Umbhali: Janice Evans
Umhla Wokudalwa: 4 Eyekhala 2021
Hlaziya Umhla: 1 Etimnga 2024
Anonim
Ukukhubazeka kwentliziyo ebusweni ngenxa yengozi yokuzalwa - Iyeza
Ukukhubazeka kwentliziyo ebusweni ngenxa yengozi yokuzalwa - Iyeza

I-facial nerve palsy ngenxa yengozi yokuzalwa kukuphulukana nokuhamba (ngokuzithandela) ukunyakaza kwemisipha ebusweni bosana ngenxa yoxinzelelo kwimbilini yobuso ngaphambi nje okanye ngexesha lokuzalwa.

Imithambo-luvo yobuso bosana ikwabizwa ngokuba yi-cranial nerve yesixhenxe. Inokonakaliswa nje ngaphambi okanye ngexesha lokuhanjiswa.

Amaxesha amaninzi unobangela awaziwa. Kodwa ukuhanjiswa okunzima, kunye okanye ngaphandle kokusebenzisa isixhobo esibizwa ngokuba yi-forceps, kunokukhokelela kule meko.

Ezinye zezinto ezinokubangela ukwenzakala ngokuzalwa (ukwenzakala) kubandakanya:

  • Ubungakanani obukhulu bomntwana (kunokubonwa ukuba umama unesifo seswekile)
  • Ukukhulelwa ixesha elide okanye ukubeleka
  • Ukusetyenziswa kwe-anesthesia yesifo
  • Ukusetyenziswa kweyeza ukubangela abasebenzi kunye nokuqina okunamandla

Uninzi lwexesha, ezi zinto azikhokeleli kubuchwephesha bobuchwephesha bobuso okanye umothuko wokuzalwa.

Eyona ndlela ixhaphakileyo yobuso bokukhubazeka kwemithambo ebusweni ngenxa yengozi yokubeleka ibandakanya kuphela indawo esezantsi yovalo lobuso. Eli candelo lilawula izihlunu ezijikeleze imilebe. Ubuthathaka bemisipha buqapheleka xa usana likhala.


Usana olusandul 'ukuzalwa lunokuba nezi mpawu zilandelayo:

  • Ijwabu leso alinakuvalwa kwicala elichaphazelekayo
  • Ubuso obungaphantsi (ngezantsi kwamehlo) bubonakala bungalingani ngexesha lokukhala
  • Umlomo awushukumi ngendlela efanayo kumacala omabini ngelixa ulila
  • Akukho ntshukumo (ukukhubazeka) kwicala elichaphazelekayo lobuso (ukusuka ebunzini kuye esilevini kwiimeko ezinzima)

Uvavanyo lomzimba luhlala luyinto efunekayo ukufumanisa le meko. Kwiimeko ezinqabileyo, uvavanyo lokuqhutywa kwemithambo-luvo luyafuneka. Olu vavanyo lunokukhomba eyona ndawo yokwenzakala kwentliziyo.

Uvavanyo lwe-Brain imaging aludingeki ngaphandle kokuba umboneleli wakho wezempilo ucinga ukuba ikhona enye ingxaki (enjenge-tumor okanye stroke).

Kwiimeko ezininzi, usana luya kujongwa ngeliso elibukhali ukuze lubone ukuba ngaba ukukhubazeka kuyazihambela.

Ukuba iliso lomntwana alivali yonke indlela, i-eyepad kunye ne-eyedrops ziya kusetyenziswa ukukhusela iliso.

Utyando lunokufuneka ukukhupha uxinzelelo kwi-nerve.

Iintsana ezinokukhubazeka ngokusisigxina zifuna unyango olukhethekileyo.


Imeko ihlala ihamba yodwa kwiinyanga ezimbalwa.

Ngamanye amaxesha, izihlunu kwicala elichaphazelekayo lobuso zikhubazeka ngokusisigxina.

Umboneleli uya kuhlala eyiqonda le meko ngelixa usana lisesibhedlele. Amatyala amancinci abandakanya umlebe ongezantsi asenokungaqatshelwa xa kuzalwa. Umzali, umakhulu notatomkhulu, okanye omnye umntu unokuyibona ingxaki kamva.

Ukuba intshukumo yomlomo wosana lwakho ijongeka ngokwahlukileyo kwicala ngalinye xa ikhala, kuya kufuneka wenze idinga nomboneleli womntwana wakho.

Akukho ndlela iqinisekileyo yokuthintela ukonzakala koxinzelelo kumntwana ongekazalwa. Ukusetyenziswa okufanelekileyo kwe-forceps kunye neendlela eziphuculweyo zokubeletha kunciphise izinga lobuso bokukhubazeka komzimba.

Isixhenxe se-cranial nerve palsy ngenxa yomothuko wokuzalwa; Ukukhubazeka kobuso - umothuko wokuzalwa; Ukukhubazeka kobuso - umntwana osandul 'ukuzalwa; Ukukhubazeka kobuso - usana

I-Balest AL, iRiley MM, iBogen DL. Neonatology. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 2.


UHarbert MJ, uPardo AC. Ukuqaqanjelwa kwenkqubo yemithambo-luvo. Ku: Swaiman KF, Ashwal S, Ferriero DM, et al, ii-eds. I-Swaiman's Pediatric Neurology: Imigaqo kunye nokuziqhelanisa. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2017: isahluko 21.

I-Kersten RC, i-Collin R. Lids: ukuzalwa kunye nokufumana okungaqhelekanga-ulawulo olusebenzayo. Ku: ILambert SR, iLyons CJ, ii-eds. I-Taylor kunye neHoyt's Pediatric Ophthalmology kunye neStrabismus. Umhla we-5. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 19.

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