Wake waba nobuhlungu obungabekezeleleki ohlangothini olulodwa lobuso bakho, njengokushaqeka ngogesi, lapho uxubha amazinyo akho, udla, noma ngisho nokumomotheka nje? Lobuhlungu, obufika buphele imizuzwana embalwa, bungaba bukhulu kangangokuthi awukwazi ngisho nokwenza imisebenzi yakho yansuku zonke. Kungaba yinto esongela impilo. Yileso simo esikhuluma ngaso namuhla, i-Trigeminal Neuralgia.
Kuyini i-Trigeminal Neuralgia?
Kalula nje, lokhu ubuhlungu bemizwa ebusweni bakho. Uma sikhuluma iqiniso, ubuhlungu bemizwa. Kukhona inzwa eyinhloko ethwala umuzwa kusukela ekhanda lethu kuya ebusweni bethu, ebizwa ngokuthi i-trigeminal nerve. Le nzwa isebenza 'njengentambo' eyinhloko ethwala umuzwa ebusweni nasekhanda lethu. Lobuhlungu buvela lapho okuthile kubeka ingcindezi kule nzwa eduze kwe-brainstem.
Okwenzeka kaningi ukuthi umthambo wegazi eduze kwalapho lo mthambo ungena khona ebuchosheni ucindezela umthambo. Bese umthambo 'uba mfushane' bese uthumela izimpawu zobuhlungu obukhulu ebuchosheni ngaphandle kwesizathu esibonakalayo.
Into ebalulekile ukuthi lesi akusona isimo esisongela impilo. Kodwa-ke, yisimo esibi kakhulu esingashintsha impilo ngoba ubuhlungu bungaphazamisa ngokuphelele imisebenzi yakho yansuku zonke. Sibizwa nangokuthi 'tic douloureux'.
Uzizwa kanjani lobuhlungu? Ziyini izimpawu?
Uphawu oluyinhloko ubuhlungu obungazelelwe, obungabekezeleleki, nobunzima ohlangothini olulodwa lobuso. Lobuhlungu bungazwakala ngezindlela ezahlukene.
- Ukuzizwa sengathi ushaywa umbani
- Ubuhlungu obubukhali njengommese
- Uma ubuhlungu bufika , imisipha ebusweni ingase iqine ngokuzenzakalelayo .
Ngisho nasezikhawulweni eziphakathi kwalezi zigameko zobuhlungu obukhulu, abanye abantu bangase babe nokunye ukungakhululeki ebusweni.
- Umuzwa wokushisa
- Ukuzizwa sengathi kukhona okukushayayo (Ukubhonga)
- Ubuthuntu bobuso
- Ubuhlungu obungapheli, obungajwayelekile (Ubuhlungu obungajwayelekile)
Kuye ngokuthi lezi zimpawu zenzeka kanjani, i-trigeminal neuralgia ingahlukaniswa ngezinhlobo ezimbili eziyinhloko.
| Uhlobo Lobuhlungu | Incazelo |
|---|---|
| I-TN ye-Paroxysmal | Lolu uhlobo oluvame kakhulu. Ubuhlungu buvela ngokuzumayo, ngokubukhali, nangokungazelelwe. Ubuhlungu bungahlala kusukela kumasekhondi ambalwa kuya cishe emizuzwini emibili. Nakuba kunesikhathi phakathi kokuphela kobuhlungu, ubuhlungu bungafika buphele cishe amahora amabili. |
| I-TN enobuhlungu obuqhubekayo (i-TN engavamile) | Kulolu hlobo, ubuhlungu abubukhulu kangako, kodwa buhlala buzwakala. Ngaphezu kobuhlungu obuhlabayo, ungase uzizwe ubuhlungu obuhlala buvutha noma obungaqinile. Lolu hlobo lungaba nzima kancane ukululawula. |
Esikhathini esiningi, lobu buhlungu buthinta uhlangothi olulodwa lobuso kuphela. Kodwa-ke, akuvamile ukuthi buthinte izinhlangothi zombili zobuso (kodwa hhayi zombili izinhlangothi ngesikhathi esisodwa). Kwabanye abantu, lesi simo singase sibe sibi kancane kancane ngokuhamba kwesikhathi, futhi ubuhlungu bungakhula kaningi.
Izinto ezibangela ubuhlungu
Cabanga nje, izinto ezivamile kakhulu ozenzayo empilweni yakho yansuku zonke zingaba yimbangela yalobu buhlungu obukhulu. Lena yingxenye edabukisayo kakhulu yalesi sifo.
- Ukushefa, ukugcoba izimonyo, noma ukugeza ubuso bakho
- Ukudla nokuphuza amanzi/iziphuzo
- Ukuxubha amazinyo, ukuhlanza umlomo
- Ukukhuluma, ukuhleka
- Ukuqina okuncane kobuso, ikakhulukazi esihlathini noma endaweni yomhlathi
- Umoya omncane ushaya ubuso.
Into engcono kakhulu ukuthi lobu buhlungu abuvamile ukwenzeka ngesikhathi sokulala.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Ngokuvamile kwenzeka uma kukhona ingcindezi noma umonakalo emthanjeni we-trigeminal. Odokotela bahlukanisa lesi simo ngokusekelwe kulesi sizathu.
| Imbangela | Incazelo |
|---|---|
| I-TN Eyinhloko/Ejwayelekile | Lena imbangela evame kakhulu. Okwenzekayo lapha ukuthi umthambo wegazi (ngokuvamile umthambo we-cerebellar ophakeme) ucindezela impande ye-trigeminal nerve , okwenza umsebenzi wezinzwa uphazamiseke. |
| I-TN yesibili | Lokhu kwenzeka lapho inzwa yonakaliswa esinye isimo sezokwelapha. Isibonelo, i-multiple sclerosis (MS) , isimila sobuchopho, noma ukukhubazeka kwemithambo yegazi kungabangela lobu buhlungu. Abantu abanalolu hlobo bavame ukuba bancane. |
| I-TN ye-Idiopathic | Ngezinye izikhathi, naphezu kwazo zonke izivivinyo ezidingekayo, akukho sizathu esicacile sobuhlungu bobuso esingatholakala. Ezimweni ezinjalo, kubizwa ngokuthi i-Idiopathic TN. |
Ubani osengozini enkulu yokuthola lesi simo?
- Ukuba nomfutho wegazi ophakeme
- Ukubhema
- Uneminyaka engaphezu kwengu-50 ubudala
- Ukuba ngowesifazane (abesifazane banamathuba amaningi okuba nalokhu)
- Kukhona umuntu emndenini onalesi sifo
Dokotela, ukuxilonga kanjani lokhu?
Uma uya kudokotela, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, bazohlola indawo yekhanda nentamo yakho bese benza ukuhlolwa kwezinzwa. Ukuxilongwa kuvame ukuncika kulwazi olunikezayo.
- Uhlobo lobuhlungu obuzwayo (njengokushaywa ugesi? Njengokugwazwa ngommese?)
- Indawo eqondile yobuso lapho kuzwakala khona ubuhlungu
- Yiziphi izinto ozenzayo eziqala ubuhlungu?
Njengoba kunezinye izimo eziningi ezingabangela ubuhlungu bobuso (isibonelo, izimo ezifana nekhanda elibuhlungu, i-migraines, i-postherpetic neuralgia, kanye nokungasebenzi kahle kwe-TMJ), udokotela uzoqala aqinisekise ukuthi lezi akuzona imbangela.
Ukuze uthole imbangela eqondile, njengokuthi ngabe umthambo wegazi uvalekile noma kukhona into efana nesimila, ungase ucelwe ukuba wenze i-MRI scan .
Yiziphi izindlela zokwelapha lokhu?
Ngenhlanhla, kunezindlela zokwelapha eziningana ezitholakalayo zokusiza ukuphatha lobu buhlungu obukhulu. Kungathatha isikhathi ukuthola ukwelashwa okukusebenzela kahle.
Imithi
Ngokuvamile, udokotela uqala ngokuncoma imithi.
- Imithi yokuvimbela ukuquleka: Le mithi isebenza ngokuvimbela ukudluliselwa kwezimpawu zobuhlungu ebuchosheni. Ukwelashwa kuvame ukuqala ngemithi ebizwa ngokuthi `iCarbamazepine` noma `i-Oxcarbazepine`. Nakuba le mithi isebenza kahle kakhulu ekuqaleni, ukusebenza kwayo kungase kwehle ngokuhamba kwesikhathi. Eminye imithi efana ne-`iGabapentin`, `iPregabalin`, `iLamotrigine` nayo iyasetshenziswa.
- I-Baclofen: Lesi isithobisi semisipha.
Umuthi ngamunye ungaba nemiphumela emibi, ngakho wena nodokotela wakho kufanele nisebenzisane ukuze nikhethe umuthi ofanele wena.
Ukuhlinzwa
Ukuhlinzwa kuvame ukucatshangelwa ezimweni ezinjengalezi:
- Uma ubuhlungu bungenakulawuleka ngemithi.
- Uma kukhona isimo sesibili se-TN (isb., isimila).
Kunezinhlobo ezahlukene zokuhlinzwa, futhi izingozi nemiphumela yazo nayo ihlukile.
- Ukunciphisa imithambo yegazi emincane: Lokhu kuyindlela yokuhlinzwa ephumelela kakhulu. Kuhilela ukususa ngokuhlinzwa umthambo wegazi ocindezela imithambo bese kufakwa 'iphedi' elincane phakathi kwawo.
- Ukuhlinzwa Ngemisebe: Lokhu kuhilela ukuqondisa umsebe wemisebe empandeni yemizwa ukuze kuvinjwe izimpawu zobuhlungu. Kungathatha cishe inyanga ukubona imiphumela.
- I-Rhizotomy: Lokhu kuhilela ukulimaza ngamabomu impande yemizwa ukuze kumiswe izimpawu zobuhlungu. Lokhu kungenziwa ngezindlela eziningana. Kodwa-ke, cishe njalo kushiya ukungabi namizwa ebusweni.
Ezinye izindlela zokwelapha
Kanye nemithi, ezinye izinto zingasiza ekulawuleni ubuhlungu.
- Imijovo ye-botulinum toxin noma amabhlogo ezinzwa anikeza impumuzo yesikhashana.
- Ukwelashwa nge-acupuncture
- Impendulo ye-Bio
- Ukwelapha ngengqondo
- I-Yoga nokuzindla
Yiziphi ezinye izinkinga lokhu okungazibangela?
Ubuhlungu be-trigeminal neuralgia bungaba bukhulu kangangokuthi bungaba nomthelela omkhulu empilweni yakho yengqondo kanye nokuphila kwansuku zonke. Abantu abanalesi simo bangase babhekane nalokhu:
- Ukucindezeleka
- Ukukhathazeka
- Ukuzihlukanisa emphakathini
Uma lobu buhlungu buthinta impilo yakho yengqondo, kubaluleke kakhulu ukufuna usizo lochwepheshe, njengakudokotela noma kudokotela wengqondo.
Futhi, izinkinga zingavela ngenxa yokwelashwa. Isibonelo, ukusetshenziswa isikhathi eside kwemithi yokulwa nokuquleka kungaholela ekuncipheni kwamathambo (i-osteoporosis). Ukuhlinzwa kungabangela nokuba ndikindiki kobuso okungapheli.
Kufanele ngimbone nini udokotela?
Akekho ofuna ukuphila nobuhlungu obungapheli nobunzima. Uma uzwa ubuhlungu obukhulu ebusweni, bona udokotela ngokushesha. Uma utholakale unalesi simo, kubalulekile ukubona udokotela wakho njalo ukuqinisekisa ukuthi uhlelo lwakho lokwelashwa luyasebenza.
Umlayezo Wokuya Nawe Ekhaya
- I-Trigeminal neuralgia (TN) ubuhlungu obukhulu, obufana nokushaqeka kukagesi ebusweni.
- Lobuhlungu bungaqala ngezinto ezivamile njengokuxubha amazinyo, ukudla, nokuhleka.
- Nakuba lokhu kungasongeli impilo, kunomthelela omkhulu ezingeni lempilo. Ngakho-ke ungahlupheki ngobuhlungu.
- Kunezindlela eziningi zokwelapha eziphumelelayo, okuhlanganisa imithi kanye nokuhlinzwa.
- Khuluma ngokukhululekile nodokotela wakho ngobuhlungu bakho nokuthi buyithinta kanjani impilo yakho yengqondo. Ngokwelashwa okufanele, lesi simo singalawulwa kahle.
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