Kararrawa mai kararrawa

Cutar ƙwanƙwasa cuta ne na jijiya wanda ke sarrafa motsi na tsokoki a fuska. Wannan jijiya ana kiranta jijiyar fuska ko ta bakwai.

Lalacewa ga wannan jijiya yana haifar da rauni ko shanyewar waɗannan tsokoki. Shan inna na nufin ba kwa iya amfani da tsokoki kwata-kwata.

Cutar ƙararrawa na iya shafar mutane na kowane zamani, galibi waɗanda suka wuce shekaru 65. Hakanan yana iya shafar yara ƙanana da shekaru 10. Maza da mata daidai suke shafar su.

Ana zaton cutar ta kararrawa ta kasance saboda kumburi (kumburi) na jijiyar fuska a yankin da yake tafiya ta ƙasusuwan kwanyar. Wannan jijiyar tana sarrafa motsi na tsokokin fuska.

Dalilin ba a bayyane yake ba. Wani nau'in kamuwa da cuta da ake kira herpes zoster na iya kasancewa. Sauran yanayin da zasu iya haifar da cutar ta Bell sun hada da:

• Cutar HIV / AIDS
• Cutar Lyme
• Ciwon kunne na tsakiya
• Sarcoidosis (kumburi na ƙwayoyin lymph, huhu, hanta, idanu, fata, ko wasu kyallen takarda)

Samun ciwon sukari da kuma kasancewa da ciki na iya ƙara haɗarin cutar Pelly.

Wani lokaci, ƙila za ka iya yin sanyi jim kaɗan kafin bayyanar cututtukan cututtukan Bell su fara.

Kwayar cutar galibi fara ne farat ɗaya, amma na iya ɗaukar kwanaki 2 zuwa 3 kafin su bayyana. Ba sa zama da tsanani bayan haka.

Kwayar cutar kusan kusan a gefe ɗaya ne na fuska kawai. Suna iya zama daga mai rauni zuwa mai tsanani.

Mutane da yawa suna jin rashin jin daɗi a bayan kunne kafin a lura da rauni. Fuskar tana jin tauri ko an ja shi gefe ɗaya kuma zai iya zama daban. Sauran alamun na iya haɗawa da:

• Matsalar rufe ido daya
• Matsalar ci da sha; abinci yana faɗowa daga gefe ɗaya na bakin
• Saukewa saboda rashin kulawa da jijiyoyin fuska
• Rushewar fuska, kamar fatar ido ko kusurwar baki
• Matsaloli suna murmushi, griming, ko yin fuska
• Tushewa ko rauni na tsokoki a fuska

Sauran bayyanar cututtuka da zasu iya faruwa:

• Bushewar ido, wanda ka iya haifar da ciwon ido ko kamuwa da cuta
• Bakin bushe
• Ciwon kai idan akwai wata cuta kamar ta cutar Lyme
• Rashin jin daɗin ɗanɗano
• Sauti wanda ya fi ƙarfi a kunne ɗaya (hyperacusis)

Sau da yawa, ana iya bincikar cutar ƙararrawa ta hanyar shan tarihin lafiya da kuma yin cikakken gwaji na jiki.

Za a yi gwajin jini don neman matsalolin lafiya kamar cutar Lyme, wanda na iya haifar da cutar Bell.

Wani lokaci, ana buƙatar gwaji don bincika jijiyoyin da ke ba da tsokoki na fuska:

• Electromyography (EMG) don bincika lafiyar tsokoki na fuska da jijiyoyin da ke kula da tsokoki
• Gwajin gwajin jijiyoyi don bincika yadda saurin sakonnin lantarki ke ratsa jijiya

Idan mai kula da lafiyar ku ya damu cewa ciwon ƙwaƙwalwa yana haifar da alamunku, kuna buƙatar:

• CT scan na kai
• Hoto na maganadisu (MRI) na kai

Sau da yawa, ba a buƙatar magani. Kwayar cututtukan sukan fara inganta nan da nan. Amma, yana iya ɗaukar makonni ko ma watanni don tsokoki su sami ƙarfi.

Mai ba ku sabis na iya ba ku digo na shafawa na ido ko shafa man ido don kiyaye farcen ido danshi idan ba za ku iya rufe shi gaba ɗaya ba. Kila iya buƙatar sanya facin ido yayin barci.

Wani lokaci, ana iya amfani da magunguna, amma ba a san yadda suke taimakawa ba. Idan ana amfani da magunguna, ana farawa nan da nan. Magungunan gama gari sune:

• Corticosteroids, wanda zai iya rage kumburi a kusa da jijiyar fuska
• Magunguna kamar su valacyclovir don yaƙi da ƙwayar cuta da ka iya haifar da cutar ƙwanƙwasa

Yin aikin tiyata don magance matsa lamba a kan jijiya (tiyatar narkewa) ba a nuna ya amfanar da yawancin mutane da cutar ta Bell ba.

Yawancin lamura suna tafiya gaba ɗaya cikin weeksan makonni zuwa watanni.

Idan baku rasa duk aikin jijiyoyin ku ba kuma alamomin cutar sun fara inganta cikin makonni 3, da alama zaku iya samun dukkan karfi ko kuma karfin tsokar fuskokin ku.

Wasu lokuta, waɗannan alamun bayyanar na iya kasancewa har yanzu:

• Canje-canje na dogon lokaci a dandano
• Spasms na tsokoki ko fatar ido
• Rashin rauni wanda ya rage a cikin tsokoki na fuska

Matsaloli na iya haɗawa da:

• Girman ido ya zama bushe, wanda ke haifar da ciwon ido, cututtuka, da rashin gani
• Kumburi a cikin tsokoki saboda asarar aikin jijiya

Kira mai ba da sabis kai tsaye idan fuskarka ta faɗi ko kuma kana da wasu alamun alamun cutar ta Bell. Mai ba ku sabis na iya yin sarauta daga wasu, mawuyacin yanayi, kamar bugun jini.

Babu wata sananniyar hanyar da za a hana kamuwa da kararrawa.

Ciwon fuska; Idiopathic na gefe gyaran fuska; Cranial mononeuropathy - ellararrawa Bell; Kararrawa mai kararrawa

• Ptosis - drooping na fatar ido
• Fuskantar fuska

Cibiyar Nazarin Neurowararrun Neurowararrun andwararraki da Yanar gizo. Bell's palsy hujja takardar. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Bells-Palsy-Fact-Sheet. An sabunta Mayu 13, 2020. An shiga Agusta 19, 2020.

Schlieve T, Miloro M, Kolokythas A. Gano asali da kuma kula da raunin jijiyoyin jiki da na fuska. A cikin: Fonseca RJ, ed. Yin tiyata ta baka da Maxillofacial. 3rd ed. Philadelphia, PA: Elsevier; 2018: babi na 5.

Stettler BA. Brain da cututtukan jijiyoyin jiki. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 95.