Koj puas tau xav txog seb nws zoo li cas thaum koj luag, thaum koj quaj thaum koj tu siab, lossis thaum koj noj mov qab? Txawm hais tias peb tsis xav txog tej yam no ntau hauv peb lub neej txhua hnub, muaj ib tug phab ej tseem ceeb heev nyob tom qab txhua yam no. Nws yog "lub paj hlwb ntawm lub ntsej muag" lossis raws li peb hu nws hauv cov lus kho mob, Lub Paj Hlwb Ntawm Lub Ntsej Muag. Lub paj hlwb no zoo li "xov hluav taws xob" los ntawm peb lub hlwb mus rau peb lub ntsej muag. Cov teeb liab los ntawm nws tswj yuav luag txhua yam kev xav thiab kev ua ub no ntawm peb lub ntsej muag. Yog li hnub no, cia peb tham txog lub paj hlwb zoo kawg no.
Lub Nerve Ntawm Lub Ntsej Muag yog dab tsi?
Hais yooj yim xwb, lub paj hlwb ntsej muag yog ib lub paj hlwb tshwj xeeb hauv koj lub taub hau. Nws nqa cov lus los ntawm lub hlwb mus rau cov leeg ntawm koj lub ntsej muag, thiab nws kuj nqa cov kev xav los ntawm lub ntsej muag (zoo li saj) rov qab mus rau lub hlwb. Nws zoo li tus neeg xa xov ob txoj kev.
Muaj 12 khub ntawm cov hlab ntsha tseem ceeb no hauv peb lub taub hau. Peb hu lawv ua cov hlab ntsha cranial . Cov hlab ntsha ntawm lub ntsej muag yog tus thib xya ntawm kaum ob ntawd. Yog vim li ntawd cov kws kho mob qee zaum hu nws ua "cov hlab ntsha cranial 7." Muaj ob lub hlab ntsha ntawm lub ntsej muag ntawm txhua sab ntawm peb lub taub hau, ib qho ntawm sab xis thiab ib qho ntawm sab laug.
Txawm tias koj nyeem tsab xov xwm no los xij, tej zaum koj yuav tsis paub tias ob lub paj hlwb no ua haujlwm. Lawv yog lub luag haujlwm rau ntau yam tseem ceeb heev, xws li koj lub ntsej muag, kev hais lus, saj, thiab kua muag.
Cov haujlwm tseem ceeb ntawm cov hlab ntsha no yog dab tsi?
Lub paj hlwb ntsej muag muaj peb lub luag haujlwm tseem ceeb. Cia peb saib seb lawv yog dab tsi.
1. Tswj cov kua muag thiab cov qaub ncaug
Nws yog lub luag haujlwm rau cov kua muag uas los rau hauv koj lub qhov muag thaum koj saib zaj yeeb yaj kiab tu siab thiab cov qaub ncaug uas los rau hauv koj lub qhov ncauj thaum koj pom cov zaub mov qab. Nws yog cov hlab ntsha parasympathetic hauv cov hlab ntsha no uas ua rau cov qog lacrimal hauv cov ces kaum ntawm lub qhov muag tsim cov kua muag. Nws tseem yog cov hlab ntsha uas ua rau cov qog salivary hauv qhov ncauj tsim cov qaub ncaug.
2. Kev xav txog saj thiab hnov
Qhov no kuj yog ib qho tseem ceeb heev. Ob feem peb ntawm koj tus nplaig pem hauv ntej raug cuam tshuam los ntawm cov hlab ntsha no. Nws yog cov hlab ntsha no uas xa cov cim rau lub hlwb txog qab zib, qaub, thiab ntsev saj. Tsis yog li ntawd xwb, tab sis cov hlab ntsha no kuj pab muab kev xav rau qee qhov ntawm peb lub pob ntseg sab hauv, lub pob ntseg, thiab sab nraud ntawm pob ntseg.
3. Tswj kev qhia tawm ntawm lub ntsej muag thiab kev txav mus los
Qhov no yog lub luag haujlwm nto moo tshaj plaws thiab loj tshaj plaws ntawm Lub Nerve Ntawm Lub Ntsej Muag. Txhua yam kev qhia ntawm lub ntsej muag xws li luag nyav, ntsej muag ntxhov siab, kaw qhov muag, thiab ua lub ntsej muag thaum npau taws raug tswj hwm los ntawm cov ceg ntawm lub paj hlwb no. Nws muaj 5 ceg tseem ceeb. Cia peb saib lub rooj no kom nkag siab meej.
| Lub npe ntawm ceg ntawm cov hlab ntsha | Lub luag haujlwm tseem ceeb |
|---|---|
| Ceg pem hauv ntej (Lub sijhawm) | Nws tswj cov leeg nqaij hauv koj lub hauv pliaj. Cov ceg no yog qhov uas pab koj ntsej muag tsis zoo thaum koj xav tsis thoob lossis npau taws. |
| Ceg zygomatic | Qhov no yog qhov uas pab koj kaw koj ob lub qhov muag kom nruj. Thaum koj pw tsaug zog, thaum koj ua pa hauv hmoov av, koj ob lub qhov muag kaw vim yog ceg ntoo no. |
| ceg ntawm lub qhov ncauj | Nws pab tsa koj daim di ncauj sab saud thiab ces kaum ntawm koj lub qhov ncauj thaum koj luag ntxhi. Nws kuj tseem cuam tshuam rau kev txav koj lub qhov ntswg thiab ntsais koj lub qhov muag. |
| Marginal mandibular ceg | Nws pab koj rub koj daim di ncauj qis los rau hauv qab, zoo li thaum koj tu siab. Nws kuj tswj ib cov leeg me me hauv pob ntseg, pab tiv thaiv koj pob ntseg ntawm cov suab nrov. |
| Ceg ntawm lub caj dab | Ib cov leeg nqaij hauv caj dab (platysma leeg) tswj thiab pab nrog kev txav ntawm lub puab tsaig thiab cov ces kaum qis ntawm lub qhov ncauj. |
Cov hlab ntsha ntawm lub ntsej muag no nyob li cas hauv lub taub hau?
Txoj kev no nyuaj me ntsis. Zoo li cov ceg ntoo uas tawm ntawm cov hauv paus hniav.
- Qhov no pib hauv lub hlwb, qhov qis tshaj plaws ntawm lub hlwb.
- Tom qab ntawd nws hla dhau lub hauv paus ntawm lub pob txha taub hau.
- Qhov no los rau ntawm lub ntsej muag los ntawm ib lub qhov me me hauv pob txha ze ntawm pob ntseg.
- Los ntawm qhov ntawd, nws ceg tawm ze ntawm lub qog parotid, ib qho ntawm peb cov qog salivary tseem ceeb, thiab kis thoob plaws lub ntsej muag.
Yog tias cov hlab ntsha ntawm lub ntsej muag raug puas tsuaj lawm, yuav ua li cas?
Yog tias cov hlab ntsha no raug puas lawm, cov haujlwm uas nws tswj hwm yuav ua tsis tau zoo. Peb hu qhov no ua Facial Nerve Palsy."Palsy" txhais tau tias "tuag tes tuag taw" lossis "tsis muaj peev xwm ua tau". Muaj ntau yam ua rau muaj qhov kev puas tsuaj no.
- Cov kab mob autoimmune: Cov kab mob uas lub cev lub cev tiv thaiv kab mob tawm tsam cov hlab ntsha, xws li Guillain-Barré syndrome thiab sarcoidosis.
- Cov qog nqaij hlav thiab mob qog noj ntshav: Tej yam xws li cov qog nqaij hlav hauv cov qog salivary thiab cov qog nqaij hlav hauv hlwb (meningioma) tuaj yeem nias cov hlab ntsha.
- Kab mob pob ntseg lossis qog nqaij hlav: Kab mob pob ntseg, qog nqaij hlav uas tshwm sim nyob ib puag ncig pob ntseg, xws li acoustic neuromas, kuj tuaj yeem ua rau cov hlab ntsha no puas tsuaj.
- Kev raug mob rau lub taub hau thiab lub ntsej muag: Kev raug mob rau lub taub hau thiab pob txha ntsej muag uas tshwm sim los ntawm qhov xwm txheej.
- Qee qhov kev phais: Muaj kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha no thaum lub sijhawm phais lub ntsej muag, suav nrog kev phais kom zoo nkauj (facelifts).
- Kev kis kab mob: Qee cov kab mob bacterial, xws li kab mob Lyme.
- Mob Stroke: Cov hlab ntsha no kuj tseem tuaj yeem poob haujlwm vim yog kev puas tsuaj rau cov hlwb hlwb vim yog cov ntshav ntws tsis zoo rau lub hlwb.
Qhov tseem ceeb tshaj plaws, yog tias koj muaj qhov tsis muaj zog lossis loog ntawm ib sab ntawm koj lub ntsej muag, nws yog ib qho tseem ceeb uas yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob yam tsis muaj kev ncua sijhawm , vim qhov no yuav yog ib qho cim qhia tias muaj mob stroke.
Cov hom mob tseem ceeb ntawm kev mob hlwb ntawm lub ntsej muag
- Kab mob Bell's palsy: Qhov no yog tus mob uas feem ntau tshwm sim. Hauv tus mob no, ib sab ntawm lub ntsej muag mam li loog. Cov tsos mob suav nrog lub qhov ncauj poob qis thaum luag nyav thiab nyuaj kaw qhov muag. Feem ntau, qhov no tsuas yog ib ntus xwb thiab tuaj yeem kho tau. Txawm li cas los xij, vim tias cov tsos mob no zoo ib yam li cov tsos mob ntawm tus mob stroke, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom paub tseeb tias nws tsis yog mob stroke.
- Ramsay Hunt syndrome: Qhov no yog ib qho teeb meem ntawm tus kab mob varicella-zoster, uas ua rau mob qaib ntxhw lossis mob shingles. Ntxiv rau qhov ua rau lub ntsej muag tsis muaj zog, nws tuaj yeem ua rau mob pob ntseg hnyav thiab mob pob ntseg, ntsej muag, lossis sab hauv lub qhov ncauj .
Qee zaum cov hlab ntsha no ua haujlwm ntau dhau thiab cov leeg ntawm lub ntsej muag pib co ntau zaus. Peb hu qhov no ua hemifacial spasm .
Cov tsos mob ntawm kev puas tsuaj rau cov hlab ntsha ntawm lub ntsej muag yog dab tsi?
Cov tsos mob yuav txawv nyob ntawm seb cov hlab ntsha puas qhov twg thiab yog vim li cas. Cov no yuav yog ib ntus xwb los yog mus tas li. Cia peb saib cov tsos mob tseem ceeb.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Cov leeg nqaij ntawm lub ntsej muag tsis muaj zog | Ib sab ntawm lub ntsej muag tsis ua haujlwm ib nrab lossis tag nrho. Luag tsis tau lossis tsis quav ntsej. |
| Cov pob muag thiab daim tawv muag poob qis | Qaug zog ntawm pob muag thiab daim tawv muag ntawm sab uas raug mob. |
| Qhov nyuaj kaw lub qhov muag | Tsis muaj peev xwm ntsais muag lossis kaw lub qhov muag tag nrho. |
| qhov muag qhuav | Qhov muag qhuav vim yog tsim kua muag tsawg dua. |
| Hyperacusis | Xav tias txawm tias cov suab nrov ib txwm los kuj nrov heev. |
| Ua pa tsis taus/ntws qaub ncaug | Thaum luag ntxhi lossis tham lus, lub qhov ncauj raug rub mus rau ib sab. Cov qaub ncaug ntws los ntawm ces kaum ntawm lub qhov ncauj. |
| Nyuaj noj mov thiab haus dej | Nyuaj rau khaws cov khoom noj rau hauv qhov ncauj thiab dej tawm hauv qhov ncauj thaum haus dej. |
| Tsis saj thiab qhov ncauj qhuav | Kev hloov pauv ntawm kev saj ntawm tus nplaig thiab qhov ncauj qhuav vim yog txo qis cov qaub ncaug tsim tawm. |
Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom kuaj xyuas lawv. Vim tias qhov ua rau qhov no tuaj yeem yog qee yam loj heev. Koj tus kws kho mob yuav ua qhov kev kuaj mob tsim nyog, nrhiav qhov ua rau tseeb, thiab sau ntawv kho mob tsim nyog.
