Ngaba kunzima ukujika iliso lakho lijonge kwelinye icala? Ngaba le yingxaki yemithambo-luvo yesithandathu? Masifunde ngeSixth Nerve Palsy!

Ngaba ngamanye amaxesha uvakalelwa kukuba iliso lakho elinye lijonge ecaleni, oko kukuthi, kunzima ukulikhupha? Okanye ngaba ubona yonke into ngaxeshanye? Izinto ezinje aziqhelekanga. Isizathu soku sisenokuba bubuthathaka kwimithambo-luvo yakho yesithandathu yentloko. Oku sikubiza ngokuba yiSixth Nerve Palsy. Ungakhathazeki, siza kuthetha ngako ngokweenkcukacha.

Yintoni iSixth Nerve Palsy?

Ngamafutshane, iSixth Nerve Palsy yimeko ebangelwa kukonakala kwemithambo-luvo ekhethekileyo esinceda sijike amehlo ethu siye ngaphandle (ecaleni). Le mithambo-luvo ikwabizwa ngokuba yi-Abducens Nerve . Oku kuphazamisa amandla okushukumisa amehlo, okwenza kube nzima ukuwagcina elungelelene.

Ubusazi na ukuba kukho iipere ezili-12 zemithambo-luvo yentloko edibana ngqo nobuchopho bethu? Oko kuthetha ukuba zimbini zohlobo ngalunye, enye kwicala ngalinye, ngasekhohlo nenye ngasekunene. Le peri yesithandathu yemithambo-luvo yentloko yiyo edibana nemisipha ye-lateral rectus emehlweni ethu, eyimisipha nje ejika iliso libheke ngaphandle . Le misipha yiyo enceda iliso lasekhohlo lijonge ngasekhohlo neliso lasekunene lijonge ngasekunene. Ngoko ke, kwi-sixth nerve dysfunction, imiqondiso ehamba kule mithambo-luvo iyaphazamiseka, kwaye imisipha ejika iliso libheke ngaphandle iba buthathaka okanye ingasebenzi.

Amaxesha amaninzi, le meko ichaphazela iliso elinye kuphela (siyibiza ngokuba yicala elinye), kodwa ngamanye amaxesha inokuchaphazela omabini amehlo (amacala omabini).

Ixhaphake kangakanani le meko?

I-Sixth Nerve Palsy ayixhaphakanga kangako. Ehlabathini lonke, phakathi kwama-350,000 nama-900,000 amatyala amatsha ale meko axelwa minyaka le. Kwanakwilizwe elifana neMelika, ngama-15,000 ukuya kuma-37,000 kuphela amatyala amatsha axelwa minyaka le.

Nabani na angayihlakulela le nto. Kodwa umngcipheko uphezulu kancinci, ingakumbi emva kweminyaka engama-50. Le ngozi iyanda ngakumbi njengoko ukhula. Ngokophando, abantu abaphakathi kweminyaka engama-60 ukuya kwengama-75 banamathuba amaninzi okufumana le nto.

Zithini iimpawu zoku?

Ngoku makhe sibone ukuba zeziphi iimpawu zeSixth Nerve Palsy. Eyona nto iphambili kukuba amehlo awakwazi ukuhamba kakuhle kwaye amehlo awakwazi ukugcinwa ndawonye. Yiyo loo nto ezinye iimpawu zivela. Ezinye iimpawu zisenokuba ngenxa yokungasebenzi kakuhle kwemithambo-luvo, kwaye kunokubakho neempawu ezinxulumene nezinye iimeko zonyango ezibangela oko.

Iimpawu eziphambili zezi:

• I-Strabismus: Iliso elichaphazelekileyo alinakujongiswa ngaphandle ngokufanelekileyo, nto leyo enokubangela ukuba amehlo abonakale engahambelani kakuhle namanye. Iliso elichaphazelekileyo lisenokubonakala ngathi lijongxwe ngaphakathi (esotropia) .
• Ukubona kabini (iDiplopia):Olu luphawu lokuqala olubonwa ngabantu abaninzi. Xa ujonga izinto ezikude okanye xa uzama ukujonga icala elichaphazelekayo, umbono omabini uyanda. Xa ujonga kwelinye icala (icala elingachaphazelekanga), oku kuncipha kancinci (ukuba liliso elinye kuphela elichaphazelekileyo).
• Ukutshintsha indlela yokuma ukuze babone ngokucacileyo: Abantu abanengxaki yemithambo-luvo yesithandathu, abangakwaziyo ukujika iliso elinye okanye omabini kwicala elithile, baqhelisela ukujika intloko okanye umzimba wabo ukuze bajonge kwelo cala. Oku kubanceda baphephe ukubona kabini okubangelwa kukuxhuzula kwamehlo.
• Isicaphucaphu nokuhlanza: Ezi ziimpawu ezimbini nje ezinokubakho ngenxa yotshintsho ekuboneni. Zinokubangelwa nazezinye iimeko zonyango ezibangela oku kungasebenzi kakuhle kwemithambo-luvo.
• Intlungu: Intlungu yamehlo kunye nentloko ebuhlungu zinokwenzeka xa ucinezela amehlo akho ixesha elide okanye xa uneengxaki zokubona ixesha elide.

Kutheni le nto le mithambo-luvo yesithandathu (i-Abducens Nerve) ingasebenzi?

Kaloku, kutheni le mithambo yesithandathu (i-abducens nerve) ingasebenzi kakuhle ngolu hlobo? Zininzi izizathu. Le meko inokubangelwa yinto eyonakalisa le mithambo. Ubusazi, inxalenye yale mithambo idlula engqondweni yethu. Ngoko ke, izifo ezichaphazela ingqondo zinokuchaphazela nale mithambo.

Ngamanye amaxesha, unobangela ochanekileyo awufumaneki. Ezi meko sizibiza ngokuba yi-idiopathic . Kodwa uninzi lwexesha, oogqirha banokufumana unobangela baze bawunyange. Makhe sijonge ezona zizathu ziphambili.

1. Ukwenzakala

Khawucinge ukuba ubetheka entloko ndaweni ithile, okanye ukuba unengozi... le mithambo-luvo yesithandathu ejikeleze ubuchopho bethu inokonakala. Umzekelo:

• Ukubetheka Kwengqondo kunye Nokwenzakala Kwengqondo Okubuhlungu (iiTBI )
• Ukuqhekeka kwentloko
• Amanxeba angena entloko, njengakwisixhobo esibukhali okanye imbumbulu

2. Iintsholongwane

Iintsholongwane ezifana neentsholongwane kunye neebhaktheriya zinokuhlasela inkqubo yethu yemithambo-luvo. Le mithambo-luvo yesithandathu nayo ingachaphazeleka. Umzekelo:

• Intsholongwane yeHerpes zoster (yile nto ibangela iishingles)
• Intsholongwane ka-Epstein - Barr (yile nto ibangela i-mononucleosis okanye 'i-mono')
• I-Meningitis ( isifo se-meningitis )
• I-Cytomegalovirus (CMV )
• Isifo seLyme
• I-Syphilis
• Usulelo lwefungus okanye i-parasites
• Ukuba usulelo lwendlebe ( i-otitis media ) lusasazeka okanye luba nzima kakhulu
• Usulelo kunye nokudumba kwezicubu ezijikeleze iliso ( orbital cellulitis )

Ngamanye amaxesha, ezinye izitofu eziphilayo ezinikezelwa ukuthintela usulelo zinokubangela ukungasebenzi kakuhle kwemithambo-luvo yesithandathu okwethutyana. Kwimeko enjalo, iya kuphola ngokwayo.

3. Iingxaki zokujikeleza kwegazi emzimbeni

Ukuba ukuhamba kwegazi engqondweni yethu kuyaphazamiseka, oku kunokuchaphazela le mithambo-luvo yesithandathu. Ukuba ukuhamba kwegazi kuyayeka, kuvela imeko ebizwa ngokuba yi-ischemia . Oku kuthetha ukuba xa iiseli zingafumani igazi elaneleyo, ziyalahlekelwa ngumsebenzi wazo. Ukuba le ischemia iba nzima okanye ihlala ixesha elide, ezo seli ziyafa.

Iingxaki zokujikeleza kwegazi ezinokubangela ukungasebenzi kakuhle kwemithambo-luvo yesithandathu ziquka:

• Ukuhamba kwegazi okungahambi kakuhle kwimithambo yegazi emincinci kakhulu ehambisa igazi kwimithambo yesithandathu ( i-microvascular ischemia )
• Istroke kunye noHlaselo lwe-Ischemic oluThutyana (ii-TIA )
• Ii-aneurysms zobuchopho
• Ukopha ngaphakathi kwengqondo ( Intracranial hemorrhages )

4. Iimeko zenkqubo, ukudumba kunye ne-metabolism ezichaphazela iinkqubo ezininzi zomzimba

Ezinye iimeko zonyango ezichaphazela iinkqubo ezininzi zomzimba zinokubangela okanye zinegalelo ekungasebenzi kakuhle kwemithambo-luvo yesithandathu. Imizekelo:

• Isifo seswekile sohlobo lwesibini - Oku kuxhaphake kakhulu kwilizwe lethu ngoku, akunjalo?
• Isifo sentliziyo
• Uxinzelelo lwegazi oluphezulu ( Uxinzelelo lwegazi oluphezulu - Uxinzelelo lwegazi oluphezulu )
• Isifo seWernicke-Korsakoff
• I-Multiple sclerosis (MS )
• Isifo seLupus ( iLupus - Systemic Lupus Erythematosus )
• I-Amyloidosis
• I-Sarcoidosis
• Izifo ze-thyroid

5. Iingxaki zegazi, umhlaza kunye neethumba

Ezinye izifo ezichaphazela imithambo yegazi zinokubangela uxinzelelo oluphezulu ngaphakathi kwekhakayi, olunokucinezela nokonakalisa umthambo wesithandathu. Ezinye iintlobo zeethumba ezikhula ngaphakathi kwengqondo nazo zinokucinezela lo mthambo. Imizekelo:

• I-Leukemia
• I-Lymphoma
• Iithumba zobuchopho (zombini ezibangela umhlaza nezingenabungozi)
• Umhlaza osasazeka engqondweni

6. Ezinye iimeko ze-neurological

Ezinye izifo ezininzi ezinxulumene nenkqubo yemithambo-luvo zingabangela oku kungasebenzi kakuhle kwemithambo-luvo yesithandathu. Imizekelo:

• I-Migraines kunye neentloko ezibuhlungu zeqela
• Idiopathic intracranial hypertension (uxinzelelo oluphezulu lwangaphakathi kwentloko olungaziwayo unobangela)
• I-Hydrocephalus (ukuqokelelana kwamanzi engqondweni)
• Ukukhubazeka kweChiari
• Ukukhubazeka kwemithambo yegazi (AVM )
• Ukuvuza kolwelo lwe-cerebrospinal (CSF)

7. Iinkqubo zonyango

I-abducens nerve ingachaphazeleka okanye yonakaliswe ziindlela zonyango okanye iinkqubo ezithile. Nazi ezinye zemizekelo:

• Ukumpompa komqolo (ukubhoboza i-Lumbar ): Oku ngamanye amaxesha kunokubangela ukwehla koxinzelelo ngaphakathi kwentloko, nto leyo enokubangela ukungasebenzi kakuhle kwemithambo-luvo yesithandathu. Ngokwesiqhelo, ingqondo yethu idada kwi-cerebrospinal fluid (CSF). Xa eli nqanaba lolwelo lihla, ingqondo inokugoba kancinci ize icinezele izicubu ezingaphantsi kwengqondo, kuquka ne-abducens nerve.
• I-Epidural anesthesia : Oku kususa ulwelo kumqolo njengoko kukhankanyiwe apha ngasentla kwaye kunokubangela ukungasebenzi kakuhle kwemithambo-luvo yesithandathu.
• Unyango olufana notyando lobuchopho okanye unyango lwemitha: Ezi zingonakalisa nalo mthambo xa zichaphazela iindawo ezikufutshane zobuchopho.

Zithini izinto ezibangela oku?

