I-glossopharyngeal neuralgia

I-glossopharyngeal neuralgia yisimo esingajwayelekile lapho kuneziqephu eziphindaphindwayo zobuhlungu obukhulu olimini, emphinjeni, endlebeni, nasemathanjeni. Lokhu kungahlala kusuka kumasekhondi ambalwa kuya emizuzwini embalwa.

I-Glossopharyngeal neuralgia (GPN) kukholakala ukuthi ibangelwa ukucasuka kwenzwa yesishiyagalolunye ye-cranial, ebizwa nge-glossopharyngeal nerve. Izimpawu zivame ukuqala kubantu abaneminyaka engaphezu kwengu-50.

Ezimweni eziningi, umthombo wokucasuka awutholakali. Izimbangela ezingaba khona zalolu hlobo lobuhlungu bezinzwa (i-neuralgia) yilezi:

• Imithambo yegazi icindezela i-glossopharyngeal nerve
• Ukukhula ezansi kogebhezi kucindezela i-glossopharyngeal nerve
• Izimila noma ukutheleleka komphimbo nomlomo kucindezela kwi-glossopharyngeal nerve

Ubuhlungu buvame ukwenzeka ohlangothini olulodwa futhi kungenzeka bube yi-jabbing. Ezimweni ezingavamile, zombili izinhlangothi ziyabandakanyeka. Izimpawu zifaka phakathi ubuhlungu obukhulu ezindaweni ezixhunywe ku-9th cranial nerve:

• Emuva kwekhala nomphimbo (nasopharynx)
• Emuva kolimi
• Indlebe
• Umphimbo
• Indawo yamatoni
• Ibhokisi lezwi (umphimbo)

Ubuhlungu benzeka ngeziqephu futhi bungaba bukhulu. Iziqephu zingenzeka kaningi ngosuku ngalunye futhi zivuse umuntu ebuthongweni. Ngezinye izikhathi kungadalwa ngu:

• Ukuhlafuna
• Ukukhwehlela
• Ehleka
• Okhulumayo
• Ukugwinya
• Ukuzamula
• Ukuthimula
• Iziphuzo ezibandayo
• Ukuthinta (into ebuthuntu kumathoni ohlangothini oluthintekile)

Ukuhlolwa kuzokwenziwa ukuthola izinkinga, njengezicubu, ezansi kogebhezi. Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi ukukhipha noma yikuphi ukutheleleka noma isimila
• I-CT scan yekhanda
• I-MRI yekhanda
• Ama-X-ray ekhanda noma entanyeni

Kwesinye isikhathi i-MRI ingakhombisa ukuvuvukala (ukuvuvukala) kwe-glossopharyngeal nerve.

Ukuthola ukuthi ngabe umthambo wegazi ucindezela inzwa yini, izithombe zemithambo yobuchopho zingathathwa zisebenzisa:

• I-Magnetic resonance angiography (MRA)
• I-CT angiogram
• Ama-X-ray emithanjeni enedayi (i-angiography ejwayelekile)

Umgomo wokwelashwa ukulawula ubuhlungu. Izidakamizwa eziphumelela kakhulu yimithi yokulwa nezidakamizwa efana ne-carbamazepine. Izidambisi zingasiza abantu abathile.

Ezimweni ezimbi kakhulu, lapho kunzima ukwelapha ubuhlungu, kungadingeka ukuhlinzwa ukuze ukhiphe ingcindezi emthanjeni we-glossopharyngeal. Lokhu kubizwa ngokuthi yi-microvascular decompression. Inzwa nayo ingasikwa (i-rhizotomy). Kokubili ukuhlinza kuyasebenza. Uma kutholakala imbangela ye-neuralgia, ukwelashwa kufanele kulawule inkinga eyisisekelo.

Ukwenza kahle kangakanani kuya ngesizathu senkinga nokusebenza kokwelapha kokuqala. Ukuhlinzwa kubhekwa njengokusebenza kubantu abangahlomuli emithini.

Izinkinga ze-GPN zingafaka:

• Ukuhamba kancane nokuquleka kungenzeka lapho ubuhlungu bukhulu
• Ukulimala komthambo we-carotid noma umthambo we-jugular wangaphakathi ngenxa yokulimala, njengesilonda sokugwazwa
• Kunzima ukugwinya ukudla nokukhuluma
• Imiphumela emibi yemithi esetshenzisiwe

Bheka umhlinzeki wakho wokunakekelwa kwezempilo ngokushesha uma unezimpawu ze-GPN.

Bheka uchwepheshe wezinhlungu uma ubuhlungu bukhulu, ukuze uqiniseke ukuthi uyazi zonke izinketho zakho zokulawula ubuhlungu.

I-cranial mononeuropathy IX; Isifo se-Weisenberg; I-GPN

• I-glossopharyngeal neuralgia

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UMiller JP, uBurchiel KJ. Ukuncipha kwe-Microvascular kwe-trigeminal neuralgia. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 174.

UNarouze S, uPapa JE. Ubuhlungu be-Orofacial. Ku: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, ama-eds. Okubalulekile Kwemithi Yezinhlungu. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 23.