Pamene theka la nkhope silingathe kusuntha, nthawi zambiri ndi chizindikiro cha stroke . Mbali ina ya pakamwa imatha, ndipo sikutheka kuti mutseke maso kumbali iyi. Kamwetulira kumasinthidwa kukhala maonekedwe ngati a smirk osiyidwa.
Kuwonekera kwa zizindikirozi nthawi zonse ndi chifukwa chothandizira thandizo lachipatala mwamsanga, chifukwa simukusowa mwayi wopeza chithandizo chabwino koposa cha mankhwala omwe angakhale stroke.
Palibe chifukwa chodalira kwathunthu, ngakhale. Dothi lakumaso lingayambitsenso chifukwa cha matenda a Bell, omwe ndi ochepa kwambiri kuposa kupwetekedwa.
Kodi matenda a Bell ndi otani?
Mliri wa Bell umatchedwa dzina la Dr. Charles Bell, dokotala wa opaleshoni wa ku Scotland amene anafotokoza za matendawa mu 1821. Dr Bell anali kuganizira za mitsempha ya nkhope, yomwe imadziwikanso ndi mitsempha yachisoni VII. Mphuno ya Bell imakhala chifukwa cha kutaya kwadzidzidzi kwa mitsempha ya nkhope, zomwe zimapangitsa kuti ziwalo zowonongeka ziwonongeke komanso mwina zizindikiro zina.
Palibe chifukwa chomveka cha Bell wodwala. Anthu ambiri amakhulupirira kuti zimachokera ku matenda a tizilombo omwe amachititsa kutupa kwa mitsempha.
Mliri wa Bell umakhudza pafupifupi munthu mmodzi mwa anthu 5,000 chaka chilichonse. Zimakhala zofala kwambiri pamene timakalamba. Matenda a shuga komanso mimba amawoneka kuti amachititsa kuti Bell ayambe kudwala.
Kodi Mitsempha Yachimake Imakhala Bwanji Kawirikawiri?
Mitsempha ya nkhope imachita zambiri osati kungoonetsa kuti minofu ya nkhope ikutha. Matenda a mitsempha yotulutsa mitsempha yothyola maso ndipo ena amatha kuthamanga pamphuno.
Mitsempha ya nkhope imathandiza kuchepetsa mitsempha ya stapedius, yomwe imasintha makina a kumva pakati pa khutu . Mitsempha ya nkhope imanyamula zowonjezera zakuda kuchokera kuwiri pa magawo awiri pa atatu a lilime.
Nkhungu zomwe zimagwiritsa ntchito mitsempha yonseyi zimatha kuchoka ku mitsempha pazosiyana. Zitha kukhala zotheka kwa katswiri wa sayansi ya zamoyo kudziwa momwe mliriwo ulili ndi vuto pozindikira zomwe zimakhala zotayika.
Chifukwa cha quirk momwe mitsempha imathamanga kuchoka ku ubongo kupita kumaso, mbali yambiri ya nkhope imalandira kugwirizana kuchokera kumbali zonse za ubongo, ndipo theka la nkhope pansi likulumikizana kuchokera kumbali imodzi ya ubongo. Mfundo imeneyi ndi yofunikira pozindikira kuti Bell ali ndi ziwalo zowonongeka, chifukwa khungu la mitsempha limakhudza kachiwiri pamwamba ndi pansi pa nkhope, matenda a ubongo ngati sitiroko nthawi zambiri amachititsa kuti thupi likhale lofa. .
Kodi N'chiyani Chimayambitsa Khungu la Facial?
Chimodzi mwa zinthu zovuta kwambiri zomwe zingayambitse diso la nkhope ndi stroke. Matenda ena omwe amachititsa kuti nkhope zisamafe, zimaphatikizapo matenda a Lyme , neurosarcoidosis, matenda a Ramsay-Hunt ndi kufooka kwina.
Kodi Ndi Mayesero Otani Amene Akufunikira Kuti Azindikire Kufooka kwa Bell?
Kawirikawiri, dokotala amatha kupeza matenda a Bell pokhapokha atamva nkhani yanu ndikuyesera bwinobwino. Dokotala akhoza kuyang'ana kumva kwanu komanso kuzindikira kwanu kuti awone ngati ziwalozo za mitsempha ya nkhope zakhudzidwa. Ngati ali nalo, vutoli ndi lotheka kwambiri ku Bell kusiyana ndi kupweteka. Chinthu chofunika kwambiri ndi kuona ngati mbali zakumtunda ndi zochepa zimakhudzidwa mofanana. Ngati ndi choncho, nkhope ya droop ndi yowopsya kwambiri ya Bell kuposa vuto la ubongo.
Nthaŵi zina dokotala akhoza kulamula mayesero enieni, monga maginito a magnetic resonance (MRI) , kuti athetse vuto linalake kapena mavuto ena a ubongo. Nthaŵi zina, kumagwiritsa ntchito electromyogram kapena kuphunzira mitsempha pamasom'pamaso kuti atsimikizire kuti mitsempha sagwira ntchito bwino, komanso kuonetsetsa kuti imachiritsa bwino.
Kodi Mwayi Wotani Kubwezeredwa ndi Matendawo a Bell?
Mpata wochiritsidwa ndi matenda a Bell ndi wabwino kwambiri. Anthu ambiri amatha msanga masiku 10. Pafupifupi 85 peresenti ya anthu adzachira mkati mwa masabata atatu, ngakhale kuti kuchira kungatenge miyezi nthawi zina. Odwala asanu okha ndi ochepa okha amachira bwino.
Odwala akudwala nthawi zambiri amachira nthawi zambiri kuposa okalamba. Pa anthu 7 peresenti ya anthu omwe ali ndi matenda a Bell adzakhala ndi vuto lina.
Pafupifupi 9 peresenti ya odwala omwe amalandira matenda a Bell akugwirizana ndi zizindikiro pambuyo pake. Odwala ena amavutika ndi ululu wa nkhope kapena spasm ngakhale atatha kusuntha. Kutaya kwa kukoma kungapangitsenso. Kupanda kusamalidwa kuti muteteze diso lomwe lakhudzidwa, likhoza kuonongeka kuti lisakhale lotseguka. Nthaŵi zina pamene mitsempha ya nkhope imabweretsanso, nthambi zimakula kumalo osiyanasiyana kusiyana ndi zomwe zimagwirizana. Chotsatiracho chimatchedwa synkinesis, poyesera kusuntha gawo limodzi la nkhope, monga pakamwa, zimatulutsa kusuntha kwa gawo lina la nkhope, monga chikopa. Mu ng'anjo yotulutsa mitsempha, mitsempha yowonongeka imagwirizanitsa kugwedeza kwa maso ndi minofu ya pakamwa, kuti maso ayang'ane pamene wina adya.
Ngakhale kuti mwayi wochiritsidwa ndi matenda a Bell ndi wabwino, ndikofunika kuti muwone dokotala mwamsanga ngati mutayang'ana nkhope ya nkhope. Mliri wa Bell ukudziwikiratu kuti kusokonezeka, kutanthauza kuti vuto lalikulu liyenera kulamulidwa musanatuluke matendawa. Ngati matendawa akugwidwa ndi matenda a Bell, amazitanthauza kuti muli kale panjira yopita kuchipatala.
Zotsatira:
Bell C. Chiwonetsero cha dongosolo la chilengedwe cha mitsempha ya thupi laumunthu, Spottiswoode, London 1824.
Kasse (2003) Deta yachipatala ndi kufotokozera mu 1521 milandu ya Bell yofooka. International Congress Series (2003) Magazini Vol.1240 Page no. 641-647 ISSN 05315131 (tsamba 646)
Morris AM, Deeks SL, Hill MD et al (2002). "Kuchulukitsa matenda ndi matenda osiyanasiyana kuyambira pakufufuzidwa kwa blembo". Neuroepidemiology 21 (5): 255-61.
Pitts DB, Adour KK, Hilsinger RL Jr SO. Kuwala kwa Bell komweku: Kusanthula odwala 140.Laryngoscope. 1988; 98 (5): 535.
Yamamoto E, Nishimura H, Hirono Y (1988). "Zochitika za sequelae mu Bell wodwala". Acta Otolaryngol Suppl 446: 93-6.