Nā Hōʻailona Laha ʻole o ka Multiple Sclerosis: He aha ka Trigeminal Neuralgia?

Anter

• Ka hoʻomaopopo ʻana i nā ʻōuli o neuralgia trigeminal
• ʻO kahi hōʻailona mua o nā sclerosis he nui
• Nā kumu a me ka laha
• ʻIke i ka neuralgia trigeminal
• Nā lāʻau no ka neuralgia trigeminal
• Nā ʻoki lāʻau no neuralgia trigeminal
• Nā ʻano ʻeha ʻē aʻe e pili ana iā MS
• Outlook

Ka hoʻomaopopo ʻana i ka neuralgia trigeminal

Hāpai ka nerve trigeminal i nā hōʻailona ma waena o ka lolo a me ka maka. ʻO ke neuralgia Trigeminal (TN) kahi ʻano ʻeha a hoʻonāukiuki ʻia kēia nerve.

ʻO ke aʻalolo trigeminal kekahi o nā 12 o nā aʻalolo cranial. ʻO ia ke kuleana no ka hoʻouna ʻana i ka manaʻo a i ʻole ka manaʻo mai ka lolo i ka maka. ʻO ka trigeminal "nerve" he mau ʻāʻī ʻelua maoli: hele kekahi i ka ʻaoʻao hema o ka maka, a holo kekahi ma ka ʻaoʻao ʻākau. ʻEkolu mau lālā o kēlā me kēia ʻāʻī, ʻo ia ke kumu i kapa ʻia ai ke aʻalolo trigeminal.

ʻO nā ʻōuli o ka TN mai ka ʻeha mau a i ka ʻehaʻeha ʻana o ka ʻeha i ka iwi ā a i ʻole ke alo.

Ka hoʻomaopopo ʻana i nā ʻōuli o neuralgia trigeminal

Hiki ke hoʻoulu ʻia ka ʻeha mai TN e kekahi mea maʻalahi e like me ka holoi ʻana i kou maka, ka palaki ʻana i kou mau niho, a me ke kamaʻilio ʻana. Manaʻo kekahi poʻe i nā hōʻailona hōʻailona e like me ke kani ʻana, achiness, a me ka ʻeha pepeiao ma mua o ka hoʻomaka ʻana o ka ʻeha. ʻIke paha ka ʻeha e like me ka haʻalulu uila a i ʻole ka ʻā ʻana o ke ahi. Hiki ke hala ma kahi o kekona a i mau mau minuke. I nā hihia koʻikoʻi, lōʻihi paha ka lōʻihi o hoʻokahi hola.

ʻO ka maʻamau, hele mai nā ʻōuli o TN i nā nalu a ukali ʻia e nā wā o ke kala. No kekahi poʻe, lilo ʻo TN i kūlana holomua me nā wā pōkole o ke kala ʻia ma waena o nā hoʻouka ʻeha.

ʻO kahi hōʻailona mua o nā sclerosis he nui

Ma kahi o ka hapalua o ka poʻe me nā sclerosis (MS) ʻike i ka ʻeha mau, e like me ka National Multiple Sclerosis Society. Hiki i ka TN ke lilo i ʻehaʻeha loa no ka poʻe me MS, a ʻike ʻia he hōʻailona mua ia o ke ʻano.

ʻO ka American Association of Neurological Surgeons (AANS) i ʻōlelo ʻo MS ke kumu maʻamau o ka TN i ka poʻe ʻōpio makua. Kū pinepine ʻo TN i nā wahine ma mua o nā kāne, ʻo ia ka hihia me MS.

Nā kumu a me ka laha

Hoʻokumu ʻo MS i ka hōʻino ʻia o ka myelin, ka uhi pale a puni nā hunaola nerve. Hoʻokumu ʻia paha ka TN e ka myelin deterioration a i ʻole ke hoʻokumu ʻia ʻana o nā leona a puni ka nerve trigeminal.

Ma waho aʻe o MS, hiki i ka TN ke kumu ʻia e kahi kīʻaha koko e kaomi ana i ke aʻalolo. ʻO ka pinepine, hoʻokumu ʻia ʻo TN e kahi tumo, nā aʻa o ke aniani, a me ka ʻeha o ke aʻalolo. Hiki i ka ʻeha o ke alo ma muli o ka maʻi temporomandibular ami (TMJ) a i ʻole nā ​​huhū poʻo poʻohiwi, a i kekahi manawa e ukali ana i kahi ʻōpala o nā shingles.

Ma kahi o 12 mau kānaka mai kēlā me kēia 100,000 i ʻAmelika Hui Pū ʻIa e loaʻa i kahi hōʻailona TN i kēlā me kēia makahiki, e like me ka National Institute of Neurological Disorder and Stroke. Hōʻike pinepine ʻia ʻo TN i nā mākua ma mua o 50, akā hiki ke hana i kēlā me kēia makahiki.

