Ukukhubazeka kwentsimbi

I-Bell palsy kukuphazamiseka kwemithambo-luvo elawula ukuhamba kwemisipha ebusweni. Le nerve ibizwa ngokuba yi-facial okanye yesixhenxe ye-cranial nerve.

Ukonakala kolu luvo kubangela ubuthathaka okanye ukukhubazeka kwezi zihlunu. Ukukhubazeka kuthetha ukuba awukwazi ukusebenzisa izihlunu konke konke.

Ukukhubazeka kwentsimbi kunokuchaphazela abantu nabuphi na ubudala, ikakhulu abo bangaphezulu kweminyaka engama-65. Inokuchaphazela nabantwana abangaphantsi kweminyaka eli-10. Amadoda nabasetyhini bachaphazeleka ngokulinganayo.

I-Bell palsy icingelwa ukuba ibangelwa kukudumba (ukudumba) kobuso bengqondo kwindawo ehamba ngayo ngamathambo okakayi. Le luvo lulawula ukuhamba kwezihlunu zobuso.

Isizathu asihlali sicacile. Uhlobo losulelo lwe-herpes olubizwa ngokuba yi-herpes zoster lunokubandakanyeka. Ezinye iimeko ezinokubangela ukukhubazeka kweBell zibandakanya:

• Usulelo lwe-HIV / AIDS
• Isifo seLyme
• Usulelo lwendlebe oluphakathi
• I-Sarcoidosis (ukuvuvukala kwee-lymph nodes, imiphunga, isibindi, amehlo, ulusu, okanye ezinye izicubu)

Ukuba neswekile kunye nokukhulelwa kunokunyusa umngcipheko weBell palsy.

Ngamanye amaxesha, unokubanda ngokukhawuleza ngaphambi kokuba iimpawu zeBell palsy ziqale.

Iimpawu zihlala ziqala ngequbuliso, kodwa zingathatha iintsuku ezi-2 ukuya kwezi-3 ukubonakala. Abayi kuba nzima ngakumbi emva koko.

Iimpawu zihlala zihlala kwicala elinye lobuso kuphela. Ziyakwazi ukusuka kumnene ukuya kunzima.

Abantu abaninzi baziva bengonwabanga emva kwendlebe ngaphambi kokuba ubuthathaka buqapheleke. Ubuso baziva buqinile okanye butsalele kwelinye icala kwaye bunokubonakala bohlukile. Ezinye iimpawu zingabandakanya:

• Kunzima ukuvala iliso elinye
• Kunzima ukutya nokusela; ukutya kuphuma kwelinye icala lomlomo
• Ukutsala ukuhla ngenxa yokunqongophala kolawulo phezu kwezihlunu zobuso
• Ukujongwa kobuso, njengejwabu leso okanye ikona yomlomo
• Iingxaki zokuncuma, ukuthoba ubuso, okanye ukwenza imbonakalo yobuso
• Ukutswina okanye ubuthathaka bemisipha ebusweni

Ezinye iimpawu ezinokuthi zenzeke:

• Iliso elomileyo, elinokubangela izilonda zamehlo okanye usulelo
• Umlomo owomileyo
• Intloko ebuhlungu ukuba kukho isifo esifana nesifo seLyme
• Ukuphulukana nengqondo yokungcamla
• Isandi esingxola kwindlebe enye (hyperacusis)

Rhoqo, iBell palsy inokuchongwa ngokuthatha nje imbali yezempilo kunye nokwenza uvavanyo olupheleleyo lomzimba.

Uvavanyo lwegazi luya kwenziwa ukukhangela iingxaki zonyango ezinjengesifo seLyme, esinokubangela ukuba iBell ikhubazeke.

Ngamanye amaxesha, uvavanyo luyimfuneko ukujonga imithambo-luvo ebonelela ngezihlunu zobuso:

• I-Electromyography (EMG) yokujonga impilo yezihlunu zobuso kunye neerval ezilawula izihlunu
• Uvavanyo lokuqhuba kwemithambo ukukhangela ukuba ngaba izibane zombane zikhawuleza kangakanani na kwi-nerve

Ukuba umboneleli wakho wezempilo ukhathazekile ukuba ithumba lobuchopho libangela iimpawu zakho, unokufuna:

• Ukuvavanywa kwentloko kwe-CT
• Imagnetic resonance imaging (MRI) yentloko

Rhoqo, alufuneki unyango. Iimpawu zihlala ziqala ukuphucula kwangoko. Kodwa, kunokuthatha iiveki okanye iinyanga ukuba zomelele izihlunu.

Umboneleli wakho unokukunika into yokuthambisa iliso okanye izinto zokuthambisa amehlo ukugcina umphezulu wamehlo emanzi ukuba awukwazi ukuwuvala ngokupheleleyo. Kuya kufuneka unxibe isiziba seliso xa ulele.

Ngamanye amaxesha, amayeza anokusetyenziswa, kodwa akwaziwa ukuba anceda kangakanani. Ukuba kusetyenziswa amayeza, aqala kwangoko. Amayeza aqhelekileyo ngala:

• ICorticosteroids, enokunciphisa ukudumba ujikeleze imithambo-luvo yobuso
• Amayeza afana ne-valacyclovir yokulwa intsholongwane enokubangela ukuba i-Bell ikhubazeke

Utyando lokukhupha uxinzelelo kwi-nerve (utyando lokunyanzeliswa) alukhange luboniswe luncedo kubantu abaninzi abaneBell palsy.

Uninzi lweziganeko zimka ngokupheleleyo kwiiveki ezimbalwa ukuya kwiinyanga.

Ukuba awuzange uphulukane nayo yonke imisebenzi ye-nerve kunye neempawu eziqale ukuphucula phakathi kweeveki ezi-3, kunokwenzeka ukuba uphinde ubuyise onke okanye amandla omzimba kwimisipha yobuso bakho.

Ngamanye amaxesha, ezi mpawu zilandelayo zisenokubakho:

• Utshintsho lwexesha elide kwincasa
• Spasms yezihlunu okanye iinkophe
• Ubuthathaka obuhlala buhleli kwimisipha yobuso

Iingxaki zinokubandakanya:

• Umphezulu wamehlo womile, ukhokelela kwizilonda zamehlo, usulelo kunye nokulahleka kombono
• Ukudumba kwiimisipha ngenxa yokuphulukana nomsebenzi we-nerve

Tsalela umnxeba umboneleli wakho ngoko nangoko ukuba ubuso bakho butshonile okanye unezinye iimpawu zeBell palsy. Umboneleli wakho unokulawula ezinye iimeko ezinobungozi, ezinje ngokubetha.

Akukho ndlela yaziwayo yokuthintela ukukhubazeka kweBell.

Ukukhubazeka ebusweni; Idiopathic peripheral yobuso bokukhubazeka; Mononeuropathy cranial - Bell ukukhubazeka; Ukukhubazeka kwentsimbi

• I-Ptosis-ukugoba kwenkophe
• Ukujolisa ebusweni

IZiko leLizwe leengxaki zeNeological kunye newebhusayithi yeStroke. Iphepha lokwenyani leBell's palsy. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet. Ukuhlaziywa ngoMeyi 13, 2020. Ifikeleleke ngo-Agasti 19, 2020.

I-Schlieve T, i-Miloro M, i-Kolokythas A.Ukuchongwa kunye nolawulo lokulimala kwethambo lobuso kunye nobuso. Ku: Fonseca RJ, ed. Utyando lomlomo kunye neMaxillofacial. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 5.

Umlingisi we-BA. Ingqondo kunye nokuphazamiseka kwentliziyo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 95.