Glossopharyngeal neuralgia

Glossopharyngeal neuralgia yanayi ne wanda ba kasafai ake samun shi ba inda ake samun maimaitattun lokuta a cikin harshe, maƙogwaro, kunne, da tonsils. Wannan na iya wucewa daga secondsan dakiku kaɗan zuwa aan mintuna.

Glossopharyngeal neuralgia (GPN) an yi imanin cewa ana haifar da shi ne ta fushin jijiya ta tara, wanda ake kira jijiyar glossopharyngeal. Kwayar cutar galibi tana farawa ne a cikin mutane sama da shekaru 50.

A mafi yawan lokuta, ba a taɓa samun tushen ɓacin rai ba. Matsaloli da ka iya haifar da irin wannan ciwo na jijiya (neuralgia) sune:

• Jirgin jini yana matsawa akan jijiyar glossopharyngeal
• Girma a gindin ƙwanƙwasa kan jijiyar glossopharyngeal
• Tumurai ko cututtukan maƙogwaro da bakin da ke matsawa jijiyar glossopharyngeal

Ciwon yana yawan faruwa a gefe ɗaya kuma yana iya yin jabbing. A cikin al'amuran da ba safai ba, bangarorin biyu suna da hannu. Kwayar cututtuka sun haɗa da ciwo mai tsanani a yankunan da ke da nasaba da jijiya ta tara ta tara:

• Baya na hanci da makogwaro (nasopharynx)
• Baya na harshe
• Kunne
• Maƙogwaro
• Yankin tanki
• Akwatin murya (makogoro)

Ciwon yana faruwa a cikin aukuwa kuma yana iya zama mai tsanani. Sashen na iya faruwa sau da yawa kowace rana kuma ya tada mutum daga barci. Zai iya haifar da wani lokacin ta:

• Taunawa
• Tari
• Dariya
• Magana
• Hadiyya
• Yin hamma
• Atishawa
• Abin sha mai sanyi
• Taɓa (wani abu mai ƙyama ga ƙwanƙolin gefen abin da ya shafa)

Za a gudanar da gwaje-gwaje don gano matsaloli, kamar ciwace ciwace a gindin kwanyar. Gwaje-gwaje na iya haɗawa da:

• Gwajin jini don kawar da duk wata cuta ko ƙari
• CT scan na kai
• MRI na kai
• X-ray na kai ko wuya

Wani lokaci MRI na iya nuna kumburi (kumburi) na jijiyar glossopharyngeal.

Don gano ko jijiyoyin jini suna danna jijiyar, ana iya ɗaukar hotunan jijiyoyin kwakwalwa ta amfani da:

• Magnetic fuska angiography (MRA)
• CT angiogram
• X-ray na jijiyoyi tare da fenti (angiography na al'ada)

Manufar magani ita ce sarrafa ciwo. Magungunan da suka fi inganci sune magungunan haɗari kamar su carbamazepine. Magungunan hana damuwa na iya taimaka wa wasu mutane.

A cikin yanayi mai tsanani, lokacin da ciwo yake da wahalar magani, ana iya buƙatar tiyata don cire jijiyar glossopharyngeal. Wannan shi ake kira microvascular decompression. Hakanan za'a iya yanke jijiyar (rhizotomy). Duk aikin tiyatar yana da tasiri. Idan aka sami dalilin neuralgia, magani yakamata ya magance matsalar.

Yadda kuka yi daidai ya dogara da dalilin matsalar da tasirin maganin farko. Yin aikin tiyata yana da tasiri ga mutanen da ba sa cin gajiyar magunguna.

Matsalolin GPN na iya haɗawa da:

• Sannu a hankali da sumewa na iya faruwa yayin zafi mai tsanani
• Lalacewa ga jijiyar karoid ko kuma jijiyar ciki saboda rauni, kamar rauni mai rauni
• Matsalar haɗiye abinci da magana
• Sakamakon sakamako na magungunan da aka yi amfani da su

Duba likitanka nan da nan idan kana da alamun GPN.

Dubi ƙwararren masanin ciwo idan zafin ya yi tsanani, don tabbatar da cewa kuna sane da duk zaɓuɓɓukanku don magance ciwo.

Cranial mononeuropathy IX; Ciwon Weisenberg; GPN

• Glossopharyngeal neuralgia

Ko MW, Prasad S. Ciwon kai, ciwon fuska, da rikicewar yanayin fuska. A cikin: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, da Galetta na Neuro-Ophthalmology. 3rd ed. Philadelphia, PA: Elsevier; 2019: sura 19.

Miller JP, Burchiel KJ. Vasarƙwarar ƙwayar jijiyoyin ƙwayoyin cuta don ƙananan ƙwayoyin cuta. A cikin: Winn HR, ed. Youmans da Winn Yin aikin tiyata. 7th ed. Philadelphia, PA: Elsevier; 2017: babi na 174.

Narouze S, Paparoma JE. Raunin Orofacial. A cikin: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Mahimmancin Maganin Raɗaɗi. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 23.