So woahwɛ ahwehwɛ mu pɛn na mpofirim ara woahu sɛ w’anim fã biako yɛ soronko kakra wɔ ɔfã foforo no ho? Ebia w’aniwa a ɛwɔ soro no akɔ fam kakra, anaasɛ w’aniwa no kɛse asesa, na ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo ho yeraw wo kakra. Ɛnnɛ, yɛrebɛka akwahosan tebea bi a ɛde sɛnkyerɛnne a ɛte saa ara ba, nanso ɛnyɛ nea ɛtaa ba kɛse ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Horner Syndrome?
Horner syndrome yɛ tebea a ɛntaa nsi a ɛfa ntini ahorow ho. Yɛn nipadua no wɔ ntini bi a ɛhwɛ nneɛma a ɛkɔ so a yensusuw ho. Susuw nneɛma te sɛ fifiri, anaa aniwa tuntum a ɛwɔ yɛn aniwa mu a ɛreyɛ kɛse na ɛreyɛ kɛse ho. Saa ntini yi fã bi fi yɛn amemene mu kɔ yɛn anim ne yɛn aniwa so. Sɛ biribi asiw kwan, asɛe, anaasɛ asiw kwan wɔ baabiara wɔ saa ntini ahorow no kwan so a, yɛfrɛ Horner syndrome sɛ sɛnkyerɛnne ahorow a wɔaboaboa ano a ɛba wɔ anim no fã no.
Wɔsan frɛ eyi `oculosympathetic palsy`, nanso wɔ da biara da kasa mu no yɛde edin Horner syndrome di dwuma.
So eyi yɛ tebea a ɛde nkwa to asiane mu?
Ade a ɛho hia ni. Horner syndrome ho sɛnkyerɛnne (te sɛ aniwa a ɛrehwe ase) ntaa nsɛe w’asetra anaa w’ani so kɛse biara. Nanso, saa sɛnkyerɛnne ahorow yi betumi ayɛ kɔkɔbɔ sɛnkyerɛnne. Ɛne sɛ, wobetumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne wɔ nipadua no mu.
Enti, sɛ w’adwene mu yɛ wo naa kakra sɛ wowɔ Horner yare no ho sɛnkyerɛnne bi a, ɛho hia sɛ wuhu oduruyɛfo ntɛm ara na wuhu nea ɛde ba.
Saa tebea yi betumi aba nnipa a wɔadi mfe biara so. Nanso, ɛntaa nsi koraa. Sɛ wɔkyekyem pɛpɛɛpɛ a, wɔbɔ tebea yi ho amanneɛ wɔ nnipa bɛyɛ 6,000 biara mu biako mu.
Dɛn ne sɛnkyerɛnne atitiriw?
Mpɛn pii no, anim no fã biako pɛ na wotumi hu saa nneɛma yi nyinaa. Ɔfã foforo no yɛ nea ɛfata koraa. Eyi nti na ɛnyɛ den sɛ wobehu nsonsonoe no.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛkyerɛmu a ɛnyɛ den |
|---|---|
| Aniwa a ɛrehwe ase (Ptosis) . | Aniwa a ɛwɔ soro a ɛwɔ ɔfã a ɛka no no kɔ fam kakra sen aniwa foforo no, na ɛma ɛyɛ te sɛ nea nna ada. |
| Miosis (aniwa ketewaa bi) . | Ɛte sɛ nea aniwa a ɛka ho no anim a ɛyɛ ketewaa koraa sen aniwa foforo no, na ɛma ɛte sɛ nea aniwa abien no kɛse yɛ soronko. |
| Anim fifiri a ɛso tew (Anhidrosis) . | Ebia fifiri a ɛwɔ anim no fã a ayɛ no yaw no nni hɔ koraa anaasɛ ɛbɛtew so kɛse. Fifiri a ɛba saa ɔfã no nso betumi agyae bere a wɔreyɛ apɔw-mu-teɛteɛ no. |
Dɛn nti na eyi rekɔ so? Dɛn na ebetumi ayɛ nea enti a ɛte saa?
Sɛnea yɛadi kan aka no, eyi fi ntini kwan a efi amemene no mu kɔ aniwa no mu a esiw kwan wɔ baabi. Saa ntini kwan yi nyɛ tẽẽ. Ɛyɛ akwantu tenten a ɛwɔ afã abiɛsa. Enti, nea ɛde ba no betumi ayɛ soronko a egyina baabi a akwanside no ba so.
Fa no sɛ keteke bi fi Colombo rekɔ Kandy. Sɛ saa keteke no kɔ Rambukkana wɔ kwan so a, ebia biribi wɔ hɔ a enti ɛte saa, na sɛ ɛkɔda Polgahawela a, ebia ntease foforo bi wɔ hɔ. Saa ara na ɛte wɔ ntini kwan yi ho.
Pon a ɛwɔ ase ha no ma yenya nneɛma bi a ebetumi ama eyi aba no ho adwene.
| Beae titiriw a ɔhaw no betumi aba | Nneɛma pii a ebetumi aba sɛ ɛte saa |
|---|---|
| Ɔhaw ahorow a edi kan: Ɛfa amemene anaa akyi berɛmo ho | |
| Ntini kwan a efi amemene no mu kɔ akyi berɛmo no mu no sɛe. |
|
| Ɔhaw ahorow a ɛto so abien: nea ɛfa koko, ahurututu, ne kɔn ho | |
| Ntini kwan a efi koko so kɔ kɔn mu no sɛe. |
|
| Ɔhaw ahorow a ɛto so abiɛsa: efi kɔn so kosi aniwa so | |
| Ntini kwan a efi kɔn mu fa mfinimfini aso mu kɔ aniwa no mu a ɛsɛe. |
|
Ɛtɔ mmere bi a, wɔ sɔhwɛ ahorow yi nyinaa akyi no, wontumi nhu nea ɛde ba pefee. Afei nso, ɛntaa mma koraa sɛ saa tebea yi betumi aba wɔ awo mu.
