Cranial mononeuropathy III

Cranial mononeuropathy III chirwere chetsinga. Iyo inokanganisa mashandiro eiyo yechitatu cranial nerve. Nekuda kweizvozvo, munhu wacho anogona kuve nemaonero maviri uye eyelid kudonha.

Mononeuropathy zvinoreva kuti tsinga imwe chete inobatwa. Ichi chirwere chinokanganisa chechitatu cranial nerve mudhehenya. Iyi ndeimwe yemitsipa yakakora inodzora kufamba kwemaziso. Zvinokonzera zvinogona kusanganisira:

• Ubongo aneurysm
• Zvirwere
• Mitezo yeropa isina kujairika (vascular malformations)
• Sinus thrombosis
• Nyama kukuvara kubva pakurasikirwa kweropa kuyerera (infarction)
• Trauma (kubva mukukuvara mumusoro kana kukonzerwa netsaona panguva yekuvhiyiwa)
• Mamota kana kumwe kukura (kunyanya mamota pazasi pehuropi uye pituitary gland)

Muzviitiko zvisingawanzoitika, vanhu vane migraine misoro vane dambudziko rechinguva neoculomotor nerve. Izvi zvinogona kunge zvichikonzerwa nekupenga kwemidzi yeropa. Mune zvimwe zviitiko, hapana chikonzero chinogona kuwanikwa.

Vanhu vane chirwere cheshuga vanogona zvakare kuve neuropathy yechitatu tsinga.

Zviratidzo zvinogona kusanganisira:

• Kuona kaviri, chinova chiratidzo chinowanzoonekwa
• Kudonhedza kweimwe eyelid (ptosis)
• Akawedzera mudzidzi uyo asinga diki kana mwenje uchipenya pairi
• Kutemwa nemusoro kana ziso

Zvimwe zviratidzo zvinogona kuitika kana chikonzero chiri bundu kana kuzvimba kwehuropi. Kuderedza kusvinura kwakakomba, nekuti chingave chiratidzo chekukuvara kwehuropi kana kufa kwerufu.

Kuongororwa kweziso kunogona kuratidza:

• Wakawedzera (wakawedzera) mudzidzi weziso rakakanganiswa
• Kufamba kweziso kusanzwisisika
• Maziso asina kuenderana

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

• Kuongororwa kweropa
• Miedzo yekutarisa tsinga dzeropa kuuropi (cerebral angiogram, CT angiogram, kana MR angiogram)
• MRI kana CT scan yehuropi
• Musana pombi (lumbar puncture)

Iwe ungangoda kuendeswa kunechiremba uyo anoona zvakanyanya mumatambudziko ekuona ane chekuita nehurongwa hwetsinga (neuro-ophthalmologist).

Vamwe vanhu vanova nani vasina kurapwa. Kurapa chikonzero (kana chikawanikwa) kunogona kubvisa zviratidzo.

Mimwe mishonga yekurapa zviratidzo inogona kusanganisira:

• Corticosteroid mishonga yekudzora kuzvimba uye kubvisa kumanikidza kune tsinga (kana ichikonzerwa nebundu kana kukuvara)
• Ziso chigamba kana magirazi ane prism ekuderedza kuona kaviri
• Mishonga yemarwadzo
• Kuvhiya kurapa eyelid kudonha kana maziso asina kuenderana

Vamwe vanhu vanozopindura kurapwa. Mune vamwe vashoma, kumira kweziso zvachose kana kurasikirwa kwekufamba kwemaziso kunoitika.

Zvinokonzera zvakadai sekuzvimba kwehuropi nekuda kwechirwere kana sitiroko, kana aneurysm yeuropi inogona kutyisidzira hupenyu.

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

Kukurumidza kurapa kusagadzikana kunogona kumanikidza kune tsinga kunogona kudzora njodzi yekukudziridza cranial mononeuropathy III.

Chechitatu cranial nerve palsy; Oculomotor palsy; Mudzidzi-anosanganisira wechitatu cranial nerve palsy; Mononeuropathy - mhando yekumanikidza

• Central nervous system uye yekumusoro tsinga system

Rucker JC, Thurtell MJ. Cranial neuropathies. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 104.

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.

Tamhankar MA. Matambudziko ekufamba kwemaziso: chechitatu, chechina, uye chechitanhatu tsinga palsies uye zvimwe zvikonzero zve diplopia uye ocular misalignment. Mune: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, uye Galetta's Neuro-Ophthalmology. 3rd ed. Philadelphia, PA: Elsevier; 2019: chits. 15.