Ukukhubazeka kwensimbi

I-Bell palsy ukuphazamiseka kwemizwa elawula ukuhamba kwemisipha ebusweni. Le nzwa ibizwa ngokuthi i-facial noma i-seven cranial nerve.

Ukulimala kwale nzwa kudala ubuthakathaka noma ukukhubazeka kwale misipha. Ukukhubazeka kusho ukuthi awukwazi ukusebenzisa imisipha nhlobo.

Ukukhubazeka kweBell kungathinta abantu banoma yimuphi ubudala, imvamisa labo abaneminyaka engaphezu kwengama-65. Kungathinta nezingane ezingaphansi kweminyaka eyishumi. Abesilisa nabesifazane nabo bathinteka ngokulinganayo.

Ukukhubazeka kweBell kucatshangelwa ukuthi kungenxa yokuvuvukala (ukuvuvukala) kwemizwa yobuso endaweni lapho kuhamba khona ngamathambo ogebhezi. Le nzwa ilawula ukunyakaza kwemisipha yobuso.

Imbangela kaningi ayicaci. Uhlobo lokutheleleka kwe-herpes olubizwa nge-herpes zoster lungabandakanyeka. Ezinye izimo ezingadala ukukhubazeka kweBell zifaka:

• Ukutheleleka nge-HIV / AIDS
• Isifo seLyme
• Ukutheleleka kwendlebe okuphakathi
• I-Sarcoidosis (ukuvuvukala kwama-lymph node, amaphaphu, isibindi, amehlo, isikhumba, noma ezinye izicubu)

Ukuba nesifo sikashukela nokukhulelwa kungandisa ubungozi bokukhubazeka kweBell.

Kwesinye isikhathi, ungaba namakhaza ngaphambi nje kokuba kuqale izimpawu zokukhubazeka kweBell.

Izimpawu zivame ukuqala ngokuzumayo, kepha kungathatha izinsuku ezi-2 kuye kwezi-3 ukubonakala. Azibi kakhulu ngemuva kwalokho.

Izimpawu cishe zihlala ohlangothini olulodwa lobuso kuphela. Zingahle zihluke kusukela kumnene kuya kokubi.

Abantu abaningi bazizwa bengakhululekile ngemuva kwendlebe ngaphambi kokuba ubuthakathaka buqashelwe. Ubuso buzizwa buqinile noma budonswe ohlangothini olulodwa futhi bungabonakala buhlukile. Ezinye izimpawu zingafaka:

• Kunzima ukuvala iso elilodwa
• Kunzima ukudla nokuphuza; ukudla kuphuma ohlangothini olulodwa lomlomo
• Ukumunca amathe ngenxa yokuntuleka kokulawula imisipha yobuso
• Ukwehla kobuso, njengejwabu leso noma ikona lomlomo
• Izinkinga zokumamatheka, ukwethuka, noma ukubukeka kobuso
• Ukudikiza noma ubuthakathaka bemisipha ebusweni

Ezinye izimpawu ezingase zivele:

• Iso elomile, elingadala izilonda zamehlo noma ukutheleleka
• Umlomo owomile
• Ukuphathwa yikhanda uma kukhona ukutheleleka okufana nesifo seLyme
• Ukulahleka komuzwa wokunambitha
• Umsindo ozwakala kakhulu endlebeni eyodwa (hyperacusis)

Imvamisa, ukukhubazeka kweBell kungatholakala ngokuthatha umlando wezempilo nokwenza ukuhlolwa okuphelele komzimba.

Ukuhlolwa kwegazi kuzokwenziwa ukubheka izinkinga zezokwelapha ezifana nesifo seLyme, esingadala iBell palsy.

Kwesinye isikhathi, ukuhlolwa kuyadingeka ukuhlola izinzwa ezinikezela ngemisipha yobuso:

• I-Electromyography (EMG) yokuhlola impilo yemisipha yobuso nezinzwa ezilawula imisipha
• Ukuhlolwa kokuqhutshwa kwemisipha ukuhlola ukuthi amasiginali kagesi ashesha kangakanani ngokusebenzisa inzwa

Uma umhlinzeki wakho wezokunakekelwa kwezempilo ekhathazekile ukuthi isimila sobuchopho sibangela izimpawu zakho, ungahle udinge:

• I-CT scan yekhanda
• I-Magnetic resonance imaging (MRI) yekhanda

Imvamisa, akudingeki ukwelashwa. Izimpawu zivame ukuqala ukuthuthuka ngokushesha. Kepha, kungathatha amasonto noma izinyanga ukuthi imisipha iqine.

Umhlinzeki wakho angakunika ukugcoba iso amaconsi noma amafutha okugcoba iso ukugcina ubuso bamehlo bumanzi uma ungakwazi ukuwuvala ngokuphelele. Ungadinga ukugqoka isichibi samehlo ngenkathi ulele.

Kwesinye isikhathi, imithi ingasetshenziswa, kodwa akwaziwa ukuthi isiza malini. Uma kusetshenziswa imithi, iqala ngokushesha. Imithi ejwayelekile yile:

• ICorticosteroids, enganciphisa ukuvuvukala okuzungeze imizwa yobuso
• Imithi efana ne-valacyclovir yokulwa negciwane okungenzeka ukuthi lidala ukukhubazeka kweBell

Ukuhlinzwa kokuqeda ingcindezi (ukuhlinzwa ngokweqile) akuboniswanga ukuthi kuzuze abantu abaningi abaneBell palsy.

Amacala amaningi ahamba ngokuphelele phakathi kwamasonto ambalwa kuya ezinyangeni.

Uma ungalahlekelwanga yiwo wonke umsebenzi wakho wezinzwa futhi izimpawu zaqala ukuba ngcono kungakapheli amasonto ama-3, kungenzeka ukuthi ubuyise wonke amandla noma iningi lamandla emisipha yakho yobuso.

Kwesinye isikhathi, izimpawu ezilandelayo zisengaba khona:

• Izinguquko zesikhathi eside ekunambithekeni
• Imisipha yemisipha noma amajwabu amehlo
• Ubuthakathaka obusala emisipheni yobuso

Izinkinga zingafaka:

• Indawo yeso iyoma, okuholela ezilondweni zamehlo, izifo, nasekulahlekelweni kwamehlo
• Ukuvuvukala emisipheni ngenxa yokulahleka komsebenzi wezinzwa

Shayela umhlinzeki wakho khona manjalo uma ubuso bakho buthule noma unezinye izimpawu zokukhubazeka kweBell. Umhlinzeki wakho angakhipha ezinye izimo, ezibucayi, njengokushaywa unhlangothi.

Ayikho indlela eyaziwayo yokuvimbela ukukhubazeka kweBell.

Ukukhubazeka ebusweni; Ukukhubazeka kobuso be-idiopathic peripheral; Mononeuropathy Cranial - Bell ukukhubazeka; Ukukhubazeka kwensimbi

• I-Ptosis - ukujula kwejwabu leso
• Ukujula ebusweni

I-National Institute of Neurological Disorders and Stroke iwebhusayithi. Ishidi lamaqiniso likaBell's palsy. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet. Kubuyekezwe uMeyi 13, 2020. Kufinyelelwe ngo-Agasti 19, 2020.

Schlieve T, Miloro M, Kolokythas A. Ukuxilongwa nokuphathwa kokulimala kwezinzwa zobuso nobuso. Ku: Fonseca RJ, ed. Ukuhlinzwa ngomlomo nangamaMaxillofacial. 3rd ed. IPhiladelphia, PA: Elsevier; 2018: isahluko 5.

I-Stettler BA. Ukuphazamiseka kwengqondo nobuchopho be-cranial. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 95.