Neuralgia Ye Trigeminal
Pfupiso
Neuralgia yeTrigeminal (try-JEM-ih-nul nu-RAL-juh) chirwere chinoita kuti munhu arwadziwe zvakanyanya, kurwadziwa kwakaita sekurova kwetsitsi, kune rumwe rutivi rwekumeso. Inokanganisa tsinga ye trigeminal, inotakura masaini kubva kumeso kuenda kuuropi. Kunyange kubata kwakapfava sekukwesha mazino kana kuisa make-up kunogona kutungamirira kukurwadziwa kwakasimba. Neuralgia yeTrigeminal inogona kureba. Inozivikanwa sechinetso chekurwadziwa kwenguva refu.
Vanhu vane neuralgia yeTrigeminal vanogona kutanga varwadziwe kwenguva pfupi, zvishoma. Asi chirwere ichi chinogona kuipa, chichiita kuti pave nekurwadziwa kwenguva refu kunowanzoitika. Inonyanya kuitika muvakadzi nevanhu vakuru vemakore anopfuura 50.
Asi neuralgia yeTrigeminal, inozivikanwawo se tic douloureux, hazvirevi kurarama hupenyu hwakazara nekurwadziwa. Kazhinji inogona kudzorwa nekurapwa.
Zviratidzo
Zviratidzo zve neuralgia ye trigeminal zvinogona kusanganisira imwe kana kupfuura yepatani idzi: Zvikamu zvekukurumidza kurwadziwa kunopisa kana kubaya kunogona kunzwa sekunge kudedera kwemagetsi. Zvikamu zvisingatarisirwi zvekurohwa kana kurwadziwa kunokonzerwa nekubata chiso, kucheka, kutaura kana kuburitsa mazino ako. Zvikamu zvekurohwa zvinogara kwemasekondi mashoma kusvika kuminiti yakati wandei. Kurwadziwa kunoitika ne spasms chiso. Zvikamu zvekurohwa zvinogara mazuva, mavhiki, mwedzi kana kupfuura. Vamwe vanhu vane nguva apo havaoni kurwadziwa. Kurwadziwa munzvimbo dzakapihwa ne nerve ye trigeminal. Aya mahara anosanganisira mupfuri, chirebvu, mazino, magaramu kana miromo. Zvishoma, ziso nepaburi rinogona kukanganiswa. Kurwadziwa kune rumwe rutivi rwechiso panguva imwe chete. Kurwadziwa kwakatarisana panzvimbo imwe. Kana kurwadziwa kunogona kupararira mune imwe patani yakakura. Kurwadziwa kunowanzoitika panguva yekurara. Zvikamu zvekurohwa zvinova zvakawanda uye zvakasimba nekufamba kwenguva. Ona nyanzvi yako yehutano kana iwe ukaona kurwadziwa pachiso chako, kunyanya kana kuri kwenguva refu kana kukadzoka mushure mekuenda. Torawo kurapwa kwemishonga kana iwe uine kurwadziwa kwenguva refu kunongopera ne mishonga yekurwadziwa yaunotenga pamashopu.
Nguva yekunoona chiremba
Ona chiremba wako kana ukarwadziwa pachiso, kunyanya kana kuri kureba kana kudzoka mushure mekunge kwapfuura. Tsvagawo rubatsiro rwekurapa kana uine kurwadziwa kwenguva refu kunoramba kuripo kunyangwe uchinge watora mishonga yekurwadziwa yaunotenga muchitoro.
Zvinokonzera
Mukuneuralgia ye trigeminal, basa renerve ye trigeminal rinokanganiswa. Kuonana pakati pemukombe weruoko nenhamba ye trigeminal pazasi pemusoro kazhinji kunokonzera kurwadziwa. Mukombe weruoko unogona kuva artery kana vein. Kuonana uku kunomanikidza nerve uye hakuiti kuti ishande sezvakajairwa. Asi nepo kuomanikidzwa nemukombe weruoko kuri chikonzero chakajairika, kune zvimwe zvikonzero zvakawanda zvinogona kuitika. Multiple sclerosis kana mamiriro akafanana anokuvadza myelin sheath inodzivirira mamwe ma nerves anogona kukonzera trigeminal neuralgia. Tumor inomanikidza nerve ye trigeminal inogona zvakare kukonzera mamiriro acho. Vamwe vanhu vanogona kuwana trigeminal neuralgia semugumisiro we stroke kana facial trauma. Kuakuvadzwa kwenhamba nekuda kwekubata kunogona zvakare kukonzera trigeminal neuralgia. Zvinhu zvakati wandei zvinogona kutanga kurwadziwa kwe trigeminal neuralgia, kusanganisira: Kucheka. Kubata chiso chako. Kudya. Kunwa. Kubrush mazino ako. Kutaura. Kuisa make up. Mhepo yakapfava ichibuda pachiso chako. Kuseka. Kusuka chiso chako.
