Ciwon Horner

Ciwon Horner wani yanayi ne mai wuya wanda ke shafar jijiyoyin ido da fuska.

Ana iya haifar da cututtukan Horner ta kowane katsewa a cikin saitin jijiyoyin jijiya waɗanda ke farawa a ɓangaren ƙwaƙwalwar da ake kira hypothalamus kuma tafiya zuwa fuska da idanu. Wadannan zaren jijiyoyin suna hade da gumi, daliban cikin idanunku, da kuma tsokar ido na sama da na kasa.

Lalacewar jijiyoyin jijiyoyin na iya haifar da:

• Rauni ga jijiyoyin karotid, ɗayan manyan jijiyoyin ƙwaƙwalwa
• Rauni ga jijiyoyi a ƙasan wuyan da ake kira brachial plexus
• Ciwon kai na mahaukaci ko tarin mahaifa
• Shanyewar jiki, ƙari, ko wata lahani ga wani ɓangare na ƙwaƙwalwa da ake kira ƙwaƙwalwar ƙwaƙwalwa
• Tumor a saman huhu, tsakanin huhu, da wuya
• Allura ko tiyata da aka yi don katse ƙwayoyin jijiyoyin da kuma taimakawa ciwo (juyayi)
• Raunin jijiyoyi

A cikin al'amuran da ba safai ba, cutar ta Horner tana kasancewa yayin haihuwa. Yanayin na iya faruwa tare da rashin launi (launi) na iris (ɓangaren launi na ido).

Kwayar cututtukan cututtukan Horner na iya haɗawa da:

• Rage gumi a gefen fuskar abin ya shafa
• Faduwa fatar ido (ptosis)
• Shaka ƙwalwar ido cikin fuska
• Girma daban-daban na ɗaliban idanu (anisocoria)

Hakanan akwai wasu alamun bayyanar, ya danganta da wurin da zaren jijiya ya shafa. Waɗannan na iya haɗawa da:

• Vertigo (abin mamaki da kewayen ke juyawa) tare da jiri da amai
• Gani biyu
• Rashin kula da tsoka da daidaito
• Jin zafi, rauni da rauni
• Daya wuyan gefe da kunnen kunne
• Rashin tsufa
• Rashin ji
• Matsalar mafitsara da hanji
• Rearfafawa ga tsarin juyayi mara izini (mai cin gashin kansa) don ƙarfafawa (hyperreflexia)

Mai ba da sabis na kiwon lafiya zai yi gwajin jiki kuma ya yi tambaya game da alamun.

Gwajin ido na iya nuna:

• Canje-canje game da yadda ɗalibin yake buɗewa ko rufewa
• Fatar ido na faduwa
• Jan ido

Dogaro da abin da ake zargi, ana iya yin gwaje-gwaje, kamar:

• Gwajin jini
• Gwajin jini na kai (angiogram)
• Kirjin x-ray ko kirjin CT
• MRI ko CT scan na kwakwalwa
• Matsalar kashin baya (hujin lumbar)

Kuna iya buƙatar a tura ka zuwa likita wanda ya ƙware a cikin matsalolin hangen nesa da suka shafi tsarin juyayi (neuro-ophthalmologist).

Jiyya ya dogara da ainihin dalilin yanayin. Babu magani don cutar ta Horner kanta. Ptosis yana da sauƙin gaske kuma a cikin al'amuran da ba safai ba yakan shafi hangen nesa a cikin cutar ta Horner. Ana iya gyara wannan ta aikin tiyatar kwalliya ko bi da ido. Mai bayarwa zai iya gaya muku ƙari.

Sakamakon ya dogara da ko maganin dalilin ya ci nasara.

Babu rikitarwa kai tsaye na cutar Horner kanta. Amma, ana iya samun rikitarwa daga cutar da ta haifar da cutar Horner ko kuma daga maganinta.

Kirawo mai ba ku sabis idan kuna da alamun cututtukan Horner.

Cunƙwasawa mai banƙyama

• Tsarin juyayi na tsakiya da tsarin juyayi na gefe

Balcer LJ. Rashin lafiyar yara. A cikin: Liu GT, Volpe NJ, Galetta SL, eds. Liu, Volpe, da Galetta na Neuro-Ophthalmology. 3rd ed. Philadelphia, PA: Elsevier; 2019: sura 13.

Guluma K. Diplopia. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 18.

Thurtell MJ, Rucker JC. Matsalar ɗaliban yara da fatar ido. A cikin: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 18.