Isifo se-Horner

I-Horner syndrome yisimo esingajwayelekile esithinta izinzwa esweni nasebusweni.

I-Horner syndrome ingabangelwa yinoma yikuphi ukuphazamiseka kusethi yezintambo zemizwa eziqala engxenyeni yobuchopho ebizwa nge-hypothalamus bese iya ebusweni nasemehlweni. Le micu yezinzwa ibandakanyeka ekujulukeni, abafundi emehlweni akho, kanye nemisipha yezinkophe ephezulu nangaphezulu.

Ukulimala kwezintambo zemizwa kungavela ku:

• Ukulimala emthanjeni we-carotid, omunye wemithambo eyinhloko eya ebuchosheni
• Ukulimala kwezinzwa phansi kwentamo okubizwa ngokuthi i-brachial plexus
• I-Migraine noma i-cluster headaches
• I-Stroke, isimila, noma omunye umonakalo engxenyeni yobuchopho obizwa nge-brainstem
• Isimila phezulu kwamaphaphu, phakathi kwamaphaphu nentamo
• Ukujova noma ukuhlinzwa okwenziwe ukuphazamisa imicu yezinzwa nokuqeda izinhlungu (sympathectomy)
• Ukulimala komgogodla

Ezimweni ezingavamile, i-Horner syndrome ikhona lapho izalwa. Isimo singenzeka ngokungabi bikho kombala (i-pigmentation) ye-iris (ingxenye enemibala yeso).

Izimpawu ze-Horner syndrome zingafaka:

• Ukwehla kokujuluka ohlangothini oluthintekile lobuso
• Ijwabu leso elinciphisayo (ptosis)
• Ukucwila kwenhlamvu yeso ebusweni
• Amasayizi ahlukene abafundi bamehlo (anisocoria)

Kungabuye kube nezinye izimpawu, kuya ngendawo yefayibha yezinzwa ethintekile. Lokhu kungafaka:

• I-Vertigo (ukuzwa ukuthi indawo ezungezile iyajikeleza) ngesicanucanu nokuhlanza
• Umbono ophindwe kabili
• Ukuntuleka kokulawulwa kwemisipha nokuxhumana
• Ubuhlungu bengalo, ubuthakathaka nokuba ndikindiki
• Ubuhlungu obubodwa bentamo nezindlebe
• Ukungahambi kahle
• Ukulahlekelwa ukuzwa
• Ubunzima besisu kanye namathumbu
• Ukusabela ngokweqile kohlelo lwezinzwa olungazibandakanyi (oluzimele) ekuvuseleleni (i-hyperreflexia)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba abuze ngezimpawu.

Ukuhlolwa kwamehlo kungakhombisa:

• Izinguquko endleleni umfundi avula noma avale ngayo
• Ijwabu lehla
• Iso elibomvu

Ngokuya ngesizathu esisolwayo, izivivinyo zingenziwa, njenge:

• Ukuhlolwa kwegazi
• Ukuhlolwa kwekhanda lomthambo wegazi (angiogram)
• I-x-ray yesifuba noma isifuba se-CT scan
• I-MRI noma i-CT scan yobuchopho
• Thepha umgogodla (ukubhoboza i-lumbar)

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

Ukwelashwa kuya ngesizathu esiyimbangela yalesi simo. Akukho ukwelashwa kwe-Horner syndrome uqobo. I-Ptosis imnene kakhulu futhi ezimweni ezingavamile kuthinta umbono ku-Horner syndrome. Lokhu kungalungiswa ngokuhlinzwa kwezimonyo noma ukwelashwa ngama-eyedrops. Umhlinzeki angakutshela okuningi.

Umphumela uncike ekutheni ukwelashwa kwembangela kuphumelele yini.

Azikho izinkinga eziqondile ze-Horner syndrome uqobo. Kepha, kungahle kube nezinkinga ezivela kulesi sifo esidale iHorner syndrome noma ekwelashweni kwaso.

Shayela umhlinzeki wakho uma unezimpawu ze-Horner syndrome.

I-oculosympathetic paresis

• Isistimu yezinzwa emaphakathi nesistimu yezinzwa ezungezayo

I-Balcer LJ. Ukuphazamiseka kwamapayipi. Ku: Liu GT, Volpe NJ, Galetta SL, ama-eds. Liu, Volpe, kanye Neuro-Ophthalmology kaGaletta. 3rd ed. IPhiladelphia, PA: Elsevier; 2019: isahluko 13.

UGuluma K. Diplopia. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 18.

UTrettell MJ, uRucker JC. Ukungajwayelekile kwepupillary nejwabu leso. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 18.