Ngaba nawe uziva iintlungu zombane ezinganyamezelekiyo kwelinye icala lobuso bakho? Ngaba yi-trigeminal neuralgia?

Ngaba ngamanye amaxesha ukhe uve intlungu engaqhelekanga neqatha kwelinye icala lobuso bakho? Ingaba yintlungu ebukhali njengokubetha ngombane, okanye umntu okuhlaba ngemela? Okanye ngaba le ntlungu iyenzeka nokuba uhleka, uthetha, okanye utya? Oku kunokuba yinto ebaluleke kakhulu kuwe. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yiTrigeminal Neuralgia.

Yintoni i-Trigeminal Neuralgia?

Ngamafutshane, i-trigeminal neuralgia yintlungu enzima kakhulu, enganyamezelekiyo eyenzeka kwelinye icala lobuso bakho, ngamanye amaxesha. Oku kwenzeka rhoqo xa umthambo wegazi kwi-brainstem yakho, obizwa ngokuba yi-trigeminal nerve , ucinezelwe. Cinga ngayo, le nerve ye-trigeminal yeyona nerve iphambili ezisa imvakalelo entlokweni nasebusweni bethu. Ifana nesensor ebusweni bethu. Ngoko ke xa kukho uxinzelelo kule nerve, imiqondiso evela kuyo iyaphazamiseka, nto leyo ebangela le ntlungu inzima. Oku kuthathwa njengentlungu enxulumene nemithambo-luvo.

Esi asisosifo sisongela ubomi, kodwa sinokutshintsha ubomi . Khawucinge nje, abantu abaninzi badandathekile ngenxa yale ntlungu inzima efika imizuzwana okanye imizuzu nangona besenza izinto eziqhelekileyo njengokutya, ukuthetha, ukuhleka, okanye ukuhlamba amazinyo. Esi sisifo esihlala ixesha elide esibizwa ngokuba yi-'(Chronic)'. Kodwa ungakhathazeki, kukho unyango oluninzi olunokunceda ukulawula ezi mpawu.

Abanye abantu babiza le nto ngokuthi 'tic douloureux', eli ligama elinye lesifo esifanayo.

Ixhaphake kangakanani le meko?

Nangona kungekho zibalo zichanekileyo eSri Lanka, ngokwedatha evela kwamanye amazwe ehlabathini, malunga nesigidi esinesiqingatha sabantu bafunyanwa benale sifo minyaka le. Abafazi banamathuba amaninzi okufumana esi sifo kunamadoda . Kwakhona, sixhaphake kakhulu emva kweminyaka engama-50. Le meko ayiqhelekanga kakhulu kubantwana abancinci.

Ziziphi iimpawu ze-Trigeminal Neuralgia?

Uphawu oluphambili yintlungu ekhawulezileyo neqatha ebusweni . Ngokuqhelekileyo, oku kwenzeka kwicala elinye lobuso. Intlungu inokuvela ngeendlela ezahlukeneyo:

• Kusenokuvakala ngathi ubethwe ngumbane .
• Kunokubakho intlungu ebukhali , njengokuhlaba .
• Xa kufika intlungu, kusenokuvakala ngathi izihlunu ebusweni bakho ziyaqhaqhazela .

Ngexesha lokungabi nantlungu, ungaziva izinto ezinje:

• Njengokutsha .
• Ukugquma okufana nokuqhwatywa ngempama .
• Ukuba ndindisholo .
• Intlungu ecothayo nengacacanga .

Kukho iintlobo ezimbini zentlungu kuxhomekeke kwindlela eyenzeka ngayo:

1. I-TN ye-Paroxysmal:Okwenzekayo kule meko kukuba kukho intlungu ekhawulezileyo, enzima, nebukhali. Le ntlungu inokuhlala ukusuka kwimizuzwana embalwa ukuya kwimizuzu emibini, ngamanye amaxesha ihamba nobushushu ebusweni. Nangona kukho amaxesha phakathi kokuba intlungu iphele, intlungu ingabuya kwakhona malunga neeyure ezimbini. Khawuthelekelele, njengoNiluka, xa evula umlomo wakhe ukuze atye, uqala ngomgca omncinci kwicala lasekunene lobuso bakhe, kwaye kwimizuzwana embalwa, intlungu enganyamezelekiyo iyafika, iphele emva kwexesha elithile, ize ibuye xa ezama ukutya.

2. Intlungu eqhubekayo (TN enentlungu eqhubekayo / TN engaqhelekanga): Kolu hlobo, intlungu ayibukhali njengale ingasentla, kodwa kukho intlungu engapheliyo . Kunokubakho ukuhlaba, ukutsha, kunye nobuhlungu obuncinci. Kule meko ye-trigeminal neuralgia engaqhelekanga (engaqhelekanga), kunokuba nzima ukulawula iimpawu.

I-Trigeminal neuralgia idla ngokuba yimeko "ecala linye" echaphazela icala elinye lobuso kuphela. Kunqabile kakhulu, inokuchaphazela amacala omabini obuso (macala omabini), kodwa ayichaphazele omabini ngaxeshanye. Kwezinye iimeko, ngokuhamba kwexesha, iintlungu zinokunyuka rhoqo, zihlale ixesha elide, kwaye zibe mandundu.

Zeziphi izinto ezibangela le ntlungu (`IiTriggers`)?

Amaxesha amaninzi, le meko ibuhlungu ibangelwa zizinto ezilula kakhulu, zemihla ngemihla, ezifana nokuhambisa ubuso bakho okanye ukuchukumisa ubuso bakho. Umzekelo:

• Xa ucheba iindevu, ufaka i-makeup, uhlamba ubuso bakho.
• Xa usitya ukutya, xa usela amanzi.
• Xa uhlamba amazinyo akho, xa uhlamba umlomo wakho.
• Xa uthetha, xa uhleka.
• Ukuba kukho uxinzelelo ebusweni, ingakumbi esidleleni okanye kumhlathi.
• Nokuba umoya uvuthuza ebusweni (cinga ngomoya ophuma ngefestile yebhasi) unokubangela intlungu.

Kodwa okumangalisayo kukuba, le ntlungu ayifumaneki rhoqo xa ulele .

Kutheni kukho i-trigeminal neuralgia? Zithini izizathu?

Ngokwesiqhelo, ibangelwa luxinzelelo okanye umonakalo kwi-trigeminal nerve. Oogqirha bayihlela ngokwesizathu sayo:

Iintlobo ezintathu ngokwezizathu:

1. I-TN ephambili (yeklasikhi): Oku kubangelwa kukucindezela komthambo wegazi (ngesiqhelo umthambo we-cerebellar ophezulu) kwingcambu yemithambo-luvo ye-trigeminal (uxinzelelo lwemithambo-luvo). Le yimbangela yeemeko ezininzi .

2. I-TN yesibini: Oku kwenzeka xa umthambo we-trigeminal wonakaliswa yenye imeko. Umzekelo, isifo esifana ne-Multiple Sclerosis (MS), ithumba lobuchopho, okanye i-arteriovenous malformation. Abantu abane-TN yesibini badla ngokuba bancinci, kwaye iintlungu zinokuba kumacala omabini obuso. Olu hlobo lubandakanya malunga ne-15% yazo zonke izigulana ze-TN.

3. I-TN ye-Idiopathic:Ngamanye amaxesha, nangona uvavanyo olude lusenziwa, akukho sizathu sicacileyo esifumanekayo sentlungu yobuso. Kulapho oogqirha bayibiza ngokuba yi-idiopathic TN.

Ngubani osengozini enkulu yokuhlaselwa yile nto? (Izinto Ezinobungozi)

Kukho izinto ezininzi ezibangela umngcipheko ezibangela ukuphuhliswa kwale meko:

• Igazi elonyukayo .
• Ukutshaya .
• Ukwaluphala .
• Ukuba licala labasetyhini .
• Ukuba nelungu losapho elinesi sifo (impembelelo yemfuza).

Ugqirha uxilonga njani i-trigeminal neuralgia?

Okokuqala, ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Emva koko uza kuhlola intloko nentamo yakho, aze enze uvavanyo lwemithambo-luvo. Rhoqo, ukuxilongwa kwenziwa ngokujonga izinto ezininzi:

• Uhlobo lwentlungu oyivayo (njengokothuka ngombane okanye intlungu yokugwazwa?).
• Indawo echanekileyo ebusweni apho kuvakala khona intlungu .
• Zeziphi izinto ezibangela intlungu ?

