He aha tēnei mamae kanohi e kore e taea te manawanui? (Neuralgia Trigeminal)

Kua pāngia koe e te mamae nui i te taha kotahi o tō mata, pērā i te ru hiko, i a koe e parai ana i ō niho, e kai ana, e menemene noa ana rānei? Ka puta, ka ngaro hoki tēnei mamae mō ētahi hēkona, ā, ka tino kino rawa atu, ā, kāore e taea e koe te mahi i ō mahi o ia rā. Ka taea te noho hei wheako mōrearea ki te ora. Koinei te āhua e kōrerohia ana i tēnei rā, arā, ko te Trigeminal Neuralgia.

He aha te Neuralgia Trigeminal?

He māmā noa iho, he mamae io tēnei i tō mata. Hei whakamārama, he mamae neuropathic. He io matua kei reira e kawe ana i te kare ā-roto mai i tō tātou mahunga ki tō tātou mata, e kiia nei ko te io trigeminal. He rite te mahi a tēnei io ki te 'waea' matua e kawe ana i te kare ā-roto ki tō tātou mata me tō tātou mahunga. Ka puta tēnei mamae ina pēhia tēnei io e tetahi mea e tata ana ki te take roro.

Ko te mea e tupu pinepine ana ko te pēhi i te io e tata ana ki te wāhi e tomo ai tēnei io ki te roro e tētahi oko toto. Kātahi ka 'poto' te io, ka tukuna ngā tohu mamae nui ki te roro, kāore he take e kitea ana.

He aha te āhua o tēnei mamae? He aha ngā tohu?

Ko te tohu matua he mamae ohorere, kāore e taea te manawanui, he mamae nui i te taha kotahi o te mata. Ka taea te rongo i tēnei mamae i ngā huarahi rerekē.

• Te āhua nei kei te pāngia koe e te uira
• He mamae koi pērā i te maripi
• Ina pā mai te mamae , ka pēhia aunoatia pea ngā uaua o te mata .

Ahakoa i waenganui i ēnei wā mamae nui, ka pāngia pea ētahi tāngata e ētahi atu mamae o te kanohi.

• Te mura o te tinana
• Te āhua nei kei te wiri tetahi mea (Te wiri)
• Te ngoikore o te mata
• Mamae puhoi, pumau (Mamae puhoi)

I runga i te putanga mai o ēnei tohu, ka taea te wehewehe i te neuralgia trigeminal kia rua ngā momo matua.

I te nuinga o te wā, ka pāngia te taha kotahi o te mata e tēnei mamae. Heoi, he tino onge, ka pā ki ngā taha e rua o te mata (engari kāore e pā ki ngā taha e rua i te wā kotahi). Mō ētahi tāngata, ka kino haere te āhua i roto i te wā, ā, ka piki haere te auau o te mamae.

Ngā mea e whakanui ana i te mamae

Whakaarohia, ko ngā mea noa e mahia ana e koe i ia rā, koia pea te take o tēnei mamae kino. Koinei te wāhanga tino pouri o tēnei mate.

• Te heu, te whakapaipai kanohi, te horoi rānei i tō mata
• Te kai me te inu wai/inu
• Te parai i ngā niho, te horoi i te waha
• Te kōrero, te kata
• Te whakawhāiti paku o te mata, inā koa te paparinga, te kauae rānei
• Ka pā te hau mārie ki te mata.

Ko te mea pai rawa atu, kāore tēnei mamae e pā mai i te wā e moe ana.

He aha tēnei e tupu ai? He aha ngā take?

I te nuinga o te wā ka puta mai tēnei āhuatanga ina pēhia, ina pakaru rānei te io trigeminal. Ka whakarōpūhia tēnei āhuatanga e ngā tākuta i runga i tēnei take.

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?

• He toto toto tiketike
• Te momi hikareti
• Neke atu i te 50 tau te pakeke
• He wahine (he nui ake te tūponotanga o ngā wāhine ki tēnei)
• Kei te pāngia tētahi o te whānau e tēnei mate

E te tākuta, me pēhea e tautuhia ai tēnei?

Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka tirohia e rātou tō mahunga me tō kaki, ā, ka whakahaerehia he whakamātautau io. Ko te tautuhi mate ka whakawhirinaki ki ngā mōhiohio e homai ana e koe.

• Te āhua o te mamae e pā ana ki a koe (pēnei i te ru hiko? Pēnei i te wero ki te maripi?)
• Te wāhi tika o te mata e pāngia ana e te mamae
• He aha ngā momo mahi ka mahia e koe e tīmata ai te mamae?

Hei kimi i te tino take, pērā i te aukati i tētahi oko toto, i tētahi mea rānei pērā i te pukupuku, ka tonoa pea koe kia whai matawai MRI .

He aha ngā maimoatanga mō tēnei?

Waimarie, he maha ngā maimoatanga e wātea ana hei āwhina i te whakahaere i tēnei mamae nui. Tērā pea ka roa te wā e kitea ai te maimoatanga e tino pai ana mōu.

Ngā rongoā

I te nuinga o te wā, ka tūtohu tuatahi te tākuta i ngā rongoā.

• Ngā rongoā ārai-hopu: Ko te mahi a ēnei rongoā mā te aukati i te tuku tohu mamae ki te roro. Ko te tikanga ka tīmata te maimoatanga me ngā rongoā e kiia nei ko te 'Carbamazepine' me te 'Oxcarbazepine'. Ahakoa he tino whai hua ēnei i te tīmatanga, ka heke pea tōna whai huatanga i roto i te wā. Ka whakamahia hoki ētahi atu rongoā pēnei i te 'Gabapentin', 'Pregabalin', 'Lamotrigine'.
• Baclofen: He rongoā whakangāwari uaua tēnei.

Tērā pea he pānga taha tō ia o ēnei rongoā, nō reira me mahi tahi kōrua ko tō tākuta ki te whiriwhiri i te rongoā pai rawa atu māu.

Pokanga

Ko te tikanga ka whakaarohia te pokanga i roto i ēnei take:

• Mena kāore e taea te whakahaere i te mamae mā te rongoā.
• Mena he mate TN tuarua (hei tauira, he pukupuku).

He rerekē ngā momo pokanga, ā, he rerekē anō hoki ō rātou mōrearea me ngā putanga.

• Te whakaiti i te pēhanga toto iti: Koinei te pokanga tino angitu. Ko te tango i te uaua toto e pēhi ana i te io mā te pokanga, ka whakauruhia he 'papa' iti ki waenganui.
• Pokanga Irahiko: Ko te tikanga o tēnei ko te tuku i tētahi hihi irahiko ki te pūtake io hei aukati i ngā tohu mamae. Tērā pea ka roa te marama ka kitea ngā hua.
• Rhizotomy: Ko te tikanga o tēnei ko te whara ā-tauira i te pūtake io hei aukati i ngā tohu mamae. He maha ngā huarahi ka taea ai tēnei. Heoi, he maha tonu ngā wā ka waiho he ngoikore o te mata.

Ētahi atu maimoatanga

Haunga ngā rongoā, ka taea e ētahi atu mea te āwhina ki te whakahaere i te mamae.

• Mā ngā werohanga paitini botulinum, mā ngā aukati io rānei ka whakaora i te mamae mō te wā poto.
• Te wero ngira
• Urupare koiora
• Hinengaro Whakaora
• Yoga me te Whakaaroaro

He aha atu ngā raruraru ka puta mai i tēnei?

Ka tino kino te mamae o te neuralgia trigeminal, ā, ka pā kino ki tō hauora hinengaro me tō oranga o ia rā. Tērā pea ka pāngia te hunga whai mate nei e:

• Te pouri
• Manukanuka
• Te noho mokemoke ā-iwi

Waihoki, ka puta pea ngā raruraru mai i ngā maimoatanga. Hei tauira, ko te whakamahinga roa o ngā rongoā ārai-hōhā ka arahi pea ki te angiangi o te wheua (osteoporosis). Ka taea hoki e te pokanga te whakapōrearea i te kanohi tuturu.

Āhea ahau me toro atu ki te tākuta?

Kāore he tangata e hiahia ana ki te noho me te mamae tonu, te mamae nui. Ki te pāngia koe e te mamae nui o te kanohi, me toro atu ki te tākuta tonu. Mena kua tautuhia koe kei te pāngia e tēnei mate, he mea nui kia toro atu koe ki tō tākuta i ia wā, kia mōhio ai kei te whai hua tō mahere maimoatanga.