Ukuthi yini i-Horner Syndrome? Izimpawu, Izimbangela, Nokwelapha

I-Horner syndrome iyisimo esingavamile sezifo zezinzwa esithinta ohlangothini olulodwa lobuso bakho neso. Kwenzeka lapho izindlela ezithile zezinzwa eziqondisa umfundi wakho, i-eyelidi, nokukhishwa kwezinhlungu ebusweni ziyaphazanyiswa noma zonakale.

Ungase uqaphele ukuthi umfundi munye ubonakala mncane kunomunye, i-eyelidi yakho ephezulu iyahleka kancane, noma awukhishisi ukhulu ohlangothini olulodwa lobuso bakho. Nakuba lezi zinguquko zingase zizizwe zikhathaza, i-Horner syndrome ngokwayo ayilimazi. Okubalulekile ukuqonda ukuthi yini ebangela ukuphuza kwezinzwa ukuze udokotela wakho akwazi ukubhekana nanoma yiziphi izinkinga eziyisisekelo.

Zithini izimpawu ze-Horner syndrome?

Uphawu oluqaphelekayo kakhulu yilona luhlanganisela lwezinguquko zamehlo nobuso ezivela ngohlangothini olulodwa kuphela. Iso lakho elithintekayo lizobukeka lihlukile kuneloso lakho elijwayelekile ngezindlela ezithile.

Nanku engase ukubone uma une-Horner syndrome:

• Umfundi omncane (miosis): Umfundi ohlangothini oluthintekayo uhlala mncane kunomunye, ikakhulukazi ekukhanyeni okumnyama
• I-eyelidi ephezulu ehlala phansi (ptosis): I-eyelidi yakho ephezulu iyahleka phansi, nakuba ngokuvamile kancane nje
• Ukunciphisa ukukhishwa kwezinhlungu (anhidrosis): Uzoqeda ukukhishwa kwezinhlungu ngohlangothini oluthintekayo lobuso bakho kanye nomhlane mhlawumbe
• Ukubukeka kweso elihlala phansi: Iso lakho lingase libukeke njengokuthi lihlala jikelele e-socket
• Amehlo ahlukene umbala: Kwezinye izikhathi, ikakhulukazi uma uke waba ne-Horner syndrome kusukela ekuzalweni, iso elithintekayo lingase libe lukhanya ngombala

Lezi zimpawu ngokuvamile zithuthukela ndawonye futhi zihlale zinzima isikhathi eside. Iinguquko ngokuvamile ziyancipha kodwa ziqapheleka kakhulu uma uqhathanisa izinhlangothi zombili zobuso bakho esibukweni.

Yini ebangela i-Horner syndrome?

I-Horner syndrome ithuthukela lapho okuthile kuphazamisa indlela yezinzwa ezizimele ezihamba ebuchosheni bakho ziye ebusweni nasesoni. Le ndlela inezigaba ezintathu eziyinhloko, futhi ukonakala kungase kwenzeke noma kuphi kule ndlela.

Izimbangela ezivamile zihlanganisa:

• Isifo sobuchopho: Ikakhulukazi izifo zezinzwa ezithinta ubuchopho noma umgogodla
• Ukuvuvukala kwamaphaphu: Ikakhulukazi lawo asekugcineni kwamaphaphu eduze nemithambo-lukhuni emikhulu
• Ukulimala kwentamo: Kuhlanganisa nokuhlwitha, izinqubo zokucubungula, noma ukulimala endaweni yentamo
• Izinkinga ze-carotid artery: Njengokwahlukaniswa noma i-aneurysms emithamboselukhuni enkulu yentamo
• Izinhlungu zeqembu: Abanye abantu bathuthukisa i-Horner syndrome yesikhashana ngesikhathi seziqephu zezinhlungu ezinkulu
• Ukuvuvukala komgogodla: Ukukhula okucindezela izindlela zezinzwa emagxeni aphezulu

Izimbangela ezingavamile kodwa ezibalulekile zihlanganisa i-multiple sclerosis, imithi ethile, nokulimala kokuzalwa. Ngezinye izikhathi, ikakhulukazi kubantwana, i-Horner syndrome ingase ibe khona kusukela ekuzalweni ngenxa yezinkinga zokuthuthukiswa noma ukulimala kokuzalwa.

Kwezinye izikhathi, odokotela abakwazi ukubona imbangela ethile. Lokhu akusho ukuthi okuthile okukhulu kuyaqalekwa - ngezinye izikhathi ukuphuza kwezinzwa kuncane kangangokuthi ukuhlolwa okujwayelekile akunakukubona.

Nini okufanele ubheke udokotela nge-Horner syndrome?

Kufanele ubheke udokotela ngokushesha uma uqaphela ukuhlanganiswa okujwayelekile komfundi omncane, i-eyelidi ehlala phansi, nokunciphisa ukukhishwa kwezinhlungu ngohlangothini olulodwa lobuso bakho. Nakuba i-Horner syndrome ngokwayo ingesona isimo esiphuthumayo, ingase ibonise izimo eziyisisekelo ezidinga ukunakekelwa.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana ne-Horner syndrome kanye noku:

• Inhlungu enkulu yekhanda noma yentamo
• Ubunzima bokukhuluma noma ukugwinya
• Ubuthakathaka noma ukungabi namandla ezingalweni noma ezinyaweni zakho
• Iinguquko zombono ngaphezu kokwehluka komfundi
• Ubuhlungu obukhulu besifuba noma ubunzima bokuqeda umoya

Ngisho noma ungenazo lezi zimpawu eziphuthumayo, kuwukuhlakanipha ukuhlela i-aphoyintimenti ezinsukwini ezimbalwa. Udokotela wakho uzofuna ukuqonda ukuthi yini ebangela ukuphuza kwezinzwa nokuthi ukwelashwa kuyadingeka yini.

Zithini izici ezingase zikubeke engozini ye-Horner syndrome?

Izici ezithile zingakwenza kube lula ukuthuthukisa izimo eziyisisekelo eziholela e-Horner syndrome. Ukuqonda lezi zici ezingase zikubeke engozini kungakusiza ukuthi uhlale uqaphele izimpawu zokuqala.

Izici eziyinhloko ezingase zikubeke engozini zihlanganisa:

• Iminyaka engaphezu kuka-50: Ingozi enkulu yezifo zezinzwa, ukuvuvukala, nezinkinga zemithambo-lukhuni
• Umbukiso wokubhema: Yandisa ingozi yokuqala kwezifo zamaphaphu nezifo zemithambo-lukhuni
• Ukuhlinzwa kwentamo kwangaphambili: Noma iyiphi inqubo eduze kwemithambo-lukhuni emikhulu noma izinzwa
• Umbukiso we-migraines: Ikakhulukazi izinhlungu zeqembu, ezingase zibangele i-Horner syndrome yesikhashana
• Uxinzelelo lwegazi oluphezulu: Lungase lubeka emithamboselukhuni ebangela izinkinga zezinzwa
• Umbukiso womndeni wesifo semithambo-lukhuni: Ukugcina ngokuzalwa kwezinkinga ze-artery

Ukuba nalezi zici ezingase zikubeke engozini akusho ukuthi uzoba ne-Horner syndrome. Zibonisa nje ukuthi kufanele uqaphele kakhulu izimpawu futhi ugcine ukunakekelwa okujwayelekile kwezokwelapha ukuze ulungise izimo zempilo eziyisisekelo.

Zithini izinkinga ezingase zenzeke nge-Horner syndrome?

I-Horner syndrome ngokwayo ayibangeli izinkinga ezinkulu. Ukukhathazeka okuyinhloko kuhilela isimo esiyisisekelo esibangela ukuphuza kwezinzwa kunokuba izimpawu zesimo.

Izinkinga ezingase zenzeke kakhulu zihlanganisa:

• Ukubona okulimazayo kwezimo ezinkulu: Ukwehluleka ukubona ukuvuvukala, izifo zezinzwa, noma izinkinga zemithambo-lukhuni
• Ukukhathazeka ngokubukeka: Abanye abantu bazizwa benesithukuthezi ngokungalingani kobuso
• Ukukhanya okukhulu: Umfundi othintekayo awukhanyi kahle, okungase kubangele ukungakhululeki okuncane ekukhanyeni okukhulu
• Ukuqhubeka kwesifo esiyisisekelo: Uma imbangela yengxaki ingalashwa, ingase ibe mbi ngokuhamba kwesikhathi

Kwezinye izikhathi lapho i-Horner syndrome ithuthukela ebuntwaneni, abantwana bangase babe nombala wamehlo ohlukile unomphela. Lokhu kuyinto yokubukeka kuphela futhi akukuthinti ukubona noma impilo yamehlo.

