Wakambozvitarisa mugirazi here ukaona kamwe kamwe kuti rumwe rutivi rwechiso chako rwakasiyana zvishoma nerwerumwe? Pamwe ziso rako repamusoro rakakotama zvishoma, kana kuti mboni dzako dzachinja saizi, uye zvakajairika kunzwa kutya zvishoma. Nhasi, tichataura nezvechirwere chehutano chinokonzera zviratidzo zvakafanana, asi chisingawanzoitiki.
Zvichitaurwa zviri nyore, chii chinonzi Horner Syndrome?
Horner syndrome chirwere chisingawanzoitiki chinosanganisira sisitimu yetsinga. Muviri wedu une sisitimu yetsinga inodzora zvinhu zvinoitika tisingafungi nezvazvo. Funga nezvezvinhu zvakaita sekudikitira, kana ziso dema mumaziso edu richikura. Chikamu chesisitimu iyi yetsinga chakabatana kubva muuropi hwedu kuenda kumeso edu nemaziso. Kana paine chipingamupinyi, kukuvara, kana kuvharika kwese munzira yetsinga idzodzo, tinodana Horner syndrome muunganidzwa wezviratidzo zvinoitika kurutivi irworwo rwechiso.
Izvi zvinonziwo `oculosympathetic palsy`, asi mukutaura kwezuva nezuva tinoshandisa zita rekuti Horner syndrome.
Iyi inyaya inotyisidzira hupenyu here?
Heino chinhu chakakosha. Zviratidzo zveHorner syndrome (sekunge maziso akarembera) hazviwanzo kukonzera kukuvara kukuru muhupenyu hwako kana kuona kwako. Zvisinei, zviratidzo izvi zvinogona kuva chiratidzo chekunyevera. Kureva kuti, zvinogona kuva chiratidzo chechirwere chakakomba mukati memuviri.
Saka, kana uine fungidziro diki yekuti une zviratidzo zveHorner syndrome, zvakakosha kuti uone chiremba nekukasika wobva waziva kuti chii chinokonzera chirwere ichi.
Chirwere ichi chinogona kuitika kuvanhu vezera ripi zvaro. Zvisinei, hazviwanzoitiki. Paavhareji, chirwere ichi chinoonekwa mumunhu mumwe chete pavanhu zviuru zvitanhatu.
Ndezvipi zviratidzo zvikuru?
Kazhinji, zvese izvi zvinoonekwa chete kune rumwe rutivi rwechiso. Rumwe rutivi rwakajairika. Ndokusaka musiyano wacho uri nyore kuona.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Maziso akarembera (Ptosis) | Ziso repamusoro riri kurutivi rwakabatwa rinokotama zvishoma pane rimwe ziso, zvichiita kuti riite sekunge pane hope. |
| Miosis (iris diki) | Mbeu yeziso rakakanganiswa inoita kunge diki zvakanyanya pane rimwe ziso, zvichiita kuti maziso maviri aya aite seakaenzana saizi. |
| Kudzikira kwedikita kumeso (Anhidrosis) | Kudikitira kurutivi rwakakanganiswa rwechiso kunogona kusavapo zvachose kana kuderera zvakanyanya. Kudikitira kurutivi irworwo kunogonawo kumira panguva yekurovedza muviri. |
Sei izvi zvichiitika? Ndezvipi zvingava zvikonzero?
Sezvatakambotaura, izvi zvinokonzerwa nekuvharika kwetsinga kubva kuuropi kuenda kuziso. Nzira iyi yetsinga haisi mutsetse wakatwasuka. Irwendo rurefu muzvikamu zvitatu. Saka, zvikonzero zvinogona kusiyana zvichienderana nekuti vharika racho rinoitika kupi.
Fungidzira chitima chichibva kuColombo chichienda kuKandy. Kana chitima ichocho chikavharirwa paRambukkana chiri munzira, panogona kunge paine chikonzero chacho, uye kana chikavharirwa paPolgahawela, panogona kunge paine chimwe chikonzero. Ndizvo zvakafanana neiyi nzira yetsinga.
Tafura iri pazasi inopa pfungwa yezvimwe zvezvikonzero zvinogona kukonzera izvi.
| Nzvimbo huru panogona kuitika dambudziko iri | Zvikonzero zvakawanda zvinogona kuitika |
|---|---|
| Matambudziko ekutanga: Ane chekuita nehuropi kana musana | |
| Kukuvadzwa kwenzira yetsinga inomhanya kubva kuuropi ichienda kumusana. |
|
| Matambudziko echipiri: ane chekuita nechipfuva, mapapu, nemutsipa | |
| Kukuvadzwa kwenzira yetsinga inobva pachipfuva ichienda kumutsipa. |
|
| Matambudziko edanho rechitatu: kubva pamutsipa kusvika kuziso | |
| Kukuvadzwa kwenzira yetsinga inobva pamutsipa ichipfuura nepakati perevedzero ichienda kuziso. |
|
Dzimwe nguva, pasinei nekuongororwa kwese uku, hapana chikonzero chakajeka chingawanikwa. Uyewo, kashoma, chirwere ichi chinogona kuvapo pakuzvarwa.
Chiremba anoziva sei izvi?
Paunoenda kunoona chiremba, vanotevera matanho akati wandei kuti vaongorore chirwere ichi nemazvo.
1. Kukubvunza ruzivo rwakadzama: Kutanga, vachakubvunza ruzivo rwakadzama nezvekuti zviratidzo izvi zvakatanga riini, zvakatanga sei, kana uine zvimwe zviratidzo, uye tsaona kana kuvhiyiwa kwakamboitika.
2. Kuongororwa kwemuviri: Uchazoongororwa zvakakwana, kunyanya maziso ako netsinga dzako.
3. Kuongororwazve: Kana chirwere cheHorner changosimbiswa, dambudziko rinotevera nderekuona kuti chii chiri kukonzera chirwere ichi. Izvi zvingada bvunzo dzakasiyana-siyana.
- Kuongororwa kweropa: Kuongororwa kweropa kwakafanana nekuverengwa kweropa kwakazara (CBC), ESR.
- Kuongororwa kwemifananidzo: Izvi zvakakosha zvikuru kuti tizive kuti chikonzero chacho chiri papi.
- X-ray yechipfuva
- Kuongororwa kweMRI (Magnetic Resonance Imaging)
- Kuongororwa kweCT (Computed Tomography)
- Kuskena kweUltrasound
Zvichibva pamhedzisiro yebvunzo idzi, chiremba achakuudzai chaizvo chiri kukonzera chirwere ichi.
Inorapwa sei?
Chinhu chakakosha kunzwisisa pano ndechekuti hatisi kurapa zviratidzo zveHorner syndrome, asi chirwere chiripo chakaikonzera .
Fungidzira kuti mvura iri kudonha kubva padenga remba yako. Chatinoita hakusi kungoisa bhaketi painodonha, asi tinoboora gomba padenga. Izvi zvakafanana.
- Kana chikonzero chiri chirwere chepakati kwenzeve , mishonga inorwisa mabhakitiriya inobvisa hutachiona uye zviratidzo zveHorner's syndrome zvinopera.
- Kana chikonzero chiri kenza , zvinoda kuvhiyiwa, kurapwa nemwaranzi, kana kumwe kurapwa nekenza.
- Kana chikonzero chiri kuoma mitezo , kurapwa kwakakodzera uye kugadziriswa kuchaitwa.
Dzimwe nguva, kana chikonzero chacho chisina kukomba uye usiri kunzwa kurwadziwa kana kusanzwa zvakanaka, hapana kurapwa kwakakodzera kungadiwa.
Nezveramangwana nekudzivirira
Kufanotaura kwechirwere cheHorner kunoenderana zvachose nechikonzero chacho.
- Kana chikonzero chacho chiri chenguva pfupi chinogona kurapwa (senge chirwere chenzeve), zviratidzo zvacho zvinopera zvachose.
- Kana chikonzero chiri chirwere chisingaperi senge multiple sclerosis (MS), zviratidzo zveHorner syndrome zvinogona kuramba zviripo.
Zvisinei, mashoko akanaka ndeekuti zviratidzo izvi hazvina zvazvinoita pahupenyu hwako hwezuva nezuva kana chitarisiko chako.
Pane zvinhu zvakawanda zvinogona kukonzera izvi, hapana nzira yekuti, "Kana ukaita izvi, unogona kudzivirira Horner's syndrome." Zvisinei, kutora matanho ekudzivirira kukuvara kwemutsipa nechipfuva kunogona kubatsira kuderedza njodzi yekukuvara.
Mharidzo Yekuenda Nayo Kumba
- Horner syndrome haisi chirwere, asi chiratidzo chechimwe chirwere chiri mumuviri.
- Zviratidzo zvikuru zvitatu ndeizvi: maziso akarembera kurutivi rumwe rwechiso (ptosis), saizi yemwana mudiki (miosis), uye kudikitira kushoma (anhidrosis).
- Chikonzero cheizvi chinogona kuva chero chinhu kubva pahutachiona hudiki hwenzeve kusvika kuchirwere chakakomba chakadai sekenza kana kuoma mitezo.
- Kana ukaona zviratidzo izvi, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza . Kuongororwa nekukurumidza kunogona kukubatsira kutanga kurapwa kwezvirwere zvakakomba.
- Kurapa kwacho hakurapi chirwere cheHorner, asi chirwere chakakonzera chirwere ichi.
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