Glossopharyngeal paj hlwb yog ib feem ntawm IX khub ntawm tag nrho cov hlab ntsha ntawm pob txha taub hau. Muaj ntau ntau hom fibers. Nyob rau hauv tsab xov xwm, peb yuav xav txog nws cov dej num, qauv, nrog rau cov kab mob uas tshwm sim. Koj yuav tsum nkag siab tias nws yog dab tsi thiab yuav ua li cas nrog neuralgia.
Anatomy
Cov paj hlwb piav qhia tawm ntawm lub hlwb ze ntawm qhov thib kaum thiab kaum ib. Yog li ntawd, lawv sib sau ua ke rau hauv ib qho tag nrho thiab tawm ntawm pob txha taub hau ua ke. Qhov no yog qhov uas cov paj hlwb tympanic tawm. Ntawm no, cov hlab ntsha glossopharyngeal faib ua ib qho ntawm sab sauv thiab qis. Lawv muaj tshwj xeeb neural impulses uas ib tug neeg xav tau kev rhiab heev. Tom qab ntawd, cov hlab ntsha mus ncig ntawm cov hlab ntsha carotid thiab mus rau carotid sinus. Tsis tas li ntawd, nws txav mus rau lub pharynx, qhov twg ib tug ceg tshwm sim. Yog li ntawd, ob peb ceg ntoo tshwm. Muab faib los ntawm pharyngeal, almond, lingual.
Functions
Glossopharyngeal paj hlwb muaj ob: sab xis thiab sab laug. Txhua ntawm lawv muaj cov fibers tshwj xeeb uas muaj lub luag haujlwm rau qee yam haujlwm. Lub cev muaj zog yog qhov tsim nyog kom tus neeg tuaj yeem tsa nws caj pas. Sensitive hais txog cov mucous daim nyias nyias ntawm cov tonsils, lawv dhaulos ntawm lub larynx, qhov ncauj kab noj hniav, thiab tseem cuam tshuam rau pob ntseg. Ua tsaug rau lawv, qhov kev xav ntawm cov cheeb tsam no tau muab. Saj fibers yog lub luag haujlwm ncaj qha rau kev xav saj. Vim lub paj hlwb glossopharyngeal, palatine reflexes tsim. Vim lub parasympathetic fibers nyob rau hauv tib neeg, lub caj pas lub luag hauj lwm rau salivation ua hauj lwm kom zoo.
Ua rau neuralgia
Cov kab mob no tau muab faib ua ob hom: thawj thiab theem nrab. Kuj tseem muaj idiopathic. Nws qhov laj thawj yog qhov nyuaj nrhiav, thiab qee zaum ua tsis tau. Feem ntau, neuralgia ntawm cov hlab ntsha glossopharyngeal tshwm sim vim qhov tseeb tias tus neeg muaj kab mob ntawm cov kab mob endocrine. Pathology kuj tuaj yeem cuam tshuam nrog cov kab mob malignant nyob rau hauv lub caj pas, khaus ntawm qee cov hlab ntsha los ntawm cov khoom txawv teb chaws, tshwj xeeb tshaj yog tias nws nyob hauv medulla oblongata. TBI tuaj yeem yog qhov ua rau muaj kev cuam tshuam. Lwm yam ua rau neuralgia yuav tsum tau sau tseg cov kab mob kab mob, atherosclerosis thiab kab mob kis.
Symptomatics
Cov kab mob no tau tshwm sim los ntawm qhov mob hnyav, uas tuaj yeem ua rau thaj chaw ntawm tus nplaig lossis ntawm cov tonsils. Tsis tas li ntawd, sai li sai tau thaum tus kab mob pib zuj zus, qhov tsis xis nyob yuav kis mus rau pob ntseg thiab caj pas. Lawv tuaj yeem muab rau hauv lub qhov muag, rau hauv caj dab lossis txawm rau lub puab tsaig. Mob ib sab. Qhov kev tawm tsam zoo li no tuaj yeem nyob tsis pub dhau 5 feeb. Raws li txoj cai, nws yog provoked los ntawm ntau yam txav ntawm tus nplaig, piv txwv li, kev sib tham lossis noj mov.
Ntau mob thaum raug mobCov hlab ntsha glossopharyngeal tuaj yeem tshwm sim vim khaus ntawm cov tonsils. Cov neeg mob yuav tsum tau pw ntawm ib sab, zoo li thaum qaub ncaug ntws, muaj lub siab xav nqos. Raws li, qhov mob yog provoked. Kev nqhis dej, qhov ncauj qhuav, thiab nce salivation kuj tshwm sim. Txawm li cas los xij, qhov kawg, raws li txoj cai, yog kho rau sab noj qab haus huv, thiab tsis yog ntawm ib qho uas cuam tshuam los ntawm neuralgia. Cov qaub ncaug secreted thaum lub sij hawm tus kab mob no nce viscosity.
Qee tus neeg mob kuj yuav muaj cov tsos mob xws li kiv taub hau, ntshav siab, qaug zog, thiab tsaus muag ntawm qhov muag. Neuralgia muaj lub sijhawm ntawm kev zam txim thiab exacerbation. Qee zaum lub sijhawm so tuaj yeem yog ib xyoos lossis ntau dua. Txawm li cas los xij, tom qab qee lub sijhawm, kev tawm tsam nce ntxiv hauv lub sijhawm, lawv ua ntau zaus thiab khaus ntau dua. Qhov mob loj tuaj. Tus neeg mob tuaj yeem yws thiab qw los ntawm qhov tsis xis nyob, nrog rau rub lub caj dab hauv qab lub puab tsaig. Txhua tus neeg mob uas muaj neuralgia ntev heev tuaj yeem yws txog qhov mob tas li. Nyob rau tib lub sijhawm, nws yuav ua kom muaj zog thaum muaj ntau yam kev ua haujlwm nrog tus nplaig, uas yog, thaum zom thiab lwm yam.
