Cranial mononeuropathy III - mtundu wa ashuga

Mtundu wa ashuga wamtundu wa cranial mononeuropathy III ndi vuto la matenda ashuga. Zimayambitsa kuwona kawiri ndi kukopeka kwa chikope.

Mononeuropathy amatanthauza kuti mitsempha imodzi yokha ndi yomwe yawonongeka. Matendawa amakhudza mitsempha yachitatu ya chigaza. Uwu ndi umodzi mwamitsempha yama cranial yomwe imayang'anira kuyenda kwa diso.

Kuwonongeka kwamtunduwu kumatha kuchitika limodzi ndi matenda ashuga Cranial mononeuropathy III ndiye matenda ofala kwambiri amitsempha mwa anthu omwe ali ndi matenda ashuga. Ndi chifukwa cha kuwonongeka kwa mitsempha yaying'ono yamagazi yomwe imadyetsa mitsempha.

Cranial mononeuropathy III amathanso kupezeka mwa anthu omwe alibe matenda ashuga.

Zizindikiro zimaphatikizapo:

• Masomphenya awiri
• Kutsikira kwa chikope chimodzi (ptosis)
• Ululu mozungulira diso ndi pamphumi

Neuropathy nthawi zambiri imayamba mkati mwa masiku 7 kuchokera pomwe ululu umayamba.

Kuyesedwa kwa maso kumatsimikizira ngati mitsempha yachitatu yokha ikukhudzidwa kapena ngati mitsempha ina yawonongeka. Zizindikiro zimatha kuphatikiza:

• Maso omwe sanagwirizane
• Zochita za ophunzira zomwe nthawi zambiri zimakhala zachilendo

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

• Kuyesa magazi
• Kuyesa kuyang'ana mitsempha yamagazi muubongo (ubongo angiogram, CT angiogram, MR angiogram)
• MRI kapena CT scan ya ubongo
• Mpampu ya msana (kuponyera lumbar)

Mungafunikire kutumizidwa kwa dokotala yemwe amadziwika bwino pamavuto okhudzana ndi mitsempha m'maso (neuro-ophthalmologist).

Palibe mankhwala enieni othetsera kuvulala kwa mitsempha.

Mankhwala othandizira matendawa atha kukhala:

• Tsekani kwambiri kuchuluka kwa shuga m'magazi
• Chigamba cha diso kapena magalasi okhala ndi ma prism kuti achepetse kuwona kawiri
• Mankhwala opweteka
• Thandizo la antiplatelet
• Kuchita maopaleshoni kuti akonze maso akhungu kapena maso omwe sanagwirizane

Anthu ena amatha kuchira popanda chithandizo.

Kulosera ndi kwabwino. Anthu ambiri amakhala bwino kuposa miyezi 3 mpaka 6. Komabe, anthu ena ali ndi kufooka kosatha kwa minofu yamaso.

Zovuta zingaphatikizepo:

• Chikope chokhazikika chokhazikika
• Masomphenya osatha amasintha

Itanani omwe akukuthandizani ngati muli ndi masomphenya awiri ndipo sichitha mphindi zochepa, makamaka ngati mulinso ndi chikope chatsamira.

Kulamulira shuga m'magazi anu kumachepetsa chiopsezo chotenga matendawa.

Ashuga wachitatu manjenje ziwalo; Wopewera wopulumutsa wachitatu wamanjenje wamanjenje; Ocular ashuga neuropathy

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Brownlee M, Aiello LP, Sun JK, Cooper ME, Feldman EL, Plutzky J, Boulton AJM. Zovuta za matenda ashuga. Mu: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 37.

Guluma K. Diplopia. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 18.

Stettler BA. Matenda aubongo ndi mitsempha. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 95.