“QihuangHealthcare” 可订阅! Bell's Palsy: The facial paralysis that's affected Angelina Jolie 贝尔氏麻痹症:安吉丽娜·朱莉的面瘫元凶
In a new interview in the September issue of Vanity Fair published Wednesday, Angelina Jolie went public with a diagnosis of Bell's Palsy, a type of temporary facial paralysis. 在9月刊《名利场》公开专访中, 安吉丽娜·朱莉公布罹患贝尔氏麻痹症,一种暂时性面瘫。 “Sometimes women in families put themselves last,” she says, “until it manifests itself in their own health,” she told the magazine, noting that she had it last year and that acupuncture helped her recover fully. 她说:“有时候,女性会把自己放在家庭成员最后……直到身体出现了问题。”在采访中, 她表示通过去年进行的针灸治疗, 目前已经完全恢复。
What is it? 贝尔氏麻痹症是什么?
According to the National Institutes of Health's National Institute of Neurological Disorders and Stroke, Bell's Palsy is caused by damage or trauma to the facial nerve (also known as the seventh cranial nerve), causing a disruption of the nerve signal somewhere between its origin at the brain stem to the muscles on either side of the patient's face, causing that side to droop. Blinking, smiling, the raising of eyebrows, flaring of nostrils and even taste sensation can also be affected since the same nerve is responsible for those functions. 美国国立卫生研究院国家级神经疾病和中风研究所表示,贝尔氏麻痹症是面神经损伤,即第七脑神经损伤所致。这种损伤会干扰神经信号从脑干起源处到单侧面部肌肉的传导,导致单侧面部下垂。因为面神经与面部肌肉的功能息息相关,所以此症很可能影响眨眼,微笑,扬眉,鼻孔扩张等动作,甚至影响到味觉。 In most cases, only one side of the face is affected, though it can affect both. 虽然它能够影响双侧面神经,但大多数情况下只有单侧面部发生病变。
What causes it? 疾病的成因是什么?
Jolie mentioned in her interview that she'd also been diagnosed with hypertension, or high blood pressure, which has been linked to Bell's Palsy, along with diabetes, Lyme disease and autoimmune disorders, chronic ear infections, tumors and trauma to the head or face. 朱莉在采访中提到,她曾被诊断出患有高血压,这与贝尔氏麻痹症具有一定关系。 除此之外,她还伴有糖尿病,莱姆病,自身免疫反应失调,慢性耳部感染,肿瘤和头面部创伤。
It's often been linked to stress, although a single, precise cause has not been found. 贝尔氏麻痹症通常与压力过大有关,但是其准确的病因尚未查明。 The NIH says many doctors believe viral infection or viral meningitis create a situation in which the facial nerve swells within its canal, restricting the flow of blood and oxygen throughout the nerve. 美国国立卫生研究院指出,许多医生认为病毒感染或病毒性脑膜炎会使面部神经管内肿胀,限制血液和氧气在神经血管内流动。 In minor cases, only the myelin sheath, or the nerve's fatty insulation, is affected, rather than the nerve fibers themselves. (The myelin sheath is the same tissue affected by multiple sclerosis.) 在少数情况下,受影响的只是髓鞘或神经的脂肪绝缘,而不是神经纤维本身。(髓鞘和神经纤维一样,会受多发性硬化症所影响) What are the symptoms? 患此症会有什么症状表现? One of the patient's eyelids may droop or one eye might produce more tears than the unaffected side. 单侧眼睑下垂,或患侧眼泪外溢明显多于健侧。 The mouth may also droop, produce excess saliva (or not enough) and the sense of taste may be affected, along with the patient's ability to eat or drink. 口角下垂,口腔内部唾液过多或过少,且随着饮食能力降低,患者味觉将可能失常。 Hypersensitivity to sound, ringing in the ears, headaches, dizziness and impaired speech can also be signs of Bell's Palsy. The symptoms often occur suddenly and peak within 48 hours. 对声音过度敏感,出现耳鸣、头痛、头晕、言语障碍等也属于贝尔氏麻痹症征象。这些症状通常突然发生,且在48小时内达到峰值。
How is it diagnosed and treated? 如何诊断和治疗?
No single laboratory test can determine whether a patient has Bell's Palsy. It's a game of eliminating other causes of facial paralysis. MRIs and CT scans may be used to rule other causes. 没有任何一项单一实验室检查可以断定患者是否患贝尔氏麻痹症。这些检查只能用于排除其他可能造成面瘫的原因,其中核磁共振和CT扫描能够排除其他的病因。 Most patients recover fully within three to six months, though some may never rid themselves of it or may suffer a recurrence. 大多数病人能在三到六个月内完全康复,尽管部分病人可能将永远无法摆脱这种疾病,或是出现复发的情况。 神奇的针灸疗法 对于贝尔氏麻痹症这一西方医学难以解决的难题,中医却给出了独特的答案——针灸!不同医家在治疗这一病症时各有不同的取穴观点与治疗手段。我们列举了常见的治疗穴位。 LI 4 合谷 GB 14 阳白 GB 1 瞳子髎 SI 18 颧髎 ST 3 巨髎 LI 20 迎香 ST 7 下关 ST 4 地仓 |
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