Cov tawv nqaij thiab cov leeg ntawm lub ntsej muag yog hla los ntawm cov hlab ntsha thiab cov hlab ntsha. Cov hlab ntsha trigeminal yog ib qho tseem ceeb tshaj plaws ntawm lub luag haujlwm rau kev nkag siab ntawm yuav luag txhua qhov chaw ntawm lub ntsej muag thiab lub taub hau. Yog tias nws mob khaub thuas, kev kho mob yuav tsum tam sim ntawd thiab mob hnyav. Nws yog ib qho tsim nyog paub tias qhov tshwm sim ntawm tus kab mob no tuaj yeem ua rau txhua yam, mus txog qhov tsis hnov tsw ntawm lub ntsej muag, qhov muag thiab cov txheej txheem inflammatory loj. Cov hauv qab no yuav piav qhia ntau ntxiv tias yuav ua li cas yog cov hlab ntsha trigeminal congested, cov tsos mob thiab kev kho mob feem ntau siv.
Cov paj hlwb trigeminal yog ib qho khoom ua ke uas yog ib feem ntawm lub cev ntawm lub paj hlwb ntawm tib neeg lub cev. Nws muaj peb ceg uas raug coj mus rau thaj tsam pem hauv ntej, lub puab tsaig qis thiab sab sauv thiab nqa impulses mus rau ntau qhov chaw ntawm lub ntsej muag. Cov hlab ntsha yog lub luag haujlwm rau zom, lub ntsej muag qhia thiab muab rhiab heev rau daim tawv nqaij ntawm lub ntsej muag. Kev tswj nws tus kheej tshwm sim hauv tus txha caj qaum.
Koj yuav tsum paub tias kom ntes tau cov hlab ntsha trigeminal txhais tau tias ua rau mobib qho txheej txheem inflammatory uas ua rau mob hnyav thiab spasms ntawm lub ntsej muag nqaij. Nyob rau hauv rooj plaub no, qhov mob tshwm sim zoo ib yam li hluav taws xob shocks thiab tuaj yeem pom lawv tus kheej nyob rau ntau qhov chaw ntawm lub ntsej muag thiab lub taub hau. Feem ntau, neuralgia tshwm sim vim yog compression ntawm cov hlab ntsha ntawm cov hlab ntsha nws tus kheej los ntawm cov hlab ntsha.
Yog vim li cas
Yog tias cov hlab ntsha trigeminal ntawm lub ntsej muag yog congested, ua ntej ntawm tag nrho cov, koj yuav tsum tau nrog rau qhov ua rau ntawm pathology. Feem ntau lawv yog cov xwm txheej zoo tib yam uas tib neeg ntsib yuav luag txhua hnub. Cov no suav nrog:
- cua txias rau;
- qhib qhov rai hauv tsheb thauj lossis tom tsev;
- cua txias.
Koj yuav tsum paub tias cov txheej txheem inflammatory hauv lub cev tuaj yeem pib txawm tias ob peb feeb tom qab kev sib cuag nrog cua txias.
Lwm yam yog vim li cas
Ntxiv rau qhov tseeb tias koj tuaj yeem ntes cov hlab ntsha trigeminal, muaj lwm yam uas tuaj yeem ua rau mob:
- kab mob sib kis;
- ntau yam mob taub hau;
- kev npam ntawm lub cev;
- ua xua;
- autoimmune pathologies;
- ua txhaum cov qauv ntawm cov hlab ntsha thiab cov ntshav ncig.
Lub xeev ntawm lub cev tiv thaiv kab mob muaj txiaj ntsig zoo rau qhov teeb meem no. Qhov kev pheej hmoo ntawm kev ntes cov hlab ntsha trigeminal nrog kev tiv thaiv zoo yog qis dua li qhov tsis muaj zog.
Signs of disease
Cov tsos mob tseem ceeb ntawm tus kab mob yog suav tias yog ib qho mob hnyav ntawm lub ntsej muag. Raws li txoj cai, nws yog paroxysmal nyob rau hauv qhov thiab yog hnovnyob rau hauv daim ntawv ntawm hluav taws xob shock.
Ntxiv rau, yog tias cov hlab ntsha trigeminal congested, cov tsos mob yuav ua tau raws li hauv qab no:
- nce salivation thiab tearing;
- ntxhov siab, txob taus, pw tsaug zog;
- nce lub cev kub.
Ntawm lub ntsej muag, tus kab mob tshwm sim nws tus kheej li:
- peeling thiab redness ntawm daim tawv nqaij;
- ntsej muag twitch;
- daim tawv muag spasms;
- ntsej muag asymmetries.
loog thiab mob feem ntau tshwm sim hauv thaj tsam ntawm nasolabial daim duab peb sab, tis ntawm lub qhov ntswg thiab lub puab tsaig. Yog tias cov hlab ntsha trigeminal txhav, kev kho mob yuav tsum pib tam sim tom qab thawj cov tsos mob tshwm sim. Kev ncua ntawm kev hu rau tus kws kho mob tshwj xeeb tuaj yeem ua rau muaj qhov tshwm sim loj. Kev noj tshuaj rau tus kheej yog kev phom sij rau kev noj qab haus huv.
Qee yam
Yog tias cov hlab ntsha trigeminal raug txwv, cov tsos mob feem ntau nyob ntawm seb cov ceg twg cuam tshuam tshaj plaws:
- Branch 1 - rhiab ntawm daim tawv muag sab sauv, nraub qaum ntawm lub qhov ntswg hauv thaj tsam pem hauv ntej, lub qhov muag txo qis lossis ploj tag.
- Branch 2 - kev ua txhaum cai tshwm sim nyob rau sab sauv ntawm lub puab tsaig, puab tsaig, daim tawv muag qis, maxillary sinuses, sab hauv ntawm lub qhov ntswg.
- Cab 3 - lub qhov ncauj mob, tag nrho sab ntawm lub ntsej muag, zom cov txheej txheem cuam tshuam.
Diagnosis
Thaum tus neeg mob thawj zaug pom cov tsos mob ntawm neuralgia, nws yuav tsum xub kuaj xyuas los ntawm kws kho hniav thiab kws kho mob kom kuaj pomcov tsos mob thiab muab tshuaj kho kom raug. Yog tias qhov kev ntsuam xyuas no tsis tau txais txiaj ntsig, kev tshawb nrhiav qhov tob tob yog ua los ntawm kws kho mob hlwb thiab kws kho mob neuropathologist.
Thaum lub sijhawm teem sijhawm, tus kws kho mob tshuaj xyuas thaj chaw ntawm lub ntsej muag txhawm rau txiav txim siab ceg ntawm cov hlab ntsha trigeminal, uas ua rau mob. Feem ntau, cov laj thawj uas ua rau muaj qhov tshwm sim ntawm trigeminal neuralgia tsis yog pathologies loj. Tab sis tseem, ib tug yuav tsum tsis txhob cais cov muaj sclerosis los yog ib tug qog.
Rau qhov kev kuaj pom tseeb dua, yuav tsum tau kuaj MRI. Yog tias tus kws kho mob tau lees paub tias cov hlab ntsha trigeminal yog occluded, kev kho mob yuav ua raws li daim duab kho mob.
Txoj Kev Kho Mob
Ua ntej tshaj, siv tshuaj los txo cov tsos mob. Yog tias lawv tsis pab, lossis yog tias koj ntsib cov kev mob tshwm sim uas tsis xav tau, koj tus kws kho mob yuav qhia lwm txoj kev kho mob. Koj yuav tsum paub tias cov tshuaj tua kab mob ib txwm muaj muag hauv khw muag tshuaj yam tsis muaj kws kho mob cov tshuaj (Aspirin, Ibuprofen, Paracetamol) yuav tsis muaj txiaj ntsig zoo rau cov hlab ntsha tawv.
Cov leeg nqaij so thiab cov tshuaj tiv thaiv kab mob yog siv los tiv thaiv qhov mob. Cov neeg mob feem ntau tau txais yam tsawg kawg lub sijhawm luv luv los ntawm cov tshuaj no. Yog tias yuav ua kom tau txais txiaj ntsig zoo, cov tshuaj yuav tsum tau noj tsis tu ncua txhawm rau tswj cov ntshav mus tas li.
Feem ntau, cov kws kho mob tshwj xeeb sau cov tshuaj tiv thaiv kab mob hauv qab no:
- YCarbamazepine;
- Gabapentin;
- Pregabalin;
- "Phenytoin";
- Lamotrigine.
Cov tshuaj no yog siv los kho mob qaug dab peg. Yog tias cov tshuaj poob nws cov txiaj ntsig, tus kws kho mob tuaj yeem nce qhov koob tshuaj lossis hloov mus rau lwm yam tshuaj. Cov tshuaj no tuaj yeem ua rau qaug zog, xeev siab, ua pob liab vog, tsis sib haum xeeb, ntshav tsis txaus. Ua ntej lawv teem caij, cov kev ntsuam xyuas raug coj los txiav txim siab npaum li cas.
Los ntawm pab pawg ntawm cov leeg nqaij so, "Baclofen" feem ntau siv. Qee zaum, tshwj xeeb tshaj yog siv tau. Cov tshuaj yuav ua rau xeev siab, tsis meej pem, tsaug zog.
massage
Cov txheej txheem zaws yog qhov yuav tsum tau ua hauv kev kho mob ntawm cov hlab ntsha. Cov kev kho mob zoo li no siv tau ob qho tib si thaum muaj tus kab mob hnyav zuj zus thiab kev zam txim.
Ua ntej koj teem sijhawm nrog tus kws kho mob tshwj xeeb lossis ua koj tus kheej, koj yuav tsum sab laj nrog koj tus kws kho mob. Txij li thaum, nrog cov ntaub ntawv siab heev ntawm neuralgia, nws yuav tsis coj cov txiaj ntsig thiab tuaj yeem ua rau muaj kev phom sij.
Physiotherapy
Physiotherapy yog ua tiav tom qab tshem tawm cov txheej txheem mob hnyav. Lawv pab kom ncua lub sij hawm ntawm kev zam txim. Feem ntau siv:
- Phonophoresis nrog hydrocortisone. Nws tau ua tiav txawm tias nyob rau theem mob hnyav, txhawm rau txo qhov mob ntau zaus.
- Electrophoresis nrog cov tshuaj tiv thaiv kab mob lossis tshuaj kho mob.
- Magnetotherapy.
- Irradiationlaser.
- Ultraviolet cua sov.
- Acupuncture.
- UHF.
Physiotherapy txhawb cov leeg nqaij so, pab kho cov ntshav ncig, txhim kho cov leeg nqaij.
Kev ua haujlwm
Kev cuam tshuam kev phais yog siv nyob rau hauv cov ntaub ntawv ntawm squeezing tej hlab ntsha ntawm cov hlab ntsha trigeminal. Qhov no yog ua kom tsis txhob ntws ntawm cov cim ntawm cov hlab ntsha mus rau lub hlwb. Tom qab lub cev raug tso tawm, Teflon daim txhuam cev tau muab tso los tiv thaiv nws. Nws nyob nrog tus neeg mob mus ib txhis. Cov txiaj ntsig ntawm kev ua haujlwm zoo li no feem ntau yog qhov zoo thiab tsis tso cov kev mob tshwm sim, xws li lub ntsej muag loog loog. Qhov tsis zoo ntawm kev ua haujlwm suav nrog kev pheej hmoo cuam tshuam nrog kev sib thooj ntawm lub hlwb thiab kev siv tshuaj loog.
Muaj feem cuam tshuam
Yog tias koj ntes cov hlab ntsha trigeminal thiab tsis pib kho raws sijhawm, kev mob hnyav yuav pib tsim tawm tsam keeb kwm ntawm cov txheej txheem inflammatory. Lub ntsej muag neuralgia yog qhov txaus ntshai nrog cov txiaj ntsig hauv qab no:
- ntsej muag asymmetry;
- pob muag thiab plaub muag poob;
- Yconjunctivitis thiab keratitis;
- wrinkles;
- tawv tawv tawv;
- ua tiav lossis ib nrab atrophy ntawm cov leeg masticatory;
- loose wisdom teeth.
Kuv puas tuaj yeem ua kom sov
Ntau zaus, rau lo lus nug: "Kuv mob khaub thuas ntawm cov hlab ntsha trigeminal, kuv yuav ua li cas?" cov lus qhia tau txais ntawm cov txheej txheem ua kom sov. Koj yuav tsum paub tias cov txheej txheem zoo li no yog contraindicated yog tias tus kab mob nyob rau theem mob. Tsis tas li ntawd, tag nrho cov tshuaj pleev ib ce yuav tsum yogchav kub. Nyob rau hauv lub zog ntawm cov cua sov, cov kab mob pib sib zuj zus, thiab los ntawm cov ntshav cov kab mob nkag mus rau ntau yam hauv nruab nrog cev. Cua sov nrog buckwheat los yog ntsev tsuas yog qhia thaum lub sij hawm tshem tawm tus kab mob.
Kev Tiv Thaiv
Kom tsis txhob muaj trigeminal neuralgia, lossis rov muaj tus kab mob, kev saib xyuas kev noj qab haus huv tas li thiab kev tiv thaiv yuav pab tau. Cov no suav nrog:
- kev kho hniav raws sijhawm;
- tsis muaj kev ntxhov siab thiab hypothermia;
- sib npaug, khoom noj kom raug;
- sports;
- sib piv da dej;
- tawm sab nraum zoov.
Zoo kawg
Yog tias tus neeg mob khaub thuas ntawm cov hlab ntsha trigeminal, tsuas yog kws kho mob yuav tsum txiav txim siab seb yuav kho li cas thiab yuav ua li cas. Kev kho tus kheej tuaj yeem ua rau muaj qhov tshwm sim loj rau lub cev. Yog li ntawd, yog tias cov tsos mob ntawm neuralgia ntawm lub ntsej muag paj hlwb tshwm sim, koj yuav tsum hu rau tus kws kho mob sai li sai tau.