Qhov sib txawv tseem ceeb ntawm kev mob caj dab ntawm lub cev thiab trigeminal neuralgia yog qhov mob caj dab ntawm lub cev yog ib yam mob uas tshwm sim vim yog mob ntawm cov hlab ntsha ntawm lub cev, uas muab ntshav rau lub taub hau thiab lub hlwb. Txawm li cas los xij, trigeminal neuralgia yog ib qho mob ntev uas cuam tshuam rau cov hlab ntsha trigeminal.
Yog li, ob leeg leeg nqaij leeg thiab trigeminal neuralgia yog tshwm sim ntawm cov mob inflammatory.
Tsev mob Arteritis yog dab tsi?
Temporal arteritis lossis giant cell arteritis yog ib yam kab mob uas tshwm sim los ntawm kev mob ntawm cov hlab ntsha ntawm lub cev, uas muab cov ntshav mus rau lub taub hau thiab lub hlwb. Tus kab mob no yuav luag ib txwm pom ntawm cov neeg mob uas muaj hnub nyoog tshaj 50 xyoo.
Tshuaj Kho Mob
Headache
Cov neeg mob yuav mob taub hau, feem ntau nyob rau hauv lub cev nqaij daim tawv thiab occipital cheeb tsam. Arterial pulsation poob, thiab nws ua nyuaj thiab tortuous. Tsis tas li ntawd, kov qhov chaw mob hauv cov dej num xws li combing ua rau mob.
Kev mob lub ntsej muag
Kev mob ntawm maxillary, lub ntsej muag, thiab lingual ceg ntawm sab nraud carotid artery ua rau muaj mob ntawm lub ntsej muag. Qhov mob no aggravates los ntawm kev txav ntawm lub puab tsaig. Qhov no yog ib tug yam ntxwv tsos mob hu ua lub puab tsaig claudication. Tus neeg mob pom tias nws nyuaj rau protrude tus nplaig thiab qhib qhov ncauj.
Visual Defects
Qhov teeb meem pom tshwm tsuas yog hauv ib feem kaum ntawm cov ntaub ntawv tshaj tawm. Lub occlusion ntawm posterior ciliary hlab ntsha ua rau anterior ischemic optic neuropathy. Muaj qhov tsis pom kev tsis pom kev tam sim ntawd uas yog ib nrab lossis tiav. Tsis tas li ntawd, yog hais tias tus mob tshwm sim, feem ntau yog vim tsis ua hauj lwm ntawm tus neeg mob nrhiav kev kho mob tam sim ntawd, central retinal artery occlusion yuav tshwm sim; Nyob rau hauv cov ntaub ntawv no, tus neeg mob yuav tau txais ib tug tas mus li unilateral tsis pom kev nrog rau disc pallor.
Daim duab 01: Mob taub hau yog ib qho tsos mob ntawm kev mob caj dab
Diagnosis
ESR thiab siab enzyme qib nce hauv cov hlab ntsha ntawm lub cev. Ib tug yuav tsum tau kuaj biopsy los ntawm cov hlab ntsha ntawm lub cev kom sai li sai tau txhawm rau txhawm rau paub meej qhov kev kuaj mob.
Kev tswj hwm
Tus neeg mob yuav tsum tau noj cov tshuaj steroids siab (feem ntau yog prednisolone 1mg / kg / hnub) tsawg kawg rau ib xyoos.
YNeuralgia Trigeminal yog dab tsi?
Lub voj vascular dilated feem ntau ua rau cov hlab ntsha trigeminal hauv thaj chaw peripontine, thiab qhov no ua rau mob ntawm lub ntsej muag hauv thaj tsam ntawm kev faib tawm ntawm cov hlab ntsha trigeminal. Cov neeg mob hluas uas muaj trigeminal neuralgia, ntau yam sclerosis, lossis cerebellopontine lub kaum sab xis ntsib txoj kev pheej hmoo ntawm cov qog.
Tshuaj Kho Mob
- Tus neeg mob yuav ntsib kev mob hluav taws xob zoo li lossis mob zoo li riam. Thiab qhov mob no feem ntau pib hauv cheeb tsam mandibular thiab kav ntev li ob peb feeb; tom qab ntawd, nws maj mam txo qis tsuas yog rov qab los tom qab lub sijhawm refractory ntawm lub sijhawm hloov pauv.
- Kev ua xws li ntxuav thiab shaving tuaj yeem ua rau mob.
Kev tswj hwm
Carbamazepine yog cov tshuaj niaj hnub uas txo qhov mob. Lamotrigine thiab gabapentin yog lwm yam kev xaiv. Qhov tsis ua hauj lwm ntawm cov tshuaj los txhawb kev tso tawm yog ib qho kev qhia rau kev phais mob kom txo tau qhov compression ntawm cov hlab ntsha trigeminal. Kev nce qib tsis ntev los no ntawm bioengineering thev naus laus zis tau ua rau txoj hauv kev rau microvascular decompression ntawm lub siab ntawm cov hlab ntsha.
Qhov txawv ntawm Temporal Arteritis thiab Trigeminal Neuralgia yog dab tsi?
Temporal Arteritis vs Trigeminal Neuralgia |
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| Temporal arteritis lossis giant cell arteritis yog ib yam mob uas tshwm sim los ntawm qhov mob ntawm cov hlab ntsha ntawm lub cev, uas muab cov ntshav rau lub taub hau thiab hlwb. | Trigeminal neuralgia yog tus mob tshwm sim los ntawm compression ntawm cov hlab ntsha trigeminal hauv thaj chaw peripontine, ua rau mob lub ntsej muag hauv thaj tsam ntawm kev faib tawm ntawm cov hlab ntsha trigeminal. |
| Kev mob tshwm sim hauv cov hlab ntsha ntawm lub cev. | Trigeminal neuralgia yog vim qhov compression lossis o ntawm cov hlab ntsha trigeminal. |
| Tshuaj kho mob | |
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Cov tshuaj steroids siab (feem ntau yog prednisolone 1mg / kg / hnub) tsawg kawg rau ib xyoos |
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Summary – Temporal Arteritis vs Trigeminal Neuralgia
Temporal arteritis yog ib yam kab mob uas tshwm sim los ntawm kev mob ntawm cov hlab ntsha ntawm lub cev, uas muab cov ntshav rau lub taub hau thiab lub hlwb. Qhov sib txawv tseem ceeb ntawm cov hlab ntsha ntawm lub cev thiab trigeminal neuralgia yog tias, hauv cov hlab ntsha ntawm lub cev, cov hlab ntsha ntawm lub cev raug cuam tshuam thaum, hauv trigeminal neuralgia, cov hlab ntsha trigeminal cuam tshuam.
