Sibutsetelo
Umfundi ka-Adie (obizwa nangokuthi i-Holmes-Adie syndrome, umfundi we-Adie noma u-Adie syndrome) uyisifo sezinzwa esithinta umfundi we-eye nesistimu ye-neon autonomic. Iziguli ezinomfundi ka-Adie ziningi kakhulu abesifazane abaphakathi kweminyaka engu-20 no-40.
Izimpawu
Abantu abanezingane zika-Adie bavame ukuthuthukisa izimpawu eziningana ezihlukile.
Umfundi wesiso elikhuthele kuqala ubonakala ekhudlwana noma ngaphezulu ehlanjululwa kuneso elijwayelekile futhi uphenduka ngokungavamile ukukhanya. Ekuqaleni, umfundi uphendula kancane noma ngokungavamile phakathi nemisebenzi eseduze njengokufunda ngoba iso liqala ukulahlekelwa amandla ayo okugxila ekude. Ngemuva kokunwetshwa eduze nokugxila noma ukuhlala , umfundi ohilelekile angase abe yi-tonic, ehlala evinjelwe isikhathi eside ngemuva kokuyeka ukusebenza. Ngezinye izikhathi, iris iyahlanjululwa, ilahlekelwe kakhulu noma yonke umbala wayo. I-tendon reflexes ejulile, efana ne-classic hammer-to-knee reflex, ingase iyancishiswa kulawo maguli ane-systemic dysautonomia. Umbono ophuphuthekile, ikakhulukazi ebangeni elikude, ungenye isifo esijwayelekile sesifo, kanye nokujuluka ngokweqile.
Izimbangela
Isizathu esiqondile salo mfundi ka-Adie akaziwa. Kunezimbangela eziningi ezingabangela, okufaka uhlobo lokutheleleka kwegciwane noma ukwelashwa okubangelwa amagciwane, kepha ngokuvamile umfundi ka-Adie uyinhlangano ye-idiopathic, okusho ukuthi ayikho imbangela eyaziwayo.
Ukuxilongwa
Udokotela wakho wezinyosi uzokubuza imibuzo eminingana ukuze unqume ukuthi umehluko wakho wesayizi womfundi noma umbono obonakalayo ubonakala kanjani. Udokotela wakho cishe uzohlola ukuhlolwa kwamehlo okuphelele . Lokhu kuzofaka phakathi ukukhanya okukhanyayo kakhulu emehlweni akho ukuhlola ukuphendula komfundi wakho. Udokotela wakho angaphinde ahlasele amaconsi okuhlola okukhethekile ukuze ahlole indawo emgwaqweni wezinzwa ukuthi izinkinga zingase zenzeke.
Kungenzeka noma ungathunyelwa ku-neuro-ophthalmologist ukuze uhlolwe kabanzi.
Ukwelapha
Ukwelashwa okujwayelekile kumfundi ka-Adie kuvame ukuhlanganisa ukubeka izibuko ze- bifocal noma zokufunda ukuze kusize ngokusondela kwezindaba. Ngezinye izikhathi izidakamizwa ezibizwa ngokuthi i-pilocarpine zenzelwe ukunciphisa ubukhulu bomfundi kubantu abasebenzisana nokushayela ebusuku noma ukuzwela okukhulu. I-Brimonidine, i-glaucoma, isetshenziselwe ukunciphisa usayizi wabafundi. Ukujuluka ngokweqile kungelashwa ngenqubo yokuhlinzwa ebizwa ngokuthi i-thoracic sympathectomy. Ngeshwa, ukulahlekelwa kwe-tendon ejulile i-reflexes ivame ukuhlala unomphela.
Ukubuyisela
Abantu abangaba ngu-50% abanomfundi ka-Adie baphuthuma ngokugcwele eminyakeni emibili. Kwamanye abantu, umfundi othintekayo uba mncane kunomfundi ojwayelekile, futhi kwabanye impendulo yepupillary eseduze ayifuni ngokugcwele.
Izinkinga
Nakuba umfundi ka-Adie engeyona isongo esongela ukuphila, kungadambisa. Umfundi ka-Adie ubangela ukulahlekelwa isikhathi esingaphansi kwamandla aseduze-okugxila kufana ne- presbyopia , isimo esenzeka cishe eminyakeni engama-40. Ngenxa yalokho, kungaba nzima ngesiguli esincane ngoba iso elilodwa ligxile kahle kodwa elinye alibheki. Abanye abantu bangase bakhononde ngobuzwe obukhulu bokukhanya. Abanye bangase babe nesikhathi esinzima ngombono ebusuku noma ukushayela ebusuku.
Abanye abantu abane-disorder bathola ukuthi ukujuluka ngokweqile kubangela izinga lezinto zokuphila.
Umthombo:
Slmovits, uThomas L noRonald Burde. I-neuro-ophthalmology. Yearbook Yurobhu Ltd Ltd, 1994.