Ukuqonda ubuhlungu obunzima, lapho livela khona, nokuthi ungayiphatha kanjani
Ngezinye izikhathi lapho abantu bechaza ukukhanda ikhanda, empeleni bachaza ubuhlungu besbuso. Ngenkathi kunezinhlobo eziningi zezinhlobo zokuhlukumeza ubuhlungu obusweni, into evame kakhulu yi-neuralgia yezintathu.
Nakuba kungavamile ukuba kwenzeke, i-neuralgia ye-trigeminal ithinta i- trigeminal nerve , okuyinto enesibindi esinika ukuzwa ebusweni futhi kusiza ukulawula ukunyakaza komhlathi.
Uma une-neuralgia yezintambo, wazi kangcono kunanoma ubani omunye, ubuhlungu obukhulu, ngokungazelelwe, nogesi-okwethusa lokhu okubangelwa yi-disorder. Masihambe kancane ngokuya "kungani" ngemuva kwalesi simo sobuhlungu, nokuthi singaphathwa kanjani.
Trigeminal Nerve
I-trigeminal nerve iyinzwa enamandla emihlanu (engaphansi kwe-12). It ithumela ulwazi oluzwakalayo ebusweni futhi kusiza ukulawula imisipha yokufuna.
I-nerve trigeminal inezinhlamvu ezintathu ezinkulu:
- I-ophthalmic (eduze kweso)
- I-Maxillary (indawo yomhlathi)
- I-Mandibular (indawo yomhlathi)
Amagatsha we-trigeminal nerve evame ukuthinteka kwi-neuralgia ye-trigeminal yi-branch maxillary noma i-mandibular. Yingakho abantu abane-neuralgia ye-trigeminal bavame ukukhononda ngezinhlungu zinozinyo ngisho nokubhekana nezinqubo zamazinyo ezibuhlungu futhi ezibizayo ngaphambi kokuthola kahle.
Ukuqonda Ubuhlungu Be-Trigeminal Neuralgia
Ubuhlungu be-neuralgia ye-trigeminal buba khona ezindaweni ezincane. ihlala kusukela kumunye kuya kwemizuzwana eminingi, futhi ichazwa njengokuhlaba okuhlabayo nokuhlabayo.Le disorder cishe isithinta isisindo esisodwa se-trigeminal (une-nerve trigeminal ohlangothini ngalunye kobuso bakho) kodwa ayikwazi ukuthinta kokubili.
Izimbangela ze-Trigeminal Neuralgia
Izimo eziningi ze-neuralgia yezintambo zibangelwa ukucindezelwa kwezimpande ze-trigeminal nerve, ngokuvamile nge-loop engavamile ye-artery noma i-vein ebusweni. Ngokuvamile, ukucindezela kwe-trigeminal nerve kungase kuvele ku-cyst noma isisu, njenge- neuroma yama - acoustic . Ukuvutha kwesibindi, njengalokho okwenzeka ku- multiple sclerosis, kungabangela neuralgia ye-trigeminal.
Izimbangela ze-Trigeminal Neuralgia
Kuvame ukwenza imisebenzi ethile ukuqala ukuhlaselwa kobuhlungu. Izibonelo zifaka:
- Ukuhlafuna
- Ukuxhaphaza amazinyo akho
- Ukumomotheka
- Ukukhuluma noma ukuhleka
- Ukuthunga
- Ukuvezwa kobuso bakho emoyeni abandayo
- Ukuthinta okukhanyayo kobuso
Ukuxilongwa kwe-Trigeminal Neuralgia
Udokotela wakho oyinhloko noma udokotela wezinzwa uzokwenza ukuthi uphenywe. Ngokuvamile imaging yobuchopho (njenge- MRI ebuchosheni) iyadingeka ukuze kukhishwe izimbangela eziyisithupha ezifana nesisu noma i- multiple sclerosis kuqala.
Ukwelashwa kwe-Trigeminal Neuralgia
Ukwelashwa kuvame ukutholakala nemithi yokulwa nokuthunjwa okuthiwa i-carbamazepine. Ngenkathi evame ukusebenza ngempumelelo, ithwala imiphumela eminye engaba yingozi (ikakhulukazi ngokulinganisa okuphezulu, okungenzeka ukuthi abanye abantu bangadinga ngokuhamba kwesikhathi).
Eminye yale miphumela emibi ihlanganisa:
- Ukulala
- Isizungu
- I-nausea
- Ukuvota
Abanye abantu bathuthukisa inombolo ephansi yamaseli amhlophe egazi (amasosha okulwa nokutheleleka) ku-carbamazepine. Ngokuvamile, umuntu angase ahlakulele i-aplastic anemia-isifo esithinta umongo wakho wethambo lapho kukhiqizwa amaseli egazi.
Futhi, abantu abathile, ikakhulukazi abantu base-Asia abathwala imithi ethile, bangase babe engozini yokwanda kwengozi ebulalayo yesikhumba okuthiwa i- Stevens-Johnson syndrome kanye / noma i-necrolysis eyingozi ye-epidermal .
Uma ungomzali wase-Asia, udokotela wakho cishe uzokuvivinya ngalesi sifo ngaphambi kokubeka i-carbamazepine.
Udokotela wakho angase acabange ezinye imithi, njenge-oxcarbazepine efana nokuhlelwa kwe-carbamazepine futhi ingase ibe nemiphumela emibi embalwa. Uma unabuhlungu naphezu kwe-carbamazepine noma i-oxcarbazepine (noma awukwazi ukuthatha noma ukubekezelela enye yalezi zidakamizwa), udokotela angase anikeze i-baclofen ephumuzayo ye-muscle.
Uma uqhubeka uhlushwa yi-neuralgia ye-trigeminal naphezu kokwelashwa okunezokwelapha, noma uma ungakwazi ukubekezelela imiphumela emibi yemithi, i-neurologist yakho ingakutshela ekuhlinzekeni.
Izindaba ezinhle ukuthi kunezinqubo eziningi zokuhlinzeka ezitholakalayo. Lokhu kuthiwa, kusekhona ukuhlinzwa futhi kuthatha izingozi, ngakho kudinga ingxoxo ngokucophelela ne-neurologist yakho nodokotela ohlinzayo.
Izwi elivela
Uma uthola ukuthi une-neuralgia ye-trigeminal, yiba nethemba futhi uqinisekise ukuthi ulandela eduze ne-neurologist yakho. Ngenkathi ingase ingakwazi ukwelashwa, ungayiphatha ngokuphumelelayo futhi uqhubekele phambili ngokuphila kwakho.
Imithombo:
Bajwa ZH, Ho CC, Khan SA. (2017). I-neuralgia ye-Trigeminal. UShefner JM, uSwanson JW, ama-eds. Kusesikhathini. Waltham, MA: UpToDate Inc.
Gronseth G, uCruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Ipharamitha yokuzivocavoca: ukuhlolwa kokuhlola nokuphathwa kwe-neuralgia ye-trigeminal (ukubuyekezwa okusekelwe ebufakazini): umbiko we-Quality Standards Subcommittee ye-American Academy of Neurology kanye ne-European Federation of Neurological Societies. I-Neurology . 2008; 71: 1183-1190.
Ikomidi elincane lezinhloko zezinhloko ze-International Headache Society. "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia 2013; 24 (9): 629-808.
I-Zakrzewska JM, i-Linksey ME. I-neuralgia ye-Trigeminal. BMJ. 2014 Feb 17; 348: g474.