Anisocoria

Anisocoria girman mahaifa ne. Thealibin shine bakar bangare a tsakiyar ido. Yana kara girma a cikin ƙaramar haske kuma ƙarami a cikin haske mai haske.

Ana samun bambance-bambance kaɗan a cikin girman ɗalibai kusan 1 cikin 5 masu lafiya. Mafi sau da yawa, bambancin diamita bai wuce 0.5 mm ba, amma zai iya zuwa 1 mm.

Yaran da aka haifa da ɗalibai daban-daban ba su da wata cuta ta asali. Idan sauran 'yan uwa ma suna da irin waɗannan ɗalibai, to bambancin girman ɗaliban zai iya zama na kwayar halitta ne kuma ba abin damuwa bane.

Hakanan, don dalilan da ba a sani ba, ɗalibai na iya bambanta na wani ɗan lokaci. Idan babu sauran alamun cutar kuma idan ɗalibai sun koma yadda suke, to babu abin damuwa game da su.

Sizesananan ɗaliban da ba su dace ba sama da 1 mm da ke tasowa daga baya a rayuwa kuma BA Komawa zuwa girman daidai na iya zama alamar ido, kwakwalwa, jijiyoyin jini, ko cutar jijiya.

Amfani da digon ido shine sanadin kowa na canjin rashin illa a cikin girman ɗalibai. Sauran magunguna masu shiga idanuwa, gami da magani daga masu shaƙar fuka, na iya canza girman ɗalibi.

Sauran dalilan rashin daidaiton ɗalibai na iya haɗawa da:

• Aneurysm a cikin kwakwalwa
• Zuban jini a cikin kwanyar sanadiyyar raunin kai
• Ciwon ƙwaƙwalwar ƙwaƙwalwa ko ƙura (kamar, raunukan pontine)
• Matsi mai yawa a cikin ido ɗaya sakamakon cutar glaucoma
• Pressureara matsawar intracranial, saboda kumburin kwakwalwa, zubar jini na intracranial, bugun jini mai tsanani, ko ciwan intracranial
• Kamuwa da membranes a kusa da kwakwalwa (sankarau ko encephalitis)
• Ciwon kai na Migraine
• Kamawa (bambancin girman ɗalibi na iya zama tsawon lokaci bayan kamuwa da cuta ya ƙare)
• Tumor, taro, ko kumburin kumburi a babban kirji ko kumburin lymph wanda ke haifar da matsin lamba akan jijiya na iya haifar da rage gumi, karamin dalibi, ko fatar ido a duk gefen abin da ya shafa (Horner syndrome)
• Ciwon oculomotor jijiyar jiki
• Tiyatar ido ta farko don ciwon ido
  

Jiyya ya dogara da dalilin ƙarancin ɗalibin da bai dace ba. Ya kamata ka ga mai ba da kiwon lafiya idan ka sami canje-canje kwatsam wanda ya haifar da girman ɗalibin ba daidai ba.

Tuntuɓi mai ba da sabis idan kuna da ci gaba, ba bayani, ko canje-canje kwatsam a cikin girman ɗaliban. Idan akwai wani canji na baya-bayan nan a girman ɗaliban, yana iya zama alama ce ta wani mummunan yanayi.

Idan kuna da girman ɗalibai daban-daban bayan raunin ido ko rauni a kai, nemi taimakon likita nan da nan.

Koyaushe nemi likita na gaggawa idan girman ɗaliban ɗalibai ya faru tare da:

• Duban gani
• Gani biyu
• Senswarewar ido ga haske
• Zazzaɓi
• Ciwon kai
• Rashin gani
• Tashin zuciya ko amai
• Ciwon ido
• Wuya wuya

Mai ba ku sabis zai yi gwajin jiki kuma ya yi tambayoyi game da alamunku da tarihin lafiyar ku, gami da:

• Shin wannan sabo ne a gare ku ko kuma ɗalibanku sun taɓa yin girma daban-daban a da? Yaushe ta fara?
• Shin kuna da wasu matsalolin hangen nesa kamar hangen nesa, hangen nesa biyu, ko ƙwarewar haske?
• Kuna da asarar hangen nesa?
• Kuna da ciwon ido?
• Shin kuna da wasu alamun alamun kamar ciwon kai, tashin zuciya, amai, zazzabi, ko wuya mai wuya?

Gwajin da za a iya yi sun hada da:

• Nazarin jini kamar su CBC da bambancin jini
• Nazarin ruwa mai kwakwalwa (lumbar huɗa)
• CT scan na kai
• EEG
• Shugaban MRI scan
• Tonometry (idan ana zargin glaucoma)
• X-ray na wuyansa

Jiyya ya dogara da dalilin matsalar.

Fadada dalibi daya; Ofan aji daban-daban; Idanuwa / yara girma daban

• Dalibi na al'ada

Baloh RW, Jen JC. Neuro-ophthalmology. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 396.

Cheng KP. Ilimin lafiyar ido. A cikin: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. Zitelli da Davis 'Atlas na Ciwon Lafiyar Jiki na Yara. 7th ed. Philadelphia, PA: Elsevier; 2018: babi na 20.

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.