I-nerve ebusweni: ukwelashwa okufike ngesikhathi

Uma sicabanga ukuthi i- facial nerve yenza imisebenzi eminingana ebalulekile emzimbeni ngokuphathelene nomsebenzi wemoto ebusweni, ukuvuvukala kwayo kungaholela ekuboneni kwe-asymmetry ebusweni. Kubalulekile lapha ukucacisa ngokushesha ukuthi le-anomaly enjalo isheshe ilashwe kuphela esiteshini sokuqala sokuxilongwa, ukwelashwa kwamuva noma ukungabi khona kwayo okuphelele kuhambisana nokuphulwa okungenakuphikiswa kobunzima bomzimba. Kungani lokhu kwenzeka?

Okokuqala, kufanele kucaciswe ukuthi i-nerve ebusweni iqala kusukela ohlelweni oluyisisekelo senzwa, ishiya indawo ye-skull futhi inikeza amagatsha ayisihlanu amakhulu nenqubo enkulu yezinqubo ezihlanganisa cishe lonke ubuso. Ngaphezu kwalokho, lesi siphelo sezinzwa sinomlingiswa, okuwukuthi, sinikeza imiqondo yemisipha, sinikeza inkulumo ethi "bukhoma" nokucabanga okuningi. Iyini imbangela yokuvuvukala kwesibindi se-facial, izimpawu zazo okunzima ukuzibheka? Ezokwelapha, inqubo enjalo ye-pathological ibizwa ngokuthi i-neuritis, izizathu zokuthi zikhulu kangakanani, kodwa zilokhu zihlukaniswa ngalokhu okulandelayo: ubheke i-edema, i- hypothermia, i-traumas yemvelo ehlukahlukene, kanye nemiphumela yamakhemikhali ngqo kwi-nerve facial.

Ngaphambi kokuba ukhulume ngalesi sifo, kubalulekile ukucacisa ukuthi uhlobo oluyinhloko lwe-neuritis ye-facial nerve, okuyi-catarrhal kuphela, nelesibili, okuwumphumela wesifo esivele sikhona, kukhishwa. Esikhathini esilandelayo, sisho ukutheleleka ngokwemvelo, "imithi" kanye ne-otitis. Futhi, akudingekile ukukhipha ukuhlukunyezwa kwesibindi se-facial, okuhlobene ngqo nokuphulwa kwegazi.

Uma sikhuluma ngezibonakaliso zangaphandle ze-anomaly efanayo, isithombe somtholampilo sincike ngokuphelele esigabeni sokuqhubekela phambili kwe-pathology. Isibonakaliso sesimpawu ukukhubazeka okubonakalayo kwemizimba ebusweni, okuyinto ebhekene nohlangothi olulodwa lobuso, oluhambisana nobunzima endlebeni. Kodwa ngokuvamile ubuhlungu obunjalo bungenzeka ezinsukwini ezimbalwa ngaphambili, njengokungathi isixwayiso mayelana nokukhushulwa okuzayo, namandla we-syndrome ubuhlungu futhi kuxhomeke endaweni yesilonda. Uma isifo sobuso sesibindi sigxila endaweni eyigugu, isiguli sibheka ukukhubazeka okubukwayo komzimba , futhi uma lesi sifo sithinta umgogodla we-facial in the bridge yobuchopho, ukukhubazeka kuhlanganiswa ubuthakathaka bomzimba wangaphandle. Uma i-nerve ebusweni ikhula kakhulu endaweni yokuhlukanisa ebuchosheni, isiguli singase sikhononde ngesithulu, futhi uma ukuvuvukala kutholakala esiteshini samathambo we-pore bone piramidi, i-eye mucosa eyomile, kanye nokwephulwa kokunambitheka kanye ne-salivation kungabonwa. Noma ngabe yikuphi, isiguli singakwazi ukwazisa kuphela ochwepheshe mayelana nezimo eziphuthumayo ezikhona, udokotela, naye, kufanele abeke ukuxilongwa okufanele futhi akhethe ukwelashwa okunye.

Ngemuva kokuthola ukuthi "Ukuvuvukala kwesibindi se-facial", ukwelashwa kufanele kube ngokushesha futhi kuncike ngokuphelele esiteji nesimo sesifo. Uma isifo sobuso sesibindi siphundukile, kuyadingeka ukuqeda ukuvuvukala kwezicubu ngokushesha futhi kunqume inqubo yokuvuvukala. Ngenxa yalokhu, isazi sikhuthaza izidakamizwa ezingekho-hormonal anti-inflammatory, kanye ne-vasodilator nezidakamizwa ze-diuretic. Uma kunzima ukuboniswa ubuso, okubuye kuhambisane nobuhlungu, ama-hormone engeziwe e-glucocorticoid anqunywe. Ngemuva kokuthi inqubo yokuvuvukala ivaliwe, kubalulekile ukuvuselela umsebenzi we-nerve ebusweni ngosizo lwemithi ekhethekile nokuqinisa ukuzivikela komzimba ngesikhathi sokugula. Kodwa kubalulekile ukukhumbula ukuthi ukwelashwa okukhiqizayo akukhawulelwanga kuphela ukwelapha izidakamizwa, kubuye kuphakanyiswe ukwenza isethi yezinqubo ze-physiotherapeutic, ukuqala ukusiza ekususweni kokuvuvukala ne-edema, futhi emva kokubuyisela umsebenzi oyisisekelo wezinzwa.

Lokhu ukukhubazeka akuyona into ebulalayo, kodwa, futhi akufanele iqaliswe, ngoba isimo sengqondo sokunganaki singabangela ushintsho olungenakuguqulwa ebusweni bonke ukuphila.