Wake wazizwa ubuhlungu obungabekezeleleki kolunye uhlangothi lobuso bakho, njengokushaqeka kukagesi, lapho uxubha amazinyo akho, ushefa, noma umoya nje? Lobuhlungu obukhulu obufika buphele ngemizuzwana embalwa, kodwa ngaleso sikhathi, bukwenza uzizwe ungaphilile kahle, kumelwe ukuthi bukwenze wesaba kakhulu futhi wakhathazeka. Namuhla sizokhuluma ngalesi simo esithinta abantu abaningi, kodwa abazi okuningi ngaso.
Iyini le Tic Douloureux?
Kalula nje, i-Tic Douloureux yisimo esaziwa ngokwezokwelapha ngokuthi i-`trigeminal neuralgia` . Lesi yisimo lapho umuntu ezwa khona ubuhlungu obubukhali, obuhlabayo noma obufana nogesi ohlangothini olulodwa lobuso ngenxa yenkinga ye-trigeminal nerve, i-nerve eyinhloko enikeza imizwa ebusweni bethu. Lobuhlungu bukhulu kangangokuthi ngezinye izikhathi ubuso buyanyakaza ngokungazikhetheli lapho ubuhlungu buvela. Yileyo incazelo yegama lesiNgisi elithi "tic".
Lobuhlungu buvame ukuhlala kusukela kumasekhondi ambalwa kuya emizuzwini embalwa. Kodwa lokhu kuhlaselwa kungenzeka izikhathi eziningana ngosuku. Into exakile ukuthi uma kungekho buhlungu, akukho ukuqaqamba noma enye inkinga ebusweni.
I-Trigeminal Neuralgia ingenye yezimo ezibuhlungu kakhulu ezingathinta abantu. Ngakho-ke uma unalolu hlobo lobuhlungu, ungabunaki.
Abantu abaningi bazwa lobu buhlungu ohlangothini olulodwa lobuso babo, emhlathini, esihlathini, noma ezindebeni. Ubuhlungu bukhulu kangangokuthi abanye abantu bayesaba ukukhuluma, ukudla, noma ngisho nokuphuza amanzi ngesikhathi sokuhlaselwa.
Iyini imbangela yalobu buhlungu obukhulu?
Nakuba kungenakwenzeka ukusho ngqo ukuthi siyini isizathu salokhu, kunemibono eminingana ngalokhu.
Inkolelo-mbono eyamukelwa kabanzi ukuthi umthambo wegazi (ngokuvamile umthambo) ebuchosheni ucindezelwa emthanjeni we-trigeminal, okubangela umonakalo emthanjeni. Cabanga ngakho njengepayipi lamanzi elichotshozwayo lapho kufakwa isisindo kuwo. Ngokuhamba kwesikhathi, lokhu kucindezela konakalisa isembozo sokuvikela esizungeze umthambo, esibizwa ngokuthi i-myelin sheath . Kufana nokufakwa komoya ocingweni lukagesi olugugayo. Umthambo ube usuba nomuzwa ophakeme bese uqala ukuthumela izimpawu zobuhlungu ebuchosheni ngaphandle kwesizathu esibonakalayo.
Ngaphezu kwalokho, izimila zobuchopho, ukukhubazeka okuthile emathanjeni ekhanda, ukulimala ekhanda ngenxa yezingozi, izifo, kanye ne -Multiple Sclerosis ( MS) kungabangela ukuquleka.)` kungadala nobuhlungu ngokulimaza i-trigeminal nerve.
Ziyini ngempela izimpawu?
