Kodi munayamba mwayesedwa maso? Kapena munapitapo ndi mwana wanu kwa dokotala wa maso? Panthawiyo, mwina munamvapo mawu akuti 'retinoscopy'. Iyi ndi sitepe yofunika kwambiri pa mayeso a maso. Lero, tiyeni tikambirane za retinoscopy iyi, zomwe imachita, komanso kufunika kwake.
Kodi Retinoscopy ndi chiyani?
Mwachidule, retinoscopy ndi mayeso apadera omwe dokotala wa maso amagwiritsa ntchito kuti ayesere molondola maso anu, kapena zolakwika za refractive, m'maso mwanu. Amagwiritsa ntchito chida chapadera chogwiridwa ndi dzanja ndi nyali kuti achite izi. Kuwala kumeneku kumatumizidwa m'diso lanu, komwe kumafika pa retina kumbuyo kwa diso lanu, kenako kumabwereranso.
Ngakhale kuti masiku ano pali njira zambiri zatsopano zoyezera maso, njira iyi yotchedwa retinoscopy ikadali yotchuka kwambiri. Nthawi zambiri imachitika ngati gawo la kuyeza maso nthawi zonse.
Njira iyi ndi yofunika kwambiri pofufuza maso a anthu omwe sangathe kuuza dokotala za mavuto awo. Tangoganizani, mwana wamng'ono angakuuzeni bwanji za momwe amaonera?
Komanso:
- Kwa ana aang'ono kwambiri (ngakhale kuyambira kubadwa)
- Kwa iwo omwe samvetsa chilankhulo chomwe dokotala amalankhula komanso omwe ali ndi zovuta zolankhula
- Kwa iwo omwe ali ndi vuto la maganizo
- Kuyesa kumeneku n'kofunika kwambiri pankhani yopereka magalasi kwa anthu omwe ali ndi matenda a ubongo okhudzana ndi ukalamba (monga matenda amisala) .
Chinanso n'chakuti njira yapadera yotchedwa retinoscopy imatha kuzindikiranso ngati maso anu ali ndi vuto loyang'ana mtunda wosiyana.
Kodi ichi chimagwira ntchito bwanji?
Chabwino, tsopano tiyeni tiwone momwe mayeso a retinoscopy amagwirira ntchito. Kuwala kukalowa m'diso lanu, kumadutsa mu cornea ndi lenzi mkati mwa diso, ndikugunda retina kumbuyo kwa diso. Kenako kuwalako kumabwereranso, monga momwe kuwala kumaonekera kuchokera pagalasi.
Kuwala kumeneku komwe kumaonekera kumapangitsa kuti diso lanu liwoneke lofiira, kapena kuwala. Madokotala amatcha izi kuti `Fundus reflex` kapena `Red reflex` . Mwina mwazindikira kuti nthawi zina mukajambula chithunzi, maso anu amawoneka ofiira, ndicho chomwe chimachitika.
Kawirikawiri, kuyezetsa maso kudzayesa luso lanu loona bwino, zomwe zikutanthauza kuti muli ndi masomphenya a 20/20 . Masomphenya a 20/20 ndi mulingo womwe maso awiri athanzi amatha kuwona bwino. Mwa munthu amene ali ndi masomphenya otere, kuwala komwe kumawonekera kuchokera ku retina kuyenera kukhala kofanana pamene kukutuluka m'diso.
Koma ngati muli ndi vuto la refractive error - kuwona pafupi, kuwona patali, kapena astigmatism - kuwala kumeneku kumakhala kopindika ndipo sikutuluka molunjika. Pamenepo ndi pomwe dokotala wa maso amagwiritsa ntchito retinoscopy kuti awone mtundu wa lenzi yomwe ingapangitse kuwala kumeneku kutuluka motsatizana. Kukonza kumeneko ndiko komwe mankhwala anu ali. Mwamvetsa?
Ndi matenda ati omwe angadziwike ndi retinoscopy?
Kuyezetsa kwa retinoscopy kumeneku kungathandizenso kuzindikira matenda ena a maso. Mwachitsanzo:
- Amblyopia: Izi zimatchedwanso "diso laulesi." Ndi vuto lomwe diso limodzi siliona bwino kuposa linalo. Ngati lapezeka msanga, likhoza kuchiritsidwa.
- Presbyopia: Iyi ndi matenda omwe amakhudza anthu ambiri azaka zopitirira 40. Ndi matenda omwe simungathe kuwona zinthu zomwe zili pafupi nanu bwino, monga kuyang'ana buku kapena nyuzipepala, kapena kuyika ulusi pa singano.
- Strabismus: Ichi ndi chimene timachitcha diso lopingasa . Ndi pamene maso amatembenukira mbali zosiyanasiyana m'malo moloza mbali imodzi. Ndikofunikanso kuzindikira izi mwachangu.
Kodi mungayembekezere chiyani musanayese mayeso?
