Tusitala: Marcus Baldwin
Aso O Foafoaga: 17 Iuni 2021
Faafouga Aso: 25 Okitopa 2024
Anonim
Trigeminal Neuralgia (“Severe Facial Pain”): Causes, Pathophysiology, Symptoms, Diagnosis, Treatment
Ata: Trigeminal Neuralgia (“Severe Facial Pain”): Causes, Pathophysiology, Symptoms, Diagnosis, Treatment

Neuralgia o se maatiati, faateʻia tiga e mulimuli i le ala o se neula ma e mafua mai i le itaitagofie po o le faaleagaina o le neula.

Neuralgias masani e aofia ai:

  • Postherpetic neuralgia (tiga e faʻaauau pe a maeʻa le taamilosaga o le shingles)
  • Trigeminal neuralgia (tui poʻo le eletise-teʻi-pei o tiga i vaega o foliga)
  • Neura 'ole neivi
  • Neuropathy Peripheral

Mafuaʻaga o neuralgia aofia ai:

  • Faʻaita i vailaʻau
  • Faamai o le fatugao faaumiumi
  • Maʻi suka
  • O faʻamaʻi pipisi, pei o herpes zoster (shingles), HIV / AIDS, faʻamaʻi Lyme, ma syphilis
  • O vailaʻau e pei ole cisplatin, paclitaxel, poʻo le vincristine
  • Porphyria (faʻamaʻi toto)
  • Faʻafitauli i neula o le ponaivi o ponaivi, ligament, alatoto, poʻo tumors
  • Manua (aofia ai taotoga)

I le tele o tulaga, o le mafuaʻaga e le o iloa.

Postherpetic neuralgia ma trigeminal neuralgia o le lua sili ona taatele foliga o neuralgia. O se neuralgia fesoʻotaʻi ae le masani ai e aʻafia ai le neura o le glossopharyngeal, e maua ai le lagona i le faʻaʻi.


Neuralgia e sili ona taatele i tagata matutua, ae ono tupu i soʻo se tausaga.

Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

  • Faateleina le nofouta o le paʻu i luga o le ala o le neura ua faʻaleagaina, ina ia soʻo se tago poʻo se omiga e lagonaina o le tiga
  • Tiga i luga o le ala o le neura e maai pe tui, i le nofoaga lava e tasi vaega, sau ma alu (le tumau) pe o tumau ma mu, ma ono atili ai ona leaga pe a o le eria ua minoi
  • Vaivaiga poʻo atoa supa o maso sapalai e le tutusa neula

E faʻataʻitaʻi e le tausi soifua le suʻega o le tino, ma fesili e uiga i faʻailoga.

E ono faʻaalia le suʻega:

  • Le masani lagona ile paʻu
  • Faʻafitauli faʻafitauli
  • Leiloa o maso maso
  • Le lava o le afu (o le afu e faʻatonutonu e neula)
  • Agamalu i se neula
  • Faʻaoso manatu (vaega e oʻo i sina paʻi atu e faʻaoso ai le tiga)

Atonu e manaʻomia foʻi ona e vaʻai i se fomaʻi nifo pe a fai o loʻo i ou foliga poʻo le auvae le tiga. O le suʻega ole nifo e mafai ona faʻateʻaina ai faʻafitauli o nifo e ono afaina ai ou foliga (pei o le nifo o le nifo).


O isi faʻailoga (pei o le mumu poʻo le fulafula) atonu e fesoasoani faʻatonutonu tulaga e pei o faʻamaʻi, ponaivi ponaivi, poʻo rheumatoid gugu.

E leai ni faʻapitoa suʻega mo neuralgia. Ae, o suʻesuʻega nei e mafai ona faia e saili ai le mafuaʻaga o le tiga:

  • Toto tofotofoga e siaki le suka suka, gaioiga gaioiga, ma isi ono mafuaʻaga o neuralgia
  • Maneta resonance imaging (MRI)
  • Suavai conduction suesuega ma electromyography
  • Ultrasound
  • Spinal tap (lumbar puncture)

Togafitiga faʻalagolago i le mafuaʻaga, nofoaga, ma le ogaoga o le tiga.

