Horner chirwere

Horner syndrome chinhu chisingawanzoitika chinokanganisa tsinga kune ziso uye kumeso.

Horner syndrome inogona kukonzerwa nekukanganisa chero kupi mune seti yemitsipa yetsinga inotanga muchikamu chehuropi inonzi hypothalamus uye inofamba kuenda kumeso nemaziso. Idzi tsinga dzemhasuru dzinobatanidzwa nekudikitira, vadzidzi mumaziso ako, uye epamusoro uye wezasi eyelid mhasuru.

Kukuvadza kwemitsipa yetsinga kunogona kubva ku:

• Kukuvadza kune carotid arteri, imwe yeakanyanya arteri kuuropi
• Kukuvadza kumitsipa pazasi pemutsipa inonzi brachial plexus
• Migraine kana masumbu emusoro
• Sitiroko, bundu, kana kumwe kukuvara kune chikamu chehuropi chinonzi brainstem
• Tumota kumusoro kwepapu, pakati pemapapu, uye mutsipa
• Majekiseni kana kuvhiya kunoitwa kukanganisa tsinga dzemagetsi uye kubvisa marwadzo (sympathectomy)
• Spinal cord kukuvara

Muzviitiko zvisingawanzoitika, Horner syndrome inowanikwa pakuzvarwa. Mamiriro acho anogona kuitika nekushayikwa kwemavara (pigmentation) yeiyo iris (chikamu chine ruvara cheziso).

Zviratidzo zveHorner syndrome zvinogona kusanganisira:

• Kuderedza kudikitira padivi rakakanganiswa nechiso
• Kudonhedza eyelid (ptosis)
• Kunyura kweziso reziso kumeso
• Masikisi akasiyana evadzidzi vemeso (anisocoria)

Panogona zvakare kuve nezvimwe zviratidzo, zvinoenderana nenzvimbo yeiyo yakakanganiswa nerve fiber. Izvi zvinogona kusanganisira:

• Vertigo (kunzwa kwekuti nharaunda dziri kutenderera) nesvoto uye kurutsa
• Kuona kaviri
• Kusava nemhasuru kudzora uye kubatana
• Kurwadziwa kwemaoko, kushaya simba uye chiveve
• Imwe yakatsigira mutsipa nenzeve kurwadziwa
• Kuchema
• Kunzwa kurasikirwa
• Dundira uye ura kuoma
• Kuwedzererwa kweasingaite (autonomic) huta hurongwa hwekukurudzira (hyperreflexia)

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezvezviratidzo.

Kuongorora kweziso kunogona kuratidza:

• Shanduko mumavhure ekuvhura kana kuvhara kwemudzidzi
• Eyelid ichinyura
• Ziso dzvuku

Zvichienderana nechinofungidzirwa chikonzero, bvunzo dzinogona kuitwa, senge:

• Kuongororwa kweropa
• Ropa mudziyo miedzo yemusoro (angiogram)
• Chest x-ray kana chipfuva CT scan
• MRI kana CT scan yehuropi
• Musana pombi (lumbar puncture)

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

Kurapa kunoenderana nechikonzero chinokonzera mamiriro acho. Iko hakuna kurapwa kweHorner syndrome pachayo. Ptosis yakapfava uye mune zvisingawanzoitika zviitiko zvinokanganisa kuona muHorner syndrome. Izvi zvinogona kugadziriswa nekuvhiyiwa kwekuzora kana kurapwa nemaziso eyedrops. Iye mupi anogona kukuudza zvimwe.

Mhedzisiro yacho inoenderana nekuti kurapwa kwechikonzero kwakabudirira here.

Iko hakuna kunangana kwakananga kweHorner syndrome pachayo. Asi, panogona kuve nezvinetso kubva kuchirwere chakakonzera Horner syndrome kana kubva pakurapwa kwayo.

Fonera mupiki wako kana iwe uine zviratidzo zveHorner syndrome.

Oculosympathetic paresis

• Central nervous system uye yekumusoro tsinga system

Balcer LJ. Matambudziko epupillary. Mune: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, uye Galetta's Neuro-Ophthalmology. 3rd ed. Philadelphia, PA: Elsevier; 2019: chitsiko 13.

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.

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