Tub ntxhais kawm ntawv sib txawv ntawm cov loj: ua, raug

Tub kawm ntawv ntawm txawv ntau thiab tsawg muaj cai nyob rau hauv tib neeg uas muaj tej yam ophthalmic thiab neurological kab mob. Nyob rau hauv cov tshuaj, lub tsos mob manifested tsis sib xws magnitude ntawm qhov muag cov menyuam kawm ntawv, hu ua anisocoria. Qhov no pathology yog cai nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj ntawm cov sympathetic fibers ntawm lub qhov muag txuam nrog nqaij ceev rau ntawm cov menyuam kawm ntawv , los yog ocular parasympathetic fibers teej tug mus rau cov nqaij ntshiv lub luag hauj lwm rau lub narrowing ntawm tus menyuam.

Tub kawm ntawv ntawm txawv ntau thiab tsawg, cov ua ntawm tus kab mob

Yog hais tias anisocoria yog lub txiaj ntsim ntawm ib lub qhov muag raug mob, nyob rau hauv uas lub puas nqaij uas constricts tus menyuam kawm ntawv, cov menyuam kawm ntawv tam sim ntawd tom qab qhov teeb meem ua ntej narrows, tab sis tsis ntev expands dua, thiab tsis teb rau cov kev pab thiab pom tau qhov sib stimuli.

Tub kawm ntawv ntawm txawv ntau thiab tsawg tej zaum kuj ua rau o ntawm lub iris, hu ua iritis.

Tag nrho cov tshuaj txo nrog tus menyuam kawm ntawv-kaw glaucoma uas ua los ntawm ischemia iris. GLAUCOMA yog nrog los ntawm ib tug hnov li mob mob nyob rau hauv lub ceev ceev, tus neeg mob lub puas pom maj txo.

Yog hais tias cov menyuam kawm ntawv yog cov sib txawv ntau thiab tsawg pab ntau pom nyob rau hauv ci ntsa iab, qhov no yog feem ntau tej zaum yuav muaj manifestation ntawm mob ntawm lub parasympathetic innervation. Tus kab mob no ua rau cov dilatation ntawm tus menyuam kawm ntawv (mydriasis) thiab tag nrho nws cov tshuaj tiv thaiv kuj tsis muaj zog. Feem ntau cov feem ntau, mydriasis yog ib lub txim ntawm lub yeej ntawm cov oculomotor paj, uas yog nrog los ntawm ib tug divergent squint, txwv lub cev muaj zog khiav dej num ntawm lub ceev ceev, ptosis thiab diplopia.

Lwm yam cov menyuam kawm ntawv nyob rau ntawm lub anisocoria tej zaum yuav vim ib tug mob los yog aneurysm, compressing lub oculomotor paj.

Lub parasympathetic denervation (tub kawm ntawv ntawm txawv ntau thiab tsawg pab) yog vim muaj ib tug kab mob ntawm lub qhov muag los yog qhov muag socket raug mob nyob rau hauv lub ciliary ganglion.

Nyob rau hauv rooj plaub no tus menyuam kawm ntawv tsis hnov mob mus rau lub teeb, tab sis tus muaj peev xwm ua rau kom cov kev pab (hloov) yog muab khaws cia tseg.

Adie syndromes thiab Horner

Adie syndrome yog yus muaj los ntawm qhov tseeb hais tias thaum koj tsiv mus deb saib, cov menyuam ceev maj mam, thiab qhov no, nyob rau hauv lem, ua txhaum cov kev pab, thiab poob nrig txog kev pom pom tseeb tseeb. Qhov no syndrome yog feem ntau pom nyob rau hauv cov tub ntxhais cov poj niam thiab yog qhov ua rau mydriasis nyob rau hauv ib lub qhov muag.

Yog hais tias anisocoria amplified nyob rau hauv qhov tsaus ntuj nti los yog thaum koj tshem tawm cov teeb, ces nws yog ib tug yooj yim manifestation anisocoria los yog Horner lub syndrome.

Qhov no syndrome yog nrog los ntawm ib tug ptosis, ntsej muag anhidrosis (ua txhaum tawm hws) thiab narrowing ntawm tus menyuam kawm ntawv, thiab yog feem ntau qhov tsim nyog tau muaj ib tug ua txhaum cai ntawm cov sympathetic innervation ntawm lub qhov muag. Tub ntxhais kawm ntawv nyob rau ntawm lub Horner lub syndrome teb feem ntau rau cov kev pab thiab lub teeb.

Qhov ua rau ntawm Horner syndrome, mob cancer yog sab saum toj ntawm lub ntsws, lub hlwb kav txha caj lesion los yog sab sauv lub tsev me nyuam nqaj qaum. Yog hais tias Horner syndrome, uas sawv ntawm lub sab saum toj ntawm lub ntsws cancer, nyob rau tib lub sij hawm cai poob ntawm lub me me nqaij ntawm ob txhais tes, mob radiating mus rau lub nrub nrab nplaim tes.

Tub ntxhais kawm ntawv sib txawv ntawm cov loj yog ib tug ntawm compression ntawm lub sympathetic fibers ntawm lub qog cancer raws li ib tug tshwm sim ntawm ib tug ntau yam ntawm kev phais cov txheej txheem, kev poob plig, hlav, ua qog nyob rau hauv lub caj dab, cov carotid leeg thrombosis, thiab lwm yam.

Yog hais tias qhov tshwm sim ntawm kev poob plig stratified carotid leeg, Horner syndrome nrog lub ntsej muag mob nyob rau sab tib, thiab mob ntawm cerebral cov ntshav ncig.

Horner lub syndrome nyob rau hauv cov me nyuam ua neuroblastoma nyob rau hauv lub tsev me nyuam los yog thoracic ib feem.

Thaum yooj yim anisocoria (tseem ceeb) feem ntau thiaj paub hais tias me ntsis txawv nyob rau hauv lub qhov ntau ntawm cov menyuam kawm ntawv (tsis ntau tshaj li 0.5 hli).

Ib tug migraine nres tau tej zaum kuj ua rau ib tug unilateral mydriasis. Tub ntxhais kawm ntawv sib txawv ntawm cov loj nyob rau hauv cov ntaub ntawv no, muaj short-lived thiab tus menyuam kawm ntawv cov tshuaj tiv thaiv yog kiag li muab khaws cia tseg.

Lwm yam cov menyuam kawm ntawv - ib tug loj heev ua rau kev kho mob rau cov kws kho mob, raws li lawv tej zaum yuav yog vim muaj mob loj cov kab mob.