Overview
Mudzidzi waAdie (anonziwo Holmes-Adie syndrome, Adie's tonic mudzidzi kana Adie syndrome) chirwere chepfungwa chinokanganisa mwana weziso uye chirongwa chekutenderera chinotyisa. Varwere nevadzidzi vaAdie vanowanzova vakadzi pakati pemakore makumi maviri nemakumi mana.
Zviratidzo
Vanhu vane vadzidzi vaAdie vanowanzovaka zviratidzo zvakasiyana-siyana.
Mudzidzi weziso rakagadziriswa anotanga kuoneka yakakura kana kuti yakanyanyisa kupfuura yakatarisa ziso uye anopindura nenzira isingaoneki. Pakutanga, mudzidzi anononoka zvishoma nezvishoma kana asinganzwisisiki pamabasa akadai akadai sokuverenga nokuti ziso rinotanga kukanganisa simba rayo rekucherechedza. Mushure mokunge wawedzerwa pedyo nekutarisa kana kugara , mudzidzi anobatanidzwa angangodaro aita tonic, akasara akachengetwa kwenguva yakareba mushure mekurega kugadziriswa. Pane imwe nguva, iris inowedzerwa, kurasikirwa kakawanda kana yose yemavara ayo. Deep tendon reflexes, yakadai seyakadzika nyundo-to-knee reflex, inogonawo kuderedzwa kune avo varwere vane systemic dysautonomia. Chiratidzo chakasvibiswa, kunyanya pamusana pfupi, ndeimwe chiratidzo chinowanzoonekwa chechirwere, pamwe nekuputika kukuru.
Zvinokonzera
Chikonzero chaiicho cheAdie's pupil hachizivikanwi. Pane zvakawanda zvinokonzera zvinokonzera, kusanganisira rudzi rwebhakitiriya kana hutachiwana hwehutachiona hunovhiringidza mitsipa, asi kazhinji kechipiri Adie's idiopathic, zvinoreva kuti haina chikonzero chakazivikanwa.
Kuziva
Dhigirii weziso rako achakubvunza mibvunzo yakawanda kuti uone kana mudzidzi wako akaenzana nekusiyana kana chiratidzo chakajeka chakaonekwa. Chiremba wako angangodaro akaitisa kuongororwa kweziso rakazara . Izvi zvinosanganisira kubhenekera chiedza chakajeka zvikuru mumaziso ako kuti uedze vadzidzi vako. Chiremba wako anogonawo kuisa ruzivo rwakakosha rwemadonzvo eziso kuti aongorore nzvimbo iri mumugwagwa wezinzwa kuti matambudziko angave achiitika.
Iwe unogona kana usingadi kutumirwa kune neuro-ophthalmologist kuti uwedzere kuedzwa.
Kurapa
Kurapa kwechikoro cheAdie mudzidzi kazhinji kunosanganisira kunyora magirasi e- bifocal kana kuverenga kubatsira nekuswedera pedyo nekuisa pfungwa. Chirwere chinonzi pilocarpine dzimwe nguva chinotsanangurwa kuti kuderedze hukuru hwevadzidzi kuvanhu vanobata usiku huchityaira glare kana kutinhira kwekunzwa. Brimonidine, chirongwa che glaucoma, chakashandiswawo kuderedza kuwanda kwevadzidzi. Kuwedzerwa kwekufutira kunogona kurapwa nenzira yekuvhiya inonzi thoracic sympathectomy. Zvinosuruvarisa, kurasikirwa kwepasi rakanyanya tendon reflexes kunowedzera kuva nekusingaperi.
Kudzorera
Inenge 50% yevanhu vane mwana weAdie vanowana zvakakwana mukati memakore maviri. Mune vamwe vanhu, mudzidzi akabatwa anova muduku kupinda wechikoro, uye mune vamwe pedo pupillary response haatombogadziri zvakakwana.
Matambudziko
Kunyange zvazvo mwana waAdie haasi chirwere chinopisa upenyu, chinogona kukanganisa. Mudzidzi waAdie anokonzera kusarirwa kwenguva refu kwechibvumirano chekuswedera pedyo-kufanana ne presbyopia , mamiriro ezvinhu anowanikwa anenge ava nemakore makumi mana. Somugumisiro, zvinogona kuva zvakaoma kune murwere muduku nokuti rimwe ziso rinotarisa zvakanaka uye rimwe hariti. Vamwe vanhu vangave vachinyunyuta nezvekunyanya kunzwisisika kwekunzwisisa. Vamwe vanogona kunge vane nguva yakaoma yekuona usiku kana kutyaira usiku.
Vamwe vanhu vane chirwere vanoona kuti kutuka zvakanyanya kunokonzera hupenyu hwehupenyu hwehupenyu.
Kunobva:
Slmovits, Thomas L naRonald Burde. Neuro-ophthalmology. Year Book Europe Ltd, 1994.