Uphawu oluyinhloko noluwukuphela kwalo lwalesi sifo ubuhlungu. Kodwa lobo buhlungu bunezici eziningana ezikhethekile. Ake sibone ukuthi buyini.
| Isici | Incazelo |
|---|---|
| Uhlobo lobuhlungu | Ubuhlungu obungazelelwe, obubukhali, obungabekezeleleki, njengokugwazwa, ukudubula, noma ukushaqeka ngogesi. |
| Indawo lapho ubuhlungu buvela khona | Ngokuvamile kwenzeka ohlangothini olulodwa lobuso kuphela. Ngokuvamile kwenzeka esihlathini, emhlathini, emazinyweni, ezinsinini, noma endaweni yezindebe. Akuvamile kakhulu, kungenzeka eduze kweso. |
| Ubude besikhathi sobuhlungu | Lokhu kuhlasela kuthatha isikhathi esifushane, kusukela kumasekhondi ambalwa kuya cishe emizuzwini emibili, kodwa kungenzeka izikhathi eziningana ngosuku noma ngisho namakhulu ezikhathi. |
| Izimbangela zobuhlungu | Ubuhlungu bungabangelwa ukuthinta indawo ebangela ubuhlungu ohlangothini olufanayo lobuso. Izibonelo: ukukhuluma, ukuhleka, ukuxubha amazinyo akho, ukugeza ubuso bakho, ukushefa, ukugcoba izimonyo, ukuchayeka emoyeni opholile, ukudla noma ukuphuza okuthile. |
| Iphethini yobuhlungu | Ukuhlaselwa ubuhlungu kungahlala amasonto noma izinyanga ngesikhathi. Ngemva kwalokho, ungahlala izinyanga noma ngisho neminyaka ngaphandle kobuhlungu. Kodwa-ke, ngokuhamba kwesikhathi, ubuhlungu buvame ukubuya. |
Okubaluleke kakhulu, lesi simo asithinti ukunambitha, ukuzwa, noma ukusebenza kwemisipha yobuso. Lokhu kusho ukuthi yisimo esikhawulelwe ebuhlungwini kuphela .
Kunini lapho kungcono khona ukuthola iseluleko sezokwelapha?
- Uma ubuhlungu bungalawulwa yimithi udokotela wakho ayinikezile, qiniseka ukuthi ubona udokotela wakho futhi.
- Uma uba nanoma yiziphi izimpawu ezintsha ngaphezu kobuhlungu (isib., ukungazweli kobuso, ukulahlekelwa ukuzwa, isiyezi , ukushintsha kombono), kufanele futhi utshele udokotela wakho. Ngenxa yokuthi i-tic douloureux yisimo esibangela ubuhlungu kuphela, izimpawu ezintsha zingaba uphawu lwesinye isimo sezokwelapha.
Ufuna ukuya nini e-ETU?
Uma uzwa izimpawu ezifana nomkhuhlane, ukushawa uketshezi , noma isiyezi esikhulu kanye nobuhlungu, kungaba uphawu lwesimo esibucayi kakhulu. Ezimweni ezinjalo, kungcono ukuya egumbini lezimo eziphuthumayo esibhedlela (ETU) ngokushesha okukhulu. Futhi, uma ubuhlungu bungabekezeleleki futhi ungakwazi ukuxhumana nodokotela wakho, kuwukuhlakanipha ukuya ku-ETU.
Ukuthola kanjani lokhu, Dokotela?
Akukho ukuhlolwa okukodwa okuqondile kokuthola lesi simo. Udokotela wakho uzokwenza ukuxilongwa ngokusekelwe kakhulu encazelweni yakho yezimpawu zakho, ukuhlolwa ngokomzimba , kanye nokukhipha ezinye izimo ezingase zibangele ubuhlungu ebusweni bakho .
1. Incazelo yezimpawu: Ubuhlungu obufana nokushaqeka kukagesi obuchazayo, indlela obufika ngayo, kanye nezinto ezibangela lokhu kuzonikeza udokotela umbono omuhle ngalesi sifo.
2. Ukuhlolwa ngokomzimba: Ngokuvamile , akukho ukuphazamiseka okutholakalayo lapho kuhlolwa isiguli esine-tic douloureux. Kodwa-ke, uma kukhona into efana nokungazweli kobuso noma ukulahlekelwa ukuzwa, udokotela uzosola ezinye izifo. Futhi, izinto ezifana nokutheleleka kwe-sinus , ukutheleleka kwamazinyo, kanye nezinkinga ze-temporomandibular joint (TMJ) zingatholakala ekuhlolweni ngokomzimba.
