Masifunde ngqo ngeGlossopharyngeal Neuralgia (GPN)?

Ngaba wakha waba nentlungu ekhawulezileyo, enzima kulwimi lwakho, emqaleni, kwiitoni, okanye endlebeni? Kufana nokubetheka ngombane, okuhlala imizuzwana embalwa okanye imizuzu, kodwa kwenzeka amaxesha amaninzi ngemini. Ukuba le ntlungu iyenzeka xa uthetha, utya, okanye uhleka, unokuba nomdla wokufunda ngale meko. Le meko siyibiza ngokuba yi-glossopharyngeal neuralgia, okanye i-GPN ngamafutshane.

Yintoni i-glossopharyngeal neuralgia (GPN)?

Ngamafutshane, iGlossopharyngeal Neuralgia (GPN) yimeko engaqhelekanga ebangela intlungu ekhawulezileyo neqatha kulwimi lwakho, emqaleni, kwiitoni, nasezindlebeni. Ibangelwa kukurhawuzelelwa, uxinzelelo, okanye umonakalo kwimithambo-luvo yeglossopharyngeal .

Ubusazi na ukuba kukho iintlobo ezili-12 eziphambili zemithambo-luvo entlokweni yethu? Ezi sizibiza ngokuba yimithambo-luvo yentloko . Eyesithoba (yesi-9) kwezi mithambo-luvo zilishumi elinambini zentloko yimithambo-luvo yeglossopharyngeal. Kukho ezimbini kwezi mithambo-luvo kwicala ngalinye lentloko yakho, oko kukuthi, kwicala lasekunene nakwicala lasekhohlo. Kodwa kwiimeko ezininzi, i-GPN ichaphazela kuphela imithambo-luvo enye kwicala elinye lentloko.

Le ntlungu inokubakho xa usitya, uthetha, uhleka, okanye usenza izinto eziqhelekileyo ongazicingiyo. Khawucinge ukuba bekuya kuba nzima kangakanani ukuba unesihlungu somqala xa ukhohlela okanye uthimla? Ingonakalisa usuku lwakho lonke. Kodwa ungakhathazeki , kukho unyango olunokunceda ukulawula ezi mpawu.

Injani intlungu ye-GPN? Ivakala phi?

Uphawu oluphambili lwe-GPN ziintlungu. Le ntlungu inokuviwa ngeendlela ezahlukeneyo:

• Intlungu ebukhali , njengokuhlatywa ngemela .
• Intlungu ekhawulezileyo , njengokubethwa ngumbane .
• Intlungu evakala ngathi kukutsha okuvela ngaphakathi.
• Abanye abantu basenokuziva bengenathemba .

Le ntlungu idla ngokuba qatha kakhulu. Ihlala ukusuka kwimizuzwana embalwa ukuya kwimizuzu embalwa. Nangona kunjalo, ayihlali ihleli. Iyafika ize iphele. Le ntlungu inokubakho amaxesha amaninzi ngemini. Ngamanye amaxesha inokukuvusa phakathi kobusuku ngenxa yentlungu. Le ntlungu inokuhlala iiveki okanye iinyanga. Kwabaninzi, le ntlungu iyaphela okwethutyana ize ibuye emva kweeveki, iinyanga, okanye iminyaka.

Iindawo eziphambili apho intlungu ye-GPN ivakala khona zezi:

• Umva wempumlo yakho, umlomo, nomqala ( pharynx kunye ne-nasopharynx ), ingakumbi ejikeleze iitoni.
• Ijikeleze iintambo zelizwi emqaleni wakho ( i-larynx ).
• Iindawo ezijikeleze nangaphantsi kwesilevu neendlebe.
• Umva wolwimi.

Oku kungenxa yokuba umthambo we-glossopharyngeal uqhagamshelwe kwiindawo ezininzi zentloko yakho, entanyeni, nasebusweni, yiyo loo nto uziva iintlungu kwiindawo ezininzi. Uninzi lwexesha, le ntlungu ivakala kwicala elinye lentloko yakho.

Ngamanye amaxesha, iintlungu zinokuqala kwenye indawo zize zisasazeke kwenye. Umzekelo, iintlungu eziqala emqaleni zinokuhamba ziye egxalabeni okanye nasemqolo.

Ngaba kukho iintlobo ze-GPN?

Ewe, kukho iintlobo ezimbini eziphambili ze-GPN kuxhomekeke kwisizathu:

1. I-Primary glossopharyngeal neuralgia: Akukho sizathu sicacileyo sinokufunyanwa sale nto. Ugqirha wakho angasibiza ngokuba yi -idiopathic glossopharyngeal neuralgia , oko kuthetha ukuba "akukho sizathu saziwayo."

2. I-neuralgia yesibini ye-glossopharyngeal: Kule meko, i-GPN yenzeka ngenxa yesinye isifo okanye unobangela.

Kutheni le nto i-GPN isenzeka? Zithini izizathu?

Eyona nto ibangela i-GPN luhlobo oluthile loxinzelelo, ucinezelo, okanye umonakalo kwi-glossopharyngeal nerve . Kukho izizathu ezininzi eziqhelekileyo ezibangela oku:

• Ukucinezelwa kwemithambo-luvo ngumthambo wegazi: Ngamanye amaxesha le ntlungu inokubangelwa ngumthambo wegazi ohamba kufutshane nomthambo ocinezela umthambo.
• Ukubakho kwethumba, ukukhula, okanye isilonda: Ithumba okanye olunye ukukhula engqondweni, nokuba kusemthambo okanye kufutshane nawo, nako kungaba yimbangela.
• Usulelo: Usulelo emqaleni okanye kwindawo engqongileyo lunokuchaphazela nomthambo.

Ngamanye amaxesha, oogqirha abakwazi ukuqonda ukuba kwenzeka ntoni kanye kanye kule nerve. Kwakhona, iimpawu ze-GPN zinokubangelwa zezinye iimeko zonyango ezifihlakeleyo. Umzekelo:

• Izifo ezizikhusela ngokwazo okanye izifo ezibangelwa kukudumba , umzekelo i-Sjögren's syndrome .
• Umonakalo othile ( isilonda ) kwisiqu sobuchopho .
• Iimeko ezisusa imyelin eziyonakalisa i-myelin sheath yenkqubo ye-nervous central , umzekelo , i-multiple sclerosis .
• Isifo sokhozi .
• Ingozi okanye ukwenzakala emzimbeni.
• Ezinye iingxaki zokukhula ezenzeka xa umntwana ezalwa.
• Iithumba zemithambo-luvo ezifana neSchwannomas .
• Umhlaza wolwimi .

Zeziphi izinto ezenza le ntlungu ibe mandundu? (Izinto ezibangela le ntlungu)

Eminye imisebenzi yemihla ngemihla inokubangela ukuba iintlungu ze-GPN zivele ngequbuliso. Ezi sizibiza ngokuba "zizinto ezibangela iingxaki". Khawucinge nje, kuthekani ukuba ubuncokola kamnandi nabahlobo bakho uze uhleke ngequbuliso uzive iintlungu ezibukhali emqaleni nasemlonyeni wakho? Okanye, kuthekani ukuba ubeka nje isidlo esimnandi esiphekiweyo ekhaya emlonyeni wakho kwaye iintlungu azinyamezeleki xa uginya? Nezinto ezincinci ezinje ngezi zinokubangela iintlungu ze-GPN.

Izinto ezidla ngokubangela intlungu zezi:

• Ukutya okuhlafunwayo
• Ukukhwehlela
• Ukusela iziselo ezibandayo
• Ukuhleka
• Ukuthimla
• Ukuginya
• Ukuthetha
• Ukuchukumisa ubuso okanye intamo, ingakumbi indawo ejikeleze nangaphantsi kweendlebe
• Ukuvula ucango

Ngubani osengozini enkulu yokufumana i-GPN?

I-GPN inokukhula nakweyiphi na iminyaka, kodwa ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-50 ubudala .

Ziziphi iingxaki ezinokwenzeka ngenxa ye-GPN?

I-GPN ayisoloko iyinto enzima ebangela iingxaki ezinkulu. Nangona kunjalo, ukuba imeko inzima, inokubangela iingxaki ezithile. Umzekelo, iintlungu xa usitya zinokubangela ukuphelelwa ngumdla wokutya kunye nokwehla kobunzima bomzimba.

Kwezinye iimeko ezinzima kakhulu , le ntlungu ye-GPN inokuchaphazela i- Vagus nerve ekufutshane. Le vagus nerve yi-nerve elawula iinkqubo ezibalulekileyo nezizenzekelayo ezifana nokubetha kwentliziyo yethu, uxinzelelo lwegazi, kunye nokuphefumla. Ngoko ke, ukuba ichatshazelwa yi-GPN, ezi meko zilandelayo zinokwenzeka:

• Ukungahambi kakuhle kwesingqisho sentliziyo (i-arrhythmias)
• Isantya sentliziyo esicothayo (bradycardia)
• Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi)
• Ukuquleka okanye ukulahlekelwa zingqondo (syncope)
• Ukuxhuzula

Amaxesha amaninzi, ukuba imeko iba mandundu, i-GPN inokuchaphazela intliziyo, nto leyo ebangela ukuba isantya sentliziyo sehle kakhulu kwaye ide ithintele intliziyo. Le yimeko eyingozi kakhulu. Kungoko ke, kubalulekile ukufuna iingcebiso zonyango ukuba uneempawu.

Ungayichonga njani imeko ye-GPN?

Ukuze wazi ngokuqinisekileyo ukuba une-GPN, kufuneka ubone ugqirha. Ugqirha uza kukuxilonga, akubuze ngeempawu zakho, aze enze uvavanyo ukuba kuyimfuneko. Olu xilongo lungathatha ixesha, kuba kufuneka bafumane kanye kanye ukuba yintoni ebangela iimpawu zakho.

Iimvavanyo ezihlala zenziwa zezi:

• Uvavanyo lwegazi
• Iskeni ye-CT
• I-MRA scan - Oku kujonga imeko yemithambo yegazi.
• Iskeni ye-MRI (i-MRI)
• I-X-reyi

Ngamanye amaxesha ugqirha usebenzisa i-cotton swab ukuchukumisa kancinci indawo oziva kuyo iintlungu. Emva koko,Kufakwa i-anesthetic yendawo kwaye loo ndawo ichukunyiswa kwakhona. Ukuba intlungu iyaphela emva kokuba isetyenzisiwe i-anesthetic, luphawu lokuba isenokuba yi-GPN.

Ziziphi iindlela zonyango lwe-GPN?

Iindaba ezimnandi zezokuba kukho unyango lwe-GPN. Ugqirha wakho uza kukhetha unyango olulungele wena.

Kukho iindlela ezininzi eziphambili zonyango:

• Ukusebenzisa amayeza: La mayeza asebenza ngokunciphisa ukusebenza kweeseli zemithambo-luvo nokunciphisa iintlungu.
• Amayeza okulwa nokuxhuzula afana ne -carbamazepine, i-gabapentin, i-oxcarbazepine, okanye i-phenytoin adla ngokunikezelwa kuqala.
• Amayeza anjenge -baclofen kunye ne -tricyclic antidepressants nawo anokunceda.
• Ukusebenzisa i-anesthetic yendawo: Ungayifaka i-anesthetic yendawo, efana ne -lidocaine, ngasemva komqala wakho. Oku kunokunciphisa iintlungu okwethutyana.
• Ukuvalwa kwemithambo-luvo: Oku kuquka ukufaka iyeza kufutshane nemithambo-luvo ebangela intlungu. Oku kuyayithintela imithambo-luvo ukuba ingathumeli imiqondiso yentlungu.
• Utyando: Kwezinye iimeko ezinzima, utyando lunokufuneka.
• Ukunciphisa uxinzelelo lwemithambo-luvo: Olu lutyando lokunciphisa uxinzelelo kwimithambo-luvo, oko kukuthi, ukuyithintela ukuba ingaxinwa.
• I-Rhizotomy: Oku kuquka ukusika imicu yemithambo-luvo ethwala imiqondiso yentlungu.

Ugqirha wakho uza kuthetha nawe, afumanise ukuba yintoni ebangela intlungu yakho, aze agqibe ngonyango olulungele wena. Baza kukufundisa nangemiphumo emibi enokubakho yonyango.

Ngaba i-GPN ingathintelwa?

Enyanisweni, akukho ndlela ithile yokuthintela i-GPN. Kuba idla ngokuvela ngokungalindelekanga, kwaye ngamanye amaxesha ngaphandle kwesizathu esibonakalayo, akukho nto unokuyenza ukunciphisa umngcipheko wale meko.

Ngaba i-GPN inganyangeka? Iza kuhlala ixesha elingakanani?

Ewe, i-GPN ingaphela yodwa. Kwaye, ngonyango, kunokwenzeka ukuba iphele. Unyango ludla ngokuphumelela. Ukuba kufuneka utyando, lunokubonelela ngoncedo lwentlungu okwethutyana okanye ixesha elide.

I-GPN idla ngokuba yingxaki yexeshana. Ihlala iiveki okanye iinyanga ezimbalwa. Uninzi lwabantu luba nayo kube kanye ebomini babo. Nangona kunjalo, abanye abantu banokuba neempawu ze-GPN kangangeeveki okanye iinyanga, baze baphinde baphile, baze baphinde babe neempawu kwakhona. Oku kunokwenzeka ngamaxesha athile kangangeminyaka.

Ubomi bunjani nge-GPN?

