Yu dɔn ɛva luk na di miro ɛn wantɛm wantɛm yu notis se wan say na yu fes difrɛn smɔl frɔm di ɔda say? Sɔntɛm yu ɔp aylid dɔn drɔp smɔl, ɔ yu pupil dɛn dɔn chenj in saiz, ɛn i nɔmal fɔ fil se yu de fred smɔl. Tide, wi go tɔk bɔt wan wɛl bɔdi prɔblɛm wae kin mek pɔrsin gɛt di sem kayn sik, bɔt nɔr kin bɔrku.
Fɔ tɔk am simpul wan, wetin na Horner Syndrome?
Horner syndrome na wan sik wae nɔr kin bɔrku wae kin gɛt fɔ du wit di nervous system. Wi bɔdi gɛt wan nervɔs sistɛm we de kɔntrol tin dɛn we de apin we wi nɔ de tink bɔt dɛn. Tink bɔt tin dɛn lɛk fɔ swet, ɔ di blak yay na wi yay we de big ɛn big. Wan pat pan dis nervɔs sistɛm de kɔnɛkt frɔm wi bren to wi fes ɛn yay. If ɛnitin de we de ambɔg, damej, ɔ blok ɛnisay na di rod fɔ dɛn nerv dɛn de, wi kin kɔl Horner syndrome wan kɔlekɛshɔn fɔ di sayn dɛn we kin apin na da say de na di fes.
Dɛn kin kɔl dis bak `oculosympathetic palsy`, bɔt insay ɛvride tɔk wi kin yuz di nem Horner syndrome.
Yu tink se dis na tin we de mek pɔsin in layf de pan denja?
Na dis na di impɔtant tin. De sayn dɛm wae de sho se yu gɛt Horner syndrome (lɛk yu aylid dɛm wae de drɔp) nɔr kin kɔz ɛni big damej pan yu layf ɔr yu vishɔn. Bɔt dɛn sayn ya kin bi sayn fɔ wɔn pɔsin. Dat min se, dεn kin bi sayn fכ wan mכr siriכs kכndyushכ n insay di bכdi.
So, if yu gɛt smɔl saspek se yu gɛt sɔm sayn dɛm fɔ di sik we dɛn kɔl Horner syndrome, i impɔtant fɔ go to dɔktɔ wantɛm wantɛm ɛn no wetin na di kɔz.
Dis sik kin apun pan pipul dɛm wae gɛt ɛni ej. Bɔt, i nɔ kin apin so ɔltɛm. Na avrej, dɛn kin ripɔt dis sik pan lɛk wan pan ɛvri 6,000 pipul dɛm.
Wetin na di men sayn dɛm?
Bɔku tɛm, ɔl dɛn tin ya kin jɔs de na wan say na di fes. Di ɔda say na tin we nɔmal atɔl. Dis na di rizin we mek i izi fɔ no di difrɛns.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Aylid we de drɔp (Ptosis) . | Di ɔpa aylid na di say we di sik afɛkt de drɔp smɔl pas di ɔda yay, we de mek i tan lɛk se pɔsin de slip. |
| Miosis (smɔl ayris) . | di pupil na di yay we di sik afɛkt de sho se i smɔl pas di ɔda yay, we de mek i tan lɛk se di tu yay dɛn gɛt difrɛn sayz. |
| Di swet we de mek pɔsin in fes nɔ de swet (Anhidrosis) . | Di swet na di say we di fes afɛkt kin nɔ de atɔl ɔ i kin ridyus bad bad wan. We yu de swet na da say de bak we yu de du ɛksɛsayz. |
Wetin mek dis de apin? Wetin kin bi di rizin dɛn?
As wi bin dɔn tɔk, dis kin kam bikɔs i blok sɔmsay na di nerve pathway frɔm di bren to di yay. Dis nerve pathway nɔto wan stret layn. Na lɔng waka we gɛt tri pat dɛn. So, di tin dεm we de mek di bכdi kin difrεn dipכnt pan usay di blכk de apin.
Imajin wan tren we de kɔmɔt na Kɔlɔmbɔ fɔ go na Kandy. If da tren de stɔp na Rambukkana we i de go, rizin kin de fɔ am, ɛn if i stɔp na Polgahawela, ɔda rizin kin de. Na di sem tin kin apin to dis nerve pathway.
Di tebul we de dɔŋ ya de gi wan aidia bɔt sɔm pan di rizin dɛn we kin mek dis apin.
| Di men ples usay di prɔblɛm kin apin | Bɔku rizin dɛn we kin apin |
|---|---|
| Fɔs layn prɔblɛm dɛn: I gɛt fɔ du wit di bren ɔ spɛnal kɔd | |
| di damej pan di nεv path we de rכn frכm di bren to di spεnal kכd. |
|
| Sɛkɔn layn prɔblɛm dɛn: we gɛt fɔ du wit chɛst, lɔng, ɛn nɛk | |
| di damej pan di nεv path we de rכn frכm di chεst to di nεk. |
|
| Tכd-lεvεl prכblεm dεm: frכm di nεk to di yay | |
| di damej pan di nεv path we de rכn frכm di nεk tru di midul ia to di yay. |
|
Sɔntɛnde, pan ɔl dɛn tɛst ya, dɛn nɔ kin ebul fɔ no klia rizin. Dɔn bak, na smɔl tɛm nɔmɔ dis sik kin de we dɛn bɔn am.
Aw dɔktɔ kin no dis?
We yu go to dɔktɔ, dɛn go fala sɔm tin dɛn fɔ no dis sik kɔrɛkt wan.
1. Fɔ aks yu fɔ di ditel: Fɔs, dɛn go aks yu fɔ di ditel infɔmeshɔn bɔt ustɛm dɛn sik ya bigin, aw dɛn bigin, if yu gɛt ɛni ɔda sayn, ɛn ɛni aksidɛnt ɔ ɔpreshɔn we yu bin dɔn du bifo.
2. Fɔ chɛk yu bɔdi: Dɔn dɛn go chɛk yu gud gud wan, mɔ yu yay ɛn yu nervɔs sistɛm.
3. Ɔda tɛst: Wae dɛn dɔn kɔnfyus Horner syndrome, di nɛks chalenj na fɔ no εksεkεkt wetin de kɔz am. Dis kin nid fɔ du difrɛn tɛst dɛn.
- Blɔd tɛst: Tɛst lɛk kɔmplit blɔd kɔnt (CBC), ESR.
- Imej tɛst: Dɛn tin ya rili impɔtant fɔ no usay di kɔz de.
- X-ray na di chɛst
- MRI skan (Magnetik Rizɔnans Imej) .
- CT Skan (Kɔmpyut Tomografi) .
- Ultrasound skan we dɛn kin yuz
Na di rizɔlt fɔ dɛn tɛst ya de mek di dɔktɔ tɛl yu di rayt tin we de mek yu gɛt dis sik.
Aw dɛn kin trit am?
Di impɔtant tin fɔ ɔndastand ya na dat wi nɔ de trit di sayn dɛm fɔ Horner syndrome, bɔt wi de trit di ɔndalayn sik we mek i kam .
Imajin se wata de lik frɔm di ruf na yu os. Wetin wi de du nɔto fɔ jɔs put bɔkit usay i de lik, bɔt wi de mek ol na di ruf. Dis na di sem tin.
- If di kɔz na midul ia infɛkshɔn , antibayɔtik go klia di infekshɔn ɛn di sayn dɛm fɔ Horner’s syndrome go go.
- If di kɔz na kansa , i go nid fɔ ɔpreshɔn, redyushɔn tɛrapi, ɔ ɔda tritmɛnt fɔ kansa.
- If di kɔz na paralayz , dɛn go gi di rayt tritmɛnt ɛn rihabiliteshɔn.
Sɔntɛnde, if di ɔndalayn kɔz nɔr siriɔs ɛn yu nɔr de fil pen ɔr ɔda diskɔmfɔt, nɔr kin nid fɔ gɛt ɛni patikyula tritmɛnt.
Bɔt di tumara bambay ɛn aw fɔ mek dɛn nɔ gɛt dis sik
Di prɔgnosis fɔ Horner syndrome de dipen ɔl pan di kɔz fɔ am.
- If di kɔz na sɔntin we fɔ shɔt tɛm we dɛn kin trit (lɛk infɛkshɔn na yu yes), di sayn dɛm go dɔn kpatakpata.
- If di kɔz na wan sik we nɔr de mɛn lɛk multiple sclerosis (MS), di sayn dɛm fɔ Horner syndrome kin kɔntinyu.
Bɔt di gud nyus na dat, dɛn sik ya nɔ kin rili afɛkt yu ɛvride layf ɔ aw yu de luk.
Bɔrku tin de wae kin mek dis sik, nɔr way fɔ se, "If yu du dis, yu kin mek yu nɔr gɛt Horner's syndrome." Bɔt if yu tek tɛm fɔ mek yu nɔ wund yu nɛk ɛn yu chɛst, dat kin ɛp fɔ ridyus sɔm pan di prɔblɛm dɛn we kin mek yu wund.
Mɛsej we dɛn kin kɛr go na os
- Horner syndrome nɔto sik, bɔt na sayn ɔr sayn fɔ ɔda sik insay di bɔdi.
- di tri men sayn dεm na: di aylid we de dכp na wan say na di fes (ptosis), di pupil saiz we de dכn (miosis), εn di swet we de dכn (anhidrosis).
- De tin wae kin mek dis kin bi enitin frɔm smɔl infεkshɔn na yu yes to wan sik wae rili siriɔs lɛk kansa ɔr paralayz.
- If yu gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ ɛn nɔ de te . If yu no di sik kwik kwik wan, dat kin ɛp yu fɔ bigin fɔ trit yu fɔ gɛt mɔ siriɔs sik.
- Tritmɛnt nɔr de trit Horner syndrome, bɔt de ɔndalayn kɔndishɔn wae mek i kam.
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