Kodi ululu wosapiririka wa nkhope uwu ndi chiyani? (Trigeminal Neuralgia)

Kodi munayamba mwamvapo ululu wosapiririka mbali imodzi ya nkhope yanu, monga kugwedezeka ndi magetsi, mukatsuka mano anu, kudya, kapena kungomwetulira? Ululu uwu, womwe umabwera ndikutha kwa masekondi angapo, ukhoza kukhala woopsa kwambiri moti simungathe kuchita ntchito zanu za tsiku ndi tsiku. Ukhoza kukhala woopsa kwambiri. Umenewo ndi matenda omwe tikukamba lero, Trigeminal Neuralgia.

Kodi Trigeminal Neuralgia ndi chiyani?

Mwachidule, uwu ndi ululu wa mitsempha pankhope panu. Kunena zoona, ndi ululu wa mitsempha. Pali mitsempha yayikulu yomwe imanyamula kumva kuchokera kumutu kupita kunkhope, yotchedwa trigeminal nerve. Mitsempha iyi imagwira ntchito ngati 'waya' waukulu womwe umanyamula kumva kunkhope ndi kumutu kwathu. Kupweteka kumeneku kumachitika pamene chinachake chikukankhira mitsempha iyi pafupi ndi ubongo.

Chomwe chimachitika nthawi zambiri n'chakuti mtsempha wamagazi pafupi ndi komwe mitsempha iyi imalowera muubongo umakanikizira mitsempha. Kenako mitsemphayo imakhala 'yofupika' ndipo imatumiza zizindikiro za ululu waukulu ku ubongo popanda chifukwa chomveka.

Kodi ululu uwu umamveka bwanji? Kodi zizindikiro zake ndi ziti?

Chizindikiro chachikulu ndi kupweteka kwadzidzidzi, kosapiririka, komanso koopsa mbali imodzi ya nkhope. Kupweteka kumeneku kungamveke m'njira zosiyanasiyana.

• Kumva ngati ukukanthidwa ndi mphezi
• Ululu wakuthwa ngati mpeni
• Ululu ukayamba , minofu ya nkhope imatha kukhazikika yokha .

Ngakhale pakati pa nthawi ya ululu waukuluwu, anthu ena angakumane ndi mavuto ena a nkhope.

• Kumva kutentha
• Kumva ngati chinachake chikukupweteka (Kukupweteka)
• Kusagwira nkhope
• Kupweteka kosalekeza (Kupweteka kosalekeza)

Kutengera momwe zizindikirozi zimachitikira, trigeminal neuralgia ingagawidwe m'magulu awiri akuluakulu.

Nthawi zambiri, ululu uwu umakhudza mbali imodzi yokha ya nkhope. Komabe, nthawi zambiri, umakhudza mbali zonse ziwiri za nkhope (koma osati mbali zonse ziwiri nthawi imodzi). Kwa anthu ena, vutoli likhoza kukulirakulira pang'onopang'ono pakapita nthawi, ndipo ululuwo ukhoza kuwonjezeka pafupipafupi.

Zinthu zomwe zimawonjezera ululu

Tangoganizirani, zinthu wamba zomwe mumachita tsiku ndi tsiku zitha kukhala zomwe zimayambitsa ululu woopsawu. Iyi ndi gawo lomvetsa chisoni kwambiri la matendawa.

• Kumeta ndevu, kudzipaka zodzoladzola, kapena kutsuka nkhope yanu
• Kudya ndi kumwa madzi/zakumwa
• Kutsuka mano, kutsuka pakamwa
• Kulankhula, kuseka
• Kumangika pang'ono kwa nkhope, makamaka tsaya kapena nsagwada
• Mphepo yaing'ono ikugunda nkhope.

Chabwino kwambiri n'chakuti ululu uwu nthawi zambiri sumachitika munthu akagona.

N’chifukwa chiyani izi zimachitika? Kodi zifukwa zake ndi ziti?

Kawirikawiri zimachitika pamene pali kupanikizika kapena kuwonongeka kwa mitsempha ya trigeminal. Madokotala amaika vutoli m'magulu malinga ndi chifukwa chake.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

• Kukhala ndi kuthamanga kwa magazi
• Kusuta
• Zaka zoposa 50
• Kukhala mkazi (akazi amakhala ndi mwayi waukulu wokhala ndi izi)
• Wina m'banjamo ali ndi matendawa

Dokotala, mumazindikira bwanji izi?

Mukapita kukaonana ndi dokotala, iye adzakufunsani kaye za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako, adzafufuza mutu wanu ndi khosi lanu ndikukupimani ubongo. Kuzindikira matendawa nthawi zambiri kumadalira zomwe mwapereka.

• Mtundu wa ululu womwe mukumva (monga kugwedezeka ndi magetsi? Monga kubaya ndi mpeni?)
• Malo enieni a nkhope komwe ululu umamveka
• Ndi zinthu ziti zomwe mumachita zomwe zimayambitsa ululu?

Kuti mudziwe chifukwa chenicheni, monga ngati mtsempha wamagazi watsekeka kapena ngati pali chotupa, mungapemphedwe kuti muyesedwe ndi MRI .

Kodi mankhwala ochizira izi ndi otani?

Mwamwayi, pali njira zingapo zothandizira kuchepetsa ululu waukuluwu. Zingatenge nthawi kuti mupeze chithandizo chomwe chingakuthandizeni.

Mankhwala

Kawirikawiri, dokotala amalangiza mankhwala poyamba.

• Mankhwala oletsa kugunda kwa mtima: Mankhwalawa amagwira ntchito poletsa kufalikira kwa zizindikiro za ululu ku ubongo. Chithandizo nthawi zambiri chimayamba ndi mankhwala otchedwa `Carbamazepine` kapena `Oxcarbazepine`. Ngakhale kuti mankhwalawa ndi othandiza kwambiri poyamba, mphamvu yawo imatha kuchepa pakapita nthawi. Mankhwala ena monga `Gabapentin`, `Pregabalin`, `Lamotrigine` amagwiritsidwanso ntchito.
• Baclofen: Iyi ndi mankhwala opumulitsa minofu.

Mankhwala aliwonsewa akhoza kukhala ndi zotsatirapo zina, kotero inu ndi dokotala wanu muyenera kugwira ntchito limodzi kuti musankhe mankhwala abwino kwambiri kwa inu.

Opaleshoni

Opaleshoni nthawi zambiri imaganiziridwa pazochitika ngati izi:

• Ngati ululu sungathetsedwe ndi mankhwala.
• Ngati pali vuto lachiwiri la TN (monga chotupa).

Pali mitundu yosiyanasiyana ya opaleshoni, ndipo zoopsa zake ndi zotsatira zake zimasiyananso.

• Kuchepetsa mitsempha yamagazi: Iyi ndi opaleshoni yopambana kwambiri. Imafuna kuchotsa mtsempha wamagazi womwe ukukankha mitsempha ndikuyika 'pad' yaying'ono pakati pake.
• Opaleshoni ya Radiosurgery: Izi zimaphatikizapo kutsogolera kuwala kwa radiation ku muzu wa mitsempha kuti kutseke zizindikiro za ululu. Zingatenge pafupifupi mwezi umodzi kuti muwone zotsatira.
• Kuchotsa ululu m'thupi: Izi zimaphatikizapo kuwononga dala mizu ya mitsempha kuti muchepetse ululu. Izi zitha kuchitika m'njira zingapo. Komabe, nthawi zambiri zimasiya dzanzi pankhope.

Mankhwala ena

Kuphatikiza pa mankhwala, zinthu zina zingathandize kuchepetsa ululu.

• Jakisoni wa poizoni wa botulinum kapena zotchinga mitsempha zimathandiza kwakanthawi.
• Kujambula ndi Acupuncture
• Kuyankha kwa Biofeedback
• Chithandizo cha maganizo
• Yoga ndi Kusinkhasinkha

Ndi mavuto ena ati omwe izi zingayambitse?

Kupweteka kwa mitsempha ya trigeminal kungakhale koopsa kwambiri moti kungakhudze kwambiri thanzi lanu la maganizo komanso moyo wanu watsiku ndi tsiku. Anthu omwe ali ndi vutoli angakumane ndi izi:

• Kuvutika maganizo
• Nkhawa
• Kudzipatula pagulu

Komanso, mavuto angabwere chifukwa cha chithandizo. Mwachitsanzo, kugwiritsa ntchito mankhwala oletsa khunyu kwa nthawi yayitali kungayambitse kuonda mafupa (osteoporosis). Opaleshoni ingayambitsenso dzanzi la nkhope kosatha.

Kodi ndiyenera kupita kwa dokotala liti?

Palibe amene akufuna kukhala ndi ululu wopitirira muyeso komanso woopsa. Ngati mukumva kupweteka kwambiri pankhope, pitani kwa dokotala nthawi yomweyo. Ngati mwapezeka ndi vutoli, ndikofunikira kupita kwa dokotala nthawi zonse kuti muwonetsetse kuti dongosolo lanu la chithandizo likugwira ntchito.