Kumvetsa Kupweteka Kwambiri, Kumene Kumachokera Ku, ndi Mmene Tiyenera Kuchitira
Nthaŵi zina pamene anthu amafotokoza mutu, amakhala akufotokozera ululu wa nkhope. Ngakhale pali mitundu yosiyana ya mabala a ululu wa nkhope, chofala kwambiri ndi trigeminal neuralgia.
Ngakhale kuti sichipezeka kawirikawiri, trigeminal neuralgia imakhudza mitsempha yotchedwa trigeminal nerve , yomwe imakhala ndi mitsempha yomwe imapangitsa kuti thupi liziyenda bwino komanso limathandizira kuyendetsa nsagwada.
Ngati muli ndi trigeminal neuralgia, mumadziwa bwino kuposa wina aliyense, ululu waukulu, mwadzidzidzi, ndi magetsi-monga kupweteka kwa matendawa. Tiyeni tiwoneke mozama mu "chifukwa" chakumbuyo kwa vutoli, ndi momwe angachiritsidwe.
Trigeminal Mitsempha
Mitsempha yotchedwa trigeminal nerve ndi mitsempha yambiri (pakati pa 12). Zimatumiza uthenga womveka kumaso ndikuthandizanso kuchepetsa minofu ya kutafuna.
Mitsempha ya trigeminal ili ndi nthambi zitatu izi:
- Ophthalmic (pafupi ndi diso)
- Maxillary (tsaya-dera)
- Mandibular (tcha-dera)
Nthambi za mitsempha ya trigeminal yomwe imakhudzidwa kwambiri ndi trigeminal neuralgia ndi nthambi ya maxillary kapena mandibular. Ichi ndi chifukwa chake anthu omwe ali ndi trigeminal neuralgia amadandaula kwambiri ndi ululu wa dzino komanso amatha kupwetekedwa ndi mano amtengo wapatali asanadziwe bwinobwino.
Kumvetsa Kupweteka kwa Trigeminal Neuralgia
Kupweteka kwa trigeminal neuralgia kumawonekera pafupipafupi. amatha kuchokera kumodzi mpaka masekondi ambiri, ndipo amafotokozedwa ngati akuthwa kwambiri ndi kugwa. Matendawa nthawi zambiri amakhala ndi mitsempha imodzi yamtundu umodzi (muli ndi mitsempha yamtundu umodzi kumbali zonse za nkhope yanu) koma sizingakhudze kawiri konse.
Zifukwa za Trigeminal Neuralgia
Matenda ambiri a trigeminal neuralgia amayamba chifukwa cha kupweteka kwa mitsempha yotchedwa trigeminal nerve root, kawirikawiri ndi kusokonezeka kwa mitsempha kapena mitsempha pamaso. Kawirikawiri, kupanikizika kwa mitsempha yotchedwa trigeminal nerve kungapangidwe kuchokera ku chiphuphu kapena chotupa, monga chivomezi cha neuroma . Kutupa kwa mitsempha, monga yomwe imachitika mu multiple sclerosis, ikhoza kuyambitsa trigeminal neuralgia.
Zotsatira za Trigeminal Neuralgia
Ndizofala kwazinthu zina zomwe zimayambitsa kuzunzidwa kwa ululu. Zitsanzo zikuphatikizapo:
- Kudula
- Kusamba mano anu
- Kusangalala
- Kulankhula kapena kuseka
- Kumeta
- Kuwonetsa nkhope yanu ku mpweya ozizira
- Kuwala kowala kwa nkhope
Kuzindikira kwa Trigeminal Neuralgia
Dokotala wanu wamkulu kapena dokotala wodwala matenda a ubongo adzayambitsa matendawa. Kawirikawiri imaging ubongo (monga ubongo wa MRI ) amafunika kuti muwononge zifukwa zachiwiri monga chotupa kapena multiple sclerosis .
Kuchiza kwa Trigeminal Neuralgia
Chithandizo nthawi zambiri chimakhala ndi mankhwala oletsa kupweteka otchedwa carbamazepine. Ngakhale kuti nthawi zambiri imakhala yogwira ntchito, imakhala ndi zotsatira zovuta kwambiri (makamaka ndi mlingo wapamwamba umene anthu ena angawathandize pakapita nthawi).
Zina mwa zotsatirazi zikuphatikizapo:
- Kugona
- Chizungulire
- Nausea
- Kuthamanga
Anthu ena amapanga chiwerengero chochepa cha maselo oyera (maselo othana ndi matenda) pa carbamazepine. Kawirikawiri, munthu akhoza kukhala ndi vuto la kuchepa magazi m'thupi-matenda omwe amakhudza mafupa anu kumene maselo a magazi amapangidwa.
Komanso, anthu ena, makamaka anthu a ku Asia omwe amanyamula zizindikiro zinazake, akhoza kukhala ndi chiopsezo chowonjezereka cha matenda a khungu omwe amatchedwa matenda a Stevens-Johnson komanso / kapena poizoni epidermal necrolysis .
Ngati ndinu a ku Asia, dokotala wanu adzakuyesani kuti muyese geniyi musanatchule carbamazepine.
Dokotala wanu angaganizire mankhwala ena, monga oxcarbazepine omwe ali ofanana ndi mapangidwe a carbamazepine ndipo akhoza kukhala ndi zotsatira zochepa. Ngati muli ndi ululu ngakhale carbamazepine kapena oxcarbazepine (kapena sangathe kutenga kapena kulekerera imodzi mwa mankhwalawa), dokotala angapereke mankhwala osungunula a baclofen.
Ngati mukupitirizabe kuvutika ndi trigeminal neuralgia ngakhale mutapatsidwa thandizo labwino la mankhwala, kapena ngati simungathe kulekerera zotsatira za mankhwala, katswiri wanu wa zamagetsi angakuuzeni opaleshoni.
Nkhani yabwino ndi yakuti pali njira zambiri zopaleshoni zomwe zilipo. Izi zikunenedwa, akadakali opaleshoni ndipo amakhala ndi zoopsa, choncho imayenera kukambirana mosamala ndi dotolo wanu ndi dokotala wa opaleshoni.
Mawu Ochokera
Ngati mutapezeka kuti muli ndi trigeminal neuralgia, khalani ndi chiyembekezo ndipo muonetsetse kuti mukutsatira mwatsatanetsatane ndi katswiri wanu wamaganizo. Ngakhale kuti sangathe kuchiritsidwa, mungathe kuyisamalira bwino ndikupitiliza ndi moyo wanu.
Zotsatira:
Bajwa ZH, Ho CC, Khan SA. (2017). Trigeminal neuralgia. Shefner JM, Swanson JW, eds. Zaposachedwa. Waltham, MA: UpToDate Inc.
Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Gwiritsani ntchito mapiritsi: kuyezetsa matenda ndi matenda a trigeminal neuralgia (ndemanga yozikidwa pa umboni): lipoti la Quality Standards Subcommittee ya American Academy of Neurology ndi European Federation of Neurological Societies. Neurology . 2008; 71: 1183-1190.
Mutu Wopweteka Mutu wa Komiti Yapadziko Lonse. "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia 2013; 24 (9): 629-808.
Zakrzewska JM, Linksey ME. Trigeminal neuralgia. BMJ. 2014 Feb 17; 348: g474.