Ngaba wakha wajonga esipilini waza ngequbuliso waphawula ukuba icala elinye lobuso bakho lahlukile kancinci kwelinye? Mhlawumbi iliso lakho eliphezulu ligobile kancinci, okanye iimbombo zakho zitshintshile ngobukhulu, kwaye kuqhelekile ukuba uzive ukhathazekile kancinci. Namhlanje, siza kuthetha ngemeko yempilo ebangela iimpawu ezifanayo, kodwa ayiqhelekanga kangako.
Ngamafutshane, yintoni iHorner Syndrome?
I-Horner syndrome yimeko engaqhelekanga echaphazela inkqubo yemithambo-luvo. Umzimba wethu unenkqubo yemithambo-luvo elawula izinto ezenzekayo ngaphandle kokuba sicinge ngazo. Cinga ngezinto ezifana nokubila, okanye iliso elimnyama emehlweni ethu likhula ngokukhula. Inxalenye yale nkqubo yemithambo-luvo iqhagamshelwe ukusuka ebuchotsheni bethu ukuya ebusweni nasemehlweni ethu. Ukuba kukho naluphi na uthintelo, umonakalo, okanye ukuvaleka naphi na endleleni yaloo mithambo-luvo, sibiza i-Horner syndrome ngokuba yingqokelela yeempawu ezenzeka kwelo cala lobuso.
Oku kukwabizwa ngokuba yi-'oculosympathetic palsy', kodwa kwintetho yemihla ngemihla sisebenzisa igama elithi Horner syndrome.
Ingaba le yimeko esongela ubomi?
Nantsi into ebalulekileyo. Iimpawu zeHorner syndrome (ezifana neenkophe ezigobileyo) azisoloko zibangela umonakalo omkhulu ebomini bakho okanye embonweni. Nangona kunjalo, ezi mpawu zinokuba luphawu lwesilumkiso. Oko kukuthi, zinokuba luphawu lwemeko embi kakhulu emzimbeni.
Ngoko ke, ukuba unesikrokro esincinci sokuba uneempawu zeHorner syndrome, kubalulekile ukubona ugqirha ngokukhawuleza uze ufumane ukuba yintoni unobangela.
Le meko inokwenzeka nakubantu banoma yiphi na iminyaka. Nangona kunjalo, ayiqhelekanga kakhulu. Ngokomyinge, le meko ixelwa kumntu omnye kwabangama-6,000.
Ziziphi iimpawu eziphambili?
Ngokwesiqhelo, zonke ezi mpawu zibonakala kuphela kwicala elinye lobuso. Elinye icala liqhelekile ngokupheleleyo. Yiyo loo nto umahluko kulula ukuwubona.
| Uphawu | Ingcaciso elula |
|---|---|
| Ijwabu eligobileyo (i-Ptosis) | Iliso eliphezulu kwicala elichaphazelekayo ligobile kancinci kunelinye iliso, nto leyo eyenza libonakale ngathi kukho ukozela. |
| I-Miosis (iris encinci) | Iliso elichaphazelekileyo libonakala lincinci kakhulu kunelinye iliso, nto leyo eyenza ukuba la mehlo mabini abonakale enobukhulu obahlukeneyo. |
| Ukuncipha kokubila kobuso (i-Anhidrosis) | Ukubila kwicala elichaphazelekayo lobuso kusenokungabikho kwaphela okanye kunciphe kakhulu. Ukubila kwelinye icala kunokuyeka ngexesha lokuzilolonga. |
Kutheni oku kusenzeka? Zingaba yintoni izizathu?
Njengoko besitshilo ngaphambili, oku kubangelwa kukuvaleka kwenye indawo ecaleni kwendlela yemithambo-luvo ukusuka ebuchotsheni ukuya elisweni. Le ndlela yemithambo-luvo ayingomgca othe tye. Luhambo olude olunezigaba ezintathu. Ke ngoko, izizathu zinokwahluka ngokuxhomekeke kwindawo apho ukuvaleka kwenzeka khona.
Khawucinge ngololiwe osuka eColombo usiya eKandy. Ukuba loo loliwe ubambeke eRambukkana endleleni, kusenokuba kukho isizathu saloo nto, kwaye ukuba ubambeke ePolgahawela, kusenokuba kukho esinye isizathu. Kunjalo nangolu hlobo lwendlela yemithambo-luvo.
Le theyibhile ingezantsi inika umbono wezinye zezizathu ezinokubakho zoku.
| Eyona ndawo iphambili apho ingxaki inokwenzeka khona | Izizathu ezininzi ezinokwenzeka |
|---|---|
| Iingxaki zokuqala: Ezinxulumene nobuchopho okanye umqolo | |
| Ukonakala kwendlela yemithambo-luvo esuka ebuchotsheni iye kumqolo. |
|
| Iingxaki zodidi lwesibini: ezinxulumene nesifuba, imiphunga, nentamo | |
| Ukonakala kwendlela yemithambo-luvo eqala esifubeni ukuya entanyeni. |
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| Iingxaki zenqanaba lesithathu: ukusuka entanyeni ukuya elisweni | |
| Ukonakala kwendlela yemithambo-luvo eqala entanyeni idlule endlebeni ephakathi ukuya elisweni. |
|
Ngamanye amaxesha, nangona zonke ezi mvavanyo, akukho sizathu sicacileyo sifumanekayo. Kwakhona, kunqabile kakhulu, le meko inokubakho xa umntwana ezalwa.
Ugqirha uyibona njani le nto?
Xa usiya kugqirha, baya kulandela amanyathelo aliqela ukuze bafumanise ngokuchanekileyo esi sifo.
1. Ukubuza iinkcukacha: Okokuqala, baza kubuza ulwazi oluneenkcukacha malunga nokuba ezi mpawu ziqale nini, ziqale njani, nokuba unazo naziphi na ezinye iimpawu, kunye nazo naziphi na iingozi okanye utyando lwangaphambili.
2. Uvavanyo lomzimba: Emva koko uza kuhlolwa kakuhle, ingakumbi amehlo akho kunye nenkqubo yemithambo-luvo.
3. Uvavanyo olongezelelweyo: Nje ukuba i-Horner syndrome iqinisekiswe, umngeni olandelayo kukufumanisa ukuba yintoni kanye kanye ebangela oko. Oku kunokufuna iimvavanyo ezahlukeneyo.
- Uvavanyo lwegazi: Uvavanyo olufana nokubalwa kwegazi elipheleleyo (i-CBC), i-ESR.
- Uvavanyo lwemifanekiso: Olu lubaluleke kakhulu ukufumanisa apho unobangela ukhoyo.
- I-X-reyi yesifuba
- Iskeni se-MRI (Umfanekiso weMagnetic Resonance)
- I-CT Scan (i-Computed Tomography)
- Iskeni ye-ultrasound
Ngokusekelwe kwiziphumo zezi mvavanyo, ugqirha uza kukuxelela kanye kanye ukuba yintoni ebangela le meko.
Iphathwa njani?
Into ebalulekileyo ekufuneka uyiqonde apha kukuba asinyangi iimpawu ze-Horner syndrome, kodwa sinyanga isifo esibangele loo nto .
Khawuthelekelele amanzi evuza eluphahleni lwendlu yakho. Esikwenzayo asikokubeka nje ibhakede apho livuza khona, kodwa senza umngxuma eluphahleni. Oku kuyafana.
- Ukuba unobangela lusulelo lwendlebe ephakathi , amayeza okubulala iintsholongwane aya kuyisusa loo sulelo kwaye iimpawu zesifo sikaHorner ziya kuphela.
- Ukuba unobangela ngumhlaza , kuya kufuneka utyando, unyango lwemitha, okanye olunye unyango lomhlaza.
- Ukuba unobangela kukukhubazeka komzimba , unyango olufanelekileyo kunye nokuvuselelwa kuya kunikwa.
Ngamanye amaxesha, ukuba unobangela awunzima kwaye awuziva iintlungu okanye ezinye iingxaki, akukho nyango luthile lunokufuneka.
Malunga nekamva kunye nokuthintela
Ukubikezela kwangaphambili kwesifo seHorner kuxhomekeke ngokupheleleyo kwisizathu saso.
- Ukuba unobangela yinto yexeshana enokunyangeka (njengosulelo lwendlebe), iimpawu ziya kuphela ngokupheleleyo.
- Ukuba unobangela sisifo esingapheliyo njenge-multiple sclerosis (MS), iimpawu ze-Horner syndrome zisenokuqhubeka.
Nangona kunjalo, iindaba ezimnandi zezokuba ezi mpawu azinampembelelo ingako kubomi bakho bemihla ngemihla okanye kwinkangeleko yakho.
Zininzi izinto ezinokubangela oku, akukho ndlela yokuthi, "Ukuba wenza oku, ungathintela isifo sikaHorner." Nangona kunjalo, ukuthatha amanyathelo okhuseleko ukuthintela ukwenzakala entanyeni nasesifubeni kunokunceda ukunciphisa umngcipheko wokwenzakala.
Umyalezo Wokuya Ekhaya
- I-Horner syndrome ayisosifo, kodwa luphawu okanye uphawu lwesinye isifo emzimbeni.
- Iimpawu ezintathu eziphambili zezi: ukugoba kwejwabu kwelinye icala lobuso (i-ptosis), ukuncipha kobukhulu bomfundi (i-miosis), kunye nokuncipha kokubila (i-anhidrosis).
- Unobangela woku unokuba yiyo nantoni na ukususela kwintsholongwane encinci yendlebe ukuya kwimeko enzulu kakhulu efana nomhlaza okanye ukukhubazeka.
- Ukuba ufumana ezi mpawu, kubalulekile ukufuna ingcebiso kagqirha ngokukhawuleza . Ukuxilongwa kwangoko kunokukunceda uqalise unyango lwezifo ezinzulu ngakumbi.
- Olu nyango alunyangi isifo seHorner, kodwa lunyanga imeko esisiseko esiyibangeleyo.
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