Tsis tshua muaj tsos mob ntawm ntau tus mob Sclerosis: Tus Mob Tsis Muaj Kab Mob Yog Dab Tsi?

Zoo Siab

• Nkag siab cov tsos mob ntawm trigeminal neuralgia
• Cov tsos mob thaum ntxov ntawm ntau yam mob sclerosis
• Cov ua rau thiab muaj xwm txheej
• Kev kuaj mob trigeminal neuralgia
• Cov tshuaj kho mob rau trigeminal neuralgia
• Kev phais rau trigeminal neuralgia
• Lwm hom mob uas cuam tshuam nrog MS
• Outlook

Nkag siab trigeminal neuralgia

Cov trigeminal hlab ntsha nqa cov paib ntawm lub hlwb thiab lub ntsej muag. Trigeminal neuralgia (TN) yog ib qho kev mob siab heev uas ua rau cov hlab ntsha no npau taws.

Trigeminal paj yog ib qho ntawm 12 qhov kev ua kom muaj cov leeg cranial. Nws yog lub luag haujlwm xa cov kev xav lossis hnov ​​ntawm lub hlwb mus rau lub ntsej muag. Lub txiaj ntsig "txoj hlab ntsha" yog qhov tseeb ntawm khub: qhov txuas ntawm sab lauj ntawm lub ntsej muag, thiab ib qho khiav raws sab xis. Txhua ntawm cov hlab ntsha muaj peb ceg, uas yog vim li cas nws thiaj li hu ua trigeminal hlab ntsha.

Cov tsos mob ntawm TN los ntawm qhov mob ib txwm mus rau qhov mob sai sai ntawm lub puab tsaig lossis lub ntsej muag.

Nkag siab cov tsos mob ntawm trigeminal neuralgia

Kev mob los ntawm TN tuaj yeem tshwm sim los ntawm qee yam yooj yim xws li ntxuav koj lub ntsej muag, txhuam koj cov hniav, lossis hais lus. Qee tus neeg hnov ​​cov cim ceeb toom xws li tingling, achiness, lossis hnov ​​pob ntseg ua ntej pib qhov mob. Qhov mob yuav zoo li hnov ​​hluav taws xob lossis qhov hnov ​​hnov ​​mob. Nws tuaj yeem nyob txhua qhov chaw ntawm ob peb feeb mus rau ob peb feeb. Hauv cov xwm txheej loj, nws tuaj yeem ntev ntev npaum li ib teev.

Feem ntau, cov tsos mob ntawm TN los hauv nthwv dej thiab ua raws caij nyoog ntawm kev zam txim. Txog qee tus neeg, TN dhau los ua ib qho kev muaj mob zuj zus nrog qhov kev ncua ntev dua ntawm kev tshem tawm ntawm kev tawm tsam mob.

Cov tsos mob thaum ntxov ntawm ntau yam mob sclerosis

Li ntawm ib nrab ntawm cov neeg uas muaj ntau tus mob sclerosis (MS) muaj mob mob mus ntev, raws li National National Sclerosis Society. TN tuaj yeem yog qhov kev mob hnyav rau cov neeg mob MS, thiab nws paub tias yog cov tsos mob thaum ntxov ntawm tus mob.

Lub koom haum American Association of Neurological Surgeons (AANS) hais tias MS feem ntau yog ua rau TN rau cov neeg hluas. TN tshwm sim ntau zaus rau cov poj niam dua li tus txiv neej, uas kuj yog hom mob MS.

Cov ua rau thiab muaj xwm txheej

MS ua kev puas tsuaj rau myelin, tiv thaiv txheej ib puag ncig ntawm cov leeg hlwb. TN yuav tshwm sim los ntawm qhov ua kom myelin tsis zoo los yog qhov tsim ntawm qhov mob ncig thaj tsam trigeminal hlab ntsha.

Ntxiv rau MS, TN tuaj yeem tshwm sim los ntawm cov hlab ntshav nias ntawm txoj hlab ntshav. Kev pab qhia tsis tu ncua, TN tshwm sim los ntawm cov qog, cov hlab ntsha khi, lossis raug mob rau cov hlab ntsha. Qhov mob ntawm lub ntsej muag kuj tuaj yeem yog vim mob temporomandibular sib koom tes (TMJ) cuam tshuam los sis pawg mob taub hau, thiab qee zaum ua raws cov mob pob zeb.

Nyob ib ncig ntawm 12 tus neeg ntawm txhua 100,000 nyob hauv Tebchaws Meskas tau txais kev kuaj mob TN txhua lub xyoo, raws li National Institute of Neurological Disorder thiab Stroke. Tus mob TN tshwm sim rau cov laus tshaj 50 xyoo, tab sis nws tuaj yeem tshwm sim thaum muaj hnub nyoog li cas.

