Koj puas tau saib daim iav thiab pom tias ib sab ntawm koj lub ntsej muag zoo li tsis muaj sia nyob, ces kaum ntawm koj lub qhov ncauj poob qis, lossis zoo li koj kaw koj lub qhov muag tsis tau zoo? Qhov no yog ib yam dab tsi uas yuav ua rau leej twg ntshai thaum koj pom nws tam sim ntawd. Hauv kev kho mob, peb hu qhov mob no ua Kev Poob Siab Ntawm Lub Ntsej Muag. Txawm hais tias nws yuav zoo li ntshai, yog tias koj nkag siab nws kom raug thiab kho nws raws sijhawm, nws feem ntau tuaj yeem kho tau. Hnub no, peb yuav tham txog qhov no kom meej, hauv txoj kev uas koj tuaj yeem nkag siab.
Hais yooj yim xwb, lub ntsej muag tuag tes tuag taw yog dab tsi?
Cov leeg nqaij ntawm peb lub ntsej muag, xws li thaum peb luag nyav, tham lus, lossis tsa peb pob muag, raug tswj hwm los ntawm ib txoj hlab ntsha tshwj xeeb uas los ntawm lub hlwb. Qhov no hu ua Facial Nerve , lossis kom meej dua, lub hlab ntsha cranial thib xya (Cranial Nerve #7).
Xav txog cov hlab ntsha no zoo li ib txoj hlua hluav taws xob. Cov teeb liab hluav taws xob los ntawm lub hlwb mus ncig raws txoj hlua no los tswj cov leeg ntawm lub ntsej muag. Yog tias vim li cas cov hlab ntsha no raug puas tsuaj, o, lossis nias, cov teeb liab tsis mus ncig zoo. Thaum ntawd cov leeg ntawm ib sab ntawm lub ntsej muag (thiab qee zaum ob sab) tsis muaj zog, tsis muaj sia, thiab zoo li poob qis . Qhov no yog qhov peb hu ua lub ntsej muag tuag tes tuag taw.
Qhov no ua rau ib sab ntawm lub ntsej muag tuag tes tuag taw tag, lossis nws tuaj yeem tsis hnyav heev mus rau nruab nrab. Tsis tas li ntawd, rau qee tus neeg qhov no tsuas yog ib ntus xwb, thaum rau lwm tus nws yuav nyob mus ib txhis.
Vim li cas qhov no thiaj tshwm sim? Dab tsi yog cov laj thawj rau qhov no?
Muaj ntau yam ua rau lub ntsej muag tsis ua haujlwm. Ib txhia neeg yug los muaj tus mob no. Tab sis feem ntau nws tshwm sim rau qee lub sijhawm hauv lub neej. Cov laj thawj tseem ceeb yog kev puas tsuaj rau cov hlab ntsha ntawm lub ntsej muag uas peb tau tham txog ua ntej lossis kev puas tsuaj rau qhov tseem ceeb ntawm lub hlwb.
Cia peb saib ntawm lub rooj hauv qab no seb yog dab tsi yog cov laj thawj tseem ceeb uas yuav cuam tshuam rau qhov no.
| Vim li cas | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob Bell's Palsy | Qhov no yog qhov ua rau feem ntau. Qhov mob no tshwm sim thaum cov hlab ntsha ntawm lub ntsej muag o sai sai yam tsis muaj laj thawj pom tseeb. Feem ntau, qhov no tsuas yog ib ntus xwb. |
| Mob stroke | Ib qho mob hnyav uas tshwm sim thaum cov hlwb hlwb raug puas tsuaj vim tsis muaj ntshav mus rau lub hlwb. Kev tuag tes tuag taw ntawm lub ntsej muag tuaj yeem yog ib qho tsos mob ntawm tus mob stroke. |
| Kev kis kab mob | Cov kab mob xws li kab mob pob ntseg nruab nrab, Ramsay Hunt syndrome (ua los ntawm tus kab mob shingles), thiab Lyme kab mob tuaj yeem ua rau lub paj hlwb puas tsuaj. |
| Kev raug mob rau lub taub hau lossis tawv taub hau | Pob txha taub hau tawg lossis raug mob taub hau hnyav tuaj yeem ua rau cov hlab ntsha ntawm lub ntsej muag puas tsuaj. |
| Cov qog los yog cov qog nqaij hlav | Ib qho qog hauv lub taub hau, caj dab, lossis lub hlwb tuaj yeem ua rau cov hlab ntsha ntawm lub ntsej muag raug nias. |
| Lwm yam mob nkeeg | Tus mob no kuj tseem tuaj yeem tshwm sim los ntawm cov kab mob autoimmune xws li multiple sclerosis, sarcoidosis, thiab Guillain-Barré syndrome. |
Tus kws kho mob kuaj qhov no li cas? (Kev kuaj mob)
Thaum koj muaj cov tsos mob zoo li no, nws yog ib qho tseem ceeb uas koj yuav tsum mus ntsib kws kho mob sai li sai tau. Tus kws kho mob yuav nug koj txog koj cov tsos mob thiab lwm yam mob uas koj muaj. Tom qab ntawd, lawv yuav kuaj koj lub cev.
