Imononeuropathy yecranial VI

I-cranial mononeuropathy VI sisifo sengqondo. Ichaphazela umsebenzi we-cranial ye-cranial (ukakayi) umthambo. Ngenxa yoko, umntu unokubona kabini.

I-cranial mononeuropathy VI ingumonakalo kwithambo lesithandathu le-cranial. Le nerve ibizwa ngokuba yi-abducens nerve. Inceda ukuhambisa iliso lakho ecaleni kwitempile yakho.

Ukuphazamiseka kwale luvo kunokwenzeka nge:

• Iimpawu zeBongo
• Umonakalo wemithambo yesifo seswekile (isifo seswekile seswekile)
• Isifo seGradenigo (esikwabangela ukukhutshwa kwindlebe nakwintlungu yamehlo)
• I-Tolosa-Hunt syndrome, ukudumba kwendawo esemva kwamehlo
• Ukonyusa okanye ukunciphisa uxinzelelo kugebhezi
• Usulelo (njenge-meningitis okanye i-sinusitis)
• I-Multiple sclerosis (MS), isifo esichaphazela ingqondo kunye nomqolo womqolo
• Ukukhulelwa
• Ukubetha
• Umothuko (obangelwa kukwenzakala entloko okanye ngengozi ngexesha lotyando)
• Amathumba ajikeleze okanye ngasemva kwamehlo

Isizathu ngqo sokugonywa okunxulumene nogonyo lwe-cranial palsy ebantwaneni asaziwa.

Ngenxa yokuba kukho iindlela eziqhelekileyo zokhakhayi, ingxaki efanayo eyonakalisa i-nerve ye-cranial nerve inokuchaphazela ezinye i-cranial nerves (ezinje ngeyesithathu okanye yesine ye-cranial nerve).

Xa imithambo-luvo yesithandathu ye-cranial ingasebenzi kakuhle, ngekhe uguqulele iliso lakho ngaphandle kwindlebe yakho. Usakwazi ukuhambisa iliso lakho phezulu, ezantsi nasezimpumlweni, ngaphandle kokuba kuchaphazeleka ezinye iimbilini.

Iimpawu zingabandakanya:

• Umbono ophindwe kabini xa ujonge kwelinye icala
• Intloko ebuhlungu
• Intlungu ejikeleze iliso

Uvavanyo luhlala lubonisa ukuba iliso elinye linengxaki yokujonga ecaleni ngelixa elinye lihamba ngesiqhelo. Uviwo lubonisa ukuba amehlo awahambelani ekuphumleni okanye xa ujonge kwicala leliso elibuthathaka.

Umboneleli wakho wezempilo uya kwenza uviwo olupheleleyo ukumisela isiphumo esinokubakho kwezinye iindawo zenkqubo yeemvakalelo. Kuxhomekeke kwisizathu esikrokrelwayo, unokufuna:

• Uvavanyo lwegazi
• Isifundo seNtloko yokucinga (njengeMRI okanye iCT scan)
• Impompo yomqolo (i-lumbar puncture)

Kuya kufuneka uthunyelwe kugqirha ojolise kwiingxaki zombono ezinxulumene nenkqubo ye-luvo (i-neuro-ophthalmologist).

Ukuba umboneleli wakho ufumanisa ukudumba okanye ukudumba, okanye ujikeleze imithambo-luvo, amayeza abizwa ngokuba yi-corticosteroids anokusetyenziswa.

Ngamanye amaxesha, imeko iyanyamalala ngaphandle konyango. Ukuba unesifo seswekile, uya kucetyiswa ukuba ugcine ulawulo oluqinileyo kwinqanaba leswekile yegazi.

Umboneleli unokumisela isiziba seso ukukhupha umbono ophindwe kabini. Isiziba singasuswa emva kokuphiliswa kwemithambo-luvo.

Ugqirha lunokucetyiswa ukuba akukho kubuyiselwa kwiinyanga ezi-6 ukuya kwezi-12.

Ukunyanga unobangela kunokuyiphucula imeko. Ukubuyela kwimeko yesiqhelo kwenzeka rhoqo kwiinyanga ezintathu kubantu abadala abanesifo soxinzelelo lwegazi okanye isifo seswekile. Amathuba okuphulukana mancinci amathuba okuba ube nokukhubazeka okupheleleyo kwe-nerve yesithandathu. Amathuba okuphulukana mancinci ebantwaneni kunabantu abadala kwimeko yokwenzakala kwengozi. Ukubuyela kwimeko yesiqhelo kuhlala kugqityiwe kwimeko yesifo sokukhubazeka kwentliziyo yesithandathu ebuntwaneni.

Iingxaki zinokubandakanya utshintsho lombono osisigxina.

Tsalela umnikezeli wakho ukuba unombono ophindwe kabini.

Akukho ndlela yokuthintela le meko. Abantu abanesifo seswekile banokunciphisa umngcipheko ngokulawula iswekile yegazi.

Ukucutha ukukhubazeka; Ukukhubazeka kwe-Abducens; I-lateral rectus palsy; VIth ukukhubazeka kwemithambo-luvo; I-cranial nerve VI yokukhubazeka; Isithandathu semithambo-luvo; Neuropathy - luvo lwesithandathu

• Inkqubo ye-nervous central kunye ne-peripheral system

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UTamhankar MA. Ukuphazamiseka kwentshukumo yamehlo: yesithathu, yesine, kunye neyesithandathu i-palsies ye-nerve kunye nezinye izizathu zediplopia kunye nokungalungelelani kweoyile. Ku: Liu GT, Volpe NJ, Galetta SL, ii-eds. Liu, Volpe, kunye neGaletta's Neuro-Ophthalmology. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2019: isahl. 15.