He aha ka Horner Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka Horner syndrome kahi maʻi neurological maʻamau loa e pili ana i kahi ʻaoʻao o kou maka a me kou helehelena. Hana ʻia kēia ke wā e haki ai a i ʻole e hōʻino ʻia nā ala nerve kūikawā e kaohi ana i kou haumāna, kou maka, a me ka hou ʻana o kou helehelena.

E ʻike paha ʻoe ua liʻiliʻi kekahi haumāna ma mua o kekahi, e hāʻule iki ana kou maka luna, a ʻaʻole paha ʻoe e hou nui ma kahi ʻaoʻao o kou helehelena. ʻOiai hiki i kēia mau loli ke manaʻo hopohopo, ʻaʻole weliweli ka Horner syndrome iā ia iho. ʻO ka mea nui ka ʻike ʻana i ke kumu o ka haki ʻana o ka nerve i hiki i kāu kauka ke hoʻoponopono i nā pilikia ma lalo.

He aha nā hōʻailona o ka Horner syndrome?

ʻO ka hōʻailona i ʻike nui ʻia ka hui ʻana o nā loli o ka maka a me ka helehelena e ʻike ʻia ma kahi ʻaoʻao wale nō. E ʻokoʻa kou maka i hoʻopilikia ʻia mai kou maka maʻamau ma nā ʻano kūikawā.

Eia nā mea āu e ʻike ai inā loaʻa iā ʻoe ka Horner syndrome:

• Haumāna liʻiliʻi (miosis): E noho liʻiliʻi ana ka haumāna ma ka ʻaoʻao i hoʻopilikia ʻia ma mua o kekahi, ʻoi aku hoʻi i ka mālamalama māmā
• Maka luna hāʻule (ptosis): E kau ana kou maka luna i lalo, ʻoiai he iki wale nō
• Hou emi (anhidrosis): E hou emi ana ʻoe ma ka ʻaoʻao i hoʻopilikia ʻia o kou helehelena a me kou ʻāʻī paha
• ʻAno maka hohonu: Hiki i kou maka ke like me ka noho hohonu i loko o ka lua
• ʻAno kala like ʻole o nā maka: I nā hihia maʻamau ʻole, ʻoi aku inā loaʻa iā ʻoe ka Horner syndrome mai ka hānau ʻana mai, hiki i ka maka i hoʻopilikia ʻia ke māmā i ke kala

E ulu pū ana kēia mau hōʻailona a e mau ana i ka manawa. He mālie nā loli akā e ʻike nui ʻia ke hoʻohālikelike ʻoe i nā ʻaoʻao ʻelua o kou helehelena i loko o ke aniani.

He aha nā kumu o ka Horner syndrome?

E ulu ana ka Horner syndrome ke wā e haki ai kekahi mea i ke ala nerve sympathetic e holo ana mai kou lolo a i kou helehelena a me kou maka. Loaʻa i kēia ala ʻekolu ʻāpana nui, a hiki ke hana ʻia ka hōʻino ma nā wahi āpau ma kēia ala.

ʻO nā kumu maʻamau loa:

• Stroke: ʻOi aku nā stroke e pili ana i ka brainstem a i ʻole ka spinal cord
• Nā maʻi ʻaʻai o ka māmā: ʻOi aku nā mea i loaʻa ma luna o ka māmā kokoke i nā moku koko nui
• Nā hōʻino ʻāʻī: Me ka whiplash, nā hana ʻoki, a i ʻole ka hōʻino ʻana i ka ʻāʻī
• Nā pilikia o ka carotid artery: E like me ka dissection a i ʻole nā aneurysms i nā arteries nui o ka ʻāʻī
• Nā poʻo ʻeha hui: Loaʻa i kekahi poʻe ka Horner syndrome manawa i ka wā o nā manawa poʻo ʻeha koʻikoʻi
• Nā maʻi ʻaʻai o ka spinal cord: Nā ulu e kaomi ana i nā ala nerve i loko o ka spine luna

ʻO nā kumu ʻaʻole maʻamau akā nui nā mea e like me ka multiple sclerosis, kekahi mau lāʻau lapaʻau, a me nā hōʻino hānau. I kekahi manawa, ʻoi aku hoʻi i nā keiki, hiki ke loaʻa ka Horner syndrome mai ka hānau ʻana mai ma muli o nā pilikia hoʻomohala a i ʻole ka hōʻino hānau.

I nā hihia maʻamau ʻole, ʻaʻole hiki i nā kauka ke ʻike i ke kumu kūikawā. ʻAʻole kēia manaʻo ua nalowale kekahi mea koʻikoʻi - i kekahi manawa he liʻiliʻi loa ka haki ʻana o ka nerve i hiki ʻole i nā hoʻokolohua maʻamau ke ʻike.

I ka wā e ʻike ai i ke kauka no ka Horner syndrome?

Pono ʻoe e ʻike koke i ke kauka inā ʻike ʻoe i ka hui maʻamau o ka haumāna liʻiliʻi, ka maka hāʻule, a me ka hou emi ma kahi ʻaoʻao o kou helehelena. ʻOiai ʻaʻole he pilikia ka Horner syndrome iā ia iho, hiki iā ia ke hōʻailona i nā kūlana ma lalo e pono ai ka nānā.

E ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe ka Horner syndrome me:

• Poʻo ʻeha koʻikoʻi a i ʻole ʻeha ʻāʻī koke
• Paʻakikī ke kamaʻilio a i ʻole ka ʻai ʻana
• Nawaliwali a i ʻole numbness i kou mau lima a i ʻole nā wāwae
• Nā loli ʻike ma mua o ka ʻokoʻa o ka nui o ka haumāna
• ʻEha umauma koʻikoʻi a i ʻole nā pilikia hanu

ʻOiai ʻaʻole ʻoe i loaʻa kēia mau hōʻailona wikiwiki, he akamai ke hoʻonohonoho i kahi hālāwai i loko o kekahi mau lā. Makemake kāu kauka e hoʻoholo i ke kumu o ka haki ʻana o ka nerve a inā pono ka lapaʻau.

He aha nā pilikia no ka Horner syndrome?

ʻAʻole pinepine ka Horner syndrome i nā pilikia koʻikoʻi. ʻO nā mea nui e pili ana i ke kūlana ma lalo e kumu ana i ka haki ʻana o ka nerve ma mua o nā hōʻailona o ka syndrome.

ʻO nā pilikia koʻikoʻi loa:

• Diagnosis lohi o nā kūlana koʻikoʻi: Nā maʻi ʻaʻai nalowale, nā stroke, a i ʻole nā pilikia vascular
• Nā pilikia hoʻonaninani: Manaʻo kekahi poʻe i ka hopohopo e pili ana i ka asymmetry o ka helehelena
• Mālamalama maʻalahi: ʻAʻole hoʻonui maʻamau ka haumāna i hoʻopilikia ʻia, kahi e hiki ai ke hōʻoluʻolu iki i ka mālamalama mālamalama
• Ka holomua o ka maʻi ma lalo: Inā ʻaʻole mālama ʻia ke kumu kumu, hiki iā ia ke ʻino i ka manawa

I nā hihia maʻamau ʻole kahi e ulu ai ka Horner syndrome i ka wā kamaliʻi, hiki i nā keiki ke loaʻa kahi kala maka ʻokoʻa mau loa. He hoʻonaninani wale kēia a ʻaʻole pili i ka ʻike a i ʻole ke olakino o ka maka.

ʻO ka mea nui ka hoʻoponopono ʻana i ke kumu kumu ʻoi aku ka nui ma mua o ka hoʻokele ʻana i nā hōʻailona o ka Horner syndrome iā lākou iho. Me ka ʻike pololei a me ka mālama ʻana i ka pilikia kumu, ʻike ka nui o nā kānaka i ka hoʻomaikaʻi a i ʻole ka hoʻopaʻa ʻana o kā lākou mau hōʻailona.

Pehea ka hōʻoia ʻana o ka Horner syndrome?

E hoʻomaka kāu kauka ma ka nānā pono ʻana i kou mau maka a me kou helehelena, e ʻimi ana i nā hiʻohiʻona o ka haumāna liʻiliʻi, ka maka hāʻule, a me ka hou emi ma kahi ʻaoʻao. E hoʻokolohua pū lākou i ke ʻano o ka pane ʻana o kou mau haumāna i ka mālamalama a me kekahi mau kulu maka.

