Bhero kuoma

Bell palsy chirwere chetsinga dzinodzora kufamba kwemhasuru kumeso. Iyi tsinga inonzi iyo yekumeso kana yechinomwe cranial nerve.

Kukuvara kweiyi tsinga kunokonzera kushaya simba kana kuoma mitezo yemhasuru idzi. Kuoma mitezo zvinoreva kuti haugone kushandisa mhasuru zvachose.

Bell palsy inogona kukanganisa vanhu vezera ripi zvaro, kazhinji avo vanopfuura makore makumi matanhatu nemashanu. Izvo zvinogona zvakare kukanganisa vana vadiki pane gumi makore. Vanhurume nevanhukadzi vanobatwa zvakaenzana.

Bell palsy inofungidzirwa kuve nekuda kwekuzvimba (kuzvimba) kwetsinga kumeso munzvimbo yainofamba kuburikidza nemapfupa ehenya. Iyi tsinga inodzora kufamba kwemhasuru dzechiso.

Chikonzero kazhinji hachina kujeka. Mhando yehutachiona hutachiona hunonzi herpes zoster inogona kunge ichibatanidzwa. Mimwe mamiriro ezvinhu anogona kukonzera Bell palsy anosanganisira:

• Mukondombera
• Chirwere cheLyme
• Utachiona hwepakati nzeve
• Sarcoidosis (kuzvimba kwema lymph node, mapapu, chiropa, maziso, ganda, kana zvimwe zvinyama)

Kuva nechirwere cheshuga uye kuve nepamuviri kunogona kuwedzera njodzi yeBell palsy.

Dzimwe nguva, unogona kunge uine kutonhora nguva pfupi zviratidzo zveBell palsy zvatanga.

Zviratidzo zvinowanzo kutanga kamwe kamwe, asi zvinogona kutora mazuva maviri kusvika matatu kuti uoneke. Ivo havazove vakaomarara zvakanyanya mushure meizvozvo.

Zviratidzo zvinowanzo kuve zvinogara kune rimwe divi rechiso chete. Zvinogona kubva pane zvinyoro kusvika kune zvakanyanya.

Vanhu vazhinji vanonzwa kusagadzikana kuseri kwenzeve kusati kweutera kuchionekwa. Chiso chinonzwa kuomarara kana kudhonzwa kune rimwe divi uye chinogona kutaridzika zvakasiyana. Zvimwe zviratidzo zvinogona kusanganisira:

• Zvakaoma kuvhara rimwe ziso
• Kunetseka kudya uye kunwa; chikafu chinodonha kubva kudivi rimwe remuromo
• Kudonhedza mvura nekuda kwekushaikwa kwekutonga pamusoro pemhasuru dzechiso
• Kudonha kwechiso, senge eyelid kana kona yemuromo
• Matambudziko kunyemwerera, kugwinha, kana kuita kumeso kumeso
• Kubvunda kana kushaya simba kwetsandanyama dziri kumeso

Zvimwe zviratidzo zvinogona kuitika:

• Ziso rakaoma, izvo zvinogona kutungamira kumaronda eziso kana hutachiona
• Muromo wakaoma
• Kutemwa nemusoro kana paine hutachiona hwakadai sechirwere cheLyme
• Kurasikirwa kwepfungwa yekuravira
• Ruzha rwunonyanya kurira munzeve imwe (hyperacusis)

Kazhinji, Bell palsy inogona kuongororwa nekungotora nhoroondo yehutano nekuita bvunzo dzepanyama dzakakwana.

Kuongororwa kweropa kuchaitwa kutsvaga matambudziko ekurapa akadai seLyme chirwere, izvo zvinogona kukonzera Bell palsy.

Dzimwe nguva, bvunzo inodikanwa kuti utarise tsinga dzinopa mhasuru dzechiso:

• Electromyography (EMG) kutarisa hutano hwemhasuru dzechiso uye tsinga dzinodzora mhasuru
• Tsinga conduction bvunzo yekutarisa kuti mamhanyisa magetsi emasaini anofamba sei mutsinga

Kana mupi wako wezvehutano achinetseka kuti bundu rehuropi riri kukonzera zviratidzo zvako, ungangoda:

• CT scan yemusoro
• Magnetic resonance imaging (MRI) yemusoro

Kazhinji, hapana kurapwa kunodiwa. Zviratidzo zvinowanzotanga kuvandudza ipapo ipapo. Asi, zvinogona kutora vhiki kana mwedzi kuti tsandanyama dziwedzere kusimba.

Wako anokupa anogona kukupa mafuta ekuzora madonhwe kana mafuta ekuzora kuitira kuti pamusoro peziso paome kana iwe usingakwanise kuvhara zvachose. Ungangoda kupfeka chigamba chemaziso paunenge wakarara.

Dzimwe nguva, mishonga inogona kushandiswa, asi hazvizivikanwe kuti inobatsira zvakadii. Kana mishonga ikashandiswa, inotangwa ipapo ipapo. Kazhinji mishonga ndeiyi:

• Corticosteroids, iyo inogona kudzora kuzvimba kutenderedza kumeso kwetsinga
• Mishonga yakadai sevalacyclovir kurwisa hutachiona hunogona kunge huri kukonzera Bell palsy

Kuvhiya kuti ubvise kumanikidza kwetsinga (kuvhiya kwekumanikidza) haina kuratidzirwa kubatsira vanhu vazhinji vane Bell palsy.

Mazhinji kesi anoenda zvachose mukati memavhiki mashoma kusvika kumwedzi.

Kana iwe usina kurasikirwa nehutano hwako hwese uye zviratidzo zvakatanga kuvandudzika mukati memavhiki matatu, uri mukana wekuwanazve zvese kana rakawanda simba mumashure mako mhasuru.

Dzimwe nguva, zvinotevera zviratidzo zvinogona kunge zvichiripo:

• Yenguva refu-shanduko mukuravira
• Spasms yemhasuru kana eyelids
• Kushaya simba kunosara mumhasuru dzechiso

Zvinetso zvinogona kusanganisira:

• Kumeso kwemaziso kuoma, zvichitungamira kumaronda eziso, hutachiona, uye kurasikirwa kwemaonero
• Kuzvimba mumhasuru nekuda kwekurasikirwa kwenzara basa

Fonera waunopa ipapo ipapo kana kumeso kwako kukadonha kana uine zvimwe zviratidzo zveBell palsy. Wako mupi anogona kutonga kunze, zvimwe zvakakomba mamiriro, senge sitiroko.

Iko hakuna inozivikanwa nzira yekudzivirira Bell palsy.

Chiso kumeso; Idiopathic peripheral kumeso kupora; Cranial mononeuropathy - Bell palsy; Bhero kuoma

• Ptosis - kudonha kweziso
• Kumeso kudonha

National Institute yeNeurological Dambudziko uye Stroke webhusaiti. Bell's palsy chokwadi pepa. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet. Yakagadziridzwa Chivabvu 13, 2020. Yakasvika Nyamavhuvhu 19, 2020.

Schlieve T, Miloro M, Kolokythas A. Kuongororwa uye manejimendi ekukuvara kwehutatu uye kumeso kwetsinga. Mune: Fonseca RJ, ed. Oral uye Maxillofacial Kuvhiya. 3rd ed. Philadelphia, PA: Elsevier; 2018: chits.

Stettler BA. Ubongo uye cranial nerve kusagadzikana. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 95.