Neuralgia Ya Trigeminal
Incamake
Neuralgia ya Trigeminal (try-JEM-ih-nul nu-RAL-juh) ni uburwayi butera ububabare bukabije bumera nk'umuriro w'amashanyarazi ku ruhande rumwe rw'ise. Ikaba igira ingaruka ku mpinduro ya trigeminal, itwara amakuru aturuka mu maso yerekeza mu bwonko. Nubwo gukoraho gake nk'ukoza amenyo cyangwa kwisiga ibirungo bishobora gutera ububabare bwinshi. Neuralgia ya Trigeminal ishobora kumara igihe kirekire. Izwi nk'uburwayi buhoraho.
Abantu barwaye neuralgia ya trigeminal, bashobora kubanza kugira ibibazo by'ububabare buke, butamara igihe kinini. Ariko iyi ndwara ishobora kuba mbi, ikaba itera igihe kirekire cy'ububabare kiba kenshi. Ikaba igaragara cyane mu bagore n'abantu barengeje imyaka 50.
Ariko neuralgia ya trigeminal, izwi kandi nka tic douloureux, ntibivuze kubaho mu bubabare. Ubusanzwe ishobora kuvurwa.
Ibimenyetso
Ibimenyetso bya neuralgia ya trigeminal bishobora kuba birimo kimwe cyangwa byinshi muri ibi bishushanyo: Ibihe by'ububabare bukabije cyane cyangwa ububabare bumera nk'umuriro w'amashanyarazi. Ibihe by'ububabare butunguranye cyangwa ububabare buterwa no gukora ku maso, kuruma, kuvuga cyangwa gukuna amenyo. Ibihe by'ububabare bimara amasegonda make kugeza ku minota myinshi. Ububabare bujyana n'amavunja y'amasura. Ibihe by'ububabare bimara iminsi, ibyumweru, amezi cyangwa igihe kirekire. Bamwe bagira ibihe batagira ububabare. Ububabare mu bice bitangirwaho amaraso n'umutsi wa trigeminal. Ibi bice birimo itama, uruhu, amenyo, umunwa cyangwa iminwa. Gake, ijisho n'umutwe bishobora kwibasirwa. Ububabare ku ruhande rumwe rw'isura icyarimwe. Ububabare bufite aho bukomoka. Cyangwa ububabare bushobora gukwirakwira mu buryo bugari. Ububabare buhora buke cyane mu gihe cyo kuryama. Ibihe by'ububabare bikomeza kwiyongera kandi bikaba bikomeye uko igihe gihita. Reba umuganga wawe niba ufite ububabare mu maso, cyane cyane niba ari ububabare burambye cyangwa bugaruka nyuma yo guhita. Nanone, shaka ubufasha bw'abaganga niba ufite ububabare buhoraho budakira n'imiti yo kurwanya ububabare ugurisha mu maduka.
Igihe cyo kubona umuganga
Jya kwa muganga niba ufite ububabare mu maso, cyane cyane niba ari ububabare buramara igihe kirekire cyangwa bugasubira nyuma yo gucika. Nanone, shaka ubufasha bw'abaganga niba ufite ububabare buhoraho budakira n'imiti yo kugabanya ububabare ugurisha mu maduka.
Impamvu
Mu rwago rw'umutsi wa trigeminal, imikorere y'umutsi wa trigeminal iratabuka. Akenshi, ububabare buterwa no guhura kw'ubwato bw'amaraso n'umutsi wa trigeminal ku ruhande rw'ubwonko. Ubwato bw'amaraso bushobora kuba umutsi cyangwa umusemburo. Ubu buhura bushyira igitutu ku mutsi kandi ntibumwemerera gukora nk'uko bisanzwe. Ariko nubwo gukandamizwa n'ubwato bw'amaraso ari cyo kintu gisanzwe gitera iyi ndwara, hari izindi mpamvu nyinshi zishoboka. Sclerose nyinshi cyangwa ubundi burwayi bumeze nkabo busenya myeline ikingira imitsi imwe n'imwe bishobora gutera rwago rw'umutsi wa trigeminal. Uburibwe bukomenya ku mutsi wa trigeminal na bwo bushobora gutera iyi ndwara. Bamwe bashobora kurwara rwago rw'umutsi wa trigeminal kubera ikibazo cy'umutima cyangwa imvune yo mu maso. Imvune y'umutsi iterwa n'ubuganga na yo ishobora gutera rwago rw'umutsi wa trigeminal. Hari ibintu byinshi bishobora gutera ububabare bwa rwago rw'umutsi wa trigeminal, birimo: Kuvuza. Gutakaza mu maso. Kurya. Kunwa. Kwoza amenyo. Kuvuga. Kwisiga. Umuheto mwiza uhuha mu maso. Kwenyura. Kwoza mu maso.
