I-Spasm Ebusayo

-Delile

• Ziyini izimpawu zokuphazamiseka kwegazi?
• Yini ebangela ukuphazamiseka kwegazi?
• Ngingalapha kanjani i-spasms hemifacial?
• Izimo ezihambisanayo nezinkinga
• Isibikezelo kanye nombono

Yini i-spasm hemifacial?

Ama-spasms we-hemifacial ayenzeka lapho imisipha ohlangothini olulodwa kuphela lobuso bakho idikiza ngaphandle kwesixwayiso. Lezi zinhlobo ze-spasms zibangelwa ukulimala noma ukucasuka enzwa yobuso, eyaziwa nangokuthi i-cranial nerve yesikhombisa. Ukuphazamiseka ebusweni kwenzeka lapho imisipha ihlangana ngokungazibandakanyi ngenxa yalokhu kucasuka kwemizwa.

I-spasms ye-hemifacial yaziwa nangokuthi i-tic convulsif. Ekuqaleni, zingabonakala njengezincane nje, ezingabonakali kakhulu ezungeze ijwabu leso, isihlathi noma umlomo. Ngokuhamba kwesikhathi, ama-tics angakhula aye nakwezinye izingxenye zobuso bakho.

Ama-hemifacial spasms angenzeka emadodeni noma kwabesifazane, kepha ajwayelekile kakhulu kwabesifazane abaneminyaka engaphezu kwengama-40. Zibuye zithande ukwenzeka kaningi ohlangothini lwesobunxele lobuso bakho.

Ama-spasms we-hemifacial awabungozi ngokwawo. Kepha ukuhlangana njalo ebusweni bakho kungakhungathekisa noma kungathandeki. Ezimweni ezimbi kakhulu, la ma-spasms angakhawulela ukusebenza ngenxa yokuvalwa kwamehlo okungazibandakanyi noma umthelela abanayo ekukhulumeni.

Kwezinye izimo, la ma-spasms angakhombisa ukuthi unesimo esingaphansi noma ukungajwayelekile esakhiweni sobuso bakho. Noma yiziphi zalezi zimbangela zingacindezela noma zilimaze izinzwa zakho futhi zenze imisipha yobuso bakho inyakaze.

Ziyini izimpawu zokuphazamiseka kwegazi?

Uphawu lokuqala lwe-spasm ye-hemifacial luyaphambuka ngokuzibandakanya ohlangothini olulodwa lobuso bakho. Ukuvinjelwa kwemisipha kuvame ukuqala esigqokweni sakho njengokuntengantenga okuncane okungenzeka kungaphazamisi kakhulu. Lokhu kwaziwa njenge-blepharospasm. Ungahle uqaphele ukuthi ukuqhudelana kuyabonakala kakhulu uma ukhathazekile noma ukhathele. Kwesinye isikhathi, lezi zinhlwayi zamehlo zingaholela ekutheni iso lakho livalwe ngokuphelele noma zenze iso lakho lidabuke.

Ngokuhamba kwesikhathi, ukugoqeka kungabonakala kakhulu ezindaweni zobuso bakho ezithinta zona kakade. Ukudikiza kungasakazeka nakwezinye izingxenye zohlangothi olufanayo lobuso nomzimba wakho, kufaka phakathi:

• ishiya
• isihlathi
• indawo ezungeze umlomo wakho, njengezindebe zakho
• isilevu
• umhlathi
• intamo engenhla

Kwezinye izimo, ama-spasms we-hemifacial angasakazeka kuyo yonke imisipha kolunye uhlangothi lobuso bakho. Ama-spasms nawo kungenzeka ukuthi asenzeka ngenkathi ulele. Njengoba i-spasms isakazeka, ungabona nezinye izimpawu, njenge:

• izinguquko emandleni akho okuzwa
• ukukhala ezindlebeni zakho (tinnitus)
• ubuhlungu bendlebe, ikakhulukazi ngemuva kwendlebe yakho
• ama-spasms ehla ngobuso bakho bonke

Yini ebangela ukuphazamiseka kwegazi?

Udokotela wakho kungenzeka angakwazi ukuthola imbangela ngqo yokuphazamiseka komzimba wakho. Lokhu kwaziwa njenge-spasm idiopathic.

Ama-spasms we-hemifacial avame ukubangelwa ukucasuka noma ukulimala kwenzwa yakho yobuso. Ngokuvamile kubangelwa isitsha segazi esicindezela emthanjeni wobuso eduze nalapho inzwa ixhuma khona esiqwini sobuchopho bakho. Uma lokhu kwenzeka, inzwa yobuso ingazenzela yodwa, ithumele amasiginali wezinzwa abangela imisipha yakho inyakaze. Lokhu kwaziwa njengokudluliswa kwe-ephaptic, futhi kungenye yezimbangela eziyinhloko zale spasms.

