It's cold
Take care of your facial nerve
Cold winter
The north wind is blowing
Neurology outpatient clinic of the hospital
There has been a marked increase in the number of "disfigured" patients presenting to the hospital
PossiblyAccidentally
When you wake up in the morning and brush your teeth, you will notice a leak in your mouth
Look in the mirror
The mouth is crooked
What's going on?
Popular science in this issue.
Joint logistics military doctors will answer your questions
Unravel the mystery of multiple episodes of "facial paralysis" in winter
General symptoms and basic ** of facial paralysis
Facial paralysis is a type of facial neuritisIt can also be called facial nerve palsy, Bell's palsy, and is called "crooked mouth", "crooked mouth", "hanging wind", etc., which is a relatively common diseaseA nerve deficit that causes facial muscle paralysis due to damage to the facial nerve
The mouth and eyes are crooked, the nasolabial folds become shallow, and the speech leaks and drools can occur at all agesPatients are often unable to complete even the most basic movements such as raising eyebrows, closing eyes, and puffing out their mouths.
Causes of facial nerve palsy** include infection, stroke, inflammatory immunity, tumors, diabetic neuropathy, trauma, etcIdiopathic facial nerve palsy is the most common
The main predisposing factor for facial paralysis
Cold is the most common cause of facial paralysis, there is a correlation between the incidence and the change of seasons. The incidence is significantly higher in winter than in other seasons, and the lower the temperature, the higher the incidence.
Cold
When sleeping, if you don't pay attention to keeping warm, blowing under the air conditioner or in front of the window can easily cause facial paralysis. Surveys have shown that 53% of patients with facial paralysis have pre-onset symptomsThe head on the affected side is stimulated by supercooled wind, cold water, etcRanked number one cause of facial paralysis。This indicates that facial nerve microcirculation disorders dominate the pathogenesis of facial paralysis.
Many patients sweat after physical activity, and in order to be happy for a while, they blow directly on the head with an electric fan or air conditioner, but they don't know that their resistance is at the lowest point at this timeWhen exposed to cold, the blood vessels of the nerves spasm, resulting in ischemia and edema of the facial nerve, resulting in facial paralysis
Fatigue
Excessive fatigue is also one of the causes of facial paralysisThe risk of facial paralysis due to fatigue is also very high。More than one-fifth of patients with facial paralysis have a history of excessive fatigue in the days leading up to the onset of the disease, ranking second.
It is worth noting that with the acceleration of the pace of life, the competition is becoming more and more fierce, people need to face pressure from work, study, social, family life and other aspects, and one in ten patients with facial paralysis admit that they have encountered psychological events that are difficult for them to bear before getting sick, such as changing jobs, relatives and friends are sick, family crises, etc., which is also one of the causes of facial paralysis.
** method of facial paralysis
If you have facial paralysis, don't panicBe sure to go to a regular hospital for a comprehensive and systematic **
Medications**
The acute phase is toImprove local circulation, eliminate inflammation, edemaMainly. Antiviral drugs, B vitamins, nutritional neurodrugs, glucocorticoids, and dehydration drugs may be used.
Physical factors**
Including microwave, ultrashort wave, medium frequency, ultraviolet, low-power helium-neon laser stellate ganglion irradiation, etc.
Post-acute**
Physiotherapy, acupuncture, massageCombined, the effect is very significant.
Protects the cornea
Attention should be taken when the patient's eyelids are insufficiently closedProtects the cornea。Choose eye drops or ointments to prevent dryness of the eye area according to the situation, and use the eye mask reasonably.
Facials
AdoptionWarm compressesFor local care, do not wash your face with cold water, and pay attention to keeping warm.
Dietary modifications
Nutritious and easy to digestSoft food, chew slowly, rinse your mouth after eating, keep your mouth clean, no smoking, alcohol, and avoid irritating food.
Stay positive
Behavior adjustment, physical and mental relaxation, through effective communication and exchange, eliminate suspicion and fear, fully trust medical staff, and actively cooperate with the best measures.
Living
Avoid indoorsConvective winds, be cautious of external evils, pay attention to keeping your face and behind your ears warm, wash your face with hot water, and wear a mask when you go out.
Emotionally
Listen to the comfortable or joyful cross talk, express emotions, dispel pessimistic emotions, and achieve the effect of regulating qi, blood, yin and yang.
