Kodi n'kovuta kutembenuza maso anu kumbali? Kodi vuto ndi mitsempha yachisanu ndi chimodzi? Tiyeni tiphunzire za Sixth Nerve Palsy!

Kodi nthawi zina mumamva ngati diso lanu limodzi lili m'mbali, kutanthauza kuti, n'zovuta kulitulutsa? Kapena mwadzidzidzi mumawona chilichonse m'magawo awiri? Zinthu ngati izi sizachilendo. Chifukwa cha izi chikhoza kukhala kufooka kwina kwa mitsempha yanu yachisanu ndi chimodzi ya cranial. Timatcha izi Sixth Nerve Palsy. Musadandaule, tidzakambirana za izi mwatsatanetsatane.

Kodi Matenda a Sixth Nerve Palsy ndi chiyani?

Mwachidule, Sixth Nerve Palsy ndi vuto lomwe limayamba chifukwa cha kuwonongeka kwa mitsempha yapadera yomwe imatithandiza kuyang'ana kunja (mbali). Mitsempha iyi imatchedwanso kuti Abducens Nerve . Izi zimalepheretsa kusuntha maso, zomwe zimapangitsa kuti zikhale zovuta kuwasunga bwino.

Kodi mukudziwa kuti pali mapeyala 12 a mitsempha ya cranial yomwe imalumikizana mwachindunji ndi ubongo wathu? Izi zikutanthauza kuti awiri a mtundu uliwonse, umodzi mbali iliyonse, kumanzere ndi wina kumanja. Peyala yachisanu ndi chimodzi ya mitsempha ya cranial iyi ndi yomwe imalumikizana ndi minofu ya lateral rectus m'maso mwathu, yomwe ndi minofu yomwe imatembenuza diso kunja . Minofu iyi ndi yomwe imathandiza diso lakumanzere kuyang'ana kumanzere ndi diso lakumanja kuyang'ana kumanja. Chifukwa chake, pakalephera kugwira ntchito kwa mitsempha yachisanu ndi chimodzi, zizindikiro zomwe zimadutsa mu mitsempha iyi zimasokonekera, ndipo minofu yomwe imatembenuza diso kunja imakhala yofooka kapena yosagwira ntchito.

Nthawi zambiri, vutoli limakhudza diso limodzi lokha (timalitcha kuti mbali imodzi), koma nthawi zina limatha kukhudza maso onse awiri (mbali ziwiri).

Kodi vutoli ndi lofala bwanji?

Sizili choncho kawirikawiri. Padziko lonse lapansi, milandu yatsopano pakati pa 350,000 ndi 900,000 ya matendawa imanenedwa chaka chilichonse. Ngakhale m'dziko ngati America, milandu yatsopano 15,000 mpaka 37,000 yokha ndi yomwe imanenedwa chaka chilichonse.

Aliyense akhoza kudwala matendawa. Koma chiopsezochi chimakwera pang'ono, makamaka munthu akakwanitsa zaka 50. Chiwopsezochi chimawonjezeka kwambiri munthu akamakula. Malinga ndi kafukufuku, anthu azaka zapakati pa 60 ndi 75 ndi omwe ali ndi mwayi waukulu wodwala matendawa.

Kodi zizindikiro za izi ndi ziti?

Tsopano tiyeni tiwone zizindikiro za matenda a Sixth Nerve Palsy. Chofunika kwambiri ndichakuti maso sangayende bwino ndipo maso sangasungidwe pamodzi. Ichi ndichifukwa chake zizindikiro zina zimawonekera. Zizindikiro zina zitha kukhala chifukwa cha kusagwira bwino ntchito kwa mitsempha, komanso pakhoza kukhala zizindikiro zokhudzana ndi matenda ena omwe amayambitsa matendawa.