Iphuzu eliyinhloko ukuthi ukulungisa imbangela yengxaki kubaluleke kakhulu kunokuphatha izimpawu ze-Horner syndrome ngokwayo. Ngokuxilongwa okuhle nokwelashwa kwengxaki yengxaki, abantu abaningi babona ukuthuthuka noma ukuzinza kwezimpawu zabo.

I-Horner syndrome ixilongwa kanjani?

Udokotela wakho uzoqala ngokuhlola amehlo akho nobuso bakho ngokucophelela, efuna izici zomfundi omncane, i-eyelidi ehlala phansi, nokunciphisa ukukhishwa kwezinhlungu ngohlangothini olulodwa. Bazophinde bahlole ukuthi abafundi bakho basabela kanjani ekukhanyeni nasezinye izintuli zamehlo.

Inqubo yokuxilonga ngokuvamile ihlanganisa:

• Ukuhlolwa komzimba: Ukubheka usayizi womfundi, isikhundla se-eyelidi, nezindlela zokukhishwa kwezinhlungu ebusweni
• Izivivinyo ze-eye drop: Izintuli ezikhethekile zisiza ukuqinisekisa ukuxilongwa nokufaka lapho inkinga yezinzwa ivela khona
• Ukuhlaziywa komlando wezokwelapha: Ingxoxo mayelana nokulimala kwamuva, ukuhlinzwa, izinhlungu zikhanda, noma ezinye izimpawu
• Izifundo zokuthwebula izithombe: I-MRI noma i-CT scans yobuchopho bakho, intamo, nesifuba ukuze ubone izimbangela eziyisisekelo
• Izivivinyo zegazi: Ngezinye izikhathi kudingeka ukuhlola izimo ezithile

Ivivinyo le-eye drop liwusizo kakhulu. Udokotela wakho angase asebenzise izintuli ezenza abafundi abajwayelekile babekhulu - uma une-Horner syndrome, umfundi othintekayo ngeke asabela ngendlela efanayo njengeso lakho elihle.

Ukufumana imbangela yengxaki ngokuvamile kudinga ukuthwebula izithombe okuningiliziwe. Udokotela wakho angase a-ode izithombe zezindawo ezihlukene kuye ngezimpawu zakho nokutholwa kokuhlola. Le nqubo ingathatha isikhathi esithile, kodwa kubalulekile ekutholeni indlela yokwelapha efanele.

Ukuphathwa kwe-Horner syndrome kuyini?

Ukuphathwa kwe-Horner syndrome kugxile ekulungiseni isimo esiyisisekelo esibangela ukuphuza kwezinzwa. Izimpawu zesimo ngokwazo - umfundi omncane, i-eyelidi ehlala phansi, nokunciphisa ukukhishwa kwezinhlungu - ngokuvamile azidingi ukwelashwa okuthile.

Izindlela zokwelapha ziyahluka kuye ngembangela yengxaki:

• Ezihlobene nesifo sobuchopho: Imithi yokuncipha kwegazi, ukuphathwa kokucindezeleka kwegazi, nokwelashwa kokuvuselela
• Ezihlobene nokuvuvukala: Ukuhlinzwa, i-chemotherapy, noma i-radiation therapy kuye ngohlobo nendawo
• Izinkinga zemithambo-lukhuni: Imithi yokuvimbela ukugqwala kwegazi noma ukulungiswa kokucubungula kwemithambo-lukhuni eyonakele
• Izinhlungu zeqembu: Imithi yokuvimbela nezindlela zokwelapha ezikhethekile zeziqephu zezinhlungu zikhanda
• Ezihlobene nokulimala: Ngokuvamile zithuthuka ngokwazo ngokuhamba kwesikhathi njengoba izinzwa zilulama

Kwezinye izikhathi, ikakhulukazi lapho imbangela yengxaki ilashwe ngempumelelo, izimpawu ze-Horner syndrome zingase zithuthuke ngokuphelele noma ngokuphelele. Noma kunjalo, uma ukonakala kwezinzwa kuphakade, izimpawu zingase zihlale isikhathi eside.

