I-Cranial mononeuropathy III
I-Cranial mononeuropathy III sisifo sengqondo. Ichaphazela umsebenzi we-cranial nerve yesithathu. Ngenxa yoko, umntu unokuba nombono ophindwe kabini kunye nokujingxeka kwejwabu leso.
I-Mononeuropathy ithetha ukuba inye kuphela inzwa echaphazelekayo. Esi sifo sichaphazela i-nerve ye-cranial yesithathu kukhakhayi. Le yenye yeempawu zemithambo-luvo ezilawula ukuhamba kwamehlo. Izizathu zingabandakanya:
- I-aneurysm yobuchopho
- Usulelo
- Imithambo yegazi engaqhelekanga (ukungasebenzi kakuhle kwemithambo)
- Sinus thrombosis
- Umonakalo wethishu ekuphulukaneni nokuphuma kwegazi (infarction)
- Umothuko (ukwenzakala entloko okanye kubangelwe ngengozi ngexesha lotyando)
- Amathumba okanye okunye ukukhula (ngakumbi amathumba asezantsi kwengqondo kunye nedlala lobuchopho)
Kwiimeko ezinqabileyo, abantu abane-migraine entloko banengxaki yethutyana nge-oculomotor nerve. Oku mhlawumbi kungenxa ye-spasm yemithambo yegazi. Ngamanye amaxesha, akukho sizathu sinokufunyanwa.
Abantu abanesifo seswekile banokuphuhlisa i-neuropathy ye-nerve yesithathu.
Iimpawu zingabandakanya:
- Umbono ophindwe kabini, lolona phawu luqhelekileyo
- Ukujulwa kwelinye ijwabu leso (ptosis)
- Umfundi owandisiweyo onganciphisi xa ukukhanya kukhanya kuyo
- Intloko okanye iintlungu zamehlo
Ezinye iimpawu zinokwenzeka ukuba unobangela sisifo okanye kukudumba kwengqondo. Ukwehla kokuphaphama kuyingozi, kuba inokuba luphawu lokonakaliswa kwengqondo okanye ukufa okuzayo.
Ukuhlolwa kwamehlo kunokubonisa:
- Ukwandiswa (okuxutywe) komfundi weliso elichaphazelekayo
- Ukuhamba kwamehlo okungaqhelekanga
- Amehlo angahambelani
Umboneleli wakho wezempilo uya kwenza uviwo olupheleleyo ukufumanisa ukuba amanye amalungu enkqubo ye-neva achaphazelekayo. Kuxhomekeke kwisizathu esikrokrelwayo, unokufuna:
- Uvavanyo lwegazi
- Uvavanyo lokujonga imithambo yegazi kwingqondo (i-angiogram yecerebral, i-angiogram ye-CT, okanye i-MR angiogram)
- I-MRI okanye i-CT scan yengqondo
- Impompo yomqolo (i-lumbar puncture)
Kuya kufuneka uthunyelwe kugqirha ojolise kwiingxaki zombono ezinxulumene nenkqubo ye-luvo (i-neuro-ophthalmologist).
Abanye abantu baba ngcono ngaphandle konyango. Ukunyanga unobangela (ukuba unokufumaneka) kunokuzinciphisa iimpawu.
Olunye unyango lokukhupha iimpawu lungabandakanya:
- Amayeza e-Corticosteroid ukunciphisa ukudumba kunye nokunciphisa uxinzelelo kwimithambo-luvo (xa kubangelwa lithumba okanye ukwenzakala)
- Ipaki yamehlo okanye iiglasi ezinee-prism ukunciphisa umbono ophindwe kabini
- Amayeza entlungu
- Utyando lokunyanga ukuxhoma kwejwabu leso okanye amehlo angahambelaniyo
Abanye abantu baya kusabela kunyango. Kweminye embalwa, ukujongwa ngamehlo ngokusisigxina okanye ukulahleka kwamehlo kuya kwenzeka.
Izizathu ezinjengokudumba kwengqondo ngenxa yethumba okanye ukubetha, okanye i-aneurysm yengqondo isongela ubomi.
Fowunela umnikezeli wakho ukuba unombono ophindwe kabini kwaye awuhambi kwimizuzu embalwa, ngakumbi ukuba ujonge ijwabu leso.
Ukunyanga ngokukhawuleza ukuphazamiseka okunokucinezela kwi-nerve kunokunciphisa umngcipheko wokuphuhlisa i-cranial mononeuropathy III.
Inwebu yesithathu ye-cranial palsy; Ukukhubazeka kwe-Oculomotor; Umfundi-obandakanya i-cranial neral palsy yesithathu; Mononeuropathy - uhlobo ucinezelo
- Inkqubo ye-nervous central kunye ne-peripheral system
URucker JC, uThurtell MJ. I-cranial neuropathies. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2016: isahluko 104.
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.
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.