Wake wabheka esibukweni waphawula ukuthi uhlangothi olulodwa lobuso bakho lubukeka lungenampilo, ikona lomlomo wakho liyagoba, noma kubonakala sengathi unobunzima bokuvala amehlo akho kahle? Lokhu kuyinto engase yesabise noma ubani uma uyibona ngokuzumayo. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Facial Paralysis. Nakuba singase sibonakale sesabeka, uma usiqonda kahle futhi usiphatha ngesikhathi, singelapheka kaningi. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, ngendlela ongayiqonda.
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Kalula nje, kuyini ukukhubazeka kobuso?
Imisipha ebusweni bethu, njengalapho simomotheka, sikhuluma, noma siphakamisa amashiya ethu, ilawulwa yinzwa ekhethekile evela ebuchosheni. Lokhu kubizwa ngokuthi i-Facial Nerve , noma ngokunembile, inzwa yesikhombisa ye-cranial Nerve #7).
Cabanga ngale nzwa njengocingo lukagesi. Izimpawu zikagesi ezivela ebuchosheni zihamba ngale ntambo ukuze zilawule imisipha yobuso. Uma ngesizathu esithile le nzwa yonakele, ivuvukala, noma icindezelwe, izimpawu azihambi kahle. Yilapho imisipha kolunye uhlangothi lobuso (futhi ngezinye izikhathi zombili izinhlangothi) iba buthakathaka, ingaphili, futhi ibonakale igoba . Yilokhu esikubiza ngokuthi ukukhubazeka kobuso.
Lokhu kungabangela ukukhubazeka okuphelele kohlangothi olulodwa lobuso, noma kungaba mnene kuya kokulinganisela. Futhi, kwabanye abantu lokhu kungokwesikhashana, kanti kwabanye kungaba okuhlala njalo.
Kungani lokhu kwenzeka? Yiziphi izizathu zalokhu?
Kunezimbangela eziningana ezingaba khona zokukhubazeka kobuso. Abanye abantu bazalwa benalesi simo. Kodwa ngokuvamile kwenzeka ngesikhathi esithile empilweni. Izimbangela eziyinhloko ukulimala kwenzwa yobuso esikhulume ngayo ngaphambili noma ukulimala engxenyeni efanele yobuchopho.
Ake sibone kusukela kuthebula elingezansi ukuthi yiziphi izizathu eziyinhloko ezingathinta lokhu.
| Isizathu | Incazelo elula |
|---|---|
| Ukukhubazeka kukaBell | Lena yimbangela evame kakhulu. Lesi simo senzeka lapho inzwa yobuso ivuvukala ngokuzumayo ngaphandle kwesizathu esibonakalayo. Esikhathini esiningi, lokhu kungokwesikhashana. |
| Isifo sohlangothi | Isimo esibi esenzeka lapho amangqamuzana obuchopho onakele ngenxa yokuntuleka kokugeleza kwegazi ebuchosheni. Ukukhubazeka kobuso kungaba uphawu olulodwa lwesifo sohlangothi. |
| Izifo | Izifo ezifana nokutheleleka kwendlebe ephakathi, i-Ramsay Hunt syndrome (ebangelwa yigciwane le-shingles), kanye nesifo se-Lyme kungalimaza inzwa. |
| Ukulimala ekhanda noma ekhanda | Ukuphuka kwekhanda noma ukulimala okukhulu kwekhanda kungalimaza inzwa yobuso. |
| Amaqhubu noma izimila | Isimila ekhanda, entanyeni, noma ebuchosheni singabangela ukuba inzwa yobuso icindezelwe. |
| Ezinye izimo zezokwelapha | Lesi simo singabangelwa nezifo ezihlasela amasosha omzimba njenge-multiple sclerosis, i-sarcoidosis, kanye ne-Guillain-Barré syndrome. |
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Check Availability →Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)
Kubalulekile ukubona udokotela ngokushesha nje lapho uzwa izimpawu ezinjengalezi. Udokotela uzoqala akubuze ngezimpawu zakho kanye nanoma yiziphi ezinye izimo zezokwelapha ongase ube nazo. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba.
Phakathi nalolu vivinyo, udokotela uzokucela ukuthi wenze izinto ezifana nalezi:
- Vala futhi uvule amehlo akho kahle.
- Phakamisa amashiya womabili.
- Ukumamatheka.
- Shaya umlomo wakho.
- Khuhla ubuso bakho.
Ngesikhathi enza lokhu, ubheka ngokucophelela ukuthi kukhona yini umehluko endleleni imisipha ezinhlangothini zombili zobuso esebenza ngayo.
Ngaphezu kwalokhu kuhlolwa, kungase kudingeke ukuhlolwa okwengeziwe ukuze kutholakale imbangela eqondile.
- Ukuskena kwe-MRI (Magnetic Resonance Imaging) noma i-CT (Computed Tomography): Lokhu kungabheka iqhubu, ukuvuvukala, noma omunye umonakalo ngaphakathi kobuchopho noma ezindleleni zemizwa.
- Ukuhlolwa kwe-EMG (i-Electromyography):Lokhu kulinganisa umsebenzi kagesi wezinzwa nemisipha. Lokhu kusiza ukuqonda izinga lomonakalo wezinzwa.
Yiziphi izindlela zokwelapha lokhu?
Ukwelashwa kuncike embangela yokukhubazeka kobuso. Isibonelo, uma kubangelwa yisifo sohlangothi, isifo sohlangothi sizolashwa kuqala. Uma kubangelwa isimila, kuzocatshangelwa ukuhlinzwa ukuze kususwe. Uma kubangelwa yi-Bell's Palsy, kuzonconywa imithi kanye nokuzivocavoca.
Ukwelashwa kungahlukaniswa kakhulu kube okungahlinzwa kanye nokuhlinza.
