Cabanga nje ukube ubuhleka futhi uxoxa nabangani bakho, noma ujabulela ukudla okuthandayo, bese ngokuzumayo uzwa ukushaqeka kukagesi okungabekezeleleki okuvela ngemuva komphimbo noma kolimi lwakho? Lobuhlungu obukhulu obufika buphinde buphele ngemizuzwana embalwa bungakuphazamisa usuku lwakho lonke. Uma uke waba nokuhlangenwe nakho okunjalo, kubaluleke kakhulu ukuthi uqaphele isimo esikhuluma ngaso namuhla esibizwa ngokuthi i-Glossopharyngeal Neuralgia (GPN).
Kuyini i-Glossopharyngeal Neuralgia (GPN)?
Kalula nje, i-GPN yisimo esingavamile kakhulu esibangela ubuhlungu obungazelelwe, obukhulu olimini lwakho, emphinjeni , emathonyeni nasezindlebeni . Kubangelwa ukucindezeleka noma ukulimala kwe -glossopharyngeal nerve .
Kunezinhlobo ezingu-12 zezinzwa eziqala ebuchosheni bethu ziye ebusweni nasentanyeni, ezibizwa ngokuthi izinzwa ze-cranial . I-glossopharyngeal nerve ingeyesishiyagalolunye kulezi. Kunezinzwa ezimbili ohlangothini ngalunye lwekhanda lakho. Kodwa-ke, ku-GPN, ivame ukuthinta uhlangothi olulodwa lwekhanda kuphela.
Lobuhlungu bungavela ngezikhathi lapho singacabangi ngisho nangalokho, njengalapho udla, ukhuluma, uhleka, uchama, noma uvula umlomo wakho. Lobuhlungu bungahlala kusukela kumasekhondi ambalwa kuya cishe emizuzwini emibili. Kodwa-ke, njengoba lobu buhlungu bungenzeka izikhathi eziningana ngosuku, bungaba ukuphazamiseka okukhulu empilweni. Kodwa ungakhathazeki, kunezindlela zokwelapha ezinhle zokulawula lezi zimpawu.
Ingabe zikhona izinhlobo eziyinhloko ze-GPN?
Yebo, i-GPN ingahlukaniswa ngezinhlobo ezimbili eziyinhloko kuye ngembangela.
| Uhlobo lwe-GPN | Incazelo |
|---|---|
| I-GPN eyinhloko | Lokhu kubizwa nangokuthi i-idiopathic GPN . Idiopathic isho ukuthi "akukho sizathu esingatholakala." Lokhu kusho ukuthi lesi simo senzeka ngaphandle kwesizathu esicacile. |
| I-GPN yesibili | Lokhu kubangelwa ukucindezeleka emthanjeni ngenxa yesinye isimo sezokwelapha, ukutheleleka, noma into efana nesimila. |
Ziyini izimpawu? Sibona kanjani lobu buhlungu?
Uphawu oluyinhloko noluwukuphela kwesibonakaliso se-GPN ubuhlungu. Lobuhlungu bungazwakala ngezindlela ezahlukene.
| Uhlobo lobuhlungu | Kalula nje... |
|---|---|
| Ubukhali | Ubuhlungu obukhulu kakhulu, obuhlabayo. |
| Ukugwaza | Ubuhlungu obungazelelwe, obukhulu obuzwakala sengathi ugwazwe ngommese. |
| Ukudubula | Ubuhlungu obuqala endaweni eyodwa budlulele kwenye ngesivinini sombani. |
| Kuyashaqisa | Ubuhlungu obubangela ukungakhululeki, njengokushaywa ugesi. |
| Ubuhlungu | Ubuhlungu obuhlabayo obuvela ngaphakathi. |
| Njengokusha (Ukusha) | Ubuhlungu obuvuthayo emphinjeni. |
Lobuhlungu buvame ukuhlala kusukela kumasekhondi ambalwa kuya emizuzwini emibili . Bungafika izikhathi eziningana ngosuku. Ngezinye izikhathi ubuhlungu bungaba bukhulu kangangokuthi bukuvuse ebusuku. Lobuhlungu bungahlala amasonto noma izinyanga, bese buphela izinyanga noma ngisho neminyaka.
Ubuhlungu buvelaphi?
Ngenxa yokuthi i-glossopharyngeal nerve ixhunywe ezindaweni eziningana zekhanda, intamo, nobuso, ubuhlungu bungavela ezindaweni eziningana.
