Kodi n'kovuta kutembenuza maso ako kumbali? Ichi chikhoza kukhala Brown Syndrome!

Kodi nthawi zina mumamva ngati simungathe kusuntha maso anu bwino, makamaka mukamayang'ana mmwamba? Kapena mwawona kusintha kulikonse pa kayendedwe ka maso ka mwana wanu? Ngakhale nthawi zina sitisamala kwambiri ndi zinthuzi, zimatha kuchitika chifukwa cha matenda ena a maso. Eya, vuto limodzi lotere lomwe limakhudza kayendetsedwe ka maso ndi "Brown Syndrome", lomwe tikambirana lero.

Kodi "Brown Syndrome" ndi chiyani?

Mwachidule, "Brown Syndrome" ndi vuto la minofu ndi minofu zomwe zimathandiza kusuntha maso athu (makamaka minofu ya oblique yapamwamba ndi tendon yake). Mungamvenso kuti imatchedwa "superior oblique tendon sheath syndrome."

Taganizirani izi motere: diso lathu lili ngati kamera. Limafunika kuti lizitha kuzungulira mbali zonse. Izi zimathandizidwa ndi minofu yaying'ono yozungulira diso ndi minofu (ma tendons) yomwe imalumikiza. Chifukwa chake, ngati minofu ya 'superior oblique' iyi ndi tendon yake sizikugwira ntchito bwino, zimakhala zovuta kuti diso liziyenda momasuka mbali zonse.

Anthu ena amabadwa ndi vutoli. Izi zikutanthauza kuti minofu yawo yolimba kwambiri ingakhale yayifupi pang'ono kapena yolimba kwambiri akangobadwa. Izi zimatchedwa matenda a Brown obadwa nawo. Komabe, nthawi zina vutoli limatha kukula mtsogolo. Izi zimachitika chifukwa minofu kapena tendon yomwe ikukambidwayo imatupa kapena kukhuthala.

Matenda a Brown nthawi zambiri amakhudza diso limodzi lokha (lotchedwa `unilaterally`). Munthu amene ali ndi vutoli amavutika kuyang'ana mkati ndi mmwamba nthawi imodzi. Amakhudzanso momwe diso lingakwerere mmwamba.

Ngakhale mutakhala ndi "Brown Syndrome" m'diso limodzi, mutha kuwona ndi diso limenelo. Komabe, mukayang'ana mbali ina, diso limenelo silikuyenda momasuka. Lingamveke ngati diso lakakamira , kapena ngati silingathe kutembenukira mbali zonse mwachizolowezi.

Nkhani yabwino ndi yakuti vutoli, lotchedwa "Brown syndrome," nthawi zina limatha kuchiritsidwa ndi mankhwala. Anthu ena angafunike opaleshoni. Ngati muwona kusintha kulikonse m'maso mwanu kapena m'maso mwanu, ndi bwino kupita kwa dokotala kapena dokotala wa maso nthawi yomweyo.

Ndani amene akukhudzidwa kwambiri ndi vutoli?

"Brown Syndrome" ndi vuto losowa kwambiri . Koma lingachitike kwa aliyense. Akuti ndi lofala pang'ono mwa akazi kuposa amuna.

Kodi zizindikiro za "Brown Syndrome" ndi ziti?

Munthu amene ali ndi "Brown syndrome" akhoza kukhala ndi zizindikiro monga izi:

• Kuvutika kuyang'ana mkati (kutsogolo kwa mphuno) ndi mmwamba: Ichi ndiye chizindikiro chachikulu. Zingamveke ngati diso latsekedwa.
• Kusalinganika bwino kwa maso: Diso limodzi lingaoneke ngati latembenuzidwa mosiyana ndi linzake, makamaka likayang'ana mmwamba.
• Kupweteka kwa maso: Anthu ena amatha kumva kupweteka akamasuntha maso awo.
• Phokoso la "kudina" kapena kumva ngati wakodwa pamene akusuntha diso: Anthu ena amanena kuti akumva phokoso la kudina pamene akusuntha diso lawo, kapena akumva ngati chinachake chakodwa mkati.
• Chikope chopindika (`Ptosis`): Chikope cha diso lokhudzidwacho chikhoza kukhala chotsika kuposa diso lina.

Nthawi zina anthu omwe ali ndi "Brown Syndrome" mosazindikira amapotoza mitu yawo kumbali. Izi zimachitika chifukwa maso awo sakuyenda momasuka, ndipo monga yankho, amapotoza mutu wawo akamayesa kuwona molunjika.

