Kukhumudwitsa, Kumva Chisoni Pambali pa nkhope Yanu
Trigeminal neuralgia ndizovuta kwambiri zomwe zimachitika ndi anthu omwe ali ndi multiple sclerosis (MS). Ndipotu, zikhoza kukhala chimodzi mwa zizindikiro zoyambirira za MS.
Matendawa amaphatikizapo mtundu wa ululu wotchedwa "ululu wa neurogenic," chifukwa umachokera mwachindunji kuchokera ku matenda a multiple sclerosis. Kuwonongedwa kwa dothi (kutayika kwa chida cha myelin pafupi ndi mitsempha ya mitsempha) ndicho chomwe chimayambitsa matendawa kwa anthu omwe ali ndi MS.
Zimayambitsa
Trigeminal neuralgia imayambitsa zilonda za mitsempha yotchedwa trigeminal nerve , yomwe imatchedwanso mitsempha yachisanu yokha. Mitsempha khumi ndi iwiri ya mitsempha imachoka mwachindunji kuchokera ku ubongo (mmalo mwa chingwe cha msana), ndipo mitsempha ya trigeminal imayendetsa minofu yoyenera kutcha. Mitsempha yotchedwa trigeminal nerve imapangitsanso maso ambiri.
Munthu akhoza kupanga trigeminal neuralgia popanda kukhala ndi multiple sclerosis . Pachifukwa ichi, munthu akhoza kupeza kusintha kwa mitsempha ya trigeminal nervous from compression compression kapena zosavuta konse. Mtundu uwu wa trigeminal neuralgia umatchedwa classical trigeminal neuralgia . Pamene trigeminal neuralgia imayambitsidwa ndi MS, imatchedwa secondary trigeminal neuralgia .
Trigeminal neuralgia sichipezeka, ndipo 4 peresenti ya anthu omwe ali ndi MS ali ndi ululu woterewu. Komabe, anthu omwe ali ndi MS amakhala oposa 400 kuposa anthu ambiri kuti akhale ndi trigeminal neuralgia.
Zizindikiro ndi Zizindikiro
Trigeminal neuralgia, yomwe nthawi zina imatchedwa tic doloureux (Chi French chifukwa cha "zopweteka zopweteka"), ndiye kuti ndizomwe zimakhala zowawa kwambiri zokhudzana ndi MS.
Nazi zina zofunika kwambiri za matendawa:
- Zimakhala pafupifupi nthawi zonse mbali imodzi ya nkhope, ngakhale zikhoza kuchitika m'madera awiri (mbali zonse) pafupifupi 10 peresenti ya anthu omwe ali ndi MS omwe ali ndi vutoli.
- Muzimva ngati chimagetsi ndi / kapena chakuthwa, chachikulu, kupweteka
- Kawirikawiri, ululu waukulu umakhala waufupi (kuyambira mphindi zochepera mpaka mphindi ziwiri), koma ukhoza kumapangitsa kuti muzimva nthawi zambiri
Chochititsa chidwi n'chakuti ululu wa trigeminal neuralgia ukhoza kufika kumutu, ndipo nthawi zina amadzimva chifukwa cha ululu wa khutu. Kuwonjezera pa kuyambitsidwa ndi kulankhula, kutafuna, kumwa, kapena kupukuta mano, trigeminal neuralgia ikhoza kuyambitsidwa ndi kumveka mokweza kapena kutentha kwa mpweya wozizira.
Popeza malowa ndi mtundu wa ululu umene umagwirizanitsa ndi trigeminal neuralgia, nthawi zambiri amalephera kupweteka kwa mano. Izi zingayambitse njira zosafunikira (zosasinthika) monga zochotsa dzino, mizu, komanso njira zothetsera nsagwada.
Ichi ndi chifukwa chake n'kofunika kwambiri kuona wodwala matenda a ubongo ngati mukuganiza kuti mukukhala ndi trigeminal neuralgia, makamaka musanakhale ndi mtundu uliwonse wa ntchito yamawangamawanga.
Chigawo chilichonse cha trigeminal neuralgia chimakhala masabata angapo. Zigawo zimakonda kubwereza ndipo zingatheke nthawi zambiri ngati miyezi ingapo, ngakhale kuti anthu ena amapita zaka pakati pa zigawo. Mwamwayi, nthawi ikadutsa, nthawi yotsatizana imakhala yofupika.
Chithandizo
Ngati muli ndi trigeminal neuralgia, dokotala wanu angapereke Tegretol (carbamazepine) kapena Trileptal (oxcarbazepine) kuti athetse zizindikiro.
Mankhwala ena angaphatikizepo:
- Baclofen: Minofu imatsitsimula
- Lamictal (lamotrigine): Mankhwala osokoneza bongo
- Botulinum mtundu wa A (Botox): Jekeseni mmalo mwa mutu ndi khosi wotchedwa zones zopangira
Kuwonjezera pakuwona katswiri wanu wa zamagulu ndi kumwa mankhwala (ngati kuli kofunikira), kufikitsa gulu lothandizira kungakhale kopindulitsa kuwonetseredwa kwa maganizo a trigeminal neuralgia. Potsirizira pake, anthu ena amafunikira opaleshoni chifukwa cha vutoli.
Kukhala ndi Trigeminal Neuralgia
Trigeminal neuralgia ikhoza kukhala yovuta kwambiri komanso yovuta kwambiri kuti ikhale yopititsa anthu kuchipatala komanso kupweteka kwapadera kuperekedwa kudzera mu mitsempha yanu. Zingasokonezenso kumwa madzi kwa madzi, choncho nthawi zina amafunika kupatsidwa mwachangu.
Kuwonjezera pa kuvutika kwapadera trigeminal neuralgia kumayambitsa, nthawi zambiri munthu amakumana ndi vuto la maganizo. Anthu ambiri ali ndi nkhawa komanso mantha chifukwa cha kubwezeretsa, zomwe zingayambitse mavuto aakulu ndikusokoneza moyo wa tsiku ndi tsiku.
Mawu Ochokera
Trigeminal neuralgia ndizowawa komanso zofooketsa. Monga momwe zingakhalire chimodzi mwa zizindikiro zoyambirira za MS, onetsetsani kuti mukuwona dokotala ngati mukukulitsa zizindikiro zina.
Pamapeto pake, khalani olimba pamene mukuyenda ndi dokotala wanu.
> Zotsatira:
> Cruccu G. Trigeminal neuralgia. Kupanga malo atsopano ndi kuganizira kuti achite ndi kufufuza. Neurology. 2016 Jul 12; 87 (2): 220-28.
> Krafft RM. Trigeminal neuralgia. Am Phys Physician. 2008; 77 (9): 1291-96.
> Montano N, Conforti G, Di Bonaventura R, Meglio M, Fernandez E, Papacci F. Kupititsa patsogolo pofufuza ndi kuchiza trigeminal neuralgia. Woyang'anira Chipatala Choopsa . 2015; 11: 289-99.
> Morra ME et al. Kuchepetsa mphamvu ndi chitetezo cha Botulinum Toxin A Therapy ku Trigeminal Neuralgia: ndondomeko yowonongeka ndi kufotokozera mwachidule mayesero olamuliridwa mosavuta. J Mutu wa Mutu . Dec 2016; 17 (1): 63. dx.doi.org/10.1186/s10194-016-0651-8