Izimpawu Ezingajwayelekile ze-Multiple Sclerosis: Iyini i-Trigeminal Neuralgia?

-Delile

• Ukuqonda izimpawu ze-trigeminal neuralgia
• Uphawu lokuqala lwe-multiple sclerosis
• Izimbangela nokwanda
• Ukuhlonza i-neuralgia ye-trigeminal
• Imithi ye-trigeminal neuralgia
• Ukuhlinzwa kwe-neuralgia ye-trigeminal
• Ezinye izinhlobo zobuhlungu ezihambisana ne-MS
• Umbono

Ukuqonda i-trigeminal neuralgia

I-nerve trigeminal ithwala amasiginali phakathi kobuchopho nobuso. I-Trigeminal neuralgia (TN) yisimo esibuhlungu lapho le nzwa icasulwa khona.

I-nerve trigeminal ingenye yamaqoqo ayi-12 ezinzwa ze-cranial. Inesibopho sokuthumela umuzwa noma ukuzwa kusuka ebuchosheni kuya ebusweni. "I-nerve" engunxantathu empeleni iyizinzwa ezimbili: eyodwa iya ngasesandleni sobunxele sobuso, bese enye igijimela ngasohlangothini lwesokunene. Ngayinye yalezi zinzwa inamagatsha amathathu, yingakho ibizwa nge-trigeminal nerve.

Izimpawu ze-TN zisukela ebuhlungwini obungaguquki kuye ebuhlungwini obukhulu bokugwazwa okungazelelwe emhlathini noma ebusweni.

Ukuqonda izimpawu ze-trigeminal neuralgia

Ubuhlungu obuvela ku-TN bungabangelwa yinto elula njengokugeza ubuso bakho, ukuxubha amazinyo, noma ukukhuluma. Abanye abantu bezwa izimpawu zokuxwayisa ezinjengokukhala, ukuqaqanjelwa, noma ukuzwa ubuhlungu bendlebe ngaphambi kokuqala kobuhlungu. Ubuhlungu bungazizwa njengokushaywa ugesi noma umuzwa ovuthayo. Ingahlala noma kuphi ukusuka kumasekhondi ambalwa kuya emizuzwini embalwa. Ezimweni ezinzima, ingahlala isikhathi esingangehora.

Imvamisa, izimpawu ze-TN ziza ngamagagasi futhi zilandelwa yizikhathi zokuxolelwa. Kwabanye abantu, i-TN iba yisimo esiqhubekayo esinenkathi yokukhululwa kancane kancane phakathi kokuhlaselwa okubuhlungu.

Uphawu lokuqala lwe-multiple sclerosis

Cishe uhhafu wabantu abane-multiple sclerosis (MS) bezwa ubuhlungu obungapheli, ngokusho kweNational Multiple Sclerosis Society. I-TN ingaba ngumthombo wezinhlungu ezimbi kakhulu kubantu abane-MS, futhi kwaziwa njengophawu lokuqala lwalesi simo.

I-American Association of Neurological Surgeons (AANS) ithi i-MS imvamisa iyimbangela ye-TN kubantu abadala abasebasha. I-TN yenzeka kaningi kwabesifazane kunabesilisa, nokuyinto efanayo nge-MS.

Izimbangela nokwanda

I-MS idala umonakalo ku-myelin, ukumboza okuvikelayo okuzungeze amangqamuzana ezinzwa. I-TN ingabangelwa ukuwohloka kwe-myelin noma ukwakheka kwezilonda ezungeze i-nerve trigeminal.

Ngaphezu kwe-MS, i-TN ingabangelwa isitsha segazi esicindezela ku-nerve. Ngokuvamile, i-TN ibangelwa isimila, imithambo ehlanganisiwe, noma ukulimala kwenzwa. Ubuhlungu ebusweni bungaba futhi ngenxa yesifo se-temporomandibular joint (TMJ) noma i-cluster headaches, futhi kwesinye isikhathi kulandela ukuqubuka kwamashingles.

Cishe abantu abayi-12 kwabangu-100,000 e-United States bathola ukuxilongwa kwe-TN unyaka nonyaka, ngokusho kweNational Institute of Neurological Disorders and Stroke. I-TN ivela kaningi kubantu abadala abaneminyaka engaphezu kwengu-50, kodwa kungenzeka noma ngasiphi isikhathi.

Ukuhlonza i-neuralgia ye-trigeminal

Uma une-MS, kufanele uhlale ubika ubuhlungu obusha kudokotela wakho. Izimpawu ezintsha azibangelwa njalo yi-MS, ngakho-ke ezinye izimbangela kufanele zikhishwe.

Isayithi lobuhlungu lingasiza ukuxilonga inkinga. Udokotela wakho uzokwenza ukuhlolwa okuphelele kwemizwa futhi kungenzeka a-oda ukuhlolwa kwe-MRI ukusiza ukuthola imbangela.

Imithi ye-trigeminal neuralgia

Ukwelashwa kwe-TN kuvame ukuqala ngemithi.

Ngokwe-AANS, umuthi ovame kakhulu obekelwe lesi sifo yi-carbamazepine (Tegretol, Epitol). Kuyasiza ukulawula izinhlungu, kepha kuba nzima ukusebenza lapho isetshenziswa kakhulu. Uma i-carbamazepine ingasebenzi, umthombo wobuhlungu kungenzeka ungabi yi-TN.

Omunye umuthi osetshenziswa kakhulu yi-baclofen. Ihlehlisa imisipha ukusiza ukudambisa izinhlungu. Le mithi emibili kwesinye isikhathi isetshenziswa ndawonye.

Ukuhlinzwa kwe-neuralgia ye-trigeminal

Uma imithi inganele ukulawula ubuhlungu be-TN, ukuhlinzwa kungadingeka. Izinhlobo eziningi zokusebenza ziyatholakala.

Uhlobo oluvame kakhulu, i-microvascular decompression, lubandakanya ukuhambisa umthambo wegazi ususe emithanjeni ye-trigeminal. Lapho ingasaduduli imisipha, ubuhlungu bungancipha. Noma yikuphi ukulimala kwezinzwa okwenzekile kungaguqulwa.

I-radiosurgery uhlobo oluncane kakhulu lokuhlasela. Kubandakanya ukusetshenziswa kwemishayo yemisebe ukuzama ukuvimba inzwa ekuthumeleni amasiginali obuhlungu.

Ezinye izinketho zifaka phakathi ukusebenzisa imisebe yommese we-gamma noma ukujova i-glycerol ukunqanda inzwa. Udokotela wakho angasebenzisa futhi i-catheter ukubeka ibhaluni ku-nerve trigeminal. Ibhaluni bese liyagcwala, licindezele imizwa futhi lilimaze imicu ebanga ubuhlungu. Udokotela wakho angasebenzisa futhi i-catheter ukuthumela amandla kagesi ukulimaza imicu yezinzwa edala ubuhlungu.

Ezinye izinhlobo zobuhlungu ezihambisana ne-MS

Izimpawu zezinzwa ezingalungile zingadala ezinye izinhlobo zobuhlungu kubantu abane-MS. Abanye babhekana nobuhlungu obuvuthayo nokuzwela kokuthinta, imilenze ngokuvamile.Ubuhlungu bezintamo nomhlane bungadalwa ukuguga noma ukudabukisa noma ukunganyakazi. Ukwelashwa okuphindaphindiwe kwe-steroid kungaholela ezinkingeni zehlombe ne-hip.

Ukuvivinya umzimba njalo, kufaka phakathi ukuzelula, kunganciphisa ezinye izinhlobo zobuhlungu.

Khumbula ukubika noma yibuphi ubuhlungu obusha kudokotela wakho ukuze izinkinga eziyisisekelo zikhonjwe futhi zilashwe.

Umbono

I-TN yisimo esibuhlungu okwamanje esingenalo ikhambi. Kodwa-ke, izimpawu zayo zingaphathwa kaningi. Inhlanganisela yemithi kanye nezinketho zokuhlinzwa kungasiza ekudambiseni izinhlungu.

Amaqembu okusekela angakusiza ufunde kabanzi ngezindlela zokwelashwa ezintsha nezindlela zokubhekana nazo. Ezinye izindlela zokwelapha zingasiza ekunciphiseni ubuhlungu. Imishanguzo ongazama ukuyifaka ihlanganisa:

• ukuluthwa
• ukutshopa
• ukuzindla
• i-yoga