腹部麻痹的临床表现与诊断综述

Anas Al-Yasiry, Aoss Moez Abed–Alhussian Alyassery, Z. Al-Jammali, Israa Hussein Ali
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摘要

贝尔麻痹是一种累及第七脑神经的共同性疾病,可导致一侧或两侧面部在72小时内出现麻痹,病因不明,但有心理、生理状况、病毒感染、血管缺血、自身免疫性炎症等多种原因。个人更容易受到影响,如怀孕,严重的先兆子痫,肥胖的人,高血压患者,糖尿病,它怀疑在男性和女性,也发生在所有年龄段,但在年龄范围内增加,这对确定治疗类型非常重要。在临床检查中,贝尔氏麻痹患者表现为面部肌肉无力,前额起皱,超听觉眨眼,面部变得不对称,嘴唇上翘,嘴角向上移动,鼻唇褶皱消失,颊肌无力导致食物停留在唇部,上下颌颊前庭,半脸下垂,表情改变严重,如面具。本文综述的目的是为了明确贝尔麻痹的病因,通过临床检查早期诊断疾病,达到完善的治疗,加快康复时间,减少完全性面瘫。结论:评价药物对神经再生的作用,改进治疗方法,以获得效果明显、症状少的药物,改进物理治疗以加速愈合。对该患者进行口腔管理,激励患者保持口腔卫生,调整口腔治疗恢复咀嚼食物,刷牙,吹口哨,使用义齿恢复面部功能。也有助于患者的心理状态获得正能量,以抵御疾病和获得骑行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Belly's Palsy with Clinical Manifestation and Diagnosis- A Review
Bell's Palsy is one of communal disease of effected to seventh cranial nerve that causes paralysis of one or two side of the face which occur within (72 hours), the etiology unknown but different causes such as psychological, physical condition, viral infection, ischemia of blood vessels, and autoimmune inflammation. The individuals are more susceptible to effected such as pregnancies, severe preeclampsia, obese persons, hypertensive patients, diabetic mellitus, it suspected for both sex male and female, also occur in all age but increase within ages that very important to determined type of treatments . During the clinical examination, the Bell's Palsy patient suffer from weakness of muscle of the face, wrinkling forehead, hyper-acusis blink, the face became asymmetrical and the lip ruck up, the corner of the mouth move upward, the naso-labial folds obliterated, weakness of buccinator muscles that lead to the food stay in labial, buccal vestibule in upper and lower jaw, half of face drooped causes of expression altered severely occur like mask. The aim of review bring attention for determined the etiology of Bell's Palsy, early diagnosis of disease by clinical examination to reach perfect therapy and acceleration recovery time and decreased complete facial paralysis. Conclusion: the authors conclude that it is important to evaluate the drug act to regenerate the nerve and modify the treatment to get effected drug with little symptom, also modification of physical therapy to accelerate healing. Dental management for this patient by motivation of them to maintain oral hygiene and modification dental treatment to return mastication of food, brushing, whistling and using dental prosthesis to restore facial function. Also help the psychological condition of the patient to get positive energy to withstand the disease and get ride.
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