Kev kuaj mob trigeminal neuralgia

Yog tias koj muaj MS, koj yuav tsum ceeb toom qhia qhov mob tshiab rau koj tus kws kho mob. Cov tsos mob tshiab tsis yog ib txwm los ntawm MS, yog li lwm qhov laj thawj yuav tsum tau kav.

Lub vev xaib ntawm qhov mob tuaj yeem pab tshawb xyuas qhov teeb meem. Koj tus kws kho mob yuav ua qhov kev soj ntsuam txog lub neurological thiab feem ntau yuav xaj kom kuaj MRI txhawm rau pab ntsuas qhov laj thawj.

Cov tshuaj kho mob rau trigeminal neuralgia

Kev kho mob TN feem ntau yog pib noj tshuaj.

Raws li AANS, cov tshuaj feem ntau tau muab rau tus mob yog carbamazepine (Tegretol, Epitol). Nws pab tswj qhov mob, tab sis nws ua kom zoo dua yog siv nws. Yog tias cov carbamazepine tsis ua haujlwm, lub hauv paus ntawm qhov mob tsis tuaj yeem yog TN.

Lwm qhov kev siv tshuaj khomob feem ntau yog baclofen. Nws ua rau cov leeg tsaug zog tuaj yeem pab txo qhov mob. Ob qho tshuaj yeeb tshuaj qee zaum siv ua ke.

Kev phais rau trigeminal neuralgia

Yog tias cov tshuaj tsis txaus txaus kom tswj hwm qhov mob ntawm TN, kev phais mob yuav tsum tsim nyog. Muaj ntau hom kev ua haujlwm muaj.

Feem ntau hom, microvascular decompression, yuav muaj kev txav ntawm cov hlab ntshav kom deb ntawm trigeminal hlab ntsha. Thaum nws tsis thawb tawm ntawm lub hlab ntsha lawm, qhov mob yuav qis zuj zus. Txhua qhov puas tsuaj uas tau tshwm sim tuaj yeem thim rov qab.

Radiosurgery yog qhov tsawg kawg yog hom tsis nyiam. Nws koom nrog kev siv cov nqaj hluav taws xob txhawm rau sim sim cov hlab ntsha los ntawm xa cov cim mob.

Lwm cov kev xaiv muaj xws li siv gamma riam tawg los yog txhaj glycerol los loog ntawm txoj hlab. Koj tus kws kho mob kuj tuaj yeem siv tus ntsuas qhov txhawm rau muab lub zais pa tso rau hauv cov hlab ntsha trigeminal. Lub zais pa yog tom qab txau, nrawm ntawm cov hlab ntsha ua rau mob thiab ua rau cov nqaij ntshiv uas ua rau mob. Koj tus kws kho mob kuj tseem tuaj yeem siv cov raj xa hluav taws xob xa hluav taws xob mus rau kev puas tsuaj rau cov hlab ntaws uas ua rau mob.

Lwm hom mob uas cuam tshuam nrog MS

Txhaum cov teeb meem piav qhia tuaj yeem ua rau lwm hom mob hauv cov neeg nrog MS. Qee cov neeg tau hnov ​​mob hnia mob thiab hnov ​​kov raug, feem ntau hauv ob txhais ceg. Caj dab thiab sab nraub qaum tuaj yeem tshwm sim los ntawm hnav thiab tsim kua muag lossis los ntawm immobility. Rov ua dua li cov tshuaj steroid tuaj yeem ua rau mob lub xub pwg thiab lub ntsag.

Kev tawm dag zog tsis tu ncua, nrog rau kev ncab ib ce, tuaj yeem txo qee hom mob.

Nco ntsoov qhia qhov mob tshiab rau koj tus kws kho mob txhawm rau txhawm rau paub teeb meem sib luag thiab kev kho mob.

Outlook

TN yog mob mob uas tam sim no tsis muaj tshuaj kho tau. Txawm li cas los xij, nws cov tsos mob feem ntau tuaj yeem tswj tau. Kev sib xyaw ua ke ntawm kev siv tshuaj thiab kev phais mob tuaj yeem pab txo qhov mob.

Cov pab neeg muab kev pab tuaj yeem pab koj kawm paub ntau ntxiv txog cov kev kho mob tshiab thiab cov hau kev los daws. Lwm txoj kev kho kom zoo tuaj yeem pab txo qhov mob. Cov kev kho mob sim nrog:

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