Ukuvuvukala kwesifo esingapheli kuvame kakhulu kubantu besifazane abaneminyaka yobudala, ikakhulukazi emdala kuneminyaka engama-50. Leli fomu le-neuralgia lihambisana nezimpawu ezibuhlungu kakhulu futhi eziqondile, ngakho kulula ukuyihlolisisa. Kubalulekile ukuhlanganyela njalo ekuvimbeleni ukuphindaphinda kwesifo futhi ngesikhathi esifanele sokuwaphatha ukuze kuvinjelwe izinkinga.
I-Neuralgia ye-trigeminal nerve - izimbangela
Imvelaphi eqondile ye-pathology echazwe ingakaqalwa. Kukhona iziphakamiso ukuthi i-facial nervous irritated ngenxa yokuyicindezela ngemithambo yegazi. Ngokwenye inguqulo, i-neuralgia ye-trigeminal iphikisana nokuphulwa kwezimpande ze-trigeminal nge-neoplasms emikhulu endaweni ye-Varoliev bridge (ingxenye yengqondo). Ngezinye izikhathi izimbangela zezinkomba zokuvuvukala ezinye izinto ezimbi.
I-neuralgia ye-atypical ye-trigeminal nerve
Umgqugquzeli wezinhlungu zobuso kuleso simo ngumthwalo omkhulu wengqondo noma ngokomzwelo. Le neuralgia yezintambo ngokuvamile ixilongwa kubabesifazane abane-migraines futhi njalo bangaphansi kokucindezeleka. Izimpawu ze-pathology zihlelwe ngendlela ehlelekile, ngokuhamba kwesikhathi zingaba khona njalo. I-neuralgia ye-Atypical ishukunyiswa yizimo ezilandelayo:
- izinqubo zamazinyo;
- ukushintsha kwesimo sezulu;
- imiphumela emihle;
- ukushintsha kwesimo sezulu;
- ukungabi nokulala.
I-neuralgia ye-postherpetic ye-trigeminal nerve
Lolu hlobo lwesifo luhlotshaniswa nama-shingles adluliselwe ngaphambilini. Ukumbiza ngokuthi i-herpes (i-zoster) kuthinta amagatsha e-facial nerve, okwenza izinqubo zokuvuvukala. Ngisho nangemva kokululama, igciwane lihlala ezakhiweni eziphilayo isikhathi eside futhi ngezikhathi ezithile liholela ekubuyiseleni kwesifo. I-neuralgia yangemva kwesikhashana ivame ukubuyisa ngokuphelele emva kwamasonto angu-4-6. Ezimweni ezingavamile, ikakhulu lapho kungekho ukwelashwa okufanele, ukukhubazeka kuyinkimbinkimbi noma kuguqulwe ibe ifomu elingapheli.
I-Neuralgia ye-trigeminal nerve - izimpawu
Uphawu oluyinhloko salesi sifo yisifo sobuhlungu. Ivela ekuhlaselweni okungahlala kumasekhondi amabili kuya ezinsukwini ezimbalwa. I-Neuralgia ye-trigeminal nerve ibhekene nobuhlungu obubuhlungu, obukhulu noma "obudubulayo" ohlangothini olulodwa lwesbuso (okuncane kakhulu - kokubili). Ngesikhathi sokuphindaphindiwe, umuntu uzama ukuthutha futhi ayeke, hhayi ukuvusa ukwanda kwezinzwa ezingathandeki.
I-neuralgia ye-Trigeminal - izimpawu:
- ukuphambuka kwemisipha yobuso ( umaki );
- ukusakazwa kobuhlungu entanyeni, endlebeni, emhlathini nasemanzini;
- ukushintsha isimo sobuso;
- i-irradiation ye-syndrome yesifo engalweni (ngokuvamile - umunwe wenkomba ngakwesobunxele).
I-Neuralgia ye-trigeminal nerve - ukuxilongwa
I-neurologist yezokwelapha eqeqeshiwe futhi ekwazi ukukwazi ukuhlukanisa izifo ikwazi ukuhlukanisa i-pathology echazwe kanye nezinye izifo ezifanayo. Udokotela uhlola ngokucophelela isiguli futhi eqoqa anamnesis eningiliziwe, anquma ukuthi kwenzeke ubuhlungu nazo zonke izici eziyiphuthumayo. Ngesisekelo sedatha etholakalayo, kutholakala ukuthi "i-neuralgia" iyatholakala. Ukuze acacise izimbangela zokuvuvukala, udokotela angakwazi ukubeka isithombe sokubheka ukukhanya kwekhanda.
Indlela yokuphatha i-neuralgia ye-nerve trigeminal?
Ukuqeda ngokuphelele lesi sifo esibucayi kuyinto engavamile kakhulu. Isizathu salokhu kuyinkinga ekutholeni izici ezivusa ukuvuvukala. Umgomo oyinhloko wokwelashwa yiwona ukukhululeka noma ukukhululeka okuphelele kwezimpawu ze-pathology (ubuhlungu kanye nezinselele). I-Neuralgia ye-trigeminal nerve treatment ihilela ubunzima:
- ukuthatha imithi;
- i-acupuncture;
- imiphumela yombhalo;
- izindlela zemvelo;
- Ukungenelela kokuhlinzwa (ngokungasebenzi kwezinye izindlela).
I-Neuralgia ye-nerve trigeminal: ukwelashwa - izidakamizwa
Isisekelo sendlela yokwelapha yendabuko kuyindlela yokusebenzisa ama-anticonvulsants ngokufana nama-relaxant muscle kanye nama-antispasmodics. Imithi ephumelela kakhulu:
- Finlepsin ;
- I-Carbamazepine;
- I-Lamotrigine;
- Oxcarbazepine;
- Baclofen;
- I-Gabapentin;
- Phenytoin;
- I-Clonazepam;
- amalungiselelo e-valproate ye-sodium;
- I-Tegretol.
Amalungiselelo adalwe anconywa ukwamukela isikhathi eside ngokuncipha kancane kancane kumthamo kuze kube sezingeni lesekela esisekelayo. I-analgesics ejwayelekile yokulwa nokuvuvukala ye-neuralgia ye-trigeminal ayisetshenzisiwe ngenxa yokusebenza kwayo okuphansi. Ukuhlinzeka ngama-anesthetics akukwazi ukuvimbela ngokwanele ukuzwa okungajabulisi nokukhulula izimpande zobuso bomzimba.
Uma indlela yokuqapha ingasebenzi futhi i-neuralgia yezintathu iyaqhubeka, ama-blockades noma ama-injection ngaphakathi kwesisindo se-Gasser (ganglion) asetshenziswa. Ngesikhathi esifanayo, kwenziwa izidakamizwa ze-physiotherapeutic. Uma kungabikho umphumela okulindelekile, lochwepheshe uzokweluleka indlela yokuhlinzwa encane engavamile yokulwa nale nkinga.
Ukwenziwa ngokuvumelana nge-neuralgia ye-trigeminal
Ukukhishwa kwesikhumba kubhekwa njengendlela ethandwayo yokunciphisa ubuhlungu be-syndrome, kodwa odokotela abaqeqeshiwe bathi akungabazeki. Ngokwezifundo eziningi kuphela ngosizo lwezokwelapha ezizimele, i-neuralgia ye-trigeminal iyancipha - ukwelashwa kwamathambo kubhekisela kumasu amaningi okunye ngaphandle kokulungiswa kwesayensi. Ngokusho kwemiphumela yokuhlolwa, ukukhishwa kwesikhumba kuthinta kuphela lezo ziguli ezikholelwa ekusebenzeni kwayo ( umphumela we-placebo ). Ayikho ubufakazi obunokwethenjelwa bokusizwa ubuhlungu ngokufaka izinaliti esikhumbeni.
Ukuzibulala nge-neuralgia ye-trigeminal
Noma iyiphi inqubo yezincwadi ibhalwe udokotela kuphela njengengxenye yokwelashwa okunamandla okuyinkimbinkimbi. Ikakhulukazi kunconywa ukunciphisa umzimba, uma i-neuralgia yezintathu ikhula kakhulu ngesikhathi sokukhulelwa, uma kuyingozi ukuthi ingane isetshenziswe ngendlela ejwayelekile. Ukuxhaphazwa kwenziwa ngumchwepheshe onolwazi onamaviki angu-15-22. Umphumela webhuku uqala kuphela ukushaya, ukuxubha nokudlidliza okukhanya. Amanye amasu wokugaya amafutha ayavunyelwe.
