Kodi mukumva kupweteka ngati kugwedezeka kwamagetsi pankhope panu? Izi zikunena za Tic Douloureux (Trigeminal Neuralgia)

Kodi munayamba mwamvapo ululu wosapiririka mbali imodzi ya nkhope yanu, monga kugwedezeka ndi magetsi, pamene munkatsuka mano anu, kumeta ndevu, kapena kungogwedezeka ndi mphepo? Ululu waukulu uwu womwe umabwera ndikutha pakangopita masekondi ochepa, koma panthawiyo, umakupangitsani kumva kuti simuli bwino, uyenera kuti unakusiyani mukumva mantha komanso nkhawa. Lero tikambirana za vutoli lomwe limakhudza anthu ambiri, koma sadziwa zambiri za vutoli.

Kodi Tic Douloureux uyu ndi chiyani?

Mwachidule, Tic Douloureux ndi matenda omwe amadziwika kuti `trigeminal neuralgia` . Uwu ndi matenda omwe munthu amamva kupweteka kwakuthwa, kobaya kapena kofanana ndi kwamagetsi mbali imodzi ya nkhope chifukwa cha vuto la mitsempha ya trigeminal, mitsempha yayikulu yomwe imapereka kumva kumaso kwathu. Ululuwu ndi woopsa kwambiri kotero kuti nthawi zina nkhope imagwedezeka mosadziwa ululu ukachitika. Limenelo ndilo tanthauzo la mawu achingerezi akuti "tic".

Ululu umenewu nthawi zambiri umakhala kuyambira masekondi angapo mpaka mphindi zochepa. Koma kuukira kumeneku kumatha kuchitika kangapo patsiku. Chinthu chachilendo n'chakuti pamene palibe ululu, palibe kumva kuwawa kapena vuto lina lililonse pankhope.

Anthu ambiri amamva ululu uwu mbali imodzi yokha ya nkhope yawo, m'nsagwada, m'masaya, kapena pakamwa. Ululuwu ndi waukulu kwambiri moti anthu ena amaopa kulankhula, kudya, kapena kumwa madzi akamagwidwa.

Kodi chifukwa cha ululu waukulu uwu n'chiyani?

Ngakhale kuti n'zosatheka kunena chifukwa chenicheni cha izi, pali malingaliro angapo pa izi.

Chiphunzitso chofala kwambiri ndi chakuti mtsempha wamagazi (nthawi zambiri mtsempha wamagazi) muubongo umakanikizidwa pa mitsempha ya trigeminal, zomwe zimapangitsa kuti mitsempha iwonongeke. Taganizirani ngati chitoliro chamadzi chomwe chimaphwanyidwa chikayikidwa cholemera. Pakapita nthawi, kupanikizika kumeneku kumawononga chophimba choteteza kuzungulira mitsempha, chotchedwa myelin sheath . Zili ngati chotenthetsera cha waya wamagetsi chomwe chimatha. Kenako mitsemphayo imakhala yolimba kwambiri ndipo imayamba kutumiza zizindikiro za ululu ku ubongo popanda chifukwa chomveka.

Kuphatikiza apo, zotupa muubongo, zolakwika zina m'mafupa a chigaza, kuvulala mutu chifukwa cha ngozi, matenda opatsirana, ndi Multiple Sclerosis ( MS) zingayambitse khunyu.)` ingayambitsenso ululu powononga mitsempha ya trigeminal.

Kodi zizindikiro zake ndi ziti kwenikweni?

Chizindikiro chachikulu komanso chokhacho cha matendawa ndi ululu. Koma ululuwo uli ndi makhalidwe apadera angapo. Tiyeni tiwone zomwe zili.

Chofunika kwambiri, vutoli silikhudza kukoma, kumva, kapena kugwira ntchito kwa minofu ya nkhope. Izi zikutanthauza kuti ndi vuto lokhalo lomwe limangokhudza ululu .

Kodi ndi liti pamene kuli bwino kufunafuna uphungu kwa dokotala?

• Ngati ululu sungathe kuthetsedwa ndi mankhwala omwe dokotala wanu wakupatsani, onetsetsani kuti mwawonananso ndi dokotala wanu.
• Ngati mukupeza zizindikiro zatsopano kuwonjezera pa ululu (monga dzanzi la nkhope, kumva, chizungulire , kusintha kwa masomphenya), muyeneranso kuuza dokotala wanu. Popeza tic douloureux ndi vuto lomwe limangoyambitsa ululu, zizindikiro zatsopano zitha kukhala chizindikiro cha vuto lina lachipatala.

