Kua titiro koe ki te whakaata, ā, ka kite ohorere koe he rerekē te taha o tō mata i te taha o tētahi? Kua paku piko pea tō kamo o runga, kua rerekē rānei te rahi o ō kamo, ā, he mea noa te mataku. I tēnei rā, ka kōrero tātou mō tētahi mate hauora e puta ai ngā tohu rite, engari kāore i te tino noa.
He aha te Horner Syndrome?
He mate onge te mate Horner e pā ana ki te pūnaha io. He pūnaha io tō tātou tinana e whakahaere ana i ngā mea e tupu ana me te kore e whakaarohia e tātou. Whakaarohia ngā mea pēnei i te werawera, te kanohi pango rānei i roto i ō tātou kanohi e nui haere ana. Ko tētahi wāhanga o tēnei pūnaha io e hono ana mai i tō tātou roro ki tō tātou mata me ō tātou kanohi. Mena he aukati, he kino, he aukati rānei i hea i te ara o aua io, ka kiia e tātou te mate Horner he kohinga tohu e puta ana i taua taha o te mata.
Ka kiia hoki tēnei ko te 'oculosympathetic palsy', engari i roto i ngā kōrero o ia rā ka whakamahia te ingoa ko te Horner syndrome.
He āhuatanga mōrearea tēnei?
Anei te mea nui. Ko ngā tohu o te mate Horner (pērā i te kamo e takoto ana) kāore e tino kino ki tō oranga, ki tō tirohanga rānei. Heoi, he tohu whakatūpato pea ēnei tohu. Arā, he tohu pea ēnei mō tētahi mate kino ake i roto i te tinana.
Nō reira, ki te mea he iti noa iho tō whakapae kei a koe ngā tohu o te mate Horner, he mea nui kia kite tonu koe i te tākuta kia kitea ai te take.
Ka pā tēnei āhuatanga ki te tangata o ngā tau katoa. Heoi, he tino onge. I te toharite, kotahi i roto i te 6,000 tāngata e pāngia ana e tēnei āhuatanga.
He aha ngā tohu matua?
I te nuinga o te wā, ka kitea noa ēnei āhuatanga katoa i te taha kotahi o te mata. He tino noa te taha kē. Koia te take e ngāwari ai te kite i te rerekētanga.
| Tohu | He whakamārama māmā |
|---|---|
| Kamo kamo e takoto kau ana (Ptosis) | Ko te kamo o runga i te taha e pāngia ana ka paku piko ki raro iho i te kanohi kē, ā, me te mea kei te hiamoe koe. |
| Miosis (ārai iti) | He iti ake te āhua o te kamo o te kanohi e pāngia ana i tērā o te kanohi, ā, he rerekē te rahi o ngā kanohi e rua. |
| Te hekenga o te werawera o te kanohi (Anhidrosis) | Tērā pea kāore rawa e puta te werawera i te taha o te mata e pāngia ana, e tino heke rānei. Tērā pea ka mutu te werawera i taua taha i te wā e whakakorikori tinana ana. |
He aha tēnei e tupu nei? He aha pea ngā take?
E ai ki tā mātou i kōrero ai i mua ake nei, ko te take o tēnei he aukati i tētahi wāhi i te ara io mai i te roro ki te kanohi. Ehara tēnei ara io i te rārangi tika. He haerenga roa e toru ngā wāhanga. Nō reira, ka rerekē pea ngā take i runga i te wāhi e puta ai te aukati.
Whakaarohia he tereina e haere ana mai i Colombo ki Kandy. Mēnā ka mau te tereina ki Rambukkana i te huarahi, tera pea he take mōna, ā, ki te mau ki Polgahawela, tera pea he take anō. Pērā anō hoki mō tēnei ara io.
Kei te ripanga i raro nei tētahi whakaaro mō ētahi o ngā take pea mō tēnei.
| Ko te wāhi matua ka puta ai te raruraru | He maha ngā take pea |
|---|---|
| Ngā raruraru tuatahi: E pā ana ki te roro, ki te taurakira rānei | |
| Te kino ki te ara io e rere ana mai i te roro ki te taurakira. |
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| Ngā raruraru tuarua: e pā ana ki te uma, te pukahukahu, me te kaki | |
| Te pakaru o te ara io e rere ana mai i te uma ki te kaki. |
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| Ngā raruraru taumata tuatoru: mai i te kaki ki te kanohi | |
| Te kino ki te ara io e rere ana mai i te kaki mā roto i te taringa waenga ki te kanohi. |
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Ahakoa ēnei whakamātautau katoa, i ētahi wā kāore e kitea he pūtake mārama. Waihoki, he tino onge, ka kitea tēnei mate i te whānautanga mai.
Me pēhea te mōhio o te tākuta ki tēnei?
Ina haere koe ki te tākuta, ka whai rātou i ētahi mahi hei tātaritanga tika i tēnei mate.
1. Te pātai atu ki a koe mō ētahi atu kōrero: Tuatahi, ka pātai atu rātou ki a koe mō ngā kōrero taipitopito mō te wā i tīmata ai ēnei tohu, me pēhea te tīmatanga, mēnā he tohu kē atu āu, me ētahi aituā, pokanga rānei i mua.
2. Whakamātautau tinana: Kātahi ka tirotirohia koe, inā koa ō kanohi me te pūnaha io.
3. Whakamātautau atu: Kia whakaūtia te mate Horner, ko te wero e whai ake nei ko te kimi i te pūtake o tēnei mate. Tērā pea me whai whakamātautau maha.
- Ngā whakamātautau toto: Ngā whakamātautau pēnei i te tatau toto katoa (CBC), ESR.
- Ngā whakamātautau whakaahua: He mea tino nui ēnei hei rapu i te pūtake.
- X-ray o te uma
- Matawai MRI (Whakaahua Āhua Aukume)
- Matawai CT (Tomography Rorohiko)
- Matawai Ultrasound
I runga i ngā hua o ēnei whakamātautau ka kōrerotia e te tākuta te take o tēnei mate.
Me pēhea te rongoā?
Ko te mea nui kia mārama i konei, ehara i te mea ko ngā tohu o te mate Horner te rongoāhia ana e mātou, engari ko te mate taketake i puta ai .
Whakaarohia kei te turuturu te wai mai i te tuanui o tō whare. Ko tā mātou mahi ehara i te mea ko te whakatakoto noa i te peere ki te wāhi e turuturu ana, engari ko te hanga i tētahi kōhao ki te tuanui. He rite tonu tēnei.
- Mena he mate taringa waenga te take, ka whakaorahia te mate e ngā paturopi, ā, ka memeha haere ngā tohu o te mate a Horner.
- Mena he mate pukupuku te pūtake, me pokanga, me rongoā irahiko, me ētahi atu maimoatanga mate pukupuku rānei.
- Mena ko te pararutiki te take, ka whakaratohia te maimoatanga me te whakaora tika.
I ētahi wā, ki te kore te tino take o te mate e tino kino, ā, kāore koe e pāngia e te mamae, e tētahi atu āhuatanga whakararuraru rānei, kāore pea e hiahiatia he maimoatanga motuhake.
Mō te heke mai me te ārai
Ko te matapae mō te mate Horner e whakawhirinaki ana ki tōna pūtake.
- Mena he take rangitahi te take ka taea te rongoā (pēnei i te mate taringa), ka memeha rawa atu ngā tohu.
- Mena he mate mau tonu pērā i te multiple sclerosis (MS) te take, ka mau tonu pea ngā tohu o te mate Horner.
Heoi, ko te rongo pai, kāore ēnei tohu e pā nui ki tō oranga o ia rā, ki tō āhua rānei.
He tini ngā mea ka puta ai tēnei, kāore he huarahi ki te kī, "Ki te mahi koe i tēnei, ka taea e koe te ārai i te mate a Horner." Heoi, mā te whai i ngā mahi ārai haumaru hei ārai i ngā whara ki te kaki me te uma ka āwhina i te whakaiti i ētahi o ngā mōrearea o te whara.
Karere Tangohia ki te Kāinga
- Ehara te mate Horner i te mate, engari he tohu, he āwhata rānei o tētahi atu mate i roto i te tinana.
- Ko ngā tohu matua e toru: te kamo e takoto kau ana i te taha kotahi o te mata (ptosis), te iti o te rahi o te pupil (miosis), me te iti o te werawera (anhidrosis).
- Ko te take o tēnei he mate taringa iti noa iho ki tētahi mate kino pērā i te mate pukupuku, i te pararutiki rānei.
- Ki te pāngia koe e ēnei tohu, he mea nui kia rapu tohutohu hauora i runga i te wā tonu . Mā te tautuhi wawe i te mate ka āwhina i a koe ki te tīmata maimoatanga mō ngā āhuatanga kino ake.
- Kāore te maimoatanga e rongoā i te mate Horner, engari ko te mate taketake i puta ai.
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