I-Cranial mononeuropathy III - uhlobo lweswekile

Olu hlobo lweswekile lwe-cranial mononeuropathy III sisifo seswekile. Kubangela umbono ophindwe kabini kunye nokujongwa kweenkophe.

I-Mononeuropathy ithetha ukuba inye kuphela intsholongwane eyonakalisiweyo. Esi sifo sichaphazela i-nerve ye-cranial yesithathu kukhakhayi. Le yenye yeempawu zemithambo-luvo ezilawula ukuhamba kwamehlo.

Olu hlobo lomonakalo lunokwenzeka kunye nesifo seswekile seswekile. I-Cranial mononeuropathy III yeyona nto ixhaphakileyo kubantu abanesifo seswekile. Kungenxa yokonakaliswa kwemithambo yegazi encinci etyisa imithambo-luvo.

I-Cranial mononeuropathy III inokubakho nakubantu abangenaso isifo seswekile.

Iimpawu zingabandakanya:

• Umbono kabini
• Ukujulwa kwelinye ijwabu leso (ptosis)
• Intlungu ejikeleze iliso kunye nebunzi

I-Neuropathy ihlala ikhula kwiintsuku ezisi-7 zokuqala kwentlungu.

Uvavanyo lwamehlo luya kugqiba ukuba ngaba luvo lwesithathu kuphela oluchaphazelekayo okanye ukuba ezinye iintlungu zomzimba zonakalisiwe. Iimpawu zinokubandakanya:

• Amehlo angahambelani
• Ukuphendula kwabafundi okuhlala kuqhelekile

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

• Uvavanyo lwegazi
• Uvavanyo lokujonga imithambo yegazi kwingqondo (cerebral angiogram, CT angiogram, MR angiogram)
• I-MRI okanye i-CT scan yengqondo
• Impompo yomqolo (i-lumbar puncture)

Kuya kufuneka ukuba uthunyelwe kugqirha ogxile kwiingxaki zombono ezinxulumene nemithambo-luvo esweni (neuro-ophthalmologist).

Akukho lonyango oluthile lokulungisa ukwenzakala kwentliziyo.

Unyango lokunceda iimpawu zinokubandakanya:

• Vala ulawulo lwenqanaba leswekile yegazi
• Ipaki yamehlo okanye iiglasi ezinee-prism ukunciphisa umbono ophindwe kabini
• Amayeza entlungu
• Unyango lwe-antiplatelet
• Ugqirha ukulungisa i-eyelid drooping okanye amehlo angahambelaniyo

Abanye abantu banokuchacha ngaphandle konyango.

Ukuqikelela kulungile. Abantu abaninzi baba ngcono ngaphezulu kweenyanga ezi-3 ukuya kwezi-6. Nangona kunjalo, abanye abantu banobuthathaka obusisigxina bamehlo.

Iingxaki zinokubandakanya:

• Ukutsala ngokusisigxina kwejwabu leso
• Utshintsho kumbono osisigxina

Fowunela umnikezeli wakho ukuba unombono ophindwe kabini kwaye awuhambi kwimizuzu embalwa, ngakumbi ukuba ujonge ijwabu leso.

Ukulawula inqanaba leswekile yegazi kunokunciphisa umngcipheko wokuba nesi sifo.

Isifo seswekile sesithathu sesifo sengqondo; Ukuthintela abafundi ukuba babe ne-cranial palsy yesithathu; I-Ocular yeswekile ye-neuropathy

• Inkqubo ye-nervous central kunye ne-peripheral system

UBrownlee M, uAiello LP, uSun JK, uCooper ME, uFeldman EL, uPlutzky J, uBoulton AJM. Iingxaki zesifo seswekile. Ku: UMelmed S, uAuchus, RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

UGuluma K. Diplopia. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 18.

Umlingisi we-BA. Ingqondo kunye nokuphazamiseka kwentliziyo. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; Ngo-2018: isahluko 95.