Khawucinge nje ukuba ubuhleka kamnandi kwaye uncokola nabahlobo bakho, okanye ukonwabela ukutya okuthandayo, uze ngequbuliso uzive uqhushumbe ngombane olungenakunyamezeleka oluvela ngasemva komqala okanye kulwimi lwakho? Le ntlungu inzima efika ize iphele kwimizuzwana embalwa inokukuphazamisa usuku lonke. Ukuba ukhe waba namava anjalo, kubaluleke kakhulu ukuba uqaphele imeko esithetha ngayo namhlanje ebizwa ngokuba yiGlossopharyngeal Neuralgia (GPN).
Yintoni iGlossopharyngeal Neuralgia (GPN)?
Ngamafutshane, i-GPN yimeko engaqhelekanga kakhulu ebangela intlungu ekhawulezileyo neqatha kulwimi lwakho, emqaleni , kwiitoni , nasezindlebeni. Ibangelwa luxinzelelo okanye umonakalo kwi -glossopharyngeal nerve .
Kukho ii-12 eziphambili zee -nerve eziqala ebuchotsheni bethu ziye ebusweni nasentanyeni, ezibizwa ngokuba yi-cranial nerve . I-glossopharyngeal nerve yeyesithoba kwezi. Kukho ezimbini kwezi-nerve kwicala ngalinye lentloko yakho. Nangona kunjalo, kwi-GPN, idla ngokuchaphazela icala elinye lentloko kuphela.
Le ntlungu inokubakho ngamaxesha apho singacingi ngayo, njengaxa usitya, uthetha, uhleka, uchama, okanye uvula umlomo wakho. Le ntlungu inokuhlala imizuzwana embalwa ukuya kwimizuzu emibini. Nangona kunjalo, ekubeni le ntlungu inokubakho amaxesha amaninzi ngemini, inokuba luphazamiseko olukhulu ebomini. Kodwa ungakhathazeki, kukho unyango olufanelekileyo lokulawula ezi mpawu.
Ngaba kukho iintlobo eziphambili ze-GPN?
Ewe, i-GPN inokwahlulwahlulwa ibe ziintlobo ezimbini eziphambili kuxhomekeke kwisizathu.
| Uhlobo lwe-GPN | Inkcazo |
|---|---|
| I-GPN eyintloko | Oku kukwabizwa ngokuba yi-idiopathic GPN . Idiopathic ithetha ukuthi "akukho sizathu sifumanekayo." Oku kuthetha ukuba imeko yenzeka ngaphandle kwesizathu esicacileyo. |
| I-GPN yesibini | Oku kubangelwa luxinzelelo kwimithambo-luvo ngenxa yesinye isifo, usulelo, okanye into efana nethumba. |
Zithini iimpawu? Siyibona njani le ntlungu?
Uphawu oluphambili nolukuphela kwalo lwe-GPN ziintlungu. Le ntlungu inokuvakala ngeendlela ezahlukeneyo.
| Uhlobo lwentlungu | Kalula nje... |
|---|---|
| Qaphile | Intlungu ebukhali kakhulu nehlabayo. |
| Ukuhlaba | Intlungu ebuhlungu ngequbuliso evakala ngathi kukuhlatywa ngemela. |
| Ukudubula | Intlungu eqala kwenye indawo ize iye kwenye ngesantya sombane. |
| Kuyothusa | Intlungu ebuhlungu, njengokutshayiswa ngumbane. |
| Ukuqaqamba | Intlungu ehlabayo ivela ngaphakathi. |
| Njengokutshisa (Ukutsha) | Intlungu evuthayo emqaleni. |
Le ntlungu idla ngokuthatha imizuzwana embalwa ukuya kwimizuzu emibini . Ingavela izihlandlo ezininzi ngemini. Ngamanye amaxesha intlungu inokuba nkulu kangangokuba ikuvuse ebusuku. Le ntlungu inokuhlala iiveki okanye iinyanga, ize iphele iinyanga okanye iminyaka.
Ivela phi intlungu?
Ngenxa yokuba umthambo we-glossopharyngeal uqhagamshelwe kwiindawo ezahlukeneyo zentloko, intamo, nobuso, iintlungu zinokuvela kwiindawo ezahlukeneyo.
- Umva wempumlo yakho, umlomo, nomqala (ingakumbi ujikeleze iitoni).
- Indawo yomqala ejikeleze ibhokisi yelizwi.
- Indawo ejikeleze nangaphantsi kwesilevu sakho neendlebe.
- Umva wolwimi.
Intlungu idla ngokuba kwicala elinye lentloko. Ngamanye amaxesha intlungu inokuqala kwindawo enye ize isasazeke egxalabeni okanye emqolo (iintlungu ezikhupha imisebe).
Zithini izizathu ze-GPN?
Njengoko bekutshiwo ngaphambili, oyena nobangela woku kukonakala kwemithambo-luvo ye-glossopharyngeal. Kukho izizathu ezininzi eziqhelekileyo ezinokubangela oku:
- Ukucinezelwa kwemithambo-luvo ngumthambo wegazi: Intlungu inokwenzeka xa umthambo wegazi ohamba kufutshane nomthambo ucinezela umthambo.
- Ithumba okanye umhlaza: Ithumba elenzeka lijikeleze imithambo-luvo linokubangela ukuba imithambo-luvo icinezelwe.
- Usulelo: Imeko eyosulelayo inokubangela ukuba umthambo uvuvuke.
Ngamanye amaxesha oogqirha abakwazi ukuqonda ukuba kutheni le mithambo-luvo ichaphazeleka. Inokubangelwa nazezinye iimeko zonyango ezifihlakeleyo. Umzekelo:
- Izifo ezizikhuselayo emzimbeni ezifana ne -Sjögren's syndrome .
- Izifo ezichaphazela inkqubo yemithambo-luvo, ezifana ne-multiple sclerosis ( MS ).
- Isifo sokhozi.
- Ingozi entloko okanye entanyeni.
- I-Schwannomas (iithumba ezikhula kwiingxondorha zemithambo-luvo).
- Umhlaza wolwimi.
Yintoni eyenza le ntlungu ibe mandundu? (Izinto ezibangela le ntlungu)
Ngoku khangela, le ntlungu inokubangelwa zizinto esiqhele ukuzenza ngaphandle kokucinga nganto.
Ukuba uva iintlungu ngelixa usenza ezi zinto, yazi loo nto kwaye uxelele ugqirha wakho ngayo.
- Ukutya okuhlafunwayo
- Ukukhohlela
- Ukusela iziselo ezibandayo
- Lowo uncumayo
- Ingwenya iyahamba.
- Ukuginya into ethile (ukutya okanye amathe)
- Ukuthetha
- Ukuhlikihla ubuso okanye intamo ejikeleze iindlebe
- Ukuvula ucango
Ngaba kukho naziphi na iziphumo ebezingalindelekanga ezibi ze-GPN?
I-GPN ayisoloko ibangela iingxaki ezinkulu, kodwa ukuba iintlungu zinzima, umzimba unokulahlekelwa bubunzima ngenxa yokoyika ukutya nokusela.
Kubaluleke kakhulu: Ukuba i-GPN iba yingozi, inokuchaphazela ne- vagus nerve , ekufutshane ne-glossopharyngeal nerve. Le vagus nerve ilawula iinkqubo ezibalulekileyo nezizenzekelayo ezifana nokubetha kwentliziyo yethu, uxinzelelo lwegazi, kunye nokuphefumla. Ukuba i-GPN nayo ichaphazela le nerve, ezi meko zilandelayo zinzima zinokwenzeka:
- Ukubetha kwentliziyo okungaqhelekanga (iiArrhythmias)
- Isantya sentliziyo esicothayo (iBradycardia)
- Uxinzelelo lwegazi oluphantsi (iHypotension)
- I-Syncope
- Ukuxhuzula
Nangona kunqabile kakhulu, ukuba le meko iba mandundu, inokukhokelela ekumisweni yintliziyo. Le yimeko engxamisekileyo kakhulu. Ke ngoko, ukuba ufumana iintlungu kunye nesicaphucaphu, funa ingcebiso kagqirha ngoko nangoko.
Gqirha, uyixilonga njani le nto?
Ugqirha wakho uza kuqala akubuze ngeempawu zakho aze emva koko enze uvavanyo lomzimba. Ekubeni i-GPN yimeko engaqhelekanga, kungathatha ixesha ukufumana unobangela ochanekileyo.
Ezi mvavanyo zilandelayo zingenziwa ukuqinisekisa ukuxilongwa:
- Uvavanyo lwegazi
- Iskeni ye-CT
- Iskeni se-MRA
- Iskeni ye-MRI
- Uvavanyo lwe-X-ray
Ugqirha angenza uvavanyo olulula. Uza kuyichukumisa kancinci indawo oziva iintlungu kuyo ngekotoni encinci. Emva koko, baza kusebenzisa i-anesthetic yendawo kuloo ndawo baze benze okufanayo kwakhona. Ukuba intlungu iyaphela emva kokusebenzisa iyeza, kusenokwenzeka ukuba yi-GPN.
Ziziphi iindlela zonyango lwe-GPN?
Ngethamsanqa, kukho unyango olusebenzayo lokulawula i-GPN.
| Indlela yonyango | Inkcazo |
|---|---|
| Amayeza | Kunikwa amayeza anciphisa ukusebenza kweeseli zemithambo-luvo kwaye alawule iintlungu. Amayeza okulwa nokuxhuzula afana neCarbamazepine, iGabapentin, kunye neOxcarbazepine ngawona asetyenziswa kuqala. |
| I-Anesthetic yasekuhlaleni | Iyeza elibangela ukuba umntu angakwazi ukuziva ebuhlungu njengeLidocaine linokutshizwa okanye lihlikihlwe ngasemva komqala ukuze kuncitshiswe iintlungu okwethutyana. |
| Iibhloko zeMithambo | Iyeza lifakwa kumthambo okufutshane nomthombo wentlungu, nto leyo ethintela imiqondiso yentlungu ukuba ingafiki engqondweni. |
| Utyando | Ukuba ezinye iindlela zonyango azikwazi ukulawula iintlungu, utyando lunokuthathwa njengenyathelo. Ezi ziquka ukususwa kwe-microvascular decompression okanye i-rhizotomy, equka ukusika imicu yemithambo-luvo edlulisa iintlungu. |
Ugqirha wakho uza kuthetha nawe aze akuncede ukhethe unyango olufanela imeko yakho.
Ndifanele ndimbone nini ugqirha?
Ukuba unentlungu echazwe kweli nqaku ebusweni, emlonyeni, okanye entanyeni, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Nangona i-GPN ingaqhelekanga, imithambo-luvo ebandakanyekayo ikwindawo ebaluleke kakhulu entlokweni nasentanyeni. Ke ngoko, ukufumana unobangela nokuwunyanga kunokunceda ukuthintela iimeko eziyingozi kwixesha elizayo.
Ndingaya nini kwi-ETU?
I-GPN ayisoloko iyinto engxamisekileyo. Nangona kunjalo, njengoko bekutshiwo ngaphambili, ukuba ufumana iimpawu eziqatha, kufuneka uye kwiSebe leNgxamiseko (ETU) ngoko nangoko. Ezi mpawu ziquka:
- Ukudinwa okanye ukuphelelwa zingqondo okwenzeka xa uvula umlomo okanye uthetha.
- Ukulahlekelwa yingqondo ngaphandle kwesizathu.
- Utshintsho kwisantya sentliziyo (ukubetha kwentliziyo, ukubetha kwentliziyo okungahambelaniyo).
Umyalezo Wokuya Ekhaya
- I-Glossopharyngeal Neuralgia (GPN) yintlungu eyenzeka ngequbuliso, enzima, efana neyombane emqaleni, elulwimini, okanye ezindlebeni. Inokubangelwa zizinto ezilula ezifana nokutya okanye ukuthetha.
- Oku kubangelwa kukonakala kwemithambo-luvo ye-glossopharyngeal. Ngokuqhelekileyo, unobangela awufumaneki.
- Nokuba le ntlungu iphazamisana nobomi bakho, ungoyiki. Ingalawulwa kakuhle ngamayeza kunye nolunye unyango. Musa ukubandezeleka wedwa yintlungu.
- Ukuba ufumana isicaphucaphu, isiyezi, ukuphelelwa zingqondo, okanye utshintsho kwisantya sentliziyo yakho kunye nentlungu, oko kusenokuba yingxamiseko. Yiya kwiSebe leNgxamiseko lesibhedlele (ETU) ngokukhawuleza.
- Ukuba uneempawu ezinje, qiniseka ukuba ubona ugqirha wakho ukuze ufumane uxilongo olufanelekileyo kunye nesicwangciso sonyango.
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