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

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