ʻO ke kaʻina hana hōʻoia e komo pū me:

• Nānā kino: Ke nānā nei i ka nui o ka haumāna, ke kūlana o ka maka, a me nā ʻano hou o ka helehelena
• Nā hoʻokolohua kulu maka: Kūleʻa nā kulu kūikawā e hōʻoia i ka hōʻoia a me ka ʻike ʻana i kahi e loaʻa ai ka pilikia nerve
• Nānā moʻolelo lapaʻau: Ke kūkākūkā nei e pili ana i nā hōʻino hou, nā hana ʻoki, nā poʻo ʻeha, a i ʻole nā hōʻailona ʻē aʻe
• Nā haʻawina kiʻi: MRI a i ʻole CT scans o kou lolo, ʻāʻī, a me ka umauma e ʻimi ai i nā kumu ma lalo
• Nā hoʻokolohua koko: I kekahi manawa pono e nānā i nā kūlana kūikawā

He kōkua nui ka hoʻokolohua kulu maka. Hiki i kāu kauka ke hoʻohana i nā kulu e hoʻonui ai i nā haumāna maʻamau - inā loaʻa iā ʻoe ka Horner syndrome, ʻaʻole e pane like ka haumāna i hoʻopilikia ʻia me kou maka olakino.

ʻO ka ʻike ʻana i ke kumu ma lalo e pono ai ka kiʻi kikoʻī. Hiki i kāu kauka ke kauoha i nā scans o nā wahi like ʻole ma muli o kou mau hōʻailona a me nā ʻike nānā. Hiki i kēia kaʻina ke lawe i kekahi manawa, akā he mea nui ia no ka hoʻoholo ʻana i ke ala lapaʻau kūpono.

He aha ka lapaʻau no ka Horner syndrome?

ʻO ka lapaʻau no ka Horner syndrome e pili ana i ka hoʻoponopono ʻana i ke kūlana ma lalo e kumu ana i ka haki ʻana o ka nerve. ʻAʻole pinepine nā hōʻailona o ka syndrome iā lākou iho - ka haumāna liʻiliʻi, ka maka hāʻule, a me ka hou emi - pono ka lapaʻau kūikawā.

ʻO nā ala lapaʻau e pili ana i ke kumu ma lalo:

• Stroke-related: Nā mea hoʻohaʻahaʻa koko, ka hoʻokele koko, a me ka lapaʻau hoʻōla hou
• Tumor-related: Hana ʻoki, chemotherapy, a i ʻole radiation therapy ma muli o ke ʻano a me ka wahi
• Nā pilikia vascular: Nā lāʻau lapaʻau e pale aku ai i nā clots koko a i ʻole ka hana ʻoki ʻana o nā arteries i hōʻino ʻia
• Nā poʻo ʻeha hui: Nā lāʻau lapaʻau pale a me nā lapaʻau kūikawā no nā manawa poʻo ʻeha
• Injury-related: Hoʻomaikaʻi pinepine ia iā ia iho ma hope o ka manawa e hoʻōla ai nā nerves

I kekahi mau hihia, ʻoi aku hoʻi ke mālama pono ʻia ke kumu ma lalo, hiki i nā hōʻailona o ka Horner syndrome ke hoʻomaikaʻi iki a piha paha. Eia naʻe, inā mau ka hōʻino ʻana o ka nerve, hiki ke mau nā hōʻailona i ka manawa lōʻihi.

No nā pilikia hoʻonaninani, koho kekahi poʻe e hoʻohana i nā ʻenehana makeup e hoʻemi i ka hiʻohiʻona o ka asymmetry o ka helehelena. I nā hihia maʻamau ʻole, hiki ke noʻonoʻo ʻia nā koho hana ʻoki no ka hāʻule nui ʻana o ka maka, ʻoiai ʻaʻole pinepine kēia.

Pehea e hoʻokele ai i ka Horner syndrome ma ka home?

ʻOiai ʻaʻole hiki iā ʻoe ke mālama i ka pilikia nerve ma lalo ma ka home, aia nā ala maʻalahi e hoʻokele ai i nā hopena o kēlā me kēia lā o ka Horner syndrome a pale aku i kou maka i hoʻopilikia ʻia.

Eia nā ʻanuʻu hana hiki iā ʻoe ke lawe:

• Pale i kou mau maka mai ka mālamalama mālamalama: E kau i nā aniani ma waho no ka mea ʻaʻole hoʻoponopono maʻamau kou haumāna i hoʻopilikia ʻia
• E hoʻohana i nā waimaka hana inā pono: Loaʻa i kekahi poʻe ka maloʻo o ka maka, ʻoi aku inā ʻaʻole pani piha ka maka
• E nānā no nā loli: E mālama i ka hoʻomaikaʻi ʻana a i ʻole ka ulu ʻana o nā hōʻailona hou
• E hahai mau: E hele i nā hālāwai i hoʻonohonoho ʻia e nānā i ke kūlana ma lalo
• E inu wai nui: No ka mea e hou emi ana ʻoe ma ka ʻaoʻao i hoʻopilikia ʻia, e makaʻala nui i ka wā wela

Hoʻololi maikaʻi ka nui o nā kānaka i ka loaʻa ʻana o ka Horner syndrome. He mālie nā loli ʻike e ʻaʻole pili nui i nā hana o kēlā me kēia lā a i ʻole ka hilinaʻi iā lākou iho.

E hoʻomanaʻo ʻo ka hoʻokele ʻana i ke kūlana ma lalo ka mea nui loa o kāu mālama. E lawe i nā lāʻau lapaʻau āpau e like me ka mea i kuhikuhi ʻia a e hahai i nā ʻōlelo a kāu kauka no ka nānā mau a me ka mālama.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hele ʻana i mākaukau i kāu hālāwai e kōkua i kāu kauka e hana i kahi ʻike pololei a hoʻomohala i ka papahana lapaʻau maikaʻi loa. E noʻonoʻo i ka wā āu i ʻike mua ai i nā hōʻailona a me nā loli olakino ʻē aʻe āu i ʻike ai i kēia manawa.

Ma mua o kāu kipa, e hōʻiliʻili i kēia ʻike:

• Timeline hōʻailona: I ka wā āu i ʻike mua ai i nā loli o ka maka a me ka helehelena
• Nā hanana olakino hou: Nā hōʻino, nā hana ʻoki, nā poʻo ʻeha koʻikoʻi, a i ʻole nā maʻi i nā mahina i hala iho nei
• Nā lāʻau lapaʻau i kēia manawa: E komo pū nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ka papa kūʻai, a me nā mea hoʻohui
• Moʻolelo lapaʻau: Nā hana ʻoki ma mua, ʻoi aku hoʻi e pili ana i kou ʻāʻī, umauma, a i ʻole poʻo
• Moʻolelo ʻohana: Kekahi mau hoahānau me nā stroke, nā maʻi ʻaʻai, a i ʻole nā kūlana neurological maʻamau ʻole

E lawe mai i nā kiʻi inā loaʻa iā ʻoe kekahi e hōʻike ana i ke ʻano o kou helehelena a me kou mau maka ma mua o ka hoʻomaka ʻana o nā hōʻailona. Hiki i kēia ke kōkua i kāu kauka e ʻike i nā loli me ka maopopo.

E kākau i nā nīnau āu e makemake ai e nīnau, e like me nā hoʻokolohua e pono ai, pehea ka wikiwiki o ka loaʻa ʻana o nā hopena, a me nā hana e hiki mai ana. Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu i ʻike ʻole ai - ʻo kāu olakino kēia, a pono ʻoe i nā pane maopopo.

He aha ka mea nui e pili ana i ka Horner syndrome?

ʻO ka Horner syndrome kahi kūlana hiki ke hoʻokele ʻia e lawelawe ma ke ʻano he hōʻailona nui e pili ana i kou olakino neurological. ʻOiai hiki i nā loli o ka helehelena a me ka maka ke hopohopo i ka wā āu e ʻike mua ai iā lākou, ʻaʻole weliweli a ʻeha paha ka syndrome iā ia iho.

ʻO ka mea nui loa e hoʻomaopopo ai ʻo ka Horner syndrome he hōʻailona maʻamau o kekahi mea ʻē aʻe ma mua o ka maʻi ma kona iho. ʻO ka loaʻa ʻana o ka loiloi lapaʻau kūpono e kōkua i ka ʻike a me ka mālama ʻana i nā kūlana ma lalo e pono ai ka nānā.

Nui nā kānaka me ka Horner syndrome e ola ana i nā ola maʻamau, hana. ʻO ka mea nui ka hana pū ʻana me kāu hui mālama ola e hoʻoponopono i ke kumu kumu a nānā i kou olakino holoʻokoʻa. Me ka mālama kūpono a me ka hahai ʻana, hiki iā ʻoe ke hilinaʻi i ka hoʻokele pono ʻana i kēia kūlana.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Horner syndrome

Hiki i ka Horner syndrome ke hele wale iā ia iho?

I kekahi manawa hiki i ka Horner syndrome ke hoʻomaikaʻi a hoʻonā piha paha, ʻoi aku inā pili ia i nā kūlana manawa e like me nā poʻo ʻeha hui a i ʻole ka mumū liʻiliʻi o ka nerve. Eia naʻe, inā mau ka hōʻino ʻana o ka nerve, e mau ana nā hōʻailona i ka manawa lōʻihi. ʻO ka manawa maikaʻi loa no ka hoʻomaikaʻi ʻana mai ka mālama pono ʻana i ka mea i kumu i ka haki ʻana o ka nerve i ka mua.

Ke pilikia nei ka Horner syndrome i ka ʻike a i ʻole ke kumu o ka makapō?

ʻAʻole kumu ka Horner syndrome i ka makapō a i ʻole ka hoʻohaʻahaʻa nui i kou ʻike. Hiki i ka haumāna liʻiliʻi ke hoʻonui iki i kou mālamalama, a hiki iā ʻoe ke ʻike i ka pilikia e ʻike ana i nā kūlana mālamalama loa, akā he mālie kēia mau hopena. E mau ana kou olakino maka a me kou ʻike maʻamau - he hoʻonaninani wale nā loli.

He hereditary a i ʻole genetic anei ka Horner syndrome?

ʻAʻole hoʻoilina pololei ʻia ka Horner syndrome iā ia iho, akā hiki i kekahi o nā kūlana e kumu ai ke holo i nā ʻohana. No ka laʻana, inā loaʻa iā ʻoe kahi moʻolelo ʻohana o nā stroke a i ʻole kekahi mau ʻano o nā maʻi ʻaʻai, hiki iā ʻoe ke loaʻa ka pilikia kiʻekiʻe o ka ulu ʻana o nā kūlana e hiki ai ke alakaʻi i ka Horner syndrome. Eia naʻe, nui nā hihia e hana ʻia ma muli o nā kūlana i loaʻa ma mua o nā kumu genetic.

Hiki i nā keiki ke loaʻa i ka Horner syndrome?

ʻAe, hiki i nā keiki ke loaʻa i ka Horner syndrome, ʻoiai ʻaʻole maʻamau ma mua o nā mākua. Ke loaʻa ia i nā keiki, pinepine ia mai ka hānau ʻana mai ma muli o nā hōʻino hānau a i ʻole nā pilikia hoʻomohala. Hiki i ka Horner syndrome o ke kamaliʻi ke kumu i nā ʻokoʻa mau loa i ke kala maka, me ka maka i hoʻopilikia ʻia e ʻike ʻia he māmā. ʻOiai, pili like ka kūlana i nā keiki me nā mākua.

Pehea ka wikiwiki o ka ulu ʻana o ka Horner syndrome?

ʻO ke hoʻomaka ʻana e pili ana i ke kumu ma lalo. Inā pili ia i ka stroke a i ʻole ka hōʻino koke, hiki i nā hōʻailona ke ʻike ʻia i loko o nā hola a i ʻole nā lā. No nā kūlana e like me nā maʻi ʻaʻai e ulu mālie ana, hiki i ka Horner syndrome ke ʻike ʻia mālie ma luna o nā hebedoma a i ʻole nā mahina. ʻIke kekahi poʻe i nā loli koke, ʻoiai ʻike ʻē aʻe iā lākou wale nō ke kuhikuhi kekahi i ka asymmetry o ka helehelena.