Nthawi zambiri, simuyenera kuchita chilichonse chapadera kuti mukonzekere retinoscopy (kapena mayeso athunthu a maso omwe akuphatikizapo izi). Komabe, nthawi zina, pakhoza kukhala zinthu zazing'ono zomwe mungachite. Ngati zilipo, dokotala wanu wa maso adzakuuzani za izo musanayesedwe. Ngati muvala ma contact lens, dokotala wanu adzakuuzaninso nthawi yomwe muyenera kuzichotsa musanayesedwe.
Musanayambe kuchitidwa retinoscopy nthawi zonse, dokotala wanu wa maso adzaika madontho apadera a maso (mankhwala ozungulira maso) m'maso mwanu. Mankhwalawa amaletsa maso anu kuyesa kuyang'ana paokha panthawi yoyezetsa. Ngati atatero, zidzakhala zovuta kwa dokotala kudziwa molondola chiwerengero cha magalasi anu.
Komabe, ngati dokotala akufuna kuchita opaleshoni yapadera yotchedwa dynamic retinoscopy , madontho awa sadzagwiritsidwa ntchito pasadakhale chifukwa mayesowa amadalira momwe maso anu amawonera mwachibadwa.
Kodi chimachitika ndi chiyani panthawi ya mayeso?
Pa nthawi ya mayeso, mudzakhala pampando m'chipinda chamdima. Dokotala wa maso adzakhala patsogolo panu. Chimodzi mwa zida zomwe angagwiritse ntchito ndi retinoscope . Ichi ndi chipangizo chogwiritsidwa ntchito m'manja chomwe chimaoneka ngati tochi yamphamvu ndi galasi lokulitsa. Chikhoza kuunikira diso lanu ndikuyang'ana bwino.
Chinthu china chofunika kwambiri ndikuvala magalasi amitundu yosiyanasiyana ndikuyang'ana kusintha kwa kuwala komwe diso lanu limawona. Pali njira ziwiri zazikulu zochitira izi:
- Chojambula: Ichi ndi chipangizo chooneka ngati gulugufe chomwe chimakwanira pankhope panu ndi mabowo awiri kuti muwone mkati. Chili ndi magalasi osiyanasiyana, kotero dokotala amatha kuyika magalasi onse mwachangu.
- Magalasi ogwiridwa ndi manja: Awa akhoza kubwera ngati "khadi la lenzi," zomwe zikutanthauza kuti kukula kulikonse kwa lenzi kumamatiridwa pa pepala lathyathyathya. Kapena akhoza kubwera ngati magalasi "omasuka" pawokha. Ngakhale magalasi amatha kusinthidwa mwachangu kuchokera ku khadi la lenzi, mukamagwiritsa ntchito magalasi pawokha, muyenera kusamala kwambiri mukayika lenzi iliyonse imodzi ndi imodzi.
Dokotala akawunikira diso lanu kudzera mu lenzi iyi, yotchedwa retinoscope, amafufuza kusintha kwina kwa reflex yofiira komwe kumawonekera mwa mwana wanu. Kusinthaku ndi:
- Kusuntha kwa lenzi: Dokotala amatha kudziwa ngati lenziyo ndi ya kukula koyenera, yaying'ono kwambiri, kapena yayikulu kwambiri poyang'ana momwe lenzi iyi imayendera mtsogolo ndi mtsogolo.
- Ngodya ya masomphenya: Ngodya iyi ya masomphenya ndiyo imathandiza dokotala kudziwa ngati muli ndi astigmatism (vuto lomwe masomphenya sawoneka bwino chifukwa cha kusintha pang'ono kwa mawonekedwe a diso).
- Mawonekedwe a lenzi: Mukapeza magalasi oyenera, momwe lenzi iyi imaonekera idzasinthanso.
Pamene dokotala akuunikira m'diso lanu kudzera mu lenzi, amasuntha kuwalako mmwamba ndi pansi, kumanzere ndi kumanja, komanso kudutsa kangapo. Amasinthanso magalasi omwe amagwiritsa ntchito. Amachita izi kangapo, kuyima pakati kuti asinthe kuwala pa retinoscope, kapena kulemba zolemba.
Kodi Dynamic Retinoscopy ndi chiyani?
Retinoscopy ndi njira yapadera yowunikira maso anu kuti muwone zinthu zomwe zili pafupi nanu, zomwe ndi kuyesa luso lawo loyang'ana pafupi. Luso limeneli loyang'ana pafupi limatchedwa accommodation . Dynamic Retinoscopy ndi njira yomwe dokotala wa maso angagwiritse ntchito kuyesa luso limeneli.
Ngati dokotala wanu akugwiritsa ntchito Dynamic Retinoscopy kuti aone momwe diso lanu limawonera zinthu, mayesowo ndi ofanana ndi omwe adachitika kale, koma sangagwiritse ntchito magalasi okulitsira zinthu. M'malo mwake, dokotala wanu adzakufunsani kuti muyang'ane zinthu zomwe zili patali. Zinthu zina zidzakhala pakati pa inu ndi dokotala, pomwe zina zidzakhala kumbuyo kwa dokotala (koma zikuwoneka kuchokera kumbali ya dokotala kapena pamwamba pa phewa lake).