I-GPN ayisoloko iyichaphazela indlela ophila ngayo ubomi bakho. Imbono yabantu abane-GPN idla ngokuba ntle. Kubantu abaninzi, iimpawu ziyaphela kwaye azibuyi.

Nangona kunjalo, ukuba iimpawu zinzima, ingakumbi ukuba kukho iintlungu kumacala omabini entloko, ukuba kukho iintlungu eziqhubekayo, kwaye ukuba kukho iintlungu ezinganyamezelekiyo, imeko inokuba ncinci kancinci. Ukuba kukho iimpawu ezifana nokuquleka, utshintsho kwisantya sentliziyo, amathuba okuba neziphumo ezibi aphezulu.

Ufanele ufune nini ingcebiso kagqirha?

Ukuba ukrokrela ukuba une-GPN kuba unentlungu ebusweni, emlonyeni, okanye entanyeni, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Nangona i-GPN ingaqhelekanga, imithambo-luvo ebandakanyekayo ikwindawo ebaluleke kakhulu entlokweni nasentanyeni yakho. Ukwazi ukuba yintoni ebangela oku kunye nokufumana unyango kunokunceda ukuthintela iingxaki ezizayo, ezinokuba yingozi.

Ukuba une-GPN, ugqirha wakho uza kucwangcisa utyelelo lokulandelela rhoqo. Ugqirha wakho uza kujonga iimpawu zakho, naluphi na utshintsho, kunye nempumelelo yonyango lwakho.

Kwakhona, xelela ugqirha wakho ngokukhawuleza ukuba uqaphela ezi zinto:

• Ukuba uvakalelwa kukuba iyeza olisebenzisayo alisebenzi kakuhle njengangaphambili.
• Ukuba iimpawu ziya zisiba mandundu.
• Ukuba kuvela iimpawu ezintsha.

Ufanele ufune nini unyango olungxamisekileyo?

I-GPN ayisoloko iyinto engxamisekileyo, ngaphandle kokuba iimpawu zinzima. Ukuba unentlungu efana neye-GPN kunye nayo nayiphi na kwezi mpawu zilandelayo, kufuneka ufune unyango olungxamisekileyo ngokukhawuleza:

• Ukuquleka okanye ukuphelelwa zingqondo okwenzeka xa kukho into ethile, njengokuvula umlomo okanye ukuthetha.
• Ukulahlekelwa yingqondo ngequbuliso ngaphandle kwesizathu.
• Utshintsho kwisantya sentliziyo, ingakumbi ukubetha kwentliziyo okungaqhelekanga okanye ukuziva intliziyo yakho ibetha ngokukhawuleza kakhulu ( i-palpitations ).

Ziziphi ezinye iimeko ezibonisa iimpawu ezifana neze-GPN?

Kukho ezinye iimeko zonyango ezininzi ezibonisa iimpawu ezifanayo neze-GPN. Oko kukuthi, ezi meko zinokubhidaniswa ne-GPN. Nazi:

• I-neuralgia ye-Trigeminal
• I-neuralgia kaJacobson
• Iingxaki zokungasebenzi kakuhle kwamalungu eTemporomandibular (TMJ)
• Ezinye iintlobo zentlungu yobuso engaqhelekanga

Isishwankathelo kunye nezinto ekufuneka uzikhumbule

Xa une-GPN, kunokuba nzima ukuba nguwe. Kucaphukisa kangakanani xa unentlungu enzima xa uthetha kamnandi nabahlobo okanye usapho, uhleka? Usenokoyika ukuya kwindawo yokutyela entsha kuba ucinga ukuba kuya kuba buhlungu xa uginya. Ezi zizinto ezizisa uvuyo ebomini, kodwa intlungu inokutshintsha konke oko. Kodwa, akufuneki uphile nale ntlungu.

I-GPN sisifo esinyangekayo kakhulu.Imeko. Ihlala isabela kakuhle kumayeza. Kukwakho nezinye iindlela zonyango ezifumanekayo ezihambelana neemfuno zakho. Okukhona ufumana uxilongo nonyango ngokukhawuleza, kokukhona ungabuyela ngokukhawuleza ekwenzeni izinto ozithandayo ngaphandle kokukhathazeka ngeentlungu.

Ngoko ke, ukuba unayo nayiphi na kwezi mpawu, nceda ufune ingcebiso kugqirha. Impilo yakho yeyona nto ibalulekileyo.

` I-GPN, i-glossopharyngeal neuralgia, intlungu yemithambo-luvo, intlungu yomqala, intlungu yendlebe, intlungu yobuso, i-neuralgia