Guudmarka
Ardeyda Adie (oo sidoo kale loo yaqaan Holmes-Adie syndrom, Adie's tonic student or Adie syndrome) waa cudur maskaxeed oo saameeya ardayga isha iyo nidaamka dareenka nafsiga. Bukaanlayda leh ardayga Adie waa inta badan dumarka inta u dhaxaysa da'da 20 iyo 40.
Astaamaha
Dadka leh ardayga Adie wuxuu caadi ahaan yeeshaa dhowr calaamadood oo kala duwan.
Ardayga isha ku haya ayaa marka hore u muuqda mid aad u weyn ama ka badan inta loo eego isha caadiga ah waxayna ka jawaabtaa si aan caadi aheyn iftiinka. Ugu horreyntii, ardaygu wuxuu si tartiib ah ama si aan caadi aheyn uga jawaabaa shaqooyinka dhow sida akhrinta sababtoo ah isha ayaa bilaabeysa inuu lumiyo awooda xoogga saaritaanka. Ka dib markii lagu soo koobay meel u dhow diiradda ama hoyga , ardayga ku lugta leh ayaa dhab ahaantii noqda mid tufaax ah, oo maqnaanaya mudo dheer kadib markii la joojiyey dadaal ku meelgaadh ah. Marmarka qaarkood, irisku wuxuu noqonayaa mid qarsoodi ah, luminta badi ama midabka midabkiisa. Dib-u-caleenta dheecaanka qotada dheer, sida maqaar-celinta-jilib-celinta jilicsan, ayaa sidoo kale laga yaabaa inay hoos u dhacdo bukaanada leh nidaamka dyseltonomia. Aragtida caanka ah, gaar ahaan meelaha kala duwan, waa calaamad kale oo caanka ah, iyo sidoo kale dhidid badan.
Sababaha
Sababta dhabta ah ee ardayga Adie waa lama garanayo. Waxaa jira waxyaabo badan oo suurtagal ah, oo ay ku jiraan nooca bakteeriyada ama fayrasta ee faleebo u gala dareemayaasha, laakiin badanaa ardayga Adie waa idiopathic, taasoo macnaheedu yahay inuusan jirin sabab loo yaqaan.
Ciladeynta
Dhakhtarkaaga isha ayaa ku weydiin doona su'aalo dhowr ah si loo go'aamiyo goorta aad u kala duwan tahay ardaygaaga ama aragti xumada ayaa noqotay mid la dareemo. Dhakhtarkaaga ayaa u badan inuu sameeyo baaritaanka isha ee isha . Tan waxaa ku jiri doona iftiin aad u iftiin leh indhahaaga si aad u tijaabiso falcelinta ardaygaaga. Dhakhtarkaaga ayaa sidoo kale laga yaabaa in uu keeno dhibco indha-indhogal ah oo khaas ah si loo qiimeeyo goobta ku jirta marinka dareemayaasha ee dhibaatooyinka laga yaabo inay dhacaan.
Waxaa laga yaabaa in laguu diro ama lagugu yeero 'neuro-ophthalmologist' baaritaan dheeraad ah.
Daaweynta
Daaweynta caadiga ah ee ardayga Adie waxaa badanaa ku jira qoritaanka muraayadaha indhaha ama akhriska muraayadaha si looga caawiyo arimaha udubdhiska. Daawo loogu yeero "pilocarpine" ayaa mararka qaarkood loo qoraa si loo yareeyo tirada ardayga ee dadka ka shaqeeya habeenkii wadada wadada ama dareenka iftiinka. Brimonidine, daroogada glaucoma, ayaa sidoo kale loo isticmaalay in lagu yareeyo cabbirka ardayga. Dhaqdhaqaaqa xad-dhaafka ah waxaa lagu daaweyn karaa nidaam qalliin oo loo yaqaanno sympathectomy thoracicomy. Nasiib darro, luminta xasaasiyad qoto dheer waxay u egtahay inay joogto noqoto.
Soo celinta
Qiyaastii 50% dadka leh ardayga Adie ayaa si buuxda u soo kabanaya 2 sano gudahood. Qaar ka mid ah ardayda, ardayga uu ardaygu ku dhaco wuxuu ka yaryahay ardayga caadiga ah, iyo kuwa kale jawaabta ardayga ee dhowaan si buuxda uma soo kaban.
Dhibaatooyinka
In kasta oo ardayga Adie uusan ahayn cudur halis ah, waxa uu noqon karaa mid dhib badan. Adie's ardaygu wuxuu keenaa waayitaankii hore ee awoodda ku dhow dhow oo la xidhiidha presbyopia , oo ah xaalad ku dhacda qiyaastii 40 jir. Sababtoo ah, way ku adkaan kartaa bukaanka da 'yar sababtoo ah hal isha ayaa si xoogan u eegaya midka kalena midna maaha. Dadka qaarkood ayaa laga yaabaa inay ka caban karaan dareenka iftiinka daran. Qaar kale waxay yeelan karaan waqti adag wakhti habeenkii ama baabuur wadida habeenkii.
Dadka qaarkiis ee qaba cudurka waxay ogaanayaan in dhididka badan ee dhididka uu sabab u yahay tayada nolosha.
Xigasho:
Slmovits, Thomas L iyo Ronald Burde. Neuro-ophthalmology. Year Book Europe Ltd, 1994.