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Bell's Palsy |
MANY people consider offensive bell 's palsy as a stroke . In fact, the two diseases are very different because the bell 's palsy is not accompanied by limb weakness such as stroke .
Such as stroke , the disease usually strikes suddenly . Again botched , some patients experience such disorders of stroke . Disorders include asymmetrical face , mouth oblique , until the eyelids can not close completely . Bell's palsy is a disease invented by Sir Charles Bell , a Scottish surgeon who discovered the disease in the 19th century . These diseases pose varying degrees of clinical complaints .
However , that is not symmetrical face , eyelids that can not close properly , taste disturbance , and numbness sensation (numbness or numbness) on one side of the face is a common complaint . That's what makes this disease is considered as a stroke .
In some cases of Bell 's palsy attack accompanied by hiperakusis ( excessive auditory sensation ) , ear buzzing , headaches and a feeling of floating . The complaint occurs suddenly and reaches its peak in two days . Complaints that occurred beginning ear pain that is often regarded as an infection .
In contrast to stroke , Bell 's palsy is not accompanied by limb weakness . This is due to the different location of the nerve damage . At a stroke due to damaged parts of the brain that regulate movement of one side of the body , including the right or left of the face. While the bell 's palsy , nerve damage occurs directly on the face . Facial nerve , the name of the nerve fibers that take care of the face and is part of the 12 pairs of brain nerves . These nerves originate from the brain stem called the pons . On his way to the parotid gland , the facial nerve to go through a narrow hole in the skull called falopia canal . " Upon reaching the parotid gland , the facial nerve will branch into thousands of nerve fibers that are smaller that are on the face , neck , salivary glands , tear glands , 60 per cent of the front of the tongue and some ears , that's the source of the attack bell 's palsy , " said neurologist Central Pertamina Hospital ( RSPP ) Dr Iwan Budianto .
Added Iwan , bell 's palsy attack often occurs when someone just got up from sleep .
Typically the face is oblique side and one eye closed tightly difficult . When trying to drink , the water will come out of the mouth of the nerves of the face can not be moved to normal . " The difference with stroke , Bell 's palsy is not accompanied by paralysis of half the body . Bell 's palsy only attacking the face , " said the doctor who lives in the Kelapa Gading .
Bell 's palsy , according to him , also can occur in men or women at any age . The disease is caused by damage to the facial nerve can also be initiated inflammation , or swelling suppression . " The cause of this damage is not known with certainty . Nevertheless , experts believe the herpes simplex virus infection as a cause. Way , a process of inflammation and swelling of the nerve . " In mild cases , the damage to the nerve sheath only just making the healing process more fast , whereas in more severe cases may occur entrapment in canal falopia which can cause permanent damage to the nerve fibers , " he added .
Approximately 80-85 percent of cases of Bell 's palsy , can be recovered within three months . However , some studies suggest antiviral and anti-inflammatory drugs effectively accelerate the healing process as early as possible especially if the gift . While pain can be treated with analgesics such as paracetamol and ibuprofen , for the growth of damaged nerve fibers can be used therapies using vitamin B6 and vitamin B12 .
Therapy is a great way to healing . Eye is part of that must be considered in patients with
Bell 's palsy . Eyelids that can not close completely which of course raises new problems , such as irritation and eye infections . To prevent infection , provide artificial tears , wink manually , use eyelid weights to operative measures . " What must also be considered is doing facial exercises . Perform at least two or three times a day and also note the quality of facial exercises , " he said .
In the acute phase , exercises can be started with a warm compress and massage on the face . This massage can increase blood flow to the muscles of the face . Then practice followed by certain facial movements that can stimulate the brain to give a signal in order to keep moving the facial muscles . This exercise should be done in front of a mirror . " The movement that can be done in the form of exercises such as smiling , whistling , pursed lips , wrinkled his nose and forehead also raised eyebrows manually with four fingers , " he added .
Former Bell 's palsy sufferers who still face therapy , Irma ( 45 ) admitted that in the early stages bell 's palsy attack the attack considered as a mild stroke . " The face feels numb and eyelids that can not close tightly , then I guess stroke . Hospitalized after apparently bell 's palsy .
To this day I 've been following two months of facial therapy that can be done at any time , " said Irma .
Sources : okezone.com