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Ranar Halitta: 26 Afrilu 2021
Sabuntawa: 18 Nuwamba 2024
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Fahimtar cututtukan neuralgia

Jijiyar mai haifar da sakonni tsakanin kwakwalwa da fuska. Neuralgia na Trigeminal neuralgia (TN) wani yanayi ne mai raɗaɗi wanda wannan jijiya ta zama da damuwa.

Jijiyar jijiya na ɗaya daga cikin jijiyoyi 12 na jijiyoyin kwanya. Yana da alhakin aika ji ko jin dadi daga kwakwalwa zuwa fuska. Jigon “jijiyar” shine ainihin jijiyoyi: ɗayan yana faɗaɗawa tare da gefen hagu na fuska, ɗayan kuma yana tafiya a gefen dama. Kowace irin wadannan jijiyoyin suna da rassa uku, shi yasa ake kiranta da trigeminal nerve.

Kwayar cutar TN ta fara ne daga ciwon kai tsaye zuwa mummunan rauni mai wuka a cikin muƙamuƙi ko fuska.

Fahimtar alamun cututtukan ƙananan ƙwayoyin cuta

Jin zafi daga TN na iya haifar da wani abu mai sauƙi kamar wanke fuskarka, goge haƙori, ko magana. Wasu mutane suna jin alamun gargaɗi irin su tingling, achiness, ko kunne kafin farkon fara ciwo. Ciwo na iya jin kamar hargitsin lantarki ko abin ƙonawa. Zai iya wucewa ko'ina daga secondsan daƙiƙoƙi zuwa mintina da yawa. A cikin yanayi mai tsanani, yana iya ɗaukar tsawon awa ɗaya.


Yawanci, bayyanar cututtuka na TN suna zuwa cikin raƙuman ruwa kuma ana biye da lokaci na gafara. Ga wasu mutane, TN ya zama yanayin ci gaba tare da ƙara gajarta lokacin gafartawa tsakanin hare-hare masu zafi.

Alamar farko ta cutar sankarau da yawa

Kimanin rabin mutanen da ke fama da cutar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar aƙwararrakin ƙwayar cuta. TN na iya zama tushen matsanancin ciwo ga mutanen da ke tare da MS, kuma an san cewa farkon alama ce ta yanayin.

Americanungiyar ofwararrun gewararrun Neurowararrun Neurowararrun Americanwararrun (wararrun (AANS) ta ce MS yawanci shine dalilin TN ga samari. TN yana faruwa sau da yawa a cikin mata fiye da maza, wanda shine batun MS.

Dalili da yaduwa

MS yana haifar da lalata myelin, murfin kariya kewaye da ƙwayoyin jijiyoyi. TN na iya haifar da lalacewar myelin ko samuwar raunuka a kusa da jijiyar.

Baya ga MS, TN na iya haifar da jijiyoyin jini suna danna jijiya. Ba safai ba, TN ke haifar da ƙari, jijiyoyin jijiyoyi, ko rauni ga jijiya. Hakanan ciwon fuska na iya kasancewa ne saboda rashin haɗin gwiwa na lokaci-lokaci (TMJ) ko ciwon kai na tari, kuma wani lokacin yakan biyo bayan ɓarkewar shingles.


Kimanin mutane 12 daga cikin kowane 100,000 a Amurka suna karɓar cutar TN kowace shekara, a cewar Cibiyar Nazarin Neurowayar Neurological da Ciwan Maraƙin. TN yana bayyana sau da yawa a cikin manya sama da shekaru 50, amma yana iya faruwa a kowane zamani.

Binciken asali na ƙananan ƙwayoyin cuta

Idan kuna da MS, koyaushe yakamata ku sanar da likitanku sabon ciwo. Sabbin alamun ba koyaushe bane saboda MS, saboda haka dole ne a kawar da wasu dalilai.

Shafin jin zafi na iya taimakawa wajen gano matsalar. Likitanku zai yi cikakken nazarin ƙwaƙwalwar ƙwaƙwalwa kuma mai yiwuwa ya ba da umarnin yin binciken MRI don taimakawa wajen gano dalilin.

Magunguna don ƙananan ƙwayoyin cuta

Jiyya don TN yawanci yana farawa da magunguna.

A cewar AANS, mafi yawan kwayoyi da aka tanada don yanayin shi ne carbamazepine (Tegretol, Epitol). Yana taimakawa sarrafa ciwo, amma yana zama mara tasiri sosai yayin amfani da shi. Idan carbamazepine ba ya aiki, asalin ciwo bazai TN ba.

Wani magani da ake yawan amfani dashi shine baclofen. Yana kwantar da tsokoki don taimakawa rage zafi. Wasu lokuta ana amfani da magungunan biyu tare.


Yin aikin tiyata don ƙananan ƙwayoyin cuta

Idan magunguna ba su isa su magance zafi na TN ba, tiyata na iya zama dole. Akwai nau'ikan ayyukan da yawa.

Nau'in da aka fi sani, rikicewar ƙwayoyin cuta, ya haɗa da motsa jijiyoyin jini daga jijiyar mai haifar da cutar. Lokacin da ya daina turawa akan jijiyar, ciwon zai iya raguwa. Duk wani lalacewar jijiya da ya faru na iya juyawa.

Radiosurgery shine mafi ƙarancin nau'in cuta. Ya haɗa da amfani da katako na radiation don ƙoƙarin toshe jijiyoyin daga aika sigina na ciwo.

Sauran zaɓuɓɓukan sun haɗa da amfani da gamma na wuka gamma ko allurar glycerol don taushe jijiya. Hakanan likitanka zai iya amfani da catheter don sanya balon a cikin jijiyar. Hakanan ana hura balan-balan, yana matse jijiyar tare da cutar da zaren da ke haifar da ciwo. Hakanan likitanka zai iya amfani da catheter don aika wutar lantarki don lalata ƙwayoyin jijiyoyin da ke haifar da ciwo.

Sauran nau'ikan ciwo da ke haɗuwa da MS

Kuskuren sigina na jijiyar jiki na iya haifar da wasu nau'in ciwo a cikin mutane tare da MS. Wasu suna jin zafi mai zafi da ƙwarewa don taɓawa, yawanci a ƙafafu. Abun wuya da na baya na iya haifar da lalacewa da hawaye ko kuma rashin motsi. Maimaita maganin cututtukan steroid na iya haifar da matsalolin kafada da hip.

Motsa jiki na yau da kullun, gami da miƙawa, na iya sauƙaƙa wasu nau'ikan ciwo.

Ka tuna ka bayar da rahoton duk wani sabon ciwo ga likitanka don a gano matsalolin da ke ciki kuma a magance su.

Outlook

TN yanayi ne mai raɗaɗi wanda a halin yanzu ba shi da magani. Koyaya, ana iya sarrafa alamun ta sau da yawa. Haɗuwa da magunguna da zaɓuɓɓukan tiyata na iya taimakawa rage zafi.

Kungiyoyin tallafi zasu iya taimaka muku ƙarin koyo game da sababbin jiyya da hanyoyin shawo kan matsalar. Sauran hanyoyin kwantar da hankali na iya taimakawa sauƙaƙa ciwo. Magungunan da za a gwada sun haɗa da:

  • hypnosis
  • acupuncture
  • tunani
  • yoga

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