Munyori: Gregory Harris
Zuva Rekusika: 13 Kubvumbi 2021
Gadziridza Zuva: 19 Mbudzi 2024
Anonim
Neurology - Topic 31 - Nystagmus
Vhidhiyo: Neurology - Topic 31 - Nystagmus

Nystagmus izwi rinotsanangudza kutsanya, kusadzora kufamba kwemeso anogona kunge ari:

  • Kurutivi neparutivi (yakatwasuka nystagmus)
  • Kumusoro uye pasi (vertical nystagmus)
  • Rotary (rotary kana torsional nystagmus)

Zvichienderana nechakakonzera, kufamba uku kunogona kunge kuri mumeso ese kana mune rimwe ziso.

Nystagmus inogona kukanganisa kuona, kuenzanisa, uye kubatana.

Iko kusazvibata kwekufamba kwemaziso kwe nystagmus kunokonzerwa nekusajairika kushanda munzvimbo dzehuropi dzinodzora kufamba kwemaziso. Chikamu che nzeve yemukati chinonzwa kufamba uye chinzvimbo (iyo labyrinth) inobatsira kudzora kufamba kwemaziso.

Kune maviri mafomu enystagmus:

  • Infantile nystagmus syndrome (INS) inowanikwa pakuzvarwa (kuberekwa).
  • Yakawanikwa nystagmus inokura mumashure muhupenyu nekuda kwechirwere kana kukuvara.

NYSTAGMUS IYO INOPARADZA PAKABEREKWA (infantile nystagmus syndrome, kana INS)

INS inowanzo nyoro. Iyo hairege kuve yakanyanya kuomarara, uye haina hukama nechero imwe hosha.


Vanhu vane chirwere ichi kazhinji havazivi mafambiro eziso, asi vamwe vanhu vanogona kuvaona. Kana mafambiro acho akakura, kupinza kwechiono (visual acuity) kunogona kunge kuri pasi pe20 / 20. Kuvhiya kunogona kuvandudza kuona.

Nystagmus inogona kukonzerwa nezvirwere zvekuzvarwa nazvo zveziso. Kunyangwe izvi zvisingawanzoitika, chiremba weziso (ophthalmologist) anofanira kuongorora chero mwana ane nystagmus kutarisa chirwere chemaziso.

KUDZIDZISWA NYSTAGMUS

Chikonzero chakajairika chekuwanikwa nystagmus mimwe mishonga kana mishonga. Phenytoin (Dilantin) - mushonga unodzivisa hutachiona, doro rakawandisa, kana chero mushonga unodzora unogona kukanganisa mashandiro eLabyrinth.

Zvimwe zvikonzero zvinosanganisira:

  • Kukuvara kwemusoro kubva mutsaona dzemotokari
  • Matambudziko emukati enzeve akadai selebyrinthitis kana chirwere cheMeniere
  • Kurohwa
  • Thiamine kana vhitamini B12 kushomeka

Chero chirwere chehuropi, senge multiple sclerosis kana tumota twepfungwa, dzinogona kukonzera nystagmus kana nzvimbo dzinodzora kufamba kwemaziso dzakakuvara.


Ungangoda kuita shanduko mumba kuti ubatsire nedzungu, matambudziko ekuona, kana kusagadzikana kweshungu.

Fonera wako mupi wezvehutano kana iwe uine zviratidzo zve nystagmus kana kufunga kuti ungave uine mamiriro aya.

Wako mupi anotora yakangwarira nhoroondo uye aite zvakakwana kunyatsoongorora, achitarisa kune yetsinga system uye yemukati nzeve. Iye mupi anogona kukukumbira iwe kuti upfeke magogi anokudza maziso ako kwechikamu chebvunzo.

Kuti utarise nystagmus, mupi anogona kushandisa nzira inotevera:

  • Unotenderera uchitenderera kwemasekondi makumi matatu, mira, uye edza kutarisisa chinhu.
  • Maziso ako anotanga kufamba zvishoma zvishoma kune rimwe divi, wozokurumidza kufamba uchienda kune imwe nzira.

Kana iwe uine nystagmus nekuda kwehutano, aya mafambiro eziso anoenderana nechikonzero.

Unogona kuve nemiedzo inotevera:

  • CT scan yemusoro
  • Electro-oculography: Nzira yemagetsi yekuyera kufamba kwemaziso uchishandisa madiki ma electrode
  • MRI yemusoro
  • Vestibular kuyedza nekutora mafambiro eziso

Iko hakuna kurapwa kwezviitiko zvakawanda zvekuzvarwa nystagmus. Kurapa kweiyo yakawanikwa nystagmus kunoenderana nechikonzero. Mune zvimwe zviitiko, nystagmus haigone kudzoserwa. Muzviitiko nekuda kwemishonga kana hutachiona, iyo nystagmus inowanzoenda mushure mekunge chikonzero chave nani.


Kumwe kurapa kunogona kubatsira kuvandudza anoonekwa mashandiro evanhu vane infantile nystagmus syndrome:

  • Prisms
  • Kuvhiya senge tenotomy
  • Mishonga yekurapa yemucheche nystagmus

Kudzoka uye mberi kufamba kwemaziso; Kufambisa kwemaziso kwekuzvipira; Kukurumidza kufamba kweziso kubva kune rumwe rutivi; Kusadzora kufamba kwemaziso; Kufambisa kwemaziso - kusadzora

  • Kunze uye kwemukati ziso anatomy

Lavin PJM. Neuro-ophthalmology: ocular mota system. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 44.

Proudlock FA, Gottlob I. Nystagmus muhudiki. Mune: Lambert SR, Lyons CJ, eds. Taylor naHoyt's Pediatric Ophthalmology uye Strabismus. 5 ed. Philadelphia, PA: Elsevier; 2017: chits. 89.

Quiros PA, Chang YANGU. Nyastagmus, saccadic intrusions, uye oscillations. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chits. 9.19.

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