Chifuwa cha Bell: ndi chiyani, zizindikiro, zoyambitsa ndi njira zamankhwala

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zomwe zingayambitse matenda a Bell
• Momwe mankhwalawa amachitikira
• 1. Zithandizo
• 2. Physiotherapy
• 3. Kutema mphini
• 4. Opaleshoni
• 5. Chithandizo cha kulankhula
• Kutenga nthawi kumatenga nthawi yayitali bwanji

Chifuwa cha Bell, chomwe chimadziwikanso kuti kufooka kwa nkhope, chimachitika pomwe nkhope yamanjenje imayamba kutentha ndipo munthuyo amalephera kulamulira minofu mbali imodzi ya nkhope, zomwe zimapangitsa kuti pakamwa pakhale pokhotakhota, kuvutikira kuyankhula komanso kumva kumvekera.

Nthawi zambiri, kutupa uku kumakhala kwakanthawi ndipo kumachitika pambuyo pa matenda opatsirana, monga herpes, rubella kapena mumps, kukulira pakati pa milungu ingapo mpaka miyezi 6. Komanso itha kukhalanso yokhazikika, makamaka ngati pali vuto panjira yamitsempha ya nkhope.

Cholinga chake ndikuti mtundu uliwonse wamatenda a nkhope amayesedwa ndi adotolo, makamaka chifukwa, mgawo loyambirira limatha kukhala chizindikiro cha vuto lalikulu, monga sitiroko, ndipo liyenera kuzindikiritsidwa ndikuchiritsidwa moyenera.

Zizindikiro zazikulu

Zina mwazizindikiro zodwala matenda a Bell ndizo:

• Kufa kwa mbali imodzi ya nkhope;
• Mkamwa wopindika ndi diso lotsamira;
• Zovuta kupanga nkhope, kudya kapena kumwa;
• Kupweteka pang'ono kapena kumenyedwa kumbali yomwe yakhudzidwa;
• Diso louma ndi pakamwa;
• Mutu;
• Zovuta kugwira malovu.

Zizindikirozi nthawi zambiri zimawoneka mwachangu ndipo zimakhudza mbali imodzi ya nkhope, ngakhale nthawi zambiri pakhoza kukhala kutupa kwa mitsempha mbali zonse ziwiri za nkhope, kuchititsa kuti zizindikire mbali zonse ziwiri za nkhope.

Zizindikiro zakufooka kwa Bell ndizofanana ndi zizindikilo zina zamavuto akulu, monga sitiroko kapena chotupa chaubongo, chifukwa chake ndikofunikira kuti nthawi zonse dokotala azimuwunika.

Momwe mungatsimikizire matendawa

Matendawa nthawi zambiri amayamba ndikuwunika minofu yakumaso ndikuwonetsa zizindikiro, koma adotolo amathanso kuyitanitsa mayeso ena, monga CT scans, MRIs ndi mayeso ena amwazi. Kuyesaku, kuphatikiza pakuthandizira kupezeka kwa matenda a Bell, kumathandizanso kupeza mavuto ena omwe angakhale ndi ziwalo zakumaso ngati chizindikiro.

Zomwe zingayambitse matenda a Bell

Zomwe zimayambitsa kutupa kwa mitsempha ya nkhope ndi mawonekedwe a Bell a palsy sizikudziwika, komabe, ndizofala kuti kusintha kwamtunduwu kumawonekeranso pambuyo pa matenda a ma virus monga:

• Herpes, yosavuta kapena zoster;
• HIV;
• Mononucleosis;
• Matenda a Lyme.

Kuphatikiza apo, ndizofala kwambiri kwa amayi apakati, anthu omwe ali ndi matenda ashuga, odwala omwe ali ndi matenda am'mapapo kapena banja likakhala ndi ziwalo.

Momwe mankhwalawa amachitikira

Chithandizo cha kupuwala kwa Bell chitha kuchitika pogwiritsa ntchito mankhwala ndi physiotherapy komanso magawo olankhulira, pomwe anthu ambiri akuchira kwathunthu mkati mwa mwezi umodzi wamankhwala.

Komabe, pali njira zingapo zochiritsira:

1. Zithandizo

Mankhwala a Bell's palsy ayenera kuwonetsedwa ndi katswiri wa zamagulu ndipo amagwiritsa ntchito corticosteroids, monga prednisone kapena prednisolone, ndi ma antivirals, monga acyclovir kapena vanciclovir, omwe amatha kuyamba kugwiritsidwa ntchito mpaka masiku atatu kuyambira pomwe matenda ayamba .

Popeza kufooka kwa Bell kumayambitsa kupindika kwa minofu pamaso, kumatha kubweretsa kuwawa, ndipo munthawi izi, kugwiritsa ntchito ma analgesics, monga aspirin, dipyrone kapena paracetamol, kungalimbikitsidwe kuti athetse chizindikirochi.

