Ingabe uhlangothi olulodwa lobuso bakho seluvele luphelelwe amandla ngokuzumayo? Kungaba yi-Bell's Palsy!

Ngezinye izikhathi uma uvuka ekuseni, noma ngesikhathi esithile emini, ungase uqaphele ngokuzumayo ukuthi uhlangothi olulodwa lobuso bakho luhlukile kancane. Njengokungathi olunye uhlangothi lomlomo wakho ludonswa phansi, noma amehlo akho awavali kahle. Lokhu kungaba yinto eyesabekayo kancane, akunjalo? Ungakhathazeki. Namuhla, sizoxoxa ngalesi simo esibizwa ngokuthi "i-Bell's Palsy" ngokuningiliziwe.

Kuyini "i-Bell's Palsy"?

Kalula nje, i-Bell's Palsy yisimo lapho imisipha ebusweni bakho ikhubazeka okwesikhashana. Ngokuvamile, ithinta uhlangothi olulodwa lobuso bakho. Lokhu kungabangela ukuthi umlomo wakho udonsele ohlangothini olulodwa uma umomotheka, noma ungase ungakwazi ukuvala iso elilodwa ngokuphelele. Akuvamile kakhulu, kuthinta izinhlangothi zombili zobuso bakho.

Lokhu kungenxa yokuthi inzwa yakho yesikhombisa ye-cranial - inzwa elawula imisipha yobuso bakho - iyavuvukala. Le nzwa ingavuvukala ngenxa yezinto ezifana nokutheleleka ngamagciwane. Kodwa isikhathi esiningi, asikho isizathu esicacile se-Bell's Palsy. Sikubiza ngokuthi i-idiopathic, okusho ukuthi imbangela ayaziwa.

I-Bell's Palsy ingenzeka kunoma yimuphi ubudala. Kodwa-ke, ivame kakhulu kubantu abaneminyaka ephakathi kuka-15 no-60. Ivame ukuqala cishe eminyakeni engu-40. Iqanjwe ngoSir Charles Bell, udokotela ohlinzayo waseScotland owaqala ukuchaza lesi simo ngekhulu le-19.

Ingabe lesi yisimo esibucayi? Uhlukanisa kanjani `(Isifo Sohlangothi)`?

Lokhu kuyinto abantu abaningi abayesabayo. Kodwa i-Bell's Palsy empeleni ayisona isimo esibucayi. Ezimweni eziningi, iba ngcono ngokwayo ngokuhamba kwesikhathi, ngisho nangaphandle kokwelashwa.

Kodwa-ke, into ebaluleke kakhulu lapha ukuthi izimpawu ze-"Bell's Palsy" zifana kakhulu nezimpawu zesimo esibucayi njengesihlava sohlangothi. Yingakho kubaluleke kakhulu ukubona udokotela ngokushesha nje lapho ubona ubuthakathaka noma ukungakhululeki emisipheni yobuso bakho.

Ake sibheke izimpawu zesifo sohlangothi. Kubalulekile ukuqaphela lezi:

• Ubuthakathaka noma ukuba ndikindiki kolunye uhlangothi lomzimba.
• Ubunzima bokukhuluma noma ukungakwazi ukukhuluma (i-aphasia).
• Ukulahlekelwa ukulawula imisipha kolunye uhlangothi lobuso.
• Ukulahlekelwa okungazelelwe kwemizwa eyodwa noma ngaphezulu, njengokubona, ukuzwa, ukuhogela, ukunambitha, noma ukuthinta.
• Umbono ofiphele noma umbono ophindwe kabili (diplopia).
• Ukulahlekelwa ibhalansi noma ubunzima bokuhamba (ataxia).
• Isiyezi.
• Isicanucanu nokuhlanza.
• Intamo eqinile.
• Ukungakwazi ukulawula imizwa kanye nezinguquko zobuntu.
• Ukuquleka.
• Ukulahlekelwa yinkumbulo (i-amnesia).
• Ikhanda elibuhlungu elivame ukuvela ngokuzumayo.

Isifo sohlangothi siyisimo esiphuthumayo sezokwelapha esingasongela ukuphila.Njalo ngomzuzwana kubalwa lapho. Uma wena noma othile onayo enalezi zimpawu, iya esibhedlela esiseduze noma ushayele isevisi ye-ambulensi ephuthumayo ngokushesha.

Ivame kangakanani i-Bell's Palsy?

Lesi yisimo esivamile. Sithinta abantu abaphakathi kuka-15 no-30 kwabangu-100,000 minyaka yonke. Lokhu kusho ukuthi cishe umuntu oyedwa kwabangamashumi ayisithupha uzoba ne-Bell's Palsy empilweni yakhe. Futhi iyimbangela ehamba phambili yokukhubazeka kolunye uhlangothi lobuso.

Ziyini izimpawu ze-`(Bell's Palsy)`?

Uphawu oluyinhloko lwe-Bell's Palsy ubuthakathaka bemisipha yobuso. Lokhu kuvame ukubonakala ohlangothini olulodwa lobuso. Kubonakala sengathi olunye uhlangothi lobuso luyagoba. Lokhu kungathinta:

• Ibunzi lakho.
• Ishiya.
• Iso nejwabu leso.
• Ikhona lomlomo.

Izimpawu ze-Bell's Palsy zivele ngokuzumayo. Zifinyelela phezulu emahoreni angu-48 kuya kwangu-72. Abanye abantu bangase babe nobuthakathaka obuncane emisipheni yobuso babo. Abanye bangase babe nokukhubazeka okuphelele kobuso babo.

Kungaba nzima kakhulu ukuveza imizwa ngobuso bakho uma unalesi simo. Izinto ezinjengokufiphaza ubuso, ukuqhweba amehlo, nokufiphaza ubuso kunzima kakhulu, uma kungenzeki, ukuzenza ohlangothini oluthintekile. Ubuso bakho bungase buzizwe bungakhululekile futhi bunzima. Kodwa-ke, uhlangothi oluthintekile ngeke luyeke ukuzwa ukuthintwa nezinto ezinjengokushisa nokubanda.

Ezinye izimpawu ezingase zibonakale zifaka:

• Ukuvuza amathe.
• Amehlo omile.
• Ubunzima bokukhuluma, ukudla, nokuphuza.
• Ubuhlungu ebusweni noma endlebeni.
• Ikhanda elibuhlungu.
• Ukuncipha noma ukulahleka kokunambitheka.
• Ukuzwa ukukhala ezindlebeni (i-tinnitus).
• Ukuzwela umsindo (hyperacusis).

Ingabe zikhona izimpawu ezingabonakala ngaphambi kokuba i-Bell's Palsy ivele?

Ngaphambi kokuba i-Bell's Palsy iqale, ungase ube nomkhuhlane omncane noma ubuhlungu ngemuva kwendlebe. Kodwa-ke, uma i-Bell's Palsy iqala ukwenzeka, akukho ongakwenza ukuyivimba. Futhi, lezi zimpawu zingabangelwa ezinye izimo, ngakho-ke akuqiniseki ukuthi i-Bell's Palsy izovela ngoba nje unayo.

Yini ebangela lokhu?

Imbangela eyinhloko ukuvuvukala nokucindezelwa komthambo wesikhombisa we-cranial.

Lo mthambo wesikhombisa we-cranial uphethe izimpawu zemizwa ezilawula ukunyakaza kobuso bakho kanye nokubonakala kwakho. Uphinde uphathe izimpawu zemizwa zokunambitha kanye nokukhiqizwa kwezinyembezi emehlweni akho. Unezinzwa ezimbili zalezi – eyodwa yokulawula uhlangothi ngalunye. Uma enye yalezi zinzwa ivuvukala, ithinta indlela imisipha ohlangothini olulodwa lobuso bakho ehamba ngayo.

Ososayensi bathole ukuthi ukutheleleka okuthile kwegciwane kungabangela ukuvuvukala kwenzwa yesikhombisa ye-cranial, okubangela i-Bell's Palsy. Izibonelo zifaka:

• I-Herpes simplex 1 (igciwane elibangela izifo zomlomo, njengezilonda zomkhuhlane).
• Igciwane le-Varicella-zoster (igciwane elibangela i-chickenpox kanye ne-herpes zoster).
• Igciwane le-Epstein-Barr (igciwane elibangela i-mononucleosis).
• Igciwane 'le-COVID-19'.

Ezinye izinto ezingathinta amasosha omzimba zihlanganisa:

• Ukucindezeleka.
• Izifo ezahlukahlukene.
• Ukuncipha kokulala.
• Ukulimala ngokomzimba.
• Izimo zokuzivikela komzimba.

Kodwa isikhathi esiningi, odokotela abakwazi ukuthola imbangela ethile ye-Bell's Palsy.

Ubani osengozini enkulu yokuthola lesi simo?

Ungase ube sengozini enkulu yokuthola i-Bell's Palsy uma unezimo ezilandelayo:

• Isifo sikashukela.
• Ukukhulelwa.
• Umfutho wegazi ophezulu ngesikhathi sokukhulelwa (`Preeclampsia`).
• Ukukhuluphala ngokweqile (i-BMI engama-30 noma ngaphezulu).
• Umfutho wegazi ophezulu (umfutho wegazi ophakeme).
• Uma uke waba ne-"Bell's Palsy" ngaphambilini.

Itholakala kanjani i-Bell's Palsy?

Udokotela angakwazi ukuxilonga i-Bell's Palsy ngokusekelwe ezimpawu zakho. Bazokubuza ukuthi izimpawu zakho ziqale nini nokuthi sezishintshile yini. Bazokwenza nokuhlolwa ngokomzimba futhi bakucele ukuthi ushukumise imisipha yobuso bakho ngezindlela ezithile. Uphawu oluyinhloko lwe-Bell's Palsy ubuthakathaka obuyingxenye noma obuphelele bemisipha ebunzini lakho.

Ezinye izimo, njengesifo sohlangothi, i-sarcoidosis, isifo se-Lyme, ukutheleleka kwamagciwane endlebeni ephakathi, i-multiple sclerosis, kanye nezimila eduze kwenzwa yobuso, nazo zingabangela ukukhubazeka kobuso okufana ne-Bell's Palsy. Udokotela wakho ngokuvamile angaxilonga i-Bell's Palsy ngokusekelwe emlandweni wakho wezimpawu kanye nokuhlolwa. Kodwa-ke, ngezinye izikhathi bangase bacele ukuhlolwa okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ukuhlolwa kwegazi ukuhlola izimo ezifana nesifo se-Lyme noma i-sarcoidosis.
• Ukuhlolwa kwe-Electromyography (EMG) kulinganisa ukusebenza kwezinzwa kanye nomonakalo. Lokhu kuhlolwa kungasiza udokotela wakho ukubikezela ukuthi uzolulama ngokushesha kangakanani.
• Ukuthwebula izithombe ze-magnetic resonance (MRI) noma i-computed tomography (CT) ukuhlola isifo sohlangothi, umdlavuza, i-multiple sclerosis, noma ezinye izimbangela zokulimala kwemizwa.
• Ukubhoboza i-lumbar ukuhlola izimo ezifana ne-meningitis, isifo se-Lyme, noma i-sarcoidosis.

Yiziphi izindlela zokwelapha `(Bell's Palsy)`?

Iningi lamacala e-Bell's Palsy liba ngcono ngaphandle kokwelashwa. Kodwa-ke, udokotela wakho angase ancome okukodwa noma ngaphezulu kwalokhu kwelashwa ukuze asize ekunciphiseni izimpawu futhi asheshise ukululama:

• Ukunakekelwa kwamehlo: Amaconsi amehlo, njengezinyembezi zokwenziwa, angasiza ekunciphiseni amehlo omile nalumayo. Uma amajwabu amehlo akho engavali kahle, kungadingeka ukuthi ufake i-eye patch ukuze uvikele amehlo akho ekomeni, othulini nasekulimaleni. I-membrane ecacile ngaphambili kweso lakho,Ukunakekelwa kwamehlo kubaluleke kakhulu ukuvimbela ukulimala kwe-cornea, okuyinkinga enkulu ye-Bell's Palsy.
• Ama-corticosteroids omlomo: Ama-corticosteroids, njenge-prednisone, angasiza ekunciphiseni ukuvuvukala emthanjeni. Lokhu kungakusiza ukuthi uphinde uvuselele ukunyakaza kobuso ngokushesha. Lokhu kwelashwa kusebenza kahle kakhulu uma kuqalwa zingakapheli amahora angu-48 izimpawu.
• Imithi yokulwa namagciwane: Le mithi ingasheshisa ukululama, kodwa akukho ukuvumelana okucacile ngokuthi isebenza kahle kangakanani. Odokotela bavame ukuyinika kuphela izimo ezinzima ze-Bell's Palsy. Lokhu kwelashwa kusebenza kahle uma kunikezwa kuhlanganiswe ne-corticosteroids.
• Ukuvuselelwa kukagesi: Abanye odokotela batusa ukuvuselelwa kukagesi ukuvimbela ukukhubazeka kwemisipha yobuso ngemva kokukhubazeka kukaBell, kodwa izifundo azizange zibonise izinzuzo zalokhu kwelashwa.

Akuvamile kakhulu, uma i-Bell's Palsy ingelapheki, ukuhlinzwa kobuso okusebenzayo kungenziwa. Kungalungisa ukungalingani kobuso futhi kusize ekuvalekeni kwamehlo.

I-Bell's Palsy ingahlala isikhathi esingakanani?

Lesi simo singahlala kusukela emavikini ambalwa kuya ezinyangeni eziyisithupha. Izimpawu zivame ukuqala ukuthuthuka kancane kancane phakathi kwamasonto amathathu. Abantu ababalelwa ku-80% bayalulama ngokuphelele phakathi nezinyanga ezintathu bese behamba ngaphandle kwezimpawu ze-"Bell's Palsy".

Kodwa-ke, i-Bell's Palsy ingaphinde ivele kamuva ekuphileni. Lokhu kwenzeka phakathi kuka-5% no-10% wabantu abake baba nayo ngaphambili.

Ingabe i-Bell's Palsy iwukuqaqamba kwaphakade?

Esikhathini esiningi, i-Bell's Palsy ayihlali isikhathi eside. Ngemva kwesikhathi esithile, cishe uzophinde ubuyele ekusebenzeni okujwayelekile kwemisipha yobuso bakho. Lokhu kwenzeka cishe kuma-80% ezimo.

Kodwa-ke, kwabanye abantu, ubuthakathaka bobuso bungase buqhubeke isikhathi eside. Uma kuthatha isikhathi eside ukululama, kulapho amathuba ezinkinga zesikhathi eside ekhula khona. Izici eziyingozi ezingaholela ekuphuthumeni okulibazisekile noma emiphumeleni emibi zifaka:

• Ubuso abunampilo nhlobo.
• Uneminyaka engaphezu kwengu-60 ubudala.
• Ukwehla kokukhiqizwa kwamathe noma ukwehla komuzwa wokunambitha.

Ingabe i-Bell's Palsy ingavinjelwa?

Ngeshwa, akukho okungenziwa ukuvimbela i-Bell's Palsy. Ihlotshaniswa nokutheleleka okuthile okubangelwa amagciwane, kodwa akuwona wonke umuntu othola lezo zifo ezibangelwa amagciwane ozothola i-Bell's Palsy.

Uma unezici eziyingozi njengesifo sikashukela, ukukhuluphala ngokweqile, noma umfutho wegazi ophakeme, ukuzilawula kahle kungasiza ekunciphiseni ingozi yakho.

Kufanele ubonane nini nodokotela?

Uma uzizwa ubuso bakho bugobile noma bungenampilo, bona udokotela ngokushesha okukhulu.Ukuwa kobuso kungaba uphawu lwezimo zezempilo ezimbi kakhulu, njengesifo sohlangothi, ngakho-ke kungcono ukuthola imbangela ngokushesha okukhulu.

Ukuthatha ama-corticosteroids ngokushesha nje lapho izimpawu ze-Bell's Palsy ziqala kungasiza ekusheshiseni ukululama kwakho.

Uma uke watholakala une-Bell's Palsy, bona udokotela wakho uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma izimpawu zingathuthuki zingakapheli izinyanga ezintathu.
• Uma amehlo akho eqhubeka nokuba nomzimba ongezwani nomzimba, obomvu, futhi eluma.
• Uma ungakwazi ukuvala amehlo akho kahle.
• Uma uphelelwa amanzi emzimbeni ngenxa yobunzima bokuphuza nokugwinya amanzi.
• Uma unenkinga yokuzwa noma isiyezi/isiyezi.

Ekugcineni, khumbula lokhu.

Uma une-Bell's Palsy, ungase uzizwe unamahloni noma unamahloni ngendlela ubuso bakho obubukeka ngayo. Lokho kuvamile. Kodwa izindaba ezinhle ukuthi lezi zimpawu zivame ukuphola ngokuhamba kwesikhathi. Bonana nodokotela ngokushesha nje lapho ubona izimpawu zokuqala. Ukuqala ukusebenzisa ama-corticosteroids zingakapheli amahora angu-48 izimpawu kungasheshisa ukululama. Udokotela wakho angahlola nezinye izimo ezingathi sína ezibangela ukukhubazeka kobuso bakho. Ngakho-ke, ungesabi, thola iseluleko sezokwelapha esidingekayo.

Ukukhubazeka Kobuso , Ukukhubazeka Kobuso, I-Neuropathy, Imisipha Yobuso, Ukutheleleka Kwamagciwane, Ama-Corticosteroids, Izimpawu Zokushaywa Yisifo Sohlangothi