Umbhali: Marcus Baldwin
Umhla Wokudalwa: 17 Isilimela 2021
Hlaziya Umhla: 25 Eyedwarha 2024
Anonim
Trigeminal Neuralgia (“Severe Facial Pain”): Causes, Pathophysiology, Symptoms, Diagnosis, Treatment
Ividiyo: Trigeminal Neuralgia (“Severe Facial Pain”): Causes, Pathophysiology, Symptoms, Diagnosis, Treatment

I-Neuralgia yintlungu ebukhali, eyothusayo elandela indlela ye-nerve kwaye ngenxa yokucaphuka okanye ukonakala kwimbilini.

I-neuralgias eqhelekileyo ibandakanya:

  • I-postherpetic neuralgia (iintlungu eziqhubekayo emva kokuphuma kwe-shingles)
  • I-neuralgia ye-Trigeminal (ukugwaza okanye ukubetha okothusayo-njengentlungu kwiindawo zobuso)
  • I-neuropathy yotywala
  • I-peripheral neuropathy

Izizathu ze-neuralgia zibandakanya:

  • Ukucaphuka kwemichiza
  • Isifo sezintso esinganyangekiyo
  • Seswekile
  • Usulelo, njenge-herpes zoster (i-shingles), i-HIV / AIDS, isifo seLyme kunye negcushuwa
  • Amayeza afana ne-cisplatin, paclitaxel, okanye i-vincristine
  • I-Porphyria (ingxaki yegazi)
  • Uxinzelelo kwimithambo-luvo ngamathambo akufutshane, iigaments, imithambo yegazi, okanye izicwili
  • Umothuko (kubandakanya utyando)

Kwiimeko ezininzi, oyena nobangela awaziwa.

I-postherpetic neuralgia kunye ne-trigeminal neuralgia zezona ndlela zimbini ziqhelekileyo ze-neuralgia. I-neuralgia ehambelana nayo kodwa engaqhelekanga ichaphazela i-glossopharyngeal nerve, enika imvakalelo emqaleni.


I-Neuralgia ixhaphake kakhulu kubantu abadala, kodwa inokwenzeka nakweyiphi na iminyaka.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

  • Ukonyusa ubuntununtunu besikhumba ecaleni kwendlela eyonakeleyo, ukuze nakuphi na ukubamba okanye uxinzelelo luvakalelwe njengentlungu
  • Ubuhlungu ecaleni kwendlela ye-nerve ebukhali okanye ehlabayo, kwindawo enye isiqephu ngasinye, siza kwaye sihambe (siphakathi) okanye sihlala sitshisa, kwaye sinokuba sibi ngakumbi xa indawo ishukunyiswa.
  • Ubuthathaka okanye ukukhubazeka okupheleleyo kwezihlunu ezinikezelwa luvo olunye

Umboneleli wezempilo uya kwenza uvavanyo lomzimba, kwaye abuze malunga neempawu.

Uviwo lunokubonisa:

  • Imvakalelo engaqhelekanga kulusu
  • Iingxaki ze-Reflex
  • Ukuphulukana nobunzima bemisipha
  • Ukungabikho kokubila (ukubila kulawulwa yimithambo)
  • Ukuthantamisa ecaleni kwentliziyo
  • Amanqaku okubangela (iindawo apho ukubamba kancinci kubangela iintlungu)

Kuya kufuneka uphinde ubone ugqirha wamazinyo ukuba iintlungu zikubuso bakho okanye umhlathi. Uvavanyo lwamazinyo lunokuthintela ukuphazamiseka kwamazinyo okunokubangela iintlungu ebusweni (njengethumba lezinyo).


Ezinye iimpawu (ezinje ngokubomvu okanye ukudumba) zinokunceda ukulawula iimeko ezinje ngokusuleleka, ukwaphuka kwamathambo, okanye isifo samathambo.

Akukho vavanyo oluthile lwe-neuralgia. Kodwa, olu vavanyo lulandelayo lunokwenziwa ukufumana unobangela wentlungu:

  • Uvavanyo lwegazi ukujonga iswekile yegazi, ukusebenza kwezintso, kunye nezinye izinto ezinokubangela i-neuralgia
  • Imagnetic resonance imaging (iMRI)
  • Ufundo lokuqhutywa kwemithambo nge-electromyography
  • I-Ultrasound
  • Impompo yomqolo (i-lumbar puncture)

Unyango luxhomekeke kwisizathu, indawo kunye nobukrakra bentlungu.

