Chithandizo cha neuritis ya mitsempha nkhope

Neuritis, Bell manjenje kapena nkhope mitsempha neuropathy - matenda amene akufotokozera chifukwa kukhalapo kwa edema, kufinya mitsempha nkhope. Ndi maonekedwe a matenda amatsogolera nkhope mitsempha kuwonongeka, mkhutu magazi okwanira kwa ngalande ubongo ndi edema. Preconditions neuritis akhoza kukhala mbali ya ubongo ngalande dongosolo, ndiwo munthu chifukwa munthu aliyense, ndi yozizira pa kusodza kapena wofewetsa mpweya, inali kumbuyo khutu, m'dera khosi. Chirichonse chomwe icho chinali, mankhwalawa neuritis ya mitsempha nkhope ayenera kukhala katswiri.

Nkhope neuritis zofunika kwambiri - mumphangayo, chimfine, ischemic, kunachitika ndi maziko a hypothermia khosi m'dera kumbuyo khutu. Mtundu wa neuritis ndi khalidwe la anthu ndi dongosolo yopapatiza a ngalande za mwakanthawi.

The neuritis sekondale monga:

• Hunt syndrome (neuritis matailosi) woimira zisadzachitikenso wa varicella zobisika ndi nsungu kaphatikizidwe pa mucosa wa pharynx, ndi nsonga ya lilime ndi pinna mtundu uliwonse wa neuritis wa nkhope;
• neuritis ya mitsempha nkhope pa maziko a media aakulu otitis zidzachitika kusintha opatsirana yotupa ndondomeko ndi kukhudzana ndi makutu pakati;
• ndi osowa matenda - Melkersson-Rosenthal syndrome ndi cholowa ndiponso episodic Inde. Pamafunikanso wandiweyani kukonda dziko lako nkhope, lilime mu crease ndi neuritis ya mitsempha nkhope;
• neuritis ya mitsempha nkhope pa "nkhumba" (mumps) limodzi ndi malungo komanso kutupa kwa zopangitsa ndi malovu.

Neuritis ya mitsempha nkhope angayambe chifukwa cha kuvulala wake, matenda kapena mavuto vuto hypertensive ndi mitundu kobwereza ndi amgwirizano matendawa. Chithandizo cha neuritis ya mitsempha nkhope Kwalamulidwa malingana cholingacho.

Chiwonetsero cha neuritis nkhope ndi chiletso Amowabu gulu la nkhope minofu wotsanzira, kuwonjezera asymmetry wa nkhope - skewed mu njira wathanzi, kuwongola ndi kutsitsa mu ngodya m'kamwa mwa m'makwinya nasolabial, lonse kutsegula zikope kumbali akhudzidwa wa nkhope alephera atseke maso ake (chizindikiro Bell), kwezani ndi eyebrow, kumwetulira, kundikokera tsinya. Atasiya kuti kulawa zotengeka. Zikhoza womwetula ndi zizindikiro za "misozi ya ng'ona," malovu, kuwonongeka ndi dryness wa mwana wa m'diso la. N'zothekanso chodziwa tilinazo phokoso kumbali akhudzidwa.

Kuti matenda zolondola ndi kudziwa mmene zotupa minofu anachita EMG (electromyography). Iwonso kusankha CT jambulani kapena Kujambula kuti akatsimikizire matenda ena zotheka ya ubongo.

Pofuna kupewa zotsatira yotsalira ndi mavuto zotheka wa mankhwalawa neuritis ya mitsempha nkhope n'kofunika kuyamba posachedwapa. Ndi bwino kugwiritsa ntchito corticosteroids - prednizalon: m'mawa - 60 mg pakamwa masiku 5 zotsatizana. Pa masiku 10-14 tikulimbikitsidwa kuti pang'onopang'ono kuchepetsa mlingo mpaka chiyembekezo chakuti wathunthu. Chotero ulamuliro ndi chimathandiza mankhwala kukhala otetezeka njira kuchepetsa kutupa ndi ziwalo za mitsempha nkhope, mmene mankhwala adzapereka kuchira bwino. Ululu kumbuyo khutu ndi mofulumira. The zikope lotseguka bwino kukaika yokonza misozi yokumba.

Kuchititsa kutikita nkhope m'dera kusamala khosi m'dera ndi khosi, pang'onopang'ono kuwonjezeka mphamvu yake. Izo zikusonyeza ndi masewera olimbitsa thupi achire kwa minofu nkhope ndi mankhwala thupi pambuyo ndondomeko pachimake.

Chithandizo cha neuritis ya mitsempha nkhope kungakhale kovuta. Choncho, zochizira milandu yovuta-kobvuta ntchito mankhwala - sibazol, seduksin, relium 4 Nthawi zonse tsiku ndi tsiku 5 - 10 ml ndi fenobarbirat 3 zina tsiku kwa 30 - 60 mg. Kumachepetsa spasms minofu ndichepe nkhawa. Pofuna kukonza njira ya matenda angagwiritsidwe ntchito phenytoin 1 nthawi patsiku, 300 mg. Komabe, ngati mankhwala alibe kuyembekezera zotsatira achire, kuletsa pambuyo masabata awiri.

Chithandizo ikuchitika neuritis sekondale mankhwala a matenda chimapangitsa. Odwala achire pambuyo masabata 2-3. Pa chaka, ndondomeko za kubwezeretsa chomaliza cha ntchito zonse.

Neuritis ya mitsempha nkhope ana ndi akulu ndi owopsa kwa mavuto ake - kontrukturoy nkhope minofu. kuchepetsa chakukhudza minofu, kulenga kuganiza kuti analumala mbali athanzi wa nkhope. Characteristically musanaganizire chidule cha minofu nkhope komanso contractions amphamvu. Izo zingachitike pambuyo 4 - masabata 6 kuchira chosakwanira cha nkhope minofu ntchito.