Kuphatikiza apo, ngati kufooka kumalepheretsa diso limodzi kutseka, m'pofunika kuthira mafuta mwachindunji m'diso musanagone kuti muteteze popewa kuuma kwambiri, ndipo masana ndikofunikira kugwiritsa ntchito mafuta opaka m'maso ndi timagalasi. Dzuwa kuteteza kuchokera padzuwa ndi mphepo.

2. Physiotherapy

M'magawo a physiotherapy munthu amachita masewera olimbitsa thupi omwe amathandiza kulimbitsa minofu ya nkhope ndikusintha magazi m'magazi, monga:

1. Tsegulani ndi kutseka maso anu mwamphamvu;
2. Yesani kukweza nsidze zanu;
3. Bweretsani nsidze pamodzi, ndikupanga makwinya ofukula;
4. Finyani, ndikupangitsa makwinya opingasa kuwoneka pamphumi;
5. Kumwetulira zolimba, kusonyeza mano anu ndipo popanda kusonyeza mano anu;
6. Perekani 'kumwetulira kwachikaso';
7. Dulani mano anu mwamphamvu;
8. Kudzudzula;
9. Ikani cholembera pakamwa panu ndikuyesera kujambula papepala;
10. Bweretsani milomo yanu ngati kuti mukufuna 'kupsompsona';
11. Tsegulani pakamwa panu momwe mungathere;
12. Khwinya mphuno yako, ngati kuti ukununkha zoipa;
13. Pangani thovu;
14. Inflating mpweya zibaluni;
15. Pangani nkhope;
16. Yesetsani kutsegula mphuno zanu.

Zochitazi zitha kuchitidwanso kunyumba kuti zizindikiritso zimafulumira, koma ziyenera kutsogozedwa ndi physiotherapist, malinga ndi momwe zilili.

Pakulimbitsa thupi, physiotherapist atha kugwiritsa ntchito kiyibodi yokhotakhota wokutidwa ndi nsalu yopukutira kuti igwere pamalo opunduka ngati njira yolimbikitsira kupindika kwa minofu. Pofuna kuthandiza munthuyo kuti azipangika, wothandizirayo amatha kuthandiza mayendedwe ake mwa kuyika zala ziwiri kapena zitatu pankhope, zomwe zimachotsedwa kuti munthuyo azisungabe chovalacho moyenera.

3. Kutema mphini

Kafukufuku wina adapangidwa kuti aunikire zaubwino wochiritsa pamatenda pochiza matenda a Bell, ndipo zotsatira zina zikuwonetsa kuti njira iyi yamankhwala achikhalidwe achi China imatha kukonza magwiridwe antchito ndikuchepetsa kuuma kwa mitsempha ya nkhope, kudzera pakulimbikitsa kwa ulusi wamanjenje pakhungu ndi minofu yamaso. Onani zambiri momwe kutema mphini kumachitikira.

4. Opaleshoni

Nthawi zina, opaleshoni imatha kuwonetsedwa ndi adotolo, makamaka ngati pali kutengapo mbali kwakukulu kwa mitsempha ya nkhope, yomwe imangotsimikiziridwa pambuyo pofufuza za electroneuromyography.

Pambuyo pa opareshoni, psychotherapy imatha kuwonetsedwa, yothandizira pamaganizidwe, chifukwa nkhope ikakhala yosiyana kwambiri ndi momwe idalili kale, zimatha kukhala zovuta kuti munthu azindikire ndikudzivomereza, makamaka zikafunika kuti apange ntchito zaukadaulo momwe ndi kulumikizana ndi anthu ena.

5. Chithandizo cha kulankhula

Magawo olankhulira amawonetsedwa pokhazikitsanso munthu yemwe adadwala manjenje a Bell, chifukwa zimathandizira kuyendetsa mayendedwe amaso, kuphatikiza pakuthandizira kuyankhula, kutafuna ndi kumeza. Mankhwala amtunduwu ayenera kuchitidwa ndi akatswiri ophunzitsidwa bwino komanso kuchuluka kwa magawo pasabata ndipo nthawi yamankhwala idzatsimikiziridwa ndi othandizira kulankhula limodzi ndi adotolo.

Kutenga nthawi kumatenga nthawi yayitali bwanji

Kuchira kwathunthu kuyenera kuchitika pafupifupi miyezi itatu kapena inayi, ndipo mankhwala akangoyamba kumene, kupita patsogolo kwina kungazindikiridwe. Pafupifupi 15% mwa anthu omwe ali ndi ziwalo zowonongera nkhope sachira kwathunthu, ndipo pangafunike kugwiritsa ntchito botox kapena kuchitidwa opaleshoni miyezi ingapo pambuyo pake.