Ake sifunde kahle nge-Glossopharyngeal Neuralgia (GPN)?

Wake waba nobuhlungu obungazelelwe, obukhulu olimini lwakho, emphinjeni, emathonyeni, noma endlebeni? Kufana nokushaqeka kukagesi, okuhlala imizuzwana embalwa noma imizuzu, kodwa kwenzeka izikhathi eziningana ngosuku. Uma lobu buhlungu buvela lapho ukhuluma, udla, noma uhleka, ungase ube nesithakazelo sokufunda ngalesi simo. Lesi simo sibizwa ngokuthi i-glossopharyngeal neuralgia, noma i-GPN ngamafuphi.

Kuyini i-glossopharyngeal neuralgia (GPN)?

Kalula nje, i-Glossopharyngeal Neuralgia (GPN) yisimo esingavamile esibangela ubuhlungu obungazelelwe, obukhulu olimini lwakho, emphinjeni, emathonyeni nasezindlebeni. Kubangelwa ukucasuka, ukucindezeleka, noma ukulimala kwe- glossopharyngeal nerve .

Ubuwazi ukuthi kunezinhlobo ezingu-12 eziyinhloko zemizwa ekhanda lethu? Lezi sizibiza ngokuthi imizwa ye-cranial . Owesishiyagalolunye (wesi-9) walezi zinzwa eziyishumi nambili ze-cranial yi-glossopharyngeal nerve. Kunezimbili zalezi zinzwa ohlangothini ngalunye lwekhanda lakho, okungukuthi, ohlangothini lwesokudla nakwesobunxele. Kodwa ezimweni eziningi, i-GPN ithinta inzwa eyodwa kuphela ohlangothini olulodwa lwekhanda.

Lobuhlungu bungenzeka uma udla, ukhuluma, uhleka, noma wenza izinto ezivamile ongazicabangi ngempela. Cabanga ukuthi bekungaba yinto ecasulayo kanjani ukube ubunomphimbo obuhlungu uma ukhwehlela noma uthimula? Kungonakalisa usuku lwakho lonke. Kodwa ungakhathazeki , kunezindlela zokwelapha ezingasiza ukulawula lezi zimpawu.

Ubuhlungu be-GPN buzwakala kanjani? Buzwakala kuphi?

Uphawu oluyinhloko lwe-GPN ubuhlungu. Lobuhlungu bungazwakala ngezindlela ezahlukene:

• Ubuhlungu obubukhali , njengokugwazwa ngommese .
• Ubuhlungu obungazelelwe , njengokushaywa umbani .
• Ubuhlungu obuzwakala sengathi buvutha ngaphakathi.
• Abanye abantu bangase bazizwe bengaphilile kahle .

Lobuhlungu buvame ukuba bukhulu kakhulu. Buhlala kusukela kumasekhondi ambalwa kuya emizuzwini embalwa. Kodwa-ke, abuhlali njalo. Buyafika budlule. Lobuhlungu bungenzeka izikhathi eziningana ngosuku. Ngezinye izikhathi bungakuvusa phakathi kobusuku ngenxa yobuhlungu. Lobuhlungu bungahlala amasonto noma izinyanga. Kwabaningi, lobuhlungu buyaphela isikhashana bese bubuya amasonto, izinyanga, noma ngisho neminyaka kamuva.

Izindawo eziyinhloko lapho kuzwakala khona ubuhlungu be-GPN yilezi:

• Ingemuva lekhala lakho, umlomo, nomphimbo ( i-pharynx kanye ne-nasopharynx ), ikakhulukazi eduze kwama-tonsils.
• Eduze kwezintambo zezwi emphinjeni wakho ( i-larynx ).
• Izindawo ezizungezile nangaphansi kwesilevu nezindlebe.
• Ingemuva lolimi.

Lokhu kungenxa yokuthi i-glossopharyngeal nerve ixhunywe ezingxenyeni eziningi zekhanda lakho, entanyeni, nasebusweni, yingakho uzwa ubuhlungu ezindaweni eziningi. Isikhathi esiningi, lobu buhlungu buzwakala ohlangothini olulodwa lwekhanda lakho.

Ngezinye izikhathi, ubuhlungu bungaqala endaweni ethile budlulele kwenye. Isibonelo, ubuhlungu obuqala emphinjeni bungahamba buye ehlombe noma ngisho nasemhlane.

Ingabe zikhona izinhlobo ze-GPN?

Yebo, kunezinhlobo ezimbili eziyinhloko ze-GPN kuye ngokuthi imbangela iyini:

1. I-neuralgia eyinhloko ye-glossopharyngeal: Akukho mbangela ecacile engatholakala yalokhu. Udokotela wakho angase futhi akubize ngokuthi yi -idiopathic glossopharyngeal neuralgia , okusho ukuthi "ayikho imbangela eyaziwayo."