Diagnosis
Qhov kev kuaj mob thawj zaug ntawm cov teeb meem nrog cov hlab ntsha glossopharyngeal yog txuam nrog kev sau ntawm anamnesis. Hauv qhov no, yuav luag txhua yam tseem ceeb, uas yog, hom mob, qhov twg nws nyob hauv cheeb tsam, nws kav ntev npaum li cas, qhov kev tawm tsam kawg li cas, lwm yam tsos mob ntxiv thab tus neeg mob. Tej zaum yuav muaj comorbidities txuam nrog endocrine system, nrog rau qee yamkis kab mob thiab kab mob neurological.
Tom ntej no, kev tshawb fawb sab nraud tau ua tiav, lub sijhawm uas feem ntau yuav tsis pom qhov hloov pauv tseem ceeb. Qee zaum qhov mob tshwm sim ntawm palpation hauv cheeb tsam ntawm lub puab tsaig sab. Hauv cov neeg mob, qhov pharyngeal reflex tuaj yeem txo qis, thiab qhov teeb meem ntawm kev txav mus los ntawm lub palate kuj raug kho. Ntxiv mus, tag nrho cov kev hloov pauv no tshwm sim ntawm ib sab xwb.
Txhawm rau nkag siab qhov ua rau ntawm glossopharyngeal neuralgia theem nrab, cov tsos mob zoo ib yam li cov lus piav qhia saum toj no, nws yuav tsum tau xa tus neeg mob mus kuaj ntxiv. Nws yog ib lo lus nug ntawm kev sab laj ntawm qee tus kws tshaj lij, suav nrog ntawm oculist. Muab tomography, echoencephalography, thiab lwm yam txheej txheem zoo sib xws.
Tshuaj kho kab mob
Ntau zaus, tam sim ntawd thaum kuaj, kws kho mob sau tshuaj tshwj xeeb. Lawv yuav txo qhov mob. Cov no tuaj yeem yog cov tshuaj uas yog tshuaj loog hauv zos. Lawv ua rau lub hauv paus ntawm tus nplaig, khov lub paj hlwb glossopharyngeal. Ib qho piv txwv yuav yog Lidocaine.
Cov tshuaj uas tau sau tseg yog tias thawj hom tshuaj tsis muaj qhov xav tau pab tau zoo.
Cov tshuaj uas tsis yog tshuaj steroidal tshuaj tiv thaiv kab mob yog muab los ua qhov chaw kawg. Feem ntau, lawv tuaj yeem ua rau hauv cov ntsiav tshuaj lossis txhaj tshuaj.
Tseem, cov neeg mob tau sau cov vitamins, tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kab mob, nrog rau cov tshuaj uas tso cai rau koj los ua kom lub cev tiv thaiv kab mob.
kho mob phais
Yogib tug neeg nyob rau hauv ib qho teeb meem tseem ceeb heev, lawv tuaj yeem sau ntawv rau kev phais. Kev ua haujlwm yuav yog tsom rau kev tshem tawm cov ua rau cov hlab ntsha compression, nrog rau nws qhov khaus. Feem ntau nws yog nqa tawm yam tsis muaj teeb meem. Txawm li cas los xij, cov txheej txheem no yog siv los ua qhov chaw kawg hauv kev kho mob. Cov paj hlwb glossopharyngeal nrog neuralgia yuav tsum tau rov qab tam sim ntawm thawj cov tsos mob.
Results
Cov kab lus tau txiav txim siab ntau yam uas cuam tshuam nrog cov paj hlwb piav qhia. Nws yog ib qho tseem ceeb kom nkag siab tias yog vim li cas nws thiaj li yuav tsum tau ua thiab yuav ua li cas thiaj paub qhov teeb meem loj. Cov tsos mob tseem ceeb heev, yog li koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Neuralgia ntawm cov hlab ntsha glossopharyngeal yog qhov tsawg heev, tab sis nws ua rau tus neeg mob tsis yooj yim. Paub qhov txawv ntawm thawj thiab theem nrab. Raws li tau hais los saum toj no, pathology yog tshwm sim los ntawm fainting thiab bouts ntawm qhov mob. Muaj cov sij hawm ntawm kev zam txim thiab ua rau muaj kev kub ntxhov, nrog kev tawm tsam ntau zaus thiab mob siab rau lub sijhawm.
Yuav kom kho tus kab mob raws sijhawm, nws yuav tsum kuaj xyuas kom raug thiab sai. Tus kab mob no yuav tsum tau kho sai sai thaum pib ntawm thawj cov tsos mob. Kev kho mob yuav muaj xws li tshuaj, kho lub cev, thiab kev phais. Raws li txoj cai, yog tias kev kho mob pib raws sij hawm, ces qhov kev mob tshwm sim yog qhov zoo. Txawm li cas los xij, kev kho mob ntev heev, nws tuaj yeem siv 2-3 xyoos.
