Ọrịa Horner

Nsogbu Horner bụ ọnọdụ dị obere nke na-emetụta akwara na anya na ihu.

Enwere ike ịrịa ọrịa Horner site na nkwụsị ọ bụla na usoro akwara akwara na-amalite na akụkụ ụbụrụ a na-akpọ hypothalamus wee gaa ihu na anya. Akwara akwara ozi ndị a na ọsụsọ, ụmụ akwụkwọ n'anya gị, na akwara nku anya nke elu na ala.

Mmebi nke eriri akwara nwere ike ịpụta site na:

• Ahụhụ na akwara carotid, otu n'ime akwara ndị bụ isi na ụbụrụ
• Imeru aru na irighiri akwara dị n'olu olu a na-akpọ plexus brachial
• Migraine ma ọ bụ ụyọkọ isi ọwụwa
• Ọrịa strok, etuto, ma ọ bụ mmebi ọzọ nke akụkụ ụbụrụ a na-akpọ ụbụrụ ụbụrụ
• Tumoa n’elu akpa ume, n’etiti ngụgụ, na olu
• Injections ma ọ bụ ịwa ahụ emere iji gbochie akwara ozi ma belata ihe mgbu (ọmịiko)
• Ọkpụkpụ azụ

N'ọnọdụ ndị na-adịghị ahụkebe, enwere ọrịa Horner n'oge amụrụ nwa. Ọnọdụ ahụ nwere ike ịpụta na enweghị ụcha (pigmentation) nke iris (akụkụ anya agba).

Mgbaàmà nke ọrịa Horner nwere ike ịgụnye:

• Mbelata ọsụsọ n'akụkụ akụkụ ihu metụtara
• Nkpuchi nkuanya (ptosis)
• Ileghara anya anya na ihu
• Dị anya ụmụ akwụkwọ dị iche iche (anisocoria)

Enwere ike ịnwe mgbaàmà ndị ọzọ, dabere na ọnọdụ nke eriri akwara emetụta. Ndị a nwere ike ịgụnye:

• Vertigo (ihe mmetuta nke gburugburu gbara gburugburu) na ọgbụgbọ na ọgbụgbọ
• Ọhụhụ ugboro abụọ
• Enweghị njikwa ahụ ike na nhazi
• Aka mgbu, adịghị ike na ụfụ
• Otu kwadoro olu na ntị mgbu
• Arsda ụda
• Ntị ntị
• Afọ na eriri afọ
• Ntughari uche nke sistem na-adịghị mma (autonomic) na-akpali akpali (hyperreflexia)

Onye nlekọta ahụike ga-eme nyocha anụ ahụ ma jụọ maka ihe mgbaàmà ahụ.

Nlere anya nwere ike igosi:

• Mgbanwe etu nwata akwụkwọ si emepe ma ọ bụ mechie
• Eyelid drooping
• Anya uhie

Dabere n’ihe a na-enyo enyo, enwere ike ịme nyocha, dị ka:

• Nyocha ọbara
• Nnwale ule ọbara nke isi (angiogram)
• Igbe x-ray ma ọ bụ igbe CT
• MRI ma ọ bụ CT scan nke ụbụrụ
• Ọkpụkpụ azụ (mgbapụta lumbar)

Ọ nwere ike ịdị mkpa ka ị kpọtụrụ onye dọkịta ọkachamara na nsogbu ọhụụ nke metụtara usoro ụjọ ahụ (neuro-ophthalmologist).

Ọgwụgwọ dabere na isi ihe kpatara ọnọdụ ahụ. Enweghị ọgwụgwọ maka ọrịa Horner n'onwe ya. Ptosis dị nwayọọ ma na-adịkarị obere na-emetụta ọhụụ na ọrịa Horner. Enwere ike idozi nke a site na ịwa ahụ ịchọ mma ma ọ bụ mesoo ya na anya anya. The na-eweta nwere ike ịgwa gị ihe.

Ihe ga-esi na ya pụta ma ọgwụgwọ nke ihe kpatara ya ga-aga nke ọma.

Enweghị nsogbu ọ bụla nke ọrịa Horner n'onwe ya. Ma, enwere ike ị nweta nsogbu site na ọrịa ahụ kpatara ọrịa Horner ma ọ bụ site na ọgwụgwọ ya.

Kpọọ onye na-eweta gị ma ọ bụrụ na ị nwere mgbaàmà nke ọrịa Horner.

Oculosympathetic paresis

• Usoro nhụjuanya nke etiti na usoro ụjọ nke elu

Onyeka Onwenu Nsogbu ụmụ akwụkwọ. Na: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, na Galetta Neuro-Ophthalmology. Nke atọ ed. Philadelphia, PA: Elsevier; 2019: isi 13.

Guluma K. Diplopia. Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi 18.

Thurtell MJ, Rucker JC. Nsogbu pupillary na nku anya. Na: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Ọkpụkpụ Bradley na Clinical Practice. Nke 7. Philadelphia, PA: Elsevier; 2016: isi 18.