Tiyɛ a emu yɛ den ne aniwa mu yaw? Ebetumi ayɛ Tolosa-Hunt Syndrome!

So woanya tiyɛ ne ɛyaw a emu yɛ den mpofirim bere a wokeka w’ani no? Anaasɛ wote nka sɛ wuntumi nni w’ani so yiye? Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, ebetumi afi tebea bi a ɛntaa nsi a wɔfrɛ no Tolosa-Hunt Syndrome a yɛrebɛka ho asɛm nnɛ no. Mma ɛnhaw wo, yɛbɛka biribiara ho asɛm wɔ ɔkwan a ɛnyɛ den so a wubetumi ate ase.

Dɛn ne Tolosa-Hunt Syndrome?

Sɛ yɛbɛka no tiawa a, Tolosa-Hunt syndrome yɛ tebea a ɛntaa nsi koraa. Ɛma wo ti yɛ wo yaw mpofirim na ɛyɛ yaw bere a woretutu w’ani no, anaasɛ wuntumi tutu w’ani no. Saa sɛnkyerɛnne ahorow yi betumi aba na akɔ so wɔ w’asetra nyinaa mu. Ɛte sɛ nea wowɔ ɔhɔho a wɔmfrɛɛ no ​​wɔ wo fie. Wɔtwa wo da no mu na wɔma wote nka sɛ wo ho nyɛ wo dɛ. Nanso anigyesɛm ne sɛ, saa ahɔho yi ntaa mma.

Nhwehwɛmu kyerɛ sɛ ebia nea ɛde tebea yi ba ne aniwa no akyi a ɛhoa, a ɛyɛ mmuae a efi yɛn nipadua mu nipadua mu ahoɔden a ɛko tia nyarewa (ɔfe) mu ba.

Ebia woate sɛ wo duruyɛfo de din afoforo frɛ saa yare yi. Nhwɛsoɔ:

• `(Aniwa mu yare)`
• `(Recurrent Ophthalmoplegia)` (Ɛno kyerɛ sɛ ɛsan ba bio)
• `(Aniwa a Ɛyɛ Fɛ)`

Ɛmfa ho din a wɔde frɛ no no, ɛtaa kyerɛ ade koro: Tolosa-Hunt syndrome.

Tebea yi abu so dɛn?

Eyi ho yɛ na ankasa . Sɛ wohwɛ akontaabu a ɛwɔ wiase nyinaa a, nhwehwɛmu ahorow kyerɛ sɛ nnipa ɔpepem biara mu bɛyɛ biako nya Tolosa-Hunt yare no. Enti eyi nyɛ yare a ɛka obiara.

Dɛn ne Tolosa-Hunt yare no ho sɛnkyerɛnne?

Saa sɛnkyerɛnne ahorow yi taa da adi mpofirim. Nsɛnkyerɛnne titiriw a wobetumi ahu ne:

• Tiyɛ a emu yɛ den: Eyi nte sɛ tiyɛ a ɛyɛ daa. Saa ɛyaw yi te nka wɔ anim no atifi, titiriw wɔ aniwa no ho (`periorbital headache`). Ebia nnipa binom bɛte nka sɛ ɛyɛ yaw a ano yɛ den, te sɛ sekan a wɔde sekan. Ebia afoforo bɛte nka sɛ ɛyɛ yaw a ɛyɛ kusuu anaa ɛyaw a ɛyɛ kusuu .
• Anisoadehu abien: Sɛ wohwɛ ade biako a, ɛda adi sɛ nneɛma abien a ɛsono emu biara. Ɛte sɛ nea aniwa abien no nyinaa ntumi mfa n’adwene nsi biribi so yiye. Eyi yɛ sɛnkyerɛnne a ɛhaw adwene kɛse.
• Mmerewa anaa wontumi mfa ntini a ɛtwa aniwa ne anim no nkɔ: Ɛbɛyɛ den sɛ wobɛkanyan aniwa no, ɛtɔ mmere bi mpo a ɛkɔ ɔfã biako. Anim ntini nso betumi aka.
• Ɔbrɛ a enni sabea: Ebia wobɛte ɔbrɛ nka da mũ nyinaa, te sɛ nea wuntumi nyi ɔbrɛ no mfi hɔ ɛmfa ho sɛnea wobɛda no.

Wɔ nneɛma atitiriw yi akyi no, wobetumi ahu nneɛma afoforo bi nso:

• Aniwa a ɛpuepue (proptosis): Ebia ɛbɛyɛ te sɛ nea aniwa biako anaa abien no nyinaa apue akɔ anim kakra.
• Aniwa a ɛwɔ soro no a ɛtɔ fam (ptosis): .Ebia aniwa biako anaa abien no nyinaa atifi anim rentumi mma so yiye na ebetumi ayɛ te sɛ nea ahwe ase.
• Anisoadehu a ɛyera: Ebia nnipa binom nso nhu ade kakra.

