Wali otunudde mu ndabirwamu n’olaba amangu ago ng’oludda olumu olwa ffeesi yo lwawukana katono ku lulala? Mpozzi ekibikka kyo eky’okungulu kikendedde katono, oba amaaso go gakyuse mu sayizi, era kya bulijjo okuwulira ng’otya katono. Leero, tugenda kwogera ku mbeera y’obulamu ereeta obubonero obufaananako bwe butyo, naye nga si bwa bulijjo nnyo.
Mu ngeri ennyangu, obulwadde bwa Horner Syndrome kye ki?
Obulwadde bwa Horner syndrome mbeera etatera kulabika ng’ekwata ku busimu. Omubiri gwaffe gulina obusimu obufuga ebintu ebibaawo nga tetubirowoozezzaako. Lowooza ku bintu ng’okutuuyana, oba eriiso eriddugavu mu maaso gaffe okweyongera obunene. Ekitundu ky’obusimu buno kiyungibwa okuva ku bwongo bwaffe okutuuka mu maaso gaffe n’amaaso gaffe. Singa wabaawo ekiziyiza kyonna, okwonooneka oba okuzibikira wonna mu kkubo ly’obusimu obwo, tuyita Horner syndrome okukuŋŋaanyizibwa kw’obubonero obubeerawo ku ludda olwo olwa ffeesi.
Kino era kiyitibwa `oculosympathetic palsy`, naye mu kwogera okwa bulijjo tukozesa erinnya Horner syndrome.
Eno embeera eyinza okutta omuntu?
Bino bye bikulu. Obubonero bw’obulwadde bwa Horner syndrome (nga ebikowe by’amaaso okugwa) ebiseera ebisinga tebukola bulabe bwonna ku bulamu bwo oba okulaba kwo. Kyokka obubonero buno buyinza okuba akabonero akalaga nti omuntu alina okulabula. Kwe kugamba, ziyinza okuba akabonero k’embeera ey’amaanyi ennyo munda mu mubiri.
N’olwekyo, bw’oba olina okuteebereza okutono nti olina obubonero bw’obulwadde bwa Horner, kyetaagisa okugenda ew’omusawo amangu ddala n’omanya ekivaako.
Embeera eno esobola okubaawo mu bantu ab’emyaka gyonna. Kyokka, tekitera kubaawo nnyo. Ku kigero, embeera eno etegeezebwa mu bantu nga omu ku buli 6,000.
Bubonero ki obukulu obulaga obulwadde buno?
Ebiseera ebisinga, ebintu bino byonna birabika ku ludda lumu lwokka olwa ffeesi. Oludda olulala lwa bulijjo ddala. Eno y’ensonga lwaki enjawulo nnyangu okutegeera.
| Obubonero | Ennyinyonnyola ennyangu |
|---|---|
| Ekibikka ky’amaaso ekigwa (Ptosis) . | Ekibikka eky’okungulu ku ludda olukoseddwa kigwa wansi katono okusinga eriiso eddala, ne kirabika ng’otulo. |
| Miosis (akawuka akatono akayitibwa iris) . | Ekitundu ky’eriiso erikoseddwa kirabika nga kitono nnyo okusinga eriiso eddala, ekifuula amaaso gombi okulabika nga ga sayizi ez’enjawulo. |
| Okukendeera kw’entuuyo mu maaso (Anhidrosis) . | Okutuuyana ku ludda lwa ffeesi olukoseddwa kuyinza obutabaawo ddala oba okukendeera ennyo. Okutuuyana ku ludda olwo nakyo kiyinza okukoma nga okola dduyiro. |
Lwaki kino kigenda mu maaso? Ensonga eziyinza okuba nga ze ziruwa?
Nga bwe twagambye emabegako, kino kiva ku kuzibikira awalala mu kkubo ly’obusimu okuva ku bwongo okutuuka ku liiso. Ekkubo lino ery’obusimu si layini ntongole. Lugendo luwanvu mu bitundu bisatu. N’olwekyo, ebivaako bisobola okwawukana okusinziira ku kifo we wazibikira.
Teebereza eggaali y’omukka ng’eva e Colombo okutuuka e Kandy. Singa eggaali y’omukka eyo esibira e Rambukkana mu kkubo, wayinza okubaawo ensonga lwaki, era singa esibira e Polgahawela, wayinza okubaawo ensonga endala. Bwe kityo bwe kiri ne ku kkubo lino ery’obusimu.
Omulongooti wansi guwa endowooza ku zimu ku nsonga eziyinza okuvaako kino.
| Ekifo ekikulu ekizibu we kiyinza okubaawo | Ensonga eziwerako ezisoboka |
|---|---|
| Ebizibu ebisooka: Ebikwatagana n’obwongo oba omugongo | |
| Okwonooneka kw’ekkubo ly’obusimu eriva ku bwongo okutuuka ku mugongo. |
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| Ebizibu eby’olunyiriri olwokubiri: ebikwatagana n’ekifuba, amawuggwe, n’ensingo | |
| Okwonooneka kw’ekkubo ly’obusimu eriva mu kifuba okutuuka mu bulago. |
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| Ebizibu eby’omutendera ogw’okusatu: okuva mu bulago okutuuka ku liiso | |
| Okwonooneka kw’ekkubo ly’obusimu eriva mu bulago okuyita mu kutu okwa wakati okutuuka ku liiso. |
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Oluusi, wadde nga bino byonna bikebereddwa, tewali nsonga ntegeerekeka esobola kuzuulibwa. Ate era, si bulijjo nnyo, embeera eno esobola okubaawo ng’azaalibwa.
Omusawo kino akitegeera atya?
Bw’ogenda okulaba omusawo, bajja kugoberera emitendera egiwerako okuzuula obulungi embeera eno.
1. Okukubuuza ebisingawo: Okusooka, bajja kukusaba ebikwata ku bubonero buno ddi lwe bwatandika, engeri gye bwatandika, oba olina obubonero obulala, n’obubenje oba okulongoosebwa kwonna okwasooka.
2. Okukebera omubiri: Olwo ojja kwekebejjebwa obulungi naddala amaaso n’obusimu.
3. Okwongera okukebera: Obulwadde bwa Horner bwe bumala okukakasibwa, okusoomoozebwa okuddako kwe kuzuula kiki ddala ekibuleeta. Kino kiyinza okwetaagisa okukeberebwa okw’enjawulo.
- Okukebera omusaayi: Okukebera nga complete blood count (CBC), ESR.
- Okukebera ebifaananyi: Bino bikulu nnyo okuzuula ekivaako we kiri.
- X-ray y’ekifuba
- Okukebera MRI (Magnetic Resonance Imaging) .
- CT Scan (Okukebera omubiri mu kompyuta) .
- Okukebera mu ngeri ya Ultrasound
Kisinziira ku bivudde mu kukeberebwa kuno omusawo ajja kukubuulira ddala ekivaako embeera eno.
Kijjanjabwa kitya?
Ekikulu okutegeera wano kiri nti tetujjanjaba bubonero bwa Horner syndrome, wabula obulwadde obusirikitu obwakireeta .
Kuba akafaananyi ng’amazzi gakulukuta okuva waggulu ku nnyumba yo. Kye tukola tetukoma ku kuteeka baketi we kikulukuta, wabula tukola ekituli mu kasolya. Kino kintu kye kimu.
- Singa ekivaako bulwadde bwa middle ear infection , eddagala eritta obuwuka lijja kugogola yinfekisoni era obubonero bw’obulwadde bwa Horner’s syndrome bujja kugenda.
- Singa ekivaako kookolo , kijja kwetaagisa okulongoosebwa, okuweebwa obujjanjabi obw’amasannyalaze, oba obujjanjabi obulala obwa kookolo.
- Singa ekivaako kuba kusannyalala , obujjanjabi obutuufu n‟okuddaabiriza bijja kuweebwa.
Oluusi, singa ekizibu ekikuviirako si kya maanyi era nga tofuna bulumi oba obuzibu obulala, tewayinza kwetaagisa bujjanjabi bwa njawulo.
Ebikwata ku biseera eby’omu maaso n’okuziyiza
Enteebereza y’obulwadde bwa Horner syndrome esinziira ddala ku kivaako.
- Singa ekivaako kiba kintu kya kaseera buseera ekiyinza okujjanjabibwa (nga yinfekisoni y’amatu), obubonero bujja kuggwaawo ddala.
- Singa ekivaako bulwadde obutawona nga multiple sclerosis (MS), obubonero bw’obulwadde bwa Horner syndrome buyinza okusigalawo.
Kyokka ekirungi nti obubonero buno tebulina kinene kye bukola ku bulamu bwo obwa bulijjo oba endabika yo.
Ebintu bingi nnyo ebiyinza okuleeta kino, tewali ngeri yonna gye tuyinza kugamba nti, "Bw'okola kino, osobola okuziyiza obulwadde bwa Horner." Wabula okukola eby’okwerinda okutangira obuvune mu bulago n’ekifuba kiyinza okuyamba okukendeeza ku bulabe obumu obw’okufuna obuvune.
Obubaka Obutwala Awaka
- Obulwadde bwa Horner si bulwadde, wabula kabonero oba kabonero k’obulwadde obulala mu mubiri.
- Obubonero obukulu obusatu bwe buno: ekibikka ky’amaaso okugwa ku ludda olumu olwa ffeesi (ptosis), okukendeera kw’obunene bw’amaaso (miosis), n’okukendeera kw’entuuyo (anhidrosis).
- Ekivaako kino kiyinza okuba ekintu kyonna okuva ku bulwadde bw’amatu obutonotono okutuuka ku mbeera ey’amaanyi ennyo nga kookolo oba okusannyalala.
- Bw’ofuna obubonero buno, kikulu okugenda mu basawo amagezi awatali kulwa . Okuzuula amangu obulwadde buno kiyinza okukuyamba okutandika okujjanjaba embeera ezisingako obuzibu.
- Obujjanjabi tebujjanjaba bulwadde bwa Horner, wabula embeera eyaliwo eyabuleeta.
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