Ukukhubazeka kweBell: yintoni, iimpawu, oonobangela kunye nokhetho lonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Yintoni enokubangela ukukhubazeka kukaBell
• Unyango lwenziwa njani
• 1. Uncedo
• 2. Umzimba wonyango
• 3. Unyango
• 4. Utyando
• 5. Unyango lwentetho
• Kuthatha ixesha elingakanani ukuchacha

Ukukhubazeka kukaBell, okwaziwa njenge-peripheral facial palsy, kwenzeka xa intsholongwane yobuso iyavutha kwaye umntu aphulukane nolawulo lwezihlunu kwelinye icala lobuso, okukhokelela kumlomo ojijekileyo, ubunzima ekuthetheni kunye nokuva ukuva.

Uninzi lwexesha, oku kudumba okwethutyana kwaye kwenzeka emva kosulelo lwentsholongwane, njenge-herpes, irubella okanye uqwilikana, ukuphucula phakathi kweeveki ezimbalwa ukuya kuthi ga kwiinyanga ezi-6. Kodwa inokuba yimeko esisigxina, ngakumbi ukuba kukho ukwenzakala kwindlela yobuso yobuso.

Eyona nto ilungileyo kukuba naluphi na uhlobo lokukhubazeka ebusweni luvavanywa ngugqirha, ngakumbi kuba, kwisigaba sokuqala inokuba luphawu lwesimo esibi kakhulu, njenge-stroke, kwaye kufuneka ichongwe kwaye inyangwe ngokuchanekileyo.

Iimpawu eziphambili

Ezinye zeempawu ezibonakalayo zeBell's palsy zibandakanya:

• Ukukhubazeka kwelinye icala lobuso;
• Umlomo ogwenxa kunye neliso elijongekileyo;
• Kunzima ukwenza imbonakalo yobuso, ukutya okanye ukusela;
• Intlungu encinci okanye ukubetha kwicala elichaphazelekayo;
• Amehlo omile nomlomo owomileyo;
• Intloko ebuhlungu;
• Kunzima ukubamba amathe.

Ezi mpawu zihlala zibonakala ngokukhawuleza kwaye zichaphazela elinye icala lobuso, nangona kwiimeko ezinqabileyo kunokubakho ukudumba kwentliziyo kumacala omabini obuso, kubangele ukuba iimpawu zivele kumacala omabini obuso.

Iimpawu zokukhubazeka kukaBell ziyafana nezinye iimpawu zeengxaki ezinzulu, ezinje ngokubetha icala okanye ithumba lobuchopho, ke kubalulekile ukuba kusoloko kukho uvavanyo lukagqirha.

Indlela yokuqinisekisa ukuxilongwa

Ukuxilongwa kuhlala kuqala kuvavanyo lwezihlunu zobuso kunye neempawu ezichaziweyo, kodwa ugqirha unokuyalela iimvavanyo ezongezelelweyo, ezinje nge-CT scans, MRIs kunye novavanyo lwegazi. Olu vavanyo, ukongeza ekuncedeni ukufika ekuchongeni isifo sikaBell, ikwavumela ukuba kufunyaniswe ezinye iingxaki ezinokuba nokukhubazeka ebusweni njengophawu.

Yintoni enokubangela ukukhubazeka kukaBell

Esona sizathu sibangela ukudumba kwentliziyo yobuso kunye nokubonakala kokukhubazeka kukaBell akukaziwa, nangona kunjalo, kuqhelekile ukuba olu hlobo lotshintsho lubonakale emva kosulelo lwentsholongwane olufana:

• Herpes, elula okanye zoster;
• Intsholongwane kaGawulayo;
• Mononucleosis;
• Isifo seLyme.

Ukongeza, ixhaphake kakhulu kwabasetyhini abakhulelweyo, abantu abanesifo seswekile, abaguli abanesifo semiphunga okanye xa kukho imbali yosapho yokukhubazeka.

Unyango lwenziwa njani

Unyango lokukhubazeka kweBell lunokwenziwa ngokusebenzisa amayeza kunye ne-physiotherapy kunye neeseshoni zonyango lwentetho, uninzi lwabantu luphulukana ngokupheleleyo kwinyanga e-1 yonyango.

Nangona kunjalo, kukho iindlela ezininzi zonyango:

1. Uncedo

Unyango lweziyobisi lweBell's palsy kufuneka luboniswe yi-neurologist kwaye luqukethe ukusetyenziswa kwe-corticosteroids, enje nge-prednisone okanye i-prednisolone, kunye ne-antivirals, ezinje nge-acyclovir okanye i-vanciclovir, enokuthi iqale ukusetyenziswa ukuya kuthi ga kwiintsuku ezi-3 emva kokuqala kweempawu .

Njengokukhubazeka kukaBell kubangela ukusikwa kwemisipha ebusweni, kungakhokelela kwintlungu, kwaye kwezi meko, ukusetyenziswa kwe-analgesics, njenge-aspirin, i-dipyrone okanye i-paracetamol, kunokucetyiswa ukuba kunciphise olu phawu.

