Kodi mukumva kupweteka kwamagetsi kosapiririka mbali imodzi ya nkhope yanu? Kodi kungakhale kupweteka kwa mitsempha ya trigeminal?

Kodi nthawi zina mumamva ululu waukulu kwambiri mbali imodzi ya nkhope yanu? Kodi ndi ululu waukulu ngati kugwedezeka ndi magetsi, kapena wina akukubayani ndi mpeni? Kapena ululuwu umachitika ngakhale mutaseka, mukulankhula, kapena mukudya? Ndiye izi zitha kukhala zofunika kwambiri kwa inu. Lero, tikambirana za matenda otchedwa Trigeminal Neuralgia.

Kodi Trigeminal Neuralgia ndi chiyani?

Mwachidule, trigeminal neuralgia ndi ululu waukulu kwambiri, wosapiririka womwe umachitika mbali imodzi ya nkhope yanu, nthawi ndi nthawi. Izi nthawi zambiri zimachitika pamene mtsempha wamagazi mu ubongo wanu, wotchedwa trigeminal nerve , wapanikizika. Taganizirani izi, trigeminal nerve iyi ndiye mitsempha yayikulu yomwe imabweretsa kumva kumutu ndi kumaso kwathu. Zili ngati sensa yomwe ili pankhope pathu. Chifukwa chake pakakhala kupanikizika pa mitsempha iyi, zizindikiro zomwe zimachokera zimasokonekera, zomwe zimapangitsa ululu waukuluwu. Izi zimaonedwa ngati ululu wokhudzana ndi mitsempha.

Iyi si matenda oopsa, koma imasintha moyo . Tangoganizani, anthu ambiri amavutika maganizo chifukwa cha ululu waukuluwu womwe umabwera kwa masekondi kapena mphindi ngakhale akamachita zinthu wamba monga kudya, kulankhula, kuseka, kapena kutsuka mano awo. Izi nthawi zambiri zimakhala vuto la '(Chronic)' kwa nthawi yayitali. Koma musadandaule, pali mankhwala angapo omwe angathandize kuchepetsa zizindikirozi.

Anthu ena amatchanso izi kuti 'tic douloureux', lomwe ndi dzina lina la matenda omwewo.

Kodi vutoli ndi lofala bwanji?

Ngakhale kuti palibe ziwerengero zenizeni ku Sri Lanka, malinga ndi deta yochokera kumayiko ena padziko lonse lapansi, anthu pafupifupi miliyoni imodzi ndi theka amapezeka ndi matendawa chaka chilichonse. Azimayi ndi omwe ali ndi mwayi waukulu wopeza matendawa kuposa amuna . Komanso, matendawa amapezeka kwambiri akakwanitsa zaka 50. Matendawa ndi osowa kwambiri kwa ana aang'ono.

Kodi zizindikiro za matenda a trigeminal neuralgia ndi ziti?

Chizindikiro chachikulu ndi kupweteka kwadzidzidzi komanso koopsa pankhope . Nthawi zambiri, izi zimachitika mbali imodzi yokha ya nkhope. Ululuwu ukhoza kubwera m'njira zosiyanasiyana:

• Zingamveke ngati mwagundidwa ndi mphezi .
• Pakhoza kukhala ululu waukulu , ngati kubayidwa .
• Ululu ukabwera, ungamve ngati minofu ya nkhope yanu ikugwedezeka .

Mu nthawi yopanda ululu, mungamve zinthu monga:

• Ngati moto .
• Kugunda ngati mbama .
• Kusamva bwino .
• Ululu wochepa komanso wopepuka .

Pali mitundu iwiri ya ululu kutengera momwe umachitikira:

1. Paroxysmal TN:Chomwe chimachitika pankhaniyi ndichakuti pamakhala ululu wodzidzimutsa, woopsa, komanso woopsa. Ululuwu ukhoza kukhalapo kuyambira masekondi angapo mpaka pafupifupi mphindi ziwiri, nthawi zina kutsatiridwa ndi kutentha pankhope. Ngakhale kuti pali nthawi pakati pa nthawi yomwe ululuwo umatha, ululuwo ukhoza kubwereranso mobwerezabwereza kwa maola awiri. Tangoganizirani, monga Niluka, akatsegula pakamwa pake kuti adye, amayamba ndi mzere woonda kumanja kwa nkhope yake, ndipo mkati mwa masekondi ochepa, ululu wosapiririka umabwera, umatha pakapita kanthawi, ndipo umabwerera akamayesa kudya.

2. Ululu wosalekeza (TN yokhala ndi ululu wosalekeza / TN yosayembekezereka): Mu mtundu uwu, ululu si wakuthwa monga momwe tafotokozera pamwambapa, koma pali ululu wosalekeza . Pakhoza kukhala kubaya, kutentha, komanso kupweteka pang'ono. Mu vuto ili la trigeminal neuralgia (losayembekezereka), zingakhale zovuta pang'ono kuwongolera zizindikiro.

Matenda a trigeminal neuralgia nthawi zambiri ndi matenda a "unilateral" omwe amakhudza mbali imodzi yokha ya nkhope. Nthawi zambiri, amatha kukhudza mbali zonse ziwiri za nkhope (bilateral), koma osati zonse ziwiri nthawi imodzi. Nthawi zina, pakapita nthawi, ululu ukhoza kuwonjezeka pafupipafupi, kupitirira nthawi, ndikuipiraipira.

Ndi zinthu ziti zomwe zimawonjezera ululu uwu (`Zoyambitsa`)?

Kawirikawiri, vuto lopwetekali limayamba chifukwa cha zinthu zosavuta, za tsiku ndi tsiku, monga kusuntha nkhope yanu kapena kukhudza nkhope yanu. Mwachitsanzo:

• Mukameta ndevu, kupaka zodzoladzola, kutsuka nkhope yanu.
• Mukudya chakudya, mukamwa madzi.
• Mukatsuka mano anu, mukatsuka pakamwa panu.
• Mukamalankhula, mukuseka.
• Ngati pali kupanikizika kulikonse pankhope, makamaka pa tsaya kapena nsagwada.
• Ngakhale mphepo yamphamvu kwambiri (ganizirani za mphepo yomwe ikubwera kudzera pawindo la basi) ingayambitse ululu.

Koma modabwitsa, ululu uwu sumachitika kawirikawiri mukagona .

N’chifukwa chiyani matenda a trigeminal neuralgia amachitika? Kodi zimayambitsa chiyani?

Kawirikawiri, izi zimachitika chifukwa cha kupanikizika kapena kuwonongeka kwa mitsempha ya trigeminal. Madokotala amaigawa motsatira zomwe zimayambitsa:

Mitundu itatu malinga ndi chifukwa:

1. TN yoyamba (yachikhalidwe): Izi zimachitika chifukwa cha mtsempha wamagazi (nthawi zambiri womwe ndi cerebellar artery yapamwamba) kukankha muzu wa mitsempha ya trigeminal (kupsinjika kwa mitsempha). Ichi ndiye chifukwa cha milandu yambiri .

2. Secondary TN: Izi zimachitika pamene mitsempha ya trigeminal yawonongeka ndi vuto lina. Mwachitsanzo, matenda monga Multiple Sclerosis (MS), chotupa cha muubongo, kapena vuto la mitsempha ya m'mitsempha. Anthu omwe ali ndi secondary TN nthawi zambiri amakhala achichepere, ndipo ululu ukhoza kukhala mbali zonse ziwiri za nkhope. Mtundu uwu umakhudza pafupifupi 15% ya odwala onse a TN.

3. TN Yosadziwika:Nthawi zina, ngakhale atayesedwa kwambiri, palibe chifukwa chomveka bwino chomwe chimayambitsa kupweteka pankhope. Pamenepo madokotala amatcha kuti idiopathic TN.

Ndani ali pachiwopsezo chachikulu chotenga izi? (Zinthu Zoopsa)

Pali zinthu zingapo zomwe zimayambitsa vutoli:

• Kuthamanga kwa magazi kwambiri .
• Kusuta fodya .
• Kukalamba .
• Kukhala mbali ya akazi .
• Kukhala ndi wachibale amene ali ndi matendawa (majini).

Kodi dokotala amazindikira bwanji matenda a trigeminal neuralgia?

Choyamba, dokotala wanu adzakufunsani za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako adzafufuza mutu ndi khosi lanu, ndikukupimani ubongo. Nthawi zambiri, matendawa amapezeka poganizira zinthu zingapo:

• Mtundu wa ululu womwe mukumva (monga kugwedezeka ndi magetsi kapena kupweteka kobaya?).
• Malo enieni pankhope pomwe ululu umamveka .
• Ndi zinthu zotani zomwe zimayambitsa ululu ?

