Anisocoria

Anisocoria haina kuenzana saizi yemudzidzi. Mudzidzi ndicho chikamu chechitema chiri pakati peziso. Inowedzera kukura muchiedza uye idiki muchiedza chakajeka.

Zvishoma misiyano muhukuru hwevadzidzi inowanikwa mune anosvika 1 muvashanu vanhu vane hutano. Kazhinji kazhinji, musiyano wepakati uri pasi pe0.5 mm, asi unogona kusvika kusvika 1 mm.

Vacheche vanozvarwa vane vadzidzi vakasiyana saizi vanogona kunge vasina chero chinetso chekukanganisa. Kana dzimwe nhengo dzemhuri dziinewo vadzidzi vakafanana, saka musiyano wehukuru hwemudzidzi unogona kuve genetiki uye hapana chekutya nazvo.

Zvakare, nezvikonzero zvisingazivikanwe, vadzidzi vanogona kumbosiyana pakukura. Kana pasina zvimwe zviratidzo uye kana vadzidzi vakadzokera pane zvakajairwa, saka hachisi chinhu chekufunganya nezvacho.

Saizi yemudzidzi isina kuenzana inopfuura 1 mm inokura mumashure muhupenyu uye HAZODZOKE kune saizi yakaenzana inogona kunge iri chiratidzo cheziso, huropi, tsinga yeropa, kana chirwere chetsinga.

Iko kushandiswa kwemadonhwe eziso ndicho chikonzero chinowanzoitika chekuchinja kusingakuvadzi muhukuru hwevadzidzi. Mimwe mishonga inopinda mumaziso, kusanganisira mushonga kubva kuasthma inhalers, inogona kuchinja saizi yemudzidzi.

Zvimwe zvikonzero zvekuenzana kwevadzidzi saizi zvinogona kusanganisira:

• Aneurysm muuropi
• Kubuda ropa mukati me dehenya kunokonzerwa nekukuvara mumusoro
• Brain bundu kana bundu (senge, pontine maronda)
• Kuwedzeredza kumanikidza mune rimwe ziso kunokonzerwa ne glaucoma
• Kuwedzera kwekumanikidza kushushikana, nekuda kwekuzvimba kwehuropi, kusagadzikana kweropa, kurohwa kwakanyanya, kana bundu risingaite.
• Utachiona hwenzvimbo dzakatenderedza huropi (meningitis kana encephalitis)
• Migraine musoro
• Kubata (musiyano wehukuru hwevadzidzi unogona kuramba wakareba mushure mekunge kubatwa kwapera)
• Tumor, mass, kana lymph node muchipfuva chepamusoro kana lymph node inokonzeresa kumutsipa kunogona kukonzera kudikitira kudikitira, mwana mudiki, kana kudonhedza eyelid zvese kudivi rakakanganiswa (Horner syndrome)
• Chirwere cheshuga oculomotor nerve palsy
• Pamberi pekuvhiyiwa kweziso kwemaziso
  

Kurapa kunoenderana nechikonzero chekusaenzana kwemudzidzi saizi. Iwe unofanirwa kuona mutano wezvehutano kana iwe ukangoerekana wachinja zvinokonzeresa kusaenzana kwemudzidzi saizi.

Bata mupi kana iwe uchiramba uchitsungirira, usingatsanangure, kana kamwe kamwe shanduko mukukura kwemudzidzi. Kana paine chero shanduko yazvino muhukuru hwevadzidzi, inogona kunge iri chiratidzo cheakakomba mamiriro.

Kana iwe uine saizi yakakura yemudzidzi mushure meziso kana kukuvara kwemusoro, tora rubatsiro rwechiremba nekukasira.

Gara uchitsvaga kurapwa nekukurumidza kana saizi yevadzidzi ichiitika pamwe ne:

• Kuona kwakashata
• Kuona kaviri
• Kuona kweziso kuchiedza
• Kupindwa nechando
• Kutemwa nemusoro
• Kurasikirwa kwemaonero
• Kusvotwa kana kurutsa
• Kurwadziwa kweziso
• Mutsipa wakaoma

Wako mupi achaita bvunzo dzepanyama uye obvunza mibvunzo nezve ako zviratidzo uye nhoroondo yekurapa, kusanganisira:

• Izvi zvitsva kwauri here kana kuti vadzidzi vako vakambove vakasiyana saizi zvisati zvaitika? Zvakatanga rini?
• Iwe une mamwe matambudziko ekuona akadai sekusaona zvakanaka, kuona zvakapetwa, kana kunzwisisika kwechiedza?
• Iwe une chero kurasikirwa kwemaonero?
• Iwe une kurwadziwa kwemaziso here?
• Iwe une zvimwe zviratidzo senge kutemwa nemusoro, kuda kurutsa, kurutsa, kupisa muviri, kana kuomesa mutsipa?

Miedzo inogona kuitwa inosanganisira:

• Zvidzidzo zveropa zvakadai seCBC uye kusiyana kweropa
• Cerebrospinal fluid zvidzidzo (lumbar puncture)
• CT scan yemusoro
• EEG
• Musoro MRI scan
• Tonometry (kana glaucoma ichifungidzirwa)
• X-ray yemutsipa

Kurapa kunoenderana nechinokonzera dambudziko.

Kuwedzera kwemumwe mudzidzi; Vadzidzi vehukuru hwakasiyana; Maziso / vadzidzi hukuru hwakasiyana

• Kazhinji mwana

Baloh RW, Jen JC. Neuro-ophthalmology. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 396.

Cheng KP. Ophthalmology. Mune: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 20.

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.