Kodi mbali imodzi ya nkhope yanu yachita dzanzi mwadzidzidzi? Mwina ndi Bell's Palsy!

Nthawi zina mukadzuka m'mawa, kapena nthawi ina masana, mwadzidzidzi mungazindikire kuti mbali imodzi ya nkhope yanu yasiyana pang'ono. Monga mbali imodzi ya pakamwa panu yatsitsidwa, kapena maso anu sakutseka bwino. Izi zitha kukhala zowopsa pang'ono, sichoncho? Musadandaule. Lero, tikambirana za vutoli lotchedwa ``Bell's Palsy'' mwatsatanetsatane.

Kodi "Bell's Palsy" ndi chiyani?

Mwachidule, Bell's Palsy ndi vuto lomwe minofu ya nkhope yanu imalephera kugwira ntchito kwakanthawi. Nthawi zambiri, limakhudza mbali imodzi yokha ya nkhope yanu. Izi zingapangitse pakamwa panu kukoka mbali imodzi mukamwetulira, kapena simungathe kutseka diso limodzi kwathunthu. Nthawi zambiri, limakhudza mbali zonse ziwiri za nkhope yanu.

Izi zili choncho chifukwa chakuti mitsempha yanu yachisanu ndi chiwiri ya cranial - mitsempha yomwe imalamulira minofu ya nkhope yanu - imatupa. Mitsempha iyi imatha kutupa chifukwa cha zinthu monga matenda opatsirana ndi mavairasi. Koma nthawi zambiri, palibe chifukwa chomveka bwino cha Bell's Palsy. Timaitcha kuti idiopathic, zomwe zikutanthauza kuti chomwe chimayambitsa sichikudziwika.

Matenda a Bell's Palsy amatha kuchitika pa msinkhu uliwonse. Komabe, amapezeka kwambiri mwa anthu azaka zapakati pa 15 ndi 60. Nthawi zambiri amayamba ali ndi zaka pafupifupi 40. Dzina lake limatchedwa dzina la Sir Charles Bell, dokotala wa opaleshoni waku Scotland yemwe adafotokoza koyamba za matendawa m'zaka za m'ma 1800.

Kodi vuto ili ndi lalikulu? Kodi mungalisiyanitse bwanji ndi `(Stroke)`?

Ichi ndi chinthu chomwe anthu ambiri amachiopa. Koma matenda a Bell's Palsy si vuto lalikulu kwenikweni. Nthawi zambiri, amachira okha pakapita nthawi, ngakhale popanda chithandizo chilichonse.

Komabe, chofunika kwambiri apa ndichakuti zizindikiro za ``Bell's Palsy'' zimafanana kwambiri ndi zizindikiro za matenda aakulu monga sitiroko. Ndicho chifukwa chake ndikofunikira kwambiri kuonana ndi dokotala mukangoona kufooka kapena dzanzi m'minofu ya nkhope yanu.

Tiyeni tiwone zizindikiro za sitiroko. Ndikofunikira kudziwa izi:

• Kufooka kapena dzanzi mbali imodzi ya thupi.
• Kuvuta kulankhula kapena kulephera kulankhula (aphasia).
• Kutaya mphamvu yolamulira minofu mbali imodzi ya nkhope.
• Kutayika mwadzidzidzi kwa gawo limodzi kapena angapo a mphamvu, monga kuona, kumva, kununkhiza, kulawa, kapena kukhudza.
• Kuona kolakwika kapena kuwona kawiri (diplopia).
• Kulephera kuyenda bwino kapena kuvutika kuyenda (ataxia).
• Chizungulire.
• Kusanza ndi kusanza.
• Khosi lolimba.
• Kulephera kulamulira malingaliro ndi kusintha kwa umunthu.
• Kugwidwa ndi khunyu.
• Kutaya kukumbukira (kumbuyo).
• Mutu waukulu womwe nthawi zambiri umabwera mwadzidzidzi.

Stroke ndi vuto lachipatala lomwe lingakhale loopsa.Sekondi iliyonse imawerengedwa pamenepo. Ngati inu kapena munthu amene muli naye ali ndi zizindikiro izi, pitani kuchipatala chapafupi kapena imbani ambulansi yadzidzidzi nthawi yomweyo.

Kodi matenda a Bell's Palsy ndi ofala bwanji?

