Ngaba kunzima ukujika amehlo akho aye kwelinye icala? Le isenokuba yiBrown Syndrome!

Ngaba ngamanye amaxesha ukhe uzive ngathi awukwazi ukuhambisa amehlo akho kakuhle, ingakumbi xa ujonge phezulu? Okanye ngaba ukhe waphawula naluphi na utshintsho kwiintshukumo zamehlo zomntwana wakho? Nangona ngamanye amaxesha singazinaki kangako ezi zinto, zinokubangelwa zizifo ezithile zamehlo. Kaloku, enye yezi meko ichaphazela intshukumo yamehlo yi-"Brown Syndrome", esiza kuthetha ngayo namhlanje.

Yintoni "iBrown Syndrome"?

Ngamafutshane, "iBrown Syndrome" yingxaki yezihlunu kunye nezicubu ezinceda ekushukumiseni amehlo ethu (ingakumbi i-superior oblique muscle kunye ne-tendon yayo). Usenokuyiva ibizwa ngokuba yi-"superior oblique tendon sheath syndrome."

Cinga ngale ndlela: iliso lethu lifana nekhamera. Kufuneka likwazi ukujikeleza kuzo zonke iindlela. Oku kuncediswa zizihlunu ezincinci ezijikeleze iliso kunye nezicubu (imisipha) ezizidibanisayo. Ngoko ke, ukuba esi sihlunu 'siphezulu esigobileyo' kunye nemisipha yaso ayisebenzi kakuhle, kuba nzima ukuba iliso lihambe ngokukhululekileyo kuzo zonke iindlela.

Abanye abantu bazalwa benale meko. Oku kuthetha ukuba izihlunu zabo eziphezulu ezigobileyo zinokuba mfutshane okanye ziqine kakhulu xa bezalwa. Oku kubizwa ngokuba yi-congenital Brown Syndrome . Nangona kunjalo, ngamanye amaxesha le meko inokukhula kamva ebomini. Oku kungenxa yokuba izihlunu okanye i-tendon ekuthethwa ngayo iyadumba okanye ityebe.

I-Brown syndrome idla ngokuchaphazela iliso elinye kuphela (elibizwa ngokuba yi-`unilaterally`). Umntu onesi sifo unobunzima bokujonga ngaphakathi naphezulu ngaxeshanye. Ikwachaphazela nokuba iliso linokuhamba kangakanani na liye phezulu.

Nokuba une "Brown Syndrome" kwelinye iliso, ungabona ngelo liso. Nangona kunjalo, xa ujonge kwelinye icala, elo liso alishukumi ngokukhululekileyo. Lisenokuvakala ngathi iliso libambekile , okanye ngathi alikwazi ukujika kuzo zonke iindlela ngokwesiqhelo.

Iindaba ezimnandi zezokuba le meko, ebizwa ngokuba yi "Brown syndrome," ngamanye amaxesha inokunyangeka ngamayeza. Abanye abantu banokufuna utyando. Ukuba ubona naluphi na utshintsho emehlweni okanye ekuboneni kwakho, kungcono ukubona ugqirha okanye ugqirha wamehlo ngoko nangoko.

Ngubani ochaphazeleka kakhulu yile meko?

"I-Brown Syndrome" yimeko engaqhelekanga . Kodwa inokwenzeka nakubani na. Kuthiwa ixhaphake kancinci kubafazi kunakumadoda.

Zithini iimpawu ze "Brown Syndrome"?

Umntu one-"Brown syndrome" unokufumana iimpawu ezifana nezi:

• Ubunzima bokujonga ngaphakathi (empumlweni) nangaphezulu: Olu luphawu oluphambili. Kusenokuvakala ngathi iliso livalekile.
• Ukungalingani kwamehlo: Elinye iliso lisenokubonakala ngathi lijike laya kwelinye icala, ingakumbi xa lijonge phezulu.
• Intlungu yamehlo: Abanye abantu banokuba neentlungu xa beshukumisa amehlo abo.
• Isandi "sokunqakraza" okanye ukuziva ubambekile xa ushukumisa iliso: Abanye abantu baxela ukuba beva isandi sokunqakraza xa beshukumisa iliso labo, okanye bevakalelwa ngathi kukho into ebambekileyo ngaphakathi.
• Iliso eligobileyo (`Ptosis`): Iliso elichaphazelekileyo lisenokuba liphantsi kunelinye iliso.

Ngamanye amaxesha abantu abane-"Brown Syndrome" bajika iintloko zabo zibheke ecaleni bengaqondanga. Oku kwenzeka kuba amehlo abo akashukumi ngokukhululekileyo, kwaye njengempendulo, bajika iintloko zabo ngokwemvelo xa bezama ukubona ngokuthe ngqo.

