Kuvamile ukufinya amehlo ngezinye izikhathi. Kodwa uma uthola ukuthi uhlangothi olulodwa lobuso bakho, njengeso lakho, isihlathi, noma izindebe, lunyakaza ngokungalawuleki, kuyinto okufanele ukhathazeke ngayo. Lesi simo saziwa ngokwezokwelapha ngokuthi i-Hemifacial Spasm. Nakuba kungaba yinto ekhathazayo kancane, kukhona ukwelashwa okuhle okutholakalayo ngakho akukho okufanele ukhathazeke ngakho. Ake sixoxe ngakho ngokuningiliziwe.
Kalula nje, kuyini i-Hemifacial Spasm?
I-Hemifacial Spasm yisimo sezinzwa esibangela imisipha yolunye uhlangothi lobuso bakho ukuthi inyakaze ngokuphindaphindiwe nangokungalawuleki. Lokhu kungaba kubi kakhulu ngokuhamba kwesikhathi.
- "Hemifacial" kusho "ingxenye yobuso."
- Igama elithi "spasm" lisho "ukunyakazisa imisipha."
Lesi simo sivame kakhulu kubantu abadala abaneminyaka ephakathi kuka-40 no-60. Futhi, abesifazane banamathuba aphindwe kabili okuthola lesi simo kunabesilisa.
Lokhu kungabizwa nangokuthi ukuphazamiseka kokunyakaza okwenzeka ohlelweni lwezinzwa oluseceleni lomzimba wethu.
Ingabe zikhona izinhlobo eziyinhloko ze-hemifacial spasm?
Yebo, kunezinhlobo ezimbili eziyinhloko zalokhu, kuye ngokuthi izimpawu ziqhubeka kanjani ngokuhamba kwesikhathi.
1. I-Primary Hemifacial Spasm: Kulolu hlobo lwe-spasm, ukudikiza kuqala emisipheni ezungeze amehlo. Kancane kancane, ezinyangeni noma ngisho neminyaka, kusakazekela engxenyeni engezansi yobuso.
2. I-Secondary Hemifacial Spasm: Kulolu hlobo, ukunyakazisa kwezingxenye eziphezulu nezingezansi zobuso kuqala cishe ngasikhathi sinye. Ekuqaleni, kuyafika futhi kudlule, kodwa kamuva kungaba njalo.
Ziyini izimpawu zalesi simo?
Uphawu oluyinhloko ukunyakazisa imisipha kolunye uhlangothi lobuso bakho okungalawuleki. Lokhu kuvame kakhulu ohlangothini lwesobunxele kunolokudla. Akuvamile ukuthi kuthinte izinhlangothi zombili zobuso.
Nansi indlela izimpawu ezivame ukuqala ngayo futhi ziqhubeke ngayo:
- Kuqala ngokuphazima kweso. Lokhu kuyafika kudlule.
- Ngemva kwesikhashana, iso lingase lizivale lodwa .
- Okulandelayo, ungase uzizwe sengathi amashiya akho akhula ngokwemvelo .
- Kamuva, imisipha engezansi kobuso nayo iqala ukuqina. Lokhu kungabangela ukuthi umlomo udonsele ohlangothini olulodwa .
- Ekugcineni, imisipha ohlangothini olulodwa lobuso ingase inwebeke unomphela.
Lokhu kuqina kwemisipha ngokuvamile akubuhlungu. Kodwa-ke, kungaba yinto engakhululekile futhi ebangela amahloni uma usesidlangalaleni. Ukucindezeleka, ukukhathala, ukudla, nokukhathazeka nakho kungabangela lokho.Lezi zimpawu zingaba zimbi kakhulu ngezikhathi ezinjengalezi. Abanye abantu babhekana nalezi zinhlungu ngisho nalapho belele , okungaphazamisa ubuthongo.
Ezinye izimpawu
Abanye abantu bangase babhekane nezinye izinto ngaphezu kwalezi zimpawu eziyinhloko.
