Kufa kwa belu

Bell palsy ndi vuto lamitsempha lomwe limayendetsa kusuntha kwa minofu pamaso. Minyewa imeneyi imatchedwa kuti nkhope kapena chachisanu ndi chiwiri cha mitsempha.

Kuwonongeka kwa mitsempha iyi kumayambitsa kufooka kapena kufooka kwa minofu imeneyi. Kufa ziwalo kumatanthauza kuti sungagwiritse ntchito minofu konse.

Khungu la Bell lingakhudze anthu azaka zilizonse, makamaka azaka zopitilira 65. Zitha kukhudzanso ana ochepera zaka 10. Amuna ndi akazi amakhudzidwa mofananamo.

Kufa kwa Bell kumaganiziridwa kuti kumachitika chifukwa cha kutupa (kutupa) kwa mitsempha ya nkhope m'dera lomwe limadutsa m'mafupa a chigaza. Minyewa imeneyi imayendetsa kayendedwe ka minofu ya nkhope.

Choyambitsa sichimadziwika bwinobwino. Mtundu wa matenda a herpes otchedwa herpes zoster atha kukhala nawo. Zina zomwe zingayambitse Bell palsy ndizo:

• Matenda a HIV / AIDS
• Matenda a Lyme
• Matenda apakatikati
• Sarcoidosis (kutupa kwa ma lymph node, mapapo, chiwindi, maso, khungu, kapena ziwalo zina)

Kukhala ndi matenda ashuga komanso kukhala ndi pakati kumachulukitsa chiopsezo cha Bell palsy.

Nthawi zina, mumatha kukhala ndi chimfine posakhalitsa zizindikiro za matenda a Bell.

Zizindikiro nthawi zambiri zimayamba mwadzidzidzi, koma zimatha kutenga masiku awiri kapena atatu kuti ziwonekere. Pambuyo pake samakhala owopsa pambuyo pake.

Zizindikiro nthawi zambiri zimakhala mbali imodzi ya nkhope yokha. Zitha kukhala zochepa mpaka zochepa.

Anthu ambiri samva kuseri kwa khutu kufooka kusanazindikiridwe. Nkhope imakhala yolimba kapena kukokera mbali imodzi ndipo imawoneka yosiyana. Zizindikiro zina zitha kuphatikiza:

• Zovuta kutseka diso limodzi
• Kuvuta kudya ndi kumwa; chakudya chimagwa kuchokera mbali imodzi ya mkamwa
• Kutsetsereka chifukwa chosowa mphamvu paminyezi ya nkhope
• Kutsikira pankhope, monga chikope kapena pakona pakamwa
• Mavuto akumwetulira, okhumudwitsa, kapena mawonekedwe akumaso
• Kugwedezeka kapena kufooka kwa minofu kumaso

Zizindikiro zina zomwe zingachitike:

• Diso lowuma, lomwe lingayambitse zilonda zam'maso kapena matenda
• Pakamwa pouma
• Mutu ngati pali matenda monga matenda a Lyme
• Kutaya kwakumva kukoma
• Phokoso lomwe limamveka kwambiri khutu limodzi (hyperacusis)

Nthawi zambiri, a Bell palsy amatha kupezeka atangotenga mbiri yaumoyo ndikuwunika kwathunthu.

Kuyeza magazi kudzachitika kuti mufufuze mavuto azachipatala monga matenda a Lyme, omwe atha kuyambitsa matenda a Bell.

Nthawi zina, pamafunika mayeso kuti muwone misempha yomwe imapereka minofu ya nkhope:

• Electromyography (EMG) kuti muwone thanzi la minofu ya nkhope ndi mitsempha yomwe imayang'anira minofu
• Kuyesa kwamitsempha kuti muwone momwe zizindikilo zamagetsi zimadutsira muminyewa

Ngati wothandizira zaumoyo akuda nkhawa kuti chotupa chaubongo chikuyambitsa zizindikilo zanu, mungafunike:

• Kujambula kwa CT pamutu
• Kujambula kwamaginito (MRI) pamutu

Nthawi zambiri, safunika chithandizo. Zizindikiro nthawi zambiri zimayamba kusintha nthawi yomweyo. Koma, zimatha kutenga milungu kapena miyezi kuti minofu ilimbe.

Wopereka wanu atha kukupatsani mafuta opaka m'maso kapena mafuta opaka m'maso kuti nkhope yanu isanyowe ngati simungathe kutseka kwathunthu. Mungafunike kuvala chigamba cha diso mukamagona.

Nthawi zina, mankhwala atha kugwiritsidwa ntchito, koma sizikudziwika kuti amathandizira motani. Ngati mankhwala agwiritsidwa ntchito, amayamba pomwepo. Mankhwala wamba ndi awa:

• Corticosteroids, yomwe imatha kuchepetsa kutupa mozungulira nkhope yamitsempha
• Mankhwala monga valacyclovir olimbana ndi kachilombo komwe kangayambitse matenda a Bell

Kuchita opaleshoni kuti muchepetse kupsinjika kwa mitsempha (opaleshoni ya kupsinjika mtima) sikunawonetsedwe kuti kupindulitsa anthu ambiri omwe ali ndi matenda a Bell.

Milandu yambiri imatha patangotha ​​milungu ingapo mpaka miyezi.

Ngati simunataye minyewa yanu yonse ndipo zizindikilo zake zinayamba kusintha mkati mwa masabata atatu, mumakhala ndi mwayi wopezanso mphamvu zonse kapena nyonga mu nkhope yanu.

Nthawi zina, zizindikiro zotsatirazi zimakhalapobe:

• Kusintha kwakanthawi kwamakomedwe
• Kutupa kwa minofu kapena zikope
• Kufooka komwe kumatsalira m'minyewa ya nkhope

Zovuta zingaphatikizepo:

• Pamaso pouma, kumabweretsa zilonda m'maso, matenda, komanso kutayika kwamaso
• Kutupa mu minofu chifukwa cha kutayika kwa mitsempha

Itanani yemwe akukuthandizani nthawi yomweyo ngati nkhope yanu yagwa kapena muli ndi zizindikiro zina za Bell palsy. Wothandizira anu amatha kuthana ndi mavuto ena, monga kupwetekedwa.

Palibe njira yodziwika yopewera kupunduka kwa Bell.

Kupunduka kwa nkhope; Idiopathic zotumphukira nkhope; Croneal mononeuropathy - Bell palsy; Kufa kwa belu

• Ptosis - kutsikira kwa chikope
• Kutsamira pankhope

National Institute of Neurological Disorders ndi tsamba la Stroke. Chidziwitso cha Bell's palsy. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet. Idasinthidwa pa Meyi 13, 2020. Idapezeka pa Ogasiti 19, 2020.

Schlieve T, Miloro M, Kolokythas A. Kuzindikira ndikuwongolera kuvulala kwamitsempha yamagazi ndi nkhope. Mu: Fonseca RJ, mkonzi. Opaleshoni Yamlomo ndi Maxillofacial. Wachitatu ed. Philadelphia, PA: Elsevier; 2018: mutu 5.

Stettler BA. Matenda aubongo ndi mitsempha. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 95.