Peb yuav ua li cas kom peb cov hlab ntsha ntawm lub ntsej muag noj qab nyob zoo?
Qee zaum peb tsis tuaj yeem tiv thaiv kev puas tsuaj rau cov hlab ntsha no. Tab sis muaj ob peb yam uas peb tuaj yeem ua tau kom peb lub paj hlwb tag nrho, suav nrog cov hlab ntsha ntawm lub ntsej muag, noj qab nyob zoo.
- Noj cov khoom noj muaj txiaj ntsig zoo: Ntxiv cov khoom noj uas muaj vitamin D thiab vitamin B12 (ntses, mis nyuj, qe, zaub ntsuab), uas yog qhov tseem ceeb rau kev noj qab haus huv ntawm cov hlab ntsha, rau hauv koj cov zaub mov noj.
- Tswj cov kab mob ntev: Cov kab mob xws li ntshav qab zib thiab ntshav siab tuaj yeem ua rau cov hlab ntsha puas tsuaj. Yog li ntawd, ua raws li cov lus qhia uas koj tus kws kho mob muab thiab tswj cov kab mob no kom zoo.
- Tsis txhob haus luam yeeb: Kev haus luam yeeb ua rau cov ntshav ntws mus rau cov hlab ntsha tsis zoo. Yog li ntawd, yog tias koj haus luam yeeb, nrhiav kev pab kom tso tseg.
- Tswj kom muaj qhov hnyav noj qab nyob zoo: Kev tswj kom muaj qhov hnyav noj qab nyob zoo uas tsim nyog rau lub cev yog qhov zoo rau kev noj qab haus huv tag nrho.
- Txo kev ntxhov siab: Kev txo kev ntxhov siab rau txoj kev uas haum rau koj, xws li kev xav lossis kev taug kev, kuj zoo rau lub paj hlwb.
- Tiv thaiv koj lub taub hau: Nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj lub taub hau ntawm kev raug mob. Nco ntsoov hnav lub kaus mom hlau thaum ua si kis las, caij tsheb kauj vab, lossis caij maus taus.
Xaus lus, peb yuav tsum ua tsaug rau Lub Nerve Ntawm Lub Ntsej Muag, uas pab peb ua tej yam tseem ceeb hauv peb lub neej txhua hnub, xws li luag nyav, txaus siab rau zaub mov, thiab kaw peb lub qhov muag. Yog tias koj muaj lub ntsej muag tsis muaj zog lossis lwm yam tsos mob uas tau hais hauv tsab xov xwm no, nws yuav yog vim muaj kev puas tsuaj rau cov hlab ntsha. Yog li, mus ntsib kws kho mob tam sim ntawd thiab tham txog nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub Nerve Ntawm Lub Ntsej Muag yog ib lub paj hlwb uas tswj ntau yam haujlwm tseem ceeb, xws li peb lub ntsej muag qhia tawm, kev saj, thiab kev tsim kua muag thiab cov qaub ncaug.
- Tsis txhob tsis quav ntsej txog qhov tsis muaj zog, qaug zog, lossis loog ntawm ib sab ntawm lub ntsej muag. Nws yuav yog ib qho cim qhia tias muaj mob stroke, yog li ntawd mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Kev tuag tes tuag taw ntawm lub ntsej muag tuaj yeem tshwm sim los ntawm cov mob xws li Bell's Palsy, tab sis nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho mob ua ntej kom paub tseeb tias tsis muaj qhov ua rau loj heev.
- Kev noj zaub mov kom sib npaug, kev tswj cov kab mob ntev, kev tsis haus luam yeeb, thiab kev tiv thaiv koj lub taub hau tuaj yeem pab kom koj lub paj hlwb noj qab nyob zoo.











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus