Kunzwisisa kurwadziwa kwakanyanya, kwainobva Kubva, uye Maitiro Okuchibata
Dzimwe nguva apo vanhu vanotsanangura musoro wemusoro, ivo vari kunyatsotsanangura kurwadziwa kwepiso. Nepo kune huwandu hwemarudzi akasiyana-siyana ekurwadziwa kweshungu syndromes, iyo yakajairika ndeyekutenderera neuralgia.
Kunyange zvazvo zvisingawanzoitiki muzviitiko, trigeminal neuralgia inokanganisa hutatu hwehutachiona , iyo inonzi nerve inopa hutano kumeso uye inobatsira kudzora tsvina yejaya.
Kana iwe uine trigeminal neuralgia, unoziva zviri nani kupfuura chero ani zvake, zvinoshamisa, zvinokonzera, uye magetsi-kushungurudza-sekurwadziwa kwakadai kunokonzera chirwere ichi. Ngatitizei zvakadzama mu "nei" mushure mekutambudzika uku, uye kuti ingarapwa sei.
Trigeminal Nerve
Nzira yepamusoro yehutatu inokonzera mitsipa miviri (kunze kwe12). Inotumira ruzivo rwemashoko kumeso uye inobatsira kudzora masumbu ekucheka.
Iyo nhatu yepamusoro-soro ine matavi matatu makuru:
- Ophthalmic (pedyo neziso)
- Maxillary (cheek-area)
- Mandibular (tambo-nzvimbo)
Matavi emitambo yekutenderera yakawanda inowanzobatwa muzvitatu zveveuralgia neuralgia ndiyo mazana emaillaillary kana mandibular. Ichi ndicho chikonzero vanhu vane trigeminal neuralgia vanowanzonyunyutira marwadzo ezino uye kunyange vanotambura zvinorwadza uye zvinodhura maitiro ehutano vasati vanyatsozivikanwa.
Kunzwisisa Marwadzo eTexgeminal Neuralgia
Kutambudzika kwetaturiki neuralgia kunowanikwa mumasaisai. inopera kubva kune imwe kusvika kumasekondi akawanda, uye inorondedzerwa seyakanyanya kupinza uye kugwa.Ichirwere ichi chinowanzosangana nehutatu humwe hutatu (iwe une mitsipa yekutenderera kune rumwe rutivi rwechiso chako) asi haigoni kuchinja zvose.
Zvinokonzera Trigeminal Neuralgia
Kazhinji zviitiko zvezvitatu zvinonzi neuralgia zvinokonzerwa nekudzvinyirira kwehutatu hwemitsipa miviri, kazhinji kuburikidza nechimwe chinhu chisina kujairika chetari kana mvere mumeso. Pashoma pacho, kuomesa kwetendekete yemagunha kunogona kuitika kubva kune cyst kana tumarara, seye acoustic neuroma . Kuvhiringidzika kwemutsara, kufanana nezvinoitika mu multiple sclerosis, kunogonawo kukonzera trigeminal neuralgia.
Zvinokonzera Trigeminal Neuralgia
Zvinowanzoitika kune zvimwe zviitiko zvinotanga kurwisa kurwadziwa. Mienzaniso inosanganisira:
- Kucheka
- Kubvisa meno ako
- Kushevedzera
- Kutaura kana kuseka
- Kunyorera
- Kuonekwa kwechiso chako kumhepo inotonhora
- Chiedza chinogunzva chiso
Kuongororwa kweTexgeminal Neuralgia
Chiremba wako mukuru wekuchirapa kana nyanzvi yezveuroyoyoti achaita kuti kuongororwa. Kazhinji uropi hwekufungidzira (hwakafanana neuropi MRI ) hunodiwa kuti uone kunze kwechikonzero chechipiri sechirwere kana multiple sclerosis kutanga.
Kurapa kweTexgeminal Neuralgia
Kurapa kunowanzo ne-anti-seizure mishonga inonzi carbamazepine. Kunyange zvazvo inowanzobudirira, inotakura zvimwe zvingava nemigumisiro yakaipa (kunyanya nepamusoro-dha, izvo vamwe vanhu vangada pane nguva).
Mamwe emigumisiro iyi yakaipa inosanganisira:
- Kukurova
- Chizutu
- Nausea
- Kudzora
Vamwe vanhu vanoita nhamba yakaderera yemasero matsvuku eropa (utachiona-kurwisa masero) pa carbamazepine. Kazhinji, munhu anogona kukura anlasticia-chirwere chinokanganisa fupa rako remafupa umo masero eropa anobudiswa.
Uyewo, vamwe vanhu, kunyanya vanhu veAsia vanoenda kune rimwe ruzivo rwema genetic, vanogona kunge vari pangozi yekuwedzera dambudziko rinouraya ganda rinonzi Stevens-Johnson syndrome uye / kana chepidermal necrolysis .
Kana uri wekuzvarwa kweAsia, chiremba wako angangokuedza iwe nekuda kweiyo geni asati asarudza carbamazepine.
Chiremba wako anogona kutarisa mamwe mishonga, seyo oxcarbazepine iyo yakafanana pakugadzira carbamazepine uye inogona kuva nemigumisiro shoma. Kana uine marwadzo pasinei necarbamazepine kana oxcarbazepine (kana kuti haigoni kutora kana kushivirira imwe yemishonga iyi), chiremba anogona kupa mutsara unozorodza baclofen.
Kana iwe uchiramba uchitambura kubva kuhurongwa hwetaturiki neuralgia pasinei nehutano hwehutano hwehutano, kana kana iwe usingakwanisi kuregerera mimwe migumisiro yemishonga, nyanzvi yako yeurourogist inogona kukutaurira kuvhiya.
Mashoko akanaka ndeokuti kune nzira dzakawanda dzokuvhiya dziripo. Izvo zvataurwa, zvichiri kuvhiyiwa uye zvine ngozi, saka zvinoda kukurukurirana kwakanyatsogadzikana neurourogistist uye chiremba.
Shoko Rinobva
Kana iwe ukaonekwa kuti une trigeminal neuralgia, iva netariro uye uone kuti iwe unotevera zvakanyanya neurouroistist yako. Kunyange zvazvo zvingave zvisingakwanisi kurapwa, unokwanisa kuzvigadzirisa zvakanaka uye enda mberi nehupenyu hwako.
Sources:
Bajwa ZH, Ho CC, Khan SA. (2017). Trigeminal neuralgia. Shefner JM, Swanson JW, eds. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Dzidzira maitiro: chirwere chekuongorora nekurapa kwetaturiki neuralgia (uchapupu hunotarisana nehupupuriro): mushumo weChristian Standards of Sub-Committee yeAmerican Academy of Neurology neEuropean Federation of Neurological Societies. Neurology . 2008; 71: 1183-1190.
Kusarudzwa kweMusoro Kumusoro weCommission Committee ye International Headache Society. "Kutevedzana Kwemarudzi Edzi kwe Headache Disorders: 3rd Edition (beta version)". Cephalalgia 2013; 24 (9): 629-808.
Zakrzewska JM, Linksey ME. Trigeminal neuralgia. BMJ. 2014 Feb 17; 348: g474.