Ukongeza kwezi mpawu, i-"Brown Syndrome" inokuchaphazela nokubona kwakho, ingakumbi xa ujonga kude nekhamera endaweni yokujonga ngqo phambili.

• Ukulahlekelwa kukubona: Ukubona kwiliso elichaphazelekayo kunokuncipha.
• Ukubona kabini (diplopia): Ukubona izinto ezimbini ngaxeshanye. Oku kwenzeka rhoqo kuba amehlo omabini awajolisani kakuhle.
• Ukuncipha kokuqonda ubunzulu: Kunokuba nzima ukugweba umgama kwizinto. Umzekelo, oku kungaba yingxaki xa unyuka okanye uhla izitebhisi okanye uqhuba imoto.

Yintoni ebangela "iBrown Syndrome"?

"I-Brown syndrome" yenzeka xa kukho into echaphazela izihlunu kunye nezicubu (imisipha) ezilawula amehlo ethu. Izinto eziphambili ezinokubangela oku zezi:

Isifo seCongenital Brown

Olu lolona hlobo luqhelekileyo lweBrown syndrome. I-Congenital ithetha ukuba ikhona xa izalwa. Ngoko ke, umntwana unokuba nale meko emehlweni akhe xa ezalwa. Iingcali azikafumani sizathu sichanekileyo sokuba oku kwenzeke. Isenokuba ngenxa yotshintsho oluthile oluncinci ekukhuleni kweliso ngexesha lokukhulelwa.

Izifo ezizikhusela ngokwazo emzimbeni

Isifo sokuzikhusela komzimba kuxa inkqubo yomzimba wethu yokuzikhusela, inkqubo esikhusela kwizifo, ihlasela ngempazamo iiseli zomzimba wethu. Akucaci kakuhle ukuba kutheni oku kusenzeka. Ezinye izifo zokuzikhusela komzimba ezinokubangela i-"Brown syndrome" ziquka:

• I-Lupus
• Irheumatoid arthritis
• Isifo sikaSjögren
• Isifo samehlo se-thyroid okanye isifo se-dysthyroid

Ezi zifo zinokubangela ukudumba kwezicubu ezijikeleze iliso, ziphazamise ukusebenza kwemisipha engqindilili ephezulu.

Izifo zamehlo nezinye izifo zamehlo

Ezinye izifo kunye nezinye iingxaki zamehlo zinokubangela ukudumba okujikeleze amehlo, okubangela "i-Brown syndrome." Imizekelo:

• Usulelo lweSinus (sinusitis):Iintsholongwane ezikwimingxunya yomoya (ii-sinuses) ezijikeleze impumlo zinokusasazeka ziye kweliso zize zibangele ukudumba.
• I-Orbital cellulitis: Usulelo lwezicubu ezijikeleze umngxuma wamathambo apho iliso likhoyo.
• I-Trochleitis: Ukudumba kwenxalenye encinci efana ne-pulley (i-trochlea) apho i-tendon ye-oblique ephezulu idlula khona.
• I-Tenosynovitis kwi-superior oblique: Oku kukudumba kwe-sheath egubungela i-tendon.

Iingozi (Ukwenzakala)

Ngamanye amaxesha, i-"Brown syndrome" inokubangelwa ziingozi ebusweni okanye emehlweni.

• Ukulimala kwamehlo: Into efana nokubethwa ngqo kweliso. Khawucinge nje, ukuba umntu ubethwa liliso yibhola ngelixa edlala ikhilikithi, into enjalo.
• Ukuqhekeka kobuso: Ukuqhekeka kwamathambo ajikeleze iliso kunokonakalisa imisipha ethe tyaba ephezulu. Oku kunokwenzeka ukuba wenzekele ebusweni kwingozi yemoto.
• Iingxaki emva kotyando lwamehlo: Le meko inokwenzeka njengesiphumo esingesihle emva kotyando lwamehlo, kodwa ayiqhelekanga kakhulu.

Ifunyanwa njani i-"Brown Syndrome"?

Ugqirha wakho okanye ingcali yamehlo iza kwenza uvavanyo lwamehlo ukuze ibone ukuba unayo na iBrown syndrome. Baza kujonga amehlo akho ngelixa ujonge phambili kwaye ngelixa uhambisa amehlo akho macala onke. Ngokukodwa, baza kukucela ukuba ujonge phezulu, ezantsi, ekunene, ekhohlo, ngaphakathi nangaphandle. Baza kukwazi ukubona ukuba kukho imida na kwiintshukumo zamehlo akho.

