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Many people believe that eye twitching is a superstitious warning sign. Or as we often say, ‘right is bad, left is good’, but in fact, medically, eyelid twitching is a condition in which the muscles around the eyelid contract. It can occur and disappears on its own. However, if symptoms are severe, such as eye twitching for more than 1 week, unable to open the eyes, or twitching at the corners of the mouth or cheeks, you should consult a doctor immediately.
nystagmus It is a symptom of the eyelids. caused by rapid shaking This eye twitching It can occur on both the lower eyelid. and part of the upper eyelid But most often, the twitching of the upper eyelid is more frequent. Usually, the twitching occurs and disappears quickly on its own. There are almost no consequences for living.
Assoc.Prof.Dr.Thanyatat Phadungkiattisakul Department of Ophthalmology Department of Ophthalmology Faculty of Medicine Ramathibodi Hospital Mahidol University said in the program Skip the queue at Dr. Rama via Facebook. RAMA Channel Explains the matter of eye twitching. Often tied to the storySuperstition Right is bad, left is good, but the truth is, most of the time it’s not about superstition. The jerking is The muscles in the eyelid area contract. It’s working in a way that we didn’t intend.
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The process of involuntary muscle contraction is like a reflex, similar to blinking the eyes. We don’t intend to blink every time. There may be times when our eyes are irritated. Makes your eyes blink a lot But most of them are automatic movements, similar to breathing. When there is a problem with controlling the central nervous system, In some cases this will result in automatic operation. May be overactive Some people have many diseases. You may blink more than usual. without any cause or effect There is no dust in the eye, but suddenly the eye blinks itself or it happens only in a local area, similar to a short circuit, usually when the muscles contract. It’s like having nerves activated. stimulate muscles to contract
Symptoms that should not be overlooked
Eye twitching for more than 1 week in a row. Eye twitching on both sides at the same time. Twitching in other areas as well, such as the cheeks or corners of the mouth, tensing and twitching so hard that you can’t open your eyes. There are other symptoms as well, such as eye irritation, eye pain, and eye discharge.
“Eye twitching is both a ‘natural symptom’ that happens once in a while, such as stress, not getting enough sleep, drinking a lot of caffeine. Make your muscles dance. A slight twitch then disappears on its own, but in some conditions it is ‘related to the disease and the central nervous system’ such as muscles around the eyelid spasming or facial muscles spasming. There will be more and more symptoms: eyes closed, unable to open, or some people have crooked mouths, etc.
Factors that stimulate eye twitching
Accumulated stress, tired eyes, dry eyes, not getting enough rest Side effects from certain medicines Eyelid irritation, bright lights, glare, wind, air pollution, smoking, drinking alcohol, lack of vitamins, nutrients, drinking too much caffeinated beverages.
“If it happens for a long time or after you get out of the stressful situation, it will go away on its own. Usually you don’t have to do anything. Usually there is nothing to worry about. But if it’s always Even if it’s not related to anxiety. Or starting to have a lot Until they cannot open their eyes, they must be checked. The patient may only have eye symptoms. or in combination with patients with other neurological diseases such as Parkinson’s who have problems with physical movement And there are other physical neurological problems as well.”
However, if the eye twitches only at the top or bottom, there is rarely a problem in terms of living. It may be in terms of personality. image more But some people have pinched eyes and cannot open their eyes. Driving while driving has pinched eyes, closed eyes, similar to cramps, there is a chance of an accident. which some people have squeezed eyes Maybe it’s not just the eyes alone. But some people may go to the face, neck, muscles of the arms and legs, but it usually continues for a long time. Not once and then disappear
treatment
Associate Professor Dr. Thanyatat explained that eye twitching symptoms There is no direct specific treatment. Because we still cannot know the direct cause of where the problem lies. But the main part of treatment is reducing stimulating factors, such as getting enough rest. Don’t stress too much. Reduce caffeine. But if it doesn’t get better You will have to take medicine. Groups that reduce the rate of nerve signal transmission or injections such as botulinum toxin used in beauty. Can be used for treatment as well.
The facial muscles tense and twitch in half.
In addition to eye muscle spasms, some people may also experience hemifacial spasms. Bangkok Hospital Explained as a condition in which there is a twitching of the muscles on one side of the face. It is usually found between the ages of 50 – 60 years and is more common in females than males. Symptoms usually begin in the eyelids and gradually progress, with twitching symptoms on the same side of the cheek and lip. This spasm is uncontrollable. As the disease becomes more severe, there are almost constant spasms. You may experience twitching of the other side of the face, but this is very rare and the twitching will not occur at the same time.
Disease provoking factors
Facial twitching can be provoked by various factors such as:
facial movement Anxiety, stress, fatigue, etc.
Type of disease
Facial muscle spasms are divided into two types:
1. Primary Hemifacial Spasm is when the seventh cranial nerve is compressed by a nearby blood vessel. Causes abnormalities in facial muscle control. Muscle twitching in the face and eyelids.
2. Secondary Hemifacial Spasm is less common than Primary Hemifacial Spasm. Sometimes the cause is unknown. And it was found that some people had a family history as well. This may be caused by
hardened blood vessels (Atherosclerosis) abnormal blood vessels (Arteriovenous Malformation), Aneurysm, Salivary Gland Tumor Tumors in the area Cerebellopontine Angle, injury to the seventh nerve, brainstem lesions such as stroke. Multiple sclerosis and Bell’s Palsy
Diagnose disease
History taking and physical examination Additional special examinations such as examination of the brain and cranial nerves using magnetic resonance imaging (MRI), etc.
Treats hemiplegic facial muscles.
Anticonvulsant drug group May help reduce symptoms in some cases. Botulinum Toxin injections. Microvascular Decompression surgery. In the case of a blood vessel pressing on the nerve
Source: RAMA Channel, Bangkok Hospital
2023-09-09 03:00:00
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