Mlembi: Gregory Harris
Tsiku La Chilengedwe: 9 Epulo 2021
Sinthani Tsiku: 12 Febuluwale 2025
Anonim
RS Ocular Motor Cranial Nerves Sixth Nerve
Kanema: RS Ocular Motor Cranial Nerves Sixth Nerve

Cranial mononeuropathy VI ndimatenda amitsempha. Zimakhudza kugwira ntchito kwa mitsempha yachisanu ndi chimodzi (chigaza). Zotsatira zake, munthuyo amatha kukhala ndi masomphenya awiri.

Cranial mononeuropathy VI ndi kuwonongeka kwa mitsempha yachisanu ndi chimodzi ya cranial. Mitsempha imeneyi imatchedwanso kuti abducens mitsempha. Zimakuthandizani kuti musunthire diso lanu chakumbuyo chakachisi wanu.

Zovuta zamitsempha iyi zimatha kuchitika ndi:

  • Zovuta za ubongo
  • Kuwonongeka kwa mitsempha ya matenda ashuga (matenda ashuga neuropathy)
  • Matenda a Gradenigo (omwe amachititsanso kutuluka m'makutu ndi kupweteka kwa diso)
  • Matenda a Tolosa-Hunt, kutupa kwa dera lomwe lili kumbuyo kwa diso
  • Kuwonjezeka kapena kuchepa kwa kupanikizika mu chigaza
  • Matenda (monga meningitis kapena sinusitis)
  • Multiple sclerosis (MS), matenda omwe amakhudza ubongo ndi msana
  • Mimba
  • Sitiroko
  • Zoopsa (zomwe zimachitika chifukwa chovulala kumutu kapena mwangozi pa opaleshoni)
  • Zotupa mozungulira kapena kumbuyo kwa diso

Zomwe zimayambitsa matenda opatsirana okhudzana ndi katemera mwa ana sizikudziwika.


Chifukwa pali mitsempha yodziwika bwino kudzera mu chigaza, matenda omwewo omwe amawononga mitsempha yachisanu ndi chimodzi imatha kukhudza mitsempha ina yaminyewa (monga gawo lachitatu kapena lachinayi la mitsempha).

Pamene mitsempha yachisanu ndi chimodzi sikugwira bwino ntchito, simungathe kutembenuzira diso lanu panja kumakutu anu. Mutha kuyendetsabe diso lanu mmwamba, pansi, ndi mphuno, pokhapokha misempha ina itakhudzidwa.

Zizindikiro zimaphatikizapo:

  • Masomphenya awiri poyang'ana mbali imodzi
  • Kupweteka mutu
  • Ululu mozungulira diso

Mayeso nthawi zambiri amawonetsa kuti diso limodzi limavutika kuyang'ana mbali pomwe diso linalo limayenda moyenera. Kuwunika kumawonetsa kuti maso samakhazikika pamtendere kapena poyang'ana mbali ya diso lofooka.

Wothandizira zaumoyo wanu adzakufufuza kwathunthu kuti adziwe momwe zingakhudzire mbali zina zamanjenje. Kutengera ndi zomwe mukukayikira, mungafunike:

  • Kuyesa magazi
  • Phunziro la kulingalira pamutu (monga MRI kapena CT scan)
  • Mpampu ya msana (kuponyera lumbar)

Mungafunikire kutumizidwa kwa dokotala yemwe amagwiritsa ntchito zovuta zamasomphenya zokhudzana ndi mitsempha (neuro-ophthalmologist).


Ngati wothandizira wanu atulukira kutupa kapena kutupa, kapena kuzungulira mitsempha, mankhwala omwe amatchedwa corticosteroids atha kugwiritsidwa ntchito.

Nthawi zina, vutoli limasowa popanda chithandizo. Ngati muli ndi matenda ashuga, mukulangizidwa kuti muzisamalira msinkhu wamagulu a shuga.

Wothandizirayo atha kupereka chigamba cha diso kuti athetse masomphenya awiriwo. Chigamba chikhoza kuchotsedwa mitsempha itachira.

Opaleshoni imatha kulangizidwa ngati sipangakhale kuchira m'miyezi 6 mpaka 12.

Kuthetsa vutoli kumatha kusintha vutoli. Kuchira nthawi zambiri kumachitika mkati mwa miyezi itatu mwa achikulire omwe ali ndi matenda oopsa kapena matenda ashuga. Pali mwayi wocheperako pakakhala kufooka kwathunthu kwa mitsempha yachisanu ndi chimodzi. Mwayi woti achire ndi wocheperapo kwa ana kuposa akulu ngati atavulala kwambiri mitsempha. Kuchira nthawi zambiri kumamalizidwa ngati ali ndi vuto lachisanu ndi chimodzi lamankhwala amanjenje muubwana.

Zovuta zingaphatikizepo masomphenya osatha.

Itanani omwe akukuthandizani ngati muli ndi masomphenya awiri.

Palibe njira yopewera vutoli. Anthu omwe ali ndi matenda ashuga amachepetsa chiwopsezo pochepetsa shuga m'magazi awo.


Abducens ziwalo; Abducens chifuwa; Ofananira nawo rectus; VIth manjenje; Minyewa ya cranial VI; Nthenda yachisanu ndi chimodzi yamanjenje; Neuropathy - mitsempha yachisanu ndi chimodzi

  • Central dongosolo lamanjenje ndi zotumphukira zamanjenje

McGee S. Mitsempha ya minofu yamaso (III, IV, ndi VI): kuyandikira kwa diplopia. Mu: McGee S, mkonzi. Kuzindikira Kwathupi Kutengera Umboni. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 59.

Olitsky SE, Marsh JD. Zovuta zakusuntha kwamaso ndi mayendedwe. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 641.

Rucker JC. Neuro-ophthalmology. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 8.

Tamhankar MA. Matenda oyenda m'maso: lachitatu, lachinayi, ndi lachisanu ndi chimodzi mitsempha yam'mimba ndi zina zomwe zimayambitsa diplopia komanso kusokonekera kwa maso. Mu: Liu GT, Volpe NJ, Galetta SL, olemba. Liu, Volpe, ndi Neuro-Ophthalmology ya Galetta. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 15.

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