Pāleo Bell

ʻO Bell palsy kahi maʻi o ke aʻalolo e kaohi ana i ka neʻe ʻana o nā mākala i ka maka. Kapa ʻia kēia aʻalolo ʻo ke aʻalolo cranial ʻehiku.

ʻO ka hōʻino i kēia aʻalolo ke kumu o ka nāwaliwali a me ka palalysis o kēia mau mākala. ʻO ka paralysis ʻaʻole hiki iā ʻoe ke hoʻohana iki i nā mākala.

Hiki i ka palsy Bell ke hoʻololi i ka poʻe o nā makahiki, ʻo ka mea maʻamau o nā makahiki 65. Hiki iā ia ke hoʻololi i nā keiki ma mua o 10 mau makahiki. Hoʻopili like ʻia nā kāne a me nā wahine.

Manaʻo ʻia ʻo Bell palsy ma muli o ka pehu ʻana (mumū) o ke aʻalolo o ka helehelena ma kahi e hele ai ma o nā iwi o ka iwi poʻo. Hoʻopili kēia nerve i ka neʻe ʻana o nā mākala o ka maka.

ʻAʻole maopopo pinepine ke kumu. Pili paha kekahi ʻano maʻi herpes i kapa ʻia ʻo herpes zoster. ʻO nā kumu ʻē aʻe e hiki ai ke kumu iā Bell palsy me:

• Maʻi maʻi HIV / AIDS
• Maʻi Lyme
• Maʻi maʻi waena waena
• ʻO Sarcoidosis (ʻōhū o nā lymph node, akemāmā, ake, maka, ʻili, a me nā mea ʻē aʻe)

ʻO ka loaʻa ʻana o ka maʻi diabetes a me ka hāpai ʻana e hoʻonui paha i ka makaʻu no ka palsy Bell.

I kekahi manawa, loaʻa paha ʻoe i kahi anuanu ma mua koke o ka hoʻomaka ʻana o nā ʻōuli o Bell palsy.

Hoʻomaka hoʻomaka pinepine nā ʻōuli, akā lawe paha i 2 a 3 mau lā e hōʻike. ʻAʻole lākou i ʻoi aku ke koʻikoʻi ma hope o kēlā.

ʻAneʻane kokoke nā hōʻailona ma kekahi ʻaoʻao o ka maka wale. Kūleʻa paha lākou mai kahi haʻahaʻa a paʻakikī.

Nui ka poʻe e ʻoluʻolu ma hope o ka pepeiao ma mua o ka ʻike ʻia ʻana o ka nāwaliwali. Kūleʻa ka maka a huki ʻia paha i kekahi ʻaoʻao a ʻano ʻokoʻa paha ke ʻano. Hiki i nā hōʻailona ʻē aʻe ke hoʻopili pū me:

• ʻO ka paʻakikī e pani i ka maka hoʻokahi
• Paʻa i ka ʻai ʻana a me ka inu ʻana; hāʻule ka meaʻai mai kekahi ʻaoʻao o ka waha
• ʻO Drooling ma muli o ka ʻole o ka kaohi o nā mākala o ka maka
• Ke kuʻi ʻana o ka maka, e like me ka eyelid a i ʻole ke kihi o ka waha
• ʻO nā pilikia e minoʻaka ana, e ʻū ana, a i ʻole ke hōʻike ʻana i nā helehelena
• ʻO ka twitch a nāwaliwali paha o nā mākala i ka maka

Nā ʻōuli ʻē aʻe e hiki mai:

• ʻO ka maka maloʻo, kahi e alakaʻi ai i nā ʻeha o ka maka a i ʻole nā ​​maʻi
• Waha maloo
• Headache inā aia kekahi maʻi e like me ka maʻi Lyme
• Loaʻa o ke ʻano o ka ʻono
• ʻOi aku ka leo nui i hoʻokahi pepeiao (hyperacusis)

ʻO ka manawa pinepine, hiki ke ʻike ʻia ʻo Bell palsy ma o ka lawe ʻana i kahi mōʻaukala olakino a me ka hana ʻana i kahi hoʻokolohua kino holoʻokoʻa.

E hana ʻia nā hoʻokolohua koko e nānā i nā pilikia olakino e like me ka maʻi Lyme, ka mea e kumu ai ʻo Bell palsy.

I kekahi manawa, pono kahi hoʻokolohua e nānā i nā aʻa e hāʻawi i nā mākala o ka maka.

• Electromyography (EMG) e nānā i ke olakino o nā mākala maka a me nā aʻalolo e kaohi i nā mākala
• Hōʻaʻo conduction nerve e nānā i ka wikiwiki o nā neʻe uila e neʻe ma waena o kahi aʻalolo

Inā hopohopo kāu kauka olakino i ka ulu ʻana o ka lolo i kāu mau ʻōuli, pono paha ʻoe:

• CT scan o ke poʻo
• Mākēneki resonance kiʻi (MRI) o ke poʻo

ʻO ka pinepine, ʻaʻohe pono e pono ai. Hoʻomaka pinepine nā hoʻomaʻamaʻa e hoʻomaikaʻi koke. Akā, he mau pule a mau mahina paha ka ikaika o nā mākala.

Hāʻawi paha kāu mea hāʻawi iā ʻoe i nā kulu maka lubricating a i ʻole nā ​​hamo maka e mālama i ka maka o ka maka inā ʻaʻole hiki iā ʻoe ke pani piha loa. Pono ʻoe e ʻaʻapo i ka pale maka i kou hiamoe ʻana.

I kekahi manawa, hoʻohana ʻia paha nā lāʻau, akā ʻaʻole ʻike ʻia ka nui o kā lākou kōkua. Inā hoʻohana ʻia nā lāʻau, hoʻomaka koke lākou. ʻO nā lāʻau lapaʻau maʻamau:

• ʻO Corticosteroids, kahi e hōʻemi ai i ka pehu a puni ka nerve maka
• ʻO nā lāʻau e like me valacyclovir e hakakā i ka maʻi hoʻomaʻamaʻa e hoʻopuka nei iā Bell palsy

ʻAʻole i hōʻike ʻia ke kaha ʻokiʻoki e hōʻemi i ke kaomi ma ke aʻalolo (decompression surgery) e pōmaikaʻi ai ka hapanui o ka poʻe me Bell palsy.

ʻO ka hapa nui o nā hihia e hala loa i loko o kekahi mau pule a i mau mahina.

Inā ʻaʻole ʻoe i nalo i kāu hana nerve a hoʻomaka nā ʻōuli e hoʻomaikaʻi i loko o 3 mau pule, e loaʻa hou paha iā ʻoe ka ikaika āpau a i ʻole ka hapa nui o ka ikaika i kou mau mākala maka.

I kekahi manawa, eia nō paha nā ʻōuli penei:

• Hoʻololi wā lōʻihi i ka ʻono
• Nā spasms o nā mākala a i ʻole nā ​​lihilihi maka
• Nāwaliwali i koe i nā mākala maka

Komo pū nā pilikia:

• E hele a maloʻo ka maka, e alakaʻi i nā ʻeha o ka maka, nā maʻi, a me ka nalo ʻana o ka hihi
• ʻO ka pehu ʻana i nā mākala no ka nalowale ʻana o ka hana nerve

Kāhea koke aku i kāu mea nāna e hāʻawi inā hāʻule kou alo a i ʻole he mau hōʻailona ʻē aʻe kāu o Bell palsy. Hiki i kāu mea hoʻolako ke kāpae i nā kūlana ʻē aʻe i ʻoi aʻe, e like me ka hahau ʻana.

ʻAʻohe ala i ʻike ʻia e pale aku ai iā Bell palsy.

ʻO ka palsy helehelena; Iliopathic peripheral maka palsy; Cranial mononeuropathy - Bell palsy; Pāleo Bell

• Ptosis - hāʻule ka lihilihi maka
• Holo ka helehelena

National Institute of Neurological Disorder a me ka pūnaewele Stroke. Pepa ʻoiai palsy ʻo Bell. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet. Hoʻohou ʻia Mei 13, 2020. Loaʻa iā ʻAukake 19, 2020.

ʻO Schlieve T, Miloro M, Kolokythas A. Diagnosis a me ka mālama ʻana i nā hōʻeha trigeminal a me nā ʻaoʻao nerve. I: Fonseca RJ, hoʻoponopono. ʻOki kino waha a me Maxillofacial. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2018: chap 5.

ʻO Stettler BA. Nā maʻi o ke aʻa a me ke aʻa cranial. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 95.