Cudurka 'Horner syndrome'

Cudurka 'Horner syndrome' waa xaalad naadir ah oo ku dhacda neerfaha isha iyo wajiga.

Cudurka 'Horner Syndrome' waxaa sababi kara carqaladeyn kasta oo ku dhacda taxane ah fiilooyin neerfaha oo ka bilaabma qeybta maskaxda ee loo yaqaan 'hypothalamus' una safra wejiga iyo indhaha. Fiilooyinka neerfaha waxay ku lug leeyihiin dhidid, ardayda indhahaaga, iyo muruqyada baalalka indhaha iyo kore.

Dhaawaca fiilooyinka neerfaha waxay ka dhalan karaan:

• Dhaawaca halbowlaha carotid, mid ka mid halbowlayaasha maskaxda
• Dhaawaca dareemayaasha salka qoorta oo loo yaqaan 'brachial plexus'
• Madax xanuunka dhanjafka ama kutlada
• Faalig, buro, ama waxyeelo kale oo soo gaadha qayb maskaxda ka mid ah oo loo yaqaan maskaxda maskaxda
• Buro ku taal dusha sare ee sanbabada, inta u dhexeysa sanbabada, iyo qoorta
• Cirbado ama qalliin loo sameeyay si loo joojiyo fiilooyinka neerfaha oo loo yareeyo xanuunka (xanuunka)
• Dhaawaca lafdhabarta

Marar dhif ah, Horner syndrome ayaa jirta dhalashada. Xaaladdu waxay ku dhici kartaa midab yar (midab-kala-soocid) iris (qaybta isha midabkeedu yahay).

Calaamadaha cudurka 'Horner syndrome' waxaa ka mid noqon kara:

• Hoos u dhidid dhidid dhinaca wajiga ah
• Dhimasho baalal (ptosis)
• Laydhka kubbadda isha wajiga
• Cabbirro kala duwan oo ardayda indhaha ah (anisocoria)

Waxaa sidoo kale jiri kara astaamo kale, iyadoo kuxiran meesha uu kujiro faybarka neerfaha. Kuwaas waxaa ka mid noqon kara:

• Vertigo (dareen ah in hareeraheeda ay wareegayaan) lallabbo iyo matag
• Aragti laba-geesood ah
• La'aanta xakameynta muruqyada iyo isku-duwidda
• Gacan xanuun, daciifnimo iyo kabuubyo
• Hal qoor iyo dhinac dheg xanuun ah
• Cabaadis
• Dhego beelid
• Dhibaatada kaadiheysta iyo caloosha
• Xad-dhaaf ah nidaamka neerfaha ee qasabka ah (madax-bannaan) si loo kiciyo (hyperreflexia)

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed wuxuuna weydiin doonaa astaamaha.

Baadhitaanka indhaha ayaa laga yaabaa inuu muujiyo:

• Isbeddelada ku saabsan sida ardaygu ufuro ama u xiro
• Indhaha oo soo daadanaya
• Indho cas

Waxay kuxirantahay sababta looga shakisan yahay, baaritaanada waa la sameyn karaa, sida:

• Tijaabooyinka dhiigga
• Baadhitaanka marinnada dhiigga ee madaxa (angiogram)
• Raajo laabta ah ama baaritaanka CT laabta
• 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).

Daaweyntu waxay kuxirantahay sababta asalka u ah xaalada. Ma jiro wax daaweyn ah oo loo hayo Horner syndrome laftiisa. Ptosis waa mid aad u fudud oo xaaladaha dhifka ah ku dhaca aragga cudurka 'Horner syndrome'. Tan waxaa lagu sixi karaa qalliinka la isku qurxiyo ama lagu daaweyn karaa baalasha indhaha. Bixiyaha ayaa waxbadan kuu sheegi kara.

Natiijadu waxay kuxirantahay haddii daweynta sababtu guuleysato.

Ma jiraan dhibaatooyin toos ah oo loo yaqaan 'Horner syndrome' lafteeda. Laakiin, waxaa laga yaabaa inay jiraan dhibaatooyin ka imanaya cudurka sababay cudurka 'Horner syndrome' ama daaweyntiisa.

Wac takhtarkaaga haddii aad leedahay astaamaha cudurka 'Horner syndrome'.

Cudurka Oculosympathetic

• Nidaamka neerfaha iyo nidaamka neerfaha ee durugsan

Balcer LJ. Cilladaha ardayda. Gudaha: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, iyo Galetta Neuro-Ophthalmology. 3aad ed. Philadelphia, PA: Elsevier; 2019: cutubka 13.

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.

Thurtell MJ, Rucker JC. Cilladaha ardayda iyo indhaha. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 18.