Created at:1/16/2025
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I-Trigeminal neuralgia yisimo esibangela ubuhlungu obungathi sína, obukhulu ebusweni eceleni komthambo we-trigeminal. Lo mthambo uthwala imizwa ebusweni bakho uya ebuchosheni bakho, futhi uma uthukuthele noma ulimaziwe, ungabangela ukungqubuzana kobuhlungu obukhulu, obukhulu, abantu abaningi abakubiza njengobunye bobuhlungu obukhulu kakhulu abake baba nabo.
Ubuhlungu ngokuvamile buthinta ohlangothini olulodwa lobuso bakho futhi bungase buqalwe yizinto ezilula njengokuhlamba amazinyo, ukugeza ubuso, noma ngisho nomoya omnene. Nakuba lesi simo singesaba futhi siyaphazamisa, ukuqonda ukuthi kwenzekani nokwazi ukuthi kukhona ukwelashwa okuphumelelayo okutholakalayo kungakusiza uzizwe ulawula kakhulu.
I-Trigeminal neuralgia yisifo sobuhlungu obuhlala njalo esithinta umthambo we-trigeminal, owaziwa nangokuthi umthambo wesikhombisa we-cranial. Lo mthambo unamagatsha amathathu amakhulu anikeza imizwa ezindaweni ezahlukene zobuso bakho, kufaka phakathi ibunzi lakho, ihlombe, nendawo yomhlathi.
Uma lo mthambo ungasebenzi kahle, uthumela izimpawu zobuhlungu ezingalungile ebuchosheni bakho, ebangela ukuqhuma okungazelelwe kobuhlungu obukhulu. Lesi simo ngezinye izikhathi sibizwa ngokuthi “i-tic douloureux,” okusho ukuthi “i-tic ebuhlungu” ngesiFulentshi, ngoba ubuhlungu obukhulu bungabangela ukungqubuzana kwemisipha yobuso okungakwazi ukulawulwa.
Izigameko eziningi zithinta abantu abangaphezu kweminyaka engama-50, futhi abesifazane banethuba elikhulu lokukhula lesi simo kunabesilisa. Izikhathi zobuhlungu zingase zihlale kusuka emizuzwini embalwa kuya kwimizuzu eminingana, futhi zingase zenzeke ngamaqembu usuku lonke.
Isimpawu esiyinhloko yilobuhlungu obungathi sína, obukhulu, obukhulu njengokumshoko ohlangothini olulodwa lobuso bakho. Lobuhlungu abufani nezinhlungu zekhanda eziqhelekile noma ubuhlungu ebusweni ngenxa yobunzima nobuntu balo obuhlukile.
Nazi izimpawu eziyinhloko ongazihlangabezana nazo:
Ubuhlungu buvamise ukuvela ezindaweni ezithile kuye ngokuthi yiliphi igatsha le-trigeminal nerve elithintekayo. Ungase uzwe ebunzini nasemgceni wamehlo, ehlombe nasemgceni ophezulu, noma emgceni ophansi nasesihlahleni.
Phakathi kwezikhathi zokuzwa ubuhlungu, ngokuvamile uzizwa uphilile ngokuphelele. Lesi sibonakaliso sobuhlungu obukhulu esilandela izikhathi zokungabi luhlungu siyisici se-trigeminal neuralgia futhi sisiza odokotela ukuba benze ukuxilongwa.
Kunezinhlobo ezimbili eziyinhloko ze-trigeminal neuralgia, nokuqonda ukuthi yiluphi uhlobo olulokhu kunceda ekutholeni indlela engcono kakhulu yokwelapha. Uhlobo ngalunye lunezimpawu ezihlukile nezizathu eziyinhloko.
I-trigeminal neuralgia yendabuko yiyona evamile, ithinta cishe u-80% wabantu abanesimo. Ibangelwa yisitho segazi esicindezela umsuka we-trigeminal nerve eduze kwe-brainstem. Lokhu kucindezela konakalisa ukugqoka okuvikelayo komthambo, okubangela ukuba uthumele izibonakaliso zobuhlungu.