Ngokuqondene nokukhathazeka ngokubukeka, abanye abantu bakhetha ukusebenzisa amasu okwenza ubuhle ukuze banciphise ukubukeka kokungalingani kobuso. Kwezinye izikhathi, izinketho zokucubungula zingase zicatshangelwe ngokwehlala phansi kwe-eyelidi, nakuba lokhu ngokuvamile akudingeki.

Indlela yokuphatha i-Horner syndrome ekhaya?

Nakuba ungakwazi ukwelapha inkinga yezinzwa ezingaphansi ekhaya, kunezindlela ezilula zokuphatha imiphumela yansuku zonke ye-Horner syndrome nokukhuthaza iso lakho elithintekile.

Nanku izinyathelo ezisebenzayo ongazithatha:

• Vikela amehlo akho ekukhanyeni okukhulu: Gqoka izibuko zokukhanya ngaphandle njengoba umfundi wakho othintekayo angalungisi kahle
• Sebenzisa izinyembezi ezibonakalayo uma kudingeka: Abanye abantu bahlangabezana nokoma kwamehlo okuncane, ikakhulukazi uma i-eyelidi ingavalwa ngokuphelele
• Qapha iinguquko: Gcina ulandelela ukuthi izimpawu ziya mbi yini noma izimpawu ezintsha zivela
• Landela njalo: Hlanganyela kuwo wonke ama-aphoyintimenti ahlelwe ukuze uqaphele isimo esiyisisekelo
• Hlala uthambile: Njengoba ukhishwa ukhulu ngohlangothini oluthintekile, qaphela kakhulu ebukhoneni

Abantu abaningi bazivumelanisa kahle nokuhlala ne-Horner syndrome. Iinguquko zobumodeli ngokuvamile ziyancipha kangangokuthi azithinti kakhulu imisebenzi yansuku zonke noma ukuzethemba.

Khumbula ukuthi ukuphatha isimo esiyisisekelo kuyinto ebaluleke kakhulu ekunakekelweni kwakho. Thatha yonke imithi njengoba kulotshwe futhi ulandele izeluleko zikadokotela wakho zokulandelela nokwelashwa okuqhubekayo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho yodokotela?

Ukuza ulungile e-aphoyintimenti yakho kusiza udokotela wakho ukuba enze ukuxilongwa okuchane kanye nokuthuthukisa uhlelo lokwelapha oluhle kakhulu. Cabanga ngesikhathi oqale ukubona izimpawu kanye nezinye iinguquko zempilo ozibonile muva nje.

Ngaphambi kwendwendwelo yakho, buza lolu lwazi:

• Isikhathi sesimpawu: Uqale nini ukubona iinguquko zamehlo nobuso
• Imicimbi yempilo yakamuva: Noma yikuphi ukulimala, ukuhlinzwa, izinhlungu zikhanda ezinkulu, noma izifo ezinyangeni ezimbalwa ezedlule
• Imithi yamanje: Faka imithi, imithi engaphezu kokuthengiswa, kanye nezinsiza
• Umbukiso wezokwelapha: Ukuhlinzwa kwangaphambili, ikakhulukazi okuhilela intamo yakho, isifuba, noma ikhanda
• Umbukiso womndeni: Noma yimiphi izihlobo ezinezifo zezinzwa, ukuvuvukala, noma izimo ezingavamile zezinzwa

Letha izithombe uma unezithombe ezikubonisa ukuthi ubuso bakho namehlo abekubukeka kanjani ngaphambi kokuba izimpawu ziqale. Lokhu kungasiza udokotela wakho ukuba abone iinguquko ngokucacile.

Bhala phansi imibuzo ofuna ukuyibuza, njengokuthi yiziphi izivivinyo ezingase zidingwe, uzowuthola nini umphumela, nezinyathelo ezilandelayo ezizokwenzeka. Unganqikazi ukubuza udokotela wakho ukuba achaze noma yini ongayiqondi - lokhu yisimo sakho sempilo, futhi ufanele uthole izimpendulo ezicacile.

