ʻO neuralgia Glossopharyngeal

ʻO ka neuralgia Glossopharyngeal kahi ʻano maʻamau kahi e hana pinepine ʻia ai nā ʻeha o ka ʻeha nui i ka alelo, ka puʻu, ka pepeiao, a me nā tonsil. Hiki ke hala kēia mai kekona kekona a i kekahi mau minuke.

Manaʻo ʻia ʻo Glossopharyngeal neuralgia (GPN) e ka huhū o ke aʻa cranial ʻeiwa, i kapa ʻia ʻo ke aʻalolo glossopharyngeal. Hoʻomaka ka hoʻomaka o nā ʻōuli ma ka poʻe ma luna o 50 mau makahiki.

I ka hapanui o nā hihia, ʻaʻole i loaʻa ke kumu o ka huhū. ʻO nā kumu kūpono no kēia ʻano ʻeha nerve (neuralgia) ʻo:

• ʻO nā kīʻaha koko e kaomi ana i ke aʻalolo glossopharyngeal
• Nā ulu ma ke kumu o ka iwi poʻo e kaomi ana i ke aʻalolo glossopharyngeal
• Nā Tumors a i ʻole nā ​​maʻi o ka ʻāʻī a me ka waha e kaomi ana i ke aʻalolo glossopharyngeal

Kū pinepine ka ʻeha ma kekahi ʻaoʻao a ke ʻeha pū paha. I nā hihia kakaikahi, pili nā ʻaoʻao ʻelua. Pākuʻi ʻia nā ʻōuli me nā ʻehaʻeha loa i nā wahi e pili ana i ka ʻiwa o ke aʻa cranial:

• Hope o ka ihu a me ka puʻu (nasopharynx)
• Hope o ke alelo
• Pepeiao
• ʻĀhaʻi
• ʻĀpana Tonsil
• Pahu leo ​​(larynx)

Kū ka ʻeha i nā ʻāpana a koʻikoʻi paha. Hiki i nā hanana ke hana i nā manawa he nui i kēlā me kēia lā a hoʻāla i ke kanaka mai ka hiamoe. Hiki ke hoʻomaka ʻia i kekahi manawa e:

• E naue ana
• ʻ Clelo huna
• ʻAkaʻaka
• ʻLelo
• E ale ana
• E uwo ana
• Kaheʻe
• Mea inu anu
• Hoʻopā (kahi mea kolohe i ka tonsil o ka ʻaoʻao i hoʻopilikia ʻia)

E hana ʻia nā hoʻāʻo e ʻike i nā pilikia, e like me nā tumors, ma ke kumu o ka iwi poʻo. E komo pū paha nā hoʻāʻo:

• Nā hoʻokolohua koko e hōʻole i nā maʻi a i ʻole ka tumo
• CT scan o ke poʻo
• MRI o ke poʻo
• ʻO nā kukuna X o ke poʻo a me ka ʻāʻī

I kekahi manawa hōʻike paha ka MRI i ka ʻōhū (mumū) o ke aʻalolo glossopharyngeal.

I ʻike ai inā kaomi kahi kīʻaha koko ma ke aʻalolo, kiʻi ʻia nā kiʻi o nā aʻa o ka lolo ma ka hoʻohana ʻana:

• Mākēneki resonance angiography (MRA)
• CT angiogram
• Nā kukuna X o nā aʻa me kahi kala (angiography maʻamau)

ʻO ka pahuhopu o ka mālama ʻana ka mālama ʻana i ka ʻeha. ʻO nā lāʻau lapaʻau maikaʻi loa nā lāʻau antiseizure e like me carbamazepine. Hiki i nā Antidepressants ke kōkua i kekahi poʻe.

I nā hihia koʻikoʻi, ke paʻakikī ka ʻeha e mālama, pono ke kīpē e kaomi i ke aʻalolo glossopharyngeal. Kapa ʻia kēia decompression microvascular. Hiki keʻoki ʻia ke aʻalolo (rhizotomy). Kūpono nā kaha ʻelua. Inā loaʻa kahi kumu o ka neuralgia, pono ka mālama ʻana i ka pilikia ma lalo.

Ma muli o ke kumu o ka pilikia a me ka hopena o ka mālama mua. Manaʻo ʻia ke kaha ʻana no ka poʻe i loaʻa ʻole ka pōmaikaʻi mai nā lāʻau.

Komo pū nā pilikia o GPN:

• Hiki i ka pulse lohi a me ka nāwaliwali ke koʻikoʻi ka ʻeha
• Ka hōʻino ʻana i ke aʻa a me nā aʻa jugular kūloko ma muli o nā ʻeha, e like me ka ʻeha kuʻi
• Ka paʻakikī i ka ale ʻana i ka meaʻai a me ka ʻōlelo ʻana
• Nā hopena o nā lāʻau i hoʻohana ʻia

E ʻike koke i kāu kauka mālama inā loaʻa nā ʻōuli o GPN.

E ʻike i ka loea ʻeha inā koʻikoʻi ka ʻeha, e ʻike pono ua ʻike ʻoe i kāu mau koho āpau no ka kaohi ʻana i ka ʻeha.

Cranial mononeuropathy IX; Weisenberg maʻi maʻi; GPN

• ʻO neuralgia Glossopharyngeal

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Miller JP, Burchiel KJ. Hoʻopiʻi Microvascular no neuralgia trigeminal. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 174.

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