{"id":1769,"date":"2021-03-18T17:00:44","date_gmt":"2021-03-18T15:00:44","guid":{"rendered":"https:\/\/dermitzaki.gr\/?p=1769"},"modified":"2022-09-22T18:57:07","modified_gmt":"2022-09-22T15:57:07","slug":"%cf%84%ce%b9-%ce%b5%ce%af%ce%bd%ce%b1%ce%b9-%ce%b7-%ce%bd%ce%b5%cf%85%cf%81%ce%b1%ce%bb%ce%b3%ce%af%ce%b1-%cf%84%ce%bf%cf%85-%cf%84%cf%81%ce%b9%ce%b4%cf%8d%ce%bc%ce%bf%cf%85-%ce%bd%ce%b5%cf%8d%cf%81-2","status":"publish","type":"post","link":"https:\/\/dermitzaki.gr\/sq\/%cf%84%ce%b9-%ce%b5%ce%af%ce%bd%ce%b1%ce%b9-%ce%b7-%ce%bd%ce%b5%cf%85%cf%81%ce%b1%ce%bb%ce%b3%ce%af%ce%b1-%cf%84%ce%bf%cf%85-%cf%84%cf%81%ce%b9%ce%b4%cf%8d%ce%bc%ce%bf%cf%85-%ce%bd%ce%b5%cf%8d%cf%81-2\/","title":{"rendered":"\u00c7FAR\u00cb \u00cbSHT\u00cb TRIDIMALGJIA (TIC DOULOUREUX)"},"content":{"rendered":"

Neuralgjia trigeminale \u00ebsht\u00eb nj\u00eb dhimbje intensive n\u00eb zon\u00ebn e shp\u00ebrndarjes s\u00eb nervit trigeminal (nervi kryesor shqisor i fytyr\u00ebs). Dhimbja \u00ebsht\u00eb me koh\u00ebzgjatje t\u00eb shkurt\u00ebr (nga nj\u00eb fraksion i sekond\u00ebs deri n\u00eb maksimum 2 minuta) dhe zakonisht ngjan me nj\u00eb shkarkes\u00eb elektrike. P\u00ebr m\u00eb tep\u00ebr:<\/p>\n

\u2013 Dhimbja \u00ebsht\u00eb intensive, e mpreht\u00eb ose torturuese
\n\u2013 Mund t\u00eb shkaktohet nga acarimi i zonave specifike (zonat e nxitjes) p.sh. n\u00eb rruajtjen e burrave.
\n\u2013 Sulmet e dhimbjes jan\u00eb stereotipe n\u00eb \u00e7do pacient dhe n\u00eb nj\u00ebr\u00ebn an\u00eb<\/p>\n

Dhimbja mund t\u00eb shkaktoj\u00eb nj\u00eb spaz\u00ebm muskulor n\u00eb fytyr\u00eb (\u201ctic douloureux\u201d). Vitet e fundit, me metodat m\u00eb t\u00eb mira imazherike t\u00eb trurit (Magnetic) besojm\u00eb se dhimbja vjen nga nj\u00eb en\u00eb q\u00eb shtyp rr\u00ebnj\u00ebn e nervit trigeminal dhe e irriton at\u00eb, por shum\u00eb her\u00eb nuk mund ta gjejm\u00eb shkakun.<\/p>\n

 <\/p>\n

Shp\u00ebrndarja shqisore e nervit trigeminal n\u00eb fytyr\u00eb<\/h2>\n

Nervi trigeminal (ose konjugimi i pest\u00eb cerebral) \u00ebsht\u00eb nj\u00eb nerv i fytyr\u00ebs me t\u00eb cilin ndihemi. Nj\u00eb nerv n\u00eb gjysm\u00ebn e djatht\u00eb t\u00eb fytyr\u00ebs dhe nj\u00eb n\u00eb t\u00eb majt\u00eb. Nervi nga secila an\u00eb mbulon gjysm\u00ebn e fytyr\u00ebs dhe mukoz\u00ebn orale-nazale p\u00ebrkat\u00ebse. Nervi p\u00ebrb\u00ebhet nga tre nerva ose deg\u00eb m\u00eb t\u00eb vogla t\u00eb cilat shp\u00ebrndahen n\u00eb fytyr\u00eb. Tre deg\u00ebt dhe zonat e shp\u00ebrndara n\u00eb fytyr\u00eb jan\u00eb:<\/p>\n

\u2013 Nervi i syrit (dega e par\u00eb): balli, skalpi i p\u00ebrparm\u00eb, ura e hund\u00ebs, qepalla e sip\u00ebrme, pjesa e sip\u00ebrme e konjuktiv\u00ebs s\u00eb syrit, gj\u00ebndra e lotit, irisi i syrit
\n\u2013 Nervi maksilar (dega e dyt\u00eb): qepalla e poshtme, pjesa e poshtme e konjuktiv\u00ebs, ana e hund\u00ebs, faqe, buza e sip\u00ebrme, dh\u00ebmb\u00ebt e nofull\u00ebs s\u00eb sip\u00ebrme, mukozat e goj\u00ebs dhe hunda e mesme dhe e poshtme. dhoma e hund\u00ebs dhe mukoza e sinuseve dhe sinuseve sphenoid dhe etmoid
\n\u2013 Nervi mandibular (dega e 3-t\u00eb): zona e l\u00ebkur\u00ebs s\u00eb nofull\u00ebs s\u00eb poshtme (p\u00ebrve\u00e7 k\u00ebndit t\u00eb saj), zona e l\u00ebkur\u00ebs p\u00ebrpara tempujve, zona e l\u00ebkur\u00ebs mbi veshk\u00eb, nyja temporomandibulare, daullja e veshit, vendi
\nt\u00eb kanalit t\u00eb jasht\u00ebm t\u00eb d\u00ebgjimit, mjekr\u00ebs, buz\u00ebs s\u00eb poshtme, dh\u00ebmb\u00ebve dhe mishrave t\u00eb nofull\u00ebs s\u00eb poshtme, mukozave n\u00eb baz\u00ebn e goj\u00ebs dhe 2\/3 e p\u00ebrparme t\u00eb gjuh\u00ebs.<\/p>\n

Kur kemi nevralgji trigeminale mpirja, dhimbja, djegia, rryma elektrike apo ndonj\u00eb simptom\u00eb tjet\u00ebr \u00ebsht\u00eb n\u00eb nj\u00eb nga k\u00ebto deg\u00eb t\u00eb nervit trigeminal ose m\u00eb shpesh n\u00eb dy nga deg\u00ebt s\u00eb bashku (zakonisht dega e 2-t\u00eb dhe e 3-t\u00eb). Pra, kur kemi simptoma n\u00eb k\u00ebto zona, neurologi mund t\u00eb diagnostikoj\u00eb leht\u00ebsisht nj\u00eb nevralgji t\u00eb nervit.<\/p>\n

 <\/p>\n

Mjekimi<\/h2>\n

Trajtimi \u00ebsht\u00eb i v\u00ebshtir\u00eb dhe kronik me barna antiepileptike (zakonisht). Aplikohen edhe trajtime intervenuese (kriokagulimi i ganglionit trigeminal, \u201cjast\u00ebk\u201d n\u00eb rr\u00ebnj\u00ebn trigeminale) ose n\u00eb fund neurostimulues, por n\u00eb p\u00ebrgjith\u00ebsi \u00ebsht\u00eb nj\u00eb gjendje e dhimbshme, afatgjat\u00eb dhe e dhimbshme.<\/p>","protected":false},"excerpt":{"rendered":"

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