Ɔkwan bɛn so na oduruyɛfo hu eyi?
Sɛ wokɔ oduruyɛfo nkyɛn a, wobedi anammɔn pii akyi de ahu tebea yi pɛpɛɛpɛ.
1. Wobebisa wo nsɛm a ɛkɔ akyiri: Nea edi kan no, wobebisa wo nsɛm a ɛkɔ akyiri a ɛfa bere a saa sɛnkyerɛnne ahorow yi fii ase, sɛnea efii ase, sɛ ebia wowɔ sɛnkyerɛnne foforo bi, ne akwanhyia anaa oprehyɛn biara a woadi kan ayɛ ho.
2. Nipadua mu nhwehwɛmu: Afei wɔbɛhwehwɛ wo mu yiye, titiriw w’ani ne wo ntini ahorow.
3. Sɔhwɛ foforo: Sɛ wosi Horner yare no so dua wie a, asɛnnennen a edi hɔ ne sɛ wobehu nea ɛde ba ankasa. Ebia eyi bɛhwehwɛ sɛ wɔyɛ sɔhwɛ ahorow.
- Mogya mu nhwehwɛmu: Nhwehwɛmu te sɛ mogya dodow a edi mũ (CBC), ESR.
- Mfoninitwa sɔhwɛ ahorow: Eyinom ho hia yiye na ama wɔahu baabi a ɛde ba.
- Koko so X-ray a wɔyɛ
- MRI mfonini (Magnetic Resonance Imaging) .
- CT Scan (Kɔmputa so Tomography) .
- Ultrasound a wɔde yɛ nhwehwɛmu
Egyina nea efi nhwehwɛmu ahorow yi mu ba so na oduruyɛfo no bɛkyerɛ wo nea ɛde tebea yi ba ankasa.
Ɔkwan bɛn so na wɔsa?
Ade a ɛho hia sɛ yɛte ase wɔ ha ne sɛ ɛnyɛ Horner yare no ho sɛnkyerɛnne na yɛresa, na mmom yare a ɛde bae a ɛde bae no .
Fa no sɛ nsu retu afi wo fie atifi. Nea yɛyɛ no nyɛ sɛ yɛde bokiti bi bɛto baabi a ɛtwetwe kɛkɛ, na mmom yɛyɛ tokuru wɔ ɔdan no atifi. Eyi yɛ ade koro no ara.
- Sɛ nea ɛde ba ne mfinimfini aso mu yare , nnuru a ekum ɔyare mmoawa bɛma ɔyare no afi hɔ na Horner yare no ho sɛnkyerɛnne no afi hɔ.
- Sɛ nea ɛde ba ne kokoram , a, ebehia sɛ wɔyɛ no oprehyɛn, wɔde mframa a wɔde sa yare, anaa kokoram ayaresa afoforo.
- Sɛ nea ɛde ba ne obubuafo , wɔbɛma ayaresa a ɛfata na wɔasan asiesie.
Ɛtɔ mmere bi a, sɛ nea ɛde ba no nyɛ aniberesɛm na worente ɛyaw anaa ɔhaw foforo biara a, ebia ayaresa pɔtee biara ho nhia.
Ɛfa daakye ne sɛnea wobesiw ano ho
Horner yare no ho nkɔmhyɛ gyina nea ɛde ba no so koraa.
- Sɛ nea ɛde ba no yɛ bere tiaa mu biribi a wobetumi asa (te sɛ aso mu yare) a, sɛnkyerɛnne no befi hɔ koraa.
- Sɛ nea ɛde ba ne yare a enni sabea te sɛ multiple sclerosis (MS) a, ebia Horner yare no ho sɛnkyerɛnne no bɛkɔ so atra hɔ.
Nanso, asɛmpa no ne sɛ, saa sɛnkyerɛnne ahorow yi nnya wo da biara da asetra anaa wo honam ani hwɛbea so nkɛntɛnso kɛse.
Nneɛma pii wɔ hɔ a ebetumi de eyi aba, ɔkwan biara nni hɔ a wobɛfa so aka sɛ, "Sɛ woyɛ eyi a, wubetumi asiw Horner yare no ano." Nanso, ahobammɔ ho nhyehyɛe a wɔbɛyɛ de asiw kɔn ne moma so apirakuru ano no betumi aboa ma asiane a ɛwɔ hɔ sɛ obi bepira no bi so atew.
Nkrasɛm a Wɔde Kɔ Fie
- Horner syndrome nyɛ yareɛ, na mmom ɛyɛ yareɛ foforɔ bi a ɛwɔ nipadua no mu ho sɛnkyerɛnne anaa sɛnkyerɛnne.
- Nsɛnkyerɛnne atitiriw abiɛsa ne: aniwa no anim a ɛtɔ fam wɔ anim no fã biako (ptosis), aniwa no kɛse a ɛso tew (miosis), ne fifiri a ɛso tew (anhidrosis).
- Nea ɛde eyi ba betumi ayɛ biribiara fi aso mu yare ketewaa bi so kosi tebea a emu yɛ den yiye te sɛ kokoram anaa obubuafo so.
- Sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wohwehwɛ nnuruyɛfo afotu a ɛnkyɛ . Sɛ wuhu yare no ntɛm a, ebetumi aboa wo ma woafi ase asa tebea horow a emu yɛ den kɛse.
- Ayaresa no nsa Horner yare no, na mmom tebea a ɛde bae a ɛde bae no.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho