He mamae nui te upoko me te kanohi? Tērā pea he mate Tolosa-Hunt!

Kua pāngia koe e te mamae nui o te upoko ina nekehia ō kanohi? Kāore rānei koe e kaha ki te whakahaere tika i ō kanohi? Mena kei a koe ēnei tohu, tera pea nā tētahi mate onge e kiia nei ko te Tolosa-Hunt Syndrome, ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i te huarahi māmā e taea ai e koe te mārama.

He aha te mate Tolosa-Hunt?

He māmā noa iho, he tino onge te mate Tolosa-Hunt. Ka puta he ānini ohorere, he mamae nui hoki i te nekehanga o ō kanohi, ka ngaro rānei te kaha ki te neke i ō kanohi. Ka puta mai, ka haere atu ēnei tohu puta noa i tō oranga. He rite ki te whai manuhiri kāore i karangatia ki roto i tō whare. Ka whakararuraru i tō rā, ka whakamā koe. Engari, waimarie, kāore ēnei manuhiri e haere pinepine mai.

E ai ki ngā rangahau, ko te pūtake pea o tēnei āhuatanga ko te pupuhi i muri i te kanohi, he urupare tēnei mai i te pūnaha ārai mate o te tinana (mumura).

Tērā pea kua rongo koe i tō tākuta e karanga ana i tēnei mate ki ētahi atu ingoa. Hei tauira:

• `(Ophthalmoplegia)`
• `(Te Ophthalmoplegia Auau)` (Ko te tikanga ka hoki anō)
• `(Te Mate Urutā o te Mata)`

Ahakoa te ingoa e karangatia ana, he rite tonu te tikanga: te mate Tolosa-Hunt.

E hia te auau o tēnei āhuatanga?

He tino onge tēnei. Ki te tirohia ngā tatauranga huri noa i te ao, e whakaatu ana ngā rangahau tata ki te kotahi i roto i te miriona tāngata ka pāngia e te mate Tolosa-Hunt. Nō reira, ehara tēnei i te mate e pāngia ana e te katoa.

He aha ngā tohu o te mate Tolosa-Hunt?

Ka puta ohorere mai ēnei tohu. Ko ngā tohu matua ka kitea ko:

• Te ānini nui: Kāore tēnei i rite ki te ānini noa. Ka pāngia tēnei mamae e te wāhanga o runga o te mata, inā koa ki te taha o ngā kanohi (he 'ānini periorbital'). Ka pāngia pea ētahi e te mamae koi, pērā i te wero a te maripi. Ka pāngia pea ētahi e te mamae ngawari, te mamae ngawari rānei.
• Te tirohanga takirua: Ina titiro koe ki tētahi mea, ka puta mai he mea motuhake e rua. Me te mea nei kāore e aro tika ana ngā kanohi e rua. He tohu tino hoha tēnei.
• Te ngoikore, te kore rānei e taea te neke i ngā uaua huri noa i ngā kanohi me te mata: Ka uaua te neke i ngā kanohi, i ētahi wā ka neke ki tetahi taha. Ka pāngia hoki ngā uaua o te mata.
• Ngenge mau tonu: Tērā pea ka ngenge koe i te rā roa, me te mea nei kāore e taea te whakakore i te ngenge ahakoa te roa o te moe.

Haunga ēnei āhuatanga matua, ka kitea anō hoki ētahi atu āhuatanga:

• Te pupū o ngā kanohi (proptosis): Tērā pea ka puta paku whakamua tetahi, e rua rānei ngā kanohi.
• Te piko o te kamo o runga (ptosis):Kāore pea e taea te whakaara ake i te kamo o runga o tētahi, o ngā kanohi e rua rānei, ā, ka āhua piko noa iho.
• Te ngaronga o te tirohanga: Tērā pea ka paku ngaro te tirohanga a ētahi tāngata.

He maha ngā wā ka pāngia te taha kotahi o te mata e ēnei tohu. Ka puta ohorere mai anō hoki, ā, ka ngaro noa atu i roto i ētahi rā (he murunga ohorere). Heoi anō, ka taea anō te hoki mai.

He aha te take o te mate Tolosa-Hunt?

Ki te pono, kāore anō kia tino mōhiotia he aha te take o tēnei . Engari e rua ngā mea matua e whakaarohia ana e ngā tākuta me ngā kairangahau:

1. Tauhohenga ā-tinana rerekē: Koinei te wā e whakaeke hē ai tō tātou pūnaha ārai mate – te pūnaha e tiaki ana i a tātou i te mate – i ō tātou ake kiko hauora. I roto i te mate Tolosa-Hunt, ka puta tēnei whakaekenga i ngā wāhi tairongo e rua i muri i te kanohi. Ko tētahi ko te "Cavernous Sinus" , he wāhi rite ki te kōhao kei roto ngā uaua me ngā io nui e tuku toto ana ki te roro. Ko tētahi ko te "Orbital Fissure" , he wāhi whakatuwheratanga e haere ai ngā io me ngā oko toto e hono ana ki te kanohi. Ka whakaekea e tō tātou ake pūnaha ārai mate ēnei wāhi, ka pupuhi i reira.

