Lefu la Horner

Horner syndrome ke boemo bo sa tloaelehang bo amang methapo ea mahlo le ea sefahleho.

Horner syndrome e ka bakoa ke tšitiso efe kapa efe ea methapo ea methapo e qalang karolong ea boko e bitsoang hypothalamus ebe e ea sefahlehong le mahlong. Ts'ebetso ena ea methapo e ameha ka ho fufuleloa, bana ba mahlo a hau le mesifa e kaholimo le e tlase ea eyelid.

Tšenyo ea likhoele tsa methapo e ka bakoa ke:

• Ho lematsa methapo ea carotid, e 'ngoe ea methapo e meholo bokong
• Ho lematsa methapo botlaaseng ba molala e bitsoang brachial plexus
• Migraine kapa hlooho ea hlooho ea hlooho
• Leqeba, hlahala kapa tšenyo e 'ngoe karolong ea boko e bitsoang brainstem
• Hlahala kaholimo ho matšoafo, lipakeng tsa matšoafo le molala
• Liente kapa opereishene e etsoang ho sitisa likhoele tsa methapo le ho kokobetsa bohloko (sympathectomy)
• Mokokotlo oa mokokotlo

Maemong a sa tloaelehang, Horner syndrome e ba teng ha motho a hlaha. Boemo bo ka hlaha ka ho haelloa ke 'mala (pigmentation) ea iris (karolo e mebala ea leihlo).

Matšoao a Horner syndrome a ka kenyelletsa:

• Ho fufuleloa ho fokotsehileng ka lehlakoreng le amehileng la sefahleho
• Letlalo le thellisang (ptosis)
• Ho teba ha leihlo la sefahleho sefahlehong
• Boholo bo fapaneng ba bana ba mahlo (anisocoria)

Ho kanna ha ba le matšoao a mang, ho latela sebaka sa faeba ea methapo e amehileng. Tsena li ka kenyelletsa:

• Vertigo (maikutlo a hore tikoloho e ntse e potoloha) ka ho nyekeloa le pelo le ho hlatsa
• Pono e habeli
• Ho hloka taolo ea mesifa le tšebelisano
• Bohloko ba letsoho, bofokoli le ho ba shohlo
• Lehlakore le leng le le leng la molala le tsebe
• Ho thothofala
• Ho lahleheloa ke kutlo
• Bothata ba senya le mala
• Ho fetoloa ha tsamaiso ea methapo e ikemetseng (e ikemetseng) ho susumetsa (hyperreflexia)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele mme a botse ka matšoao.

Tlhahlobo ea mahlo e ka bonts'a:

• Liphetoho tseleng eo seithuti se bulang kapa se koalang ka eona
• Mahlo a theoha
• Leihlo le khubelu

Ho ipapisitse le sesosa se belaelloang, liteko li ka etsoa joalo ka:

• Liteko tsa mali
• Liteko tsa methapo ea mali ea hlooho (angiogram)
• X-ray sefubeng kapa sefuba CT scan
• MRI kapa CT scan ea boko
• 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).

Kalafo e ipapisitse le sesosa sa boemo. Ha ho na kalafo bakeng sa Horner syndrome ka boeona. Ptosis e bonolo haholo mme maemong a sa tloaelehang e ama pono ho Horner syndrome. Sena se ka lokisoa ka ho buuoa ka litlolo kapa ho phekoloa ka mahlo. Mofani oa thepa a ka u joetsa haholoanyane.

Sephetho se latela hore na kalafo ea sesosa e atlehile.

Ha ho na mathata a tobileng a Horner syndrome ka boeona. Empa, ho ka ba le mathata ho tsoa ho lefu le bakileng Horner syndrome kapa kalafo ea lona.

Bitsa mofani oa hau haeba u na le matšoao a Horner syndrome.

Oculosympathetic paresis

• Sisteme ea methapo e bohareng le methapo ea methapo

Balcer LJ. Mathata a likokoana-hloko. Ka: Liu GT, Volpe NJ, Galetta SL, li-eds. Liu, Volpe, le Neuro-Ophthalmology ea Galetta. 3rd ed. Philadelphia, PA: Elsevier; 2019: khaolo ea 13.

Guluma K. Diplopia. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 18.

Mofumahali Thurtell MJ, Rucker JC. Ho se tloaelehe ha malapeng le mahlo a mahlo. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 18.