Ubungqina bomzimba, ngokukodwa, bunoxanduva lokusebenza kwemisipha yobuso ebusweni. Nangona kunjalo, kwisiqu sawo sidlula iifayili ezibangelwa ukugcinwa kweengcambu kunye ne-sternum muscle, ekhusela indlebe kwi-stroke ephilileyo, kwaye ixanduva lwezinye iindawo zesinzwisiseko sokwenza ulwimi. Inzwa yesibindi iqulethwe ngamasebe amabini, kwaye xa kwenzeka i-lesion, enye yodwa ihlupheka rhoqo. Kule nkalo i-paresis yesibindi somzimba kwiimeko ezininzi zisezantsi.
Iimbangela zeparresis zesibindi somzimba
Xa i-paresis, ukunyanzeliswa kwamandla emisipha yezihlunu, apho i-nerve ixanduva (ngokuphambene nokukhubazeka, apho kukho ukungahambi kakuhle kokuhamba). Izinto eziphambili ezikhokelela kwi-paresis yesibindi somzimba zi:
- ukuvuvukala okanye ukusuleleka kwentsholongwane yesibindi ngenxa yesigidimi esisisigxina okanye esingapheliyo (ngokuqhelekileyo);
- uxinzelelo ngexesha lokuhlinzwa ngokugqithiseleyo kwindlebe;
- i-supercooling;
- izifo ezahlukileyo (i-herpes, poliomyelitis, parotitis, syphilis, isifo sofuba, njl);
- i-craniocebral trauma;
- ukubetha;
- iimvumi entloko.
Iimpawu zeparresis zesibindi somzimba
Kukho iintlobo ezimbini zokutshatyalaliswa. Makhe sihlolisise nganye ngeenkcukacha ezingakumbi.
I-paresis eyiNtloko yesibindi somzimba
Ukugula okunjalo kuvela xa izicubu zeentlanzi zonakaliswe ngaphezu kwe-motor nucleus yesibindi somzimba kwicala eliphambene nolujoliso. Kule meko, kukho ubuthakathaka obunobunye emasipha ebusweni beendawo ezingezantsi ebusweni, apho amaxesha amaninzi ahlanganiswe ne-hemiparesis (isisundu sesigamu somzimba).
Iipresipheral paresis yesibindi somzimba
Iyabonakala ngokuphindaphindiweyo, ikhula ngenxa yesilonda se-facial nucleus kwisiza ekuphumayo ukusuka kwipallophyllum evuliwe kwicala elifanayo. Ngokusekelwe kwimeko yezilonda, le miqondiso ilandelayo ingabonwa:
- intlungu emva kwendlebe;
- imisipha ye hypotonic ebusweni kwelinye icala;
- ukulinganisa ubuso, ukunyuka kunye nokutshintsha kwesimo sombuso;
- Ukungakwazi ukugubungela ngokupheleleyo iliso kwicala lokutshatyalaliswa;
- zibophe ukutya ngokutya, ukuvuza kokutya kwamanzi kunye namathe emacaleni emlonyeni kwicala elichaphazelekayo;
- kunzima ukuthetha;
- ukulila iliso okanye, ngokuchasene, ukungabikho kwamatye;
- umlomo owomileyo ngenxa yesifo seengcungcuthe;
- Ukungabikho kwentsebenzo yokubona uvelwano kwi-front lobe yolwimi;
- Ukunyanzeliswa kwamanzi kwiitoni eziphantsi zesandi.
Indlela yokuphatha i-paresis yentsholongwane yobuso?
Unyango lwe-paresis yesibindi sombuso kufuneka uqaliswe ngokukhawuleza ukwenzela ukuba ugweme ukuqala kokukhubazeka okupheleleyo. Amanyathelo okuchonga angabandakanya:
- uviwo lwe-fundus;
- uviwo lwee-ENT;
- i-electromyography yesisu;
- i-tomography yengqondo;
- electroencephalography yengqondo, njl.
Ngokusekelwe kwizifundo eziqhutyelwe, uhlobo, indawo kunye nobukhulu belilonda lugqityiweyo, kunye neendlela zokonyango zikhethwe.
Unyango lwamayeza lusekelwe kwiziyobisi ezilandelayo:
- vasodilators;
- antispasmodics;
- abagqithisileyo;
- i-corticosteroids ;
- ezimbi;
- iivithamini zeqela B, njl
Enye inkqubo yokwelapha ijoliswe ekubuyiseleni iimbilini ze-nerve ezichaphazelekayo kunye nokukhusela i-atrophy ye-muscle. Ngenxa yale njongo, i-physiotherapy kunye neziyobisi eziphucula iinkqubo ze-metabolic zichazwe. Iimpumelelo iindlela ezifana ne-physiotherapy njenge:
- i-electromyostimulation;
- inkqubo zomoya;
- electrophoresis;
- balneotherapy;
- ukusilisa;
- ukusebenzisa unyango.
Ukuba unyango olulondolozayo lungasebenzi, unyango olunokusetyenziswa lunokumiselwa.
Unyango lwe-paresis ye-nerve ye-facial iyakuncediswa kunye nezindlela zabantu ekhaya (kunye nemvume kadokotela). Ngokomzekelo, kucetyiswa ukufudumala kwicala elichaphazelekayo lobuso ngetyuwa okanye isanti eshushu, kufakwe kwisikhwama selineni. Kwakhona kunokwenzeka ukutshiza ioli ye-fir, enefuthe elibuyiselwayo, kwiindawo ezinamahloni.