2. Te pupuhi, te whaiti rānei o ngā oko toto: Ko tētahi atu ariā, ka puta ēnei tohu nā te mea ka pupuhi, ka whakawhāiti hoki ngā oko toto i ēnei wāhi e kiia nei ko te "Cavernous Sinus" me te "Orbital Fissure", ka whakaiti i te rere o te toto ki ētahi wāhanga o te roro me ngā io e pā ana ki te kanohi.

Kei roto tonu i te wāhanga rangahau ēnei take e rua, nō reira he uaua ki te kī i tētahi take motuhake.

He aha ngā āhuatanga mōrearea mō tēnei?

Ka taea e ētahi mea te whakanui ake i te mōrearea o te whakawhanaketanga o ngā tohu o te mate Tolosa-Hunt. Ka kiia ēnei ko ngā 'triggers'. Kei roto i ēnei:

• He mate huaketo kei roto .
• He whara roro whara .
• He pukupuku kei roto i te tinana katoa, inā koa i te upoko.
• He āhuatanga pēnei i te whānui, te pupuhi rānei (aneurysm) o te uaua toto.

Ehara i te mea ka pāngia te katoa e tēnei mate nā te mea kei a rātou ēnei āhuatanga, engari tera pea ka paku piki ake te mōrearea.

He aha ngā raruraru ka pā mai i tēnei?

I te nuinga o te wā, ehara te mate Tolosa-Hunt i te mate e morearea ana ki te ora. Heoi, i ētahi wā kino rawa, ka pā ki tō tirohanga. Ka puta tēnei ina horapa te pupuhi o te "Cavernous Sinus" me te "Orbital Fissure" i muri i te kanohi ki te "Optic Nerve", te io matua e homai ana ki a tātou te tirohanga. Ki te tupu tēnei, ka ngaro pea te tirohanga, ka pāngia rānei koe e ētahi atu ngoikoretanga tirohanga. Nō reira, he mea nui kia rapu maimoatanga i te wā tonu ka puta mai ngā tohu.

Me pēhea te tautuhi i tēnei?

Ka tātaritatia tēnei e te tākuta i muri i te whakarongo pai ki ō tohumate, te tirotiro i a koe, me te tango i tō hītori hauora katoa. He tukanga uaua tēnei, nā te mea ka kitea anō hoki ēnei tohumate i roto i ētahi atu mate hauora.

Nō reira, ka whakahaerehia ngā whakamātautau toto me ngā whakamātautau whakaahua hei whakaū i te mate me te whakakore i ētahi atu āhuatanga he rite ngā tohu (hei tauira, he pukupuku roro, he mate pāwera rānei). Ko ngā whakamātautau whakaahua matua e rua e whakamahia ana mō tēnei ko:

• Matawai Tomography Rorohiko (CT): Ka whakamahia ngā hihi-X me te rorohiko hei hanga i tētahi whakaahua toru-ahu (3D) o ngā kiko ngohengohe me ngā wheua i roto i tō tinana. Ka āwhina tēnei ki te rapu i ngā mea pēnei i te pupuhi i te rohe o te sinus cavernous.
• Whakaahua Āhua Aukume (MRI): Ka whakamahia he aukume nui, he ngaru reo irirangi, me te rorohiko hei hanga pikitia mārama o roto o tō tinana, inā koa ko te roro me ngā kanohi. He taipitopito ake i te matawai CT.

Ka whakamahia e ngā tākuta ēnei matawai hei tirotiro i te pupuhi i ngā wāhi kei muri i ngā kanohi e kiia nei ko te "Cavernous Sinus" me te "Orbital Fissure." Ka āwhina hoki ēnei whakamātautau ki te whakaū kāore he take kē atu.

Āhea te nuinga o te wā ka kitea te mate Tolosa-Hunt?

Ahakoa ka pāngia te tangata o ngā tau katoa e tēnei mate, ko te nuinga o te wā ka kitea i te hunga e 40 tau te pakeke .

Me pēhea te rongoā mō tēnei?

Ka rongoatia tēnei mā te momo rongoā "(Steroid)" poto. Ina koa, ka whakamahia te momo rongoā "(Corticosteroids)" . Ko tā ēnei rongoā he whakaiti i te pupuhi ('mumura'). Nā te mea, ko te tino take o ō tohumate ko te pupuhi i muri i te kanohi.

Ina tangohia e koe tēnei rongoā e kīia nei ko te "Corticosteroids," ka heke te pupuhi, ka māmā ake te pēhanga ki ngā io, ā, ka tere te pai ake o ō tohu.

He pānga taha kei te rongoā?

Ae, pērā i ngā rongoā katoa, ka pāngia pea koe e ētahi pānga taha o te `(Corticosteroids)`. Nō reira, me kōrero koe ki tō tākuta i mua i te tīmatanga o tēnei rongoā. Kia mārama ai koe ki tēnei. Ko ētahi o ngā pānga taha ka pā mai:

• Pupuhi waewae
• Te pikinga o te hiahia kai
• Ngā huringa wairua
• Ngāwari te marō
• He paku pōuri te tirohanga

Kāore ēnei e pā ki te katoa, ā, i te nuinga o te wā ka memeha haere ina mutu te rongoā.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

Koinei te rongo pai rawa atu. I muri i te tango i te rongoā steroid e ai ki te whakahaunga, ka taea e koe te tīmata ki te rongo i te tino whakamarie i roto i te wā poto, pērā i te rā kotahi, e toru rānei. Ka iti haere te mamae, ka māmā ake te neke i ō kanohi, ā, ka memeha haere aua tohu whakarihariha.

Whakaarohia, ki te kore koe e whiwhi maimoatanga, ka memeha haere pea ngā tohu i roto i ngā rā 15 ki te 20. Heoi, kāore koe e hiahia kia roa te mamae. Waihoki, ahakoa kua ngaro ngā tohu, ka puta anō pea i te kore e tūmanakohia. Nō reira, he pai ake te whiwhi maimoatanga.

He āhuatanga kino tēnei?

Ehara te mate Tolosa-Hunt i te mate e morearea ana ki te ora. Heoi, ina puta ngā tohu, ka uaua pea te mahi i ngā mahi o ia rā, he maha ngā wā ka pāngia e te mamae o te upoko me ngā raruraru kanohi.

Heoi, he tino pai te āhua o te mate mēnā ka rongoatia. Nā te mea ka whakaitihia e ngā steroids ngā tohu i roto i ngā haora 24 ki te 72, ka tere ake tō ora, ā, ka taea e koe te hoki anō ki ō mahi o ia rā.

Ka taea te whakaora katoa i te mate Tolosa-Hunt?

Engari, kāore he rongoā mō tēnei mate. Ko te whāinga o te maimoatanga he whakahaere i ngā tohumate me te whakaiti wawe i aua tohumate. Ka taea e ngā tohumate te hoki mai anō, nō reira me rongoā pea.

Ka taea te ārai i tēnei?

Kāore anō kia mōhiotia he huarahi hei ārai i tēnei mate i tēnei wā. Nā te mea, e ai ki tā tātou i kōrero ai i mua ake nei, kāore anō kia mōhiotia te pūtake tuturu, he uaua ki te kī me pēhea te ārai.

Āhea koe me toro atu ki te tākuta?

Ki te whakaaro koe kei a koe ngā tohu o te mate Tolosa-Hunt – pērā i te ānini ohorere, te mamae nui o te upoko, te mamae huri noa i ngā kanohi, te tirohanga rua, me te uaua ki te neke i ō kanohi – me toro atu ki te tākuta tonu. Kaua e whakaroa.

Kātahi ka tohua e te tākuta he steroids poto hei rongoā i ō tohumate. Nā te tere o te mahi a ēnei, ka tere ake tō āhua, ā, ka taea e koe te hoki ki tō oranga noa.

He aha ngā pātai me pātai atu koe ki tō tākuta?

Ina haere koe ki te tākuta, he mea pai kia pātai koe i ēnei pātai:

• Ka pāngia taku tirohanga e te mate Tolosa-Hunt?
• Me tango e au ngā steroids hei rongoā mō tēnei?
• Me pēhea te tango i te rongoā '(Steroid)'? Kia pēhea te roa me tango e au?
• He aha ngā pānga taha o ēnei maimoatanga? Me aha ahau hei tiaki i ahau i a rātou?
• Me aha ahau mēnā ka hoki mai ngā tohu?

Mā te pātai i ēnei pātai, ka pai ake tō māramatanga ki te mate me tōna maimoatanga.

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

Ko te Mate Tolosa-Hunt he mate e puta ohorere mai ana, ā, e tino whakararuraru ana i a koe. Ka uaua pea te mahi i ngā mahi o ia rā nā te nui o te ānini. Tērā pea ka pāngia te tirohanga. Ka puta mai, ka ngaro atu ēnei tohu puta noa i te oranga.

Engari kia maumahara, ehara tēnei i te mea mōrearea ki te ora, ā, he maimoatanga anō hoki kei reira.Mā te whakamahinga poto o te rongoā `(Steroid)` ka taea te whakaiti i ngā tohu i roto i te kotahi ki te toru rā. Nō reira, ki te kite koe i te tākuta i te wā tonu ka puta mai ngā tohu, ā, ka whiwhi maimoatanga, ka taea e koe te ora wawe me te hoki ki te mahi i ngā mea e pai ana koe. Kaua e mataku, kōrero ki tō tākuta mō ngā mea katoa.

Te Mate Tolosa-Hunt, Te Mamae o te Upoko, Te Mamae o ngā Kanohi, Te Tirohanga Takirua, Ngā Steroids, MRI, CT Scan, Ophthalmoplegia, Cavernous Sinus