Ukwelashwa Okungahlinzwa
- Ama-Corticosteroids: Lawa anikezwa ukunciphisa ukuvuvukala nokuvuvukala kwemizwa.
- Ama-antiviral: Lawa anikezwa uma kusolwa ukuthi lesi simo sibangelwa ukutheleleka ngegciwane.
- Imijovo ye-Botox: Ngezinye izikhathi, njengoba inzwa iphola, ingaphazamiseka, okubangela ukunyakaza kwemisipha okungahleliwe (synkinesis), njengokucwayiza lapho uzama ukumamatheka. Imijovo ye-Botox isetshenziselwa ukulawula lokhu.
- Ukwelashwa Komzimba: Ukuzivocavoca okukhethekile kufundiswa ukuqinisa imisipha yobuso, ukubuyisela ukulingana kobuso, nokuxhumanisa ukusebenza kwemisipha.
- Ukwelashwa Ngenkulumo: Lokhu kwelashwa kusiza ukubuyisela ubunzima bokukhuluma nokugwinya.
Ukwelashwa Kokuhlinzwa
- Ukuhlinzwa Kwamehlo: Uma ungakwazi ukuvala ijwabu lakho ngendlela efanele, kwenziwa ukuhlinzwa okuhlukahlukene ukuze kuvikelwe iso futhi kube lula ukuvala ijwabu lakho. Ngezinye izikhathi, kungenziwa ukuhlinzwa ukuze kufakwe izinto ezincane ukuze kusizwe ijwabu livale kalula.
- Ukuhlinzwa Kokuvuselela Ubuso: Lokhu kuyindlela yokuhlinzwa eyinkimbinkimbi kancane. Imisipha noma imizwa ithathwa kwezinye izingxenye zomzimba bese itshalwa ebusweni ukuze kuzanywe ukubuyisela ukunyakaza kobuso (isib. ukumamatheka).
- Ukususwa kwe-Lumbar Discectomy: Uma imbangela kuyiqhubu, liyasuswa ukuze kuncishiswe ingcindezi emsipheni.
- Ukuhlinzwa Kobuhle: Ukuhlinzwa okufana nokuphakamisa amashiya kanye nokuphakamisa ubuso kungenziwa ukuze kudalwe ibhalansi kanye nokulingana kuzo zombili izinhlangothi zobuso.
Ukukhubazeka kobuso namehlo akho
Lokhu kubaluleke kakhulu. Uma ungakwazi ukuvala amehlo akho kahle ngenxa yokukhubazeka kobuso, amehlo akho azohlala evulekile, okungaholela emehlweni omile njalo. Lokhu kungalimaza ubuso beso, kubangele izifo, futhi kuthinte ngisho nokubona kwakho.
Ngakho-ke, udokotela utusa okulandelayo ukuze avikele amehlo akho:
- Ukusebenzisa amaconsi amehlo kanye namafutha okugcoba.
- Ukufaka iplasta esikhumbeni sejwabu ngenkathi ulele, njengoba kucebisiwe udokotela.
- Ugqoke isicwebezelisi samehlo.
- Ukuvalwa kwesikhashana kwe-eyelid sutch.
Kufanele ubonane nodokotela ngokushesha nini?
Khumbula lokhu: Uma wena noma othile omaziyo eba nokuwohloka kobuso ngokuzumayo noma ukulahlekelwa ukwazi, ungalokothi ukushaye indiva lokho. Bonana nodokotela ngokushesha.
Ikakhulukazi uma unalezi zimpawu ngaphezu kokububula kobuso, kungaba uphawu lwesifo sohlangothi. Uma lokhu kwenzeka, kufanele uye ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze .
- Ubunzima bokukhuluma, ukungakwazi ukukhuluma kahle
- Ubunzima bokuhamba, ukulahlekelwa ibhalansi
- Umbono ofiphele ngokuzumayo noma umbono ophindwe kabili
- Ukuba ndikindiki noma ukuqaqamba engalweni noma emlenzeni
Ingabe lesi yisimo esihlala njalo?
Ezimweni eziningi, ikakhulukazi ezimweni ezifana ne-Bell's Palsy, lokhu kungokwesikhashana. Ngokuvamile kuxazululeka ngokuphelele ezinyangeni ezimbalwa ngokwelashwa noma ngaphandle kokwelashwa. Kodwa-ke, kwezinye izimo, kungaba unomphela, kuye ngokuthi umonakalo wenzwa ungakanani.
Ingabe ukucindezeleka kuyakuthinta lokhu?
Nakuba lokhu kungafakazelwa ngokwesayensi ngokuphelele, odokotela bakholelwa ukuthi kukhona ukuxhumana phakathi kwamazinga aphezulu okucindezeleka kanye ne-Bell's Palsy. Kukholelwa ukuthi ukucindezeleka kwenza buthaka amasosha omzimba, okungalimaza imizwa yobuso.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukukhubazeka kobuso kungase kwesabe ukukubuka, kubaluleke kakhulu ukuthola imbangela yako.
- Uma nje ubona uphawu olufana nokuvuvukala kobuso , ungachithi isikhathi bese ubona udokotela.
- Uma, ngaphezu kokububula kobuso, unezimpawu ezifana nokukhuluma okungacacile, ubunzima bokuhamba, noma ukungazweli ezithweni zakho zomzimba, kungaba yisifo sohlangothi. Yiya e-Emergency Treatment Unit (ETU) esibhedlela ngokushesha.
- Ezimweni eziningi, lesi simo singalapheka noma silawulwe ngokwelashwa.
- Ngesikhathi sokwelashwa, qaphela ngokukhethekile ukuvikela amehlo akho ekomeni. Landela imiyalelo kadokotela wakho ngokucophelela.
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