Zvinhu zvinokonzera njodzi
Kutsvagisa kwacho kwakaona kuti zvimwe zvinhu zvinoisa vanhu panjodzi yakanyanya yekukuvara kwema nerve etrigeminal, kusanganisira:
- Bonde. Vakadzi vane mukana wakakura kupfuura varume wekuwana trigeminal neuralgia.
- Zera. Trigeminal neuralgia inowanzowanikwa pakati pevanhu vane makore makumi mashanu nekupfuura.
- Zvimwe zvirwere. Semuenzaniso, kutemwa nemusoro ndicho chinhu chinokonzera trigeminal neuralgia. Uyezve, vanhu vane multiple sclerosis vari panjodzi yakanyanya yekukuvara kwema nerve etrigeminal.
Kuongorora
Nyanzvi yehutano hwako inoratidza trigeminal neuralgia zvichienderana nehurukuro yako yekurwadziwa, kusanganisira:
- Rudzi. Kurwadziwa kunobatanidzwa ne trigeminal neuralgia kunouya kamwe kamwe, kunonzwa sekunge kune magetsi uye kungopera nekukurumidza.
- Nzvimbo. Zvikamu zvekumeso kwako zvinorwadziwa zvinogona kuudza nyanzvi yehutano hwako kana tsinga ye trigeminal yakabatana.
- Zvinokonzera. Kudya, kutaura, kubata kumeso kwako kana kunyange mhepo inotonhora zvinogona kukonzera kurwadziwa.
Nyanzvi yehutano hwako inogona kuita bvunzo kuti ione trigeminal neuralgia. Bvunzo dzinogonawo kubatsira kuwana zvinokonzera mamiriro acho. Izvi zvinogona kusanganisira:
- Magnetic resonance imaging (MRI). Ungada MRI kuti uone zvinokonzera trigeminal neuralgia. MRI inogona kuratidza zviratidzo zve multiple sclerosis kana ganda. Dzimwe nguva, dye inoiswa mutsinga yeropa kuti ione arteries ne veins kuti iratidze kuyerera kweropa.
Kurwadziwa kumeso kwako kunogona kukonzerwa nemamiriro akawanda akasiyana, saka kuongororwa kwakakosha. Nyanzvi yehutano hwako inogona kukumbirawo mamwe bvunzo kuti ibvise mamwe mamiriro.
Kurapa
Kurapa neuralgia ye trigeminal kazhinji kunotanga ne mishonga, uye vamwe vanhu havadi kurapwa kuwedzerwa. Zvisinei, nekufamba kwenguva, vamwe vanhu vane chirwere ichi vangarega kupindura kumishonga, kana kuti vangave nemigumisiro isina kunaka. Kune vanhu ivavo, jekiseni kana kuvhiya zvinopa mamwe maitiro ekurapa neuralgia ye trigeminal.Kana mamiriro ako akaitika nekuda kwechimwe chikonzero, sekunge multiple sclerosis, unoda kurapwa kwechirwere chacho.Kuti kurapa neuralgia ye trigeminal, vanachiremba vanorayira mishonga kuderedza kana kudzivirira zviratidzo zvinorwadza zvinotumira kuuropi hwako.
- Mishonga inorwisa kukomba. Vanachiremba kazhinji vanorayira carbamazepine (Tegretol, Carbatrol, nezvimwe) ye neuralgia ye trigeminal. Yakaratidzwa kuva inoshanda pakurapa chirwere ichi.Mishonga inorwisa kukomba inogona kushandiswa inosanganisira oxcarbazepine (Trileptal, Oxtellar XR), lamotrigine (Lamictal), uye phenytoin (Dilantin, Phenytek, Cerebyx). Mishonga inogona kushandiswa inosanganisira topiramate (Qudexy XR, Topamax, nezvimwe), pregabalin (Lyrica) uye gabapentin (Neurontin, Gralise, Horizant).Kana mushonga unorwisa kukomba waunotora usingachavi kushanda, chiremba wako anogona kuwedzera huwandu kana kuchinja kune imwe mhando. Migumisiro yemishonga inorwisa kukomba inogona kusanganisira dizziness, kusagadzikana, hope uye kurutsa. Uyewo, carbamazepine inogona kutanga kuita kwakasimba kune vamwe vanhu, kunyanya kune avo vane dudziro yeAsia. Kuongororwa kwemajini kunogona kukurudzirwa usati watanga carbamazepine.
- Mishonga inosunungura tsandanyama. Mishonga inosunungura tsandanyama yakadai sebaclofen (Gablofen, Fleqsuvy, nezvimwe) inogona kushandiswa yoga kana pamwe chete ne carbamazepine. Migumisiro inogona kusanganisira kusagadzikana, kurutsa uye hope.