Kuwonjezera pa zizindikiro zimenezi, "Brown Syndrome" ingakhudzenso maso anu, makamaka mukayang'ana kutali ndi kamera m'malo moyang'ana kutsogolo.

• Kutaya masomphenya: Kuona m'diso lomwe lakhudzidwa kungachepe.
• Kuona zinthu ziwiri nthawi imodzi (diplopia): Kuona zinthu ziwiri nthawi imodzi. Izi zimachitika nthawi zambiri chifukwa maso awiriwa sakuyang'ana bwino limodzi.
• Kuchepa kwa kuzindikira kwakuya: Zingakhale zovuta kuweruza mtunda wa zinthu. Mwachitsanzo, izi zitha kukhala vuto mukakwera kapena kutsika masitepe kapena mukuyendetsa galimoto.

Kodi chimayambitsa "Brown Syndrome" ndi chiyani?

"Brown syndrome" imachitika pamene chinachake chikukhudza minofu ndi minofu (tendon) zomwe zimalamulira maso athu. Zinthu zazikulu zomwe zingayambitse izi ndi izi:

Matenda a Congenital Brown

Uwu ndi mtundu wofala kwambiri wa matenda a Brown. Matenda a Congenital amatanthauza kuti amapezeka pobadwa. Chifukwa chake, mwana akhoza kukhala ndi vutoli m'maso mwake akabadwa. Akatswiri sanapezebe chifukwa chenicheni chomwe izi zimachitikira. Zitha kukhala chifukwa cha kusintha pang'ono pakukula kwa diso panthawi ya mimba.

Matenda a autoimmune

Matenda a autoimmune ndi pamene chitetezo cha mthupi lathu, chomwe chimatiteteza ku matenda, chimaukira maselo a thupi lathu molakwika. Sizikudziwika bwino chifukwa chake izi zimachitika. Matenda ena a autoimmune omwe angayambitse "Brown syndrome" ndi awa:

• Lupus
• Matenda a nyamakazi
• Matenda a Sjögren
• Matenda a maso a chithokomiro kapena matenda a dysthyroid

Matendawa angayambitse kutupa kwa minofu yozungulira diso, zomwe zimasokoneza ntchito ya minofu ya oblique yapamwamba.

Matenda ndi matenda ena a maso

Matenda ena ndi mavuto ena a maso angayambitse kutupa kuzungulira maso, zomwe zimayambitsa "Brown syndrome." Zitsanzo:

• Matenda a sinus (sinusitis):Matenda m'mabowo a mpweya (m'mphuno) ozungulira mphuno amatha kufalikira mpaka m'diso ndikupangitsa kutupa.
• Orbital cellulitis: Matenda a minofu yozungulira fupa la diso.
• Trochleitis: Kutupa kwa gawo laling'ono longa pulley (trochlea) lomwe tendon yapamwamba yopingasa imadutsa.
• Tenosynovitis mu superior oblique: Uku ndi kutupa kwa chigoba chomwe chimaphimba tendon.

Ngozi (Zoopsa)

Nthawi zina, "Brown syndrome" ingayambitsidwenso ndi ngozi kumaso kapena m'maso.

• Kuvulala m'maso: Chinthu chonga kumenyedwa mwachindunji m'diso. Tangoganizirani, ngati wina wagundidwa m'diso ndi mpira akusewera cricket, chinthu chonga chimenecho.
• Kusweka kwa nkhope: Kusweka kwa mafupa ozungulira diso kumatha kuwononga minofu ya oblique yapamwamba. Izi zitha kuchitika ngati mwavulala pankhope pa ngozi yagalimoto.
• Mavuto pambuyo pa opaleshoni ya maso: Vutoli limatha kuchitika ngati zotsatirapo zina pambuyo pa opaleshoni ya maso, koma nthawi zambiri zimakhala zochepa.

Kodi matenda a "Brown Syndrome" amawapeza bwanji?

Dokotala wanu kapena dokotala wa maso adzakuyesani maso kuti adziwe ngati muli ndi matenda a Brown. Adzakuyang'anani maso anu pamene mukuyang'ana patsogolo komanso pamene mukusuntha maso anu mbali zonse. Makamaka, adzakufunsani kuti muyang'ane mmwamba, pansi, kumanja, kumanzere, mkati, ndi kunja. Kenako adzatha kuona ngati pali zoletsa zilizonse pa kayendedwe ka maso anu.

Sikuti amangoyang'ana maso anu kuti awone ngati pali matenda ena a maso omwe angayambitse zizindikirozi. Nthawi zina, zida zapadera zingagwiritsidwe ntchito poyeza zinthu monga kuthamanga kwa maso ndi maso.

Kodi "Brown Syndrome" imachiritsidwa bwanji?

Chithandizo cha "Brown syndrome" chimadalira chifukwa chake komanso kuopsa kwa zizindikiro zake.

Chithandizo cha matenda obadwa nawo a "Brown syndrome"

Ana ena omwe amabadwa ndi matenda a Brown syndrome amatha kukula popanda chithandizo chilichonse . Ngati mwana wanu ali ndi matenda a Brown syndrome, dokotala wanu wa maso adzakuuzani kangati kuti muwayang'anire maso awo ndikuyang'anira kusintha kwa maso awo. Nthawi zina, mwana wanu akamakula, minofu imatha kumasuka pang'ono ndipo vutoli limatha.

Chithandizo cha "Brown Syndrome" chomwe chimayamba chifukwa cha kutupa

Ngati zizindikiro zanu zimayambitsidwa ndi kutupa (kutupa) kuzungulira diso, kaya chifukwa cha matenda odziteteza ku matenda, matenda, kapena ngozi, kuchiza chomwe chimayambitsa matendawa nthawi zambiri kumachepetsa zizindikiro za "Brown syndrome."

Dokotala adzakuuzani chithandizo chomwe chikufunika, kutengera chomwe chayambitsa kutupa.

Mwina mungafunike mankhwala ochepetsa kutupa kwa minofu yanu yolimba kwambiri. Mankhwala odziwika bwino omwe amagwiritsidwa ntchito pa matenda a Brown ndi awa:

• Mankhwala Oletsa Kutupa (NSAIDs) (Nonsteroidal Anti-Inflammatory Drugs): Awa ndi mankhwala omwe timamwa chifukwa cha ululu ndi kutupa, monga aspirin, ibuprofen, ndi naproxen. Ngakhale kuti mankhwalawa angagulidwe ku pharmacy, ndikofunikira kupeza upangiri wa dokotala ngati mukuwagwiritsa ntchito mosalekeza kwa masiku opitilira 10.
• Corticosteroids: Nthawi zina dokotala wanu angakupatseni jekeseni ya corticosteroid mwachindunji mu minofu yanu yapamwamba kwambiri. Izi zingathandize kuchepetsa kutupa mwachangu.
• Mankhwala Oletsa Kutupa kwa Thupi: Dokotala wanu angakupatseni mankhwala awa kuti aletse chitetezo cha mthupi lanu kuukira maselo athanzi. Mankhwalawa nthawi zambiri amaperekedwa kwa anthu omwe ali ndi matenda odziteteza okha.

Opaleshoni ya "Brown Syndrome"

Anthu ambiri omwe ali ndi matenda a Brown syndrome safunika opaleshoni. Komabe, ngati vutoli likukhudza kwambiri maso anu, kapena ngati mankhwala ena sakuchepetsa zizindikiro zanu, dokotala wanu angakulangizeni opaleshoni kuti akonze minofu yanu yowongoka.

Kutengera ndi chomwe chimayambitsa "Brown Syndrome" yanu, dokotala wanu adzakuuzani zomwe mungayembekezere komanso njira zomwe angagwiritse ntchito. Mwachitsanzo:

• Kuchotsa Tenotomi kapena Tenectomy: Opaleshoni iyi imachitika kuti muchepetse oblique yanu ngati ili yolimba kapena yopapatiza.
• Kutambasula mwendo wa oblique wapamwamba: Ngati ndi waufupi kwambiri, opaleshoni ikhoza kuchitidwa kuti itambasulidwe.
• Kuchotsa chiphuphu: Nthawi zina vutoli lingayambitsidwe ndi chinthu chonga chiphuphu chaching'ono. Zikatero, chidzachotsedwa.

Musaope opaleshoni. Izi nthawi zambiri zimakhala opaleshoni yopambana, koma monga opaleshoni ina iliyonse, pali zoopsa zina. Dokotala wanu adzakufotokozerani mwatsatanetsatane.

Kodi "Brown Syndrome" ingapewedwe?

Popeza ndi vuto lobadwa nalo, kapena lomwe limayamba chifukwa cha matenda omwe sitingathe kuwaletsa (monga matenda a autoimmune) ndi ngozi, "Brown syndrome" ndi yovuta kuipewa .

Koma, kawirikawiri, ndikofunikira kwambiri kuvala magalasi oteteza ndikugwiritsa ntchito zida zoyenera zodzitetezera mukamagwiritsa ntchito zida kapena kuchita chilichonse chomwe chingavulaze maso anu . Izi zitha kupewa osati "Brown Syndrome" yokha komanso kuvulala kwina kwa maso.

Kodi ndiyenera kukayezetsa maso anga liti?

Kuyang'ana maso anu ndi maso anu nthawi zonse kungathandize dokotala wanu wa maso kuzindikira mavuto aliwonse msanga. Nthawi zambiri muyenera kuyezedwa maso anu zimadalira zaka zanu:

• Ana aang'ono: Dokotala wa ana adzayang'ana maso a mwana wanu nthawi zonse akamapita kuchipatala - makamaka m'zaka zoyambirira, kenako kawiri pachaka.
• Akuluakulu osakwana zaka 40: Zaka zisanu mpaka khumi zilizonse.
• Akuluakulu azaka zapakati pa 40 ndi 54: Zaka ziwiri kapena zinayi zilizonse.
• Akuluakulu azaka zopitilira 55: Chaka chilichonse mpaka zaka zitatu.

Ngati muvala magalasi, magalasi oonera, kapena zinthu zina zowonera, mungafunike kuyesedwa maso anu pafupipafupi. Anthu omwe ali ndi matenda a shuga amafunikanso kuyesedwa maso awo pafupipafupi kuposa omwe ali pamndandandawu, chifukwa matenda a shuga amatha kukhudza maso.

Chinthu chabwino kwambiri choti muchite ndikufunsa dokotala wa maso anu kuti nthawi zambiri mumafunika kuyesedwa maso.

Kodi mungayembekezere chiyani ngati muli ndi "Brown Syndrome"?

Mukalandira chithandizo cha "Brown Syndrome", zizindikiro zanu ziyenera kuchira. Mutha kuyembekezera kuchira kwathunthu .

Ana ena omwe amabadwa ndi "Brown Syndrome" amakula popanda chithandizo chilichonse akamakula.

Ngakhale mutachitidwa opaleshoni, "Brown syndrome" nthawi zambiri siikhala ndi zotsatirapo za nthawi yayitali pa maso kapena maso anu. Choncho musadandaule kwambiri za izo.

Kodi ndiyenera kupita kwa dokotala liti?

Pitani kwa dokotala mwamsanga mukangoona kusintha kulikonse m'maso mwanu kapena m'maso mwanu. Ngakhale zitakhala ngati zazing'ono, zitha kukhala chizindikiro choyamba cha vuto lalikulu.

Ngati muli ndi zizindikiro izi, pitani kuchipatala mwamsanga :

• Kutaya masomphenya mwadzidzidzi.
• Kupweteka kwambiri kwa maso.
• Ngati mukumva ngati mukuwona magetsi atsopano (`kuwala`) kapena zinthu zoyandama (`zoyandama`) pamaso panu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, musaiwale kufunsa mafunso ngati awa:

• Kodi ndili ndi "Brown Syndrome" kapena vuto lina la strabismus?
• Kodi zizindikiro zanga zitenga nthawi yayitali bwanji?
• Kodi ndikufunika chithandizo chilichonse?
• Kodi chimayambitsa "Brown Syndrome" ndi chiyani?
• Kodi ndiyenera kukayezetsanso maso anga kangati?

Kuwonjezera pa mafunso awa, funsani mafunso aliwonse omwe mungakhale nawo. Dokotala ali pano kuti akuthandizeni.

Kodi kusiyana pakati pa "Brown syndrome" ndi "lazy eye" (amblyopia) ndi kotani?

"Brown syndrome" ndi "lazy eye" (amblyopia - ena amatchanso "lazy eye") ndi matenda omwe nthawi zambiri amakhudza diso limodzi. Koma kusiyana kuli pa zomwe zimachitikadi ku diso kapena masomphenya.

"Brown syndrome," monga tafotokozera kale, ndi vuto la minofu kapena tendon yomwe imasuntha diso. Izi zimapangitsa kuti zikhale zovuta kutembenuza diso mbali zonse. Ngakhale kuti zingakhudze masomphenya, si matenda a mkati mwa diso.

