Ngaba umntwana wakho unengxaki yokunyakaza kwamehlo? Masithethe ngeDuane Syndrome!

Ngaba wakha waphawula ukuba abanye abantwana banengxaki yokujika amehlo abo aye kwicala elinye? Okanye kubonakala ngathi iliso elinye lijonge empumlweni kwaye elinye lijonge endlebeni. Kuqhelekile ukuba abazali bazive bexhalabile kakhulu xa bebona into efana nale, ingakumbi xa isenzeka kumntwana wabo. I-Duane Syndrome, esiza kuthetha ngayo namhlanje, yimeko yokuzalwa eyenzeka ngokuhamba kwamehlo. Ngamafutshane, olu luhlobo lwe-strabismus.

Yintoni iDuane Syndrome? Ungasichaza ngakumbi?

Kulungile, masiyichaze le nto ngokulula. Umntu one-Duane Syndrome unobunzima bokujika amehlo akhe aye ecaleni, oko kukuthi, ecaleni kwempumlo nakwicala lendlebe. Isenokuba liliso elinye, isenokuba ngawo omabini amehlo. Ukongeza kubunzima bokujika la mehlo aye ecaleni, abanye abantu banokuba nobunzima bokubheka phezulu nasezantsi.

Enye into kukuba amehlo awafani, ajongeka ecaleni, kwaye neebhola zamehlo zinokuhamba ngendlela eyahlukileyo xa uzama ukuhambisa amehlo. Isizathu esiphambili soku kukuba imithambo-luvo (imithambo-luvo yentloko) elawula izihlunu emehlweni ethu ayisebenzi kakuhle. Khawuthelekelele, kufana nokungakwazi ukujika ivili lokuqhuba imoto liye nakweyiphi na indlela.

Kwiimeko ezininzi, phakathi kwe-80% kunye ne-90%, le meko ichaphazela iliso elinye kuphela (elicala elinye). Kukwafunyaniswe ukuba iliso lasekhohlo lichaphazeleka kakhulu .

Ngaba kukho amanye amagama alo mba?

Ewe, kukho amanye amagama aliqela asetyenziswa kwiDuane Syndrome. Ungakhathazeki ukuba ugqirha wakho uthi elinye lala magama, onke ayafana.

• Isifo sokurhoxa kweDuane
• Isifo sokurhoxa kwamehlo
• I-Retraction syndrome okanye i-congenital retraction syndrome
• Isifo se-radial ray sikaDuane
• Isifo se-Stilling-Turk-Duane

Kulungile ukwazi la magama, kuba ngamanye amaxesha la magama anokuvela kwiirekhodi zonyango.

Ngaba kukho iintlobo zeDuane Syndrome?

Ewe, njengokuba sithetha ngokutya, kukho iintlobo ezintathu eziphambili zeDuane syndrome. Zibizwa ngokuba yi-type 1, type 2, kunye ne-type 3. Ngoku makhe sijonge uhlobo ngalunye ngokwahlukeneyo.

Uhlobo 1 lwe-Duane syndrome

Olu lolona hlobo luxhaphakileyo , lubandakanya i-78% yazo zonke izigulane zeDuane syndrome.

Ukuba wena okanye umntwana wakho unohlobo lokuqala, kunzima ukujika iliso liye ngaphandle, oko kukuthi, liye ngasendlebeni.Kodwa ungajika iliso lakho liye kwicala lempumlo yakho. Kodwa xa usenza loo nto, umngxuma apho iliso likhona umncinci, kwaye i-eyeball ingabonakala ngathi "iyarhoxa". Ngamanye amaxesha iliso lingabonakala ngathi litsalwa ecaleni lempumlo yakho (esotropia).

Uhlobo lwesibini lwesifo sikaDuane

Olu lolona hlobo lungaqhelekanga , lumalunga ne-7% yabantu abanale meko.

Umntu onohlobo lwesibini unamandla alinganiselweyo okujika amehlo angene ngaphakathi, oko kukuthi, ngasempumlweni . Nangona kunjalo, angajika amehlo aye ngasendlebeni. Nangona kunjalo, xa esenza njalo, ukuvulwa kwamehlo kuba mncinci, njengakwihlobo lokuqala, kwaye i-eyeball isenokubonakala ngathi ingena ngaphakathi. Aba bantu banokuba namehlo abo ejonge ngaphandle, aye ngasendlebeni (exotropia).

Uhlobo lwe-3 lwe-Duane syndrome

Olu hlobo luchaphazela malunga ne-15% yazo zonke izigulana.

Umntu onohlobo lwesithathu akanalo ikhono lokujika amehlo akhe kumacala omabini, ngaphakathi nangaphandle . Kwakhona, xa ejongwa kwiikona ezahlukeneyo, umngxuma wamehlo unokubonakala ngathi unciphile kwaye i-eyeball inokubonakala ngathi iya ngaphakathi.

Olu hlobo lolwahlulo lubalulekile koogqirha ukuze bacebe unyango baze baqonde uhlobo lwesifo.

Ixhaphake kangakanani iDuane Syndrome?

Ngokwezibalo eMelika, malunga ne-4% yabemi, okanye malunga ne-13 yezigidi zabantu, banohlobo oluthile lwe-strabismus. Kuqikelelwa ukuba phakathi kwe-1% kunye ne-5% yabo banale meko bane-Duane syndrome.

Enye into kukuba le meko ixhaphake kancinci phakathi kwabasetyhini .

Zithini iimpawu zoku? Ngaba nabantwana abancinci bayazibona ezi?

Ewe, ezinye zeempawu ze-Duane syndrome zinokubonakala nakwiintsana ezincinci. Makhe sibone ukuba zeziphi iimpawu eziphambili:

• Ukuthambekela kwentloko okungaqhelekanga: Abanye abantu abane-Duane syndrome bathambekele ekuthambekeni kweentloko zabo ecaleni bezama ukugcina amehlo abo ethe tye. Cinga ngokuthambekela kwentloko yakho xa ujonge umfanekiso oxhonywe eludongeni.
• I-Strabismus: Ngamanye amaxesha, kodwa kungekhona rhoqo, kubonakala ngathi omabini amehlo akajongi kwicala elinye .
• I-Amblyopia okanye iliso elivilaphayo: Oku kukwabizwa ngokuba yi-"lazy eye." Njengoko ingqondo iqhelana neliso elingcono, iqala ukungawunaki umyalezo ovela kwiliso elichaphazelekileyo. Oku kunokukhokelela ekuboneni kakubi kwelo liso ngokuhamba kwexesha.
• Elinye iliso libonakala lincinci kunelinye: Oku kungenxa yokucutheka kwebhola yeliso.
• Ukushukumisa amehlo phezulu okanye ezantsi xa ujonge kwicala elithile: Oku kubizwa ngokuba yi-"up-shooting" okanye "down-shooting". Kungabonakala ngathi amehlo atsiba phezulu okanye ezantsi ngequbuliso.

Ukuba ubona ezi mpawu kumntwana wakho, kubaluleke kakhulu ukuba ubonane nogqirha wamehlo ukuze akunike iingcebiso.

Ngaba abantu abaneDuane Syndrome banokuba nezinye izifo?

Nangona kungenjalo rhoqo, i-Duane syndrome ngamanye amaxesha inokuhambisana nezinye iingxaki zempilo. Ezinye zezi ziquka:

• Iingxaki zokuva
• I-Goldenhar syndrome: Le yimeko ebangela iingxaki ebusweni, ezindlebeni, nasemgogodleni.
• Iingxaki ngomqolo wakho okanye kwi-vertebrae

Ukongeza, ezinye iimeko zamehlo zinokwenzeka kunye ne-Duane syndrome. Umzekelo:

• I-Cataract: Oku kuthetha ukufiphala kwelensi yeliso.
• I-Microphthalmos: Kwimeko enjalo, iliso liba lincinci ngendlela engaqhelekanga.
• I-Nystagmus: Kulapho amehlo eshukuma ngokukhawuleza nangokungalawulekiyo.
• I-Crocodile tears syndrome: Oku kunxulumene nemeko yokungasebenzi kakuhle kwemithambo-luvo yobuso ebizwa ngokuba yiBell's palsy. Kule meko, iinyembezi ziyavela xa kutyiwa okanye kuselwa into ethile.

Ngoko ke, xa kufunyaniswa ukuba une-Duane syndrome, oogqirha bajonga nezinye iimeko ezifanayo.

Zithini izizathu zeDuane Syndrome?

I-Duane syndrome yimeko yemfuza, kodwa ayiqhelekanga ukuba ifuzwe . Ezi ngxaki zokunyakaza kwamehlo zibangelwa, njengoko bekutshiwo ngaphambili, ziingxaki zemithambo-luvo yentloko elawula ukuhamba kwamehlo ethu.

Ngokukodwa, kufunyenwe ukuba abantwana boomama abachatshazelwe sesi sidakamizwa i -thalidomide ngexesha lokukhulelwa banamathuba amancinci okuba ne-Duane syndrome (esi sidakamizwa asisasetyenziselwa le njongo).

Malunga ne-10% yabantu abane-Duane syndrome banamalungu osapho akwanayo nale meko. Kwiimeko ezinjalo zosapho, omabini amehlo adla ngokuchaphazeleka (ngamacala omabini).

Ukuba i-Duane syndrome ifunyenwe njengelifa, ibangelwa kukufumana umntwana ilifa le-genes eyahlukileyo ethi `CHN1`, `MAFB`, okanye `SALL4` kubazali bakhe. Le patheni yelifa ibizwa ngokuba yi -`autosomal dominant` . Oku kuthetha ukuba inokwenzeka nokuba isini na, kwaye nokuba ngumzali omnye kuphela onayo le meko, umntwana unokuyifumana njengelifa.

Ngaba iDuane Syndrome iyosulela?

Hayi, akunjalo konke konke. I-Duane syndrome ayisosifo esosulelayo. Oko kukuthi, ayisasazeki ukusuka komnye umntu ukuya komnye njengomkhuhlane okanye umkhuhlane. Ngoko ke akukho sizathu sokuyoyika.

Ifunyanwa njani iDuane Syndrome?

Ugqirha wakho, ingakumbi ingcali yamehlo, uza kuthatha imbali epheleleyo yezonyango aze ahlole amehlo akho ngononophelo. Baza kulinganisa ukuba angakanani amanzi emehlweni akho kwaye unokubajika kangakanani ukusuka kwelinye icala ukuya kwelinye.

Ugqirha angayalela novavanyo lokujonga ezinye iimeko ezinokunxulunyaniswa ne-Duane syndrome.

Kukho enye imeko ebizwa ngokuba yi-sixth cranial nerve palsy, efana kakhulu ne-Duane syndrome, kodwa ayixhaphakanga kangako. Ugqirha uya kuzama ukwahlula phakathi kwezi meko zimbini.

Inyangwa njani iDuane Syndrome?

Iindlela zonyango zixhomekeke kwiminyaka yakho, ubukhali besifo, kunye nazo naziphi na ezinye iimeko zempilo onokuba nazo.

• Abanye abantu basenokungadingi unyango: Abanye abantu abane-Duane syndrome abadingi naluphi na unyango olukhethekileyo. Bafuna nje ukuqhubeka bebona ugqirha wamehlo baze bahlolwe amehlo abo.
• Unyango lweLiso Elivilaphayo (i-Amblyopia): Ukuba nawe uneliso elivilaphayo, ungazama ukuphucula umbono welo liso ngokuligquma ngebala elilungileyo uze wenze iliso elibuthathaka lisebenze nzima. Oku kufana nokucela umntwana okrelekrele eklasini ukuba ame ecaleni okwethutyana aze anike omnye umntwana ithuba.
• Utyando: Ukuba i-Duane syndrome inzima, utyando lunokufuneka ukuze kulungiswe izihlunu zamehlo. Olu tyando alunakulungisa ingxaki yemithambo-luvo, kodwa lunokunceda ekulungiseni izihlunu zamehlo, kuncitshiswe ukuthambekela kwentloko okungaqhelekanga, kugcinwe amehlo athe tye xa ejonge phambili, kwaye kulawulwe ukuvela phezulu/ukuphuma ezantsi.

Khumbula, ayinguye wonke umntu odinga utyando. Oko kuxhomekeke kugqirha wakho.

Ngaba iDuane Syndrome ingathintelwa?

Okwangoku, akukho ndlela yokuthintela i-Duane syndrome. Iyeza i-thalidomide, elinokubangela i-Duane syndrome (phakathi kwezinye iziphene ezininzi zokuzalwa), alisasetyenziswa. Ngoko ke akukho mfuneko yokoyika.

Ukuba ndineDuane Syndrome, ndimele ndilindele ntoni?

Abanye abantu abane-Duane syndrome banokujika iintloko zabo kancinci, baphucule umbono wabo, baze baphile ubomi obuqhelekileyo. Kwezinye iimeko, utyando lunokufuneka, njengoko bekutshiwo ngaphambili.

Ukuba unesinye isifo kunye ne-Duane syndrome, ugqirha wakho uya kunyanga eso sifo.

Ungacetyiswa nokuba unxibe iiglasi ukuze uphucule umbono kunye/okanye ulungise indawo amehlo akho ami kuyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Ngaba kufuneka ndibone umcebisi wezemfuza? (Ingakumbi ukuba kukho umntu kusapho onale meko, okanye ukuba ndilindele abantwana abaninzi).
• Ngaba kukho naziphi na izixhobo ezincedisayo ezinceda ekuboneni?

Ugqirha uhlala efumanisa umntwana one-Duane syndrome kwiminyaka elishumi yokuqala yobomi bakhe. Ukuba unenkxalabo malunga nombono wakho okanye umbono womntwana wakho, bonana nogqirha ngoko nangoko. Ugqirha wakho angakunceda ukhethe unyango olungcono lwe-Duane syndrome kwaye unyange i-amblyopia ukuba ikhona.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ukushwankathela iDuane Syndrome ebesithetha ngayo, khumbula ezi zinto:

• I-Duane syndrome yimeko yokuzalwa eyenza kube nzima ukujika amehlo ukusuka kwelinye icala ukuya kwelinye.
• Esi asisosifo esosulelayo.
• Iimpawu ziquka ukujika intloko iye ecaleni, ukufinya amehlo, kunye nokuncipha kokubona kwelinye iliso.
• Kukho iintlobo ezintathu zale nto, kwaye ngamanye amaxesha inokwenzeka nakwezinye iingxaki zempilo.
• Unyango lunokubandakanya ukujongwa, ukupeyinta iliso elivilaphayo, okanye utyando. Asinguye wonke umntu odinga utyando.
• Eyona nto ibalulekileyo kukuba ukuba wena okanye umntwana wakho ninezi mpawu, musani ukoyika nize nibone ugqirha wamehlo ukuze nifumane iingcebiso ezifanelekileyo kunye nonyango.

Ndiyathemba ukuba olu lwazi luza kukunceda. Ukuba uneminye imibuzo, ungathandabuzi ukubuza ugqirha wakho!

I- Duane syndrome, i-strabismus, imeko yeliso yokuzalwa, intshukumo yeliso, iliso elivilaphayo, i-amblyopia, iingxaki zokubona