So wowɔ nsakrae yi nso wɔ w’anim fã biako? (Momma yɛnka Horner Syndrome ho asɛm)!

So woahyɛ no nsow pɛn sɛ w’anim fã biako wɔ aniwa a ɛrehwe ase, aniwa tuntum ketewaa bi sen foforo no, na fifiri nni ɔfã no? Anaasɛ woahu obi a wunim no sɛ ɔreyɛ eyi? Eyinom betumi ayɛ ntini mu yare bi a ɛntaa nsi a wɔfrɛ no Horner Syndrome , a yɛrebɛka ho asɛm nnɛ no ho sɛnkyerɛnne atitiriw. Wɔsan frɛ no oculosympathetic palsy anaa Bernard-Horner syndrome . Mma ɛnhaw wo, yɛbɛka eyi ho asɛm tiawa ne ɔkwan a wubetumi ate ase so.

Dɛn ne Horner Syndrome? Sɛ yɛbɛka no tiawa a...

Okay, susuw ho saa kwan yi so. Yɛwɔ ntini soronko bi a efi yɛn amemene mu kɔ yɛn aniwa ne yɛn anim. Yɛfrɛ eyinom sɛ tema ntini ahorow . Saa ntini ahorow yi na ɛhwɛ nneɛma bi a ɛwɔ yɛn nipadua mu a yentumi nni so, a ɛba ara kwa. Sɛ nhwɛso no, nneɛma te sɛ fifiri ne kurukuruwa tuntum a ɛwɔ yɛn aniwa mu a ɛrenyin na ɛretew.

Enti, sɛ ɔkwan bi so no, ayamhyehye ntini kwan yi sɛe anaasɛ ɛsɛe a, tebea a wɔfrɛ no Horner Syndrome yi ba. Eyi ne bere a aniwa ne ntini a atwa ho ahyia wɔ w’anim fã biako no nya nkɛntɛnso.

So eyi yɛ asiane ma nkwa? So ɛyɛ biribi a ɛsɛ sɛ yesuro?

Nea ɛsɛ sɛ wote ase ni: Nsɛnkyerɛnne a ɛbata Horner Syndrome ho, te sɛ aniwa a ɛrehwe ase ne aniwa tuntum a madi kan aka ho asɛm no, ntaa mfa ɔhaw kɛse biara mma w’akwahosan anaa w’ani so.

Nanso, nea ɛho hia sen biara no, saa sɛnkyerɛnne ahorow yi betumi akyerɛ akwahosan ho haw bi a ɛda adi, ebia nea emu yɛ den yiye. Enti, sɛ wuhu saa sɛnkyerɛnne ahorow yi a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu na ama woahu nea ɛde ba.

Hena na obetumi anya eyi? Ɛtaa ba dɛn?

Horner Syndrome betumi aka nnipa a wɔadi mfe biara. Wɔ tebea horow bi mu no, bɛyɛ ɔha biara mu nkyem 5, ebetumi ayɛ awo mu , a ɛkyerɛ sɛ ɛyɛ tebea a ɛwɔ hɔ fi awo mu.

Eyi nyɛ tebea a ɛtaa ba. Sɛ yɛbɛka no tiawa a, ɛka nnipa 6,000 biara mu bɛyɛ 1.

Dɛn ne eyi ho sɛnkyerɛnne? Sɛ yɛbɛka no pɛpɛɛpɛ a...

Mpɛn pii no, Horner Syndrome ho sɛnkyerɛnne no ka w’anim fã biako pɛ. Nsɛnkyerɛnne atitiriw a ebia wubehu ne:

• Aniwa a ɛrehwe ase: Wɔfrɛ eyi wɔ aduruyɛ mu sɛ ptosis . Ɛma aniwa biako yɛ te sɛ nea ɛba fam kakra sen foforo no.
• Iris no a ɛtwetwe: Wɔfrɛ eyi miosis . Eyi betumi ama iris a ɛwɔ aniwa abien no nyinaa mu no ayɛ te sɛ nea ne kɛse nyɛ pɛ, biako yɛ kɛse na biako nso yɛ ketewaa.
• Anim fifiri a ɛso tew anaasɛ ɛyera koraa: Wɔfrɛ tebea yi anhidrosis . Fifiri so tew wɔ ɔfã a ɛka no no so.

Saa su abiɛsa yi ne nea wohu titiriw.

Dɛn nti na Horner Syndrome ba? Dɛn na ɛde ba?

Mpɛn pii no, Horner Syndrome fi tema ntini kwan a ɛkɔ aniwa no mu a esiw anaasɛ ɛsɛe, sɛnea madi kan aka no. Nneɛma a ɛde ntini a ɛsɛe yi ba no betumi ayɛ nea egu ahorow koraa. Susuw ho hwɛ, nneɛma a ɛde ba yi betumi afi aso mfinimfini yare so, akosi carotid artery dissection , mogya ntini kɛse bi a ɛwɔ kɔn mu, anaasɛ apical chest tumor mpo so .

