IHorner syndrome

I-Horner syndrome yimeko enqabileyo echaphazela imithambo-luvo yamehlo nasebusweni.

I-Horner syndrome inokubangelwa nakuphi na ukuphazamiseka kuseti lweentsinga zemithambo-luvo eziqala kwinxalenye yengqondo ebizwa ngokuba yi-hypothalamus kwaye zihambe ziye ebusweni nasemehlweni. Ezi ntsinga zemithambo-luvo ziyabandakanyeka ekubileni, abafundi emehlweni akho, kunye nezihlunu zamehlo ezantsi nezisezantsi.

Ukonakala kweentsinga zemithambo-luvo kunokubangela:

• Ukonzakala kwimithambo ye-carotid, yenye yeemithambo eziphambili kwingqondo
• Ukwenzakala kwimithambo-luvo emazantsi entamo ebizwa ngokuba yi-brachial plexus
• I-Migraine okanye i-cluster headaches
• Ukubetha, i-tumor, okanye omnye umonakalo kwinxalenye yengqondo ebizwa ngokuba yi-brainstem
• Ithumba phezulu kumphunga, phakathi kwemiphunga, nentamo
• Inaliti okanye utyando olwenziwe ukuphazamisa imicu yentsimbi kunye nokuthomalalisa iintlungu (sympathectomy)
• Ukulimala kwentambo yomqolo

Kwiimeko ezinqabileyo, i-Horner syndrome ikhona ekuzalweni. Imeko inokwenzeka ngokungabikho kombala (i-pigmentation) ye-iris (icandelo elinombala wamehlo).

Iimpawu ze-Horner syndrome zinokubandakanya:

• Ukwehla ukubila kwicala elichaphazelekayo lobuso
• Ukujikisa ijwabu leso (ptosis)
• Ukucwila kwamehlo kwamehlo
• Ubungakanani obahlukeneyo babafundi bamehlo (anisocoria)

Kukho ezinye iimpawu, kuxhomekeke kwindawo yefayibha yentsholongwane echaphazelekayo. Oku kunokubandakanya:

• I-Vertigo (imvakalelo yokuba indawo ejikelezayo iyajikeleza) isicaphucaphu kunye nokugabha
• Umbono kabini
• Ukusilela kolawulo lwezihlunu kunye nokulungelelanisa
• Intlungu yengalo, ubuthathaka kunye nokuba ndindisholo
• Enye intamo esecaleni kunye nentlungu yendlebe
• Ukurhabaxa
• Ukuphulukana nokuva
• Isinyi kunye nobunzima bamathumbu
• Ukugqithisa kwenkqubo yokuzibandakanya (yokuzimela) yenkqubo ye-nervous to stimulation (hyperreflexia)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu.

Ukuhlolwa kwamehlo kunokubonisa:

• Utshintsho kwindlela avulwa okanye avale ngayo umfundi
• Ukujongwa kweenkophe
• Iliso elibomvu

Kuxhomekeke kwisizathu esikrokrelwayo, iimvavanyo zinokwenziwa, ezinje:

• Uvavanyo lwegazi
• Uvavanyo lweenqanawa zegazi entlokweni (angiogram)
• I-x-ray yesifuba okanye isifuba se-CT scan
• 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).

Unyango luxhomekeke kwisizathu esingunobangela wale meko. Akukho lonyango lwe-Horner syndrome uqobo. I-Ptosis ithambe kakhulu kwaye kwiimeko ezinqabileyo zichaphazela umbono kwi-Horner syndrome. Oku kunokulungiswa ngoqhaqho lwezithambiso okanye ngokunyangwa ngamehlo. Umboneleli unokukuxelela ngakumbi.

Isiphumo sixhomekeke ekubeni unyango lwesizathu luyimpumelelo na.

Akukho ngxaki ngqo kwi-Horner syndrome uqobo. Kodwa, kunokubakho iingxaki kwesi sifo esibangele iHorner syndrome okanye kunyango lwayo.

Tsalela umnikezeli wakho ukuba unempawu ze-Horner syndrome.

I-oculosympathetic paresis

• Inkqubo ye-nervous central kunye ne-peripheral system

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UThurtell MJ, uRucker JC. Ukungaqheleki kwamehlo kunye neenkophe. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl 18.