Neuralgia Trigeminal

Ko te neuralgia trigeminal (try-JEM-ih-nul nu-RAL-juh) he āhuatanga e pā ana ki te mamae nui, rite tonu ki te hiko hiko i tetahi taha o te mata. Ka pā te taumahatanga ki te pūnaha io trigeminal, e kawe ana i ngā tohu mai i te mata ki te roro. Āe rawa atu te pā atu māmā mai i te horoi niho, te whakapaipai ranei, ka taea te tō te mamae. Ka roa pea te neuralgia trigeminal. E mohiotia ana ko te āhuatanga mamae roa.

Ka rongo pea ngā tāngata e pangia ana e te neuralgia trigeminal i te tīmatanga ki ngā wāhanga mamae poto, ngawari. Engari ka kaha ake te āhuatanga, ka puta mai ngā wā roa o te mamae e puta ake ana. He maha atu i ngā wāhine me ngā tāngata neke atu i te 50 tau te pakeke.

Engari, ko te neuralgia trigeminal, e kiia ana hoki ko te tic douloureux, ehara i te tikanga ko te noho i te oranga o te mamae. Ka taea te whakahaere i te nuinga o te wā mā te maimoatanga.

Ngā tohu o te neuralgia trigeminal pea ka uru atu tētahi, atu rānei o ēnei tauira: Ngā wāhanga o te mamae nui e pupuhi ana, e pēhi ana rānei, ka rite pea ki te hiko. Ngā wāhanga ohorere o te mamae, te mamae rānei e whakaohotia ana mā te pā atu ki te mata, te ngau, te kōrero, te horoi rānei i ō niho. Ngā wāhanga o te mamae e roa ana mai i te torutoru hēkona ki ngā meneti maha. Te mamae e puta ana me ngā spasms o te mata. Ngā wāhanga o te mamae e roa ana ngā rā, ngā wiki, ngā marama, atu rānei. Ko ētahi tāngata kei a rātou ngā wā kaore e mamae. Te mamae kei ngā wāhi e whakaratohia ana e te ihu trigeminal. Kei roto i ēnei wāhi te kauae, te kauae, ngā niho, ngā kanohi, ngā ngutu rānei. Ka iti te pānga o te kanohi me te rae. Te mamae kei tetahi taha o te mata i te wā kotahi. Te mamae e arotahi ana ki tētahi wāhi. Te mamae rānei ka horapa atu ki tētahi tauira whānui ake. Te mamae kaore e tino puta i te moe. Ngā wāhanga o te mamae e kaha ake ana, e nui ake ana te kaha i te wā. Tirohia tō kaimahi hauora mena ka mamae koe i tō mata, ina koa ki te roa te roa, ki te hoki mai rānei i muri i te ngaro. Whiwhi hoki i te tiaki hauora mena he mamae roa koe kaore e ngaro me te rongoā mamae e hokona ana e koe i te papa.

Tena tirohia tō kaimahi hauora mena ka raru koe ki te mamae i tō mata, ā, tērā pea mehemea he roa te roa, ka hoki mai anō i muri i te ngaro. Whiwhi atu hoki ki te tiaki hauora mena he mamae pūmau kei a koe, kāore hoki e ngaro mā te rongoā mamae e hokona ana e koe i te tāke.

I te neuralgia o te ngutu torutoru, ka pakaru te mahi o te pūnaha ngutu torutoru. Ko te hononga i waenganui i te oko toto me te pūnaha ngutu torutoru i te pito o te roro te take o te mamae. He toto toto ranei he uaua ranei te oko toto. Ka tukuna te pehanga ki runga i te pūnaha me te kore e taea te mahi pera i te mea noa. Engari ahakoa he take noa te whakapehapeha e te oko toto, he maha atu ano nga take pea. Ka taea e te mate sclerosis maha, tetahi atu ranei o nga ahuatanga rite e whakangaro ana i te pupuri myelin e tiaki ana i etahi pūnaha, te neuralgia o te ngutu torutoru. Ka taea hoki e te mate pukupuku e pēhi ana ki te pūnaha ngutu torutoru te take o te ahuatanga. Ka rongo pea etahi i te neuralgia o te ngutu torutoru hei hua o te pōkaikaha, te whara ranei o te mata. Ka taea hoki e te whara o te pūnaha na te pokanga te neuralgia o te ngutu torutoru. He maha nga mea ka puta te mamae o te neuralgia o te ngutu torutoru, tae atu ki: Te whakapa.Te pa ki to mata.Te kai.Te inu.Te horoi i ou niho.Te korero.Te whakapaipai i to mata.Te hau mahana e pupuhi ana ki to mata.Te ataata.Te horoi i to mata.

Kua kitea i roto i ngā rangahau ko ētahi take ka piki ake ai te tūponotanga o te tangata ki te neuralgia trigeminal, tae atu ki:

• Te ira tangata. He nui ake te tūponotanga o ngā wāhine ki te whiwhi neuralgia trigeminal i ngā tāne.
• Te tau. He maha ake te neuralgia trigeminal i roto i ngā tāngata 50 tau me te pakeke ake.
• Ētahi āhuatanga. Hei tauira, he take morearea te toto teitei mō te neuralgia trigeminal. I tua atu, kei te piki ake te tūponotanga o te hunga e pangia ana e te multiple sclerosis ki te neuralgia trigeminal.

Kaore he uauatanga

Kaore he uauatanga

Ko te kaiwhakarato hauora o te tangata te take matua mō te whakatau i te neuralgia trigeminal, kei runga i te whakaahuatanga o te mamae, tae atu ki:

• Momo. Ko te mamae e pā ana ki te neuralgia trigeminal he tere, he rite ki te hiko hiko, ā, he poto.
• Wāhi. Ko ngā wāhanga o tō mata e pā ana ki te mamae ka taea te kōrero ki tō kaiwhakarato hauora mena kei roto te uaua trigeminal.
• Ngā mea whakaoho. Ko te kai, te kōrero, te pā atu māmā ki tō mata, te hau makariri rānei ka taea te whakaoho i te mamae.

Ka taea e tō kaiwhakarato hauora te whakahaere i ngā whakamātautau hei whakatau i te neuralgia trigeminal. Ka taea hoki e ngā whakamātautau te kimi i ngā take o te āhuatanga. Ka uru pea:

• Whakaahua ā-maama (MRI). Ka hiahia pea koe ki te MRI hei titiro ki ngā take pea o te neuralgia trigeminal. Ka taea e te MRI te whakaatu i ngā tohu o te mate sclerosis maha, te pūngāwerewere rānei. I etahi wā ka werohia he tae ki roto i te oko toto hei tiro i ngā ātiretī me ngā uaua hei whakaatu i te rere o te toto.

Ka taea e te mamae o tō mata te puta mai i te maha o ngā āhuatanga rerekē, no reira he mea nui te whakatau tika. Ka taea hoki e tō kaiwhakarato hauora te tono i ētahi atu whakamātautau hei whakakore i ētahi atu āhuatanga.

Ko te maimoatanga o te neuralgia trigeminal e tīmata ana te nuinga ki ngā rongoā, ā, kaore etahi atu tangata e hiahia ana ki ētahi atu maimoatanga. Heoi, i te roanga o te wā, ka mutu pea te whakautu a ētahi atu tangata ki ngā rongoā, ki te wheako rānei i ngā pānga kino. Mō aua tangata, ko ngā weronga, ki te pokanga rānei, ka whakarato i ētahi atu kōwhiringa maimoatanga neuralgia trigeminal. Ki te mea ko tō mate e puta mai ana i tētahi take ke atu, pēnei i te multiple sclerosis, me whai koe i te maimoatanga mō te mate taketake. Hei whakaora i te neuralgia trigeminal, ka tohu ngā tohunga hauora i ngā rongoā hei whakaiti, hei aukati rānei i ngā tohu mamae e tonoa ana ki tō roro.

• Ngā rongoā anti-seizure. Ko te nuinga o ngā tohunga hauora e tohu ana i te carbamazepine (Tegretol, Carbatrol, ētahi atu) mō te neuralgia trigeminal. Kua whakaaturia he whai hua ki te whakaora i te mate. Ko ētahi atu rongoā anti-seizure ka taea te whakamahi ko te oxcarbazepine (Trileptal, Oxtellar XR), te lamotrigine (Lamictal), me te phenytoin (Dilantin, Phenytek, Cerebyx). Ko ētahi atu rongoā ka taea te whakamahi ko te topiramate (Qudexy XR, Topamax, ētahi atu), te pregabalin (Lyrica) me te gabapentin (Neurontin, Gralise, Horizant). Mēnā ka iti ake te whai hua o te rongoā anti-seizure e whakamahi ana koe, ka taea e tō tohunga hauora te whakapiki i te horopeta, ki te whakawhiti rānei ki tētahi atu momo. Ko ngā pānga o ngā rongoā anti-seizure ka uru atu ki te wiri, te whakawareware, te moe, me te ruaki. I tua atu, ka taea e te carbamazepine te whakaoho i tetahi āhuatanga kino i ētahi tangata, te nuinga o ngā uri Ahia. Ka taea te tūtohu i te whakamātautau ira i mua i to tīmatanga i te carbamazepine.
• Ngā kai whakahaumaru uaua. Ka taea te whakamahi i ngā rongoā whakahaumaru uaua pēnei i te baclofen (Gablofen, Fleqsuvy, ētahi atu) anake, ki te whakakotahi rānei me te carbamazepine. Ko ngā pānga ka uru atu ki te whakawareware, te ruaki, me te moe.
• Ngā weronga Botox. Kua whakaaturia e ngā rangahau iti he iti te whakaiti i te mamae mai i te neuralgia trigeminal i ngā tangata kaore i te awhinahia e ngā rongoā. Heoi, me mahi atu ngā rangahau i mua i te whakamahinga whānui o tēnei maimoatanga mō tēnei mate. Ngā rongoā anti-seizure. Ko te nuinga o ngā tohunga hauora e tohu ana i te carbamazepine (Tegretol, Carbatrol, ētahi atu) mō te neuralgia trigeminal. Kua whakaaturia he whai hua ki te whakaora i te mate. Ko ētahi atu rongoā anti-seizure ka taea te whakamahi ko te oxcarbazepine (Trileptal, Oxtellar XR), te lamotrigine (Lamictal), me te phenytoin (Dilantin, Phenytek, Cerebyx). Ko ētahi atu rongoā ka taea te whakamahi ko te topiramate (Qudexy XR, Topamax, ētahi atu), te pregabalin (Lyrica) me te gabapentin (Neurontin, Gralise, Horizant). Mēnā ka iti ake te whai hua o te rongoā anti-seizure e whakamahi ana koe, ka taea e tō tohunga hauora te whakapiki i te horopeta, ki te whakawhiti rānei ki tētahi atu momo. Ko ngā pānga o ngā rongoā anti-seizure ka uru atu ki te wiri, te whakawareware, te moe, me te ruaki. I tua atu, ka taea e te carbamazepine te whakaoho i tetahi āhuatanga kino i ētahi tangata, te nuinga o ngā uri Ahia. Ka taea te tūtohu i te whakamātautau ira i mua i to tīmatanga i te carbamazepine. Ko ngā kōwhiringa pokanga mō te neuralgia trigeminal e whai ake nei:
• Te pokanga radiosurgery stereotactic o te roro, e mohiotia ana hoki ko Gamma Knife. I roto i tēnei tukanga, ka āta whakatū te taote i te horopeta o te radiation ki te pakiaka o te uaua trigeminal. Ka pakaru te radiation i te uaua trigeminal hei whakaiti, hei mutu rānei i te mamae. Ka puta haere te whakaora mamae, ā, ka tae pea ki te marama kotahi. He angitu te pokanga radiosurgery stereotactic o te roro ki te mutu i te mamae mō te nuinga o ngā tangata. Engari pēnei i ngā tukanga katoa, he tūponotanga kei te hoki mai te mamae, i roto i ngā tau 3 ki te 5. Ki te hoki mai te mamae, ka taea te whakahoki i te tukanga, ki te whai rānei koe i tētahi atu tukanga. Ko te ngawari o te mata he pānga noa, ā, ka puta pea i ngā marama, i ngā tau rānei i muri i te tukanga. Te pokanga radiosurgery stereotactic o te roro, e mohiotia ana hoki ko Gamma Knife. I roto i tēnei tukanga, ka āta whakatū te taote i te horopeta o te radiation ki te pakiaka o te uaua trigeminal. Ka pakaru te radiation i te uaua trigeminal hei whakaiti, hei mutu rānei i te mamae. Ka puta haere te whakaora mamae, ā, ka tae pea ki te marama kotahi. Ka angitu te pokanga radiosurgery stereotactic o te roro ki te mutu i te mamae mō te nuinga o ngā tangata. Engari pēnei i ngā tukanga katoa, he tūponotanga kei te hoki mai te mamahe, i roto i ngā tau 3 ki te 5. Ki te hoki mai te mamae, ka taea te whakahoki i te tukanga, ki te whai rānei koe i tētahi atu tukanga. Ko te ngawari o te mata he pānga noa, ā, ka puta pea i ngā marama, i ngā tau rānei i muri i te tukanga. Ka taea te whakamahi i ētahi atu tukanga hei whakaora i te neuralgia trigeminal, pēnei i te rhizotomy. I roto i te rhizotomy, ka whakangaro tō taote i ngā muka uaua hei whakaiti i te mamae. Ka puta mai tēnei i te ngawari o te mata. Ko ngā momo rhizotomy e whai ake nei:
• Te weronga glycerol. Ka tukuna e te ngira e haere ana i te mata ki tetahi tuwhera i te pūtake o te angaanga te rongoā hei whakaiti i te mamae. Ka ārahi te ngira ki tetahi putea iti o te wai o te tuaiwi e karapoti ana i te wāhi e wehewehea ai te uaua trigeminal ki ngā peka e toru. Katahi ka werohia he iti o te glycerol horoi. Ka pakaru te glycerol i te uaua trigeminal, ka aukati i ngā tohu mamae. Ko te nuinga o tēnei tukanga e whakaora ana i te mamae. Heoi, ka hoki mai te mamae i ētahi tangata. Ko te nuinga o ngā tangata e wheako ana i te ngawari o te mata, i te wiri rānei i muri i te weronga glycerol.
• Te lesioning wera radiofrequency. Ka whakangaro tēnei tukanga i ngā muka uaua e hono ana ki te mamae. I a koe e moe ana, ka whakauru tō taote i te ngira kau i roto i tō mata. Ka ārahi te taote i te ngira ki tētahi wāhanga o te uaua trigeminal e haere ana i tetahi tuwhera i te pūtake o tō angaanga. I te wā kua whakatū te ngira, ka oho poto tō taote i a koe i te moe. Ka whakauru tō taote i te electrode i roto i te ngira, ka tuku i tetahi kōpae hiko ngawari i roto i te pito o te electrode. Ka ui atu koe ki te kōrero i te wā me te wāhi e rongo ai koe i te wiri. I te wā kua kitea e tō taote te wāhanga o te uaua e uru ana ki tō mamae, ka hoki koe ki te moe. Katahi ka wera te electrode kia pakaru ra ano ngā muka uaua, ka hangaia he wāhi whara e mohiotia ana ko te lesion. Ki te kore te lesion e whakakore i tō mamae, ka taea e tō taote te hanga i ētahi atu lesions. Ko te lesioning wera radiofrequency e puta ana te nuinga ki tetahi ngawari o te mata mo te wā poto i muri i te tukanga. Ka hoki mai pea te mamae i muri i ngā tau 3 ki te 4. Te weronga glycerol. Ka tukuna e te ngira e haere ana i te mata ki tetahi tuwhera i te pūtake o te angaanga te rongoā hei whakaiti i te mamae. Ka ārahi te ngira ki tetahi putea iti o te wai o te tuaiwi e karapoti ana i te wāhi e wehewehea ai te uaua trigeminal ki ngā peka e toru. Katahi ka werohia he iti o te glycerol horoi. Ka pakaru te glycerol i te uaua trigeminal, ka aukati i ngā tohu mamae. Ko te nuinga o tēnei tukanga e whakaora ana i te mamae. Heoi, ka hoki mai te mamae i ētahi tangata. Ko te nuinga o ngā tangata e wheako ana i te ngawari o te mata, i te wiri rānei i muri i te weronga glycerol. Te lesioning wera radiofrequency. Ka whakangaro tēnei tukanga i ngā muka uaua e hono ana ki te mamae. I a koe e moe ana, ka whakauru tō taote i te ngira kau i roto i tō mata. Ka ārahi te taote i te ngira ki tētahi wāhanga o te uaua trigeminal e haere ana i tetahi tuwhera i te pūtake o tō angaanga. I te wā kua whakatū te ngira, ka oho poto tō taote i a koe i te moe. Ka whakauru tō taote i te electrode i roto i te ngira, ka tuku i tetahi kōpae hiko ngawari i roto i te pito o te electrode. Ka ui atu koe ki te kōrero i te wā me te wāhi e rongo ai koe i te wiri. I te wā kua kitea e tō taote te wāhanga o te uaua e uru ana ki tō mamae, ka hoki koe ki te moe. Katahi ka wera te electrode kia pakaru ra ano ngā muka uaua, ka hangaia he wāhi whara e mohiotia ana ko te lesion. Ki te kore te lesion e whakakore i tō mamae, ka taea e tō taote te hanga i ētahi atu lesions. Ka puta te lesioning wera radiofrequency ki tetahi ngawari o te mata mo te wā poto i muri i te tukanga. Ka hoki mai pea te mamae i muri i ngā tau 3 ki te 4. Te hono whakakore i roto i te īmēra. Kaore i rite te arotake o ngā maimoatanga atu mō te neuralgia trigeminal ki ngā rongoā, ki ngā tukanga pokanga rānei. Ko te nuinga kaore he mōhiohio hei tautoko i to rātou whakamahinga. Heoi, kua kite ētahi tangata i te whakapai ake me ngā maimoatanga pēnei i te acupuncture, te biofeedback, te chiropractic, me te rongoā huaora, te kai rānei. Kia tino tirotiro ki tō taote i mua i te tamata i tetahi maimoatanga atu, no te mea ka taea te mahi tahi me ō maimoatanga atu. Ka uaua te noho tahi me te neuralgia trigeminal. Ka pā pea te mate ki tō mahi tahi me ngā hoa me te whānau, tō hua mahi, me te kounga whānui o tō oranga. Ka kite pea koe i te whakatenatena me te mārama i roto i te rōpū tautoko. Ko ngā mema o te rōpū e mohio ana ki ngā maimoatanga hou, ā, ka whakawhitiwhiti pea i ō rātou wheako ake. Ki te hiahia koe, ka taea pea e tō taote te tūtohu i tētahi rōpū i tō rohe.

Kaore he uauatanga