Qhov mob feem ntau tuaj yeem kho tau zoo nrog tshuaj, txhaj tshuaj, lossis phais.

pharmaceuticals

Cov tshuaj kho mob ib txwm muaj (paracetamol, acetylsalicylic acid, thiab lwm yam) lossis txawm tias morphine (qhov chaw 3) tsis tuaj yeem kho qhov mob tau zoo. ntsej muag neuralgia. Lwm yam tshuaj muaj txiaj ntsig zoo dua tau siv, suav nrog:

• cov anticonvulsants (tshuaj thaiv pawg), muaj cov txiaj ntsig ntawm kev ruaj khov ntawm daim nyias nyias ntawm cov paj hlwb, feem ntau nrog carbamazepine hauv thawj lub hom phiaj (Tegretol®) uas ua rau nws muaj peev xwm tshem tawm cov teeb meem mob lossis txo lawv cov zaus thiab siv zog, lossis txawm tias gabapentin (Neurontin®), oxcarbazepine (Trileptal®) , pregabalin (Lyrica®), clonazepam (Rivotril®), phenytoin (Dilantin®); lamotrigine (Lamictal®)

• cov antispasmodics, xws li baclofen (Liorésal®) kuj tseem siv tau.
• cov antidepressants (clomipramine lossis amitryptiline), ntxhov siab vim kev xav thiab neuroleptics (haloperidol) tuaj yeem siv ua tshuaj ntxiv.

phais

Txawm hais tias kev kho tshuaj muaj txiaj ntsig hauv feem ntau ntawm cov xwm txheej, kwv yees li 40% ntawm cov neeg mob xaus kev txhim kho mus sij hawm ntev. Nws yog qhov tsim nyog los txiav txim siab kev phais mob.

Tam sim no muaj peb yam txheej txheem sib txawv:

• Le gamma-riam (gamma hluav taws xob scalpel) suav nrog hauv kev cuam tshuam cov hlab ntsha trigeminal ntawm nws qhov kev sib tshuam nrog lub hlwb nrog cov duab hluav taws xob uas yuav ua rau ib nrab puas ntawm cov hlab ntsha. (qhov chaw 3)
• cov txheej txheem txheej tawv nqaij no lub hom phiaj kom ncaj qha mus cuag cov hlab ntsha lossis nws cov ganglion siv rab koob tso rau hauv daim tawv nqaij thiab qhov no, nyob rau hauv nruj kev siv hluav taws xob lossis tswj stereotaxic. Peb txheej txheem yog ua tau:
  1. Thermocoagulation (xaiv kev puas tsuaj ntawm Gasser ganglion los ntawm tshav kub) uas tshem tawm qhov mob thaum tswj tuav lub ntsej muag rhiab ntawm lub ntsej muag. Nws yog txoj hauv kev zoo tshaj plaws ntawm daim tawv nqaij.
  2. Kev puas tsuaj tshuaj (txhaj tshuaj glycerol)
  3. Compression ntawm Gasser ganglion los ntawm lub zais pa.
• La microvascular decompression los ntawm kev mus ncaj qha ntawm trigeminal uas muaj nyob hauv kev qhib rau hauv pob txha taub hau, tom qab pob ntseg, hauv kev tshawb fawb ntawm cov hlab ntshav lub luag haujlwm rau kev nrawm. Yog li ntawd nws yog txheej txheem nthuav tawm thiab cuam tshuam.

Cov txheej txheem neurosurgical no tuaj yeem ua rau qee yam teeb meem, xws li poob ntawm lub ntsej muag rhiab piv txwv. Hauv qee tus neeg nrog trigeminal neuralgia, qhov mob yuav rov qab los tom qab ob peb xyoos. Kev xaiv kev kho mob yog nyob ntawm hnub nyoog, tus neeg mob, qhov mob ntawm neuralgia (ua rau mob thiab mob ntawm tus neeg cuam tshuam), nws keeb kwm lossis nws cov laus. Feem ntau hais lus, kev phais tsuas yog suav tias yog qhov kawg.