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Trigeminal neuralgia chirwere chinoita kuti munhu anzwe kurwadziwa kwakasimba chiso, kunyanya pamusoro petsinga ye trigeminal. Tsinga iyi inotakura manzwiro kubva pachiso kuenda kuuropi, uye kana yakatsamwa kana yakakuvara, inogona kutungamira pakurwadziwa kwakasimba, kwakaita senge kudenha, kwakawanda vanhu vanorondedzera seimwe yekurwadziwa kwakasimba kwavakambonzwa.
Kurwadziwa uku kazhinji kunokanganisa divi rimwe chete rechiso uye kunogona kukonzerwa nezvinhu zvidiki zvakaita sekushambidza mazino, kusuka chiso, kana kunyange mhepo yakapfava. Kunyange zvazvo chirwere ichi chingatyisa uye chisingafadzi, kunzwisisa zviri kuitika uye kuziva kuti pane kurapwa kunobudirira kunowanikwa kunogona kukubatsira kunzwa uchikwanisa kudzora mamiriro acho.
Trigeminal neuralgia chirwere chekurwadziwa kwenguva refu chinokanganisa tsinga ye trigeminal, inozivikanwawo setsinga yechishanu ye cranial. Tsinga iyi ine mapazi matatu makuru anounza manzwiro kumatunhu akasiyana echiso chako, kusanganisira kumeso, matama, uye chikamu chemuromo.
Kana tsinga iyi isina kushanda zvakanaka, inotumira masaini ekurwadziwa asina kururama kuuropi hwako, zvichikonzera kurwadziwa kwakasimba kwenguva pfupi. Chirwere ichi dzimwe nguva chinonziwo "tic douloureux," zvinoreva kuti "kurwadziwa kwakanyanya" muchiFrench, nekuti kurwadziwa kwakasimba kunogona kukonzera kusvetuka kwemisungo yechiso kwasingadiwi.
Zviitiko zvizhinji zvinotapurira vanhu vane makore anopfuura 50, uye vakadzi vane mukana wakakura wekuwana chirwere ichi kupfuura varume. Zvikamu zvekurwadziwa zvinogona kugara kwemasekondi mashoma kusvika kuminiti yakati wandei, uye zvinogona kuitika muzvikwata zuva rese.
Chiratidzo chikuru ndechekurwadziwa kwakasimba, kwakaita sekudenha, kwenguva pfupi, padivi rimwe chete rechiso. Kurwadziwa uku hakusi kufanana nekurwadziwa kwemusoro kana kurwadziwa kwakajairika kwechiso nekuda kwesimba rayo uye hunhu hwayo hwakasiyana.
Heano mamwe ezviratidzo zvaunogona kuwana:
Kurwadziwa kunowanzoitika munzvimbo dzakatarwa zvichienderana nekuti chikamu chei chetsinga ye trigeminal chakabatwa. Unganzwa uri pahuma nepamaziso, papepfu nepachiuno chepamusoro, kana pasi pechiuno nepachigunwe.
Pakati penzvimbo dzekurwadziwa, kazhinji unonzwa uchifara zvachose. Iyi nzira yekurwadziwa kwakasimba inoteverwa nenguva dzisina kurwadziwa inoratidza neuralgia ye trigeminal uye inobatsira vanachiremba kuita chirwere.
Kune marudzi maviri makuru e trigeminal neuralgia, uye kunzwisisa rudzi rwawakaita kunobatsira kuona nzira yakanakisa yekurapa. Rudzi rwegumi nerimwe rune hunhu hwakasiyana uye zvinokonzera zvakavanzika.
Trigeminal neuralgia yeClassical ndiyo fomu inowanzoitika, inokanganisa vanhu vanosvika 80% vane mamiriro ezvinhu aya. Inokonzerwa neropa rinomanikidza pamusoro petsoka ye trigeminal pedyo ne brainstem. Iyi compression inokuvadza kuchengetedzwa kwetsinga, zvichiita kuti ishande zvisina kunaka uye kutumira zviratidzo zvekukuvadzwa.
Trigeminal neuralgia yeSecondary inokura semhedzisiro yemumwe mamiriro ezvechiremba anokanganisa tsinga ye trigeminal. Izvi zvinogona kusanganisira multiple sclerosis, tumor inomanikidza pamusoro petsoka, kana kukuvara kubva pakuvhiya kana kukuvara. Nzira yekurwadziwa inogona kunge yakasiyana zvishoma, dzimwe nguva inosanganisira kunzwa kusingaperi kwekupisa kana kurwadziwa pamwe chete nenhambo dzekurwadziwa kwakapinza.
Vamwe vanachiremba vanobvumawo neuralgia ye atypical trigeminal, iyo inokonzera kurwadziwa kwenguva dzose, kunopfuta pane zviitiko zvechokwadi zvekugumburwa. Iyi fomu inogona kunge iri yakaoma kuongorora nekurapa nekuti zviratidzo zvinowirirana nezvimwe zvirwere zvekukuvadzwa kwechiso.
Chikonzero chakajairika ndicho ropa rinotambanudza pamusoro pe trigeminal nerve painobuda kubva ku brainstem. Nekufamba kwenguva, ichi kumanikidza kunopfekedza kuchengetedzwa kwemutsipa kunonzi myelin, zvakafanana nekuti insulation ye waya remagetsi inogona kupfeka.
Apo nerve inorasikirwa nekupfeka kwayo kwekudzivirira, inova yakanyanya kunzwa uye inogona kutumira zviratidzo zvekukuvadzwa zvisina kukodzera. Kunyange kubata kwakanyanya kana kufamba kunogona kutanga chiitiko nekuti nerve yakakuvadzwa inotsanangura manzwiro akajairika sekutambudzika kwakanyanya.
Zvimwe zviitiko zvakakosha zvinogona kutungamira ku trigeminal neuralgia:
Muitiko usina kujairika, vamwe vanhu vangave vane tsika yakagara nhaka yekukura trigeminal neuralgia. Zvisinei, kazhinji zviitiko zvinoitika pasina nhoroondo yakajeka yemhuri, uye chikonzero chaicho chekuti vamwe vanhu vanokura kumanikidzwa kweropa nepo vamwe vasingaiti hachizivikanwi.
Kuchinja kwezera muropa kunogona kuita kuti mamiriro ezvinhu aite, izvo zvinotsanangura kuti nei zvakajairika muvanhu vanopfuura makore 50. Sezvatinokwegura, arteries inogona kuva yakawanda uye inogona kuchinja nzvimbo, zvichigona kugadzira kumanikidza pane nerves iri pedyo.
Unofanira kuona chiremba kana ukawana kurwadziwa kwakanyanya pachiso kwenguva pfupi, kunonzwa sekunge magetsi ari kukurova, kunyanya kana kuri kukonzera kubata kwakapfava kana mabasa akajairika senge kudya kana kutaura. Kuongororwa nekurapwa pakutanga kunogona kuvandudza hupenyu hwako zvikuru uye kudzivirira kuti mamiriro acho asanyanya kuipa.
Tsvaka rubatsiro rwekurapa nekukurumidza kana ukaona zviratidzo izvi zvekutyisidzira:
Unofanira kutsvaka rubatsiro rwekurapa nekukurumidza kana ukawana kurwadziwa kwakanyanya pachiso pamwe chete nezvimwe zviratidzo zvehuropi senge kushaya simba, kuchinja kwekuona, kana kuomerwa kutaura. Kunyange zvazvo zvisingawanzoitika, izvi zvinogona kuratidza mamiriro akaoma ari pasi anodiwa kuongororwa nekukurumidza.
Usakurumidza kutsvaka rubatsiro nekuti unonetseka nezvemari kana uchifunga kuti kurwadziwa kuchaenda oga. Neuralgia yeTrigeminal kazhinji inonyanya kuipa nekufamba kwenguva pasina kurapwa, uye kuita zvekurapa pakutanga kazhinji kunounza mhedzisiro iri nani.
Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana neuralgia yeTrigeminal, kunyange zvazvo kuva nezvinhu izvi zvinokonzera hazvirevi kuti uchawana mamiriro acho. Kunzwisisa zvinhu izvi kunogona kukubatsira kukurukura njodzi yako neanokupa rubatsiro rwekurapa.
Zvinhu zvikuru zvinokonzera zvinosanganisira:
Zera ndiro chinhu chikuru chinokonzera ngozi nokuti tsinga dzeropa dzinochinja sezvatinokura. Dzinogona kuva dzakapetana kana kuchinja nzvimbo, zvichiita kuti pave nekunetseka pamatsipa ari pedyo. Izvi zvinotsanangura kuti nei Trigeminal neuralgia isingawanzoitika kune vanhu vane makore asingasviki makumi mana.
Kana uine Multiple sclerosis, ngozi yako yakakwirira nekuti chirwere ichi chinogona kukuvadza myelin inopoteredza matsipa, kusanganisira trigeminal nerve. Anenge 2-5% yevanhu vane Multiple sclerosis vanowana Trigeminal neuralgia panguva imwe chete.
Kunyangwe Trigeminal neuralgia isingaurayi, kurwadziwa kwakasimba nekukanganisa kwayo pazviitiko zvezuva nezuva zvinogona kukonzera matambudziko makuru anokanganisa hutano hwako hwese nehupenyu hwako. Kunzwisisa matambudziko aya kunobatsira kuratidza kukosha kwekurapa kwakakodzera.
Matambudziko makuru aunogona kusangana nawo anosanganisira:
Kukanganiswa kwepfungwa kunogona kuva kunyanya kuoma nekuti kusazivikanwa kwekurwadziwa kunoumba kunetseka nguva dzose pamusoro pekuti kurwisa kunotevera kuchauya riini. Vanhu vakawanda vanoita zvinhu zvekudzivisa, sekusukura mazino avo zvakakwana kana kudzivisa mamiriro ezvemagariro evanhu kwaangada kutaura kana kudya.
Matambudziko ekudya anogona kuitika kana kudya kuchiva kurwadza zvakanyanya, zvichikonzera kurasikirwa nehuremu uye kushomeka kwezvinovaka muviri. Vamwe vanhu vanoshandura kudya kwakapfava kana kwemvura kuti vadzikise kucheka, izvo zvinogona kukanganisa hutano hwavo hwose kana zvisikwa zvakanaka.
Mashoko akanaka ndeayo kuti akawanda ematambudziko aya anogona kudzivirirwa kana kudzoreredzwa nekurapwa kwakakodzera. Kushanda nesangano rako rehutano kuti utonge marwadzo nemigumisiro yacho muhupenyu hwako zvakakosha pakuchengetedza hutano hwako hwose.
Kuona trigeminal neuralgia kunonyanya kuvimba nerondedzero yako yezviratidzo uye bvunzo yemuviri, sezvo pasina bvunzo imwe chete inogona kusimbisa mamiriro acho. Chiremba wako achagara achifunga nezvehunhu, nzvimbo, uye zvinokonzera marwadzo ako.
Panguva yekuona kwako, chiremba wako achabvunza mibvunzo yakadzama nezvemarwadzo ako, kusanganisira apo yakavamba, inonzwa sei, inokonzera chii, uye nguva yakareba sei maitiro acho anogara. Vachaitawo bvunzo yemishonga kuti vaedze kunzwa munzvimbo dzakasiyana siyana dzechiso chako uye vatarisise chero nzvimbo dzekusaona kana kunzwa kwakachinja.
Chiremba wako angashandisa nzira idzi dzekuongorora:
Kazhinji, kuongororwa kweMRI kunokurudzirwa kutsvaga zvinokonzera zvekugadzira senge zvironda, kuvhunduka kwemapoto eropa, kana zviratidzo zve multiple sclerosis. Kunyange MRI ingasaonekwa chikonzero chaicho mu trigeminal neuralgia yepakutanga, inobatsira kubvisa zvimwe zvirwere zvakakomba zvinogona kukonzera zviratidzo zvako.
Dzimwe nguva, mhinduro yako kumishonga yakati inogona kubatsira kusimbisa chirwere ichi. Trigeminal neuralgia kazhinji inopindura zvakanaka kumishonga yakatarwa ye anti-seizure, uye kuvandudzika nemishonga iyi kunogona kutsigira chirwere ichi kana chakabatanidzwa nezviratidzo zvepakutanga.
Kurapwa kwe trigeminal neuralgia kunotarisa pakudzora zviitiko zvekukuvara uye kuvandudza hupenyu hwako. Mashoko akanaka ndeakuti pane sarudzo dzakawanda dzinoshanda dzekurapa dziripo, uye vanhu vazhinji vanogona kuwana rubatsiro rwakakura rwekurwadziwa nerubatsiro rwakakodzera.
Chiremba wako anowanzo tanga nemishonga, sezvo kazhinji inoshanda zvikuru pakudzora marwadzo e trigeminal neuralgia. Kana mishonga isingapi rubatsiro rwakakwana kana kukonzera zvinokonzeresa zvinokanganisa, sarudzo dzekuvhiya dzinogona kufungwa.
Kurapwa kwemishonga kazhinji ndiyo nzira yekutanga yekurapa:
Carbamazepine kazhinji inofungwa semushonga unokosha we trigeminal neuralgia nekuti inoshanda zvakanyanya kune rudzi urwu rwekurwadziwa kwetatu. Anenge 70-80% yevanhu vanowana rubatsiro rwakakura rwekurwadziwa nemushonga uyu, kunyange zvazvo zvingatora nguva kuti uwane dose yakakodzera.
Kurapwa kwekuvhiya kunogona kukurudzirwa kana mishonga isingashandi kana kukonzera zvinokonzeresa zvisingatauriki:
Sarudzo yekurapa inotsamira pane hutano hwako hwese, zera, nemamiriro ezvinhu chaiwo. Chiremba wako achakurukura zvakanakira nezvayakaipira yeimwe neimwe sarudzo kuti akupe iwe sarudzo yakarurama yekurapa kwako.
Kunyangwe kurapwa kwemishonga kuchikosha pakurapa trigeminal neuralgia, kune zvinhu zvakawanda zvaunogona kuita pamba kuti ubatsire kudzora mamiriro ako uye kuderedza huwandu hwekurwadziwa. Aya mazano anoshanda zviri nani kana akabatana nekurapwa kwako kwemishonga.
Tarisisa pakutsvaga uye kudzivirira zvinokonzera marwadzo ako. Chengeta bhuku rekurwadziwa kuti uteedzere zviitiko, zvokudya, kana mamiriro ezvinhu anoita kunge anokonzera zviitiko. Zvinokonzera zvakajairika zvinosanganisira kubata kwakapfava, kucheka, kutaura, kuburitsa mazino, kana kuiswa mumhepo.
Heano mazano ekutarisira pamba anobatsira:
Paunodya, edza kucheka zvishoma nezvishoma uye zvine hungwaru kurutivi rwemukanwa wako rusina kurwadziwa. Cheka chikafu kuita zvidimbu zviduku kuti uderedze huwandu hwekukwesha hunodiwa. Zvokudya zvemukati kana zvinodziya zvinowanzonakidzwa kupfuura zvinhu zvinopisa kana zvinotonhora.
Kana zviri zvekuchengetedza mazino, funga kushandisa bhurashi remagetsi riri pasi, sezvo kudedera kungave kusina kukonzera zvakanyanya kupfuura kubhurasha nemaoko. Vamwe vanhu vanoona kuti kusuka nemvura inodziya usati wabrusher kuita kuti kunzwa kurwadziwa kudzikira.
Kutonga kushushikana kwakakosha nekuti kushushikana nekufunganya zvinogona kuita kuti kurwadziwa kuwedzere uye zvinogona kutanga zviitiko. Mazano ekusununguka nguva dzose, kurovedza muviri kwakapfava kana zvichibvira, uye kuchengetedza hukama hwevanhu zvinogona kubatsira kuvandudza hutano hwako hwese.
Kuagadzirira zvakanaka kunoona chiremba wako kunogona kubatsira kuve nechokwadi chekuti unowana chirwere chakanyatsojeka uye chirongwa chekurapa chinobatsira. Sezvo kuongororwa kwe trigeminal neuralgia kuchinyanya kuvimba nehurukuro yako yezviratidzo, kuva akarongeka uye akakwana zvakakosha zvikuru.
