Ukuthi yini i-Bell's Palsy? Izimpawu, Izimbangela, Nokwelashwa

I-Bell's palsy yindlela ebangelwa ukubuthakathaka okungazelelwe noma ukuqina okubamba ohlangothini olulodwa lweso. Kwenzeka lapho inzwa yobuso iqubuka noma icindezelwe, okwenza kube nzima ukulawula imisipha ngakolunye uhlangothi lweso.

Lesi simo singase sizizwe sisoyikisa lapho siqala, kodwa nansi izindaba eziduduzayo: abantu abaningi abane-Bell's palsy bayaphilisa ngokuphelele phakathi nezinyanga ezimbalwa. Nakuba imbangela eqondile ingabonakali ngaso sonke isikhathi, ngokuvamile ihlotshaniswa nokutheleleka kwamagciwane okubangela ukuvuvukala kwenuzwa.

Iyini i-Bell's Palsy?

I-Bell's palsy ivela lapho inzwa yakho yesikhombisa yekhanda, ebizwa nangokuthi inzwa yobuso, iyeka ukusebenza kahle ngakolunye uhlangothi lweso. Le nzwani ilawula imisipha esisiza ukuba sihehe, siphimise, futhi senze imizwa yobuso.

Lapho le nzwani iqubuka noma iqubuka, ayikwazi ukuthumela izibonakaliso ezifanele emiphini yakho yobuso. Cabanga ngayo njengophayiphi lokubhuleka olucindezelwe - amanzi (noma kuleli cala, izibonakaliso zenuzwa) awakwazi ukugeleza ngokujwayelekile.

Lesi simo ngokuvamile siqala ngokushesha, ngokuvamile ebusuku. Ungase ulethe ubusuku uziva kahle bese uvuka unokubuthakathaka kobuso noma ukuwela ngakolunye uhlangothi.

Ziyini Izimpawu ze-Bell's Palsy?

Isici esiyinhloko se-Bell's palsy ukubuthakathaka okungazelelwe noma ukuqina ngakolunye uhlangothi lweso. Lokhu ngokuvamile kuqala phakathi kwamahora ambalwa kuya ezinsukwini ezimbalwa.

Nansi izimpawu ezivame kakhulu ongazihlangabezana nazo:

• Ukuwa ngakolunye uhlangothi lweso, kubonakala kakhulu lapho uzama ukuhleka
• Ubunzima bokuvala iso lakho elithintekile
• Ukukhipha umlomo ngakolunye uhlangothi lomlomo
• Ukulahlekelwa ukunambitheka ezingxenyeni ezimbili zolwimi lwakho
• Ukuqina komsindo endlebeni eyodwa
• Ubuhlungu noma ukungakhululeki eduze komlomo wakho noma ngemuva kwelindlebe
• Ubunzima bokudla noma ukuphuza
• Inkulumo ephazamisekile noma ubunzima bokuphinyisela amagama athile

Abanye abantu baphawula nokuthi iso labo liyakhala kakhulu kunokujwayelekile noma lizwakala lomile futhi licashile. Lezi zimpawu zingenza imisebenzi yansuku zonke njengokudla, ukuphuza, noma ukukhuluma kuzwakale kunzima.

Ezimweni ezingavamile, i-Bell's palsy ingathinta womabili amahlangothi weso, nakuba lokhu kwenzeka ngaphansi kuka-1% yezimo. Lapho lokhu kwenzeka, kungase kubonise isimo esingaphansi esidinga ukunakekelwa kwezokwelapha ngokushesha.

Ziyini Izimbangela ze-Bell's Palsy?

Imbangela eqondile ye-Bell's palsy ngokuvamile ayaziwa, kodwa abacwaningi bakholelwa ukuthi ukutheleleka kwamagciwane kudlala indima enkulu. Lokhu kutheleleka kungabangela ukuvuvukala okucindezela inzwa yobuso.

Ama-virus amaningana ahlanganiswe ne-Bell's palsy, kufaka phakathi:

• I-herpes simplex virus (i-virus efanayo ebangela ama-cold sores)
• I-varicella-zoster virus (ibangela i-chickenpox ne-shingles)
• I-Epstein-Barr virus (ibangela i-mononucleosis)
• I-Cytomegalovirus
• Ama-virus esifo sempumu
• I-virus yesifo se-hand-foot-and-mouth

Lapho la ma-virus ephinda asebenze ohlelweni lwakho, angabangela ukuvuvukala eduze kwenuzwa yobuso. Lokhu kuvuvukala kwenzeka endaweni encane yamathambo ekhanda lakho, kushiya indawo encane yenuzwa yokwanda.

Ezimweni ezingavamile, i-Bell's palsy ingase ihlotshaniswe nezimo ze-autoimmune, lapho isimiso sakho sokuvikela umzimba sihlasele ngephutha izicubu eziphilile. Ezinye izifundo zikhomba nokuthi ukucindezeleka, ukulala okuncane, noma ukulimala komzimba kungase kubangele lesi simo kubantu abathintekayo.

Nini Okufanele Ubone Udokotela Nge-Bell's Palsy?

Kufanele ubheke udokotela ngokushesha uma uqaphela ukubuthakathaka kobuso okungazelelwe noma ukuqina. Nakuba i-Bell's palsy ngokuvamile iyimbangela, ezinye izimo ezinzima zingabangela izimpawu ezifanayo.

Funani ukunakekelwa kwezokwelapha okusheshayo uma uhlangabezana nokubuthakathaka kobuso kanye nokuthi:

• Ubuhlungu obukhulu ekhanda
• Ukuphazamiseka noma ubunzima bokucabanga ngokucacile
• Ukubuthakathaka ezingalweni noma emilenzeni yakho
• Ubunzima bokukhuluma noma ukuqonda inkulumo
• Izinkinga zobuso
• Ukukhungatheka noma ukulahlekelwa ibhalansi

Lezi zimpawu zingase zibonise ukushaywa yi-stroke, okudinga ukwelashwa ngokushesha. Ngisho noma ucindezela i-Bell's palsy, kubalulekile ukuthola ukuxilongwa okuqondile phakathi kwezinsuku ezimbalwa zokuqala.

Ukwelashwa okusheshayo kungathuthukisa kakhulu imiphumela yakho yokutakula. Udokotela wakho angakwazi futhi ukukhipha ezinye izimo futhi anikeze imithi engase isize ukunciphisa ukuvuvukala nokukhuthaza ukuphulukisa.

Ziyini Izici Zengozi ze-Bell's Palsy?

I-Bell's palsy ingathinta noma ubani, kodwa izici ezithile zingase zikhulise amathuba akho okukhula lesi simo. Ukuqonda lezi zici zengozi kungakusiza uhlale unolwazi ngempilo yakho.

Izici zengozi ezivamile zihlanganisa:

• Ukukhulelwa, ikakhulukazi ngesikhathi sesigaba sesithathu noma isonto lokuqala ngemuva kokubeletha
• Ukutheleleka kwezinzwa eziphezulu njengezifo zokubanda noma i-flu
• I-Diabetes
• Uxinzelelo lwegazi oluphezulu
• Iminyaka phakathi kweminyaka engu-15-45, nakuba ingase ivela kunoma iyiphi iminyaka
• Umbukiso womndeni we-Bell's palsy
• Isimiso sokuvikela umzimba esibuthakathaka

Izici zengozi ezingavamile zihlanganisa izifo ze-autoimmune, ukugonywa kwamuva, nezinye izidakamizwa ezithinta isimiso sakho sokuvikela umzimba. Noma kunjalo, ukuba nalezi zici zengozi akusho ukuthi uzokuthola ngokuqinisekile i-Bell's palsy.

Kubalulekile ukuphawula ukuthi i-Bell's palsy ithonya amadoda nabesifazane ngokulinganayo futhi ingase ivela kubantu bazo zonke izizwe. Lesi simo asivamile, sithinta cishe umuntu omunye ku-5,000 unyaka ngamunye.

Ziyini Izingozi Ezingase Zivele Nge-Bell's Palsy?

Abantu abaningi abane-Bell's palsy bayaphilisa ngokuphelele ngaphandle kwemiphumela ehlala njalo. Noma kunjalo, ukuqonda izingozi ezingase zivele kungakusiza wazi ukuthi yini okufanele uyilinde ngesikhathi sokuphulukisa kwakho.

Izingozi ezingase zivele zihlanganisa:

• Ukubuthakathaka kobuso okungapheli noma ukuqina (kwenzeka cishe ku-10-15% yezimo)
• Izinkinga zamehlo ngenxa yokungakwazi ukuphumula kahle
• Ukukhula okungalungile kwezinzwa ezibangela ukunyakaza kwemisipha okungafuneki
• Ukulahlekelwa okulinganiselwe ukunambitheka okungabuyeli ngokuphelele
• Ukumile kwamehlo okungapheli noma ukukhala okukhulu
• I-Crocodile tears syndrome (ukukhala lapho kudliwa)

Enye yezingozi ezinkulu kakhulu ukulimala kwe-cornea yakho ngenxa yokungakwazi ukuphumula kahle. Lokhu kungabangela ukutheleleka kwamehlo, ukukhahlela, noma ngisho nezinkinga zobuso uma kungalawulwa kahle.

Ezimweni ezingavamile, abanye abantu bathuthukisa i-synkinesis, lapho ukuzama ukunyakaza ingxenye yobuso bakho kubangela ukunyakaza okungafuneki kwenye ingxenye. Isibonelo, lapho uzama ukuhleka, iso lakho lingase livale ngokungafuneki.

I-Bell's Palsy Ixilongwa Kanjani?

Udokotela wakho uzoxilonga ikakhulu i-Bell's palsy ngokuhlola ubuso bakho nokubuyekeza izimpawu zakho. Ayikho i-test ethile ye-Bell's palsy, ngakho ukuxilongwa ngokuvamile kuhilela ukukhipha ezinye izimo.

Phakathi kokuhlola kwakho, udokotela wakho uzokucela ukuba wenze imizwa ehlukahlukene yobuso njengokuhleka, ukuncuma, ukuvala amehlo, nokuphakamisa izithombe zakho. Bazohlola futhi ikhono lakho lokunambitheka nokulinganisa ukuzwa kwakho.

Ngesinye isikhathi, ama-test engeziwe angase adingeke ukukhipha ezinye izimo:

• Ama-blood test ukuhlola ukutheleleka noma i-diabetes
• I-MRI scan ukubuka iziphumu noma ezinye izinkinga zobukhulu
• I-CT scan uma kukhona ukushaywa yi-stroke
• I-Electromyography (EMG) ukulinganisa umsebenzi wenuzwa
• I-Nerve conduction studies ukulinganisa umsebenzi wenuzwa

Lezi zihloko ezengeziwe ngokuvamile zenziwa kuphela uma izimpawu zakho zingavamile noma uma udokotela wakho enesizathu sokuthi enye isimo ingase ibe yimbangela yokubuthakathaka kobuso bakho.

Ukwelashwa kwe-Bell's Palsy Kuyini?

Ukwelashwa kwe-Bell's palsy kugxile ekunciphiseni ukuvuvukala nokukhuselwa iso lakho elithintekile. Izindaba ezinhle ukuthi abantu abaningi baqala ukuphulukisa bodwa phakathi kwamasonto ambalwa.

Udokotela wakho angase anikeze i-corticosteroids njenge-prednisone ukunciphisa ukuvuvukala eduze kwenuzwa yobuso. Le mi-thi isebenza kangcono uma iqalwa phakathi kwezinsuku ezimbalwa zokuqala kokuthola izimpawu.

