Ngaba wakha waphawula ukuba amehlo angaphezulu abanye abantu ayawa kancinci, nto leyo ebenza babonakale belele? Usenokuba nawe ukhe wakubona oku. Oku kungenzeka kwiliso elinye, okanye kunokwenzeka kuwo omabini amehlo. Ngokwezonyango, esi simo sibizwa ngokuba yiPtosis . Abanye abantu basibiza ngokuba yi-'Blepharoptosis'. Musa ukukhathazeka, esi sisifo esixhaphakileyo. Masithethe ngayo yonke into ngokulula nangokucacileyo namhlanje.
Ngamafutshane, yintoni iPtosis?
I-Ptosis kuxa iliso lakho eliphezulu liwela phantsi. Kubonakala ngathi i-window shutter ivaliwe kancinci. Isizathu esiphambili soku kukuba umsipha we-levator , onceda ukugcina amehlo ethu ephakanyisiwe, awusebenzi kakuhle. Cinga ngayo ngathi lo msipha ufana nentambo encinci etsala amehlo ethu phezulu. Xa le ntambo iba buthathaka okanye iphuma kwiliso, amehlo ayawela.
Ngokuxhomekeke ekubeni iliso litshona kangakanani, umbono wakho unokuchaphazeleka. Ngamanye amaxesha iliso livalekile kancinci, kwaye kwiimeko ezinzima, umbono unokuvaleka ngokupheleleyo. Oku kungenzeka kwiliso elinye kuphela, okanye kuwo omabini amehlo. Ngamanye amaxesha elinye iliso linokuba neliso elitshonayo elingaphezulu kunelinye.
Kukho iintlobo ezimbini eziphambili ze-ptosis:
Le meko inokwenzeka kubantwana abancinci nakubantu abadala. Ngoko ke, siyahlulahlula ibe ziintlobo ezimbini eziphambili.
- I-Congenital Ptosis: Oku kuthetha ukuba umntwana wakho uzalwa enale meko. Ngokuqhelekileyo, oku kwenzeka kuba umsipha we-levator okhankanywe ngaphambili (umsipha we-levator) awukhuli kakuhle esibelekweni.
- I-Acquired Ptosis: Olu luhlobo oluvela xa umntu emdala. Le meko inokwenzeka xa izihlunu zibuthathaka okanye zahlukana neliso ngenxa yokwaluphala, ingozi, okanye enye imeko yezonyango.
Zithini iimpawu zoku?
Enyanisweni, uphawu oluphambili kukuba iliso libonakala ligobile. Kodwa kusenokuba kukho nezinye iimpawu ezininzi ukongeza koko. Makhe sibone ukuba zeziphi.
| Uphawu | Inkcazo |
|---|---|
| Ijwabu eligobileyo | Uphawu oluphambili nolucacileyo kukuba iliso lisenokuvaleka ngokupheleleyo okanye kancinci. |
| Ukuhlikihla amehlo rhoqo | Usenokulingeka ukuba uhlikihle amehlo akho rhoqo ukuze ubone kakuhle. |
| Iinyembezi ziphuma emehlweni | Ukuba iinkophe azisebenzi kakuhle, iinyembezi ezigqithisileyo zinokuqokelelana emehlweni zize ziphume. |
| Ukukhubazeka kokubona | Umbono ungancipha okanye ufiphale ngenxa yokuba iliso liwela phezu kweliso kwaye livalele umbono. |
| Ukudinwa kunye nentlungu ejikeleze amehlo | Ukuzama ukuphakamisa amashiya akho usebenzisa izihlunu zebunzi lakho ukuze ubone ngokucacileyo kunokubangela ukudinwa okujikeleze amehlo akho kunye nebunzi. |
| Ukujikeleza kwentamo (abantwana) | Abantwana abancinci bafunda ukujonga bephakamise iintloko zabo neentamo zabo xa bezama ukubona ihlabathi phantsi kweenkophe zabo. |
Kutheni oku kusenzeka? Zithini izizathu?
Izizathu ze-ptosis ziyahluka ngokuxhomekeke kuhlobo. Njengoko besitshilo ngaphambili, abanye abantwana bazalwa benesi simo (congenital ptosis).
I-Ptosis eyenzeka kamva (i-acquired ptosis) inokuba nezizathu ezininzi. Le meko ingenzeka ukuba izihlunu eziphakamisa i-eyelid okanye ii-ligaments ezizidibanisayo ziba buthathaka ngenxa yengozi okanye ukugula. Ngamanye amaxesha inokubangelwa kukonakala kwemithambo-luvo elawula i-eyelid.
Ezinye zeemeko ezinokubangela i-ptosis zezi:
- Amaqhuma amehlo (iStye)
- Isifo sikaHorner
- I-Myasthenia gravis - Esi sisifo esenza izihlunu zibe buthathaka.