Ukulimala ekhanda noma ebusweni nakho kungadala ukuphazamiseka komzimba ngenxa yokulimala noma ukucindezelwa kwemizwa yobuso. Izimbangela ezingavamile kakhulu ze-spasms hemifacial zingafaka:

• isimila esisodwa noma ezingaphezulu ezicindezela imizwa yakho yobuso
• imiphumela emibi evela esiqeshini sokukhubazeka kukaBell, isimo esingadala ukuthi ingxenye yobuso bakho ikhubazeke okwesikhashana

Ngingalapha kanjani i-spasms hemifacial?

Ungase ukwazi ukunciphisa izimpawu zakho ekhaya ngokumane uthole ukuphumula okuningi futhi unciphise ukuthi uphuza i-caffeine engakanani, engadambisa izinzwa zakho. Ukuba nezakhamzimba ezithile kungasiza ekunciphiseni ama-spasms akho, kufaka phakathi:

• uvithamini D, ongawathola kumaqanda, ubisi, nokukhanya kwelanga
• i-magnesium, ongayithola kuma-alimondi nobhanana
• i-chamomile, etholakala njengetiye noma njengamaphilisi
• ama-blueberries, aqukethe ama-antioxidants aphumuza imisipha

Ukwelashwa okuvame kakhulu kwalezi zinhlungu kuyinto yokuphumula yemisipha yomlomo egcina imisipha yakho ingashwi. Udokotela wakho angancoma eyodwa noma ngaphezulu yale mithi elandelayo ukuze uphumule imisipha yakho yobuso:

• i-baclofen (i-Lioresal)
• i-clonazepam (iKlonopin)
• i-carbamazepine (Tegretol)

Imijovo yohlobo lwe-Botulinum toxin yohlobo A (Botox) nayo ijwayele ukusetshenziselwa ukwelapha imithambo yegazi. Kulokhu kwelashwa, udokotela wakho uzosebenzisa inaliti ukujova amakhemikhali amancane eBotox ebusweni bakho eduze kwemisipha eshwibayo. I-Botox yenza imisipha ibe buthakathaka futhi inganciphisa ama-spasms akho izinyanga ezintathu kuya kweziyisithupha ngaphambi kokuthi udinga omunye umjovo.

Khuluma nodokotela wakho ngaphambi kokuthatha noma iyiphi yale mithi nganoma yimiphi imiphumela emibi engaba khona noma ukuxhumana neminye imithi okungenzeka ukuthi usuyiphuzile.

Uma imishanguzo neBotox kungaphumeleli, udokotela wakho angaphinde ancoma ukuhlinzwa ukuze kuncishiswe noma ikuphi ukucindezela emsipheni wobuso okungase kubangelwe isimila noma isitsha segazi.

Ukuhlinzwa okuvamile okusetshenziselwa ukwelapha ama-spasms we-hemifacial kubizwa ngokuthi yi-microvascular decompression (MVD). Kule nqubo, udokotela wakho uvula imbobo kugebhezi lwakho ngemuva kwendlebe yakho bese ebeka ucezu lwephedi yeTeflon phakathi kwenzwa nemithambo yegazi eyicindezelayo. Lokhu kuhlinzwa kuthatha amahora ambalwa kakhulu, futhi uzokwazi ukuya ekhaya ngemuva kwezinsuku ezimbalwa zokululama.

Izimo ezihambisanayo nezinkinga

Ukuphazamiseka ebusweni nakho kungadalwa yisimo esifanayo esibizwa nge-trigeminal neuralgia. Lesi simo sidalwa ukulimala noma ukucasuka kumthambo wesihlanu we-cranial kunokuba owesikhombisa. I-trigeminal neuralgia nayo ingaphathwa ngemithi nezinqubo eziningi ezifanayo.

Isimila esingalashwa singadala ukuqhubeka komonakalo wezinzwa njengoba isimila sikhula noma siba nomdlavuza. Umdlavuza ungasakazeka ngokushesha uye kwezinye izingxenye zekhanda lakho nobuchopho futhi ubangele izinkinga zesikhathi eside.

Njenganoma yikuphi ukuhlinzwa, inqubo ye-MVD ingadala izinkinga, njengokutheleleka noma ukuphefumula kanzima. Kepha ukuhlinzwa kwe-MVD.

Isibikezelo kanye nombono

Ama-spasms we-hemifacial angalawulwa ngokwelashwa kwasekhaya, ngemithi, noma ngokuhlinzwa. Landela imiyalo kadokotela wakho futhi uzokwazi ukugcina imisipha yakho ishwiba okungenani. Inqubo ye-MVD ivame ukuphumelela ekwehliseni noma ekuqedeni le spasms.

Ama-spasms we-hemifacial angalashwa angakhungathekisa njengoba ebonakala kakhulu futhi ephazamisa ngokuhamba kwesikhathi, ikakhulukazi uma esakazeka kulo lonke uhlangothi lobuso bakho. Ukwethembeka kubangani bakho nasemndenini wakho ngama-spasms wakho kungakusiza uzizwe wesekelwa njengoba ulawula izimpawu zalesi simo. Ukujoyina iqembu lokusekelwa kungakusiza ukuthi ufunde ukuthi ungaphatha kanjani futhi uqhubeke nokuphatha ama-spasms akho.