Abanye abantu banokuba semngciphekweni omkhulu wokufumana le ngxaki yesithandathu yemithambo-luvo. Kwiimeko ezininzi, nokuba ezi zizathu zikhankanyiweyo apha ngasentla azingonobangela uphambili, ezinye izinto zinokuba negalelo ekuphuhlisweni kwale meko. Imizekelo:

• Izifo ze-metabolic ezifana nesifo seswekile ( uhlobo lwesibini lweswekile )
• Izifo zenkqubo yokujikeleza kwegazi ezifana noxinzelelo lwegazi oluphezulu ( i-Hypertension )
• Izifo ezivuthayo okanye ezizimelayo njenge-multiple sclerosis

Zeziphi iingxaki ezinokubangela oku?

Iingxaki zokungasebenzi kakuhle kwemithambo-luvo yesithandathu zixhomekeke kakhulu kwisizathu esiyintloko kunye nonyango. Ezi zinokwahluka kakhulu, ngoko ke ugqirha wakho unokukunika iingcebiso ezifanelekileyo malunga neengxaki ezinokubakho kwimeko yakho kunye nento onokuyenza ukuze uzithintele okanye uzinciphise.

Ingakumbi ukuba oku kwenzeka kumntwana omncinci, into enye oogqirha abazama ukuyithintela yimeko ebizwa ngokuba yi-amblyopia. Sikwayibiza ngokuba yi-'lazy eye'. Okwenzekayo koku kukuba ingqondo yomntwana iqala kancinci kancinci ukugxila kwiliso elinye kuphela ize ingawunaki umyalezo ovela kwelinye iliso. Emva koko iliso elingasetyenziswanga litshintshela kwelinye icala, nto leyo eyenza imeko ibe mandundu.

Ifunyaniswa njani le nto?

Ugqirha ofana nengcali yamehlo , ingcali yemithambo-luvo , okanye ingcali yemithambo-luvo angasebenzisa iindlela ezahlukeneyo zokuxilonga iSixth Nerve Palsy. Ezi ndlela ziquka:

• Uvavanyo lokubona: Ugqirha okanye ingcali yamehlo iya kuvavanya ukukwazi kwakho ukuhambisa amehlo akho ngeendlela ezithile ukuze ibone ukuba umthambo wesithandathu kuphela ochaphazelekayo, njengoko ukungasebenzi kakuhle komthambo wesithandathu kunokwenzeka kunye nokungasebenzi kakuhle kwezinye iimithambo-luvo ezikufutshane, ingakumbi ezo zilawula intshukumo yamehlo.
• Uvavanyo lwelebhu: Le yeyona ndlela iphambili yokufumanisa ukuba unesifo esinokufunyanwa ngovavanyo lwelebhu, esifana nesifo se-metabolic, isifo segazi, okanye usulelo. Amanqanaba eglucose egazini lakho okanye e-A1C ahlala ejongwa. Banokujonga nezinto ezifana namanqanaba eeplatelet , iiseli zomzimba, okanye ii-antibodies egazini lakho ezibonisa isifo sokuzikhusela komzimba.
• Iskeni ye-MRI (Magnetic Resonance Imaging - MRI): Iskeni ye-MRI ibalulekile ekuxilongeni ukungasebenzi kakuhle kwemithambo-luvo yesithandathu , ingakumbi kubantu abangaphantsi kweminyaka engama-50 ubudala. Olu vavanyo lunokuvelisa imifanekiso ecacileyo yezicubu ezingaphakathi kwentloko yakho, kubandakanya i-abducens nerve kunye nezicubu zobuchopho ezingqongileyo. Oku kunokunceda ekuthinteleni okanye ekuthinteleni iimeko ezinzulu okanye eziyingozi, ezifana nestroke, umhlaza, okanye iithumba.

Iphathwa njani le nto?

Zininzi iindlela zokunyanga oku, kwaye ngokubanzi ziwela kwiindidi ezimbini:

1. Yintoni isizathu sokungasebenzi, ungayekisa njani?

2. Ukunyanga iziphumo zokungasebenzi kakuhle, kwaye ukuba kunokwenzeka, ukuzibuyisela kwisimo esiqhelekileyo, ukuba kuyimfuneko.

Eyona nto iphambili yimbangela. Kodwa nezinye izinto nazo zidlala indima. Kwiimeko ezininzi, ukungasebenzi kakuhle kwemithambo-luvo yesithandathu kuyaphela ngokwako xa unobangela oyintloko unyangiwe. Ekubeni kukho izinto ezininzi ezichaphazela unyango olufanelekileyo koku, ugqirha wakho unokukunika ulwazi malunga neendlela zonyango ezilungileyo kuwe. Angalulungisa ulwazi ukuze luhambelane nemeko yakho kunye neemfuno zakho.

Kubantu abaninzi, unyango oluncinci okanye alufuneki kwaphela. Ukuba imeko yakho ayibonakali ifuna unyango ekuqaleni, ugqirha wakho okanye ingcali yamehlo isenokucebisa ukuba undwendwele ugqirha wakho kwakhona. Unyango lwe-glaucoma lufuneka kuphela xa luyimfuneko. Nangona kunjalo, unyango lweziphumo ze-glaucoma, okanye iimpawu, ludla ngokwenziwa.

Ukunyanga imiphumo yokungenzi nto kulula kakhulu, kudla ngokugxila ekunciphiseni okanye ekupheliseni iimpawu. Ezinye iindlela zonyango ezinokunceda koku ziquka:

• Ukunxiba i-eye patch okanye i-filter: Ukugquma iliso elinye kukuthintela ekubeni ubone zombini. Oku kungenxa yokuba umbono ovela kwelinye iliso kuphela ofikelela ebuchotsheni. Ngokuxhomekeke kwimeko yakho, ugqirha wakho unokucebisa ukuba unxibe i-eye patch ngamanye amaxesha okanye ngalo lonke ixesha. Kukwakho nezihluzo ezinokunxitywa ezinokunamatheliswa kwiiglasi zamehlo, ezisebenza ngendlela efanayo kuba zihluza ukukhanya.
• Inaliti ye-OnabotulinumtoxinA: Eli yeza linokuthi lithintele okwethutyana imiqondiso yokuhamba ngemithambo-luvo enyangwayo. Lingafakwa kufutshane nemithambo-luvo ethile ukunciphisa ukuxhuzula kwamehlo.
• Utyando lweStrabismus:Kukho iindlela ezahlukeneyo zotyando ezinokunceda kwingxaki yokungasebenzi kakuhle kwemithambo-luvo yesithandathu. Ezinye zazo ziphucula ulawulo lwemisipha ye-lateral rectus xa ibuthathaka. Ezinye iindlela zotyando zithatha inxalenye yesihlunu esikwelinye icala leliso lakho (esifumana imiqondiso evela kwesinye isihlunu) kwaye siyinyanzelise ukuba isebenze njengale misipha ye-lateral rectus.
• Ukulungiswa kwePrism: Ezi zinokuba zizixhobo ezincinci, ezineeleya ezininzi ezinokuncamathiselwa kwiilensi zakho zeglasi. Okanye, iilensi zakho zeglasi zingenziwa ngokulungiswa kweprism okwakhelwe kuzo. Iprism igoba ukukhanya. Xa igobile kwikona echanekileyo, yenza kube lula ukuba amehlo akho agxile aze abone izinto.

Iingxaki/iziphumo ebezingalindelekanga zotyando

Utyando lweStrabismus ngamanye amaxesha lunokulungisa okanye lulungise ukungasebenzi kakuhle kwemithambo-luvo yesithandathu. Ukuba oku kuyenzeka, umahluko ungalungiswa rhoqo ngokulungiswa kweprism. Oku kunokulungisa ukungasebenzi kakuhle okanye kuguqule ulungiso olugqithisileyo.

Ndiza kuziva ngcono ngokukhawuleza kangakanani emva konyango?

Ixesha lokuchacha emva konyango liyahluka kumntu nomntu. Ugqirha wakho angakuxelela into omawuyilindele ngokusekelwe kwimeko yakho ethile.

Ezinye iindlela zonyango zisebenza ngoko nangoko, zinika isiqabu kwiimpawu. Umzekelo woku kukufaka i-eye patch. Ivala umbono kwelinye iliso kwaye ngoko nangoko iyeke ukubona kuzo zombini. Ukulungiswa kwe-Prism kunokubonelela ngesiqabu esikhawulezileyo, kodwa kungathatha iintsuku okanye iiveki ukuziqhelanisa ngokupheleleyo - kuxhomekeke kubungakanani bokulungiswa.

Yintoni endimele ndiyilindele ukuba ndineSixth Nerve Palsy?

I-Sixth Nerve Palsy ayisosisongelo kubomi bethu, kodwa inokuphazamisa ubomi bethu bemihla ngemihla. Inokuphazamisana nomsebenzi wesikolo, umsebenzi, izinto esizithandayo, kunye nemisebenzi yoluntu. Inokuba yinto engathandekiyo. Unokuba nesiyezi, isicaphucaphu, kunye nentloko ebuhlungu.

Ukuba uneempawu zokungasebenzi kakuhle kwemithambo-luvo yesithandathu, ingakumbi ukungakwazi ukujonga ngaphandle (okanye nakweyiphi na indlela ojonge ngayo), ngokuqinisekileyo kuya kufuneka ubone ugqirha. Uninzi lwexesha, le yingxaki encinci. Kodwa ngamanye amaxesha inokubangelwa yimeko embi kakhulu. Eyona ndlela ilungileyo yokwandisa amathuba akho okufumana iziphumo ezilungileyo kukufumana uxilongo kwaye uqale unyango ngokukhawuleza .

Ihlala ixesha elingakanani iSixth Nerve Palsy?

Ukuba oku kuhlala ixesha elingakanani kunokwahluka. Kwezinye iimeko, ezifana ne-migraines, kungathatha iiyure ezimbalwa. Kwezinye iimeko, kungathatha ixesha elide, ukusuka kwiinyanga ezintathu ukuya kwezintandathu. Kwezinye iimeko, kunokuba yimeko esisigxina. Ugqirha wakho ngumntu ongcono ukuthetha naye malunga noko kunokwenzeka kuwe kunye nento onokuyenza ukunciphisa ixesha elikuchaphazelayo, okanye ukuziqhelanisa nemiphumo yako.

Iyintoni ikamva lale meko?

Lilonke, ikamva lokungasebenzi kakuhle kwemithambo-luvo yesithandathu lilungile. Kubantu abaninzi, yimeko yexeshana ephela ngokwayo okanye ngonyango lwesizathu esiyintloko.

Nangona kunjalo, kwezinye iimeko, inokubangelwa zizifo ezinzulu ngakumbi. Oku kuyinyani ngakumbi ukuba imeko iyenzeka kumntu ongaphantsi kweminyaka engama-50 ubudala, kwaye/okanye ichaphazela amehlo omabini. Nangona kunjalo, kusoloko kuyinto elungileyo ukufuna ingcebiso kagqirha ukuba uneempawu zokungasebenzi kakuhle kwemithambo-luvo yesithandathu. Ukuxilongwa kwangoko kunye nonyango kunokwenza umahluko phakathi kokuphila ngokupheleleyo kunye nemiphumo yexesha elide (mhlawumbi engapheliyo).

Ngaba iSixth Nerve Palsy ingathintelwa?

Yinto eyenzeka ngequbuliso nangokungalindelekanga. Iimeko zempilo ezibangela oku azisoloko zibangela, kwaye ngamanye amaxesha unobangela awufumaneki. Ngoko ke akunakwenzeka ukuyithintela ngokupheleleyo. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko wokuba kwenzeke ngenxa yezizathu ezithile. Umzekelo:

• Nxiba izixhobo zokuzikhusela xa kuyimfuneko: Ukulimala entloko, ingakumbi ukuxhuzula kunye nokwenzakala kwengqondo okubuhlungu , kunokubangela ukungasebenzi kakuhle kwemithambo-luvo yesithandathu. Ukunxiba izixhobo zokuzikhusela - ngakumbi izigcina-ntloko, ukhuseleko entloko, kunye neebhanti zesihlalo - kubaluleke kakhulu ukuthintela le meko.
• Lawula izifo zakho ezingapheliyo: Ezinye izifo, ezifana nesifo seswekile sohlobo lwesibini kunye noxinzelelo lwegazi oluphezulu, zinokulawulwa. Ukuba kuyimfuneko, ugqirha wakho unokubonelela ngesikhokelo kunye neendlela zonyango.
• Musa ukungazinaki iintsholongwane: Ukuba uneempawu zosulelo olungapheli emva kweentsuku ezimbalwa, bonana nogqirha. Iintsholongwane ezibangelwa ziintsholongwane zifuna iintsholongwane ukuthintela ukuba usulelo lungabi mandundu okanye lusasazeke. Kodwa khumbula, iintsholongwane azisebenzi kwiintsholongwane, kwaye iintsholongwane kufuneka ziphele zodwa okanye ngoncedo oluxhasayo.

Ndingazinyamekela njani?

Ukuba uneSixth Nerve Palsy, ugqirha wakho uya kukubonisa indlela yokuyilawula kunye neemeko ezisisiseko (ukuba zikhona) ezinokubangela loo nto. Kubaluleke kakhulu ukulandela imiyalelo yabo, ingakumbi xa kufikwa ekulawuleni iimpawu zakho. Ukunxiba iimaski zamehlo, izihluzi, okanye ezinye izixhobo zokulungisa kubalulekile, njengoko kunokukunceda uphile ngokukhawuleza kwaye kunciphise iimpawu ezingathandekiyo.

Ndifanele ndimbone nini ugqirha wam, okanye ndifune nini ingcebiso kagqirha?

Kufuneka uqhubeke nokutyelela ugqirha wakho ukuze ujonge utshintsho kwimeko yakho kwaye ulungise unyango lwakho ukuba kuyimfuneko. I-Sixth Nerve Palsy ayisiyongxaki engxamisekileyo, kodwa yimeko efuna ukuxilongwa ngokukhawuleza kunye nonyango.

Ndingayibuza yiphi imibuzo ugqirha wam?

Nantsi eminye imibuzo ongathanda ukuyibuza ugqirha wakho:

• Yintoni ebangela ukungasebenzi kakuhle kwemithambo-luvo yam yesithandathu, kwaye ngaba kukho naziphi na izizathu ezibonakalayo okanye izinto ezinegalelo ezinokunyangwa?
• Ingaba oku kuye kwachaphazela eminye imithambo-luvo yentloko okanye izicubu ezikufutshane?
• Zeziphi iimpawu endimele ndizilindele?
• Ndingenza ntoni ukunciphisa iimpawu zam?
• Ngaba kukho unyango olunokunciphisa ubukhali beempawu zam zangoku okanye olukhawulezisa ukuchacha kwam?
• Ndingenza ntoni ukuthintela oku ukuba kungenzeki kwakhona (ukuphinda kwenzeke)?

Okokugqibela, khumbula (Umyalezo Wokuya Ekhaya)

Ngoko ke, emva kwayo yonke le ntetho, mhlawumbi uyaqonda ukuba yintoni iSixth Nerve Palsy. Ayisiyonto yokoyika, idla ngokuba yeyokwexeshana, kwaye inokunyangwa ngonyango. Nangona kunjalo, njengoko bekutshiwo ngaphambili, ngamanye amaxesha kunokubakho unobangela onzima ngakumbi emva kwayo.

Ngoko ke, ukuba kunzima ukujika amehlo akho aye kwelinye icala, ukuba ubona enye okanye ezimbini, okanye ukuba unezinye iimpawu ezikhankanyiweyo apha ngasentla, nceda ufune ingcebiso kagqirha ngaphandle kokulibazisa. Ukufumana unobangela kunye nokuqala unyango ngokukhawuleza kuya kukunceda ukuba uphile ngokukhawuleza kwaye uphephe iingxaki zexesha elide. Emva koko unokugxila kwizinto ezibalulekileyo ebomini ngaphandle kokuthintelwa yimiphumo yale meko.

I- Sixth Nerve Palsy, i-Abducens Nerve Palsy, i-Amehlo aqhaqhazelisayo, ukubona kabini, ukukhubazeka, izifo zamehlo, izifo ze-Neurological