- Ingemuva lekhala lakho, umlomo, nomphimbo (ikakhulukazi eduze kwamathonsi).
- Indawo yomphimbo ezungeze ibhokisi lezwi.
- Indawo ezungezile nangaphansi kwesilevu sakho nezindlebe.
- Ingemuva lolimi.
Ngokuvamile ubuhlungu buhlala ohlangothini olulodwa lwekhanda. Ngezinye izikhathi ubuhlungu bungaqala endaweni eyodwa busakazekele ehlombe noma emhlane (ubuhlungu obukhipha imisebe).
Yiziphi izimbangela ze-GPN?
Njengoba kushiwo ngaphambili, imbangela eyinhloko yalokhu ukulimala kwe-glossopharyngeal nerve. Kunezimbangela eziningana ezivamile ezingaba nomthelela kulokhu:
- Ukucindezelwa kwemizwa ngumthambo wegazi: Ubuhlungu bungenzeka lapho umthambo wegazi ogijima eduze komthambo ucindezela umthambo.
- Isimila noma umdlavuza: Isimila esakheka nxazonke kwenzwa singabangela ukuba inzwa icindezelwe.
- Ukutheleleka: Isimo esithathelwanayo singabangela ukuba inzwa ivuvuke.
Ngezinye izikhathi odokotela abakwazi ukuthola ukuthi kungani ngempela le nzwa ithinteka. Ingabangelwa nezinye izimo zezokwelapha eziyisisekelo. Isibonelo:
- Izifo ezizenzakalelayo njenge- Sjögren's syndrome .
- Izifo ezithinta uhlelo lwezinzwa, njenge-multiple sclerosis ( MS ).
- Isifo sokhozi.
- Ingozi ekhanda noma entanyeni.
- Ama-Schwannoma (amathumba akheka emagobolondweni ezinzwa).
- Umdlavuza wolimi.
Yini eyenza lobu buhlungu bube bubi nakakhulu? (Izimbangela)
Bheka manje, lobu buhlungu bungavela ezintweni esivame ukuzenza ngaphandle kokucabanga nganoma yini.
Uma uzwa ubuhlungu ngenkathi wenza le misebenzi, qaphela lokho bese utshela udokotela wakho ngakho.
- Ukudla okuhlafunwayo
- Ukukhwehlela
- Ukuphuza iziphuzo ezibandayo
- Lowo omomothekayo
- Ingwenya iyahamba.
- Ukugwinya okuthile (ukudla noma amathe)
- Ukukhuluma
- Ukuhlikihla ubuso noma intamo ezindlebeni
- Ukuvula umnyango
Ingabe ikhona imiphumela emibi kakhulu ye-GPN?
I-GPN ngokuvamile ayibangeli izinkinga ezinkulu, kodwa uma ubuhlungu bukhulu, umzimba ungase wehlise isisindo ngenxa yokwesaba ukudla nokuphuza.
Kubaluleke kakhulu: Uma i-GPN iba nzima, ingathinta ne- vagus nerve , etholakala eduze ne-glossopharyngeal nerve. Le nerve ye-vagus ilawula izinqubo ezibalulekile nezizenzakalelayo njengokushaya kwenhliziyo yethu, umfutho wegazi, kanye nokuphefumula. Uma i-GPN nayo ithinta le nerve, izimo ezilandelayo ezingathi sína zingavela:
- Ukushaya kwenhliziyo okungajwayelekile (i-Arrhythmias)
- Isilinganiso senhliziyo esiphansi (i-Bradycardia)
- Umfutho wegazi ophansi (i-Hypotension)
- I-Syncope
- Ukuquleka
Nakuba kungavamile kakhulu, uma lesi simo siba sibi kakhulu, singaholela ekumisweni yinhliziyo. Lesi yisimo esiphuthumayo esibucayi kakhulu. Ngakho-ke, uma uzwa ubuhlungu kanye nesicanucanu, funa iseluleko sezokwelapha ngokushesha.
Dokotela, ukuxilonga kanjani lokhu?
Udokotela wakho uzoqala akubuze ngezimpawu zakho bese ekwenza ukuhlolwa ngokomzimba. Njengoba i-GPN iyisimo esingavamile, kungathatha isikhathi ukuthola imbangela eqondile.