- Jekiseni reBotox. Ongororo duku dzakaratidza kuti onabotulinumtoxinA (Botox) jekiseni inogona kuderedza kurwadziwa kubva ku neuralgia ye trigeminal kune vanhu vasisabatsirwe nemishonga. Zvisinei, kutsvakurudza kuwedzerwa kunofanirwa kuitwa usati kurapwa uku kushandiswa zvakanyanya kwechirwere ichi. Mishonga inorwisa kukomba. Vanachiremba kazhinji vanorayira carbamazepine (Tegretol, Carbatrol, nezvimwe) ye neuralgia ye trigeminal. Yakaratidzwa kuva inoshanda pakurapa chirwere ichi.Mishonga inorwisa kukomba inogona kushandiswa inosanganisira oxcarbazepine (Trileptal, Oxtellar XR), lamotrigine (Lamictal), uye phenytoin (Dilantin, Phenytek, Cerebyx). Mishonga inogona kushandiswa inosanganisira topiramate (Qudexy XR, Topamax, nezvimwe), pregabalin (Lyrica) uye gabapentin (Neurontin, Gralise, Horizant).Kana mushonga unorwisa kukomba waunotora usingachavi kushanda, chiremba wako anogona kuwedzera huwandu kana kuchinja kune imwe mhando. Migumisiro yemishonga inorwisa kukomba inogona kusanganisira dizziness, kusagadzikana, hope uye kurutsa. Uyewo, carbamazepine inogona kutanga kuita kwakasimba kune vamwe vanhu, kunyanya kune avo vane dudziro yeAsia. Kuongororwa kwemajini kunogona kukurudzirwa usati watanga carbamazepine.Sarudzo dzekuvhiya dze neuralgia ye trigeminal dzinosanganisira:
- Brain stereotactic radiosurgery, inozivikanwawo seGamma Knife. Mukurapa uku, nyanzvi yekuvhiya inotarisa huwandu hwakatarwa hweradiation kumudzi wenheve ye trigeminal. Radiation inokuvadza nerve ye trigeminal kuderedza kana kumisa kurwadziwa. Kugara zvakanaka kunouya zvishoma nezvishoma uye kunogona kutora kusvika mwedzi.Brain stereotactic radiosurgery inobudirira pakumisa kurwadziwa kune vanhu vakawanda. Asi sekurapa kwose, pane njodzi yekuti kurwadziwa kunogona kudzoka, kazhinji mukati memakore 3 kusvika ku5. Kana kurwadziwa kukadzoka, kurapwa kunogona kudzokororwa kana kuti ungave neimwe nzira yekurapa. Kushaya kunzwa pachiso chigumisiro chakajairika, uye kunogona kuitika mwedzi kana makore mushure mekurapwa. Brain stereotactic radiosurgery, inozivikanwawo seGamma Knife. Mukurapa uku, nyanzvi yekuvhiya inotarisa huwandu hwakatarwa hweradiation kumudzi wenheve ye trigeminal. Radiation inokuvadza nerve ye trigeminal kuderedza kana kumisa kurwadziwa. Kugara zvakanaka kunouya zvishoma nezvishoma uye kunogona kutora kusvika mwedzi.Brain stereotactic radiosurgery inobudirira pakumisa kurwadziwa kune vanhu vakawanda. Asi sekurapa kwose, pane njodzi yekuti kurwadziwa kunogona kudzoka, kazhinji mukati memakore 3 kusvika ku5. Kana kurwadziwa kukadzoka, kurapwa kunogona kudzokororwa kana kuti ungave neimwe nzira yekurapa. Kushaya kunzwa pachiso chigumisiro chakajairika, uye kunogona kuitika mwedzi kana makore mushure mekurapwa.Mamwe maitiro anogona kushandiswa kurapa neuralgia ye trigeminal, sekunge rhizotomy. Mu rhizotomy, nyanzvi yekuvhiya inoparadza matanda enheve kuderedza kurwadziwa. Izvi zvinoita kuti pave nekusaona pachiso. Marudzi e rhizotomy anosanganisira:
- Glycerol injection. Sono inopinda pachiso uye muhomwe iri pasi pebongo inounza mushonga kuderedza kurwadziwa. Sono inotungamirwa kusvika kumudzi we mvura yemuzongoza inopoteredza nzvimbo iyo nerve ye trigeminal inoparadzaniswa kuva matavi matatu. Zvadaro huwandu duku hwemvura yakachena ye glycerol inoiswa. Glycerol inokuvadza nerve ye trigeminal uye inodzivirira zviratidzo zvinorwadza.Kurapa uku kazhinji kunoderedza kurwadziwa. Zvisinei, kurwadziwa kunodzoka kune vamwe vanhu. Vanhu vakawanda vanonzwa kushaya kunzwa pachiso kana kuti kunzwa kunovava mushure me glycerol injection.
