Kev mob ntawm lub paj hlwb trigeminal yog ib yam kab mob uas muaj teeb meem, vim nws cuam tshuam rau lub ntsej muag rhiab heev thiab cuam tshuam rau cov hlab ntsha ntawm lub hlwb, ua rau mob ib ntus. Nws yog tus cwj pwm los ntawm ntau yam kev hloov pauv, thiab qhov mob tuaj yeem tshwm sim hauv txhua qhov chaw ntawm lub ntsej muag.
Qhov ua rau ntawm pathology tseem tsis tau nkag siab tag nrho, tab sis nws tsim nyog sau cia tias nws yog tus yam ntxwv tseem ceeb ntawm cov poj niam hnub nyoog 55 xyoos. Feem ntau, nws txoj kev loj hlob tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev txo qis hauv kev tiv thaiv lub cev, uas feem ntau pom thaum muaj hnub nyoog laus.
Vim tias cov hlab ntsha trigeminal nyob tag nrho ntawm lub ntsej muag, nws feem ntau nyuaj rau tus neeg mob los txiav txim siab qhov twg qhov mob tshwm sim. Qhov mob hnyav thiab mob hnyav feem ntau cuam tshuam nrog kev xav, uas yog vim li cas thiaj li yuav tsum tau sab laj nrog kws kho mob hlwb tam sim ntawd thiab muaj peev xwm kho tau.
Tus yam ntxwv ntawm tus kab mob
Kev mob ntawm cov hlab ntsha trigeminal feem ntau hu ua neuralgia. Qhov mob no cuam tshuam rau thaj tsam ntawm lub ntsej muag uas cov paj hlwb nyob nrogob sab ntawm nws, dhau ze ntawm qhov ntswg, pob muag thiab lub puab tsaig.
Cov hlab ntsha no yog nyob rau feem ntau rhiab heev ntawm cov paj hlwb, yog li cov txheej txheem inflammatory cuam tshuam rau tag nrho lub taub hau, kis mus rau cov leeg ntawm lub ntsej muag, thiab cuam tshuam rau thaj chaw cuam tshuam rau lub sijhawm ntev. Yog vim li ntawd qhov mob tuaj yeem tshwm sim ntawm ib sab lossis lwm qhov. Tsis xis nyob mus txog thaum noj tshuaj kho mob.
Kev tshwm sim
Lub ntsiab ua rau mob ntawm cov hlab ntsha trigeminal tsis yog ib txwm paub, neuralgia feem ntau tshwm sim raws li qhov teeb meem ntawm tus kab mob hauv qab. Xws li kev ua txhaum cai tuaj yeem tshwm sim los ntawm cov txheej txheem kev laus ntawm lub cev. Cov kws kho mob paub qhov txawv ntawm ntau pawg ntawm cov kab mob.
Ntawm qhov ua rau mob ntawm cov hlab ntsha trigeminal, kev sib cuag ntawm cov hlab ntsha thiab cov hlab ntsha yuav tsum paub qhov txawv. Xws li ib qho kev npaj tuaj yeem tsim kom muaj kev ntxhov siab, thiab rov ua kom compression provokes txoj kev loj hlob ntawm cov txheej txheem erosive uas hloov cov kev ua ntawm cov hlab ntsha impulses, ua rau mob. Tsis tas li ntawd, muaj cov txheej txheem ua rau mob ntawm cov hlab ntsha trigeminal ntawm lub ntsej muag, uas suav nrog xws li:
- hlab ntsha anomalies;
- teeb meem hniav;
- ntau yam sclerosis;
- kev raug mob ntawm lub ntsej muag thiab hypothermia;
- ua xua tshwm sim
- qog thiab cysts;
- metabolic disorder;
- mob tom qab tus kab mob herpes.
Kev mob tshwm sim tshwm sim tuaj yeem tshwm sim los ntawm ntau yam kev txav lossis kev ua ub ua no. Qee tus neeg muaj kev nkag siab zoo hauv qee qhov chaw ntawm lub ntsej muag, uas tuaj yeem ua rau mob hnyav thaum raug. Tsis tas li ntawd, qhov teeb meem tuaj yeem tshwm sim, thiab qhov no tshwm sim los ntawm kev tsim tshwj xeeb ntawm cov hlab ntsha.