Popeza pali matenda ena ambiri omwe kupweteka pankhope ndi chizindikiro chachikulu (monga mutu wa cluster, migraines, postherpetic neuralgia, TMJ dysfunction), dokotala ayeneranso kuchotsa matenda amenewo.

Dokotala wanu angakupatseni scan ya ubongo ya MRI kuti mudziwe chomwe chimayambitsa vuto - kaya ndi kutsekeka kwa mitsempha yamagazi kapena chotupa.

Kodi chithandizo cha matenda a trigeminal neuralgia ndi chiyani?

Madokotala amagwiritsa ntchito mankhwala osiyanasiyana, opaleshoni, ndi njira zina zothandizira kuchiza matenda a mitsempha ya trigeminal. Zingatenge nthawi kuti mupeze chithandizo choyenera kwa inu.

Mankhwala:

Nthawi zambiri, pa matenda oyamba (achikhalidwe) ndi a idiopathic TN, chinthu choyamba chomwe madokotala amalangiza ndi mankhwala.

• Mankhwala oletsa kugunda kwa mtima: Mankhwalawa amaletsa zizindikiro za ululu. Madokotala nthawi zambiri amayamba ndi carbamazepine kapena oxcarbazepine. Izi zimathandiza kuchepetsa ululu mwa anthu ambiri omwe ali ndi matenda a T.N. Koma mankhwalawa amatha kuchepa mphamvu pakapita nthawi. Mankhwala ena m'gululi ndi monga gabapentin, pregabalin, lamotrigine, lacosamide, topiramate, ndi phenytoin.
• 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 omwe ali abwino kwa inu.

Opaleshoni:

Madokotala amangoganizira za opaleshoni pazochitika izi:

• Ngati zizindikiro sizingathe kuthetsedwa ndi mankhwala.
• Ngati muli ndi vuto lachiwiri la TN (monga chotupa chomwe chikukankhira mitsempha).

Kuvuta, zoopsa, ndi zotsatirapo zake za opaleshoni ya TN zimasiyana. Dokotala wanu adzakufotokozerani zonsezi. Zina mwa njira zochitira opaleshoni ya TN ndi izi:

• Kuchepetsa mitsempha yamagazi: Opaleshoni iyi imachepetsa kupanikizika kwa mitsempha yamagazi yomwe ikukakamiza mitsempha ya trigeminal. Iyi ndi opaleshoni yovuta kwambiri ya TN. Komabe, ndi njira yothandiza kwambiri yopewera ululu kwa nthawi yayitali.
• Opaleshoni ya Radiosurgery: Mu njira iyi, kuwala kwa radiation kumalunjika ku muzu wa mitsempha ya trigeminal kuti kulepheretse zizindikiro za ululu. Izi zingatenge pafupifupi mwezi umodzi kuti zichepetse ululu.
• Rhizotomy: Mu njira iyi, muzu wa mitsempha ya trigeminal umawonongeka dala kuti uletse zizindikiro za ululu. Pali njira zingapo zochitira izi. Mwachitsanzo, kuponderezedwa kwa baluni yamakina, thermocoagulation, ndi jakisoni wa mankhwala. Njirayi nthawi zonse imayambitsa dzanzi pankhope komanso kutayika kwa kumva. Ngakhale kuti imatha kuchepetsa ululu kwa zaka zingapo, kupambana kwa nthawi yayitali kumakhala kochepa.
• Kuchotsa mitsempha ya m'mitsempha ya m'mphepete mwa mitsempha: Izi zimaphatikizapo kuwononga kapena kuchotsa nthambi ya m'mphepete mwa mitsempha ya trigeminal. Izi zitha kuchitika mwa kubaya mowa, kudula, kuchiritsa ndi cryotherapy, kapena kuvulaza mitsempha ya m'mitsempha pogwiritsa ntchito radiofrequency lesion.

Mankhwala Ena:

Dokotala wanu angakupatseninso njira zina zothandizira kuchepetsa ululu wa trigeminal neuralgia - nthawi zambiri kuwonjezera pa mankhwala. Izi zikuphatikizapo:

• Jakisoni wa poizoni wa botulinum kapena zotchinga mitsempha zimathandiza kuchepetsa ululu kwakanthawi.
• Kuchiza ndi acupuncture .
• Kuyankha kwa Biofeedback .
• Kuchiza maganizo (kulankhulana) `(Kuchiza maganizo)` .
• Yoga .
• Kusinkhasinkha .
• Mankhwala onunkhira .

Kodi munthu amene ali ndi vuto la trigeminal neuralgia amakumana ndi chiyani?

Izi sizikhudza aliyense mofanana, kotero n'zovuta kunena momwe zidzakukhudzirani. Anthu ena akhoza kukhala ndi nthawi yopweteka yomwe imatha kwa milungu kapena miyezi, kenako osapweteka. Ena akhoza kukhala ndi nthawi yopweteka pankhope pamodzi ndi kuukira kwawo. Kwa ena, kuukira kwawo kumakula kwambiri pakapita nthawi. Komanso, mankhwala omwe amagwiritsidwa ntchito pochiza TN amatha kuchepa mphamvu pakapita nthawi.

Pazifukwa zonsezi, ndikofunikira kulankhula ndi dokotala wanu nthawi zonse kuti muwone momwe matenda anu a TN akukukhudzirani komanso ngati dongosolo lanu la chithandizo likugwira ntchito. Simukufuna kupitirizabe kupweteka.

Kodi mavuto a vutoli ndi otani?

Kupweteka kwa mitsempha ya trigeminal kumatha kukhala koopsa kwambiri kotero kuti kungakhudze kwambiri thanzi lanu la maganizo komanso moyo wanu watsiku ndi tsiku . Anthu omwe ali ndi TN ali pachiwopsezo chotenga matenda monga:

• Kuvutika maganizo .
• Nkhawa .
• Kudzipatula pagulu .

Ngati vutoli likukhudza thanzi lanu la maganizo, ndikofunikira kupeza thandizo la akatswiri . Lankhulani ndi dokotala wanu kapena mlangizi wa zaumoyo wamaganizo, monga katswiri wa zamaganizo.

Mankhwala a TN angayambitsenso mavuto. Kugwiritsa ntchito mankhwala a khunyu kwa nthawi yayitali kungayambitse mavuto monga osteoporosis. Opaleshoni ingayambitsenso mavuto monga dzanzi la nkhope losatha.

Kodi ndiyenera kupita kwa dokotala liti?

Palibe amene akufuna kukhala ndi ululu wobwerezabwereza. Ngati muli ndi ululu waukulu pankhope, onetsetsani kuti mwaonana ndi dokotala . Ngati mwapezeka ndi matenda a TN, muyenera kuonana ndi dokotala nthawi zonse kuti muwonetsetse kuti dongosolo lanu la chithandizo likugwira ntchito.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Zingakhale zothandiza kufunsa dokotala mafunso awa okhudza trigeminal neuralgia:

• Nchifukwa chiyani ndinayamba kudwala matenda a trigeminal neuralgia?
• Kodi ndili ndi mtundu wanji wa TN?
• Kodi ndingatani kuti ndichepetse ululu umene ndimamva ndikakhudza kapena kugwedeza nkhope yanga?
• Kodi ndi njira ziti zochiritsira zomwe ndili nazo?
• Kodi ubwino ndi kuipa kwa njira iliyonse yochiritsira ndi chiyani?
• Kodi pali magulu othandizira anthu omwe ali ndi matenda a trigeminal neuralgia?

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Ngakhale kuti matenda a trigeminal neuralgia ndi matenda akuthupi, amathanso kukhudza thanzi lanu la maganizo ndi lamaganizo. Mutha kuopa kuchita zinthu wamba kapena kupita pagulu chifukwa mukuopa kugwidwa ndi matenda oopsa. Koma nkhani yabwino ndi yakuti pali njira zingapo zochiritsira zomwe zingakuthandizeni kukhala ndi moyo momwe mukufunira. Ngakhale kuti uwu ukhoza kukhala vuto lomwe muyenera kukhala nalo moyo wanu wonse, kumbukirani kuti lingathe kuthetsedwa. Simuli nokha, ndipo pali njira zopezera thandizo.

Ululu wa trigeminal , kupweteka kwa nkhope, kupweteka kwa mitsempha, kuchepetsa ululu, mitsempha ya m'khosi, kupweteka kwa nkhope