Ngaba wakha waziva intlungu enganyamezelekiyo kwelinye icala lobuso bakho, njengomothuko wombane, xa uhlamba amazinyo akho, ucheba iindevu, okanye umoya nje ovuthuzayo? Le ntlungu inzima efika ize iphele kwimizuzwana embalwa, kodwa ngelo xesha, ikwenza uzive ungonwabanga kwaphela, kufuneka ukuba ikushiye uzive usoyika kwaye uxhalabile. Namhlanje siza kuthetha ngale meko ichaphazela abantu abaninzi, kodwa abazi nto ingako ngayo.
Yintoni le Tic Douloureux?
Ngamafutshane, iTic Douloureux yimeko eyaziwa ngokwezonyango njenge-'trigeminal neuralgia' . Le yimeko apho umntu efumana intlungu ebukhali, ehlabayo okanye efana nombane kwelinye icala lobuso ngenxa yengxaki ye-trigeminal nerve, i-nerve ephambili enika imvakalelo ebusweni bethu. Le ntlungu inzima kangangokuba ngamanye amaxesha ubuso buyashukuma ngokungazithandiyo xa kuvela intlungu. Le yintsingiselo yegama lesiNgesi elithi "tic".
Le ntlungu idla ngokuthatha imizuzwana embalwa ukuya kwimizuzu embalwa. Kodwa ezi ntlungu zinokwenzeka amaxesha amaninzi ngemini. Into engaqhelekanga kukuba xa kungekho ntlungu, akukho kurhawuzelelwa okanye enye ingxaki ebusweni.
I-Trigeminal Neuralgia yenye yezona meko zibuhlungu kakhulu ezinokuchaphazela abantu. Ngoko ke ukuba uneentlungu ezinje, musa ukuzibetha ngoyaba.
Abantu abaninzi bava le ntlungu kwicala elinye lobuso babo, emhlathini, esidleleni, okanye emlonyeni. Intlungu inzima kangangokuba abanye abantu bayoyika ukuthetha, ukutya, okanye ukusela amanzi ngexesha lokuhlaselwa.
Yintoni ebangela le ntlungu inzima?
Nangona kungenakwenzeka ukutsho ngqo ukuba yintoni isizathu soku, kukho izimvo ezahlukeneyo ngale nto.
Ingcamango eyamkelweyo kakhulu kukuba umthambo wegazi (odla ngokuba ngumthambo) engqondweni ucinezelwe kwi-trigeminal nerve, nto leyo ebangela umonakalo kwi-nerve. Cinga ngayo njengombhobho wamanzi otyunyuzwayo xa kufakwa ubunzima kuwo. Ekuhambeni kwexesha, olu xinzelelo lonakalisa isigqubuthelo sokukhusela esijikeleze i-nerve, ebizwa ngokuba yi-myelin sheath . Kufana nokufakwa kwe-insulation kwintambo yombane ephelayo. I-nerve emva koko iba nomsindo ophezulu kwaye iqalise ukuthumela imiqondiso yentlungu engqondweni ngaphandle kwesizathu esicacileyo.
Ukongeza, iithumba zobuchopho, iingxaki ezithile emathanjeni entloko, ukwenzakala entloko ngenxa yeengozi, usulelo, kunye neMultiple Sclerosis ( MS) zinokubangela ukuxhuzula.)` inokubangela intlungu ngokonakalisa umthambo we-trigeminal.
Zithini kanye kanye iimpawu?
