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Neurogenic facial paralysis mainly refers to facial nerve paralysis, and there is generally no best drug for facial nerve palsy, but it can be carried out with the following drugs under the guidance of a doctor, which usually has a good effect
1. Glucocorticoids: such as prednisone, dexamethasone, betamethasone, etc., can generally be used in the acute stage of idiopathic facial nerve palsy, which is conducive to promoting the development of the disease.
2. Antiviral drugs: neurological facial paralysis may be related to viral infection, acyclovir, valacyclovir, ribavirin, etc. can be combined with glucocorticoids, which have a certain effect on patients with severe facial muscle weakness or complete facial paralysis.
3. Neurotrophic agents: such as methylcobalamin, vitamin B1, vitamin B6, etc., have a good effect on the conduction of neurons.
4. Antibiotics: such as doxycycline, amoxicillin, azithromycin, etc., for facial nerve palsy caused by bacteria or fungi, appropriate antibiotics can be selected according to the infected bacteria.
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There are several types of medications for facial paralysis:
Clause. 1. Antiviral drugs, most of the facial paralysis is caused by herpes virus infection, so the antiviral drugs acyclovir or famciclovir are drugs that must be taken for facial paralysis or facial paralysis, and the general course of treatment is about 2-3 weeks, depending on the patient's condition.
Clause. 2. Hormone drugs, including prednisone, dexamethasone, hydrocortisone and other drugs. Its main function is to eliminate nerve edema and facial edema caused by viral infection inflammation and promote nerve recovery.
Clause. 3. Neurotrophic drugs, mainly vitamin B1 and vitamin B12, have the effect of promoting the growth and repair of damaged nerve fibers, the outer inner envelope, that is, the myelin sheath, and promote the recovery of nerve function.
Clause. Fourth, the medicine to promote blood circulation and eliminate blood stasis to improve nerve microcirculation, like.
Three. 7. Ginkgo biloba and conventional blood-invigorating and stasis-removing drugs on the market are OK. In addition, in some cases, some facial paralysis is due to special diseases, such as metabolic diseases and infectious diseases, which require different medications according to different **.
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Li Yi, deputy chief physician of the Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University.
Facial neuritis, commonly known as facial nerve palsy (i.e., facial nerve paralysis), "crooked mouth" and "hanging wind", is a disease characterized by motor dysfunction of facial expression muscles. It is a common and frequent disease, and there is no age limit. The general symptom is that the mouth and eyes are crooked, and patients are often unable to complete even the most basic movements such as raising eyebrows, closing eyes, and puffing out the mouth.
Causes
First of all, we must go to the hospital to diagnose the causes of facial paralysis, there are many reasons for facial paralysis, from ordinary viral infection to herpes virus infection to tumors of the facial nerve and tumors of surrounding structures, or the compression of inflammation and trauma can cause facial paralysis, so different causes of facial paralysis have different methods.
Medications**
It is only limited to Bell's palsy, which is the common viral infection and Hunter syndrome, that is, the patients with facial paralysis caused by herpes virus infection, we are suitable to take drugs**, such patients If Bell's palsy is facial paralysis caused by facial neuritis caused by ordinary viral infection, we generally use hormones, and then improve the facial nerve circulation, as well as neurotrophic drugs in a timely manner, if it is facial neuritis caused by herpes virus, we also need to use antiviral drugs early, At the same time, it is also necessary to use hormones to nourish the nerves, as well as drugs to improve facial nerve circulation** to achieve better results.
Surgery**
Surgery can be performed if the nerve palsy has not recovered after 3 months of conservatism**, and there is no response to the measurement of facial nerve conduction velocity and facial muscle electromyography, that is, there is no potential activity**.
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Drugs to be taken during facial paralysis** include Western medicine and traditional Chinese medicine, as follows: 1. Western medicine: nutritional nerve drugs such as methylcobalamin, vitamin B1, B12, etc., as well as appropriate hormone drugs to control facial nerve edema;
2. Traditional Chinese medicine: When using traditional Chinese medicine**, it is necessary to treat according to the patient's constitution. If it is a deficiency wind internal movement type, it is necessary to use drugs that nourish the liver and kidneys, extinguish the wind and clear the channel, such as the anti-liver and quenching wind decoction, and the Zhengzheng San, combined with the whole scorpion, centipede and insect drugs.
If it is an external attack type of wind evil, it is necessary to use drugs such as Zhengzhengsan, ginseng and poison powder, Jing Fang septic poison powder, etc.
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Patients with facial paralysis need to eat more foods that are beneficial to the health of facial muscles, and calcium and vitamin B elements are important nutrients for muscle nerve growth and metabolism, which are helpful for the recovery of facial paralysis. Since patients with facial nerve disease are mainly paralyzed muscles due to facial nerve conduction disorders, calcium supplementation is very important, and pork ribs, dark green vegetables, egg yolks, kelp, sesame seeds, fruits, carrots, watermelon, dairy products, etc. are rich in calcium.
Vitamin B elements are also helpful for facial nerve diseases, such as B1, B12, etc. B vitamins are abundant in the following foods: coriander, tomato, winter melon, cucumber, papaya, apple, pineapple, pear, peach, watermelon, apricot, persimmon, grape.
B vitamins can help in the synthesis of neurotransmitters, so they should be properly supplemented.
Promoting the recovery of damaged facial muscles through effective dietary remedies in daily life is also a concern for patients with facial paralysis. Pineapple and stewed pork ribs with milk sauce are a dietary remedy that is often adopted. Here's how:
Soak the ribs in fresh milk for an hour, then burst the pot, fry the ribs slightly, be careful not to fry them old, and then add seasonings and soup and simmer over medium heat for 30 minutes. Add the pineapple 5 minutes before cooking. Pork ribs and milk are used because they are rich in calcium, pineapple contains a lot of vitamin B, in addition, pork ribs also contain magnesium, which can play an important role in the normal functioning of the nervous system in the metabolism of calcium and potassium.
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If you have facial paralysis, I recommend eating as much as possible with a lighter diet, and not eating too spicy and greasy food.
Patients with facial paralysis should not eat cold, spicy, greasy, indigestible and undesirable foods. It is best to eliminate tobacco and alcohol. Eat more vitamin-rich foods, fresh vegetables and fruits, beans and their products, lean meat, etc., and the diet is best lighter.
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