Zizindikiro zazikulu ndi izi:

• Strabismus: Diso lomwe lakhudzidwa silingathe kutembenuzidwa bwino kunja, zomwe zingapangitse kuti maso awoneke ngati sakugwirizana ndi ena. Diso lomwe lakhudzidwa likhozanso kuoneka ngati latembenuzidwa mkati (esotropia) .
• Kuona kawiri (Diplopia):Ichi ndi chizindikiro choyamba chomwe anthu ambiri amachizindikira. Poyang'ana zinthu zakutali kapena poyesa kuyang'ana mbali yokhudzidwa, maso awiriwa amawonjezeka. Poyang'ana mbali inayo (mbali yosakhudzidwa), izi zimachepa pang'ono (ngati diso limodzi lokha ndi lomwe lakhudzidwa).
• Kusintha kaimidwe ka thupi kuti aone bwino: Anthu omwe ali ndi vuto la mitsempha yachisanu ndi chimodzi, omwe sangathe kutembenuza diso limodzi kapena onse awiri mbali ina, amachita zinthu zotembenuza mutu kapena thupi lawo kuti ayang'ane mbali imeneyo. Izi zimawathandiza kupewa kuona kawiri komwe kumachitika chifukwa cha kugwedezeka kwa diso.
• Kusanza ndi kusanza: Izi ndi zizindikiro ziwiri zokha zomwe zingachitike chifukwa cha kusintha kwa masomphenya. Zingayambitsidwenso ndi matenda ena omwe amayambitsa vuto la mitsempha.
• Ululu: Ululu wa maso ndi mutu zimatha kuchitika mukamachita zinthu zolimbitsa maso kwa nthawi yayitali kapena mukakhala ndi vuto la maso kwa nthawi yayitali.

N’chifukwa chiyani mitsempha yachisanu ndi chimodzi (Abducens Nerve) sigwira ntchito?

Chabwino, n’chifukwa chiyani mitsempha yachisanu ndi chimodzi (abducens nerve) imagwira ntchito motere? Pakhoza kukhala zifukwa zambiri. Vutoli lingayambitsidwe ndi chilichonse chomwe chimawononga mitsempha iyi. Kodi mukudziwa, gawo lina la mitsempha iyi limadutsa muubongo wathu. Chifukwa chake, matenda omwe amakhudza ubongo amathanso kukhudza mitsempha iyi.

Nthawi zina, chifukwa chenicheni sichingapezeke. Timatcha milandu iyi kuti idiopathic . Koma nthawi zambiri, madokotala amatha kupeza chifukwa chake ndikuchichiza. Tiyeni tiwone zomwe zimayambitsa.

1. Kuvulala

Tangoganizirani ngati mwagunda mutu wanu kwinakwake, kapena ngati mwachita ngozi ... mitsempha yachisanu ndi chimodzi iyi yomwe imazungulira ubongo wathu ikhoza kuwonongeka. Mwachitsanzo:

• Kuvulala kwa Mitsempha ndi Kuvulala kwa Ubongo (TBIs )
• Kusweka kwa chigaza
• Mabala olowa m'mutu, monga chida chakuthwa kapena chipolopolo

2. Matenda opatsirana

Tizilombo toyambitsa matenda monga mavairasi ndi mabakiteriya tingaukire dongosolo lathu la mitsempha. Mitsempha yachisanu ndi chimodzi iyi ingakhudzidwenso. Mwachitsanzo:

• Kachilombo ka Herpes zoster (izi ndi zomwe zimayambitsa shingles)
• Kachilombo ka Epstein - Barr (ichi ndi chomwe chimayambitsa mononucleosis kapena 'mono')
• Matenda a meningitis ( meningitis )
• Kachilombo ka Cytomegalovirus (CMV )
• Matenda a Lyme
• Chindoko
• Matenda a fungal kapena parasitic
• Ngati matenda a khutu ( otitis media ) afalikira kapena akukula kwambiri
• Matenda ndi kutupa kwa minofu yozungulira diso ( orbital cellulitis )

Nthawi zina, katemera wina wamoyo woperekedwa kuti ateteze matenda angayambitsenso kusokonekera pang'ono kwakanthawi kwa mitsempha yachisanu ndi chimodzi. Zikatero, imadzichiritsa yokha.