Ingaruka zishobora guteza
Ubushakashatsi bwagaragaje ko hari ibintu bimwe na bimwe bishobora gushyira abantu mu kaga ko kurwara indwara y’umutsi wa trigeminal, birimo:
- Ibitsina. Abagore bafite ibyago byinshi byo kurwara indwara y’umutsi wa trigeminal kurusha abagabo.
- Imyaka. Indwara y’umutsi wa trigeminal igaragara cyane mu bantu bafite imyaka 50 n'irenga.
- Indwara zimwe na zimwe. Urugero, hypertension ni kimwe mu bintu bishobora guteza indwara y’umutsi wa trigeminal. Byongeye kandi, abantu barwaye sclerosis nyinshi bafite ibyago byinshi byo kurwara indwara y’umutsi wa trigeminal.
Kupima
Umuhanga wawe mu by'ubuzima arapima indwara ya trigeminal neuralgia ahanini ashingiye ku buryo uvuga ububabare, harimo:
- Ubwoko. Ububabare bufite aho buhuriye na trigeminal neuralgia ni ububabare butunguranye, bumva nk'umuriro w'amashanyarazi kandi bugapfa vuba.
- Aho buri. Ibice by'isura yawe bikomerewe n'ububabare bishobora kubwira umuhanga wawe mu by'ubuzima niba umunsi wa trigeminal urimo.
- Ibitera ububabare. Kurya, kuvuga, gukora ku isura yawe cyangwa umuyaga mwiza bishobora gutera ububabare.
Umuhanga wawe mu by'ubuzima ashobora gukora ibizamini kugira ngo apime trigeminal neuralgia. Ibizamini bishobora kandi gufasha gushaka impamvu z'iyi ndwara. Bishobora kuba birimo:
- Magnetic resonance imaging (MRI). Ushobora kuba ukeneye MRI kugira ngo urebe impamvu zishoboka za trigeminal neuralgia. MRI ishobora kwerekana ibimenyetso bya multiple sclerosis cyangwa ibindi bintu. Rimwe na rimwe hari ibara ryinjizwa mu mubiri kugira ngo harebwe imitsi y'amaraso kugira ngo hagaragare imiterere y'amaraso.
Ububabare bwawe bw'isura bushobora guterwa n'ibindi bintu byinshi, bityo rero kumenya neza icyo ari cyo ni ingenzi. Umuhanga wawe mu by'ubuzima ashobora kandi gutegeka ibindi bipimo kugira ngo akureho izindi ndwara.
Uburyo bwo kuvura
Ubuvuzi bwa neuralgia ya trigeminal busanzwe butangira ku miti, kandi bamwe ntibakenera ubundi buvuzi. Ariko rero, uko igihe gihita, bamwe mu bafite iyi ndwara bashobora kureka kugira akamaro imiti, cyangwa bashobora kugira ingaruka mbi. Kuri abo bantu, inshinge cyangwa kubaga bitanga izindi nzira zo kuvura neuralgia ya trigeminal. Niba uburwayi bwawe buterwa n'ikindi kintu, nka sclerosis nyinshi, ukeneye kuvurwa indwara y'ibanze. Mu kuvura neuralgia ya trigeminal, abaganga bagenera imiti kugira ngo bagabanye cyangwa bahagarike ibimenyetso by'ububabare byoherezwa mu bwonko bwawe.
- Imiti yo kurwanya indwara zifata ubwonko. Abaganga bakunze kwandika carbamazepine (Tegretol, Carbatrol, izindi) kuri neuralgia ya trigeminal. Byagaragaye ko ari ingirakamaro mu kuvura iyi ndwara. Izindi miti yo kurwanya indwara zifata ubwonko ishobora gukoreshwa irimo oxcarbazepine (Trileptal, Oxtellar XR), lamotrigine (Lamictal), na phenytoin (Dilantin, Phenytek, Cerebyx). Izindi miti ishobora gukoreshwa irimo topiramate (Qudexy XR, Topamax, izindi), pregabalin (Lyrica) na gabapentin (Neurontin, Gralise, Horizant). Niba imiti yo kurwanya indwara zifata ubwonko uri gukoresha itagifite akamaro, umuganga wawe ashobora kongera umwanya cyangwa guhindura undi mubare. Ingaruka mbi z'imiti yo kurwanya indwara zifata ubwonko zishobora kuba harimo guhindagurika, kwibagirwa, ubunebwe n'iseseme. Nanone, carbamazepine ishobora gutera ikibazo gikomeye kuri bamwe, ahanini abakomoka muri Aziya. Ibizamini bya genetike bishobora gusabwa mbere yo gutangira carbamazepine.
