Kodi munayamba mwayang'aniridwa maso anu? Dokotala amaika madontho m'maso mwanu ndikukuuzani kuti mudikire kwakanthawi. Kenako mukayang'ana, zinthu zomwe zili pafupi, monga zilembo pafoni yanu, zimawoneka zosawoneka bwino, sichoncho? Zikumveka ngati simungathe ngakhale kutuluka padzuwa. Ngakhale anthu ambiri amaopa izi, kwenikweni ndi njira yothandiza kwambiri yomwe madokotala amagwiritsa ntchito poyang'anira maso anu moyenera. Lero tikulankhula za vutoli, lomwe ndi Cycloplegia.
Kodi Cycloplegia ndi chiyani?
Mwachidule, Cycloplegia ndi kufooka kwakanthawi kwa minofu mkati mwa diso lanu komwe kumakuthandizani kuyang'ana kwambiri. Izi zimachitika chifukwa cha mtundu wapadera wa dontho la maso lomwe dokotala amaika m'diso lanu. Izi ndi zakanthawi kochepa.
Tangoganizani kuti mkati mwa diso lanu muli lenzi, ngati kamera kakang'ono. Lenzi iyi ili ndi minofu yaying'ono yomwe imakuthandizani kuwona zinthu zomwe zili pafupi (monga buku, foni) ndi zinthu zomwe zili kutali kwambiri posintha momwe zimakhalira. Timatcha izi kuti `(ciliary body)`. Njira yomwe minofu iyi imakoka ndikukulira kuti isinthe mawonekedwe a lenzi imatchedwa "malo ogona".
Kukhazikika kumeneku kuli ngati reflex, zomwe zikutanthauza kuti sitingathe kulamulira momwe tikufunira. Chifukwa chake nthawi zina, tikamayesedwa maso athu, reflex iyi imatha kukhala ndi zotsatira zochepa pa zotsatira za mayeso. Apa ndi pamene njira iyi yotchedwa Cycloplegia ndi yofunika kwambiri kwa ife.
N’chifukwa chiyani madokotala amagwiritsa ntchito njira imeneyi?
Pali zifukwa zingapo zazikulu zogwiritsira ntchito cycloplegia.
- Pofufuza maso: Njirayi imagwiritsidwa ntchito makamaka pofufuza maso a ana kapena pamene mphamvu yeniyeni ya magalasi (zolakwika za refractive) ikufunika kuyezedwa. Chifukwa, nthawi zina, makamaka kwa ana aang'ono, minofu yolunjika iyi imatha kugwira ntchito mopitirira muyeso ndikusintha zotsatira za mayeso a maso. Chifukwa chake, popereka mankhwala awa ndikuyimitsa minofuyo kwakanthawi, dokotala amatha kuyeza molondola mphamvu yeniyeni ya maso anu.
- Pa opaleshoni ya maso: Njirayi imathandiza kufooketsa minofu mkati mwa diso kwakanthawi ndikusunga diso pamalo amodzi pa opaleshoni ya maso.
- Monga mankhwala a matenda ena a maso: Mankhwalawa amagwiritsidwa ntchito pochiza matenda monga "lazy eye" (amblyopia) ndi uveitis, yomwe ndi kutupa kwa mkati mwa diso.
- Kuzindikira kuwala: Mphuno ya diso imakula ndipo singathe kulamulira kuchuluka kwa kuwala komwe kumalowa. Izi zimapangitsa kuti zikhale zovuta kuyang'ana dzuwa, ndipo maso amamva ngati akusintha kukhala abuluu.
- Kuvuta kuona pafupi: Mukayang'ana mabuku, manyuzipepala, mawu pafoni yanu, kapena pa kompyuta, mawuwo amaoneka osamveka bwino.
- Mutu: Anthu ena amatha kumva mutu pang'ono chifukwa cha izi.
- Kumva kutentha pang'ono mukatha kugwiritsa ntchito mankhwala a maso (nthawi zambiri izi zimakhala zochepa kwambiri ndipo zimatha msanga).
- Kufiira kwa maso.
- Kukuyabwa pang'ono m'maso.
- Cycloplegia ndi njira yomwe imalepheretsa kwakanthawi minofu yoyang'ana m'maso, yomwe imagwiritsidwa ntchito pofufuza maso ndikuchiza matenda ena.
- Izi zimachitika ndi madontho a m'maso. Ndi zakanthawi kochepa komanso zopanda ululu.
- Zotsatira zoyipa zomwe zimachitika nthawi zambiri zimaphatikizapo kusawona bwino, kuvutika kuona pafupi ndi zinthu, komanso kusamva kuwala. Izi zimatha pamene mankhwala akutha.
- Pewani kuyendetsa galimoto kapena kugwira ntchito pafupi pamene muli ndi vuto la cycloplegia. Valani magalasi a dzuwa ngati mutuluka panja.
- Ngati mukukumana ndi zizindikiro zoopsa monga kugunda kwa mtima mofulumira, kusokonezeka maganizo, kapena kukomoka, pitani kwa dokotala nthawi yomweyo kapena pitani ku ETU.