3. Mavuto a magazi m'thupi

Ngati magazi akupita ku ubongo wathu asokonekera, izi zingakhudze mitsempha yachisanu ndi chimodzi iyi. Ngati magazi asiya kuyenda, vuto lotchedwa ischemia limachitika. Izi zikutanthauza kuti maselo akapanda kulandira magazi okwanira, amataya ntchito yawo. Ngati ischemia iyi ikula kwambiri kapena imatenga nthawi yayitali, maselo amenewo amafa.

Mavuto omwe angayambitse kusokonekera kwa mitsempha yachisanu ndi chimodzi ndi awa:

• Kulephera kuyenda kwa magazi kudzera m'mitsempha yaying'ono kwambiri yomwe imapereka magazi ku mitsempha yachisanu ndi chimodzi ( microvascular ischemia )
• Stroke ndi Kuukira kwa Ischemic Kwakanthawi (TIAs )
• Kuchuluka kwa magazi m'mitsempha ya ubongo
• Kutuluka magazi mu ubongo ( Intracranial hemorrhages )

4. Matenda a dongosolo, kutupa ndi kagayidwe kachakudya komwe kumakhudza machitidwe osiyanasiyana a thupi

Matenda ena omwe amakhudza machitidwe osiyanasiyana a thupi angayambitse kapena kupangitsa kuti mitsempha yachisanu ndi chimodzi isagwire bwino ntchito. Zitsanzo:

• Matenda a shuga amtundu wachiwiri - Izi ndizofala kwambiri m'dziko lathu masiku ano, sichoncho?
• Matenda a mtima
• Kuthamanga kwa magazi ( Kuthamanga kwa magazi - Kuthamanga kwa magazi )
• Matenda a Wernicke-Korsakoff
• Matenda a sclerosis ambiri (MS )
• Matenda a Lupus ( Lupus - Systemic Lupus Erythematosus )
• Amyloidosis
• Sarcoidosis
• Matenda a chithokomiro

5. Matenda a magazi, khansa ndi zotupa

Matenda ena omwe amakhudza mitsempha yamagazi angayambitse kupanikizika kwakukulu mkati mwa chigaza, komwe kumatha kufinya ndikuwononga mitsempha yachisanu ndi chimodzi. Mitundu ina ya zotupa zomwe zimakula mkati mwa ubongo zimathanso kufinya mitsempha iyi. Zitsanzo:

• Khansa ya m'magazi
• Lymphoma
• Zotupa za muubongo (zonse za khansa komanso zosavulaza)
• Khansa zomwe zimafalikira ku ubongo

6. Matenda ena amitsempha

Matenda ena ambiri okhudzana ndi dongosolo la mitsempha angayambitse kusokonekera kwa mitsempha yachisanu ndi chimodzi. Zitsanzo:

• Migraines ndi mutu wa mutu wa cluster
• Kuthamanga kwa magazi m'mutu mwa munthu (kuthamanga kwa magazi m'mutu mwa munthu komwe sikudziwika chifukwa chake)
• Hydrocephalus (madzi ochulukirapo muubongo)
• Chiari malformation
• Kusokonekera kwa mitsempha ya m'mitsempha (AVM )
• Kutuluka kwa madzi a m'mphuno (CSF)

7. Njira zachipatala

Mitsempha ya abducens imathanso kukhudzidwa kapena kuwonongeka ndi mankhwala kapena njira zina zamankhwala. Nazi zitsanzo zina:

• Kupopera kwa msana (Lumbar puncture ): Izi nthawi zina zingayambitse kuchepa kwa kuthamanga kwa magazi mkati mwa chigaza, zomwe zingayambitse kusagwira bwino ntchito kwa mitsempha yachisanu ndi chimodzi. Nthawi zambiri, ubongo wathu umayandama mu cerebrospinal fluid (CSF). Madzi akachepa, ubongo ukhoza kugwa pang'ono ndikukankhira minofu yomwe ili pansi pa ubongo, kuphatikizapo mitsempha ya abducens.
• Mankhwala oletsa ululu a Epidural: Izi zimachotsanso madzi m'msana monga tafotokozera pamwambapa ndipo zingayambitse kusokonekera kwa mitsempha yachisanu ndi chimodzi.
• Mankhwala monga opaleshoni ya ubongo kapena chithandizo cha radiation: Izi zitha kuwononganso mitsempha iyi ikakhudza madera apafupi a ubongo.

