Created at:1/16/2025
Question on this topic? Get an instant answer from August.
Trigeminal neuralgia ni uburwayi butera ububabare bukabije, butunguranye mu maso hakurikira umunsi wa trigeminal. Uyu munsi utwara ubwumva kuva mu maso ujya mu bwonko, kandi iyo uhungabanye cyangwa wangiritse, ushobora gutera ibyiciro by'ububabare bukabije, nk'igitotsi, benshi bavuga ko ari bumwe mu bubabare bukabije bagiye bagira.
Ububabare busanzwe bugira uruhande rumwe rw'umuntu, kandi bushobora guterwa no gukora ibintu bito nko gukuna amenyo, gukaraba mu maso, cyangwa umuyaga muke. Nubwo iyi ndwara ishobora gutera ubwoba no kubangamira, kumva icyabaye no kumenya ko hari ubuvuzi bufatika buhari bishobora kugufasha kumva ufite ubushobozi bwo kuyitwara.
Trigeminal neuralgia ni indwara y'ububabare buhoraho ikora ku munsi wa trigeminal, uzwi kandi nka munani wa gatanu. Uyu munsi ufite amashami atatu akomeye atanga ubwumva mu bice bitandukanye by'umuntu, harimo ihaha, ijisho, n'agasabo.
Iyo uyu munsi utakora neza, wohereza ibimenyetso by'ububabare bitari byo mu bwonko, bigatera ububabare bukabije butunguranye. Iyi ndwara rimwe na rimwe yitwa “tic douloureux,” bisobanura “ububabare bubabaza” mu gifaransa, kuko ububabare bukabije bushobora gutera imikoko idakozwe n'umuntu mu maso.
Abenshi barwaye iyi ndwara bafite imyaka irenga 50, kandi abagore bafite amahirwe menshi yo kurwara iyi ndwara kurusha abagabo. Ibihe by'ububabare bishobora kumara amasegonda make cyangwa iminota myinshi, kandi bishobora kuba mu matsinda mu gihe cy'umunsi.
Ikimenyetso cy'ingenzi ni ububabare butunguranye, bukabije, nk'igitotsi, ku ruhande rumwe rw'umuntu. Ubu bubabare butandukanye n'ububabare busanzwe bw'umutwe cyangwa mu maso kubera ubukana n'imiterere yabwo.
Dore ibimenyetso by'ingenzi ushobora kugira:
Ububabare busanzwe buva mu bice bimwe na bimwe bitewe n’ishami ry’umutima wa trigeminal ryagizweho ingaruka. Ushobora kurumva mu gahanga no mu karere k’ijisho, mu matama no mu gace ko hejuru k’umunwa, cyangwa mu gace ko hasi k’umunwa no mu ijosi.
Hagati y’ibyiciro by’ububabare, ubusanzwe wumva umeze neza. Iyi mimerere y’ububabare bukabije ikurikiwe n’ibihe by’ububabare ni ikimenyetso cya trigeminal neuralgia kandi ifasha abaganga gukora ibizamini.
Hariho amoko abiri y’ingenzi ya trigeminal neuralgia, kandi gusobanukirwa ubwoko ufite bifasha mu kwemerera uburyo bwiza bwo kuvura. Buri bwoko bufite ibimenyetso bitandukanye n’imvano.
Trigeminal neuralgia isanzwe ni ubwoko bwose, bugera kuri 80% by’abantu bafite iyi ndwara. Iterwa n’ubwenge bw’amaraso bukomenya ku mutima wa trigeminal hafi y’ubwonko. Iyi gukomera bikomeretsa urwego rw’uburinganire bw’umutima, bituma utanga ibimenyetso by’ububabare.
Trigeminal neuralgia y’uburyo bwa kabiri iterwa n’ubundi burwayi bugira ingaruka ku mutima wa trigeminal. Ibi bishobora kuba harimo sclerosis nyinshi, igituntu gitsinda umutima, cyangwa ibyangiritse bivuye ku kubaga cyangwa imvune. Imiterere y’ububabare ishobora kuba itandukanye gato, rimwe na rimwe irimo ubushyuhe buhoraho cyangwa ububabare hamwe n’ibyiciro by’ububabare bukabije.
Bamwe mu baganga bazi kandi ububabare budasanzwe bwa neru ya trigeminal, butera ububabare buhoraho, nk'ubwaka, aho kuba ibitero nk'iby'umurabyo nk’uko bisanzwe. Ubwo buryo bushobora kuba bugoranye kuvura no kubona indwara kuko ibimenyetso bihuza n’izindi ndwara ziterwa n’ububabare mu maso.
Intandaro isanzwe ni uko imiyoboro y’amaraso ikaze kuri neru ya trigeminal aho iva mu bwonko. Mu gihe, icyo gukanda gikonjesha urwego rw’uburinda rwa neru, rwitwa myelin, kimwe n’uko insulasi y’insinga z’amashanyarazi ishobora kwambara.
Iyo neru itakirirwa n’urwego rw’uburinda, iba ikomeye cyane kandi ishobora kohereza ibimenyetso by’ububabare mu buryo budakwiye. Ndetse no gukora gato cyangwa kugenda bishobora gutera igitero kuko neru yangiritse isobanura ibyiyumvo bisanzwe nk’ububabare bukabije.
Ubundi buryo butandukanye bushobora gutera uburibwe bwa neru ya trigeminal:
Mu bihe bitoroshye, bamwe mu bantu bashobora kugira umuco wo kuvukana uburibwe bwa neru ya trigeminal. Ariko rero, ubundi buryo bwinshi butabaho nta mateka y’umuryango, kandi impamvu nyayo ituma bamwe mu bantu bagira igitutu cy’imijyana y’amaraso mu gihe abandi batabigira iracyari itaramenyekana.
Impinduka ziterwa n’imyaka mu mijyana y’amaraso zishobora gutera iyi ndwara, ibyo bisobanura impamvu isanzwe mu bantu barengeje imyaka 50. Uko dukera, imiyoboro y’amaraso ishobora kuba miremire kandi ishobora guhinduka, bishobora gutera igitutu ku mitsi iri hafi.
Wagakwiye kujya kwa muganga niba ufite ububabare bukomeye bwa mu maso butunguranye, bumva nk'amashanyarazi, cyane cyane niba butangizwa no gukora ku maso gake cyangwa ibikorwa bisanzwe nko kurya cyangwa kuvuga. Kumenya hakiri kare no kuvurwa birashobora kunoza cyane ubuzima bwawe no gukumira ko iyi ndwara ikomeza kuba mbi.
Shaka ubufasha bwa muganga vuba niba ubona ibi bimenyetso:
Wagakwiye gushaka ubufasha bwa muganga byihuse niba ufite ububabare bukomeye bwa mu maso butunguranye hamwe n'ibindi bimenyetso by'indwara z'imiterere y'ubwonko nko kudakora neza kw'ingingo, guhinduka kw'ubuhanga bwo kubona, cyangwa kugorana kuvuga. Nubwo ari gake, ibi bishobora kugaragaza indwara ikomeye isaba isuzuma ryihuse.
Ntuzigere utinda gushaka ubufasha kubera ko uhangayikishijwe n'ikiguzi cyangwa utekereza ko ububabare buzakira ubwabwo. Neuralgia ya Trigeminal isanzwe ikomeza kuba mbi uko igihe gihita, kandi kuvurwa hakiri kare kenshi biyobora ku musaruro mwiza.
Ibintu byinshi bishobora kongera amahirwe yo kurwara neuralgia ya trigeminal, nubwo kugira ibi bintu ntibihamya ko uzayirwara. Gusobanukirwa ibi bintu bishobora kugufasha kuganira ku byago byawe n'abaganga bawe.
Ibintu by'ingenzi byongera ibyago birimo:
Imyaka ni yo ntandaro ikomeye y’ibyago kuko imitsi y’amaraso ihinduka uko tugenda dukera. Ishobora kuba ihindagurika cyane cyangwa guhindura aho iherereye, bigatuma habaho igitutu ku mitsi iri hafi. Ibi bisobanura impamvu trigeminal neuralgia idakunze kugaragara mu bantu bari munsi y’imyaka 40.
Niba ufite sclerosis multiple, ibyago byawe biri hejuru kuko iyi ndwara ishobora kwangiza urwego rwa myelin ruzunguruka imitsi, harimo n’umutsi wa trigeminal. Abantu bagera kuri 2-5% bafite sclerosis multiple barwara trigeminal neuralgia mu gihe runaka.
Nubwo trigeminal neuralgia ubwayo atari indwara yica, ububabare bukabije n’ingaruka zabyo ku mirimo ya buri munsi bishobora gutera ingaruka zikomeye zigira ingaruka ku buzima bwawe rusange n’imibereho yawe. Gusobanukirwa izi ngaruka zishoboka bifasha gushimangira akamaro ko kuvurwa neza.
Ingaruka zikomeye ushobora guhura nazo harimo:
Ingaruka zo mu mutwe zishobora kuba zikomeye cyane kuko uburyo budateganijwe ububabare buza butuma umuntu ahora atewe impungenge z’igihe ikindi kibazo cy’ububabare kizagaragara. Abantu benshi bahura n’imyitwarire yo kwirinda, nko kudakora isuku y’amenyo neza cyangwa kwirinda ibibazo by’imibanire aho bashobora kuba bakeneye kuvuga cyangwa kurya.
Ingorane zishingiye ku mirire zishobora kuvuka iyo kurya bibabaje cyane, bigatuma umuntu atakaza ibiro kandi agira ibibazo by’imirire mibi. Bamwe bahindukira ku biribwa byoroshye cyangwa ibinyobwa kugira ngo bagabanye kunywa, ibyo bishobora kugira ingaruka ku buzima bwabo muri rusange nibyo bitateguwe neza.
Inkuru nziza ni uko ibyinshi muri ibyo bibazo bishobora kwirindwa cyangwa bikavurwa neza hakoreshejwe ubuvuzi bukwiye. Gukorana n’itsinda ry’abaganga bawe kugira ngo ubone uko ugenzura ububabare n’ingaruka zabyo ku buzima bwawe ni ingenzi mu kugumana ubuzima bwawe muri rusange.
Kumenya Neuralgia ya Trigeminal bishingira ahanini ku buryo usobanura ibimenyetso byawe n’isuzuma ry’umubiri, kuko nta kizami kimwe gishobora kwemeza neza iyi ndwara. Muganga wawe azibanda ku kumenya imiterere, aho ububabare buva, n’ibyateza ububabare.
Mu gihe cy’isuzumwa ryawe, muganga wawe azakubaza ibibazo birambuye ku bubabare bwawe, harimo igihe cyatangiye, uko bumva, icyabuteye, n’igihe ibyo bibazo byamamara. Azakora kandi isuzuma ry’imikorere y’ubwonko kugira ngo asuzume uburyo bw’ubwumva mu bice bitandukanye by’umubiri wawe kandi arebe ko hari ahantu hababaye cyangwa hari aho ubwumva bwahindutse.
Muganga wawe ashobora gukoresha ubu buryo bwo kuvura:
Akenscan ya MRI ikunzwe gukoreshwa mu gushaka impamvu zishingiye ku miterere y’umubiri nka tumo, gukandamizwa kw’imitsi y’amaraso, cyangwa ibimenyetso bya sclerosis nyinshi. Nubwo MRI ishobora kutagaragaza impamvu nyamukuru muri trigeminal neuralgia isanzwe, ifasha mu kwirinda izindi ndwara zikomeye zishobora kuba ziterwa n’ibimenyetso byawe.
Rimwe na rimwe, uko wigobotora imiti runaka bishobora gufasha kwemeza uburwayi. Trigeminal neuralgia ikunze kugenda neza iyo ufashe imiti runaka yo kurwanya indwara zifata ubwonko, kandi kuzamuka kw’ubuzima ukoresheje iyi miti bishobora gushyigikira uburwayi iyo bihujwe n’ibimenyetso bisanzwe.
Kuvura trigeminal neuralgia byibanda ku kubuza ububabare no kunoza imibereho yawe. Inkuru nziza ni uko hari uburyo bwinshi bwiza bwo kuvura, kandi abantu benshi bashobora kugabanya ububabare cyane ukoresheje uburyo bukwiye.
Muganga wawe azatangira akenshi akoresheje imiti, kuko ikunze kugira akamaro cyane mu gucunga ububabare bwa trigeminal neuralgia. Niba imiti idahagije cyangwa igatuma habaho ingaruka mbi, uburyo bwo kubaga bushobora kugenzurwa.
Uburyo bwo kuvura hakoreshejwe imiti ni bwo busanzwe buza ku isonga:
Carbamazepine ikunze kwitwa imiti y’icyitegererezo cya trigeminal neuralgia kuko ikora neza kuri ubwo bwoko bw’ububabare bw’imitsi. Abantu bagera kuri 70-80% bagabanya ububabare cyane ukoresheje iyi miti, nubwo bishobora gutwara igihe kugira ngo umwanya ukwiye uboneke.
Uburyo bwo kubaga bushobora kugerwaho niba imiti idakora cyangwa igatuma habaho ingaruka mbi zitababaza:
Guhitamo uburyo bwo kubaga biterwa n'ubuzima bwawe muri rusange, imyaka yawe, n'imimerere yawe yihariye. Muganga wawe azakuganira ku byiza n'ibibi bya buri buryo kugira ngo ugufashe gufata umwanzuro uhamye ku buryo bwiza bukubereye.
Nubwo kuvurwa kwa muganga ari ingenzi kuri trigeminal neuralgia, hari ibintu byinshi ushobora gukora iwawe mu rugo kugira ngo ufashe gucunga uburwayi bwawe kandi ugabanye kenshi kw'ububabare. Izi ngamba zikora neza iyo zifatanije n'ubuvuzi bwa muganga wategetswe.
Fata umwanya wo gushaka no kwirinda ibyo ubona ko bikubabaza. Jya wandika ibyo wakoreye kugira ngo umenye ibikorwa, ibiryo, cyangwa imimerere isa n'iyateza uburibwe. Ibintu bisanzwe biterwa harimo gukoraho gake, kuruma, kuvuga, gukuna amenyo, cyangwa kwibasirwa n'umuyaga.
Dore ingamba zifasha mu gucunga iwawe:
Mu gihe uri kurya, gerageza kuruma buhoro buhoro kandi utekanye ku ruhande rutari urwaye rw'akanwa kawe. Gabanya ibiryo mu bice bito kugira ngo ugabanye urugero rw'ukuruma rusabwa. Ibiryo by'ubushyuhe bw'icyumba cyangwa ibiryo bishyushye gato bikunze kwihanganirwa kurusha ibiryo bishyushye cyangwa bikonje cyane.
Ku bijyanye no kwita ku menyo, gerageza gukoresha burashi y’amashanyarazi ku muvuduko muke, kuko kuyungurura bishobora kuba bitatuma ubabara cyane kurusha gukoresha burashi isanzwe. Bamwe basanga gukaraba amazi ashyushye gato mbere yo gukoresha burashi bifasha kugabanya ububabare.
Gucunga umunaniro ni ingenzi kuko umunaniro n’ihungabana bishobora kongera ububabare kandi bikaba byatuma ubabara. Uburyo bwo kuruhuka buhoraho, imyitozo ngororamubiri yoroheje aho bishoboka, no kugumana umubano n’abandi bose bishobora gufasha kunoza imibereho yawe muri rusange.
Gutegura neza uruzinduko rwawe kwa muganga bishobora gufasha guhamya ko ubona ubuvuzi bwiza kandi burambuye. Kubera ko kuvura indwara ya trigeminal neuralgia bishingiye cyane ku buryo ugaragaza ibimenyetso byayo, kuba witeguye kandi uhamye ni ingenzi cyane.
