Ubuhlungu ngokuvamile bungaphathwa ngempumelelo ngemithi, ngemijovo, noma ngokuhlinzwa.

izidakamizwa

Amaphilisi ezinhlungu endabuko (i-paracetamol, i-acetylsalicylic acid, njll.) noma ngisho ne-morphine (umthombo wesi-3) awakwazi ukukhulula ubuhlungu ngempumelelo. I-neuralgia ebusweni. Eminye imishanguzo ephumelela kakhulu isetshenziswa, okuhlanganisa:

• The ama-anticonvulsants (i-antiepileptic), ukuba nomthelela wokuzinzisa ulwelwesi lwamangqamuzana ezinzwa, imvamisa nge-carbamazepine ngenhloso yokuqala (Tegretol®) eyenza kube nokwenzeka ukuqeda izinkinga ezibuhlungu noma ukunciphisa imvamisa nokuqina kwazo, noma i-gabapentin (Neurontin®), i-oxcarbazepine (Trileptal®) , pregabalin (Lyrica®), clonazepam (Rivotril®), phenytoin (Dilantin®); i-lamotrigine (Lamictal®)

• The ama-antispasmodics, njenge-baclofen (Liorésal®) ingasetshenziswa futhi.
• The antidepressant (i-clomipramine noma i-amitryptiline), i-anxiolytics futhi ama-neuroleptics (i-haloperidol) ingasetshenziswa njengesengezo.

ukuhlinzwa

Nakuba ukwelapha ngemithi kusebenza ngempumelelo ezimweni eziningi, cishe amaphesenti angama-40 eziguli agcina enokungazweli isikhathi eside. Khona-ke kuyadingeka ukucabangela ukungenelela kokuhlinzwa.

Okwamanje kunamasu amathathu ahlukene:

• Le ummese we-gamma (i-gamma ray scalpel) okuhlanganisa ukukhanyisa inzwa ye-trigeminal ekuhlanganeni kwayo nobuchopho ngemisebe ekhipha imisebe ekhipha imisebe ezobangela ukucekelwa phansi kwengxenye yezinzwa. (umthombo 3)
• The amasu percutaneous lapha ihlose ukufinyelela ngqo kumthambo noma igenge layo kusetshenziswa inaliti eshuthekwe esikhunjeni futhi lokhu, ngaphansi kokulawulwa okuqinile kwe-radiological noma stereotaxic. Amaqhinga amathathu angenzeka:
  1. I-Thermocoagulation (ukubhujiswa okukhethekile kwegenge le-Gasser ngokushisa) okuqeda ubuhlungu ngenkathi kugcinwa ukuzwela okuthintekayo kobuso. Kuyindlela ephumelela kakhulu ye-percutaneous.
  2. Ukubhujiswa kwamakhemikhali (umjovo we-glycerol)
  3. Ukucindezelwa kwegenge le-Gasser ngebhaluni eliphefumulayo.
• La i-microvascular decompression ngokusondela ngqo kwe-trigeminal ehlanganisa ukuvula ugebhezi, ngemuva kwendlebe, kufunwa umthambo wegazi obhekene nokucindezelwa. Ngakho-ke kuyinqubo ethambile futhi ehlaselayo.

Lezi zinqubo ze-neurosurgical zingaholela ezinkingeni ezithile, njengokulahlekelwa ukuzwela kobuso njengesibonelo. Kwabanye abantu abane-neuralgia ye-trigeminal, ubuhlungu bungabuya ngemva kweminyaka embalwa. Ukukhethwa kokwelashwa kuncike eminyakeni yobudala, isimo sesiguli, ukuqina kwe-neuralgia (ukubekezelela ubuhlungu kanye ne-spasms yomuntu othintekile), imvelaphi yayo noma ukuphakama kwayo. Ngokuvamile, ukuhlinzwa kuthathwa kuphela njengendlela yokugcina.