Ezinye izinketho zokwelashwa zihlanganisa:

• Imithi ye-antiviral (nakuba ukusebenza kwayo kuphikiswana)
• Ama-eye drops noma ama-ointments ukugcina iso lakho limanzi
• Ama-eye patches noma i-tape ukukhusel iso lakho lapho ulele
• Imithi yokuhlanza ubuhlungu ngenxa yobunhlungu bomlomo noma elindlebe
• Ukwelashwa komzimba ukugcina umphumela wemisipha
• Ukuxova ubuso nokuzivocavoca

Ezimweni ezinzima ezingathuthuki, abanye odokotela bangase bancome izinqubo zokucubungula ukunciphisa ukucindezela enzwani. Noma kunjalo, ukucubungula akudingeki ngokuvamile futhi ngokuvamile kucabangelwa kuphela ngemuva kwezinyanga eziningi zokungathuthuki.

Abantu abaningi babona ukuthuthuka okukhulu phakathi kwezinyanga ezintathu kuya kweziyisithupha, cishe u-80% bayaphilisa ngokuphelele phakathi kwaleso sikhathi.

Ungazinakekela Kanjani Ekhaya Ngesikhathi Se-Bell's Palsy?

Ukunakekela kahle wena ekhaya kungase kusekele ukuphulukisa kwakho futhi kuvimbele izingozi. Ukukhathalela iso lakho kuzoba kubaluleke kakhulu njengoba ungakwazi ukuphumula kahle.

Nansi indlela ongakunakekela ngayo iso lakho:

• Sebenzisa izinyembezi ezimweni emini ukugcina iso lakho limanzi
• Faka i-eye ointment ebusuku ngaphambi kokulala
• Gqoka izibuko ze-sunglasses lapho ungaphandle ukuze uvikele emoyeni nasezinto ezingcolile
• Bhala iso lakho ngobumnene lapho ulele
• Gwema ukusika iso lakho

Ngokukhathalela imisipha yobuso, ukuxova obumnene kungasiza ukugcina umphumela wemisipha nokwenza ukugeleza kwegazi kube ngcono. Sebenzisa imiphetho yeminwe yakho ukuxova ubuso bakho ngokuhamba phezulu cishe imizuzu engu-10 izikhathi eziningi ngosuku.

Ukudla nokuphuza kungase kube nzima ekuqaleni. Zama ukudla ukudla okuthambile futhi uhlume ngakolunye uhlangothi lomlomo wakho. Ukusebenzisa umqhele wamanzi kungasiza ukuvimbela ukumangalala.

Ukuphumula okwanele nokuphatha ukucindezeleka kungase futhi kusekele ukuphulukisa kwakho. Ukuphulukisa komzimba wakho kuba ngcono lapho uhlala ukhululekile futhi ungaphansi kokucindezeleka okukhulu.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukuba ulungile ukuya kudokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okuqondile nokwelashwa okufanele. Bhala phansi ukuthi izimpawu zakho zaqala nini nokuthi ziye zathuthuka kanjani.

Ngaphambi kokubuka kwakho, yenza uhlu lwe:

• Zonke izimpawu zakho nokuthi zaqala nini
• Izifo zakamuva noma ukutheleleka okukutholile
• Yonke imithi nezinye izinto ozithathayo
• Imibuzo ofuna ukuyibuza udokotela wakho
• Umbukiso womndeni we-Bell's palsy noma izimo ezifanayo

Cabanga ukuletha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi olukhulu futhi anikeze ukwesekwa. Bangase futhi baphawule izimpawu noma izinguquko ongaziqapheli.

Ungangabazi ukubuza imibuzo mayelana nezinketho zakho zokwelashwa, isikhathi esilindelekile sokuphulukisa, nezibonakaliso zokuqapha okufanele uzilinde. Ukuqonda isimo sakho kungasiza ukunciphisa ukukhathazeka nokwenza isipiliyoni sakho sokuphulukisa sibe ngcono.