O vailaʻau e taofiofia tiga e ono aofia ai:

  • Antidepressants
  • Vailaau faʻasaina
  • Fomaʻi i luga o le laulau poʻo vailaʻau tigaina fualaʻau
  • Paʻu vailaʻau i le tulaga o paʻu paʻu poʻo kulimi

Isi togafitiga ono aofia ai:

  • Fanaina ma fualaʻau-faʻamamaina (vailaʻau faʻafomaʻi) vailaʻau
  • Poloka neura
  • Togafitiga o le tino (mo nisi ituaiga o neuralgia, aemaise postherpetic neuralgia)
  • Faʻagasologa e faʻaititia ai lagona i le neula (e pei o le neura faʻateʻaina faʻaaogaina radiofrequency, vevela, paluni compression, poʻo tuiina o vailaʻau)
  • Taotoga e aveese ai le mamafa mai le neula
  • Suʻega togafitiga, pei o le acupuncture poʻo le biofeedback

O taualumaga e ono le faʻaleleia atili ai faʻailoga ma ono mafua ai le le maua o lagona poʻo lagona le masani ai.


A faʻaletonu isi togafitiga, e ono faʻataʻitaʻi e fomaʻi le neula poʻo le uafa. I ni tulaga seasea lava, o se faʻataʻitaʻiga e faʻaigoaina o le faʻaaliga o le tino (MCS) e faʻataʻitaʻia. O le electrode e tuʻu i luga atu o vaega o neula, uaula, poʻo le faiʻai ma ua faʻamau i se mea fai eletise i lalo o le paʻu. Lenei suia pe faʻafefea ona neula faailo ma ono faʻaititia le tiga.

Tele neuralgias e le lamatia le ola ma e le o ni faʻailoga o isi lamatiaga le ola. Mo tiga matuitui e le alualu i luma, vaʻai i le tiga faʻapitoa ina ia mafai ona e suʻesuʻe uma togafitiga filifiliga.

Tele neuralgias tali atu i togafitiga. O osofaiga o tiga e masani ona omai ma alu. Ae, osofaʻiga ono avea faʻatele i nisi tagata a o latou matutua.

O isi taimi, o le tulaga e ono faʻaleleia e ia lava pe mou foʻi ma le taimi, tusa lava pe le maua le mafuaʻaga.

Faʻafitauli e ono aofia ai:

  • Faʻafitauli mai taotoga
  • O le le atoatoa e mafua mai i tiga
  • Aʻafiaga o vailaʻau faʻaogaina e faʻatonutonu ai le tiga
  • Nifo taualumaga e le manaʻomia muamua neuralgia iloa

Faʻafesoʻotaʻi lau tautua peʻa:

  • Oe atiaʻe shingles
  • O loʻo ia te oe ni faʻailoga o neuralgia, aemaise pe a le faʻamamaina lou tiga i vailaʻau tiga
  • E tiga tele oe (vaai se fomaʻi faʻapitoa)

Faʻatonutonu le puleaina ole suka ile toto e ono puipuia ai le faʻaleagaina ole neula o tagata e maua ile ma isuka. I le tulaga o shingles, antiviral vailaʻau ma le herpes zoster siama tui ono puipuia neuralgia.

Tiga o neula; Neuropathy tiga; Neuropathic tiga

  • Nofoʻaga popolevale ma faiga lautele neula

Katirji B. Faʻaletonu o neula lautele. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 107.

Scadding JW, Koltzenburg M. Neura peripheral neuropathies. I: McMahon SB, Koltzenburg M, Tracey I, Turk DC, eds. Wall and Melzack's Tusitusiga o Paʻu. 6th ed. Filatelefaia, PA: Elsevier Saunders; 2013: mata 65.

Smith G, Maasiasi IA TE AʻU. Nofoaga lautele neuropathies. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: mata 392

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