Amayeza okulawula iintlungu anokubandakanya:

  • Ukudakumba
  • Iziyobisi Antiseizure
  • Amayeza eentlungu angaphaya kwekhawuntareni okanye amayeza
  • Amayeza obuhlungu ngohlobo lwezikhumba okanye iikhrim

Olunye unyango lunokubandakanya:

  • Ukudutyulwa ngamayeza okuphelisa iintlungu (iintlungu)
  • Iibhloko zemithambo
  • Unyango lomzimba (kwezinye iintlobo ze-neuralgia, ngakumbi i-postherpetic neuralgia)
  • Iinkqubo zokunciphisa ukuziva kwimithambo-luvo (njengokupheliswa kwemithambo-luvo kusetyenziswa i-radiofrequency, ubushushu, uxinzelelo lwebhaluni, okanye inaliti yeekhemikhali)
  • Ugqirha ukuthatha uxinzelelo kwi-nerve
  • Olunye unyango, olunjenge-acupuncture okanye i-biofeedback

Iinkqubo azinakuphucula iimpawu kwaye zinokubangela ukulahleka kwemvakalelo okanye iimvakalelo ezingaqhelekanga.


Xa ezinye iindlela zonyango zingaphumeleli, oogqirha banokuzama ukuvuselela imithambo-luvo okanye umnqonqo. Kwiimeko ezinqabileyo, inkqubo ebizwa ngokuba yi-motor cortex stimulation (MCS) iyazama. I-electrode ibekwe ngaphezulu kwenxalenye yemithambo-luvo, umnqonqo, okanye ingqondo kwaye ifakwe kwi-pulse generator phantsi kolusu. Olu tshintsho lwenziwa njani luvo lwakho kwaye lunokunciphisa iintlungu.

Uninzi lwe-neuralgias alusongeli ubomi kwaye aluyiyo imiqondiso yezinye iingxaki ezisongela ubomi. Xa uneentlungu ezingaphuculiyo, jonga ingcali yeentlungu ukuze ukwazi ukuphonononga zonke iindlela zonyango onokukhetha kuzo.

Uninzi lwee-neuralgias luphendula kunyango. Ukuhlaselwa kwentlungu kuhlala kuza kudlule. Kodwa, uhlaselo lunokuba rhoqo rhoqo kwabanye abantu njengoko bekhula.

Ngamanye amaxesha, imeko inokuziphucula yodwa okanye inyamalale ngokuhamba kwexesha, nokuba isizathu asifumaneki.

Iingxaki zinokubandakanya:

  • Iingxaki zotyando
  • Ukukhubazeka okubangelwa ziintlungu
  • Iziphumo ebezingalindelekanga zamachiza asetyenziselwa ukulawula iintlungu
  • Iinkqubo zamazinyo ezingafunekiyo ngaphambi kokuba kufunyaniswe i-neuralgia

Nxibelelana nomboneleli wakho ukuba:

  • Uphuhlisa i-shingles
  • Unempawu ze-neuralgia, ngakumbi ukuba amayeza eentlungu awathengisi iintlungu
  • Unentlungu ebuhlungu (jonga ingcali yentlungu)

Ulawulo olungqongqo lweswekile yegazi lunokuthintela ukonakala kwemithambo-luvo kubantu abanesifo seswekile. Kwimeko ye-shingles, iziyobisi ze-antiviral kunye ne-herpes zoster virus vaccine inokuthintela i-neuralgia.

Intlungu ebuhlungu; I-neuropathy ebuhlungu; Intlungu ye-Neuropathic

  • Inkqubo ye-nervous central kunye ne-peripheral system

Katirji B.Ukuphazamiseka kwemithambo yoluvo. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 107.

I-Scadding JW, i-Koltzenburg M.Iintlungu ze-neuropathies ezibuhlungu. Ku: McMahon SB, Koltzenburg M, Tracey I, Turk DC, ii-eds. I-Wall kunye ne-Melzack's Textbook of Pain. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; Ngo-2013: isahluko 65.

USmith G, uneentloni MNA. Imida ye-neuropathies. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 392.

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