Cudurka mononeuropathy III

Cranial mononeuropathy III waa cillad neerfaha. Waxay ku dhacdaa shaqada neerfaha saddexaad ee cranial. Natiijo ahaan, qofku wuxuu yeelan karaa aragti laba-laab ah iyo baalasha indhaha oo hoos u dhacaya.

Mononeuropathy waxaa loola jeedaa in kaliya hal dareere ay saameyneyso. Cilladaan waxay saameysaa neerfaha saddexaad ee maskaxda. Tani waa mid ka mid ah neerfaha maskaxda ee xakameynaya dhaqdhaqaaqa indhaha. Sababaha waxaa ka mid noqon kara:

• Aneurysm maskaxda
• Caabuqyada
• Xididdada dhiigga ee aan caadiga ahayn (cilladaha xididdada dhiigga)
• Dhiig xinjirowga
• Waxyeellada unugyada ee luminta socodka dhiigga (infarction)
• Dhaawac (ka soo gaadhay madaxa ama shil u sababay qalliinka)
• Burooyin ama koriimo kale (gaar ahaan burooyinka salka maskaxda iyo qanjirka 'pituitary gland')

Marar dhif ah, dadka qaba madax xanuunka dhanjafku waxay dhibaato ku meel gaar ah ku qabaan dareemaha oculomotor. Tan waxay u badan tahay inay sabab u tahay murqaha xididdada dhiigga. Xaaladaha qaarkood, sabab looma heli karo.

Dadka qaba sonkorowgu sidoo kale waxay yeelan karaan neuropathy ee dareemaha saddexaad.

Calaamadaha waxaa ka mid noqon kara:

• Aragti laba-geesood ah, taas oo ah astaamaha ugu caansan
• Mid ka mid ah baalasha indhaha (ptosis)
• Arday weyn oo aan weyneyn markii iftiinku ka iftiimo
• Madax xanuun ama indho xanuun

Astaamo kale ayaa dhici kara haddii sababtu tahay buro ama barar maskaxda ah. Yaraynta feejignaanta waa halis, maxaa yeelay waxay astaan ​​u noqon kartaa dhaawaca maskaxda ama geeri soo socota.

Baadhitaanka indhaha ayaa laga yaabaa inuu muujiyo:

• Weyn (weynaaday) ardayga isha ay saameysay
• Ciladaha dhaqdhaqaaqa isha
• Indho aan iswaafajin

Bixiyahaaga daryeel caafimaad ayaa sameyn doona baaritaan dhameystiran si loo ogaado in qeybaha kale ee habdhiska dareenka ay saameyn ku yeelatay. Iyada oo ku xidhan sababta loo tuhunsan yahay, waxaad u baahan kartaa:

• Tijaabooyinka dhiigga
• Tijaabooyinka lagu eegayo xididdada dhiigga ee maskaxda (maskaxda maskaxda, CT angiogram, ama 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 nidaamka neerfaha (neuro-ophthalmologist).

Dadka qaarkiis way ku ladnaadaan daaweyn la'aan. Daaweynta sababta (haddii la heli karo) waxay yareyn kartaa astaamaha.

Daaweynta kale ee lagu yareeyo calaamadaha waxaa ka mid noqon kara:

• Daawooyinka 'Corticosteroid' si loo yareeyo bararka loona yareeyo cadaadiska ku dhaca neerfaha (marka ay sababaan buro ama dhaawac)
• Indha-indheynta ama muraayadaha indhaha leh ee loo yaqaan 'prisms' si loo yareeyo aragga araga
• Daawooyinka xanuunka
• Qalliin lagu daaweeyo hoos u dhaca indhaha ama indhaha oo aan iswaafaqsanayn

Dadka qaar ayaa ka jawaabi doona daaweynta. In yar oo kale, indho-indheyn joogto ah ama luminta dhaqdhaqaaqa isha ayaa dhici doona.

Sababaha sida bararka maskaxda ee buro ama istaroog, ama maskaxda oo ku soo boodda ayaa laga yaabaa inay nafta halis geliso.

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.

Si dhakhso leh loo daaweeyo ciladaha ku riixi kara neerfaha ayaa yareyn kara halista ah inuu ku dhaco mononeuropathy III.

Curyaanimada sedexaad ee cranial; Cudurka Oculomotor; Curyaannimo dareemaha saddexaad ee ardaygu ku lug leeyahay; Mononeuropathy - nooca riixo

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

Rucker JC, Thurtell MJ. Cudurada neerfaha. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 104.

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.

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.