Ngaba wakha waba nentlungu enganyamezelekiyo kwelinye icala lobuso bakho, njengomothuko wombane, xa uhlamba amazinyo akho, utya, okanye uncuma nje? Le ntlungu, efika ize iphele imizuzwana embalwa, inokuba nkulu kangangokuba awukwazi nokwenza imisebenzi yakho yemihla ngemihla. Inokuba ngamava asongela ubomi. Leyo yimeko esithetha ngayo namhlanje, iTrigeminal Neuralgia.
Yintoni i-Trigeminal Neuralgia?
Ngamafutshane, le yintlungu yemithambo-luvo ebusweni bakho. Ngokuchanekileyo, yintlungu ye-neuropathic. Kukho i-nerve ephambili ethwala imvakalelo ukusuka entlokweni ukuya ebusweni bethu, ebizwa ngokuba yi-trigeminal nerve. Le nerve isebenza 'njengentambo' ephambili ethwala imvakalelo ebusweni nasentlokweni yethu. Le ntlungu yenzeka xa into ethile ibeka uxinzelelo kule nerve kufutshane ne-brainstem.
Okuhlala kwenzeka kukuba umthambo wegazi okufutshane nendawo apho lo mthambo ungena khona engqondweni ucinezela umthambo. Emva koko umthambo uba 'mfutshane' uze uthumele imiqondiso yentlungu enzulu engqondweni ngaphandle kwesizathu esicacileyo.
Into ebalulekileyo kukuba le ayisosisongelo kubomi. Nangona kunjalo, yimeko enzima enokutshintsha ubomi kuba intlungu inokuphazamisa ngokupheleleyo imisebenzi yakho yemihla ngemihla. Ikwabizwa ngokuba yi-'tic douloureux'.
Ivakala njani le ntlungu? Zithini iimpawu zayo?
Uphawu oluphambili yintlungu ekhawulezileyo, enganyamezelekiyo, neqatha kwelinye icala lobuso. Le ntlungu inokuvakala ngeendlela ezahlukeneyo.
- Uvakalelwa ngathi ubethwa ngumbane
- Intlungu ebukhali njengemela
- Xa kufika intlungu , izihlunu ebusweni zisenokuqina ngokuzenzekelayo .
Kwanaphakathi kwezi zihlandlo zentlungu enzima, abanye abantu banokufumana ezinye iingxaki zobuso.
- Imvakalelo yokutsha
- Ukuziva ngathi kukho into ebethayo (Ukubetha)
- Ubungqindilili bobuso
- Intlungu engapheliyo, engathandekiyo (Ubuhlungu obungapheliyo)
Ngokuxhomekeke kwindlela ezi mpawu ezenzeka ngayo, i-trigeminal neuralgia inokwahlulwa ibe ziintlobo ezimbini eziphambili.
| Uhlobo lweNtlungu | Inkcazo |
|---|---|
| I-TN ye-Paroxysmal | Olu lolona hlobo luqhelekileyo. Intlungu ivela ngequbuliso, ngokukhawuleza, nangokungacwangciswanga. Intlungu ingahlala ukusuka kwimizuzwana embalwa ukuya kwimizuzu emibini. Nangona kukho ixesha phakathi kokuba intlungu iphele, intlungu ingafika ize iphele malunga neeyure ezimbini. |
| I-TN enentlungu eqhubekayo (i-TN engaqhelekanga) | Kolu hlobo, intlungu ayinzima kangako, kodwa isavakala ngalo lonke ixesha. Ukongeza kwintlungu ehlabayo, ungaziva utshisa rhoqo okanye iintlungu ezibuhlungu. Olu hlobo lunokuba nzima ngakumbi ukulawula. |
Uninzi lwexesha, le ntlungu ichaphazela icala elinye lobuso kuphela. Nangona kunjalo, kunqabile kakhulu, inokuchaphazela amacala omabini obuso (kodwa kungekhona omabini amacala ngaxeshanye). Kwabanye abantu, imeko inokuba mandundu kancinci kancinci ngokuhamba kwexesha, kwaye iintlungu zinokunyuka rhoqo.