Ukongeza, ukuba ukukhubazeka kuthintela iliso elinye ekuvaleni, kufuneka uthambise ngokuthe ngqo iliso phambi kokulala ukulikhusela ngokuphepha ukoma kakhulu, kwaye emini kubalulekile ukusebenzisa into yokuthambisa iliso kunye nemigqomo yelanga ukukhusela ilanga elangeni nasemoyeni.

2. Umzimba wonyango

Kwiiseshoni ze-physiotherapy umntu wenza umthambo owanceda ukomeleza izihlunu zobuso kunye nokuphucula ukujikeleza kwegazi kwi-nerve, enje:

1. Vula kwaye uvale amehlo akho ngokuqinileyo;
2. Zama ukunyusa amashiya akho;
3. Hlanganisa amashiya ndawonye, ​​wenze imibimbi ethe nkqo;
4. Iifrown, zenza imibimbi ethe tye ibonakale ebunzini;
5. Ncuma kanzima, ubonise amazinyo akho kwaye ungakhange ubonise mazinyo akho;
6. Nika 'uncumo olutyheli';
7. Ginya amazinyo akho ngokuqinileyo;
8. Ukukhuphela;
9. Beka usiba emlonyeni wakho kwaye uzame ukwenza umzobo ephepheni;
10. Dibanisa imilebe yakho ngokungathi ufuna 'ukwanga';
11. Vula umlomo wakho kangangoko unako;
12. Shwabanisa impumlo yakho, ngokungathi unuka kakubi;
13. Yenza amaqamza esepha;
14. Ukungenisa iibhaluni zomoya;
15. Yenza ubuso;
16. Zama ukuvula iimpumlo zakho.

Le mithambo inokwenziwa ekhaya ukuphucula iimpawu ngokukhawuleza, kodwa kufuneka zisoloko zikhokelwa ngugqirha womzimba, kwimeko nganye.

Ngexesha lokuzilolonga, i-physiotherapist inokusebenzisa ityhubhu yomkhenkce esongelwe kwiphepha le-napkin ukutyibilika ngaphezulu kwendawo ekhubazekileyo njengeyona ndlela yokunyusa imithambo. Ukunceda umntu enze ukucutha, i-Therapist inokukunceda kwicala lokuhamba ngokubeka iminwe emi-2 okanye emi-3 ebusweni, ethi isuswe ukuze umntu akwazi ukugcina isivumelwano ngokufanelekileyo.

3. Unyango

Olunye uphononongo luye lwenziwa ukuvavanya izibonelelo zonyango lokunyanga ukunyanga isifo sokukhubazeka kukaBell, kwaye ezinye iziphumo zibonisa ukuba obu buchule bemithi yesiTshayina bunokuphucula umsebenzi kunye nokunciphisa ukuqina kwemithambo-luvo yobuso, ngokukhuthaza imicu luvo ulusu kunye nezihlunu ebusweni. Bona ngakumbi ukuba kwenziwa njani i-acupuncture.

4. Utyando

Kwezinye iimeko, utyando lunokuboniswa ngugqirha, ngakumbi kwiimeko apho kukho ukubandakanyeka okuninzi kwimbilini yobuso, eqinisekiswa kuphela emva kokwenza uvavanyo lwe-electroneuromyography.

Emva kotyando, unyango lwengqondo lunokuboniswa, ngenkxaso yengqondo, kuba xa ubuso buhluke kakhulu kunangaphambili, kunokuba nzima emntwini ukuba azamkele kwaye azamkele, ngakumbi xa kufuneka ekwenzile imisebenzi yobungcali apho ukunxibelelana nabanye abantu.

5. Unyango lwentetho

Iiseshoni zonyango zokuthetha zibonisiwe ekuvuseleleni umntu owayenesifo sikaBell, njengoko kunceda ekubuyiseni iintshukumo kunye nembonakalo yobuso, ukongeza ekuncedeni ukukhuthaza imisebenzi yentetho, ukuhlafuna nokuginya. Olu hlobo lonyango kufuneka lwenziwe yingcali eqeqeshiweyo kunye nenani leeseshoni ngeveki kwaye ixesha lonyango liya kumiselwa yingcali yezentetho kunye nogqirha.

Kuthatha ixesha elingakanani ukuchacha

Ukubuyiselwa okupheleleyo kufuneka kwenzeke malunga neenyanga ezi-3 ukuya kwezi-4, kwaye kamsinya nje ukuba unyango lomzimba luqale, inkqubela phambili inokuqatshelwa. Phantse iipesenti ezili-15 zabantu abanokukhubazeka ebusweni bangabikho ngokupheleleyo, kwaye kunokubakho isidingo sokusebenzisa i-botox okanye uqhaqho kwiinyanga kamva.