- Radiofrequency thermal lesioning. Kurapa uku kunoparadza matanda enheve ane chekuita nekurwadziwa. Paunenge wakadzikama, nyanzvi yekuvhiya inopinda sono yakasviba pachiso chako. Nyanzvi yekuvhiya inotungamira sono kusvika kune chikamu chenheve ye trigeminal chinopinda muhomwe iri pasi pebongo rako.Kana sono yagadzirirwa, nyanzvi yekuvhiya inokumutsa kwenguva pfupi kubva pakuzorora. Nyanzvi yekuvhiya inopinda electrode mu sono uye inotumira simba duku remagetsi kuburikidza nekumucheto kwe electrode. Unorayirwa kutaura kana uye kupi kwaunonzwa kunovava.Kana nyanzvi yekuvhiya yawana chikamu chenheve chine chekuita nekurwadziwa kwako, unodzorerwa pakuzorora. Zvadaro electrode inopisa kusvika ikakuvadza matanda enheve, ichigadzira nzvimbo yekukuvara inozivikanwa se lesion. Kana lesion isingabvise kurwadziwa kwako, chiremba wako anogona kugadzira mamwe ma lesion.Radiofrequency thermal lesioning kazhinji inoguma nekusaona kwenguva pfupi pachiso mushure mekurapwa. Kurwadziwa kunogona kudzoka mushure memakore 3 kusvika ku4. Glycerol injection. Sono inopinda pachiso uye muhomwe iri pasi pebongo inounza mushonga kuderedza kurwadziwa. Sono inotungamirwa kusvika kumudzi we mvura yemuzongoza inopoteredza nzvimbo iyo nerve ye trigeminal inoparadzaniswa kuva matavi matatu. Zvadaro huwandu duku hwemvura yakachena ye glycerol inoiswa. Glycerol inokuvadza nerve ye trigeminal uye inodzivirira zviratidzo zvinorwadziwa.Kurapa uku kazhinji kunoderedza kurwadziwa. Zvisinei, kurwadziwa kunodzoka kune vamwe vanhu. Vanhu vakawanda vanonzwa kushaya kunzwa pachiso kana kuti kunzwa kunovava mushure me glycerol injection. Radiofrequency thermal lesioning. Kurapa uku kunoparadza matanda enheve ane chekuita nekurwadziwa. Paunenge wakadzikama, nyanzvi yekuvhiya inopinda sono yakasviba pachiso chako. Nyanzvi yekuvhiya inotungamira sono kusvika kune chikamu chenheve ye trigeminal chinopinda muhomwe iri pasi pebongo rako.Kana sono yagadzirirwa, nyanzvi yekuvhiya inokumutsa kwenguva pfupi kubva pakuzorora. Nyanzvi yekuvhiya inopinda electrode mu sono uye inotumira simba duku remagetsi kuburikidza nekumucheto kwe electrode. Unorayirwa kutaura kana uye kupi kwaunonzwa kunovava.Kana nyanzvi yekuvhiya yawana chikamu chenheve chine chekuita nekurwadziwa kwako, unodzorerwa pakuzorora. Zvadaro electrode inopisa kusvika ikakuvadza matanda enheve, ichigadzira nzvimbo yekukuvara inozivikanwa se lesion. Kana lesion isingabvise kurwadziwa kwako, chiremba wako anogona kugadzira mamwe ma lesion.Radiofrequency thermal lesioning kazhinji inoguma nekusaona kwenguva pfupi pachiso mushure mekurapwa. Kurwadziwa kunogona kudzoka mushure memakore 3 kusvika ku4.kubatanidza kwe email.Kurapa kwekutsiva kwe neuralgia ye trigeminal hakusi kudzidzwa zvakanaka semishonga kana maitiro ekurapa. Kazhinji pane humbowo hushoma hwekutsigira kushandiswa kwavo.Zvisinei, vamwe vanhu vakawana kugara zvakanaka nekurapa kwakadai se acupuncture, biofeedback, chiropractic, uye vitamini kana kurapa kwezvokudya. Iva nechokwadi chekubvunza nachiremba wako usati waedza kurapwa kwekutsiva nekuti kunogona kukanganisa kurapwa kwako kwese.Kurarama ne neuralgia ye trigeminal kunogona kuva kwakaoma. Chirwere ichi chinogona kukanganisa kubatana kwako neshamwari nemhuri, kubereka kwako pabasa, uye hupenyu hwako hwese.Ungawana kutsigirwa nekudzidziswa muchikwata chekutsigira. Vanhu vemuchikwata kazhinji vanoziva nezve kurapwa kwazvino uye vanowanzo govanisa zvakaitika kwavari. Kana uchifarira, chiremba wako anogona kukurudzira boka riri munzvimbo yako.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika