Ukunciphisa, Ukugwaza Ngezinhlangothi Zobuso Bakho
I-neuralgia ye-trigeminal yisimo esibuhlungu esingavamile abantu abaphila nge- multiple sclerosis (MS). Eqinisweni, kungase kube enye yezimpawu zokuqala ze-MS.
Lesi sifo sihlanganisa uhlobo lobuhlungu obubizwa ngokuthi "ubuhlungu be-neurogenic," njengoba buqala ngokuqondile enkambeni yesifo se-multiple sclerosis. Ukuxoshwa (ukulahlekelwa yi-myelin sheath ezungeze izintambo zamagciwane) yilokho okubangela lokhu kuphazamiseka kubantu abane-MS.
Izimbangela
I-neuralgia ye- trigeminal ibangelwa izilonda ze- trigeminal nerve , ebizwa ngokuthi i-fifth cranial nererve. I-12 cranial nerves iphuma ngokuqondile ebuchosheni (esikhundleni sezintambo zomgogodla), futhi izinzwa zezintathu zilawula imisipha edingekayo yokufuna. I-trigeminal nerve nayo ibhekene nokuzwa okukhulu kwesibuso.
Umuntu angakha i-neuralgia ye-trigeminal ngaphandle kokuba ne- multiple sclerosis . Kulesi sibonelo, umuntu angathola izinguquko ezimpandeni ze-nerve trigeminal kusuka ekucindezelweni kwamagciwane noma azikho okungavamile nhlobo. Lolu hlobo lwe-neuralgia ye-trigeminal lubizwa ngokuthi i-neuralgia ye-classic trigeminal . Lapho i-neuralgia ye-trigeminal ibangelwa yi-MS, ibizwa ngokuthi i-neuralgia yesibili ye-trigeminal .
I-neuralgia ye-Trigeminal ayifinyeleleki, kanti kuphela amaphesenti angu-4 abantu abane-MS abathola lolu hlobo lobuhlungu. Kodwa-ke, abantu abane-MS banamathuba angaphezu kuka-400 kunabantu abaningi ukuba babe nesiqephu se-neuralgia ye-trigeminal.
Izimpawu Nezibonakaliso
I-neuralgia ye-Trigeminal, ngezinye izikhathi ebizwa ngokuthi tic doloureux (isiFulentshi for "twitch ebuhlungu"), mhlawumbe uphawu olubuhlungu kakhulu oluhlobene ne-MS.
Nazi ezinye izici eziyisisekelo zalesi sifo:
- Kuvele njalo njalo ngakwesinye ubuso, nakuba kungase kwenzeke ngamanye amazwe (zombili izinhlangothi) ngamaphesenti angaba ngu-10 abantu abane-MS abanesimo.
- Zizwa njenge-jolt kagesi kanye / noma ebukhali, obukhulu, ubuhlungu
- Ngokuvamile, ubuhlungu obukhulu kakhulu buhlala isikhathi esifushane (kusukela kumasekhondi ambalwa kuya kumaminithi amabili), kodwa kungabangela ukuzwa okuvuthayo noma okuvuthayo okuqhubekayo
Ngokuthakazelisayo, ubuhlungu be-neuralgia ye-trigeminal bungadlulela kude nasezindlebeni, futhi ngezinye izikhathi bephutha ngenxa yobuhlungu bokutheleleka indlebe. Ngaphezu kokubangelwa ukukhuluma, ukuhlafuna, ukuphuza, noma ukuxubha amazinyo, i-neuralgia yezintathu ingabangela umsindo ozwakalayo noma umoya obandayo.
Njengoba kunikezwe indawo nemvelo yobuhlungu obuhlobene neuralgia yezintathu, ngokuvamile kuphutha ngenxa yobuhlungu bamazinyo. Lokhu kungaholela ezinkambweni ezingadingekile (ezingenakubukezwa) ezinjengezinyosi zamazinyo, imigodi yezimpande, ngisho nezinqubo zokubeka kabusha umhlathi.
Yingakho kubaluleke kakhulu ukubona isazi sakho sezinzwa zegazi uma ucabanga ukuthi ungase ube neuralgia ye-trigeminal, ikakhulukazi ngaphambi kokuba usebenzise noma yiluphi uhlobo lomsebenzi wamazinyo obukhulu.
Isiqephu ngasinye se-neuralgia ye-trigeminal ngokuvamile sithatha amasonto ambalwa. Iziqephu zivame ukuphindela futhi zingenzeka njalo njalo ezinyangeni ezimbalwa, nakuba abanye abantu bazohamba iminyaka phakathi kweziqephu. Ngeshwa, njengoba isikhathi sidlula, isikhathi esiphakathi kwamabhodlela ngokuvamile siba mfushane.
Ukwelapha
Uma une-neuralgia ye-trigeminal, udokotela wakho angabeka iTegretol (carbamazepine) noma i-Trileptal (oxcarbazepine) ukuze unciphise izimpawu.
Ezinye imithi ingafaka:
- Baclofen: I-muscle iphumule
- I-Lamictal (lamotrigine): Imithi yokulwa nokuthumba
- I-botulinum hlobo-A (i-Botox): Umjovo ezindaweni ezisekhanda nasentanyeni ebizwa ngokuthi izingxenye ze-trigger
Ngaphandle kokubona i-neurologist yakho nokuthatha imithi (uma kudingeka), ukufinyelela eqenjini lokusekela kungasiza futhi ekubonakalweni kwengqondo kwe-neuralgia yezintathu. Okokugcina, abanye abantu badinga ukuhlinzeka ngesimo.
Ukuphila Neuralgia Yezintambo
I-neuralgia ye-Trigeminal ingaba nzima kakhulu futhi icindezeleke kangangokuthi ingadinga ukunakekelwa esibhedlela kanye ne-painkillers enikezwe nge-vein (intravenous). Kungaphinde kuphazamise ukuphuza komuntu ngamanzi, ngakho-ke lezi ngezinye izikhathi kufanele zinikezwe ngaphakathi ngaphakathi.
Ngaphandle kokucindezeleka okungokomzimba kwe-neuralgia okubangela, umuntu uvame ukubhekana nokucindezeleka kwengqondo. Abantu abaningi banenkathazo futhi besaba ukuthi kungenzeka ukuthi kubuye kwenzeke, okungabangela ukuhlupheka okukhulu futhi kuphazamise impilo yansuku zonke.
Izwi elivela
I-neuralgia ye-Trigeminal iyisimo esibuhlungu nesinamandla. Njengoba kungaba esinye sezibonakaliso zokuqala ze-MS, qiniseka ukubona udokotela wakho uma uthuthukisa noma yiziphi izimpawu.
Ekugcineni, hlala uqine njengoba uhamba ngezinketho zakho zokwelashwa nodokotela wakho.
> Imithombo:
> Cruccu G. Trigeminal neuralgia. Ukufakwa kwesigaba esisha nokuhlola ukuqhuba nokucwaninga. I-Neurology. 2016 Jul 12; 87 (2): 220-28.
> Krafft RM. I-neuralgia ye-Trigeminal. Am Fam Physician. 2008; 77 (9): 1291-96.
> Montano N, Conforti G, Di Bonaventura R, Meglio M, Fernandez E, Papacci F. Izinzuzo zokuxilongwa nokuphathwa kwe-neuralgia yezintathu. I-Ther Clin Risk Manager . 2015; 11: 289-99.
> Morra ME et al. Ukusebenza kokwelashwa nokuphepha kwe-Botulinum Toxin A Therapy ku-Trigeminal Neuralgia: ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta-analysis of trials randomized. I-J Headache Pain . I-2016 Dec; 17 (1): 63. dx.doi.org/10.1186/s10194-016-0651-8