Izinto ezibangela intlungu
Khawucinge nje, izinto eziqhelekileyo ozenzayo kubomi bakho bemihla ngemihla zinokuba ngunobangela wale ntlungu imbi. Le yeyona nxalenye ibuhlungu yesi sifo.
- Ukucheba, ukufaka izimonyo, okanye ukuhlamba ubuso bakho
- Ukutya nokusela amanzi/iziselo
- Ukuxubha amazinyo, ukuhlamba umlomo
- Ukuthetha, ukuhleka
- Ukuqina kancinci kobuso, ingakumbi isidlele okanye umhlathi
- Umoya omncinci ubetha ebusweni.
Eyona nto ingcono kukuba le ntlungu ayisoloko isenzeka xa ulele.
Kutheni oku kusenzeka? Zithini izizathu?
Oku kwenzeka rhoqo xa kukho uxinzelelo okanye umonakalo kwi-trigeminal nerve. Oogqirha bahlula le meko ngokusekelwe kwesi sizathu.
| Unobangela | Ingcaciso |
|---|---|
| Isikolo samabanga aphantsi (esiphambili/esiqhelekileyo) TN | Le yeyona nto ixhaphakileyo. Okwenzekayo apha kukuba umthambo wegazi (odla ngokuba yi-superior cerebellar artery) ucinezela ingcambu ye-trigeminal nerve , nto leyo ebangela ukuba umsebenzi we-nerve uphazamiseke. |
| I-TN yesibini | Kulapho umthambo wonakaliswa yenye imeko yezonyango. Umzekelo, i-multiple sclerosis (MS) , ithumba lobuchopho, okanye i- arteriovenous malformation inokubangela le ntlungu. Abantu abanolu hlobo badla ngokuba bancinci. |
| I-TN ye-Idiopathic | Ngamanye amaxesha, nangona uvavanyo olufunekayo lusenziwa, akukho sizathu sicacileyo sentlungu yobuso esifumanekayo. Kwimeko ezinjalo, ibizwa ngokuba yi-Idiopathic TN. |
Ngubani osengozini enkulu yokuhlaselwa yile meko?
- Ukuba noxinzelelo lwegazi oluphezulu
- Ukutshaya
- Ngaphezulu kweminyaka engama-50 ubudala
- Ukuba ngumfazi (abafazi banamathuba amaninzi okuba nale nto)
- Kukho umntu kusapho onale sifo
Gqirha, uyixilonga njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, baza kuhlola intloko yakho nentamo yakho baze benze uvavanyo lwemithambo-luvo. Ukuxilongwa kudla ngokuxhomekeka kulwazi olunikileyo.
- Uhlobo lwentlungu oyivayo (njengokothuka ngombane? Njengokuhlaba ngemela?)
- Indawo echanekileyo yobuso apho intlungu ivakala khona
- Zeziphi izinto ozenzayo eziqala intlungu?
Ekubeni kukho ezinye iimeko ezininzi ezinokubangela iintlungu ebusweni (umzekelo, iimeko ezifana neentloko ezibuhlungu, iintloko ezibuhlungu, i-postherpetic neuralgia, kunye nokungasebenzi kakuhle kwe-TMJ), ugqirha uya kuqala aqinisekise ukuba ezi azizizo izizathu.
Ukuze ufumane unobangela ochanekileyo, njengokuba ingaba umthambo wegazi uvalekile okanye ukuba kukho into efana nethumba, ungacelwa ukuba wenze i-MRI scan .
Zithini iindlela zonyango zoku?
Ngethamsanqa, kukho iindlela ezahlukeneyo zonyango ezifumanekayo ukunceda ukulawula le ntlungu inzima. Kungathatha ixesha ukufumana unyango olukulungeleyo.
Amayeza
Amaxesha amaninzi, ugqirha uqala ngokucebisa amayeza.
- Amayeza okulwa nokuxhuzula: La mayeza asebenza ngokuthintela ukudluliselwa kwemiqondiso yentlungu engqondweni. Unyango ludla ngokuqala ngamayeza abizwa ngokuba yi-'Carbamazepine' okanye 'Oxcarbazepine'. Nangona la mayeza esebenza kakhulu ekuqaleni, ukusebenza kwawo kunokuncipha ngokuhamba kwexesha. Amanye amayeza afana ne-'Gabapentin', 'Pregabalin', 'Lamotrigine' nawo ayasetyenziswa.
