Eriiso erimu lizibikira ng’okyusa amaaso go ku bbali? Ka twogere ku bulwadde bw'amaaso obuyitibwa Internuclear Ophthalmoplegia (INO)!

Wali okirabye, oba obaddeko, nti bw’ogezaako okutunula ku ludda olumu, eriiso lyo erimu lirabika nga litunudde mu ludda olulala mu kifo ky’okutunula mu ludda olwo? Oba eriiso erimu likoma wakati ate eriiso eddala lyokka ne ligenda ku bbali? Kino kiyinza okukutaataaganya katono era nga tekinyuma. Leero tugenda kwogera ku kimu ekiyinza okuvaako kino, nga ye mbeera eyitibwa `Internuclear Ophthalmoplegia` oba `(INO)`. Tofaayo, ka tukinnyonnyole mu ngeri ennyangu.

INO kye ki? (INO kye ki?)

Mu ngeri ennyangu, `Internuclear Ophthalmoplegia (INO)` kye kigambo ky’obusawo ekitegeeza embeera ng’eriiso lyo erimu (oluusi amaaso gombi) tekyukira ddala mu ludda olwo ng’ogezaako okutunula ku bbali. Okugeza bw’ogezaako okutunula ku ddyo, eriiso lyo erya kkono liyimirira wakati, nga teriyita ku nnyindo. Oba bw’ogezaako okutunula ku kkono, eriiso lyo erya ddyo litunula.

Singa twekenneenya amakulu g'erinnya lino katono, "Internuclear" kitegeeza engeri ebifo by'obusimu (nuclei) gye bikolaganamu. "Ophthalmoplegia" kitegeeza okusannyalala kw'ebinywa by'amaaso. Kale, mu `(INO)`, waliwo okwonooneka okumu ku kkubo ly’obusimu ery’enjawulo (eriyitibwa `Medial Longitudinal Fasciculus`) eriva mu bwongo obukwasaganya entambula z’amaaso gaffe. Ekkubo lino ery’obusimu liringa enkola ya waya z’ennyumba. Tetugifaako nnyo okutuusa ng’ekola bulungi, naye bwe tuba nga waliwo ekikyamu gye tutegeera omugaso gwakyo.

INO esobola okukosa eriiso limu lyokka (unilateral INO) oba amaaso gombi mu kiseera kye kimu (bilateral INO).

Ekikulu: Oluusi embeera eno eya ``INO'' eyinza okuba akabonero k'embeera ey'amaanyi, eyinza okutta omuntu, gamba ng'okusannyalala. Singa ggwe oba omuntu gw’omanyi afuna enkyukakyuka zino mu maaso awamu n’obubonero bw’okusannyalala (e.g., okugwa kw’ekibikka, okuzirika mu mukono oba okugulu, okukaluubirirwa okwogera), olina okukuba ku ssimu 911 amangu ddala n’ogenda mu ddwaaliro.

Abantu abamu bawona ddala okuva mu INO. Kyokka abantu abamu bayinza okuba n’obubonero obulamu bwabwe bwonna. Obuwanvu bw’obudde obutwala okudda engulu businziira nnyo ku kivaako INO.

Bubonero ki obulaga nti alina INO? (Bubonero ki obwa INO?)

Akabonero akakulu era akasinga okweyoleka kwe kuba nti eriiso erimu terikyuka bulungi nga litunudde ku bbali. Okugatta ku ekyo, bino wammanga biyinza okubaawo:

• Okulaba emirundi ebiri (Diplopia): Kino kyeyoleka nnyo naddala ng’otunudde ku bbali. Ku bantu abamu, era kiyinza okubaawo nga batunudde waggulu. Teebereza, watya singa oba otambula mu kkubo era amangu ago n’olaba buli kimu mu bibiri? Kyandibadde kizibu nnyo, si bwe kiri?
• Okulaba okuzibu oba okulemererwa okulaba: Ebintu ebirabika obulungi biyinza okulabika ng’ebizibu.
• Okuziyira: Olw’okuba amaaso tegakola wamu, ensonga za bbalansi ziyinza okubaawo era ziyinza okuwulira ng’okuziyira.
• Oluusi, okutambula kw’amaaso okw’amangu (nystagmus) okutali kukwatagana na ludda lw’okulaba kuyinza okulabibwa.

Lwaki INO ebaawo? Biki ebivaako?

Nga bwe nnagambye emabegako, IOP eva ku kwonooneka kw’ekitundu ekiyitibwa Medial Longitudinal Fasciculus (MLF), ekitundu ky’obusimu ekifuga entambula y’amaaso gaffe. MLF eno etambuza obusimu obufuga entambula y’omutwe n’amaaso gaffe (nga mw’otwalidde n’obusimu obw’okusatu obw’omutwe, Oculomotor nerve). Kiba ng'enkola ya "cable system" enzibu mu mubiri gwaffe.

Abantu abamu bafuna INO oluvannyuma lw’okusannyalala okwonoona ekikolo ky’obwongo. Ekikolo ky’obwongo kye kitundu ky’obwongo wansi ekigatta obwongo bwaffe ku mugongo (enkola y’obusimu obuddukira wansi mu mugongo). Kino kitundu kikulu nnyo mu busimu bwaffe obw’omu makkati.

Ensonga enkulu ntono:

Zino ze zimu ku nsonga enkulu ezireeta `(INO)`:

• Obulwadde bwa Multiple Sclerosis (MS): Buno bulwadde obukosa obusimu.
• Strokes: Sstroke ezikwata mu ngeri ey’enjawulo ku kikolo ky’obwongo.
• Okuvaamu omusaayi: Okuvaamu omusaayi mu bwongo.
• Arteriovenous Malformation (AVM): Obuzibu obuzaalibwa mu misuwa mu bwongo.
• Obulwadde bw’obwongo: Obuzimba bw’obwongo obuva ku yinfekisoni ez’enjawulo, gamba ng’obulwadde bwa Lyme, okukwatibwa akawuka ka siriimu, ne Herpes Zoster (akawuka akaleeta enkoko n’enkwaso).
• Traumatic Brain Injuries (TBI) bwe buvune ku bwongo obuva ku buvune obw’amaanyi ku mutwe .
• Endwadde z’abaserikale b’omubiri: Endwadde ezilumba obutoffaali bw’omubiri, gamba nga lupus ne Sjögren’s syndrome.

INO ezuulibwa etya?

Omusawo ajja kuzuula INO okusinga ng’ayita mu kwekebejja omubiri. Ajja kutunuulira amaaso go era yeetegereza engeri gye gatambulamu. Bajja kukusaba okutunula okuva ku ludda olumu okudda ku lulala, waggulu ne wansi. Kino kijja kuyamba okuzuula oba eriiso erimu litambula nga terukwatagana na eddala.

Oluusi, bw’oba ​​olina embeera ng’okusannyalala oba okulumwa omutwe, embeera eno esobola okuzuulibwa mu butanwa mu kukeberebwa okukolebwa mu kiseera ekyo.

Bigezo ki ebikolebwa?

Omusawo wo ayinza okwetaaga okukola sikaani emu oba eziwera ku zino wammanga okuzuula oba waliwo okwonooneka mu kkubo ly’obusimu eriyitibwa Medial Longitudinal Fasciculus (MLF):

• MRI scan (MRI - Okukuba ebifaananyi mu ngeri ya magineeti) .
• CT scan (CT - Okukebera mu ngeri ya kompyuta) .

Singa sikaani zino teziwa mawulire mategeerekeka, omusawo ayinza okukuwa amagezi okwongera okukeberebwa:

• Okukebera omusaayi: Bino bisobola okuzuula yinfekisoni oba ebizibu ebirala ebiyinza okukosa obwongo.
• Spinal Tap / Lumbar Puncture: Kino kizingiramu okutwala sampuli y’amazzi ageetoolodde obwongo bwo n’omugongo (cerebrospinal fluid). Kino kiyamba nnyo naddala mu kuzuula yinfekisoni.

