Zizindikiro Zochepa za Multiple Sclerosis: Kodi Trigeminal Neuralgia Ndi Chiyani?

Zamkati

• Kumvetsetsa zizindikilo za trigeminal neuralgia
• Chizindikiro choyambirira cha multiple sclerosis
• Zomwe zimayambitsa komanso kufalikira
• Kuzindikira trigeminal neuralgia
• Mankhwala a trigeminal neuralgia
• Opaleshoni ya trigeminal neuralgia
• Mitundu ina ya zowawa zomwe zimakhudzana ndi MS
• Chiwonetsero

Kumvetsetsa trigeminal neuralgia

Mitsempha ya trigeminal imakhala ndi zikwangwani pakati paubongo ndi nkhope. Trigeminal neuralgia (TN) ndimavuto momwe minyewa imakwiya.

Mitsempha ya trigeminal ndi imodzi mwamagawo 12 amitsempha yama cranial. Ndi udindo wotumiza kumverera kapena kutengeka kuchokera kuubongo kumaso. "Minyewa" yama trigeminal kwenikweni ndimitsempha iwiri: imodzi imafikira mbali yakumanzere kwa nkhope, ndipo imodzi imathamanga mbali yakumanja. Iliyonse ya mitsempha imeneyi imakhala ndi nthambi zitatu, ndichifukwa chake imatchedwa mitsempha ya trigeminal nerve.

Zizindikiro za TN zimachokera pakupweteka kosalekeza mpaka kuwawa kwadzidzidzi mwamphamvu nsagwada kapena nkhope.

Kumvetsetsa zizindikilo za trigeminal neuralgia

Zowawa za TN zimatha kuyambitsidwa ndi chinthu chophweka monga kutsuka nkhope, kutsuka mano, kapena kuyankhula. Anthu ena amamva zizindikiro zochenjeza monga kumva kulasalasa, kupweteka, kapena kupweteka kwa khutu asanafike kupweteka. Kupweteka kumatha kumva ngati kugwedezeka kwamagetsi kapena kutentha. Ikhoza kukhala kulikonse kuyambira masekondi pang'ono mpaka mphindi zingapo. Zikakhala zovuta, zimatha kukhala ola limodzi.

Nthawi zambiri, zizindikiro za TN zimabwera m'mafunde ndipo zimatsatiridwa ndi nthawi yokhululukidwa. Kwa anthu ena, TN imayamba kupita patsogolo ndikukhala ndi nthawi yocheperako pakukhululukidwa pakati pamavuto owawa.

Chizindikiro choyambirira cha multiple sclerosis

Pafupifupi theka la anthu omwe ali ndi multiple sclerosis (MS) amamva kupweteka kosatha, malinga ndi National Multiple Sclerosis Society. TN imatha kukhala yopweteka kwambiri kwa anthu omwe ali ndi MS, ndipo amadziwika kuti ndi chizindikiritso choyambirira cha vutoli.

American Association of Neurological Surgeons (AANS) ikuti MS nthawi zambiri imayambitsa TN mwa achinyamata. TN imapezeka kawirikawiri mwa amayi kuposa amuna, zomwe zimakhalanso ndi MS.

Zomwe zimayambitsa komanso kufalikira

MS imawononga myelin, zokutira zoteteza kuzungulira ma cell amitsempha. TN imatha chifukwa cha kuwonongeka kwa myelin kapena mapangidwe azilonda mozungulira mitsempha ya trigeminal.

Kuphatikiza pa MS, TN imatha chifukwa cha mtsempha wamagazi womwe umakakamiza mitsempha. Nthawi zambiri, TN imayambitsidwa ndi chotupa, mitsempha yolumikizika, kapena kuvulala kwa mitsempha. Kupweteka kwa nkhope kumatha kukhalanso chifukwa cha vuto la temporomandibular joint (TMJ) kapena mutu wamagulu, ndipo nthawi zina kumatsatira kuphulika kwa ma shingles.

Pafupifupi anthu 12 mwa anthu 100,000 aliwonse ku United States amalandila matenda a TN chaka chilichonse, malinga ndi National Institute of Neurological Disorder and Stroke. TN imawonekera kawirikawiri mwa achikulire opitilira 50, koma imatha kuchitika mulimonse.

