Fahmidda Xanuun daran, meesha ay ka timaado, iyo sida loo daweeyo
Mararka qaarkood marka dadku tilmaamaan madax-xanuun, waxay dhab ahaantii ku muujinayaan xanuun muruqeed. Inkastoo ay jiraan noocyo kala duwan oo ah calaamadaha xanuunka ee wajiga, badanaaba waa nuuc-nugleedka.
Inkasta oo wali dhif u ah dhacdo, neuralgia trigeminal wuxuu saameeyaa dareemaha trigeminal , taas oo ah dareemo muujiya wajiga dareenka wajiga waxayna gacan ka geysaneysaa ilaalinta dhaqdhaqaaqa daanka.
Haddii aad qabto neuralgia xiniinyaha, waxaad ogtahay in ka badan qofkii kale, sida aadka u daran, si dagdag ah, iyo koronto-shoog ah sida xanuunkaan uu keeno. Aan yarayno qoto dheereyno "sababta" xaaladda xanuunkaan, iyo sida loo daaweyn karo.
Trigeminal Nerve
Dhibicda trigeminal ayaa ah shanqaris midi ah (oo ah 12). Waxay u dirtaa macluumaadka dareenka wajiga waxayna sidoo kale gacan ka geysataa sidii loo xakamayn lahaa muruqyada cunista.
Dhibicirka trigeminal wuxuu leeyahay saddex qaybood oo waaweyn:
- Ophthalmic (isha ku dhow)
- Maxillary (garabka)
- Mandibular (jawaan-jawi)
Laamaha dhuunta trigeminal ee inta badan ku dhaca nuugista neer-mareenka ayaa ah laanta maxillary ama mandibular. Tani waa sababta ay dadka qaba neuralgia trigeminal caadi ahaan ka cabanayaan xanuunka ilkaha iyo xitaa la mariyo nidaamyada ilkaha oo qatar ah iyo qaali ah ka hor inta aan si sax ah loo ogaan.
Fahmidda Xanuunka Neuralgia Trigeminal
Xanuunka neuralgia ee trigeminal-ku wuxuu ku dhacaa muruqyada. wuxuu soconayaa ilaa hal ilbiriqsi, waxaana lagu qeexay inuu yahay mid fiiqan oo guntan. Dhibaatadani waxay had iyo jeer ku dhacdaa hal dareemo (trigeminal nerve on dhinac kasta oo wejigaaga) laakiin marar dhif ah ayuu saameyn karaa labadaba.
Sababaha Sababta loo yaqaan 'Neuralgia Trigeminal'
Inta badan kiisaska neuralgia ee trigeminal-ka waxaa keena xakameynta xididada xididada trigeminal-ka, badanaaba iyadoo loo marayo hab aan caadi ahayn ee halbowlaha ama xididka wajiga. In badanaa caadi ahaan, cillad kudhaca dareemaha ayaa laga yaabaa inuu ka yimaado cyst ama buro, sida nuucka dhegaha . Caabuqa dareenka, sida kan ku dhaca maskaxda sclerosis, wuxuu sidoo kale keeni karaa neuralgia trigeminal.
Waxyeellada Trigeminal Neuralgia
Waa wax caadi ah hawlaha qaarkood si ay u dhaliyaan xanuunka. Tusaale ahaan waxaa ka mid ah:
- Chewing
- Caday ilkahaaga
- Qosol
- Kala hadal ama qosol
- Tuujinta
- Ka soo qaad wajigaaga hawada qabow
- Taabashada iftiinka wajiga
Ciladeynta Nafaqada Neuralgia
Dhakhtarkaaga daryeelka caafimaadka aasaasiga ah ama dhakhtarka neerfaha ayaa sameyn doona baaritaanka. Badanaa sawirada maskaxda (sida maskaxda MRI ) ayaa loo baahan yahay si loo xakameeyo sababaha labaad sida buro ama calaamadaha Multipleosis .
Daaweynta Qalabka Neuralgia ee Trigeminal
Daaweyntu badanaaba waa daaweyn ka hortag ah oo la yiraahdo carbamazepin. Inkastoo had iyo goor waxtar yeesho, waxay qaadataa waxoogaa saameyn ah oo khatar ah (gaar ahaan qiyaaso badan, oo dadka qaarkiis ay u baahan yihiin waqti ka dib).
Qaar ka mid ah waxyeelooyinka asaasiga ah waxaa ka mid ah:
- Qabsashada
- Dawakhaad
- Lalabbo
- Matagid
Dadka qaarkood waxay yeeshaan tiro unugyada dhiiga cad (unugyada caabuqa) ee ku jira carbamazepin. Marar dhif ah, qof ayaa laga yaabaa inuu ku dhaco dhiig-yaraanta dhiig-yaraanta ah ee saameeya dhuuxa lafta ee unugyada dhiigga la soo saaro.
Sidoo kale, shakhsiyaadka qaarkood, gaar ahaan dadka asal ahaan ka soo jeeda Aasiya oo qaata calaamado hidde ah, ayaa laga yaabaa inay halis dheeraad ah u yeeshaan inay ku dhacaan jirro dhimasho ah oo loo yaqaan ' Stevens-Johnson syndrome' iyo / ama sunta 'epidermal necrolysis' .
Haddii aad ka mid tahay aabaha Aasiyaanka, dhakhtarkaagu wuxuu kuu badin doonaa baaritaanka hiddesiddan ka hor inta aadan qorin karbamazepin.
Dhakhtarkaagu wuxuu tixgelin karaa daawooyinka kale, sida oxkarbazepine kaas oo la mid ah dhismaha carbamazepin wuxuuna yeelan karaa waxyeelo yar. Haddii aad qabtid xitaa inkastoo carbamazepin ama oxarbazepine (ama aanad u dulqaadan karin ama u dulqaadan karin mid ka mid ah daawooyinkan), dhakhtarku wuxuu kuu qori karaa baclofen-ka nasashada.
Haddii aad sii wado inaad ku dhacdo cudurka neuralgia ee trigeminal-ka ah inkastoo daaweyn caafimaad oo wanaagsan, ama haddii aadan u dulqaadan karin saameynta daawooyinka, daaweeyahaaga neuterku wuxuu kuu gudbin karaa qalliin.
Warka fiicani waa in ay jiraan tiro qalliin oo qalliin ah oo la heli karo. Taas waxaa la yiraahdaa, weli waa qalliin oo ay khatar ku jiraan, sidaas darteed waxay u baahan tahay wadahadal taxaddar leh oo ku saabsan dhakhtarkaaga neerfaha iyo qaliinka.
Ereyga
Haddii lagugu ogaado cudurka neuralgia ee trigeminal-ka, rajo-geliso oo hubi inaad si dhow ula socoto dhakhtarkaaga neerfaha. Inkastoo laga yaabo in aan la daaweyn Karin, si wax ku ool ah ayaad u maamuli kartaa oo aad horay ugu socon kartaa noloshaada.
Ilaha:
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Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, iyo al. Calaamadaha Tababaridda: Qiimeynta Cilmi-baarista iyo daaweynta neuralgia-trigeminal-ka (dib-u-eegista caddaynta): Warbixinta Heerarka Qiimayaasha Tayada ee Agaasinka Aqoonta Mareykanka iyo Isutagga Dhaqaalaha Yurub. Nuurolojiyada . 2008; 71: 1183-1190.
Madax xanuunka Guddi-hoosaadka Guddi-hoosaadka Ururka Caalamiga ah ee Headache. "Qeybinta Caalamiga ah ee Cudurka Madaxa-Baxsan: Koobka 3aad (version beta)". Cephalalgia 2013; 24 (9): 629-808.
Zakrzewska JM, Linksey ME. Truveminal neuralgia. BMJ. 2014 Feb 17; 348: g474.