Hemifacial spasm, also called hemifacial spasm or hemifacial spasm, is a common and frequently-occurring disease. This disease easily occurs in spring and autumn, because the wind is strongest in these two seasons. Cold, cold and anger are all prone to this disease, much like cramps. Half of the face is normal, and the other half has been shaking, so I can see it clearly. The dividing line in the middle is also very clear, and the corners of the mouth can also be seen as abnormal, shaking or a little crooked.
1) therapeutic purpose
The purpose of treatment should be to reduce the excitability of facial nerve. If drugs are used, phenytoin sodium or carbamazepine may be effective for some mild patients and reduce the excitability of neurons, but most patients are not satisfied with the curative effect. Long-term use is harmful to the liver, and other central tranquilizers, inhibitors and hormones have no obvious effect.
2) Effective methods
1. Botulinum toxin is injected locally.
2. Microvascular decompression.
3. Cranial nerve combing.
4. Recommendations:
① Mild patients can choose drug treatment and scheme 1.
② Young patients can choose Scheme II and Scheme III.
③ The options for elderly patients are 1 and 3.
④ For patients with surgical contraindications, 1 can be selected.
3) Life guidance
In the early stage of the disease, the patient's motor function is barrier-free and he can persist in certain labor. He should be instructed to participate in various forms of activities as much as possible and adhere to the functional exercise of all joints of his limbs. With the development of the disease, the motor function of patients is hindered to a certain extent, and the ability of self-care is obviously reduced. At this time, we should pay attention to the safety problems in patients' activities and help them walk with crutches. If the patient has difficulty squatting and standing in the toilet, he can sit on a high stool to defecate. If the patient is all thumbs and often makes many mistakes, be careful with the tableware when eating. If you can't eat, you should feed soup and rice. People who have difficulty in dressing, buttoning, tying belts and shoelaces need help.
4) Strengthen exercise
In the early stage of this disease, we should adhere to certain physical activities, actively exercise limb functions, and do the maximum range of flexion and extension, rotation and other activities in all joints of limbs to prevent limb contracture and joint stiffness. In the later stage, patients should do passive physical activities, massage muscles and joints, and promote blood circulation of limbs.
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