Ese nawe ufite izi mpinduka ku ruhande rumwe rw'isura yawe? (Reka tuvuge kuri Horner Syndrome)!

Ese wigeze ubona ko uruhande rumwe rw'isura yawe rufite ijisho rinini, ijisho rito ry'umukara ritari irindi, kandi hari ibyuya bike kuri urwo ruhande? Cyangwa se wabonye umuntu uzi abikora? Ibi bishobora kuba ibimenyetso by'ingenzi by'indwara idasanzwe y'imitsi yitwa Horner Syndrome , tugiye kuvugaho uyu munsi. Yitwa kandi oculosympathetic palsy cyangwa Bernard-Horner syndrome . Ntugahangayike, tuzabivugaho mu buryo bworoshye kandi mu buryo ushobora gusobanukirwa.

Indwara ya Horner ni iki? Mu magambo make...

Bitekerezeho muri ubu buryo. Dufite uburyo bwihariye bwo gutuma imitsi iva mu bwonko bwacu ikagera mu maso no mu maso. Ibi tubyita imitsi ihuza ibyiyumvo . Ubu buryo bwo gutuma imitsi igenzura bimwe mu bintu mu mubiri wacu tudagenzura, bibaho mu buryo bwikora. Urugero, ibintu nko kubira ibyuya n'imizingo y'umukara mu maso yacu ikura kandi ikagabanuka.

Rero, iyo iyi nzira y'imitsi ihuza ibyiyumvo ihungabanye cyangwa yangiritse, iyi ndwara yitwa Horner Syndrome ibaho. Aha niho ijisho n'ingingo zikikije uruhande rumwe rw'isura yawe bigerwaho.

Ese ibi ni ikibazo ku buzima? Ese ni ikintu cyo gutinya?

Dore icyo ugomba gusobanukirwa: Ibimenyetso bijyana na Horner Syndrome, nk'ijisho rinanutse n'ijisho ry'umukara navuze mbere, ubusanzwe ntabwo bitera ingaruka mbi ku buzima bwawe cyangwa kureba kwawe.

Ariko, ikiruta byose, ibi bimenyetso bishobora kugaragaza ikibazo cy’ubuzima gishobora kuba gikomeye cyane. Kubwibyo, niba ubonye ibi bimenyetso, ni ngombwa gushaka inama kwa muganga kugira ngo umenye impamvu.

Ni nde ushobora kubibona? Ni iki gikunze kugaragara?

Indwara ya Horner Syndrome ishobora kwibasira abantu b'imyaka iyo ari yo yose. Hari aho, hafi 5%, ishobora kuba ari indwara umuntu avukana , bivuze ko ari indwara ibaho kuva akivuka.

Iyi si indwara ikunze kugaragara cyane. Mu buryo bugaragara, ifata umuntu umwe kuri 6.000.

Ni ibihe bimenyetso by'ibi? Mu by'ukuri...

Ubusanzwe, ibimenyetso bya Horner Syndrome bigira ingaruka ku ruhande rumwe rw'isura yawe. Ibimenyetso by'ingenzi ushobora kubona ni ibi bikurikira:

• Ijisho rimanuka: Ibi bizwi mu buvuzi nka ptosis . Bituma ijisho rimwe risa n'aho riri hasi gato ugereranije n'irindi.
• Kugabanuka kw'indorerwamo y'amaso: Ibi byitwa miosis . Ibi bishobora gutuma indorerwamo z'amaso yombi zisa n'izidangana mu bunini, imwe nini indi nto.
• Kugabanuka cyangwa kubura burundu ibyuya mu maso: Iyi ndwara yitwa anhidrosis . Kubira ibyuya biragabanuka ku ruhande rwafashwe n'indwara.

Ibi bintu bitatu biranga ni byo by'ingenzi bigaragara.

Kuki indwara ya Horner Syndrome ibaho? Ni izihe mpamvu?

Akenshi, indwara ya Horner Syndrome iterwa no kuziba cyangwa kwangirika kw'inzira y'imitsi ijya mu maso, nkuko nabivuze mbere. Impamvu nyamukuru zitera ubu bwandu bw'imitsi zishobora kuba zitandukanye cyane. Tekereza nawe, izi mpamvu zishobora kuva ku kwandura mu gutwi, kugeza ku gucika kw'imitsi ifunganye , umuyoboro munini w'amaraso mu ijosi, cyangwa ndetse n'ikibyimba cyo mu gituza .

Ni gake cyane, iyi ishobora kuba indwara ivukanwa. Ibi akenshi biterwa n'impanuka mu gihe cyo kubyara, kwangirika kw'imitsi cyangwa imitsi ya carotid. Ndetse ni gake cyane, iyi ndwara ishobora guhererekanywa kuva ku gisekuru kugeza ku kindi, ariko uturemangingo nyatwo turataramenyekana.

Hari inzira eshatu zitandukanye z'imitsi zishobora kugira uruhare muri Horner Syndrome. Imitsi iva mu bwonko bwacu ntigera mu maso no mu maso. Inyura mu nzira eshatu. Imwe muri izi nzira eshatu ishobora kwangirika. Kubwibyo, hari ubwoko butatu bwa Horner Syndrome, bushobora kugira impamvu zitandukanye.

Ku bantu bamwe, nta kibazo cy’uburwayi gifatika gishobora kuboneka gitera iyi ndwara. Bene iyo ndwara yitwa idiopathic Horner syndrome .

Impamvu zitera indwara ya Horner y’ibanze (iciriritse)

Ibi biterwa no kwangirika kw'imitsi iva muri hypothalamus yawe inyura mu bwonko bwawe ikamanuka mu ruti rw'umugongo . Iyi miyoboro y'imitsi ishobora kwangirika cyangwa igafungwa na:

• Guhagarara gutunguranye kw'amaraso ajya mu bwonko (nk'indwara yo mu bwonko).
• Ikibyimba muri hypothalamus.
• Ibikomere ku mugongo.
• Indwara nka Multiple Sclerosis (MS) .
• Chiari malformation .
• Encephalitis .
• Meningite .
• Indwara yo kurwara indwara yo mu mutwe (syndrome ya Wallenberg) .
• Syringomyelia .

Impamvu zitera indwara ya Horner (preganglionic) ya kabiri (secondary syndrome).

Ibi biterwa no kwangirika kw'inzira y'imitsi iva mu gituza cyawe, ikanyura hejuru y'ibihaha byawe, no ku mutsi wa carotid uri mu ijosi ryawe. Hariho indwara zishobora kugira ingaruka kuri ibi:

• Ibibyimba bikura mu gice cyo hejuru cy'ibihaha cyangwa mu gituza.
• Ibikomere ku ijosi cyangwa mu gituza bitewe no kubagwa cyangwa impanuka.
• Gukomereka kwa plexus yo mu bwonkoKwangirika k'urusobe rw'imitsi.
• Iryinyo ryacitse ni ikibyimba kiri mu ryinyo mu gace k'urusaya. Tekereza gato, ndetse n'ubwandu bukomeye mu ryinyo bushobora kubitera.

Impamvu zitera indwara ya Horner (postganglionic)

Ubu bwoko buterwa no kwangirika kw'imitsi kuva mu ijosi kugera mu gutwi no mu jisho. Bishobora guterwa na:

• Ibisebe mu mitsi yawe ya carotid.
• Indwara zo mu matwi yo hagati.
• Ibikomere ku gice cyo hasi cy'agahanga.
• Indwara zikomeye zo kuribwa umutwe nko kubabara umutwe mu mutwe cyangwa kubabara umutwe mu buryo bw'amatsinda .
• Indwara ya Raeder paratrigeminal .
• Gucamo imitsi y'amaraso mu mitsi cyangwa gufunga imitsi y'amaraso mu mitsi y'amaraso (aneurysm ).
• Indwara ya herpes zoster (shingles) ni indwara iterwa na virusi, isa n'iseru.
• Arteritis y'igihe gito ni ukubyimba kw'imitsi.

Urabona, hari impamvu nyinshi cyane. Niyo mpamvu niba ufite ibi bimenyetso, ugomba guhita ubonana na muganga.

Ubimenya ute?

Ubusanzwe abaganga bapima indwara ya Horner Syndrome binyuze mu isuzuma ry’umubiri. Ni ukuvuga, iyo bagusuzumye. Ariko, kubona impamvu nyamukuru bishobora kugorana, kuko ishobora guterwa n’indwara nyinshi. Hari n’izindi ndwara zishobora gutera ibimenyetso nk’ibyo.

Muganga azakubaza ibimenyetso byawe, amateka yawe y'uburwayi, n'impanuka zose, indwara, ndetse n'ukubagwa byabanje. Hanyuma azagukorera isuzuma ry'umubiri.

Bitewe n'amateka y'ubuzima bwawe n'ibindi bimenyetso ufite, muganga wawe ashobora gusaba ko ukorerwa ibizamini by'inyongera kugira ngo amenye icyateye indwara ya Horner. Urugero:

• Ibizamini byo gupima: Ibi birimo X-ray yo mu gituza, MRI , tomography yakozwe (CT scan) , cyangwa ultrasound .
• Ibizamini by'amaraso: Ibi birimo umubare w'amaraso yuzuye (CBC) n'igipimo cy'amaraso ya erythrocyte sedimentation (ESR) .

