onge, ki te kaha rawa te mate, ka pā te GPN ki te ngākau, ka puhoi haere te tere o te ngākau, ā, ka mutu pea te manawa. He mate tino morearea tēnei. Nō reira, he mea nui kia rapu tohutohu hauora mēnā ka pāngia koe e ngā tohu.
Me pēhea te tautuhi i te tūnga GPN?
Kia tino mōhio ai koe mēnā he GPN tōu, me toro atu koe ki tētahi tākuta. Ka tirotirohia koe e te tākuta, ka pātai atu mō ō tohumate, ā, ka whakahaerehia pea ētahi whakamātautau mēnā e tika ana. Tērā pea ka roa te wā mō tēnei tātaritanga, nā te mea me kimi e rātou te pūtake o ō tohumate.
Ko ngā whakamātautau e mahia ana i te nuinga o te wā ko:
- Ngā whakamātautau toto
- Matawai CT
- Matawai MRA - Mā tēnei ka tirohia te āhua o ngā uaua toto.
- Matawai MRI )
- X-ray
I ētahi wā ka whakamahia e te tākuta he miro hei pā mārie ki te wāhi e mamae ana koe. Kātahi,Ka pania he rongoā whakamoe ā-rohe, ā, ka pāngia anō te wāhi. Ki te memeha te mamae i muri i te paninga o te rongoā whakamoe, he tohu pea tēnei he GPN.
He aha ngā maimoatanga mō te GPN?
Ko te rongo pai, kei reira ngā maimoatanga mō te GPN. Mā tō tākuta e whiriwhiri te maimoatanga e pai ana mōu.
He maha ngā tikanga maimoatanga matua:
- Te tango rongoā: Ka mahi ēnei rongoā mā te whakaiti i te mahi a ngā pūtau io me te whakaiti i te mamae.
- Ko ngā rongoā ārai i te haurangi pērā i te carbamazepine, gabapentin, oxcarbazepine, phenytoin rānei ka hoatu tuatahitia.
- Tērā pea ka āwhina anō hoki ngā rongoā pēnei i te baclofen me ngā tricyclic antidepressants .
- Te paninga o te rongoā whakamoe ā-rohe: Ka taea e koe te paninga o te rongoā whakamoe ā-rohe, pērā i te lidocaine, ki te tuarongo o tō korokoro. Ka taea e tēnei te whakamamae i te mamae mō te wā poto.
- Ngā aukati io: Ko te werohanga i tētahi rongoā ki te taha o te io e puta ai te mamae. Mā tēnei ka aukati i te io ki te tuku tohu mamae.
- Pokanga: I ētahi wā tino kino, ka hiahiatia pea te pokanga.
- Te whakaiti i te pēhanga o te uaua iti: He pokanga tēnei hei whakamama i te pēhanga ki runga i te io, arā, hei aukati i tōna pēhanga.
- Rhizotomy: Ko te tikanga tēnei ko te tapahi i ngā muka io e kawe ana i ngā tohu mamae.
Ka kōrero tō tākuta ki a koe, ka kimi i te take o tō mamae, ā, ka whakatau i te maimoatanga pai rawa atu māu. Ka whakaakona hoki koe e rātou mō ngā pānga taha pea o te maimoatanga.
Ka taea te ārai i te GPN?
Ina hoki, kāore he huarahi motuhake hei ārai i te GPN. Nā te mea he maha ngā wā ka puta ohorere mai, ā, i ētahi wā kāore he take e kitea ana, kāore he mea ka taea e koe te mahi hei whakaiti i te mōrearea o tēnei mate.
Ka taea te rongoā i te GPN? Kia pēhea te roa o tōna pumau?
Ae, ka taea e te GPN te memeha noa iho. Ā, mā te maimoatanga, he nui ake te tūponotanga ka memeha. He maha ngā wā ka angitu ngā maimoatanga. Mena e hiahiatia ana he pokanga, ka taea e ia te whakaora i te mamae mō te wā poto, mō te wā roa rānei.
He raruraru rangitahi noa iho te GPN. E rua wiki, e rua marama rānei te roa. Kotahi noa te wā e pāngia ai te nuinga o te tangata i roto i ō rātou oranga. Heoi, ka pāngia pea ētahi e ngā tohu GPN mō ngā wiki, mō ngā marama rānei, kātahi ka memeha haere, kātahi ka pāngia anō ngā tohu. Ka pā tēnei i ētahi wā, mō ngā tau.