Ekubeni kukho ezinye izifo ezininzi apho intlungu yobuso iluphawu oluphambili (umz. iintloko ezibuhlungu, iintloko ezibuhlungu, i-postherpetic neuralgia, ukungasebenzi kakuhle kwe-TMJ), ugqirha kuya kufuneka aqinisekise ukuba ezo zifo azikho.

Ugqirha wakho unokuyalela ukuba kwenziwe i-brain MRI scan ukuze kufumaneke unobangela ochanekileyo - nokuba kukuvaleka kwemithambo yegazi okanye into efana nethumba.

Ziziphi iindlela zonyango lwe-trigeminal neuralgia?

Oogqirha basebenzisa indibaniselwano yamayeza, utyando, kunye nezinye iindlela zonyango ukunyanga i-trigeminal neuralgia. Kungathatha ixesha ukufumana unyango olufanelekileyo kuwe.

Amayeza:

Kwiimeko ezininzi, kwiimeko ze-TN eziphambili (eziqhelekileyo) kunye nezingaqhelekanga, into yokuqala oogqirha abayicebisayo ngamayeza.

• Amayeza okulwa nokuxhuzula: La mayeza athintela iimpawu zentlungu. Oogqirha badla ngokuqala nge-carbamazepine okanye i-oxcarbazepine. La mayeza anceda ukulawula iintlungu kubantu abaninzi kwizigaba zokuqala ze-T.N. Kodwa la mayeza asenokungasebenzi kakuhle ngokuhamba kwexesha. Amanye amayeza kweli qela aquka i-gabapentin, i-pregabalin, i-lamotrigine, i-lacosamide, i-topiramate, kunye ne-phenytoin.
• I-Baclofen: Le yimithi yokukhulula izihlunu.

Elinye la mayeza linokuba nemiphumo emibi, ngoko wena nogqirha wakho nifanele nisebenzisane ekukhetheni iyeza elikulungeleyo.

Utyando:

Oogqirha bacinga ngotyando kuphela kwezi meko:

• Ukuba iimpawu azinakulawulwa ngamayeza.
• Ukuba unesimo sesibini se-TN (umz., ithumba elicinezele umthambo).

Ubunzima, iingozi, kunye nemiphumo emibi yotyando lwe-TN iyahluka. Ugqirha wakho uza kukuchazela konke oku. Ezinye zeendlela zotyando lwe-TN ziquka:

• Ukunciphisa uxinzelelo lwemithambo yegazi: Olu tyando lunciphisa uxinzelelo oluvela kwimithambo yegazi ecinezela umthambo we-trigeminal. Olu lolona tyando lunzima kakhulu kwi-TN. Nangona kunjalo, lukwayindlela esebenzayo yokuthintela iintlungu kwixesha elide.
• Utyando lweRadio: Kule nkqubo, umqadi wemitha ujoliswa kwingcambu ye-trigeminal nerve ukuthintela imiqondiso yentlungu. Oku kungathatha malunga nenyanga ukunciphisa iintlungu.
• I-Rhizotomy: Kule nkqubo, ingcambu ye-trigeminal nerve yonakaliswa ngabom ukuvimba iimpawu zentlungu. Kukho iindlela ezahlukeneyo zokwenza oku. Umzekelo, ukucinezelwa kwebhaluni ngoomatshini, i-thermocoagulation, kunye nokufakwa kwamakhemikhali. Le nkqubo isoloko ibangela ukuba ubuso bube ndindisholo kwaye bungabi namvakalelo. Nangona inokunciphisa iintlungu kangangeminyaka embalwa, impumelelo yexesha elide ilinganiselwe.
• Ukususwa kwemithambo-luvo ejikeleze imithambo-luvo: Oku kuquka ukonakalisa okanye ukususa isebe elingaphandle kwemithambo-luvo ye-trigeminal. Oku kungenziwa ngenaliti yotywala, ukusikwa, i-cryotherapy, okanye i-radiofrequency lesioning.