Mbere y’uruzinduko rwawe, andika amakuru arambuye yerekeye igihe ubabara, harimo igihe byatangiye, ukuntu bibaho kenshi, uko byumvikana, n’icyo bisa n’icyabiteye. Aya makuru azaba afite akamaro gakomeye mu isuzuma rya muganga.
Dore ibyo ugomba gutegura no kuzana:
Andika ibibazo byihariye wifuza kubabaza, nko kumenya uburyo bwo kuvura buhari, icyo witeze ku buryo butandukanye bwo kuvura, n’uko ugenzura ibikorwa bya buri munsi mu gihe uhura n’ububabare. Ntugatinye gusaba ko bagusobanurira ibyo utumva.
Tegereza kuzana umuntu wo mu muryango cyangwa incuti wizeye, uzagufasha kwibuka amakuru y’ingenzi yavuzwe mu gihe cy’isuzumwa. Bashobora kandi gutanga ibitekerezo byiyongera ku buryo iyi ndwara yagize ingaruka ku buzima bwawe bwa buri munsi.
Tegura gusobanura ububabare bwawe mu buryo burambuye. Koresha amagambo yihariye nka “umuriro w’amashanyarazi,” “kwibabaza,” cyangwa “gutwika” aho kuvuga gusa ko bibabaza. Vuga aho ububabare bumva neza kandi niba buhora ahantu hamwe.
Trigeminal neuralgia ni indwara ikomeye ariko ivurwa, itera ububabare bukabije mu maso kubera ibibazo by’umutsi wa trigeminal. Nubwo ububabare bushobora kuba bukomeye cyane kandi bugatera ubwoba, kumva ko uburyo bwo kuvura bufatika buhari bikagomba kukugira icyizere n’ishimikiro ryo gushaka ubuvuzi bukwiye.
Ikintu cy’ingenzi cyo kwibuka ni uko ugomba kureka kubabara nta kintu ukora. Abantu benshi barwaye trigeminal neuralgia bagera ku kugabanya ububabare ku buryo bufatika babifashijwemo n’ubuvuzi bukwiye, haba binyuze mu miti, ubutabire, cyangwa guhuza uburyo butandukanye. Kugirwaho isuzumwa hakiri kare no kuvurwa kenshi biyobora ku musaruro mwiza.
Gukorana bya hafi n’itsinda ry’ubuvuzi ryawe ni ingenzi mu gucunga iyi ndwara neza. Gira ubumwe mu nzira yo kuvura, kuko bishobora gutwara igihe kugira ngo ubone imiti ikubereye. Hamwe no kwitabwaho neza no kuyicunga, abantu benshi barwaye trigeminal neuralgia bashobora gusubira mu mirimo yabo ya buri munsi kandi bagakomeza kugira ubuzima bwiza.
Ibuka ko iyi ndwara igira ingaruka kuri buri wese mu buryo butandukanye, kandi icyakorera umuntu kimwe gishobora kudakora ku wundi. Komeza kwitabira ubuvuzi bwawe, uganire neza n’abaganga bawe, kandi ntutinye gushaka ubufasha mu muryango, incuti, cyangwa amatsinda y’ubufasha igihe ubikeneye.
Uburibwe bw’umutsi wa trigeminal ntabwo bukunda gukira burundu udafashwe, kandi bushobora kurushaho kuba kibi uko igihe gihita hatagize igikorwa. Nubwo ushobora kugira ibihe uburibwe buke cyangwa bukomeye, ikibazo cy’umutsi mubyukuri gikomeza kandi gishobora kurushaho kuba kibi buhoro buhoro.
Bamwe mu bantu bagira impinduka zisanzwe aho ibyago by’uburibwe bihagarara ibyumweru, amezi, cyangwa imyaka. Ariko, iyi ndwara isanzwe isubira, kandi kwiringira ko izakira ukwayo ntibyagombye gukorwa igihe hari ubuvuzi bufatika buhari. Ubuvuzi bwa hafi bukunze kubuza iyi ndwara gutera imbere no kuba ikibazo gikomeye cyo guhangana.
