Koj puas muaj cov kev hloov pauv no rau ib sab ntawm koj lub ntsej muag thiab? (Cia peb tham txog Horner Syndrome)!

Koj puas tau pom tias ib sab ntawm koj lub ntsej muag muaj qhov muag qis, qhov muag dub me dua li lwm sab, thiab hws tsawg dua ntawm sab ntawd? Los yog koj puas tau pom ib tus neeg koj paub ua li no? Cov no yuav yog cov tsos mob tseem ceeb ntawm tus mob tsis tshua muaj hu ua Horner Syndrome , uas peb yuav tham txog hnub no. Nws tseem hu ua oculosympathetic palsy lossis Bernard-Horner syndrome . Tsis txhob txhawj, peb yuav tham txog qhov no yooj yim thiab hauv txoj kev uas koj tuaj yeem nkag siab.

Horner Syndrome yog dab tsi? Hais yooj yim xwb...

Zoo, xav txog nws li no. Peb muaj ib lub paj hlwb tshwj xeeb uas khiav ntawm peb lub hlwb mus rau peb lub qhov muag thiab lub ntsej muag. Peb hu cov no ua cov paj hlwb sympathetic . Lub paj hlwb no tswj qee yam hauv peb lub cev uas peb tsis tswj, uas tshwm sim yam tsis tas siv neeg. Piv txwv li, tej yam xws li hws thiab cov voj voog dub hauv peb lub qhov muag loj hlob thiab me me.

Yog li, yog tias txoj hlab ntsha sympathetic no raug cuam tshuam lossis puas tsuaj, qhov mob no hu ua Horner Syndrome tshwm sim. Qhov no yog thaum lub qhov muag thiab cov nqaij nyob ib puag ncig ntawm ib sab ntawm koj lub ntsej muag raug cuam tshuam.

Qhov no puas yog kev hem thawj rau txoj sia? Puas yog ib yam dab tsi uas yuav tsum ntshai?

Nov yog yam koj yuav tsum nkag siab: Cov tsos mob cuam tshuam nrog Horner Syndrome, xws li lub qhov muag poob qis thiab lub qhov muag dub uas kuv tau hais ua ntej, feem ntau tsis ua rau muaj kev puas tsuaj loj rau koj txoj kev noj qab haus huv lossis kev pom kev.

Tiam sis, qhov tseem ceeb tshaj plaws, cov tsos mob no tuaj yeem qhia tau tias muaj teeb meem kev noj qab haus huv loj heev. Yog li ntawd, yog tias koj muaj cov tsos mob no, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob kom paub qhov ua rau muaj teeb meem no.

Leej twg thiaj li tau qhov no? Nws muaj ntau npaum li cas?

Kab mob Horner tuaj yeem cuam tshuam rau tib neeg txhua lub hnub nyoog. Qee zaum, kwv yees li 5 feem pua, nws tuaj yeem yog los ntawm kev yug los , txhais tau tias nws yog ib qho mob uas muaj txij thaum yug los.

Qhov no tsis yog ib qho mob uas pom ntau heev. Yog hais li ntawd, nws cuam tshuam rau kwv yees li 1 ntawm 6,000 tus neeg.

Cov tsos mob ntawm qhov no yog dab tsi? Yog hais kom meej...

Feem ntau, cov tsos mob ntawm Horner Syndrome tsuas yog cuam tshuam rau ib sab ntawm koj lub ntsej muag xwb. Cov tsos mob tseem ceeb uas koj yuav pom yog:

• Qhov muag poob qis: Qhov no yog hu ua ptosis . Nws ua rau ib lub qhov muag zoo li qis dua lwm lub me ntsis.
• Kev ntsws ntawm lub qhov muag: Qhov no hu ua miosis . Qhov no tuaj yeem ua rau lub qhov muag ntawm ob lub qhov muag zoo li tsis sib npaug, ib qho loj dua thiab lwm qhov me dua.
• Txo qis los yog poob tag nrho cov hws ntawm lub ntsej muag: Qhov mob no hu ua anhidrosis . Cov hws txo qis rau sab uas raug mob.

Peb yam ntxwv no yog cov tseem ceeb uas pom tau.

Vim li cas thiaj muaj Horner Syndrome? Dab tsi yog cov ua rau muaj?

Feem ntau, Horner Syndrome yog tshwm sim los ntawm kev thaiv lossis kev puas tsuaj rau txoj hlab ntsha sympathetic uas mus rau lub qhov muag, raws li kuv tau hais ua ntej. Cov laj thawj tseem ceeb ntawm kev puas tsuaj rau cov hlab ntsha no tuaj yeem sib txawv heev. Xav txog nws, cov laj thawj no tuaj yeem yog los ntawm kev kis kab mob pob ntseg nruab nrab, mus rau kev txiav cov hlab ntsha carotid , cov hlab ntsha loj hauv caj dab, lossis txawm tias yog qog nqaij hlav hauv siab .

Tsis tshua muaj, qhov no yog ib qho mob uas muaj txij thaum yug los. Feem ntau qhov no yog tshwm sim los ntawm kev sib tsoo thaum yug menyuam, kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha carotid. Tsis tshua muaj, qhov mob no tuaj yeem kis tau los ntawm ib tiam mus rau ib tiam, tab sis cov noob caj noob ces tseeb rau nws tseem tsis tau txheeb xyuas.

Muaj peb txoj hlab ntsha sib txawv uas tuaj yeem cuam tshuam rau Horner Syndrome. Cov hlab ntsha los ntawm peb lub hlwb tsis tuaj ncaj qha rau lub qhov muag thiab lub ntsej muag. Lawv taug kev raws peb txoj hlab ntsha. Ib qho ntawm peb txoj hlab ntsha no tuaj yeem raug cuam tshuam. Yog li ntawd, muaj peb hom Horner Syndrome, uas tuaj yeem muaj ntau yam ua rau.

Muaj ib txhia neeg tsis pom muaj mob dab tsi uas ua rau muaj tus mob no. Cov mob no hu ua idiopathic Horner syndrome .

Ua rau muaj tus kab mob Horner thawj zaug (nruab nrab)

Qhov no yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha uas khiav ntawm koj lub hypothalamus mus rau koj lub hlwb thiab nqis mus rau koj tus txha caj qaum . Cov hlab ntsha no tuaj yeem raug puas tsuaj lossis thaiv los ntawm:

• Kev cuam tshuam cov ntshav mus rau lub hlwb tam sim ntawd (zoo li mob stroke).
• Ib qho mob qog hauv lub hypothalamus.
• Kev raug mob rau cov hlab ntsha qaum.
• Cov kab mob xws li Multiple Sclerosis (MS) .
• Chiari malformations .
• Kab mob hlwb .
• Mob hlwb .
• Mob qog nqaij hlav sab nraud (Wallenberg syndrome) .
• Syringomyelia .

Ua rau muaj tus mob Horner syndrome theem ob (preganglionic)

Qhov no yog tshwm sim los ntawm kev puas tsuaj rau txoj hlab ntsha uas khiav los ntawm koj lub hauv siab, hla mus rau sab saum toj ntawm koj lub ntsws, thiab raws cov hlab ntsha carotid hauv koj lub caj dab. Cov mob uas tuaj yeem cuam tshuam rau qhov no suav nrog:

• Cov qog nqaij hlav uas tshwm sim rau sab saud ntawm lub ntsws lossis hauv lub hauv siab.
• Raug mob rau lub caj dab lossis lub hauv siab vim yog phais lossis muaj xwm txheej.
• Kev raug mob ntawm cov leeg ntawm lub xub pwg nyomKev puas tsuaj rau lub neural network.
• Cov hniav uas muaj pob yog ib lub pob nyob hauv ib tug hniav hauv thaj tsam lub puab tsaig. Xav txog seb, txawm tias muaj kab mob loj heev hauv ib tug hniav los kuj ua tau qhov no.

Ua rau muaj tus mob tertiary (postganglionic) Horner syndrome

Hom kab mob no yog tshwm sim los ntawm kev puas tsuaj rau txoj hlab ntsha ntawm koj lub caj dab mus rau koj lub pob ntseg nruab nrab thiab lub qhov muag. Nws tuaj yeem tshwm sim los ntawm:

• Cov qhov txhab hauv koj cov hlab ntsha carotid.
• Kab mob pob ntseg nruab nrab.
• Kev raug mob rau lub hauv paus ntawm lub pob txha taub hau.
• Cov mob taub hau hnyav xws li mob migraines lossis mob taub hau cluster .
• Raeder paratrigeminal syndrome .
• Kev tawg ntawm cov hlab ntsha carotid sab hauv lossis aneurysm ntawm cov hlab ntsha carotid (kev nthuav dav ntawm cov hlab ntsha).
• Kab mob shingles (herpes zoster) yog ib yam mob uas tshwm sim los ntawm ib hom kab mob, zoo ib yam li mob qhua pias.
• Mob hlab ntsha temporal arteritis yog ib qho mob o ntawm cov hlab ntsha.

Koj pom, muaj ntau yam ua rau. Yog vim li ntawd yog tias koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Koj paub qhov no li cas?

Feem ntau cov kws kho mob kuaj pom Horner Syndrome los ntawm kev kuaj lub cev. Yog li ntawd, los ntawm kev kuaj koj tus kheej. Txawm li cas los xij, kev nrhiav qhov ua rau muaj qhov teeb meem no yuav nyuaj me ntsis, vim nws tuaj yeem tshwm sim los ntawm ntau yam mob. Tsis tas li ntawd, muaj lwm yam mob uas tuaj yeem ua rau muaj cov tsos mob zoo sib xws.

Tus kws kho mob yuav nug koj txog koj cov tsos mob, koj keeb kwm kev mob nkeeg, thiab tej yam kev raug mob, kev mob nkeeg, thiab kev phais mob yav dhau los. Tom qab ntawd nws yuav kuaj koj lub cev.

Nyob ntawm koj keeb kwm kev mob nkeeg thiab lwm yam tsos mob uas koj muaj, koj tus kws kho mob yuav xaj kom kuaj ntxiv kom pab txiav txim seb qhov ua rau muaj Horner syndrome yog dab tsi. Piv txwv li:

• Kev kuaj duab: Cov no suav nrog X-ray hauv siab, magnetic resonance imaging (MRI) , computed tomography (CT scan) , lossis ultrasound .
• Kev kuaj ntshav: Cov no suav nrog kev suav cov ntshav tag nrho (CBC) thiab erythrocyte sedimentation rate (ESR) .

Cov kev ntsuam xyuas no yuav pab peb nrhiav seb yog dab tsi ua rau qhov no.

Cov kev kho mob yog dab tsi?

Kev kho mob Horner Syndrome txhais tau tias kho qhov ua rau muaj mob. Vim tias muaj ntau yam ua rau muaj mob, kev kho mob yuav txawv ntau yam.

Piv txwv li, yog tias qhov ua rau mob yog kab mob pob ntseg nruab nrab, yuav muab tshuaj tua kab mob rau. Yog tias qhov ua rau mob yog qog, yuav tsum tau phais, siv tshuaj tua kab mob los kho mob, lossis siv tshuaj kho mob qog nqaij hlav. Ib yam li ntawd, kev kho mob sib txawv nyob ntawm qhov ua rau mob.

Qee zaum, yog tias koj tsis muaj mob lossis lwm yam tsis xis nyob, koj yuav tsis xav tau kev kho mob tshwj xeeb.

Qhov no puas tiv thaiv tsis tau?

Vim muaj ntau yam mob uas ua rau muaj Horner Syndrome, nws nyuaj rau hais kom meej tias yuav ua li cas thiaj tiv thaiv tau nws kom tsis txhob loj hlob.

Txawm li cas los xij, qee zaum, piv txwv li yog tias nws yog los ntawm qhov xwm txheej (xws li carotid artery dissection), kev ceev faj los tiv thaiv koj lub caj dab thiab ua raws li kev ceev faj ntsig txog kev phais tuaj yeem pab tiv thaiv tus kab mob no kom tsis txhob loj hlob.

Qhov xwm txheej no zoo li cas? (Qhov xwm txheej no zoo li cas?)

Qhov ua rau muaj Horner Syndrome nyob ntawm seb yog vim li cas. Cov tsos mob tseem ceeb (qhov muag poob qis, qhov muag dub, tawm hws tsawg) feem ntau tsis muaj feem cuam tshuam loj rau koj lub neej lossis qhov muag pom kev.

Yog tias qhov ua rau mob yog mob ntev, xws li mob multiple sclerosis , Horner syndrome yuav muaj ntev heev. Txawm li cas los xij, yog tias nws yog los ntawm qee yam ib ntus thiab kho tau, xws li mob pob ntseg, cov tsos mob no yuav ploj mus thaum tus kab mob ploj mus.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj muaj cov tsos mob ntawm Horner Syndrome, xws li qhov muag sab saud poob qis rau ib sab, qhov loj ntawm cov voj voog dub ntawm ob lub qhov muag tsis sib npaug, thiab qhov hws ntawm lub ntsej muag txo qis rau sab ntawd, mus ntsib kws kho mob sai li sai tau.

Horner syndrome yog ib qho cim qhia tsis tshua muaj ntawm kev puas tsuaj ntawm cov hlab ntsha. Txawm hais tias cov tsos mob ntawm tus mob no feem ntau tsis muaj teeb meem dab tsi, qhov ua rau muaj qee zaum yog qee yam uas ua rau tuag taus, xws li qog nqaij hlav lossis carotid artery dissection. Yog li ntawd, yog tias koj muaj tus mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom paub qhov ua rau muaj thiab kho nws sai sai.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Zoo, yog li, ntawm no yog cov ntsiab lus tseem ceeb uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog hnub no:

• Horner Syndrome yog ib yam mob uas ua rau daim tawv muag poob qis, daim tawv muag me me, thiab tawm hws tsawg ntawm ib sab ntawm lub ntsej muag.
• Txawm hais tias cov tsos mob no tsis txaus ntshai, qhov mob hauv qab ua rau lawv tuaj yeem ua rau mob hnyav.
• Muaj ntau yam ua rau; qhov tseem ceeb tshaj plaws yog kev puas tsuaj rau lub paj hlwb.
• Yog koj pom ib qho ntawm cov tsos mob no, tsis txhob nkim sijhawm thiab nrhiav kev pab kho mob. Tus kws kho mob yuav txiav txim seb yog vim li cas thiab sau ntawv kho mob rau koj.
• Feem ntau, thaum kho qhov ua rau mob Horner syndrome, cov tsos mob yuav txo qis lossis ploj mus tag.

Yog li ntawd, kuv vam tias cov ntaub ntawv no yuav pab tau koj. Nyob kom noj qab nyob zoo!

Horner syndrome, oculosympathetic palsy, ptosis, miosis, anhidrosis, nerve damage, sympathetic nerves, neurological diseases, kev hloov pauv ntawm lub ntsej muag, cov tsos mob ntawm qhov muag