The main izizathu anisocoria

Anisocoria - isifo okuyinto kuhambisana Umehluko omncane ngobukhulu umfundi futhi ingahluka futhi ukusonteka yabo. Empeleni, omunye iso nokusebenza ngendlela efanele, okungukuthi, kukhona kwanda nokuncipha kuphindwe emgodini isiyingi maphakathi iris, kanti eyesibili - has a usayizi esinqunyiwe ingekho noma yiluphi ushintsho, ngisho nalapho wadalula ekukhanyeni.

Anisocoria Izizathu nhlobonhlobo, kodwa uma kukhona ukwehluka kakhulu ubukhulu engekho ngaphezu kuka-0.1 cm, akuyona isifo. Banalesi sifo eyehlukene, kuba esilaphekayo. Ukwelashwa kungenziwa ididiyelwe futhi ngabelwa ngesisekelo etholwe imiphumela yokuhlolwa.

amaqembu anisocoria

Ngo inqubo yokwelapha yesimanje, kunamaqembu amathathu yalesi sifo:

1. Pathology abafundi uhlobo azalwa naso noma bathenga, eyaqala ukuvelela ngenxa kokunqotshwa iso.
2. Ngokwe-degree yentuthuko: anisocoria sohlangothi olulodwa noma zamazwe amabili.
3. Lesi sifo esweni noma iso hlobo.

izimbangela

Izizathu anisocoria kuzoncika iqembu lapho kungokwalabo zokugula esweni.

Ukunisa izici:

1. anisocoria sohlangothi olulodwa. Kwenzeka ngenxa yokulimala ukuba cishe bonke ubuso umfundi. Kulokhu, kukhona impendulo evamile yezinguquko linye nabanye kugujwa yokusabela belated, noma ukungabi ephelele yalo.
2. anisocoria Bilateral. Uma sisheshe satholakala ezimweni ezingajwayelekile. Sikuveze zokugula impendulo ezaneleyo lingahambisani balezi zingane ezimbili noma iluphi ushintsho ukukhanyisa.
3. anisocoria azalwa naso. Kuyinto umphumela kwezinso iso, noma izingxenye zayo, ezifana izinto ezisetshenziswayo noma imisipha iris. Ngezinye izikhathi lapho usana bangezwa ukuthuthukiswa ongaphelele apharathasi sezinzwa oyedwa wenu noma nobabili amehlo ngesikhathi esisodwa, okungukuthi anisocoria, kubangela - Neurology. Ukuxilongwa kwenziwa saziso yokwelapha ngaphandle kuholela imiphumela engemihle esikhathini esizayo. Esimweni esinjalo, lolu zokugula is kuhlangene strabismus.

izici ezivamile provocateurs

Eye ukulimala noma isifo sokukhubazeka komgogodla wesibeletho, ezifana ukhwaliti ubuhlungu emuva, kungase kuholele ekubeni ukuphambuka ezifana anisocoria. Izimbangela umonakalo elihlobene ne esibuhlungu. Lolu hlobo lwe-pathology iqhubeka ngenxa umonakalo mechanical kuya uhlelo kwemisipha, okuyinto akabangeli nje kuphela ukunwetshwa, kodwa nezalo ukusikwa umfundi.

Ngo osteochondrosis we wesibeletho emgogodleni round imbobo maphakathi iris akasabeli iyiphi nokushintshashintsha kanye namazinga ukukhanya emhlabeni.

Lapho kukhona luyanda kobukhulu isifo uma zikhanyiswa, kubonisa ukuthi kukhona parasympathetic kusebenze amehlo, futhi uzophawula umfundi Ukuvuleka komlomo. Ezimweni eziningi, isici main osithathayo isinyathelo njengenhlangano provocateur ejenti lesi sifo futhi iso izinkinga, kubhekwa ukulimala oculomotor emsipheni. Futhi, umfundi angase phezani oluhlehlela ngobukhulu ngenxa ukuvuvukala ezenzeka iris.

Anisocoria nemiphumela futhi kubangela ukulimala emsipheni oculomotor

abafundi osuke usuvulekile kungabangela imiphumela emibi, efana:

1. Hlukanisa emehlweni.
2. Lefanele, ungalibalekeli amehlo.
3. Ukuhanjiswa kwe-apula, kodwa kakhulu kungagcini.

Ukulimala emsipheni oculomotor - imbangela eyinhloko lesi sifo - kungaholela ingqondo izimo ezifana nalezi:

1. Useshonile.
2. Neoplasms.
3. Ukuphazamiseka ukugeleza kwegazi ebuchosheni zezinhlobo ezahlukene.
4. Brain ukulimala noma kuhlasimulise ubuchopho ibhokisi.
5. Ukwephula ukusebenza ngenxa ukuqhubeka kwezifo ezithathelwanayo.

Kulesi simo, umfundi akasabeli ukukhanya, kodwa lesi simo singenzeka kwezinye izimo futhi impendulo kancane. Ngokuqondene nombono, bese-ke kuba anyakaza, njengoba kwakukhona zincishiswe noma ukungabi oluphelele imakwe ikhaliphe umsipha. Futhi, ngokuvamile kakhulu kubangela anisocoria - Horner Syndrome, lezinceku, thrombosis we Umthambo carotid.

Pathology abafundi izingane

Isikhathi esining impela ingane izalwe, owayehlonze isifo lesi sifo iso. Lokhu kungenxa yokuthi umndeni kakade kunabantu abaphethwe le nkinga futhi iyimbangela yokukhathazeka kufanele ingabi ngokuphelele, njengoba kwenzeka ezakhini zofuzo, ukuthi luthathwe.

Lena obonakalayo ikakhulukazi ngokushesha emva kokuzalwa futhi akusho avuse ukungasebenzi engokomzwelo noma engokwengqondo ngenxa e ingane. Ngokuvamile, umehluko Usayizi abafundi ukudlula e seziguli ezisencane emva kweminyaka 4, kodwa iningi okuhlalayo kube ukuphila. Ngezinye izikhathi anisocoria imele uphawu ka Horner Syndrome, kuyilapho kukhona nezinye izimpawu zokugula.

Izimbangela zesifo ezinsaneni

Kungani anisocoria bamthola umntwana? Izizathu zihlukene, kodwa ngaso sonke isikhathi, siba yingozi baphile futhi babe nempilo. Izinto ezivamile zihlanganisa iziyaluyalu isimiso sezinzwa autonomic, noma isici sitholwa njengefa. Uma umehluko phakathi kwabafundi avela ngokuphazima kweso, lokhu kungase kubonise ukuthuthukiswa izifo ezifana ne kwezinso ebuchosheni, njenge:

1. Neoplasms.
2. Useshonile we isimiso semithambo yegazi.
3. Ukulimala.
4. Encephalitis.

Kulokhu, isiguli kancane usephumile amehlo noma uwanike ukozela amehlo sawo.

Izingane ezindadlana: uphethwe "anisocoria"

Izimbangela izingane ezindala futhi nhlobonhlobo, futhi zihlanganisa:

1. ukulimala Craniocerebral noma ubuchopho ibhokisi.
2. Meningitis noma encephalitis.
3. Ukulimala kwamehlo, kokungenela kuhlinzwa, okwaphumela yokulimala iris noma sphincter.
4. Ushevu umzimba ubuthi futhi izakhi zamakhemikhali.
5. Ukuvuvukala iris.
6. Useshonile kohlelo semithambo yobuchopho, noma izimila kuwo.
7. Overdosing ukuthaka imithi.
8. Adie syndrome.

Noma yimuphi ukuphambuka uzobe ephelezelwa izimpawu ezithile.

Ukuxilongwa kanye nokwelashwa

Uphethwe anisocoria lesifanele imbangela, futhi eqala luhlolo zezinzwa ngokomzimba. Isiguli zinganikwa:

1. Ukuphenywa cerebrospinal fluid.
2. Ukuhlolwa kwegazi.
3. resonance Magnetic futhi computed tomography.
4. -X-ray yomgogodla wesibeletho futhi kuhlasimulise ubuchopho ibhokisi.
5. Tonometry.

Ukuhlolwa iziguli nale zokugula iqhutshwa ebumnyameni nokukhanya egumbini, ngamunye ngamunye. Ngokusekelwe kulezi imiphumela inikezwa yokwelapha.

Izizathu anisocoria e abadala kanye nezingane kungaba nomthelela indlela yokwelashwa. Uma lesi sifo engakaze senziwa kokunikezwa kwe-ubuqotho iris, izinga yokutakula ayidingekile.

Ngokuyinhloko yokwelapha ihilela ukususwa ingqondo isici. Inikezwa kuphela ochwepheshe. yokwelapha Self kufanele ngokuphelele wawususa, njengoba lokhu kungaholela emiphumeleni engemihle.

Inkambo kuhlanganisa indlela yokuthola:

• imithi akusiza ukuthi balahle migraines kanye cephalgia;
• izidakamizwa, corticosteroids ukunciphisa ukuvuvukala kobuchopho eningi;
• izidakamizwa anticonvulsant ukulawula ukuquleka;
• analgesic, izidakamizwa antineoplastic nemithi elwa namagciwane.

Uma kukhona ukuvuvukala ebuchosheni, kutuswa ukuba asebenzise izidakamizwa elwa namagciwane ukuthi babe spectrum ezibanzi yesenzo, kanye uketshezi electrolyte zokulungisa ibhalansi emzimbeni. ukwelashwa Operably Kwenziwa kuphela ukulimala kuhlasimulise ibhokisi ingqondo.