Ululu ukhoza kuchiritsidwa bwino ndi mankhwala, jakisoni, kapena opaleshoni.

Mankhwala

Mankhwala oletsa kupweteka achikhalidwe (paracetamol, acetylsalicylic acid, etc.) kapena morphine (gwero la 3) sangathe kuthetsa ululu. nkhope neuralgia. Mankhwala ena ogwira mtima kwambiri amagwiritsidwa ntchito, kuphatikiza:

• The anticonvulsants (antiepileptic), kukhala ndi zotsatira za kukhazikika kwa nembanemba ya mitsempha ya mitsempha, nthawi zambiri ndi carbamazepine mu cholinga choyamba (Tegretol®) chomwe chimapangitsa kuti athetse mavuto opweteka kapena kuchepetsa mafupipafupi ndi mphamvu zawo, kapena ngakhale gabapentin (Neurontin®), oxcarbazepine (Trileptal®) , pregabalin (Lyrica®), clonazepam (Rivotril®), phenytoin (Dilantin®); Lamotrigine (Lamictal®)

• The antispasmodics, monga baclofen (Liorésal®) angagwiritsidwenso ntchito.
• The Kudetsa nkhaŵa (clomipramine kapena amitryptiline), nkhawa ndi neuroleptics (haloperidol) angagwiritsidwe ntchito ngati chowonjezera.

opaleshoni

Ngakhale kuti chithandizo chamankhwala chimakhala chothandiza nthawi zambiri, pafupifupi 40% ya odwala amatha kukana kwa nthawi yayitali. Ndiye m'pofunika kuganizira za kulowererapo opaleshoni.

Pano pali njira zitatu zosiyana:

• Le gamma-mpeni (gamma ray scalpel) kuphatikiza minyewa ya trigeminal yomwe imalumikizana ndi ubongo ndi kuwala kwa radioactive komwe kungawononge pang'ono minyewa ya minyewa. (gwero 3)
• The percutaneous njira Pano kulunjika mwachindunji ku minyewa kapena ganglioni yake pogwiritsa ntchito singano yomwe imayikidwa pakhungu ndipo izi, motsogozedwa kwambiri ndi radiological kapena stereotaxic. Njira zitatu ndizotheka:
  1. Thermocoagulation (chiwonongeko chosankha cha ganglion ya Gasser ndi kutentha) chomwe chimachotsa ululu ndikusunga kukhudzidwa kwa nkhope. Ndi njira yothandiza kwambiri ya percutaneous.
  2. Kuwonongeka kwa Chemical (kubayidwa kwa glycerol)
  3. Kuponderezedwa kwa ganglion ya Gasser ndi baluni yopumira.
• La microvascular decompression mwa njira yachindunji ya trigeminal yomwe imakhala ndi kutsegula mu chigaza, kuseri kwa khutu, pofunafuna chotengera chamagazi chomwe chimayambitsa kupsinjika. Chifukwa chake ndi njira yosavuta komanso yosokoneza.

Njira zopangira ma neurosurgical izi zimatha kuyambitsa zovuta zina, monga kutayika kwa chidwi cha nkhope mwachitsanzo. Kwa anthu ena omwe ali ndi trigeminal neuralgia, ululu ukhoza kubwereranso patapita zaka zingapo. Kusankhidwa kwa chithandizo kumatengera zaka, momwe wodwalayo alili, kukula kwa neuralgia (kulekerera kupweteka ndi kupweteka kwa munthu wokhudzidwayo), chiyambi chake kapena kukula kwake. Nthawi zambiri, opaleshoni imangotengedwa ngati njira yomaliza.