Yala o fɛn caman Changements fana bɛ aw ɲɛda fan kelen na wa? (An ka kuma Horner Syndrome kan)!

Yala i delila k’a kɔlɔsi ko i ɲɛda fan kelen ɲɛkisɛ bɛ jigin, ɲɛ nɛrɛma ka dɔgɔn ka tɛmɛ tɔ kelen kan, wa sumaya man ca o fan fɛ wa? Walima i ye mɔgɔ dɔ ye min bɛ i dɔn wa? Olu bɛ se ka kɛ hakiliɲagami bana dɔ taamasiɲɛba ye min man teli ka sɔrɔ, n’o bɛ wele ko Horner Syndrome , an bɛna kuma min kan bi. A bɛ fɔ fana ko ɲɛnamini walima Bernard-Horner ka bana . Aw kana aw hakili ɲagami, an bɛna kuma o kan cogo nɔgɔman na ani cogo la min bɛ se ka faamuya.

Horner Syndrome ye mun ye? N'an y'a fɔ cogo nɔgɔman na...

O bɛ ɲɛ, i ka miiri o la nin cogo in na. Farikoloɲɛnajɛ kɛrɛnkɛrɛnnen dɔ b’an bolo min bɛ bɔ an kunkolo la ka taa an ɲɛw ni an ɲɛda la. an bɛ ninnu wele ko hinɛ nɛrɛw . O farikolo-ɲɛnajɛ-yɔrɔ in bɛ fɛn dɔw Kɔrɔsi an farikolo la, an tɛ minnu Kɔlɔsi, minnu bɛ Kɛ u yɛrɛma. Misali la, fɛn minnu bɛ i n’a fɔ sumaya ani sɛrɛkili nɛrɛmuguma minnu bɛ an ɲɛw la, olu bɛ bonya ka dɔgɔya.

O la, ni nin hinɛ sira in tiɲɛna walima ni a tiɲɛna cogo dɔ la, o bana in bɛ wele ko Horner Syndrome. O ye waati ye ni ɲɛ ni a lamini yɔrɔw bɛ i ɲɛda fan kelen na.

Yala o ye bagabagali ye ɲɛnamaya ma wa? Yala o ye fɛn ye min ka kan ka siran wa?

Aw ka kan ka min faamuya, o filɛ nin ye: Taamasiɲɛ minnu bɛ sɔrɔ Horner Syndrome fɛ, i n’a fɔ ɲɛkisɛ min bɛ jigin ani ɲɛ nɛrɛma, n ye minnu fɔ ka tɛmɛ, a ka ca a la, olu tɛ tiɲɛniba kɛ i ka kɛnɛya walima i ka yeli la.

Nka, min nafa ka bon kosɛbɛ, o taamasiɲɛw bɛ se ka kɛnɛyako gɛlɛya dɔ jira min bɛ a kɔnɔ, n’a sɔrɔla o ka jugu kosɛbɛ. O la, ni nin taamasiɲɛ ninnu bɛ aw la, a nafa ka bon aw ka dɔgɔtɔrɔ ka ladilikan ɲini walasa ka a sababu dɔn.

Jɔn bɛ se ka nin sɔrɔ? A ka ca cogo di?

Horner Syndrome bɛ se ka mɔgɔ si hakɛ bɛɛ minɛ. Tuma dɔw la, kɛmɛsarada la 5 ɲɔgɔn, a bɛ se ka kɛ bangekɔlɔsi fɛɛrɛw ye , o kɔrɔ ye ko a ye bana ye min bɛ sɔrɔ kabini a bange waati.

Nin tɛ bana ye min ka ca kosɛbɛ. Ni an y’a fɔ k’a jɛya, a bɛ mɔgɔ 1 ɲɔgɔn minɛ mɔgɔ 6000 o 6000 la.

O taamasiɲɛw ye mun ye? Walasa ka kuma tigitigi...