Iyini Iphuzu Eliyinhloko Mayelana ne-Bell's Palsy?

I-Bell's palsy ingase ibe yinto ebangela ukwesaba lapho iqala, kodwa khumbula ukuthi abantu abaningi bayaphilisa ngokuphelele phakathi kwezinyanga ezimbalwa. Ukukhathalelwa kwezokwelapha okusheshayo nokukhathalela okuqondile kungathuthukisa kakhulu imiphumela yakho.

Into ebaluleke kakhulu ukukhusel iso lakho ekulimaleni ngesikhathi lingakwazi ukuphumula kahle. Ukulandela uhlelo lokwelashwa luka-dokotela wakho nokuba nesineke ngenqubo yokuphulukisa kuzokunika ithuba elihle lokuphulukisa ngokuphelele.

Hlala uqinile futhi ugxile eqinisweni lokuthi umzimba wakho unamakhono okuphulukisa amangalisayo. Ngesikhathi nokukhathalela okuqondile, cishe uzobona ukuthuthuka okukhulu ezimpawu zakho.

Imibuzo Evamile Ebuzwayo Mayelana ne-Bell's Palsy

Q1: Ingabe i-Bell's palsy iyadluliseka?

Cha, i-Bell's palsy ngokwayo ayidluliseki. Nakuba ukutheleleka kwamagciwane okungase kubangele i-Bell's palsy kungadluliseka, isimo sokuqina kobuso ngokwalo asinakudluliselwa komunye umuntu. Awudingi ukukhathazeka ngokudlulisela i-Bell's palsy kulabo ohlala nabo noma abangane.

Q2: I-Bell's palsy ihlala isikhathi esingakanani?

Abantu abaningi abane-Bell's palsy baqala ukubona ukuthuthuka phakathi kwamasonto angu-2-3, ngokuphulukisa okukhulu okwenzeka phakathi kwezinyanga ezingu-3-6. Cishe u-80% babantu bayaphilisa ngokuphelele, kanti abanye bangase babe nobuthakathaka obuhlala njalo. Isikhathi sokuphulukisa sihlukahluka kumuntu ngamunye, ngakho-ke ukuba nesineke kubalulekile ngenkathi yokuphulukisa.

Q3: Ingabe i-Bell's palsy ingabuya ngemuva kokutakula?

I-Bell's palsy ingabuya, kodwa lokhu kwenzeka kuphela cishe ku-10% yezimo. Abantu abaningi ababa ne-Bell's palsy ngeke bayiphinde babe nayo. Uma uba nezimo eziphindaphindayo, udokotela wakho angase afune ukuhlola ezinye izimo ezingaphansi ezingase zisekele izinkinga zenuzwa.

Q4: Kufanele ngenze ukuzivocavoca kobuso ngesikhathi sokuphulukisa i-Bell's palsy?

Ukuzivocavoca kobuso obumnene nokuxova kungaba usizo, kodwa kubalulekile ukuqala ngesikhathi esifanele futhi ukwenze ngendlela efanele. Linda ubone ukuphinda ubone umsebenzi wemisipha ngaphambi kokuqala ukuzivocavoca. Udokotela wakho noma umqeqeshi wokwelashwa komzimba angakubonisa ukuzivocavoca okufanele okungeke kuhluphe inzwa yakho ephulukayo.

Q5: Ingabe ukucindezeleka kungabangela i-Bell's palsy?

Nakuba ukucindezeleka ngokwalo kungabangeli i-Bell's palsy ngokuqondile, kungase kube yimbangela ebuthakathaka isimiso sakho sokuvikela umzimba, okwenza ube sengozini yokutheleleka kwamagciwane okungase kubangele lesi simo. Ukuphatha ukucindezeleka ngokulala okwanele, amasu okuphumula, nendlela yokuphila enempilo kungasekele impilo yakho jikelele nokuphulukisa kwakho.