Ngaba wakha wajongwa amehlo akho? Ugqirha ubeka amathontsi emehlweni akho aze akuxelele ukuba ulinde okwethutyana. Emva koko xa ujonga, izinto ezikufutshane, njengoonobumba abakwifowuni yakho, zibonakala zifiphele, akunjalo? Kuvakala ngathi awukwazi nokuphuma elangeni. Nangona abantu abaninzi besoyika oku, eneneni yindlela eluncedo kakhulu esetyenziswa ngoogqirha ukujonga amehlo akho ngokufanelekileyo. Namhlanje sithetha ngale meko, eyiCycloplegia.
Yintoni iCycloplegia?
Ngamafutshane, iCycloplegia kukukhubazeka okwethutyana kwezihlunu ezingaphakathi kweliso lakho ezikunceda ugxile. Oku kubangelwa luhlobo oluthile lwethontsi elifakwa liliso ngugqirha. Oku kungokwexeshana ngokupheleleyo.
Khawuthelekelele ukuba ngaphakathi kweliso lakho kukho ilensi, njengekhamera encinci. Le lensi inenkqubo yemisipha emincinci ekunceda ubone izinto ezikufutshane (umz. incwadi, ifowuni) kunye nezinto ezikude ngokucacileyo ngokutshintsha ingqwalasela yazo. Oku sikubiza ngokuba yi-`(ciliary body)`. Inkqubo apho ezi zihlunu zifinyela kwaye zande khona ukuze zitshintshe imo yelensi ibizwa ngokuba yi-"accommodation".
Olu hlobo lokusabela lufana ne-reflex, nto leyo ethetha ukuba asinakuyilawula ngendlela esifuna ngayo. Ngoko ke ngamanye amaxesha, xa sihlolwa amehlo ethu, olu hlobo lokusabela lunokuba nefuthe elincinci kwiziphumo zovavanyo. Kulapho ke le ndlela ebizwa ngokuba yiCycloplegia ixabiseke kakhulu kuthi.
Kutheni oogqirha besebenzisa le ndlela?
Kukho izizathu ezininzi eziphambili zokusebenzisa i-cycloplegia.
- Xa uhlola amehlo: Le ndlela isetyenziswa ngakumbi xa uhlola amehlo abantwana okanye xa kufuneka kulinganiswe amandla okwenyani eziglasi (iimpazamo zokurhawuzelela). Kuba, ngamanye amaxesha, ingakumbi kubantwana abancinci, ezi zihlunu zigxileyo zinokusebenza kakhulu kwaye zitshintshe iziphumo zovavanyo lwamehlo. Ngoko ke, ngokunika eli yeza nokumisa ezo zihlunu okwethutyana, ugqirha unokulinganisa ngokuchanekileyo amandla okwenyani amehlo akho.
- Ngexesha lotyando lwamehlo: Le ndlela inceda ekukhubazeni okwethutyana izihlunu ezingaphakathi kweliso kwaye igcine iliso likwindawo enye ngexesha lotyando lwamehlo.
- Njengonyango lwezifo ezithile zamehlo: La mayeza asetyenziselwa ukunyanga izifo ezifana ne-"lazy eye" (amblyopia) kunye ne-uveitis, oku kukudumba kwangaphakathi kweliso.
- Uvakalelo lokukhanya: I-pupi yeliso iba nkulu kwaye ayikwazi ukulawula ubungakanani bokukhanya okungena. Oku kwenza kube nzima ukujonga ilanga, kwaye amehlo azive ngathi ajika abe luhlaza okwesibhakabhaka.
- Ubunzima bokubona kufutshane: Xa ujonge iincwadi, amaphephandaba, umbhalo okwifowuni yakho, okanye isikrini sekhompyutha, umbhalo ubonakala ungacacanga.
- Intloko ebuhlungu: Abanye abantu banokuba nentloko ebuhlungu kancinci ngenxa yesi sizathu.
- Ukutsha kancinci emva kokusebenzisa iyeza lamehlo (oku kudla ngokuba kuncinci kakhulu kwaye kuphele ngokukhawuleza).
- Ububomvu bamehlo.
- Ukurhawuzelela okuncinci emehlweni.
- I-Cycloplegia yinkqubo ekhubaza okwethutyana izihlunu zeliso ezigxileyo, esetyenziselwa ukuhlola amehlo nokunyanga izifo ezithile.
- Oku kwenziwa ngamaconsi amehlo. Yeyexeshana kwaye ayinantlungu.
- Iziphumo ebezingalindelekanga eziqhelekileyo ziquka ukubona izinto zingacacanga, ubunzima bokubona kufutshane nezinto, kunye nokuziva ukukhanya. Ezi zinto ziyaphela xa iyeza liphela.
- Kuphephe ukuqhuba okanye ukusebenza kufutshane ngelixa une-cycloplegia. Nxiba iiglasi zelanga ukuba uphuma phandle.
- Ukuba ufumana iimpawu ezinzima ezifana nokubetha kwentliziyo ngokukhawuleza, ukudideka, okanye ukuxhuzula, bona ugqirha wakho ngoko nangoko okanye uye kwi-ETU.
- Ukuba unenkxalabo okanye uloyiko malunga noku, thetha nogqirha wakho wamehlo. Baza kukuchazela yonke into.
Umzekelo, xa umntwana 'oneliso elivilaphayo' (i-amblyopia) enikwa eli yeza kwiliso lakhe elilungileyo, kuba nzima ukuba elo liso libone kufutshane. Iliso elibuthathaka kufuneka lisebenze nzima, kwaye elo liso liba namandla ngakumbi.
Kwakhona, khumbula, ngamanye amaxesha oku kungaba yimpembelelo engeyiyo. Umzekelo, ukuba usebenzisa into efana ne-scopolamine patch ukunyanga isicaphucaphu sokuhamba,Ufanele uhlambe izandla zakho kakuhle emva kokuliphatha. Kungenjalo, ukuba iyeza lingena emehlweni akho, umbono wakho unokuba luzizi kangangeentsuku ezimbalwa.
Ziziphi iingenelo ze-cycloplegia?
Kukho iingenelo ezininzi kule ndlela. Masizijonge ngale ndlela ukuze siziqonde kakuhle.
| Inzuzo | Ingcaciso elula |
|---|---|
| Okwexeshana | Xa iyeza liphela, amehlo abuyela esiqhelweni ngaphandle kwemiphumo yexesha elide. |
| Ayihlaseli | Kulula kakhulu ukuyifaka njengee-eye drops. Akukho mfuneko yokutofa okanye ukusika nantoni na. |
| Akukho ntlungu | Akukho ntlungu xa kusetyenziswa iyeza. Nangona kunjalo, ngenxa yokuba i-pupil iyavuleka, ungaziva ubuthathaka kunye nokungakhululeki xa ujonge ngaphandle. Yiyo loo nto oogqirha bekunika iiglasi zelanga. |
| Ukuba neendlela ezininzi onokukhetha kuzo | Ukuba iyeza elinye alikusebenzeli, kukho ezinye iindlela. Kwaye, ngokuxhomekeke kwiimfuno zakho, ungakhetha amayeza anemiphumo yexesha elifutshane okanye elide. |
Ngaba akukho ziphumo ebezingalindelekanga? Masiqaphele loo nto.
"Isiphumo esiphambili" samayeza e-cycloplegia kukwanda kwamehlo. Enyanisweni, le yinto ugqirha afuna ukuyibona xa ehlola amehlo akho. Ngoko ke unokufumana ukungakhululeki okuncinci ngenxa yoku.
Ukongeza koku, kunokubakho nezinye iziphumo ebezingalindelekanga ezincinci:
Eyona nto ibalulekileyo kukuba ugqirha wakho akuchazele kwangaphambili ukuba zeziphi iziphumo ebezingalindelekanga zamayeza kunye nokuba zinjani na.
Le meko iza kuhlala ixesha elingakanani?
Oku kuxhomekeke kuhlobo lwamayeza owanikwayo. Amanye amayeza ayaphela kwiiyure ezimbalwa, ngelixa amanye anokuhlala iintsuku.
| Igama leziyobisi | Ubude bexesha lesiphumo |
|---|---|
| I-Atropine | Iintsuku ezisi-7 ukuya kwezili-12 |
| I-Cyclopentolate | Ukuya kuthi ga kwiiyure ezingama-24 |
| I-Homatropine | Iintsuku ezi-1 ukuya kwezi-3 |
| I-Phenylephrine | Ukuya kuthi ga kwiiyure ezi-6 |
| I-Scopolamine | Iintsuku ezi-3 ukuya kwezi-7 |
| I-Tropicamide | Iiyure ezi-6 ukuya kwezingama-24 |
Ziziphi iimpawu eziyingozi ezifuna ukubona ugqirha?
Iziphumo ezibi kakhulu ezivela kumayeza amehlo azixhaphakanga. Nangona kunjalo, kukho iimpawu eziyingozi ekufuneka uzazi, ingakumbi ngamayeza asetyenziswa ixesha elide. Ukuba ubona nayiphi na kwezi, kufuneka ufowunele ugqirha wakho ngoko nangoko okanye uye kwigumbi likaxakeka (ETU) lesibhedlele esikufutshane nawe.
| Uphawu | Inkcazo |
|---|---|
| Iimpawu ezifuna unyango olukhawulezileyo | |
| Utshintsho kwindlela yokuziphatha | Ukudideka ngequbuliso kunye nokuxakeka. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza kakhulu (i-tachycardia). |
| Ukudideka | Izinto ezifana nokulibala ukuba ukuphi kwaye lixesha lini. |
| Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi) | Ukuquleka kunye nesiyezi xa umile. |
| Ukuxhuzula | Le yimeko eyingozi kakhulu. |
| Ukudandatheka kokuphefumla | Ukuphefumla kancinci okanye kancinci. |
I-Cycloplegia ingabonakala ngathi iyakukhathaza, kodwa eneneni sisixhobo esibaluleke kakhulu kwiingcali zamehlo. Yenza uvavanyo lwamehlo lube lula, yonyusa ukuchaneka kweeglasi, kwaye inceda ekunyangeni iingxaki ezininzi zamehlo. Okubaluleke kakhulu, yeyokwexeshana. Nje ukuba iyeza liphele, umbono wakho uya kubuyela esiqhelweni.
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