{"id":66985,"date":"2018-10-19T10:49:20","date_gmt":"2018-10-19T07:49:20","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=66985"},"modified":"2018-10-19T10:49:20","modified_gmt":"2018-10-19T07:49:20","slug":"nevralgia-nervului-trigeminal","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-neurologice\/nevralgia-nervului-trigeminal\/","title":{"rendered":"Nevralgia nervului trigeminal"},"content":{"rendered":"

Nevralgia trigemenic\u0103 este o boal\u0103, \u00een care pacientul sufer\u0103 dureri infernale \u00een partea inferioar\u0103 a fe\u021bei \u0219i maxilarului, uneori se r\u0103sp\u00e2nde\u0219te \u00een zonele din jurul nasului \u0219i frun\u021bii. Durerea se aseam\u0103n\u0103 cu injec\u021bii ascu\u021bite, asem\u0103n\u0103toare cu \u0219ocurile electrice. Ea apare datorit\u0103 irita\u021biei nervului trigeminal din partea st\u00e2ng\u0103 sau dreapt\u0103 a fe\u021bei. Nervii tripli sunt responsabili pentru sensibilitatea fe\u021bei, ei sunt \u00eemperechea\u021bi: unul trece de-a lungul obrazului st\u00e2ng, cel\u0103lalt de-a lungul dreptului.<\/p>\n

Nervul este \u00eemp\u0103r\u021bit \u00een trei ramuri: primul este responsabil pentru sensibilitatea fe\u021bei din partea superioar\u0103 (ochii, pleoapele superioare, pielea frun\u021bii), al doilea este responsabil pentru sensibilitatea p\u0103r\u021bii medii a fe\u021bei (pleoapele inferioare, obrajii, buza superioar\u0103 \u0219i gingiile), a treia – pentru sensibilitatea p\u0103r\u021bii inferioare (maxilarul \u0219i buzele inferioare, gingiile \u0219i mu\u0219chii masticatori individuali).<\/p>\n

Motivele<\/h3>\n

Durerea rezult\u0103 din cauza contactului arterei \u0219i venei cu nervul trigeminal \u00een zona bazei craniului. Nervul trigeminal este comprimat, \u0219i apare durerea. Acela\u0219i mecanism al durerii e \u0219i \u00een cazul nevralgiei ramurilor nervului trigeminal (nervii faciali, faringieni \u0219i auxiliari). Durerea poate apare atunci c\u00e2nd nervul este comprimat de un neoplasm (tumoare). La persoanele de v\u00e2rst\u0103 fraged\u0103, boala se dezvolt\u0103 \u00een scleroz\u0103 multipl\u0103.<\/p>\n

Simptomele<\/h3>\n

\u00cen cele mai multe cazuri, durerea apare spontan. Semnele st\u0103rii de boal\u0103 seam\u0103n\u0103 cu dureri dentare: de multe ori durerile \u00eencep de la maxilarul superior sau inferior, astfel \u00eenc\u00e2t bolnavul persoan\u0103 crede c\u0103 are durere de din\u021bi, \u0219i se adreseaz\u0103 la dentist. \u00cen cazul, \u00een care din\u021bii sunt s\u0103n\u0103to\u0219i sau tratamentul lor nu a diminuat durerea, aceasta \u00eenseamn\u0103 c\u0103 cauza se afl\u0103 \u00een nervul trigemen.<\/p>\n

\u00centr-o stare dureroas\u0103, durerea este:
\n\u2022 tipic\u0103 – durerea dispare pentru un timp; senza\u021biile dureroase seam\u0103n\u0103 cu \u0219ocurile electrice \u0219i, \u00een cele mai multe cazuri, apar \u00een cazul \u00een care atinge\u021bi zonele inflamate ale pielii fe\u021bei, cre\u0219te intensitatea acesteia timp de 20 de secunde \u0219i apoi \u00eencepe s\u0103 scad\u0103;
\n\u2022 atipice – pacientul simte durerea tot timpul pe \u00eentreaga fa\u021b\u0103; aceast\u0103 durere nu dispare, deci este foarte dificil de tratat.
\nBoala este ciclic\u0103: este ascu\u021bit\u0103, apoi dispare pentru o perioad\u0103. Durerea este sim\u021bit\u0103 de ceva timp, apoi apare o perioad\u0103 de relaxare temporar\u0103. Atacurile nevralgiei trigeminale la unii pacien\u021bi se pot repeta de c\u00e2teva ori pe zi, \u00een altele — atacul apare o singur\u0103 dat\u0103.<\/p>\n

Diagnosticul<\/h3>\n

\u00cen majoritatea cazurilor, specialistul face un diagnostic pe baza examin\u0103rii pacientului \u0219i a pl\u00e2ngerilor sale. Se face imagistica prin rezonan\u021b\u0103 magnetic\u0103 (RMN), cu ajutorul c\u0103reia se detecteaz\u0103 o tumoare sau zonele fe\u021bei afectate de scleroza multipl\u0103. Identificarea altor cauze ale st\u0103rii bolii cu un RMN nu este posibil\u0103.<\/p>\n

Tratamentul<\/h3>\n

Cea mai eficient\u0103 \u0219i mai sigur\u0103 metod\u0103 de tratare a nevralgiei este metoda de destruc\u021bie radiofrecvent\u0103 a r\u0103d\u0103cinii nervoase afectate. Avantajele acestei metode sunt evidente: cu ajutorul ei pute\u021bi controla dimensiunea zonei afectate \u0219i se \u00eenregistreaz\u0103 temperatura \u00een zona dat\u0103. Anestezia local\u0103 ofer\u0103 o perioad\u0103 de recuperare care dureaz\u0103 c\u00e2teva luni. Medicamentele pentru nevralgie trigeminal\u0103 sunt cele cu efect antiinflamator, analgezic.<\/p>\n","protected":false},"excerpt":{"rendered":"

Nevralgia trigemenic\u0103 este o boal\u0103, \u00een care pacientul sufer\u0103 dureri infernale \u00een partea inferioar\u0103 a fe\u021bei \u0219i maxilarului, uneori se r\u0103sp\u00e2nde\u0219te \u00een zonele din jurul nasului \u0219i frun\u021bii. Durerea se aseam\u0103n\u0103 cu injec\u021bii ascu\u021bite, asem\u0103n\u0103toare cu \u0219ocurile electrice. Ea apare datorit\u0103 irita\u021biei nervului trigeminal din partea st\u00e2ng\u0103 sau dreapt\u0103 a fe\u021bei. Nervii tripli sunt responsabili […]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":52978,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-66985","page","type-page","status-publish"],"yoast_head":"\nNevralgia nervului trigeminal<\/title>\n<meta name=\"description\" content=\"Nevralgia trigemenic\u0103 este o boal\u0103, \u00een care pacientul sufer\u0103 dureri infernale \u00een partea inferioar\u0103 a fe\u021bei \u0219i maxilarului, uneori se r\u0103sp\u00e2nde\u0219te \u00een zonele din jurul nasului \u0219i frun\u021bii.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sanatate.md\/ro\/boli-si-tratament\/boli-neurologice\/nevralgia-nervului-trigeminal\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" 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