Ua mae koke anei kekahi ʻaoʻao o kou maka? He maʻi Bell's Palsy paha ia!

I kekahi manawa ke ala ʻoe i ke kakahiaka, a i ʻole i kekahi manawa o ke ao, e ʻike koke paha ʻoe he ʻokoʻa iki kekahi ʻaoʻao o kou helehelena. Me he mea lā ua huki ʻia kekahi ʻaoʻao o kou waha i lalo, a i ʻole ʻaʻole e pani pono ana kou mau maka. Hiki i kēia ke lilo i mea weliweli iki, ʻeā? Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo "Bell's Palsy" me nā kikoʻī hou aku.

He aha ka "Bell's Palsy"?

I ka ʻōlelo maʻalahi, ʻo Bell's Palsy kahi maʻi i hoʻopaʻa ʻia ai nā ʻiʻo o kou maka no kekahi manawa. ʻO ka hapa nui, hoʻopilikia wale ia i hoʻokahi ʻaoʻao o kou maka. Hiki i kēia ke kumu o kou waha e huki i kekahi ʻaoʻao ke minoʻaka ʻoe, a i ʻole ʻaʻole hiki iā ʻoe ke pani piha i hoʻokahi maka. He mea kākaʻikahi loa, hoʻopilikia ia i nā ʻaoʻao ʻelua o kou maka.

ʻO kēia no ka mea e pehu ana kou aʻalolo cranial ʻehiku - ke aʻalolo e kaohi ana i nā ʻiʻo o kou maka. Hiki i kēia aʻalolo ke pehu ma muli o nā mea e like me nā maʻi viral. Akā i ka hapa nui o ka manawa, ʻaʻohe kumu maopopo no Bell's Palsy. Kapa mākou ia he idiopathic, ʻo ia hoʻi, ʻaʻole ʻike ʻia ke kumu.

Hiki ke loaʻa ka Bell's Palsy i kēlā me kēia makahiki. Eia nō naʻe, ʻoi aku ka maʻamau i nā poʻe ma waena o 15 a me 60 mau makahiki. Hoʻomaka pinepine ia ma kahi o 40 mau makahiki. Ua kapa ʻia ʻo ia ma hope o Sir Charles Bell, he kauka lapaʻau Sekotia nāna i wehewehe mua i ke ʻano i ke kenekulia 19.

He maʻi koʻikoʻi anei kēia? Pehea ʻoe e hoʻokaʻawale ai mai kahi `(Stroke)`?

He mea kēia e makaʻu ai ka poʻe he nui. Akā, ʻaʻole ʻo Bell's Palsy he maʻi koʻikoʻi. I ka hapanui o nā hihia, e hoʻomaikaʻi ia iā ia iho i ka hala ʻana o ka manawa, me ka ʻole o kekahi lāʻau lapaʻau.

Eia naʻe, ʻo ka mea nui loa ma ʻaneʻi, ʻo ia ka like loa o nā hōʻailona o ka "Bell's Palsy" me nā hōʻailona o kahi maʻi koʻikoʻi e like me ka hahau ʻana. No laila he mea nui loa ia e ʻike i ke kauka i ka wā e ʻike ai ʻoe i ka nāwaliwali a i ʻole ka mae ʻana o kou mau ʻiʻo maka.

E nānā kākou i nā hōʻailona o ka hahau ʻana. He mea nui e makaʻala i kēia mau mea:

• Ka nāwaliwali a i ʻole ka maneʻo ma kekahi ʻaoʻao o ke kino.
• Ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hiki ʻole ke ʻōlelo (aphasia).
• Ka nalowale ʻana o ke kaohi ʻana i nā ʻiʻo ma kekahi ʻaoʻao o ka maka.
• Ka nalowale koke ʻana o kekahi a ʻoi aku paha o nā manaʻo, e like me ka ʻike, ka lohe, ke honi, ka ʻono, a i ʻole ka hoʻopā ʻana.
• ʻIke pōwehiwehi a ʻike pālua paha (diplopia).
• Ka nalowale o ke kaulike a i ʻole ka paʻakikī i ka hele wāwae (ataxia).
• Pōʻaiʻī.
• Ka luaʻi a me ka luaʻi.
• ʻĀʻī paʻakikī.
• ʻAʻole hiki ke kāohi i nā manaʻo a me nā loli o ke ʻano.
• Nā ʻōʻili.
• Ka nalowale o ka hoʻomanaʻo (`amnesia`).
• ʻO ke poʻo ʻeha nui e hiki koke mai ana.

