Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 17 Iune 2021
HōʻAno Hou I Ka Lā: 25 Okakopa 2024
Anonim
Trigeminal Neuralgia (“Severe Facial Pain”): Causes, Pathophysiology, Symptoms, Diagnosis, Treatment
Wikiō: Trigeminal Neuralgia (“Severe Facial Pain”): Causes, Pathophysiology, Symptoms, Diagnosis, Treatment

ʻO Neuralgia kahi ʻeha, ʻeha weliweli e ukali i ke ala o ke aʻalolo a ma muli o ka huhū a i ʻole ke ʻino o ke aʻalolo.

ʻO nā neuralgias maʻamau e:

  • ʻO ka neuralgia Postherpetic (ʻeha e hoʻomau mau ana ma hope o ka hopena o nā shingles)
  • ʻO ke neuralgia Trigeminal (ke kuʻi a i ʻole ka uila-e like me ka ʻeha ma nā ʻāpana o ka maka)
  • ʻO ka neuropathy ʻona
  • Neuropathy ākea

ʻO nā kumu o neuralgia pū kekahi:

  • Hoʻonāukiuki kemikala
  • Maʻi maʻi ʻōniʻoniʻo
  • Diabetes
  • Nā maʻi, e like me herpes zoster (shingles), HIV / AIDS, maʻi Lyme, a me syphilis
  • ʻO nā lāʻau e like me cisplatin, paclitaxel, a i ʻole vincristine
  • ʻO Porphyria (maʻi koko)
  • Kaomi ma nā aʻalolo e nā iwi kokoke, nā ligament, nā kīʻaha koko, a me nā tumors
  • Trauma (me ke ʻoki kino)

I nā manawa he nui, ʻike ʻole ʻia ke kumu.

ʻO ka neuralgia postherpetic a me ka neuralgia trigeminal nā ʻano like ʻole ʻelua o ka neuralgia. Hoʻopili ka neuralgia pili a liʻiliʻi i ka nerve glossopharyngeal, e hāʻawi ana i ka naʻau i ka puʻu.


ʻOi aku ka maʻamau o ka neuralgia i ka poʻe kahiko, akā hiki paha i kēlā me kēia makahiki.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

  • Hoʻonui i ka ʻike o ka ʻili ma ke ala o ke aʻalolo poino, i mea e ʻeha ai ka paʻi a i ʻole ke kaomi
  • ʻO kaʻeha ma ke ala o ke aʻalolo e ʻoi a pahi paha, ma ka wahi like i kēlā me kēia ʻāpana, hele mai a hele (intermittent) a i ʻole mau a wela paha, a e ʻino paha ke neʻe ka wahi
  • Ka nāwaliwali a i ʻole ke kīnā o nā mākala i hoʻolako ʻia e ke aʻalolo like

E hana ka mea mālama ola i kahi hoʻokolohua kino, a nīnau e pili ana i nā ʻōuli.

Hōʻike paha ka hōʻike:

  • ʻIke maʻamau i ka ʻili
  • Nā pilikia reflex
  • Lilo o ka nui o nā mākala
  • Ka nele o ka sweating (sweating kaohi ʻia e nā aʻalolo)
  • Ka palupalu ma ke aʻalolo
  • Nā mea hoʻonāukiuki (nā wahi a kahi pā iki e hoʻonāukiuki ai i ka ʻeha)

Pono paha ʻoe e ʻike i ke kauka niho inā ʻeha ka ʻeha i kou alo a i ʻole ka ʻāʻī. Hiki i kahi hoʻokolohua niho ke hōʻole i nā maʻi niho e hiki ai ke hōʻeha i ka maka (e like me ka abscess o ka niho).


ʻO nā ʻōuli ʻē aʻe (e like me ka ʻulaʻula a i ʻole ka pehu ʻana) hiki ke kōkua i ke kāpae ʻana i nā kūlana e like me nā maʻi, nā haʻi iwi, a i ʻole ka rheumatoid arthritis.

ʻAʻohe hoʻokolohua kikoʻī no neuralgia. Akā, e hana ʻia paha nā hoʻokolohua e loaʻa ai ke kumu o ka ʻeha.

  • Nā hōʻoia koko e nānā i ke kō kō, ka hana o nā puʻupaʻa, a me nā kumu kūpono ʻē aʻe o neuralgia
  • Mākēneki resonance kiʻi (MRI)
  • Ke aʻo conduction nerve me ka electromyography
  • Kukuna ultrasound
  • Spinal tap (lumbar puncture)

Pili ka mālama ʻana i ke kumu, ka wahi, a me ke koʻikoʻi o ka ʻeha.

ʻO nā lāʻau e kaohi ai i ka ʻeha e komo pū paha:

  • Nā Antidepressants
  • Nā lāʻau Antiseizure
  • Over-the-counter a i ʻole nā ​​lāʻau lapaʻau ʻeha
  • ʻO nā lāʻau ʻeha ma ke ʻano o nā ʻili o ka ʻili a i ʻole nā ​​kalima

Hiki i nā mālama ʻē aʻe ke:

  • Pana me nā lāʻau hōʻoluʻolu (anesthetic) lāʻau
  • Nā poloka nerve
  • Hoʻoikaika kino (no kekahi ʻano neuralgia, keu hoʻi neuralgia postherpetic)
  • Nā hana e hōʻemi ai i ka manaʻo i ke aʻalolo (e like me ka hoʻopau ʻana o ke aʻalolo me ka hoʻohana ʻana i ka radiofrequency, ka wela, ka pā ʻana o ka balloon, a i ʻole ka ʻume ʻana o nā kemika)
  • ʻO ke ʻoki kino e lawe i ke kaomi ma ke aʻalolo
  • ʻO ka hoʻōla hou, e like me acupuncture a i ʻole biofeedback

ʻAʻole hiki i nā kaʻina hana ke hoʻomaikaʻi i nā hōʻailona a hiki ke lilo i ka nalowale o ka manaʻo a i ʻole nā ​​ʻano ʻē aʻe.


Ke holo ʻole nā ​​lapaʻau ʻē aʻe, hiki i nā kauka ke hoʻāʻo i ke aʻalolo a i ʻole ka spinal stimulate. I nā hihia kakaʻikahi, hoʻāʻo ʻia kahi hana i kapa ʻia ka hōʻeuʻeu kino (MCS). Hoʻokomo ʻia kahi electrode ma luna o kahi ʻāʻī o ke aʻa, iwi kuamoʻo, a i ʻole ka lolo a hoʻopili ʻia i ka mea hana lāʻau iki ma lalo o ka ʻili. Hoʻololi kēia pehea e hōʻailona ai kou aʻa a hōʻemi paha i ka ʻeha.

ʻO ka hapa nui o nā neuralgias ʻaʻole hoʻoweliweli i ke ola a ʻaʻole hōʻailona o nā maʻi hoʻoweliweli ʻē aʻe. No ka ʻehaʻeha maikaʻi ʻole e hoʻomaikaʻi, e ʻike i kahi loea ʻeha e hiki ai iā ʻoe ke ʻimi i nā koho a pau.

ʻO ka hapa nui o nā neuralgias e pane i ka lāʻau. Hele a hōʻeha nā hoʻouka ʻeha. Akā, e hele pinepine paha ka hoʻouka kaua ʻana i kekahi poʻe ke hele a makua.

I kekahi manawa, hoʻomaikaʻi paha ke ʻano iā ia iho a nalo paha me ka manawa, ʻoiai ʻaʻole i loaʻa ke kumu.

Komo pū nā pilikia:

  • Nā pilikia mai ke ʻoki kino
  • Kīnā kīnā ʻia e ka ʻeha
  • Nā hopena o nā lāʻau i hoʻohana ʻia e kaohi i ka ʻeha
  • ʻAʻole pono nā kaʻina hana niho ma mua o ka ʻike ʻia o neuralgia

Kāhea i kāu mea hāʻawi inā:

  • Hoʻolālā ʻoe i nā shingles
  • Loaʻa iā ʻoe nā ʻōuli o neuralgia, keu hoʻi inā ʻaʻole e hōʻoluʻolu nā lāʻau ʻeha over-the-counter i kou ʻeha
  • He ʻehaʻeha kou (ʻike i kahi loea ʻeha)

Hiki i ka kaohi koʻikoʻi o ke kō ke kō ke pale aku i ka hōʻino o nā aʻa i ka poʻe me ka maʻi kō. I ke kumu o nā shingles, hiki i nā lāʻau antiviral a me ka lāʻau lapaʻau herpes zoster virus e pale aku i ka neuralgia.

ʻEha nerve; ʻO neuropathy ʻeha; ʻEha Neuropathic

  • ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Katirji B. Nā maʻi o nā aʻa ākea. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 107.

Scadding JW, Koltzenburg M. Nā maʻi neuropathy ākea. I: McMahon SB, Koltzenburg M, Tracey I, Turk DC, eds. Palapala Aʻo Wall a me Melzack o Pain. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2013: chap 65.

Smith G, Shy ME. Nā neuropathy ākea. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 392.

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