Ukuhlolwa okulandelayo kungenziwa ukuqinisekisa ukuxilongwa:
- Ukuhlolwa kwegazi
- Ukuskena kwe-CT
- Ukuskena kwe-MRA
- Ukuskena kwe-MRI
- Ukuhlolwa kwe-X-ray
Udokotela angase futhi enze isivivinyo esilula. Uzothinta kancane indawo lapho uzwa khona ubuhlungu ngekotoni encane. Ngemuva kwalokho, bazofaka umuthi wokubulala izinzwa endaweni bese benza okufanayo futhi. Uma ubuhlungu buphela ngemva kokusebenzisa umuthi, kungenzeka ukuthi yi-GPN.
Yiziphi izindlela zokwelapha ze-GPN?
Ngenhlanhla, kunezindlela zokwelapha ezisebenzayo zokulawula i-GPN.
| Indlela yokwelapha | Incazelo |
|---|---|
| Imithi | Kunikezwa imithi enciphisa ukusebenza kwamaseli ezinzwa futhi ilawule ubuhlungu. Imithi yokulwa nokuxhuzula efana neCarbamazepine, iGabapentin, kanye ne-Oxcarbazepine iyona yokuqala esetshenziswayo. |
| I-Anesthetic Yendawo | Umuthi oqeda izinhlungu njenge- Lidocaine ungafuthwa noma uhlikihlwe ngemuva komphimbo ukuze unciphise ubuhlungu okwesikhashana. |
| Ama-Neva Blocks | Umuthi ufakwa emthanjeni eduze nomthombo wobuhlungu, uvimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni. |
| Ukuhlinzwa | Uma ezinye izindlela zokwelapha zihluleka ukulawula ubuhlungu, ukuhlinzwa kungacatshangelwa. Lokhu kufaka phakathi i-microvascular decompression noma i-rhizotomy, okuhilela ukusika imicu yezinzwa edlulisa ubuhlungu. |
Udokotela wakho uzokhuluma nawe futhi akusize ukhethe ukwelashwa okufanelana kahle nesimo sakho.
Kufanele ngimbone nini udokotela?
Uma unezinhlungu ezichazwe kulesi sihloko ebusweni bakho, emlonyeni, noma entanyeni, kufanele nakanjani ubone udokotela. Nakuba i-GPN iyisimo esingavamile, imizwa ehilelekile itholakala engxenyeni ebaluleke kakhulu yekhanda nentamo. Ngakho-ke, ukuthola imbangela nokwelapha kungasiza ekuvimbeleni izimo eziyingozi esikhathini esizayo.
Kufanele ngiye nini e-ETU?
I-GPN ngokuvamile ayiyona into ephuthumayo. Kodwa-ke, njengoba kushiwo ngaphambili, uma uhlangabezana nezimpawu ezinzima, kufanele uye eMnyangweni Wezimo Eziphuthumayo (ETU) ngokushesha. Izimpawu ezinjalo zifaka:
- Ukuzungeza noma ukulahlekelwa ukwazi okwenzeka lapho uvula umlomo noma ukhuluma.
- Ukulahlekelwa ukwazi ngaphandle kwesizathu.
- Izinguquko ekushayeni kwenhliziyo (ukushaya kwenhliziyo okungajwayelekile, ukushaya kwenhliziyo okungajwayelekile).
Umlayezo Wokuya Nawe Ekhaya
- I-Glossopharyngeal Neuralgia (GPN) ubuhlungu obungazelelwe, obukhulu, obufana nogesi emphinjeni, olimini, noma ezindlebeni. Bungabangelwa izinto ezilula njengokudla noma ukukhuluma.
- Lokhu kubangelwa ukulimala kwe-glossopharyngeal nerve. Ngokuvamile, imbangela ayitholakali.
- Ngisho noma lobu buhlungu buphazamisa impilo yakho, ungesabi. Bungalawulwa kahle ngemithi kanye nezinye izindlela zokwelapha. Ungahlupheki wedwa ngobuhlungu.
- Uma uzwa isicanucanu, isiyezi, ukulahlekelwa ukwazi, noma izinguquko ekushayeni kwenhliziyo yakho kanye nobuhlungu, kungaba yisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma unezimpawu ezinjengalezi, qiniseka ukuthi ubona udokotela wakho ukuze uthole ukuxilongwa okufanele kanye nohlelo lokwelashwa.
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