Wake wazizwa sengathi uhlangothi olulodwa lobuso bakho, mhlawumbe ngaphansi kweso lakho, luyanyakaza ngaphandle kokulawula kwakho? Ungakubona esibukweni, kodwa awukwazi ukukuvimba. Akumnandi ngempela. Abanye abantu bakubiza ngokuthi ukunyakazisa izindebe. Namuhla sikhuluma ngesimo esibizwa ngokuthi ukuqaqamba kwe-hemifacial, okungajabulisi kubantu abaningi, kodwa ngokuvamile akulona ingozi.
Ziyini izimpawu zalesi simo?
Ngokuvamile kuqala kancane kakhulu. Ekuqaleni, amehlo akho, ikakhulukazi ijwabu lakho elingezansi, aqala ukudikiza. Liyanyamalala isikhashana, bese libuya. Ungase ucabange, "O, lokhu kudikiza nje." Kodwa ngokuhamba kwesikhathi, lokhu kudikiza kunganda kancane kancane. Ukudikiza okuqala ezinkopheni zakho kusakazekela ezihlathini zakho, bese kuba yizindebe zakho. Ekugcineni,
lonke uhlelo lwemisipha kolunye uhlangothi lobuso bakho luqala ukudikiza ngaphandle kokulawula kwakho. Ngezinye izikhathi, ukudikiza kuba nzima kangangokuthi kungabonakala sengathi umlomo wakho udonswa ohlangothini olulodwa.
Cabanga ukuthi bekuzozizwa kanjani ukube ubusengxoxweni ebalulekile noma ukhuluma nothile bese kuthi ngokuzumayo olunye uhlangothi lobuso bakho luqale ukunyakazisa kanje. Akumnandi neze, akunjalo?
Akukho ubuhlungu obuhambisana nalesi simo. Kodwa-ke, umuntu ohlushwa yilesi simo angazizwa enamahloni kakhulu futhi engakhululekile lapho ehlangana nabantu. Lokhu kuqina, okufika futhi kuphele ekuqaleni, kungaba
njalo njengoba isimo siba sibi kakhulu. Lezi zimpawu zingase zande, ikakhulukazi uma ukhathele noma ucindezelekile.
Kungani lokhu kwenzeka? Iyini imbangela yalokhu?
Kalula nje, isizathu esiyinhloko salokhu ukuthi umthambo wegazi ucindezela imithambo elawula imisipha yethu yobuso (inzwa yobuso). Ake sikuqonde lokhu kalula. Cabanga ukuthi lapho umuntu ebeka unyawo lwakhe epayipini lamanzi, ukugeleza kwamanzi kuyaphazamiseka. Kukhona imithambo (inzwa yobuso) ephuma esiqwini sobuchopho futhi isize imisipha yethu yobuso ukuthi inyakaze, imomotheke, futhi ikhulume. Lapho umthambo wegazi osondela kule nzwa ucindezela le mithambo, okungukuthi, iqala ukucindezela, izimpawu zikagesi ezingadingekile ziqala ukudlula emthambo. Ngenxa yalezo zimpawu, imisipha yakho yobuso iqala ukudikiza ngaphandle kokulawula kwakho. Kodwa lokhu akusona njalo isizathu. Akuvamile kakhulu, lesi simo singavela ngenxa yesizathu esinjengengozi yemithambo yobuso noma isimila sobuchopho.
Ubani osengozini enkulu?
Empeleni lesi yisimo esingavamile. Singathinta noma ubani, owesilisa noma owesifazane, kunoma yimuphi ubudala. Kodwa-ke, izibalo zibonisa ukuthi sivame kakhulu kwabesifazane, ikakhulukazi
abaneminyaka ephakathi kuka-40 no-79.Kuvame kakhulu kwabesifazane abaseminyakeni ephakathi kanye nabadala. Kutholakale nokuthi kuvame kakhulu phakathi kwabantu base-Asia kunasemazweni aseNtshonalanga.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela onalezi zimpawu, uzoqala akuhlole ngokucophelela bese ebheka uhlobo lokudikiza. Uma usola ukuthi lokhu kuyi-Hemifacial Spasm, isinyathelo esilandelayo ukwenza
i-MRI (Magnetic Resonance Imaging) . Le MRI scan yenza izinto ezimbili eziyinhloko: 1.
Qinisekisa imbangela: Njengoba ngishilo ngaphambili, le MRI scan ingabona ngokucacile ukuthi kukhona yini umthambo wegazi ohlinzeka ngemithambo yegazi. 2.
