Kua pāngia koe e te mamae e kore e taea te tu atu i te taha kotahi o tō mata, pērā i te ru hiko, i a koe e parai ana i ō niho, e heu ana, e pupuhi ana rānei i te hau? Ko tēnei mamae nui e puta mai ana, e memeha ana i roto i ngā hēkona ruarua, engari i taua wā tonu, ka tino pōuri koe, me te mea kua tino mataku koe, kua manukanuka hoki. I tēnei rā ka kōrero tātou mō tēnei mate e pā ana ki te tini o te tangata, engari kāore rātou i te mōhio nui ki tēnei mea.
He aha tēnei Tic Douloureux?
Ki te whakarapopototanga, ko te Tic Douloureux he mate e mōhiotia whānuitia ana e te rongoā ko te 'trigeminal neuralgia' . He mate tēnei e pāngia ai te tangata e te mamae koi, te wero, te mamae hiko rānei i te taha kotahi o te mata nā te raruraru o te io trigeminal, te io matua e tuku ana i te rongo ki te mata. He tino kino tēnei mamae, ā, i ētahi wā ka wiriwiri te mata ina puta te mamae. Koinei te tikanga o te kupu Pākehā "tic".
Ko te tikanga, ka roa tēnei mamae mai i te torutoru hēkona ki te torutoru meneti. Engari ka taea e ēnei whakaeke te puta i ngā wā maha i te rā. Ko te mea rerekē, ina kore he mamae, kāore he ngaungau, he raruraru rānei i te mata.
Ko te Trigeminal Neuralgia tētahi o ngā mate tino mamae ka pā ki te tangata. Nō reira, ki te pāngia koe e tēnei momo mamae, kaua e warewaretia.
He maha ngā tāngata ka pāngia e tēnei mamae i te taha kotahi o ō rātou mata, arā, i te kauae, i te paparinga, i te ngutu rānei. He tino kino te mamae, ā, ka mataku ētahi tāngata ki te kōrero, ki te kai, ki te inu wai rānei i te wā e pāngia ana.
He aha te take o tēnei mamae nui?
Ahakoa kāore e taea te kī tika he aha te take mō tēnei, he maha ngā whakaaro mō tēnei.
Ko te ariā e tino whakaaetia ana ko te pēhitanga o tētahi oko toto (he uaua te nuinga) i roto i te roro ki runga i te io trigeminal, ka pakaru te io. Whakaarohia he rite ki tētahi paipa wai e kuruhia ana ina whakatakotoria he taumaha ki runga. I roto i te wā, ka pakaru te hipoki tiaki e karapoti ana i te io, e kiia nei ko te pūkahu myelin , nā tēnei pēhitanga. He rite ki te ārai i runga i tētahi waea hiko e memeha haere ana. Kātahi ka tino pāngia te io, ka tīmata te tuku tohu mamae ki te roro, kāore he take e kitea ana.
Hei tāpiritanga, ka taea e ngā pukupuku roro, ētahi āhuatanga rerekē o ngā wheua o te angaanga, ngā whara o te upoko i ngā aituā, ngā mate urutā, me te Multiple Sclerosis ( MS) te whakaputa i ngā haurangi.)` ka mamae anō hoki mā te pakaru i te io trigeminal.
He aha tonu ngā tohu?
Ko te mamae te tohu matua, ko te tohu anake o tēnei mate. Engari he maha ngā āhuatanga motuhake o taua mamae. Kia titiro tātou he aha ēnei.
| Āhuatanga | Whakaahuatanga |
|---|---|
| Te āhua o te mamae | He mamae ohorere, koi, kāore e taea te whakamanawanui, pērā i te werohanga, te pū, te ru hiko rānei. |
| Te wāhi e puta ai te mamae | He maha ngā wā ka pā ki te taha kotahi o te mata. He maha ngā wā ka pā ki te paparinga, ki te kauae, ki ngā niho, ki ngā kapia, ki te ngutu rānei. He tino onge, ka pā ki te taha o te kanohi. |
| Te roa o te mamae | He poto noa te roa o ēnei whakaeke, mai i ētahi hēkona ki te rua meneti pea, engari ka taea te puta i ētahi wā i te rā, i ngā rau rānei. |
| Ngā mea e whakaoho ana i te mamae | Ka pā te mamae mā te pā atu ki tētahi pūwāhi i te taha kotahi o te mata e pāngia ana e te mamae. Hei tauira: te kōrero, te kata, te parai i ō niho, te horoi i tō mata, te heu, te whakapaipai i te mata, te pāngia e te hau mātao, te kai, te inu rānei i tētahi mea. |
| Tauira mamae | Ka roa pea ngā whakaekenga mamae mō ngā wiki, mō ngā marama rānei. I muri i tēnā, ka taea e koe te noho kore mamae mō ngā marama, tae noa ki ngā tau. Heoi, i roto i te wā, ka hoki anō te mamae. |
Ko te mea nui, kāore tēnei āhuatanga e pā ki te reka, te whakarongo, te mahi rānei o ngā uaua o te kanohi. Ko te tikanga he āhuatanga mamae anake tēnei .
Āhea te wā pai ki te rapu tohutohu hauora?
- Ki te kore te mamae e taea te whakahaere e te rongoā kua tohua e tō tākuta, me toro atu anō ki tō tākuta.
- Mena ka puta mai ētahi atu tohu hou i tua atu i te mamae (hei tauira, te ngoikore o te kanohi, te ngaronga o te rongo, te whanoke , te panoni o te tirohanga), me kōrero anō hoki koe ki tō tākuta. Nā te mea ko te tic douloureux he mate e puta ai te mamae anake, ko ngā tohu hou he tohu pea nō tētahi atu mate hauora.
Āhea koe e hiahia ana ki te haere ki te ETU?
Ki te pāngia koe e ngā tohu pēnei i te kirika, te whero , te whanoke nui rānei me te mamae, he tohu pea tēnei mō tētahi mate kino ake. I roto i ēnei āhuatanga, he pai ake te haere ki te rūma ohorere o te hōhipera (ETU) i te wā e taea ai. Waihoki, ki te kore e taea te manawanui te mamae, ā, kāore e taea e koe te toro atu ki tō tākuta, he mea whakaaro nui te haere ki te ETU.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Kāore he whakamātautau motuhake kotahi hei tautuhi i tēnei mate. Ka whakatauhia e tō tākuta te mate i runga i tō whakaahuatanga o ō tohu, i tētahi whakamātautau tinana , me te whakakore i ētahi atu mate e pā ana ki te mamae o tō kanohi .
1. Whakaahuatanga o ngā tohu: Mā te mamae rite ki te ru hiko e whakaahuahia ana e koe, te āhua o tōna putanga mai, me ngā mea e whakaoho ai, ka mōhio te tākuta ki tēnei mate.
2. Whakamātautau tinana: I te nuinga o te wā , kāore he āhuatanga rerekē e kitea ana i te wā e tirotirohia ana te tūroro he tic douloureux. Heoi, ki te mea he āhua pēnei i te ngoikore o te kanohi, te ngaronga rānei o te rongo, ka whakapae te tākuta i ētahi atu mate. Waihoki, ka kitea ngā āhuatanga pēnei i te mate sinus , te mate niho, me ngā raruraru hononga temporomandibular (TMJ) i te wā e tirotirohia ana te tinana.
3. Ngā Matawai: Mā te matawai CT, MRI rānei o te roro ka taea te tirotiro mēnā he uaua toto, he pukupuku rānei e pēhi ana i te io. Ka taea hoki e ēnei whakamātautau te āwhina ki te whakakore i ētahi atu take pea o te mamae o te kanohi.
He aha ngā maimoatanga mō tēnei?
Kāore he rongoā kāinga mō tēnei mamae. Me rapu maimoatanga i raro i te aratohu a te tākuta. He maha ngā wā ka taea te whakahaere angitu i te mamae mā te rongoā. He onge te wā ka hiahiatia he pokanga.
Ngā rongoā
Ko ngā rongoā ārai-ohorere ngā rongoā matua e whakamahia ana hei whakahaere i tēnei mamae. Ko te mahi a ēnei rongoā mā te aukati i te io trigeminal kua pakaru kei tuku tohu mamae kore e hiahiatia.
- Ngā rongoā matua: Ko te rongoā e whakamahia whānuitia ana ko te `Carbamazepine (Tegretol). Hei tāpiri, kua whakamahia angitu hoki ngā rongoā pēnei i te `Oxcarbazepine (Trileptal)`, `Gabapentin (Neurontin)`, me te `Lamotrigine (Lamictal)`.
- Ngā pānga taha: Ka tīmatahia ēnei rongoā i te horopeta iti. Ka piki haere te horopeta kia kore ra ano te mamae e pā. Tērā pea ka puta ngā pānga taha pēnei i te hiamoe, te whanoke, te tirohanga rua, me te whakapairuaki.
- Ngā rongoā kē atu: Mō te hunga kāore e aro ki ngā rongoā o runga ake nei, mō te hunga rānei e pāngia ana e ngā pānga taha kino, tera pea ka āwhina te rongoā whakangāwari uaua Baclofen (Lioresal) me, i ētahi wā, Pimozide (Orap). Kua whakaatuhia hoki ka taea e ngā werohanga Botox te whakaora nui i te mamae.
He mea nui: Ka pā pea ētahi o ēnei rongoā ki ō pūtau toto me te mahi a te ate. Nō reira, he mea nui kia whakamātauria tonutia ō toto e ai ki ngā tohutohu a tō tākuta. Kaua e tīmata, e mutu rānei te tango i ēnei rongoā me te kore e kōrero ki tō tākuta mō tētahi take.
Pokanga
Mena kāore e taea e te rongoā te whakahaere i te mamae, kāore rānei e taea te whakamanawanui i ngā pānga taha o te rongoā, ka whakaarohia pea te pokanga. Tērā pea ka uru atu ki tēnei te toro atu ki tētahi taote pokanga roro. He maha ngā kōwhiringa, mai i ngā tikanga māmā pēnei i te werohanga i tētahi rongoā whakamoe ki roto i te io ki ngā pokanga uaua e whakatuwhera ana i te roro. Ahakoa he maha ngā wā ka whakaratohia e ngā pokanga uaua he whakaora mō te wā roa, he nui ake ngā mōrearea e pā ana ki ēnei.
Ka taea te ārai i tēnei āhuatanga?
Engari, kāore he huarahi hei aukati i te puta o te tic douloureux.
Karere Tangohia ki te Kāinga
- Ko te Tic douloureux (Trigeminal Neuralgia) he mate e puta ai te mamae nui, engari ehara i te mate e pā kino ana ki te tinana mō te wā roa, e morearea ana rānei ki te ora. He mate e herea ana ki te mamae anake.
- Ko te tino take o tēnei mamae he pēhitanga o tētahi uaua toto ki tētahi io.
- Ko te tautuhi i te mate ka whakawhirinaki ki ō tohumate.
- E tata ana ki te katoa ka taea te whakahaere angitu i tēnei mamae mā te rongoā, mā te pokanga rānei.
- Ki te pā mai ēnei tohu ki a koe, kaua e mataku, kaua e whakaroa, me toro atu ki tētahi tākuta whai tohu, ā, me whiwhi koe i te maimoatanga tika. Pērā ai, ka taea e koe te noho anō i te oranga noa, i te oranga whakamarie.
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