Ibi bizamini bizadufasha kumenya neza icyabiteye.

Ni ubuhe buryo bwo kuvura?

Kuvura indwara ya Horner Syndrome bivuze kuvura impamvu nyamukuru. Kubera ko hari impamvu nyinshi, uburyo bwo kuvura bushobora gutandukana cyane.

Urugero, niba impamvu ari indwara yo mu gutwi hagati, hatangwa imiti yica udukoko. Iyo impamvu ari ikibyimba, kubagwa, kuvurwa hakoreshejwe imirasire, cyangwa imiti ivura indwara ya chimiotherapie bishobora kuba ngombwa. Mu buryo nk'ubwo, ubuvuzi buratandukanye bitewe n'impamvu.

Hari igihe, niba udafite ububabare cyangwa ubundi burwayi, ushobora kudakenera ubuvuzi bwihariye.

Ese ibi ntibishobora kwirindwa?

Kubera ko hari indwara nyinshi zishobora gutera Horner Syndrome, biragoye kumenya neza uburyo bwo kuyirinda.

Ariko, mu bihe bimwe na bimwe, urugero, iyo byatewe n'impanuka (nk'icika ry'imitsi ifata umutsi), gufata ingamba zo kurinda ijosi ryawe no gukurikiza ingamba zijyanye no gucika bishobora gufasha gukumira iyo ndwara.

Ni iki giteganijwe kuri iki kibazo? (Ni iki giteganijwe?)

Uko indwara ya Horner Syndrome ihagaze biterwa n'impamvu nyamukuru. Ibimenyetso by'ibanze (ijisho rinanutse, ijisho ry'umukara, kugabanuka kw'ibyuya) ubusanzwe ntabwo bigira ingaruka zikomeye ku mibereho yawe cyangwa kureba neza.

Niba impamvu nyamukuru ari indwara idakira, nka multiple sclerosis , Horner syndrome ishobora kubaho igihe kirekire. Ariko, iyo itewe n'ikintu cy'igihe gito kandi gishobora kuvurwa, nk'indwara yo mu matwi, ibi bimenyetso bishobora kugenda iyo ubwandu bumaze kugabanuka.

Ni ryari ukwiye kujya kwa muganga?

Niba ufite ibimenyetso bya Horner Syndrome, nko kunama k'ijisho ryo hejuru ku ruhande rumwe, ingano y'imizingo y'umukara ku maso yombi, no kugabanuka kw'ibyuya mu maso kuri urwo ruhande, gana muganga vuba bishoboka.

Indwara ya Horner ni ikimenyetso kidakunze kugaragara cy’ibyangiritse by’imitsi. Nubwo ibimenyetso by’iyi ndwara akenshi nta kibazo bifite, impamvu yayo rimwe na rimwe ishobora kuba ikintu gishobora gushyira ubuzima mu kaga, nko kurwara ikibyimba cyangwa gucika kw’imitsi ifata imitsi. Kubwibyo, niba ugize iyi ndwara, ni ngombwa cyane kubonana na muganga kugira ngo amenye impamvu yayo no kuyivura vuba.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Noneho rero, dore ibintu by'ingenzi ugomba kwibuka mu byo twaganiriyeho uyu munsi:

• Indwara ya Horner Syndrome ni indwara irangwa no kunama kw'amaso, amaso mato, no kugabanuka kw'ibyuya ku ruhande rumwe rw'isura.
• Nubwo ibi bimenyetso atari bibi, indwara ibyihishe inyuma ishobora kuba ikomeye.
• Impamvu zishobora kuba nyinshi; kwangirika k'urusobe rw'imitsi ni yo nyamukuru.
• Niba ubonye kimwe muri ibi bimenyetso, ntugapfushe umwanya ahubwo shaka inama kwa muganga. Muganga azashakisha icyabiteye maze aguhe uburyo bwo kuvura bukenewe.
• Kenshi na kenshi, iyo impamvu nyamukuru ivuwe, ibimenyetso bya Horner syndrome biragabanuka cyangwa bigashira burundu.

Rero, ndizera ko aya makuru yagufashije. Komeza ubuzima bwiza!

" Horner syndrome", indwara ya oculosympathetic palsy, ptosis, miosis, anhidrosis, kwangirika kw'imitsi, imitsi itera impumuro, indwara z'imitsi, impinduka zo mu maso, ibimenyetso by'amaso