Ikhanda elibuhlungu kakhulu kanye nobuhlungu bamehlo? Kungaba yi-Tolosa-Hunt Syndrome!

Ingabe uke waba nekhanda elibuhlungu kakhulu kanye nobuhlungu obungazelelwe lapho uhambisa amehlo akho? Noma uzizwa sengathi awukwazi ukulawula amehlo akho ngendlela efanele? Uma unezimpawu ezinjengalezi, kungenzeka ukuthi kungenxa yesimo esingavamile esibizwa ngokuthi i-Tolosa-Hunt Syndrome, esizokhuluma ngaso namuhla. Ungakhathazeki, sizoxoxa ngakho konke ngendlela elula ongayiqonda.

Iyini i-Tolosa-Hunt Syndrome?

Kalula nje, i-Tolosa-Hunt syndrome iyisimo esingavamile kakhulu. Ibangela ikhanda elibuhlungu elizumayo nelinzima kanye nobuhlungu lapho uhambisa amehlo akho, noma ukulahlekelwa ikhono lokuhambisa amehlo akho. Lezi zimpawu zingafika futhi zidlule impilo yakho yonke. Kufana nokuba nesivakashi esingamenywanga endlini yakho. Ziphazamisa usuku lwakho futhi zikwenze uzizwe ungakhululekile. Kodwa ngenhlanhla, lezi zivakashi azivamile ukuza lapha.

Ucwaningo lusikisela ukuthi imbangela yalesi simo kungaba ukuvuvukala ngemuva kweso, okuwukusabela kwesistimu yomzimba yethu yokuzivikela (ukuvuvukala).

Kungenzeka ukuthi uke wezwa udokotela wakho ebiza lesi sifo ngamanye amagama. Isibonelo:

• `(I-Ophthalmoplegia)`
• `(I-Ophthalmoplegia Ephindaphindayo)` (Lokho kusho ukuthi iyaphinda ivele)
• `(Isifo se-Ophthalmoplegia)`

Kungakhathaliseki ukuthi ibizwa ngani igama, ivame ukusho into efanayo: i-Tolosa-Hunt syndrome.

Sivame kangakanani lesi simo?

Lokhu empeleni akuvamile kakhulu . Uma ubheka izibalo emhlabeni wonke, izifundo zibonisa ukuthi cishe umuntu oyedwa kwabayisigidi uba nesifo i-Tolosa-Hunt. Ngakho-ke lesi akusona isifo esithinta wonke umuntu.

Ziyini izimpawu ze-Tolosa-Hunt syndrome?

Lezi zimpawu zivame ukuvela ngokuzumayo. Izimpawu eziyinhloko ezingabonakala yilezi:

• Ikhanda elibuhlungu kakhulu: Lokhu akufani nekhanda elibuhlungu elivamile. Lobuhlungu buzwakala engxenyeni engenhla yobuso, ikakhulukazi eduze kwamehlo (ikhanda elibuhlungu elise-periorbital). Abanye abantu bangase babuzwe njengobuhlungu obubukhali, njengokugwazwa ngommese. Abanye bangase babuzwe njengobuhlungu obubuhlungu noma ubuhlungu obubuhlungu .
• Ukubona okukabili: Uma ubheka into eyodwa, ibonakala njengezinto ezimbili ezihlukene. Kunjengokungathi womabili amehlo awagxili kahle. Lokhu kuyimpawu ekhathazayo kakhulu.
• Ubuthakathaka noma ukungakwazi ukuhambisa imisipha ezungeze amehlo nobuso: Kuba nzima ukuhambisa amehlo, ngezinye izikhathi ngisho nasohlangothini olulodwa. Imisipha yobuso nayo ingathinteka.
• Ukukhathala Okungapheli: Ungase uzizwe ukhathele usuku lonke, sengathi awukwazi ukususa ukukhathala kungakhathaliseki ukuthi ulala kangakanani.

Ngaphezu kwalezi zici eziyinhloko, ezinye izici zingabonakala futhi:

• Ukuvela kwamehlo (i-proptosis): Iso elilodwa noma womabili angase abonakale sengathi aphuma kancane phambili.
• Ukugoba kwejwabu leso elingenhla (i-ptosis):Iso elingaphezulu leso elilodwa noma womabili lingase lingakwazi ukuphakanyiswa kahle futhi lingase libonakale ligobile.
• Ukulahlekelwa umbono: Abanye abantu bangase balahlekelwe umbono kancane.

Lezi zimpawu zivame ukuthinta uhlangothi olulodwa lobuso. Zingavela ngokuzumayo futhi zinyamalale ngokuzenzekelayo zingakapheli izinsuku ezimbalwa (ukuphumula okuzenzakalelayo). Kodwa-ke, zingaphinde zibuye.

Yini ebangela i-Tolosa-Hunt syndrome?

Uma sikhuluma iqiniso, asikazi kahle ukuthi yini ebangela lokhu . Kodwa kunezinto ezimbili eziyinhloko odokotela nabacwaningi abacabanga ukuthi zingenzeka:

1. Impendulo engavamile yokuzivikela komzimba: Yilapho isimiso sethu somzimba sokuzivikela – uhlelo olusivikela ezifweni – sihlasela ngephutha izicubu zethu ezinempilo. Ku-Tolosa-Hunt syndrome, lokhu kuhlasela kwenzeka ezindaweni ezimbili ezibucayi kakhulu ngemuva kweso. Enye yi- "Cavernous Sinus" , indawo efana nembobo equkethe imithambo ebalulekile nemizwa ehlinzeka ngegazi ebuchosheni. Enye yi- "Orbital Fissure" , imbobo lapho imizwa nemithambo yegazi exhumanisa neso idlula khona. Isimiso sethu somzimba sokuzivikela sihlasela lezi zindawo, sibangele ukuvuvukala lapho.

2. Ukuvuvukala noma ukuncishiswa kwemithambo yegazi: Enye inkolelo-mbono ukuthi lezi zimpawu zenzeka ngoba imithambo yegazi kulezi zindawo ezibizwa ngokuthi i-"Cavernous Sinus" kanye ne-"Orbital Fissure" iyavuvukala futhi inciphe, okunciphisa ukugeleza kwegazi kwezinye izingxenye zobuchopho kanye nemizwa ehlobene neso.

Womabili la maphuzu asesesigabeni sokucwaninga, ngakho-ke kunzima ukusho isizathu esithile.

Yiziphi izinto ezibangela lokhu?

Izinto ezithile zingandisa ingozi yokuba nezimpawu ze-Tolosa-Hunt syndrome. Lezi zibizwa ngokuthi 'izibangeli'. Zihlanganisa:

• Ukuba nokutheleleka ngegciwane .
• Ukulimala kobuchopho okubuhlungu .
• Ukuba nesimila noma kuphi emzimbeni, ikakhulukazi endaweni yekhanda.
• Isimo esinjengokuvuleka noma ukukhukhumala (i-aneurysm) komthambo wegazi.

Akuwona wonke umuntu ozoba nalesi sifo ngoba nje enalezi zinto, kodwa ingozi ingase ikhuphuke kancane.

Yiziphi izinkinga ezingabangelwa yilokhu?

Esikhathini esiningi, i-Tolosa-Hunt syndrome ayisona isimo esisongela impilo. Kodwa-ke, kwezinye izimo ezinzima, ingathinta umbono wakho. Lokhu kwenzeka lapho ukuvuvukala kwe-"Cavernous Sinus" kanye ne-"Orbital Fissure" ngemuva kweso kusakazekela ku- "Optic Nerve", inzwa eyinhloko esinika umbono. Uma lokhu kwenzeka, ukulahleka kombono noma okunye ukukhubazeka kokubona kungenzeka. Ngakho-ke, kubalulekile ukufuna ukwelashwa ngokushesha nje lapho kuvela izimpawu.

Kutholakala kanjani lokhu?

Udokotela uzokuthola lokhu ngemva kokulalela ngokucophelela izimpawu zakho, akuhlole, futhi athathe umlando wakho wezokwelapha ophelele. Lena inqubo eyinkimbinkimbi, njengoba lezi zimpawu zingabonakala nakwezinye izimo zezokwelapha.

Ngakho-ke, kwenziwa ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe ukuze kuqinisekiswe ukuxilongwa nokususa ezinye izimo ezinezimpawu ezifanayo (isibonelo, isimila sobuchopho noma ukutheleleka). Ukuhlolwa kwezithombe okubili okuyinhloko okusetshenziselwa lokhu yile:

• I-Computed Tomography (CT) scan: Lokhu kusebenzisa i-X-ray kanye nekhompyutha ukudala isithombe esinezinhlangothi ezintathu (3D) sezicubu ezithambile namathambo emzimbeni wakho. Lokhu kungasiza ekubhekeni izinto ezifana nokuvuvukala endaweni ye-cavernous sinus.
• I-Magnetic Resonance Imaging (MRI): Lokhu kusebenzisa i-magnet enkulu, amaza omsakazo, kanye nekhompyutha ukwenza izithombe ezicacile zangaphakathi lomzimba wakho, ikakhulukazi izindawo zobuchopho nezamehlo. Inemininingwane eminingi kune-CT scan.

Odokotela basebenzisa lezi ziskeni ukuze babheke ngqo ukuvuvukala ezindaweni ezingemuva kwamehlo ezibizwa ngokuthi i-"Cavernous Sinus" kanye ne-"Orbital Fissure." Lezi zivivinyo zisiza futhi ukuqinisekisa ukuthi ayikho enye imbangela.

I-Tolosa-Hunt syndrome ivame ukutholakala nini?

Nakuba lesi simo singathinta abantu banoma yimuphi ubudala, sivame ukutholakala cishe eminyakeni engama-40 .

Kuphathwa kanjani lokhu?

Lokhu kwelashwa ngohlobo lomuthi wesikhashana `(Steroid)` . Ikakhulukazi, kusetshenziswa uhlobo lomuthi `(Corticosteroids)` . Lokho okwenziwa yile mithi ukunciphisa lokho kuvuvukala (`ukuvuvukala`). Ngoba, imbangela eyinhloko yezimpawu zakho lokhu kuvuvukala ngemuva kweso.

Uma uthatha lo muthi obizwa ngokuthi "ama-Corticosteroids," ukuvuvukala kuyancipha, ingcindezi yemizwa iyaphela, futhi izimpawu zakho ziyathuthuka ngokushesha.

Ingabe ikhona imiphumela emibi yokwelashwa?

Yebo, njenganoma yimuphi umuthi, `(ama-Corticosteroids)` angaba nemiphumela emibi. Ngakho-ke, kufanele uxoxe ngalokhu nodokotela wakho ngaphambi kokuqala lo muthi. Ngemuva kwalokho ungaba nokuqonda okucacile ngakho. Eminye yemiphumela emibi engaba khona yile:

• Ukuvuvukala kwemilenze
• Ukwanda kwesifiso sokudla
• Izinguquko zesimo sengqondo
• Ukudumba okulula
• Umbono ofiphele kancane

Lokhu akwenzeki kuwo wonke umuntu, futhi ezimweni eziningi kuyaphela uma umuthi umisiwe.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Lezi yizindaba ezinhle kakhulu. Ngemva kokuthatha umuthi we-steroid njengoba uyalelwe, ungaqala ukuzizwa ukhululekile kakhulu esikhathini esifushane, njengosuku olulodwa noma ezintathu. Ubuhlungu buyancipha, kuba lula ukuhambisa amehlo akho, futhi lezo zimpawu ezicasulayo ziyanyamalala kancane kancane.

Cabanga nje, uma ungatholi ukwelashwa, izimpawu zingase ziphele zodwa zingakapheli izinsuku ezingu-15 kuya kwezingu-20. Kodwa-ke, awufuni ukuhlupheka isikhathi eside kangako. Futhi, ngisho nangemva kokuba izimpawu sezinyamalele, zingase ziphinde zivele ngokungalindelekile. Ngakho-ke, kungcono ukuthola ukwelashwa.