Akupheleli apho, baza kuhlola namehlo akho ukuze bajonge ezinye iimeko zamehlo ezinokubangela ezi mpawu. Ngamanye amaxesha, izixhobo ezikhethekileyo zingasetyenziswa ukulinganisa izinto ezifana noxinzelelo lwamehlo kunye nokubona.

Inyangwa njani "iBrown Syndrome"?

Unyango lwe-"Brown syndrome" luxhomekeke kwisizathu kunye nobunzima beempawu.

Unyango lwe-"Brown syndrome" yokuzalwa

Abanye abantwana abazalwa benesifo iBrown syndrome banokukhula ngaphandle kwesi sifo ngaphandle konyango . Ukuba umntwana wakho uneBrown syndrome, ugqirha wakho wamehlo uza kukuxelela ukuba kufuneka ahlolwe amehlo akhe kangaphi aze ajonge utshintsho emehlweni akhe. Ngamanye amaxesha, njengoko umntwana wakho ekhula, izihlunu zinokukhululeka kancinci kwaye ingxaki isenokuphela.

Unyango lwe-"Brown Syndrome" olubangelwa kukudumba

Ukuba iimpawu zakho zibangelwa kukudumba (ukudumba) okujikeleze iliso, nokuba kungenxa yesifo sokuzikhusela komzimba, usulelo, okanye ingozi, ukunyanga unobangela oyintloko kuya kunciphisa iimpawu ze-"Brown syndrome."

Ugqirha uza kukuxelela ukuba loluphi unyango olufunekayo, kuxhomekeke kwisizathu sokudumba.

Kunokwenzeka ukuba uya kufuna amayeza okunciphisa ukudumba kwimisipha yakho ethe tyaba. Amayeza aqhelekileyo asetyenziswa kwi-Brown syndrome ngala:

• Ii-NSAID (Amayeza Angasebenzisi Ii-steroidal Anti-Inflammatory): La ngamayeza esiwasebenzisayo xa sisentlungwini nasekudumbeni, anjenge-aspirin, i-ibuprofen, kunye ne-naproxen. Nangona la mayeza angathengwa kwikhemesti, kubalulekile ukufuna iingcebiso zonyango ukuba uwasebenzisa rhoqo kangangeentsuku ezingaphezu kwe-10.
• IiCorticosteroids: Ngamanye amaxesha ugqirha wakho unokufaka i-corticosteroid ngqo kwimisipha yakho ethe tye. Oku kunokunceda ukunciphisa ukudumba ngokukhawuleza.
• Izinto ezithintela amasosha omzimba: Ugqirha wakho unokukunika la mayeza okuthintela amasosha omzimba wakho ekuhlaseleni iiseli eziphilileyo. La mayeza adla ngokunikwa abantu abanezifo ezihlasela amasosha omzimba.

Utyando lwe-"Brown Syndrome"

Uninzi lwabantu abaneBrown syndrome abadingi kutyando. Nangona kunjalo, ukuba imeko ichaphazela kakhulu umbono wakho, okanye ukuba ezinye iindlela zonyango aziziphuculi iimpawu zakho, ugqirha wakho unokucebisa utyando lokulungisa umsipha wakho othe tyaba.

Ngokuxhomekeke kwisizathu se-"Brown Syndrome" yakho, ugqirha wakho uza kukuxelela into omawuyilindele kunye neendlela aza kuzisebenzisa. Umzekelo:

• I-Tenotomy okanye i-tenectomy: Olu tyando lwenziwa ukuze kukhululeke i-superior oblique yakho ukuba iqinile okanye ixinene.
• Ukolula i-superior oblique: Ukuba imfutshane kakhulu, kunokwenziwa utyando lokuyolula.
• Ukususwa kwe-cyst: Ngamanye amaxesha le ngxaki inokubangelwa yinto efana ne-cyst encinci. Kwimeko enjalo, iya kususwa.

Musa ukoyika utyando. Olu lutyando oluphumelelayo, kodwa njengalo naluphi na utyando, kukho iingozi ezithile. Ugqirha wakho uza kukuchazela ngokweenkcukacha.

Ngaba i-"Brown Syndrome" ingathintelwa?

Ngenxa yokuba yimeko yokuzalwa, okanye ebangelwa zizifo esingenakuzilawula (ezifana nezifo zokuzikhusela komzimba) kunye neengozi, "i-Brown syndrome" kunzima ukuyithintela .

