I hmai sir khatah pawh heng inthlak danglamna te hi i nei em? (Horner Syndrome chungchang hi han sawi ila)!

I hmai sir khatah mitmeng a tla thla a, a sir dang aiin mit dum a te zawk a, chu sir lamah chuan thawmhnaw a chhuak tlem zawk tih i hmu ngai em? A nih loh leh i hriat mi pakhatin hetiang thil a tih hi i hmu tawh em? Hengte hi Horner Syndrome , tunlaia kan sawi tur, thluak lam natna hmuh tur awm lo tak, a lan chhuahna ber a ni thei. Oculosympathetic palsy emaw Bernard-Horner syndrome emaw an ti bawk. Ngaihtuah buai suh, he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.

Horner Syndrome hi eng nge ni? A awlsam zawngin...

Okay, hetiang hian han ngaihtuah teh. Kan thluak atanga kan mit leh hmai thlenga kal nervous system bik kan nei a. Hengte hi sympathetic nerves kan ti a . He nervous system hian kan taksa chhunga thil thenkhat kan thunun loh, automatic-a thleng thinte chu a control a ni. Entirnan, thawmhnaw hak leh kan mit a dum circle lian leh te te ang chi thil te.

Chuvangin, he sympathetic nerve pathway hi engtin emaw tak a tihbuai emaw, a chhiat emaw chuan he Horner Syndrome an tih hi a lo awm thin. Hei hi i hmai sir khata mit leh a chhehvel tissue te a nghawng lai a ni.

Hei hi nunna atana hlauhawm a ni em? Hlauh tur thil a ni em?

I hriatthiam tur chu hetiang hi a ni: Horner Syndrome nena inzawm symptoms, mitmeng tlak leh mit dum ka sawi tawh ang chi te hian a tlangpuiin i hriselna leh mit hmuhnaah harsatna lian tham a thlen lo.

Mahse, a pawimawh ber chu, heng symptoms te hian hriselna lama harsatna lian tham tak a awm tih a tilang thei a ni. Chuvangin, heng symptoms te hi i tawng a nih chuan a chhan hriat chian nan damdawi lam thurawn lak a pawimawh hle.

Hei hi tuin nge dawng thei ang? Engtiang chiahin nge a hluar?

Horner Syndrome hian kum eng pawh a nghawng thei a ni. A then phei chuan zaa 5 vel chu congenital a ni thei a, chu chu pian tirh atanga lo awm tawh natna a ni tihna a ni.

Hei hi thil awm dan tlangpui a ni lo. A tlangpuiin mi 6,000 zinga 1 velin a nghawng a ni.

Hei hi eng symptoms nge ni? A dik tak chuan...

A tlangpuiin Horner Syndrome symptoms hian i hmai sir khat chauh a nghawng thin. I hriat chhuah theih tur symptom lian ber berte chu:

• Drooping eyelid: Hei hi damdawi lam chuan ptosis tia hriat a ni. Mit pakhat chu a dang aiin a hniam deuh niin a lang.
• Iris tihtlem: Hei hi miosis an ti a. Hei hian mit pahniha iris te chu a lian zawng inang lo angin a lang thei a, pakhat chu a lian zawk a, pakhat chu a te zawkin a lang thei bawk.
• Hmai thawmhnaw tihtlem emaw, hloh vek emaw: He natna hi anhidrosis an ti a. A natna lam hawi chuan thawmhnaw a tihziaawm.

Heng mizia pathumte hi a langsar ber a ni.

Engvangin nge Horner Syndrome hi a lo awm? A chhante chu engte nge ni?

A tam zawkah chuan Horner Syndrome hi mit lama kal sympathetic nerve pathway block emaw, tihchhiat emaw avanga lo awm a ni a, ka sawi tawh ang khan. He nerve chhiatna thlentu bulpui ber hi a hrang thei hle. Ngaihtuah teh, heng chhante hi beng lai tak natna a\angin, carotid artery dissection , kawr thisen kalna kawng lian tak, a nih loh leh apical chest tumor thlengin a ni thei.

A tlem hle a, hei hi pianpui natna a ni thei. Hei hi nau neih laiin accident, nerve emaw carotid artery emaw tihchhiat vang a ni tlangpui. Chu aia tlem zawk chu he syndrome hi thlah khat atanga thlah dangah a darh thei a, mahse a gene dik tak erawh chu hriat chian a la ni lo.

Horner Syndrome-ah hian nerve pathway hrang hrang pathum a awm thei a. Kan thluak atanga nerve lo chhuakte hi mit leh hmaiah direct-in a thleng lo. Kawng thum an zawh a. Heng kawng pathum zinga eng pawh hi tihbuai theih a ni. Chuvangin Horner Syndrome hi chi thum a awm a, a chhan hrang hrang a nei thei.

Mi thenkhatah chuan he syndrome thlentu damdawi lam dinhmun chiang tak hmuh tur a awm lo. Chutiang case chu idiopathic Horner syndrome an ti a .

Primary (moderate) Horner syndrome awm chhan te

Hei hi i hypothalamus atanga i thluak stem kal tlanga i spinal cord hnuai lama kal nerve te tihchhiat vang a ni . Heng nerve pathways te hi a chhiat emaw, block emaw a ni thei:

• Brain stem-a thisen supply tihtawp nghal (stroke ang chi).
• Hypothalamus-a tumor a awm.
• Spinal cord-a hliam awm.
• Natna hrang hrang, Multiple Sclerosis (MS) .
• Chiari malformation a awm a .
• Encephalitis natna a ni .
• Meningitis natna a awm .
• Lateral medullary syndrome (Wallenberg natna) .
• Syringomyelia a awm thin .

Secondary (preganglionic) Horner syndrome awm chhan te

Hei hi i rilru atanga i lungpui chunglam kal tlang leh i kawr chhunga carotid artery kal tlanga nerve pathway tihchhiat vang a ni. Hei hi nghawng thei dinhmunte chu:

• Tumors chu lung chunglam emaw, rilru chhunga lo awm emaw a ni.
• Surgery emaw accident emaw avanga kawng emaw rilru chhunga hliam.
• Brachial plexus hliam a awmNeural network tihchhiat a ni.
• Ha hring (abscessed tooth) chu ha pakhata ha zung (jaw area)-a lump awm a ni. Ngaihtuah teh, ha pakhata natna khirh tak pawh hian hetiang hi a thlen thei a ni.

Tertiary (postganglionic) Horner syndrome awm chhan te

Hetiang chi hi i kawr atanga i beng lai leh mit thlenga nerve pathway tihchhiat vang a ni. A chhan chu:

• I carotid artery-a hliam awm.
• Middle ear natna a awm.
• Luruh hnuai lama hliam.
• Lu natna na tak tak migraine emaw cluster headaches emaw .
• Raeder paratrigeminal natna a ni a .
• Internal carotid artery dissection emaw carotid artery aneurysm (thisen kalna kawng bulging) emaw a awm thei.
• Shingles (herpes zoster) hi virus atanga lo chhuak a ni a, measles nen a inang.
• Temporal arteritis hi thisen kalna kawng (arteries) a inflammation a ni.

I hmu em, chhan tam tak a awm. Chuvang chuan heng symptoms te hi i neih chuan Doctor i pan nghal tur a ni.

Engtin nge hei hi i hriat chian?

Doctor-te chuan Horner Syndrome hi taksa enfiahna hmangin an hmuchhuak tlangpui. Chu chu i enfiahna hmangin a ni. Mahse, a chhan bulpui zawn chu a buaithlak deuh thei a, damdawi lam thil tam tak avanga lo awm thei a nih avangin. Tin, chutiang bawka chhinchhiahna thlen thei dinhmun dang pawh a awm bawk.

Doctor chuan i natna lan chhuah dan te, i damdawi lam chanchin te, leh a hmaa accident, natna leh operation i neih tawh zawng zawngte a zawt ang che. Tichuan taksa enfiahna a nei ang.

I medical history leh i symptom dang i neih dan azirin, i doctor chuan Horner syndrome awm chhan hriat theihna turin test dang a ti thei ang. Entir nan:

• Imaging test: Chung zingah chuan chest X-ray , magnetic resonance imaging (MRI) , computed tomography (CT scan) , emaw ultrasound te pawh a tel.
• Thisen test: Chung zingah chuan thisen chhiar kimchang (CBC) leh erythrocyte sedimentation rate (ESR) te pawh a tel.

Heng test te hian eng thil nge he thil hi a thlen tih chiang takin min hriat theih nan min pui dawn a ni.

Enkawlnate chu engte nge ni?

Horner Syndrome enkawl tih awmzia chu a chhan bulpui enkawl tihna a ni. A chhan tam tak a awm theih avangin enkawl dan pawh a inang lo thei hle.

Entirnan, a chhan chu middle ear infection a nih chuan antibiotics pek thin a ni. A chhan chu tumor a nih chuan operation emaw, radiation therapy emaw, chemotherapy emaw a ngai mai thei. Chutiang bawkin a chhan a zirin enkawl dan pawh a inang lo.

A châng chuan natna emaw, hrehawmna dang emaw i neih loh chuan enkawlna bik i mamawh lo mai thei.

Hei hi a veng thei lo em ni?

Horner Syndrome thlen thei tur underlying condition tam tak a awm avangin a lo awm loh dan tur chiang taka sawi a harsa hle.

Mahse, a then phei chuan, entirnan, accident avanga lo awm (carotid artery dissection ang chi) a nih chuan, i kawng venhimna atana fimkhur leh dissection nena inzawm fimkhur dan zawm hian syndrome hi a lo awm loh nan a pui thei a ni.

Hetiang dinhmun hi eng nge a thlir ang? (A hmalam hun chu eng ang nge ni?)

Horner Syndrome awm dan tur chu a chhan bulpuiah a innghat a ni. A lan chhuah dan bulpui (mitmeh tlak, mit dum, thawk hah tlahniam) hian i nunphung leh mit hmuhnaah nghawng lian tham a nei lo tlangpui.

A chhan bulpui ber chu natna khirh tak, multiple sclerosis ang chi a nih chuan Horner syndrome hi rei tak a awm thei. Mahse, hun eng emaw chen leh enkawl theih thil, beng natna ang chi avanga lo awm a nih chuan, natna a lo thianghlim veleh heng chhinchhiahnate hi a bo thei a ni.

Engtikah nge doctor i hmuh ang?

Horner Syndrome symptoms i neih chuan, mitmeng chunglam chu a sir khatah a tla thla a, mit pahnih a black circles a lian lo a, chu sir lamah chuan hmai thawmhnaw a tlahniam a nih chuan a rang thei ang bera doctor pan tur a ni.

Horner syndrome hi a hnuaia nerve chhiatna chhinchhiahna a ni lo. He syndrome chhinchhiahna hi hlauhawm lo tak ni fo mah se, a chhan bulpui ber chu a châng chuan nunna atana hlauhawm thil a ni thei a, chu chu tumor emaw carotid artery dissection emaw a ni thei. Chuvangin, he syndrome hi i vei a nih chuan a chhan bulpui hriat chian a, enkawl vat turin doctor pan a pawimawh hle.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin, vawiin a kan sawi tawh atang hian i hriat reng tur pawimawh tak takte chu hetiang hi a ni:

• Horner Syndrome hi mitmeng tla, mitmeng te te, hmai sir khata thawk hahna tlahniam te a ni.
• Heng symptoms te hi hlauhawm lo mahse, a chhan bulpui (underlying condition) chu a na thei hle.
• A chhan tam tak a awm thei a; nervous system tihchhiat a ni ber.
• Heng symptoms zinga pakhat tal i hmuh chuan hun khawhral suh la, doctor thurawn la rawh. Doctor chuan a chhan a ruat ang a, a tul anga enkawlna a pe ang.
• A tam zawkah chuan a chhan bulpui ber enkawl a nih chuan Horner syndrome symptoms hi a tlahniam emaw, a reh vek emaw ang.

Chuvangin, he thu hi in tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Horner syndrome, oculosympathetic palsy, ptosis, miosis, anhidrosis, nerve tihchhiat, sympathetic nerve, thluak lam natna, hmai inthlak danglam, mit symptoms te