Kodi ndi zinthu ziti zomwe zimayambitsa izi?

Anthu ena akhoza kukhala pachiwopsezo chachikulu chotenga vuto la mitsempha yachisanu ndi chimodzi. Nthawi zambiri, ngakhale zifukwa zomwe tatchulazi sizomwe zimayambitsa vutoli, zinthu zina zingathandize kuti vutoli lipitirire. Zitsanzo:

• Matenda a kagayidwe kachakudya monga matenda a shuga ( mtundu wa 2 shuga )
• Matenda a magazi monga kuthamanga kwa magazi ( BP )
• Matenda otupa kapena odziteteza okha monga multiple sclerosis

Kodi izi zingayambitse mavuto otani?

Mavuto a mitsempha yachisanu ndi chimodzi amadalira kwambiri chomwe chimayambitsa vutoli komanso chithandizo chake. Izi zimatha kusiyana kwambiri, kotero dokotala wanu angakulangizeni bwino za mavuto omwe angakhalepo okhudzana ndi vuto lanu komanso zomwe mungachite kuti mupewe kapena kuchepetsa.

Makamaka ngati izi zitachitikira mwana wamng'ono, chinthu chimodzi chomwe madokotala amayesa kupewa ndi vuto lotchedwa amblyopia. Timatchanso kuti 'diso laulesi'. Chomwe chimachitika pamenepa ndichakuti ubongo wa mwana umayamba kuyang'ana pang'onopang'ono pa diso limodzi lokha ndikunyalanyaza zizindikiro zochokera ku diso lina. Kenako diso losagwiritsidwa ntchito limasunthira pang'onopang'ono kumbali imodzi, zomwe zimapangitsa kuti vutoli liwonjezeke.

Kodi izi zimazindikirika bwanji?

Dokotala monga katswiri wa maso , katswiri wa mitsempha , kapena katswiri wa maso angagwiritse ntchito njira zosiyanasiyana kuti adziwe matenda a Sixth Nerve Palsy. Njirazi zikuphatikizapo:

• Kuyeza maso: Dokotala kapena katswiri wa maso adzayesa luso lanu loyendetsa maso anu m'njira zina kuti aone ngati mitsempha yachisanu ndi chimodzi ndiyo yokhayo yomwe yakhudzidwa, chifukwa kulephera kwa mitsempha yachisanu ndi chimodzi kungachitike limodzi ndi kulephera kwa mitsempha ina yapafupi, makamaka yomwe imayang'anira kayendedwe ka maso.
• Mayeso a mu labu: Iyi ndi njira yayikulu yodziwira ngati muli ndi vuto lomwe lingadziwike pogwiritsa ntchito mayeso a mu labu, monga matenda a kagayidwe kachakudya m'thupi, matenda a m'magazi, kapena matenda. Nthawi zambiri shuga m'magazi mwanu kapena kuchuluka kwa A1C kumayesedwa. Amathanso kuyang'ana zinthu monga kuchuluka kwa ma platelet , maselo oteteza thupi, kapena ma antibodies m'magazi mwanu zomwe zimasonyeza matenda a autoimmune.
• Kujambula kwa MRI (Magnetic Resonance Imaging - MRI): Kujambula kwa MRI ndikofunikira kwambiri pozindikira vuto lachisanu ndi chimodzi la mitsempha , makamaka kwa anthu osakwana zaka 50. Kuyesaku kungapangitse zithunzi zomveka bwino za minofu yomwe ili mkati mwa mutu wanu, kuphatikizapo mitsempha ya abducens ndi minofu yozungulira ubongo. Izi zingathandize kuchotsa kapena kuchotsa matenda oopsa kapena oopsa, monga sitiroko, khansa, kapena zotupa.

Kodi izi zimachiritsidwa bwanji?