- Ngati muli ndi nkhawa kapena mantha okhudza izi, lankhulani ndi dokotala wa maso. Adzakufotokozerani zonse.
Mwachitsanzo, mwana amene ali ndi 'diso lofooka' (amblyopia) akapatsidwa mankhwala awa m'diso lake labwino, zimakhala zovuta kuti diso limenelo lione pafupi. Diso lofooka liyenera kugwira ntchito molimbika, ndipo diso limenelo limakhala lamphamvu.
Komanso, kumbukirani, nthawi zina izi zingakhale zotsatirapo zina. Mwachitsanzo, ngati mugwiritsa ntchito chinthu monga scopolamine patch pochiza matenda oyenda,Muyenera kusamba m'manja bwino mutatha kugwiritsa ntchito mankhwalawa. Kupanda kutero, ngati mankhwalawo alowa m'maso mwanu, maso anu angasokonezeke kwa masiku angapo.
Kodi ubwino wa cycloplegia ndi wotani?
Pali ubwino wambiri pa njira iyi. Tiyeni tiyang'ane njira iyi kuti timvetse bwino.
| Ubwino | Kufotokozera Kosavuta |
|---|---|
| Zakanthawi | Mankhwala akatha, maso amabwerera m'malo abwino popanda zotsatirapo zake kwa nthawi yayitali. |
| Osawononga chilengedwe | Ndi kosavuta kugwiritsa ntchito ngati madontho a m'maso. Palibe chifukwa chobaya kapena kudula chilichonse. |
| Wopanda ululu | Mankhwalawa sapweteka akagwiritsidwa ntchito. Komabe, chifukwa chakuti mboni ya m'mphuno imakula, mungamve kufooka pang'ono komanso kusasangalala mukayang'ana panja. Ichi ndichifukwa chake madokotala amakupatsirani magalasi a dzuwa. |
| Kukhala ndi zosankha zingapo | Ngati mankhwala amodzi sakugwira ntchito kwa inu, pali njira zina. Ndipo, kutengera zosowa zanu, mutha kusankha mankhwala omwe ali ndi zotsatirapo za nthawi yochepa kapena yayitali. |
Kodi palibe zotsatirapo zake? Tiyeni tidziwenso zimenezo.
"Zotsatira zoyipa" zazikulu za mankhwala a cycloplegia ndi kukulitsa kwa maso. Ndipotu, ichi ndi chinthu chomwe dokotala amafuna kuwona akamayesa maso anu. Chifukwa chake mutha kumva kusasangalala pang'ono chifukwa cha izi.
Kuwonjezera pa izi, pakhoza kukhala zotsatira zina zazing'ono:
Chofunika kwambiri ndichakuti dokotala wanu akufotokozereni pasadakhale zotsatirapo zake za mankhwalawo komanso momwe zingamvekere.
Kodi vutoli lidzatha liti?
Izi zimadalira mtundu wa mankhwala omwe mwapatsidwa. Mankhwala ena amatha pakatha maola ochepa, pomwe ena amatha kwa masiku angapo.
| Dzina la Mankhwala | Kutalika kwa Zotsatira |
|---|---|
| Atropine | Masiku 7 mpaka 12 |
| Cyclopentolate | Mpaka maola 24 |
| Homatropine | Masiku 1 mpaka 3 |
| Phenylephrine | Mpaka maola 6 |
| Scopolamine | Masiku atatu mpaka asanu ndi awiri |
| Tropicamide | Maola 6 mpaka 24 |
Kodi zizindikiro zoopsa zomwe zimafunika kukaonana ndi dokotala ndi ziti?
Zotsatirapo zoyipa kwambiri kuchokera ku mankhwala a maso sizimachitika kawirikawiri. Komabe, pali zizindikiro zina zoopsa zomwe muyenera kudziwa, makamaka ndi mankhwala a nthawi yayitali. Ngati muwona chilichonse mwa izi, muyenera kuyimbira dokotala wanu nthawi yomweyo kapena kupita ku chipinda chodzidzimutsa (ETU) cha chipatala chapafupi nanu.
| Chizindikiro | Kufotokozera |
|---|---|
| Zizindikiro zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Kusintha kwa khalidwe | Kusokonezeka mwadzidzidzi ndi kusokonezeka maganizo. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kwambiri (tachycardia). |
| Chisokonezo | Zinthu monga kuiwala komwe muli komanso nthawi yomwe ili. |
| Kuthamanga kwa magazi pang'ono (hypotension) | Kukomoka ndi chizungulire pamene ukuimirira. |
| Kugwidwa ndi khunyu | Iyi ndi nkhani yoopsa kwambiri. |
| Kuvutika maganizo kwa kupuma | Kupuma pang'onopang'ono kapena pang'ono. |
Matenda a Cycloplegia angaoneke ngati ovuta kwa inu, koma kwenikweni ndi chida chamtengo wapatali kwa madokotala a maso. Amapangitsa kuti mayeso a maso akhale osavuta, amawonjezera kulondola kwa magalasi, komanso amathandiza kuchiza matenda angapo a maso. Chofunika kwambiri, ndi cha kanthawi kochepa. Mankhwala akatha, maso anu adzabwerera mwakale.
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