Vutoli ndi lofala kwambiri. Limakhudza anthu pakati pa 15 ndi 30 mwa anthu 100,000 chaka chilichonse. Izi zikutanthauza kuti munthu m'modzi pa anthu makumi asanu ndi limodzi aliwonse amakhala ndi matenda a Bell's Palsy m'moyo wawo wonse. Ndilonso vuto lalikulu la ziwalo mbali imodzi ya nkhope.

Kodi zizindikiro za `(Bell's Palsy)` ndi ziti?

Chizindikiro chachikulu cha Bell's Palsy ndi kufooka kwa minofu ya nkhope. Izi nthawi zambiri zimawoneka mbali imodzi ya nkhope. Zimawoneka ngati mbali imodzi ya nkhope ikugwa. Izi zingakhudze:

• Chipumi chako.
• Nsidze.
• Diso ndi chikope.
• Pakona pakamwa.

Zizindikiro za Bell's Palsy zimaonekera mwadzidzidzi. Zimafika pachimake pasanathe maola 48 mpaka 72. Anthu ena amangoona kufooka pang'ono m'minofu ya nkhope yawo, ndipo ena amaona nkhope yawo kukhala yofooka kwambiri.

Zingakhale zovuta kwambiri kufotokoza zakukhosi kwanu ndi nkhope yanu mukakhala ndi vutoli. Zinthu monga kukwinya nkhope, kutsonya maso, ndi kukwinya nkhope n'zovuta kwambiri, kapena zosatheka, kuchita kumbali yokhudzidwayo. Nkhope yanu ingamve ngati yachita dzanzi komanso yolemera. Komabe, mbali yokhudzidwayo sidzasiya kumva kukhudzidwa ndi zinthu monga kutentha ndi kuzizira.

Zizindikiro zina zomwe zingawonekere ndi izi:

• Kutulutsa madzi.
• Maso ouma.
• Kuvutika kulankhula, kudya, ndi kumwa.
• Ululu pankhope kapena m'khutu.
• Mutu.
• Kuchepa kapena kutayika kwa kukoma.
• Kumva kulira m'makutu (tinnitus).
• Kumva phokoso (hyperacusis).

Kodi pali zizindikiro zilizonse zomwe zingadziwike Bell's Palsy isanayambe?

Bell's Palsy isanayambe, mungamve kutentha thupi pang'ono kapena kupweteka kumbuyo kwa khutu. Komabe, Bell's Palsy ikayamba kukula, palibe chomwe mungachite kuti muyiletse. Komanso, zizindikirozi zitha kuyambitsidwa ndi matenda ena, kotero sizikudziwika ngati Bell's Palsy iyamba kukula chifukwa chakuti muli nayo.

Kodi n’chiyani chimayambitsa izi?

Chifukwa chachikulu ndi kutupa ndi kupsinjika kwa mitsempha yachisanu ndi chiwiri ya cranial.

Mitsempha yachisanu ndi chiwiri iyi ya cranial imanyamula zizindikiro za mitsempha zomwe zimalamulira mayendedwe a nkhope yanu ndi mawonekedwe anu. Imanyamulanso zizindikiro za mitsempha kuti mulawe komanso kutulutsa misozi m'maso mwanu. Muli ndi mitsempha iwiri iyi - umodzi wolamulira mbali iliyonse. Mitsempha imodzi ikatupa, imakhudza momwe minofu yomwe ili mbali imodzi ya nkhope yanu imayendera.

Asayansi apeza kuti matenda ena a mavairasi angayambitse kutupa kwa mitsempha yachisanu ndi chiwiri ya cranial, zomwe zimayambitsa Bell's Palsy. Zitsanzo zikuphatikizapo:

• Herpes simplex 1 (kachilombo kamene kamayambitsa matenda a mkamwa, monga zilonda zozizira).
• Kachilombo ka Varicella-zoster (kachilombo kamene kamayambitsa nsabwe ndi herpes zoster).
• Kachilombo ka Epstein-Barr (kachilombo kamene kamayambitsa mononucleosis).
• Kachilombo ka 'COVID-19'.

Zinthu zina zomwe zingakhudze chitetezo cha mthupi ndi izi:

• Kupsinjika maganizo.
• Matenda osiyanasiyana.
• Kuchepetsa kugona.
• Kuvulala kwakuthupi.
• Matenda a autoimmune.