- Istroke
- Iithumba zeliso
- Izifo ezichaphazela izihlunu zamehlo, ezifana ne-external ophthalmoplegia
Kodwa ngaphezu kwako konke oku,Eyona nto ixhaphakileyo ebangela i-ptosis kubantu abadala kukwaluphala. Ngokuhamba kwexesha, ulusu kunye nemisipha yeenkophe zethu ziyanwebeka kwaye zibe buthathaka. Ngamanye amaxesha, ngexesha lotyando lwamehlo, izixhobo ezisetyenziselwa ukubamba iliso livuleke zinokubangela ukuba inkophe itsale, nto leyo enokukhawulezisa olu tshintsho.
Kuza kwenzeka ntoni ukuba ayinyangwa?
Ukuba umntwana wakho une-ptosis yokuzalwa, kubaluleke kakhulu ukuyinyanga ngokukhawuleza. Ukuba ayinyangwa, inokuchaphazela ngqo uphuhliso lombono womntwana. Inokubangela nezinye iziphumo ebezingalindelekanga.
I-ptosis ethambileyo kubantu abadala isenokungayichaphazeli kangako indlela yokubona, ngoko ke unyango lusenokungabi yimfuneko. Nangona kunjalo, i-ptosis enzima inokukhokelela kwiingxaki ezinkulu ukuba ayinyangwa.
Iingxaki ezinokwenzeka ngenxa ye-ptosis:
- I-Astigmatism: Iliso eligobileyo libeka uxinzelelo kwicala elingaphambili leliso (i-cornea). Oku kunokutshintsha imo yeliso kwaye kuphazamise umbono (kuwenze ubonakale ude kwaye ushwabene).
- I-Amblyopia (okanye 'iLiso Elivilaphayo'): Ngenxa yeziphene zokubona ezifana ne-astigmatism, ingqondo iqala kancinci kancinci ukungazinaki iimpawu ezivela kwelo liso. Oku kunokukhokelela ekulahlekelweni kokubona okungapheliyo kwelo liso. Oku sikubiza ngokuba 'liliso elivilaphayo'.
- Indawo yokuma kwesilevu phezulu: Ukugcina isilevu siphezulu ngelixa ujonge phantsi kweenkophe kunokubangela iingxaki zentamo, ukuqina kwemisipha yebunzi, kwaye ngamanye amaxesha nokubambezeleka kokukhula.
Ifunyaniswa njani le nto?
Ngokwesiqhelo, ugqirha angabona ukuba une-ptosis ngokujonga nje iliso lakho eligobileyo. Ukuba omabini amehlo agobile, kunokuba nzima ukubona.
Ugqirha wakho uza kwenza uvavanyo lomzimba aze akuthumele kwingcali yamehlo. Ingcali yamehlo iza kwenza uvavanyo lwamehlo kwaye inokucebisa ezinye iimvavanyo ukuba kuyimfuneko.
Zeziphi iimvavanyo ezenziwayo koku?
- Ukuhlolwa kwesibane esiqhekekileyo: Ukuhlolwa kweendawo ezibuthathaka zeliso ngemayikroskopu ekhethekileyo.
- Uvavanyo lwentsimi ebonakalayo: Uvavanyo olulinganisa intsimi yakho yokubona, oko kukuthi, ukuba ungayibona kangakanani indawo ekungqongileyo.
- Uvavanyo lokuhamba kwamehlo (ukuhamba kwamehlo): Ukuvavanya ukusebenza kwezihlunu zamehlo ngokushukumisa amehlo.
- Uvavanyo lweTensilon: Olu luvavanyo olukhethekileyo lokujonga imeko ebizwa ngokuba yi-myasthenia gravis.
Ziziphi iindlela zonyango lwe-ptosis?
Unyango luxhomekeke ekubeni izihlunu zeliso lakho zisebenza kakuhle kangakanani. Ngamanye amaxesha, ukuba imeko ayichaphazeli umbono wakho kwaye awunaxhala malunga nenkangeleko yakho, akukho nyango lunokufuneka.
Kodwa ukuba i-ptosis ichaphazela umbono, inkangeleko, okanye zombini, ugqirha wakho wamehlo uya kucebisa unyango. Unyango luxhomekeke ekubeni imeko ibangelwa sisifo okanye yimiphumo nje yokwaluphala. Unyango olusebenzayo kakhulu lwe-ptosis ebangelwa kukwaluphala lutyando.
Utyando lwePtosis
Oku kudla ngokwenziwa ngokuyivala loo ndawo (i-local anesthesia) nokukunika amayeza okukwenza uzive ulele kancinci (i-sedation). Oku kuthetha ukuba usezingqondweni, kodwa awuziva ntlungu.
Kukho iindlela ezimbini eziphambili zotyando:
1. Indlela yokusikwa kwesikhumba: Ugqirha wenza umsikelo omncinci kakhulu eluswini lweliso eliphezulu. Ngalo, kufumaneka umsipha omncinci ophakamisa iliso, uthungwe kwaye uqiniswe, kwaye iliso liphakanyiswa. Umsikelo wesikhumba uyathungwa kwakhona uze uvalwe.
