Nā Hōʻailona Horner

ʻO ka Horner syndrome kahi kūlana e pili ana i ka maka a me ka maka ma kekahi ʻaoʻao o ke kino. ʻO kona kumu ka haki ʻana o ke ala o nā aʻalolo mai ka lolo a i ke poʻo a me ka ʻāʻī.

Hoʻopili pinepine ʻia ka Horner syndrome i hoʻokahi ʻaoʻao wale nō o ka maka. ʻO nā hōʻailona a me nā hōʻailona maʻamau e komo pū ana:

• Ka liʻiliʻi mau ʻana o ke pupila (miosis)
• Ka ʻokoʻa maopopo i ka nui o ke pupila ma waena o nā maka ʻelua (anisocoria)
• Ka liʻiliʻi a i ʻole ka lohi o ka wehe ʻana (hoʻonui ʻana) o ke pupila i hoʻopilikia ʻia i ka mālamalama māmā
• Ka hāʻule ʻana o ka maka luna (ptosis)
• Ka piʻi iki ʻana o ka maka lalo, i kapa ʻia i kekahi manawa he ptosis ʻāpana
• Ke ʻano hohonu o ka maka i hoʻopilikia ʻia
• Ka liʻiliʻi a i ʻole ka nele o ka hou ʻana (anhidrosis) ma ka ʻaoʻao i hoʻopilikia ʻia o ka maka

Hiki ke palupalu a paʻakikī ke ʻike i nā hōʻailona a me nā hōʻailona, ʻoiai ʻo ka ptosis a me ka anhidrosis.

He nui nā kumu e hiki ai ke loaʻa ka Horner syndrome, ʻoi aku ke koʻikoʻi o kekahi ma mua o nā mea ʻē aʻe. He mea nui ka loaʻa ʻana o kahi ʻike pololei a wikiwiki hoʻi.

E kiʻi i ka mālama pilikia inā hōʻike koke nā hōʻailona a i ʻole nā ​​hōʻailona e pili ana i ka Horner syndrome, a i ʻike ʻia ma hope o ka hōʻeha traumatic, a i ʻole e hui pū ʻia me nā hōʻailona a i ʻole nā ​​hōʻailona ʻē aʻe, e like me:

• Ka ʻike maikaʻi ʻole
• Ke poʻo wili
• Ke ʻōlelo palupalu
• Paʻakikī ke hele
• Ka nāwaliwali o nā ʻiʻo a i ʻole ka nele o ka mana o nā ʻiʻo
• Ke poʻo ʻeha nui a koke a i ʻole ka ʻeha o ka ʻāʻī

Hoʻokumu ʻia ka maʻi Horner syndrome e ka pōʻino i kahi ala kūikawā i loko o ka ʻōnaehana nerve sympathetic. Hoʻoponopono ka ʻōnaehana nerve sympathetic i ka wikiwiki o ka naʻau, ka nui o ka haumāna, ka hou ʻana, ke kaomi koko a me nā hana ʻē aʻe e hiki ai iā ʻoe ke pane koke i nā loli i kou puni.

Hoʻokaʻawale ʻia ke ala nerve i hoʻopilikia ʻia e ka maʻi Horner syndrome i ʻekolu mau hui o nā cell nerve (neurons).

Ma waho aʻe o kahi hōʻoia lapaʻau maʻamau, e hana paha kāu kauka i nā ho'āʻo e hoʻoholo i ke ʻano o kou mau hōʻailona a ʻike i kahi kumu hiki.

Hiki paha i kāu kauka ke ʻike i ka Horner syndrome ma muli o kou mōʻaukala a me ka loiloi ʻana i kou mau hōʻailona.

Hiki i kahi loea maka (ophthalmologist) ke hōʻoia i kahi ʻike ma ka waiho ʻana i kahi kulu maka lāʻau i loko o nā maka ʻelua - ʻo ia hoʻi kahi kulu e hoʻonui ai i ka pupil o ka maka olakino a i ʻole kahi kulu e hoʻoemi ai i ka pupil i ka maka olakino. Ma ke hoʻohālikelike ʻana i nā pane i loko o ka maka olakino me ka maka kānalua, hiki i ke kauka ke hoʻoholo inā ʻo ka pōʻino o nā aʻalolo ke kumu o nā pilikia i loko o ka maka kānalua.

ʻO ke ʻano o kou mau hōʻailona e kōkua paha i kāu kauka e hoʻoliʻiliʻi i ka ʻimi ʻana i ke kumu o ka Horner syndrome. Hiki nō hoʻi i kāu kauka ke hana i nā ho'āʻo hou a i ʻole ke kauoha i nā ho'āʻo kiʻi e ʻike i ka lesion a i ʻole ka ʻano kūpono ʻole e hoʻopilikia ana i ke ala o nā aʻalolo.

Hiki i kāu kauka ke hoʻohana i kahi ʻano kulu maka e hoʻonui nui ai i ka maka olakino a me ka liʻiliʻi o ka hoʻonui ʻana o ka maka i pilikia inā pili ka Horner syndrome i kahi ʻano kūpono ʻole o ka neuron ʻekolu - kahi hoʻopilikia ma ka ʻāʻī a i luna aʻe.

Hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi aku paha o nā ho'āʻo kiʻi e hiki mai ana e ʻike i kahi o kahi ʻano kūpono ʻole e hiki ke hoʻokumu i ka Horner syndrome:

• Magnetic resonance imaging (MRI), kahi ʻenehana e hoʻohana ana i nā nalu lekiō a me kahi kahua magnetic e hana i nā kiʻi kiko'ī
• Magnetic resonance angiography (MRA), kahi i hoʻohana ʻia e loiloi i nā kīʻaha koko
• X-ray umauma
• Computerized tomography (CT), kahi ʻenehana X-ray kūikawā

ʻAʻohe lāʻau lapaʻau kūikawā no ka Horner syndrome. I ka manawa pinepine, e nalowale ka Horner syndrome ke mālama pono ʻia kahi maʻi kumu.