Hiki ke mālama kūleʻa ʻia i ka ʻeha me nā lāʻau, injection, a ʻokiʻoki paha.

nā lāʻauʻona

ʻO nā painkillers kuʻuna (paracetamol, acetylsalicylic acid, a me nā mea ʻē aʻe) a i ʻole morphine (kumu 3) hiki ʻole ke hoʻomaha maikaʻi i ka ʻeha. neuralgia helehelena. Hoʻohana ʻia nā lāʻau lapaʻau ʻoi aku ka maikaʻi, e like me:

• ka nā anticonvulsivants (lāʻau lāʻau lapaʻau), ke loaʻa nei ka hopena o ka hoʻopaʻa ʻana i ka membrane o nā hunaola nerve, pinepine me ka carbamazepine i ka manaʻo mua (Tegretol®) i hiki ai ke hoʻopau i nā pilikia ʻeha a hōʻemi paha i ko lākou pinepine a me ka ikaika, a i ʻole gabapentin (Neurontin®), oxcarbazepine (Trileptal®) , pregabalin (Lyrica®), clonazepam (Rivotril®), phenytoin (Dilantin®); lamotrigine (Lamictal®)

• ka antispasmodics, e like me baclofen (Liorésal®) hiki ke hoʻohana pū ʻia.
• ka Nā hōʻaihopiho (clomipramine a i ʻole amitryptiline), hopohopo a neuroleptics (haloperidol) hiki ke hoʻohana ʻia me ke kumukanawai.

ʻoki kino

ʻOiai maikaʻi nā lāʻau lapaʻau i ka hapanui o nā hihia, ma kahi o 40% o nā maʻi e hoʻopau i ke kūpaʻa lōʻihi. A laila pono e noʻonoʻo i kahi hoʻopili lāʻau.

ʻEkolu mau ʻano ʻenehana i kēia manawa:

• Le pahi kaua gamma (ʻili scalma gamma) ʻo ia hoʻi i ka irradiating o ke aʻalolo trigeminal ma kona hui pū ʻana me ka lolo me nā kukuna radioactive e hiki ai i ka hapa o ka luku ʻia o nā aʻa. (kumu 3)
• ka ʻenehana kūpuna maanei ke manaʻo nei e kiʻi pololei i ke aʻalolo a i ʻole kāna ganglion me ka hoʻohana ʻana i kahi nila i hoʻokomo ʻia i loko o ka ʻili a me kēia, ma lalo o ka radiological koʻikoʻi a i ʻole ka stereotaxic kaohi. ʻEkolu mau hana i hiki.
  1. Thermocoagulation (hoʻohiolo koho o ka ganglion o ka Gasser e ka wela) i hoʻopau i ka ʻeha ʻoiai e mālama ana i ka maka maʻalahi o ka maka. ʻO ia ke ʻano percutaneile ʻoi loa.
  2. ʻO ka luku ʻana i ka lāʻau (injection of glycerol)
  3. ʻO ka hoʻopili ʻana o ka ganglion a ka Gasser e kahi pāluna inflatable.
• La decompression microvascular e ke ala pololei o ka trigeminal i komo i ka wehe ʻana i ka iwi poʻo, ma hope o ka pepeiao, i ka ʻimi ʻana i ke kīʻaha koko no ke kaohi. No laila he hana lahilahi a hoʻouka.

Hiki i kēia mau hana neurosurgical ke alakaʻi i kekahi mau pilikia, e like me ka nalo ʻana o ke alo o ke alo e laʻa me. I kekahi poʻe me ka neuralgia trigeminal, hoʻi paha ka ʻeha ma hope o kekahi mau makahiki. ʻO ke koho ʻana o ka lāʻau lapaʻau e pili ana i ka makahiki, ke kūlana o ka mea hoʻomanawanui, ka ikaika o ka neuralgia (ke ahonui i ka ʻeha a me nā spasms o ka mea i hoʻopilikia ʻia), kona kumu a i ʻole kona ʻelemakule. 'Lelo maʻamau, manaʻo wale ʻia ke kīpē ma ke ʻano he hopena hope loa.