Cranial mononeuropathy III - diabetic mhando

Rudzi urwu rwechirwere cheshuga che cranial mononeuropathy III chinetso cheshuga. Iyo inokonzeresa kuona kaviri uye eyelid kudonha.

Mononeuropathy zvinoreva kuti tsinga imwe chete ndiyo yakakuvara. Ichi chirwere chinokanganisa chechitatu cranial nerve mudhehenya. Iyi ndeimwe yemitsipa yakakora inodzora kufamba kwemaziso.

Mhando iyi yekukuvara inogona kuitika pamwe neshuga peripheral neuropathy. Cranial mononeuropathy III ndiyo yakajairika cranial nerve kusagadzikana mune vanhu vane chirwere cheshuga. Izvo zvinokonzeresa kukuvadzwa kumidziyo midiki yeropa iyo inodyisa tsinga

Cranial mononeuropathy III inogona zvakare kuitika kune vanhu vasina chirwere cheshuga.

Zviratidzo zvinogona kusanganisira:

• Kuona kaviri
• Kudonhedza kweimwe eyelid (ptosis)
• Marwadzo akakomberedza ziso nehuma

Neuropathy inowanzo kukura mukati memazuva manomwe ekutanga kwekutambudzika.

Kuongororwa kwemaziso kunoona kuti iyo chete tsinga yechitatu yakakanganiswa here kana kuti dzimwe tsinga dzakakuvarawo. Zviratidzo zvinogona kusanganisira:

• Maziso asina kuenderana
• Vadzidzi kuita izvo zvinowanzoitika nguva dzose

Anopa hutano hwako anozoongorora zvizere kuti aone mhedzisiro pane zvimwe zvikamu zvehurongwa hwemitsipa. Zvichienderana nechinofungidzirwa chikonzero, ungangoda:

• Kuongororwa kweropa
• Kuyedza kutarisa tsinga dzeropa muuropi (cerebral angiogram, CT angiogram, MR angiogram)
• MRI kana CT scan yehuropi
• Musana pombi (lumbar puncture)

Iwe ungangoda kuendeswa kunechiremba uyo anoona zvakanyanya mumatambudziko ekuona ane hukama nemitsipa iri muziso (neuro-ophthalmologist).

Iko hakuna chaiwo marapirwo ekugadzirisa iyo nerve kukuvara.

Mishonga yekubatsira zviratidzo inogona kusanganisira:

• Vhara kutonga kweshuga yeropa
• Ziso chigamba kana magirazi ane prism ekuderedza kuona kaviri
• Mishonga yemarwadzo
• Antiplatelet kurapa
• Kuvhiya kugadzirisa eyelid kudonha kana maziso asina kuenderana

Vamwe vanhu vanogona kupora vasina kurapwa.

Kufungidzira kwakanaka. Vanhu vazhinji vanoita zvirinani pamusoro pemwedzi mitatu kusvika kumitanhatu. Nekudaro, vamwe vanhu vane kusingaperi kwemhasuru yemhasuru kushaya simba.

Zvinetso zvinogona kusanganisira:

• Permanent eyelid kudonha
• Permanent chiratidzo chinoshanduka

Fonera mupiki wako kana iwe ukaona zvakapetwa kaviri uye hazviendi mumaminetsi mashoma, kunyanya kana iwe zvakare uine eyelid kudonha.

Kudzora huwandu hweshuga yeropa rako kunogona kudzora njodzi yekukura kwechirwere ichi.

Chirwere cheshuga chechitatu chetsinga palsy; Mudzidzi-anodzivirira chechitatu cranial nerve palsy; Ocular chirwere cheshuga neuropathy

• Central nervous system uye yekumusoro tsinga system

Brownlee M, Aiello LP, Sun JK, Cooper ME, Feldman EL, Plutzky J, Boulton AJM. Matambudziko eshuga mellitus. Mune: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 37.

Guluma K. Diplopia. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 18.

Stettler BA. Ubongo uye cranial nerve kusagadzikana. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 95.