Sengoli: Gregory Harris
Letsatsi La Creation: 9 April 2021
Ntlafatsa Letsatsi: 18 December 2024
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Cranial Nerve VI Palsy
Video: Cranial Nerve VI Palsy

Cranial mononeuropathy VI ke lefu la methapo. E ama tšebetso ea methapo ea hlooho ea botšelela ea lehata (lehata). Ka lebaka leo, motho eo a ka ba le pono e habeli.

Cranial mononeuropathy VI ke tšenyo ea methapo ea botšelela ea cranial. Metsing ena e boetse e bitsoa methapo ea kutlo. E o thusa ho tsamaisa leihlo la hau lehlakoreng la tempele ea hau.

Mathata a methapo ena a ka hlaha ka:

  • Matšoafo a boko
  • Tšenyo ea methapo ea lefu la tsoekere (lefu la tsoekere la lefu la tsoekere)
  • Gradenigo syndrome (eo hape e bakang ho tsoa hoa bohloko ba tsebe le mahlo)
  • Tolosa-Hunt syndrome, ho ruruha ha sebaka se ka morao ho leihlo
  • Ho eketsa kapa ho fokotsa khatello ea lehata
  • Matšoao (a kang meningitis kapa sinusitis)
  • Multiple sclerosis (MS), lefu le amang boko le lesapo la mokokotlo
  • Boimana
  • Leqeba
  • Trauma (e bakiloeng ke ho tsoa hlooho kapa ka phoso nakong ea ho buuoa)
  • Lihlahala ho potoloha kapa kamora leihlo

Ha ho tsejoe hantle hore na hantle-ntle sesosa sa thibelo ea mafu a amanang le ente ea bana ke eng.


Hobane ho na le litsela tse tloaelehileng tsa methapo ka lehata, bothata bo ts'oanang bo senyang methapo ea methapo ea botšelela e ka ama methapo e meng ea cranial (joalo ka methapo ea boraro kapa ea bone ea cranial).

Ha methapo ea botšelela ea cranial e sa sebetse hantle, o ke ke oa lebisa leihlo la hao kantle nqa tsebe. U ntse u ka phahamisetsa leihlo la hau holimo, tlase le ka nko, ntle le haeba methapo e meng e ameha.

Matšoao a ka kenyelletsa:

  • Pono e habeli ha u sheba ka lehlakoreng le leng
  • Ho tšoaroa ke hlooho
  • Bohloko bo pota-potileng leihlo

Hangata liteko li bontša hore leihlo le leng le na le bothata ba ho sheba lehlakoreng ha leihlo le leng le tsamaea ka mokhoa o tloaelehileng. Tlhatlhobo e bontša mahlo ha a eme moleng oa phomolo kapa ha a shebile nqa ea leihlo le fokolang.

Mofani oa hao oa tlhokomelo ea bophelo o tla etsa tlhahlobo e felletseng ho fumana phello e ka bang teng likarolong tse ling tsa sistimi ea methapo. Ho latela lebaka le belaelloang, o kanna oa hloka:

  • Liteko tsa mali
  • Thuto ea hlooho ea hlooho (joalo ka MRI kapa CT scan)
  • Pompo ea mokokotlo (ho hlaba lumbar)

Ho ka 'na ha hlokahala hore u isoe ho ngaka e sebetsanang le mathata a pono a amanang le tsamaiso ea methapo (neuro-ophthalmologist).


Haeba mofani oa hau a fumana ho ruruha kapa ho ruruha, kapa haufi le methapo, ho ka sebelisoa meriana e bitsoang corticosteroids.

Ka linako tse ling, boemo bo nyamela ntle le kalafo. Haeba u na le lefu la tsoekere, u tla eletsoa ho boloka taolo e thata ea boemo ba tsoekere ea mali.

Mofani oa thepa a ka fana ka lesela la mahlo ho imolla pono e habeli. Patch e ka tlosoa kamora hore methapo ea kutlo e fole.

Phekolo e ka eletsoa haeba ho se na pholiso likhoeling tse 6 ho isa ho tse 12.

Ho sebetsana le sesosa ho ka ntlafatsa boemo. Ho hlaphoheloa hangata ho etsahala nakong ea likhoeli tse tharo ho batho ba baholo ba nang le khatello ea mali kapa lefu la tsoekere. Ho na le menyetla e fokolang ea ho hlaphoheloa haeba ho ka shoa litho tse feletseng tsa methapo ea botšelela. Monyetla oa ho hlaphoheloa o tlase ho bana ho feta ho batho ba baholo haeba ho ka hlaha kotsi e bohloko ea methapo. Hangata ho hlaphoheloa ho phethoa haeba motho a ka ba le bothata ba lefu la methapo ea botšelela bongoaneng.

Mathata a ka kenyelletsa liphetoho tse sa feleng tsa pono.

Bitsa mofani oa hau haeba u na le pono e habeli.

Ha ho na mokhoa oa ho thibela boemo bona. Batho ba nang le lefu la tsoekere ba ka fokotsa kotsi ka ho laola tsoekere maling a bona.


Ho fokotsa ho shoa litho; Abducens ho shoa litho; Pherekano ea lateral rectus; VIth pherekano ea methapo; Cranial methapo ea VI e holofetse; Bokooa ba methapo ea botšelela; Neuropathy - methapo ea botšelela

  • Sisteme ea methapo e bohareng le methapo ea methapo

McGee S. Metsing a mesifa ea mahlo (III, IV, le VI): atamela diplopia. Ka: McGee S, e hlophisitsoeng. Tlhahlobo ea 'mele e thehiloeng bopaking. La 4 ed. Philadelphia, PA: Elsevier; 2018: khaolo ea 59.

Olitsky SE, Marsh JD. Mathata a motsamao oa mahlo le tatellano. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 641.

Rucker JC. Neuro-ophthalmology. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 8.

Tamhankar MA. Mathata a ho sisinyeha ha mahlo: methapo ea kutlo ea boraro, ea bone le ea botšelela le lisosa tse ling tsa diplopia le ho senyeha ha mahlo ka mahlo. Ka: Liu GT, Volpe NJ, Galetta SL, li-eds. Liu, Volpe, le Neuro-Ophthalmology ea Galetta. 3rd ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 15.

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