- Imiti yo kwiruhura imitsi. Imiti yo kwiruhura imitsi nka baclofen (Gablofen, Fleqsuvy, izindi) ishobora gukoreshwa yonyine cyangwa ifatanije na carbamazepine. Ingaruka mbi zishobora kuba harimo kwibagirwa, iseseme n'ubunebwe.
- Injuru za Botox. Ubushakashatsi buto bwagaragaje ko injuru za onabotulinumtoxinA (Botox) zishobora kugabanya ububabare bwa neuralgia ya trigeminal mu bantu batagifashwa n'imiti. Ariko rero, hakenekwa ubushakashatsi bwinshi mbere y'uko ubu buvuzi bukoreshwa cyane kuri iyi ndwara. Imiti yo kurwanya indwara zifata ubwonko. Abaganga bakunze kwandika carbamazepine (Tegretol, Carbatrol, izindi) kuri neuralgia ya trigeminal. Byagaragaye ko ari ingirakamaro mu kuvura iyi ndwara. Izindi miti yo kurwanya indwara zifata ubwonko ishobora gukoreshwa irimo oxcarbazepine (Trileptal, Oxtellar XR), lamotrigine (Lamictal), na phenytoin (Dilantin, Phenytek, Cerebyx). Izindi miti ishobora gukoreshwa irimo topiramate (Qudexy XR, Topamax, izindi), pregabalin (Lyrica) na gabapentin (Neurontin, Gralise, Horizant). Niba imiti yo kurwanya indwara zifata ubwonko uri gukoresha itagifite akamaro, umuganga wawe ashobora kongera umwanya cyangwa guhindura undi mubare. Ingaruka mbi z'imiti yo kurwanya indwara zifata ubwonko zishobora kuba harimo guhindagurika, kwibagirwa, ubunebwe n'iseseme. Nanone, carbamazepine ishobora gutera ikibazo gikomeye kuri bamwe, ahanini abakomoka muri Aziya. Ibizamini bya genetike bishobora gusabwa mbere yo gutangira carbamazepine. Uburyo bwo kubaga kuri neuralgia ya trigeminal burimo:
- Ubwoko bwa radiosurgery ya stereotactic y'ubwonko, izwi kandi nka Gamma Knife. Muri ubu buryo, umuganga agerageza umwanya uhagaze neza w'imirasire kuri imizi y'umutsi wa trigeminal. Imirasire yangiza umutsi wa trigeminal kugira ngo igabanye cyangwa ihagarike ububabare. Kugabanya ububabare biba buhoro buhoro kandi bishobora kumara igihe kigera ku kwezi. Ubwoko bwa radiosurgery ya stereotactic y'ubwonko bugira icyo bukoze mu guhagarika ububabare kuri benshi. Ariko nk'ibindi byose, hari ibyago byo kugaruka kw'ububabare, akenshi mu myaka 3 kugeza kuri 5. Niba ububabare busubiye, ubu buryo bushobora gusubirwamo cyangwa ushobora kugira ubundi buryo. Kubabara mu maso ni ingaruka mbi zisanzwe, kandi bishobora kuba nyuma y'amezi cyangwa imyaka nyuma y'uburyo. Ubwoko bwa radiosurgery ya stereotactic y'ubwonko, izwi kandi nka Gamma Knife. Muri ubu buryo, umuganga agerageza umwanya uhagaze neza w'imirasire kuri imizi y'umutsi wa trigeminal. Imirasire yangiza umutsi wa trigeminal kugira ngo igabanye cyangwa ihagarike ububabare. Kugabanya ububabare biba buhoro buhoro kandi bishobora kumara igihe kigera ku kwezi. Ubwoko bwa radiosurgery ya stereotactic y'ubwonko bugira icyo bukoze mu guhagarika ububabare kuri benshi. Ariko nk'ibindi byose, hari ibyago byo kugaruka kw'ububabare, akenshi mu myaka 3 kugeza kuri 5. Niba ububabare busubiye, ubu buryo bushobora gusubirwamo cyangwa ushobora kugira ubundi buryo. Kubabara mu maso ni ingaruka mbi zisanzwe, kandi bishobora kuba nyuma y'amezi cyangwa imyaka nyuma y'uburyo. Ubundi buryo bushobora gukoreshwa mu kuvura neuralgia ya trigeminal, nko gukata umutsi. Mu gukata umutsi, umuganga wawe yangiza imiyoboro y'imitsi kugira ngo agabanye ububabare. Ibi bituma hariho kubabara mu maso. Ubwoko bw'uburyo bwo gukata umutsi burimo:
- Injuru ya Glycerol. Igishishwa kinyura mu maso no mu mwanya uri hasi y'igitoki gitanga imiti kugira ngo igabanye ububabare. Igishishwa kiyoborwa mu gice gito cy'amazi ya spinal fluid gikikije ahantu umutsi wa trigeminal ugabanyamo amashami atatu. Hanyuma, igipimo gito cya glycerol isukuye cyinjizwa. Glycerol yangiza umutsi wa trigeminal kandi ihagarika ibimenyetso by'ububabare. Ubu buryo busanzwe bugabanya ububabare. Ariko rero, ububabare busubira kuri bamwe. Abantu benshi bagira kubabara mu maso cyangwa guhindagurika nyuma y'injuru ya glycerol.
- Radiofrequency thermal lesioning. Ubu buryo buwangiza imiyoboro y'imitsi ifitanye isano n'ububabare. Mu gihe uri gusinzira, umuganga wawe ashyira igishishwa cyuzuye mu maso. Umuganga ayobora igishishwa ku gice cy'umutsi wa trigeminal unyura mu mwanya uri hasi y'igitoki. Igihe igishishwa cyashyizwe, umuganga wawe azakubuza gusinzira gato. Umuganga wawe ashyira electrode mu gishishwa kandi atuma umuriro muke unyura mu mpera y'electrode. Urasabwa kuvuga igihe n'aho wumva guhindagurika. Igihe umuganga wawe abonye igice cy'umutsi gifitanye isano n'ububabare bwawe, uzongera gusinzira. Hanyuma electrode ishyushye kugeza yangije imiyoboro y'imitsi, ikora agace k'ibikomere kizwi nka lesion. Niba lesion itakura ububabare bwawe, umuganga wawe ashobora gukora izindi lesions. Radiofrequency thermal lesioning isanzwe itera kubabara mu maso by'igihe gito nyuma y'uburyo. Ububabare bushobora gusubira nyuma y'imyaka 3 kugeza kuri 4. Injuru ya Glycerol. Igishishwa kinyura mu maso no mu mwanya uri hasi y'igitoki gitanga imiti kugira ngo igabanye ububabare. Igishishwa kiyoborwa mu gice gito cy'amazi ya spinal fluid gikikije ahantu umutsi wa trigeminal ugabanyamo amashami atatu. Hanyuma, igipimo gito cya glycerol isukuye cyinjizwa. Glycerol yangiza umutsi wa trigeminal kandi ihagarika ibimenyetso by'ububabare. Ubu buryo busanzwe bugabanya ububabare. Ariko rero, ububabare busubira kuri bamwe. Abantu benshi bagira kubabara mu maso cyangwa guhindagurika nyuma y'injuru ya glycerol. Radiofrequency thermal lesioning. Ubu buryo buwangiza imiyoboro y'imitsi ifitanye isano n'ububabare. Mu gihe uri gusinzira, umuganga wawe ashyira igishishwa cyuzuye mu maso. Umuganga ayobora igishishwa ku gice cy'umutsi wa trigeminal unyura mu mwanya uri hasi y'igitoki. Igihe igishishwa cyashyizwe, umuganga wawe azakubuza gusinzira gato. Umuganga wawe ashyira electrode mu gishishwa kandi atuma umuriro muke unyura mu mpera y'electrode. Urasabwa kuvuga igihe n'aho wumva guhindagurika. Igihe umuganga wawe abonye igice cy'umutsi gifitanye isano n'ububabare bwawe, uzongera gusinzira. Hanyuma electrode ishyushye kugeza yangije imiyoboro y'imitsi, ikora agace k'ibikomere kizwi nka lesion. Niba lesion itakura ububabare bwawe, umuganga wawe ashobora gukora izindi lesions. Radiofrequency thermal lesioning isanzwe itera kubabara mu maso by'igihe gito nyuma y'uburyo. Ububabare bushobora gusubira nyuma y'imyaka 3 kugeza kuri 4. Uburyo bwo kuvura neuralgia ya trigeminal ntibwizewe cyane nk'imiti cyangwa uburyo bwo kubaga. Akenshi nta bimenyetso bihagije bibushyigikira. Ariko rero, bamwe basanze hari impinduka zikomeye mu buvuzi nko gucukura, biofeedback, chiropractic, na vitamine cyangwa kuvura indyo. Menya neza ko ubanza kuvugana n'umuganga wawe mbere yo kugerageza ubuvuzi bundi kuko bushobora kugira ingaruka ku bindi buvuzi ukoresha. Kubaho ufite neuralgia ya trigeminal bishobora kuba bigoye. Indwara ishobora kugira ingaruka ku mibanire yawe n'inshuti n'umuryango, umusaruro wawe mu kazi, n'imiterere y'ubuzima bwawe muri rusange. Ushobora kubona inkunga no kumva utekanye mu itsinda ry'abafite iyi ndwara. Abanyamuryango b'itsinda bakunze kumenya ibijyanye n'ubuvuzi bushya kandi bakunda gusangira uburambe bwabo. Niba ushaka, umuganga wawe ashobora kugusaba itsinda riri mu karere kawe.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.