He pilikia olakino ka hahau ʻana i hiki ke hoʻoweliweli i ke ola.He mea nui kēlā me kēia kekona ma laila. Inā loaʻa iā ʻoe a i ʻole kekahi āu e hele pū ana me kēia mau hōʻailona, ​​e hele koke i ka haukapila kokoke loa a kāhea aku paha i kahi lawelawe ambulance ulia pōpilikia.

Pehea ka maʻamau o ka Bell's Palsy?

He maʻi maʻamau kēia. Hoʻopilikia ia ma waena o 15 a me 30 o 100,000 mau kānaka i kēlā me kēia makahiki. ʻO ke ʻano kēia, ma kahi o hoʻokahi o kanaono mau kānaka e loaʻa iā Bell's Palsy i ko lākou ola. ʻO ia kekahi kumu nui o ka maʻi lolo ma kekahi ʻaoʻao o ka maka.

He aha nā hōʻailona o ka `(Bell's Palsy)`?

ʻO ka hōʻailona nui o ka Bell's Palsy ka nāwaliwali o nā ʻiʻo o ka maka. ʻIke pinepine ʻia kēia ma kekahi ʻaoʻao o ka maka. Me he mea lā e kūlou ana kekahi ʻaoʻao o ka maka. Hiki i kēia ke hoʻopilikia i:

• Kou lae.
• Kuʻemaka.
• Maka a me ka ʻūmiʻi.
• Kihi o ka waha.

ʻIke koke ʻia nā hōʻailona o Bell's Palsy. Piʻi lākou i loko o 48 a 72 mau hola. Hiki i kekahi poʻe ke ʻike wale i ka nāwaliwali iki i ko lākou mau ʻiʻo maka. Hiki i kekahi ke ʻike i ka maʻi lolo piha o ko lākou maka.

Hiki ke paʻakikī loa ke hōʻike i nā manaʻo me kou helehelena ke loaʻa iā ʻoe kēia maʻi. ʻO nā mea e like me ke kuʻekuʻe ʻana, ka ʻimo ʻana, a me ke kuʻekuʻe ʻana he mea paʻakikī loa ia, inā ʻaʻole hiki ʻole, ke hana ma ka ʻaoʻao i hoʻopilikia ʻia. Hiki i kou helehelena ke manaʻo he mae a kaumaha. Eia nō naʻe, ʻaʻole e pau ka manaʻo o ka ʻaoʻao i hoʻopilikia ʻia i ka pā ʻana a me nā mea e like me ka wela a me ke anu.

ʻO nā hōʻailona ʻē aʻe e ʻike ʻia paha:

• Ke kahe nei ka wai.
• Nā maka maloʻo.
• Ke paʻakikī i ka ʻōlelo ʻana, ka ʻai ʻana, a me ka inu ʻana.
• ʻEha ma ka maka a i ʻole ka pepeiao.
• ʻEha poʻo.
• Ka emi ʻana a i ʻole ka nalowale ʻana o ka ʻono.
• Ke lohe ʻana i ke kani ʻana i loko o nā pepeiao (tinnitus).
• ʻIke i ka walaʻau (hyperacusis).

Aia kekahi mau hōʻailona e hiki ke ʻike ʻia ma mua o ka hiki ʻana mai o Bell's Palsy?

Ma mua o ka ulu ʻana o Bell's Palsy, hiki iā ʻoe ke ʻike i kahi kuni iki a i ʻole ka ʻeha ma hope o ka pepeiao. Eia nō naʻe, i ka hoʻomaka ʻana o Bell's Palsy e ulu, ʻaʻohe mea hiki iā ʻoe ke hana e hoʻōki ai. Eia kekahi, hiki ke hana ʻia kēia mau hōʻailona e nā kūlana ʻē aʻe, no laila ʻaʻole maopopo e ulu wale ana ʻo Bell's Palsy no ka mea ua loaʻa iā ʻoe.

