Cranial mononeuropathy III - ituaiga maʻi suka

Lenei ituaiga maʻisuka o cranial mononeuropathy III o se faʻafitauli o le maʻi suka. E mafua ai le faaluaina vaʻai ma laumata paʻu ifo.

Mononeuropathy o lona uiga e naʻo le tasi le neura ua faʻaleagaina. O lenei faʻaletonu e afaina ai le neva cranial lona tolu i le ulupoo. Tasi lenei o neula cranial e faʻatonutonu gaioiga o mata.

Lenei ituaiga o faʻaleagaina ono tutupu faʻatasi ma le suka suka peripheral neuropathy. Cranial mononeuropathy III o le faʻamaʻi masani o le cranial nerve i tagata e maua i le maʻisuka. E mafua ona o le faʻaleagaina o tamaʻi toto auala e fafagaina ai neula.

Cranial mononeuropathy III e mafai foi ona tupu i tagata e leai se maʻi suka.

Faʻailoga e ono aofia ai:

• Faʻaaliga lua
• Faʻafefe o le tasi mata (ptosis)
• Tiga i le mata ma le muaulu

Neuropathy masani ona tupu i totonu o le 7 aso mai le amataga o tiga.

O le suʻesuʻeina o mata o le a iloa ai pe na o le lona tolu neura ua afaina pe pe o isi neula ua faʻaleagaina foi. Faʻailoga mafai ona aofia ai:

• Mata e le ogatusa
• Le tali a le tamaititi e masani lava ona masani ai

O lau fomaʻi tausi soifua o le a faia se suʻesuʻega maeʻaeʻa e iloa ai le ono afaina i isi vaega o le neula. Faʻamoemoe i le masalosalo mafuaʻaga, oe ono manaʻomia:

• Tofotofoga toto
• Tofotofoga e vaʻai toto toto i le faiʻai (cerebral angiogram, CT angiogram, MR angiogram)
• MRI poʻo le CT faʻataʻitaʻi o le faiʻai
• Spinal tap (lumbar puncture)

Atonu e manaʻomia ona faʻasino oe i se fomaʻi e faʻapitoa i faʻafitauli vaʻai e fesoʻotaʻi ma neula i le mata (neuro-ophthalmologist).

E leai se faʻapitoa togafitiga e faʻasaʻo ai le manua neura.

Togafitiga e fesoasoani ai faʻailoga mafai ona aofia ai:

• Tapunia lelei le maualuga ole suka ile toto
• Faʻapipiʻi mata poʻo tioata ma prisma e faʻaititia ai le vaʻai lua
• Paʻu vailaʻau
• Antiplatelet togafitiga
• Taotoga e faasaʻo ai le fegasoloaʻi o laumata poʻo mata e le ogatasi

O nisi tagata e mafai ona toe manuia e aunoa ma togafitiga.

O le faʻailo e lelei. Tele o tagata ua sili atu ile 3 ile 6 masina. Ae ui i lea, o nisi tagata e tumau maso maso vaivai vaivaiga.

Faʻafitauli e ono aofia ai:

• Tumau o laumata gaugau ifo
• Suʻesuʻega tumau tumau

Valaʻau lau tautua pe a fai e faalua lau vaʻai ma e le alu ese i ni nai minute, ae maise pe a faʻapea o loʻo e tau faʻaletonu mata.

Ole faʻatonutonuina ole maualuga ole suka ile toto e ono faʻaititia ai le ono maua ile faʻamaʻi lenei.

Maʻi suka lona tolu supa supa; Pupil-faasaoina lona tolu cranial namu palsy; Ocular suka suka

• Nofoʻaga popolevale ma faiga lautele neula

Brownlee M, Aiello LP, Sun JK, Cooper ME, Feldman EL, Plutzky J, Boulton AJM. Faʻafitauli o le maʻisuka mellitus. I: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Tusitusiga o Endocrinology. 14th lomiga. Filatelefia, PA: Elsevier; 2020: chap 37.

Guluma K. Diplopia. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 18.

Stettler BA. Faʻafitauli o le faiʻai o le faiʻai ma le mafaufau. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 95.