Uburibwe bw’umutsi wa trigeminal ubwawo ntibuterwa n’ibibazo by’amenyo, ariko ibi bibazo byombi birashobora kwitiranywa byoroshye kuko byombi biterwa n’uburibwe mu maso. Umutsi wa trigeminal utwara ubwumva kuva ku menyo yawe, bityo uburibwe bw’umutsi bushobora kumvikana nk’aho buva ku menyo yawe nubwo amenyo yawe ameze neza.
Abantu benshi barwaye uburibwe bw’umutsi wa trigeminal batangira gusura umunini wabo batekereza ko bafite uburibwe bukomeye bw’amenyo. Ariko, ubuvuzi bw’amenyo ntibufasha uburibwe bw’umutsi wa trigeminal, kandi ibikorwa by’amenyo bidakenewe bishobora no gutera ibyago byinshi by’uburibwe. Niba ufite uburibwe mu maso budakira ubuvuzi busanzwe bw’amenyo, birakwiye kuganira ku buribwe bw’umutsi wa trigeminal n’abaganga bawe.
Yego, umunaniro ushobora gutuma uburibwe bw’umutsi wa trigeminal burushaho kuba kibi binyuze mu kongera umuvuduko w’imitsi, kugira ingaruka ku buzima bw’uburyo bwo kuryama, no kugabanya urwego rw’uburibwe. Iyo uri mu gihe cy’umunaniro cyangwa uhangayitse, ushobora no kuba ufite amahirwe yo gukora ibikorwa biterwa n’uburibwe, nko gukorora amenyo cyangwa gukomera imitsi y’isura.
Gukoresha uburyo bwo kuruhuka, imyitozo ngororamubiri buri gihe, ibitotsi bihagije, n’izindi ngamba zo kugabanya umunaniro, bishobora kuba igice cy’ingenzi cy’uburyo bwo kuvura muri rusange. Nubwo guhangana n’umunaniro gusa bitavura indwara ya trigeminal neuralgia, bishobora kugabanya kenshi n’uburemere bw’ububabare iyo bifatanije n’ubuvuzi.
Ibiryo ubwayo ntibisanzwe biterwa ububabare bwa trigeminal neuralgia, ariko igikorwa cyo kuruma, cyane cyane ibiryo bikomeye cyangwa biruma, bishobora gutera ibibazo. Ibiryo bishyushye cyangwa bikonje bishobora kandi gutera ububabare kuri bamwe, atari kubera ibikubiye mu biryo ahubwo kubera ubushyuhe bumvikana mu bice by’umubiri wawe byumva.
Abantu benshi basanga ibiryo byoroshye, biri ku bushyuhe busanzwe ari byo byoroshye kwihanganira mu gihe cy’indwara ya trigeminal neuralgia. Ushobora kwirinda ibiryo birumana cyane, biruma, cyangwa biri ku bushyuhe bukabije mu gihe cy’ububabare bukabije, ariko nta “ndyo ya trigeminal neuralgia” ugomba gukurikiza burundu. Ibanda ku kurya ibiryo biringaniye mu buryo ubwo aribwo bwose bukworohera.
Trigeminal neuralgia isanzwe igira ingaruka ku ruhande rumwe rw’isura, kandi kugira ingaruka ku mpande zombi (impande zombi) ni gake cyane, bibaho munsi ya 5% by’ababafite. Iyo impande zombi zigira ingaruka, bishoboka ko bifitanye isano n’uburwayi buri inyuma nka sclerosis nyinshi kuruta uburyo busanzwe buterwa no gukanda kw’imijyana y’amaraso.
Niba urimo kubabara ku mpande zombi z’isura yawe, ni ingenzi cyane kubona umuganga w’indwara z’imitsi kugira ngo akore isuzuma rirambuye. Trigeminal neuralgia y’impande zombi ishobora gusaba uburyo butandukanye bwo kuvura no gupima byinshi kugira ngo hamenyekane uburwayi ubwo aribwo bwose bushobora kuba butera ibibazo by’imitsi ku mpande zombi.