2. Indlela yokungasikwa: Kule ndlela, ugqirha ujika iliso lingene ngaphakathi aze aqinise umsipha ongaphantsi. Oku akudingi kususwa kolusu.
Emva kotyando, ugqirha wakho uza kukuchazela indlela yokunyamekela amehlo akho. Kubalulekile ukubona ugqirha wakho kwakhona emva kweentsuku ezimbalwa emva kotyando ukuze ahlolwe.
Ngaba kukho naziphi na iingxaki kunyango?
Njengakwezinye iindlela zotyando, iingxaki ezincinci zinokwenzeka emva kotyando lwe-ptosis.
- Ukopha igazi eliphuma enxebeni.
- Usulelo kwindawo yotyando.
- Ukonakala kwi-cornea yeliso.
- Ukungakwazi ukuvala ngokupheleleyo ijwabu leso.
- I-Ptosis iphinda ivele emva kwexesha elithile.
- Emva kotyando, imilo yamehlo okanye ubungakanani bokuphakama kweenkophe bunokuba bungafaniyo (uninzi lwazo luya kuzilungisa ngokuhamba kwexesha).
Ngaba kukho amathontsi amehlo?
Ewe. Kukho i-eye drop evunyiweyo kwiintlobo ezithile ze-Acquired Ptosis kubantu abadala. Eli yeza libizwa ngokuba yi -Oxymetazoline . Lisebenza ngokujolisa ngqo kwimisipha ye-levator kwaye liyivuselele. Abanye abantu bafumanisa ukuba ukusebenzisa eli yeza kunceda amehlo abo avuleke ngcono. Nangona kunjalo, ukuze ugcine le mpembelelo, kufuneka usebenzise eli yeza yonke imihla.
Eyona nto ibalulekileyo kukuba olu phawu lwamehlo alusebenzi kuzo zonke iintlobo ze-ptosis, ngoko ke ngokuqinisekileyo kuya kufuneka uthethe nengcali yamehlo ukuze ubone ukuba oku kulungile na kuwe.
Ngaba i-ptosis ingathintelwa?
I-Congenital Ptosis ayinakuthintelwa. Kuba umntwana uzalwa enaloo meko. Kwakhona, kunzima kuthi ukuthintela izizathu ze-Ptosis (Acquired Ptosis) ezenzeka kamva, njengokwaluphala. Ke ngoko, endaweni yokuthintela oku, kubaluleke ngakumbi ukuyichonga kwangethuba kwaye ufune unyango olufanelekileyo ukuba iyenzeka.
Ndifanele ndimbone nini ugqirha?
Lo ngumbuzo obaluleke kakhulu. Ngokuqinisekileyo kufuneka ubonane nogqirha, ingakumbi ugqirha wamehlo, kwezi meko zilandelayo:
| Uzakumbona nini ugqirha wakho | |
|---|---|
| Ukuba umbono uvaliwe | Ukuba ukugoba kweliso lakho kwenza kube nzima ukwenza imisebenzi yakho yemihla ngemihla, ukufunda, okanye ukuqhuba. |
| Ukuba ukhathazekile ngenkangeleko yakho | Ukuba le meko ikwenza uzive ungakhululekanga engqondweni malunga nenkangeleko yakho. |
| Ukuba ngequbuliso uqhwanyaza | Ukuba iliso elinye litshona ngequbuliso okanye liqala ukuvala, funa ingcebiso kagqirha ngoko nangoko kuba oko kunokuba luphawu lwesifo esinzulu esifana nesifo sohlangothi. |
| Ukuba kukho ezinye iimpawu | Ukongeza kwiinkophe ezigobileyo, ukuba unembono ephindwe kabini okanye iintlungu zamehlo. |
| Ukuba umntwana wakho une-ptosis | Musa ukulibazisa. Kubalulekile ukubona ugqirha wamehlo ngokukhawuleza ukuze uthintele iingxaki zokukhula kombono kumntwana wakho. |
Umyalezo Wokuya Ekhaya
- I-Ptosis kukugoba kwejwabu eliphezulu. Ingazalwa okanye ikhule kamva ebomini.
- Isizathu esiphambili sokuba oku kwenzeke kubantu abadala kukwaluphala.
- Ukuba umntwana une-ptosis, kubaluleke kakhulu ukubonana nogqirha wamehlo ngokukhawuleza, kuba oku kunokuchaphazela uphuhliso lombono.
- Ukuba le meko iphazamisana nokubona okanye ixhalabisa ngenkangeleko, kukho unyango olusebenzayo, olufana notyando.
- Ukuba iliso litshona ngequbuliso, funa ingcebiso kagqirha ngoko nangoko kuba oko kunokuba luphawu lwesifo esinzulu.
- Soloko uthetha nogqirha wakho ukuze ufumane ukuba loluphi unyango olulungele imeko yakho.
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