Matenda a Horner

Matenda a Horner ndichinthu chosowa chomwe chimakhudza mitsempha kumaso ndi nkhope.

Matenda a Horner amatha kuyambitsidwa ndi kusokonezeka kulikonse kwa mitsempha yomwe imayamba muubongo wotchedwa hypothalamus ndikupita kumaso ndi m'maso. Minyewa imeneyi imakhudzidwa ndi thukuta, ana m'maso mwanu, ndi minofu yakumaso ndi yotsika ya chikope.

Kuwonongeka kwa ulusi wamitsempha kumatha chifukwa cha:

• Kuvulala kwamitsempha yama carotid, imodzi mwamitsempha yayikulu kuubongo
• Kuvulala kwamitsempha kumapeto kwa khosi kotchedwa brachial plexus
• Migraine kapena mutu wamagulu
• Stroke, chotupa, kapena kuwonongeka kwina kwa gawo la ubongo lotchedwa brainstem
• Chotupa pamwamba pa mapapo, pakati pa mapapo, ndi khosi
• Jekeseni kapena opareshoni yochitidwa kuti isokoneze mitsempha ndi kuchepetsa ululu (sympathectomy)
• Msana wovulala

Nthawi zambiri, matenda a Horner amapezeka pakubadwa. Vutoli limatha kuchitika chifukwa chosowa mtundu (pigmentation) wa iris (gawo loyera la diso).

Zizindikiro za matenda a Horner atha kukhala:

• Kuchepetsa thukuta pambali yakumaso
• Kutulutsa chikope (ptosis)
• Kumira kwa diso kumaso
• Masayizi osiyanasiyana a ana (anisocoria)

Pakhoza kukhalanso ndi zizindikilo zina, kutengera komwe mitsempha yamafupa ikukhudzidwa. Izi zingaphatikizepo:

• Vertigo (kumverera kuti malo akuzungulira) ndi nseru ndi kusanza
• Masomphenya awiri
• Kuperewera kwa kuwongolera minofu ndi kulumikizana
• Kupweteka kwa mkono, kufooka ndi dzanzi
• M'modzi amaganiza khosi ndi khutu
• Kuopsa
• Kutaya kwakumva
• Chikhodzodzo ndi vuto la matumbo
• Kuchulukitsa kwamachitidwe amanjenje (odziyimira pawokha) olimbikitsa (hyperreflexia)

Wothandizira zaumoyo adzayesa thupi ndikufunsa za zizindikiro.

Kuyesedwa kwa diso kumatha kuwonetsa:

• Zosintha momwe wophunzira amatsegulira kapena kutsekera
• Eyelid akugwera
• Diso lofiira

Kutengera zomwe akukayikira, mayeso atha kuchitidwa, monga:

• Kuyesa magazi
• Kuyesa kwa chotengera chamagazi pamutu (angiogram)
• X-ray pachifuwa kapena chifuwa CT scan
• 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).

Chithandizo chimadalira chomwe chimayambitsa vutoli. Palibe chithandizo cha matenda a Horner omwe. Ptosis ndiyofatsa kwambiri ndipo nthawi zambiri imakhudza kuwona kwa matenda a Horner. Izi zitha kukonzedwa ndi opaleshoni yodzikongoletsa kapena kuthandizidwa ndi maso. Woperekayo angakuuzeni zambiri.

Zotsatira zake zimatengera ngati chithandizo cha zomwe zikuyenda bwino chikuyenda bwino.

Palibe zovuta zachindunji za matenda a Horner omwe. Koma, pakhoza kukhala zovuta kuchokera ku matenda omwe adayambitsa Horner syndrome kapena chithandizo chake.

Itanani omwe akukuthandizani ngati muli ndi matenda a Horner.

Oculosympathetic paresis

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje

Balcer LJ. Matenda am'mapazi. Mu: Liu GT, Volpe NJ, Galetta SL, olemba. Liu, Volpe, ndi Neuro-Ophthalmology ya Galetta. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: mutu 13.

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.

Thurtell MJ, Rucker JC. Zovuta zapapillary ndi chikope. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: mutu 18.