- Ukuzwa umsindo "wokukhahlela" endlebeni
- Ubuhlungu bendlebe
- Ukulahlekelwa ukuzwa (ikakhulukazi okwesibili)
Kungani lokhu kwenzeka? Yiziphi izizathu?
Imbangela eyinhloko yokuqina kwe-hemifacial ukucindezela isikhathi eside emsipheni wobuso (umsiphe wesikhombisa we-cranial), okuwumsiphe omkhulu olawula ukunyakaza kobuso.
Cabanga ukuthi bekuzokwenzekani uma umthambo wegazi ogijima eduze kwale nzwa eyinhloko elawula ukunyakaza kobuso bethu ubungacindezelwa? Kufana netshe eliwela epayipini lamanzi. Khona-ke izimpawu ezivela kuleyo nzwa zingaphazanyiswa. Isimbozo sokuvikela senzwa ('i-myelin sheath') sizolimala. Ngenxa yalezi zimpawu eziphazamisekile, imisipha izoqala ukudikiza ngokungazikhetheli.
Lena imbangela eyinhloko yokuqina kwe-hemifacial okuyinhloko .
I-Secondary Hemifacial Spasm ibangelwa ukucindezeleka emthanjeni wobuso ngenxa yesinye isimo sezokwelapha noma imbangela. Ezinye zezimbangela zifaka:
- Ukulimala eduze kwenzwa yobuso
- Izimo ezifana ne- Bell's palsy
- Ukulimala kwe-brainstem ngenxa yezimo ezifana ne -multiple sclerosis noma i-stroke
- Izinkinga ngemithambo yegazi ebuchosheni, isibonelo 'i-brain aneurysms'
- Izifo zendlebe ezifana ne-otitis media
- Izimila ezikhula endlaleni ye-parotid, kungaba umdlavuza noma ongewona umdlavuza
- Izinkinga zesakhiwo engxenyeni engezansi yogebhezi
Udokotela ukuthola kanjani lokhu?
Uma unalezi zimpawu, udokotela uzoqala akuhlole ngokomzimba bese ekwenza ukuhlolwa kwezinzwa.
Ngemuva kwalokho, kuvame ukunconywa ukuthi kwenziwe i-MRI scan ukuze kukhishwe ezinye izimo ezimbi ezibangela izimpawu nokuthola imbangela eqondile ye-hemifacial spasm. Ohlotsheni oluyinhloko, umthambo wegazi ocindezela inzwa ngokuvamile ungatholakala ku-MRI.
Ngezinye izikhathi lezi zimpawu zingafana nezinye izimo, njenge-'blepharospasm' (isimo lapho izinkophe kuphela zinyakazisa khona) noma 'i-complex partial motor seizures' (uhlobo lwe-epilepsy). Ezimweni ezinjalo, udokotela angenza nokuhlolwa okubizwa ngokuthi i-EMG (i-Electromyography) uma efuna ukuqinisekisa ukuthi kuyini ngempela.
Yiziphi izindlela zokwelapha lokhu?
Umgomo oyinhloko wokwelashwa ukunciphisa ukuvama kanye nokuqina kokuqhaqhazela kobuso. Kunezindlela eziningana zokwelapha kuye ngokuthi imbangela kanye nobunzima besimo.