Usati waona chiremba wako, nyora ruzivo rwakadzama nezve zviitiko zvako zvekurapa, kusanganisira nguva zvakatanga, kazhinji zvinoitika, zvinonzwa sei, uye zvinoita sekunge zvinokonzera. Ruzivo urwu ruchava rwakakosha pakuyera kwachiremba wako.
Heano zvaunofanira kugadzirira uye kuunza:
Nyora mibvunzo chaiyo yaunoda kubvunza, senge kuti ndeapi maitiro ekurapa aripo, zvaunofanira kutarisira kubva pakurapa kwakasiyana, uye nzira yekutonga mabasa ezuva nezuva uchibatana nezviitiko zvekurapa. Usanetseka kukumbira kujeka kana usinganzwisisi chimwe chinhu.
Funga kuuya nemumwe wemhuri yenyu waunovimba naye kana shamwari inogona kukubatsira kuyeuka mashoko akakosha akataurwa panguva yekuonana nachiremba. Vanogonawo kupa mamwe mazano pamusoro pekuti chirwere ichi chakakuita sei muupenyu hwako hwezuva nezuva.
Gadzirira kurondedzera marwadzo ako zvakadzama. Shandisa mazwi chaiwo akadai se“kurova kwemasimba,” “kubaya,” kana kuti “kupiswa” panzvimbo pekungoti kuri kurwadza. Taura chaizvo kwaunonzwa marwadzo uye kana ari munzvimbo imwe chete nguva dzose.
Trigeminal neuralgia chirwere chakakomba asi chinorapika chinoita kuti munhu anzwe marwadzo akaoma pachiso nekuda kwezvinetso zvine chekuita nehurefu hwetrigeminal. Kunyange marwadzo acho angave akasimba kwazvo uye anotyisa, kunzwisisa kuti kurapwa kunobudirira kuripo kunofanira kukupa tariro nekukurudzira kutsvaga kurapwa kwakakodzera.
Chinhu chinonyanya kukosha kurangarira ndechekuti haufanire kutambura wakanyarara. Vanhu vazhinji vane trigeminal neuralgia vanowana kubvisa marwadzo kwakakura nekurapwa kwakakodzera, kungave kuburikidza nemishonga, nzira dzekuvhiya, kana kusanganiswa kwematanho. Kuongororwa nekurapwa pakutanga kazhinji kunotungamira kumigumisiro iri nani.
Kushanda pedyo nechikwata chako chehutano ndicho chinhu chakakosha pakutonga chirwere ichi zvakanaka. Iva nemoyo murefu nemuitiro wekurapwa, sezvo zvingatora nguva kuti uwane kusanganiswa kwakakodzera kwemishonga inokushandira zvakanaka. Nekutarisirwa kwakakodzera nekutonga, vanhu vazhinji vane trigeminal neuralgia vanogona kudzoka kumabasa avo enguva dzose uye kufara nehupenyu hwakanaka.
Rangarira kuti chirwere ichi chinoita kuti munhu wese anzwe zvakasiyana, uye chinhu chinomushandira mumwe munhu chingasashandi kune mumwe. Gara uchibatana nekurapwa kwako, taura zvakasununguka nevanachiremba vako, uye usazeza kutsvaga rutsigiro kubva kumhuri, shamwari, kana mapoka ekutsigira kana uchida.
Neuralgia ye trigeminal kazhinji haina kupera zvachose pasina kurapwa, uye kazhinji inowedzera nekufamba kwenguva kana ikasiyiwa isina kurapwa. Kunyange zvazvo ungave uine nguva apo kurwadziwa kwacho kuri kushoma kana kushoma, dambudziko renerve rinowanzoenderera mberi uye rinogona kuwedzera zvishoma nezvishoma.
Vamwe vanhu vanoona kupopera kwavo pachavo apo zvikamu zvekukuvadzwa zvinomira kwemavhiki, mwedzi, kana kunyange makore. Zvisinei, mamiriro acho anowanzo dzoka, uye kuvimba nekuvandudzika kwepamoyo hakukurudzirwi kana kurapwa kunobudirira kuripo. Kurapwa kwekukurumidza kazhinji kunodzivirira mamiriro acho kuti arege kuenderera mberi uye kuva akaoma kudzora.