Mukayang'ana zinthu izi, dokotala amayang'ana kuwala komwe kuli mwa mwana wanu kudzera mu kuwala kwa retinoscope yake. Momwe kuwalako kumayendera ndi momwe dokotala amadziwira ngati luso la maso anu loyang'ana (loyenera) likugwira ntchito bwino.
Kodi mungayembekezere chiyani pambuyo pa mayeso?
Ngati dokotala wanu wagwiritsa ntchito madontho a maso (mankhwala oletsa maso) kuti atambasule maso anu kapena kuti asayang'ane bwino, maso anu adzakhalabe otambasuka kwa kanthawi mutamaliza kuyezetsa. Nthawi yomwe imatenga kuti mankhwalawa atha imasiyana. Nthawi zambiri zimatenga maola angapo. Katswiri wanu wa maso adzakuuzani nthawi yomwe izi zidzatha.
Maso anu akhoza kukhala osawoneka bwino panthawiyi, ndipo mungamve ngati muli ndi vuto ndi maso. Chifukwa chake, dokotala wanu angakupatseni magalasi a dzuwa akanthawi (`sunshades`) oti muvale. Chifukwa madontho a maso amaletsa maso anu kuti asachepetse kuwala kowala ndikuchepetsa kuwala komwe kumalowa m'maso mwanu.
Kodi pali zoopsa zilizonse pa mayesowa?
Ndipotu, palibe zoopsa zazikulu kapena zotsatirapo zoyipa za retinoscopy. Mankhwala a cycloplegic omwe tawatchula kale angayambitse zotsatirapo zazing'ono, koma nthawi zambiri amakhala ochepa (monga kufiira pang'ono kwa maso, kuyabwa). Anthu ena omwe ali ndi vuto la kuwala kowala (kotchedwa photophobia ) angavutike pang'ono ndi zina mwa njira ya retinoscopy. Ngati muli ndi vuto lotere, onetsetsani kuti mwauza dokotala wanu wa maso za izi musanachite opaleshoniyi. Muthanso kulankhula ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo zokhudzana ndi zotsatirapo zoyipa za madontho a maso.
Kodi mumapeza bwanji zotsatira zake?
Dokotala wa maso akamaliza kusanthula maso (retinoscopy), adzawerengera mankhwala anu (kapena a wokondedwa wanu ngati mayesowo akuchitika) a magalasi anu, kapena mankhwala a maso. Mankhwalawa ndi ofanana ndi mankhwala omwe mumalandira kuchokera ku mayeso a refraction. Dokotala wanu adzafotokoza zonse zokhudza mankhwalawa ndi zomwe angakuchitireni.
Nanga bwanji ngati zotsatira zake sizinawonetse masomphenya abwinobwino (20/20)?
Ngati zotsatira zake zikusonyeza kuti inu kapena wokondedwa wanu mulibe masomphenya abwinobwino a ``(20/20)``, musadandaule. Dokotala wanu wa maso adzakambirana nanu za njira zowongolera masomphenya anu.
Izi nthawi zambiri zimagwiritsidwa ntchito pa:
- Magalasi a maso
- Magalasi olumikizana
Komabe, anthu ena amatha kuchitidwa opaleshoni yokonza maso monga `LASIK` atalandira upangiri wa dokotala.
Mwachidule (Uthenga Wopita Nawo Kunyumba)
Mankhwala abwino ali ngati suti yopangidwa kuti ikukwanireni bwino. Dokotala wa maso amene amagwiritsa ntchito retinoscopy ali ngati katswiri wosoka, amene amasoka ndi manja ulusi uliwonse kuti ugwirizane bwino ndi maso.
Ngakhale njira imeneyi, yotchedwa retinoscopy, yakhalapo kwa zaka zoposa 150, ikadali njira yodziwika bwino yomwe imagwiritsidwa ntchito poyesa maso nthawi zonse. Chifukwa chake, kaya ndi yanu kapena wokondedwa wanu, mutha kukhala otsimikiza kuti katswiri wanu wa maso adzagwiritsa ntchito retinoscopy kuti akupatseni mankhwala abwino kwambiri okhudzana ndi zosowa zanu.
Choncho palibe choopa kapena kukayikira pa izi. Ichi ndi mayeso ofunikira kwambiri pa thanzi la maso anu.
Kotero nthawi ina mukapita kukayezetsa maso ndikufunsa za retinoscopy, tsopano mukudziwa kufunika kwake komanso kufunikira kwake!
Retinoscopy , kuyezetsa maso, kuona, zolakwika za refractive, dokotala wa maso, retina, magalasi a maso











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