Ðe tɔtrɔ siawo le wò mo ƒe akpa ɖeka hãa? (Mina míaƒo nu tso Horner Syndrome ŋu)!

Ède dzesii kpɔ be wò mo ƒe akpa ɖeka ƒe ŋkume le ŋeŋe, ŋku yibɔ le sue wu evelia, eye fifia meɖea fifia le akpa ma oa? Alo èkpɔ ame aɖe si nènya wòwɔ nusia? Esiawo ate ŋu anye ahɔhɔ̃mekawo ƒe dɔléle aɖe si mebɔ o si woyɔna be Horner Syndrome , si ŋu míele nu ƒom tsoe egbea, ƒe dzesi vevitɔwo. Wogayɔnae be ŋku ƒe dɔmawɔmawɔ nyuie alo Bernard-Horner ƒe dɔléle . Mègatsi dzi o, míaƒo nu tso esia ŋu bɔbɔe eye míase egɔme.

Nukae nye Horner ƒe Dɔléle? Kpuie ko la,...

Enyo, bu eŋu ale. Lãmetsiŋusẽ tɔxɛ aɖe le mía si si tso míaƒe ahɔhɔ̃ me yia míaƒe ŋkuwo kple mo gbɔ. Míeyɔa esiawo be veveseseɖeamenu ƒe lãmekawo . Lãmetsiŋusẽ sia kpɔa ŋusẽ ɖe míaƒe ŋutilã me nu aɖewo siwo dzi míeɖuna o, siwo dzɔna le wo ɖokui si dzi. Le kpɔɖeŋu me, nuwo abe fifia kple gotagome yibɔ siwo le míaƒe ŋkuwo me si le tsitsim hele ɖeɖem kpɔtɔ ene.

Eyata ne veveseseɖeamenu ƒe lãmeka sia tɔtɔ alo gblẽ le mɔ aɖe nu la, nɔnɔme sia si woyɔna be Horner Syndrome la dzɔna. Esiae nye esime ŋku kple lãkusi siwo ƒo xlã wò le wò mo ƒe akpa ɖeka gblẽa nu le eŋu.

Ðe esia nye afɔku na agbea? Ðe wònye nusi wòle be woavɔ̃ na?

Nusi gɔme wòle be nàse enye si: Zi geɖe la, dzesi siwo do ƒome kple Horner Syndrome, abe ŋku ƒe ʋuʋu kple ŋku yibɔ si megblɔ va yi ene, megblẽa nu le wò lãmesẽ alo nukpɔkpɔ ŋu vevie o.

Gake vevietɔ wu la, dzesi siawo ate ŋu afia lãmesẽkuxi aɖe si gbɔ wòtso, si ate ŋu anye esi nu sẽ ŋutɔ. Eyata ne èkpɔ dzesi siawo la, ele vevie be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo be nànya nusi gbɔ wòtso.

Amekae ate ŋu axɔ esia? Aleke gbegbe wòbɔe?

Horner Syndrome ate ŋu adze ame siwo xɔ ƒe ɖesiaɖe dzi. Le go aɖewo me la, abe 5 le alafa me ene la, ate ŋu anye vidzidzi , si fia be enye nɔnɔme si nɔa anyi tso esime wodzii.

Esia menye nɔnɔme si bɔ ŋutɔ o. Ne míagblɔe kpuie la, edzea ame abe 1 le 6,000 ɖesiaɖe me dzi.

Nukae nye esia ƒe dzesiwo? Ne míagblɔe tututu la...

Zi geɖe la, wò mo ƒe akpa ɖeka koe Horner Syndrome ƒe dzesiwo dzena le. Dzesi vevi siwo nàte ŋu ade dzesii enye:

• Ŋku ƒe ʋuʋu: Woyɔa esia le atikewɔwɔ me be ptosis . Ena wòdzena abe ŋku ɖeka bɔbɔ vie wu evelia ene.
• Iris ƒe ɖeɖe: Woyɔa esia be miosis . Esia ate ŋu ana ŋku eveawo ƒe ŋkumeʋuʋu ƒe lolome nadze abe ɖe womesɔ o ene, ɖeka lolo wu eye evelia le sue wu.
• Fifia si dzi ɖena kpɔtɔna alo bu keŋkeŋ: Woyɔa nɔnɔme sia be anhidrosis . Fifia dzi ɖena kpɔtɔna le akpa si ŋu dɔlélea le.