- I-Baclofen: Le yimithi yokukhulula izihlunu.
Elinye la mayeza linokuba nemiphumo emibi, ngoko wena nogqirha wakho nifanele nisebenzisane ekukhetheni elona chiza lifanelekileyo kuwe.
Utyando
Utyando ludla ngokuqwalaselwa kwiimeko ezifana nezi:
- Ukuba intlungu ayinakulawulwa ngamayeza.
- Ukuba kukho imeko yesibini ye-TN (umz., ithumba).
Kukho iintlobo ezahlukeneyo zotyando, kwaye iingozi kunye neziphumo zazo nazo zahlukile.
- Ukunciphisa uxinzelelo lwemithambo-luvo: Olu lolona tyando luphumelele kakhulu. Lubandakanya ukususwa komthambo wegazi ocinezela umthambo-luvo ngotyando nokufakwa 'iphedi' encinci phakathi kwawo.
- Utyando lweRadio: Oku kuquka ukukhokela umqadi wemitha kwiingcambu zemithambo-luvo ukuthintela imiqondiso yentlungu. Kungathatha malunga nenyanga ukubona iziphumo.
- I-Rhizotomy: Oku kuquka ukonakalisa ingcambu yemithambo-luvo ngabom ukuze kumiswe iimpawu zentlungu. Oku kungenziwa ngeendlela ezahlukeneyo. Nangona kunjalo, phantse kuhlala kushiya ubuso bungenazinzwa.
Ezinye iindlela zonyango
Kunye namayeza, ezinye izinto zinokunceda ekulawuleni iintlungu.
- Iinaliti ze-botulinum toxin okanye ii-nerve blocks zinika isiqabu sexeshana.
- Unyango lwe-Acupuncture
- Impendulo ye-Bio
- Unyango lwengqondo
- I-Yoga kunye nokucamngca
Zeziphi ezinye iingxaki ezinokubangela oku?
Intlungu ye-trigeminal neuralgia inokuba nkulu kangangokuba inokuba nefuthe elikhulu kwimpilo yakho yengqondo nakubomi bakho bemihla ngemihla. Abantu abanale meko banokufumana oku kulandelayo:
- Uxinzelelo
- Ixhala
- Ukubekwa wedwa koluntu
Ukuba le ntlungu ichaphazela impilo yakho yengqondo, kubaluleke kakhulu ukufuna uncedo lweengcali, njengogqirha okanye ingcali yezengqondo.
Kwakhona, iingxaki zinokubakho ngenxa yonyango. Umzekelo, ukusetyenziswa ixesha elide kwamayeza okulwa nokuxhuzula kunokubangela ukuncitshiswa kwamathambo (i-osteoporosis). Utyando lunokubangela ukungaziva kobuso okungapheliyo.
Ndifanele ndimbone nini ugqirha?
Akukho mntu ufuna ukuhlala enentlungu engapheliyo neqatha. Ukuba ufumana intlungu eqatha ebusweni, bona ugqirha ngoko nangoko. Ukuba ufunyenwe unale meko, kubalulekile ukubona ugqirha wakho rhoqo ukuqinisekisa ukuba isicwangciso sakho sonyango siyasebenza.
Umyalezo Wokuya Ekhaya
- I-Trigeminal neuralgia (TN) yintlungu yemithambo-luvo ebuhlungu, efana nomothuko wombane ebusweni.
- Le ntlungu ingaqala ngezinto eziqhelekileyo ezifana nokuxukuxa amazinyo, ukutya, nokuhleka.
- Nangona oku kungasongeli ubomi, kunempembelelo enkulu kumgangatho wobomi. Ngoko ke musa ukubandezeleka ngenxa yentlungu.
- Kukho unyango oluninzi oluphumelelayo, kuquka amayeza kunye notyando.
- Thetha ngokukhululekileyo nogqirha wakho malunga nentlungu yakho kunye nendlela eyichaphazela ngayo impilo yakho yengqondo. Ngonyango olufanelekileyo, le meko inokulawulwa kakuhle.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho