Created at:1/16/2025
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Ko te neuralgia trigminal te āhuatanga e pā ana ki te mamae o te mata, ka puta mai i te pūnaha nerve trigminal. Ko tēnei nerve te kawe i te āhua o tō mata ki tō roro, ā, ki te whakaohoohotia, kīhai rānei i te pakaru, ka taea te whakaohooho i ngā wāhanga o te mamae nui, he rite ki te mamae nui rawa atu i kitea e te tangata.
Ko te tikanga ka pā te mamae ki tētahi taha o tō mata, ā, ka taea te whakaohooho e ngā paheketanga māmā penei i te horoi i ō niho, te horoi i tō mata, kīhai rānei i te hau māmā. Ahakoa ka wehi, ka raru hoki tēnei āhuatanga, ko te mārama ki te mea kei te puta, me te mohio kei reira ngā maimoatanga whai hua, ka taea te awhina i a koe ki te whakahaere pai ake.
Ko te neuralgia trigminal he mate mamae roa e pā ana ki te nerve trigminal, e mohiotia ana ko te rima o ngā nerve cranial. E toru ngā manga nui o tēnei nerve e whakarato ana i te āhua ki ngā wāhi rerekē o tō mata, tae atu ki tō rae, tō kauae, me tō wahi kauae.
Ki te kore e mahi pai tēnei nerve, ka tuku i ngā tohu mamae he ki tō roro, ka puta mai he pupuhi o te mamae nui. Ka karangatia tēnei āhuatanga ko te "tic douloureux," ko te tikanga "te mamae o te tic" i te reo Wīwī, nā te mea ka taea e te mamae nui te whakaohooho i ngā uaua o te mata.
Ko te nuinga o ngā keehi ka pā ki ngā tāngata neke atu i te 50, ā, he iti ake te tūpono o ngā wāhine ki te whanake i tēnei āhuatanga i ngā tāne. Ka taea e ngā wāhanga mamae te roa mai i ngā hēkona torutoru ki ngā meneti maha, ā, ka puta pea i ngā rōpū i te rā katoa.
Ko te tohu tino nui ko te mamae ohorere, nui, rite ki te hiko i tētahi taha o tō mata. Kāore tēnei mamae e rite ki ngā mamae o te mahunga, kīhai rānei i te mamae o te mata, nā tōna kaha me tōna āhua motuhake.
Ko ēnei ngā tohu matua ka pā pea ki a koe:
Ko te mamae te nuinga o te wā ka puta ki ngā wāhi motuhake kei te whakawhirinaki ki te peka o te pūnaha nerve trigeminal e pā ana. Āta waiho i roto i tō rae me tō rohe kanohi, tō kauae me tō kauae runga, tō kauae raro me tō kauae.
I waenga i ngā wāhanga mamae, ka tino pai koe. Ko tēnei tauira o te mamae kaha e whai ana i ngā wā kore mamae he tohu o te neuralgia trigeminal, ā, e āwhina ana i ngā tākua ki te whakarite i te whakamātautau.
E rua ngā momo matua o te neuralgia trigeminal, ā, ko te mārama ki te momo kei a koe e āwhina ana ki te whakatau i te huarahi ārai pai. He rerekē ngā āhuatanga me ngā take o ia momo.
Ko te neuralgia trigeminal noa te ahua tino noa, e pā ana ki te 80% o te hunga e pangia ana e tēnei āhuatanga. I puta mai i te oko toto e pēhi ana ki te pūtake nerve trigeminal tata ki te brainstem. Ko tēnei whakangau e pakaru ana i te hipoki tiaki o te nerve, e whakaatu ana i te tuku i ngā tohu mamae.
Ko te neuralgia trigeminal tuarua e whanake ana hei hua o tētahi atu āhuatanga hauora e pā ana ki te nerve trigeminal. Pea koinei te multiple sclerosis, te pūngoi e pēhi ana ki te nerve, te kino rānei mai i te pokanga, te whara rānei. Pea ka rerekē te tauira mamae, i etahi wā ka uru mai he mamae tahumaero tonu, he mamae rānei me ngā wāhanga mamae koi.
Ko ētahi tākua e whakaae ana hoki ki te neuralgia trigeminal atypical, e pā ana ki te mamae wera tonu atu i te ngā wāhanga o te pūhāhā. He uaua ake te whakamātautau me te whakaora i tēnei ahua, nā te mea ka rite ngā tohu ki ētahi atu āhuatanga mamae kanohi.
Ko te take tino noa ko te oko toto e pēhi ana ki te pūnaha trigeminal i te wa e puta mai ana i te brainstem. I te roanga o te wā, ka whakangā te pehanga i te hipoki tiaki o te pūnaha e kiia nei ko te myelin, rite tonu ki te āhua o te whakangā o te upoko hiko.
Ina ngaro te hipoki tiaki o te pūnaha, ka tino pāngia, ka taea te tuku i ngā tohu mamae kaore i te tika. Ahakoa te paheketanga iti rawa atu, te nekehanga rānei ka taea te whakaoho i tetahi wāhanga, nā te mea ka whakamaori te pūnaha kua pakaru i ngā āhuatanga noa hei mamae nui.
He maha ngā āhuatanga motuhake ka āhei te arahi ki te neuralgia trigeminal:
I etahi wā, he iti noa te tokomaha o te iwi e whakaarohia ana he tino mate te neuralgia trigeminal. Heoi, ko te nuinga o ngā take kaore he hītori whānau mārama, ā, kaore i te mārama te take tino i whānau ai ētahi i te pehanga o te oko toto, ētahi atu rānei.
Ka taea e ngā huringa e pā ana ki te pakeketanga o ngā oko toto te whakauru ki te āhuatanga, e whakamārama ana i te take he tino noa i roto i te hunga neke atu i te 50 tau. I te wā e pakeke haere ana tātou, ka taea e ngā uaua te tino piko, ka neke pea te tūnga, ka taea te hanga i te pehanga ki ngā pūnaha tata.
Me pēhea rānei te toro atu ki te taote ki te pāngia koe e te mamae o te mata, kaha, me te tere, e rite ana ki te whiu o te hiko, ina koa ki te whakaohoohotia e te paheketanga māori, te kai rānei, te kōrero rānei. Ka taea e te whakamātautau me te maimoatanga wawe te whakapai ake i tō kounga o te ora, ā, ka ārai i te kino haere o te āhuatanga.
Rapua te tiaki hauora i te wa poto mena ka kite koe i ēnei tohu whakatūpato:
Me rapu wawe koe i te tiaki hauora mena ka whanake koe i te mamae o te mata, kaha, me te tere, me ētahi atu tohu neurological penei i te ngoikore, te huringa o te tirohanga, te uaua rānei ki te kōrero. Ahakoa he onge, ka taea e ēnei te tohu i tētahi āhuatanga taketake nui ake e hiahia ana ki te aromatawai tere.
Kaua e whakaroa te rapu awhina nā te mea kei te manukanuka koe mō te utu, te whakaaro rānei ka ngaro noa atu te mamae. Ka kino haere te neuralgia trigeminal i te nuinga o te wā kaore he maimoatanga, ā, ka ārahi te whakauru wawe ki ngā hua pai ake.
He maha ngā take ka piki ake tō tūponotanga ki te whanake i te neuralgia trigeminal, ahakoa te whai i ēnei take morearea kaore e whakamana ka whanake koe i te āhuatanga. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te kōrero i tō morearea ki tō kaiwhakarato hauora.
Ko ngā take morearea matua ko:
Ko te pakeke te take tino nui o te tūponotanga, nā te mea ka huri haere ngā oko toto i te taiao, i te mea ka pakeke haere tātou. Ka raru pea rātou, ka neke rānei, ka pēnei pea te whakaputa i te pehanga ki ngā io tata. Ka whakamārama tenei he aha i kore ai te neuralgia trigeminal i ngā tāngata i raro i te 40.
Mēnā he mate pukupuku maha tōu, ka nui ake tō tūponotanga, nā te mea ka taea e tēnei āhuatanga te whakarahi i te hipoki myelin o ngā io, tae atu ki te io trigeminal. E 2-5% pea o ngā tāngata he mate pukupuku maha kei a rātou ka whanake i te neuralgia trigeminal i tētahi wā.
Ahakoa ehara te neuralgia trigeminal i te mea mate kino, ko te mamae nui me tōna pānga ki ngā mahi o ia rā ka āhei te arahi ki ngā raruraru nui e pā ana ki tō hauora whānui me tō oranga pai. Ko te mārama ki ēnei raruraru pea ka awhina i te whakamārama i te hiranga o te rongoā tika.
Ko ngā raruraru matua ka pā atu ki a koe ko:
Ka tino uaua te pānga hinengaro, nā te kore e mōhiotia te wā o ngā wēti mamae e mau tonu ai te manukanuka mō te wā e puta mai ai te wēti e whai ake nei. He tokomaha ngā tāngata e whāiti ana i ngā mahi, pēnei i te kore pai te horoi i ngā niho, te karo rānei i ngā tūāhuatanga pāpori kei reira pea e hāngai ai te kōrero, te kai rānei.
Ka puta mai ngā raruraru kai ina tino mamae te kai, ā, ka arahi ki te ngaro o te taumaha me ngā ngoikore o te kai. Ka huri etahi ki ngā kai ngawari, ki ngā wai rānei hei whakaiti i te ngau, ā, ka pā tera ki to rātou hauora katoa ki te kore e whakarite pai.
Ko te rongo pai, ko te nuinga o ēnei raruraru ka taea te aukati, te whakahoki rānei mā te rongoā tika. Ko te mahi tahi me tō rōpū hauora hei whakahaere i te mamae me ōna pānga ki tō oranga he mea nui mō te pupuri i tō oranga katoa.
Ko te whakamātautau i te neuralgia trigeminal e whakawhirinaki ana ki tō whakaahuatanga o ngā tohu me te whakamātautau tinana, nā te mea kāore he whakamātautau kotahi e taea te whakau i te āhuatanga. Ka aro tonu tō tākuta ki te mārama ki te ahua, te wāhi, me ngā mea whakaohooho i tō mamae.
I te wā o tō hui, ka ui tō tākuta i ngā pātai taipitopito e pā ana ki tō mamae, tae atu ki te wā i tīmata ai, te āhua o te mamae, ngā mea whakaohooho, me te roa o ngā wēti. Ka mahi hoki rātou i te whakamātautau neurological hei whakamātautau i te pūāhua i ngā wāhi rerekē o tō mata me te tirotiro i ngā wāhi kore pūāhua, kore rānei.
Ka whakamahi pea tō tākuta i ēnei huarahi whakamātautau:
Ka tūtohutia te whakamātautau MRI hei kimi i ngā take hanganga penei i ngā mate pukupuku, te tukunga o ngā oko toto, te tohu rānei o te mate marō maha. Ahakoa pea e kore te MRI e whakaatu i te take tika i roto i te neuralgia trigeminal tuku iho, ka āwhina i te whakakore i ētahi atu āhuatanga kino ka pāngia e ō tohu.
I etahi wā, ka taea e tō whakautu ki ētahi rongoā te whakau i te whakatau. Ka whakautu pai te neuralgia trigeminal ki ngā rongoā anti-waikura motuhake, ā, ka tautoko te whakapai ake me ēnei rongoā i te whakatau ina whakakotahitia ki ngā tohu noa.
Ka arotahi te maimoatanga mō te neuralgia trigeminal ki te whakahaere i ngā wāhanga mamae me te whakapai ake i tō kounga ora. Ko te rongo pai ko te maha o ngā whiringa maimoatanga whai hua kei te wātea, ā, ka taea e te nuinga o te iwi te whiwhi i te whakaora nui o te mamae me te huarahi tika.
Ka tīmata tonu tō tākuta ki ngā rongoā, i te mea he tino whai hua ratou ki te whakahaere i te mamae o te neuralgia trigeminal. Ki te kore ngā rongoā e whakarato i te whakaora tika, te raruraru rānei o ngā pānga taha, ka whakaarohia pea ngā whiringa pokanga.
Ngā maimoatanga rongoā ko te raina tuatahi o te rongoā:
Ka whakaarohia te Carbamazepine hei rongoā paerewa koura mō te neuralgia trigeminal, nā te mea he tino whai hua mō tēnei momo mamae ihu. E tata ana ki te 70-80% o te iwi e whiwhi ana i te whakaora nui o te mamae me tēnei rongoā, ahakoa pea ka roa te wā ki te kimi i te horopeta tika.
Ngā maimoatanga pokanga ka tūtohuhia pea ki te kore ngā rongoā e whai hua, te raruraru rānei o ngā pānga taha kore e manawanui:
Ko te whiriwhiringa o te mahi tākuta e whakahaeretia ana e whakawhirinaki ana ki tō hauora whānui, tō tau, me tō āhuatanga motuhake. Ka kōrero tō tākuta ki a koe mō ngā painga me ngā tūponotanga o ia whiringa hei āwhina i a koe ki te whakatau whakamārama mō te huarahi pai rawa atu mō tō take.
Ahakoa he mea nui te maimoatanga hauora mō te neuralgia trigeminal, he maha ngā mea ka taea e koe te mahi i te kāinga hei āwhina i te whakahaere i tō āhuatanga me te whakaiti i te auau o ngā wāhanga mamae. Ka pai rawa te mahi o ēnei rautaki ina whakakotahihia ki tō maimoatanga hauora kua whakaritea.
Arotake ki te kimi me te karo i ō kōpū mamae whaiaro. Pupuri i te tātai mamae hei aroturuki i ngā mahi, kai, rānei āhuatanga e āhei ana ki te whakaohooho i ngā wāhanga. Ko ngā kōpū noa ko te pā atu māhana, te ngau, te kōrero, te horoi niho, te whakaatu rānei ki te hau.
Ko ēnei ngā rautaki whakahaere kāinga whai hua:
I te wā e kai ana, ngana ki te ngau haere haere me te whakaaro nui ki te taha kaore i pā o tō waha. Tapahia te kai ki ngā kōwae iti hei whakaiti i te nui o te ngau e hiahiatia ana. Ko ngā kai pāmahana rūma, he iti noa te wera, he pai ake te manawanui i ngā mea wera rawa atu, he makariri rawa atu.
Mō te tiaki niho, whakaarohia te whakamahi i te pūruku niho hiko i te taumata iti, i te mea pea ka iti ake te whakaohooho o te wiri atu i te horoi ringa. Ka kite etahi atu ka awhina te horoi ki te wai mahana i mua i te horoi i te whakaiti i te ngawari.
He mea nui te whakahaere i te ahotea, na te mea ka kaha ake te mamae me te āwangawanga, ā, ka taea e te ahotea te whakaohooho i ngā tūāhutanga. Ka taea e ngā tikanga whakahaumaru noa, te whakakori ngawari ina taea, me te pupuri i ngā hononga hapori te awhina i te whakapai ake i tō oranga whānui.
Ka taea e te whakarite pai mō tō hui ki te taakuta te āwhina kia whiwhi koe i te tautuhi tika me te mahere maimoatanga whai hua. I te mea ka whakawhirinaki nui te tautuhi o te neuralgia trigeminal ki tō whakaahuatanga o ngā tohu, he mea nui rawa te whakarite me te tino tika.
I mua i tō hui, tuhituhia ngā kōrero taipitopito mō ō tūāhutanga mamae, tae atu ki te wā i tīmata ai, te maha o te puta, te āhua o te mamae, me te mea e āhua nei e whakaohooho ana i a rātou. He mea nui tēnei mō te aromatawai a tō taakuta.
Ko ēnei ngā mea hei whakarite me te kawe mai:
Tuhituhia ngā pātai motuhake e hiahia ana koe ki te ui, pēnei i ngā whiringa maimoatanga kei te wātea, te aha e tatari ana mai i ngā maimoatanga rerekē, me te pēhea te whakahaere i ngā mahi o ia rā i te wā e whakahaere ana i ngā tūāhutanga mamae. Kaua e whakaroa ki te tono mārama ki te kore koe e mōhio ki tetahi mea.
Whakaarohia te kawe mai i te mema whānau whakawhirinaki, i te hoa rānei hei āwhina i a koe ki te maumahara ki ngā mōhiohio nui i kōrerohia i te wā o te whakaritenga. Ka taea hoki e rātou te tuku i ētahi atu tirohanga atu mō te āhua o te āhuatanga i pā ki tō oranga o ia rā.
Whakamaheretia te whakaahuatanga taipitopito o tō mamae. Whakamahia ngā kupu motuhake penei i te “pūkaikino hiko,” “whakawhāiti,” i te “whakauku” kaua e mea noa he mamae. Whakamāramatia te wāhi e mōhiotia ana e koe te mamae, ā, he rite tonu te wāhi.
He āhuatanga nui engari ka taea te whakaora te neuralgia trigeminal e pā ana ki te mamae nui o te mata nā ngā raruraru ki te uaua trigeminal. Ahakoa ka tino kaha te mamae, ā, ka wehi, ko te mārama kei reira ngā rongoā whai hua e wātea ana kia hoatu ai te tumanako me te whakaohooho ki a koe ki te rapu i te tiaki hauora tika.
Ko te mea nui rawa atu hei maumahara ko te kore koe e mamae pūmau. He tokomaha ngā tāngata e pangia ana e te neuralgia trigeminal e whiwhi ana i te whakaora nui o te mamae me te rongoā tika, ahakoa mā ngā rongoā, ngā mahi pokanga, i te whakakotahitanga o ngā huarahi. Ko te taumata whakamātautau me te rongoā i te wā e arahina ana ki ngā hua pai ake.
Ko te mahi tata atu ki tō rōpū hauora he mea nui mō te whakahaere angitu i tēnei āhuatanga. Kia manawanui ki te tukanga whakaora, i te mea pea ka roa te wā ki te kimi i te whakakotahitanga tika o ngā tikanga whakaora e pai ana mōu. Mā te tiaki tika me te whakahaere, ka taea e te nuinga o ngā tāngata e pangia ana e te neuralgia trigeminal te hoki ki ō rātou mahi noa, ā, te pai o te oranga.
Kia mahara ko tēnei āhuatanga e pā ana ki te katoa i te rerekē, ā, ko te mea e mahi ana mō tētahi kaore pea e mahi mō tētahi atu. Kia whai wāhi tonu koe ki tō whakaora, whakawhitiwhiti tika ki ō kaiwhakarato hauora, ā, kaua e whakaroa ki te rapu tautoko mai i te whānau, i ngā hoa, i ngā rōpū tautoko rānei ina hiahia koe.
Ko te neuralgia trigeminal e kore e ngaro rawa atu i te nuinga o te wā me te kore rongoā, ā, ka kaha ake te kino i te wā ki te kore e rongoā. Ahakoa pea ka pāngia koe e ngā wā e iti ake ai te mamae, te iti rānei o te kaha, ka mau tonu te raruraru o te pūnaha i roto, ā, ka kaha ake pea te kino.
Ko ētahi tāngata ka pāngia e ngā whakaora whaiaro e mutu ai ngā wāhanga mamae mō ngā wiki, ngā marama, te roa rānei o ngā tau. Heoi, ka hoki mai te āhuatanga, ā, e kore e tūkino te whakawhirinaki ki te whakapai ake whaiaro ina he rongoā whai hua kei te wātea. Ko te rongoā wawe ka aukati i te āhuatanga kei te haere tonu, ā, ka uaua ake te whakahaere.
Ko te neuralgia trigeminal anō e kore e puta mai i ngā raruraru niho, engari ka ngāwari te whakapohehe i ngā āhuatanga e rua, nā te mea e rua ngā āhuatanga e pā ana ki te mamae o te mata. Ko te pūnaha trigeminal e kawe ana i te āhua mai i ō niho, na reira ka rite te mamae o te pūnaha ki te puta mai i ō niho ahakoa he hauora tō niho.
He tokomaha ngā tāngata e pāngia ana e te neuralgia trigeminal e haere ana ki tō rātou kaitoi niho i te tīmatanga, me te whakaaro kei te mamae nui tō rātou niho. Heoi, ko ngā rongoā niho e kore e āwhina i te neuralgia trigeminal, ā, ko ngā mahi niho kaore e tika ka pāngia pea e ngā wāhanga mamae atu. Ki te pāngia koe e te mamae o te mata e kore e whakautu ki ngā rongoā niho noa, he mea tika te kōrero ki tō kaiwhakarato hauora mō te neuralgia trigeminal.
Āe, ka tino kaha ake te neuralgia trigeminal i te ahotea mā te whakanui ake i te uaua o te uaua, te pānga ki te kounga o te moe, ā, te whakaiti pea i tō taumata mamae. Ina kei te ahotea koe, kei te manukanuka rānei, ka nui ake pea te tūkino ki ngā whāinga e pā ana ki ngā wāhanga mamae, pēnei i te ngiha niho, te uaua rānei o te mata.
Ko te whakahaere i te ahotea mā ngā tikanga whakahaumaru, te whakakori tinana auau, te moe pai, me ētahi atu kaupapa whakaiti ahotea, ka taea te whakauru nui ki tō mahere maimoatanga whānui. Ahakoa ehara te whakahaere ahotea anake i te rongoa mō te neuralgia trigeminal, ka taea te whakaiti i te tūponotanga me te kaha o ngā wāhanga mamae ina honoa ki te maimoatanga hauora.
Ehara ngā kai i te nuinga o te wā e whakaohooho ana i te mamae neuralgia trigeminal, engari ko te mahi ngau, ina koa ngā kai pakeke, ka taea te whakaohooho i ngā wāhanga. Ka taea hoki e ngā kai wera, me ngā kai makariri te whakaohooho i te mamae ki ētahi tangata, ehara i te mea nā te kai engari nā te pā o te pāmahana ki ngā wāhi ngawari o tō mata.
He tokomaha te kitea e ngā kai ngawari, i te pāmahana o te ruma, ngā mea ngāwari ki te manawanui i ngā wā mahi o te neuralgia trigeminal. Ka hiahia pea koe ki te karo i ngā kai tino pakaru, ngau, kāhore rānei i te pāmahana-mutunga i ngā wā mura, engari kāhore he "kai neuralgia trigeminal" motuhake e hiahia ana koe ki te whai tonu. Aro atu ki te kai i ngā kai kai ora i te ahua e tino pai ana ki a koe.
Ko te neuralgia trigeminal te tikanga ka pā noa ki tētahi taha o te mata, ā, he tino onge te whakauru rua-taha (ngā taha e rua), ka puta i raro i te 5% o ngā take. Ki te pā ngā taha e rua, he tino pea ka hono atu ki tētahi āhuatanga taketake penei i te multiple sclerosis i te ahua noa e puta mai ana i te pehanga o te oko toto.
Mēnā kei te pāngia koe e te mamae i ngā taha e rua o tō mata, he mea nui rawa atu te kite i tētahi neurologist mō te aromatawai tino pai. Ka hiahia pea te neuralgia trigeminal rua-taha ki ngā huarahi maimoatanga rerekē me ngā whakamātautau atu hei kimi i ngā āhuatanga taketake e pā ana ki te raruraru o ngā ihu i ngā taha e rua.