Ingabe nawe unalezi zinguquko ohlangothini olulodwa lobuso bakho? (Ake sixoxe nge-Horner Syndrome)!

Wake waphawula ukuthi uhlangothi olulodwa lobuso bakho luneso eligobile, iso elimnyama elincane kunelinye, futhi alunawo umjuluko oningi kulolo hlangothi? Noma wake wambona umuntu omaziyo enza lokhu? Lezi kungaba izimpawu eziyinhloko zesimo esingavamile sezinzwa esibizwa ngokuthi i-Horner Syndrome , esizokhuluma ngaso namuhla. Sibizwa nangokuthi i-oculosympathetic palsy noma i-Bernard-Horner syndrome . Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela ongayiqonda.

Iyini i-Horner Syndrome? Kalula nje...

Kulungile, cabanga ngale ndlela. Sinesimiso sezinzwa esikhethekile esisuka ebuchosheni bethu siye emehlweni nasebusweni bethu. Lokhu sikubiza ngokuthi izinzwa ezizwelayo . Lesi simiso sezinzwa silawula ezinye zezinto emzimbeni wethu esingazilawuli, ezenzeka ngokuzenzakalelayo. Isibonelo, izinto ezifana nokujuluka kanye nezindilinga ezimnyama emehlweni ethu ezikhula futhi zincipha.

Ngakho-ke, uma le ndlela yemizwa ezwelayo iphazamiseka noma yonakele ngandlela thile, lesi simo esibizwa ngokuthi i-Horner Syndrome siyenzeka. Lokhu kwenzeka lapho iso nezicubu ezizungezile kolunye uhlangothi lobuso bakho zithinteka.

Ingabe lokhu kuyingozi empilweni? Ingabe kuyinto okufanele uyesabe?

Nakhu okudingeka ukuqonde: Izimpawu ezihambisana ne-Horner Syndrome, njengejwabu eligobile kanye neso elimnyama engikhulume ngalo ekuqaleni, ngokuvamile azibangeli umonakalo omkhulu empilweni noma ekuboneni kwakho.

Kodwa, okubaluleke kakhulu, lezi zimpawu zingabonisa inkinga yezempilo eyisisekelo, okungenzeka ukuthi imbi kakhulu. Ngakho-ke, uma uhlangabezana nalezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ukuze kutholakale imbangela.

Ubani ongakuthola lokhu? Kuvamile kangakanani?

I-Horner Syndrome ingathinta abantu banoma yimuphi ubudala. Kwezinye izimo, cishe amaphesenti ama-5, ingaba yinto yokuzalwa , okusho ukuthi yisimo esikhona kusukela ekuzalweni.

Lesi akusona isimo esivamile kakhulu. Uma sikhuluma nje, sithinta cishe umuntu oyedwa kwabayi-6,000.

Ziyini izimpawu zalokhu? Ukucacisa...

Ngokuvamile, izimpawu ze-Horner Syndrome zithinta uhlangothi olulodwa lobuso bakho kuphela. Izimpawu eziyinhloko ongase uzibone yilezi:

• Iso eligobile: Lokhu kwaziwa ngokwezokwelapha ngokuthi i-ptosis . Kwenza iso elilodwa libonakale liphansi kancane kunelinye.
• Ukushwabana kwe-iris: Lokhu kubizwa ngokuthi i-miosis . Lokhu kungabangela ukuthi ama-iris kuwo womabili amehlo abonakale engalingani ngobukhulu, elinye likhulu kanti elinye lincane.
• Ukuncipha noma ukuphelelwa ngokuphelele kokujuluka kobuso: Lesi simo sibizwa ngokuthi i-anhidrosis . Ukujuluka kuyancipha ohlangothini oluthintekile.

Lezi zimpawu ezintathu yizona eziyinhloko ezibonakala.

Kungani i-Horner Syndrome yenzeka? Ziyini izimbangela?

Ngokuvamile, i-Horner Syndrome ibangelwa ukuvaleka noma ukulimala kwendlela yezinzwa ezihambisana nozwela eya emehlweni, njengoba ngishilo ekuqaleni. Izimbangela eziyisisekelo zalo monakalo wezinzwa zingahlukahluka kakhulu. Cabanga ngakho, lezi zimbangela zingasukela ekuthelelekeni kwendlebe ephakathi, kuya ekuqhekekeni kwemithambo yegazi ye-carotid , umthambo wegazi omkhulu entanyeni, noma ngisho nesimila sesifuba se-apical .

Akuvamile kakhulu, lokhu kungaba yisimo sokuzalwa. Lokhu kuvame ukubangelwa ingozi ngesikhathi sokubeletha, ukulimala kwemizwa noma umthambo we-carotid. Okungavamile kakhulu, lesi sifo singadluliselwa kusuka esizukulwaneni kuya kwesinye, kodwa izakhi zofuzo zaso azikatholakali okwamanje.

