Wake wabheka esibukweni wabe usubona ngokuzumayo ukuthi uhlangothi olulodwa lobuso bakho luhlukile kancane kolunye? Mhlawumbe ijwabu lakho eliphezulu ligobile kancane, noma izimbobo zakho zishintshile ngobukhulu, futhi kuvamile ukuzizwa ukhathazekile kancane. Namuhla, sizokhuluma ngesimo sempilo esibangela izimpawu ezifanayo, kodwa esingavamile kakhulu.
Kalula nje, iyini i-Horner Syndrome?
I-Horner syndrome yisimo esingavamile esihilela isimiso sezinzwa. Umzimba wethu unesimiso sezinzwa esilawula izinto ezenzekayo ngaphandle kokuba sicabange ngazo. Cabanga ngezinto ezinjengokujuluka, noma iso elimnyama emehlweni ethu likhula kakhulu. Ingxenye yalesi simiso sezinzwa ixhunywe kusukela ebuchosheni bethu kuya ebusweni nasemahlweni ethu. Uma kukhona ukuvinjelwa, umonakalo, noma ukuvinjelwa noma kuphi endleleni yalezo zinzwa, sibiza i-Horner syndrome ngokuthi iqoqo lezimpawu ezenzeka kulolo hlangothi lobuso.
Lokhu kubizwa nangokuthi 'i-oculosympathetic palsy', kodwa enkulumweni yansuku zonke sisebenzisa igama elithi Horner syndrome.
Ingabe lesi yisimo esisongela ukuphila?
Nansi into ebalulekile. Izimpawu ze-Horner syndrome (njengezinkophe ezigobile) ngokuvamile azibangeli umonakalo omkhulu empilweni yakho noma ekuboneni kwakho. Kodwa-ke, lezi zimpawu zingaba uphawu oluyisixwayiso. Okusho ukuthi, zingaba uphawu lwesimo esibi kakhulu ngaphakathi emzimbeni.
Ngakho-ke, uma usola kancane ukuthi unezimpawu ze-Horner syndrome, kubalulekile ukubonana nodokotela ngokushesha bese uthola ukuthi iyini imbangela.
Lesi simo singaba khona kubantu banoma yimuphi ubudala. Kodwa-ke, asivamile kakhulu. Ngokwesilinganiso, lesi simo sibikwa cishe koyedwa kubantu abangu-6,000.
Yiziphi izimpawu eziyinhloko?
Ngokuvamile, zonke lezi zici zibonakala kuphela ohlangothini olulodwa lobuso. Olunye uhlangothi lujwayelekile ngokuphelele. Yingakho umehluko kulula ukuwubona.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ijwabu leso eligobile (i-Ptosis) | Ijwabu elingaphezulu ohlangothini oluthintekile ligoba kancane kunelinye iso, okwenza kubonakale sengathi kukhona ukozela. |
| I-Miosis (iris encane) | Inhlamvu yeso elithintekile ibonakala incane kakhulu kunelinye iso, okwenza amehlo amabili abonakale enobukhulu obuhlukene. |
| Ukwehla kokujuluka kobuso (i-Anhidrosis) | Ukujuluka ohlangothini oluthintekile lobuso kungase kungabikho nhlobo noma kunciphe kakhulu. Ukujuluka kulolo hlangothi nakho kungase kuphele ngesikhathi sokuzivocavoca. |
Kungani lokhu kwenzeka? Yiziphi izizathu ezingaba khona?
Njengoba sishilo ngaphambili, lokhu kubangelwa ukuvaleka endaweni ethile endleleni yezinzwa kusukela ebuchosheni kuya esweni. Le ndlela yezinzwa ayiyona umugqa oqondile. Luhambo olude olunezingxenye ezintathu. Ngakho-ke, izimbangela zingahluka kuye ngokuthi ukuvaleka kwenzeka kuphi.
Cabanga ngesitimela esisuka eColombo siya eKandy. Uma leso sitimela sibhajwa eRambukkana endleleni, kungase kube nesizathu salokho, futhi uma sibhajwa ePolgahawela, kungase kube nesinye isizathu. Kunjalo nangale ndlela yemizwa.
Ithebula elingezansi linikeza umbono wezinye zezizathu ezingaba khona zalokhu.
| Indawo eyinhloko lapho inkinga ingavela khona | Izizathu eziningana ezingaba khona |
|---|---|
| Izinkinga zokuqala: Ezihlobene nobuchopho noma umgogodla | |
| Ukulimala kwendlela yezinzwa egijima isuka ebuchosheni iye emgogodleni. |
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| Izinkinga zomugqa wesibili: ezihlobene nesifuba, amaphaphu kanye nentamo | |
| Ukulimala kwendlela yezinzwa egijima kusukela esifubeni kuya entanyeni. |
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| Izinkinga zezinga lesithathu: kusukela entanyeni kuya esweni | |
| Ukulimala kwendlela yezinzwa egijima kusukela entanyeni idlule endlebeni ephakathi iye esweni. |
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Ngezinye izikhathi, naphezu kwazo zonke lezi zivivinyo, akukho sizathu esicacile esingatholakala. Futhi, akuvamile kakhulu, lesi simo singaba khona lapho umntwana ezalwa.
Udokotela ukubona kanjani lokhu?
Uma uya kudokotela, bazolandela izinyathelo eziningana ukuze baxilonge lesi simo ngokunembile.
1. Ukukubuza imininingwane: Okokuqala, bazokucela ulwazi oluningiliziwe mayelana nokuthi lezi zimpawu zaqala nini, ukuthi zaqala kanjani, ukuthi unazo yini ezinye izimpawu, kanye nanoma yiziphi izingozi noma ukuhlinzwa kwangaphambilini.
2. Ukuhlolwa komzimba: Uzobe usuhlolwa kahle, ikakhulukazi amehlo akho kanye nohlelo lwezinzwa.
3. Ukuhlolwa okwengeziwe: Uma i-Horner syndrome isiqinisekisiwe, inselele elandelayo ukuthola ukuthi yini ngempela eyibangelayo. Lokhu kungadinga ukuhlolwa okuhlukahlukene.
- Ukuhlolwa kwegazi: Ukuhlolwa okufana nokubalwa kwegazi okuphelele (i-CBC), i-ESR.
- Ukuhlolwa kwezithombe: Lokhu kubaluleke kakhulu ukuthola ukuthi imbangela ikuphi.
- I-X-ray yesifuba
- Ukuskena kwe-MRI (Umfanekiso Wokuqabulana Kwamagnetic)
- I-CT Scan (i-Computed Tomography)
- Ukuskena nge-ultrasound
Kususelwa emiphumeleni yalezi zivivinyo ukuthi udokotela uzokutshela ngqo ukuthi yini ebangela lesi simo.
Iphathwa kanjani?
Into ebalulekile okufanele uyiqonde lapha ukuthi aselapha izimpawu ze-Horner syndrome, kodwa isifo esiyisisekelo esibangele lokhu .
Cabanga ngamanzi avuza ophahleni lwendlu yakho. Esikwenzayo akugcini nje ngokubeka ibhakede lapho livuza khona, kodwa senza imbobo ophahleni. Lokhu kuyinto efanayo.
- Uma imbangela kuyisifo sendlebe ephakathi , ama-antibiotic azosusa lesi sifo futhi izimpawu ze-Horner's syndrome zizophela.
- Uma imbangela kungumdlavuza , uzodinga ukuhlinzwa, ukwelashwa ngemisebe, noma ezinye izindlela zokwelapha umdlavuza.
- Uma imbangela iwukukhubazeka , ukwelashwa okufanele kanye nokuvuselelwa kuzonikezwa.
Ngezinye izikhathi, uma imbangela eyinhloko ingeyona enkulu futhi ungezwa ubuhlungu noma ukungakhululeki okunye, kungadingeki ukwelashwa okukhethekile.
Mayelana nekusasa kanye nokuvimbela
Ukubikezela kwe-Horner syndrome kuncike ngokuphelele embangela yayo.
- Uma imbangela kuyinto yesikhashana engelashwa (njengokutheleleka kwendlebe), izimpawu zizophela ngokuphelele.
- Uma imbangela kuyisifo esingamahlalakhona njenge-multiple sclerosis (MS), izimpawu ze-Horner syndrome zingase ziqhubeke.
Nokho, izindaba ezinhle ukuthi lezi zimpawu azinawo umthelela omkhulu empilweni yakho yansuku zonke noma ekubukekeni kwakho.
Kunezinto eziningi kakhulu ezingadala lokhu, ayikho indlela yokuthi, "Uma wenza lokhu, ungavimbela i-Horner's syndrome." Kodwa-ke, ukuthatha izinyathelo zokuphepha ukuvimbela ukulimala entanyeni nasesifubeni kungasiza ekunciphiseni ingozi yokulimala.
Umlayezo Wokuya Nawe Ekhaya
- I-Horner syndrome akuyona isifo, kodwa isibonakaliso noma uphawu lwesinye isifo emzimbeni.
- Izimpawu ezintathu eziyinhloko yilezi: ijwabu eligobile ohlangothini olulodwa lobuso (i-ptosis), usayizi omncane we-pupil (i-miosis), kanye nokujuluka okunciphile (i-anhidrosis).
- Imbangela yalokhu ingaba yinoma yini kusukela ekuthelelekeni kwendlebe okuncane kuya esimweni esibucayi kakhulu njengomdlavuza noma ukukhubazeka.
- Uma uhlangabezana nalezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha . Ukuxilongwa kusenesikhathi kungakusiza ukuthi uqale ukwelashwa kwezimo ezibucayi kakhulu.
- Ukwelashwa akwelaphi i-Horner syndrome, kodwa isimo esiyisisekelo esiyimbangela.
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