I-trigeminal neuralgia yesibili ithuthukiswa ngenxa yesimo sezokwelapha esithinta i-trigeminal nerve. Lokhu kungafaka i-multiple sclerosis, i-tumor ecindezela umthambo, noma ukonakala okuvela ekuhlinzweni noma ekulimaleni. Iphethini yobuhlungu ingase ihluke kancane, ngezinye izikhathi ifaka ukushisa okuqhubekayo noma ukuzwela ubuhlungu kanye nezikhathi zokuzwa ubuhlungu obukhulu.
Abanye odokotela bayayibona futhi i-atypical trigeminal neuralgia, ebangela ubuhlungu obuhlala njalo, obuqabulayo kunokuba kube yizigameko ezivamile ezifana nokushaywa. Lo mkhuba ungaba nzima ukuwuxilonga nokuphatha ngoba izimpawu ziyafana nezinye izimo zobuhlungu ebusweni.
Imbangela evamile kakhulu iyisitho segazi esicindezela inzwa ye-trigeminal lapho iphuma khona e-brainstem. Ngokuhamba kwesikhathi, lo mthamo uqeda ukumbozwa okuvikelayo kwenuzwa okuthiwa yi-myelin, kufana nendlela ukumbozwa kwewaya kagesi okungaphela ngayo.
Lapho inzwa ilahlekelwa ukumbozwa kwayo okuvikelayo, iba nomuzwa omkhulu futhi ingathumela izimpawu zobuhlungu ngokungafanele. Ngisho nokubamba okuncane noma ukuhamba kungabangela isigameko ngoba inzwa eyonakele ichaza imizwa evamile njengobuningi obukhulu.
Izimo ezithile zingabangela i-trigeminal neuralgia:
Kwezinye izimo ezingavamile, abanye abantu bangaba nokuthambekela okudluliselwa ngokuzalwa ekukhuleni kwe-trigeminal neuralgia. Noma kunjalo, izimo eziningi zenzeka ngaphandle komlando omkhulu womndeni, nesizathu esiqondile sokuthi kungani abanye abantu bathuthukisa ukucindezelwa kwesitho segazi kanti abanye abakwenzi kusala kungalungile.
Ukuguquka okuphathelene nobudala ezithweni zegazi kungase kuhlanganyele kule simo, okuchaza ukuthi kungani kuvame kakhulu kubantu abadlula i-50. Njengoba siqale, i-arteries ingaba yiminyene futhi ingashintsha isikhundla, okungenzeka ukudala ukucindezela ezinzweni eziseduze.
Kufanele ubone udokotela uma uhlushwa ubuhlungu obukhulu bobuso obuqala ngokuzumayo, obuzwakala njengokuqhuma kombane, ikakhulu uma kubangelwa ukubamba okulula noma imisebenzi evamile njengokudla noma ukukhuluma. Ukuxilongwa kwasekuqaleni nokuphathwa kungathuthukisa kakhulu ikhwalithi yokuphila kwakho futhi kuvimbele isimo singabi sibi.
Funani usizo lwezokwelapha ngokushesha uma uqaphela lezi zibonakaliso zexwayiso:
Kufanele ufunane ukunakekelwa kwezokwelapha ngokushesha uma uthola ubuhlungu obukhulu bobuso obuqala ngokuzumayo kanye nezinye izimpawu ze-neurological njengobunqunu, ukushintsha kokubona, noma ukubanzima kokukhuluma. Nakuba kunqabile, lokhu kungabonisa isimo esibucayi esingaphansi esidinga ukuhlolwa okusheshayo.
Ungaliqedi ukufuna usizo ngoba ukhathazekile ngentengo noma ucabanga ukuthi ubuhlungu buyohamba lodwa. I-Trigeminal neuralgia ivame ukuba sibi ngokuhamba kwesikhathi ngaphandle kokwelashwa, futhi ukungenelela kwasekuqaleni kuvame ukuletha imiphumela emihle.
Izici eziningi zingandisa amathuba akho okuthola i-trigeminal neuralgia, nakuba ukuba nalezi zici zezingozi akusho ukuthi uzoyithola leli simo. Ukuqonda lezi zici kungakusiza ukuxoxa ngengozi yakho nodokotela wakho.
