Cranial mononeuropathy III

Cranial mononeuropathy III ndimatenda amitsempha. Zimakhudza kugwira ntchito kwa mitsempha yachitatu ya cranial. Zotsatira zake, munthuyo amatha kukhala ndi masomphenya awiri komanso chikope chatsamira.

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

• Matenda a ubongo
• Matenda
• Mitsempha yamagazi yachilendo (zolakwika zam'mimba)
• Sinus thrombosis
• Matenda amawonongeka chifukwa chotaya magazi (infarction)
• Zoopsa (kuchokera kuvulala kumutu kapena kuchititsidwa mwangozi panthawi yochita opareshoni)
• Zotupa kapena zophuka zina (makamaka zotupa m'munsi mwaubongo ndi pituitary gland)

Nthawi zambiri, anthu omwe ali ndi mutu waching'alang'ala amakhala ndi vuto kwakanthawi ndi mitsempha ya oculomotor. Izi mwina ndichifukwa cha kuphipha kwa mitsempha. Nthawi zina, palibe chifukwa chomwe chingapezeke.

Anthu omwe ali ndi matenda ashuga amathanso kukhala ndi matenda amitsempha yachitatu.

Zizindikiro zimaphatikizapo:

• Masomphenya awiri, chomwe ndi chizindikiro chofala kwambiri
• Kutsikira kwa chikope chimodzi (ptosis)
• Kukulitsidwa kwa mwana yemwe samachepa pomwe kuwala kukuwala
• Mutu kapena kupweteka kwa diso

Zizindikiro zina zimatha kuchitika ngati chifukwa chake ndi chotupa kapena kutupa kwa ubongo. Kuchepetsa chidwi ndikofunikira, chifukwa zitha kukhala chizindikiro cha kuwonongeka kwa ubongo kapena kufa kwakanthawi.

Kuyesedwa kwa diso kumatha kuwonetsa:

• Kukulitsa (kukulitsa) mwana wa diso lomwe lakhudzidwa
• Kusuntha kwamaso kosafunikira
• Maso omwe sanagwirizane

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

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

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

Anthu ena amachira popanda chithandizo. Kuthana ndi vutoli (ngati kungapezeke) kumatha kuthetsa zizindikilozo.

Mankhwala ena kuti athetsere matendawa ndi monga:

• Mankhwala a Corticosteroid ochepetsa kutupa komanso kuchepetsa kupsinjika kwa mitsempha (ikayamba chifukwa cha chotupa kapena kuvulala)
• Chigamba cha diso kapena magalasi okhala ndi ma prism kuti achepetse kuwona kawiri
• Mankhwala opweteka
• Kuchita maopaleshoni kuti athetse chikope kapena maso omwe sanagwirizane

Anthu ena adzalandira chithandizo. Mwa ena ochepa, kutsika kwamaso kosatha kapena kusunthika kwa diso kumachitika.

Zomwe zimayambitsa monga kutupa kwa ubongo chifukwa cha chotupa kapena sitiroko, kapena aneurysm yaubongo itha kupha moyo.

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

Kuchiza mwachangu zovuta zomwe zingalimbikitse mitsempha kumachepetsa chiopsezo chokhala ndi mononeuropathy III.

Khungu lachitatu lamanjenje lamanjenje; Oculomotor manjenje; Wophunzira wokhudzana ndi mitsempha yachitatu yamanjenje yamanjenje; Mononeuropathy - mtundu wopanikizika

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

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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.

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.