Cudurka mononeuropathy VI

Cranial mononeuropathy VI waa cillad neerfaha. Waxay ku dhacdaa shaqada neerfaha lixaadka (dhakada). Sidaas darteed, qofku wuxuu yeelan karaa aragti laba-laab ah.

Cranial mononeuropathy VI waa dhaawac soo gaadha dareemaha lixaad ee maskaxda. Dareemahaan waxaa sidoo kale loo yaqaannaa abducens nerve. Waxay kaa caawinaysaa inaad ishaada u weeciso dhanka macbudkaaga.

Cilladaha dareemahan waxay ku dhici karaan:

• Aneurysms maskaxda
• Dhaawaca neerfaha ee sonkorowga (cudurka macaanka ee cudurka macaanka)
• Cudurka 'Gradenigo Syndrome' (oo sidoo kale sababa dheecaan ka yimaada dhagta iyo isha xanuun)
• Cudurka 'Tolosa-Hunt syndrome', barar ku dhaca aagga isha gadaashiisa
• Cadaadiska ku kordhay ama yaraaday madaxa
• Caabuqyada (sida cudurka qoorgooyaha ama sanbabka)
• Multiple sclerosis (MS), cudur ku dhaca maskaxda iyo lafdhabarta
• Uurka
• Faalig
• Dhaawac (oo ka dhasha dhaawaca madaxa ama shil inta lagu jiro qalliinka)
• Burooyinka ku wareegsan ama gadaasha isha

Sababta saxda ah ee curyaaminta neerfaha maskaxda ee la xiriira tallaalka lama yaqaan.

Sababtoo ah waxaa jira dariiqyo dareemayaal caadi ah oo loo maro madaxa, isla cilladdaas oo waxyeello u geysata dareemaha lixaad ee maskaxda ayaa saameyn ku yeelan kara neerfaha kale ee maskaxda (sida dareemaha maskaxda saddexaad ama afraad)

Marka dareemaha lixaad ee cranial uusan si sax ah u shaqeynaynin, indhahaaga uma jeedin karo xaggaaga xagga dhegta. Weli waad u dhaqaajin kartaa ishaada kor, hoos, iyo dhanka sanka, ilaa neerfaha kale aysan saameyn.

Calaamadaha waxaa ka mid noqon kara:

• Aragti laba-geesood ah markaad u jeeddo hal dhinac
• Madax xanuun
• Xanuun isha ku hareeraysan

Imtixaanadu badanaa waxay muujiyaan in hal il ay dhib ku tahay fiirinta dhinaca halka isha kale ay si caadi ah u socoto. Baadhitaanku wuxuu muujinayaa in indhuhu ayna safka dhiganaynin nasasho ama marka ay u jeedaan jihada isha daciifka ah.

Bixiyahaaga daryeelka caafimaad wuxuu sameyn doonaa baaritaan dhameystiran si loo ogaado saameynta ay ku yeelan karto qeybaha kale ee nidaamka dareenka. Iyada oo ku xidhan sababta loo tuhunsan yahay, waxaad u baahan kartaa:

• Tijaabooyinka dhiigga
• Daraasada sawirka madaxa (sida MRI ama CT scan)
• Qalliinka laf-dhabarka (dalool lumbar)

Waxaad u baahan kartaa in laguu gudbiyo dhakhtar ku takhasusay dhibaatooyinka aragga ee la xiriira nidaamka neerfaha (neuro-ophthalmologist).

Haddii daryeel bixiyahaagu soo ogaado barar ama barar, ama agagaarka neerfaha, daawooyinka loo yaqaan 'corticosteroids' ayaa la isticmaali karaa.

Mararka qaarkood, xaaladdu way baaba'daa daaweyn la'aan. Haddii aad sonkorow qabto, waxaa lagugula talinayaa inaad si adag u xakameyso heerka sonkorta dhiiggaaga.

Bixiyaha ayaa laga yaabaa inuu kuu qoro balastar indhaha ah si loo yareeyo aragtida laba-laabka ah. Balastarka ayaa la soo saari karaa ka dib marka neerfaha bogsiiyo ka dib.

Qalliinka waa lagula talin karaa haddii uusan soo kabasho jirin 6 illaa 12 bilood.

Daweynta sababtu waxay hagaajin kartaa xaaladda. Soo-kabashada waxay badanaa ku dhacdaa 3 bilood gudahood dadka waaweyn ee waaweyn ee qaba dhiig-kar ama sonkorow. Fursad yar ayaa ka soo kabaneysa haddii ay dhacdo in curyaannimo buuxda ay ku dhacdo dareemaha lixaad. Fursadaha ka soo kabashada ayaa ka yar carruurta marka loo eego dadka waaweyn haddii ay dhacdo dhaawac maskaxeed oo dareemayaasha ah. Soo-kabashada ayaa inta badan la dhammaystiraa haddii ay suuxdinta lixaad ee dareemayaasha carruurnimada.

Dhibaatooyinka waxaa ka mid noqon kara isbedel aragga oo joogto ah.

Wac adeeg bixiyahaaga haddii aad leedahay laba aragti.

Ma jirto wado looga hortagi karo xaaladdan. Dadka qaba sonkorowgu waxay yareyn karaan halista iyagoo xakameynaya sonkorta dhiigooda.

Curyaanimada ayuu curyaamiyaa; Wuxuu yareyaa curyaanka; Curyaanka dhabarka ee dambe; VIth neerfayaasha; Cudurka 'Cranial nerve VI palsy'; Curyaanka lixaad; Neuropathy - dareemaha lixaad

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

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Olitsky SE, Marsh JD. Cilladaha dhaqdhaqaaqa isha iyo iswaafajinta. Gudaha: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Buugga Buugga Caafimaadka Caruurta. 21aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 641.

Rucker JC. Neuro-ophthalmology. Gudaha: Winn HR, ed. Youmans iyo Qalliinka neerfaha ee Winn. 7aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 8.

Tamhankar MA. Dhibaatooyinka dhaqdhaqaaqa isha: seddexaad, afaraad, iyo lixaad xanuunnada neerfaha iyo sababaha kale ee loo yaqaan 'diplopia' iyo cilladda indhaha. Gudaha: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, iyo Galetta Neuro-Ophthalmology. 3aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 15.