Lesi sifo ubuthakathaka obuthakathaka bemisipha, okuvela ngenxa yokulimala kwesibindi sobuso. Kulokhu, ukusebenza kwengxenye eyodwa kuphela ebusweni kuphazanyiswa. Ukukhubazeka kukaBell kwakha ngokushesha. Ngokuvamile, ubhekene neminyaka engaphezu kwengu-60 ubudala, kodwa angakwazi ukuhlangana futhi esemncane.
Izimbangela ze-Bell's Palsy
Kuze kube sekupheleni kwesibangwa salesi sifo. Kuyaziwa ukuthi ukubonakala kokukhubazeka kuhlotshaniswa ne-edema ye-nerve, okubangelwa ukungasebenzi kwamasosha omzimba noma ukutheleleka ngegciwane. Isifo sikaMartin Bell sihlotshaniswa ne-hypothermia, ukuhlukumeza kanye nezifo ezinjengalezi:
- isifo sikashukela;
- ukushaywa ;
- izicubu;
- I-HIV;
- ukulungiswa kwefa;
- i-abscess.
Izimpawu zePally's Palsy
Ukuziqhenya kwesifo kuhlanganisa inkambo yayo esheshayo. Ngokuvamile amahora ambalwa ngaphambi kokuqala kwenqubo yokwelapha, isiguli sinezinhlungu ngemuva kwezindlebe. Njengokuthuthukiswa kokukhubazeka, lezi zimpawu ezilandelayo zenzeka:
- Ubuthakathaka bemisipha ebusweni obuvela ohlangothini olulodwa, nobuso obuthakathaka.
- Ukwandiswa kwegebe leso, okuholela eqinisweni lokuthi kunzima ukuvala iso. Amapulangwe angaphambili angaphezulu kwalesi siso ashaywa.
- Izinzwa ezibuhlungu ngemuva kwendlebe zingaya ekhoneni lomlomo. I-Nasolabial fold kule ndawo ihlanjululwa futhi umqubu ugeleza ekhoneni lomlomo.
- Isiguli sinomuzwa wokunganaki nokukhululeka kwemisipha yobuso. Ukuzwela akulahlekile.
- Ukunqotshwa kwesibindi kuhambisane kwezinye izimo ngokulahlekelwa ukunzwa kwamnandi.
Imiphumela yokukhubazeka kukaBell
Uma lesi sifo singathí sina, lesi sifo sihlala amasonto ambalwa. Noma kunjalo, ingahambisana nezinkinga:
- Ukulimala kwesibindi sobuso besimo esingenakuguqulwa kubangela ukuthi ukukhubazeka kugcina impilo.
- Ukwephulwa kwenqubo yokuthola izintambo zesibindi kuholela ezinqumeni ezingalawulwayo zomzimba. Isibonelo, umuntu angahle amomotheka, futhi iso ngesikhathi esifanayo sizobekwa.
- Umphumela we-Bell's syndrome ungase ube ukuphutha okuphelele noma okuyingxenye. Ngenxa yokuthi iso alivali, i-cornea iyoma futhi iwonakele.
Ukwelashwa kokukhubazeka kukaBell
Ifomu eliyingozi lesi sifo liqedwa ngokuthatha izidakamizwa zokuvuvukala, i-vasodilating ne-antispasmodics. Ngaphezu kwalokho, isiguli sinqunywe ama-decongestants. Uma lesi sifo sihambisane nokukhathazeka, khona-ke isiguli sichazwe nge-analgesics . Ngaphezu kwalesi sidakamizwa, ama-antiviral afana nalokhu:
- I-Valtrex;
- I-Zovirax.
Esikhathini esizayo, ukwelashwa kwe-Bell's syndrome kuhloswe ukubuyisela izintambo zezinzwa nokuvimbela i-atrophy ye-muscle ebusweni. Ukusebenza ngokuphumelelayo kwe-acupuncture, izinqubo ezishisayo, i-ultrasound ne-hydrocortisone. Ngemva kwamasonto angaba ngu-8, lesi sifo siphenduka.
Uma ukuhlukumeza kuyashesha, isiguli sigqunywa ukuba sithuthukise isisindo somzimba wezinto. Lokhu kufaka:
- I-Nerobolil;
- I-Nerobol.
Kunconywa ukusebenzisa amavithamini B, ama-anticholinesterase agents ezifana nalokhu:
- I-Galantamine;
- Proserin;
- I-Nivalin.
Ngezikhathi zokuhlukunyezwa, isiguli sinqunywe ukusikhipha imisipha yobuso kanye nokuzivocavoca.
Uma, emva kwamasonto ayisishiyagalombili, akukho miphumela emihle etholakala, kanti ukuhlinzwa okubandakanya ukufakelwa kwe-autologous nerve transplantation kungenzeka.
Ngemuva kokukhubazeka okuyingxenye, inqubo yokuvuselela ihlala izinyanga ezimbalwa. Ezimweni ezingu-90%, ukutholakala okuphelele kuphawulwa, uma izintambo zezinzwa zigcina zithinteka emicabangweni kagesi. Uma ukuzwakalisa kungatholakali, khona-ke amathuba okuthola i-20% kuphela.