Xa isiqingatha sobuso silahlekelwa ukukwazi ukuhamba, kudla ngokuba ngumqondiso wesifo . Olunye uhlangothi lomlomo luyekezela, kwaye akunakwenzeka ukuba uvale ngokupheleleyo iliso ngapha nangapha. Incumo iguqulwa ibe yinto ekhangeleka njengentsimbi ephihliweyo.
Ukubonakala kwezi zibonakalo zihlala zizathu zokufumana uncedo lwezokwelapha ngokukhawuleza, ngenxa yokuba awufuni ukulahlekelwa yithuba lokufumana unyango olungcono kunokuba yintoni into enokuba yinto.
Akukho sizathu sokuphelelwa lithemba ngokupheleleyo, nangona kunjalo. I-droop ebusweni nayo ingabangela ukukhubazeka kweBellar, okuyiyona nto ingathà sina ngakumbi kunokuba yinto ephazamisayo.
Iyintoni i-Bell's Palsy?
Ukukhubazeka kweBell kuthiwa nguDkt. Charles Bell, udokotela ogqirha waseScotland ochaze le ngxaki ngowe-1821. UDkt. Bell wayejolise kwi-nervous facial, eyaziwa njenge-cranial nerve VII. Ukukhubazeka kweBell kubangelwa ukulahlekelwa ngokukhawuleza kwesifo somzimba, okukhokelela ekukhubazeni okuqhelekileyo kwisiqingatha sobuso kwaye mhlawumbi nezinye iimpawu.
Akukho nto ecacileyo yeBell yokukhubazeka. Uninzi lwabantu lukholelwa ukuba luphumela ekusulelekeni kwintsholongwane ekhokelela ekuvukeleni kwentsholongwane.
Ukukhubazeka kweBell kuyathinta malunga nabantu abayi-5 000 ngonyaka. Kuqheleke kakhulu njengoko sisebudala. Isifo sikashukela kunye nokukhulelwa kubonakala kwandisa umngcipheko wokukhubazeka kweBell.
I-Facial Nerve Ngokuqhelekileyo isebenza njani?
Inzwa yesibindi ingenzi nje umqondiso wesisipha somzimba ukuhamba. Iimbindi ze-neraspathetic ze-nerf for the dearing eye and some salivation zigijima kwi-facial nerve.
Inzwa yesibindi inceda ukulawula isisindo se stapedius, esilungisa umatshini wokuva phakathi kwendlebe . Inzwa yesibindi ibuye ithwale iimbombo ezivela kwizona zibini zintathu zolwimi.
Imicu eyenza yonke le misebenzi yemisipha iyahlukana nentsholongwane kwiindawo ezahlukeneyo. Kungenzeka ukuba i-neurologist ukucacisa ukuba kwimeko yentsholongwane ingxaki ikhona ngokujonga ukuba yimiphi imisebenzi yesifo esilahlekile.
Ngenxa yesigxina kwindlela iimbulunga zigijima zisuka ebuchosheni ukuya ebusweni, inxalenye ephezulu yobuso ifumana uxhumano oluvela kumacala amabini wengqondo, kwaye isiqingatha esiphantsi sobuso sifumana uxhumano oluvela kwicala elinye lobuchopho. Le nyaniso ibalulekile ekwenzeni ukuxilongwa kwe-Bell yokukhubazeka, kuba i-lesion ye-nervous iyakuthi ichaphazele isiqingatha esiphezulu nesingaphantsi kobuso, isifo sengqondo njengesiqhwaba siyakuthi siholele ekukhubazeni kuphela ubuso obuncinane .
Yiyiphi Enye Ebangelwa Ubuso be-Facop?
Enye yezinto ezinzulu kakhulu ezinokubangela ukuba i-droop ebusweni iyingozi. Ezinye izifo ezibangela ukuba i-face drooping ibandakanye isifo seLyme , i-neurosarcoidosis, i- Ramsay-Hunt syndrome kunye nokuthintela.
Ziziphi iimvavanyo ezifunekayo ukuze zihlolisise i-Bell's Palsy?
Ngokugqithiseleyo, ugqirha unokufumanisa ukukhubazeka kweBell nje ngokuva ibali lakho kwaye wenze uvavanyo olusisigxina. Ugqirha unokuvavanya ukuva kwakho kunye nokuqonda kwakho ukunambitheka ukuba ubone ukuba ezo nxalenye zesibindi somzimba ziye zachaphazeleka. Ukuba banako, ingxaki inokuba yinto yokukhubazeka kweBel kune-stroke. Into ebaluleke kakhulu kukubona ukuba iindawo eziphezulu kunye nezantsi zichaphazeleka ngokufanayo. Ukuba kunjalo, i-facop ye-facial ibonakala yintsholongwane kaBella kuneengxaki ngokwengqondo ngokwayo.
Ngamanye amaxesha ugqirha unokuyalela iimvavanyo ezizodwa zemifanekiso, njenge -imagination magnetic resonance (MRI) , ukuze ulawule ukubetha okanye ezinye iingxaki zobomi. Ngamanye amaxesha, i- electromyogram okanye isifundo sokuqhutyelwa kwentsholongwane singenziwa kwimeko ukuze kuqinisekiswe ukuba i-nerve ayisebenzi kakuhle, kwaye ukuqinisekisa ukuba uphulukisa ngokufanelekileyo.
Ziziphi Iingxaki Zokubuya Kwi-Bell's Palsy?
Amathuba okubuyiselwa kwimeko yokukhubazeka kweBellow inhle kakhulu. Abantu abaninzi bahlaziywa kungekudala iintsuku ezili-10. Phantse ama-85% abantu baya kubuyela emva kweeveki ezintathu, nangona ukutakula kungathatha inyanga kwezinye iimeko. Kuphela malunga ne-5% yezigulane zinokubuyiselwa.
Iigulane ezincinci zivame ukuhlaziya ngokuphindaphindiweyo kunezigulane ezigugile Kuphela malunga nama-7% abantu abanokukhubazeka kweBell baza kuhlaselwa omnye.
Phantse i-9% yezigulane ezifumana ukukhubazeka kweBell ziye zazalisa iimpawu emva koko. Ezinye izigulane zinokubandezeleka ngenxa yobunzima besifo okanye i-spasm, nangona emva kokukwazi ukufuduka. Ukulahlekelwa kwintleko kungakhokelela. Ngaphandle kokuba kuthathwa ingqalelo ekukhuseleni isohlo elichaphazelekayo, lingonakaliswa ukuba lihlale livulekile. Ngamanye amaxesha xa i-nerve ebusweni ivuselela, amasebe angakhula abe kwindawo ezahlukileyo kunezo aqala ukudibanisa nazo. Isiphumo sabizwa ngokuba yi-synkinesis, xa ezama ukuhambisa enye inxalenye ebusweni, njengomlomo, iphumela ekuhambeni kwesinye inxalenye yobuso ngokunjalo, njengenkophezelo. Ngengwenya ilahla i-syndrome, i-nerve evuselelwe idibanisa ukugqabhuka kwamehlo kunye nemisipha yomlomo, ukuze amehlo aqhekeze xa umntu edla.
Nangona amathuba okubuyiswa kwi-Bell yokukhubazeka ayilungile, kubalulekile ukubona ugqirha ngokukhawuleza xa ubona i-droop ebusweni. Ukukhubazeka kweBell kukuxilongwa kokungabikho, oku kuthetha ukuba izifo ezinzulu kufuneka zigqitywe ngaphandle kokuba i-diagnostic ingenziwa. Ukuba ukuxilongwa kwe-Bell yokukhubazeka kwenziwe, oko kuthetha ukuba sele usendleleni yokubuyisela.
Imithombo:
Bell C. Ukubonakaliswa kwenkqubo yemvelo yomzimba womntu, iSpottiswoode, eLondon 1824.
I-Kasse (2003) Idatha yesiganeko kunye nokuxela kwimeko e-1521 ye-Bell's paralysis. I-International Congress Series (2003) Issue Vol.1240 Page no. 641-647 ISSN 05315131 (iphepha 646)
Morris AM, Deeks SL, Hill MD et al (2002). "Iziganeko eziqhelekileyo kunye nesigulo sokugula ngokuphambuka kwe-Bell's paralysis". I-neuroepidemiology 21 (5): 255-61.
Pitts DB, Adour KK, Hilsinger RL Jr SO. Ukukhubazeka kweBellar ngokuphindaphindiweyo: ukuhlalutya kwezilwanyana ezingama-140. 1988; 98 (5): 535.
Yamamoto E, Nishimura H, Hirono Y (1988). "Ukufumaneka kwe-sequelae eBell's palsy". I-Acta Otolaryngol Suppl 446: 93-6.