Cranial mononeuropathy III - ʻano diabetic

ʻO kēia ʻano diabetic o cranial mononeuropathy III kahi pilikia o ka maʻi kō. Hoʻokumu ia i ka hihiʻo pālua a me ka hiʻu o ka maka.

ʻO Mononeuropathy ke kumu o hoʻokahi nerve wale nō i hōʻino ʻia. Hoʻopili kēia maʻi i ke aʻalolo cranial kolu i ka iwi poʻo. ʻO kēia kekahi o nā aʻalolo cranial e kaohi i ka neʻe o ka maka.

Hiki i kēia ʻano hōʻino ke hui pū me ka neuropathy diabetic peripheral. ʻO Cranial mononeuropathy III ka maʻi maʻi nerve maʻamau i nā kānaka me ka maʻi diabetes. Loaʻa ia ma muli o ka hōʻino ʻana i nā kīʻaha koko liʻiliʻi e hānai ana i ke aʻalolo.

Hiki i kekahi Cranial mononeuropathy III ke kū i ka poʻe ʻaʻohe diabetes.

Pākuʻi ʻia paha nā ʻōuli:

• Hōʻike pālua
• Ke kuʻi ʻana o kahi eyelid (ptosis)
• ʻEha a puni ka maka a me ka lae

Hoʻokumu pinepine ʻo Neuropathy ma waena o 7 mau lā o ka hoʻomaka ʻana o ka ʻeha.

ʻO ka nānā ʻana i nā maka e hoʻoholo inā pili ke kolu o ke aʻalolo a i ʻole inā ua hōʻino ʻia nā aʻa ʻē aʻe. Pākuʻi ʻia paha nā ʻōuli:

• ʻAʻole kūlike nā maka
• ʻO ka hopena o ka haumāna e aneane maʻamau mau

E hana ana kāu mea mālama ola i kahi hoʻokolokolo piha e hoʻoholo ai i ka hopena ma nā ʻāpana ʻē aʻe o ka ʻōnaehana hopohopo. Kaukaʻi ʻia i ka kumu i manaʻo ʻia, pono ʻoe i:

• Nā hoʻāʻo koko
• Nā hoʻāʻo e nānā i nā kīʻaha koko i ka lolo (cerebral angiogram, CT angiogram, MR angiogram)
• MRI a i ʻole CT scan o ka lolo
• Spinal tap (lumbar puncture)

E kiʻi ʻia ʻoe i kahi kauka e loea i nā pilikia ʻike e pili ana i nā aʻa i ka maka (neuro-ophthalmologist).

ʻAʻohe lāʻau lapaʻau e hoʻoponopono ai i ka ʻeha o ke aʻalolo.

ʻO nā hana e kōkua i nā ʻōuli e komo pū paha:

• Hoʻopili kokoke i ka pae kō kō
• Nā pale maka a i ʻole nā ​​aniani me nā prism e hoʻoliʻiliʻi i ka ʻike pālua
• Nā lāʻau ʻeha
• Antiplatelet therapy
• Ke ʻoki kino e hoʻoponopono ai i ka ʻōniu o ka maka a i ʻole nā ​​maka i kūlike ʻole

E ola paha kekahi poʻe me ka mālama ʻole ʻia.

Maikaʻi ka Prognosis. ʻOi aku ka maikaʻi o nā poʻe he nui ma mua o 3 a 6 mau mahina. Eia nō naʻe, he mau nāwaliwali ka maka maka o kekahi poʻe.

Komo pū nā pilikia:

• Holo ka maka paʻa paʻa
• Hoʻololi ka hihi ʻike paʻa

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻike pālua a ʻaʻole ia e hele i loko o kekahi mau minuke, keu hoʻi inā he ʻōpoki kuʻi kou.

ʻO ke kaohi ʻana i kāu pae kō kō e hoʻoliʻiliʻi i ka makaʻu o ka hoʻomohala ʻana i kēia maʻi.

Maʻi palu kolu o ka diabetic; Pupil-sparing third cranial nerve palsy; ʻO ke neuropathy diabetic Ocular

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Brownlee M, Aiello LP, Sun JK, Cooper ME, Feldman EL, Plutzky J, Boulton AJM. Nā pilikia o ka maʻi diabetes. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 37.

ʻO Guluma K. Diplopia. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 18.

ʻO Stettler BA. Nā maʻi o ke aʻa a me ke aʻa cranial. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 95.