ʻIke i ka neuralgia trigeminal

Inā he MS kāu, pono ʻoe e hōʻike mau i ka ʻeha hou i kāu kauka. ʻAʻole ma muli o MS nā hōʻailona hou, no laila pono e hoʻopau ʻia nā kumu ʻē aʻe.

Hiki i ke kahua o ka ʻeha ke kōkua i ke kuhi ʻana i ka pilikia. E hana kāu kauka i kahi hoʻokolohua neurological ākea a kauoha paha i kahi kānana MRI e kōkua e kuhikuhi i ke kumu.

Nā lāʻau no ka neuralgia trigeminal

Hoʻomaka ka hoʻomaʻamaʻa no TN me nā lāʻau.

Wahi a ka AANS, ʻo ka lāʻau maʻamau i kuhikuhi ʻia no kēia ʻano he karbamazepine (Tegretol, Epitol). Kōkua ia i ke kaohi i ka ʻeha, akā lilo ia i mea liʻiliʻi i ka hoʻohana ʻia ʻana. Inā ʻaʻole holo pono ka carbamazepine, ʻaʻole paha ke kumu o ka ʻeha TN.

ʻO kekahi lāʻau i hoʻohana pinepine ʻia ʻo baclofen. Hoʻomaha ia i nāʻiʻo e kōkua i ka ʻeha. Hoʻohana pū ʻia nā lāʻau ʻelua i kekahi manawa.

Nā ʻoki lāʻau no neuralgia trigeminal

Inā ʻaʻole lawa nā lāʻau e kaohi ai i ka ʻeha o ka TN, pono paha ke ʻoki. Loaʻa nā ʻano o nā hana.

ʻO ke ʻano maʻamau, decompression microvascular, pili i ka neʻe ʻana o kahi kīʻaha koko mai ke aʻalolo trigeminal. Ke hoʻoku hou ʻole nei i ke aʻalolo, e emi paha ka ʻeha. Hiki ke hoʻohuli i nā ʻino nerve i kū mai.

ʻO Radiosurgery ke ʻano invasive liʻiliʻi loa. Pili ia i ka hoʻohana ʻana o nā kaola o ka pāhawewe e hoʻāʻo e ālai i ke aʻalolo mai ka hoʻouna ʻana i nā hōʻailona ʻeha.

ʻO nā koho ʻē aʻe e pili ana i ka hoʻohana ʻana i ka radiation gamma pahi a i ʻole ka hoʻokomo ʻana i ka glycerol e hoʻopau i ke aʻalolo. Hiki i kāu kauka ke hoʻohana i kahi catheter e waiho i kahi pāluna i ke aʻalolo trigeminal. Hoʻonui ʻia ka pāluna, kaomi ʻana i ke aʻalolo a ʻeha hoʻi i nā olonā e ʻeha ai ka ʻeha. Hiki i kāu kauka ke hoʻohana i kahi catheter e hoʻouna i kahi uila i mea e hōʻino ai i nā olonā nerve e hōʻeha ana i ka ʻeha.

Nā ʻano ʻeha ʻē aʻe e pili ana iā MS

Hiki i nā hōʻailona sensory hewa ke kumu i nā ʻano ʻeha ʻē aʻe i ka poʻe me MS. ʻIke kekahi i ka ʻeha ʻana i ka ʻeha a me ka noʻonoʻo e hoʻopā, i ka mau o nā wāwae. Hiki ke hopena i ka ʻāʻī a me ke kua mai ka luhi a i ʻole ka neʻe ʻole. Hiki i ka hopena steroid therapy ke hopena i nā pilikia o ka poʻohiwi a me ka pūhaka.

ʻO ka hoʻoikaika mau, e like me ke kau ʻana, hiki ke maʻalahi i kekahi ʻano ʻeha.

E hoʻomanaʻo e hōʻike i kahi ʻeha hou i kāu kauka i hiki ke ʻike a mālama ʻia nā pilikia ma lalo.

Outlook

He maʻi ʻeha ka TN i kēia manawa ʻaʻohe ona ola. Eia naʻe, hiki ke mālama pinepine ʻia kāna mau ʻōuli. Hiki i kahi hui ʻana o nā lāʻau a me nā koho ʻoki ke kōkua i ka ʻeha.

Hiki i nā hui kākoʻo ke kōkua iā ʻoe e aʻo hou e pili ana i nā lāʻau hou a me nā ala e kū ai. Hiki i nā hoʻoponopono ʻē aʻe ke kōkua i ka ʻeha. E hoʻāʻo e nā Therapies:

• hypnosis
• ʻākehu
• noʻonoʻo
• yoga