3. Ukuskena: Ukuskena kobuchopho nge-CT noma nge-MRI kungahlola ukuthi kukhona yini umthambo wegazi noma isimila esicindezelwe emthanjeni. Lokhu kuhlolwa kungasiza futhi ekususeni ezinye izimbangela ezingaba khona zobuhlungu bobuso.
Yiziphi izindlela zokwelapha lokhu?
Azikho izindlela zokwelapha zasekhaya zalobu buhlungu. Ukwelashwa kufanele kufunwe ngaphansi kwesiqondiso sikadokotela. Ngokuvamile, ubuhlungu bungalawulwa ngempumelelo ngemithi. Akuvamile, kudingeka ukuhlinzwa.
Imithi
Ama-anticonvulsant yimithi eyinhloko esetshenziswa ukulawula lobu buhlungu. Le mithi isebenza ngokuvimba i-trigeminal nerve eyonakele ukuthi ingathumeli izimpawu zobuhlungu ezingadingekile.
- Imithi Eyinhloko: Umuthi osetshenziswa kakhulu yi-'Carbamazepine (Tegretol). Ngaphezu kwalokho, imithi efana ne-'Oxcarbazepine (Trileptal)', i-'Gabapentin (Neurontin)', kanye ne-'Lamotrigine (Lamictal)' nayo isetshenziswe ngempumelelo.
- Imiphumela emibi: Le mithi iqalwa ngomthamo ophansi. Umthamo ukhuliswa kancane kancane kuze kube yilapho ubuhlungu bulawulwa. Imiphumela emibi efana nokozela, isiyezi, ukubona kabili, kanye nesicanucanu ingase ivele.
- Eminye imithi: Kulabo abangaphenduli emithini engenhla noma abanemiphumela emibi kakhulu, i-Baclofen (Lioresal) kanye, kwezinye izimo, i-Pimozide (Orap) ingaba usizo. Imijovo ye-Botox nayo iboniswe ukuthi inikeza ukukhululeka okukhulu ebuhlungwini.
Okubalulekile: Eminye yale mithi ingathinta amaseli akho egazi kanye nokusebenza kwesibindi. Ngakho-ke, kubalulekile ukuhlolwa kwegazi njalo njengoba kuyalelwe udokotela wakho. Ungaqali noma uyeke ukuthatha le mithi ngaphandle kokubonisana nodokotela wakho nganoma yisiphi isizathu.
Ukuhlinzwa
Uma imithi ingalawuli ubuhlungu noma imiphumela emibi yemithi ingabekezeleleki, ukuhlinzwa kungacatshangelwa. Lokhu kungahilela ukubonana nodokotela ohlinza izinzwa. Kunezindlela ezahlukahlukene, kusukela ezinqubweni ezilula njengokujova umuthi wokubulala izinzwa wendawo emsipheni kuya ekuhlinzeni okuyinkimbinkimbi okuvula ubuchopho. Nakuba ukuhlinzwa okuyinkimbinkimbi kuvame ukunikeza impumuzo yesikhathi eside, kuhlotshaniswa nezingozi eziphezulu.
Ingabe lesi simo singavinjelwa?
Ngeshwa, ayikho indlela yokuvimbela i-tic douloureux ukuthi ingenzeki.
Umlayezo Wokuya Nawe Ekhaya
- I-Tic douloureux (i-Trigeminal Neuralgia) yisimo esibangela ubuhlungu obukhulu, kodwa akusona isifo esibangela umonakalo wesikhathi eside emzimbeni noma esisongela ukuphila. Yisimo esinqunyelwe ebuhlungwini bodwa.
- Imbangela yalobu buhlungu ivame ukuba umthambo wegazi ucindezeleke emthanjeni.
- Ukuxilongwa kusekelwe kakhulu ezimpawini zakho.
- Lobuhlungu cishe njalo bungalawulwa ngempumelelo ngemithi noma ngokuhlinzwa.
- Uma unalezi zimpawu, ungesabi, ungalibali, bona udokotela ofanelekayo bese uthola ukwelashwa okufanele. Ngaleyo ndlela, ungaphila impilo evamile nekhululekile futhi.
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