Nɔnɔme etɔ̃ siawoe nye esiwo koŋ wokpɔna.

Nukatae Horner ƒe Dɔlélea dzɔna? Nukawoe gbɔ wòtsona?

Zi geɖe la, veveseseɖeamenu ƒe lãmeka si yia ŋkuwo gbɔ ƒe xexe alo eƒe gbegblẽ gbɔe Horner Dɔlélea tsona, abe alesi megblɔe va yi ene. Nusiwo gbɔ lãmekawo ƒe gbegblẽ sia tsona ate ŋu ato vovo ŋutɔ. Bu eŋu kpɔ be nu siawo ate ŋu atso titinato ƒe dɔléle dzi, va ɖo carotid artery dissection , ʋuka gã aɖe si le kɔ me, alo apical chest tumor gɔ̃ hã dzi .

Ƒã ŋutɔ hafi esia ate ŋu anye nɔnɔme si wodzina. Zi geɖe la, afɔku aɖe si dzɔna le vidzidzi me, lãmekawo alo carotid artery ƒe gbegblẽ gbɔe esia tsona. Ƒã wu gɔ̃ hã la, woate ŋu atso dɔléle sia tso dzidzime yi dzidzime, gake womekpɔ de dzesi domenyiŋusẽfianu siwo tututu wòhe vɛ haɖe o.

Lãmetsimɔ vovovo etɔ̃ li siwo ate ŋu akpɔ gome le Horner Dɔlélea me. Lãmetsi siwo tso míaƒe ahɔhɔ̃ me mevaa ŋkuwo kple mo gbɔ tẽ o. Wozɔa mɔ etɔ̃ dzi. Woate ŋu atɔtɔ mɔ etɔ̃ siawo dometɔ ɖesiaɖe. Eyata Horner Syndrome ƒomevi etɔ̃e li, siwo ate ŋu atso nu vovovowo gbɔ.

Le ame aɖewo gome la, womate ŋu ake ɖe atikewɔwɔ me nɔnɔme aɖeke si me kɔ si gbɔ dɔléle sia tsona ŋu o. Woyɔa dɔléle mawo be idiopathic Horner syndrome .

Nusiwo hea Horner ƒe dɔléle gbãtɔ (si le titina) vɛ

Esia tsoa lãmeka siwo sina tso wò hypothalamus me toa wò ahɔhɔ̃mekawo me yia wò aklã me la ƒe gbegblẽ gbɔ . Lãmetsimɔ siawo ate ŋu agblẽ alo axe mɔ na wo to:

• Ʋu ƒe sisi le ahɔhɔ̃a ƒe ke me ƒe nutsotso kpata (abe ʋusɔgbɔdɔ ene).
• Dɔdzẽ aɖe si le hypothalamus me.
• Abi siwo woxɔna le aklã ŋu.
• Dɔlélewo abe Multiple Sclerosis (MS) ene .
• Chiari ƒe nɔnɔme gbegblẽ .
• Tagbɔdɔléle .
• Tagbɔdɔléle .
• Lateral medullary syndrome (Wallenberg ƒe dɔléle) .
• Syringomyelia ƒe dɔléle .

Nusiwo hea Horner ƒe dɔléle evelia (preganglionic) vɛ

Esia tsoa lãmeka siwo tso wò akɔta, to wò lãkusi tame, kple to carotid ʋuka si le wò kɔ me ƒe gbegblẽ gbɔ. Nɔnɔme siwo ate ŋu akpɔ ŋusẽ ɖe esia dzi dometɔ aɖewoe nye:

• Dɔdzẽ siwo dona le lãkusi ƒe akpa si le etame alo le akɔta ƒe do me.
• Abi siwo woxɔna le kɔ alo akɔta le amekoko alo afɔku aɖe ta.
• Brachial plexus ƒe abixɔxɔNusiwo gblẽ le ahɔhɔ̃mekawo ƒe dɔwɔwɔ ŋu.
• Aɖu si me ʋuʋudedi le nye ƒunukpeƒetetedɔ si le aɖu aɖe me le aɖu ƒe akpa si le aɖu me. Bu eŋu kpɔ ko, dɔlékui sesẽ aɖe si le aɖu me gɔ̃ hã ate ŋu ahe esia vɛ.

Nusiwo hea Horner ƒe dɔléle si nye tertiary (postganglionic) vɛ

Lãmetsiwo ƒe mɔ si tso wò kɔ gbɔ va ɖo wò titinato kple ŋku me ƒe gbegblẽ gbɔe wòtsona ƒomevi sia. Ate ŋu atso:

• Abi siwo le wò carotid ʋuka me.
• Titinato me dɔlékuiwo.
• Nuveviwɔame le taɖua ƒe gɔme.
• Taɖuame sesẽwo abe taɖuame alo taɖuame si le ƒuƒoƒo me ene .
• Raeder ƒe ƒunukpeƒetetedɔ si woyɔna be paratrigeminal syndrome .
• Carotid ʋuka si le eme ƒe ɖeɖe alo carotid artery aneurysm (ʋuka ƒe ʋuʋu).
• Shingles (herpes zoster) nye dɔléle si dɔlékui aɖe hena vɛ, si sɔ kple aɖitsi.
• Temporal arteritis nye ʋukawo ƒe dɔdzẽ.

Èkpɔa, susu geɖewo li siwo tae. Esia tae ne dzesi siawo le ŋuwò la, ele be nàyi ɖɔkta gbɔ enumake.

Aleke nèwɔ de dzesi esia?

Zi geɖe la, ɖɔktawo toa ŋutilãmedɔdada dzi dea dzesi Horner Syndrome. Eyae nye to ŋkuléle ɖe ŋuwò me. Gake nusi gbɔ wòtso didi ate ŋu asesẽ vie, elabena ate ŋu atso atikewɔwɔ me nɔnɔme geɖe gbɔ. Azɔ hã, nɔnɔme bubuwo li siwo ate ŋu ahe dzesi mawo tɔgbe vɛ.

Ðɔktaa abia nya wò tso wò dzesiwo, wò atikewɔwɔ ŋutinya, kple afɔku, dɔléle, kple amekoko ɖesiaɖe si nèdo va yi ŋu. Emegbe ado eƒe ŋutilã kpɔ.

Le wò atikewɔwɔ ŋutinya kple dzesi bubu siwo le ŋuwò nu la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo atsɔ akpe ɖe ŋuwò nànya nusi gbɔ Horner ƒe dɔlélea tso. Le kpɔɖeŋu me:

• Nɔnɔmetatawo dodokpɔ: Esiawo dometɔ aɖewoe nye akɔta ƒe X-ray , magnetic resonance imaging (MRI) , kɔmpiuta dzi tomography (CT scan) , alo ultrasound .
• Ʋudodokpɔ: Esiawo dometɔ aɖewoe nye ʋu ƒe xexlẽme blibo (CBC) kple ʋumenugbagbeviɣidɔ ƒe agbɔsɔsɔme (ESR) .

Dodokpɔ siawo akpe ɖe mía ŋu míanya nusi tututu gbɔ esia tso.

Nukawoe nye atikewɔmɔnuawo?

Horner Syndrome dada fia be woada nusi gbɔ wòtso. Esi wònye be nu geɖe ate ŋu ahe esia vɛ ta la, atikewɔwɔ ate ŋu ato vovo ŋutɔ.

Le kpɔɖeŋu me, ne titinato me dɔlékui aɖe gbɔe wòtso la, wonaa dɔlékuiwutikewo. Ne dɔdzẽe gbɔe wòtso la, ate ŋu ahiã be woawɔ dɔ na ame, keklẽŋusẽdɔdamɔnu, alo atikewɔmɔnu. Nenema ke atikewɔwɔ hã toa vovo le nusi gbɔ wòtso nu.

Ɣeaɖewoɣi la, ne vevesese alo vevesese bubu aɖeke mele ŋuwò o la, ɖewohĩ mahiã be woawɔ atike tɔxɛ aɖeke na wò o.

Ðe womate ŋu axe mɔ ɖe esia nu oa?

Esi wònye be nɔnɔme geɖe li siwo ate ŋu ahe Horner Syndrome vɛ ta la, esesẽ be woagblɔ alesi woawɔ axe mɔ nɛ be wòagadze o la kple kakaɖedzi.

Gake le go aɖewo me la, le kpɔɖeŋu me, ne afɔku aɖe gbɔe wòtso (abe carotid artery dissection) la, afɔɖeɖewo wɔwɔ atsɔ akpɔ wò kɔ ta kple afɔɖeɖe siwo ku ɖe kɔte ɖeɖeɖa ŋu dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe dɔlélea nu.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ? (Aleke nukpɔsusua le?)

Horner Syndrome ƒe mɔkpɔkpɔ nɔ te ɖe nusi gbɔ wòtso dzi. Zi geɖe la, dzesi veviawo (ŋku ƒe ʋuʋu, ŋku yibɔ, fifia ƒe ɖiɖi) mekpɔa ŋusẽ gã aɖeke ɖe wò agbenɔnɔ alo nukpɔkpɔ ƒe nyonyome dzi o.

Ne nusi gbɔ wòtsoe nye dɔléle si nɔa anyi didi, abe multiple sclerosis , ene la, Horner ƒe dɔlélea ate ŋu anɔ anyi ɣeyiɣi didi aɖe. Gake ne nane si nɔa anyi ɣeyiɣi kpui aɖe eye woate ŋu adae, abe to me dɔlékui ene gbɔe wòtso la, dzesi siawo ate ŋu nu ayi ne dɔlékuia nya kɔ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta?

Ne Horner Syndrome ƒe dzesiwo le ŋuwò, abe ŋku ƒe akpa si le etame ƒe dzedze le axa ɖeka, ŋku eveawo ƒe gotagome yibɔwo ƒe lolome si mesɔ o, kple mo ƒe fifia si dzi ɖe kpɔtɔ le akpa ma ene la, yi ɖɔkta gbɔ kaba ale si nàte ŋui.

Horner ƒe dɔlélea nye dzesi si mebɔ o si fia be lãmekawo ƒe gbegblẽ le ame ŋu. Togbɔ be zi geɖe la, dɔléle sia ƒe dzesiwo megblẽa nu le ame ŋu o hã la, nusi gbɔ wòtsona ate ŋu anye nane si ate ŋu ade ame ƒe agbe afɔku me ɣeaɖewoɣi, abe dɔdzẽ alo ʋuka si me ʋu sina tona ƒe ʋuʋu ene. Eyata ne dɔléle sia dze ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ be yeanya nusi gbɔ wòtso eye nàdae kaba.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Enyo, eyata, nu vevi siwo dzi wòle be nàɖo ŋkui tso nusiwo ŋu míeƒo nu tsoe egbea me lae nye esi:

• Horner Syndrome nye dɔléle si ƒe dzesi enye ŋkume ƒe ʋuʋu, ŋkume ƒe akpa suewo, kple fifia si dzi ɖena kpɔtɔna le mo ƒe akpa ɖeka.
• Togbɔ be afɔku mele dzesi siawo me o hã la, nɔnɔme si gbɔ wòtsona ate ŋu anye nu sesẽ.
• Susu geɖewo ate ŋu anɔ eme; nusiwo gblẽ le lãmekawo ŋue nye nu vevitɔ.
• Ne ède dzesi dzesi siawo dometɔ aɖe la, mègagblẽ ɣeyiɣi eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo o. Ðɔktaa akpɔ nusi gbɔ wòtso eye wòaŋlɔ atike si hiã la nɛ.
• Zi geɖe la, ne woda nusi gbɔ wòtso la, Horner ƒe dɔlélea ƒe dzesiwo dzi aɖe akpɔtɔ alo aɖe wo ɖa keŋkeŋ.

Eyata, mele mɔ kpɔm be nyatakaka sia ɖe vi na wò. Nɔ lãmesẽ me!

` Horner syndrome, oculosympathetic palsy, ptosis, miosis, anhidrosis, lãmekawo ƒe gbegblẽ, veveseseɖeamenu ƒe lãmekawo, ahɔhɔ̃mekawo ƒe dɔlélewo, mo ƒe tɔtrɔ, ŋku ƒe dzesiwo