Enkyukakyuka zino nazo olina ku ludda olumu olwa ffeesi yo? (Ka twogere ku bulwadde bwa Horner Syndrome)!

Wali okirabye ng’oludda olumu olwa ffeesi yo lulina ekibikka ekikka, eriiso eriddugavu ettono okusinga olulala, ate nga ku ludda olwo terutuuyana nnyo? Oba olabye omuntu gw’omanyi ng’akola kino? Bino biyinza okuba obubonero obukulu obw’embeera y’obusimu etali ya bulijjo eyitibwa Horner Syndrome , gye tugenda okwogerako leero. Era kiyitibwa obulwadde bw’okusannyalala kw’amaaso oba Bernard-Horner syndrome . Tofaayo, kino tujja kukyogerako mu ngeri ennyangu era mu ngeri gy’osobola okutegeera.

Obulwadde bwa Horner Syndrome kye ki? Mu ngeri ennyangu...

Okay, lowooza ku nsonga eno. Tulina obusimu obw’enjawulo obuva ku bwongo bwaffe okutuuka mu maaso gaffe ne mu maaso gaffe. Bino tubiyita obusimu obusaasira . Enkola eno ey’obusimu efuga ebimu ku bintu ebiri mu mubiri gwaffe bye tutafuga, ebibaawo mu ngeri ey’otoma. Okugeza ebintu ng’okutuuyana n’enkulungo enjeru mu maaso gaffe okukula n’okukendeera.

Kale, singa ekkubo lino ery’obusimu obw’okusaasira mu ngeri emu oba endala litaataaganyizibwa oba ne lyonoonese, embeera eno eyitibwa Horner Syndrome ebaawo. Wano eriiso n’ebitundu ebigyetoolodde ku ludda olumu olwa ffeesi yo lwe bikosebwa.

Kino kya bulabe eri obulamu? Kintu kya kutya?

Bino by’olina okutegeera: Obubonero obukwatagana n’obulwadde bwa Horner Syndrome, gamba ng’ekibikka ky’amaaso ekigwa n’eriiso eriddugavu bwe nnayogeddeko emabegako, ebiseera ebisinga tebukola bulabe bwonna ku bulamu bwo oba okulaba kwo.

Naye, ekisinga obukulu, obubonero buno busobola okulaga ekizibu ky‟obulamu ekisirikitu, ekiyinza okuba eky‟amaanyi ennyo. N’olwekyo, bw’ofuna obubonero buno, kyetaagisa okunoonya amagezi g’abasawo okumanya ekivaako.

Ani ayinza okufuna kino? Kitera kitya?

Obulwadde bwa Horner Syndrome busobola okukwata abantu ab’emyaka gyonna. Mu mbeera ezimu, nga 5 ku buli 100, kiyinza okuba nga kyazaalibwa , ekitegeeza nti mbeera ebeerawo okuva lwe yazaalibwa.

Eno si mbeera ya bulijjo nnyo. Mu ngeri ey’obukambwe, bukosa abantu nga 1 ku buli 6,000.

Bubonero ki obulaga kino? Okubeera omutuufu...

Mu bujjuvu, obubonero bw’obulwadde bwa Horner Syndrome bukosa oludda lumu lwokka olwa ffeesi yo. Obubonero obukulu bw’oyinza okwetegereza bwe buno:

• Ekibikka ky’amaaso ekigwa: Kino mu by’obujjanjabi kimanyiddwa nga ptosis . Kifuula eriiso erimu okulabika ng’eri wansi katono okusinga eddala.
• Okukendeera kw’amaaso: Kino kiyitibwa miosis . Kino kiyinza okuvaako ebiwujjo ebiri mu maaso gombi okulabika ng’ebitali byenkanankana mu bunene, ekimu nga kinene ate ekirala nga kitono.
• Okukendeera oba okufiirwa ddala entuuyo mu maaso: Embeera eno eyitibwa anhidrosis . Okutuuyana kukendeera ku ludda olukoseddwa.

Engeri zino essatu ze zisinga okulabibwa.

Lwaki obulwadde bwa Horner Syndrome bubaawo? Biki ebivaako?

Ebiseera ebisinga, obulwadde bwa Horner Syndrome buva ku kuzibikira oba okwonooneka kw’ekkubo ly’obusimu obusaasizi erigenda mu maaso, nga bwe nnagambye emabegako. Ebivaako obusimu buno okwonooneka biyinza okuba eby’enjawulo ennyo. Lowooza ku kino, ebivaako bino biyinza okuva ku yinfekisoni y’amatu aga wakati, okutuuka ku kusalako emisuwa gy’amatu , omusuwa omunene mu bulago, oba n’ekizimba ky’ekifuba ekiyitibwa apical chest tumor .

Si bulijjo nnyo, eno eyinza okuba embeera ey’obuzaale. Kino kitera kuva ku kabenje ng’ozaala, okwonooneka kw’obusimu oba omusuwa gw’omubiri (carotid artery). N’okusingawo, obulwadde buno busobola okusiigibwa okuva ku mulembe okudda ku mulala, naye obuzaale obutuufu obubuleeta tebunnazuulibwa.

Waliwo amakubo g’obusimu asatu ag’enjawulo agayinza okwenyigira mu bulwadde bwa Horner Syndrome. Obusimu obuva mu bwongo bwaffe tebujja butereevu mu maaso ne mu maaso. Zitambulira mu makubo asatu. Amakubo gonna ku gano asatu gasobola okutaataaganyizibwa. N’olwekyo, waliwo ebika bisatu eby’obulwadde bwa Horner Syndrome, ebiyinza okuba n’ebivaako eby’enjawulo.

Mu bantu abamu, tewali mbeera ya bujjanjabi ntegeerekeka eyinza kuzuulibwa ereeta obulwadde buno. Emisango ng'ezo giyitibwa obulwadde bwa idiopathic Horner syndrome .

Ebivaako obulwadde bwa Horner syndrome obusookerwako (obw’ekigero).

Kino kiva ku kwonooneka kw'obusimu obukulukuta okuva mu hypothalamus yo okuyita mu kikolo ky'obwongo ne wansi ku mugongo gwo . Amakubo gano ag’obusimu gayinza okwonooneka oba okuzibikira:

• Okusasika kw’omusaayi mu bwangu okutuuka ku kikolo ky’obwongo (nga okusannyalala).
• Ekizimba mu kitundu ekiyitibwa hypothalamus.
• Obuvune ku mugongo.
• Endwadde nga Multiple Sclerosis (MS) .
• Chiari malformation .
• Obulwadde bw'obwongo .
• Obulwadde bw'okuzimba omutwe .
• Obulwadde bw’omumwa gwa nnabaana (lateral medullary syndrome) (Obulwadde bwa Wallenberg) .
• Obulwadde bwa syringomyelia .

Ebivaako obulwadde bwa Horner syndrome obw’okubiri (preganglionic).

Kino kiva ku kwonooneka kw’ekkubo ly’obusimu erikulukuta okuva mu kifuba kyo, okuyita waggulu w’amawuggwe go, n’okuyita ku musuwa gwa carotid mu bulago bwo. Embeera eziyinza okukosa kino mulimu:

• Ebizimba ebikula mu kitundu eky’okungulu eky’amawuggwe oba mu kifuba.
• Obuvune mu bulago oba mu kifuba olw’okulongoosebwa oba akabenje.
• Obuvune mu kitundu ky’omukono (brachial plexus).Okwonooneka kw’omukutu gw’obusimu.
• Erinnyo eririmu ebizimba lye kizimba mu linnyo mu kitundu ky’akawanga. Lowooza ku kino, ne bwe wabaawo yinfekisoni ey’amaanyi mu linnyo esobola okuvaako kino.

Ebivaako obulwadde bwa Horner syndrome obw’ekika kya tertiary (postganglionic).

Ekika kino kiva ku kwonooneka kw’ekkubo ly’obusimu okuva mu bulago okutuuka ku kutu kwo okwa wakati n’eriiso. Kiyinza okuva ku:

• Ebiwundu mu musuwa gwo ogwa carotid.
• Yinfekisoni z’amatu aga wakati.
• Obuvune ku musingi gw’ekiwanga.
• Embeera z'okulumwa omutwe okw'amaanyi nga omutwe omuzito oba okulumwa omutwe mu bitundutundu .
• Obulwadde bwa Raeder paratrigeminal syndrome .
• Okusalako omusuwa gw’omusaayi ogw’omunda oba okuzimba emisuwa gy’omusaayi (okubumbulukuka kw’omusuwa).
• Shingles (herpes zoster) mbeera ereetebwa akawuka, okufaananako n’omusujja gw’ensiri.
• Obulwadde bw’emisuwa obuyitibwa temporal arteritis buzimba emisuwa.

Olaba ensonga nnyingi nnyo. Y’ensonga lwaki bw’oba ​​olina obubonero buno, olina okugenda ew’omusawo mu bwangu.

Kino okitegeera otya?

Abasawo batera okuzuula obulwadde bwa Horner Syndrome nga bayita mu kukeberebwa omubiri. Kwe kugamba, nga tukukebera. Kyokka okuzuula ekivaako kiyinza okukaluba katono, kubanga kiyinza okuva ku mbeera nnyingi ez’obujjanjabi. Ate era, waliwo embeera endala eziyinza okuleeta obubonero obufaananako bwe butyo.

Omusawo ajja kukubuuza ku bubonero bwo, ebyafaayo byo eby’obujjanjabi, n’obubenje bwonna obw’emabega, endwadde n’okulongoosebwa. Olwo ajja kumukebera omubiri.

Okusinziira ku byafaayo by’obujjanjabi bwo n’obubonero obulala bw’olina, omusawo ayinza okulagira okukeberebwa ebirala okuyamba okuzuula ekivaako obulwadde bwa Horner. Okugeza nga:

• Okukebera ebifaananyi: Mu bino mulimu X-ray y’ekifuba , magnetic resonance imaging (MRI) , computed tomography (CT scan) , oba ultrasound .
• Okukebera omusaayi: Mu bino mulimu okubala omusaayi mu bujjuvu (CBC) n’omuwendo gw’obutoffaali obuyitibwa erythrocyte sedimentation rate (ESR) .

Ebigezo bino bijja kutuyamba okumanya ddala ekivaako kino.

Obujjanjabi bwe buruwa?

Okujjanjaba obulwadde bwa Horner Syndrome kitegeeza okujjanjaba ekizibu ekivaako obulwadde buno. Olw’okuba wayinza okubaawo ebivaako bingi, obujjanjabi buyinza okwawukana nnyo.

Okugeza singa ekivaako kiva ku bulwadde bw’amatu aga wakati, baweebwa eddagala eritta obuwuka. Singa ekivaako kizimba, kiyinza okwetaagisa okulongoosebwa, obujjanjabi obw’amasannyalaze oba eddagala eriweweeza ku bulwadde bwa ddagala. Mu ngeri y’emu, obujjanjabi bwawukana okusinziira ku kivaako.

Oluusi, bw’oba ​​tolina bulumi oba obuzibu obulala, oyinza obuteetaaga bujjanjabi bwa njawulo.

Kino tekiyinza kuziyizibwa?

Olw’okuba waliwo embeera nnyingi eziyinza okuvaako obulwadde bwa Horner Syndrome, kizibu okwogera mu butuufu engeri y’okubuziyiza okukula.

Wabula mu mbeera ezimu, okugeza singa kiva ku kabenje (nga okusalako emisuwa gy’omu lubuto), okwegendereza okukuuma ensingo yo n’okugoberera okwegendereza okukwata ku kusalako kiyinza okuyamba okuziyiza obulwadde buno okukula.

Embeera eno etunuuliddwa etya? (Endowooza eri etya?)

Endowooza y’obulwadde bwa Horner Syndrome esinziira ku kivaako obulwadde buno. Obubonero obukulu (ekibikka ky’amaaso okugwa, eriiso eriddugavu, okukendeera kw’entuuyo) ebiseera ebisinga tebulina kinene kye bukola ku mutindo gwa bulamu bwo oba okulaba kwo.

Singa ekivaako obulwadde buno buba buzibu obutawona, gamba nga multiple sclerosis , Horner syndrome eyinza okubaawo okumala ebbanga eddene. Kyokka singa kiba kiva ku kintu eky’akaseera obuseera era ekiyinza okujjanjabibwa, gamba ng’obulwadde bw’amatu, obubonero buno buyinza okuggwaawo ng’obulwadde bumaze okulongooka.

Ddi lw’osaanidde okulaba omusawo?

Bw’oba ​​olina obubonero bw’obulwadde bwa Horner Syndrome, gamba ng’okugwa kw’ekibikka eky’okungulu ku ludda olumu, obunene bw’enkulungo enjeru ku maaso gombi obutafaanagana, n’okukendeera kw’entuuyo mu maaso ku ludda olwo, laba omusawo amangu ddala nga bwe kisoboka.

Obulwadde bwa Horner kabonero akatatera kulabika akalaga nti obusimu obusirikitu okwonooneka. Wadde ng’obubonero bw’obulwadde buno butera obutaba bwa bulabe, oluusi ekivaako obulwadde buno kiyinza okuba ekintu ekiyinza okutta omuntu, gamba ng’okusalako ekizimba oba emisuwa gy’omu lubuto. N’olwekyo, bw’oba ​​olina obulwadde buno, kikulu nnyo okugenda ew’omusawo okuzuula ekivaako obulwadde buno n’okubujjanjaba mu bwangu.

N’ekisembayo, ebintu by’olina okujjukira (Obubaka bw’okutwala awaka) .

Okay, kale, bino bye bintu ebikulu by’olina okujjukira okuva mu bye twogeddeko leero:

• Horner Syndrome mbeera emanyiddwa ng’ebikowe by’amaaso bigwa, ebikowe ebitono, n’okukendeera kw’entuuyo ku ludda olumu olwa ffeesi.
• Wadde ng’obubonero buno si bwa bulabe, embeera enkulu ebuleeta eyinza okuba ey’amaanyi.
• Wayinza okubaawo ensonga nnyingi; okwonooneka kw’obusimu kye kisinga obukulu.
• Bw’olaba obubonero buno bwonna, tomala biseera era onoonye omusawo amagezi. Omusawo ajja kuzuula ekivaako n’okumuwa obujjanjabi obwetaagisa.
• Emirundi egisinga, ekivaako ekizibu kino bwe kijjanjabwa, obubonero bw’obulwadde bwa Horner syndrome bujja kukendeera oba bujja kuggwaawo ddala.

Kale, nsuubira nti amawulire gano ga mugaso gy’oli. Sigala nga oli mulamu bulungi!

` Horner syndrome, oculosympathetic palsy, ptosis, miosis, anhidrosis, okwonooneka kw’obusimu, obusimu obusaasizi, endwadde z’obusimu, enkyukakyuka mu maaso, obubonero bw’amaaso