I-facial nerve, ikakhulukazi, ibhekene nokusebenza kwezimo zobuso ebusweni. Kodwa-ke, esitokisini saso sidlulisa amafayibha abangela ukugcinwa kwegciwane lesiguli kanye nesisindo se-sternum, esivikela indlebe ngokushaywa komsindo, futhi futhi sinomthwalo wezinye izingxenye zokuzwela ukunambitheka kolimi. I-facial nerve iqukethe amagatsha amabili, futhi uma kwenzeka i-lesion, eyodwa kuphela yayo ihlupheka kaningi. Kule ndaba i-paresis ye-nerve ye-facial iningi lamacala ayisithupha.
Izimbangela ze-paresis we-facial nerve
Lapho i-paresis, ukwehlisa amandla amakhono emisipha, okuyiyona eyimfanelo (ngokuphambene nokukhubazeka, okungekho ukuhamba okuphelele). Izici eziyinhloko eziholela ku-paresis we-nerve facial:
- ukuvuvukala noma ukutheleleka kwe-stem stem ngenxa yomsindo we-acute noma ongapheliyo (ngokuvamile uvame);
- ukuhlukumezeka ngesikhathi sokuhlinzwa okukhulu ezindlebeni;
- i-supercooling;
- izifo ezihlukahlukene ezithathelwanayo (herpes, poliomyelitis, parotitis, syphilis, isifo sofuba, njll);
- i-craniocerebral trauma;
- ukushaywa;
- izicubu ekhanda.
Izimpawu ze-paresis ze-facial nerve
Kunezinhlobo ezimbili zokunqotshwa. Ake sicabangele ngamunye ngokuningiliziwe.
I-paresis ephakathi ye-nerve facial
I-pathology enjalo iqala lapho izicubu zezinzwa zonakaliswa ngaphezu kwe-motor nucleus ye-facial nerve engxenyeni ehlukile yokugxila. Kule nkinga, kunobuthakathaka obukodwa ohlangothini oluphansi lwezingqimba ebusweni, okuyinto ezimweni eziningi kuhlanganiswe ne-hemiparesis (isisindo somzimba owodwa).
I-paripheral peripheral ye-nerve facial
Kuyabonakala kaningi, kuvela ngenxa yesifo se-nerveus ebusweni ukusuka kusiza sokuphuma esiteshini se-stylophyllum ohlangothini olufanayo. Ngokusekelwe kwendawo yangasese, izimpawu ezilandelayo zingabonwa:
- ubuhlungu ngemva kwendlebe;
- imisipha ye-hypotonic ebusweni kolunye uhlangothi;
- isymmetry ebusweni, yanda ngokushintsha kwesimo sobuso;
- Ukungakwazi ukumboza ngokuphelele iso ohlangothini lokunqotshwa;
- wagxila ukudla ngokudla, ukuvuza kokudla okuketshezi kanye namathela emgodini womlomo ohlangothini oluthintekile;
- kunzima ukukhuluma;
- ukulila iso noma, ngokuphambene, ukungabi khona kwezintambo;
- umlomo owomile ngenxa yesifo sezinhlayiya zomzimba;
- ukuntula ukunambitheka ukunambitheka phezu kwe-lobe langaphambili lolimi;
- Ukuzivocavoca kuya kumathoni aphansi womsindo.
Indlela yokuphatha i-paresis ye-nerve facial?
Ukwelapha kwe-paresis ye-nerve facial kufanele kuqalwe ngokushesha ngangokunokwenzeka ukuze kugweme ukuqala kokukhubazeka okuphelele. Izinyathelo zokuhlola zingabandakanya:
- ukuhlolwa kwe-fundus;
- ukuhlolwa kwezitho ze-ENT;
- i-electromyography yemisipha yobuso;
- umbhalo we-tomography wengqondo;
- electroencephalographic of the brain, njll.
Ngokusekelwe ezifundweni eziqhutshwa, isimo, indawo kanye nobukhulu besilonda sinqunywa, futhi amaqhinga wokwelashwa akhethwa.
Ukwelashwa ngokwemithi kusekelwe kwezidakamizwa ezilandelayo:
- i-vasodilators;
- antispasmodics;
- ama-decongestants;
- i-corticosteroids ;
- ukuxhuma;
- amavithamini weqembu B, njll.
Enye inkambo yokwelapha ihlose ukubuyisela izintambo eziphethwe yizinzwa zezinzwa futhi zivimbele i-muscle atrophy. Ngenxa yalokhu, i-physiotherapy kanye nezidakamizwa ezithuthukisa izinqubo ze-metabolic zibekiwe. Ukuphumelela yizindlela ezifana ne-physiotherapy njenge:
- i-electromyostimulation;
- izinqubo ezishisayo;
- i-electrophoresis;
- i-balneotherapy;
- ukusikhipha;
- sebenzisa imithi yokwelapha.
Uma ukwelashwa okulondolozayo kungasebenzi, ukwelashwa okusebenzayo kungacelwa.
Ukwelashwa kwe-paresis ye-nerve facial kungenziwa ukwesekwa ngezindlela zomuntu ekhaya (nge imvume udokotela). Isibonelo, kutuswa ukufudumala ohlangothini oluthintekile ebusweni ngetyu usafuthe noma isanti, efakwe esikhwameni selineni. Kungenzeka futhi ukugubha amafutha anamanzi, anemiphumela evuselelayo, kumasayithi wezilonda.