Thaum lub sijhawm kuaj no, tus kws kho mob yuav hais kom koj ua tej yam xws li:
- Kaw thiab qhib koj ob lub qhov muag kom nruj.
- Tsa ob lub qhov muag.
- Luag nyav.
- Tshuab koj lub qhov ncauj.
- Tig koj lub ntsej muag.
Thaum ua cov no, nws ua tib zoo saib seb puas muaj qhov sib txawv ntawm txoj kev uas cov leeg ntawm ob sab ntawm lub ntsej muag ua haujlwm.
Ntxiv rau qhov kev kuaj no, tej zaum yuav xav tau kev kuaj ntxiv kom paub meej tias yog vim li cas.
- Kev thaij duab MRI (Magnetic Resonance Imaging) lossis CT (Computed Tomography): Cov no tuaj yeem nrhiav tau ib lub pob, o, lossis lwm yam kev puas tsuaj hauv lub hlwb lossis raws txoj hlab ntsha.
- Kev kuaj EMG (Electromyography):Qhov no ntsuas qhov ua haujlwm hluav taws xob ntawm cov hlab ntsha thiab cov leeg. Qhov no pab kom nkag siab txog qhov dav ntawm kev puas tsuaj ntawm cov hlab ntsha.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb ua rau lub ntsej muag tsis ua haujlwm. Piv txwv li, yog tias nws yog los ntawm kev mob stroke, yuav kho qhov mob stroke ua ntej. Yog tias nws yog los ntawm qog nqaij hlav, yuav xav txog kev phais kom tshem nws tawm. Yog tias nws yog los ntawm Bell's Palsy, yuav pom zoo kom noj tshuaj thiab ua si.
Kev kho mob feem ntau muaj peev xwm muab faib ua tsis phais thiab phais.
Kev Kho Mob Tsis Yog Phais Mob
- Corticosteroids: Cov no yog muab los txo qhov o thiab o ntawm cov hlab ntsha.
- Cov Tshuaj Tiv Thaiv Kab Mob: Cov no yog muab yog tias xav tias tus mob yog los ntawm kev kis kab mob viral.
- Kev txhaj tshuaj Botox: Qee zaum, thaum cov hlab ntsha kho tau zoo, nws tuaj yeem tsis sib dhos, ua rau cov leeg nqaij txav tsis tau (synkinesis), xws li ntsais muag thaum sim luag ntxhi. Kev txhaj tshuaj Botox yog siv los tswj cov no.
- Kev Kho Mob Lub Cev: Cov kev tawm dag zog tshwj xeeb raug qhia kom txhawb nqa cov leeg ntawm lub ntsej muag, rov qab kho qhov sib npaug ntawm lub ntsej muag, thiab sib koom tes ua haujlwm ntawm cov leeg.
- Kev Kho Mob Hais Lus: Kev kho mob no pab kho cov teeb meem hais lus thiab nqos.
Kev Kho Mob Phais
- Phais Qhov Muag: Yog tias koj kaw tsis tau koj qhov muag kom raug, yuav muaj ntau yam kev phais kom tiv thaiv qhov muag thiab ua kom yooj yim kaw koj qhov muag. Qee zaum, yuav muaj kev phais kom ntxig cov khoom hnyav me me los pab kom qhov muag kaw tau yooj yim dua.
- Kev Phais Rov Qab Lub Ntsej Muag: Qhov no yog ib qho kev phais uas nyuaj me ntsis. Cov leeg nqaij lossis cov hlab ntsha raug coj los ntawm lwm qhov ntawm lub cev thiab hloov mus rau lub ntsej muag kom sim rov qab txav lub ntsej muag (piv txwv li, luag nyav).
