Ubuso obusweni bomuntu, ukuveza imizwelo, kukhona ngenxa yokuhamba kwemisipha, elawulwa yi-nerve trigeminal. Unamagatsha amabili, aqinisekisa umsebenzi ojwayelekile weqembu elihambisana nemisipha. Ukuvuvukala kwe-facial nerve kubangela ukuvela kobuhlungu obukhulu be-syndrome, ukukhubazeka komzimba, ukukhubazeka kanye ne-paresis.
Izimbangela nezimpawu zesibindi sokuvuvukala kwesibindi
Isici esiyinhloko esibangele ekuthuthukiseni inqubo yokuvuvukala ku-trigeminal nerve i-hypothermia. Lokhu kungenzeka ngemuva kokuhlala isikhathi eside ekubhaliseni, ngaphansi kwesimo sezulu. Ezimweni ezinjalo, i-neuritis eyinhloko ye-facial nerve, ebizwa nangokuthi ukukhubazeka kukaBell, kwenzeka.
Ifomu lesibili lesi sifo senziwa ngokumelene nesizinda sezinye izifo:
- ukutheleleka ngegciwane (herpes, parotitis, isingqimba);
- ukuphefumula kwamathambo we-artebral arteries;
- izicubu zobuchopho;
- umonakalo owenziwe ngomshini we-craniocerebral;
- izifo ze-vascular;
- Izifo ezivuthayo zezidalwa zesono, ubuchopho, izindlebe;
- i-anesthesia yamazinyo ye-nerve ephansi ye-alveolar.
Izimpawu zokuvuvukala kwesibindi sobuso zivame ukuvela ohlangothini olulodwa lobuso, i-neuritis yomhlaba ivela kuphela kumacala angu-2%. Izimpawu ze-pathology zimi kanje:
- ubuhlungu obunjalo, ukuqina kwesifundazwe nenqubo ye-mastoid;
- ukuwohloka kokuzwela;
- ukwephulwa okuncane noma okuphelele kwemisebenzi yemisebenzi yobuso (paresis, ukukhubazeka);
- ukunciphisa ngobukhulu bekhasi elilodwa leso;
- isymmetry ebusweni, i-skewing side side;
- umomotheka wry;
- akunakwenzeka ukwelula izindebe, ubonise amazinyo;
- ukuhlunga u-nasolabial ohlangothini oluthintekile;
- ukwephulwa kwemisebenzi yokuhamba kweso elilodwa;
- ukuzwa ukukhubazeka (isithulu noma hyperacusis);
- ukwehla noma ukwanda kwemali;
- ukukhala noma iso elomile;
- ukuwohloka kokunakeka kokunambitheka.
Ukwelashwa kwendabuko kwesibindi sokuvuvukala kwesibindi
Ngaphambi kokulungiswa kwepulani yokwelashwa, izinyathelo zokuxilonga zenziwa kuqala, ezivumela ukudala uhlobo lwe-neuritis - eyinhloko noma eyesibili. Uhlobo lokugcina lwesifo ludinga ukuqedwa kokuqala kwesizathu esiyisisekelo sokuvuvukala. Emva kwalokhu, ukwelashwa okulindelekile kokuvuvukala kwesibindi sobuso kubhekwa ngamalungiselelo alandelayo:
- Anti-inflammatory. Imithi yama-hormonal (glucocorticosteroids), ikakhulukazi i- Prednisolone , ikuvumela ukuthi unqande ngokushesha futhi ngempumelelo inqubo ye-pathological. Izidakamizwa ezingekho-steroid nazo ziyasetshenziswa - i-Meloxicam, i-Nimesulide, iPiroxicam.
- I-Spasmolytics ne-analgesics. Imithi inikeza ukuphumula kwezihlungu zesifo - Drotaverin, Analgin.
- Antiedematous. Ukuze ususe uketshezi okwedlulele kwezicubu ezithambile, izidakamizwa zenziwa, isibonelo, i-Torasemide noma i-Furosemide.
- I-Vasculature. Lezi zidakamizwa zithuthukisa ukujikeleza kwegazi ezindaweni ezonakalisiwe. Njengomthetho, i-Euphyllinum isetshenziswa.
- Anticholineterase kanye nama-metabolic agents. Izidakamizwa zala maqembu zifaka isandla ekubuyiseleni imishini yemisipha yobuso - i-Galantamine, i-Neroball, i-Proserin.
- Amavithamini eqembu B. Thuthukisa izinqubo zamathambo ezinamathisini omzimba - Milgama, Neurovitan.
Indlela yokuphatha ukuvuvukala kwe-facial neerve ngezindlela ze-physiotherapy:
- Isibani samaminithi ( isibani esibhakabhaka );
- I-Soluxe;
- izicelo nge-ozocerite;
- i-ultrasound ne-Hydrocortisone;
- ukwelashwa kweparafini;
- i-acupuncture;
- ukubuthelwa kwemisipha yombuso;
- Sebenzisa imithi yokwelapha.
Uma uhlelo oluchazwe lwezokwelapha aluphumelelanga, futhi imisebenzi yemisipha ayibuyiselwe izinyanga ezingaphezu kwezingu-10, ukufakelwa kwe-autotrans of the whole nerve eyonakalisiwe kunqunywe. Uma kwenzeka ukwephulwa komunye amazwe, ukuhlinzwa kungenzeka kuphela egatsheni elichaphazelekayo.
Ukwelashwa kwesibindi sokuvuvukala kwesibindi ekhaya
Izindlela zokwelashwa ezingahambisani nezindlela zokwelashwa aziyona ukwelashwa okugcwele kwesifo esibucatshangwayo, kunconywa njengezinqubo ezengeziwe, ezisekelayo.
Izazi ze-neurologists zeluleka ukusebenzisa amathuluzi anjalo:
- Ukushisa ngosawoti, imbewu ye-flax;
- iphoqelela ngomhluzi oqinile we-chamomile;
- itiye elimhlophe;
- ukugaya ngesisombululo semithi yemvelo.