What is Bella Palsy? How does this disease occur? What are the methods of treating and preventing the paralysis of the facial nerve? Answers can be found in this article.
Content
What is Bella Palsy
Bella Palsy (facial nerve paralysis, face neuropathy
nerve) - peripheral damage to the facial nerve due to
The impact of various factors and manifest predominantly
violation of the function of the mimic muscles.
Under
The effect of cooling, infection and some other factors arises
Spasm of vessels of the facial nerve, which leads to his edema and inconsistency
diameters of the facial nerve and its channel. Perhaps the development of neuropathy
Facial nerve Without a visible cause, as well as on the background of hypertensive crisis and diabetes.
The disease may occur during damage to the facial nerve on all it
During the defeat of the parole, congenital bone narrow
Channel in the temporal bone, where the nerve passes, purulent otitis, fractures
The base of the skull with the spread of the temporal bone on the pyramid, as well as
processes in the area of the axle corner (arachnoiditis,
Nevnoma auditory nerve). Neurry facial nerve is sometimes
The first clinical symptom of polyradiculoneuritis. Defeats are described
Facial nerve with tuberculosis, syphilis, rheumatism, measles, scarletin, diphtheria.
Shared
Neuropathy face nerve for idiopathic (independent
diseases) and symptomatic (developing as a symptom
another disease).
As the disease flows
For
Paralysis of the facial nerve Typically comparatively acute development of violations
Functions of mimic muscles. At the same time on the side of the defeat there are no
folds in the forehead area, smoothed nasolabial fold, omitted angle of mouth.
The patient can not melted forehead, frown eyebrows, close the eye («Hare
eye»), inflate the cheek, whistle, blend a burning candle. During the oskal of teeth
The lack of movements on the affected side is revealed, here
There is a slower and rare blinking. On the side of the paralysis of the muscles
Strengthened salivation, saliva flows from the corner of the mouth. With lesion
Peripheral departments of the nerve are often marked by pain in the face, which
may precede the development of paralysis of the Mimic muscles. In action
From the level of nerve damage, motor disorders can be combined with
Disorders of taste at the front half of the tongue and exacerbation of hearing.
«Hare» The eye is often combined with tear impairment (dryness
conjunctiva).
Start
The disease is acute, then during the first 2 weeks
Begins to improve. No restoration of movements of mimic muscles
within a month alarming in relation to the possibility of development
irreversible changes in the nerve. With this unfavorable symptom
is the development of keratitis (due to the drying of the eye conjunctiva on
side of paralysis) and contractures of paralyzed muscles (emphasized
nasolabial fold, as a result of cutting circular muscles
The eye slit is narrowing, ticked twitching
Mimic muscles).
How treatment and prevention
Treatment
It is advisable to spend in hospital. Tactics of treatment depends on
Causes, disease periods, nerve damage. With infectious
The reason for the disease is recommended a semi-noar mode for 2-3
days applied anti-inflammatory therapy. In the early stages
Diseases are effectively treated with hormones - corticosteroids (prednisone and its analogs). In connection with the swelling of the nerve and the infringement of it in the bone canal, diuretic drugs are used (Furosemid, diakarb, triampur). Regardless of the cause of neuropathy, funds that improve blood circulation in the nerve are prescribed (nicotinic acid, complimination).
To prevent dryness of the conjunctiva and development of trophic violations
2-3 times a day in the eye it is necessary to bury albacid, vitamin
drops. From 5-7 days the vitamin therapy is joined, for 7-10 days add
Preparations that improve in nerve and neuromuscular transmission (prozero).
Physiotherapy is necessarily included in the course of treatment: infrared rays,
Electrical field UHF, Laser therapy, sinusoidal modulated
Toki, ultrasound, collar zone massage. From the first days of the disease
Therapeutic gymnastics is appointed. With all forms of the disease
Applied needlerapy.
Supplements, infectious diseases should be avoided as the prevention of lesions of the facial nerve, and the arterial hypertension should be treated in a timely manner.
