Iimpawu ezixhaphakileyo ze-Multiple Sclerosis: Yintoni i-Trigeminal Neuralgia?

Umxholo

• Ukuqonda iimpawu ze-neuralgia ye-trigeminal
• Uphawu lokuqala lwe-multiple sclerosis
• Oonobangela kunye nokuxhaphaka
• Ukuchonga i-neuralgia ye-trigeminal
• Amayeza e-trigeminal neuralgia
• Utyando lwe-neuralgia ye-trigeminal
• Ezinye iintlobo zentlungu ehambelana ne-MS
• Imbonakalo

Ukuqonda i-neuralgia ye-trigeminal

I-nerve trigeminal ithwala imiqondiso phakathi kwengqondo kunye nobuso. I-Trigeminal neuralgia (TN) yimeko ebuhlungu apho le nerve icaphuka.

I-nerve trigeminal yenye yeeseti ezili-12 zemithambo-luvo ye-cranial. Inoxanduva lokuthumela imvakalelo okanye imvakalelo evela kwingqondo ebusweni. "Imithambo-luvo" enxantathu sisibini semithambo-luvo: enye iyolulela kwicala lasekhohlo lobuso, ize enye ibaleke ngasekunene. Elinye lala mithambo-luvo linamasebe amathathu, yiyo loo nto ibizwa ngokuba luvo lwe-trigeminal nerve.

Iimpawu ze-TN zivela kwi-ache rhoqo ukuya kwiintlungu ezibukhali ngokukhawuleza emhlathini okanye ebusweni.

Ukuqonda iimpawu ze-neuralgia ye-trigeminal

Ubuhlungu obuvela kwi-TN bunokubangelwa yinto elula njengokuhlamba ubuso bakho, ukuxukuxa amazinyo, okanye ukuthetha. Abanye abantu baziva belumkisa imiqondiso enjengokurhawuzelela, ukuba buhlungu, okanye ukuqaqanjelwa yindlebe ngaphambi kokuqala kwentlungu. Intlungu inokuziva ngathi wothuko lombane okanye luvutha. Inokuhlala naphi na ukusuka kwimizuzwana embalwa ukuya kwimizuzu eliqela. Kwiimeko ezinzima, inokuhlala iyure yonke.

Ngokuqhelekileyo, iimpawu ze-TN ziza kumaza kwaye zilandelwa ngamaxesha okuxolelwa. Kwabanye abantu, i-TN iba yimeko eqhubela phambili kunye nexesha eliya lisanda lokuxolelwa phakathi kohlaselo olubuhlungu.

Uphawu lokuqala lwe-multiple sclerosis

Phantse isiqingatha sabantu abane-multiple sclerosis (MS) abafumana iintlungu ezingapheliyo, ngokwe-National Multiple Sclerosis Society. I-TN ingaba ngumthombo weentlungu ezigqithisileyo kubantu abane-MS, kwaye iyaziwa ngokuba yimpawu zokuqala zale meko.

Umbutho waseMelika woNyango lweeNeurological (AANS) uthi i-MS ihlala ingunobangela we-TN kubantu abadala abancinci. I-TN yenzeka rhoqo kwabafazi kunamadoda, ikwayimeko ye-MS.

Oonobangela kunye nokuxhaphaka

I-MS ibangela umonakalo kwi-myelin, isambatho sokhuselo esijikeleze iiseli zemithambo-luvo. I-TN inokubangelwa kukuwohloka kwe-myelin okanye ukwenziwa kwezilonda ezijikeleze i-nerve trigeminal.

Ukongeza kwi-MS, i-TN inokubangelwa yimithambo yegazi ecinezela kwi-nerve. Rhoqo, i-TN ibangelwa sisisu, imithambo edibeneyo, okanye ukwenzakala kwimbilini. Intlungu ebusweni inokubakho ngenxa yesifo se-temporomandibular joint (TMJ) okanye iintloko zentloko, kwaye ngamanye amaxesha kulandela ukugqabhuka kweengcongolo.

Phantse abantu abali-12 kwabali-100,000 e-United States bafumana uxilongo lwe-TN qho ngonyaka, ngokweZiko leSizwe lokuPhazamiseka kweNeurological and Stroke. I-TN ibonakala rhoqo kubantu abadala ngaphezulu kwama-50, kodwa inokwenzeka nakweyiphi na iminyaka.

Ukuchonga i-neuralgia ye-trigeminal

Ukuba une-MS, kuya kufuneka usoloko uxela iintlungu kugqirha wakho. Iimpawu ezintsha azisoloko zibangelwa yi-MS, ke ezinye izizathu kufuneka zikhutshwe ngaphandle.

Indawo yeentlungu inokunceda ukufumanisa ingxaki. Ugqirha wakho uya kwenza uvavanyo olupheleleyo lwe-neurological kwaye kunokwenzeka ukuba ayalele ukuhlolwa kwe-MRI ukunceda ukukhomba unobangela.

Amayeza e-trigeminal neuralgia

Unyango lwe-TN luhlala luqala ngamayeza.

Ngokwe-AANS, elona chiza liqhelekileyo linikwe le meko yi-carbamazepine (Tegretol, Epitol). Inceda ukulawula iintlungu, kodwa iba yinto engasebenzi ngakumbi kokukhona isetyenziswa. Ukuba i-carbamazepine ayisebenzi, imvelaphi yentlungu isenokungabi yi-TN.

Olunye unyango oluqhelekileyo lusetyenziswa yi-baclofen. Ihlaziya izihlunu ukunceda ukunciphisa iintlungu. Amachiza amabini ngamanye amaxesha asetyenziswa kunye.

Utyando lwe-neuralgia ye-trigeminal

Ukuba amayeza awanelanga ukulawula intlungu ye-TN, utyando lunokuba yimfuneko. Iindidi ezininzi zemisebenzi ziyafumaneka.

Uhlobo oluqhelekileyo, i-microvascular decompression, ibandakanya ukuhambisa isitya segazi kude ne-trigeminal nerve. Xa ingasatyhaleki ngokuchasene nemithambo-luvo, iintlungu zinokudamba. Nawuphi na umonakalo wenzwa owenzekileyo unokutshintshwa.

Iiradiosurgery lolona hlobo lincinci lungenayo. Kubandakanya ukusetyenziswa kwemitha yemitha ukuzama ukuthintela imithambo-luvo ekuthumeleni imiqondiso yeentlungu.

Olunye ukhetho lubandakanya ukusebenzisa i-gamma ye-radiation radiation okanye ukujova i-glycerol ukunciphisa inzwa. Ugqirha wakho unokusebenzisa i-catheter ukubeka ibhaluni kwi-nerve trigeminal. Ibhaluni ke iyathanjiswa, icinezela imithambo-luvo kwaye yenzakalise imicu ebangela iintlungu. Ugqirha wakho unokusebenzisa i-catheter ukuthumela umbane ukonakalisa iintsinga zemithambo-luvo ezibangela iintlungu.

Ezinye iintlobo zentlungu ehambelana ne-MS

Iimpawu ezingalunganga zeemvakalelo zinokubangela ezinye iintlobo zentlungu kubantu abane-MS. Abanye banamava ovuthayo kunye nobuntununtunu bokuchukumisa, zihlala emilenzeni. Intamo kunye neentlungu zangasemva zinokubangelwa kukunxiba kunye nokukrazula okanye kukungakwazi ukuhamba. Ukuphindaphinda unyango lwe-steroid kunokubangela iingxaki zegxala kunye ne-hip.

Ukuzivocavoca rhoqo, kubandakanya ukolula, kunokunciphisa ezinye iintlobo zentlungu.

Khumbula ukuxela naziphi na iintlungu kugqirha wakho ukuze iingxaki ezichongiweyo zichongwe kwaye zinyangwe.

Imbonakalo

I-TN yimeko ebuhlungu okwangoku engenanyango. Nangona kunjalo, iimpawu zayo zihlala zilawulwa. Ukudityaniswa kwamayeza kunye nokukhetha kunokunceda ekuthomalaliseni iintlungu.

Amaqela enkxaso anokukunceda ufunde okungakumbi malunga nonyango olutsha kunye neendlela zokuhlangabezana nazo. Olunye unyango olunokunceda ekuthomalaliseni iintlungu. Iindlela zokuzama ukuzama zibandakanya:

• ngomlingo
• ukutshiza
• ukucamngca
• iyoga