Ese biragoye kwerekeza ijisho ryawe ku ruhande? Ese iki ni ikibazo cy'imitsi ya gatandatu? Reka twige ku ndwara ya Sixth Neurve Palsy!

Ese hari igihe wumva ijisho ryawe rimwe riri ku ruhande, ni ukuvuga ko bigoye kurikuramo? Cyangwa uhita ubona byose mu buryo bubiri? Ibintu nk'ibi ntabwo bisanzwe. Impamvu yabyo ishobora kuba ari intege nke zimwe na zimwe mu mitsi yawe ya gatandatu yo mu bwonko. Iyi twita Sixth Neurve Palsy. Ntugahangayike, tuzabivugaho birambuye.

Indwara ya Sixth Neurve Palsy ni iki?

Mu magambo make, indwara ya Sixth Neurve Palsy ni indwara iterwa no kwangirika k'umutsi wihariye udufasha kwerekeza amaso yacu inyuma (areba ku ruhande). Uyu mutsi witwa kandi Abducens Neurve . Ibi bigabanya ubushobozi bwo kwimura amaso, bigatuma adakomeza kumera neza.

Ese wari uzi ko hari imitsi 12 y'ubwonko ihuza ubwonko bwacu? Bivuze ko ibiri muri buri bwoko, imwe kuri buri ruhande, ibumoso n'indi iburyo. Iyi mitsi ibiri ya gatandatu y'ubwonko ni yo ihuza imitsi yo mu mpande z'amaso yacu, ari yo mitsi ihindukiza ijisho inyuma. Iyi mitsi ni yo ifasha ijisho ry'ibumoso kureba ibumoso n'ijisho ry'iburyo kureba iburyo. Rero, mu mitsi ya gatandatu idakora neza, ibimenyetso binyura muri uyu mutsi birahagarara, kandi imitsi ihindukiza ijisho inyuma iracika intege cyangwa igakora nabi.

Akenshi, iyi ndwara ifata ijisho rimwe gusa (tuyita unilateral), ariko rimwe na rimwe ishobora kugira ingaruka ku maso yombi (abiri).

Iyi ndwara ikunze kugaragara gute?

Indwara ya Sixth Neuropathy ntabwo ikunze kugaragara cyane. Ku isi yose, abantu bashya bari hagati ya 350.000 na 900.000 bandura iyi ndwara buri mwaka. Ndetse no mu gihugu nka Amerika, abantu bashya 15.000 kugeza 37.000 ni bo bonyine bandura buri mwaka.

Umuntu wese ashobora kurwara ibi. Ariko ibyago biriyongera gato, cyane cyane nyuma y'imyaka 50. Ibi byago byiyongera cyane uko ugenda ukura. Dukurikije ubushakashatsi, abantu bari hagati y'imyaka 60 na 75 ni bo bashobora kurwara ibi.

Ni ibihe bimenyetso by'ibi?

Noneho reka turebe ibimenyetso bya Sixth Neurve Palsy. Ikintu cy'ingenzi ni uko amaso adashobora kugenda neza kandi amaso ntashobora kuguma hamwe. Niyo mpamvu ibindi bimenyetso bigaragara. Ibimenyetso bimwe bishobora guterwa gusa n'iyi mitsi idakora neza, kandi hashobora no kubaho ibimenyetso bifitanye isano n'izindi ndwara zibitera.

Ibimenyetso by'ingenzi ni ibi bikurikira:

• Strabismus: Ijisho ryafashwe ntirishobora guhindurirwa inyuma neza, ibyo bikaba byatuma amaso asa n'aho atari mu mwanya wayo. Ijisho ryafashwe rishobora no kugaragara nk'aho ryahinduriwe imbere (esotropia) .
• Kureba kabiri (Diplopia):Iki ni cyo kimenyetso cya mbere abantu benshi babona. Iyo urebye ibintu biri kure cyangwa iyo ugerageza kureba uruhande rwafashwe, amaso yombi ariyongera. Iyo urebye urundi ruhande (uruhande rudafashwe), ibi bigabanuka gato (iyo ijisho rimwe gusa ari ryo ryafashwe).
• Guhindura imiterere kugira ngo barebe neza: Abantu bafite ikibazo cy’imitsi ya gatandatu idakora neza, badashobora guhindukiza ijisho rimwe cyangwa yombi mu cyerekezo runaka, bitoza guhindukiza umutwe cyangwa umubiri wabo kugira ngo barebe muri icyo cyerekezo. Ibi bibafasha kwirinda kubona ibintu bibiri bitewe no guhindagura kw'amaso.
• Isesemi no kuruka: Ibi ni bimwe mu bimenyetso bishobora kubaho bitewe n'impinduka mu kureba. Bishobora no guterwa n'izindi ndwara zitera iyi ndwara yo mu bwonko.
• Ububabare: Ububabare bw'amaso n'umutwe bishobora kubaho iyo ucunze amaso igihe kirekire cyangwa iyo ufite ibibazo byo kutabona neza igihe kirekire.

Kuki uyu mutsi wa gatandatu (Abducens Never) udakora?

None se, kuki uyu mutsi wa gatandatu (abducens nerve) uhinduka imikorere mibi gutya? Hari impamvu nyinshi zishobora kubaho. Iyi ndwara ishobora guterwa n'ikintu cyose cyangiza uyu mutsi. Wari uzi ko igice cy'uyu mutsi kinyura mu bwonko bwacu. Rero, indwara zigira ingaruka ku bwonko zishobora no kugira ingaruka kuri uyu mutsi.

Hari igihe impamvu nyayo idashobora kuboneka. Ibi tubyita idiopathic . Ariko akenshi, abaganga bashobora kubona impamvu no kuyivura. Reka turebe impamvu nyamukuru.

1. Ibikomere

Tekereza uramutse ugonze umutwe ahantu runaka, cyangwa ugize impanuka ... uyu mutsi wa gatandatu ukikije ubwonko bwacu ushobora kwangirika. Urugero:

• Gukomereka mu bwonko no mu bikomere by’ubwonko (TBIs )
• Amavuniko y'agahanga
• Ibikomere byinjira mu mutwe, urugero nk'intwaro ityaye cyangwa isasu

2. Kwandura indwara

Udukoko nka virusi na bagiteri dushobora kwibasira uturemangingo tw’imitsi. Uyu mutsi wa gatandatu nawo ushobora kugira ingaruka. Urugero:

• Virusi ya Herpes zoster (iyi ni yo itera shingles)
• Virusi ya Epstein - Barr (iyi ni yo itera mononucleosis cyangwa 'mono')
• Meningite ( indwara ya meningite )
• Virusi ya Cytomegalovirus (CMV )
• Indwara ya Lyme
• Sifilo
• Indwara z'imishinya cyangwa udukoko
• Iyo indwara yo mu matwi ( otitis media ) ikwirakwira cyangwa ikarushaho kuba mbi
• Kwandura no kubyimba kw'ingingo zikikije ijisho ( orbital cellulitis )

Hari igihe inkingo zimwe na zimwe zitangwa kugira ngo hirindwe indwara zishobora no gutera imikorere mibi y’imitsi ya gatandatu y’igihe gito. Muri icyo gihe, izikiza ubwayo.

3. Ibibazo by'amaraso mu mubiri

Iyo amaraso atembera mu bwonko bwacu ahungabanye, bishobora kugira ingaruka kuri uyu mutsi wa gatandatu. Iyo amaraso ahagaze gutembera, habaho indwara yitwa ischemia . Ibi bivuze ko iyo uturemangingo tudahawe amaraso ahagije, dutakaza imikorere yatwo. Iyo iyi ischemia ibaye ikomeye cyangwa ikamara igihe kirekire, utwo turemangingo turapfa.