Izici eziyinhloko zezingozi zihlanganisa:
Ubudala yisici esinamandla kunazo zonke sobungozi ngoba imithambo yegazi iyashintsha ngokwemvelo njengoba siqhubeka sikhulile. Ingase ibe yimithambo egubekile noma ishintshe isikhundla, okungenzeka kube ukucindezela izinzwa eziseduze. Lokhu kuchaza ukuthi kungani i-trigeminal neuralgia ingavamile kubantu abangaphansi kweminyaka engama-40.
Uma une-multiple sclerosis, ingozi yakho iphakeme ngoba lesi simo singalimaza ukugqoka kwe-myelin ezizungezile izinzwa, kufaka phakathi inzwa ye-trigeminal. Cishe u-2-5% wabantu abane-multiple sclerosis bathuthukisa i-trigeminal neuralgia ngesinye isikhathi.
Nakuba i-trigeminal neuralgia ngokwayo ingabi yingozi eyingozi, ubuhlungu obukhulu nethonya lazo ezenzweni zansuku zonke kungabangela izinhlanganisela ezinkulu ezithinta impilo yakho yonke nokuzwela kwakho. Ukuqonda lezi zinhlanganisela ezingaba khona kusiza ukugcizelela ukubaluleka kokwelashwa okuqondile.
Izinkinga eziyinhloko ongahlangabezana nazo zihlanganisa:
Uthinta lwangqondo lungaba inselele ikakhulu ngoba ukungakhombisi kahle kwesikhathi sobuhlungu kudala ukukhathazeka okuqhubekayo mayelana nokuthi ukuhlaselwa okulandelayo kuzoqala nini. Abantu abaningi bathuthukisa ukuziphatha kokugwema, njengokungagezi amazinyo kahle noma ukugwema izimo zenhlalo lapho bengase badinge khona ukukhuluma noma ukudla.
Izinkinga zokudla zingavela uma ukudla kuqala ukuba buhlungu kakhulu, okuholela ekwehleni kwesisindo nasekuntulekeni kokudla. Abanye abantu bashintshela ekudleni okuthambile noma oketshezi ukuze banciphise ukukoma, lokhu kungathinta impilo yabo yonke uma kungahlelwe kahle.
Izindaba ezinhle ukuthi iningi lalezi zinkinga lingavikeleka noma lilungiswe ngokwelashwa okufanele. Ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukulawula kokubili ubuhlungu nemiphumela yalo ekuphileni kwakho kubalulekile ekuvikeleni impilo yakho yonke.
Ukuhlolwa kwe-trigeminal neuralgia kuncike ikakhulu encazelweni yakho yezimpawu nokuhlolwa komzimba, njengoba kungekho ukuhlolwa olulodwa oluqinisekisa ngokuqinisekile lesimo. Udokotela wakho uzogxila ekuqondeni uhlobo, indawo, nezici ezibangela ubuhlungu bakho.
Ngesikhathi sokuqokwa kwakho, udokotela wakho uzokubuzisa imibuzo emininingi mayelana nobuhlungu bakho, kufaka phakathi ukuthi kwaqala nini, ukuthi kuzwakala kanjani, yini eyibangela, nokuthi isikhathi sokuhlaselwa sihlala isikhathi esingakanani. Bazophinde benze ukuhlolwa kwemizwa ukuhlola imizwa ezindaweni ezahlukene zobuso bakho futhi bahlole noma yiziphi izindawo zokungabi namizwa noma ukuguqulwa kwemizwa.
Udokotela wakho angase asebenzise lezi zindlela zokuhlola:
Ukuhlolwa kwe-MRI kuvame ukunconywa ukuze kufunwe izimbangela zesakhiwo ezifana nezinhlungu, ukucindezelwa kwezitho zegazi, noma izimpawu ze-multiple sclerosis. Nakuba i-MRI ingase ingabonisi imbangela eqondile ku-trigeminal neuralgia evamile, iyasiza ekususeni ezinye izimo ezingathi sína ezingaba yimbangela yezimpawu zakho.
Ngezinye izikhathi, indlela obuyisabela ngayo kwemithi ethile ingasiza ekuqinisekiseni ukuxilongwa. I-Trigeminal neuralgia ivame ukuphendula kahle kwemithi ethile yokulwa nokuhlinzwa, futhi ukuthuthuka ngale mithi kungasekele ukuxilongwa uma kuhlanganiswa nezimpawu ezivamile.
Ukuphathwa kwe-trigeminal neuralgia kugxile ekulawuleni izigameko zobuhlungu nokwenza impilo yakho ibe ngcono. Izindaba ezinhle ukuthi kunezindlela eziningi zokwelapha ezisebenza kahle ezitholakalayo, futhi abantu abaningi bangazuza ekuthuthukiseni okukhulu kokunciphisa ubuhlungu ngendlela efanele.
Udokotela wakho uzoqala ngemithi, njengoba ivame ukuba yindlela ephumelelayo yokulawula ubuhlungu be-trigeminal neuralgia. Uma imithi inganiki impumuzo eyanele noma ibe nezicubu ezingathandeki, kungenzeka kucatshangelwe izinketho zokucathulwa.
Ukwelashwa ngemithi kuvame ukuba yindlela yokuqala yokwelapha:
I-Carbamazepine ivame ukubhekwa njengemithi ephambili ye-trigeminal neuralgia ngoba isebenza kahle kakhulu kule hlobo lobuhlungu bezinzwa. Cishe amaphesenti angu-70-80 abantu bazuza ekuthuthukiseni okukhulu kokunciphisa ubuhlungu ngale mithi, nakuba kungase kudingeke isikhathi esithile ukuthola umthamo ofanele.
Ukucathulwa kungase kunconywe uma imithi ingasebenzi noma ibe nezicubu ezingathandeki:
Ukukhethwa kokusebenza kokuhlinzwa kuncike empilweni yakho yonke, iminyaka, nesimo sakho esithile. Udokotela wakho uzoxoxa ngezinzuzo nezingozi zazo zonke izinketho ukuze akusize wenze isinqumo esinolwazi mayelana nendlela engcono kakhulu yecala lakho.
Nakuba ukwelashwa kwezokwelapha kubalulekile nge-trigeminal neuralgia, kunezinto eziningi ongazenza ekhaya ukuze usize ulawule isimo sakho futhi unciphise ubukhulu bezikhathi zobuhlungu. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokwelashwa kwakho kwezokwelapha okubhaliwe.
Gxila ekubeni ubone futhi ugweme izinto ezibangela ubuhlungu bakho. Gcina idayari yobuhlungu ukuze uqaphele ukuthi yiziphi imisebenzi, ukudla, noma izimo ezibukeka zibangela izikhathi. Izinto ezivamile eziyizimbangela zihlanganisa ukushaya okukhanyayo, ukukoma, ukukhuluma, ukuhlanza amazinyo, noma ukubhekana nomoya.
Nazi izindlela ezisiza zokulawula ekhaya:
Uma udle, zama ukukoma kancane futhi ngokucophelela ngecala elingathintekile lomlomo wakho. Sika ukudla ube yizicucu ezincane ukuze unciphise inani lokukoma eliyimfuneko. Ukudla okushisa okuphakathi noma okufudumele kancane kuvame ukukhuthazelwa kakhulu kunento eishisayo noma ebandayo kakhulu.
Mayelana nokukhathalela amazinyo, cabanga ngokusebenzisa ibhrashi yama-elekthrikhi esebenza kancane, njengoba ukuthungatha kungase kungabi nzima njengokuhlamba ngesandla. Abanye abantu bathola ukuthi ukuhlanza ngamanzi afudumele ngaphambi kokuhlamba kusiza ukunciphisa ubuhlungu.
Ukuphathwa kwengcindezi kubalulekile ngoba ukucindezeleka nokukhathazeka kungenza ubuhlungu bube bubi futhi kungenzeka kube yimbangela yezehlakalo. Amakhono okuphumula njalo, ukuzivocavoca okuthambile uma kungenzeka, nokulondoloza ubuhlobo bomphakathi konke kungasiza ekuthuthukiseni impilo yakho yonke.
Ukulungiselela kahle isikhathi sakho sokuya kudokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuchane kakhulu nesisombululo esisebenzayo. Njengoba ukuxilongwa kwe-trigeminal neuralgia kuncike kakhulu encwadini yemizimba yakho, ukuba uhleli futhi uqondile kubaluleke kakhulu.
Ngaphambi kokubona udokotela, bhala ulwazi oluqondile mayelana nezehlakalo zakho zobuhlungu, kufaka phakathi ukuthi zaqala nini, zingakanani, zizizwa kanjani, nokuthi yini ebonakala iyimbangela yazo. Lolu lwazi luzoba yiyona nto ebalulekile ekulingweni likadokotela wakho.
Nanku okumele ukulungiselele nokumele ukulethe:
Bhala imibuzo ethile ofuna ukuyibuza, njengokuthi yiziphi izinketho zokwelashwa ezikhona, okumele ukulindele ekuwelashweni okuhlukene, nokuthi ungaphatha kanjani imisebenzi yansuku zonke ngenkathi ubhekene nezehlakalo zobuhlungu. Unganqikazi ukucela incazelo uma ungaqondi lutho.
Cabanga ukuthi ulethe ilungu lomndeni omethembayo noma umngane ongakusiza ukuba ukhumbule ulwazi olubalulekile oluxoxwe ngesikhathi sokuqokwa. Bangaphinda banikeze ukubuka okwengeziwe mayelana nendlela isimo esilithinte ngayo ukuphila kwakho kwansuku zonke.
Lungela ukuchaza ubuhlungu bakho ngokuningiliziwe. Sebenzisa amagama athile afana nokuthi "ukushaywa kombane," "ukugwaza," noma "ukushisa" kunokuthi nje uthi ubuhlungu. Khonakalisa ukuthi ubuhlungu bukhona kuphi futhi uma buhlala endaweni efanayo.
I-Trigeminal neuralgia iyisimo esinzima kodwa esingaphekwa esibangela ubuhlungu obukhulu ebusweni ngenxa yezinkinga ene-trigeminal nerve. Nakuba ubuhlungu bungaba bukhulu kakhulu futhi bubangele ukwesaba, ukuqonda ukuthi kukhona ukwelashwa okuphumelelayo okutholakalayo kufanele kukunike ithemba nesikhuthazo sokuya ekunakekelweni kwezokwelapha okufanele.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi awudingi ukuhlupheka uwedwa. Abantu abaningi abane-trigeminal neuralgia bathola impumuzo enkulu yobuningi ngokwelashwa okufanele, kungaba ngemithi, izinqubo zokucathulwa, noma ukuxuba kwezindlela. Ukuxilongwa kwasekuqaleni nokuphathwa kuvame ukubangela imiphumela emihle.
Ukusebenzisana eduze neqembu lakho lokukhathalela impilo kubalulekile ekuphathweni kwalesi simo ngempumelelo. Bekezela nenqubo yokwelashwa, njengoba kungathatha isikhathi ukuthola ukuxuba okulungile kwezindlela zokwelapha ezisebenza kangcono kuwe. Ngokunakekelwa okufanele nokuphathwa, abantu abaningi abane-trigeminal neuralgia bangabuyela emisebenzini yabo evamile futhi bajabulele ikhwalithi enhle yokuphila.
Khumbula ukuthi lesi simo sithinta wonke umuntu ngokuhlukile, futhi lokho okusebenza komunye umuntu kungase kungasebenzi komunye. Hlala uhileleke ekwelapheni kwakho, xhumana ngokukhululekile nabaphakeli bakho bezempilo, futhi ungangabazi ukufuna ukwesekwa emindenini, ebangane, noma emaqenjini wokusekela uma uyakudinga.
I-trigeminal neuralgia ayikapheli ngokuphelele ngaphandle kokwelashwa, futhi ihlala iba kubi kakhulu uma ingalashwa. Nakuba ungase ube nezinkathi lapho ubuhlungu bungakhona khona kancane noma bube bukhulu, inkinga yemisipha ebangelayo ihlala ikhona futhi ingase ibe kubi kancane kancane.
Abanye abantu baye baba nempumelelo ezingalindelekile lapho iziqephu zobuhlungu ziphela amasonto, izinyanga, noma ngisho neminyaka. Noma kunjalo, isimo sibuye sibuyele, futhi ukuthembela ekulungiseni okungalindelekile akuyona into efanele uma kukhona ukwelashwa okuphumelelayo. Ukwelashwa kwasekuqaleni kuvame ukuvimba isimo ekukhuleni nasekwenzeni kube nzima ukulawula.
I-trigeminal neuralgia ngokwayo ayibangelwa yizinkinga zamahlombe, kodwa lezi zimo ezimbili zingadida kalula ngoba zombili zibangela ubuhlungu ebusweni. I-trigeminal nerve ithwala imizwa emazinyweni akho, ngakho-ke ubuhlungu bomsipha bungase buzwakale sengathi buvela emazinyweni akho ngisho noma amazinyo akho ephelele.
Abantu abaningi abane-trigeminal neuralgia baqala ngokuya kudokotela wamazinyo becabanga ukuthi banenkinga ebuhlungu yamazinyo. Noma kunjalo, ukwelashwa kwamazinyo ngeke kusize i-trigeminal neuralgia, futhi izinqubo zamahlombe ezingadingekile zingase zibangele iziqephu zobuhlungu. Uma unebuhlungu ebusweni obungaphenduli ekwelapheni okuvamile kwamazinyo, kufanele uxoxe nge-trigeminal neuralgia nodokotela wakho.
Yebo, ukucindezeleka ngokuqinisekile kwenza i-trigeminal neuralgia ibe kubi kakhulu ngokwandisa ukucindezeleka kwemisipha, ukuphazamisa ikhwalithi yokulala, futhi mhlawumbe ukunciphisa umngcele wobuhlungu bakho. Uma ucindezelekile noma ukhathazekile, ungase ube nomkhuba wokwenza izinto ezibangela iziqephu zobuhlungu, njengokugaya amazinyo noma ukucindezela imisipha ebusweni.
Ukuphatha ingcindezi ngezindlela zokuphumula, ukuzivocavoca njalo, ukulala okwanele, nezinye izindlela zokunciphisa ingcindezi kungaba yingxenye ebalulekile yohlelo lwakho oluphelele lokwelashwa. Nakuba ukuphatha ingcindezi kudwa kungayiphilisisi i-trigeminal neuralgia, kungasiza ekuthuthukiseni ubukhulu nokuvamile kokuzwa ubuhlungu uma kuhlanganiswa nokwelashwa kwezokwelapha.
Ukudla ngokwalo akuvame ukubangela ubuhlungu be-trigeminal neuralgia, kodwa isenzo sokuhlafuna, ikakhulukazi ukudla okuqine noma okuluhlafunwayo, kungabangela ukubhebhetheka. Ukudla okushisayo noma okubandayo kungase futhi kubangele ubuhlungu kwabanye abantu, hhayi ngenxa yokuqukethwe kokudla kodwa ngenxa yomuzwa wobushushu ezingxenyeni ezinzima zobuso bakho.
Abantu abaningi bathola ukuthi ukudla okulula, okushisayo kanye nokulungele ukudliwa kulula ukubekezelela phakathi nezikhathi ezisebenzayo ze-trigeminal neuralgia. Ungase ufune ukugwema ukudla okuqhekekile kakhulu, okuluhlafunwayo, noma okushisayo kakhulu ngesikhathi se-flare-ups, kodwa ayikho i-“trigeminal neuralgia diet” ethile okumele uyilandele unomphela. Gxila ekudleni ukudla okunomsoco kunoma iyiphi indlela elula kuwe.
I-Trigeminal neuralgia ivame ukubamba inhlangothi eyodwa yobuso kuphela, futhi ukubandakanyeka kokubili izinhlangothi (kokubili izinhlangothi) kuyincasa kakhulu, kwenzeka ngaphansi kuka-5% yezimangalo. Uma izinhlangothi zombili zithinteka, kungenzeka kakhulu ukuthi kuhlobene nesimo esingaphansi njenge-multiple sclerosis kunokuhlobo oluvamile olubangelwa ukucindezelwa kwezitho zegazi.
Uma uhlushwa ubuhlungu kokubili izinhlangothi zobuso bakho, kubalulekile ukubona udokotela wezinzwa ukuze uhlolwe ngokuphelele. I-Trigeminal neuralgia engathinta izinhlangothi zombili ingadinga izindlela ezahlukene zokwelapha kanye nokuhlolwa okwengeziwe ukuze kuhlonishwe noma yiziphi izimo ezingaphansi ezingase zibangele izinkinga zezinzwa kokubili izinhlangothi.