MindMap Gallery Facial paralysis treatment experience
This is a mind map about the treatment of facial paralysis. The main contents include: classification of facial paralysis, treatment of facial paralysis, symptoms of facial paralysis, and problem solving: What should I do if I have facial paralysis? .
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Facial paralysis treatment experience
Solve the problem: What should I do if I have facial paralysis?
Facial paralysis classification
peripheral facial paralysis
Viral facial paralysis: mostly caused by herpes zoster
Conventional facial paralysis: neuroinflammation induced by cold stimulation
Central facial paralysis: Facial paralysis caused by other diseases of the brain, such as minor stroke
Note: The hospital will use CT scan to distinguish whether it is a brain disease.
Facial paralysis symptoms
Common symptoms: The muscles on one side of the face cannot exert force, indicating that the nerves can no longer control the muscles.
Special case
Accompanied by herpes zoster, the herpes lesions are extremely painful
Accompanied by auricular nerve pain, posterior auricular nerve and neck pain on the affected side (the recovery period of this type will be longer than conventional symptoms)
Treatment of facial paralysis
acute phase
Hormone therapy (required)
hormonal effects
Reduce inflammatory response: inhibit the synthesis and release of inflammatory factors
Reduce nerve edema: Reduce vascular permeability, tissue fluid leaks out around nerves, and reduces edema
Reduce nerve damage: Anti-inflammatory function can effectively reduce immune system attack damage to nerves
Promote nerve recovery: optimize the healing environment and reduce the impact of inflammation on healing
Commonly used drugs: dexamethasone, prednisone, oral and injection
Note: Hormones are only used in the acute phase and should be taken as directed by the doctor. The dosage needs to be gradually reduced.
Antiviral treatment (required)
effect
Treatment: Facial paralysis caused by herpes virus, herpes needs to be actively treated with antiviral drugs;
Prevention: For common facial paralysis, antiviral drugs can prevent the effects of hidden herpes viruses and the potential risk of viral infections.
Note: For ordinary facial paralysis, it only needs to be taken in the acute phase. For herpes facial paralysis, continuous antiviral infusion is required.
Neurotrophic drugs (required)
Function: Provide elements needed for nerve repair and promote nerve recovery
Commonly used categories: Vitamin B1, Vitamin B12, Methylcobalamin (Methylcobalamin is a metabolite of B12, just take one category)
Acupuncture treatment (optional)
effect
Improve local microcirculation
Reduce nerve compression
Promote nerve recovery and repair
Hot compress (optional)
Function: Reduce nerve edema and enhance facial blood circulation
Precautions
Type of hot compress: wet compress recommended
Time: no more than 10 minutes
Note: Facial massage is not recommended in the acute stage of facial paralysis, as it may aggravate facial nerve edema and inflammation.
Stable period & recovery period
Western medicine treatment
Nerve supplements: B12, B1
Note: If you have viral facial paralysis, you need to continue antiviral treatment as directed by your doctor.
Chinese treatment
Acupuncture (required)
Ordinary: fixed conventional acupoint acupuncture (currently it is also popular to treat left disease on the right side, upper disease on the lower side, and a small amount of acupuncture on the non-affected side)
Electroacupuncture: Treatment concepts are different. Some doctors will only prescribe electroacupuncture for serious cases, while others will prescribe electroacupuncture directly to speed up recovery.
Medium frequency: mainly stimulates the shoulder nerve plexus and promotes nerve recovery
wax treatment
Cupping
Moxibustion
Note: Chinese medicine is a bit metaphysical. If you choose to be hospitalized, you will be given many programs in the hope that there will always be an effective one.
Self-service recovery
Facial massage: Massage acupoints and facial muscles with hands 2 to 3 times a day to promote nerve recovery
Facial activities: 2 to 3 times during Meitian, including raising eyebrows, blinking, shrugging nose, pressing mouth, blowing air, showing teeth, etc.
Hot compress (as above)