Ibibazo bishobora gutera imikorere mibi y'imitsi ya gatandatu birimo:

• Amaraso atembera nabi mu mitsi mito cyane itanga amaraso mu mitsi ya gatandatu ( microvascular ischemia )
• Ibitero byo mu bwonko n'ibitero by'igihe gito byo mu bwonko (TIAs )
• Imiterere y'ubwonko (Aneurysms)
• Kuva amaraso mu bwonko ( kuva amaraso mu bwonko )

4. Indwara z'umubiri, ububyimbirwe n'imikorere y'umubiri bigira ingaruka ku mikorere myinshi y'umubiri

Indwara zimwe na zimwe zigira ingaruka ku mikorere y'umubiri myinshi zishobora gutera cyangwa zigatera imikorere mibi y'imitsi ya gatandatu. Ingero:

• Diyabete yo mu bwoko bwa 2 - Ibi bikunze kugaragara mu gihugu cyacu ubu, si byo se?
• Indwara z'umutima n'imitsi
• Umuvuduko ukabije w'amaraso ( Umuvuduko ukabije w'amaraso - Umuvuduko ukabije w'amaraso )
• Indwara ya Wernicke-Korsakoff
• Ubushobozi bwo kuvura indwara ya sclerosis nyinshi (MS )
• Indwara ya Lupus ( Lupus - Systemic Lupus Erythematosus )
• Amyloidosis
• Sarcoidosis
• Indwara za tiroyide

5. Indwara z'amaraso, kanseri n'ibibyimba

Indwara zimwe na zimwe zigira ingaruka ku mitsi y'amaraso zishobora gutera umuvuduko mwinshi imbere mu gahanga, ibyo bikaba bishobora gukanda no kwangiza imitsi ya gatandatu. Izindi ndwara zifata ubwonko nazo zishobora gukanda iyi mitsi. Ingero:

• Leukemia
• Lymphoma
• Ibibyimba byo mu bwonko (bya kanseri n'ibitari bizima)
• Kanseri zifata ubwonko

6. Izindi ndwara z'imitsi

Izindi ndwara nyinshi zifitanye isano n'imitsi zishobora gutera iyi mitsi ya gatandatu idakora neza. Ingero:

• Migraines n'umutwe uterwa n'amagufwa
• Umuvuduko ukabije w'amaraso mu mutwe (umuvuduko mwinshi w'amaraso mu mutwe utazwi impamvu)
• Hydrocephalus (amazi yiyongera mu bwonko)
• Ubusembwa bwa Chiari
• Ubusembwa bw'imitsi itera imitsi (AVM )
• Kuva kw'amazi yo mu bwonko (CSF)

7. Uburyo bwo kwa muganga

Imitsi ya abducens ishobora no kwangirika cyangwa kwangirika bitewe n'uburyo bumwe na bumwe bwo kuvura cyangwa uburyo bwo kuvura. Dore ingero zimwe na zimwe:

• Gupfuka umugongo (Lumbar puncture ): Ibi rimwe na rimwe bishobora gutuma umuvuduko w'amaraso mu gahanga ugabanuka, ibyo bikaba byatera imikorere mibi y'imitsi ya gatandatu. Ubusanzwe, ubwonko bwacu bureremba mu mazi yo mu bwonko (CSF). Iyo iki gipimo cy'amazi kigabanutse, ubwonko bushobora kunyeganyega gato bukakanda ku ngingo ziri munsi y'ubwonko, harimo n'imitsi ya abducens.
• Anesthesia yo mu ruhu: Ibi binakuraho amazi mu mugongo nk'uko byavuzwe haruguru kandi bishobora gutera imikorere mibi y'imitsi ya gatandatu.
• Uburyo bwo kuvura nko kubaga ubwonko cyangwa gukoresha imirasire: Ibi bishobora no kwangiza uyu mutsi iyo bigira ingaruka ku bice by'ubwonko byegereye.

Ni ibihe bintu bishobora gutera ibi?

Hari abantu bashobora kuba bafite ibyago byinshi byo kugira iyi ndwara ya gatandatu idakora neza. Kenshi na kenshi, nubwo impamvu zavuzwe haruguru atari zo zitera iyi ndwara, hari izindi mpamvu zishobora gutuma iyi ndwara ikura. Ingero:

• Indwara za metabolisme nka diyabete ( Diyabete yo mu bwoko bwa 2 )
• Indwara z'imitsi inyuramo amaraso nk'umuvuduko ukabije w'amaraso ( umuvuduko ukabije w'amaraso )
• Indwara ziterwa no kubyimba cyangwa indwara ziterwa no kwirema kw'umubiri nka sclerosis nyinshi

Ni izihe ngorane ibi bishobora gutera?

Ingorane ziterwa n’imikorere mibi y’imitsi ya gatandatu ziterwa ahanini n’impamvu nyamukuru n’uburyo bwo kuyivura. Ibi bishobora gutandukana cyane, bityo muganga wawe ashobora kukugira inama nziza ku ngorane zishobora kujyana n’uburwayi bwawe n’icyo wakora kugira ngo uzirinde cyangwa uzigabanye.

Cyane cyane iyo ibi bibayeho ku mwana muto, ikintu kimwe abaganga bagerageza kwirinda ni indwara yitwa amblyopia. Ibi kandi tubyita 'ijisho ry'ubunebwe'. Ikibaho muri ibi ni uko ubwonko bw'umwana butangira kwibanda ku jisho rimwe gusa kandi bukirengagiza ibimenyetso biva mu rindi jisho. Hanyuma ijisho ritakoreshejwe rigenda rihinduka rijya ku ruhande rumwe, bigatuma ikibazo kirushaho gukomera.

Ibi bipimwa gute?

Umuganga nka muganga w’amaso , inzobere mu ndwara z’imitsi , cyangwa inzobere mu by’amaso ashobora gukoresha uburyo butandukanye kugira ngo apime indwara ya Sixth Neurve Palsy. Ubwo buryo burimo:

• Gupima amaso: Umuganga cyangwa inzobere mu by'amaso azapima ubushobozi bwawe bwo kwimura amaso yawe mu buryo runaka kugira ngo arebe niba umutsi wa gatandatu ari wo wonyine ubangamiwe, kuko imikorere mibi y'imitsi ya gatandatu ishobora kubaho hamwe n'imikorere mibi y'indi mitsi yegereye, cyane cyane iyo igenzura imyitwarire y'amaso.
• Ibizamini bya laboratwari: Ubu ni bwo buryo bw'ingenzi bwo kumenya niba ufite ikibazo gishobora kumenyekana hakoreshejwe ibizamini bya laboratwari, nk'indwara ya metabolike, indwara y'amaraso, cyangwa ubwandu. Ingano ya glucose mu maraso yawe cyangwa urugero rwa A1C bikunze kugenzurwa. Bashobora kandi gusuzuma ibintu nk'urugero rwa platelets , uturemangingo tw'ubudahangarwa bw'umubiri, cyangwa uturemangingo tw'umubiri mu maraso yawe bigaragaza indwara y'ubwiyongere bw'umubiri.
• MRI scan (Magnetic Resonance Imaging - MRI): MRI scan ni ingenzi mu gusuzuma imikorere mibi y'imitsi ya gatandatu , cyane cyane ku bantu bari munsi y'imyaka 50. Iki kizamini gishobora gutanga amashusho asobanutse neza y'uturemangingo turi mu mutwe wawe, harimo n'imitsi igabanya ubukana n'uturemangingo tw'ubwonko tuyikikije. Ibi bishobora gufasha gukuraho cyangwa gukuraho indwara zikomeye cyangwa ziteje akaga, nka stroke, kanseri, cyangwa ibibyimba.

Ibi bivurwa bite?

Hari uburyo bwinshi bwo kuvura iki kibazo, kandi muri rusange bugabanywamo ibice bibiri:

1. Ni iyihe mpamvu ituma habaho kudakora, ni gute wabihagarika?

2. Kuvura ingaruka z'iyi mikorere mibi, kandi niba bishoboka, kuzisubiza mu buryo busanzwe, nibiba ngombwa.

Impamvu nyamukuru ni impamvu. Ariko hari n'izindi mpamvu zigira uruhare. Akenshi, imikorere mibi y'imitsi ya gatandatu ikemuka ubwayo iyo impamvu nyamukuru imaze kuvurwa. Kubera ko hari ibintu byinshi bigamije kugena uburyo bwiza bwo kuvura ibi, muganga wawe ashobora kuguha amakuru ajyanye n'uburyo bwiza bwo kuvura. Ashobora guhuza amakuru n'ikibazo cyawe n'ibyo ukeneye.

Ku bantu benshi, ubuvuzi buke cyangwa nta na bumwe bukenewe. Niba indwara yawe isa nkaho idasaba kuvurwa mu ntangiriro, muganga wawe cyangwa inzobere mu by'amaso ashobora kukugira inama yo kuyikurikirana. Kuvura glaucoma bikenerwa gusa iyo bibaye ngombwa. Ariko, kuvura ingaruka za glaucoma, cyangwa ibimenyetso, akenshi bikorwa.

Kuvura ingaruka zo kudakora cyane biroroshye, akenshi bibanda ku kugabanya cyangwa guhagarika ibimenyetso. Bumwe mu buryo bwo kuvura bushobora gufasha muri ibi harimo:

• Kwambara agapfukamunwa cyangwa akayunguruzo k'amaso: Gupfuka ijisho rimwe bikubuza kubona byombi. Ibi biterwa nuko kureba kw'ijisho rimwe gusa ari byo bigera mu bwonko. Bitewe n'uburwayi bwawe, muganga wawe ashobora kukugira inama yo kwambara agapfukamunwa k'amaso rimwe na rimwe cyangwa igihe cyose. Hariho kandi akayunguruzo gashobora kwambarwa gashobora gushyirwa ku ndorerwamo z'amaso, gakora mu buryo busa kuko gapfukamunwa urumuri.
• Urushinge rwa OnabotulinumtoxinA: Uyu muti ushobora guhagarika by'agateganyo ibimenyetso bitanyura mu mitsi ivurwa. Ushobora guterwa hafi y'imitsi imwe n'imwe kugira ngo ugabanye guhinda kw'amaso.
• Kubaga Strabismus:Hari uburyo butandukanye bwo kubaga bushobora gufasha mu mitsi ya gatandatu idakora neza. Bumwe muri bwo butuma imitsi yo mu mpande z'ijisho igenzura iyo inaniwe. Ubundi buryo bwo kubaga bufata igice cy'imitsi yo ku rundi ruhande rw'ijisho ryawe (cyakira ibimenyetso bivuye ku yindi mitsi) maze bukayihatira gukora nk'iyi mitsi yo mu mpande z'ijisho.
• Gukosora prism: Ibi bishobora kuba ibikoresho bito, bifite amabara menshi bishobora gushyirwa ku nyubako zawe z'indorerwamo. Cyangwa, inyubako zawe z'indorerwamo zishobora gukorwa hakoreshejwe inyubako z'indorerwamo. Inyubako y'indorerwamo iraheta urumuri. Iyo ihetamye ku nguni ikwiye, byorohereza amaso yawe kureba no kubona ibintu.

Ingaruka mbi/ingaruka mbi zo kubagwa

Kubaga Strabismus rimwe na rimwe bishobora gukosora cyangwa gukosora imikorere mibi y'imitsi ya gatandatu. Iyo ibi bibaye, itandukaniro rishobora gukosorwa hakoreshejwe uburyo bwo gukosora prism. Ibi bishobora gukosora imikorere mibi cyangwa guhindura uburyo bwo gukosora cyane.

Nzumva meze neza vuba gute nyuma yo kuvurwa?

Igihe cyo gukira nyuma yo kuvurwa kiratandukanye bitewe n'umuntu ku wundi. Muganga wawe ashobora kukubwira icyo wakwitega bitewe n'imimerere yawe.

