Ana a kukula osiyana: zimayambitsa, madokotala ananena zawo

Ana zamitundu osiyanasiyana anati anthu ndi matenda ena ophthalmic ndi ubongo. Mu mankhwala, ndi chizindikiro akuwonetseredwa lochitira ukulu wa ana diso, wotchedwa anisocoria. kudwala Izi anati vuto la kuwonongeka kwa ulusi wachifundo diso kugwirizana ndi minofu dilates mwana , kapena ocular ulusi parasympathetic a minofu amachititsa kuchepetsa wa mwana wa.

Ana zamitundu yosiyanasiyana, zimayambitsa matenda

Ngati anisocoria chifukwa cha kuvulala diso, imene minofu kuonongeka kuti constricts mwana, mwana yomweyo zitachitika woyamba itsekeke pang'ono, koma posakhalitsa zambiri, ndipo akuima poyankha malawi ndi zikuchitika zithunzi.

Ana zamitundu yosiyanasiyana nthawi zina zingachititse kutukusira kwa Iris, wotchedwa iritis.

zochita zonse ndichepe ndi mwana-kutsekedwa khungu chifukwa Iris ischemia. Khungu limodzi ndi noticeable pachimake kupweteka mwana wa diso, ndi maso wodwalayo pang'onopang'ono amachepetsa.

Ngati ophunzira ali zamitundu yosiyanasiyana yoonekera mu kuwala, ili ndi zambiri kusonyeza matenda a innervation parasympathetic. matenda amachititsa dilatation a mwana (mydriasis) ndipo anachita ake onse wofooka. Nthawi zambiri, mydriasis ndi zotsatira za kugonjetsedwa kwa oculomotor ubongo, zomwe limodzi ndi squint divergent, asamagwiritse ntchito galimoto wa diso, ptosis ndi diplopia.

ana ena pa anisocoria mwina chifukwa chotupa kapena aneurysm, compressing ndi oculomotor mitsempha.

The denervation parasympathetic (ana zamitundu yosiyanasiyana) nkwa kutukusira opatsirana a diso kapena maso zitsulo choipa mu ciliary ganglion.

Pankhaniyi mwana Kodi samva kuwala, koma luso msanga malawi (kusintha) ndi nditamva.

Adie syndromes ndi Horner

Adie syndrome amakhala ndi chakuti pamene inu lichoke view, mwana dilates pang'onopang'ono, ndipo ichi, nayenso, kumaphwanya malawi, ndipo anataya zithunzi acuity. syndrome Izi zimachitika mu atsikana ndi chifukwa mydriasis diso limodzi.

Ngati anisocoria nakweza mu mdima kapena pamene inu kuchotsa kuwala, ndiye losavuta mawonetseredwe anisocoria kapena matenda Horner a.

syndrome Izi limodzi ndi ptosis ndi, nkhope anhidrosis (kuphwanya thukuta) ndi kuchepetsa wa mwana, ndi zambiri zotsatira za kuswa wa innervation wachifundo diso. Ana pa matenda Horner anatani bwinobwino ku malawi ndi kuwala.

Chifukwa cha matenda Horner, khansa ndi pamwamba pa m'mapapo, mu ubongo tsinde msana chotupa kapena chapamwamba khomo lachiberekero msana. Ngati Horner syndrome, amene anatuluka pa pamwamba pa khansa ya m'mapapo, nthawi yomweyo anati kuwonda a minofu yaing'ono manja, ululu yochokera pamwamba medial manja.

Ana a kukula osiyanasiyana chifukwa cha psinjika za ulusi wachifundo khansa chithokomiro chifukwa zosiyanasiyana popanga munthu opaleshoni, zoopsa, zotupa, anaonjezera lymph mfundo pakhosi, ndi thrombosis carotid mtsempha wamagazi, ndi zifukwa zina.

Ngati zotsatira zoopsazo stratified carotid mtsempha wamagazi, Horner syndrome limodzi ndi ululu nkhope kumbali imodzi, ndi matenda a muubongo magazi.

syndrome Horner ya ana amachititsa neuroblastoma mu gawo khomo lachiberekero kapena thoracic.

Pamene yosavuta anisocoria (n'kofunika) Kawirikawiri matenda kusiyana pang'ono ukulu wa mwana (osati oposa 0.5 mm).

A kudwala mutu waching'alang'ala zina chifukwa mydriasis unilateral. Ana a kukula osiyana mu nkhani iyi, pali sakhalitsa ndipo mwana anachita kwathunthu nditamva.

ana ena - chifukwa kwambiri chithandizo kwa dokotala, monga iwo akhale chifukwa matenda aakulu.