Ezinye iindlela zonyango:

Ugqirha wakho angacebisa nezinye iindlela zonyango zokunceda ukulawula iintlungu ze-trigeminal neuralgia - ngokuqhelekileyo ukongeza kumayeza. Ezi ziquka:

• Iinaliti ze-botulinum toxin okanye ii-nerve blocks zinika isiqabu sexeshana kwintlungu.
• Unyango lwe-acupuncture .
• Impendulo ye-Bio .
• Unyango lwengqondo (unyango lokuthetha) `(Unyango lwengqondo)` .
• I-yoga .
• Ukucamngca .
• Unyango lwevumba elimnandi .

Yintoni eyenzeka kumntu one-trigeminal neuralgia?

Oku akuchaphazeli wonke umntu ngendlela efanayo, ngoko ke kunzima ukutsho ngqo ukuba kuza kukuchaphazela njani. Abanye abantu banokuba namaxesha eentlungu ezihlala iiveki okanye iinyanga, zilandelwe ngamaxesha okungabi nantlungu. Abanye banokuba neentlungu zobuso eziqhubekayo kunye nokuhlaselwa kwabo. Kwabanye, ukuhlaselwa kwabo kuya kuba mandundu ngokuhamba kwexesha. Kwakhona, amayeza asetyenziselwa ukunyanga i-TN asenokungasebenzi kakuhle ngokuhamba kwexesha.

Ngenxa yezi zizathu zonke, kubalulekile ukuthetha nogqirha wakho rhoqo ukuze ubone ukuba i-TN yakho ikuchaphazela njani kwaye nokuba isicwangciso sakho sonyango siyasebenza na. Awufuni ukuqhubeka uneentlungu.

Zithini iingxaki zale meko?

Intlungu ye-trigeminal neuralgia inokuba nzima kakhulu kangangokuba inokuba nefuthe elikhulu kwimpilo yakho yengqondo nakubomi bakho bemihla ngemihla . Abantu abane-TN basengozini yokufumana izifo ezifana nezi:

• Uxinzelelo .
• Ixhala .
• Ukubekwa wedwa koluntu .

Ukuba le meko ichaphazela impilo yakho yengqondo, kubalulekile ukufuna uncedo lweengcali . Thetha nogqirha wakho okanye umcebisi wezempilo yengqondo, njengogqirha wengqondo.

Unyango lwe-TN lunokubangela iingxaki. Ukusetyenziswa ixesha elide kwamayeza e-epilepsy kunokukhokelela kwiingxaki ezifana ne-osteoporosis. Utyando lunokubangela iingxaki ezifana nokungaziva buso ngokusisigxina.

Ndifanele ndimbone nini ugqirha?

Akukho mntu ufuna ukuhlala eneentlungu ezihlala zisenzeka. Ukuba unentlungu ebusweni, qiniseka ukuba ubona ugqirha . Ukuba ufunyaniswe une-TN, kuya kufuneka ubonane nogqirha rhoqo ukuqinisekisa ukuba isicwangciso sakho sonyango siyasebenza.

Yeyiphi imibuzo omele uyibuze ugqirha?

Kunganceda ukubuza ugqirha wakho le mibuzo malunga ne-trigeminal neuralgia:

• Kutheni ndibe ne-trigeminal neuralgia?
• Luhlobo luni lwe-TN endinalo?
• Ndingenza ntoni ukunciphisa intlungu endiyivayo xa ndichukumisa okanye ndishukumisa ubuso bam?
• Ziziphi iindlela zonyango endinazo?
• Ziziphi iingenelo kunye neengxaki zendlela nganye yonyango?
• Ngaba kukho amaqela enkxaso kubantu abane-trigeminal neuralgia?

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Nangona i-trigeminal neuralgia yimeko yomzimba, inokuba nefuthe elikhulu kwimpilo yakho yengqondo neyeemvakalelo. Usenokoyika ukwenza izinto eziqhelekileyo okanye ukuphuma esidlangalaleni kuba usoyika ukuhlaselwa kakhulu. Kodwa iindaba ezimnandi zezokuba kukho iindlela ezahlukeneyo zonyango ezinokukunceda uphile ubomi bakho ngendlela oyifunayo. Nangona le isenokuba yimeko ekuya kufuneka uphile nayo ubomi bakho bonke, khumbula ukuba inokulawulwa. Awuwedwa, kwaye kukho iindlela zokufumana uncedo.

I- Trigeminal neuralgia, iintlungu zobuso, iintlungu zemithambo-luvo, ulawulo lweentlungu, iintlungu zentloko, iintlungu zobuso