Koj puas tau saib daim iav thiab pom tias ib sab ntawm koj lub ntsej muag txawv me ntsis ntawm lwm sab? Tej zaum koj lub qhov muag sab saud poob me ntsis, lossis koj cov qhov muag me me tau hloov pauv, thiab nws yog ib txwm muaj kev ntshai me ntsis. Hnub no, peb yuav tham txog ib qho mob uas ua rau muaj cov tsos mob zoo sib xws, tab sis tsis tshua muaj.
Hauv lwm lo lus, Horner Syndrome yog dab tsi?
Horner syndrome yog ib qho mob tsis tshua muaj uas cuam tshuam rau lub paj hlwb. Peb lub cev muaj lub paj hlwb uas tswj cov yam uas tshwm sim yam tsis tau peb xav txog lawv. Xav txog tej yam xws li hws, lossis lub qhov muag dub hauv peb lub qhov muag loj zuj zus. Ib feem ntawm lub paj hlwb no txuas nrog peb lub hlwb mus rau peb lub ntsej muag thiab qhov muag. Yog tias muaj kev thaiv, kev puas tsuaj, lossis kev thaiv qhov twg ntawm txoj kev ntawm cov hlab ntsha ntawd, peb hu Horner syndrome ua cov tsos mob uas tshwm sim rau sab ntawd ntawm lub ntsej muag.
Qhov no kuj hu ua 'oculosympathetic palsy', tab sis hauv kev hais lus txhua hnub peb siv lub npe Horner syndrome.
Qhov no puas yog qhov xwm txheej txaus ntshai rau lub neej?
Nov yog qhov tseem ceeb. Cov tsos mob ntawm Horner syndrome (xws li qhov muag poob) feem ntau tsis ua rau muaj kev puas tsuaj loj rau koj lub neej lossis qhov muag pom. Txawm li cas los xij, cov tsos mob no tuaj yeem yog ib qho cim ceeb toom. Ntawd yog, lawv tuaj yeem yog ib qho cim ntawm ib qho mob hnyav dua hauv lub cev.
Yog li ntawd, yog tias koj muaj qhov kev xav me ntsis tias koj muaj cov tsos mob ntawm Horner syndrome, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob tam sim ntawd thiab nrhiav seb qhov ua rau yog dab tsi.
Tus mob no muaj peev xwm tshwm sim rau txhua tus neeg txhua lub hnub nyoog. Txawm li cas los xij, nws tsis tshua muaj. Qhov nruab nrab, tus mob no tau tshaj tawm tias muaj li ntawm ib tus neeg ntawm 6,000 tus neeg.
Cov tsos mob tseem ceeb yog dab tsi?
Feem ntau, tag nrho cov yam ntxwv no tsuas pom tau ntawm ib sab ntawm lub ntsej muag xwb. Sab tod yog ib txwm muaj. Qhov no yog vim li cas qhov txawv thiaj yooj yim pom.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Qhov muag poob qis (Ptosis) | Lub qhov muag sab saud ntawm sab uas raug mob poob qis dua li lwm lub qhov muag, ua rau nws zoo li tsaug zog. |
| Miosis (qhov muag me me) | Lub qhov muag ntawm lub qhov muag uas raug mob zoo li me dua li lwm lub qhov muag, ua rau ob lub qhov muag zoo li loj sib txawv. |
| Txo qhov hws ntawm lub ntsej muag (Anhidrosis) | Tej zaum sab uas mob ntawm lub ntsej muag yuav tsis tawm hws kiag li los yog tsis tawm hws ntau heev. Tej zaum sab ntawd yuav tsis tawm hws thaum lub sijhawm ua si. |
Vim li cas qhov no thiaj tshwm sim? Tej zaum yuav muaj tej yam ua rau qhov no tshwm sim?
Raws li peb tau hais ua ntej lawm, qhov no yog tshwm sim los ntawm kev thaiv qhov twg ntawm txoj hlab ntsha ntawm lub hlwb mus rau lub qhov muag. Txoj hlab ntsha no tsis yog ib txoj kab ncaj. Nws yog ib txoj kev taug kev ntev uas muaj peb ntu. Yog li ntawd, cov ua rau muaj peev xwm sib txawv nyob ntawm qhov twg qhov kev thaiv tshwm sim.
Xav txog lub tsheb ciav hlau uas mus ntawm Colombo mus rau Kandy. Yog tias lub tsheb ciav hlau ntawd daig ntawm Rambukkana ntawm txoj kev, tej zaum yuav muaj ib qho laj thawj rau nws, thiab yog tias nws daig ntawm Polgahawela, tej zaum yuav muaj lwm qhov laj thawj. Tib yam li ntawd rau txoj hlab ntsha no.
Lub rooj hauv qab no muab ib lub tswv yim ntawm qee qhov ua tau rau qhov no.
| Qhov chaw tseem ceeb uas qhov teeb meem tuaj yeem tshwm sim | Muaj ntau yam ua rau |
|---|---|
| Cov teeb meem thawj kab: cuam tshuam nrog lub hlwb lossis tus txha caj qaum | |
| Kev puas tsuaj rau txoj hlab ntsha uas khiav ntawm lub hlwb mus rau cov hlab ntsha qaum. |
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| Cov teeb meem thib ob: hauv siab, ntsws, thiab caj dab | |
| Kev puas tsuaj rau txoj hlab ntsha uas khiav ntawm lub hauv siab mus rau caj dab. |
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| Teeb meem theem peb: txij ntawm caj dab mus rau lub qhov muag | |
| Kev puas tsuaj rau txoj hlab ntsha uas khiav ntawm lub caj dab mus rau pob ntseg nruab nrab mus rau lub qhov muag. |
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Qee zaum, txawm tias muaj ntau yam kev kuaj mob no los xij, tseem tsis tau pom qhov ua rau mob no. Tsis tas li ntawd, tsis tshua muaj mob no thaum yug los.
Tus kws kho mob paub qhov no li cas?
Thaum koj mus ntsib kws kho mob, lawv yuav ua raws li ob peb kauj ruam kom paub tseeb tias koj muaj tus mob no.
1. Nug koj kom paub meej ntxiv: Ua ntej, lawv yuav nug koj kom paub meej ntxiv txog thaum twg cov tsos mob no pib, lawv pib li cas, seb koj puas muaj lwm yam tsos mob, thiab puas muaj kev raug mob lossis phais mob yav dhau los.
2. Kev kuaj lub cev: Tom qab ntawd yuav kuaj koj kom meej, tshwj xeeb tshaj yog koj ob lub qhov muag thiab lub paj hlwb.
3. Kev kuaj ntxiv: Thaum twg paub tseeb tias muaj tus kab mob Horner syndrome lawm, qhov teeb meem tom ntej yog nrhiav seb yog dab tsi ua rau nws. Qhov no yuav xav tau ntau yam kev kuaj.
- Kev kuaj ntshav: Kev kuaj xws li kev suav ntshav tag nrho (CBC), ESR.
- Kev kuaj duab: Cov no tseem ceeb heev kom paub seb qhov ua rau muaj qhov teeb meem no yog dab tsi.
- Kev X-ray hauv siab
- Kev Siv Tshuab Xam MRI (Magnetic Resonance Imaging)
- Kev Ntsuas CT (Computed Tomography)
- Kev kuaj mob ultrasound
Raws li cov txiaj ntsig ntawm cov kev kuaj no, tus kws kho mob yuav qhia rau koj paub meej tias yog dab tsi ua rau muaj tus mob no.
Yuav kho li cas?
Qhov tseem ceeb uas yuav tsum nkag siab ntawm no yog tias peb tsis kho cov tsos mob ntawm Horner syndrome, tab sis cov kab mob hauv qab uas ua rau nws .
Xav txog seb dej ntws los ntawm lub ru tsev. Peb ua tsis yog tsuas yog muab lub thoob tso rau qhov chaw uas nws ntws xwb, tab sis peb ua ib lub qhov rau ntawm lub ru tsev. Qhov no kuj yog tib yam.
- Yog tias qhov ua rau mob yog kab mob pob ntseg nruab nrab , cov tshuaj tua kab mob yuav tshem tawm qhov kev kis mob thiab cov tsos mob ntawm Horner's syndrome yuav ploj mus.
- Yog tias qhov ua rau yog mob qog noj ntshav , nws yuav xav tau kev phais, kev kho mob hluav taws xob, lossis lwm yam kev kho mob qog noj ntshav.
- Yog tias qhov ua rau yog kev tuag tes tuag taw , yuav muab kev kho mob thiab kev kho kom rov zoo.
Qee zaum, yog tias qhov ua rau mob tsis loj heev thiab koj tsis mob lossis lwm yam tsis xis nyob, tej zaum yuav tsis tas yuav kho mob tshwj xeeb.
Txog yav tom ntej thiab kev tiv thaiv
Qhov kev kwv yees ntawm Horner syndrome nyob ntawm seb nws ua rau muaj li cas.
- Yog tias qhov ua rau mob yog ib yam dab tsi uas kho tau ib ntus xwb (xws li mob pob ntseg), cov tsos mob yuav ploj mus tag.
- Yog tias qhov ua rau yog kab mob ntev xws li ntau yam sclerosis (MS), cov tsos mob ntawm Horner syndrome yuav nyob ntev.
Txawm li cas los xij, qhov xov xwm zoo yog tias cov tsos mob no tsis muaj kev cuam tshuam loj rau koj lub neej txhua hnub lossis qhov tsos.
Muaj ntau yam ua rau qhov no, tsis muaj ib txoj hauv kev los hais tias, "Yog tias koj ua li no, koj tuaj yeem tiv thaiv Horner's syndrome." Txawm li cas los xij, kev ceev faj kom tsis txhob raug mob rau lub caj dab thiab hauv siab tuaj yeem pab txo qee qhov kev pheej hmoo ntawm kev raug mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Horner syndrome tsis yog ib yam kab mob, tab sis yog ib qho cim lossis tsos mob ntawm lwm yam kab mob hauv lub cev.
- Peb yam tsos mob tseem ceeb yog: qhov muag poob rau ib sab ntawm lub ntsej muag (ptosis), qhov muag me dua (miosis), thiab tawm hws tsawg dua (anhidrosis).
- Qhov no tuaj yeem tshwm sim los ntawm txhua yam los ntawm kev kis kab mob pob ntseg me me mus rau qhov mob hnyav heev xws li mob qog noj ntshav lossis tuag tes tuag taw.
- Yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob sai li sai tau . Kev kuaj mob thaum ntxov tuaj yeem pab koj pib kho rau cov mob hnyav dua.
- Kev kho mob tsis kho Horner syndrome, tab sis kho qhov mob uas ua rau nws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus