Ngaba elinye icala lobuso bakho liye laphelelwa ngamandla ngequbuliso? Isenokuba yiBell's Palsy!

Ngamanye amaxesha xa uvuka kusasa, okanye ngexesha elithile emini, ungabona ngequbuliso ukuba elinye icala lobuso bakho lahlukile kancinci. Njengokutsalwa kwelinye icala lomlomo wakho, okanye amehlo akho awavali kakuhle. Oku kunokuba ngamava othusayo, akunjalo? Ungakhathazeki. Namhlanje, siza kuthetha ngale meko ibizwa ngokuba yi-"Bell's Palsy" ngokweenkcukacha.

Yintoni i-"Bell's Palsy"?

Ngamafutshane, iBell's Palsy yimeko apho izihlunu zobuso bakho zingasebenzi kakuhle okwethutyana. Ngokuqhelekileyo, ichaphazela icala elinye lobuso bakho. Oku kunokubangela ukuba umlomo wakho utsalele kwelinye icala xa uncuma, okanye usenokungakwazi ukuvala iliso elinye ngokupheleleyo. Akunqabile, ichaphazela omabini amacala obuso bakho.

Oku kungenxa yokuba umthambo wakho wesixhenxe wentloko – umthambo olawula izihlunu zobuso bakho – uyadumba. Lo mthambo unokudumba ngenxa yezinto ezifana nosulelo lwentsholongwane. Kodwa uninzi lwexesha, akukho sizathu sicacileyo seBell's Palsy. Siyibiza ngokuba yi-idiopathic, nto leyo ethetha ukuba unobangela ayaziwa.

I-Bell's Palsy inokwenzeka nakweyiphi na iminyaka. Nangona kunjalo, ixhaphake kakhulu kubantu abaphakathi kweminyaka eli-15 nengama-60. Idla ngokuqala malunga neminyaka engama-40. Ithiywe ngoSir Charles Bell, ugqirha wotyando waseScotland owaqala ukuchaza le meko ngenkulungwane ye-19.

Ingaba le yimeko enzulu? Ungayahlula njani kwi-`(Stroke)`?

Le yinto abantu abaninzi abayoyikayo. Kodwa iBell's Palsy ayisiyongxaki imbi kangako. Kwiimeko ezininzi, iyazilungisa ngokwayo ngokuhamba kwexesha, nokuba akukho nyango.

Nangona kunjalo, eyona nto ibalulekileyo apha kukuba iimpawu ze-"Bell's Palsy" zifana kakhulu neempawu zesifo esinzima esifana nestroke. Yiyo loo nto kubaluleke kakhulu ukubona ugqirha kwangoko xa ubona ubuthathaka okanye ukungakhululeki kwimisipha yobuso bakho.

Makhe sijonge iimpawu zestroke. Kubalulekile ukuzazi ezi:

• Ubuthathaka okanye ukuba ndindisholo kwelinye icala lomzimba.
• Ubunzima bokuthetha okanye ukungakwazi ukuthetha (i-aphasia).
• Ukungakwazi ukulawula izihlunu kwelinye icala lobuso.
• Ukulahlekelwa yimvakalelo enye okanye ezingaphezulu ngequbuliso, njengokubona, ukuva, ukuvumba, ukungcamla, okanye ukuchukumisa.
• Umbono ongaboniyo okanye umbono ophindwe kabini (diplopia).
• Ukulahlekelwa yibhalansi okanye ubunzima bokuhamba (ataxia).
• Isiyezi.
• Isicaphucaphu nokuhlanza.
• Intamo eqinileyo.
• Ukungakwazi ukulawula iimvakalelo kunye notshintsho lobuntu.
• Ukuxhuzula.
• Ukulahlekelwa yinkumbulo (i-amnesia).
• Intloko ebuhlungu kakhulu edla ngokuvela ngequbuliso.

Istroke sisifo esingxamisekileyo sezonyango esinokuba yingozi ebomini.Yonke imizuzwana ibalulekile apho. Ukuba wena okanye umntu onayo unezi mpawu, yiya esibhedlele esikufutshane okanye utsalele umnxeba inkonzo ye-ambulensi engxamisekileyo ngokukhawuleza.

Ixhaphake kangakanani iBell's Palsy?