Kodwa, ngokubanzi, kubaluleke kakhulu ukusoloko unxibe iiglasi zokhuseleko kwaye usebenzise izixhobo zokuzikhusela ezifanelekileyo xa usebenza ngezixhobo okanye usenza nayiphi na into enokwenzakalisa amehlo akho . Oku kunokuthintela kungekuphela nje "iBrown Syndrome" kodwa nezinye izinto ezininzi ezenzakalayo emehlweni.

Ndifanele ndizihlole nini amehlo am?

Ukujonga amehlo akho rhoqo kunye nokubona kunokunceda ugqirha wakho wamehlo ukuba afumanise naziphi na iingxaki kwangethuba. Ukuba kufuneka uhlolwe amehlo akho kangaphi kudla ngokuxhomekeka kwiminyaka yakho:

• Abantwana abancinci: Ugqirha wabantwana uza kujonga amehlo omntwana wakho xa esiya esibhedlele rhoqo - ingakumbi kwiminyaka yokuqala, aze emva koko kabini ngonyaka.
• Abantu abadala abangaphantsi kweminyaka engama-40: Rhoqo emva kweminyaka emihlanu ukuya kwelishumi.
• Abantu abadala abaphakathi kweminyaka engama-40 ukuya kwengama-54 ubudala: Rhoqo emva kweminyaka emibini ukuya kwemine.
• Abantu abadala abangaphezu kweminyaka engama-55 ubudala: Unyaka ngamnye ukuya kwiminyaka emithathu.

Ukuba unxiba iiglasi, iilensi zokunxibelelana, okanye ezinye izixhobo zokubona, unokufuna ukuhlolwa amehlo akho rhoqo. Abantu abanesifo seswekile nabo kufuneka bahlolwe amehlo abo rhoqo kunabo bakolu luhlu, kuba isifo seswekile sinokuchaphazela amehlo.

Eyona nto ingcono onokuyenza kukubuza ingcali yamehlo ukuba kufuneka uhlolwe amehlo kangaphi.

Yintoni onokuyilindela ukuba une-"Brown Syndrome"?

Xa unobangela we "Brown Syndrome" unyangiwe, iimpawu zakho kufuneka ziphucuke. Ungalindela ukuchacha ngokupheleleyo .

Abanye abantwana abazalwa bene-"Brown Syndrome" bakhula bengenalo unyango njengoko bekhula.

Nokuba utyando, i-"Brown syndrome" ayidli ngokuba nemiphumo emibi emehlweni okanye ekuboneni kwakho ixesha elide . Ngoko ke ungakhathazeki kakhulu ngayo.

Ndifanele ndimbone nini ugqirha?

Bonana nogqirha ngokukhawuleza nje ukuba ubona naluphi na utshintsho emehlweni okanye ekuboneni kwakho. Nokuba kubonakala ngathi yinto encinci, isenokuba luphawu lokuqala lwengxaki enkulu.

Ukuba unayo nayiphi na kwezi mpawu, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele ngoko nangoko :

• Ukulahlekelwa ngumbono ngequbuliso.
• Intlungu ebuhlungu yamehlo.
• Ukuba uziva ngathi ubona izibane ezintsha (`ezikhanyayo`) okanye izinto ezidadayo (`ezidadayo`) phambi kwamehlo akho.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, ungalibali ukubuza imibuzo efana nale:

• Ngaba ndine "Brown Syndrome" okanye enye imeko ye-strabismus?
• Iimpawu zam ziya kuhlala ixesha elingakanani?
• Ngaba ndiza kufuna naluphi na unyango?
• Yintoni ebangela "iBrown Syndrome"?
• Kufuneka ndiphinde ndihlolwe amehlo kangaphi?

Ukongeza kule mibuzo, buza nayiphi na imibuzo okanye amathandabuzo onokuba nawo. Ugqirha ulapha ukukunceda.

Yintoni umahluko phakathi kwe-"Brown syndrome" kunye ne-"lazy eye" (amblyopia)?

"I-Brown syndrome" kunye "ne-lazy eye" (i-amblyopia - abanye abantu bayibiza ngokuba yi-"lazy eye") zombini ezi meko zihlala zichaphazela iliso elinye. Kodwa umahluko ukho kwinto eyenzekayo kweliso okanye ekuboneni.

"I-Brown syndrome," njengoko besitshilo ngaphambili, yingxaki enxulumene nemisipha okanye i-tendon eshukumisa iliso. Oku kwenza kube nzima ukujika iliso kuzo zonke iindlela. Nangona inokuchaphazela umbono, ayisosifo sangaphakathi kweliso.

