Horner maʻi maʻi

ʻO Horner Syndrome kahi ʻano laha ʻole e hoʻopili i nā aʻalolo i ka maka a me ka maka.

Hiki ke kumu ʻia ʻo Horner Syndrome e kekahi hihia i loko o kahi ʻāʻī o nā aʻa nerve e hoʻomaka i ka ʻāpana o ka lolo i kapa ʻia ʻo hypothalamus a hele i ka maka a me nā maka. Pili kēia mau olonā nerve me ka hou ʻana i ka hou, nā haumāna i kou mau maka, a me nā mākala eyelid luna a me lalo.

ʻO ka hōʻino ʻia o nā olonā nā hopena mai:

• Hoʻopilikia i ke aʻa carotid, kekahi o nā aʻa nui i ka lolo
• ʻO ka hōʻeha i nā aʻalolo ma ke kumu o ka ʻāʻī i kapa ʻia ʻo ka plexus brachial
• ʻO Migraine a ʻūlū poʻo poʻo
• ʻO ka hahau, ka tumo, a i ʻole nā ​​mea ʻino ʻē aʻe i kahi ʻāpana o ka lolo i kapa ʻia ʻo ka lolo
• Tumor i ka piko o ka akemāmā, ma waena o nā māmā, a me ka ʻāʻī
• Hoʻokomo ʻia nā ʻoki a ʻoki paha i mea e hoʻopau ai i nā olonā nerve a hoʻomaha i ka ʻeha (sympathectomy)
• ʻEha ʻiwi

I nā hihia maʻamau, aia ʻo Horner Syndrome i ka wā hānau. Kū paha ke ʻano me ka ʻole o ke kala (pigmentation) o ka iris (ʻāpana kala o ka maka).

Hiki i nā ʻōuli o Horner maʻi ke komo pū:

• Hoʻoemi i ka sweating ma ka ʻaoʻao i hoʻopili ʻia o ka maka
• Hoʻopili maka maka (ptosis)
• Ka hoʻomoe ʻana i ka ʻōpeʻe maka i ka maka
• Nā nui like ʻole o nā haumāna o nā maka (anisocoria)

Aia kekahi mau ʻōuli ʻē aʻe, kaukaʻi ʻia i ka wahi o ka puluniu nerve i loli ʻia. Pākuʻi ʻia kēia mau mea:

• Vertigo (sensation e puni ana nā puni) me ka nausea a me ka luaʻi
• Hōʻike pālua
• Ka nele o ka kaohi maso a me ka hoʻohui ʻana
• ʻO kaʻeha lima, nāwaliwali a me ka helu
• Hoʻokahi ʻāʻī ʻāpana a ʻeha hoʻi
• Hoarseness
• Lohe hoʻolohe
• Pīpī a me ka paʻakikī ʻōpū
• Overreaction o ka involuntary (autonomic) hopohopo ʻōnaehana i stimulate (hyperreflexia)

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli.

Hōʻike paha kahi loiloi maka:

• Nā hoʻololi i ka wehe a pani ʻana paha o ka haumāna
• E hāʻule ana ka ʻōmaka
• Maka ʻulaʻula

Kaukaʻi ʻia i ke kumu i manaʻo ʻia, e hana ʻia paha nā hoʻokolohua, e like me:

• Nā hoʻāʻo koko
• Nā ho'āʻo kīʻaha koko o ke poʻo (angiogram)
• Pākuʻi x-ray a i ʻole CT scan mīkini
• MRI a i ʻole CT scan o ka lolo
• Spinal tap (lumbar puncture)

Pono ʻoe e hāʻawi ʻia i kahi kauka e loea i nā pilikia ʻike e pili ana i ka ʻōnaehana hopohopo (neuro-ophthalmologist).

Kaukaʻi pili i ke kumu kumu o ke ʻano. ʻAʻohe lāʻau lapaʻau no Horner Syndrome ponoʻī. He akahai loa ʻo Ptosis a i nā hihia kakaikahi ka hopena i ka ʻike ma Horner Syndrome. Hiki i kēia ke hoʻoponopono ʻia e ka ʻokiʻoki cosmetic a i ʻole mālama ʻia me nā eyedrops. Hiki i ka mea hāʻawi ke haʻi hou aku iā ʻoe.

Aia ka hopena ma muli o ke kūleʻa ʻana o ke kumu.

ʻAʻohe pilikia kūpono o Horner Syndrome ponoʻī. Akā, aia paha he mau pilikia mai ka maʻi i hoʻokumu iā Horner Syndrome a i ʻole mai kāna lapaʻau ʻana.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o Horner Syndrome.

ʻO paresis Oculosympathetic

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Balcer LJ. Nā maʻi pupillary. I: Liu GT, Volpe NJ, Galetta SL, eds. ʻO Liu, Volpe, a me Galetta's Neuro-Ophthalmology. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 13.

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 Thurtell MJ, ʻo Rucker JC. Pupillary a me nā kuʻemaka maka ʻole. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 18.