Kodi mukufuna kupita ku ETU liti?

Ngati mukumva zizindikiro monga kutentha thupi, kutuluka magazi m'thupi , kapena chizungulire chachikulu pamodzi ndi ululu, chikhoza kukhala chizindikiro cha vuto lalikulu. Pazochitika zotere, ndi bwino kupita kuchipatala mwamsanga (ETU) . Komanso, ngati ululuwo ndi wosapiririka ndipo simungathe kulankhula ndi dokotala wanu, ndi bwino kupita ku ETU.

Kodi mwapeza bwanji izi, Dokotala?

Palibe mayeso amodzi okha odziwira vutoli. Dokotala wanu adzakupatsani matendawo potengera momwe mwafotokozera zizindikiro zanu, mayeso akuthupi , komanso kuchotsa matenda ena omwe angayambitse kupweteka kwa nkhope yanu .

1. Kufotokozera zizindikiro: Kupweteka kofanana ndi kugwedezeka kwa magetsi komwe mukufotokoza, momwe kumachitikira, ndi zomwe zimayambitsa matendawa zidzapatsa dokotala chidziwitso chokwanira chokhudza matendawa.

2. Kuwunika thupi: Nthawi zambiri , palibe vuto lililonse lomwe limapezeka powunika wodwala yemwe ali ndi tic douloureux. Komabe, ngati pali vuto monga dzanzi la nkhope kapena kutayika kwa kumva, dokotalayo amakayikira matenda ena. Komanso, zinthu monga matenda a sinus , matenda a mano, ndi mavuto a temporomandibular joint (TMJ) zitha kupezeka powunika thupi.

3. Kujambula: Kujambula kwa ubongo kwa CT kapena MRI kungayang'ane ngati pali mtsempha wamagazi kapena chotupa chomwe chikukakamira pamitsempha. Mayesowa angathandizenso kuchotsa zifukwa zina zomwe zingayambitse kupweteka pankhope.

Kodi mankhwala ochizira izi ndi otani?

Palibe njira zochiritsira ululu uwu kunyumba. Chithandizo chiyenera kufunidwa motsogozedwa ndi dokotala. Nthawi zambiri, ululuwu ukhoza kuthetsedwa bwino ndi mankhwala. Nthawi zambiri, opaleshoni siifunika.

Mankhwala

Mankhwala oletsa kupweteka kwa mutu ndi omwe amagwiritsidwa ntchito kwambiri poletsa ululuwu. Mankhwalawa amagwira ntchito poletsa mitsempha ya trigeminal yomwe yawonongeka kutumiza zizindikiro zosafunikira za ululu.

• Mankhwala Ofunika Kwambiri: Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi `Carbamazepine (Tegretol). Kuphatikiza apo, mankhwala monga `Oxcarbazepine (Trileptal)`, `Gabapentin (Neurontin)`, ndi `Lamotrigine (Lamictal)` nawonso agwiritsidwa ntchito bwino.
• Zotsatirapo zake: Mankhwalawa amayamba ndi mlingo wochepa. Mlingo wake umawonjezeka pang'onopang'ono mpaka ululu utachepa. Zotsatirapo zake monga kugona, chizungulire, kuona kawiri, komanso nseru zimatha kuchitika.
• Mankhwala ena: Kwa iwo omwe sayankha mankhwala omwe ali pamwambapa kapena omwe ali ndi zotsatirapo zoyipa kwambiri, mankhwala opumulira minofu a Baclofen (Lioresal) ndi, nthawi zina, Pimozide (Orap) angathandize. Jakisoni wa Botox wawonetsedwanso kuti amapereka mpumulo waukulu wa ululu.

Opaleshoni

Ngati mankhwala sakuletsa ululu kapena zotsatirapo zake sizingapiririke, opaleshoni ingaganizidwe. Izi zingaphatikizepo kuwonana ndi dokotala wa opaleshoni ya mitsempha. Pali njira zosiyanasiyana, kuyambira njira zosavuta monga kubaya jakisoni wa mankhwala oletsa ululu m'mitsempha mpaka opaleshoni yovuta yomwe imatsegula ubongo. Ngakhale kuti opaleshoni yovuta nthawi zambiri imapereka mpumulo kwa nthawi yayitali, imagwirizanitsidwa ndi zoopsa zambiri.

Kodi vutoli lingapewedwe?

Mwatsoka, palibe njira yoletsera kuti tic douloureux isachitike.