Ɛntaa mma koraa sɛ eyi betumi ayɛ tebea a wɔde awo obi. Mpɛn pii no, akwanhyia bi a ɛba bere a wɔrewo, ntini anaa carotid ntini a ɛsɛe na ɛde eyi ba. Ɛntaa mma mpo sɛ wobetumi de saa yare yi afi awo ntoatoaso so akɔ awo ntoatoaso so, nanso wonnya nhuu awosu mu nkwaadɔm pɔtee a ɛde ba.

Ntini akwan ahorow abiɛsa na ebetumi aka Horner Syndrome ho. Ntini a efi yɛn amemene mu no mma aniwa ne anim tẽẽ. Wɔnam akwan abiɛsa so. Wobetumi asɛe akwan abiɛsa yi mu biara. Enti, Horner Syndrome ahorow abiɛsa na ɛwɔ hɔ, na ɛsono nea ɛde ba.

Wɔ nnipa binom mu no, wontumi nhu aduruyɛ mu tebea biara a ɛda adi pefee a ɛde saa yare yi ba. Wɔfrɛ nsɛm a ɛtete saa no idiopathic Horner syndrome .

Nneɛma a ɛde Horner yare titiriw (a ɛkɔ fam) ba

Eyi fi ntini ahorow a efi wo hypothalamus mu fa w'amemene ntini mu na ɛkɔ w'akyi berɛmo mu no sɛe . Saa ntini akwan yi betumi asɛe anaasɛ asiw ano denam:

• Mogya a ɛkɔ amemene no dua no mu a wɔtwa mu mpofirim (te sɛ ɔyare a ɛma obi hwe ase).
• Akisikuru bi a ɛwɔ hypothalamus mu.
• Apirakuru a ɛba akyi berɛmo mu.
• Nyarewa te sɛ Multiple Sclerosis (MS) .
• Chiari malformation .
• Amemene mu yare .
• Meningitis a ɛma obi ho yɛ hyew .
• Lateral medullary syndrome (Wallenberg yare) .
• Syringomyelia a ɛma nipadua no yɛ adwuma .

Nneɛma a ɛde Horner yare a ɛto so abien (preganglionic) ba

Eyi fi ntini kwan a efi wo moma so, fa w’ahurututu atifi, ne carotid ntini a ɛwɔ wo kɔn mu no a ɛsɛe no. Tebea horow a ebetumi aka eyi bi ne:

• Akuru a ɛba ahurututu no atifi anaa koko mu.
• Apirakuru a ɛba kɔn anaa koko mu esiane oprehyɛn anaa akwanhyia nti.
• Brachial plexus a wɔapirapiraNtini a ɛma ntini no yɛ adwuma no sɛe.
• Ɛse a akisikuru yɛ akisikuru a ɛwɔ ɛse bi mu wɔ anom no fã. Susuw ho hwɛ, ɔyare mmoawa a emu yɛ den a ɛwɔ ɛse mu mpo betumi de eyi aba.

Nneɛma a ɛde Horner yare a ɛto so abiɛsa (postganglionic) ba

Saa ɔkwan yi fi ntini kwan a efi wo kɔn mu kɔ w’aso ne w’ani mfinimfini no sɛe. Ebetumi afi:

• Akuru a ɛwɔ wo carotid ntini mu.
• Mfinimfini aso mu nyarewa.
• Apirakuru a ɛba ti nhwi no ase.
• Tiyɛ tebea horow a emu yɛ den te sɛ atiridiinini anaasɛ tiyɛ a ɛyɛ akuwakuw .
• Raeder paratrigeminal yare a ɛma obi nya ɔyare no .
• Carotid ntini a ɛwɔ mu a wɔpaapae anaasɛ carotid artery aneurysm (mogya ntini bi a ɛbɔ).
• Shingles (herpes zoster) yɛ tebea a mmoawa bi de ba, te sɛ akisikuru.
• Temporal arteritis yɛ ntini a ɛyɛ hyew.

Woahu, ntease ahorow pii wɔ hɔ a enti ɛte saa. Ɛno nti sɛ wowɔ saa sɛnkyerɛnne yi a, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara no.

Wobɛyɛ dɛn ahu eyi?

Mpɛn pii no, nnuruyɛfo nam nipadua mu nhwehwɛmu so hu Horner Syndrome. Ɛne sɛ, denam wo mu nhwehwɛmu a wɔbɛyɛ so. Nanso, nea ɛde ba no a wobehu no betumi ayɛ den kakra, efisɛ ebetumi afi aduruyɛ mu tebea horow pii mu aba. Afei nso, tebea afoforo wɔ hɔ a ebetumi de yare no ho sɛnkyerɛnne a ɛte saa ara aba.

Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne, w’ayaresa ho abakɔsɛm, ne akwanhyia, nyarewa, ne oprehyɛn biara a woadi kan ahyia ho asɛm. Afei ɔbɛyɛ nipadua mu nhwehwɛmu.

Ɛdenam w’ayaresa ho abakɔsɛm ne sɛnkyerɛnne afoforo a wowɔ so no, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo na aboa ma wɔahu nea ɛde Horner yare no ba. Nhwɛsoɔ:

• Mfoninitwa nhwehwɛmu: Eyinom bi ne koko mu X-ray , magnetic resonance imaging (MRI) , kɔmputa so tomography (CT scan) , anaa ultrasound .
• Mogya mu nhwehwɛmu: Eyinom bi ne mogya dodow a edi mũ (CBC) ne erythrocyte sedimentation rate (ESR) .

