Yawancin lokaci ana iya magance ciwon cikin nasara tare da magani, allura, ko tiyata.

magunguna

Magunguna masu rage zafi na gargajiya (paracetamol, acetylsalicylic acid, da sauransu) ko ma morphine (tushen 3) ba zai iya sauƙaƙa jin zafi ba. neuralgia na fuska. Ana amfani da wasu magunguna masu tasiri sosai, gami da:

• The anticonvulsantsmaganin rigakafi), yana da tasirin tabbatar da membrane na ƙwayoyin jijiya, galibi tare da carbamazepine da niyyar farko (Tegretol®) wanda ke ba da damar kawar da rikice -rikice masu raɗaɗi ko rage mita da ƙarfin su, ko ma gabapentin (Neurontin®), oxcarbazepine (Trileptal®) , pregabalin (Lyrica®), clonazepam (Rivotril®), phenytoin (Dilantin®); Lamotrigine (Lamictal®)

• The maganin antispasmodics, Hakanan za'a iya amfani da baclofen (Liorésal®).
• The Antidepressants (clomipramine ko amitryptiline), anxiolytics da kuma neuroleptics (haloperidol) ana iya amfani dashi azaman kari.

tiyata

Kodayake jiyya na miyagun ƙwayoyi suna da tasiri a yawancin lokuta, kusan 40% na marasa lafiya sun ƙare haɓaka juriya na dogon lokaci. Sannan ya zama dole ayi la’akari da aikin tiyata.

A halin yanzu akwai dabaru daban -daban guda uku:

• Le gamma-wuka (gamma ray fatar jiki) wanda ya ƙunshi fitar da jijiyoyin jijiyoyin jijiyoyin jiki a haɗe tare da kwakwalwa tare da haskoki na rediyo wanda zai haifar da lalacewar jijiyoyin jijiyoyin jiki. (tushen 3)
• The dabaru masu wuyar warwarewa nan da nufin kai tsaye ga jijiya ko ƙungiyarsa ta amfani da allurar da aka saka cikin fata kuma wannan, a ƙarƙashin tsananin kulawar rediyo ko stereotaxic. Dabbobi uku suna yiwuwa:
  1. Thermocoagulation (zaɓaɓɓen ɓarna na Gasser's ganglion by zafi) wanda ke kawar da ciwo yayin da yake kula da yanayin fuska. Ita ce hanya mafi inganci ta hanya madaidaiciya.
  2. Halakar sinadarai (allurar glycerol)
  3. Matsawa na Gasser's ganglion ta hanyar balon da ake iya juyawa.
• La decompression na jijiyoyin jini ta hanyar kai tsaye na trigeminal wanda ya ƙunshi yin buɗewa a cikin kwanyar, bayan kunne, don neman jirgin da ke da alhakin matsawa. Don haka hanya ce mai taushi da ɓarna.

Waɗannan hanyoyin neurosurgical na iya haifar da wasu rikice -rikice, kamar asarar ji na ido misali. A wasu mutanen da ke da trigeminal neuralgia, zafin na iya dawowa bayan yearsan shekaru. Zaɓin magani ya dogara da shekaru, yanayin majiyyaci, ƙarfin neuralgia (haƙuri ga ciwo da spasms na mutumin da abin ya shafa), asalin sa ko girman sa. Gabaɗaya magana, aikin tiyata ana ɗaukarsa azaman mafaka ta ƙarshe.