Le yimeko eqhelekileyo. Ichaphazela abantu abaphakathi kwe-15 kunye ne-30 kwi-100,000 minyaka le. Oku kuthetha ukuba malunga nomntu omnye kwabangamashumi amathandathu uza kuba ne-Bell's Palsy ebomini bakhe. Ikwayeyona nto iphambili ekubangeleni ukungakwazi ukusebenza kakuhle kwelinye icala lobuso.

Zithini iimpawu ze-`(Bell's Palsy)`?

Uphawu oluphambili lweBell's Palsy bubuthathaka bemisipha yobuso. Oku kubonakala kakhulu kwelinye icala lobuso. Kubonakala ngathi elinye icala lobuso ligobile. Oku kunokuchaphazela:

• Ibunzi lakho.
• Ishiya.
• Iliso kunye nenkophe.
• Ikona yomlomo.

Iimpawu zeBell's Palsy zibonakala ngequbuliso. Zifikelela kwinqanaba eliphezulu kwiiyure ezingama-48 ukuya kwezingama-72. Abanye abantu banokuba nobuthathaka obuncinci kwimisipha yobuso babo. Abanye banokuba nokukhubazeka kobuso babo ngokupheleleyo.

Kunokuba nzima kakhulu ukuveza iimvakalelo zakho ngobuso bakho xa unesi simo. Izinto ezinje ngokufinga iintshiyi, ukuqwayiza, kunye nokufinga iintshiyi kunzima kakhulu, ukuba akunakwenzeka, ukuzenza kwicala elichaphazelekayo. Ubuso bakho busenokuvakala bungakhululekanga kwaye bunzima. Nangona kunjalo, icala elichaphazelekayo aliyi kuyeka ukuva ukuchukunyiswa nezinto ezinje ngobushushu nokubanda.

Ezinye iimpawu ezinokubonwa ziquka:

• Ukuvuza amathe.
• Amehlo omileyo.
• Ubunzima bokuthetha, ukutya, nokusela.
• Intlungu ebusweni okanye endlebeni.
• Intloko ebuhlungu.
• Ukuncipha okanye ukulahleka kwencasa.
• Ukuva isandi ezindlebeni (i-tinnitus).
• Uvakalelo kwingxolo (hyperacusis).

Ngaba kukho naziphi na iimpawu ezinokubonwa ngaphambi kokuba iBell's Palsy yenzeke?

Ngaphambi kokuba iBell's Palsy ivele, usenokuba nomkhuhlane okanye intlungu emva kwendlebe. Nangona kunjalo, xa iBell's Palsy iqala ukwenzeka, akukho nto unokuyenza ukuyinqanda. Kwakhona, ezi mpawu zinokubangelwa zezinye iimeko, ngoko ke akuqinisekwanga ukuba iBell's Palsy iya kuvela ngenxa yokuba unayo.

Yintoni ebangela oku?

Isizathu esiphambili kukudumba kunye nokucinezelwa komthambo wesixhenxe wentloko.

Le mithambo-luvo yesixhenxe yentloko ithwala imiqondiso yemithambo-luvo elawula iintshukumo zobuso bakho kunye nembonakalo. Ikwathwala imiqondiso yemithambo-luvo yokunambitha kunye nokuveliswa kweenyembezi emehlweni akho. Unemithambo-luvo emibini - enye yokulawula icala ngalinye. Xa enye yale mithambo-luvo ivuvukala, ichaphazela indlela izihlunu ezikwelinye icala lobuso bakho ezihamba ngayo.

Izazinzulu zifumanise ukuba ezinye izifo ezibangelwa yintsholongwane zinokubangela ukudumba kwemithambo-luvo yesixhenxe yentloko, nto leyo ebangela iBell's Palsy. Imizekelo ibandakanya:

• I-Herpes simplex 1 (intsholongwane ebangela usulelo lomlomo, njengezilonda zomkhuhlane).
• Intsholongwane yeVaricella-zoster (intsholongwane ebangela i-chickenpox kunye ne-herpes zoster).
• Intsholongwane ka-Epstein-Barr (intsholongwane ebangela i-mononucleosis).
• Intsholongwane 'ye-COVID-19'.

Ezinye izinto ezinokuchaphazela inkqubo yomzimba yokuzikhusela ziquka:

• Uxinzelelo.
• Izifo ezahlukeneyo.
• Ukuncipha kokulala.
• Ukonzakala emzimbeni.
• Iimeko zokuzikhusela komzimba.

