Glossopharyngeal neuralgia

Glossopharyngeal neuralgia ke boemo bo sa tloaelehang moo ho nang le linako tse pheta-phetoang tsa bohloko bo boholo lelemeng, 'metso, tsebe le lithane. Sena se ka nka metsotsoana e seng mekae ho isa ho metsotso e seng mekae.

Glossopharyngeal neuralgia (GPN) ho lumeloa hore e bakoa ke ho halefa ha methapo ea borobong ea cranial, e bitsoang methapo ea glossopharyngeal. Hangata matšoao a qala ho batho ba fetang lilemo tse 50.

Maemong a mangata, mohloli oa ho teneha ha o fumanoe. Lisosa tse ka bakang mofuta ona oa bohloko ba methapo (neuralgia) ke:

• Methapo ea mali e hatella methapong ea glossopharyngeal
• Keketseho botlaaseng ba lehata e hatella methapong ea glossopharyngeal
• Lihlahala kapa tšoaetso ea 'metso le molomo li hatella methapo ea glossopharyngeal

Hangata bohloko bo hlaha ka lehlakoreng le leng mme e kanna ea ba jabing. Maemong a sa tloaelehang, mahlakore ka bobeli aa ameha. Matšoao a kenyelletsa bohloko bo boholo libakeng tse hokahane le methapo ea borobong ea methapo:

• Ka morao ho nko le 'metso (nasopharynx)
• Ka morao ho leleme
• Tsebe
• 'Metso
• Tonsil sebakeng
• Lebokose la lentsoe (larynx)

Bohloko bo hlaha ka linako tse ling mme e kanna ea ba matla. Likarolo li ka hlaha makhetlo a mangata ka letsatsi mme tsa tsosa motho borokong. Ka linako tse ling e ka ts'oaroa ke:

• Ho hlafuna
• Ho kgohlela
• Ea tšeha
• Antseng a bua
• Ho koenya
• Ho hlakola
• Ho thimola
• Lino tse batang
• Ho ama (ntho e hlabang ho lithane tsa lehlakore le amehileng)

Liteko li tla etsoa ho supa mathata, joalo ka lihlahala, botlaaseng ba lehata. Liteko li ka kenyelletsa:

• Liteko tsa mali ho felisa tšoaetso kapa hlahala
• Tlhatlhobo ea hlooho ea CT
• MRI ea hlooho
• X-ray ea hlooho kapa molala

Ka linako tse ling MRI e ka bonts'a ho ruruha (ho ruruha) ha methapo ea glossopharyngeal.

Ho fumana hore na methapo ea mali e hatella methapo ea kutlo, litšoantšo tsa methapo ea boko li ka nkuoa li sebelisoa:

• Ts'ebetso ea Magnetic resonance angiography (MRA)
• CT angiogram
• X-ray ea methapo e nang le dae (angiography e tloaelehileng)

Morero oa kalafo ke ho laola bohloko. Meriana e sebetsang ka ho fetisisa ke meriana e thibelang mafu joaloka carbamazepine. Ho imeloa kelellong ho ka thusa batho ba itseng.

Maemong a boima, ha ho le thata ho phekola bohloko, ho ka hlokahala ho buuoa ho tlosa khatello ea methapo ea glossopharyngeal. Sena se bitsoa khatello ea methapo ea methapo. Metsing e ka boela ea khaola (rhizotomy). Ho buuoa ka bobeli hoa sebetsa. Haeba sesosa sa neuralgia se fumanoa, kalafo e lokela ho laola bothata bo ka sehloohong.

Hore na o sebetsa hantle hakae ho latela sesosa sa bothata le katleho ea kalafo ea pele. Phekolo e nkuoa e sebetsa ho batho ba sa rueng molemo ho meriana.

Mathata a GPN a ka kenyelletsa:

• Ho otla butle le ho akheha ho ka hlaha ha bohloko bo le matla
• Tšenyo ea methapo ea carotid kapa mothapo o ka hare oa jugular ka lebaka la likotsi, joalo ka leqeba le hlabiloeng
• Bothata ba ho metsa lijo le ho bua
• Litla-morao tsa meriana e sebelisitsoeng

Bona mofani oa tlhokomelo ea bophelo hang-hang haeba u e-na le matšoao a GPN.

Bona setsebi sa bohloko haeba bohloko bo le boima, ho netefatsa hore o tseba likhetho tsohle tsa hau tsa ho laola bohloko.

Cranial mononeuropathy IX; Lefu la Weisenberg; GPN

• Glossopharyngeal neuralgia

Ko MW, Prasad S. Hlooho e bohloko, bohloko ba sefahleho, le mathata a sefahleho sa sefahleho. Ka: Liu GT, Volpe NJ, Galetta SL, li-eds. Liu, Volpe, le Neuro-Ophthalmology ea Galetta. 3rd ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 19.

Ngolo ea Miller JP, Burchiel KJ. Ho senyeha ha methapo ea methapo ea methapo bakeng sa trigeminal neuralgia. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 174.

Narouze S, Mopapa JE. Bohloko ba Orofacial. Ka: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Bohlokoa ba Meriana ea Bohloko. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 23.