Imeko ebizwa ngokuba yi-"lazy eye" (`amblyopia`) ikhula ebuntwaneni. Ukuba umntwana wakho une-'amblyopia', ingqondo yakhe ifunda ukungawunaki umfanekiso ovela kwiliso elingaqondanga kakuhle okanye elifipheleyo. Endaweni yoko, ingqondo isebenzisa kuphela umfanekiso ovela kwiliso elinamandla, okuvumela umbono okwiliso elibuthathaka ukuba ube mandundu. Ngamafutshane, elinye iliso "liyavilapha" kuba ingqondo ayilisebenzisi kakuhle.

Okubalulekileyo kukuba, abantwana abazelwe beneBrown syndrome ngamanye amaxesha banokuba ne-amblyopia kamva ebomini. Ngoko ke, kubalulekile ukubona ugqirha okanye ugqirha wamehlo ngokukhawuleza ukuba ubona naluphi na utshintsho emehlweni omntwana wakho.

Yintoni umahluko phakathi kwe-"Brown Syndrome" kunye ne-strabismus (amehlo anqamlezileyo)?

I-Strabismus yimeko apho amehlo akho engahambelani kakuhle. Ngamanye amazwi, elinye iliso lijikwa ngendlela eyahlukileyo kunelinye. Oku sikubiza ngokuba "yi-cross-eyed" ngokwentetho eqhelekileyo.

"I-Brown syndrome" luhlobo lwe-strabismus. Uza kuyibona ngokucacileyo xa ujonga ngaphakathi okanye phezulu. Iya kubonakala ngathi elinye lamehlo akho alishukumi njengelinye (okanye mhlawumbi alishukumi kwaphela).

Ngokuxhomekeke ekubeni umonakalo owenziweyo kwimisipha yamehlo akho kunye nemisipha, amehlo akho asenokungahambelani kakuhle nokuba ujonge phambili.

Ukubona into efana nokuma ngokupheleleyo kwentshukumo yamehlo, okanye ukufunda ukuba umntwana wakho unemeko yokuzalwa, kunokuba yinto eyoyikisayo ngokwenene. Yinto eqhelekileyo leyo. Kodwa iindaba ezimnandi zezokuba, nokuba yintoni na imbangela ye-"Brown syndrome," phantse isoloko iyingxaki yexeshana. Enyanisweni, wena okanye umntwana wakho usenokungadingi naluphi na unyango olukhethekileyo ngaphandle kokutyelela rhoqo kwingcali yamehlo.

Ngoko ke, ukuba ubona naluphi na utshintsho emehlweni okanye ekuboneni kwakho, musa ukulutyeshela uze ubone ugqirha okanye ugqirha wamehlo ngoko nangoko. Khumbula ukuba ngamanye amaxesha, notshintsho oluncinci lunokuba luphawu lokuqala lwengxaki enkulu ekufuneka inyangwe ngokukhawuleza.

Izinto ekufuneka uzikhumbule kweli nqaku (Umyalezo Wokuya Ekhaya)

Kulungile, ngoku uyiqonda kakuhle i-"Brown Syndrome" esithethe ngayo. Nazi izinto ezimbalwa ekufuneka uzikhumbule:

• "I-Brown syndrome" yimeko apho iliso liba nobunzima bokushukuma ngokukhululekileyo (ingakumbi ngaphakathi naphezulu) ngenxa yengxaki yemisipha egobileyo okanye i-tendon eshukumisa iliso.
• Oku kungabakho xa umntwana ezalwa, okanye kungavela kamva ngenxa yezifo, izifo zokuzikhusela komzimba, okanye iingozi.
• Uphawu oluphambili kukuziva uxinezelekile xa ujonga phezulu ujika impumlo ecaleni. Ukubona kabini kunye nentlungu yamehlo nako kunokubakho.
• Ixesha elininzi, le meko ichaphazela iliso elinye kuphela.
• Iimeko zokuzalwa ngamanye amaxesha ziyazigqibela ngokwazo njengoko umntwana ekhula. Ezinye izizathu zinokunyangwa (ngamayeza okanye, ngokungaqhelekanga, ngotyando).
• Ukuba unenkxalabo okanye utshintsho kwindlela ohamba ngayo amehlo akho okanye omntwana wakho okanye ekuboneni, qiniseka ukuba ubona ugqirha wamehlo . Ukufunyanwa kwangethuba kunye nonyango zezona zilungileyo.

Akukho nto yokoyika, kukho unyango olufanelekileyo lwesi sifo, kwaye kwiimeko ezininzi sinokunyangwa ngokupheleleyo!

Isifo Esimdaka, Iingxaki Zokuhamba Kwamehlo, Izifo Zamehlo, Ukungalingani Kwamehlo, Izifo Zamehlo Zabantwana, I-Superior Oblique