Kunezindlela ezintathu ezahlukene zemizwa ezingaba nomthelela ku-Horner Syndrome. Imizwa evela ebuchosheni bethu ayifiki ngqo emehlweni nasebusweni. Ihamba ngezindlela ezintathu. Noma iyiphi yalezi zindlela ezintathu ingaphazamiseka. Ngakho-ke, kunezinhlobo ezintathu ze-Horner Syndrome, ezingaba nezimbangela ezahlukene.

Kwabanye abantu, akukho simo sezokwelapha esicacile esitholakalayo esibangela lesi sifo. Amacala anjalo abizwa ngokuthi i-idiopathic Horner syndrome .

Izimbangela ze-Horner syndrome eyinhloko (ephakathi)

Lokhu kubangelwa ukulimala kwemizwa egijima isuka ku -hypothalamus yakho idlule ebuchosheni bakho iye phansi emgogodleni wakho . Le mizila yemizwa ingonakalisa noma ivinjwe yilokhu okulandelayo:

• Ukuphazamiseka okungazelelwe kokunikezwa kwegazi esiqwini sobuchopho (njengokushaywa yisifo sohlangothi).
• Isimila ku-hypothalamus.
• Ukulimala emgogodleni.
• Izifo ezifana ne- Multiple Sclerosis (MS) .
• Ukukhubazeka kwe-Chiari .
• I-Encephalitis .
• I-Meningitis .
• I-lateral medullary syndrome (i-Wallenberg syndrome) .
• I-Syringomyelia .

Izimbangela ze-Horner syndrome yesibili (preganglionic)

Lokhu kubangelwa ukulimala kwendlela yezinzwa egijima isuka esifubeni sakho, idlule phezulu emaphashini akho, kanye nomthambo we-carotid entanyeni yakho. Izimo ezingathinta lokhu zifaka:

• Izimila ezikhula engxenyeni engenhla yamaphaphu noma esifubeni.
• Ukulimala entanyeni noma esifubeni ngenxa yokuhlinzwa noma ingozi.
• Ukulimala kwe-brachial plexusUkulimala kwenethiwekhi yezinzwa.
• Izinyo eliphumile liyisigaxa esisezinyweni endaweni yomhlathi. Cabanga nje, ngisho nokutheleleka okukhulu ezinyweni kungabangela lokhu.

Izimbangela ze-tertiary (postganglionic) Horner syndrome

Lolu hlobo lubangelwa ukulimala kwendlela yezinzwa kusukela entanyeni yakho kuya endlebeni yakho ephakathi kanye nasosweni. Kungabangelwa yilokhu:

• Izilonda emthanjeni wakho we-carotid.
• Ukutheleleka kwendlebe ephakathi.
• Ukulimala phansi kwekhanda.
• Izimo zekhanda elibuhlungu kakhulu njenge- migraines noma ikhanda elibuhlungu elihlangene .
• I-Raeder paratrigeminal syndrome .
• Ukuhlukaniswa kwemithambo ye-carotid yangaphakathi noma i-aneurysm yemithambo ye-carotid (ukuvuvukala komthambo wegazi).
• Ama-shingles (i-herpes zoster) yisimo esibangelwa yigciwane, esifana nesimungumungwane.
• I-temporal arteritis ukuvuvukala kwemithambo yegazi.

Uyabona, kunezizathu eziningi kakhulu. Yingakho uma unalezi zimpawu, kufanele ubonane nodokotela ngokushesha.

Ukubona kanjani lokhu?

Odokotela bavame ukuxilonga i-Horner Syndrome ngokuhlolwa ngokomzimba. Okusho ukuthi, ngokukuhlola. Kodwa-ke, ukuthola imbangela eyisisekelo kungaba nzima kancane, njengoba ingabangelwa izimo eziningi zezokwelapha. Futhi, kunezinye izimo ezingabangela izimpawu ezifanayo.

Udokotela uzokubuza ngezimpawu zakho, umlando wakho wezokwelapha, kanye nanoma yiziphi izingozi zangaphambilini, izifo, kanye nokuhlinzwa. Ngemuva kwalokho uzokwenza ukuhlolwa ngokomzimba.

Kuye ngomlando wakho wezokwelapha kanye nezinye izimpawu onazo, udokotela wakho angase acele ukuhlolwa okwengeziwe ukusiza ekutholeni imbangela ye-Horner syndrome. Isibonelo:

• Ukuhlolwa kwezithombe: Lokhu kufaka phakathi i-X-ray yesifuba, i-magnetic resonance imaging (MRI) , i-computed tomography (CT scan) , noma i-ultrasound .
• Ukuhlolwa kwegazi: Lokhu kufaka phakathi inani eliphelele legazi (i-CBC) kanye nesilinganiso se-erythrocyte sedimentation (ESR) .

Lezi zivivinyo zizosisiza sithole ukuthi yini ngempela ebangela lokhu.

Yiziphi izindlela zokwelapha?

Ukwelapha i-Horner Syndrome kusho ukwelapha imbangela eyisisekelo. Ngenxa yokuthi zingaba ziningi izimbangela, ukwelashwa kungahluka kakhulu.

Isibonelo, uma imbangela kuyisifo sendlebe ephakathi, kunikezwa ama-antibiotic. Uma imbangela iyisimila, kungase kudingeke ukuhlinzwa, ukwelashwa ngemisebe, noma ukwelashwa ngamakhemikhali. Ngokufanayo, ukwelashwa kuyahlukahluka kuye ngembangela.

Ngezinye izikhathi, uma ungenazo izinhlungu noma ukungakhululeki okunye, ungase ungadingi ukwelashwa okukhethekile.

Lokhu akunakuvinjelwa?

Ngenxa yokuthi kunezimo eziningi eziyisisekelo ezingabangela i-Horner Syndrome, kunzima ukusho ngokuqinisekile ukuthi ungayivimbela kanjani ukuthi ingakhuli.

Kodwa-ke, kwezinye izimo, isibonelo uma kubangelwa ingozi (njengokuhlukaniswa kwemithambo ye-carotid), ukuthatha izinyathelo zokuphepha zokuvikela intamo yakho nokulandela izinyathelo zokuphepha ezihlobene nokuhlukaniswa kungasiza ekuvimbeleni ukuthi lesi sifo singabi khona.

Iyini inhloso yalesi simo? (Injani inhloso?)

Umbono we-Horner Syndrome uncike embangela eyinhloko. Izimpawu eziyisisekelo (ukugoba kwejwabu, iso elimnyama, ukwehla kokujuluka) ngokuvamile azithinti kakhulu izinga lempilo noma umbono wakho.

Uma imbangela eyinhloko kuyisimo esingamahlalakhona, njenge- multiple sclerosis , i-Horner syndrome ingase ibe khona isikhathi eside. Kodwa-ke, uma ibangelwa yinto yesikhashana futhi engelapheka, njengokutheleleka kwendlebe, lezi zimpawu zingase ziphele uma ukutheleleka sekuphelile.

Kufanele ubonane nini nodokotela?

Uma unezimpawu ze-Horner Syndrome, njengokugoba kwejwabu eliphezulu ohlangothini olulodwa, ukungalingani kosayizi wezindilinga ezimnyama kuwo womabili amehlo, kanye nokwehla kokujuluka kobuso kulolo hlangothi, bona udokotela ngokushesha okukhulu.

I-Horner syndrome iyisibonakaliso esingavamile sokulimala kwemizwa okungaphansi. Nakuba izimpawu zalesi sifo zivame ukungabi nangozi, imbangela eyisisekelo ngezinye izikhathi ingaba yinto esongela ukuphila, njengesimila noma ukuqhekeka kwemithambo yegazi. Ngakho-ke, uma uba nalesi sifo, kubaluleke kakhulu ukubona udokotela ukuze athole imbangela eyisisekelo futhi ayelaphe ngokushesha.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, nansi izinto eziyinhloko okudingeka uzikhumbule kulokho esikhulume ngakho namuhla:

• I-Horner Syndrome yisimo esibonakala ngokugoba kwamehlo, amajwabu amancane, kanye nokuncipha kokujuluka kolunye uhlangothi lobuso.
• Nakuba lezi zimpawu zingeyona ingozi, isimo esiyisisekelo esizibangela singaba sibi kakhulu.
• Kungaba nezizathu eziningi; ukulimala kwesimiso sezinzwa yikona okuyinhloko.
• Uma ubona noma yiziphi zalezi zimpawu, ungachithi isikhathi futhi ufune iseluleko sezokwelapha. Udokotela uzothola imbangela bese ekunikeza ukwelashwa okudingekayo.
• Ezimweni eziningi, uma imbangela eyinhloko yelashwa, izimpawu ze-Horner syndrome zizoncipha noma ziphele ngokuphelele.

Ngakho-ke, ngithemba ukuthi lolu lwazi lube wusizo kuwe. Hlala uphilile!

I- Horner syndrome, i-oculosympathetic palsy, i-ptosis, i-miosis, i-anhidrosis, ukulimala kwemizwa, imizwa yozwela, izifo zemizwa, izinguquko zobuso, izimpawu zamehlo