I-cranial mononeuropathy VI

I-Cranial mononeuropathy VI yisifo sezinzwa. Kuthinta ukusebenza kwe-nerve cranial (skull) yesithupha. Ngenxa yalokho, umuntu angaba nombono ophindwe kabili.

I-cranial mononeuropathy VI ingumonakalo wesithupha se-cranial nerve. Le nerve ibizwa nangokuthi i-abducens nerve. Kukusiza ukuthi uhambise iso lakho eceleni kwethempeli lakho.

Ukuphazamiseka kwale nzwa kungenzeka nge:

• Ama-aneurysms obuchopho
• Ukulimala kwemizwa yesifo sikashukela (isifo sikashukela sikashukela)
• I-Gradenigo syndrome (nayo edala ukukhishwa endlebeni nasebuhlungwini beso)
• I-Tolosa-Hunt syndrome, ukuvuvukala kwendawo engemuva kweso
• Ukwenyuka noma ukwehla kwengcindezi kugebhezi
• Izifo (ezifana ne-meningitis noma i-sinusitis)
• I-Multiple sclerosis (MS), isifo esithinta ubuchopho nomgogodla
• Ukukhulelwa
• Unhlangothi
• Ukuhlukumezeka (okubangelwa ukulimala ekhanda noma ngengozi ngesikhathi sokuhlinzwa)
• Izimila ezungeze noma ngemuva kweso

Isizathu esiqondile sokukhubazeka okuhlobene nokugoma okuhlobene nokugoma ezinganeni asaziwa.

Ngoba kunemigwaqo ejwayelekile yezinzwa ngogebhezi, ukuphazamiseka okufanayo okulimaza imizwa yesithupha ye-cranial kungathinta ezinye izinzwa ze-cranial (njengeyesithathu noma yesine ye-cranial nerve).

Lapho inzwa yesithupha ye-cranial ingasebenzi kahle, awukwazi ukuphendulela iso lakho ngaphandle ngasendlebeni yakho. Usengakwazi ukuhambisa iso lakho phezulu, phansi, nangokubheka ekhaleni, ngaphandle kokuthi kuthinteke ezinye izinzwa.

Izimpawu zingafaka:

• Umbono ophindwe kabili lapho ubheke ohlangothini olulodwa
• Ukuphathwa ikhanda
• Ubuhlungu obuzungeze iso

Ukuhlolwa kuvame ukukhombisa ukuthi iso elilodwa linenkinga yokubheka ohlangothini ngenkathi elinye iso lihamba ngokujwayelekile. Ukuhlolwa kukhombisa ukuthi amehlo awahambi emgqeni wokuphumula noma lapho ebheka ngakuyo iso elibuthakathaka.

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza ukuhlolwa okuphelele ukuthola umphumela ongaba khona kwezinye izingxenye zesistimu yezinzwa. Ngokuya ngesizathu esisolwayo, ungahle udinge:

• Ukuhlolwa kwegazi
• Isifundo sekhanda lokucabanga (njenge-MRI noma i-CT scan)
• Thepha umgogodla (ukubhoboza i-lumbar)

Ungadinga ukuthunyelwa kudokotela ogxile ezinkingeni zombono ezihlobene nesistimu yezinzwa (i-neuro-ophthalmologist).

Uma umhlinzeki wakho ethola ukuvuvukala noma ukuvuvukala, noma ezungeze inzwa, kungasetshenziswa imithi ebizwa nge-corticosteroids.

Kwesinye isikhathi, isimo siyanyamalala ngaphandle kokwelashwa. Uma unesifo sikashukela, uzokwaziswa ukuthi ulawule ngokuqinile izinga likashukela egazini lakho.

Umhlinzeki angaqoka isiqeshana samehlo ukukhulula umbono ophindwe kabili. Isiqephu singasuswa ngemuva kokuphulukiswa kwemizwa.

Ukuhlinzwa kungalulekwa uma kungatholakali ezinyangeni eziyisithupha kuya kweziyishumi nambili.

Ukwelapha imbangela kungasithuthukisa isimo. Ukululama kuvame ukwenzeka kungakapheli izinyanga ezintathu kubantu abadala asebekhulile abane-hypertension noma isifo sikashukela. Kunamathuba amancane okululama uma kwenzeka ukukhubazeka okuphelele kwemizwa yesithupha. Amathuba okululama mancane ezinganeni kunakubantu abadala uma kwenzeka kulimala kabuhlungu izinzwa. Ukululama kuvame ukuqedwa uma kwenzeka unesifo sokukhubazeka esiyisithupha sobuchopho ebuntwaneni.

Izinkinga zingafaka ukushintshwa kombono unomphela.

Shayela umhlinzeki wakho uma unombono ophindwe kabili.

Ayikho indlela yokuvikela lesi simo. Abantu abanesifo sikashukela banganciphisa ingozi ngokulawula ushukela wegazi labo.

Abducens ukukhubazeka; I-Abducens palsy; I-lateral rectus palsy; VIth ukukhubazeka kwemizwa; I-cranial nerve VI yokukhubazeka; Isifo sokukhubazeka sezinzwa sesithupha; I-Neuropathy - isisindo sesithupha

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

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I-Rucker JC. Neuro-ophthalmology. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2017: isahluko 8.

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