Kutupa kwa nkhope kumakhala kofala kwambiri kwa amayi a msinkhu wokalamba, makamaka achikulire kuposa zaka 50. Fomu iyi ya neuralgia imaphatikizidwa ndi zovuta kwambiri komanso zizindikiro zinazake, kotero n'zosavuta kupeza. Ndikofunika kuti nthawi zonse muzipewa kupewa matendawa komanso panthawi yoyenera kuwathandiza kuti athetse vutoli.
Neuralgia ya mitsempha yamtunduwu - zimayambitsa
Chiyambi chenichenicho cha matenda omwe akufotokozedwa sichikudziwikiratu. Pali malingaliro akuti mitsempha ya nkhope imakwiyitsa chifukwa cha kufinya ndi mitsempha ya magazi. Malinga ndi buku lina, trigeminal neuralgia ikutsutsana ndi kuphwanya kwa trigeminal mizu ndi mapopu aakulu m'madera a Varoliev mlatho (mbali ya ubongo). Nthawi zina zimayambitsa zotupa ndizo zina zoipa.
Mankhwala a neuralgia amtundu wa trigeminal nerve
Chotsitsimutsa maonekedwe a nkhope pa nkhaniyi ndi katundu wamaganizo kapena maganizo. Nthendayi yotchedwa neuralgia kawirikawiri imapezeka mwa amayi omwe ali ndi migraines ndipo nthawi zonse amavutika maganizo. Zizindikiro za matenda zimapangidwa mwamphamvu, m'kupita kwa nthawi zikhoza kupezeka nthawi zonse. Atypical neuralgia amakwiya ndi izi:
- njira zamano;
- kusintha;
- zotentha;
- kusintha kwa nyengo;
- kusowa tulo.
Pambuyo pake, neuralgia ya mitsempha ya trigeminal
Mtundu uwu wa matenda umagwirizanitsidwa ndi shingles lomwe latengedwa kale. Kumutcha herpes (zoster) kumakhudza nthambi za mitsempha ya nkhope, zomwe zimapangitsa kuti ziphuphu zikhale zotupa. Ngakhale atatha kuchira, kachilombo kamene kamakhalabe m'thupi nthawi yaitali ndipo nthawi zambiri chimayambitsa matenda. Pambuyo pa nthawi ya neuralgia nthawi zambiri amatha kuchira pambuyo masabata 4-6. Nthawi zambiri, makamaka ngati palibe chithandizo choyenera, matenda amakhala ovuta kapena osinthidwa kukhala mawonekedwe osatha.
Neuralgia wa mitsempha yotchedwa trigeminal nerve - zizindikiro
Chizindikiro chachikulu cha matendawa ndi matenda opweteka. Zimachokera ku zida zomwe zingathe kuyambira 2 mphindi kufika masiku angapo. Neuralgia ya mitsempha yotchedwa trigeminal nerve imamva kupweteka, koopsa kapena "kupweteka" pambali imodzi ya nkhope (nthawi zochepa - kuchokera pawiri). Panthawi yobwerezabwereza, munthu amayesa kuti asasunthe ndi kusiya, kuti asayambe kuwonjezereka kokhumudwa.
Trigeminal neuralgia - zizindikiro:
- minofu ya minofu ya nkhope ( tick );
- kufalikira kwa ululu ku khosi, khutu, nsagwada ndi maso;
- kusintha nkhope;
- Kutsekemera kwa matenda opweteka mdzanja (nthawi zambiri - chala chachindunji kumanzere).
Neuralgia wa mitsempha yotchedwa trigeminal nerve - diagnosis
Katswiri wa zamagulu odziwa bwino matenda a m'mimba amatha kusiyanitsa matenda omwe ali ndi matenda ena ofanana. Dokotala amamuyesa mosamala wodwalayo ndikupeza ndondomeko ya anamnesis, ndipo amatsimikizira kuti zimakhala zopweteka komanso zifukwa zonse zomwe zimayambitsa. Malingana ndi deta yolandira, matendawa "neuralgia" amakhazikitsidwa. Kuti afotokoze zomwe zimayambitsa kutupa, dokotala akhoza kupereka maganizidwe a magnetic resonance a mutu.
Kodi mungagwiritse ntchito bwanji neuralgia ya mitsempha ya trigeminal?
Kuchotseratu kwathunthu matenda omwe ali nawowa ndi osowa kwambiri. Chifukwa cha ichi ndivuta kupeza zinthu zomwe zimapangitsa kutupa. Cholinga chachikulu cha mankhwala ndi mpumulo kapena kumasulidwa kwathunthu kwa zizindikiro za matenda (kupweteka ndi kupuma). Neuralgia ya chithandizo cha mitsempha yotchedwa trigeminal nerve imaphatikizapo zovuta:
- kutenga mankhwala;
- kuchitsulo;
- zovuta;
- njira zachilengedwe;
- Kupewera opaleshoni (popanda njira zina).
Neuralgia wa mitsempha yotchedwa trigeminal nerve: mankhwala - mankhwala
Maziko a njira zachipatala ndizogwiritsidwa ntchito kwa anticonvulsants mofanana ndi minofu yopumula ndi antispasmodics. Mankhwala othandiza kwambiri:
- Finlepsin ;
- Carbamazepine;
- Lamotrigine;
- Oxcarbazepine;
- Baclofen;
- Gabapentin;
- Phenytoin;
- Clonazepam;
- Kukonzekera kwa sodium valproate;
- Tegretol.
Kukonzekera komweku kutchulidwako kulimbikitsidwa kwa phwando lalitali pang'onopang'ono kuchepa kwa mlingo mpaka mlingo wa gawo lothandizira. Mankhwala a antigen-inflammatory for trigeminal neuralgia sagwiritsidwa ntchito chifukwa cha kuchepa kwake. Anesthetics silingathetseretu zokhumudwitsa komanso kumachepetsa minofu ya nkhope.
Ngati njira yosagwirizanitsa ntchitoyo isagwire ntchito ndipo pulogalamu yamakono yotchedwa neuralgia ikupitirirabe, timagwiritsa ntchito timadzi ta tizilombo toyambitsa matenda kapena tizilombo toyambitsa matenda m'magulu a Gasser (ganglion). Pa nthawi imodzimodziyo, thupi limapangidwanso ndi physiotherapeutic. Ngati palibe chiyembekezero choyembekezeredwa, katswiri adzalangiza njira yochepetsera yopaleshoni yochepetsera vutoli.
Kujambula mu trigeminal neuralgia
Kujambula thupi kumatengedwa kuti ndi njira yotchuka yoteteza matenda opweteka, koma madokotala oyenerera amakayikira. Malinga ndi kafukufuku wambiri pokhapokha pothandizidwa ndi mankhwala ochiritsira, trigeminal neuralgia imachepetsedwa - mankhwala opatsirana opaleshoni amatanthauza njira zingapo zopanda njira popanda kulingalira kwa sayansi. Malingana ndi zotsatira za mayeserowa, kudulidwa magazi kumakhudza odwala okhawo amene amakhulupirira mphamvu yake ( zotsatira za placebo ). Palibe umboni wodalirika wa mpumulo wopweteka kudzera mwa kulumikizidwa kwa singano pakhungu.
Kuchulukitsa ndi trigeminal neuralgia
Njira iliyonse yowonjezera yalembedwa ndi dokotala monga gawo la mankhwala ovuta kulandira. Kawirikawiri zimalimbikitsa kutikita minofu, ngati katemera wa neuralgia ukuwonjezereka panthawi ya mimba, pamene ndi kovuta kwa mwanayo kuti agwiritse ntchito njira zoyenera kutsata. Kuponderezedwa kumachitika ndi katswiri wodziwa bwino ndi maphunziro a 15-22 magawo. Bukuli limaphatikizapo stroking, kusakaniza ndi kutulutsa kuwala. Njira zina zamisala zimaletsedwa.
Neuralgia wa opaleshoni yapamtunda - opaleshoni
Njira yabwino kwambiri komanso yodalirika yopaleshoni ya opaleshoni yotchulidwa ndi radiofrequency destruction (rhizotomy). Neuralgia ya mitsempha yapamwamba ya nkhope ikuphatikizidwa ndi ululu waukulu chifukwa cha kufika kwa magetsi mu ubongo. Mukaleka kutumiza zizindikiro zoterezi, zowawa zonse sizidzatha.
Panthawi yochepa yopaleshoni, singano yoonda kwambiri imayikidwa kudzera pakhungu la masaya pansi pa anesthesia komanso kuyendera X-ray. Ukafika pamzu wa mitsempha yokhudzidwa, mphamvu yamagetsi yothamanga kwambiri imagwiritsidwa ntchito kumapeto kwa chipangizochi. Zimayambitsa kuwonjezeka kwa kutentha kwa chiwonongeko chowonongeka ndi chiwonongeko chake.
Neuralgia ya mitsempha ya trigeminal imachotsedwa ndipo njira zina zopaleshoni:
- Ntchito Shokvista;
- chisokonezo chamagulu;
- Opaleshoni Spiller-Freger (retroasseral transection ya mitsempha mizu);
- nthambi zazing'ono;
- kupiritsika kosakanikirana;
- ntchito Dandy;
- kupweteka kwachisokonezo;
- chithunzi;
- ma radiosurgery (gamma mpeni);
- kusokonezeka kwachikhalidwe.
Mndandanda wa zochitika zachipatala zimakhudzidwa ndi kuopsa kwakukulu kwa zotsatira zoyipa ndi zovuta zomwe zimachitika pambuyo pake, choncho zimagwiritsidwa ntchito mobwerezabwereza ndipo zimakhalapo pokhapokha poyerekeza (zotupa, mitsempha ya mitsempha). Nthawi zina, zotsatira pa mizu yomwe zakhudzidwa zingayambitse kusintha kosasinthika kumatsanzira komanso kulemala.
Neuralgia ya mitsempha ya katatu - mankhwala ndi mankhwala ochiritsira
Njira zina zochiritsira zimaloledwa kokha ndi chilolezo cha katswiri wa zamagulu monga njira zina zowonjezera. Kuchiza neuralgia wa mitsempha ya trigeminal kunyumba kungathandize kuchepetsa matenda opweteka komanso kuchepetsa kupweteka kwa thupi, koma nthawi zina kugwiritsa ntchito maphikidwe a anthu kumayambitsa matenda a munthu.
Altaic tincture
Zosakaniza :
- madzi ozizira ozizira (mukhoza kuwiritsa) - 210-220 ml;
- Mizu ya althea yowopsya komanso yowuma - 4puni.
Kukonzekera, gwiritsani ntchito:
- M'mawa, tsanulirani madzi pa zomera zopangira.
- Madzulo, gwiritsani ntchito yankho lanu, liwatseni ndi kudula.
- Ikani compress kumadera opweteka.
- Sungani kapupa ndi filimu ya cellophane ndi nsalu yofunda.
- Pambuyo maola 1-2, chotsani chikondwerero ndikugona.
- Bwerezani kusokoneza usiku uliwonse kwa sabata.
Kuphatikiza pa mankhwala osokoneza bongo, ochiritsa amtundu akulangizidwa kuti azigwiritsa ntchito malo ovuta ndi zinthu zotsatirazi:
- mafuta ;
- madzi kuchokera kumdima wakuda radish;
- msuzi chamomile (amphamvu);
- mafuta a adyo;
- zamchere "Asterisk".