Kei te pēhea te oranga me te GPN?
Kāore te GPN e pā ki tō roanga o te ora. He pai te tirohanga mō te hunga whai GPN. Mō te nuinga o te tangata, ka ngaro ngā tohu, ā, kāore e hoki mai.
Heoi, ki te kaha ngā tohu, inā koa mēnā he mamae kei ngā taha e rua o te māhunga, mēnā he mamae tonu, ā, mēnā he mamae e kore e taea te whakamanawanui, tera pea ka iti ake te āhua o te mate. Mēnā he tohu pēnei i te hemo o te ngākau, te panoni o te tere o te manawa, ka nui ake te tūponotanga o ngā hua kino.
Āhea koe me rapu tohutohu hauora?
Ki te whakapae koe kei a koe te GPN nā te mea he mamae tō mata, tō waha, tō kaki rānei, me toro atu koe ki te tākuta. Ahakoa he mate onge te GPN, kei roto i tētahi wāhanga tino nui o tō mahunga me tō kaki ngā io e pā ana. Mā te mōhio ki te take me te whiwhi maimoatanga ka āwhina i te ārai i ngā raruraru kino pea kei te heke mai.
Mena kei a koe te GPN, ka whakaritea e tō tākuta he haerenga tirotiro auau. Ka aroturukihia e tō tākuta ō tohu, ngā huringa katoa, me te angitu o tō maimoatanga.
Me kōrero tonu atu ki tō tākuta mēnā ka kite koe i ēnei mea:
- Ki te mea kei te whakaaro koe kāore te rongoā e tangohia ana e koe e mahi pai ana pērā i mua.
- Mena ka kino haere ngā tohu.
- Mena ka puta mai ngā tohu hou.
Āhea koe me rapu maimoatanga ohorere?
Ehara te GPN i te āhuatanga ohorere, ki te kore e tino kino ngā tohu. Mena ka pāngia koe e te mamae e rite ana ki te GPN me tētahi o ngā tohu e whai ake nei, me rapu tonu koe i te awhina hauora ohorere:
- Te ngoikore, te ngaronga rānei o te māramatanga e puta ana i muri i tētahi mahi motuhake, pērā i te whakatuwhera i te waha, te kōrero rānei.
- Te ngaro ohorere o te māramatanga, kāore he take.
- Ngā panonitanga o te tere o te ngakau, inā koa he pātakitanga o te ngakau kāore i te ōrite, he tere rawa rānei te pātakitanga o te ngakau ( palpitations ).
He aha atu ngā āhuatanga e whakaatu ana i ngā tohu rite ki te GPN?
He maha atu anō ngā āhuatanga hauora e puta mai ana me ngā tohu rite ki te GPN. Arā, ka taea te whakapoauau i ēnei āhuatanga ki te GPN. Ko ēnei:
- Te neuralgia trigeminal
- Te neuralgia a Jacobson
- Ngā mate pāwera o te hononga Temporomandibular (TMJ)
- Ētahi atu momo mamae kanohi rerekē
Whakarāpopototanga me ngā mea hei maumahara
Ina pāngia koe e te GPN, ka uaua pea te noho ko koe anake. He aha te whakarihariha ina pāngia koe e te mamae nui i a koe e kōrero harikoa ana me ō hoa, me te whānau rānei, e kata ana? Tērā pea ka wehi koe ki te haere ki tētahi wharekai hou nā te mea e whakaaro ana koe ka mamae ina horomia e koe. Koinei ngā mea e hari ai te ora, engari ka taea e te mamae te whakarerekē i ēnā mea katoa. Engari, kāore koe e hiahia ki te noho me tēnei mamae.
He mate tino taea te rongoā te GPN.Āhua. He pai te urupare ki te rongoā. He maha atu anō ngā maimoatanga e wātea ana hei whakatutuki i ō hiahia. Ko te tere o tō whiwhinga i te tātaritanga me te maimoatanga, ko te tere hoki ka taea e koe te hoki ki te mahi i ngā mea e pai ana koe me te kore e manukanuka ki te mamae.
Nō reira, ki te pāngia koe e ēnei tohu, rapua he tohutohu hauora. Ko tō hauora te mea nui.
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