Yu gɛt dɛn chenj ya bak na wan say na yu fes? (Lɛ wi tɔk bɔt Horner Syndrome)!

Yu dɔn ɛva notis se wan say na yu fes gɛt aylid we de drɔp, blak yay smɔl pas di ɔda wan, ɛn i nɔ de swet bɛtɛ na da say de? Ɔ yu dɔn si pɔsin we yu sabi du dis? Dɛn tin ya kin bi di men sayn dɛm fɔ wan sik wae nɔr kin bɔrku pan nyurolɔjik wae dɛn kɔl Horner Syndrome , wae wi go tɔk bɔt tide. Dɛn kin kɔl am bak oculosympathetic palsy ɔ Bernard-Horner syndrome . Nɔ wɔri, wi go tɔk bɔt dis simpul wan ɛn di we we yu go ɔndastand.

Wetin na di sik we dɛn kɔl Horner Syndrome? Fɔ tɔk am simpul wan...

Okay, tink bɔt am dis we. Wi gɛt spɛshal nervɔs sistɛm we de kɔmɔt na wi bren to wi yay ɛn fes. Wi kin kɔl dɛn tin ya di sɔri-at nerves . dis nεv sεstem de kכntro sכm pan di tin dεm na wi bכdi we wi nכ de kכntro, we de apin כtomatik. Fɔ ɛgzampul, tin dɛn lɛk fɔ swet ɛn di blak sɛklɔ dɛn na wi yay we de gro ɛn smɔl.

So, if dis sympathetic nerve pathway sכm kayn we dεn disrupt כ damej, dis kכndyushכn we dεn kכl Horner Syndrome kin apin. Dis na we di yay ɛn di tisu dɛn we de rawnd yu na wan say na yu fes kin afɛkt.

Yu tink se dis de mek layf de pan denja? Na sɔntin we wi fɔ fred?

Na dis wae yu nid fɔ ɔndastand: De sayn dɛm wae gɛt fɔ du wit Horner Syndrome, lɛk wae yu aylid de drɔp ɛn de blak yay wae a bin dɔn tɔk bɔt, bɔrku tɛm nɔr kin kɔz ɛni big bad bad tin to yu wɛl bɔdi ɔr yu yay.

Bɔt, di tin we impɔtant pas ɔl na dat, dɛn sayn ya kin sho se yu gɛt wan ɔndalayn, sɔntɛm na rili siriɔs wɛlbɔdi prɔblɛm. So, if yu gɛt dɛn sik ya, i impɔtant fɔ go to dɔktɔ fɔ no wetin mek yu gɛt dis sik.

Udat go ebul fɔ gɛt dis? Aw i kɔmɔn?

Horner Syndrome kin afɛkt pipul dɛm wae gɛt ɛni ej. Sɔm tɛm, lɛk 5 pasɛnt, i kin bi we dɛn bɔn am , we min se na sik we de de frɔm we dɛn bɔn am.

Dis nɔto tin we rili kɔmɔn. Fɔ tɔk smɔl, i kin afɛkt lɛk 1 pan ɛvri 6,000 pipul dɛn.

Wetin na di sayn dɛm fɔ dis? Fɔ bi prɛsis...

Bɔrku tɛm, de sayn dɛm fɔ Horner Syndrome kin jɔs afɛkt wan say na yu fes. De men sayn wae yu kin notis na:

• Aylid we de drɔp: Dɛn kɔl dis ptosis . I de mek i tan lɛk se wan yay de dɔŋ smɔl pas di ɔda wan.
• Di ayris we de shrink: Dɛn kɔl dis mayosis . dis kin mek di ayris dεm na di tu yay dεm de sho se dεn nכ ikwal pan saiz, wan big εn di כda wan sכm.
• Di swet we de mek pɔsin in fes nɔ swet igen ɔ i nɔ de swet igen: Dɛn kɔl dis sik anhidrosis . Di swet kin ridyus na di say we di sik afɛkt.

Dɛn tri kwaliti ya na di men wan dɛn we dɛn kin si.

Wetin mek di sik we dɛn kɔl Horner Syndrome kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔrku tɛm, Horner Syndrome kin kam bikɔs di sympathetic nerve pathway wae de go na di yay blok ɔr pwɛl, lɛk aw a bin dɔn tɔk. Di ɔndalayn kɔz dɛm fɔ dis nerve damej kin rili difrɛn. Tink bɔt dis, dɛn tin ya we kin mek pɔsin gɛt infɛkshɔn na di midul ia, to we dɛn kɔt di karotid at , wan big blɔd vesel na di nɛk, ɔ ivin wan apical chest tumor .

Na smɔl tɛm nɔmɔ, dis kin bi wan sik we dɛn bɔn wit. Dis kin bi bikɔs ɔf aksidɛnt we i de bɔn pikin, we di nɛf ɔ di karotid at kin pwɛl. Ivin mɔr, dis sik kin pas frɔm wan jɛnɛreshɔn to jɛnɛreshɔn, bɔt dɛn nɔr dɔn no di rayt jin dɛm fɔ am yet.