Saa sɛnkyerɛnne ahorow yi taa ka anim no fã biako pɛ. Wobetumi nso apue mpofirim na wɔayira wɔn ho wɔ nna kakraa bi mu (afiri a ɛba ara kwa). Nanso, wobetumi asan aba bio.

Dɛn na ɛde Tolosa-Hunt yare no ba?

Sɛ yɛbɛka nokware a, yɛda so ara nnim nea ɛde eyi ba ankasa . Nanso nneɛma atitiriw abien wɔ hɔ a nnuruyɛfo ne nhwehwɛmufo susuw sɛ ebetumi aba:

1. Abnormal autoimmune response: Eyi ne bere a yɛn nipadua mu ahoɔden a ɛko tia nyarewa – nhyehyɛe a ɛbɔ yɛn ho ban fi nyarewa ho – di mfomso tow hyɛ yɛn ankasa ntini a ɛte apɔw so. Wɔ Tolosa-Hunt syndrome mu no, saa ntua yi ba wɔ mmeae abien a ɛyɛ mmerɛw yiye wɔ aniwa no akyi. Biako ne ``Cavernous Sinus`` , beae a ɛte sɛ abura a ntini ne ntini a ɛho hia a ɛde mogya kɔ amemene no mu wom. Ɔfoforo no ne ``Orbital Fissure`` , ɔkwan a ɛbue a ntini ne mogya ntini a ɛka aniwa no fa mu. Yɛn ankasa nipadua mu tumi a ɛko tia nyarewa no tow hyɛ mmeae yi so, na ɛma hohoro wɔ hɔ.

2. Mogya ntini a ɛho ahonhon anaasɛ ɛyɛ teateaa: Nsusuwii foforo ne sɛ saa sɛnkyerɛnne ahorow yi ba efisɛ mogya ntini a ɛwɔ mmeae yi a wɔfrɛ no ``Cavernous Sinus'' ne ``Orbital Fissure'' no hohoro na ɛyɛ mmerɛw, na ɛma mogya a ɛkɔ amemene no afã horow bi ne ntini ahorow a ɛfa aniwa no ho no so tew.

Saa nsɛm abien yi nyinaa da so ara wɔ nhwehwɛmu fã, enti ɛyɛ den sɛ yɛbɛka nea enti pɔtee bi.

Dɛn ne asiane ahorow a ɛde eyi ba?

Nneɛma bi betumi ama asiane a ɛwɔ hɔ sɛ obi benya Tolosa-Hunt yare no ho sɛnkyerɛnne no ayɛ kɛse. Wɔfrɛ eyinom `triggers`. Nea ɛka ho ne:

• Sɛ́ obi anya ɔyare mmoawa a efi ɔyare mmoawa mu .
• Amemene mu opira a ɛyɛ hu .
• Sɛ wowɔ akisikuru wɔ nipadua no mu baabiara, titiriw wɔ ti no fã.
• Tebea te sɛ mogya ntini bi a ɛtrɛw anaasɛ ɛyɛ kɛse (aneurysm) .

Ɛnyɛ obiara na obenya saa yare yi esiane sɛ ɔwɔ saa nneɛma yi ara kwa nti, nanso asiane no betumi ayɛ kɛse kakra.

Nsɛnnennen bɛn na eyi betumi de aba?

Mpɛn pii no, Tolosa-Hunt yare no nyɛ tebea a ɛde ne nkwa to asiane mu. Nanso, wɔ tebea horow bi a emu yɛ den mu no, ebetumi aka w’ani so. Eyi ba bere a ahurututu a ɛwɔ ``Cavernous Sinus'' ne ``Orbital Fissure'' a ɛwɔ aniwa no akyi no trɛw kɔ ``Optic Nerve'', ntini titiriw a ɛma yehu ade no. Sɛ eyi ba a, aniwa a ɛyera anaasɛ aniwa a ɛyɛ mmerɛw afoforo betumi aba. Enti, ɛho hia sɛ wohwehwɛ ayaresa bere a sɛnkyerɛnne ahorow no da adi ara pɛ.

Ɔkwan bɛn so na wohu eyi?

Oduruyɛfo bi behu eyi bere a watie wo yare no ho sɛnkyerɛnne no yiye, ahwehwɛ wo mu, na wagye w’aduruyɛ ho abakɔsɛm nyinaa awie no. Eyi yɛ adeyɛ a ɛyɛ den kakra, efisɛ wobetumi ahu saa sɛnkyerɛnne ahorow yi wɔ ayaresa tebea afoforo nso mu.

Enti, wɔyɛ mogya mu nhwehwɛmu ne mfoniniyɛ mu nhwehwɛmu de si so dua sɛ wɔahu yare no na wɔpow tebea afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara (sɛ nhwɛso no, amemene mu akisikuru anaa ɔyare mmoawa). Mfoninitwa sɔhwɛ atitiriw abien a wɔde yɛ eyi ne:

• Computed Tomography (CT) scan: Eyi de X-ray ne kɔmputa di dwuma de yɛ ntini a ɛyɛ mmerɛw ne nnompe a ɛwɔ wo nipadua mu no mfonini a ɛwɔ afã abiɛsa (3D). Eyi betumi aboa ma wɔahwehwɛ nneɛma te sɛ ahurututu a ɛwɔ cavernous sinus beae no.
• Magnetic Resonance Imaging (MRI): Eyi de magnet kɛse, radio asorɔkye, ne kɔmputa di dwuma de yɛ wo nipadua no mu mfonini a emu da hɔ yiye, titiriw amemene ne aniwa no mmeae. Ɛyɛ nea ɛkɔ akyiri sen CT scan.

Nnuruyɛfo de saa scan ahorow yi di dwuma de hwehwɛ pɔtee sɛ ahurututu wɔ mmeae a ɛwɔ aniwa no akyi a wɔfrɛ no ``Cavernous Sinus`` ne ``Orbital Fissure.`` Saa nhwehwɛmu ahorow yi nso boa ma wosi so dua sɛ biribi foforo biara nni hɔ a ɛde ba.

Bere bɛn na wɔtaa hu Tolosa-Hunt yare no?

Ɛwom sɛ tebea yi betumi aka nnipa a wɔadi mfe biara de, nanso wɔtaa hu no bɛyɛ mfe 40 .

Ɔkwan bɛn so na wɔsa eyi?

Wɔde bere tiaa mu `(Steroid)` aduru bi sa eyi ho dwuma. Titiriw no, wɔde `(Corticosteroids)` aduru bi di dwuma. Nea saa nnuru yi yɛ ne sɛ ɛtew saa ɔfe (`inflammation`) no so. Efisɛ, nea ɛde wo sɛnkyerɛnne ahorow ba titiriw ne aniwa no akyi a ɛho ahonhon yi.

Sɛ wonom saa aduru yi a wɔfrɛ no ``Corticosteroids,'' a ɛho ahonhon no so tew, nhyɛso a ɛwɔ ntini no so no so tew, na wo sɛnkyerɛnne ahorow no tu mpɔn ntɛmntɛm.

So ayaresa no mu nsunsuanso bɔne bi wɔ hɔ?

Yiw, te sɛ aduru biara no, `(Corticosteroids)` betumi anya nsunsuanso bɔne bi. Enti, ɛsɛ sɛ wo ne wo duruyɛfo susuw eyi ho ansa na woafi aduru yi ase. Afei wubetumi anya ho ntease a emu da hɔ. Nneɛma bɔne a ebetumi afi mu aba no bi ne:

• Nan a ɛho ahonhon
• Aduan ho akɔnnɔ a ɛkɔ soro
• Adwene mu nneɛma sesa
• Ɛnyɛ den sɛ wobɛbɔ akuru
• Anisoadehu a ɛyɛ kusuu kakra

Eyinom nsi obiara, na wɔ nsɛm dodow no ara mu no, sɛ wogyae aduru no pɛ a, ɛbrɛ ase.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa me yare awie no?

Eyi ne asɛmpa a eye sen biara. Sɛ wonom steroid aduru no sɛnea wɔakyerɛ wo no wie a, wubetumi afi ase ate ahotɔ kɛse nka wɔ bere tiaa bi mu, te sɛ da koro anaa abiɛsa. Ɛyaw no so tew, ɛbɛyɛ mmerɛw sɛ wobɛkanyan w’ani, na saa sɛnkyerɛnne ahorow a ɛhyɛ abufuw no yera nkakrankakra.

Susuw ho hwɛ, sɛ woannya ayaresa a, ebia sɛnkyerɛnne ahorow no ankasa bɛbrɛ ase wɔ nnafua 15 kosi 20 ntam. Nanso, wompɛ sɛ wubehu amane akyɛ saa. Afei nso, sɛ yare no ho sɛnkyerɛnne no yera mpo a, ebetumi asan ada adi mpofirim. Enti, ɛbɛyɛ papa sɛ wubenya ayaresa.

So eyi yɛ tebea a anibere wom?

Tolosa-Hunt syndrome nyɛ tebea a ɛde ne nkwa to asiane mu. Nanso, sɛ yare no ho sɛnkyerɛnne ahorow ba a, ebetumi ayɛ den sɛ wɔbɛyɛ da biara da dwumadi ahorow a ɛfata, titiriw wɔ tiyɛ ne aniwa mu haw a emu yɛ den no ho.

Nanso, sɛ wɔsa yare a, nkɔmhyɛ no ye yiye. Esiane sɛ steroid brɛ yare no ho sɛnkyerɛnne ase wɔ nnɔnhwerew 24 kosi 72 mu nti, ɛrenkyɛ na wo ho atɔ wo na woatumi asan afi wo dwumadi ahorow a woyɛ daa no ase.

So wobetumi asa Tolosa-Hunt yare no koraa?

Nea ɛyɛ awerɛhow no, yare yi ano aduru biara nni hɔ. Wɔde ayaresa no atirimpɔw ne sɛ wobedi yare no ho sɛnkyerɛnne ahorow so na wɔatew so ntɛmntɛm. Nsɛnkyerɛnne no betumi asan aba bio, enti ebia ɛho behia sɛ wɔsa yare.

So wobetumi asiw eyi ano?

Mprempren wonnim ɔkwan biara a wɔbɛfa so asiw yare yi ano. Esiane sɛ, sɛnea yɛadi kan aka ho asɛm no, wonnim nea ɛde ba ankasa nti, ɛyɛ den sɛ yɛbɛka ɔkwan a yɛbɛfa so asiw ano.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wususuw sɛ wowɔ Tolosa-Hunt syndrome ho sɛnkyerɛnne – te sɛ tiyɛ a ɛba mpofirim, a emu yɛ den, ɛyaw a ɛba w’ani ho, wohu ade abien, na ɛyɛ den sɛ wobɛkanyan w’ani – hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara. Ntwentwɛn wo nan ase.

Afei oduruyɛfo no bɛkyerɛw nnuru a wɔde sa wo yare no bere tiaa bi de asa wo yare no ho sɛnkyerɛnne ahorow. Esiane sɛ eyinom yɛ adwuma ntɛm nti, wo ho bɛtɔ wo nnansa yi ara na wubetumi asan akɔ wo asetra a na ɛte daa no mu.

Nsɛm bɛn na ɛsɛ sɛ wubisa wo duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, ɛbɛyɛ papa sɛ wubebisa nsɛm bi te sɛ eyinom:

• So Tolosa-Hunt yare no betumi aka m’anisoadehu?
• So ɛho hia ankasa sɛ menom steroid sɛ eyi ayaresa?
• Ɔkwan bɛn so na mefa `(Steroid)` aduru? Bere tenten ahe na ɛsɛ sɛ mede di dwuma?
• Dɛn ne ayaresa ahorow yi mu nsunsuanso bɔne? Dɛn na ɛsɛ sɛ meyɛ de bɔ me ho ban fi wɔn ho?
• Sɛ yare no ho sɛnkyerɛnne no san ba a, dɛn na ɛsɛ sɛ meyɛ?

Sɛ wubisa nsɛm te sɛ eyinom a, wubenya yare no ne n’ayaresa ho ntease pa.

Awiei koraa no, kae eyi (Take-Home Message) .

Tolosa-Hunt Syndrome yɛ tebea a ɛba mpofirim na ɛde sɛnkyerɛnne ahorow a ɛnyɛ dɛ koraa ba. Tiyɛ a emu yɛ den betumi ama ayɛ den sɛ wobɛyɛ wo da biara da dwumadi ahorow. Anisoadehu nso betumi aka. Saa sɛnkyerɛnne ahorow yi betumi aba na akɔ so wɔ nkwa nna nyinaa mu.

Nanso kae sɛ eyi nyɛ nea ɛde nkwa to asiane mu, na ayaresa ahorow nso wɔ hɔ.Steroid a wɔde di dwuma bere tiaa bi no betumi atew yare no ho sɛnkyerɛnne so wɔ da koro kosi abiɛsa ntam. Enti, sɛ wokɔ oduruyɛfo nkyɛn bere a yare no ho sɛnkyerɛnne no da adi ara pɛ na wonya ayaresa a, wubetumi ho atɔ wo ntɛm na woasan ayɛ nneɛma a w’ani gye ho no. Nsuro, wo ne wo duruyɛfo nka biribiara ho asɛm.

` Tolosa-Hunt Syndrome, Tiyɛ, Aniwa mu Ɛyaw, Anisoadehu Mmienu, Steroids, MRI, CT scan, Aniwa mu yare, Cavernous Sinus