I-Neuralgia ye-trigeminal nerve - ukuhlinzwa
Indlela ephumelela kakhulu futhi ephephile yokwelashwa okuhlinzekwayo ngenqubo yokuvuvukala echazwe yi-radiofrequency destruction (rhizotomy). I-Neuralgia ye-nerve trigeminal ebusweni ihambisana nobuhlungu obunzima ngenxa yokufika kwamandla kagesi ebuchosheni. Uma uyeka ukuthumela izimpawu ezinjalo, zonke izinzwa ezingathandeki ziyophela.
Ngesikhathi sokusebenza okungenasidingo, inaliti encane kakhulu ifakwa ngesikhumba samathunga ngaphansi kwe-anesthesia yendawo nokuhlola kwe-X-ray. Uma sifinyelela emmpandeni wezinzwa ezithintekile, ukushaya kwe-electromagnetic enamandla okuvame ukuphakama kusetshenziselwa iphuzu lwedivayisi. Kuholela ekukhuleni okubalulekile kokushisa endaweni ewonakele kanye nokubhujiswa kwayo okulandelayo.
I-Neuralgia ye-trigeminal nerve isuswe futhi nezinye izindlela zokuhlinzwa:
- Ukusebenza Shokvista;
- ukuchithwa kwe-microvascular;
- I-Operation Spiller-Freger (i-retroasseral transection ye-root nerve);
- umshini wamagatsha ohlangothini;
- ibhaluni ukudonswa kwe-transcutaneous;
- umsebenzi wokuDandy;
- ukuchithwa kwe-vascular;
- ukuhlelwa kwemininingwane;
- I-radiosurgery (gamma umese);
- ukuhlukumeza okuvamile.
Izinhlobonhlobo ezibalweyo zokungenelela kwezokwelapha zihlotshaniswa nezingozi eziphezulu zemiphumela emibi kakhulu kanye nezinkinga zokulandela ngemuva kokusebenza, ngakho-ke zisetshenziselwa ukungaziqhathanisi ngokweqile futhi kuphela lapho kukhona khona izinkomba eziqondile (izicubu, ukulungiswa kwemithwalo yegazi). Kwezinye izimo, umthelela ezimpandeni ezithintekayo kungaholela ekuguqulweni okungenakuguquka kokuzilinganisa nokukhubazeka.
I-Neuralgia ye-trigeminal nerve - ukwelashwa ngamakhambi abantu
Ezinye izindlela zokwelashwa zivunyelwe kuphela ngemvume yesazi zezinzwa njengezinqubo ezengeziwe. Ukwelapha i-neuralgia ye-trigeminal nerve ekhaya kungasiza ekunciphiseni ubuhlungu be-syndrome nokunciphisa ubunzima bezinqubo zokuvuvukala, kodwa ngezinye izikhathi ukusebenzisa izindlela zokupheka kwabantu kwenza kube nzima isimo somuntu.
I-altaic tincture
Izithako :
- amanzi ahlanzekile abandayo (ungathatha abilisiwe) - 210-220 ml;
- izimpande ezichotshoziwe nezomisiwe ze-althea - amathisipuni amane.
Ukulungiselela, sebenzisa:
- Ekuseni, uthele amanzi emithini eluhlaza yezitshalo.
- Kusihlwa, gubungula isixazululo, bayibeke nge-cutze cut.
- Faka isicelo sokucindezela ezindaweni ezibuhlungu.
- Gwema i-gauze ngefilimu ye-cellophane nesendwangu efudumele.
- Emva kwamahora angu-1-2, susa lotion bese ulala.
- Phinda ukuxhaphaza njalo kusihlwa ngesonto.
Ngaphandle kokunciphisa ama-anesthetizing, abahlengikazi bendabuko bayelulekwa ukuba bagcobe izindawo zenkinga ngemikhiqizo elandelayo:
- amafutha anamanzi ;
- ijusi kusuka emgqonyeni omnyama;
- umhluzi we-chamomile (oqinile);
- amafutha e-garlic;
- ibhalisi "i-Asterisk".