A ka ca a la, Horner Syndrome taamasiɲɛw bɛ i ɲɛda fan kelen dɔrɔn de minɛ. Aw bɛ se ka taamasiɲɛ kunbaba minnu kɔlɔsi, olu ye:

• Ɲɛkisɛ min bɛ jigin: O bɛ wele furakɛli siratigɛ la ko ptosis . A b’a to ɲɛ kelen bɛ i n’a fɔ a bɛ duguma dɔɔni ka tɛmɛ tɔ kelen kan.
• Ɲɛkisɛw dɔgɔyali : O bɛ wele ko miosis . O bɛ se ka kɛ sababu ye ɲɛ fila bɛɛ la irisiw ka kɛ i n’a fɔ u bonya tɛ kelen ye, kelen ka bon, tɔ kelen ka dɔgɔn.
• Ɲɛda sumaya dɔgɔyali walima a bɛ bɔ pewu: O bana in bɛ wele ko jolidɛsɛ . Sumaya bɛ dɔgɔya fan min bananen don.

O jogo saba ninnu de ye a kunbabaw ye minnu bɛ ye.

Mun na Horner Syndrome bɛ sɔrɔ? O sababu ye mun ye?

A ka ca a la, Horner Syndrome bɛ sɔrɔ hinɛ sira min bɛ taa ɲɛw la, o datugulen walima a tiɲɛni fɛ, i n’a fɔ n y’a fɔ cogo min na ka tɛmɛ. O nɛrɛmuguma tiɲɛni sababu jɔnjɔnw bɛ se ka kɛ fɛn caman ye. Aw ye miiri a la, o sababuw bɛ se ka daminɛ tulo cɛmancɛbana na, ka taa a bila karotidi joli sira tigɛcogo la , joli siraba belebele dɔ kɔ la, walima hali disidimi kuncɛtumu .

A man teli kosɛbɛ, o bɛ se ka kɛ bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ. A ka ca a la o bɛ sɔrɔ kasaara fɛ jiginni waati, farikolojidɛsɛ walima karotidi joli. A man teli yɛrɛ la, nin bana in bɛ se ka bɔ mɔgɔw la ka taa mɔgɔw la, nka a ka jamu tigitigiw ma dɔn fɔlɔ.

Nɛrɛmugu sira saba tɛ kelen ye minnu bɛ se ka kɛ sababu ye ka Horner Syndrome sɔrɔ. Nɛrɛ minnu bɛ bɔ an kunkolo la, olu tɛ na ɲɛw ni ɲɛda la. U bɛ taama sira saba fɛ. Nin sira saba ninnu dɔ la kelen bɛ se ka tiɲɛ. O la, Horner Syndrome suguya saba bɛ yen, minnu sababu tɛ kelen ye.

Mɔgɔ dɔw la, furakɛlicogo jɛlen si tɛ se ka sɔrɔ min bɛ nin bana in bila mɔgɔ la. o ko suguw bɛ wele ko « syndrome idiopathique de Horner » .

Horner ka bana fɔlɔ (damatɛmɛnen) sababuw

o bɛ sɔrɔ farikolo yɔrɔw tiɲɛni fɛ minnu bɛ bɔ i ka hipotalamus la ka tɛmɛ i kunkolo la ka jigin i kɔkolo la . Nin nɛrɛmuguma siraw bɛ se ka tiɲɛ walima ka bali ni:

• Joli bɔli barika la ka taa kunsɛmɛ na (i n’a fɔ sɔgɔsɔgɔninjɛ).
• Tumu dɔ bɛ sɔrɔ hypothalamus kɔnɔ.
• Joginw bɛ kɛ kɔkolo la.
• Bana minnu bɛ sɔrɔ i n’a fɔ sklerose multiple (MS) .
• Chiari ka bɔgɔbɔgɔli .
• Kunsɛmɛnasumaya .
• Meningitis ( Ɲɛgɛnɛsiraw ) .
• Sindrom latérale médulaire (Syndrome de Wallenberg) .
• Siringomiyɛli ( syringomyelia ) .

Horner ka bana filanan (preganglionic) sababuw

O bɛ sɔrɔ farikolojidɛsɛ sira tiɲɛni fɛ min bɛ bɔ aw disi la, ka tɛmɛ aw fogonfogon sanfɛla fɛ, ani ka tɛmɛ aw kɔ la karotidi sira fɛ. Fɛn minnu bɛ se ka nɔ bila o la, olu dɔw ye:

• Tumu minnu bɛ bɔ fogonfogon sanfɛla la walima disi la.
• Jogin minnu bɛ kɛ kɔ walima disi la opereli walima kasaara fɛ.
• Brachial plexus joginTiɲɛni minnu bɛ kɛ ni farikolojidɛsɛ ye.
• Den min bɛ kurukuru, o ye kuru ye min bɛ ɲin dɔ kɔnɔ min bɛ dawolo yɔrɔ la. Aw ye miiri dɔrɔn, hali bana jugumanba dɔ bɛ ɲin na, o bɛ se ka kɛ sababu ye ka nin ko in kɛ.

Horner ka bana sabanan (postganglionic) sababuw

Nin suguya in bɛ sɔrɔ farikolojidɛsɛ sira tiɲɛni fɛ k’a ta i kɔ la ka taa i cɛmancɛ tulo ni i ɲɛ na. A bɛ se ka sɔrɔ:

• Joginda minnu bɛ aw ka karotidi joli la.
• Tulo cɛmancɛ banakisɛw.
• Joginw bɛ kɛ kungolo da la.
• kungolodimi jugumanw i n' a fɔ kunkolodimi walima kungolodimi kulusi .
• Raeder ka paratrigeminal ka bana .
• Kɔnɔna na karotidi joli sira tigɛcogo walima karotidi joli siraw sɔgɔsɔgɔninjɛ (joli sira dɔ wulicogo).
• Ɲɛgɛnɛsiraw (herpes zoster) ye bana ye min bɛ sɔrɔ banakisɛ dɔ fɛ, a ni sumaya bɛ tali kɛ ɲɔgɔn na.
• Temporal arteritis ye joli siraw fununi ye.

Aw y’a ye, kun caman bɛ yen. O de kama ni nin taamasiɲɛ ninnu bɛ aw la, aw ka kan ka taa dɔgɔtɔrɔso la joona.

I b’o dɔn cogo di?

A ka c’a la, dɔgɔtɔrɔw bɛ Horner Syndrome (Syndrome de Horner) sɛgɛsɛgɛ farikolo sɛgɛsɛgɛli fɛ. O kɔrɔ ye ko i sɛgɛsɛgɛli fɛ. Nka, a sababu jɔnjɔn sɔrɔli bɛ se ka gɛlɛya dɔɔni, barisa a bɛ se ka sɔrɔ furakɛli cogoya caman fɛ. Ani fana, bana wɛrɛw bɛ yen minnu bɛ se ka o taamasiɲɛ suguw lase mɔgɔ ma.

Dɔgɔtɔrɔ bɛna aw ɲininka aw ka bana taamasiɲɛw, aw ka furakɛli tariku, ani kasaara, banaw ani opereli minnu kɛra ka tɛmɛ. O kɔ, a bɛna farikolo sɛgɛsɛgɛli kɛ.

Ka kɛɲɛ ni aw ka furakɛli tariku ye ani taamasiɲɛ wɛrɛ minnu bɛ aw la, aw ka dɔgɔtɔrɔ bɛ se ka yamaruya di ka sɛgɛsɛgɛli wɛrɛw kɛ walasa ka dɛmɛ don ka Horner ka bana sababu dɔn. I n'a fo:

• Ja sɛgɛsɛgɛliw: Olu ye disi lajɛ ye , ja lajɛ min bɛ kɛ ni magnɛti ye (MRI) , tomografi (CT scan) , walima ultrasound .
• Joli sɛgɛsɛgɛliw : Olu ye joli jate dafalen (CBC) ani joli segin hakɛ (ESR) ye .

O sɛgɛsɛgɛliw bɛna an dɛmɛ k’a dɔn tigitigi fɛn min bɛ o sababu la.

Furakɛliw ye jumɛnw ye?

Horner Syndrome furakɛli kɔrɔ ye ka a sababu jugumanba furakɛ. Ikomi a sababu caman bɛ se ka kɛ, a furakɛcogo bɛ se ka ɲɔgɔn ta kosɛbɛ.

Misali la, ni a sababu ye tulo cɛmancɛbana ye, banakisɛfagalanw bɛ di a ma. Ni a sababu ye kuru ye, opereli, kɛnɛyaji walima chimiothérapie bɛ se ka kɛ. O cogo kelen na, furakɛli bɛ ɲɔgɔn ta ka kɛɲɛ ni a sababu ye.

Tuma dɔw la, ni dimi walima dimi wɛrɛ tɛ aw la, a bɛ se ka kɛ aw mago tɛ furakɛli kɛrɛnkɛrɛnnen si la.

Yala o tɛ se ka bali wa?

Ikomi bana caman bɛ yen minnu bɛ se ka kɛ sababu ye ka Horner Syndrome bila mɔgɔ la, a ka gɛlɛn k’a fɔ k’a jɛya a balicogo la.

Nka, a dɔw la, misali la, ni a sababu bɔra kasaara dɔ la (i n’a fɔ karotidi joli sira tigɛcogo), ni aw ye fɛɛrɛw tigɛ walasa ka aw kɔ tanga ani ka fɛɛrɛw tigɛ minnu ɲɛsinnen bɛ tigɛtigɛli ma, o bɛ se ka dɛmɛ don ka bana in bali.

O ko in bɛna kɛ cogo di? (A ɲɛnako bɛ cogo di?)

Horner Syndrome (Syndrome de Horner) ɲɛfɔli bɛ bɔ a sababu jugumanba de la. A taamasiɲɛ jɔnjɔnw (ɲɛkisɛw jigincogo, ɲɛkisɛ nɛrɛmuguma, sumaya dɔgɔyali) a ka ca a la, olu tɛ nɔba bila aw ka ɲɛnamaya kɛcogo la walima aw ka yelicogo la.

Ni a sababu jɔnjɔn ye bana basigilen ye, i n’a fɔ sklerose multiple , Horner syndrome bɛ se ka kɛ a la waati jan kɔnɔ. Nka, ni a sababu bɔra fɛn dɔ la min bɛ kɛ waati dɔɔni kɔnɔ ani min bɛ se ka furakɛ, i n’a fɔ tulolabana, o taamasiɲɛw bɛ se ka ban ni bana in saniyalen don.

Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?

Ni Horner Syndrome taamasiɲɛw bɛ aw la, i n’a fɔ ɲɛda sanfɛla jigincogo fan kelen fɛ, ɲɛ fila bɛɛ la, ɲɛda nɛrɛmuguma bonya tɛ kelen ye, ani ɲɛda sumaya dɔgɔyali o fan fɛ, aw bɛ taa dɔgɔtɔrɔso la joona.

Horner syndrome ye taamasiɲɛ ye min man teli ka sɔrɔ farikolojidɛsɛ basigilenw na. Hali ni nin bana in taamasiɲɛw ka teli ka kɛ kojugu ye, a sababu jɔnjɔn bɛ se ka kɛ fɛn ye tuma dɔw la min bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la, i n’a fɔ kuru walima karotidi joli tigɛcogo. O la, ni nin bana in bɛ aw la, a nafa ka bon kosɛbɛ ka taa dɔgɔtɔrɔso la walasa ka a sababu dɔn ani ka a furakɛ joona.

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

Okey, donc, fɛnba minnu ka kan ka to i hakili la an ye kuma minnu kan bi, olu filɛ nin ye:

• Horner Syndrome ye bana ye min bɛ sɔrɔ ɲɛkisɛw jigincogo fɛ, ɲɛkisɛ fitiniw, ani sumaya dɔgɔyali ɲɛda fan kelen fɛ.
• Hali ni o taamasiɲɛw tɛ farati ye, bana basigilen min bɛ u lase mɔgɔ ma, o bɛ se ka juguya.
• Kun caman bɛ se ka sɔrɔ; tiɲɛni min bɛ kɛ farikolo yɔrɔw la, o de ye a kunba ye.
• Ni aw ye nin taamasiɲɛ ninnu dɔ kɔlɔsi, aw kana waati tiɲɛ ani ka dɔgɔtɔrɔ dɔ ka ladilikan ɲini. Dɔgɔtɔrɔ bɛna a sababu dɔn ani ka furakɛli wajibiyalenw sɛbɛn.
• A ka ca a la, ni a sababu jugumanba furakɛra, Horner ka bana taamasiɲɛw bɛna dɔgɔya walima ka ban pewu.

O la, n jigi b’a kan ko nin kunnafoni in nafa ka bon aw bolo. Aw ka to kɛnɛya la!

` Horner syndrome, oculosympathetic palsy, ptosis, miosis, anhidrosis, nerve damage, sympathetic nerves, hakilibanaw, ɲɛda caman yeli, ɲɛ taamasiɲɛw