2. I-neuralgia yesibili ye-glossopharyngeal: Kulesi simo, i-GPN yenzeka ngenxa yesinye isimo sezokwelapha noma imbangela.

Kungani le GPN yenzeka? Yiziphi izizathu?

Imbangela eyinhloko ye-GPN uhlobo oluthile lokucindezela, ukucindezela, noma ukulimala kwe-glossopharyngeal nerve . Kunezimbangela eziningana ezivamile ezibangela lokhu:

• Ukucindezelwa kwemizwa ngumthambo wegazi: Ngezinye izikhathi lobu buhlungu bungabangelwa umthambo wegazi ogijima eduze komthambo ocindezela umthambo.
• Ukuba khona kwesimila, ukukhula, noma isilonda: Isimila noma okunye ukukhula ebuchosheni, kungaba semthanjeni noma eduze kwayo, nakho kungaba imbangela.
• Ukutheleleka: Ukutheleleka emphinjeni noma endaweni ezungezile kungathinta nerve.

Ngezinye izikhathi, odokotela abakwazi ukuthola ukuthi kwenzekani ngempela kulo mthambo. Futhi, izimpawu ze-GPN zingabangelwa ezinye izimo zezokwelapha eziyisisekelo. Isibonelo:

• Izifo ezizenzakalelayo noma izifo zokuvuvukala , isibonelo i-Sjögren's syndrome .
• Umonakalo othile ( isilonda ) esiqwini sobuchopho .
• Izimo ezisusa i-myelin ezilimaza i-myelin sheath yesistimu yezinzwa ephakathi , isibonelo , i-multiple sclerosis .
• Isifo sokhozi .
• Ingozi noma ukulimala ngokomzimba.
• Ezinye izinkinga zokukhula zikhona lapho kuzalwa.
• Izimila zemizwa ezifana neSchwannomas .
• Umdlavuza wolimi .

Yiziphi izinto ezenza lobu buhlungu bube bubi nakakhulu? (Izinto ezibangela lokhu)

Eminye imisebenzi yansuku zonke ingabangela ukuthi ubuhlungu be-GPN buvele ngokuzumayo. Lokhu sikubiza ngokuthi "izimbangela". Cabanga, kuthiwani uma ubuxoxa nabangani bakho ngenjabulo bese uhleka ngokuzumayo uzizwe ubuhlungu obukhulu emphinjeni nasemlonyeni wakho? Noma, kuthiwani uma umane ufake ukudla okumnandi okuphekwe ekhaya emlonyeni wakho bese ubuhlungu bungabekezeleleki lapho ugwinya? Ngisho nezinto ezincane njengalezi zingabangela ubuhlungu be-GPN.

Izinto ezivame ukuvusa ubuhlungu yilezi:

• Ukudla okuhlafunwayo
• Ukukhwehlela
• Ukuphuza iziphuzo ezibandayo
• Ukuhleka
• Ukuthimula
• Ukugwinya
• Ukukhuluma
• Ukuthinta ubuso noma intamo, ikakhulukazi indawo ezungezile nangaphansi kwezindlebe
• Ukuvula umnyango

Ubani osengozini enkulu yokuthola i-GPN?

I-GPN ingakhula kunoma yimuphi ubudala, kodwa ivame kakhulu kubantu abangaphezu kweminyaka engu-50 .

Yiziphi izinkinga ezingaba khona ngenxa ye-GPN?

I-GPN ngokuvamile akuyona inkinga enkulu ebangela izinkinga ezinkulu. Kodwa-ke, uma isimo sibi kakhulu, singabangela izinkinga ezithile. Isibonelo, ubuhlungu lapho udla bungabangela ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo.

Kwezinye izimo ezinzima kakhulu , lobu buhlungu be-GPN bungathinta i- Vagus nerve eseduze. Le vagus nerve iyi-nerve elawula izinqubo ezibalulekile nezizenzakalelayo njengokushaya kwenhliziyo yethu, umfutho wegazi, kanye nokuphefumula. Ngakho-ke, uma ithintwa yi-GPN, izimo ezilandelayo zingavela:

• Ukungalingani kwesigqi senhliziyo (i-arrhythmias)
• Isilinganiso senhliziyo esihamba kancane (bradycardia)
• Umfutho wegazi ophansi (i-hypotension)
• Ukuquleka noma ukulahlekelwa ukwazi (i-syncope)
• Ukuquleka

Akuvamile kakhulu, uma isimo siba sibi kakhulu, i-GPN ingathinta inhliziyo, okubangela ukuthi izinga lokushaya kwenhliziyo lehle kakhulu ngisho nokuma kwenhliziyo. Lesi yisimo esiyingozi kakhulu. Ngakho-ke, kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu.

Ungasibona kanjani isimo se-GPN?

Ukuze wazi ngokuqinisekile ukuthi une-GPN, udinga ukubona udokotela. Udokotela uzokuxilonga, akubuze ngezimpawu zakho, futhi angenza izivivinyo ezithile uma kudingeka. Lokhu kuxilongwa kungathatha isikhathi, ngoba badinga ukuthola ukuthi yini ngempela ebangela izimpawu zakho.

Ukuhlolwa okwenziwa ngokuvamile yilokhu:

• Ukuhlolwa kwegazi
• Ukuskena kwe-CT
• Ukuskena kwe-MRA - Lokhu kuhlola isimo semithambo yegazi.
• Ukuskena kwe-MRI (i-MRI)
• I-X-ray

Ngezinye izikhathi udokotela uzosebenzisa i-cotton swab ukuze athinte ngobumnene indawo lapho uzwa khona ubuhlungu. Bese,Kufakwa umuthi wokubulala izinzwa wendawo bese kuthintwa indawo futhi. Uma ubuhlungu buphela ngemva kokusetshenziswa umuthi wokubulala izinzwa, kuyisibonakaliso sokuthi kungenzeka ukuthi yi-GPN.

Yiziphi izindlela zokwelapha ze-GPN?

Izindaba ezinhle ukuthi kunezindlela zokwelapha ze-GPN. Udokotela wakho uzokhetha ukwelashwa okukulungele.

Kunezindlela eziningana zokwelapha eziyinhloko:

• Ukuthatha imithi: Le mithi isebenza ngokunciphisa ukusebenza kwamaseli ezinzwa nokunciphisa ubuhlungu.
• Imithi yokulwa nokuxhuzula efana ne -carbamazepine, i-gabapentin, i-oxcarbazepine, noma i-phenytoin ivame ukunikezwa kuqala.
• Imithi efana ne -baclofen kanye ne-tricyclic antidepressants nayo ingasiza.
• Ukusebenzisa umuthi wokubulala izinzwa wendawo: Ungafaka umuthi wokubulala izinzwa wendawo, njenge- lidocaine, ngemuva komphimbo wakho. Lokhu kungadambisa ubuhlungu okwesikhashana.
• Ukuvinjwa kwemizwa: Lokhu kuhilela ukujova umuthi eduze kwemizwa ebangela ubuhlungu. Lokhu kuvimbela imizwa ekuthumeleni izimpawu zobuhlungu.
• Ukuhlinzwa: Kwezinye izimo ezinzima, ukuhlinzwa kungadingeka.
• Ukunciphisa imithambo yegazi emincane: Lokhu kuyindlela yokuhlinzwa yokunciphisa ingcindezi emthanjeni, okungukuthi, ukuyivimba ukuthi ingacindezelwa.
• I-Rhizotomy: Lokhu kuhilela ukusika imicu yezinzwa ethwala izimpawu zobuhlungu.

Udokotela wakho uzokhuluma nawe, athole ukuthi yini ebangela ubuhlungu bakho, bese enquma ukwelashwa okungcono kakhulu kuwe. Bazokufundisa nangemiphumela emibi engaba khona yokwelashwa.

Ingabe i-GPN ingavinjelwa?

Eqinisweni, ayikho indlela eqondile yokuvimbela i-GPN. Ngoba kuvame ukwenzeka ngokungalindelekile, futhi ngezinye izikhathi ngaphandle kwesizathu esibonakalayo, akukho ongakwenza ukunciphisa ingozi yalesi simo.

Ingabe i-GPN ingelapheka? Izohlala isikhathi esingakanani?

Yebo, i-GPN ingaphela yodwa. Futhi, ngokwelashwa, kungenzeka kakhulu ukuthi iphele. Ukwelashwa kuvame ukuphumelela. Uma kudingeka ukuhlinzwa, kunganikeza ukukhululeka kobuhlungu besikhashana noma besikhathi eside.

I-GPN ivame ukuba yinkinga yesikhashana. Ihlala amasonto noma izinyanga ezimbalwa. Iningi labantu liba nayo kanye kuphela empilweni yabo. Kodwa-ke, abanye abantu bangase babe nezimpawu ze-GPN amasonto noma izinyanga, bese beya ekuphumuleni, bese beba nezimpawu futhi. Lokhu kungenzeka ngezikhathi ezithile iminyaka eminingi.

Impilo injani nge-GPN?

I-GPN ngokuvamile ayithinti isikhathi sakho sokuphila. Umbono wabantu abane-GPN uvame ukuba muhle. Kwabaningi, izimpawu ziyanyamalala futhi azibuyi.

Kodwa-ke, uma izimpawu zinzima kakhulu, ikakhulukazi uma kukhona ubuhlungu ezinhlangothini zombili zekhanda, uma kukhona ubuhlungu obuqhubekayo, futhi uma kukhona ubuhlungu obungabekezeleleki, isimo singase sibe sincane kancane. Uma kunezimpawu ezifana nokuquleka, izinguquko ekushayeni kwenhliziyo, amathuba okuba nemiphumela emibi aphezulu.

Kufanele ufune nini iseluleko sezokwelapha?

Uma usola ukuthi une-GPN ngoba uzwa ubuhlungu ebusweni, emlonyeni, noma entanyeni, kufanele nakanjani ubone udokotela. Nakuba i-GPN iyisimo esingavamile, imizwa ehilelekile isengxenyeni ebaluleke kakhulu yekhanda nentamo yakho. Ukwazi ukuthi yini ebangela lokhu nokuthola ukwelashwa kungasiza ekuvimbeleni izinkinga zesikhathi esizayo, ezingaba yingozi.

Uma une-GPN, udokotela wakho uzohlela ukuvakashelwa njalo kokulandelela. Udokotela wakho uzoqapha izimpawu zakho, noma yiziphi izinguquko, kanye nempumelelo yokwelashwa kwakho.

Futhi, tshela udokotela wakho ngokushesha uma ubona lezi zinto:

• Uma unomuzwa wokuthi umuthi owuthathayo awusebenzi kahle njengakuqala.
• Uma izimpawu ziba zimbi kakhulu.
• Uma kuvela izimpawu ezintsha.

Kufanele ufune nini ukwelashwa okuphuthumayo?

I-GPN ngokuvamile ayiyona into ephuthumayo, ngaphandle uma izimpawu zinzima. Uma unobuhlungu obufana nobe-GPN nanoma yiziphi izimpawu ezilandelayo, kufanele ufune usizo lwezokwelapha oluphuthumayo ngokushesha:

• Ukuquleka noma ukulahlekelwa ukwazi okwenzeka ngomsebenzi othile, njengokuvula umlomo noma ukukhuluma.
• Ukulahlekelwa ingqondo ngokuzumayo ngaphandle kwesizathu.
• Izinguquko ekushayeni kwenhliziyo, ikakhulukazi ukushaya kwenhliziyo okungajwayelekile noma umuzwa wenhliziyo yakho ushaya ngokushesha kakhulu ( ukushaya kwenhliziyo ).

Yiziphi ezinye izimo ezibonisa izimpawu ezifana neze-GPN?

Kunezinye izimo eziningana zezokwelapha ezibonisa izimpawu ezifana neze-GPN. Okusho ukuthi, lezi zimo zingadidaniswa ne-GPN. Yilezi:

• I-neuralgia ye-Trigeminal
• I-neuralgia kaJacobson
• Izinkinga zokungasebenzi kahle kwamalunga e-temporomandibular (TMJ)
• Ezinye izinhlobo zobuhlungu bobuso obungavamile

Isifinyezo nezinto okufanele uzikhumbule

Uma une-GPN, kungaba nzima ukuba nguwe. Kucasula kangakanani uma uzwa ubuhlungu obukhulu uma ukhuluma ngenjabulo nabangani noma umndeni, uhleka? Ungase wesabe ukuya endaweni yokudlela entsha ngoba ucabanga ukuthi kuzoba buhlungu uma ugwinya. Lezi yizinto eziletha injabulo empilweni, kodwa ubuhlungu bungashintsha konke lokho. Kodwa, akudingeki uphile nalolu buhlungu.

I-GPN iyisifo esingelapheka kakhulu.Isimo. Ngokuvamile sisabela kahle emithini. Kukhona nezinye izindlela zokwelapha ezitholakalayo ezifanela izidingo zakho. Uma uthola ukuxilongwa nokwelashwa ngokushesha, kulapho ungabuyela khona ngokushesha ekwenzeni izinto ozithandayo ngaphandle kokukhathazeka ngobuhlungu.

Ngakho-ke, uma unezinye zalezi zimpawu, sicela ufune iseluleko sezokwelapha. Impilo yakho iyona nto ebaluleke kakhulu.

` I-GPN, i-glossopharyngeal neuralgia, ubuhlungu bemizwa, ubuhlungu bomphimbo, ubuhlungu bendlebe, ubuhlungu bobuso, i-neuralgia