Tolosa-Hunt ciwo: bincike da kuma magance

Duk da babban matakin ci gaba da magani, wasu cututtuka ba su yi karatu har zuwa karshen. Don daya daga wadannan cututtuka da dangantaka Tolosa-Hunt ciwo. A halin yanzu akwai kawai bayyanar cututtuka da cutar, yayin da dalilai ba tukuna cikakken bayyana. Mafi m, wannan shi ne saboda gaskiyar cewa cutar ne sosai rare da yake bude ba haka ba da dadewa. Bugu da kari, da Tolosa-Hunt ciwo sau da yawa "masked" da sauran pathologies, kuma shi ne mai sauki dame. Babban alama ne da wani ido da cutar da kuma girman kwanyar jijiyoyi. An sani cewa daya daga cikin halaye na wannan cuta da aka dauke su da cewa shi lends kanta zuwa hormone far, bayan abin da sauri zo kyautata. Duk da haka, da komowa za su iya faruwa a kowane lokaci.

Description ciwo Tolosa-Hunt

A farko ambaci wannan cuta ya bayyana gwada da kwanan nan. Yana da aka bayyana a cikin shekarar 1961 ta Birtaniya ophthalmologist Hunt. Bugu da kari ga babban suna, da kuma Pathology kira daban kamar "hawainiya". Wannan shi ne saboda cewa ta bayyanar cututtuka kama wasu cututtuka. Daga cikin su: marurai na kai, dauke da kwayar cutar encephalitis, myositis madawwama biyu, kuma ko da cuta daga cikin hematopoietic tsarin. Bugu da kari, da Pathology na Tolosa-Hunt kira wani alama na m orbital fissure cewa ba daidai daidai da jigon da matsala. The asibiti hoto da cutar dogara a kan abin da irin kwakwalwa jijiyoyi aka shafa. Mafi sau da yawa, Tolosa-Hunt ciwo ne halin da zafi a cikin ido soket, da rashin iyawa don matsawa da idanu, diplopia. Lokacin dace fara hormone far iya warkar ko ci gafarta musu.

A aetiology na ciwo Tolosa-Hunt

Saboda gaskiya cewa Pathology yana da daban-daban manifestations da kuma fara ba zato ba tsammani, shi ne ba tukuna iya sanin ainihin etiology. Haka kuma an hade da wani low faru na da ciwo. Saboda wannan dalili, likitoci ba su da hanyar da ya kamata su bincika cuta. Akwai da dama da zaton mu, bisa ga abin da zai iya ci gaba da Pathology. Ware wadannan etiological dalilai ne samuwa a marasa lafiya tare da Tolosa-Hunt ciwo:

1. Malformation. Wannan kalma na nufin mahaukaci ci gaban da jijiyoyin bugun gini tsarin da ido. A sakamakon malformations ne gauraye venous da jijiya da jini, wanda ya kamata ba zama al'ada. Wannan take hakkin ne mafi kowa daga mata.
2. Autoimmune ta'adi. Wannan factor ne jawo na da yawa cututtuka. Duk da haka, ya amsa tambaya na sa na rigakafi da Kwayoyin fara don halakar da kyallen takarda na jiki, da kuma iya ba. A mafi yawan lokuta, "ta'adi" ya auku bayan fama da danniya, da kuma tsawon lokaci na halin yanzu dauke da kwayar cutar tafiyar matakai.
3. Daban-daban kwakwalwa marurai girman kwanyar jijiyoyi. Yana iya zama kamar yadda benign marurai ciwon daji.

Syndrome Development inji

Ganin cewa a cikin etiology da cutar zauna ba a sani ba, pathogenesis, ma, ba za a iya cikakken bincika. Ko da kuwa daga cikin dalilan domin raya Pathology rinjayar kawai wasu Tsarin ido da kuma juyayi nama. Kamar yadda aka sani, na biyu sunan cuta - wani ciwo m orbital fissure. Wannan ake dangantawa da pathogenesis, tun da shan kashi na fallasa jijiyoyi da jini da cewa ratsa shi. Da farko akwai canje-canje daga ophthalmic jijiya da kuma jijiya. A sakamakon lalace nama trophism. Bugu da kari, shi lalace cavernous sinus, wanda shi ne m ga m orbital fissure. Jijiya samar da shi, ya zama inflamed da kuma nama hypertrophy. Kamar yadda ka sani, ta hanyar da rata ta hanyar da wadannan girman kwanyar jijiyoyi: block, shan tafi wani ɓangare na trigeminal da oculomotor. A wasu lokuta, ya shafi duk wadannan nau'i-nau'i. A daidai wannan lokaci shi ne yake shan wahala daga ikon juya da eyeball. Wani lokaci sosai aiki na daya ko biyu nau'i-nau'i daga jijiyoyi.

