Cranial mononeuropathy III - nooca macaanka

Noocaan sonkorowga ah ee 'mononeuropathy III' cranial mononeuropathy III waa cilad-sonkorowga. Waxay keentaa aragga laba-laabka ah iyo baalasha indhaha oo hoos u dhaca.

Daawada 'Mononeuropathy' waxaa loola jeedaa in kaliya hal neerfaha ay dhaawacan tahay. Cilladaan waxay saameysaa neerfaha saddexaad ee maskaxda. Tani waa mid ka mid ah neerfaha maskaxda ee xakameynaya dhaqdhaqaaqa indhaha.

Waxyeellada noocan ah waxay dhici kartaa iyadoo ay weheliso neuropathy durugsan oo macaan leh. Cranial mononeuropathy III waa cilladaha dareemayaasha cranial ugu badan ee dadka qaba sonkorowga. Waxay u sabab tahay dhaawaca soo gaadhay xididdada dhiigga ee yaryar ee quudiya dareemayaasha.

Cranial mononeuropathy III sidoo kale wuxuu ku dhici karaa dadka aan qabin cudurka macaanka.

Calaamadaha waxaa ka mid noqon kara:

• Aragti laba-geesood ah
• Mid ka mid ah baalasha indhaha (ptosis)
• Xanuun ku wareegsan isha iyo foodda

Neuropathy badanaa waxay ku soo baxdaa 7 maalmood gudahood laga bilaabo xanuunka.

Baadhitaanka indhaha ayaa la ogaan doonaa in dareemaha saddexaad oo keliya ay waxyeello gaadhay ama haddii neerfaha kale ay iyaguna waxyeello gaadheen. Calaamadaha waxaa ka mid noqon kara:

• Indho aan iswaafajin
• Falcelinta ardayda ee had iyo jeer caadi 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
• Tijaabooyinka lagu eegayo xididdada dhiigga ee maskaxda (cerebral angiogram, CT angiogram, MR angiogram)
• MRI ama CT scan maskaxda
• Qalliinka laf-dhabarka (dalool lumbar)

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

Ma jiro daaweyn gaar ah oo lagu saxo dhaawaca neerfaha.

Daaweynta lagu caawinayo astaamaha waxaa ka mid noqon kara:

• Xir xakamaynta heerka sonkorta dhiigga
• Indha-indheynta ama muraayadaha indhaha leh ee loo yaqaan 'prisms' si loo yareeyo aragga araga
• Daawooyinka xanuunka
• Daaweynta Antiplatelet
• Qalliin si loo saxo indha-sarcaadka soo dhacaya ama indhaha oo aan iswaafaqsanayn

Dadka qaar ayaa laga yaabaa inay ka bogsadaan daaweyn la'aan.

Saadaashu waa fiican tahay. Dad badan ayaa ka roonaada 3 ilaa 6 bilood. Si kastaba ha noqotee, dadka qaarkood waxay leeyihiin daciifnimo muruqa isha ah.

Dhibaatooyinka waxaa ka mid noqon kara:

• Indho-beel joogto ah oo soo dhacaya
• Aragtida joogtada ah ayaa isbedeleysa

Wac adeeg bixiyahaaga haddii aad laba indhood leedahay oo uusan daqiiqado ku dhammaanaynin, gaar ahaan haddii aad sidoo kale leedahay indha-sarcaad hoos u dhacaya.

Xakamaynta heerka sonkorta dhiiggaaga ayaa yareyn karta halista ah inuu ku dhaco cilladan.

Cudurka neerfaha saddexaad ee kaadiheysta; Curyaannimo dareemaha saddexaad ee ardayga; Cudurka neuropathy ee indhaha

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

Brownlee M, Aiello LP, Sun JK, Cooper ME, Feldman EL, Plutzky J, Boulton AJM. Dhibaatooyinka sonkorowga mellitus. Gudaha: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Buugga Buugga Endocrinology. 14aad. Philadelphia, PA: Elsevier; 2020: baab 37.

Guluma K. Diplopia. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 18.

Stettler BA. Maskaxda iyo cilladaha neerfaha cranial. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 95.