Kuzindikira trigeminal neuralgia

Ngati muli ndi MS, nthawi zonse muyenera kuuza dokotala wanu ululu watsopano. Zizindikiro zatsopano sizikhala chifukwa cha MS nthawi zonse, chifukwa chake zifukwa zina ziyenera kuchotsedwa.

Tsamba la ululu lingathandize kuzindikira vutoli. Dokotala wanu adzayesa minyewa yambiri ndipo mwina adzaitanitsa kuwunika kwa MRI kuti athandizire kudziwa chomwe chikuyambitsa.

Mankhwala a trigeminal neuralgia

Chithandizo cha TN nthawi zambiri chimayamba ndi mankhwala.

Malinga ndi AANS, mankhwala omwe amadziwika kwambiri ndi carbamazepine (Tegretol, Epitol). Zimathandiza kuchepetsa ululu, koma zimakhala zosagwira ntchito kwambiri. Ngati carbamazepine sichigwira ntchito, gwero la ululu mwina silikhala TN.

Mankhwala ena omwe amagwiritsidwa ntchito kwambiri ndi baclofen. Amachepetsa minofu kuti athandize kuchepetsa ululu. Mankhwala awiriwa nthawi zina amagwiritsidwa ntchito limodzi.

Opaleshoni ya trigeminal neuralgia

Ngati mankhwala sali okwanira kuti athetse ululu wa TN, opaleshoni ingakhale yofunikira. Mitundu ingapo yamachitidwe ilipo.

Mtundu wofala kwambiri, wama microvascular decompression, umakhudza kusunthira mtsempha wamagazi kutali ndi mitsempha ya trigeminal. Pamene sichikankhanso motsutsana ndi mitsempha, kupweteka kumatha. Kuwonongeka konse kwa mitsempha komwe kwachitika kungasinthidwe.

Ma radiosurgery ndi mtundu wovuta kwambiri. Zimaphatikizapo kugwiritsira ntchito ma radiation kuti ayese kutseka mitsempha kuti isatumize zowawa.

Njira zina zimaphatikizapo kugwiritsa ntchito cheza cha gamma kapena jakisoni wa glycerol kuti muchepetse mitsempha. Dokotala wanu amathanso kugwiritsa ntchito catheter kuti ayike buluni mu mitsempha ya trigeminal. Kenako chibaluni chimakhuta, kupondereza mitsempha ndi kuvulaza ulusi womwe umapweteka. Dokotala wanu amathanso kugwiritsa ntchito catheter kuti atumize mphamvu yamagetsi kuti iwononge ulusi wamitsempha womwe ukupweteka.

Mitundu ina ya zowawa zomwe zimakhudzana ndi MS

Zizindikiro zolakwika zimatha kupweteketsa anthu ena omwe ali ndi MS. Ena amakumana ndi ululu woyaka komanso chidwi chokhudza kukhudza, nthawi zambiri m'miyendo. Khosi ndi kupweteka kwa msana zimatha chifukwa chofooka kapena kusayenda. Mankhwala obwerezabwereza a steroid amatha kubweretsa mavuto m'mapewa ndi m'chiuno.

Kuchita masewera olimbitsa thupi nthawi zonse, kuphatikizapo kutambasula, kumachepetsa mitundu ina ya zowawa.

Kumbukirani kunena zowawa zilizonse zatsopano kwa dokotala kuti mavuto omwe akupezeka azidziwike ndikuthandizidwa.

Chiwonetsero

TN ndimavuto opweteka omwe pakadali pano alibe mankhwala. Komabe, zizindikiro zake zimatha kuyang'aniridwa. Kuphatikiza kwa mankhwala ndi njira zopangira opaleshoni zitha kuthandiza kuthetsa ululu.

Magulu othandizira angakuthandizeni kuphunzira zambiri zamankhwala atsopano ndi njira zopilira. Njira zochiritsira zina zingathandizenso kuchepetsa ululu. Njira zothandizira kuyesa ndizo:

• kutsirikidwa
• kutema mphini
• kusinkhasinkha
• yoga