Ingabe nawe uzwa ubuhlungu obungabekezeleleki obubangelwa ugesi ohlangothini olulodwa lobuso bakho? Ingabe kungaba yi-trigeminal neuralgia?

Ingabe ngezinye izikhathi uzwa ubuhlungu obungacabangeki, obukhulu ohlangothini olulodwa lobuso bakho? Ingabe ubuhlungu obubukhali njengokwethuka kukagesi, noma othile okugwaza ngommese? Noma ingabe lobu buhlungu buvela ngisho nalapho uhleka, ukhuluma, noma udla? Khona-ke lokhu kungaba yinto ebaluleke kakhulu kuwe. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi i-Trigeminal Neuralgia.

Kuyini i-Trigeminal Neuralgia?

Kalula nje, i-trigeminal neuralgia ubuhlungu obukhulu kakhulu, obungabekezeleleki obuvela kolunye uhlangothi lobuso bakho, ngezikhathi ezithile. Lokhu kuvame ukwenzeka lapho umthambo wegazi osebuchosheni bakho, obizwa ngokuthi i-trigeminal nerve , ucindezelwa. Cabanga ngakho, lo mthambo we-trigeminal uwumthambo oyinhloko oletha umuzwa ekhanda nasebusweni bethu. Kufana nenzwa ebusweni bethu. Ngakho-ke uma kukhona ingcindezi kulo mthambo, izimpawu ezivela kuwo ziyaphazamiseka, okuholela kulobu buhlungu obukhulu. Lokhu kubhekwa njengobuhlungu obuhlobene nemizwa.

Lesi akusona isifo esisongela impilo, kodwa singashintsha impilo . Cabanga nje, abantu abaningi bacindezelekile ngenxa yalobu buhlungu obukhulu obufika imizuzwana noma imizuzu ngisho nalapho benza izinto ezivamile njengokudla, ukukhuluma, ukuhleka, noma ukuxubha amazinyo. Lesi ngokuvamile yisimo '(Esingamahlalakhona)' sesikhathi eside. Kodwa ungakhathazeki, kunezindlela eziningana zokwelapha ezingasiza ukulawula lezi zimpawu.

Abanye abantu babiza lokhu ngokuthi 'tic douloureux', okuyigama elihlukile lesifo esifanayo.

Sivame kangakanani lesi simo?

Nakuba zingekho izibalo eziqondile eSri Lanka, ngokusho kwedatha evela kwamanye amazwe emhlabeni, cishe abantu abayisigidi nesigamu batholakala benalesi sifo minyaka yonke. Abesifazane banamathuba amaningi okuthola lesi sifo kunabesilisa . Futhi, sivame kakhulu ngemva kweminyaka engu-50. Lesi simo asivamile ezinganeni ezincane.

Ziyini izimpawu ze-Trigeminal Neuralgia?

Uphawu oluyinhloko ubuhlungu obungazelelwe, obukhulu ebusweni . Ngokuvamile, lokhu kwenzeka ohlangothini olulodwa lobuso. Ubuhlungu bungavela ngezindlela eziningi ezahlukene:

• Kungase kuzwakale sengathi ushaywe umbani .
• Kungase kube nobuhlungu obubukhali , njengokugwazwa .
• Uma ubuhlungu bufika, kungase kuzwakale sengathi imisipha ebusweni bakho iyanyakaza .

Ngesikhathi sokungabi nobuhlungu, ungase uzizwe izinto ezifana nalezi:

• Njengokusha .
• Ukuduma okufana nokushaya ngempama .
• Ukuba ndikindiki .
• Ubuhlungu obuhamba kancane, obungazwakali kahle .

Kunezinhlobo ezimbili zobuhlungu kuye ngokuthi zenzeka kanjani:

1. I-TN ye-Paroxysmal:Okwenzekayo kulesi simo ukuthi kukhona ubuhlungu obungazelelwe, obukhulu, nobubukhali. Lobuhlungu bungahlala kusukela kumasekhondi ambalwa kuya cishe emizuzwini emibili, ngezinye izikhathi buhambisana nomuzwa wokushisa ebusweni. Nakuba kunezinkathi zesikhathi phakathi kokuphela kobuhlungu, ubuhlungu bungabuya ngokuphindaphindiwe cishe amahora amabili. Cabanga, njengoNiluka, lapho evula umlomo wakhe ukuze adle, uqala ngomugqa omncane ohlangothini lwesokudla lobuso bakhe, futhi phakathi nemizuzwana embalwa, ubuhlungu obungabekezeleleki buyavela, buphele ngemva kwesikhashana, bese bubuya lapho ezama ukudla.

2. Ubuhlungu obuqhubekayo (TN nobuhlungu obuqhubekayo / TN engavamile): Kulolu hlobo, ubuhlungu abubukhali njengalokhu okungenhla, kodwa kukhona ubuhlungu obuqhubekayo . Kungase kube nokugwazwa, ukusha, kanye nobuhlungu obuncane. Kulesi simo se-trigeminal neuralgia esingavamile (esingajwayelekile), kungaba nzima ukulawula izimpawu.

I-Trigeminal neuralgia ivame ukuba yisimo "esithinta uhlangothi olulodwa kuphela" esithinta uhlangothi olulodwa lobuso. Akuvamile kakhulu, kungathinta izinhlangothi zombili zobuso (ezithinta uhlangothi olulodwa), kodwa hhayi zombili ngesikhathi esisodwa. Kwezinye izimo, ngokuhamba kwesikhathi, ubuhlungu bungakhula ngokuvama, buhlale isikhathi eside, futhi bube bubi kakhulu.

Yiziphi izinto ezandisa lobu buhlungu (`Izinto Ezibangela`)?

Ngokuvamile, lesi simo esibuhlungu sibangelwa izinto ezilula kakhulu, zansuku zonke, njengokuhambisa ubuso bakho noma ukuthinta ubuso bakho. Isibonelo:

• Uma ushefa, ugcoba izimonyo, ugeza ubuso bakho.
• Uma udla ukudla, uma uphuza amanzi.
• Uma uxubha amazinyo akho, uma uhlanza umlomo wakho.
• Uma ukhuluma, uma uhleka.
• Uma kukhona ukucindezeleka ebusweni, ikakhulukazi esihlathini noma endaweni yomhlathi.
• Ngisho nomoya ovunguzayo ebusweni (cabanga ngomoya oza ngefasitela lebhasi) ungabangela ubuhlungu.

Kodwa ngokumangazayo, lobu buhlungu abuvamile kakhulu uma ulele .

Kungani kwenzeka i-trigeminal neuralgia? Ziyini izimbangela?

Ngokuvamile, kubangelwa ukucindezeleka noma ukulimala kwe-trigeminal nerve. Odokotela bayihlukanisa ngokwembangela yayo:

Izinhlobo ezintathu ngokwezimbangela:

1. I-TN eyinhloko (ejwayelekile): Lokhu kubangelwa ukucindezela komthambo wegazi (ngokuvamile umthambo we-cerebellar ophakeme) empandeni ye-trigeminal nerve (ukucindezela kwemizwa). Lena yimbangela yezimo eziningi .

2. I-TN yesibili: Lokhu kwenzeka lapho i-trigeminal nerve yonakaliswa esinye isimo. Isibonelo, isifo esifana ne-Multiple Sclerosis (MS), isimila sobuchopho, noma ukukhubazeka kwemithambo yegazi. Abantu abane-TN yesibili bavame ukuba bancane, futhi ubuhlungu bungaba sezinhlangothini zombili zobuso. Lolu hlobo lubalelwa cishe ku-15% wabo bonke abaguli abane-TN.

3. I-TN ye-Idiopathic:Ngezinye izikhathi, naphezu kokuhlolwa okubanzi, akukho sizathu esicacile esingatholakala sobuhlungu bobuso. Yilapho odokotela bebiza khona ngokuthi yi-TN engaqondakali .

Ubani osengozini enkulu yokuthola lokhu? (Izici Eziyingozi)

Kunezici eziningana eziyingozi ezifaka isandla ekuthuthukisweni kwalesi simo:

• Umfutho wegazi ophakeme .
• Ukubhema .
• Ukuguga .
• Ukuba yisifazane .
• Ukuba nelungu lomndeni elinalesi sifo (ithonya lezakhi zofuzo).

Udokotela uhlonza kanjani i-trigeminal neuralgia?

Okokuqala, udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho uzohlola ikhanda nentamo yakho, bese enza ukuhlolwa kwezinzwa. Ngokuvamile, ukuxilongwa kwenziwa ngokucabangela izici eziningana:

• Uhlobo lobuhlungu obuzwayo (njengokushaywa ugesi noma ubuhlungu obuhlabayo?).
• Indawo ngqo ebusweni lapho kuzwakala khona ubuhlungu .
• Yiziphi izinto ezibangela ubuhlungu ?

Njengoba kunezinye izifo eziningi lapho ubuhlungu bobuso buwuphawu olukhulu (isib. ikhanda elibuhlungu, i-migraines, i-postherpetic neuralgia, ukungasebenzi kahle kwe-TMJ), udokotela kuzodingeka akhiphe lezo zifo.

Udokotela wakho angase akucele ukuthi kwenziwe i-MRI yobuchopho ukuze kutholakale imbangela eqondile - kungaba ukuvaleka kwemithambo yegazi noma into efana nesimila.

Yiziphi izindlela zokwelapha i-trigeminal neuralgia?

Odokotela basebenzisa inhlanganisela yemithi, ukuhlinzwa, kanye nezinye izindlela zokwelapha ukwelapha i-trigeminal neuralgia. Kungathatha isikhathi ukuthola ukwelashwa okufanele.

Imithi:

Ezimweni eziningi, ezimweni ze-TN eziyinhloko (ezijwayelekile) nezingavamile, into yokuqala odokotela abayiphakamisayo imithi.

• Imithi yokuvimbela ukuqunjelwa: Le mithi ivimba izimpawu zobuhlungu. Odokotela bavame ukuqala nge-carbamazepine noma i-oxcarbazepine. Lokhu kusiza ukulawula ubuhlungu kubantu abaningi ezigabeni zokuqala ze-T.N. Kodwa le mithi ingase ingasebenzi kahle ngokuhamba kwesikhathi. Eminye imithi kuleli qembu ihlanganisa i-gabapentin, i-pregabalin, i-lamotrigine, i-lacosamide, i-topiramate, kanye ne-phenytoin.
• I-Baclofen: Lesi isithobisi semisipha.

Umuthi ngamunye ungaba nemiphumela emibi, ngakho wena nodokotela wakho kufanele nisebenzisane ukuze nikhethe umuthi okulungele wena.

Ukuhlinzwa:

Odokotela bacabangela ukuhlinzwa kuphela kulezi zimo:

• Uma izimpawu zingenakukwazi ukulawulwa ngemithi.
• Uma unesifo sesibili se-TN (isib., isimila esicindezela imithambo).

Ubunzima, izingozi, kanye nemiphumela emibi yokuhlinzwa kwe-TN kuyahlukahluka. Udokotela wakho uzokuchazela konke lokhu. Ezinye zezinketho zokuhlinzwa ze-TN zifaka:

• Ukunciphisa imithambo yegazi emincane: Lokhu kuhlinzwa kunciphisa ingcindezi emithanjeni yegazi ecindezela i-trigeminal nerve. Lokhu kuyindlela eyinkimbinkimbi kakhulu yokuhlinzwa kwe-TN. Kodwa-ke, futhi kuyindlela ephumelela kakhulu yokuvimbela ubuhlungu esikhathini eside.
• Ukuhlinzwa Ngemisebe: Kule nqubo, umsebe wemisebe uqondiswa empandeni ye-trigeminal nerve ukuvimba izimpawu zobuhlungu. Lokhu kungathatha cishe inyanga ukunciphisa ubuhlungu.
• I-Rhizotomy: Kule nqubo, impande ye-trigeminal nerve yonakaliswa ngamabomu ukuvimba izimpawu zobuhlungu. Kunezindlela eziningana zokwenza lokhu. Isibonelo, ukucindezela ibhaluni ngomshini, i-thermocoagulation, kanye nokufakwa kwamakhemikhali. Le nqubo ihlala ibangela izinga elithile lokungazweli kobuso kanye nokulahlekelwa umuzwa. Nakuba inganciphisa ubuhlungu iminyaka embalwa, impumelelo yesikhathi eside ilinganiselwe.
• Ukususwa kwe-neurectomy engaphandle: Lokhu kuhilela ukulimaza noma ukususa igatsha elingaphandle le-trigeminal nerve. Lokhu kungenziwa ngokujova ngotshwala, ukusikwa, i-cryotherapy, noma i-radiofrequency lesioning.

Ezinye Izindlela Zokwelapha:

Udokotela wakho angase futhi asikisele ezinye izindlela zokwelapha ezingasiza ekulawuleni ubuhlungu be-trigeminal neuralgia - ngokuvamile ngaphezu kwemithi. Lokhu kufaka phakathi:

• Imijovo ye-botulinum toxin noma ama-nerve blocks anikeza ukukhululeka kwesikhashana ebuhlungwini.
• Ukwelashwa nge-acupuncture .
• Impendulo ye-Bio .
• Ukwelapha ngengqondo (ukwelapha ngokukhuluma) `(Ukwelapha ngengqondo)` .
• I-yoga .
• Ukuzindla .
• Ukwelapha ngephunga elimnandi .

Yini eyenzeka kumuntu one-trigeminal neuralgia?

Lokhu akuthinti wonke umuntu ngendlela efanayo, ngakho-ke kunzima ukusho ukuthi kuzokuthinta kanjani ngqo. Abanye abantu bangase babe nezinkathi zobuhlungu ezihlala amasonto noma izinyanga, zilandelwe yizikhathi zokungabi nabuhlungu. Abanye bangase babe nobuhlungu obuqhubekayo ebusweni kanye nokuhlaselwa kwabo. Kwabanye, ukuhlaselwa kwabo kuya kuba kubi kakhulu ngokuhamba kwesikhathi. Futhi, imithi esetshenziselwa ukwelapha i-TN ingase ingasebenzi kahle ngokuhamba kwesikhathi.

Ngenxa yazo zonke lezi zizathu, kubalulekile ukukhuluma nodokotela wakho njalo ukuze ubone ukuthi i-TN yakho ikuthinta kanjani nokuthi uhlelo lwakho lokwelashwa luyasebenza yini. Awufuni ukuqhubeka nobuhlungu.

Yiziphi izinkinga zalesi simo?

Ubuhlungu be-trigeminal neuralgia bungaba bukhulu kangangokuthi bungaba nomthelela omkhulu empilweni yakho yengqondo kanye nokuphila kwansuku zonke . Abantu abane-TN basengozini yokuthola izimo ezifana nalezi:

• Ukucindezeleka .
• Ukukhathazeka .
• Ukuzihlukanisa emphakathini .

Uma lesi simo sithinta impilo yakho yengqondo, kubalulekile ukufuna usizo lochwepheshe . Khuluma nodokotela wakho noma umeluleki wezempilo yengqondo, njengososayensi wengqondo.

Ukwelashwa kwe-TN nakho kungabangela izinkinga. Ukusetshenziswa isikhathi eside kwemithi yesithuthwane kungaholela ezinkingeni ezifana ne-osteoporosis. Ukuhlinzwa kungadala nezinkinga ezifana nokungazweli kobuso unomphela.

Kufanele ngimbone nini udokotela?

Akekho ofuna ukuphila nokuhlaselwa njalo kobuhlungu. Uma unesihlungu esinzima ebusweni, qiniseka ukuthi ubona udokotela . Uma kutholakale ukuthi une-TN, kuzodingeka ubonane nodokotela njalo ukuqinisekisa ukuthi uhlelo lwakho lokwelashwa luyasebenza.

Yimiphi imibuzo okufanele uyibuze udokotela?

Kungaba usizo ukubuza udokotela wakho le mibuzo mayelana ne-trigeminal neuralgia:

• Kungani ngibe nesifo se-trigeminal neuralgia?
• Nginaluphi uhlobo lwe-TN?
• Yini engingayenza ukuze nginciphise ubuhlungu engibuzwayo lapho ngithinta noma ngishukumisa ubuso bami?
• Yiziphi izindlela zokwelapha enginazo?
• Yiziphi izinzuzo kanye nokungalungi kwaleyo naleyo ndlela yokwelapha?
• Ingabe kukhona amaqembu okusekela abantu abane-trigeminal neuralgia?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Nakuba i-trigeminal neuralgia iyisimo somzimba, ingaba nomthelela omkhulu empilweni yakho yengqondo nengokomzwelo. Ungase wesabe ukwenza izinto ezivamile noma ukuphuma emphakathini ngoba wesaba ukuhlaselwa okukhulu. Kodwa izindaba ezinhle ukuthi kunezindlela eziningana zokwelapha ezingakusiza uphile impilo yakho ngendlela oyifunayo. Nakuba lesi kungaba yisimo okuzodingeka uphile naso impilo yakho yonke, khumbula ukuthi singalawulwa. Awuwedwa, futhi kunezindlela zokuthola usizo.

I- Trigeminal neuralgia, ubuhlungu bobuso, ubuhlungu bemizwa, ukuphathwa kobuhlungu, imizwa yekhanda, ubuhlungu bobuso