Tolosa-Hunt ciwo: cututtuka

Pathology sau da yawa da ke sa kansa ji a tsakiyar da kuma tsufa. Wannan ciwo iya zama yiwuwa ga mata da maza. The asibiti hoto da cutar tasowa ba zato ba tsammani, ba tare da wani preconditions. Bambanta da wadannan cututtuka:

1. Pain a ophthalmic filin. Rashin jin daɗi na farko bayyana a goshi, Brow, shugaban. Daga baya Littafi tsanani da zafi, shi kara wa ido.
2. Diplopia. Wannan alama bayyana bayan tasowa zafi. A haƙuri alama ya zama cewa duk abubuwa to wanda shi ya dubi forked. Mayar da hankali duba da wuya.
3. Take hakkin da motsi na da eyeball - ophthalmoplegia. Sau da yawa lura da daya hannun. Its har ya dogara da tsanani da kuma yawan shafa jijiyoyi.
4. Kumburi na conjunctiva.
5. Exophthalmos. Lura a cikin rashi na jiyya da kuma m, komowan cutar.
6. Strabismus. Yana faruwa a lokacin da jijiyoyi suna buga a gefe daya ne kawai.
7. Low-sa zazzabi da kuma tabarbarewar.

Wadannan cututtuka yawanci girma sannu a hankali da kuma bin juna. A wasu lokuta da suka ne kiyaye lokaci guda. Alamun cutar na iya ba zato ba tsammani bace, kamar yadda suka bayyana. Duk da haka, ba tare da lura da Pathology ko da yaushe sa kanta ji sake. The komawa kudi a duk daban-daban kamar yadda gafarar duration.

Tolosa-Hunt ciwo: bincike Pathology

Don gane da wannan Pathology wuya, kamar yadda ta bayyanar cututtuka masu kama da yawa da sauran cututtuka. Saboda haka Tolosa-Hunt ciwo ne dauke da wani ganewar asali na wariya. A farko haƙuri tambaya game da siffofin da cutar ci gaban (don fara, kamar yadda bayyanar cututtuka ci gaba). Bayan haka, dakin gwaje-gwaje gwaje-gwaje da kuma instrumental bincikowa. Yana da muhimmanci sosai ga rike ophthalmic da neurological jarrabawa. Don ware kwakwalwa marurai, MRI aka yi. Yana da muhimmanci ga gudanar da duban dan tayi da X-ray jarrabawa na ido kwasfa. A gaban jijiyoyin bugun gini malformations ƙaddara da angiography. Bugu da kari, daya daga cikin bincike sharudda ne tasiri na hormone far. Idan awon kuma instrumental jarrabawa saukar da wani pronounced canje-canje, da kuma cututtuka da sauri gushe bayan lura, shi ne m, da ganewar asali - Tolosa-Hunt ciwo. Prednisolone da ake amfani da su bi mafi.

Bambanci ganewar asali da sauran cututtuka

Da cutar idan aka kwatanta da sauran pathologies daga cikin ido da kuma juyayi tsarin. A mataki na farko shi ne ware kumburi tafiyar matakai na kwakwalwa da kuma ta meninges, da kuma siffofin maruran. Idan ka zargin meningitis ko encephalitis, a lumbar huda da aka yi. Domin ya hana benign marurai ciwon daji marasa lafiya underwent MRI, kwakwalwa CT scans da X-haskoki na ragargaje. A cuta ne bambancin lymphoma, cysts na cavernous sinus da thrombosis. Kamar yadda wadannan cututtuka zai iya faruwa da tsari pathologies kamar sarcoidosis, myositis madawwama biyu, migraine, da dai sauransu Domin yin wani cikakken ganewar asali, da mãsu haƙuri kamata gani daban-daban kwararru: .. An ophthalmologist, neurologist, jijiyoyin bugun gini Likita, wani endocrinologist.

Jiyya na Tolosa-Hunt ciwo

Jiyya na Tolosa-Hunt ciwo ne da nada kwayoyi da kashe tsarin na rigakafi. Domin wannan dalili, da hormone-dauke da kwayoyi: "Prednisolone", "hydrocortisone". Wadannan kwayoyi da wani sakamako a sauran autoimmune pathologies, amma da cutar bayyanar cututtuka bace a cikin 3-4 kwanaki. ciwo, Tolosa-Hunt magani da prednisolone ne daga lissafi na 1-2 MG / kg jiki nauyi. Idan da miyagun ƙwayoyi da ake amfani a cikin wani nau'i na bayani, shi ne wajabta daga 500 zuwa 1000 MG da rana. Bugu da kari, da yin amfani da maganin ciwo da kuma bitamin.

Ability don aiki tare da ciwo Tolosa-Hunt

Yawancin lokaci, a lokacin da wannan ganewar asali kashe marasa lafiya da ceto. Dole ne ka tabbata cewa haƙuri ne Tolosa-Hunt ciwo. Tawaya a cikin wannan Pathology ne rare. Duk da haka, a lokacin da m dakwai, komowan cutar iya designate 3 kungiyar. A haƙuri ya kamata a canja zuwa ga haske aikin da ba ya bukatar gani kokarin. Har ila yau, a lokacin da wani m jijiya cuta haƙuri ba zai iya fitar da manyan motoci daga da take hakkin ido motsi da kuma diplopia.

Syndrome Rigakafin Tolosa-Hunt

A gaba ga hasashen ci gaban Tolosa-Hunt ciwo ne ba zai yiwu, saboda haka, na farko rigakafin ba ya wanzu. Idan akwai bayyanar cututtuka irin su ciwon a cikin idanu da kuma goshi, diplopia, ya kamata ka gudanar da wani sosai ganewar asali. Lokacin da Tolosa-Hunt ciwo zama dole don gudanar da sakandare rigakafin. Wannan ya hada dace hormone far, rigakafi goyon baya. Kana bukatar kuma ka kauce wa stressful yanayi da kuma kumburi tafiyar matakai.