Glossopharyngeal neuralgia
I-glossopharyngeal neuralgia yimeko enqabileyo apho kukho iziqendu eziphindaphindiweyo zentlungu ebuhlungu kulwimi, emqaleni, endlebeni, nakwiitoni. Oku kunokuhlala kwimizuzwana embalwa ukuya kwimizuzu embalwa.
I-Glossopharyngeal neuralgia (GPN) kukholelwa ukuba ibangelwa kukucaphuka kwe-9th cranial nerve, ebizwa ngokuba yi-glossopharyngeal nerve. Iimpawu zihlala ziqala kubantu abangaphezu kweminyaka engama-50.
Kwiimeko ezininzi, umthombo wokucaphuka awufumaneki. Unobangela onokubakho wolu hlobo lweentlungu zentliziyo (neuralgia) zezi:
- Imithambo yegazi icinezela kwi-glossopharyngeal nerve
- Ukukhula kwisiseko sokhakhayi ngokucinezela kwi-glossopharyngeal nerve
- Amathumba okanye usulelo lomqala kunye nomlomo ucinezela kwi-glossopharyngeal nerve
Iintlungu zihlala zenzeka kwicala elinye kwaye zinokubamba. Kwiimeko ezinqabileyo, omabini amacala ayabandakanyeka. Iimpawu zibandakanya iintlungu eziqatha kwiindawo ezidityaniswe ne-9th cranial nerve:
- Umva wempumlo nomqala (nasopharynx)
- Umva wolwimi
- Indlebe
- Umqala
- Indawo tonsils
- Ibhokisi yelizwi (ilarynx)
Intlungu ivela kwiziganeko kwaye ingaba nzima. Iziqendu zinokwenzeka amaxesha ngamaxesha yonke imihla kwaye zivuse umntu ebuthongweni. Ngamanye amaxesha kunokubangelwa:
- Ukuhlafuna
- Ukukhohlela
- Ehleka
- Ndithatha
- Ukuginya
- Ukuzamla
- Ukuthimla
- Iziselo ezibandayo
- Ukuchukumisa (into engacacanga kwiitoni zecala elichaphazelekayo)
Uvavanyo luya kwenziwa ukuchonga iingxaki, ezinje ngamathumba, emazantsi okhakhayi. Uvavanyo lunokubandakanya:
- Uvavanyo lwegazi ukukhupha naluphi na usulelo okanye ithumba
- Ukuvavanywa kwentloko kwe-CT
- I-MRI yentloko
- X-ray entloko okanye entanyeni
Ngamanye amaxesha iMRI inokubonisa ukudumba (ukudumba) kwemithambo-luvo olubengezelayo.
Ukufumanisa ukuba isitya segazi sicinezela kwi-nerve, imifanekiso yemithambo yengqondo inokuthathwa kusetyenziswa:
- Imagnetic resonance angiography (MRA)
- I-angiogram ye-CT
- I-X-ray yemithambo kunye nedayi (i-angiography eqhelekileyo)
Injongo yonyango kukulawula iintlungu. Amachiza asebenzayo kakhulu amayeza okulwa i-carbamazepine. Ukuxinezeleka kunokunceda abantu abathile.
Kwiimeko ezinzima, xa kunzima ukunyanga iintlungu, kufuneka kwenziwe utyando ukuthatha uxinzelelo kwi-glossopharyngeal nerve. Oku kubizwa ngokuba yi-microvascular decompression. I-nerve nayo inokunqunyulwa (i-rhizotomy). Zombini ezi ndlela zotyando ziyasebenza. Ukuba unobangela we-neuralgia ufunyenwe, unyango kufuneka lulawule ingxaki esisiseko.
Uqhuba kakuhle kangakanani kuxhomekeke kwisizathu sengxaki kunye nokusebenza kwonyango lokuqala. Ugqirha luthathwa njengolusebenzayo kubantu abangaxhamliyo kumayeza.
Iingxaki ze-GPN zingabandakanya:
- Ukubetha kancinci kunye nokuphelelwa ngamandla kungenzeka xa iintlungu zinzima
- Ukonakala kumthambo we-carotid okanye umthambo wangaphakathi wejugular ngenxa yokulimala, okufana nenxeba lokuhlaba
- Ubunzima ekuginyeni ukutya kunye nokuthetha
- Iziphumo ebezingalindelekanga zamayeza asetyenzisiweyo
Jonga umboneleli wakho wezempilo kwangoko ukuba uneempawu ze-GPN.
Jonga ingcali yeentlungu ukuba iintlungu zinzima, ukuze uqiniseke ukuba uyazi zonke izinto onokukhetha kuzo zokulawula iintlungu.
I-cranial mononeuropathy IX; Isifo se-Weisenberg; I-GPN
- Glossopharyngeal neuralgia
U-Ko MW, uPrasad S. Intloko ebuhlungu, iintlungu ebusweni, kunye nokuphazamiseka kwovakalelo lobuso. Ku: Liu GT, Volpe NJ, Galetta SL, ii-eds. Liu, Volpe, kunye neGaletta's Neuro-Ophthalmology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahluko 19.
UMiller JP, uBurchiel KJ. Ukuncipha kwemicrovascular for trigeminal neuralgia. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 174.
UNarouze S, uPopu JE. Intlungu yomzimba. Ku: I-Benzon HT, i-Raja SN, i-Liu SS, i-Fishman SM, i-Cohen SP, ii-eds. Iimfuno zonyango lwezoNyango. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 23.