Yini eyinhloko nge-Horner syndrome?

I-Horner syndrome iyisimo esiphatheka kalula esisebenza njengophawu oluqakathekile ngempilo yakho yezinzwa. Nakuba iinguquko zobuso namehlo zingase zikhathaze uma uziqaphela okokuqala, isimo ngokwalo asilimazi noma asibuhlungu.

Into ebaluleke kakhulu okumele uyiqonde ukuthi i-Horner syndrome ngokuvamile iyisimo sesinye into kunokuba yisifo ngokwalo. Ukufumana ukuhlolwa kwezokwelapha okuhle kusiza ukubona nokwelapha noma yiziphi izimo eziyisisekelo ezidinga ukunakekelwa.

Abantu abaningi abane-Horner syndrome baphila impilo evamile, esebenzayo. Okubalulekile ukusebenzisana neqembu lakho lokukhathalela impilo ukuze ulungise imbangela yengxaki futhi uqaphele impilo yakho yonke. Ngokunakekelwa okuhle nokulandelwa, ungazethemba ngokuphatha lesi simo ngempumelelo.

Imibuzo evamile ebuzwa mayelana ne-Horner syndrome

Ingabe i-Horner syndrome ingaphela ngokwayo?

Ngezinye izikhathi i-Horner syndrome ingase ithuthuke noma iphele ngokuphelele, ikakhulukazi uma ibangelwa izimo zesikhashana njengezinhlungu zeqembu noma ukuvuvukala okuncane kwezinzwa. Noma kunjalo, uma ukonakala kwezinzwa kuphakade, izimpawu ngokuvamile zihlala isikhathi eside. Ithuba elihle kakhulu lokuthuthuka livela ekwelapheni ngempumelelo noma yini ebangela ukuphuza kwezinzwa.

Ingabe i-Horner syndrome ithonya ukubona noma ibangela ubuthakathaka?

I-Horner syndrome ayibangeli ubuthakathaka noma ithinte kakhulu ukubona kwakho. Umfundi omncane angase akwenze ube nomuzwa wokukhanya okukhulu, futhi ungase uqaphele ubunzima bokuqonda ezimweni ezimnyama kakhulu, kodwa le miphumela ngokuvamile iyancipha. Impilo yamehlo akho nokuqina kokubona kuyahlala kujwayelekile - iinguquko ziyizinto zokubukeka kuphela.

Ingabe i-Horner syndrome iyefa noma iyizinto zokuzalwa?

I-Horner syndrome ngokwayo ayitholwa ngokuqala, kodwa ezinye izimo eziyibangela zingase ziqhubeke emindenini. Isibonelo, uma unembukiso womndeni wezifo zezinzwa noma izinhlobo ezithile zokuvuvukala, ungase ube nengozi enkulu yokuthuthukisa izimo ezingase ziholele e-Horner syndrome. Noma kunjalo, izimo eziningi zenzeka ngenxa yezimo ezitholwe kunokuba zibe yizinto zokuzalwa.

Ingabe abantwana bangaba ne-Horner syndrome?

Yebo, abantwana bangaba ne-Horner syndrome, nakuba kungavamile kunabantu abadala. Uma kwenzeka kubantwana, ngokuvamile ivela ekuzalweni ngenxa yokulimala kokuzalwa noma izinkinga zokuthuthukiswa. I-Horner syndrome yebantwana ingase ibangela umehluko ophakade emibalabala yamehlo, lapho iso elithintekayo libonakala likhanya. Ngaphandle kwalokho, isimo sithinta abantwana ngendlela efanayo njengabantu abadala.

I-Horner syndrome ithuthukela ngokushesha kangakanani?

Ukuqala kuyahluka kuye ngembangela yengxaki. Uma kungenxa yesifo sobuchopho noma ukulimala okungazelelwe, izimpawu zingase zivela emahoreni noma ezinsukwini. Ngokwezimo ezinjengokuvuvukala okuthuthukela kancane kancane, i-Horner syndrome ingase ibonakale kancane kancane emasontweni noma ezinyangeni. Abanye abantu baqaphela iinguquko ngokushesha, kanti abanye bayazi kuphela lapho omunye umuntu ekhomba ukungalingani kobuso.