Psychological yam tseem ceeb, tshwj xeeb tshaj yog kev ntxhov siab, kev nyuaj siab. Lawv ua rau tus neeg mob txoj kev noj qab nyob zoo, ua rau cov txheej txheem inflammatory.
Kev faib tawm tseem ceeb
Zoo li ntau lwm yam kab mob, qhov mob ntawm cov hlab ntsha trigeminal tau muab faib ua ob peb hom, uas yog, nws tuaj yeem muaj tseeb thiab theem nrab. Hom kab mob tiag tiag tshwm sim los ntawm compression ntawm cov hlab ntsha xaus lossis cuam tshuam ntawm kev ua haujlwm ntawm cov hlab ntsha. Daim ntawv thib ob manifests nws tus kheej nyob rau hauv cov chav kawm ntawm lwm yam kab mob thiab kev tsis haum tshuaj raws li cov teeb meem.
Nws txhim kho lub sijhawm ntev, thiab dhau sijhawm, cov tsos mob hloov pauv ntau. Txawm li cas los xij, txawm li cas los xij, tus kab mob no feem ntau cuam tshuam rau tib txoj kev paj hlwb xwb.
Nthuav o thaum cev xeeb tub
Thaum cev xeeb tub, cov poj niam raug txwv tsis pub kho tus kheej ntawm qhov mob ntawm cov hlab ntsha trigeminal. Tom qab lees paub qhov kev kuaj mob, physiotherapy lossis cov txheej txheem zoo sib xws raug sau tseg.
Txhua txoj hauv kev, suav nrog kev kho tshuaj, tsuas yog siv rau qhov xwm txheej hnyav, txij li lub sijhawm no kev siv tshuaj yog qhov tsis tshua muaj.tsis xav tau. Yog tias koj tsis tuaj yeem ua yam tsis muaj lawv, ces cov kws kho mob xaiv cov kev xaiv nyab xeeb tshaj plaws rau cov niam uas xav tau.
Cov tsos mob tseem ceeb
Cov kws kho mob qhia cov cim qhia ntawm qhov mob ntawm cov hlab ntsha trigeminal, xws li:
- pain;
- lacrimation;
- liab thiab o ntawm daim tawv muag;
- kev tsis txaus siab ntawm lub ntsej muag nqaij;
- kev qaug zog;
- poob teeb meem;
- muscle spasms.
Ntawm cov tsos mob tseem ceeb, ib tus tuaj yeem paub qhov txawv ua npaws, mob taub hau, ntsej muag loog, ua daus no. Cov tsos mob tseem ceeb ntawm kev mob ntawm cov hlab ntsha trigeminal yog mob. Qhov mob yog nyob rau hauv lub puab tsaig sab, thiab maj mam kis mus rau tag nrho lub ntsej muag, caj dab thiab ob lub qhov muag. Kev tsis xis nyob zoo heev los ntawm hypothermia, hais lus lossis noj mov. Nws yog ib qho tsim nyog sau cia tias qhov mob tsis tuaj yeem tshem tawm nrog cov tshuaj pleev ib ce.
Feem ntau ntawm cov tsos mob ntawm tus mob trigeminal muaj kev kawm tiav, thiab yog tias lawv tsis raug tshem tawm raws sijhawm, lawv yuav nyob twj ywm thaum kho. Qhov no txhais tau hais tias ib tug neeg yuav raug cuam tshuam los ntawm qhov mob tawm tsam, mob leeg thiab lub ntsej muag loog. Yog tias txoj kev kho tsis tau ua kom raug, cov teeb meem nyuaj thiab txaus ntshai tuaj yeem tshwm sim.
Diagnostics
Vim tus kab mob muaj cov tsos mob hnyav, cov kws kho mob tuaj yeem kuaj tau yooj yim. Txhawm rau txiav txim siab qhov ua rau ntawm pathology, nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas qhov mob ntawm cov hlab ntsha trigeminal, uas suav nrog:
- tshuaj xyuasneeg mob;
- kuaj ntshav;
- tomography;
- kev kawm ntawm lub paj hlwb;
- angiography.
Txhua yam kev kuaj mob no yuav pab txiav txim siab qhov tseeb uas ua rau muaj kev tawm tsam. Thaum pib, koj yuav tsum tau mus ntsib kws kho mob hlwb, tab sis nrog kev mob hniav, kev sab laj kws kho hniav yuav tsum tau txiav txim siab qhov xwm txheej ntawm tus kab mob.
pab xub thawj
Thaum cov tsos mob ntawm qhov mob ntawm cov hlab ntsha trigeminal tshwm sim, nws yog ib qho tsim nyog yuav tsum tau muab kev pabcuam rau tus neeg mob raws sijhawm. Qhov no yuav normalize tus neeg mob txoj kev noj qab haus huv thiab qeeb txoj kev loj hlob ntawm tus kab mob. Ua ntej ntawm tag nrho cov, yuav tsum tsis txhob muaj cov cua ntsawj ntshab thiab hypothermia, yog li nws raug nquahu kom npog koj lub ntsej muag nrog phuam qhwv caj dab lossis phuam phuam. Nws kuj pom zoo kom hnav dab tshos siab.
Thaum muaj kev tawm tsam, nws tsim nyog txwv tsis pub noj cov khoom noj txias lossis kub thiab dej haus. Cov zaub mov ntsim kuj muaj qee yam cuam tshuam rau cov kab mob, uas yog vim li cas nws yuav tsum tau tso tseg. Tshuaj yej ntsuab tuaj yeem pab txo qhov mob. Txawm li cas los xij, nws tsim nyog sau cia tias cov tshuaj no tsuas muaj qhov ua rau lub sijhawm luv luv xwb.
Txoj kev kho mob
Yuav ua li cas rau qhov mob ntawm cov hlab ntsha trigeminal? Tsuas yog ib tus kws kho mob uas tsim nyog tuaj yeem pab hauv qhov teeb meem no. Tias yog vim li cas thaum thawj cov cim tshwm sim, nws yog ib qho tsim nyog los sab laj tus kws kho mob tshwj xeeb. Yog tsis muaj kev kho mob nyuaj, tus kab mob yuav pib zuj zus ntxiv thiab mus rau theem mob.
Thaum tus neeg mob daim ntawv raug xa mus rau tsev kho mob. Kev mus pw hauv tsev kho mob txuas ntxiv mus txog thaum tshem tawm qhov mob hnyav thiab hnyav asymmetry ntawm lub ntsej muag. Tom qab ntawd kev kho mob ntawm cov hlab ntsha trigeminal yog nqa tawm tom tsev. Kev kho tshuaj niaj hnub no cuam tshuam nrog kev thaiv novocaine, nrog rau kev teem caij tshuaj tua kab mob.
Txhawm rau tshem tawm puffiness, kws kho mob tau sau tshuaj corticosteroids thiab antispasmodics. Nrog rau qhov mob, kev txhaj tshuaj glycerin, uas tau txhaj ncaj qha rau hauv qhov chaw cuam tshuam, tuaj yeem ua haujlwm tau zoo. Tsis tas li ntawd, tus kws kho mob yuav sau ntawv txhais tau tias kom so cov leeg ntawm lub ntsej muag.
Thaum lub sijhawm rov qab los, thaum cov tsos mob pib qis me ntsis, kev kho lub cev kho mob ntawm cov hlab ntsha trigeminal thiab lwm cov tshuaj siv. Tshwj xeeb, peb tab tom tham txog cov tswv yim xws li:
- electrophoresis;
- phonophoresis;
- daim ntawv thov laser;
- kub;
- acupressure;
- kev ua kom lub cev kho mob.
Txhua yam kev kho mob uas siv los ua ke pab ua kom cov ntshav khiav zoo, tshem tawm qhov mob, o, asymmetry thiab loog ntawm cov leeg ntawm lub ntsej muag. Tsis tas li ntawd, lawv pab txhim kho kev ua haujlwm ntawm lub paj hlwb thiab kev tiv thaiv kab mob.
Txoj kev kho sai sai, qhov ntau dua yog tias tus kab mob yuav kho tau zoo, tiv thaiv kev txhim kho ntawm cov teeb meem thiab qhov tshwm sim ntawm rov tshwm sim. Hauv qhov nyuaj tshaj plaws, yuav tsum tau phais.
Drug therapy
Tshuaj kho mob ntawm cov hlab ntsha trigeminal yog raws li kev noj tshuaj tiv thaiv kab mob uas tshem tawm qhov mob thiab ua rau lawv tshwm sim. Cov kws kho mob feem ntau sau tshuaj Carbamazepine. Cov tshuaj muaj cov nyhuv anticonvulsant thiab txo qis cov haujlwm ntawm cov neurons. Kev kho mob yog kwv yees li 8 lub lis piam.
Ntxiv rau, Gabantin, nicotinic acid, Neuromultivit tuaj yeem muab tshuaj rau hauv txoj haujlwm. Yog tias qhov mob tshwm sim los ntawm kev nkag mus ntawm cov kab mob lossis cov kab mob, ces cov tshuaj tiv thaiv kab mob los yog tshuaj tua kab mob, tshwj xeeb, xws li Nimesulide lossis Flemoxin. Ib qho txiaj ntsig zoo yog muab los ntawm cov tshuaj "Finlepsin" rau qhov mob ntawm cov hlab ntsha trigeminal, uas tau muab sau ua ke nrog lwm cov tshuaj tiv thaiv kab mob.
Txhawm rau tshem tawm qhov mob, koj yuav tsum noj cov tshuaj tua kab mob xws li Mydocalm, Nimesil, Glycine, Movalis. Nrog rau qhov mob hnyav, xws li kev kho mob xws li "Ketanov", "Menovazin", uas yog analgesics, yuav tsum tau.
Tsis tas li, tus kws kho mob yuav sau tshuaj vitamin complexes, neuroprotectors, glucocorticoids. Txhawm rau tshem tawm qhov o thiab mob, tshuaj pleev thiab gels rau daim ntawv thov tshuaj pleev ib ce. Nws tuaj yeem txhais tau tias Dimexide, Ketonal.
Txhua yam tshuaj yuav tsum tau siv nruj me ntsis raws li tus kws kho mob tau sau ntawv thiab ua raws li kev kho mob. Kev noj tshuaj ntau dhau tuaj yeem ua rau mob hnyav ntxiv thiab ua rau muaj kev phiv ntau yam.
Ntseeg haiv neeg
Yuav ua tsis tauTsuas yog siv tshuaj kho mob ntawm cov hlab ntsha trigeminal, tab sis kuj siv pej xeem txoj kev. Nws raug pom zoo kom muab kev nyiam rau cov tshuaj ntsuab uas muaj cov tshuaj tiv thaiv, soothing thiab analgesic. Ntawm ntau cov nroj tsuag, qhov tsim nyog tshaj plaws yog:
- motherwort;
- hop cones;
- valerian cag.
Calendula, chamomile, St. John's wort muaj cov tshuaj tiv thaiv kab mob. Nws tseem pom zoo kom rub cov roj rau hauv daim tawv nqaij, ua compresses nrog marshmallow tincture. Lawv muaj qhov ua kom sov. Nws yog ib qho tsim nyog nco ntsoov tias txhua yam tshuaj ua hauv tsev yuav tsum tau siv kom zoo thiab tsuas yog tom qab sab laj nrog kws kho mob.
massage
Massage rau o ntawm cov hlab ntsha trigeminal pab tau zoo heev nyob rau hauv thawj theem ntawm tus kab mob los yog thaum lub sij hawm siv tshuaj. Ib qho kev tswj hwm zoo sib xws yog ua nyob rau hauv ib qho chaw zaum, thaum tus neeg mob yuav tsum tig nws lub taub hau me ntsis rov qab rau ntawm lub rooj zaum.
Tus kws tshwj xeeb maj mam ua rau ntawm qhov chaw ntawm lub ntsej muag nrog nws cov ntiv tes, zaws txhua cov leeg nqaij uas nyob ib sab hauv ib ncig. Tsis tas li ntawd, kev tawm dag zog tshwj xeeb yuav muaj txiaj ntsig zoo. Lawv suav nrog kev sov so ntawm tus txha nraub qaum, caj dab thiab lumbar. Qhov no yuav pab tus neeg mob kom so thiab tso siab.
Dieting
Nrog neuralgia, tus neeg mob yuav tsum tau txais cov vitamins txaus thiab tib lub sijhawm ua raws li kev noj haus, tshwj xeebua tau irritants. Hauv qhov no, cov kws kho mob pom zoo kom noj zaub mov tsuas yog hauv chav sov xwb.
Tsis txhob noj cov khoom qab zib thiab tsim txom cov khoom qab zib. Hauv kev noj zaub mov ib txwm, koj yuav tsum ntxiv cov khoom noj xws li:
- nqaij npua;
- zaub roj;
- qe;
- qos.
Cov khoom no muaj cov tshuaj uas pab txhawb lub cev tiv thaiv kab mob thiab tiv thaiv kev mob.
Kev ua haujlwm
Tshuaj tsis yog ib txwm muaj peev xwm tshem tawm qhov mob ntawm cov hlab ntsha trigeminal ntawm lub ntsej muag, tshwj xeeb tshaj yog tias nws hnyav heev. Hauv qhov no, kev ua haujlwm tau qhia. Muaj ob txoj hauv kev tseem ceeb ntawm kev phais mob, uas yog radiofrequency thiab vascular decompression.
Radiofrequency raug mob tsawg dua thiab siv tshuaj loog hauv zos. Tus kws kho mob xa hluav taws xob xa mus rau qhov chaw mob, thiab qhov no ua rau tshem tawm cov hlab ntsha cuam tshuam.
Decompression yog ua los ntawm kev qhib lub cranial fossa. Tus kws kho mob cais cov paj hlwb, nyem los ntawm cov hlab ntsha, thiab muab cov ntaub qhwv tshwj xeeb ntawm lawv. Xws li kev tswj xyuas ua rau nws muaj peev xwm tiv thaiv tau qhov tshwm sim ntawm cov hlab ntsha xaus.
Yog tias muaj qhov mob rov qab los, tus kws kho mob xaiv lwm txoj hauv kev kho mob.
lwm txoj kev
Nws yog ib qho tseem ceeb tsis tau tsuas yog yuav tsum paub yuav ua li cas txo qhov mob ntawm cov hlab ntsha trigeminal, tab sis kujyuav ua li cas ncua lub sij hawm ntawm kev zam txim. Qhov txiaj ntsig zoo yog muab los ntawm lwm txoj kev kho, uas suav nrog kev kho lub cev, kev kho mob magnetotherapy, acupuncture.
Lub hauv paus ntsiab lus ntawm kev kho cov hlau nplaum yog ua raws li cov khoom siv ntawm cov hlau nplaum tsawg zaus qhia ncaj qha rau thaj tsam ntawm qhov mob. Txoj kev no yuav pab tau me ntsis txo qhov mob thiab ua kom qeeb ntawm cov txheej txheem inflammatory. Cov tswv yim kho lub cev kuj tseem siv dav, uas suav nrog:
- diadynamic therapy;
- daim ntawv thov laser;
- phonophoresis;
- ultraviolet thiab infrared hluav taws xob.
Acupuncture yog ib txoj hauv kev zoo ntawm kev kho mob, uas cuam tshuam ncaj qha rau cov hlab ntsha ntawm lub ntsej muag. Hauv qhov no, tus kws kho mob pom cov ntsiab lus xav tau ntawm lub ntsej muag thiab muab cov koob me me rau ntawm lawv, kho lub sijhawm. Cov txheej txheem zoo li no pab ua kom lub cev ua haujlwm ntawm lub paj hlwb thiab txo qis cov tsos mob uas twb muaj lawm.
Muaj feem cuam tshuam
Txawm hais tias tus kab mob no tsis ua rau tuag taus, kev kho mob lig tuaj yeem ua rau muaj teeb meem loj heev thiab qhov tshwm sim ntawm qhov mob ntawm cov hlab ntsha trigeminal, uas yog:
- kev nyuaj siab;
- mob tas li;
- kev qaug zog.
Ntxiv rau, nws dhau los ua nyuaj rau tus neeg noj zaub mov vim qhov mob, uas ua rau txo qiskev tiv thaiv kab mob thiab kev loj hlob ntawm cov kab mob sib kis.
prophylaxis
Txhawm rau tiv thaiv qhov tshwm sim thiab kev loj hlob ntawm tus kab mob, nws yog ib qho tsim nyog yuav tsum ua raws li kev tiv thaiv. Pom zoo rau qhov no:
- normalize diet;
- zam hypothermia;
- taug kev txhua hnub;
- zam kev ntxhov siab;
- khaw lub cev.
Tsis tas li ntawd, kev tawm dag zog lub cev yog qhia. Kev tiv thaiv pab tiv thaiv qhov tshwm sim tsis yog tsuas yog mob ntawm cov hlab ntsha trigeminal, tab sis kuj muaj ntau yam kab mob.