Susa ezinye izifo: Le MRI scan ingaqinisekisa nokuthi azikho ezinye izifo ezinkulu ezifana nesimila sobuchopho noma i-Multiple Sclerosis ezibangela lezi zimpawu. Ngakho-ke, i-MRI scan iyisinyathelo esibaluleke kakhulu ekuxilongweni kwalesi sifo.
Yiziphi izindlela zokwelapha lokhu?
Kunezindlela eziningana zokwelapha ezisebenzayo zalesi simo. Udokotela wakho uzokhetha ukwelashwa okufanele kakhulu kuwe ngokusekelwe ebunzimeni kanye nembangela yesimo sakho.
| Indlela yokwelapha | Incazelo |
|---|
| Imijovo yeBotox | Lolu uhlobo lokwelapha oluthandwa kakhulu noluphumelelayo olutholakalayo. Luhilela ukufaka inani elincane lomuthi obizwa ngokuthi i-Botulinum Toxin emisipheni edikizayo. Lokhu kukhubaza imisipha okwesikhashana futhi kumise ukudikiza. Lolu hlobo lokwelashwa ludinga ukuphindwa njalo ezinyangeni ezimbalwa. |
| Ukuhlinzwa Kokunciphisa Imithambo Yegazi Emincane | Lokhu kuhlinzwa kunconywa kubantu abanezimo ezinzima abangazange baphendule ekujovweni kweBotox. Kulokhu kuhlinzwa, udokotela ohlinzayo ufaka idivayisi encane efana nesiponji phakathi kwenzwa nomthambo wegazi ocindezela inzwa ukuze kuncishiswe ingcindezi. Nakuba lokhu kuyinqubo ephumelela kakhulu, njenganoma yikuphi ukuhlinzwa, ivame ukusetshenziswa njengenketho yesibili ngoba inezingozi ezithile. |
| Imithi | Kwezinye izimo, imithi yokulwa nokuxhuzula njengeCarbamazepine neClonazepam, esetshenziswa ekwelapheni isifo sokuxhuzula, ingalawula lokhu kuxhuzula ngezinga elithile. |
Ingabe zikhona ezinye izizathu zokububula kobuso?
Yebo. Akusikho konke ukudikiza kobuso okuyi-Hemifacial Spasm. Ngemva kokuba udokotela wakho ebheke i-MRI, uma kungekho nkinga enkulu, uzocabangela nezinye izimbangela zalezi zimpawu.
- Ukudla i-caffeine ngokweqile: Uma udla ama-milligram angaphezu kuka-400 e-caffeine ngosuku ezintweni ezifana nekhofi netiye, kungase kube nokuqaqamba kwemisipha.
- Imiphumela emibi yemithi ethile: Ukudikiza kwemisipha (i-fasciculation) kungenzeka njengomphumela ongemuhle wemithi ethile.
- Ukucindezeleka nokukhathala : Lezi yizimbangela eziyinhloko zezimo ezinjengokucindezeleka kwamehlo.
- Ukukhubazeka kukaBell : Lokhu ubuthakathaka besikhashana noma ukukhubazeka kwemisipha yobuso.
- Isifo sikaParkinson : Ukuthuthumela okufana nalokhu kungenzeka njengenye yezimpawu zalesi sifo.
- Ukungalingani kwama-hormone : Kungabangelwa futhi izinguquko zama-hormone emzimbeni.
- I-Multiple sclerosis: Isifo esithinta isimiso sezinzwa.
Ngakho-ke,
esikhundleni sokuzihlola , uma unezimpawu ezinjengalezi, kungcono ukubonana nodokotela ukuze uthole imbangela eqondile.
Umlayezo Wokuya Nawe Ekhaya
- Uma uhlangothi olulodwa lobuso bakho lunyakaza ngokungalawuleki, kungaba ukuqaqamba kwe-hemifacial. Lokhu ngokuvamile akuyona inkinga eyingozi, kodwa kubalulekile ukuyibona kahle.
- Imbangela eyinhloko yalokhu ukucindezela komthambo wegazi emthanjeni wobuso.
- Ukuskena kwe-MRI kuvame ukudingeka ukuze kutholakale ukuxilongwa okunembile.
- Kunezindlela zokwelapha eziphumelela kakhulu kulokhu, njengokujova nge-Botox kanye nokuhlinzwa.
- Ungalokothi ungazinaki izimpawu ezinjengalezi. Qiniseka ukuthi ubona udokotela wakho.Thola iseluleko.
Ukuqina Kwesifaca Esine-Hemifacial, Ukudikiza Kobuso, Ukudikiza Izindebe, Ukudikiza Kwamehlo, Inzwa Yobuso, Ukwelashwa kweBotox, Ukunciphisa Imithambo Emincane Yegazi
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