Spasm yangaphakathi

Umxholo

• Ziintoni iimpawu ze-hemifacial spasms?
• Yintoni ebangela ukuphazamiseka kwegazi emzimbeni?
• Ndingayinyanga njani i-hemifacial spasms?
• Iimeko ezihambelanayo kunye neengxaki
• Ukuxela kwangaphambili kunye nembonakalo

Yintoni i-spasm hemifacial?

I-spasms ye-hemifacial yenzeka xa izihlunu kwicala elinye lobuso bakho zijijekile ngaphandle kwesilumkiso. Ezi ntlobo ze-spasms zibangelwa ngumonakalo okanye ukucaphuka kwimbilini yobuso, ekwabizwa ngokuba yi-cranial nerve yesixhenxe. Ukuqaqamba kobuso kwenzeka xa izihlunu zingasebenzi ngokungathandekiyo ngenxa yokurhawuzelela kwentliziyo.

I-spasms ye-hemifacial yaziwa ngokuba yi-tic convulsif. Ekuqaleni, zinokubonakala ngathi zincinci nje, ziimpawu ezibonakalayo ezingqonge ijwabu leso, isidlele okanye umlomo. Ixesha elingaphezulu, iitics zinokwanda ziye nakwezinye iindawo zobuso bakho.

I-hemifacial spasms inokwenzeka kumadoda okanye kwabasetyhini, kodwa zixhaphake kakhulu kwabasetyhini abangaphezu kweminyaka engama-40. Baye bathande ukwenzeka rhoqo kwicala lasekhohlo lobuso bakho.

I-spasms ye-hemifacial ayinabungozi yodwa. Kodwa ukujija okungaguquguqukiyo ebusweni bakho kunokukhathaza okanye kungonwabisi. Kwiimeko ezinzima, ezi spasms zinokunciphisa umda womsebenzi ngenxa yokuvala ngokungafunekiyo okanye ifuthe abanalo ekuthetheni.

Ngamanye amaxesha, ezi spasms zinokubonisa ukuba unemeko engaphantsi okanye imeko engaqhelekanga kubuso bakho. Nokuba zezi zizathu zinokucinezela okanye zonakalise imithambo-luvo yakho kwaye zenze izihlunu zobuso bakho zijijeke.

Ziintoni iimpawu ze-hemifacial spasms?

Uphawu lokuqala lwe-spasm ye-hemifacial spasm luyazibandakanya kwicala elinye kuphela lobuso bakho. Izihlunu zemisipha zihlala ziqala kwinkophe yakho njengokutswina okuthobekileyo okungenakuphazamisa kakhulu. Oku kwaziwa ngokuba yi-blepharospasm. Ungaqaphela ukuba ukujijuka kuya kubonakala ngakumbi xa uxhalabile okanye udiniwe. Ngamanye amaxesha, le mijelo yejwabu leso inokubangela ukuba iliso lakho livale ngokupheleleyo okanye libangele ilihlo lakho likrazuke.

Ixesha elingaphezulu, ukujija kunokubonakala ngakumbi kwimimandla yobuso bakho esele ichaphazele. Ukudibanisa kunokusasazeka kwamanye amalungu akwicala elifanayo lobuso bakho nomzimba, kubandakanya:

• ishiya
• isidlele
• indawo ejikeleze umlomo wakho, njengemilebe yakho
• isilevu
• umhlathi
• intamo ephezulu

Kwezinye iimeko, i-spasms ye-hemifacial inokusasazeka kuyo yonke imisipha kwelinye icala lobuso bakho. I-Spasms nayo isenokwenzeka ngelixa ulele. Njengoko i-spasms isasazeka, unokwazi ukubona ezinye iimpawu, ezifana:

• utshintsho kwizakhono zakho zokuva
• ukukhala ezindlebeni zakho (tinnitus)
• intlungu yendlebe, ngakumbi emva kwendlebe yakho
• spasms ezithi zihla ebusweni bakho bonke

Yintoni ebangela ukuphazamiseka kwegazi emzimbeni?

Ugqirha wakho akanako ukufumana esona sizathu sokuphazamiseka komzimba wakho. Oku kwaziwa njenge-idiopathic spasm.

I-spasms ye-hemifacial ihlala ibangelwa kukucaphuka okanye ukonakala kwimbilini yakho yobuso. Ziye zibangelwe ngumthambo wegazi otyhala kwimithambo-luvo yobuso kufutshane nalapho inwebu inxibelelana khona nesiqu sakho sobuchopho. Xa oku kusenzeka, inwebu yobuso inokuthi isebenze yodwa, ithumele imiqondiso yemithambo-luvo ebangela ukuba izihlunu zakho zijije. Oku kwaziwa njengokudluliselwa kwe-ephaptic, kwaye sesinye sezizathu eziphambili zezi spasms.

Ukulimala entlokweni okanye ebusweni kunokubangela ukuba i-hemifacial spasms ngenxa yomonakalo okanye ukunyanzeliswa kwentsholongwane yobuso. Izizathu ezingavumelekanga ze-hemifacial spasms zingabandakanya:

• inye okanye nangakumbi amathumba atyhala imithambo-luvo yobuso bakho
• iziphumo ebezingalindelekanga ezivela kwisehlo sokukhubazeka kweBell, imeko enokubangela ukuba inxalenye yobuso bakho ikhubazeke okwethutyana

Ndingayinyanga njani i-hemifacial spasms?

Unokwazi ukunciphisa iimpawu zakho ekhaya ngokufumana ukuphumla okuninzi kunye nokunciphisa ubuninzi be-caffeine oyiphuzayo, enokuzolisa iimbilini zakho. Ukuba nezakhamzimba ezithile kunokunceda ekunciphiseni ii-spasms zakho, kubandakanya:

• ivithamin D, onokuyifumana kumaqanda, ubisi kunye nelanga
• wemagniziyam, onokuyifumana kwiiamangile kunye neebhanana
• i-chamomile, efumaneka njengeti okanye iipilisi
• iiblueberries, eziqukethe ii-antioxidants zokuphumla kwezihlunu

Olona nyango luxhaphakileyo kwezi spasms sisixhobo sokuhlaziya somlomo esigcina izihlunu zakho zingangqubeki. Ugqirha wakho unokucebisa elinye okanye nangaphezulu kula mayeza alandelayo ukuze uphumle izihlunu zobuso:

• baclofen (Ukutya okutsha)
• clonazepam (iKlonopin)
• icarbamazepine (Tegretol)

Uhlobo lwe-Botulinum toxin yohlobo A (Botox) inaliti zihlala zisetyenziselwa ukunyanga ii-hemifacial spasms. Kule unyango, ugqirha wakho uya kusebenzisa inaliti ukujova inani elincinci leekhemikhali zeBotox ebusweni bakho kufutshane nezihlunu ezijijekayo. I-Botox yenza izihlunu zibuthathaka kwaye inokunciphisa i-spasms yakho kwiinyanga ezintathu ukuya kwezintandathu ngaphambi kokuba ufune enye inaliti.

Thetha nogqirha wakho ngaphambi kokuba uthathe nawaphi na amayeza malunga nayo nayiphi na imiphumo emibi okanye ukusebenzisana namanye amayeza onokuthi uthathe.

Ukuba amayeza kunye neBotox ayiphumelelanga, ugqirha wakho unokuphinda akucebise utyando ukuze unciphise naluphi na uxinzelelo kwimbilini yobuso enokubangelwa sisisu okanye umthambo wegazi.

Utyando oluqhelekileyo olusetyenziselwa ukunyanga i-hemifacial spasms kuthiwa yi-microvascular decompression (MVD). Kule nkqubo, ugqirha wakho wenza ukuvuleka okuncinci kukhakhayi lwakho emva kwendlebe yakho kwaye abeke isiqwenga seTeflon padding phakathi kwethambo kunye nemithambo yegazi etyhala kuyo. Olu tyando luthatha kuphela iiyure ezimbalwa ubuninzi, kwaye uya kuba nakho ukuya ekhaya emva kweentsuku ezimbalwa zokuchacha.

Iimeko ezihambelanayo kunye neengxaki

Ukuqaqamba kobuso nako kunokubangelwa yimeko efanayo ebizwa ngokuba yi-trigeminal neuralgia. Le meko ibangelwa ngumonakalo okanye ukucaphuka kwi-nerve ye-cranial yesihlanu kunokuba yeyesixhenxe. I-neuralgia ye-Trigeminal inokunyangwa ngamayeza afanayo kunye neenkqubo ezifanayo.

Ithumba elinganyangekiyo linokubangela ukonakala okungaphaya kwemithambo-luvo njengoko ithumba likhula okanye liba ngumhlaza. Umhlaza usenokusasazeka ngokukhawuleza uye nakwezinye iindawo zentloko yakho kunye nengqondo kwaye ubangele iingxaki zexesha elide.

Njengalo naluphi na utyando, inkqubo ye-MVD inokubangela iingxaki, ezinje ngokusuleleka okanye ukuphefumla nzima. Kodwa utyando lwe-MVD.

Ukuxela kwangaphambili kunye nembonakalo

I-spasms ye-hemifacial inokulawulwa ngonyango lwasekhaya, amayeza, okanye ngoqhaqho. Landela imiyalelo kagqirha kwaye uya kuba nakho ukugcina izihlunu zakho zijija ubuncinci. Inkqubo ye-MVD ihlala iphumelela ukunciphisa okanye ukuphelisa ezi spasms.

Ukungafunyanwa okungafunekiyo kwe-hemifacial spasms kunokuba yinto ephazamisayo njengoko iya ibonakala ngakumbi kwaye iphazamise ekuhambeni kwexesha, ngakumbi ukuba isasazeka ngapha nangapha ebusweni bakho. Ukunyaniseka kubahlobo bakho kunye nosapho malunga ne-spasms yakho kunokukunceda uzive uxhaswa ngakumbi njengoko ulawula iimpawu zalo meko. Ukujoyina iqela lenkxaso kunokukunceda ufunde ukunyanga kunye nokuqhubeka nokulawula ii-spasms zakho.