Ko te mate Horner he āhuatanga neurological onge rawa e pā ana ki tetahi taha o tō mata me tō kanohi. Ka puta mai i te wā ka pakaru, kāore rānei ka pakaru ngā ara nerve motuhake e whakahaere ana i tō pūpū, i tō kamo, me te werawera o tō mata.
Āta tirohia pea e koe he iti ake tetahi pūpū i tetahi atu, he iti te heke o tō kamo o runga, kāore rānei koe e werawera nui ki tetahi taha o tō mata. Ahakoa ka āwangawanga pea ēnei huringa, ehara te mate Horner i te mea kino. Ko te mea nui ko te kimi i te take o te pakaru o te nerve kia taea ai e tō tākuta te whakaoti i ngā take kei muri.
He aha ngā tohu o te mate Horner?
Ko te tohu tino kitea ko te whakakotahitanga o ngā huringa kanohi me te mata e puta ana ki tetahi taha anake. Ka rerekē te ahua o tō kanohi e pā ana i tō kanohi noa i ngā huarahi motuhake.
Ko ēnei ngā mea ka kitea pea e koe mēnā kei a koe te mate Horner:
- Pūpū iti (miosis): Ka noho iti ake te pūpū kei te taha e pā ana i tetahi atu, ina koa i te mārama pōuri
- Kamo o runga e heke ana (ptosis): Ka taumaha ake tō kamo o runga, ahakoa he iti noa iho
- Te iti o te werawera (anhidrosis): Ka iti ake tō werawera ki te taha o tō mata e pā ana, me tō kaki pea
- Te ahua o te kanohi i te hohonu: Ka rite pea tō kanohi ki te noho hohonu ake i te kokonga
- Ngā tae kanohi rerekē: I etahi wā onge, ina koa ki te mea kua whānau mai koe me te mate Horner, ka mārama ake pea te tae o te kanohi e pā ana
Ka puta tahi ngā tohu nei, ka mau tonu i te wā. He ngawari noa ngā huringa, engari ka kitea ake i te wā ka whakaritea e koe ngā taha e rua o tō mata i roto i te whakaata.
He aha ngā take o te mate Horner?
Ka puta te mate Horner i te wā ka mutu te mahi o te ara nerve whakapakari e rere ana i tō roro ki tō mata me tō kanohi. He toru ngā wāhanga matua o tēnei ara, ā, ka puta te kino i te wahi o tēnei huarahi.
Ko ngā take tino noa ko ēnei:
- Te pēhanga o te roro: Ina koa ngā pēhanga e pā ana ki te brainstem, ki te tuaka rānei
- Ngā mate pūkahukahu: Ina koa ngā mea kei runga o te pūkahukahu e tata ana ki ngā oko toto nui
- Ngā whara kaki: Kei roto i ēnei te whiplash, ngā mahi pokanga, ngā whara rānei ki te rohe kaki
- Ngā raruraru o te oko carotid: Pērā i te wehewehe, i ngā aneurysms rānei i ngā oko toto nui o te kaki
- Ngā mamae o te rōpū: Ka puta te mate Horner wā poto ki ētahi i ngā wā mamae o te upoko
- Ngā mate pūngāwerewere o te tuaka: Ngā tipu e pēhi ana i ngā ara nerve i te tuaka o runga
Ko ngā take iti ake, engari he mea nui, ko te multiple sclerosis, etahi rongoā, me ngā whara whānau. I etahi wā, ina koa ki ngā tamariki, ka puta mai te mate Horner mai i te whānau na te raru o te whanaketanga, i te trauma whānau rānei.
I etahi wā onge, kaore e taea e ngā tākuta te kimi i te take motuhake. Kāore tēnei e whakaatu ana kei te ngaro tetahi mea nui – i etahi wā he iti rawa te pakaru o te nerve kaore e taea e ngā whakamātautau noa te kite.
Nōhea te haere ki te tākuta mō te mate Horner?
Me haere wawe koe ki te tākuta mēnā ka kite koe i te whakakotahitanga o te pūpū iti, te kamo e heke ana, me te iti o te werawera ki tetahi taha o tō mata. Ahakoa ehara te mate Horner i te āwangawanga, ka taea e ia te tohu i ngā āhuatanga kei muri e hiahia ana ki te tiaki.
Rapua te tiaki hauora tere mēnā ka pā atu ki a koe te mate Horner me:
- Te mamae o te upoko, o te kaki rānei
- Te uaua ki te kōrero, ki te horomia rānei
- Te ngoikore, te ngenge rānei o ō ringa, o ō waewae rānei
- Ngā huringa tirohanga i tua atu i te rerekētanga o te rahi o te pūpū
- Te mamae o te uma, te uaua rānei ki te manawa
Ahakoa kaore au i ēnei tohu āwangawanga, he whakaaro nui kia whakarite he hui i roto i ngā rā torutoru. Ka hiahia tō tākuta ki te whakatau he aha te take o te pakaru o te nerve, me te hiahiatia rānei te maimoatanga.