- Kev phais tshem cov pob qij txha caj qaum: Yog tias qhov ua rau yog pob, nws raug tshem tawm kom txo qhov siab ntawm cov hlab ntsha.
- Kev Phais Kom Zoo Nkauj: Kev phais xws li kev nqa pob muag thiab kev nqa lub ntsej muag tuaj yeem ua tau los tsim kom muaj kev sib npaug thiab sib npaug ntawm ob sab ntawm lub ntsej muag.
Kev tuag tes tuag taw ntawm lub ntsej muag thiab koj ob lub qhov muag
Qhov no tseem ceeb heev. Yog tias koj kaw tsis tau koj lub qhov muag kom zoo vim yog lub ntsej muag tsis ua haujlwm, koj ob lub qhov muag yuav qhib tas li, uas tuaj yeem ua rau lub qhov muag qhuav mus tas li. Qhov no tuaj yeem ua rau lub qhov muag puas tsuaj, ua rau muaj kab mob, thiab txawm tias cuam tshuam rau koj qhov pom kev.
Yog li ntawd, tus kws kho mob pom zoo kom ua raws li cov hauv qab no los tiv thaiv koj ob lub qhov muag:
- Siv cov tshuaj pleev qhov muag thiab cov tshuaj pleev.
- Siv ib daim plaster rau ntawm daim tawv muag thaum pw tsaug zog, raws li tus kws kho mob qhia.
- Hnav daim ntaub thaiv qhov muag.
- Kev xaws qhov muag ib ntus.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Nco ntsoov qhov no: Yog tias koj lossis ib tus neeg koj paub muaj kev poob ntsej muag sai sai lossis tsis nco qab, tsis txhob tsis quav ntsej txog qhov ntawd. Mus ntsib kws kho mob tam sim ntawd.
Tshwj xeeb tshaj yog tias koj muaj cov tsos mob no ntxiv rau qhov ntsej muag poob qis, nws yuav yog ib qho cim qhia tias muaj mob stroke. Yog tias qhov no tshwm sim, koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd .
- Nyuaj hais lus, tsis meej pem cov lus
- Nyuaj taug kev, poob qhov sib npaug
- Pom kev tsis meej pem lossis pom ob sab tam sim ntawd
- Mob loog los yog tingling hauv ib txhais caj npab los yog ceg
Qhov no puas yog qhov xwm txheej mus tas li?
Feem ntau, tshwj xeeb tshaj yog cov mob zoo li Bell's Palsy, qhov no tsuas yog ib ntus xwb. Feem ntau nws yuav zoo tag nrho hauv ob peb lub hlis nrog lossis tsis muaj kev kho mob. Txawm li cas los xij, qee zaum, nws tuaj yeem nyob mus ib txhis, nyob ntawm seb qhov kev puas tsuaj rau cov hlab ntsha loj npaum li cas.
Kev ntxhov siab puas cuam tshuam rau qhov no?
Txawm hais tias qhov no tsis tau muaj pov thawj 100% los ntawm kev tshawb fawb, cov kws kho mob ntseeg tias muaj kev sib txuas ntawm kev ntxhov siab ntau thiab Bell's Palsy. Lawv ntseeg tias kev ntxhov siab ua rau lub cev tiv thaiv kab mob tsis muaj zog, uas tuaj yeem ua rau lub paj hlwb ntawm lub ntsej muag puas tsuaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Txawm hais tias kev tuag tes tuag taw ntawm lub ntsej muag tuaj yeem ua rau ntshai heev los xij, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav qhov ua rau nws tshwm sim.
- Thaum koj pom ib qho tsos mob xws li lub ntsej muag o , tsis txhob nkim sijhawm thiab mus ntsib kws kho mob.
- Yog tias, ntxiv rau qhov ntsej muag poob qis, koj muaj cov tsos mob xws li hais lus tsis meej, taug kev nyuaj, lossis loog ntawm koj ob txhais ceg, nws yuav yog mob stroke. Mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Feem ntau, tus mob no kho tau lossis tswj tau los ntawm kev kho mob.
- Thaum lub sijhawm kho mob, ua tib zoo saib xyuas koj ob lub qhov muag kom tsis txhob qhuav. Ua raws li koj tus kws kho mob cov lus qhia kom 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