Uburyo bumwe na bumwe bwo kuvura bukora ako kanya, bugatuma ibimenyetso bigabanuka. Urugero rw'ibi ni ukwambara agatambaro ko mu maso. Bihagarika kureba mu jisho rimwe kandi bigahita bihagarika kureba muri byombi. Gukosora prism bishobora no gutanga ubutabazi bwihuse, ariko bishobora gufata iminsi cyangwa ibyumweru kugira ngo bimenyere neza - bitewe n'ingano y'uburyo bwo kuvugurura.

Ni iki nkwiye kwitega mu gihe mfite indwara ya Sixth Neurve Palsy?

Ubusanzwe indwara ya Sixth Neuropathy ntabwo ishyira ubuzima mu kaga, ariko ishobora kubangamira ubuzima bwacu bwa buri munsi. Ishobora kubangamira akazi ko ku ishuri, akazi, ibyo twidagadura, n'ibikorwa byo gusabana. Ishobora kandi kubangamira. Ushobora kugira isereri, isesemi, no kuribwa umutwe.

Niba ufite ibimenyetso by'imikorere mibi y'imitsi ya gatandatu, cyane cyane kudashobora kwerekeza amaso yawe inyuma (cyangwa mu cyerekezo icyo ari cyo cyose ureba), ugomba kujya kwa muganga. Akenshi, iki ni ikibazo gito. Ariko rimwe na rimwe gishobora guterwa n'indwara ikomeye kurushaho. Uburyo bwiza bwo kongera amahirwe yawe yo kugira umusaruro mwiza ni ugusuzuma no gutangira kuvurwa vuba bishoboka .

Indwara ya Sixth Neurve Palsy imara igihe kingana iki?

Igihe ibi bimara gishobora gutandukana. Ku ndwara zimwe na zimwe, nko kurwara umutwe, bishobora kumara amasaha make. Ku zindi ndwara, bishobora kumara igihe kirekire, kuva ku mezi atatu kugeza kuri atandatu. Hari igihe bishobora kuba indwara ihoraho. Muganga wawe ni we muntu mwiza wo kuganira nawe ku bishobora kukubaho n'icyo wakora kugira ngo ugabanye igihe bikugiraho ingaruka, cyangwa ngo uhuze n'ingaruka zabyo.

Ni iki giteganyijwe kuri iki kibazo?

Muri rusange, icyizere cy'uko imitsi ya gatandatu ikora nabi ni cyiza. Ku bantu benshi, ni indwara y'igihe gito ikemuka ubwayo cyangwa iyo habayeho kuvurwa impamvu nyamukuru.

Ariko, mu bihe bimwe na bimwe, bishobora guterwa n’indwara zikomeye cyane. Ibi bibaho cyane cyane iyo iyi ndwara ibaye ku muntu uri munsi y’imyaka 50, cyangwa ikagira ingaruka ku maso yombi. Ariko, ni byiza buri gihe gushaka inama kwa muganga niba ufite ibimenyetso by’imikorere mibi y’imitsi ya gatandatu. Gusuzuma no kuvurwa hakiri kare bishobora gutuma umuntu akira neza ndetse n’ingaruka z’igihe kirekire (zishobora kuba zidashira).

Ese indwara ya Sixth Neuropathy Palsy ishobora kwirindwa?

Ni ikintu kibaho mu buryo butunguranye kandi butunguranye. Indwara zitera si zo zigitera buri gihe, kandi rimwe na rimwe impamvu ntishobora kuboneka. Rero ntibishoboka kubikumira burundu. Ariko, hari ibintu dushobora gukora kugira ngo tugabanye ibyago byo kuba cyabaho kubera impamvu zimwe na zimwe. Urugero:

• Ambara ibikoresho byo kwirinda iyo bibaye ngombwa: Ibikomere byo mu mutwe, cyane cyane indwara zo mu bwonko n'ibikomere byo mu mutwe , bishobora gutera imikorere mibi y'imitsi ya gatandatu. Kwambara ibikoresho byo kwirinda - cyane cyane ingofero, kurinda umutwe, n'imikandara - ni ingenzi cyane mu kwirinda iki kibazo.
• Gucunga indwara zawe zidakira: Hari indwara zimwe na zimwe, nka diyabete yo mu bwoko bwa 2 n'umuvuduko ukabije w'amaraso, zishobora gukemurwa. Iyo bibaye ngombwa, muganga wawe ashobora kuguha ubuyobozi n'uburyo bwo kuvura.
• Ntukirengagize indwara: Niba ufite ibimenyetso by'indwara idashira nyuma y'iminsi mike, gana muganga. Indwara za bagiteri zisaba imiti yica udukoko kugira ngo wirinde ko indwara ikomeza kwiyongera cyangwa ngo ikwirakwire. Ariko ibuka ko imiti yica udukoko idakora kuri virusi, kandi indwara za virusi zigomba kwikiza ubwazo cyangwa ukazifasha kwita ku bandi.

Nitwara nte?

Niba ufite indwara ya Sixth Neurve Palsy, muganga wawe azagufasha kumenya uburyo bwo kuyirwanya ndetse n'indwara zibitera (niba zihari). Ni ngombwa cyane gukurikiza amabwiriza yabo, cyane cyane iyo bigeze ku bijyanye no gucunga ibimenyetso byawe. Kwambara udupfukamunwa two mu maso, ibyuma biyungurura, cyangwa ibindi bikoresho byo gukosora ni ingenzi, kuko bishobora kugufasha gukira vuba no kugabanya ibimenyetso bikubabaza.

Ni ryari nkwiye kujya kwa muganga, cyangwa ni ryari nkwiye gushaka inama kwa muganga?

Ugomba gukomeza kujya kwa muganga wawe nyuma y’uko umuganga agusabye kugira ngo akurikirane impinduka mu miterere yawe no guhindura uburyo uvurwa nibiba ngombwa. Indwara ya Sixth Neurve Palsy si ikibazo cyihutirwa, ahubwo ni indwara isaba gusuzumwa no kuvurwa vuba.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Dore ibibazo bimwe na bimwe ushobora kubaza muganga wawe:

• Ni iyihe mpamvu ituma imitsi yanjye ya gatandatu idakora neza, kandi hari impamvu zifatika cyangwa ibintu bishobora kuvurwa?
• Ese ibi byagize ingaruka ku yindi mitsi yo mu gahanga cyangwa ku ngingo zegereye aho?
• Ni ibihe bimenyetso nkwiye kwitega?
• Ni iki nakora kugira ngo bigabanye ibimenyetso byanjye?
• Ese hari uburyo bwo kugabanya ubukana bw'ibimenyetso mfite ubu cyangwa bugatuma gukira vuba?
• Nakora iki kugira ngo ngire icyo nkora kugira ngo ibi bitazongera kubaho (kongera kubaho)?

Amaherezo, ibuka (Ubutumwa bwo kujyana mu rugo)

Nyuma y'ibi biganiro byose, ushobora kuba usobanukiwe icyo indwara ya Sixth Neurve Palsy ari cyo. Ntabwo ari ikintu cyo gutinya, akenshi ni ingenzi, kandi ishobora gukira hakoreshejwe uburyo bwo kuvura. Ariko, nk'uko byavuzwe mbere, rimwe na rimwe hashobora kubaho impamvu ikomeye cyane inyuma yayo.

Kubwibyo, niba bigoye kwerekeza amaso yawe ku ruhande, niba ubonye kimwe cyangwa bibiri, cyangwa niba ufite ikindi kimenyetso cyavuzwe haruguru, nyamuneka shaka inama kwa muganga vuba. Kubona impamvu no gutangira kuvurwa vuba bishoboka bizagufasha gukira vuba no kwirinda ibibazo by'igihe kirekire. Hanyuma ushobora kwibanda ku bintu by'ingenzi mu buzima utiriwe ubuzwa n'ingaruka z'iyi ndwara.

` Indwara ya Gatandatu y'Imitsi, Abducens Indwara z'Imitsi, Kuzunguza amaso, Kureba kabiri, Kurema, Indwara z'amaso, Indwara z'imitsi