He aha ngā take morearea mō te mate Horner?
Ka taea e etahi take te whakapiki ake i tō tūponotanga ki te whanake i ngā āhuatanga kei muri e ārahi ana ki te mate Horner. Ka taea e te mārama ki ēnei take morearea te āwhina i a koe ki te pupuri i te mataara ki ngā tohu whakatūpato.
Ko ngā take morearea matua ko ēnei:
- Te pakeke neke atu i te 50: Te tūponotanga teitei mō ngā pēhanga o te roro, ngā mate pūngāwerewere, me ngā raruraru o te oko toto
- Te hītori o te kai hikareti: Ka whakapiki ake i te tūponotanga o ngā mate pūngāwerewere pūkahukahu me te mate o te oko toto
- Te pokanga kaki o mua: Tetahi mahi e tata ana ki ngā oko toto nui, ki ngā nerve rānei
- Te hītori o ngā mamae o te upoko: Ina koa ngā mamae o te rōpū, ka taea te whakaoho i te mate Horner wā poto
- Te pehanga toto teitei: Ka taea te ārahi ki ngā raruraru o te oko toto e pā ana ki ngā ara nerve
- Te hītori whānau o te mate oko toto: Te tūponotanga ira ki ngā raruraru o te oko toto
Ko te whai i ēnei take morearea kāore e whakaatu ana ka whanake koe i te mate Horner. Ka whakaatu noa iho pea kia mataara atu koe ki ngā tohu me te pupuri i te tiaki hauora noa kia whakaotihia ngā āhuatanga hauora kei muri.
He aha ngā raruraru pea o te mate Horner?
Ko te mate Horner anō kāore e tino whakaputa i ngā raruraru kino. Ko ngā āwangawanga matua e pā ana ki te āhuatanga kei muri e pā ana ki te pakaru o te nerve, kāore i ngā tohu o te mate.
Ko ngā raruraru pea tino nui ko ēnei:
- Te whakamutunga o te whakatau i ngā āhuatanga kino: Te ngaro o ngā mate pūngāwerewere, ngā pēhanga o te roro, ngā raruraru rānei o te oko toto
- Ngā āwangawanga ataahua: Ka whakama pea ētahi i te kore rite o te mata
- Te mārama o te marama: Kāore te pūpū e pā ana e whanaketia noa, ka taea te whakaputa i te kore ngāwari iti i te mārama mārama
- Te whanaketanga o te mate kei muri: Ki te kore e whakaotihia te take take, ka kino pea i te wā
I etahi wā onge ka puta te mate Horner i te tamarikitanga, ka rerekē pea te tae o te kanohi o ngā tamariki mō te roa. He ataahua noa iho tēnei, kāore e pā ki te tirohanga, ki te hauora kanohi rānei.
Ko te take nui ko te whakaoti i te take kei muri he mea nui atu i te whakahaere i ngā tohu o te mate Horner anō. Me te whakatau tika me te maimoatanga o te take take, ka kite te nuinga o te iwi i te pai ake, i te pumau rānei o ō rātou tohu.
Me pēhea te whakatau i te mate Horner?
Ka tīmata tō tākuta mā te tirotiro tika i ō kanohi me tō mata, mā te rapu i ngā āhuatanga o te pūpū iti, te kamo e heke ana, me te iti o te werawera ki tetahi taha. Ka whakamātautau hoki rātou i te whakautu o ō pūpū ki te mārama me ētahi pata kanohi.
Ko te tukanga whakatau i te nuinga o te wā kei roto:
- Te tirotiro tinana: Te tirotiro i te rahi o te pūpū, te tu o te kamo, me ngā tauira werawera o te mata
- Ngā whakamātautau pata kanohi: Ka āwhina ngā pata motuhake ki te whakau i te whakatau me te kimi i te wahi e puta mai ana te raruraru nerve
- Te arotake i te hītori hauora: Te kōrero mō ngā whara hou, ngā pokanga, ngā mamae o te upoko, ngā tohu rānei
- Ngā rangahau whakaahua: Ngā whakaahua MRI, CT rānei o tō roro, kaki, me te uma ki te rapu i ngā take kei muri
- Ngā whakamātautau toto: I etahi wā e hiahiatia ana ki te tirotiro i ngā āhuatanga motuhake
He tino whai hua te whakamātautau pata kanohi. Ka whakamahi pea tō tākuta i ngā pata e whakanui ana i ngā pūpū noa – mēnā kei a koe te mate Horner, kāore te pūpū e pā ana e whakautu i te ara kotahi me tō kanohi hauora.