Ingabe lesi yisimo esibucayi?

I-Tolosa-Hunt syndrome ayisona isimo esisongela impilo. Kodwa-ke, uma kuvela izimpawu, kungaba nzima ukwenza imisebenzi evamile yansuku zonke, ikakhulukazi uma uphethwe yikhanda elibuhlungu kanye nezinkinga zamehlo.

Kodwa-ke, ngokwelashwa, isibikezelo sihle kakhulu. Njengoba ama-steroid enciphisa izimpawu zingakapheli amahora angama-24 kuya kwangu-72, uzozizwa ungcono maduze futhi ukwazi ukuqhubeka nemisebenzi yakho evamile.

Ingabe i-Tolosa-Hunt syndrome ingelapheka ngokuphelele?

Ngeshwa, ayikho ikhambi lalesi sifo. Ukwelashwa kuhloswe ukulawula izimpawu nokuzinciphisa ngokushesha. Izimpawu zingaphinde zibuye, ngakho-ke kungadingeka ukwelashwa.

Ingabe lokhu kungavinjelwa?

Okwamanje ayikho indlela eyaziwayo yokuvimbela lesi sifo. Ngoba, njengoba sixoxile ngaphambili, imbangela eqondile ayikakaziwa, kunzima ukusho ukuthi singayivimbela kanjani.

Kufanele ubonane nini nodokotela?

Uma ucabanga ukuthi unezimpawu ze-Tolosa-Hunt syndrome – njengekhanda elibuhlungu elizumayo, ubuhlungu obuzungeze amehlo, ukubona okubili, kanye nobunzima bokuhambisa amehlo akho – qiniseka ukuthi ubona udokotela ngokushesha. Ungalibali.

Udokotela uzobe esekunikeza ama-steroid esikhashana ukwelapha izimpawu zakho. Njengoba lezi zisebenza ngokushesha, uzozizwa ungcono maduze futhi ungabuyela empilweni yakho evamile.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ingabe i-Tolosa-Hunt syndrome ingathinta umbono wami?
• Ingabe ngidinga ngempela ukuthatha ama-steroid njengokwelashwa kwalokhu?
• Ngingawuthatha kanjani umuthi we-`(Steroid)`? Kufanele ngiwuthathe isikhathi esingakanani?
• Yimiphi imiphumela emibi yalezi zindlela zokwelapha? Yini okufanele ngiyenze ukuze ngizivikele kuzo?
• Yini okufanele ngiyenze uma izimpawu zibuya?

Uma ubuza imibuzo efana nale, uthola ukuqonda okungcono ngalesi sifo kanye nokwelashwa kwaso.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

I-Tolosa-Hunt Syndrome yisimo esivele ngokuzumayo futhi sibangele izimpawu ezingakhululekile. Ikhanda elibuhlungu kakhulu lingenza kube nzima ukwenza imisebenzi yakho yansuku zonke. Ukubona nakho kungathinteka. Lezi zimpawu zingavela futhi zidlule impilo yonke.

Kodwa khumbula, lokhu akusongeli impilo, futhi kunezindlela zokwelapha.Ukusetshenziswa kwesikhashana komuthi we-`(Steroid)` kunganciphisa izimpawu zingakapheli izinsuku ezintathu. Ngakho-ke, uma ubona udokotela ngokushesha nje lapho izimpawu zivela futhi uthola ukwelashwa, ungalulama ngokushesha futhi ubuyele ekwenzeni izinto ozithandayo. Ungesabi, khuluma nodokotela wakho nganoma yini.

Isifo sikaTolosa-Hunt, Ikhanda Elibuhlungu, Ubuhlungu Bamehlo, Ukubona Okubili, Ama-Steroids, i-MRI, i-CT scan, i-Ophthalmoplegia, i-Cavernous Sinus