Umbhali: Janice Evans
Umhla Wokudalwa: 23 Eyekhala 2021
Hlaziya Umhla: 18 Eyenkanga 2024
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What is Glossopharyngeal Neuralgia?
Ividiyo: What is 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.

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