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Video: Dab tsi ua rau Horner's syndrome?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Nws yog ua los ntawm kev puas tsuaj rau lub qab haus huv qab haus huv ntawm lub ntsej muag. Lub hauv paus ua ntawm Horner lub syndrome sib txawv heev thiab tej zaum yuav muaj xws li qog nqaij hlav, mob stroke, raug mob, los yog kab mob hauv qab uas cuam tshuam rau thaj chaw nyob ib puag ncig cov paj hlwb.
Ntxiv mus, dab tsi yog 3 yam cim qhia ntawm Horner's syndrome?
Cov cim qhia thiab cov tsos mob muaj xws li:
- Ib tus menyuam me tsis tu ncua (miosis)
- Qhov sib txawv tseem ceeb ntawm cov tub ntxhais kawm qhov sib txawv ntawm ob lub qhov muag (anisocoria)
- Qhib me me lossis qeeb (nthuav dav) ntawm cov menyuam kawm ntawv cuam tshuam hauv qhov pom kev tsis pom kev.
- Drooping ntawm daim tawv muag sab sauv (ptosis)
- Kev nce me ntsis ntawm lub hau qis, qee zaum hu ua upside-down ptosis.
Puas yog Horner's Syndrome hem lub neej? Horner syndrome kev kho mob yog ib qho teeb meem uas cuam tshuam rau lub qhov muag thiab ib puag ncig cov ntaub so ntswg ntawm ib sab ntawm lub ntsej muag thiab tshwm sim los ntawm kev tuag tes tuag taw ntawm qee cov hlab ntsha. Txawm li cas los xij, cov hlab ntsha puas tsuaj uas ua rau Horner syndrome kev kho mob tej zaum yuav tshwm sim los ntawm lwm yam teeb meem kev noj qab haus huv, qee qhov tuaj yeem yog lub neej - hem.
Ntawm no, cov hlab ntsha twg cuam tshuam hauv Horner's syndrome?
Horner syndrome kev kho mob ( Horner lub syndrome los yog oculosympathetic paresis) tshwm sim los ntawm kev cuam tshuam ntawm kev xav paj hlwb muab rau lub qhov muag thiab yog tus yam ntxwv los ntawm classic triad ntawm miosis (xws li, constricted me nyuam kawm ntawv), ib nrab ptosis, thiab poob ntawm hemifacial tawm hws (ie, anhidrosis), as well as enophthalmos (dab dej ntawm cov hlab ntsha).
Dab tsi tuaj yeem ua rau Horner's syndrome?
Cov kev kho mob ntawm Horner syndrome kev kho mob nyob ntawm qhov chaw thiab ua ntawm lesion los yog qog. Qee zaum kev phais tshem tawm ntawm qhov txhab lossis kev loj hlob tuaj yeem tsim nyog. Kev siv hluav taws xob thiab tshuaj kho mob yuav muaj txiaj ntsig zoo rau cov neeg mob qog noj ntshav.
Pom zoo:
Dab tsi yog lub hauv paus ntawm lub cev rau amenorrhoea tom qab xeeb menyuam thiab lwm yam dab tsi uas tuaj yeem ua rau amenorrhoea?
Amenorrhea cov lus tseeb Genetic los yog yug hauv tsev yog qhov ua rau pom thawj zaug ntawm tus mob amenorrhea. Amenorrhea tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm zes qe menyuam, pituitary caj pas, hypothalamus, lossis lub tsev menyuam. Kev qoj ib ce hnyav, hnyav hnyav, mob lub cev, thiab kev nyuab siab tuaj yeem ua rau muaj kev tsis txaus ntseeg
Dab tsi yog qhov txiaj ntsig ib txwm rau PaO 2 Dab tsi yog qhov txiaj ntsig rau kev txiav txim siab qhov hnyav ntawm hypoxemia?
Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg
Dab tsi ua rau tub ceev xwm saib xyuas tshuaj rau dab tsi?
Qhov feem ntau raug zam txim thiab raug tshuaj ntsuam xyuas thiab ntsuas cawv yog: 5-panel panel drugurine test, uas txheeb xyuas cov zis zis rau cov yeeb tshuaj xas, cocaine, PCP, amphetamines, thiab opiates. Ntau qhov kev sim tshuaj ntsuam xyuas kev sim tshuaj kuj tseem ntxiv cawv rau 5-paneltest
Koj yuav kuaj li cas rau Horner's syndrome?
Kuaj kom paub tseeb tias Horner syndrome Koj tus kws kho mob, feem ntau yog kws kho qhov muag, kuj tseem tuaj yeem lees paub qhov kev kuaj mob los ntawm kev tso ob lub qhov muag - ib qho poob uas yuav ua rau cov tub ntxhais kawm ntawm lub qhov muag muaj kev noj qab haus huv lossis poob qis uas yuav txwv tsis pub cov menyuam kawm ntawv nyob hauv qhov muag kom zoo
Dab tsi tuaj yeem ua rau Horner's syndrome?
Nws yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha ntawm lub ntsej muag. Cov hauv paus ntsiab lus ntawm Horner's syndrome sib txawv heev thiab tej zaum yuav muaj cov qog nqaij hlav, mob stroke, raug mob, los yog kab mob hauv qab uas cuam tshuam rau thaj chaw nyob ib puag ncig cov hlab ntsha