Glossopharyngeal neuralgia

Glossopharyngeal neuralgia ndizosowa pomwe pamakhala zochitika zingapo mobwerezabwereza zopweteka kwambiri lilime, mmero, khutu, ndi matani. Izi zitha kukhala pamasekondi pang'ono mpaka mphindi zochepa.

Glossopharyngeal neuralgia (GPN) imakhulupirira kuti imayamba chifukwa cha mkwiyo wachisanu ndi chinayi wa cranial, wotchedwa glossopharyngeal nerve. Zizindikiro nthawi zambiri zimayamba mwa anthu azaka zopitilira 50.

Nthawi zambiri, gwero la mkwiyo silipezeka. Zomwe zingayambitse mtundu uwu wa ululu wamitsempha (neuralgia) ndi awa:

• Mitsempha yamagazi ikukanikiza pamitsempha ya glossopharyngeal
• Kukula kumunsi kwa chigaza kukanikiza pamitsempha ya glossopharyngeal
• Zotupa kapena matenda am'mero ​​ndi mkamwa akukanikiza mitsempha ya glossopharyngeal

Kupweteka kumachitika nthawi imodzi ndipo kumatha kuwawa. Nthawi zambiri, mbali zonse zimakhudzidwa. Zizindikiro zimaphatikizira kupweteka kwambiri m'malo olumikizidwa ndi mitsempha yachisanu ndi chinayi ya mitsempha:

• Kumbuyo kwa mphuno ndi mmero (nasopharynx)
• Kumbuyo kwa lilime
• Khutu
• Pakhosi
• Dera tonsils
• Bokosi lamawu (kholingo)

Kupweteka kumachitika m'magulu ndipo kumatha kukhala koopsa. Magawowa amatha kuchitika nthawi zambiri tsiku lililonse ndikudzutsa munthu amene akugona. Nthawi zina imatha kuyambitsidwa ndi:

• Kutafuna
• Kutsokomola
• Akuseka
• Kulankhula
• Kumeza
• Kuyasamula
• Kuswetsa
• Zakumwa zoziziritsa kukhosi
• Kukhudza (chinthu chosamveka bwino mpaka matani a mbali yomwe yakhudzidwa)

Kuyesedwa kudzachitika kuti azindikire mavuto, monga zotupa, kumunsi kwa chigaza. Mayeso atha kuphatikiza:

• Kuyezetsa magazi kuti athetse matenda aliwonse kapena chotupa
• Kujambula kwa CT pamutu
• MRI ya mutu
• X-ray ya mutu kapena khosi

Nthawi zina MRI imatha kuwonetsa kutupa (kutupa) kwamitsempha yama glossopharyngeal.

Kuti mudziwe ngati mtsempha wamagazi ukulimbikira mitsempha, zithunzi za mitsempha yaubongo zitha kutengedwa pogwiritsa ntchito:

• Magnetic resonance angiography (MRA)
• CT angiogram
• X-ray ya mitsempha yokhala ndi utoto (angiography wamba)

Cholinga cha chithandizo ndikuchepetsa ululu. Mankhwala othandiza kwambiri ndi mankhwala ochepetsa ululu monga carbamazepine. Ma anti-depressants amatha kuthandiza anthu ena.

Pazovuta kwambiri, pamene kupweteka kumakhala kovuta kuchiza, opaleshoni kuti athetse vuto la glossopharyngeal mitsempha angafunike. Izi zimatchedwa kuti microvascular decompression. Mitsempha imatha kudula (rhizotomy). Opaleshoni yonseyi ndi yothandiza. Ngati chifukwa cha neuralgia chikupezeka, chithandizo chikuyenera kuwongolera vutoli.

Momwe mumakhalira bwino zimatengera zomwe zimayambitsa vuto komanso mphamvu ya mankhwala oyamba. Opaleshoni amaonedwa kuti ndi othandiza kwa anthu omwe samapindula ndi mankhwala.

Zovuta za GPN zitha kuphatikiza:

• Kuchepetsa kugwedezeka komanso kukomoka kumatha kuchitika ndikamamva kupweteka kwambiri
• Kuwonongeka kwa mtsempha wama carotid kapena mtsempha wamkati wamkati chifukwa chovulala, monga bala lobaya
• Zovuta kumeza chakudya ndi kuyankhula
• Zotsatira zoyipa za mankhwala omwe agwiritsidwa ntchito

Onani wothandizira wanu nthawi yomweyo ngati muli ndi zizindikiro za GPN.

Onani katswiri wazopweteka ngati ululuwo ndiwowopsa, onetsetsani kuti mukudziwa zonse zomwe mungachite kuti muchepetse ululu.

Cranial mononeuropathy IX; Matenda a Weisenberg; GPN

• Glossopharyngeal neuralgia

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[Adasankhidwa] Miller JP, Burchiel KJ. Kuchepetsa kwa michere ya trigeminal neuralgia. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: chap 174.

Narouze S, Papa JE. Ululu wam'mimba. Mu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, olemba. Zofunikira pa Mankhwala Opweteka. Wolemba 4. Philadelphia, PA: Elsevier; 2018: chap 23.