Neuralgia ye trigeminal pachayo haina kukonzerwa nezvinetso zvemazino, asi mamiriro maviri anogona kuvhiringidzwa nyore nyore nekuti ose ari maviri anokonzera kurwadziwa pachiso. Nerve ye trigeminal inotakura kunzwa kubva kumazino ako, saka kurwadziwa kwenerve kunogona kunzwa sekunge kuri kubva kumazino ako kunyange kana mazino ako ari utano zvachose.
Vanhu vazhinji vane neuralgia ye trigeminal vanotanga kushanyira chiremba wavo wemazino vachifunga kuti vane kurwadziwa kwakanyanya kwemazino. Zvisinei, kurapwa kwemazino hakuzobatsiri neuralgia ye trigeminal, uye maitiro asingakoshi emazino anogona kunyange kukonzera zvikamu zvekukuvadzwa zvakawanda. Kana uine kurwadziwa pachiso kunopindura kurapwa kwemazino kwakajairwa, zvinokosha kutaura nezve neuralgia ye trigeminal nehutano hwako.
Hungu, kunetseka kunogona kuita kuti neuralgia ye trigeminal iwedzere nekukwidza kuoma kwemhasuru, kukanganisa kunaka kwekutandara, uye zvichida kudzikisa chiyero chako chekurwadziwa. Kana uri kushushikana kana kunetseka, unogonawo kuva nemukana wakawanda wekuita maitiro anokonzera zvikamu zvekukuvadzwa, sekugeda mazino kana kuoma kwemhasuru dzechiso.
Kutonga kushushikana kuburikidza nemabatiro ekusununguka, kurovedza muviri nguva dzose, hope dzakakwana, nezvimwe zano rekuderedza kushushikana zvinogona kuva chikamu chakakosha chechirongwa chako chekurapa chose. Kunyange zvazvo kutonga kushushikana kuga hakuna kurapa neuralgia ye trigeminal, kunogona kubatsira kuderedza huwandu uye simba rekutambudzika kwemhasuru kana yakabatana nekurapa kwemishonga.
Zvokudya pachazvo hazvikonzeri kurwadziwa kwe trigeminal neuralgia, asi kuita kwekucheka, kunyanya zvokudya zvakaoma kana zvinonamira, kunogona kukonzera zviitiko. Zvokudya zvinopisa kana zvinotonhora zvinogona kukonzerawo kurwadziwa kune vamwe vanhu, kwete nekuda kwezviri mukati mezvokudya asi nekuda kwekunzwa kwemhepo inopisa kana inotonhora munzvimbo dzakakosha dzandiso yako.
Vanhu vakawanda vanoona kuti zvokudya zvinonaka, zvine tembiricha yekamuri zviri nyore kutsungirira panguva dzekushanda kwe trigeminal neuralgia. Ungada kudzivisa zvokudya zvinopwanya, zvinonamira, kana zvine tembiricha yakanyanya panguva dzekufashaira, asi hapana “kudya kwe trigeminal neuralgia” kwauri kuda kutevera nguva dzose. Tarisa pakudya zvokudya zvine utano chero ipi zvayo iri nyore kwauri.
Trigeminal neuralgia kazhinji inokanganisa divi rimwe chete rechiso, uye kuobatanidzwa kwemaviri mativi (mativi ese maviri) kwakasiyana, kuchitika mumamiriro mashoma kupfuura 5%. Kana mativi ese ari maviri akakanganiswa, zvinonyanya kukosha kuti zvibatane nechirwere chinokonzera se multiple sclerosis pane fomu yakajairwa inokonzerwa nekuoma kwe ropa.
Kana uri kurwadziwa mativi ese maviri echiso rako, zvakakosha zvikuru kuona neurologist kuti aongorore zvakakwana. Trigeminal neuralgia yemaviri mativi inogona kuda nzira dzakasiyana dzekurapa uye bvunzo yekuwedzera kuziva chero mamiriro ari pasi anoita kuti pave nekushaya simba kwematumbu mativi ese ari maviri.