Bujjanjabi ki obuweebwa INO?

Obujjanjabi bwa (INO) businziira ku kivaako. Omusawo wo ajja kujjanjaba ekizibu kino okusinga okujjanjaba embeera yennyini.

Teebereza, singa ekivaako `(INO)` kiba kya kusannyalala oba obulwadde nga multiple sclerosis `(MS)`, kiyinza okwetaagisa obujjanjabi obw’ekiseera ekiwanvu – mpozzi obulamu bwonna.

Singa `(INO)` eva ku bulwadde, embeera ya `(INO)` etera okutereera ng'obulwadde bumaze okujjanjabwa.

Oluusi singa obubonero buba busigala, omusawo ayinza okukukuba empiso y’obutwa bwa botulinum okuwummuza ebinywa ebyetoolodde amaaso go. Kino kiyinza okuyamba okukendeeza ku kulaba emirundi ebiri (diplopia) n’okunyiga amaaso mu ngeri etategeerekeka (nystagmus).

Omusawo ajja kukunnyonnyola obujjanjabi bwe weetaaga ne by’osuubira mu bujjanjabi obwo.

INO esobola okuziyizibwa?

Mu butuufu, kizibu okuziyiza ddala embeera eno kubanga ebivaako (nga embeera ez’amangu, yinfekisoni) ezigireeta bibaawo mu bwangu era nga tosuubira.

Naye okutwaliza awamu, kikulu nnyo okwambala amaaso agakuuma n’ebikozesebwa ebituufu eby’okwekuuma ng’okola n’ebikozesebwa oba ng’okola emirimu egiyinza okuvaako obuvune ku mutwe oba amaaso. Kino kijja kugenda mu maaso n’okutangira obuvune obw’amaanyi ku bwongo, nga kino kye kimu ku bivaako INO.

Ddi amaaso lwe galina okwekebejjebwa?

Bw’okebera buli kiseera amaaso go n’okulaba, omusawo w’amaaso asobola okuzuula obuzibu bwonna nga bukyali. Okutwalira awamu emirundi gy’okeberebwa amaaso gyawukana okusinziira ku myaka gyo:

• Abantu abali wansi w’emyaka 40: Buli luvannyuma lwa myaka 5 oba 10.
• Abantu abali wakati w’emyaka 40 ne 54: Buli luvannyuma lwa myaka 2 oba 4.
• Abantu abali wakati w’emyaka 55 ne 64: Buli luvannyuma lwa myaka 1 okutuuka ku 3. (Ekiwandiiko ekyasooka kyalina ensobi mu kuwandiika nga 55-54, kisaana okutereezebwa nga 55-64)
• Abantu ab’emyaka 65 n’okudda waggulu: Buli mwaka oba buli luvannyuma lwa myaka 2.

Kyokka bw’oba ​​olina embeera, gamba nga ssukaali, ekosa engeri obwongo gy’ofugamu amaaso go, kiyinza okwetaagisa okukeberebwa amaaso go emirundi mingi okusinga ku kino. Buuza omusawo w’amaaso emirundi emeka gy’olina okukeberebwa amaaso.

Omuntu alina INO ayinza kusuubira ki?

INO oluusi eyinza okuba ekizibu eky’akaseera obuseera, naye abantu abamu bayinza okuba n’obubonero mu bulamu bwabwe bwonna. Byonna bisinziira ku kiki ekyaviirako INO okukulaakulana mu kusooka. INO esobola okuwangaala mu mbeera nga multiple sclerosis (MS) oba endwadde ezimu ez’abaserikale b’omubiri.

Abantu abafuna `(INO)` olw'obulwadde batera okuwona oluvannyuma lw'obulwadde okulongooka, era tewali bikolwa bya bbanga ddene.

Bw’oba ​​ofunye stroke, okuvaamu omusaayi oba obuvune ku bwongo obw’ekikangabwa, oba ng’olina obulwadde bwa multiple sclerosis (MS), otera okuba n’obubonero obw’ekiseera ekiwanvu. Amaaso n’okulaba kwo bwe biddamu okutereera kisinziira ku bbanga omusaayi ogugenda mu bwongo n’obusimu bwo bwe gwasalibwako.

Yogerako n’omusawo wo okumanya ebisingawo ku by’osuubira n’engeri y’okuddukanyaamu obubonero bwo.

Ddi lwe nnina okulaba omusawo?

Laba omusawo amangu ddala ng’olaba enkyukakyuka yonna mu maaso go oba mu kulaba kwo.

Ate era, bw’oba ​​olina obubonero buno wammanga , genda mu kisenge ky’abalwadde ab’amangu mu ddwaaliro mu bwangu:

• Bwoba tosobola kutambuza maaso go.
• Singa ofiirwa okulaba kwo mu bwangu (total oba partial).
• Bw’oba ​​olina obulumi obw’amaanyi mu maaso.
• Singa otandika okulaba ebiwujjo ebipya oba ebiwujjo mu maaso go.

Bibuuzo ki bye nnina okubuuza omusawo?

Bw’ogenda okulaba omusawo, tolwawo kubuuza bibuuzo nga bino:

• Effect eno ejja kumala bbanga ki ku maaso gange?
• Okwolesebwa kwange kunaakyuka enkalakkalira?
• Bujjanjabi bwa ngeri ki bwe nneetaaga?
• Mirundi emeka gye nnina okukeberebwa amaaso gange mu biseera eby’omu maaso?

Njawulo ki eri wakati wa INO ne Strabismus?

(INO) kiva ku kwonooneka kw’ekkubo ly’obusimu eriyitibwa Medial Longitudinal Fasciculus (MLF) n’obusimu obufuga entambula y’amaaso.

Strabismus kigambo kya bulijjo ekitegeeza embeera yonna amaaso mwe gatasobola kukuumibwa nga gasonga mu kkubo lye limu. Mu budde obwabulijjo, ebinywa omukaaga ebifuga entambula y’amaaso gaffe bikolagana ne bikyusa amaaso gombi mu kkubo lye limu. Abantu abalina obulwadde bwa strabismus bafuna obuzibu okufuga entambula y’amaaso olw’embeera ezimu ezikosa ebinywa ebyo. Kale, strabismus kizibu kya busimu, ate strabismus mbeera egazi, etera okuba ey’ebinywa.

Pseudo-INO kye ki? (Pseudo-INO kye ki?)

`Pseudo-INO` (ekitegeeza "INO ey'obulimba") era eraga obubonero obufaananako ne `(INO)`. Kyokka embeera ya njawulo ekosa amaaso.

Ekisinga okuvaako `Pseudo-INO` bulwadde obuyitibwa Myasthenia Gravis. Kino `(Myasthenia Gravis)` kireeta obunafu bw'ebinywa mu mubiri gwonna. Singa obunafu buno bukosa ebinywa ebyetoolodde amaaso, oyinza obutasobola kufuga ntambula y’amaaso. Bw’ofuna obunafu bwonna obupya mu binywa, laba omusawo.

Obubaka Obutwala Awaka

Obulwadde bw’amaaso obuyitibwa Internuclear ophthalmoplegia (INO) mbeera ekosa obusobozi bw’amaaso go okutambula obulungi awamu. Ebiseera ebisinga kiva ku mbeera y’obujjanjabi ey’amaanyi oba akabenje. Ka kibeere ki ekikuviirako obubonero, omusawo asobola okukuyamba okufuna obujjanjabi obutuufu. Totya kubuuza musawo wo bibuuzo byonna by’oyinza okuba nabyo mu lugendo luno. Bw’ofuna obujjanjabi obw’amangu n’obujjanjabi obutuufu, embeera eno esobola okuddukanyizibwa.

` internuclear ophthalmoplegia, INO, okutambula kw’amaaso, okulaba emirundi ebiri, diplopia, okusannyalala, obusimu bw’omutwe