Koma nthawi zambiri, madokotala sangapeze chifukwa chenicheni cha Bell's Palsy.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Mungakhale pachiwopsezo chachikulu chotenga matenda a Bell's Palsy ngati muli ndi matenda awa:

• Matenda a shuga.
• Mimba.
• Kuthamanga kwa magazi nthawi ya mimba (`Preeclampsia`).
• Kunenepa kwambiri (BMI ya 30 kapena kuposerapo).
• Kuthamanga kwa magazi (kuthamanga kwa magazi).
• Ngati munakhalapo ndi "Bell's Palsy" kale.

Kodi matenda a Bell's Palsy amawapeza bwanji?

Dokotala akhoza kuzindikira matenda a Bell's Palsy kutengera zizindikiro zanu. Adzakufunsani nthawi yomwe zizindikiro zanu zinayamba komanso ngati zasintha. Adzakuyezaninso mayeso akuthupi ndikukupemphani kuti musunthe minofu yanu ya nkhope m'njira zina. Chizindikiro chachikulu cha Bell's Palsy ndi kufooka pang'ono kapena kwathunthu kwa minofu pamphumi panu.

Matenda ena, monga sitiroko, sarcoidosis, matenda a Lyme, matenda a bakiteriya a m'khutu lapakati, multiple sclerosis, ndi zotupa pafupi ndi mitsempha ya nkhope, zingayambitsenso kufooka kwa nkhope kofanana ndi Bell's Palsy. Dokotala wanu nthawi zambiri amatha kuzindikira Bell's Palsy kutengera mbiri yanu ya zizindikiro ndi mayeso. Komabe, nthawi zina amatha kuyitanitsa mayeso amodzi kapena angapo mwa awa:

• Kuyezetsa magazi kuti aone ngati pali matenda monga matenda a Lyme kapena sarcoidosis.
• Kuyezetsa kwa Electromyography (EMG) kumayesa momwe mitsempha imagwirira ntchito komanso kuwonongeka kwake. Kuyezetsa kumeneku kungathandize dokotala wanu kuneneratu momwe mudzachira msanga.
• Kujambula zithunzi za maginito (MRI) kapena kujambulidwa ndi kompyuta (CT) kuti muwone ngati pali sitiroko, khansa, multiple sclerosis, kapena zinthu zina zomwe zimayambitsa kuwonongeka kwa mitsempha.
• Kuboola lumbar kuti muwone ngati pali matenda monga meningitis, matenda a Lyme, kapena sarcoidosis.

Kodi mankhwala a `(Bell's Palsy)` ndi otani?

Matenda ambiri a Bell's Palsy amachira popanda chithandizo. Komabe, dokotala wanu angakulangizeni njira imodzi kapena zingapo mwa izi kuti athandize kuchepetsa zizindikiro ndikufulumizitsa kuchira:

• Kusamalira maso: Madontho a maso, monga misozi yopangidwa, angathandize kuchepetsa maso ouma komanso oyabwa. Ngati maso anu sakutseka bwino, mungafunike kuvala chigamba cha maso kuti muteteze maso anu ku kuuma, fumbi, ndi kuvulala. Nembanemba yoyera kutsogolo kwa diso lanu,Kusamalira maso n'kofunika kwambiri kuti cornea isawonongeke, zomwe ndi vuto lalikulu la Bell's Palsy.
• Mankhwala oletsa kutupa: Mankhwala oletsa kutupa monga prednisone, angathandize kuchepetsa kutupa kwa mitsempha. Izi zingakuthandizeni kuyambiranso kuyenda kwa nkhope mwachangu. Mankhwalawa ndi othandiza kwambiri ngati ayamba mkati mwa maola 48 kuchokera pamene zizindikiro za matendawa zayamba.
• Mankhwala oletsa mavairasi: Mankhwalawa amatha kufulumizitsa kuchira, koma palibe mgwirizano womveka bwino pa momwe amagwirira ntchito. Madokotala nthawi zambiri amapereka mankhwalawa kwa odwala matenda oopsa a Bell's Palsy okha. Mankhwalawa amagwira ntchito bwino akaperekedwa limodzi ndi corticosteroids.
• Kulimbikitsa magetsi: Madokotala ena amalimbikitsa kulimbitsa magetsi kuti apewe kufooka kwa minofu ya nkhope pambuyo pa Bell's Palsy, koma kafukufuku sanawonetse phindu lililonse kuchokera ku chithandizochi.

Kawirikawiri, ngati Bell's Palsy sinachiritsidwe, opaleshoni yolimbitsa nkhope imatha kuchitika. Ikhoza kukonza kusalinganika kwa nkhope ndikuthandizira kutseka zikope.

Kodi Bell's Palsy ingatenge nthawi yayitali bwanji?

Matendawa amatha kukhala kwa milungu ingapo mpaka miyezi isanu ndi umodzi. Zizindikiro nthawi zambiri zimayamba kusintha pang'onopang'ono mkati mwa milungu itatu. Pafupifupi 80% ya anthu amachira kwathunthu mkati mwa miyezi itatu ndipo amatha popanda zizindikiro za ``Bell's Palsy''.

Komabe, matenda a Bell's Palsy amatha kubwereranso m'moyo wawo. Izi zimachitika pakati pa 5% ndi 10% ya anthu omwe adadwalapo kale.

Kodi Bell's Palsy ndi yokhalitsa?

Nthawi zambiri, matenda a Bell's Palsy samakhalapo kwamuyaya. Patapita kanthawi, mwina mudzayambiranso kugwira ntchito bwino kwa minofu ya nkhope yanu. Izi zimachitika pafupifupi 80% ya milandu.

Komabe, kwa anthu ena, kufooka kwa nkhope kumatha kupitirira kwa nthawi yayitali. Zikatenga nthawi yayitali kuti munthu achire, mwayi wokhala ndi mavuto kwa nthawi yayitali umakula. Zinthu zomwe zingayambitse kuchedwa kuchira kapena zotsatira zoyipa ndi izi:

• Nkhopeyo ilibe moyo konse.
• Zaka zoposa 60.
• Kuchepa kwa kupanga malovu kapena kuchepa kwa kukoma.

Kodi matenda a Bell's Palsy angapewedwe?

Mwatsoka, palibe chomwe chingachite kuti tipewe matenda a Bell's Palsy. Amagwirizanitsidwa ndi matenda enaake a mavairasi, koma si aliyense amene ali ndi matendawa omwe adzadwala Bell's Palsy.

Ngati muli ndi zinthu zomwe zingakuike pachiwopsezo monga matenda a shuga, kunenepa kwambiri, kapena kuthamanga kwa magazi, kuzilamulira bwino kungathandize kuchepetsa chiopsezo chanu.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukumva nkhope yanu ikugwa kapena ilibe moyo, pitani kwa dokotala mwamsanga.Kuwerama kwa nkhope kungakhalenso chizindikiro cha matenda aakulu, monga sitiroko, choncho ndi bwino kupeza chomwe chikuyambitsa vutoli mwachangu.

Kumwa mankhwala a corticosteroids mwamsanga zizindikiro za Bell's Palsy zikayamba kungakuthandizeni kuchira msanga.

Ngati mwapezeka ndi matenda a Bell's Palsy, pitani kwa dokotala ngati mwakumana ndi zotsatirazi:

• Ngati zizindikiro sizikuchepa mkati mwa miyezi itatu.
• Ngati maso anu akupitirizabe kukhala ndi ziwengo, ofiira, komanso oyabwa.
• Ngati simungathe kutseka maso anu bwino.
• Ngati mukusowa madzi m'thupi chifukwa chovutika kumwa ndi kumeza madzi.
• Ngati muli ndi vuto la kumva kapena chizungulire/chizungulire.

Pomaliza, kumbukirani izi.

Ngati muli ndi matenda a Bell's Palsy, mungamve manyazi pang'ono kapena manyazi ndi momwe nkhope yanu imaonekera. Zimenezo n'zachibadwa. Koma nkhani yabwino ndi yakuti zizindikirozi nthawi zambiri zimachepa pakapita nthawi. Pitani kwa dokotala mukangoyamba kuzindikira zizindikiro. Kuyamba kugwiritsa ntchito mankhwala a corticosteroids mkati mwa maola 48 kuchokera pamene zizindikirozo zikupezeka kungathandize kuti munthu achire msanga. Dokotala wanu angayang'anenso matenda ena akuluakulu omwe akuchititsa kuti nkhope yanu iwonongeke. Choncho, musachite mantha, funsani upangiri wofunikira kwa dokotala.

Kufa kwa Bell , Kufa kwa Nkhope, Matenda a Mitsempha, Minofu ya Nkhope, Matenda a Viral, Corticosteroids, Zizindikiro za Stroke