Uma isigamu sobuso silahlekelwa ikhono layo lokuhambisa, ngokuvamile liwuphawu lwesifo . Olunye uhlangothi lomlomo luyayeka, futhi kungenzeka ukuthi akunakwenzeka ukuvala iso ngalolu cala. Ukumomotheka kuguqulwa kube yilokho okubukeka kufana ne-smirk ephihliwe.
Ukubukeka kwalezi zimpawu kuhlale kungesizathu sokuthola usizo lwezokwelapha ngokushesha, ngoba awufuni ukulahlekelwa ithuba lokuthola ukwelashwa okungcono kunalokho okungaba yisifo.
Asikho isizathu sokuphelelwa ithemba ngokuphelele, noma kunjalo. I-droop ebusweni nayo ingabangelwa ukukhubazeka kweBellar, okungeyona into engathà sina kakhulu kune-stroke.
Kuyini ukukhubazeka kukaBell?
Ukukhubazeka kukaBell kuthiwa nguDkt. Charles Bell, udokotela ohlinzayo waseScotland owachaza lesi sifo ngo-1821. UDkt. Bell wayegxile esibonelweni se-facial, esaziwa ngokuthi yi-craneal nerve VII. Ukukhubazeka kukaBell kungenxa yokulahlekelwa ngokungazelelwe kwesifo sobuso bomzimba, okuholela ekukhubazeni okubucayi kwesigamu sobuso kanye nezinye izimpawu.
Asikho isizathu esicacile sokukhubazeka kukaBell. Abantu abaningi bakholelwa ukuthi kubangelwa ukutheleleka kwesandulela ngculaza okuholela ekuvukeni kwesibindi.
Ukukhubazeka kukaBell kuthinta umuntu oyedwa kwabangu-5 000 njalo ngonyaka. Kuvame kakhulu uma sikhula. Isifo sikashukela nokukhulelwa kubonakala sengathi kwandisa ingozi yokukhubazeka kukaBell.
I-Facial Nerve Ngokuvamile isebenza Kanjani?
I-facial nervous does more than just signal for muscle facial to move. Izintambo ze-neasympathetic ze-neerv for eye-out and some salivation zigijima ngesibindi somzimba.
I-facial nerve isiza ukulawula isisindo se-stapedius, esilungisa umshini wokuzwa phakathi kwezindlebe . I-nerve ye-facial ibuye ithwale izintambo zokunambitheka kusukela kokubili kokubili kwezintathu zolimi.
Amafayili enza zonke lezi zinhlobo zemisipha ehlukene ahluke emanzini ngamaphuzu ahlukene. Kungenzeka ukuthi isazi sezinzwa ukuthola ukuthi yikuphi lapho kunenkinga yenkinga ngokuqaphela ukuthi yimiphi imisebenzi yesisindo elahlekile.
Ngenxa ye-quirk endleleni izinzwa ezisuka ebuchosheni kuya ebusweni, ingxenye enkulu ebusweni ithola uxhumano kusuka zombili izinhlangothi zobuchopho, futhi ingxenye engaphansi yesithombe ithola uxhumano kusuka ohlangothini olulodwa lobuchopho. Leli qiniso kubalulekile ekwenzeni ukuxilongwa kokukhubazeka kukaBelen, ngoba lapho isifo semisipha sivame ukuphazamisa kokubili kwesigamu sobuso, isifo sobuchopho njengesifo sohlangothi sizovame ukuholela ekukhubazekeni kobuso obuphansi kuphela .
Yini Eyimbangela I-Droop Facial?
Enye yezinto ezibucayi kakhulu ezingabangela i-droop ebusweni kuyingozi. Ezinye izifo ezibangelwa ukuqubuka komzimba zibandakanya isifo se-Lyme , neurosarcoidosis, i- Ramsay-Hunt syndrome nokunye ukugwinya.
Iziphi Izivivinyo Ezidingekayo Ukuze Zihlole Ukukhubazeka KwaseBell?
Ngokuvamile, udokotela angakwazi ukuhlola ukukhubazeka kukaBell nje ngokuzwa indaba yakho futhi uhlole ngokucophelela umzimba. Udokotela angase ahlole ukuzwa kwakho kanye nomzwa wakho wokunambitheka ukuze ubone ukuthi lezo zincenye zesibindi sesibuso ziye zathinteka. Uma benayo, le nkinga kungenzeka ukuthi ukukhubazeka kukaBell kunokushaya isisu. Into ebaluleke kunazo zonke ukubona ukuthi izingxenye eziphezulu nezingezansi zithinteka ngokufanayo. Uma kunjalo, i-droop ebusweni kungenzeka ukuthi ukukhubazeka kukaBell kunenkinga ebuchosheni ngokwayo.
Ngesinye isikhathi udokotela angalawula ukuhlolwa kwe-imaging ethize, njenge- imagination magnetic resonance (MRI) , ukuze kukhishwe isifo noma ezinye izinkinga zobuchopho. Ngezinye izikhathi, isifundo se- electromyogram noma isifundo sezinzwa singenziwa ebusweni ukuze kuqinisekiswe ukuthi le nerve ayisebenzi kahle, futhi ukuqinisekisa ukuthi uphulukisa kahle.
Yiziphi Izindlela Zokubuyiselwa Ukukhubazeka KwaseBell?
Amathuba okuphulukiswa kokukhubazeka kukaBell okuhle kakhulu. Abantu abaningi baphinde bangenele ngokushesha ezinsukwini ezingu-10. Abantu abangaba ngu-85% bazobuyela emasontweni amathathu, nakuba ukutakula kungathatha izinyanga kwezinye izimo. Kuphela ama-5% weziguli alulamekile kabi.
Iziguli ezincane zivame ukubuyiselwa kaningi kuneziguli ezindala. Kuphela abantu abangaba ngu-7% abanokukhubazeka kukaBell bazoba nokunye ukuhlaselwa.
Cishe 9% weziguli ezithola ukukhubazeka kukaBell ziye zaveza izimpawu ezilandelayo. Ezinye iziguli zingase zihlushwa ubuhlungu bomzimba noma ubuhlungu be-spasm ngisho nangemva kokuba ikhono lokuthutha libuyele. Ukulahlekelwa ukunambitheka kungase kuholele futhi. Ngaphandle kokuba kuthathwe ukunakekelwa ukuvikela iso elithintekile, lingalimazwa ukuhlala livulekile. Ngesinye isikhathi lapho isifo sobuso sesibusiso sivuselela, amagatsha angakhula abe izindawo ezihlukahlukene kunelabo abaxhunyiwe ekuqaleni. Umphumela ubizwa ngokuthi i-syntkinesis, uma ezama ukuhambisa ingxenye eyodwa yobuso, njengomlomo, kubangelwa ukuhamba kwesinye isici sobuso, njengejwabu leso. In ingwenya tear syndrome, izinzwa ezivuselelwe zihlanganisa ukugqunywa kwamehlo ngemisipha yomlomo, ukuze amehlo aqhekeze noma nini lapho umuntu edla.
Nakuba amathuba okuphulukana nokukhubazeka kukaBell okuhle, kubalulekile ukubona udokotela ngokushesha uma ubona i-droop ebusweni. Ukukhubazeka kukaBell kutholakala ukuthi ukuxoshwa, okusho ukuthi ukukhathazeka okubaluleke kakhulu kumele kukhishwe ngaphambi kokuba kutholakale ukuthi kutholakala yini. Uma lokho kuhlolisiswa kokukhubazeka kukaBell kwenziwa, ngokuvamile kusho ukuthi usuvele usendleleni yokuthola kabusha.
Imithombo:
Bell C. Ukuvezwa kwesimiso semvelo somzimba womuntu, iSpottiswoode, eLondon 1824.
I-Kasse (2003) Idatha yemitholampilo nokubikezelwa kwamacala angu-1521 we-Bell yokukhubazeka. I-International Congress Series (2003) Issue Vol.1240 Page no. 641-647 ISSN 05315131 (ikhasi 646)
Morris AM, Deeks SL, Hill MD et al (2002). "Isigameko sonyaka kanye nesifo sokugula okuvela ekuphenyweni kwesifo sokukhubazeka kukaBell". I-neuroepidemiology 21 (5): 255-61.
Pitts DB, i-Adour KK, i-Hilsinger RL Jr SO. Ukukhubazeka kweBell okuvamile: ukuhlaziywa kweziguli ezingu-140.Laryngoscope. 1988; 98 (5): 535.
Yamamoto E, Nishimura H, Hirono Y (1988). "Ukutholakala kwe-sequelae eBell's falsy". I-Acta Otolaryngol Suppl 446: 93-6.