** training for facial paralysis
Eyebrow raising training
The completion of the eyebrow raising action mainly depends on the movement of the occipital frontalis muscle, frontal abdomen. Asking the patient to raise the eyebrows on the healthy side and the affected side will help restore the motor function of the eyebrow lift. Raise your eyebrows vigorously, in a frightened manner. Raise your eyebrows 10 to 20 times a day, 2 to 3 times a day
Demonstration of the action. Eye-closed training
The function of closing the eye is mainly accomplished by motor contraction of the orbicularis oculi muscle. When training to close the eyes, ask the patient to gently close the eyes at the beginningBoth eyes are closed at the same time 10 to 20 timesIf the eyelids cannot be completely closed, the tip of the index finger can be gently massaged along the lower edge of the orbit for 1 time, and then the eyes can be closed 10 times to help restore the eyelid closure function.
Demonstration of the action. Nose shrugging training
The nose shrugging exercise mainly relies onMovement contractions of the levator lip and nasal compressorsto finish. Nose shrugging exercises can promote the recovery of motor function of the nasal compressor muscles and levator lip muscles.
Demonstration of the action. Dental training
The tooth display action is mainly completed by the contraction of the zygomatic major and minor muscles, levator angular muscles and laughing muscles. The corners of the patient's mouth move simultaneously to both sides, avoid only working hard to one side to become a habitual mouth angle deviation exercise.
Nu Mouth Training
The mouth is mainly accomplished by orbicularis oculi muscle contraction. When doing mouth training,Tighten your lips and push your mouth forward, pushing your lips harder。After the orbicularis oris muscle recovers, the patient is able to puff out the cheeks, and the symptoms of leaking brushing or drooling after eating disappears. The motor functions of the levator lip muscle, the lower lip quadratus and the mental muscle are also trained.
Cheek drum training
Drum cheek training helps to restore the motor function of the orbicularis oculi and buccal muscles. When the cheeks are leaking,Pinch the orbicularis oris oris oculi muscle on the affected side up and down with your hand for gills bulging exercises。The patient was able to perform cheek puff exercises, indicating that the motor function of orbicularis oculi and buccal muscles could return to normal, and the symptoms of tooth brushing leakage, drooling, and food stagnation disappeared. This method can help prevent contractures of the quadratus upper lip.
Prognosis and prevention of facial paralysis
Prognosis
Facial paralysis is not scaryAbout 80% of patients recover within 1-2 months。In general, mild and young patients have a good prognosis, but elderly patients with mastoid pain or diabetes, hypertension, arteriosclerosis, etc., have a poor prognosis.
The recovery time for complete facial paralysis is long, generally taking 2-8 months or even 1 yearand are less likely to return to normal completely.
Prevention
General prevention
Attention should be paid toAvoid long-term exposure of the face to cold air irritationMaintain a happy and happy attitude, have a regular life and rest, do more physical exercise, strengthen your own immunity, learn self-care, and regulate your own state.
Prevention
For other disorders that cause facial nerve palsy, yesTargeted prevention。Maintain a good lifestyle and control your weight; low-salt and low-fat diet, control of tobacco and alcohol; Patients with high blood pressure should insist on controlling high blood pressure and prevent excessive fluctuations in blood pressure; Diabetic patients control blood sugar and prevent diabetic neuropathy.
Avoid overstimulation of the "wind".
The weather is cold, most of the indoor heating is relatively high, and the outdoor temperature is relatively low, and the temperature difference is largeWhen you go out, wear a hat, scarf, etc, protect our facial nerve and don't let it hurt.
At the same time, when riding in the car,Don't open a single slit in the windowWhen the interior is close to the window, the window should not open a crack, and more attention should be paid to the "hall wind", "eaves wind", "fan wind", "air conditioning wind" and so on.
Contributed by Pingdingshan Medical District, No. 989 Hospital
Text: Deng Qiaoru, Zheng Shanshan, Wang Xiaojie, Xie Xiaobing, Chai Zhenzhen, Cao Yan, Zhai Shiliu, Yan Xiaoyu; **Li Yuying, Wang Junhong, Tian Yuan, Li Congyang).
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Chief Producer: Lu Haibo Editor-in-Chief: Yuan Baige Duty Editor: Xuan Zi Proofreader: Zhang Yihai Ma Zhiang Issue: Issue 4243 Source: Original Submission Email: l**jhwx@163com