Hemifacial Spasm

Anter

• He aha nā hōʻailona o ka hemifacial spasms?
• He aha ke kumu o ka spasms hemifacial?
• Pehea e hiki ai iaʻu ke mālama i nā spasms hemifacial?
• Nā kūlana pili a me nā pilikia
• Prognosis a me ka nānā

He aha ka spasm hemifacial?

Kūpono nā spasms Hemifacial ke kolo nā mākala ma hoʻokahi ʻaoʻao o kou alo me ka ʻole o ka ʻōlelo aʻoaʻo. Hoʻokumu ʻia kēia mau ʻano spasms e ka hōʻino a i ʻole ka hoʻonāukiuki ʻana i ke aʻalolo o ke alo, a ʻo ia hoʻi ka ʻehiku cranial nerve. Kū nā spasms helehelena ke hana aelike ʻole nā ​​mākala ma muli o kēia huhū huhū.

ʻO nā spasms Hemifacial kahi i ʻike ʻia he tic convulsif. I ka manawa mua, ʻike ʻia lākou ma ke ʻano liʻiliʻi, a ʻike iki ʻole ʻia hoʻi e pili ana i kou lihilihi, papalina, a waha paha. I ka hala ʻana o ka manawa, hoʻonui paha nā tics i nā ʻāpana ʻē aʻe o kou alo.

Hiki i nā spasms Hemifacial ke hana i nā kāne a i nā wahine paha, akā ʻike pinepine ʻia lākou i nā wahine ma mua o 40. Kū pinepine hoʻi lākou e hana pinepine ma ka ʻaoʻao hema o kou alo.

ʻAʻole weliweli nā spasms Hemifacial iā lākou iho. Akā ʻo ka twitch mau i kou alo hiki ke hoʻonāukiuki a hōʻoluʻolu ʻole paha. I nā hihia koʻikoʻi, hiki i kēia mau spasms ke kaohi i ka hana ma muli o ka pani ʻole ʻana o ka maka a i ʻole ka hopena a lākou e ʻōlelo ai.

I kekahi mau hihia, hiki i kēia mau spasms ke kuhikuhi he kūlana kūlohelohe a i ʻole kahi ʻē aʻe i kāu ʻano helehelena. Hiki i kekahi o kēia mau kumu ke hoʻopili a hōʻino paha i kou aʻa a hoʻolilo i kou mau helehelena i mimilo.

He aha nā hōʻailona o ka hemifacial spasms?

ʻO ka hōʻailona mua o ka spasm hemifacial ke wili nei me ka makemake ʻole ma hoʻokahi ʻaoʻao o kou alo. Hoʻomaka pinepine ka hoʻoliʻiliʻi Muscle i kou lihilihi ma ke ʻano he twitching akahai ʻaʻole hiki ke hoʻohaunaele loa. ʻIke ʻia kēia ma ke ʻano he blepharospasm. Hoʻomaopopo paha ʻoe e lilo ana ka twitching i mea nui ke hopohopo a luhi paha ʻoe. I kekahi manawa, hiki i kēia mau eyelid spasms ke pani i kou maka a pau a i ʻole nahae paha i kou maka.

Ma hope o ka hala ʻana o ka manawa, e ʻike ʻia paha ka twitching ma nā wahi o kou alo e pili mua ana. E pāhola paha ka twitching i nā ʻāpana ʻē aʻe o ka ʻaoʻao like o kou alo a me kou kino, e like me ka:

• kuʻemaka
• papalina
• wahi a puni kou waha, e like me kou mau lehelehe
• ʻūlū
• iwi ā
• ʻāʻī luna

I kekahi mau hihia, hiki i nā spasms hemifacial ke pālahalaha i kēlā me kēia mākala i hoʻokahi ʻaoʻao o kou alo. Hiki nō paha i ka spasms ke hiamoe ʻoe. Ke pālahalaha nā spasms, ʻike paha ʻoe i nā ʻōuli ʻē aʻe, e like me:

• loli i kou hiki ke lohe
• ke kani nei i kou mau pepeiao (tinnitus)
• ʻeha pepeiao, ʻoi aku ma hope o kou pepeiao
• spasms e iho i kou alo holoʻokoʻa

He aha ke kumu o ka spasms hemifacial?

ʻAʻole hiki i kāu kauka ke ʻike i ke kumu kūpono o kāu spasms hemifacial. ʻIke ʻia kēia ma ke ʻano he spasm idiopathic.

Hoʻokumu pinepine ʻia nā spasms Hemifacial e ka ukiuki a i ʻole hōʻino ʻia i kou aʻa maka. Hoʻokumu pinepine ʻia lākou e kahi kīʻaha koko i kaomi ʻana i ke aʻalolo o ka maka kokoke i kahi e hoʻopili ai ke aʻalolo i kāu kumu o ka lolo. Ke hiki kēia, hana paha ke aʻalolo helehelena iā ia iho, e hoʻouna ana i nā hōʻailona nerve e hoʻonāukiuki i kou mauʻiʻo. ʻIke ʻia kēia ma ke ʻano he ephaptic transmission, a ʻo ia kekahi o nā kumu nui o kēia spasms.

ʻO kahi ʻeha i kou poʻo a i kou alo paha hiki ke hoʻonāukiuki i nā hemifacial spasms ma muli o ka hōʻino a me ke kaomi ʻana o ka nerve maka. Hiki i nā kumu maʻamau o ka hemifacial spasms ke hoʻopili pū i:

• hoʻokahi a ʻoi aku nā tumors e kāomi ana i kou aʻa maka
• nā hopena ʻaoʻao mai kahi ʻāpana o ka palsy a Bell, kahi kūlana e hiki ai ke hoʻonāukiuki i kahi ʻāpana o kou alo i kekahi manawa

Pehea e hiki ai iaʻu ke mālama i nā spasms hemifacial?

Hiki paha iā ʻoe ke hōʻemi i kāu mau hōʻailona ma ka home me ka hoʻomaha nui ʻana a me ka palena ʻana i ka nui o ka caffeine āu e inu ai, kahi e hoʻomaha ai i kou ʻalalā. Hiki ke kōkua i ka loaʻa ʻana o kekahi mau meaolaola e hōʻemi ai i kāu spasms, me:

• wikamina D, hiki iā ʻoe ke loaʻa mai nā hua, ka waiū, a me ka lā
• magnesium, hiki iā ʻoe ke loaʻa mai nā ʻalemona a me ka maiʻa
• chamomile, i loaʻa ma ke ʻano he kī a i ʻole he mau papa
• nā blueberry, i loaʻa nā antioxidant hoʻomaha i nāʻiʻo

ʻO ka lapaʻau maʻamau no kēia mau spasms kahi hoʻomaha hoʻomaha puʻupuʻu waha e mālama i kou mau mākala mai ka wili ʻana. Hiki i kāu kauka ke koi aku i hoʻokahi a ʻoi paha o nā lāʻau aʻe e hoʻomaha ai i nā mākala o kou alo:

• baclofen (Lioresal)
• clonazepam (Klonopin)
• carbamazepine (Tegretol)

Botulinum toxin type A (Botox) injection i hoʻohana mau ʻia e mālama i nā spasms hemifacial. I kēia lapaʻau ʻana, e hoʻohana kāu kauka i kahi nila no ka hoʻopili ʻana i nā kemika Botox i loko o kou alo e kokoke ana i nā mākala e wili nei. Hoʻonāwaliwali ʻo Botox i nā mākala a hiki ke hōʻemi i kāu spasms no ʻekolu a ʻeono mahina ma mua o kou pono ʻana i kahi ʻoki hou.

E kamaʻilio me kāu kauka ma mua o ka lawe ʻana i kekahi o kēia mau lāʻau e pili ana i nā hopena ʻē aʻe a i ʻole nā ​​launa ʻana me nā lāʻau ʻē aʻe āu e lawe nei.

Inā kūleʻa ʻole nā ​​lāʻau a me Botox, hiki i kāu kauka ke koi aku i ke ʻoki ʻana e hoʻomaha ai i nā kaomi ma ke aʻalolo o ke alo i hiki i ka tumo a i ʻole ke kīʻaha koko.

ʻO kahi ʻoki maʻamau i hoʻohana ʻia e mālama i nā spasms hemifacial i kapa ʻia he decompression microvascular (MVD). I kēia kaʻina hana, hana kahi kauka i kahi puka liʻiliʻi i kou iwi poʻo ma hope o kou pepeiao a kau i kahi ʻāpana o Teflon padding ma waena o ke aʻalolo a me nā kīʻaha koko e hoʻokeke ana iā ia. Lawe wale kēia ʻōpala i kekahi mau hola ma ka hapanui, a hiki paha iā ʻoe ke hoʻi i ka home ma hope o kekahi mau lā o ke ola ʻana.

Nā kūlana pili a me nā pilikia

Hiki ke kumu ʻia nā spasms helehelena e kahi ʻano like i kapa ʻia ʻo neemgia trigeminal. Hoʻokumu ʻia kēia ʻano e ka hōʻino a i ʻole ka ukiuki i ke kanalima cranial nerve ma mua o ka hiku. Hiki ke mālama ʻia me neuralgia Trigeminal me nā lāʻau like a me nā kaʻina hana like.

Hiki i kahi tumre untreated ke kumu o ka hōʻino hou o ke aʻalolo i ka ulu ʻana a i ʻole lilo i maʻi maʻi maʻi. Hiki ke pālahalaha koke ka maʻi ʻaʻai i nā wahi ʻē aʻe o kou poʻo a me kou lolo a hana i nā pilikia lōʻihi.

E like me kēlā me kēia ʻoki ʻana, hiki i ke kaʻina MVD ke kumu i nā pilikia, e like me nā maʻi a i ʻole ka hanu pilikia. Akā MVD ʻoki kino.

Prognosis a me ka nānā

Hiki ke mālama ʻia nā spasms hemifacial ma o ka mālama ʻana i ka home, nā lāʻau, a i ʻole ke ʻoki kino. E hāhai i nā ʻōkuhi a kāu kauka a hiki paha iā ʻoe ke mālama i kou mimiki i ka liʻiliʻi. Kūleʻa pinepine ke kaʻina hana MVD i ka hōʻemi ʻana a hōʻoki ʻana paha i kēia mau spasms.

Hoʻoweliweli paha nā spasms hemifacial i hoʻomaʻamaʻa ʻia i ka wā e lilo ai i mea ʻike ʻia a hoʻohaunaele i ka manawa, keu hoʻi inā hoʻolaha lākou ma kahi ʻaoʻao a pau o kou alo. ʻO ka pololei me kāu mau hoaaloha a me kou ʻohana e pili ana i kāu spasms hiki ke kōkua iā ʻoe e kākoʻo hou aku i kou mālama ʻana i nā ʻōuli o ke ʻano. ʻO ka hui ʻana i kahi hui kākoʻo hiki ke kōkua iā ʻoe e aʻo pehea e mālama a mālama hou ai i kāu spasms.