Ngamanye amaxesha siye sabona iimeko apho amehlo abantwana abancinci okanye abantu abadala engajoliswanga kwicala elinye. Abanye abantu babiza oku ngokuthi "yi-strabismus". Le meko, apho elinye iliso lijonge ngqo ngelixa elinye iliso lijika kwelinye icala, yenza abanye abantu bazive behlazekile kwaye kwenza kube nzima ukujongana noluntu. Kodwa le yimeko yezonyango enokunyangwa kwaye ilungiswe rhoqo. Ngoko ke isisombululo esiphambili nesiphumeleleyo koku kukulungisa amehlo ngotyando lwemisipha. Sithetha ngolu tyando namhlanje, oko kukuthi, utyando lweStrabismus.
Ngamafutshane, yintoni utyando lweStrabismus?
Utyando lweStrabismus lutyando lwemisipha yamehlo olwenziwa ukulungisa indawo yamehlo akho, oko kukuthi, ukuwalungelelanisa kumgca omnye. Amehlo ethu ahambahamba phambili nangaphambili, phezulu nasezantsi, ngoncedo lwemisipha emincinci ewajikelezileyo (imisipha yamehlo). Ngoko ke, kolu tyando, indawo yamehlo ilungiswa ngokuqinisa okanye ukukhulula loo misipha kancinci. Emva koko, omabini amehlo akho aqhela ukujonga kunye, kwicala elinye.
Ngubani odinga olu tyando?
Malunga ne-5% yabemi behlabathi banale meko yamehlo (strabismus). Ukuba amehlo akho aphazamisekile, nto leyo ethetha ukuba unesicaphucaphu, kwaye ezinye iindlela zonyango, ezifana neeglasi, azikuncedanga, ugqirha wakho wamehlo unokucebisa olu tyando. Olu tyando ludla ngokwenziwa kubantwana abancinci , kodwa lunokwenziwa nakubantu abadala .
Olu tyando lunokuba yimfuneko ukuba kukho ezi meko zilandelayo:
| Igama leSifo (Igama lezonyango) | Ingcaciso elula |
|---|---|
| I-Exotropia | Iliso elinye okanye omabini ecaleni kweendlebe, oko kukuthi, ukujika ubheke ngaphandle . |
| I-Esotropia | Iliso elinye okanye omabini ajongiswe ngaphakathi, oko kukuthi, ngasempumlweni . (Le yinto abantu abaninzi abayibiza ngokuba yi-'squint'). |
| I-Hypertropia | Ukujika iliso elinye lijonge phezulu xa lithelekiswa nelinye. |
| I-Hypotropia | Iliso elinye lijonge phantsi xa lithelekiswa nelinye. |
| Iimeko ezibangelwa sistroke | Ngamanye amaxesha, emva kwemeko efana nokukhubazeka, ulawulo lwamehlo lunokuphazamiseka, nto leyo ekhokelela kolu hlobo lokuxhuzula. |
| I-Nystagmus | Iintshukumo zamehlo ezikhawulezayo ezingalawulekiyo. Ngamanye amaxesha kwenziwa utyando ngenxa yoku. |
Ngaba kukho naluphi na uhlobo lwale misebenzi yotyando?
Ewe, olu tyando lunokwenziwa kwiliso elinye okanye kuwo omabini amehlo. Ukuba lwenziwa kuwo omabini amehlo, lubizwa ngokuba yi-"Bilateral strabismus surgery." Kukho iindlela ezahlukeneyo ugqirha alawula ngazo izihlunu ezisesweni lakho.
- Ukususwa kwezicubu: Oku kuquka ukusika iqhekeza elincinci lomsipha weliso uze ulifinyeze . Emva koko umsipha uyaqina uze utsale iliso kwelinye icala.
- Ukuqhobosha: Le yindlela yokuqinisa izihlunu. Nangona kunjalo, apha, isiqwenga asinqunyulwa size sisuswe. Endaweni yoko, izihlunu ziyagotywa kwaye kufakwa umthungo ngaphandle .
- Ukuwohloka: Oku kuquka ukususa umsipha weliso apho unamathele khona elisweni, ukuwubuyisela umva kancinci, uze uwudibanise kwakhona . Emva koko umsipha uyakhululeka kwaye iliso lijike liye kwelinye icala.
Ngamanye amaxesha, ingakumbi kubantu abadala, kwenziwa "utyando oluhlengahlengiswayo". Oku kuthetha ukuba emva kokuba utyando luphelile kwaye ubuyela ezingqondweni, ugqirha unokushukumisa izithungo kwimisipha yeliso kancinci ukuze alungise ngakumbi indawo yeliso.
Kwenzeka ntoni ngaphambi kotyando?
Ngaphambi kotyando, ugqirha wakho uza kukubuza imibuzo embalwa.
- Imbali yakho epheleleyo yezonyango . Oku kuthetha izifo zakho zangaphambili nezangoku, utyando, njl.
- Ukuba ukhe watyandwa izihlunu zamehlo ngaphambili, thetha nogqirha wakho ngaloo tyando.Kuya kufuneka ujonge iingxelo ezindala (iingxelo zokusebenza).
- Ufanele uxelele ugqirha wakho malunga nawo onke amayeza kunye nezongezo ozisebenzisayo, ingakumbi amayeza okunciphisa igazi.
- Ngaba wena okanye nabani na kusapho lwakho wakha waba neengxaki nge -anesthesia ?
- Ngaba unayo nayiphi na i-allergies kwimithi ethile ?
Uza kudibana nogqirha we-anesthesiologist kwiintsuku ezimbalwa ngaphambi kotyando lwakho. Uza kukuxelela ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngaphambi kotyando. Ngokwesiqhelo, awuyi kuvunyelwa ukuba utye okanye usele nantoni na ukususela ezinzulwini zobusuku bangaphambi kotyando. Ungacelwa ukuba uyeke ukusebenzisa amayeza athile kangangeentsuku ezimbalwa ngaphambi kotyando.
Ukongeza, amehlo akho aza kuhlolwa kwakhona ngaphambi kotyando ukuqinisekisa ukuba zeziphi izihlunu ekufuneka zityandwe.
Kwenzeka ntoni ngexesha lotyando?
Akukho nto ixhalabisayo, olu lutyando olukhuselekileyo. Nantsi into eyenzekayo ngexesha lotyando:
1. Uza kunikwa amayeza ngomthambo (ngomthambo - nge-IV).
2. Bonke abantwana kunye nabantu abadala abaninzi banikwa i-anesthesia eqhelekileyo. Oku kuthetha ukuba uza kulala ubuthongo bonke kulo lonke utyando kwaye awuyi kuva nto. Abanye abantu abadala banokunikwa iyeza elivala amehlo kuphela kwaye libenze bazive besozela kancinci.
3. Iqela lotyando liza kuqhubeka nokujonga iimpawu zakho ezibalulekileyo, ezifana nokubetha kwentliziyo yakho kunye nokuphefumla.
4. Isixhobo esikhethekileyo (i-eye speculum) sisetyenziselwa ukugcina iliso lakho livulekile.
5. Ugqirha wenza umngxuma omncinci kwi-membrane encinci egubungela inxalenye emhlophe yeliso (i-conjunctiva).
6. Emva koko, umsipha ekufuneka utyandwe ubanjwa ngehoko ekhethekileyo, uphakanyiswe phezulu, kwaye kwenziwa utshintsho olufunekayo (njengokufinyeza okanye ukukhulula).
7. Emva kokwenza uhlengahlengiso olufunekayo, umsipha uphinda unamathele elisweni nge -sutures ezinyibilikayo , kwaye i-incision ivalwe.
8. Ekugqibeleni, isixhobo esibambe iliso sivuliwe siyasuswa kwaye amaconsi okanye amafutha asetyenziswa emehlweni asetyenziswa esweni.
Olu tyando luphela ludla ngokuthatha malunga nemizuzu engama-30 ukuya kwiiyure ezimbini .
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kusiwa kwigumbi lokuchacha. Iqela lezonyango liza kujonga imeko yakho ude ulungele ukuya ekhaya.
- Umntu omdala othembekileyo kuya kufuneka akukhaphe xa usiya ekhaya. Baza kucelwa ukuba bahlale nawe iiyure ezingama-24 emva kotyando.
- Kuya kufuneka uphumle kwaye uphephe ukuzibhokoxa kakhulu kangangeentsuku ezimbalwa ukuya kwiveki.
- Amaconsi okanye amafutha aqatshelwe ngugqirha emehlweniKufuneka uyisebenzise ngexesha elifanelekileyo.
- Xa uneentlungu, banokukuxelela ukuba uthathe amayeza okubulala iintlungu afana neParacetamol okanye i-Ibuprofen.
- Qiniseka ukuba ubuza ngokucacileyo malunga nokuba yintoni ekufuneka uyilumkele emva kotyando kunye nokuba uthethe nini nogqirha.
Zithini iingenelo zokwenza olu tyando?
Eyona nzuzo iphambili yolu tyando yindlela amehlo akho asebenzisana ngayo, nto leyo ethetha ukuba umbono ophuculweyo onemilinganiselo emithathu (3D) . Oku kubaluleke kakhulu kubantwana abancinci.
Nangona amehlo akho ejongeka elungelelene, ukucaca kombono wakho akuyi kutshintsha ngolu tyando. Oku kuthetha ukuba ukuba unxiba iiglasi, kuya kufuneka uzinxibe emva kotyando. Nangona kunjalo, abantu abaninzi bathi bazive beqinisekile ngakumbi ngenkangeleko yabo emva kolu tyando.
Ngaba kukho naziphi na iingozi kolu tyando?
Utyando lweStrabismus luyindlela ekhuselekileyo kakhulu , kodwa njengalo naluphi na utyando, kukho iingozi ezithile.
- Ukuphinda kwe-squint: Ngamanye amaxesha, emva kwexesha elithile emva kotyando, amehlo anokubuyela kwindawo yawo yakudala okanye aphambuke kakhulu aye ngasekunene.
- Usulelo: Intsholongwane inokungena elisweni ize ibangele usulelo.
- Ukopha: Kusenokubakho ukopha okuncinci.
- Ukunganyamezelani namayeza okanye i-anesthesia: Ezi azifumaneki lula.
- I-Diplopia: Ungabona izinto ngambini kangangeentsuku ezimbalwa emva kotyando.
- Izibazi: Kunokubakho isibazi esincinci kwindawo emhlophe yeliso.
- Ijwabu eligobileyo (i-Ptosis): Amaxesha amaninzi, ijwabu linokugoba kancinci.
- Ukonakala kwenxalenye emhlophe yeliso (i-sclera): Le yingxaki engaqhelekanga kakhulu.
Kuthatha ixesha elingakanani ukuphiliswa?
Emva kotyando, kuya kufuneka uphumle iintsuku ezimbalwa ukuya kwiveki enye okanye ezimbini. Amehlo akho aya kuba bomvu kangangeeveki ezimbalwa . Usenokuziva iintlungu okanye ukuziva urhawuzelelwe emehlweni. Kungathatha iiveki ezi-3 ukuya kwezili-12 ukuba amehlo akho aphile ngokupheleleyo.
Kubalulekile:
- Musa ukuqhuba imoto ude ugqirha wakho akuxelele ukuba wenze njalo.
- Ziphephe iidama zokudada, ii-sauna, okanye ii-hot tubs kangangeeveki ezimbini emva kotyando. Oku kunokunceda ekuthinteleni usulelo.
Ufuna ukubona ugqirha kwakhona ngaliphi ixesha?
Ukuba unezinye zeempawu ezilandelayo, fowunela ugqirha wakho ngokukhawuleza.
| Iimpawu ekufuneka uziqaphele |
|---|
| Ukuba iintlungu zamehlo ziyanda imihla ngemihla endaweni yokuncipha. |
| Ukuba uziva ngathi umbono wakho uya ubuthathaka . |
| Ukuba ubona iimpawu zosulelo (umz. umkhuhlane, ukuphuma kwamanzi elisweni, ukwanda kokubomvu kwenxalenye emhlophe yeliso, ukudumba kwenkophe ). |
| Ukuba kuvela isilonda okanye iqhubu elibomvu kwindawo emhlophe yeliso. |
| Ukuba unezinye iimpawu ezikwenza uzive ungakhululekanga okanye ukrokrela. |
Eminye imibuzo ebuzwa rhoqo
Kuthatha ixesha elingakanani ukubona ezimbini?
Usenokuba ne-diplopia kangangeentsuku ezimbalwa emva kotyando. Kwabanye abantu, isenokuthatha ixesha elide. Ukuba unengxaki ngale nto, thetha nogqirha wakho wamehlo.
Ndingabuyela ebhedini emva kotyando?
Ewe, ngamanye amaxesha kunokufuneka utyando olungaphezu kolunye ukulungisa ngokupheleleyo i-squint. Oku kuyinyani ngakumbi kubantwana abenza utyando besebancinci.
Ngaba kufuneka ndinxibe iiglasi emva kotyando?
Ewe, uza kuqhubeka unxiba iiglasi. Utyando lweStrabismus alutshintshi ummiselo wakho okanye ukucaca kokubona kwakho. Lulungisa kuphela indawo yamehlo akho.
Umyalezo Wokuya Ekhaya
- Utyando lweStrabismus lutyando olukhuselekileyo noluphumeleleyo lokulungisa ukungalungi kwamehlo.
- Olu tyando lungenziwa kubantwana nakubantu abadala.
- Oku akulungisi nje kuphela indawo yamehlo, kodwa kukwaphucula umbono we-3D kwaye kwandisa ukuzithemba.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha kanye emva kotyando (ingakumbi ukusebenzisa amaconsi amehlo kunye nokuphumla).
- Olu tyando aluyi kutshintsha ummiselo wakho. Kuya kufuneka uqhubeke unxibe iiglasi ukuze uhlale ubona kakuhle.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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