Glossopharyngeal neuralgia

Glossopharyngeal neuralgia o se tulaga seasea lava lea e i ai pea toe vaega o tiga matuitui i le laulaufaiva, faʻaʻi, taliga, ma tone. Lenei mafai ona tumau mai ni nai sekone i ni nai minute.

Glossopharyngeal neuralgia (GPN) e talitonu e mafua mai i le le fiafia o le iva cranial nerve, e taʻua o le glossopharyngeal nerve. O faʻailoga e masani ona amata i tagata ua ova ma le 50 tausaga.

I le tele o tulaga, o le mafuaʻaga o le itaita e le maua lava. Mafuaʻaga mafuaʻaga mo lenei ituaiga o neula tiga (neuralgia) o:

• Vaʻa toto e oomi i luga o le glossopharyngeal nerve
• Tupu i le pito i lalo o le ulupoo oomi i luga o le glossopharyngeal nerve
• Tumua poʻo faʻamaʻi o le faʻaʻi ma le gutu oomi i luga o le glossopharyngeal nerve

O le tiga e masani ona tupu i le tasi itu ma ono jabbing. I ni tulaga seasea tupu, e aʻafia uma itu. Faʻailoga aofia ai tiga matuia i vaega fesoʻotaʻi i le iva cranial neura:

• Tua o le isu ma le faai (nasopharynx)
• Tua o le laulaufaiva
• Taliga
• Faʻamaʻa
• Eria o tone
• Pusa leo (larynx)

O le tiga tupu i vaega ma ono matuia. O vaega e mafai ona tupu i le tele o taimi i aso taʻitasi ma fafagu le tagata mai le moe. E mafai i nisi taimi ona faʻaosofia e:

• Togafiti
• Faʻapaʻu
• Talie
• Tautala
• Totoina
• Fetagisi
• Mafatua
• Mea inu malulu
• Paʻi atu (o se mea tuʻusaʻo i le tone o le itu aʻafia)

O le a faia suʻega e faʻailoa ai faʻafitauli, pei o tumo, i lalo o le ulupoʻo. O suʻega e mafai ona aofia ai:

• Toto faʻataʻitaʻiga e faʻateʻa ai se faʻamaʻi poʻo se tumo
• CT scan o le ulu
• MRI o le ulu
• X-ray o le ulu poʻo le ua

O nisi taimi e faʻaalia e le MRI le fulafula (pupuga) o le neura o le glossopharyngeal.

Ina ia iloa pe o se alatoto toto o loʻo tipiina le neula, o ata o faiʻai e mafai ona puʻeina e faʻaaoga ai:

• Magnetic resonance angiography (MRA)
• CT angiogram
• X-ray o alatoto ma se vali (masani angiography)

O le faʻamoemoe o togafitiga o le faʻatonutonu o le tiga. O vailaʻau e sili ona aoga o vailaʻau faʻafomaʻi antiseizure pei o le carbamazepine. Antidepressants ono fesoasoani i nisi tagata.

I tulaga ogaoga, pe a faigata tiga e togafitia, taotoga e ave ese ai le faamamafa ese le glossopharyngeal neura ono manaʻomia. E taʻua lea ole microvascular decompression. E mafai foi ona tipi le neura (rhizotomy). O taotoga uma e lua e aoga tele. Afai o se mafuaʻaga o le neuralgia maua, togafitiga tatau ona faʻatonutonu le mafuaʻaga faʻafitauli.

O le lelei o lau faʻamoemoe e faʻamoemoe i le mafuaʻaga o le faʻafitauli ma le aoga o le muamua togafitiga. O taotoga e taua tele mo tagata e le manuia mai vailaʻau.

Faʻafitauli o le GPN ono aofia ai:

• Pepe lemu ma matapogia atonu e tupu pe a ogaoga tiga
• Faʻaleagaina o le alatoto oona poʻo alatoto i totonu ona o manuʻa, e pei o le tuʻiga o se manuʻa
• Faigata ile foloina o meaʻai ma le tautala
• Aafiaga o vailaʻau na faʻaogaina

Vaʻai vave lau fomaʻi pe a fai oe maʻi o le GPN.

Vaʻai se fomaʻi faʻapitoa pe a ogaoga le tiga, ia e mautinoa o loʻo e iloaina uma au filifiliga mo le faʻatonutonuina o tiga.

Cranial mononeuropathy IX; Weisenberg syndrome; GPN

• Glossopharyngeal neuralgia

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Miller JP, Burchiel KJ. Faʻaleagaina Microvascular mo neuralgia trigeminal. I le: Winn HR, ed. Youmans ma Winn Neurological taotoga. 7th ed. Filatelefia, PA: Elsevier; 2017: mata 174

Narouze S, Pope JE. Tiga Orofacial. I totonu: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Taua o Faʻafomaʻi tiga. 4th ed. Filatelefia, PA: Elsevier; 2018: mata 23.