Apo hafu yechiso ichirasikirwa nekukwanisa kwayo kufamba, inowanzova chiratidzo chekurohwa . Chimwe chikamu chemuromo chinodonha, uye zvingave zvisingabviri kunyatsovhara ziso kune rumwe rutiviwo. Kunyemwerera kunoshandurirwa kuva izvo zvinotarisa zvakadai sechepided smirk.
Kuonekwa kwezviratidzo izvi nguva dzose kune chikonzero chekubatsira rubatsiro nekukurumidza, nokuti haudi kupotsa mukana wokuwana kurapa kwakanakisisa kune izvo zvinogona kuva chirwere.
Hapana chikonzero chekuora mwoyo zvachose, zvakadaro. Faceodop inotarisa inogonawo kukonzerwa neBell inorwara, izvo zvisinganyanyi kukosha kudarika chirwere.
Chii chinonzi Bals's Palsy?
Bhero chirwere chinotumidzwa chinonzi Dr. Charles Bell, chiremba wechiremba wokuScotland uyo akarondedzera chirwere ichi muna 1821. Dr. Bell akanga achitarisa nharo yepamusoro, iyo inozivikanwawo sejinga rechisimba VII. Kufa kweBell kunokonzerwa nekurasikirwa kamwe kamwe kwehutano hwebasa, izvo zvinotungamirira kumarara akaoma rutivi rwehafu yechiso uye zvimwe zvimwe zviratidzo zvakare.
Hapana chikonzero chakajeka cheBell chirema. Vanhu vazhinji vanotenda kuti zvinokonzerwa nehutachiona hwehutachiona hunotungamirira mukuputika kwemutsipa.
Kufa kweBell kunokanganisa mumwe wevanhu 5 000 gore rega roga. Izvo zvinowanzoshamisa patinenge takura. Chirwere cheshuga uye kuzvitakura kunoitawo kuwedzera kengozi yeBell inorwara.
Nzira Yemaziso Inowanzoshanda Sei?
Mutsara wepiso unoita zvinopfuura kungoita zviratidzo zvemaziso emusana kuti uende. Parasympathetic nerve fibers yekuvhara maziso uye imwe saliviti inomhanya mumusana wepiso.
Mutsara weshumba unobatsira kudzora stapedius muscle, iyo inogadzirisa ma mechanics yekunzwa pakati nepakati . Mutsara wemukati unotakurawo tambo dzinotapira kubva pamatatu ematatu emutauro.
Mafigira ayo anoita zvose izvi zvakasiyana-siyana zvinokonzera mishonga inoparadzanisa kubva mumitsipa pane zvakasiyana. Izvo zvinogona kuitika kuti nyanzvi yezveuroyoti ione kuti ndeipi iyo iri mumakemikari matambudziko aripo nekucherechedza kuti chii chinonzi nerve chinoshandiswa.
Pamusana pekudzivirira kweropa munzira dzinomhanya kubva muuropi kuenda kune zviso, chikamu chepamusoro chechiso chinogamuchirana kubva kumativi ose europi, uye hafu yepasi yechiso inogamuchiranidza kubva kune rumwe rutivi rweuropi. Izvi zvinokosha pakuita kuti kuongororwa kweBell kuve kuora mwoyo, nokuti apo chironda chendangara chinowanzokonzera zvose kumusoro nepamusoro pehafu yechiso, chirwere cheuropi sechirwere chinowanzokonzera kuora mwoyo kwechiso chepamusoro chete .
Ndezvipi Zvimwe Zvinokonzera Facial Droop?
Chimwe chezvinhu zvakakomba zvikuru zvinogona kukonzera chiso che droop chirwere. Zvimwe zvirwere zvinokonzera kubuda kwemaziso zvinosanganisira chirwere cheLyme , neurosarcoidosis, Ramsay-Hunt syndrome uye zvimwe zvinogumburwa.
Ndezvipi Miedzo Inodiwa Kuti Uongorore Bell's Palsy?
Kazhinji, chiremba anogona kuona kuti chirwere cheBell chinokonzerwa nekushaya chirwere chete nekunzwa nyaya yako uye kuongorora zvakakwana mumuviri. Chiremba anokwanisa kuongorora kunzwa kwako pamwe nekunzwisisa kwaravira kuti uone kana zvikamu izvi zvehutano hwepiso zvakakanganiswa. Kana vane, dambudziko racho rinogona kunge rakanyanya kuora Bell kupfuura chirwere. Chinhu chinonyanya kukosha ndechokuona kana nzvimbo dzepamusoro uye dzezasi dzechiso dzakakanganiswa. Kana zvakadaro, chiso chinonzi droop chinowanzoita kuti Bell aparare pane chinetso neuropi pachake.
Dzimwe nguva chiremba anokwanisa kuraira maitiro ekufananidzira, kufanana nemagnetic resonance imaging (MRI) , kuitira kuti tisave nechirwere kana zvimwe zvinetso neuropi. Dzimwe nguva, electromyogram kana nerve conduction kudzidza inogona kuitwa pachiso kuitira kuti ivimbise kuti mutezo haisi kushanda zvakanaka, uye kuva nechokwadi chokuti ichirapa zvakanaka.
Ndeipi Mukana Wekudzoka Kubva kuBell's Palsy?
Mukana wekudzikinura kubva kuBell kuora mwoyo zvakanaka. Vanhu vazhinji vanopinda mairi nokukurumidza kwemazuva gumi. Vanenge 85% yevanhu vachararama mukati memavhiki matatu, kunyange zvazvo kugona kunogona kutora mwedzi mune dzimwe nguva. Vanongova 5% chete varwere vane varombo vanorapwa.
Vachiri vaduku vanowanzotorazve kakawanda kupfuura varwere vakwegura. Kunongova ne7% yevanhu vane Bell vanorwara huchazombova nekumwe kurwisa.
Inenge 9 muzana yevarwere vanowana bhero yeBell vakaratidza zviratidzo zvakare. Vamwe varwere vanogona kutambura nekurwadziwa kwemaziso kana kuputika kana mushure mekugona kukwira kunodzoka. Kurasikirwa kwevira kunogona kuitawo zvakanaka. Kunze kwekuti kutarisirwa kunotorwa kunodzivirira ziso rakavhiringidzika, rinogona kukuvadzwa kubva kuramba richizaruka. Dzimwe nguva apo nhengo dzemaziso dzenhengo dzinovandudza, matavi anogona kukura mune nzvimbo dzakasiyana pane iyo yavakambobatana nayo. Chigumisiro chinonzi synkinesis, apo ichiedza kutamisa chikamu chimwe chechiso, chakadai semuromo, chinoguma nekufamba kweimwe chikamu chechiso, zvakare, seyodei. Nenguruve rinosuruvara syndrome, mutsara wakagadziridzwa unobatanidza kuputika kwemaziso nemisungo yomuromo, kuitira kuti maziso atseke pose paanodya.
Kunyange zvazvo mikana yekudzikinura kubva kuBell kuora mwoyo yakanaka, zvinokosha kuona chiremba nekukurumidza kana zvichibvira kana ukacherechedza dhoni yefa. Kuora kweBell ndiko kuongororwa kwekuregererwa, kureva kuti zvinetso zvakakomba zvakanyanya zvinofanira kutarisirwa kunze kwekuti chirwere chisati chaitwa. Kana izvozvo zviongororwa zveBell zvinokonzerwa nehutachiona, zvinowanzoreva kuti iwe uri kutotanga kugona.
Sources:
Bhero C. Chiratidziro chechimiro chemaitiro emumuviri womunhu, Spottiswoode, London 1824.
Kasse (2003) Dhipatimendi yekliniki uye kufungidzira mumashure ma1521 eBell's palsy. International Congress Series (2003) Issue Vol.1240 Page no. 641-647 ISSN 05315131 (peji 646)
Morris AM, Deeks SL, Hill MD et al (2002). "Kuwedzera kwechiitiko uye chirwere chekurwara kubva pakutsvakurudza kwakaitika kweBell kuora mwoyo". Neuroepidemiology 21 (5): 255-61.
Pitts DB, Adour KK, Hilsinger RL Jr SO. Kuora kweBell yakadzokazve: kuongororwa kwe1 140 varwere.Bazinoscope. 1988; 98 (5): 535.
Yamamoto E, Nishimura H, Hirono Y (1988). "Occurrence ye sequelae muBell's palsy". Acta Otolaryngol Suppl 446: 93-6.