Saa sɔhwɛ ahorow yi bɛboa yɛn ma yɛahu nea ɛde eyi ba ankasa.

Dɛn ne ayaresa ahorow no?

Horner Syndrome a wɔbɛsa no kyerɛ sɛ wɔbɛsa nea ɛde ba no. Esiane sɛ nneɛma pii betumi de aba nti, ayaresa ahorow betumi ayɛ soronko koraa.

Sɛ nhwɛso no, sɛ nea ɛde ba ne mfinimfini aso mu yare a, wɔde nnuru a ekum ɔyare mmoawa ma. Sɛ nea ɛde ba no yɛ akisikuru a, ebia ɛho behia sɛ wɔyɛ oprehyɛn, mframa a wɔde sa yare, anaa nnuru a wɔde sa yare. Saa ara nso na ɛsono ayaresa a egyina nea ɛde ba no so.

Ɛtɔ da bi a, sɛ woannya ɛyaw anaa ɔhaw foforo biara a, ebia worenhia ayaresa titiriw biara.

So wontumi nsiw eyi ano?

Esiane sɛ tebea horow pii wɔ hɔ a ebetumi de Horner Syndrome aba nti, ɛyɛ den sɛ yɛbɛka ɔkwan a wɔbɛfa so asiw ano no yiye.

Nanso, wɔ tebea horow bi mu no, sɛ nhwɛso no, sɛ akwanhyia bi na ɛde ba (te sɛ carotid artery dissection) a, ahwɛyiye a wobɛyɛ de abɔ wo kɔn ho ban na woadi ahwɛyiye a ɛfa dissection ho akyi no betumi aboa ma yare no ankɔ so.

Dɛn ne tebea yi ho anidaso? (Adwene a ɛwɔ hɔ no te dɛn?)

Horner Syndrome ho anidaso gyina nea ɛde ba no so. Mpɛn pii no, sɛnkyerɛnne atitiriw (aniwa anim a ɛrehwe ase, aniwa tuntum, fifiri a ɛso tew) no nnya w’asetra anaa w’ani so nkɛntɛnso kɛse.

Sɛ nea ɛde ba titiriw ne tebea bi a enni sabea, te sɛ multiple sclerosis , a, ebia Horner yare no bɛtra hɔ akyɛ. Nanso, sɛ biribi a ɛtra hɔ bere tiaa mu na wotumi sa, te sɛ aso mu yare na ɛde ba a, saa sɛnkyerɛnne ahorow yi betumi afi hɔ bere a ɔyare no mu atew no.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ Horner Syndrome ho sɛnkyerɛnne te sɛ w’aniwa a ɛwɔ soro a ɛkɔ fam wɔ ɔfã biako, nkuruwankuruwa tuntum a ɛwɔ w’ani abien no nyinaa so no kɛse nyɛ pɛ, na w’anim fifiri so tew wɔ saa ɔfã no a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Horner syndrome yɛ sɛnkyerɛnne a ɛntaa nsi a ɛkyerɛ sɛ ntini a ɛwɔ ase no sɛe. Ɛwom sɛ mpɛn pii no, saa yare yi ho sɛnkyerɛnne nyɛ asiane de, nanso ɛtɔ mmere bi a nea ɛde ba no betumi ayɛ biribi a ɛde nkwa to asiane mu, te sɛ akisikuru anaa carotid ntini a wɔatwa. Enti, sɛ wunya saa yare yi a, ɛho hia yiye sɛ wobɛkɔ oduruyɛfo nkyɛn akɔhwɛ nea ɛde ba na woasa no ntɛm ara.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti, nneɛma atitiriw a ɛsɛ sɛ wokae fi nea yɛaka ho asɛm nnɛ no mu ni:

• Horner Syndrome yɛ tebea a ɛda adi sɛ aniwa a ɛyɛ mmerɛw, aniwa nketenkete, ne fifiri a ɛso tew wɔ anim no fã biako.
• Ɛwom sɛ saa sɛnkyerɛnne ahorow yi nyɛ nea asiane wom de, nanso tebea a ɛde ba no betumi ayɛ nea emu yɛ den.
• Ntease pii betumi aba; ntini a ɛma nipadua no yɛ adwuma no sɛe no ne ade titiriw.
• Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, nsɛe bere na hwehwɛ aduruyɛfo afotu. Oduruyɛfo no bɛkyerɛ nea ɛde ba na wakyerɛw ayaresa a ɛho hia.
• Mpɛn pii no, sɛ wɔsa nea ɛde ba no a, Horner yare no ho sɛnkyerɛnne no so bɛtew anaasɛ ebefi hɔ koraa.

Enti, mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` Horner syndrome, oculosympathetic palsy, ptosis, miosis, anhidrosis, ntini a ɛsɛe, tema ntini, ntini mu nyarewa, anim nsakrae, aniwa mu sɛnkyerɛnne