Ukukhubazeka kobuso: yintoni, iimpawu, izizathu eziphambili kunye nonyango

Umxholo

• Iimpawu eziphambili
• Unyango lwenziwa njani
• I-physiotherapy yenziwe njani
• Yintoni enokubangela ukukhubazeka

Ukukhubazeka kobuso, okwaziwa njenge-peripheral facial palsy okanye iBell's palsy, kukuphazamiseka kwemithambo-luvo okwenzeka xa intsholongwane yobuso ichaphazeleka ngesizathu esithile, ekhokelela kwiimpawu ezinje ngomlomo ogwenxa, ubunzima bokuhambisa ubuso, ukungabikho kwentetho kwelinye icala ubuso okanye ukuvutha komoya.

Uninzi lwexesha, ukukhubazeka kobuso okwethutyana, kuvela kukudumba okujikeleze imithambo-luvo yobuso enokubonakala emva kosulelo lwentsholongwane, njengakwimeko yeherpes simplex, herpes zoster, cytomegalovirus (CMV), Epstein-Barr (EBV), rubella , uqwilikana, okanye izifo zomzimba, ezinjengesifo seLyme.

Ukuba iimpawu zokukhubazeka ebusweni ziyajongwa, kubalulekile ukuba uqhagamshelane nogqirha jikelele ukuze achonge ukuba ngaba ikhona na ingxaki efuna unyango. Ukongeza, ukuba ufumana ezinye iimpawu ezinje ngokudideka, ubuthathaka kwamanye amalungu omzimba, umkhuhlane okanye ukuphelelwa ngamandla, kubalulekile ukuba uye kwagqirha ngoko nangoko, njengoko inokuba luphawu lweengxaki ezinzulu, ezinje ngokuhlaselwa sisifo sokubethwa.

Iimpawu eziphambili

Ezona mpawu zixhaphakileyo zokukhubazeka ebusweni zibandakanya:

• Umlomo ogobileyo, obonakala ngakumbi xa uzama ukuncuma;
• Umlomo owomileyo;
• Ukungabikho kwentetho kwelinye icala lobuso;
• Ukungakwazi ukuvala ngokupheleleyo iliso elinye, phakamisa ishiya okanye ukufiphala;
• Ubuhlungu okanye ukubetha entloko okanye emhlathini;
• Ukonyusa uvakalelo lwesandi kwindlebe enye.

Ukuchongwa kokukhubazeka kobuso kwenziwa ngokujonga ugqirha kwaye, kwiimeko ezininzi, akukho mfuneko yokwenza iimviwo ezincedisayo. Nangona kunjalo, ukuqinisekisa ukuba kukukhubazeka komzimba kuphela, ungasebenzisa i-resonance magnetic, i-electromyography kunye nokuhlolwa kwegazi, umzekelo, ukufumana ukuxilongwa ngokuchanekileyo.

Unyango lwenziwa njani

Ngokubanzi, unyango lokukhubazeka ebusweni luquka ukulawulwa kwamayeza e-corticosteroid, anje nge-prednisone, apho i-antiviral efana ne-valacyclovir inokongezwa, nangona kunjalo, ugqirha uyayincoma kuphela kwezinye iimeko.

Ukongeza, kunyanzelekile ukuba wenze unyango lomzimba kwaye usebenzise ukuthambisa iliso ukuthintela iliso elomileyo. Ukusetyenziswa kwamathontsi wamehlo okanye iinyembezi ezingezizo ezenziwe kubalulekile ukugcina iliso elichaphazelekayo linamanzi ngokufanelekileyo kunye nokunciphisa umngcipheko womonakalo wekorale. Ukulala, kuya kufuneka uthambise ioyile emiselwe ngugqirha kwaye usebenzise ukhuseleko lwamehlo, njengokuvala amehlo, umzekelo.

Abantu abafumana iintlungu ezinxulumene nokukhubazeka banokusebenzisa i-analgesic okanye anti-inflammatory, njengeparacetamol okanye ibuprofen, umzekelo.

I-physiotherapy yenziwe njani

I-Physiotherapy isebenzisa umthambo wobuso ukomeleza izihlunu kunye nokuphucula intshukumo yobuso kunye nembonakalo. Nangona kunjalo, kubalulekile ukuba le mithambo yenziwe amaxesha ngamaxesha ngemini, yonke imihla, ukuphucula unyango. Ke ngoko, ukongeza kwiiseshoni kunye ne-physiotherapist kubalulekile ukwenza imithambo ekhaya, kwaye ngamanye amaxesha unokwenza iiseshoni kunye nengcali yezentetho ngokunjalo.

Jonga eminye imizekelo yokuzivocavoca okunokwenziwa kukukhubazeka kukaBell.

Yintoni enokubangela ukukhubazeka

Ukukhubazeka ebusweni kwenzeka ngenxa yokonakala kwemithambo-luvo ebusweni ekhubaza izihlunu zobuso. Ezinye zezinto ezinokubangela ukukhubazeka zezi:

• Utshintsho ngesiquphe kubushushu;
• Uxinzelelo;
• Umothuko;
• Usulelo lwe-virus nge-herpes simplex, i-herpes zoster, i-cytomegalovirus okanye abanye;
• Ayinakuba sisiphumo sezinye izifo.

Ke, ukukhubazeka kunokubakho kwindlela yemithambo-luvo yobuso ngelixa usesengqondweni okanye ngaphandle kwayo. Xa isenzeka ngaphakathi kwengqondo, sisiphumo sokubetha kwaye siza nezinye iimpawu kunye nokulandelelana. Xa isenzeka ngaphandle kwengqondo, kwindlela yobuso, kulula ukunyangwa kwaye, kule meko, ibizwa ngokuba yipheripheral facial okanye iBell's palsy.