Ko te kimi i te take kei muri e hiahia ana ki ngā whakaahua taipitopito. Ka tono pea tō tākuta i ngā whakaahua o ngā wāhi rerekē i runga i ō tohu me ngā kitenga o te tirotiro. Ka roa pea tēnei tukanga, engari he mea nui ki te whakatau i te huarahi maimoatanga tika.
He aha te maimoatanga mō te mate Horner?
Ko te maimoatanga mō te mate Horner e aro ana ki te whakaoti i te āhuatanga kei muri e pā ana ki te pakaru o te nerve. Ko ngā tohu o te mate anō – te pūpū iti, te kamo e heke ana, me te iti o te werawera – kāore e hiahia ana ki te maimoatanga motuhake.
Ka whakawhirinaki ngā huarahi maimoatanga ki te take kei muri:
- E pā ana ki te pēhanga o te roro: Ngā kai whakaheke toto, te whakahaere i te pehanga toto, me te rongoā whakaora
- E pā ana ki te mate pūngāwerewere: Te pokanga, te chemotherapy, te rongoā radiation rānei i runga i te momo me te wāhi
- Ngā raruraru oko toto: Ngā rongoā hei aukati i ngā toto kōtiti, i te whakatikatika pokanga rānei o ngā oko toto kua pakaru
- Ngā mamae o te rōpū: Ngā rongoā aukati me ngā maimoatanga motuhake mō ngā wā mamae o te upoko
- E pā ana ki te whara: Ka pai ake i te wā i te wā e ora ana ngā nerve
I etahi wā, ina koa ka whakaotihia te take kei muri, ka pai ake pea ngā tohu o te mate Horner, kāore rānei. Heoi, ki te mau tonu te kino o te nerve, ka mau tonu pea ngā tohu mō te wā roa.
Mō ngā āwangawanga ataahua, ka whiriwhiri etahi ki te whakamahi i ngā tikanga whakapaipai hei whakaiti i te ahua o te kore rite o te mata. I etahi wā onge, ka whakaarohia pea ngā whiringa pokanga mō te heke nui o te kamo, ahakoa kāore tēnei e hiahiatia.
Me pēhea te whakahaere i te mate Horner i te kāinga?
Ahakoa kaore e taea e koe te whakaora i te raruraru nerve kei muri i te kāinga, he huarahi ngāwari kei reira hei whakahaere i ngā pānga o ia rā o te mate Horner me te tiaki i tō kanohi e pā ana.
Ko ēnei ngā mahi whai hua ka taea e koe:
- Tīaki i ō kanohi i te mārama mārama: Kakahu i ngā karāhe i waho, na te mea kāore tō pūpū e pā ana e whakarite noa
- Whakamahia ngā roimata mahi mēnā e hiahiatia ana: Ka maroke pea ngā kanohi o ētahi, ina koa ki te kore te kamo e kati rawa
- Aroturuki mō ngā huringa: Pupuri i te tuhi mēnā ka kino ake ngā tohu, ka puta mai rānei ngā tohu hou
- Whai i te wā noa: Haere ki ngā hui whakarite katoa hei aroturuki i te āhuatanga kei muri
- Pupuri i te wai: Na te mea ka iti ake tō werawera ki te taha e pā ana, kia tupato atu i te wā wera
Ka taurite te nuinga o te iwi ki te mate Horner. He ngawari noa ngā huringa tirohanga kia kore ai e pā nui ki ngā mahi o ia rā, ki te whakawhirinaki ki a rātou anō rānei.
Kia mahara ko te whakahaere i te āhuatanga kei muri ko te mea nui rawa o tō tiaki. Tangohia ngā rongoā katoa e rite ana ki te whakahau, me te whai i ngā tūtohu a tō tākuta mō te aroturuki me te maimoatanga tonu.
Me pēhea te whakarite mō tō hui tākuta?
Ko te haere ki tō hui whakarite e āwhina ana i tō tākuta ki te whakatū i te whakatau tika me te whakawhanake i te mahere maimoatanga pai. Whakaarohia te wā i kite tuatahi ai koe i ngā tohu me ētahi atu huringa hauora kua pā ki a koe i te wā tata nei.
I mua i tō haerenga, kohia ēnei korero:
- Te wā o ngā tohu: Nōhea koe i kite tuatahi ai i ngā huringa kanohi me te mata
- Ngā kaupapa hauora hou: Ngā whara, ngā pokanga, ngā mamae o te upoko, ngā mate rānei i ngā marama torutoru kua pahure
- Ngā rongoā o nāianei: Kei roto i ēnei ngā rongoā, ngā rongoā kore-whakahau, me ngā taapiri
- Te hītori hauora: Ngā pokanga o mua, ina koa e pā ana ki tō kaki, uma, ki tō ulu rānei
- Te hītori whānau: Ngā whānau me ngā pēhanga o te roro, ngā mate pūngāwerewere, ngā āhuatanga neurological onge rānei
Mau mai ngā whakaahua mēnā kei a koe ētahi e whakaatu ana i te ahua o tō mata me ō kanohi i mua i te tīmatanga o ngā tohu. Ka taea e tēnei te āwhina i tō tākuta ki te kite i ngā huringa mārama ake.
Tuhia ngā pātai e hiahia ana koe ki te ui, pērā i ngā whakamātautau pea e hiahiatia ana, te tere o te whiwhi i ngā hua, me ngā mahi e whai ake nei. Kaua e whakaroa ki te tono ki tō tākuta kia whakamārama i tetahi mea kaore koe e mārama – ko tō hauora tēnei, ā, e tika ana kia whiwhi koe i ngā whakautu mārama.
He aha te mea nui mō te mate Horner?
Ko te mate Horner he āhuatanga e taea te whakahaere e mahi ana hei tohu nui mō tō hauora neurological. Ahakoa ka āwangawanga pea ngā huringa mata me te kanohi i te wā ka kite tuatahi koe i a rātou, ehara te mate anō i te mea kino, i te mamae rānei.
Ko te mea nui rawa ki te mārama ko te mate Horner he tohu noa iho i tetahi atu mea, kāore i te mate anō. Ko te whiwhi i te aromatawai hauora tika e āwhina ana ki te kimi me te whakaoti i ngā āhuatanga kei muri e hiahia ana ki te tiaki.
Ka noho te nuinga o te iwi me te mate Horner i ngā oranga noa, mahi. Ko te mea nui ko te mahi tahi me tō rōpū tiaki hauora ki te whakaoti i te take take me te aroturuki i tō hauora whānui. Me te tiaki tika me te whai tonu, ka taea e koe te whakawhirinaki ki te whakahaere pai i tēnei āhuatanga.
Ngā pātai e ui pinepinetia ana mō te mate Horner
Ka ngaro noa pea te mate Horner?
I etahi wā ka pai ake pea te mate Horner, kāore rānei ka mutu, ina koa ki te puta mai i ngā āhuatanga wā poto pērā i ngā mamae o te rōpū, i te mumura iti rānei o te nerve. Heoi, ki te mau tonu te kino o te nerve, ka mau tonu pea ngā tohu mō te wā roa. Ko te tūponotanga pai rawa atu mō te pai ake ka puta mai i te whakaoti angitu i te mea i pā ana ki te pakaru o te nerve i te tuatahi.
E pā ana rānei te mate Horner ki te tirohanga, ki te matapo rānei?
Kāore te mate Horner e pā ki te matapo, kāore rānei e tino whakaiti i tō tirohanga. Ka taea e te pūpū iti te whakapiki ake i tō ngawari ki te mārama mārama, ā, ka kite pea koe i te uaua ki te kite i ngā āhuatanga pōuri rawa, engari he ngawari noa ēnei pānga. Ka noho noa tō hauora kanohi me tō mārama – he ataahua noa ngā huringa.
He whakatūpato rānei te mate Horner, he ira rānei?
Kāore te mate Horner anō e whakatūpato tika, engari ka taea e etahi o ngā āhuatanga e pā ana te rere i roto i ngā whānau. Hei tauira, mēnā kei a koe te hītori whānau o ngā pēhanga o te roro, i ētahi momo mate pūngāwerewere rānei, ka nui ake pea tō tūponotanga ki te whanake i ngā āhuatanga ka ārahi pea ki te mate Horner. Heoi, ko te nuinga o ngā take ka puta mai i ngā āhuatanga whiwhi, kāore i ngā take ira.
Ka taea e ngā tamariki te whanake i te mate Horner?
Āe, ka taea e ngā tamariki te whanake i te mate Horner, ahakoa he iti ake i ngā pakeke. I te wā ka puta ki ngā tamariki, kei te noho pea mai i te whānau na te whara whānau, i ngā raruraru whanaketanga rānei. Ka taea e te mate Horner o te tamarikitanga te whakaputa i ngā rerekētanga pumau i te tae kanohi, me te kanohi e pā ana e puta mai ana he mārama ake. Ki tua atu, ka pā te āhuatanga ki ngā tamariki rite tonu ki ngā pakeke.
Te tere o te whanaketanga o te mate Horner?
Ko te tīmatanga e whakawhirinaki ana ki te take kei muri. Ki te puta mai i te pēhanga o te roro, i te whara ohorere rānei, ka puta pea ngā tohu i roto i ngā haora, i ngā rā rānei. Mō ngā āhuatanga pērā i ngā mate pūngāwerewere e whanake ana i te wā roa, ka puta pea te mate Horner i te wā roa i roto i ngā wiki, i ngā marama rānei. Ka kite ētahi i ngā huringa i te wa tonu, ka kite ētahi i te wā ka tohu tetahi atu i te kore rite o te mata.