Uphawu oluphambili nolukuphela kwalo lwesi sifo ziintlungu. Kodwa loo ntlungu ineempawu ezikhethekileyo ezininzi. Masibone ukuba ziyintoni na.
| Uphawu | Inkcazo |
|---|---|
| Uhlobo lwentlungu | Intlungu ekhawulezileyo, ebukhali, nenganyamezelekiyo, njengokuhlatywa, ukudubula, okanye ukubetheka ngombane. |
| Indawo apho intlungu yenzeka khona | Idla ngokuba kwicala elinye lobuso kuphela. Idla ngokubakho esidleleni, emhlathini, emazinyweni, kwiintsini, okanye kwindawo yomlomo. Ayifane yenzeke kufutshane neliso. |
| Ubude bexesha lentlungu | Olu hlaselo luhlala ixesha elifutshane, ukusuka kwimizuzwana embalwa ukuya kwimizuzu emibini, kodwa lunokwenzeka amaxesha amaninzi ngemini okanye amakhulu amaxesha. |
| Izinto ezibangela iintlungu | Intlungu ingabangelwa kukuchukumisa indawo ebangela intlungu kwicala elinye lobuso. Imizekelo: ukuthetha, ukuhleka, ukuxukuxa amazinyo, ukuhlamba ubuso bakho, ukucheba iindevu, ukufaka i-makeup, ukuphefumlelwa ngumoya opholileyo, ukutya okanye ukusela into ethile. |
| Ipatheni yentlungu | Uhlaselo lweentlungu lunokuhlala iiveki okanye iinyanga ngexesha. Emva koko, ungahlala iinyanga okanye iminyaka ungenazo iintlungu. Nangona kunjalo, ngokuhamba kwexesha, iintlungu ziyaphinda zibuye. |
Okubaluleke kakhulu, le meko ayichaphazeli incasa, ukuva, okanye ukusebenza kwezihlunu zobuso. Oku kuthetha ukuba yimeko ekhawulelwe kwiintlungu kuphela .
Kunini apho kungcono ukufumana ingcebiso kagqirha?
- Ukuba intlungu ayilawulwa ngamayeza anikwe ngugqirha wakho, qiniseka ukuba ubona ugqirha wakho kwakhona.
- Ukuba ufumana naziphi na iimpawu ezintsha ukongeza kwintlungu (umz., ukungaziva kakuhle ebusweni, ukuva, isiyezi , utshintsho ekuboneni), kufuneka uxelele ugqirha wakho. Ngenxa yokuba i-tic douloureux yimeko ebangela iintlungu kuphela, iimpawu ezintsha zinokuba luphawu lwenye imeko yezonyango.
Ufuna ukuya nini kwi-ETU?
Ukuba ufumana iimpawu ezinje ngomkhuhlane, ukurhawuzelelwa ngamanzi emzimbeni , okanye isiyezi esinzima kunye nentlungu, oko kungaba luphawu lwemeko embi kakhulu. Kwiimeko ezinjalo, kungcono ukuya kwigumbi likaxakeka lesibhedlele (ETU) ngokukhawuleza. Kwakhona, ukuba intlungu ayinyamezeleki kwaye awukwazi ukufikelela kugqirha wakho, kububulumko ukuya kwi-ETU.
Uyifumana njani le nto, Gqirha?
Akukho vavanyo lulodwa oluchanekileyo lokuxilonga le meko. Ugqirha wakho uza kwenza uxilongo ngokusekelwe kwinkcazo yakho yeempawu zakho, uvavanyo lomzimba , kunye nokususa ezinye iimeko ezinokubangela iintlungu zobuso bakho .
1. Inkcazo yeempawu: Intlungu efana nombane oyichazayo, indlela eza ngayo, kunye nezinto ezibangela oku kuya kunika ugqirha ulwazi olufanelekileyo ngesi sifo.
2. Uvavanyo lomzimba: Ngokwesiqhelo , akukho ziphazamiso zifunyanwayo xa kuhlolwa isigulane esine-tic douloureux. Nangona kunjalo, ukuba kukho into efana nokungaziva kakuhle kobuso okanye ukulahleka kokuva, ugqirha uya kurhanela ezinye izifo. Kwakhona, izinto ezifana nosulelo lwe-sinus , usulelo lwamazinyo, kunye neengxaki ze-temporomandibular joint (TMJ) zinokufunyanwa kuvavanyo lomzimba.
3. Iiskeni: Iskeni se-CT okanye se-MRI sobuchopho sinokujonga ukuba kukho umthambo wegazi okanye ithumba elicinezelweyo kwimithambo-luvo. Olu vavanyo lunokunceda ekususeni ezinye izizathu ezinokubangela iintlungu ebusweni.
Zithini iindlela zonyango zoku?
Akukho mayeza asekhaya okunyanga le ntlungu. Unyango lufanele lufunwe phantsi kwesikhokelo sikagqirha. Rhoqo, intlungu inokulawulwa ngempumelelo ngamayeza. Amaxesha amaninzi, kufuneka utyando.
Amayeza
Amayeza okulwa nokuxhuzula zezona ziphambili ezisetyenziswa ukulawula le ntlungu. La mayeza asebenza ngokuthintela umthambo we-trigeminal owonakeleyo ekuthumeleni imiqondiso yentlungu engeyomfuneko.
- Amayeza aphambili: Elona yeza lisetyenziswa kakhulu yi-'Carbamazepine (Tegretol). Ukongeza, amayeza afana ne-'Oxcarbazepine (Trileptal)`, `Gabapentin (Neurontin)`, kunye ne-`Lamotrigine (Lamictal)` nawo asetyenziswe ngempumelelo.
- Iziphumo ebezingalindelekanga: La mayeza aqalwa ngedosi ephantsi. Idosi inyuswa kancinci kancinci de iintlungu zilawuleke. Iziphumo ebezingalindelekanga ezifana nokozela, isiyezi, ukubona kabini, kunye nokucaphuka zinokwenzeka.
- Amanye amayeza: Kwabo bangaphenduliyo kula mayeza angasentla okanye abaneziphumo ebezingalindelekanga ezibi kakhulu, i-Baclofen (Lioresal) ephumza imisipha, kwaye kwezinye iimeko, i-Pimozide (Orap) inokuba luncedo. Iinaliti zeBotox nazo zibonakalise ukuba zinika isiqabu esikhulu kwintlungu.
Kubalulekile: Amanye ala mayeza anokuchaphazela iiseli zakho zegazi kunye nokusebenza kwesibindi. Ke ngoko, kubalulekile ukuba uhlolwe igazi rhoqo njengoko kuyalelwe ngugqirha wakho. Musa ukuqala okanye uyeke ukuthatha la mayeza ngaphandle kokubonisana nogqirha wakho nangasiphi na isizathu.
Utyando
Ukuba amayeza awayilawuli intlungu okanye iziphumo ebezingalindelekanga zamayeza azinyamezeleki, utyando lunokucingelwa. Oku kunokubandakanya ukubona ugqirha wotyando lwemithambo-luvo. Kukho iindlela ezahlukeneyo, ukusuka kwiinkqubo ezilula ezifana nokufaka i-anesthetic yendawo kwimithambo-luvo ukuya kwiindlela zotyando ezintsonkothileyo ezivula ubuchopho. Nangona utyando oluntsonkothileyo ludla ngokubonelela ngesiqabu sexesha elide, lunxulunyaniswa neengozi eziphezulu.
Ngaba le meko ingathintelwa?
Ngelishwa, akukho ndlela yokuthintela ukuba i-tic douloureux ingenzeki.
Umyalezo Wokuya Ekhaya
- I-Tic douloureux (iTrigeminal Neuralgia) yimeko ebangela iintlungu eziqatha, kodwa ayisosifo esibangela umonakalo ohlala ixesha elide emzimbeni okanye esisongela ubomi. Yimeko ekhawulelwe kwiintlungu zodwa.
- Unobangela wale ntlungu udla ngokuba kukucindezela komthambo wegazi kwimithambo-luvo.
- Ukuxilongwa kuxhomekeke kakhulu kwiimpawu zakho.
- Le ntlungu inokuthi ilawulwe ngempumelelo ngamayeza okanye ngotyando.
- Ukuba unale mpawu, ungoyiki, ungalibazisi, bona ugqirha ofanelekileyo kwaye ufumane unyango olufanelekileyo. Ngale ndlela, ungaphila ubomi obuqhelekileyo nobukhululekileyo kwakhona.
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