Kei te taha kotahi o tō mata ēnei panoni? (Me kōrero tātou mō te Horner Syndrome)!

Kua kite koe i tētahi taha o tō mata he kamo e takoto ana, he kanohi pango iti iho i tērā taha, ā, he iti ake te werawera i tērā taha? Kua kite rānei koe i tētahi e mōhio ana koe e mahi ana i tēnei? Koinei pea ngā tohu matua o tētahi mate pūnaha io onge e kiia nei ko te Horner Syndrome , ka kōrerohia e tātou i tēnei rā. E kiia ana hoki ko te oculosympathetic palsy , ko te Bernard-Horner syndrome rānei. Kaua e manukanuka, ka kōrerohia e tātou tēnei mea mā te ngāwari, mā te huarahi e mārama ai koe.

He aha te Horner Syndrome? He māmā noa iho...

Āe, whakaarohia pēnei. He pūnaha io motuhake tā tātou e rere ana mai i tō tātou roro ki ō tātou kanohi me te mata. Ka kiia ēnei e tātou ko ngā io atawhai . Mā tēnei pūnaha io e whakahaere ētahi o ngā mea o roto i tō tātou tinana kāore e taea e tātou te whakahaere, ka puta aunoa mai. Hei tauira, ko ngā mea pēnei i te werawera me te tipu haere me te whakaiti haere o ngā porowhita pango i roto i ō tātou kanohi.

Nō reira, ki te mea ka whakararuraruhia, ka pakaru rānei tēnei ara io atawhai, ka puta tēnei āhuatanga e kiia nei ko te Horner Syndrome. Koinei te wā e pāngia ai te kanohi me ngā kiko e karapoti ana i te taha kotahi o tō mata.

He tūraru tēnei ki te ora? He mea hei wehi mā tātou?

Anei ngā mea me mārama koe: Ko ngā tohu e pā ana ki te Horner Syndrome, pērā i te kamo e takoto kau ana me te kanohi mangu i kōrerotia e au i mua ake nei, kāore e pā kino nui ki tō hauora , ki tō tirohanga rānei.

Engari, ko te mea nui, ka taea e ēnei tohu te tohu i tētahi raruraru hauora huna, ā, tera pea he tino kino rawa atu. Nō reira, ki te pāngia koe e ēnei tohu, he mea nui kia rapu tohutohu hauora kia kitea ai te take.

Ko wai ka pāngia e tēnei? He pēhea te noa o tēnei?

Ka pāngia te tangata o ngā tau katoa e te Horner Syndrome. I ētahi wā, tata ki te 5 ōrau, ka taea te whānau mai , arā, he mate kei roto mai i te whānautanga.

Ehara tēnei i te mate tino noa. I te nuinga o te wā, e pāngia ana te 1 i roto i te 6,000 tāngata.

He aha ngā tohu o tēnei? Hei whakamārama tika...

Ko te tikanga, ko ngā tohu o te Horner Syndrome ka pā ki tētahi taha o tō mata anake. Ko ngā tohu matua ka kitea pea e koe ko:

• Kamo kamo e takoto kau ana: E mōhiotia ana tēnei i roto i te rongoā ko te ptosis . Ka puta te āhua o tētahi kanohi kei raro iho i tētahi atu.
• Te mimiti o te āiri: Ka kiia tēnei ko te miosis . Ka puta pea he āhua kore ōrite o ngā āiri o ngā kanohi e rua, he nui ake tētahi, he iti iho tētahi.
• Te hekenga, te ngaronga katoa rānei o te werawera o te kanohi: Ka kiia tēnei āhuatanga ko te anhidrosis . Ka heke te werawera o te taha e pāngia ana.

Ko ēnei āhuatanga e toru ngā mea matua e kitea ana.

He aha te take e puta ai te Horner Syndrome? He aha ngā take?

I te nuinga o te wā, ka puta te Horner Syndrome i te aukati, i te pakaru rānei o te ara io e haere ana ki ngā kanohi, e ai ki taku kōrero i mua ake nei. He maha ngā take o tēnei kino o te io. Whakaarohia, ka taea e ēnei take te ahu mai i te mate taringa waenga, ki te motuhanga o te uaua carotid , he oko toto nui i te kaki, tae noa ki te pukupuku o te uma .

He tino onge tēnei mate whānau mai. Ko te tikanga ka puta mai i tētahi aituā i te wā whānau, i te pakaru o ngā io, i te uaua carotid rānei. Heoi anō, he onge ake, ka taea te tuku iho i tēnei mate mai i tētahi whakatipuranga ki tētahi whakatipuranga, engari kāore anō kia tautuhia ngā ira tuturu mōna.

E toru ngā ara io rerekē ka pā ki te Mate Horner. Kāore ngā io o te roro e haere tika ki ngā kanohi me te mata. E toru ngā ara e haere ana. Ka taea te whakararuraru i tētahi o ēnei ara e toru. Nō reira, e toru ngā momo o te Mate Horner, ā, he rerekē ngā take.

Mō ētahi tāngata, kāore e kitea he āhuatanga hauora e tino kitea ana e puta ai tēnei mate. Ka kiia ēnei momo mate ko te idiopathic Horner syndrome .

Ngā take o te mate Horner tuatahi (waenga)

Ka puta tēnei i te kino o ngā io e rere ana mai i tō hypothalamus mā roto i tō roro , ā, heke iho i tō taurakira . Ka taea te pakaru, te ārai rānei i ēnei ara io e:

• Te motuhanga ohorere o te rere o te toto ki te take roro (pērā i te whiu).
• He pukupuku i roto i te hypothalamus.
• Ngā whara ki te taurakira.
• Ngā mate pēnei i te Multiple Sclerosis (MS) .
• Te āhua hē o Chiari .
• Te mate pukupuku roro (encephalitis) .
• Te mate kiriuhi .
• Te mate pukupuku taha (te mate pukupuku Wallenberg) .
• Syringomyelia .

Ngā take o te mate Horner tuarua (preganglionic)

Ka puta tēnei i te kino o te ara io e rere ana mai i tō uma, mā te tihi o ō pukahukahu, me te taha o te uaua carotid i tō kaki. Ko ngā āhuatanga ka pā ki tēnei ko:

• Ngā pukupuku e tupu ana i te pito o runga o ngā pukahukahu, i te kōhao rānei o te uma.
• Ngā whara ki te kaki, ki te uma rānei nā te pokanga, nā te aituā rānei.
• Te whara o te plexus brachialTe kino ki te whatunga io.
• He pupū te niho pūngāwerewere i roto i te kauae. Whakaarohia, ahakoa he mate kino ki te niho ka taea tēnei te puta.

Ngā take o te mate Horner tuatoru (postganglionic)

Ka puta tēnei momo i te kino o te ara io mai i tō kaki ki tō taringa waenga me tō kanohi. Ka puta pea i:

• Ngā whara i roto i tō uaua carotid.
• Ngā mate urutā o te taringa waenga.
• Ngā whara ki te pūtake o te angaanga.
• Ngā mate ānini kino pērā i te migraines , te ānini tautau rānei .
• Te mate paratrigeminal a Raeder .
• Te tapahi i te uaua carotid o roto , te aneurysm rānei o te uaua carotid (te pupuhi o te uaua toto).
• He rite te mate pukupuku (herpes zoster) ki te rewharewha i puta mai i te huaketo.
• Ko te arteritis temporal he mumura o ngā uaua.

He tini ngā take. Koia te take, ki te pā mai ēnei tohu ki a koe, me toro atu koe ki te tākuta tonu.

Me pēhea koe e mōhio ai ki tēnei?

Ko te tikanga, ka tātaritatia e ngā tākuta te mate Horner Syndrome mā te whakamātautau tinana. Arā, mā te tirotiro i a koe. Heoi, he uaua pea te kimi i te pūtake o te mate, nā te mea he maha ngā āhuatanga hauora ka puta. Waihoki, tera atu anō ngā āhuatanga ka puta ai ngā tohu rite.

Ka pātai atu te tākuta ki a koe mō ō tohumate, tō hītori hauora, me ngā aituā, ngā mate, me ngā pokanga o mua. Kātahi ka tirotirohia e ia tō tinana.

I runga i tō hītori hauora me ētahi atu tohu kei a koe, ka tono pea tō tākuta i ētahi atu whakamātautau hei āwhina i te whakatau i te pūtake o te mate Horner. Hei tauira:

• Ngā whakamātautau whakaahua: Kei roto i ēnei ko te hihi-X o te uma, te whakaahua aukume (MRI) , te tomography rorohiko (CT scan) , te ultrasound rānei.
• Ngā whakamātautau toto: Kei roto i ēnei ko te tatau toto katoa (CBC) me te tere o te whakatōtō erythrocyte (ESR) .

Mā ēnei whakamātautau tātou e āwhina ki te kimi i te tino take o tēnei.

He aha ngā maimoatanga?

Ko te rongoā i te Horner Syndrome he rongoā i te pūtake o te mate. Nā te mea he maha ngā take, he rerekē rawa ngā maimoatanga.

Hei tauira, mēnā he mate taringa waenga te take, ka hoatu he paturopi. Mēnā he pukupuku te take, me mahi pea he pokanga, he rongoā irahiko, he rongoā chemotherapy rānei. Waihoki, ka rerekē te maimoatanga i runga i te take.

I ētahi wā, ki te kore koe e pāngia e te mamae, e tētahi atu āhuatanga rānei e kore e pai, kāore pea koe e hiahia ki tētahi maimoatanga motuhake.

Kāore e taea te ārai i tēnei?

Nā te mea he maha ngā āhuatanga matua ka puta ai te Horner Syndrome, he uaua ki te kī me pēhea te ārai i tōna whanaketanga.

Heoi, i ētahi wā, hei tauira, mēnā i puta mai i tētahi aituā (pērā i te tapahi i te uaua carotid), mā te mahi i ngā mahi ārai hei tiaki i tō kaki me te whai i ngā mahi ārai e pā ana ki te tapahi ka āwhina i te ārai i te whanaketanga o te mate.

He aha te tirohanga mō tēnei āhuatanga? (He aha te āhua o te tirohanga?)

Ko te tirohanga mō te Horner Syndrome e whakawhirinaki ana ki te pūtake. Ko ngā tohu matua (te kamo e piko ana, te kanohi mangu, te heke o te werawera) kāore e pā nui ki te kounga o tō oranga, ki tō tirohanga rānei.

Mena he mate mau tonu te pūtake, pērā i te mate maha-sclerosis , tera pea ka roa te noho o te mate Horner. Heoi, ki te mea he mea rangitahi, ā, ka taea te rongoā, pērā i te mate taringa, ka memeha pea ēnei tohu ina kore te mate e pāngia.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te Horner Syndrome, pērā i te takoto kau o te kamo o runga i te taha kotahi, te kore ōrite o te rahi o ngā porowhita pango i ngā kanohi e rua, me te iti haere o te werawera o te mata i taua taha, me toro atu ki te tākuta i te wā e taea ai.

He tohu onge te mate Horner o te kino o ngā io kei raro. Ahakoa he maha ngā wā kāore he kino o ngā tohu o tēnei mate, ko te take matua he mea e morearea ai te ora, pērā i te pukupuku, i te tapahi rānei i te uaua carotid. Nō reira, ki te pāngia koe e tēnei mate, he mea tino nui kia kite i te tākuta kia kitea ai te take matua, kia tere ai te rongoā.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, koinei ngā mea matua hei maumahara māu mai i ngā mea i kōrerohia e tātou i tēnei rā:

• Ko te Horner Syndrome he mate e tohuhia ana e te kamo e takoto kau ana, e iti ana ngā kamo, me te iti haere o te werawera i tetahi taha o te mata.
• Ahakoa ehara ēnei tohu i te mea mōrearea, ka taea e te mate taketake te tino kino.
• He maha ngā take; ko te kino o te pūnaha io te mea matua.
• Ki te kite koe i tētahi o ēnei tohu, kaua e moumou taima, engari me rapu tohutohu hauora. Mā te tākuta e whakatau te take, ā, ka tohua te maimoatanga e tika ana.
• I te nuinga o te wā, ina rongoatia te pūtake o te mate, ka heke, ka memeha rawa rānei ngā tohu o te mate Horner.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Kia ora tonu!

Te mate Horner, te pararutiki oculosympathetic, te ptosis, te miosis, te anhidrosis, te kino o ngā io, ngā io sympathetic, ngā mate neurological, ngā huringa o te kanohi, ngā tohu kanohi