Kodwa uninzi lwexesha, oogqirha abakwazi ukufumana unobangela othile weBell's Palsy.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Usenokuba sengozini enkulu yokuba ne-Bell's Palsy ukuba unezi meko zilandelayo:

• Isifo seswekile.
• Ukukhulelwa.
• Uxinzelelo lwegazi oluphezulu ngexesha lokukhulelwa (`Preeclampsia`).
• Ukutyeba kakhulu (i-BMI engama-30 nangaphezulu).
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu).
• Ukuba ukhe waba ne-"Bell's Palsy" ngaphambili.

Ifunyanwa njani iBell's Palsy?

Ugqirha unokuxilonga iBell's Palsy ngokusekelwe kwiimpawu zakho. Baza kukubuza ukuba iimpawu zakho ziqale nini kwaye zitshintshile na. Baza kwenza uvavanyo lomzimba kwaye bakucele ukuba ushukumise izihlunu zobuso bakho ngeendlela ezithile. Uphawu oluphambili lweBell's Palsy bubuthathaka obuncinci okanye obupheleleyo bezihlunu ebunzini lakho.

Ezinye iimeko, ezifana nestroke, i-sarcoidosis, isifo seLyme, usulelo lweentsholongwane zendlebe ephakathi, i-multiple sclerosis, kunye neethumba ezikufutshane nemithambo-luvo yobuso, nazo zinokubangela ukukhubazeka kobuso okufana ne-Bell's Palsy. Ugqirha wakho unokuxilonga i-Bell's Palsy ngokusekelwe kwimbali yakho yeempawu kunye novavanyo. Nangona kunjalo, ngamanye amaxesha banokuyalela olunye okanye ngaphezulu kwezi vavanyo zilandelayo:

• Uvavanyo lwegazi ukujonga iimeko ezifana nesifo seLyme okanye i-sarcoidosis.
• Uvavanyo lwe-Electromyography (EMG) lulinganisa ukusebenza kwemithambo-luvo kunye nomonakalo. Olu vavanyo lunokunceda ugqirha wakho ukuba aqikelele ukuba uza kuphila ngokukhawuleza kangakanani.
• I-Magnetic resonance imaging (MRI) okanye i-computed tomography (CT) scans ukujonga i-stroke, umhlaza, i-multiple sclerosis, okanye ezinye izizathu zomonakalo wemithambo-luvo.
• Ukubhobozwa kwe-lumbar ukujonga iimeko ezifana ne-meningitis, isifo seLyme, okanye i-sarcoidosis.

Ziziphi iindlela zonyango ze-`(Bell's Palsy)`?

Uninzi lweemeko zeBell's Palsy ziba ngcono ngaphandle konyango. Nangona kunjalo, ugqirha wakho unokucebisa olunye okanye ngaphezulu kwezi ndlela zonyango ukunceda ekunciphiseni iimpawu kunye nokukhawulezisa ukubuyela esimeni:

• Ukhathalelo lwamehlo: Amaconsi amehlo, njengeenyembezi ezenziweyo, anokunceda ekunciphiseni amehlo omileyo narhawuzelelayo. Ukuba amehlo akho awavali kakuhle, unokufuna ukunxiba i-eye patch ukuze ukhusele amehlo akho ekomeni, eluthulini, nasekwenzakaleni. I-membrane ecacileyo engaphambili kweliso lakho,Ukunyamekela amehlo kubaluleke kakhulu ukuthintela umonakalo kwi-cornea, nto leyo ebangela ingxaki enkulu kwi-Bell's Palsy.
• Ii-corticosteroids zomlomo: Ii-corticosteroids, ezifana ne-prednisone, zinokunceda ukunciphisa ukudumba kwimithambo-luvo. Oku kunokukunceda ukuba uphinde ufumane intshukumo yobuso ngokukhawuleza. Olu nyango lusebenza kakhulu ukuba luqaliswe kwiiyure ezingama-48 emva kweempawu.
• Amayeza okulwa neentsholongwane: La mayeza anokukhawulezisa ukuchacha, kodwa akukho sivumelwano sicacileyo sokuba asebenza kangakanani. Oogqirha badla ngokuwanika la mayeza kuphela kwiimeko ezinzima zeBell's Palsy. Olu nyango lusebenza kakuhle xa lunikwa kunye ne-corticosteroids.
• Ukuvuselelwa kombane: Abanye oogqirha bacebisa ukuvuselelwa kombane ukuthintela ukukhubazeka kwemisipha yobuso emva kweBell's Palsy, kodwa uphando alubonisanga nzuzo kolu nyango.

Kunqabile kakhulu, ukuba iBell's Palsy ayinyangeki, utyando lokulungisa ubuso olusebenzayo lunokwenziwa. Lunokulungisa ukungalingani kobuso kwaye luncede ekuvalekeni kwamehlo.

I-Bell's Palsy ingahlala ixesha elingakanani?

Le meko inokuhlala kwiiveki ezimbalwa ukuya kwiinyanga ezintandathu. Iimpawu zihlala ziqala ukuphucuka kancinci kancinci kwiiveki ezintathu. Malunga nama-80% abantu bayaphila ngokupheleleyo kwiinyanga ezintathu baze baphele ngaphandle kweempawu ze-"Bell's Palsy".

Nangona kunjalo, iBell's Palsy inokuphinda ivele kamva ebomini. Oku kwenzeka phakathi kwe-5% kunye ne-10% yabantu abakhe banayo ngaphambili.

Ingaba iBell's Palsy isisigxina?

Uninzi lwexesha, iBell's Palsy ayihlali ihleli. Emva kwexesha elithile, uya kuphinda usebenze kakuhle kwizihlunu zobuso bakho. Oku kwenzeka malunga ne-80% yamatyala.

Nangona kunjalo, kwabanye abantu, ubuthathaka bobuso bunokuhlala ixesha elide. Okukhona kuthatha ixesha elide ukuchacha, kokukhona amathuba okuba neengxaki zexesha elide abe makhulu. Izinto ezinokubangela ukuba umntu aphinde aphile okanye angabi naziphumo zimbi ziquka:

• Ubuso abunabomi kwaphela.
• Ngaphezulu kweminyaka engama-60 ubudala.
• Ukwehla kokuveliswa kwamathe okanye ukuncipha kwemvakalelo yokungcamla.

Ngaba iBell's Palsy ingathintelwa?

Ngelishwa, akukho nto inokwenziwa ukuthintela iBell's Palsy. Inxulunyaniswa nosulelo oluthile lweentsholongwane, kodwa ayinguye wonke umntu ofumana ezo ntsholongwane oza kuba neBell's Palsy.

Ukuba unezinto ezinobungozi ezifana nesifo seswekile, ukutyeba kakhulu, okanye uxinzelelo lwegazi oluphezulu, ukuzilawula kakuhle kunokunceda ukunciphisa umngcipheko wakho.

Ufanele uye nini kugqirha?

Ukuba uziva ubuso bakho bugobile okanye bungenabomi, bona ugqirha ngokukhawuleza.Ukuwa kobuso kunokuba luphawu lwezifo ezinzulu, ezifana nesifo sohlangothi, ngoko ke kungcono ukufumanisa unobangela ngokukhawuleza.

Ukusela ii-corticosteroids kwangoko nje xa iimpawu zeBell's Palsy ziqala kunokukunceda ukhawulezise ukuchacha kwakho.

Ukuba ufunyenwe uneBell's Palsy, bona ugqirha wakho ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuba iimpawu aziphucukanga kwisithuba seenyanga ezintathu.
• Ukuba amehlo akho ayaqhubeka nokuba ne-allergy, ebomvu, kwaye erhawuzelela.
• Ukuba awukwazi ukuvala amehlo akho kakuhle.
• Ukuba uphelelwa ngamanzi emzimbeni ngenxa yobunzima bokusela nokuginya amanzi.
• Ukuba unengxaki yokuva okanye isiyezi/i-vertigo.

Okokugqibela, khumbula oku.

Ukuba uneBell's Palsy, ungaziva uneentloni okanye udanile ngendlela ubuso bakho obubukeka ngayo. Yinto eqhelekileyo leyo. Kodwa iindaba ezimnandi zezokuba ezi mpawu zihlala zisiba ngcono ngokuhamba kwexesha. Bonana nogqirha kwangoko xa uqaphela iimpawu. Ukuqala ukusebenzisa ii-corticosteroids kwiiyure ezingama-48 emva kweempawu kunokukhawulezisa ukuchacha. Ugqirha wakho unokujonga nezinye iimeko ezinzulu ezibangela ukukhubazeka kobuso bakho. Ngoko ke, ungoyiki, fumana ingcebiso efunekayo kugqirha.

Ukukhubazeka Kobuso , Ukukhubazeka Kobuso, I-Neuropathy, Imisipha Yobuso, Usulelo Lweentsholongwane, Ii-Corticosteroids, Iimpawu Zestroke