Tri difrɛn nerve pathways de wae kin involv pan Horner Syndrome. Di nɛf dɛn we de kɔmɔt na wi bren nɔ de kam dairekt na di yay ɛn fes. Dɛn kin travul na tri rod dɛn. Ɛni wan pan dɛn tri rod ya kin ambɔg. So, tri kayn Horner Syndrome de, wae kin gɛt difrɛn kɔz.

Na sɔm pipul dɛm, dɛn nɔr kin si no klia ɔndalayn mɛdikal kɔndishɔn wae kin mek dis sik. Dɛn kɔl dɛn kayn kes ya idiopathic Horner syndrome .

Di tin dɛn we kin mek pɔsin gɛt praymari (mɔdarɛt) Hɔna sindrom

dis kin bi we di nεv dεm we de kכmכt frכm yu haypothalamus tru yu bren stεm εn dכn yu spεnal kכd de pwεl . Dɛn nerve path ya kin pwɛl ɔ blok bay:

• di bכdi we de kכmכt na di bren stεm wan wan tεm (lεk strכk).
• Wan tumbu we de na di haypothalamus.
• Injuri dɛn na di spɛshal kɔd.
• Sik dɛn lɛk Multiple Sclerosis (MS) .
• Chiari malfɔmeshɔn .
• Ɛnsɛfalaytis .
• Meningitis we gɛt di sik .
• Lateral mεdula sεndrכm (Walenberg sεndrכm) .
• Siringomyelia we dɛn kɔl .

Di tin dɛn we kin mek pɔsin gɛt sɛkɔndari (preganglionic) Horner syndrome

dis kin bi we di nεv path we de kכmכt frכm yu chεst, tru di tכp pat pan yu lכng dεm, εn along di carotid atεri na yu nεk de pwεl. Di tin dɛn we kin afɛkt dis na:

• di tכmכro dεm we de divεlכp na di כp pat na di lכng כ na di chεst kεviti.
• Injury na di nɛk ɔ chɛst cavity bikɔs ɔf ɔpreshɔn ɔ aksidɛnt.
• Brachial plexus injuri we de apinDamej to di nyural nɛtwɔk.
• Tut we gɛt abses na wan smɔl smɔl tut we de na di tut we de na di jaw eria. Jɔs tink bɔt, ivin if pɔsin gɛt bad bad infekshɔn na tut, i kin mek dis apin.

Di tin dɛn we kin mek pɔsin gɛt tɛshari (postganglionic) Horner syndrome

Dis kayn kin kam bikɔs di nerve pathway frɔm yu nɛk to yu midul yes ɛn yay dɔn pwɛl. I kin bi bikɔs ɔf:

• Lɛsin dɛn na yu karotid at.
• Infεkshכn dεm na di midul ia.
• Injuri dɛn na di bays pan di skel.
• Siriv ed pen lɛk maygren ɔ klasta ed pen .
• Raeder paratrigeminal sindrom we gɛt di sik .
• di intanal karotid atεri dεsεkshכ n כ di karotid atεri anεvrizm (bulging fכ wan bכdi vεsεl).
• Shingles (herpes zoster) na wan sik we wan vayrɔs kin kam wit, we fiba mizɛl.
• Temporal arteritis na wan inflameshn na di atεri dεm.

Yu si, bɔku rizin dɛn de. Na dat mek if yu gɛt dɛn sik ya, yu fɔ go to dɔktɔ wantɛm wantɛm.

Aw yu no dis?

Bɔku tɛm, dɔktɔ dɛn kin no bɔt di sik we dɛn kɔl Horner Syndrome bay we dɛn de chɛk dɛn bɔdi. Dat min se, bay we yu de chɛk yu. Bɔt fɔ fɛn di ɔndalayn kɔz kin tranga smɔl, bikɔs i kin bi bikɔs ɔf bɔku mɛrɛsin. Dɔn bak, ɔda tin dɛn de we kin mek pɔsin gɛt di sem kayn sik.

Di dɔktɔ go aks yu bɔt yu sik, yu mɛdikal histri, ɛn ɛni aksidɛnt, sik, ɛn ɔpreshɔn we yu bin dɔn gɛt bifo. Dɔn i go du wan ɛgzam pan in bɔdi.

Dipen pan yu mɛdikal histri ɛn ɔda sayn dɛm wae yu gɛt, yu dɔktɔ kin ɔda fɔ du ɔda tɛst fɔ ɛp fɔ no wetin mek yu gɛt Horner syndrome. Fɔ ɛgzampul:

• Di tɛst dɛn we dɛn kin du fɔ tek pikchɔ: Dɛn tin ya na ɛkstrem rayt na di chɛst , magnɛtik rɛsɔnans imej (MRI) , kɔmpyuta tomografi (CT skan) , ɔ ɔltra saund .
• Blɔd tɛst: Dɛn tin ya na kɔmplit blɔd kɔnt (CBC) ɛn ɛritrosayt sɛdimɛnt rɛt (ESR) .

Dɛn tɛst ya go ɛp wi fɔ no di rayt tin we de mek wi gɛt dis.

Wetin na di tritmɛnt dɛn?

Fɔ trit di Horner Syndrome min fɔ trit di ɔndalayn kɔz. Bikɔs bɔku tin dɛn kin de we kin mek i sik, di tritmɛnt dɛn kin difrɛn.

Fɔ ɛgzampul, if di tin we kin mek pɔsin gɛt sik na di midul ia, dɛn kin gi am antibayɔtik. If di tin we mek i kam na di tumbu, dɛn kin nid fɔ du ɔpreshɔn, redyushɔn tɛrapi, ɔ kemotɛrapi. Semweso, di tritmɛnt kin difrɛn difrɛn wan bay di tin we kin mek i apin.

Sɔmtɛm, if yu nɔr gɛt pen ɔr ɔda tin wae nɔr kin fil fayn, yu nɔr kin nid ɛni spɛshal tritmɛnt.

Yu nɔ tink se dɛn go ebul fɔ stɔp dis?

Bikɔs bɔku ɔndalayn kɔndishɔn dɛn de we kin mek pɔsin gɛt Hɔna Sindrom, i nɔ kin izi fɔ tɔk fɔ tru aw fɔ mek i nɔ kam.

Bɔt sɔm tɛm dɛn, fɔ ɛgzampul if na aksidɛnt mek i apin (lɛk we dɛn kɔt di karotid at), fɔ tek tɛm fɔ protɛkt yu nɛk ɛn fɔ fala di tin dɛn we gɛt fɔ du wit disekshɔn kin ɛp fɔ mek di sik nɔ kam.

Wetin na di lukin-grɔn fɔ dis sityueshɔn? (Aw di we aw pipul dɛn de si tin tan lɛk?)

De luk fɔ Horner Syndrome de dipen pan de ɔndalayn kɔz. Di bɛsis simptom dɛm (di aylid we de drɔp, blak yay, we yu de swet) nɔ kin gɛt big impak pan yu kwaliti fɔ layf ɔr yu yay.

If di ɔndalayn kɔz na wan sik we nɔ de mɛn, lɛk multiple sclerosis , Horner syndrome kin de fɔ lɔng tɛm. Bɔt if na sɔntin we de apin fɔ sɔm tɛm ɛn we pɔsin kin trit, lɛk we pɔsin gɛt infɛkshɔn na yu yes, dɛn sayn ya kin dɔn wans di sik dɔn klia.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt sɔm sayn dɛn we de sho se yu gɛt Hɔna Sindrom, lɛk we yu aylid we de ɔp de drɔp na wan say, di blak sɛklɔ dɛn na yu yay nɔ ikwal, ɛn yu fes nɔ de swet na da say de, go to dɔktɔ kwik kwik wan.

Horner syndrome na sayn we nɔ kin apin so ɔltɛm we de sho se di ɔndalayn nerve dɛn dɔn pwɛl. Pan ɔl we bɔku tɛm, di sayn dɛm fɔ dis sik nɔ kin bad, di ɔndalayn kɔz kin bi sɔntin we kin mek pɔsin in layf de pan denja, lɛk we dɛn kɔt di tumbu ɔ di karotid at. So, if yu gɛt dis sik, i rili impɔtant fɔ go to dɔktɔ fɔ no di rizin we mek yu gɛt dis sik ɛn fɔ trit am kwik kwik wan.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so, na di men tin dɛm we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt tide:

• Horner Syndrome na wan sik wae de sho wae yu aylid dεm de dכp, yu yay lid dεm sכm sכm, εn yu de swet na wan say na yu fes.
• Pan ɔl we dɛn sayn ya nɔr denja, de ɔndalayn kɔndishɔn wae de mek pɔrsin gɛt dis sik kin siriɔs.
• Bɔku rizin dɛn kin de; di damej we di nεv sεstem de damej na di men wan.
• If yu notis ɛni wan pan dɛn sik ya, nɔ west tɛm ɛn go to dɔktɔ. Di dɔktɔ go no wetin mek i apin ɛn tɛl am di tritmɛnt we i nid.
• Bɔrku tɛm, we dɛn trit di ɔndalayn kɔz, di simptom dɛm wae de kam wit di Horner syndrome go dɔŋ ɔr go dɔn ɔl.

So, a op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Hכna sεndrכm, okulosimpatik palsi, ptosis, miosis, anhidrosis, nεv dεm we dεn dכn pwεl, simpatik nεv dεm, nyurolכjik sik dεm, fεs chenj, yay simptom dεm