| Indlela yokwelapha | Indlela esebenza ngayo | Izinto okufanele uziqaphele |
|---|---|---|
| Imijovo ye-Botulinum toxin (Botox®) | Lena yindlela yokwelapha yokuqala esetshenziswa kakhulu. Lo mjovo usebenza ngokuthambisa okwesikhashana futhi unciphise imisipha enyakazayo. | Lo mjovo uvame ukunikezwa njalo ezinyangeni ezi-3-4 . Imiphumela emibi yesikhashana efana nokungakhululeki kwamehlo kanye nokugoba kwamehlo kungase kwenzeke. |
| Imithi yomlomo | Lolu khetho luyatholakala kulabo abangafuni imijovo noma ukuhlinzwa. Imithi efana nemithi yokulwa nokuquleka (i-carbamazepine, i-gabapentin) kanye nemithi yokuphumula imisipha (i-baclofen) isetshenziselwa le njongo. | Lokhu akusebenzi kuwo wonke umuntu, futhi kungabangela imiphumela emibi njengobuthongo nokukhathala. |
| Ukuhlinzwa | Lesi yisisombululo esihlala njalo kuphela salesi simo. Lokhu kuhlinzwa, okubizwa ngokuthi "ukunciphisa ukucindezeleka kwemithambo yegazi," kuhilela ukususa umthambo wegazi ocindezela imithambo bese kufakwa umcamelo omncane phakathi kwawo. | Lokhu kunconywa kuphela kubantu abanezimo ezinzima futhi abangazange baphumelele ekufakweni kwe-Botox. Kunezingozi ezithile ezihlobene nokuhlinzwa (isib., ukulahlekelwa ukuzwa, ukulimala kwemizwa yobuso). |
Ingabe i-Hemifacial Spasm iyisimo esiyingozi?
Ukuqaqamba kwe-hemifacial ngokwako akulona ingozi ngokomzimba. Kodwa-ke, isimo sezokwelapha esibangela lokhu siyingozi.(isib. isimila sobuchopho) singaba yingozi. Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho kuvela izimpawu.
Ngaphezu kwalokho, lesi simo singathinta ikhwalithi yokuphila.
- Ukuphazamiseka kokulala
- Izinkinga zengqondo ezifana nokukhathazeka komphakathi, ukukhathazeka, kanye nokucindezeleka
- Izingozi ezingase zenzeke ngenxa yokuvala amehlo ngokuzenzakalelayo, njengalapho ushayela
Ngakho-ke, uma uqala ukuzwa ukudikiza kobuso, ungakushayi indiva ucabanga ukuthi, 'Lokhu kungase kube yinto ethile nje.' Kubaluleke kakhulu ukubona udokotela futhi uthole imbangela.
Lesi simo ngokuvamile asibi ngcono ngokwaso. Kodwa-ke, kubikwe ukuthi siphela ngokuzenzakalelayo cishe ezimweni eziyi-10%. Akukaziwa okwamanje ukuthi lokhu kwenzeka kanjani.
I-Hemifacial Spasm iyisimo esicasulayo ngempela esiphazamisa impilo yansuku zonke. Akuyona into enhle ukuzizwa sengathi awukwazi ukulawula umzimba wakho. Kodwa into engcono kakhulu ukuthi manje kunezindlela zokwelapha eziphumelela kakhulu. Uma uzizwa nokuthi uhlangothi olulodwa lobuso bakho luhlala luqhaqhazela, futhi kubonakala sengathi luya luba lubi kakhulu, nakanjani bonana nodokotela. Angakuhlola, athole imbangela, futhi akunike uhlelo lokwelashwa olungcono kakhulu kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Hemifacial Spasm yisimo sezinzwa esibangela ukuthi ube nokuqaqamba kwemisipha okungalawuleki kolunye uhlangothi lobuso bakho.
- Lokhu kuvame ukubangelwa ukucindezela komthambo wegazi emthanjeni wobuso, kodwa kungabangelwa nezinye izimo zezokwelapha.
- Nakuba lokhu kungenabuhlungu, kungaba ukuphazamiseka okukhulu empilweni yansuku zonke. Ukucindezeleka kungenza izimpawu zibe zimbi kakhulu.
- Imijovo ye-Botox iyindlela yokwelapha ephumelela kakhulu futhi esetshenziswa kabanzi. Ezimweni ezinzima, ukuhlinzwa nakho kuyindlela yokwelapha ehlala njalo.
- Uma unalezi zimpawu, kubalulekile ukubona udokotela ngaphandle kokuzishaya indiva futhi uthole ukuxilongwa okufanele nokwelashwa.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho