Intloko ebuhlungu kakhulu kunye nentlungu yamehlo? Isenokuba yiTolosa-Hunt Syndrome!

Ngaba ngequbuliso ukhe waba nentloko ebuhlungu kakhulu kunye nentlungu xa ushukumisa amehlo akho? Okanye uzive ngathi awukwazi ukulawula amehlo akho ngokufanelekileyo? Ukuba uneempawu ezinje, kusenokwenzeka ukuba kungenxa yesifo esingaqhelekanga esibizwa ngokuba yiTolosa-Hunt Syndrome, esiza kuthetha ngaso namhlanje. Ungakhathazeki, siza kuthetha ngayo yonke into ngendlela elula onokuyiqonda.

Yintoni iTolosa-Hunt Syndrome?

Ngamafutshane, i-Tolosa-Hunt syndrome yimeko engaqhelekanga kakhulu. Ibangela iintloko ezibuhlungu neziqatha ngequbuliso kunye nentlungu xa ushukumisa amehlo akho, okanye ukuphelelwa ngamandla okushukumisa amehlo akho. Ezi mpawu zinokuvela zize zidlule ubomi bakho bonke. Kufana nokuba nondwendwe olungamenywanga endlwini yakho. Ziphazamisa usuku lwakho kwaye zikwenze uzive ungakhululekanga. Kodwa ngethamsanqa, ezi ndwendwe azifiki rhoqo.

Uphando lubonisa ukuba unobangela wale meko isenokuba kukudumba emva kweliso, okubangelwa yinkqubo yomzimba yokuzikhusela (ukudumba).

Usenokuba ukhe weva ugqirha wakho ebiza esi sifo ngamanye amagama. Umzekelo:

• `(I-Ophthalmoplegia)`
• `(I-Ophthalmoplegia ephindaphindayo)` (Oko kuthetha ukuba iyaphinda ivele)
• `(Isifo se-Ophthalmoplegia)`

Kungakhathaliseki ukuba ibizwa ngaliphi igama, idla ngokuthetha into enye: iTolosa-Hunt syndrome.

Ixhaphake kangakanani le meko?

Oku kunqabile kakhulu . Ukuba ujonga izibalo kwihlabathi liphela, uphando lubonisa ukuba malunga nomntu omnye kwisigidi uba neTolosa-Hunt syndrome. Ngoko ke esi ayisosifo sichaphazela wonke umntu.

Zithini iimpawu zesifo seTolosa-Hunt?

Ezi mpawu zihlala zibonakala ngequbuliso. Iimpawu eziphambili ezinokubonwa zezi:

• Intloko ebuhlungu kakhulu: Oku akufani nentloko eqhelekileyo. Le ntlungu ivakala kwinxalenye ephezulu yobuso, ingakumbi kufutshane namehlo (intloko ebuhlungu eyenzeka kwi-periorbital). Abanye abantu banokuyiva njengentlungu ebukhali, njengokuhlaba ngemela. Abanye banokuyiva njengentlungu ebuhlungu okanye intlungu ebuhlungu .
• Ukubona kabini: Xa ujonga into enye, ibonakala ngathi zizinto ezimbini ezahlukeneyo. Kungathi omabini amehlo awajolisanga kakuhle. Olu luphawu olukhathazayo kakhulu.
• Ubuthathaka okanye ukungakwazi ukuhambisa izihlunu ezijikeleze amehlo nobuso: Kuba nzima ukuhambisa amehlo, ngamanye amaxesha nokuba kwicala elinye. Izihlunu zobuso nazo zinokuchaphazeleka.
• Ukudinwa okungapheliyo: Usenokuziva udiniwe imini yonke, ngokungathi awunakukwazi ukuphelisa ukudinwa nokuba ulala kangakanani na.

Ukongeza kwezi mpawu ziphambili, ezinye iimpawu zinokubonwa:

• Ukuvela kwamehlo (proptosis): Iliso elinye okanye omabini asenokubonakala ngathi aphuma kancinci phambili.
• Ukuwa kwejwabu eliphezulu (i-ptosis):Iliso eliphezulu leliso elinye okanye omabini lisenokungakwazi ukuphakanyiswa kakuhle kwaye lisenokubonakala ligobile.
• Ukulahlekelwa ngumbono: Abanye abantu basenokulahlekelwa ngumbono kancinci.

Ezi mpawu zihlala zichaphazela icala elinye lobuso kuphela. Zinokuvela ngequbuliso zize zinyamalale ngokuzenzekelayo kwiintsuku ezimbalwa (ukuxolelwa okuzenzekelayo). Nangona kunjalo, zinokuphinda zibuye.

Yintoni ebangela isifo seTolosa-Hunt?

Ukuba sithetha inyani, asikazi ukuba yintoni kanye kanye ebangela oku . Kodwa kukho izinto ezimbini eziphambili oogqirha nabaphandi abacinga ukuba zinokwenzeka:

1. Impendulo engaqhelekanga yokuzikhusela komzimba: Kulapho inkqubo yethu yokuzikhusela komzimba – inkqubo esikhusela kwizifo – ihlasela ngempazamo izicubu zethu eziphilileyo. Kwi-Tolosa-Hunt syndrome, olu hlaselo lwenzeka kwiindawo ezimbini ezibuthathaka kakhulu emva kweliso. Enye yi- "Cavernous Sinus" , indawo efana nomngxuma equlethe imithambo kunye nemithambo-luvo ebalulekileyo ehambisa igazi ebuchotsheni. Enye yi- "Orbital Fissure" , umngxuma apho imithambo-luvo kunye nemithambo yegazi edibana neliso idlula khona. Inkqubo yethu yokuzikhusela komzimba ihlasela ezi ndawo, ibangela ukudumba apho.

2. Ukudumba okanye ukuncitshiswa kwemithambo yegazi: Enye ingcamango kukuba ezi mpawu zenzeka kuba imithambo yegazi kwezi ndawo zibizwa ngokuba yi-"Cavernous Sinus" kunye ne-"Orbital Fissure" iyadumba kwaye inciphe, nto leyo enciphisa ukuhamba kwegazi kwiindawo ezithile zobuchopho kunye nemithambo-luvo enxulumene neliso.

Zombini ezi ngongoma zisesekwinqanaba lophando, ngoko ke kunzima ukutsho isizathu esithile.

Zithini izinto ezibangela oku?

Izinto ezithile zinokunyusa umngcipheko wokufumana iimpawu zesifo seTolosa-Hunt. Ezi zibizwa ngokuba yi-'triggers'. Ziquka:

• Ukuba nosulelo lwentsholongwane .
• Ukonzakala kwengqondo okubuhlungu .
• Ukuba nethumba naphi na emzimbeni, ingakumbi kwindawo yentloko.
• Imeko efana nokwanda okanye ukudumba komthambo wegazi (i-aneurysm) .

Asinguye wonke umntu oza kuba nale sifo kuba nje enazo ezi zinto, kodwa umngcipheko unokwanda kancinci.

Zeziphi iingxaki ezinokubangela oku?

Ixesha elininzi, i-Tolosa-Hunt syndrome ayisosisongelo kubomi. Nangona kunjalo, kwezinye iimeko ezinzima, inokuchaphazela umbono wakho. Oku kwenzeka xa ukudumba kwe-"Cavernous Sinus" kunye ne-"Orbital Fissure" emva kweliso kusasazeka kwi- "Optic Nerve", umthambo oyintloko osinika umbono. Ukuba oku kuyenzeka, ukulahleka kombono okanye ezinye iingxaki zokubona kunokwenzeka. Ke ngoko, kubalulekile ukufuna unyango ngokukhawuleza xa kuvela iimpawu.

Ifunyaniswa njani le nto?

Ugqirha uza kuyixilonga le nto emva kokumamela ngononophelo iimpawu zakho, akuxilonge, aze athathe imbali yakho epheleleyo yezonyango. Le yinkqubo enzima kancinci, njengoko ezi mpawu zinokubonakala nakwezinye iimeko zonyango.

Ngoko ke, uvavanyo lwegazi kunye novavanyo lwemifanekiso lwenziwa ukuqinisekisa ukuxilongwa kunye nokuthintela ezinye iimeko ezineempawu ezifanayo (umzekelo, ithumba lobuchopho okanye usulelo). Uvavanyo oluphambili lwemifanekiso olusetyenziswa koku zezi:

• I-Computed Tomography (CT) scan: Oku kusebenzisa i-X-rays kunye nekhompyutha ukwenza umfanekiso onemilinganiselo emithathu (3D) wezicubu ezithambileyo kunye namathambo emzimbeni wakho. Oku kunokunceda ukukhangela izinto ezifana nokudumba kwindawo ye-cavernous sinus.
• I-Magnetic Resonance Imaging (MRI): Oku kusebenzisa imagnethi enkulu, amaza erediyo, kunye nekhompyutha ukwenza imifanekiso ecacileyo yangaphakathi lomzimba wakho, ingakumbi indawo yengqondo neyamehlo. Ineenkcukacha ezingaphezulu kune-CT scan.

Oogqirha basebenzisa ezi scans ukujonga ngokukodwa ukudumba kwiindawo ezingasemva kwamehlo ezibizwa ngokuba yi-"Cavernous Sinus" kunye ne-"Orbital Fissure." Ezi mvavanyo zikwanceda ukuqinisekisa ukuba akukho sizathu simbi.

I-Tolosa-Hunt syndrome idla ngokuchongwa nini?

Nangona le meko inokuchaphazela abantu bayo nayiphi na iminyaka, idla ngokuchongwa xa imalunga neminyaka engama-40 ubudala .

Iphathwa njani le nto?

Oku kunyangwa ngohlobo lweyeza lexesha elifutshane elithi `(Steroid)` . Ngokukodwa, kusetyenziswa uhlobo lweyeza elithi `(Corticosteroids)` . Oko kwenziwa ngala mayeza kukunciphisa ukudumba (`ukudumba`). Kuba, imbangela ephambili yeempawu zakho kukudumba okungasemva kweliso.

Xa usela eli yeza libizwa ngokuba yi-"Corticosteroids," ukudumba kuyancipha, uxinzelelo kwimithambo-luvo luyaphela, kwaye iimpawu zakho ziyaphucuka ngokukhawuleza.

Ngaba kukho naziphi na iziphumo ebezingalindelekanga zonyango?

Ewe, njengalo naliphi na iyeza, `(i-Corticosteroids)` inokuba nemiphumo emibi. Ke ngoko, kufuneka uxoxe ngale nto nogqirha wakho ngaphambi kokuba uqale eli yeza. Emva koko unokuba nokuqonda okucacileyo ngalo. Ezinye zeziphumo ebezingalindelekanga zezi:

• Ukudumba kwemilenze
• Ukwanda komnqweno wokutya
• Utshintsho lweemvakalelo
• Ukudumba okulula
• Umbono ofiphele kancinci

Oku akwenzeki kuwo wonke umntu, kwaye kwiimeko ezininzi kuyaphela xa amayeza eyekekile.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Ezi zezona ndaba zimnandi. Emva kokuthatha amayeza e-steroid njengoko kuyalelwe, ungaqala ukuziva ukhululekile kwixesha elifutshane, njengosuku olunye okanye ezintathu. Intlungu iyancipha, kuba lula ukuhambisa amehlo akho, kwaye ezo mpawu zicaphukisayo ziyanyamalala kancinci kancinci.

Khawucinge nje, ukuba awufumani nyango, iimpawu zingaphela ngokwazo kwiintsuku ezili-15 ukuya kwezingama-20. Nangona kunjalo, awufuni ukubandezeleka ixesha elide kangako. Kwakhona, nokuba iimpawu ziphelile, zinokuvela kwakhona ngequbuliso. Ke ngoko, kungcono ukufumana unyango.

Ingaba le yimeko enzima?

Isifo seTolosa-Hunt asisosifo esisongela ubomi. Nangona kunjalo, xa kuvela iimpawu, kunokuba nzima ukwenza imisebenzi yemihla ngemihla, rhoqo kunye neentloko ezibuhlungu kunye neengxaki zamehlo.

Nangona kunjalo, ngonyango, i-prognosis ilungile kakhulu. Ekubeni ii-steroids zinciphisa iimpawu kwiiyure ezingama-24 ukuya kuma-72, uya kuziva ungcono kungekudala kwaye ukwazi ukuqhubeka nemisebenzi yakho yesiqhelo.

Ngaba isifo seTolosa-Hunt sinokunyangeka ngokupheleleyo?

Ngelishwa, akukho nyango lwesi sifo. Unyango lujolise ekulawuleni iimpawu nokuzinciphisa ngokukhawuleza. Iimpawu zinokuphinda zibuye, ngoko ke unyango lunokufuneka.

Ngaba oku kungathintelwa?

Okwangoku akukho ndlela eyaziwayo yokuthintela esi sifo. Kuba, njengoko besitshilo ngaphambili, unobangela ochanekileyo awukaziwa, kunzima ukutsho ukuba singawuthintela njani.

Ufanele uye nini kugqirha?

Ukuba ucinga ukuba uneempawu zesifo seTolosa-Hunt – ezifana nentloko ebuhlungu ngequbuliso, iintlungu ezijikeleze amehlo, ukubona kabini, kunye nobunzima bokushukumisa amehlo akho – qiniseka ukuba ubona ugqirha ngoko nangoko. Musa ukulibazisa.

Ugqirha uya kukunika ii-steroids zexesha elifutshane ukunyanga iimpawu zakho. Ekubeni ezi zisebenza ngokukhawuleza, uya kuziva ungcono kungekudala kwaye ungabuyela kubomi bakho besiqhelo.

Yeyiphi imibuzo omele uyibuze ugqirha wakho?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Ngaba isifo seTolosa-Hunt sinokuchaphazela umbono wam?
• Ngaba ngokwenene kufuneka ndisebenzise ii-steroids njengonyango loku?
• Ndingalithatha njani iyeza elithi `(Steroid)`? Ndingalithatha ixesha elingakanani?
• Zithini iziphumo ebezingalindelekanga zezi ndlela zonyango? Ndingenza ntoni ukuze ndizikhusele kuzo?
• Ndingenza ntoni xa iimpawu zibuya?

Ngokubuza imibuzo efana nale, uya kuqonda ngcono esi sifo kunye nonyango lwaso.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

I-Tolosa-Hunt Syndrome yimeko efika ngequbuliso kwaye ibangele iimpawu ezingathandekiyo. Intloko ebuhlungu kakhulu inokwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla. Ukubona nokubona kunokuchaphazeleka. Ezi mpawu zinokuvela zize zidlule ubomi bonke.

Kodwa khumbula, oku akusongeli ubomi, kwaye kukho unyango.Ukusetyenziswa kwexesha elifutshane kwee-steroids kunokunciphisa iimpawu kwiintsuku nje ezintathu. Ngoko ke, ukuba ubona ugqirha kwangoko emva kokuba iimpawu zivele kwaye ufumane unyango, ungaphila ngokukhawuleza kwaye ubuyele ekwenzeni izinto ozithandayo. Ungoyiki, thetha nogqirha wakho ngayo nayiphi na into.

Isifo sikaTolosa -Hunt, Intloko ebuhlungu, Intlungu yamehlo, Ukubona kabini, iiSteroids, iMRI, i-CT scan, i-Ophthalmoplegia, i-Cavernous Sinus