Pali njira zambiri zochizira izi, ndipo nthawi zambiri zimagawidwa m'magulu awiri:

1. Kodi chifukwa cha kusagwira ntchito kumeneku n'chiyani, kodi tingakuletse bwanji?

2. Kuchiza zotsatira za kusagwira bwino ntchito kumeneku, ndipo ngati n'kotheka, kuzibwezeretsa m'malo abwinobwino, ngati n'kofunikira.

Chinthu chachikulu ndi chomwe chimayambitsa vutoli. Koma zinthu zinanso zimakhudzanso. Nthawi zambiri, vuto la mitsempha yachisanu ndi chimodzi limatha lokha ngati vuto layamba kuchiritsidwa. Popeza pali zinthu zambiri zomwe zimapangitsa kuti pakhale chithandizo chabwino kwambiri cha izi, dokotala wanu angakupatseni chidziwitso chokhudza njira zabwino kwambiri zochiritsira. Iye akhoza kusintha zomwe zafotokozedwazo kuti zigwirizane ndi vuto lanu komanso zosowa zanu.

Kwa anthu ambiri, chithandizo chochepa kapena palibe chomwe chikufunika. Ngati vuto lanu silikuoneka kuti likufunika chithandizo poyamba, dokotala wanu kapena katswiri wa maso angakulangizeni kuti mukachezenso ndi dokotala. Chithandizo cha glaucoma chikufunika pokhapokha ngati pakufunika. Komabe, chithandizo cha zotsatira za glaucoma, kapena zizindikiro zake, nthawi zambiri chimachitidwa.

Kuchiza zotsatira za kusachita zinthu n'kosavuta, nthawi zambiri kumayang'ana kwambiri kuchepetsa kapena kuletsa zizindikiro. Mankhwala ena omwe angathandize ndi awa:

• Kuvala chigamba cha maso kapena fyuluta: Kuphimba diso limodzi kumakulepheretsani kuwona zonse ziwiri. Izi zili choncho chifukwa masomphenya ochokera m'diso limodzi okha ndi omwe amafika muubongo. Kutengera ndi matenda anu, dokotala wanu angakulangizeni kuti muvale chigamba cha maso nthawi zina kapena nthawi zonse. Palinso zosefera zomwe zingavalidwe zomwe zingalumikizidwe ndi magalasi, zomwe zimagwira ntchito mofanana chifukwa zimasefa kuwala.
• Jakisoni wa OnabotulinumtoxinA: Mankhwalawa amatha kuletsa kwakanthawi zizindikiro kuti zisadutse m'mitsempha yomwe ikuchiritsidwa. Akhoza kubayidwa pafupi ndi mitsempha ina kuti achepetse kugwedezeka kwa maso.
• Opaleshoni ya Strabismus:Pali maopaleshoni angapo omwe angathandize ndi vuto la mitsempha yachisanu ndi chimodzi. Ena mwa iwo amathandiza kuti minofu ya lateral rectus isamayende bwino ikafooka. Maopaleshoni ena amatenga gawo la minofu yomwe ili mbali ina ya diso lanu (yomwe imalandira mauthenga kuchokera ku minofu ina) ndikuikakamiza kuti igwire ntchito ngati minofu ya lateral rectus iyi.
• Kukonza ma prism: Izi zitha kukhala zipangizo zazing'ono, zokhala ndi zigawo zambiri zomwe zingamamatire ku magalasi anu a maso. Kapena, magalasi anu a maso angapangidwe ndi kukonza ma prism komwe kumamangidwa mkati mwake. Prism imapinda kuwala. Ikapindika pa ngodya yoyenera, zimapangitsa kuti maso anu aziyang'ana mosavuta ndikuwona zinthu.

Zovuta/zotsatira zoyipa za opaleshoni

Opaleshoni ya Strabismus nthawi zina imatha kufooketsa kapena kufooketsa kwambiri vuto la mitsempha yachisanu ndi chimodzi. Ngati izi zitachitika, kusiyana kumeneku nthawi zambiri kumatha kukonzedwa ndi prism correction. Izi zitha kubwezera kufooketsa pang'ono kapena kusintha kufooketsa kwakukulu.

Kodi ndidzamva bwino msanga bwanji nditalandira chithandizo?

Nthawi yochira mukalandira chithandizo imasiyana malinga ndi munthu. Dokotala wanu angakuuzeni zomwe mungayembekezere kutengera momwe zinthu zilili.

Mankhwala ena amagwira ntchito nthawi yomweyo, kupereka mpumulo ku zizindikiro. Chitsanzo cha izi ndi kuvala chigamba cha maso. Chimatseka masomphenya m'diso limodzi ndipo nthawi yomweyo chimaletsa masomphenya onse awiri. Kukonza prism kungaperekenso mpumulo mwachangu, koma zingatenge masiku kapena masabata kuti zizolowere bwino - kutengera kuchuluka kwa kukonza.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi matenda a Sixth Nerve Palsy?

Sixth Nerve Palsy nthawi zambiri siimayambitsa imfa, koma ikhoza kusokoneza moyo wathu watsiku ndi tsiku. Ingasokoneze ntchito ya kusukulu, ntchito, zosangalatsa, komanso zochita zina. Ikhozanso kukhala yosasangalatsa. Mutha kukhala ndi chizungulire, nseru, komanso mutu.

Ngati muli ndi zizindikiro za kusagwira bwino ntchito kwa mitsempha yachisanu ndi chimodzi, makamaka kulephera kuyang'ana kunja (kapena mbali iliyonse yomwe mukuyang'ana), muyenera kuonana ndi dokotala. Nthawi zambiri, vutoli ndi laling'ono. Koma nthawi zina limatha kuchitika chifukwa cha vuto lalikulu. Njira yabwino yowonjezera mwayi wanu wopeza zotsatira zabwino ndikupeza matenda ndikuyamba chithandizo mwachangu .

Kodi matenda a Sixth Nerve Palsy amatenga nthawi yayitali bwanji?

Nthawi yomwe izi zimatha imatha kusiyana. Pa matenda ena, monga mutu waching'alang'ala, imatha kutenga maola angapo. Pa matenda ena, imatha kutenga nthawi yayitali, kuyambira miyezi itatu mpaka isanu ndi umodzi. Nthawi zina, imatha kukhala vuto losatha. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za zomwe zingakuchitikireni komanso zomwe mungachite kuti muchepetse nthawi yomwe zimakukhudzani, kapena kuti muzolowere zotsatira zake.

Kodi chiyembekezo cha vutoli n'chiyani?

Ponseponse, chiyembekezo cha kusokonekera kwa mitsempha yachisanu ndi chimodzi ndi chabwino. Kwa anthu ambiri, ndi vuto lakanthawi lomwe limatha lokha kapena pochiza chomwe chimayambitsa.

Komabe, nthawi zina, zimatha kuchitika chifukwa cha matenda oopsa kwambiri. Izi zimakhala zoona makamaka ngati vutoli likuchitika mwa munthu wosakwana zaka 50, ndipo/kapena limakhudza maso onse awiri. Komabe, nthawi zonse ndi bwino kufunafuna upangiri wa dokotala ngati muli ndi zizindikiro za kusagwira bwino ntchito kwa mitsempha yachisanu ndi chimodzi. Kuzindikira msanga ndi chithandizo kungapangitse kusiyana pakati pa kuchira kwathunthu ndi zotsatira za nthawi yayitali (mwina zosatha).

Kodi matenda a Sixth Nerve Palsy angapewedwe?

Ndi chinthu chomwe chimachitika mwadzidzidzi komanso mosayembekezereka. Matenda omwe amayambitsa izi nthawi zambiri samayambitsa, ndipo nthawi zina choyambitsa chake sichingapezeke. Chifukwa chake sizingatheke kuletsa kwathunthu. Komabe, pali zinthu zomwe tingachite kuti tichepetse chiopsezo cha izi pazifukwa zina. Mwachitsanzo:

• Valani zida zodzitetezera ngati pakufunika kutero: Kuvulala mutu, makamaka kugwedezeka kwa mutu ndi kuvulala koopsa muubongo , kungayambitse kusokonekera kwa mitsempha yachisanu ndi chimodzi. Kuvala zida zodzitetezera - makamaka zipewa, zoteteza mutu, ndi malamba - ndikofunikira kwambiri kuti mupewe vutoli.
• Sinthani matenda anu osatha: Matenda ena, monga matenda a shuga amtundu wachiwiri ndi kuthamanga kwa magazi, amatha kuthandizidwa. Ngati pakufunika kutero, dokotala wanu angapereke malangizo ndi njira zina zochizira.
• Musanyalanyaze matenda: Ngati muli ndi zizindikiro za matenda omwe satha patatha masiku angapo, pitani kwa dokotala. Matenda a bakiteriya amafuna maantibayotiki kuti aletse matendawo kuti asakule kapena kufalikira. Koma kumbukirani kuti maantibayotiki sagwira ntchito pa mavairasi, ndipo matenda a mavairasi ayenera kutha okha kapena ndi chithandizo chothandizira.

Kodi ndimadzisamalira bwanji?

Ngati muli ndi matenda a Sixth Nerve Palsy, dokotala wanu adzakutsogolerani momwe mungathanirane ndi vutoli komanso mavuto omwe angayambitse vutoli (ngati alipo). Ndikofunikira kwambiri kutsatira malangizo awo, makamaka pankhani yothana ndi zizindikiro zanu. Kuvala masks a maso, zosefera, kapena zida zina zowongolera ndikofunikira, chifukwa kungakuthandizeni kuchira mwachangu ndikuchepetsa zizindikiro zosasangalatsa.

Kodi ndiyenera kupita kwa dokotala liti, kapena ndiyenera kupita kwa dokotala liti?

Muyenera kupitiriza kupita kukawonana ndi dokotala wanu monga momwe dokotala wanu wanenera kuti ayang'anire kusintha kwa matenda anu ndikusintha chithandizo chanu ngati pakufunika kutero. Sixth Nerve Palsy si vuto ladzidzidzi, koma ndi vuto lomwe limafuna kudziwitsidwa ndi kulandira chithandizo mwachangu.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Nazi mafunso ena omwe mungafune kufunsa dokotala wanu:

• Kodi chifukwa cha vuto la mitsempha yanga yachisanu ndi chimodzi ndi chiyani, ndipo kodi pali zifukwa zilizonse zodziwika kapena zinthu zina zomwe zingathandize zomwe zingachiritsidwe?
• Kodi izi zakhudza mitsempha ina ya m'mutu kapena minofu yapafupi?
• Ndi zizindikiro ziti zomwe ndiyenera kuyembekezera?
• Kodi ndingatani kuti ndichepetse zizindikiro zanga?
• Kodi pali mankhwala omwe angachepetse kuopsa kwa zizindikiro zomwe ndili nazo panopa kapena kufulumizitsa kuchira kwanga?
• Kodi ndingatani kuti izi zisabwerezenso (kubwerezabwereza)?

Pomaliza, kumbukirani (Uthenga Wopita Nawo Kunyumba)

Kotero, pambuyo pa nkhani yonseyi, mwina mukumvetsa tanthauzo la Sixth Nerve Palsy. Sikoyenera kuopa, nthawi zambiri kumakhala kwakanthawi, ndipo kumatha kuchiritsidwa ndi chithandizo. Komabe, monga tafotokozera kale, nthawi zina pakhoza kukhala chifukwa chachikulu chomwe chikuchititsa izi.

Choncho, ngati zikukuvutani kutembenukira kumbali, ngati muwona chimodzi kapena ziwiri, kapena ngati muli ndi zizindikiro zina zomwe zatchulidwa pamwambapa, chonde funsani upangiri wa dokotala nthawi yomweyo. Kupeza chomwe chikuyambitsa ndikuyamba chithandizo mwachangu kudzakuthandizani kuchira mwachangu ndikupewa mavuto anthawi yayitali. Kenako mutha kuyang'ana kwambiri zinthu zofunika pamoyo popanda kulepheretsedwa ndi zotsatira za matendawa.

` Kufooka kwa Mitsempha kwachisanu ndi chimodzi, Kuchepetsa Kufooka kwa Mitsempha, Kugwedezeka kwa Maso, Kuona kawiri, Kufa ziwalo, Matenda a Maso, Matenda a Mitsempha