Ngaba nawe unazo ezi nguqu kwelinye icala lobuso bakho? (Masithethe ngeHorner Syndrome)!

Ngaba wakha waphawula ukuba icala elinye lobuso bakho lineliso eligobileyo, iliso elimnyama elincinci kunelinye, kwaye ukubila kancinci kwelo cala? Okanye ngaba wakha wambona umntu omaziyo esenza oku? Ezi zinokuba ziimpawu eziphambili zesifo semithambo-luvo esingaqhelekanga esibizwa ngokuba yiHorner Syndrome , esiza kuthetha ngaso namhlanje. Sikwabizwa ngokuba yi -oculosympathetic palsy okanye i-Bernard-Horner syndrome . Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.

Yintoni iHorner Syndrome? Ngamafutshane...

Kulungile, cinga ngale ndlela. Sinenkqubo yemithambo-luvo ekhethekileyo eqala engqondweni yethu iye emehlweni nasebusweni bethu. Ezi sizibiza ngokuba zii-sympathetic nerves . Le nkqubo yemithambo-luvo ilawula ezinye zezinto emzimbeni wethu esingazilawuliyo, ezenzeka ngokuzenzekelayo. Umzekelo, izinto ezifana nokubila kunye neezangqa ezimnyama emehlweni ethu ezikhula kwaye zincipha.

Ngoko ke, ukuba le ndlela yemithambo-luvo esebenzisana neemvakalelo iyaphazamiseka okanye yonakele ngandlela ithile, le meko ibizwa ngokuba yiHorner Syndrome iyenzeka. Oku kwenzeka xa iliso kunye nezicubu ezingqongileyo kwelinye icala lobuso bakho zichaphazeleka.

Ingaba oku kuyingozi ebomini? Ngaba yinto ekufuneka uyoyike?

Nantsi into ekufuneka uyiqonde: Iimpawu ezinxulumene neHorner Syndrome, ezifana neliso eligobileyo kunye neliso elimnyama endilikhankanyileyo ngaphambili, azidli ngokubangela monakalo omkhulu kwimpilo okanye ekuboneni kwakho.

Kodwa, okubaluleke kakhulu, ezi mpawu zinokubonisa ingxaki yempilo efihlakeleyo, mhlawumbi enzulu kakhulu. Ke ngoko, ukuba ufumana ezi mpawu, kubalulekile ukufuna iingcebiso zonyango ukuze kuchongwe unobangela.

Ngubani onokuyifumana le nto? Ixhaphake kangakanani?

I-Horner Syndrome inokuchaphazela abantu bayo nayiphi na iminyaka. Kwezinye iimeko, malunga ne-5 ekhulwini, inokuba yimeko yokuzalwa , oko kuthetha ukuba yimeko ekhoyo ukususela ekuzalweni.

Esi asiyongxaki ixhaphakileyo. Xa sithetha nje, sichaphazela umntu omnye kwabayi-6,000.

Zithini iimpawu zoku? Ukuchaneka...

Ngokwesiqhelo, iimpawu zeHorner Syndrome zichaphazela icala elinye lobuso bakho kuphela. Iimpawu eziphambili onokuzibona zezi:

• Iliso eligobileyo: Oku kwaziwa ngokwezonyango njenge -ptosis . Kwenza iliso elinye libonakale liphantsi kancinci kunelinye.
• Ukushwabana kwe-iris: Oku kubizwa ngokuba yi-miosis . Oku kunokubangela ukuba ii-iris emehlweni omabini zibonakale zingalingani ngobukhulu, enye inkulu kwaye enye incinci.
• Ukuncipha okanye ukuphelelwa ngokupheleleyo kokubila kobuso: Le meko ibizwa ngokuba yi-anhidrosis . Ukubila kuyancipha kwicala elichaphazelekileyo.

Ezi mpawu zintathu zezona ziphambili zibonwayo.

Kutheni i-Horner Syndrome isenzeka? Zithini izizathu?

Amaxesha amaninzi, iHorner Syndrome ibangelwa kukuvaleka okanye ukonakala kwendlela yemithambo-luvo esiya emehlweni, njengoko benditshilo ngaphambili. Izizathu ezisisiseko zalo monakalo wemithambo-luvo zinokwahluka kakhulu. Cinga ngayo, ezi zizathu zinokuqala kusulelo lwendlebe ephakathi, ukuya ekuqhekekeni kwemithambo-luvo ye-carotid , umthambo wegazi omkhulu entanyeni, okanye nethumba lesifuba elikwi-apical .

Kunqabile kakhulu, oku kungaba yimeko yokuzalwa. Oku kudla ngokubangelwa yingozi ngexesha lokubeleka, umonakalo kwimithambo-luvo okanye kwi-carotid artery. Oku kunqabile nangakumbi, esi sifo sinokudluliselwa kwizizukulwana ngezizukulwana, kodwa ii-genes zaso azikafunyanwa.

Kukho iindlela ezintathu ezahlukeneyo zemithambo-luvo ezinokubandakanyeka kwiHorner Syndrome. Imithambo-luvo evela engqondweni yethu ayizi ngqo emehlweni nasebusweni. Ihamba ngeendlela ezintathu. Nayiphi na kwezi ndlela zintathu inokuphazamiseka. Ke ngoko, kukho iintlobo ezintathu zeHorner Syndrome, ezinokuba nezizathu ezahlukeneyo.

Kwabanye abantu, akukho ngxaki yempilo ecacileyo enokufumaneka ebangela esi sifo. Iimeko ezinjalo zibizwa ngokuba yi -idiopathic Horner syndrome .

Izizathu zesifo seHorner esiphambili (esiphakathi)

Oku kubangelwa kukonakala kwemithambo-luvo ephuma kwi -hypothalamus yakho idlula kwi -brainstem yakho ize yehle ngomqolo wakho . Le migudu yemithambo-luvo ingonakaliswa okanye ivalwe yile:

• Ukuphazamiseka ngequbuliso kokunikezelwa kwegazi kwisiqu sobuchopho (njengokubetheka kwentliziyo).
• Ithumba elikwi-hypothalamus.
• Ukwenzakala kwintambo yomqolo.
• Izifo ezifana neMultiple Sclerosis (MS) .
• Ukukhubazeka kweChiari .
• I-Encephalitis .
• Isifo seMeningitis .
• Isifo se-lateral medullary syndrome (i-Wallenberg syndrome) .
• I-Syringomyelia .

Izizathu zesifo sesibini (preganglionic) Horner

Oku kubangelwa kukonakala kwendlela yemithambo-luvo ephuma esifubeni sakho, idlule phezulu kwimiphunga yakho, kunye nomthambo we-carotid entanyeni yakho. Iimeko ezinokuchaphazela oku ziquka:

• Iithumba ezikhula kwinxalenye ephezulu yemiphunga okanye kwisifuba.
• Ukwenzakala entanyeni okanye esifubeni ngenxa yotyando okanye ingozi.
• Ukulimala kwe-brachial plexusUkonakala kwinethiwekhi ye-neural.
• Izinyo eliphumileyo liqhuma elikwizinyo elikwindawo yomhlathi. Khawucinge nje, nokuba usulelo olunzima lizinyo lunokubangela oku.

Izizathu ze-tertiary (postganglionic) Horner syndrome

Olu hlobo lubangelwa kukonakala kwendlela yemithambo-luvo ukusuka entanyeni ukuya endlebeni nakwiliso eliphakathi. Ingabangelwa zezi zinto zilandelayo:

• Izilonda kwi-carotid artery yakho.
• Usulelo lwendlebe ephakathi.
• Ukwenzakala ezantsi kwentloko yokakayi.
• Iimeko ezibuhlungu kakhulu zentloko ezifana ne -migraines okanye iintloko ezibuhlungu ezibangelwa ziintloko ezinde .
• Isifo se-paratrigeminal sikaRaeder .
• Ukuqhaqha kwemithambo yegazi ngaphakathi okanye i-aneurysm yemithambo yegazi ngaphakathi (ukudumba komthambo wegazi).
• Ii-shingles (i-herpes zoster) yimeko ebangelwa yintsholongwane, efana ne-masisi.
• I-temporal arteritis kukudumba kwemithambo yegazi.

Uyabona, zininzi izizathu. Yiyo loo nto ukuba unezi mpawu, kufuneka ubone ugqirha ngokukhawuleza.

Uyibona njani le nto?

Oogqirha badla ngokuxilonga iHorner Syndrome ngovavanyo lomzimba. Oko kukuthi, ngokukuxilonga. Nangona kunjalo, ukufumana unobangela oyintloko kunokuba nzima kancinci, njengoko kunokubangelwa ziimeko ezininzi zempilo. Kwakhona, kukho nezinye iimeko ezinokubangela iimpawu ezifanayo.

Ugqirha uza kukubuza ngeempawu zakho, imbali yakho yezonyango, kunye nazo naziphi na iingozi zangaphambili, izifo, kunye notyando. Emva koko uza kwenza uvavanyo lomzimba.

Ngokuxhomekeke kwimbali yakho yezonyango kunye nezinye iimpawu onazo, ugqirha wakho unokuyalela uvavanyo olongezelelweyo ukunceda ekufumaneni unobangela we-Horner syndrome. Umzekelo:

• Uvavanyo lokujonga imifanekiso: Olu luquka i-X-ray yesifuba, i-magnetic resonance imaging (MRI) , i-computed tomography (CT scan) , okanye i-ultrasound .
• Uvavanyo lwegazi: Olu luquka ukubalwa kwegazi okupheleleyo (i-CBC) kunye nesantya sedimentation ye-erythrocyte (i-ESR) .

Ezi mvavanyo ziza kusinceda sifumanise ukuba yintoni kanye kanye ebangela oku.

Zithini iindlela zonyango?

Ukunyanga iHorner Syndrome kuthetha ukunyanga unobangela oyintloko. Ngenxa yokuba zininzi izizathu, unyango lunokwahluka kakhulu.

Umzekelo, ukuba unobangela lusulelo lwendlebe ephakathi, kunikwa amayeza okubulala iintsholongwane. Ukuba unobangela lithumba, kunokufuneka utyando, unyango lwemitha, okanye i-chemotherapy. Ngokufanayo, unyango luyahluka ngokuxhomekeke kwisizathu.

Ngamanye amaxesha, ukuba awunantlungu okanye ezinye iingxaki, usenokungadingi naluphi na unyango olukhethekileyo.

Ngaba oku akunakuthintelwa?

Ngenxa yokuba kukho iimeko ezininzi ezinokubangela iHorner Syndrome, kunzima ukutsho ngokuqinisekileyo indlela yokuthintela ukuba ikhule.

Nangona kunjalo, kwezinye iimeko, umzekelo, ukuba ibangelwa yingozi (njengokuqhaqhwa kwemithambo ye-carotid), ukuthatha amanyathelo okukhusela intamo yakho kunye nokulandela amanyathelo okukhusela anxulumene nokuqhaqhwa kunokunceda ukuthintela ukuba esi sifo singabikho.

Injani imbonakalo yale meko? (Injani imbonakalo yale meko?)

Imbonakalo yeHorner Syndrome ixhomekeke kwisizathu esiyintloko. Iimpawu ezisisiseko (ukugoba kwejwabu, iliso elimnyama, ukuncipha kokubila) azinampembelelo ingako kumgangatho wobomi bakho okanye umbono wakho.

Ukuba unobangela oyintloko yimeko engapheliyo, efana ne -multiple sclerosis , i-Horner syndrome inokubakho ixesha elide. Nangona kunjalo, ukuba ibangelwa yinto yexeshana kwaye inokunyangeka, njengosulelo lwendlebe, ezi mpawu zinokuphela xa usulelo luphelile.

Ufanele uye nini kugqirha?

Ukuba uneempawu zeHorner Syndrome, ezinje ngokugoba kwejwabu eliphezulu kwicala elinye, ubungakanani obungalinganiyo bezangqa ezimnyama emehlweni omabini, kunye nokuncipha kokubila kobuso kwelo cala, bonana nogqirha ngokukhawuleza.

I-Horner syndrome luphawu olungaqhelekanga lomonakalo wemithambo-luvo engaphantsi. Nangona iimpawu zesi sifo zihlala zingenabungozi, unobangela oyintloko ngamanye amaxesha unokuba yinto esongela ubomi, efana nethumba okanye ukuqhekeka kwemithambo yegazi. Ke ngoko, ukuba unesifo esinjalo, kubaluleke kakhulu ukubona ugqirha ukuze afumanise unobangela oyintloko aze anyange ngokukhawuleza.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, nazi izinto eziphambili ekufuneka uzikhumbule koko sithethe ngako namhlanje:

• I-Horner Syndrome yimeko ebonakaliswa kukugoba kwamehlo, ukugoba kwamehlo amancinci, kunye nokubila okunciphileyo kwelinye icala lobuso.
• Nangona ezi mpawu zingeyongozi, imeko ebangela ezo mpawu inokuba yingozi kakhulu.
• Zininzi izizathu; umonakalo kwinkqubo yemithambo-luvo yeyona nto iphambili.
• Ukuba ubona naziphi na kwezi mpawu, musa ukuchitha ixesha kwaye ufune iingcebiso zonyango. Ugqirha uza kufumanisa unobangela aze akunike unyango olufunekayo.
• Kwiimeko ezininzi, xa unobangela oyintloko unyangwa, iimpawu zeHorner syndrome ziya kuncipha okanye ziphele ngokupheleleyo.

Ngoko ke, ndiyathemba ukuba olu lwazi lube luncedo kuwe. Hlala usempilweni!

Isifo sikaHorner , i-oculosympathetic palsy, i-ptosis, i-miosis, i-anhidrosis, umonakalo wemithambo-luvo, imithambo-luvo enovelwano, izifo zemithambo-luvo, utshintsho lobuso, iimpawu zamehlo