He aha ke kumu o kēia?

ʻO ke kumu nui, ʻo ia ka pehu ʻana a me ke kaomi ʻana o ke aʻalolo ʻehiku o ke poʻo.

Hāpai kēia aʻalolo cranial ʻehiku i nā hōʻailona aʻalolo e kāohi ana i kou neʻe ʻana a me kou helehelena. Hāpai pū ia i nā hōʻailona aʻalolo no ka ʻono a me ka hana ʻana o nā waimaka i kou mau maka. Loaʻa iā ʻoe ʻelua o kēia mau aʻalolo - hoʻokahi e kāohi i kēlā me kēia ʻaoʻao. Ke pehu kekahi o kēia mau aʻalolo, hoʻopilikia ia i ke ʻano o ka neʻe ʻana o nā ʻiʻo ma kekahi ʻaoʻao o kou maka.

Ua ʻike nā kānaka ʻepekema hiki i kekahi mau maʻi viral ke hoʻoulu i ka pehu ʻana o ke aʻalolo cranial ʻehiku, e hana ai i ka Bell's Palsy. ʻO nā hiʻohiʻona penei:

• ʻO Herpes simplex 1 (kahi maʻi e hoʻoulu ai i nā maʻi waha, e like me nā ʻeha anu).
• ʻO ka maʻi Varicella-zoster (ka maʻi e hoʻoulu ai i ka moa a me ka herpes zoster).
• ʻO ka maʻi Epstein-Barr (ka maʻi e hoʻoulu ai i ka mononucleosis).
• ʻO ka maʻi `COVID-19`.

ʻO nā kumu ʻē aʻe e hiki ke hoʻopilikia i ka ʻōnaehana pale:

• Kaumaha.
• Nā maʻi like ʻole.
• Ua emi ka hiamoe.
• ʻEha kino.
• Nā kūlana autoimmune.

Akā i ka hapanui o ka manawa, ʻaʻole hiki i nā kauka ke loaʻa kahi kumu kūpono no Bell's Palsy.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

Hiki paha iā ʻoe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana iā Bell's Palsy inā loaʻa iā ʻoe nā kūlana ma lalo nei:

• Ka maʻi diabetes.
• Ka hāpai ʻana.
• Ke koko kiʻekiʻe i ka wā hāpai ('Preeclampsia').
• Momona (BMI o 30 a ʻoi aku paha).
• Ke koko kiʻekiʻe (hypertension).
• Inā ua loaʻa iā ʻoe ka "Bell's Palsy" ma mua.

Pehea e ʻike ʻia ai ka Bell's Palsy?

Hiki i ke kauka ke ʻike i ka Bell's Palsy ma muli o kāu mau hōʻailona. E nīnau lākou iā ʻoe e pili ana i ka wā i hoʻomaka ai kāu mau hōʻailona a inā ua loli lākou. E hana pū lākou i kahi hoʻokolokolo kino a noi iā ʻoe e hoʻoneʻe i kou mau ʻiʻo maka ma kekahi mau ʻano. ʻO ka hōʻailona nui o Bell's Palsy ka nāwaliwali hapa a piha paha o nā ʻiʻo ma kou lae.

ʻO nā kūlana ʻē aʻe, e like me ka hahau ʻana, sarcoidosis, maʻi Lyme, nā maʻi bacteria o ka pepeiao waena, ka sclerosis maha, a me nā puʻupuʻu kokoke i ke aʻalolo maka, hiki ke hana i ka maʻi lolo maka e like me Bell's Palsy. Hiki i kāu kauka ke ʻike maʻamau i ka Bell's Palsy ma muli o kou mōʻaukala o nā hōʻailona a me kahi hoʻokolokolo. Eia nō naʻe, i kekahi manawa e kauoha paha lākou i hoʻokahi a ʻoi aku paha o nā hoʻokolohua penei:

• Nā hoʻāʻo koko e nānā i nā kūlana e like me ka maʻi Lyme a i ʻole sarcoidosis.
• ʻO kahi hoʻokolohua Electromyography (EMG) e ana i ka hana a me ka hōʻino ʻana o nā aʻalolo. Hiki i kēia hoʻokolohua ke kōkua i kāu kauka e wānana i ka wikiwiki o kou ho'ōla ʻana.
• ʻO ke kiʻi resonance imaging (MRI) a i ʻole ka computed tomography (CT) scan e nānā no ka hahau ʻana, ka maʻi ʻaʻai, ka sclerosis lehulehu, a i ʻole nā ​​​​kumu ʻē aʻe o ka hōʻino ʻana o ke aʻalolo.
• ʻO kahi puncture lumbar e nānā i nā kūlana e like me ka meningitis, ka maʻi Lyme, a i ʻole sarcoidosis.

He aha nā lāʻau lapaʻau no ka `(Bell's Palsy)`?

ʻO ka hapa nui o nā hihia o Bell's Palsy e ola me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o kēia mau lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona a me ka wikiwiki o ka hoʻōla ʻana:

• Mālama maka: Hiki i nā kulu maka, e like me nā waimaka hana, ke kōkua i ka hōʻoluʻolu ʻana i nā maka maloʻo a ʻānai. Inā ʻaʻole pani pono kou mau lihilihi, pono paha ʻoe e komo i kahi ʻāpana maka e pale i kou mau maka mai ka maloʻo, ka lepo, a me ka ʻeha. ʻO ka membrane moakaka ma ke alo o kou maka,He mea nui loa ka mālama ʻana i nā maka no ka pale ʻana i ka hōʻino ʻana i ka cornea, kahi pilikia koʻikoʻi o Bell's Palsy.
• ʻO nā corticosteroids waha: Hiki i nā Corticosteroids, e like me ka prednisone, ke kōkua i ka hōʻemi ʻana i ka pehu ʻana o ke aʻalolo. Hiki i kēia ke kōkua iā ʻoe e hoʻihoʻi koke i ka neʻe ʻana o ka maka. ʻOi aku ka maikaʻi o kēia lāʻau lapaʻau inā hoʻomaka ʻia i loko o 48 mau hola o nā hōʻailona.
• Nā lāʻau lapaʻau antiviral: Hiki i kēia mau lāʻau ke wikiwiki i ka ho'ōla ʻana, akā ʻaʻohe manaʻo like e pili ana i ko lākou hopena. ʻO ka maʻamau, kuhikuhi nā kauka i kēia mau mea no nā hihia koʻikoʻi o Bell's Palsy. Hana maikaʻi kēia lāʻau lapaʻau ke hāʻawi ʻia me nā corticosteroids.
• Hoʻoulu uila: Manaʻo kekahi mau kauka i ka hoʻoulu uila e pale aku i ka maʻi lolo o ka maka ma hope o Bell's Palsy, akā ʻaʻole i hōʻike ʻia nā haʻawina i kekahi pono mai kēia lāʻau lapaʻau.

He mea kākaʻikahi loa, inā ʻaʻole i ho'ōla ʻia ʻo Bell's Palsy, hiki ke hana ʻia ke ʻoki plastik maka hana. Hiki iā ia ke hoʻoponopono i ka asymmetry o ka maka a kōkua i ka pani ʻana o ka lihilihi maka.

Pehea ka lōʻihi e hiki ai i ka Bell's Palsy ke mau?

Hiki i kēia maʻi ke mau mai kekahi mau pule a i ʻeono mahina. Hoʻomaka ka maʻamau o nā hōʻailona e hoʻomaikaʻi mālie i loko o ʻekolu pule. Ma kahi o 80% o ka poʻe e hoʻōla piha i loko o ʻekolu mahina a hele aku me ka ʻole o nā hōʻailona o ka "Bell's Palsy".

Eia nō naʻe, hiki i ka Bell's Palsy ke hoʻi hou ma hope o ke ola. Hana ʻia kēia ma waena o 5% a me 10% o ka poʻe i loaʻa mua.

He mau loa anei ka maʻi Palsy a Bell?

ʻO ka hapa nui o ka manawa, ʻaʻole mau loa ka Bell's Palsy. Ma hope o kekahi manawa, e loaʻa hou paha iā ʻoe ka hana maʻamau o kou mau ʻiʻo maka. Hana ʻia kēia ma kahi o 80% o nā hihia.

Eia nō naʻe, no kekahi poʻe, hiki ke hoʻomau ka nāwaliwali o ka maka no ka manawa lōʻihi. ʻO ka lōʻihi o ka hoʻōla ʻana, ʻoi aku ka nui o ka manawa e loaʻa ai nā pilikia lōʻihi. ʻO nā mea pilikia e hiki ai ke alakaʻi i ka hoʻōla lohi a i ʻole nā ​​​​hopena maikaʻi ʻole:

• Ua make loa ka helehelena.
• Ma luna o 60 mau makahiki.
• Ka emi ʻana o ka hana ʻana o ka lawai a i ʻole ka emi ʻana o ka ʻono.

Hiki ke pale ʻia ka Bell's Palsy?

ʻO ka mea pōʻino, ʻaʻohe mea hiki ke hana ʻia e pale aku ai i ka Bell's Palsy. Pili ia me kekahi mau maʻi viral, akā ʻaʻole nā ​​​​mea āpau i loaʻa i kēlā mau maʻi viral e loaʻa iā Bell's Palsy.

Inā he mau mea pilikia kou e like me ka maʻi diabetes, ka momona, a i ʻole ke koko kiʻekiʻe, ʻo ka kaohi pono ʻana iā lākou e kōkua paha i ka hōʻemi ʻana i kou pilikia.

Āhea ʻoe e ʻike ai i ke kauka?

Inā manaʻo ʻoe e kulou ana kou maka a make paha, e ʻike koke i ke kauka.Hiki i ke kulou ʻana o ka maka ke lilo i hōʻailona o nā maʻi koʻikoʻi, e like me ka hahau ʻana, no laila ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kumu i ka wā hikiwawe loa.

ʻO ka lawe ʻana i nā corticosteroids i ka wā e hoʻomaka ai nā hōʻailona o Bell's Palsy hiki ke kōkua i ka wikiwiki o kou ho'ōla ʻana.

Inā ua ʻike ʻia ʻoe me Bell's Palsy, e nīnau i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā ʻaʻole hoʻomaikaʻi nā hōʻailona i loko o ʻekolu mahina.
• Inā hoʻomau kou mau maka i ka maʻi ʻaleka, ʻulaʻula, a me ka maneʻo.
• Inā ʻaʻole hiki iā ʻoe ke pani pono i kou mau lihilihi.
• Inā ʻoe e make wai ana ma muli o ka paʻakikī o ka inu ʻana a me ke ale ʻana i ka wai.
• Inā ua nalowale kou lohe a i ʻole ka poniuniu/vertigo.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

Inā loaʻa iā ʻoe ʻo Bell's Palsy, e hilahila iki paha ʻoe i ke ʻano o kou helehelena. He mea maʻamau kēlā. Akā ʻo ka nūhou maikaʻi, e hoʻomaikaʻi pinepine kēia mau hōʻailona me ka hala ʻana o ka manawa. E ʻike i ke kauka i ka wā e ʻike mua ai ʻoe i nā hōʻailona. ʻO ka hoʻomaka ʻana i nā corticosteroids i loko o 48 mau hola o nā hōʻailona hiki ke wikiwiki i ka hoʻōla ʻana. Hiki i kāu kauka ke nānā i nā kūlana koʻikoʻi ʻē aʻe e hoʻoulu ai i kou maʻi lolo. No laila, mai hopohopo, e kiʻi i ka ʻōlelo aʻoaʻo lapaʻau e pono ai.

ʻO ka Bell's Palsy, ka Paralysis Maka, Neuropathy, nā ʻiʻo maka, nā maʻi viral, Corticosteroids, nā hōʻailona o ka hahau ʻana