Kodi munayamba mwayang'ana pagalasi ndipo mwadzidzidzi munazindikira kuti mbali imodzi ya nkhope yanu ndi yosiyana pang'ono ndi inayo? Mwina chikope chanu chapamwamba chagwa pang'ono, kapena maso anu asintha kukula, ndipo ndi zachilendo kumva mantha pang'ono. Lero, tikambirana za matenda omwe amayambitsa zizindikiro zofanana, koma sizofala kwambiri.
Mwachidule, kodi Horner Syndrome ndi chiyani?
Matenda a Horner ndi matenda osowa kwambiri okhudza mitsempha. Thupi lathu lili ndi mitsempha yomwe imalamulira zinthu zomwe zimachitika popanda ife kuganizira za izo. Taganizirani zinthu monga thukuta, kapena diso lakuda m'maso mwathu likukulirakulira. Gawo lina la mitsempha iyi limalumikizidwa kuchokera ku ubongo wathu kupita ku nkhope ndi maso athu. Ngati pali chotchinga chilichonse, kuwonongeka, kapena kutsekeka kulikonse komwe mitsemphayo imadutsa, timatcha Horner syndrome mndandanda wa zizindikiro zomwe zimachitika mbali imeneyo ya nkhope.
Izi zimatchedwanso `oculosympathetic palsy`, koma m'mawu a tsiku ndi tsiku timagwiritsa ntchito dzina lakuti Horner syndrome.
Kodi izi ndi zinthu zoopsa zomwe zingawononge moyo?
Nayi mfundo yofunika. Zizindikiro za matenda a Horner (monga maso opindika) nthawi zambiri sizimayambitsa kuwonongeka kwakukulu pa moyo wanu kapena maso anu. Komabe, zizindikirozi zitha kukhala chizindikiro chochenjeza. Izi zikutanthauza kuti, zitha kukhala chizindikiro cha matenda oopsa kwambiri m'thupi.
Choncho, ngati mukukayikira pang'ono kuti muli ndi zizindikiro za Horner syndrome, ndikofunikira kuonana ndi dokotala nthawi yomweyo kuti mudziwe chomwe chimayambitsa.
Matendawa amatha kuchitika mwa anthu azaka zilizonse. Komabe, ndi osowa kwambiri. Pa avareji, matendawa amapezeka mwa munthu m'modzi pa anthu 6,000 aliwonse.
Kodi zizindikiro zazikulu ndi ziti?
Kawirikawiri, zonsezi zimangooneka mbali imodzi ya nkhope. Mbali inayo ndi yachibadwa. Ichi ndichifukwa chake kusiyana kwake n'kosavuta kuzindikira.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Chikope chofooka (Ptosis) | Chikope chapamwamba cha mbali yomwe yakhudzidwa chimatsika pang'ono kuposa diso lina, zomwe zimapangitsa kuti chiwoneke ngati chili ndi tulo. |
| Miosis (iris yaying'ono) | Mphuno ya diso lomwe lakhudzidwayo imaoneka yaying'ono kwambiri kuposa diso lina, zomwe zimapangitsa kuti maso awiriwa azioneka osiyana kukula. |
| Kuchepetsa thukuta pankhope (Anhidrosis) | Thukuta kumbali ya nkhope yomwe yakhudzidwa likhoza kukhala losapezeka konse kapena lochepa kwambiri. Thukuta kumbali imeneyo lingathenso kutha panthawi yochita masewera olimbitsa thupi. |
N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake zingakhale zotani?
Monga tanenera kale, izi zimachitika chifukwa cha kutsekeka kwinakwake m'njira ya mitsempha kuchokera ku ubongo kupita ku diso. Njira ya mitsempha iyi si yolunjika. Ndi ulendo wautali m'magawo atatu. Chifukwa chake, zomwe zimayambitsa zimatha kusiyana kutengera komwe kutsekekako kumachitika.
Tangoganizirani sitima yochokera ku Colombo kupita ku Kandy. Ngati sitimayo yaima ku Rambukkana panjira, pakhoza kukhala chifukwa chake, ndipo ngati yaima ku Polgahawela, pakhoza kukhala chifukwa china. Izi ndi zomwezo ndi njira ya mitsempha iyi.
Gome ili m'munsimu likupereka lingaliro la zifukwa zina zomwe zingayambitse izi.
| Malo akuluakulu omwe vutoli lingachitikire | Zifukwa zingapo zomwe zingatheke |
|---|---|
| Mavuto oyamba: Okhudzana ndi ubongo kapena msana | |
| Kuwonongeka kwa njira ya mitsempha yomwe imachokera ku ubongo kupita ku msana. |
|
| Mavuto a mzere wachiwiri: okhudzana ndi chifuwa, mapapo, ndi khosi | |
| Kuwonongeka kwa njira ya mitsempha yomwe imayambira pachifuwa kupita kukhosi. |
|
| Mavuto a gawo lachitatu: kuyambira pakhosi mpaka m'diso | |
| Kuwonongeka kwa njira ya mitsempha yomwe imayenda kuchokera pakhosi kupita pakati pa khutu kupita ku diso. |
|
Nthawi zina, ngakhale mayeso onsewa, palibe chifukwa chomveka chomwe chingapezeke. Komanso, nthawi zambiri, vutoli limapezeka pobadwa.
Kodi dokotala amazindikira bwanji izi?
Mukapita kukaonana ndi dokotala, adzatsatira njira zingapo kuti adziwe bwino vutoli.
1. Kukufunsani tsatanetsatane: Choyamba, adzakufunsani tsatanetsatane wa nthawi yomwe zizindikirozi zinayamba, momwe zinayambira, ngati muli ndi zizindikiro zina, komanso ngozi kapena opaleshoni ina iliyonse yomwe munachitapo kale.
2. Kuyezetsa thupi: Kenako mudzayezetsa bwino, makamaka maso anu ndi dongosolo lanu la mitsempha.
3. Kuyezetsa kwina: Matenda a Horner akatsimikizika, vuto lotsatira ndikupeza chomwe chikuyambitsa matendawa. Izi zingafunike mayeso osiyanasiyana.
- Mayeso a magazi: Mayeso monga kuchuluka kwa magazi (CBC), ESR.
- Mayeso ojambulira: Izi ndizofunikira kwambiri kuti tidziwe komwe kuli chifukwa.
- X-ray pachifuwa
- Kujambula kwa MRI (Kujambula kwa Magnetic Resonance)
- Kujambula kwa CT (Kujambula kwa Tomografia)
- Kujambula kwa Ultrasound
Kutengera zotsatira za mayesowa, dokotala adzakuuzani zomwe zimayambitsa vutoli.
Kodi chimachiritsidwa bwanji?
Chofunika kumvetsetsa apa ndichakuti sitikuchiza zizindikiro za Horner syndrome, koma matenda omwe adayambitsa .
Tangoganizani kuti madzi akutuluka padenga la nyumba yanu. Chomwe timachita sikuti timangoyika chidebe pomwe chimatuluka, koma timabowola denga. Ichi ndi chinthu chomwecho.
- Ngati chifukwa chake ndi matenda a khutu lapakati , maantibayotiki adzathetsa matendawa ndipo zizindikiro za matenda a Horner zidzatha.
- Ngati chifukwa chake ndi khansa , chidzafunika opaleshoni, chithandizo cha radiation, kapena mankhwala ena a khansa.
- Ngati chifukwa chake ndi kufooka kwa thupi , chithandizo choyenera ndi kuchira zidzaperekedwa.
Nthawi zina, ngati chifukwa chenicheni sichili chachikulu ndipo simukumva ululu kapena kusapeza bwino kwina, palibe chithandizo chapadera chomwe chingafunike.
Za tsogolo ndi kupewa
Kuyezetsa kwa matenda a Horner kumadalira kwathunthu chifukwa chake.
- Ngati chifukwa chake ndi cha kanthawi kochepa chomwe chingachiritsidwe (monga matenda a khutu), zizindikirozo zimatha kwathunthu.
- Ngati chifukwa chake ndi matenda osatha monga multiple sclerosis (MS), zizindikiro za Horner syndrome zitha kupitirira.
Komabe, nkhani yabwino ndi yakuti zizindikirozi sizikhudza kwambiri moyo wanu watsiku ndi tsiku kapena mawonekedwe anu.
Pali zinthu zambiri zomwe zingayambitse izi, palibe njira yoti munene kuti, "Ngati muchita izi, mutha kupewa matenda a Horner." Komabe, kutenga njira zodzitetezera kuti mupewe kuvulala pakhosi ndi pachifuwa kungathandize kuchepetsa chiopsezo chovulala.
Uthenga Wopita Nawo Kunyumba
- Matenda a Horner si matenda, koma chizindikiro cha matenda ena m'thupi.
- Zizindikiro zitatu zazikulu ndi izi: chikope chowerama mbali imodzi ya nkhope (ptosis), kuchepa kwa kukula kwa maso (miosis), ndi kuchepa kwa thukuta (anhidrosis).
- Choyambitsa izi chingakhale chilichonse kuyambira matenda ang'onoang'ono a m'khutu mpaka matenda aakulu monga khansa kapena ziwalo.
- Ngati mukukumana ndi zizindikiro izi, ndikofunikira kufunafuna upangiri wa dokotala nthawi yomweyo . Kuzindikira msanga kungakuthandizeni kuyamba kulandira chithandizo cha matenda akuluakulu.
- Mankhwalawa sachiza matenda a Horner, koma vuto lomwe linayambitsa matendawa.
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