Matenda otchedwa "diso laulesi" (`amblyopia`) amayamba ali mwana. Ngati mwana wanu ali ndi `amblyopia`, ubongo wake umaphunzira kunyalanyaza chithunzi chochokera m'diso lolakwika kapena losawoneka bwino. M'malo mwake, ubongo umagwiritsa ntchito chithunzi chochokera m'diso lamphamvu lokha, zomwe zimapangitsa kuti kuona m'diso lofooka kuipireipire. Mwachidule, diso limodzi ndi "laulesi" chifukwa ubongo sukuligwiritsa ntchito bwino.

Chofunika kwambiri n'chakuti, ana obadwa ndi matenda a Brown nthawi zina amatha kukhala ndi vuto la amblyopia akakula. Chifukwa chake, ndikofunikira kuwonana ndi dokotala kapena katswiri wa maso mwamsanga ngati muwona kusintha kulikonse m'maso mwa mwana wanu.

Kodi kusiyana pakati pa "Brown Syndrome" ndi strabismus (maso opindika) ndi kotani?

Matenda a Strabismus ndi vuto limene maso anu sali bwino. Mwa kuyankhula kwina, diso limodzi limatembenuzidwa mosiyana ndi linzake. Izi ndi zomwe timatcha "maso opingasa" m'mawu olankhulidwa.

"Brown syndrome" kwenikweni ndi mtundu wa strabismus. Mudzazindikira bwino kwambiri mukayang'ana mkati kapena mmwamba. Zidzaoneka ngati diso lanu limodzi silikuyenda bwino ngati linalo (kapena mwina silikuyenda konse).

Kutengera ndi kuchuluka kwa kuwonongeka kwa minofu ndi minyewa ya maso anu, maso anu akhoza kukhala osalunjika bwino ngakhale mukuyang'ana patsogolo.

Kuona chinthu ngati kuyimitsa kwathunthu kuyenda kwa maso, kapena kudziwa kuti mwana wanu ali ndi vuto lobadwa nalo, kungakhale koopsa kwambiri. Zimenezo n'zachibadwa. Koma nkhani yabwino ndi yakuti, kaya chifukwa cha "Brown syndrome" n'chiyani, nthawi zambiri chimakhala vuto la kanthawi kochepa. Ndipotu, inu kapena mwana wanu simungafunikire chithandizo chapadera kupatula kupita kwa dokotala wa maso nthawi zonse.

Choncho, ngati muwona kusintha kulikonse m'maso mwanu kapena m'maso mwanu, musanyalanyaze ndipo pitani kwa dokotala kapena dokotala wa maso nthawi yomweyo. Kumbukirani kuti nthawi zina, ngakhale kusintha pang'ono kungakhale chizindikiro choyamba cha vuto lalikulu lomwe liyenera kuchiritsidwa mwachangu.

Zinthu zoti muzikumbukire kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino za "Brown Syndrome" yomwe tidakambirana. Nazi zinthu zingapo zomwe muyenera kukumbukira:

• "Brown syndrome" ndi vuto lomwe diso limavutika kuyenda momasuka (makamaka mkati ndi mmwamba) chifukwa cha vuto la minofu ya oblique kapena tendon yomwe imasuntha diso.
• Izi zitha kuchitika munthu akangobadwa, kapena zimatha kuchitika pambuyo pake chifukwa cha matenda opatsirana, matenda odziteteza ku matenda enaake, kapena ngozi.
• Chizindikiro chachikulu ndikumva kupsinjika mukayang'ana mmwamba ndikutembenuza mphuno kumbali. Kuwona kawiri komanso kupweteka kwa maso kumathanso kuchitika.
• Nthawi zambiri, vutoli limakhudza diso limodzi lokha.
• Matenda obadwa nawo nthawi zina amatha okha pamene mwana akukula. Zifukwa zina zimatha kuchiritsidwa (ndi mankhwala kapena, kawirikawiri, opaleshoni).
• Ngati muli ndi nkhawa kapena kusintha kulikonse pa kayendedwe ka maso anu kapena a mwana wanu, onetsetsani kuti mwawonana ndi dokotala wa maso . Kuzindikira msanga ndi kulandira chithandizo ndikwabwino kwambiri.

Palibe choopa, pali mankhwala abwino a vutoli, ndipo nthawi zambiri amatha kuchiritsidwa kwathunthu!

Matenda a Brown , Mavuto Oyenda ndi Maso, Matenda a Maso, Kusalingana kwa Maso, Matenda a Maso a Ana, Superior Oblique