Ingabe kunzima ukuphendukela eceleni amehlo akho? Lokhu kungaba yi-Brown Syndrome!

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukuhambisa amehlo akho kahle, ikakhulukazi uma ubheka phezulu? Noma ingabe uke waphawula noma yiziphi izinguquko ekuhambeni kwamehlo kwengane yakho? Nakuba ngezinye izikhathi singazinaki kakhulu lezi zinto, zingabangelwa izifo ezithile zamehlo. Nokho, esinye isimo esinjalo esithinta ukunyakaza kwamehlo yi-"Brown Syndrome", esizokhuluma ngayo namuhla.

Kuyini "i-Brown Syndrome"?

Kalula nje, i-"Brown Syndrome" iyinkinga yemisipha nezicubu ezisiza ekushukumiseni amehlo ethu (ikakhulukazi imisipha eqondile ephezulu kanye ne-tendon yayo). Ungase uyizwe ibizwa ngokuthi "i-superior oblique tendon sheath syndrome."

Cabanga ngale ndlela: iso lethu lifana nekhamera. Lidinga ukukwazi ukujikeleza kuzo zonke izinhlangothi. Lokhu kusizwa yimisipha emincane ezungeze iso kanye nezicubu (ama-tendon) eziwaxhumanisayo. Ngakho-ke, uma lo musipha 'oqondile ophakeme' kanye nomsipha wawo ungasebenzi kahle, kuba nzima ngeso ukuhamba ngokukhululeka kuzo zonke izinhlangothi.

Abanye abantu bazalwa benalesi simo. Lokhu kusho ukuthi imisipha yabo ephakeme eqondile ingaba mfushane kancane noma iqine kakhulu lapho bezalwa. Lokhu kubizwa ngokuthi i-congenital Brown Syndrome . Kodwa-ke, ngezinye izikhathi lesi simo singakhula kamuva ekuphileni. Lokhu kungenxa yokuthi imisipha noma i-tendon okukhulunywa ngayo iyavuvukala noma iqine.

I-Brown syndrome ivame ukuthinta iso elilodwa kuphela (elibizwa ngokuthi `unilaterally`). Umuntu onalesi simo unenkinga yokubheka ngaphakathi naphezulu ngesikhathi esisodwa. Iphinde ithinte ukuthi iso lingahamba ibanga elingakanani liye phezulu.

Ngisho noma une-"Brown Syndrome" esweni elilodwa, ungabona ngalelo liso. Kodwa-ke, uma ubheka ngakolunye uhlangothi, lelo liso alihambi ngokukhululeka. Kungase kuzwakale sengathi iso linamathele , noma sengathi alikwazi ukujika kuzo zonke izinhlangothi ngokujwayelekile.

Izindaba ezinhle ukuthi lesi simo, esibizwa ngokuthi "i-Brown syndrome," ngezinye izikhathi singelashwa ngemithi. Abanye abantu bangadinga ngisho nokuhlinzwa. Uma ubona noma yiziphi izinguquko emehlweni noma ekuboneni kwakho, kungcono ukubona udokotela noma udokotela wamehlo ngokushesha.

Ubani othinteka kakhulu yilesi simo?

"I-Brown Syndrome" iyisimo esingavamile . Kodwa singenzeka kunoma ubani. Kuthiwa sivame kakhulu kwabesifazane kunakwabesilisa.

Ziyini izimpawu ze-"Brown Syndrome"?

Umuntu one-"Brown syndrome" angase abe nezimpawu ezifana nalezi:

• Ubunzima bokubheka ngaphakathi (ekhaleni) naphezulu: Lolu uphawu oluyinhloko. Kungase kuzwakale sengathi iso livalekile.
• Ukungalungi kahle kwamehlo: Elinye iso lingase libonakale liphendukele kwelinye icala, ikakhulukazi uma ubheka phezulu.
• Ubuhlungu bamehlo: Abanye abantu bangase babe nobuhlungu lapho behambisa amehlo abo.
• Umsindo "wokuchofoza" noma umuzwa wokubhajwa lapho kuhanjiswa iso: Abanye abantu babika ukuthi bezwa umsindo wokuchofoza lapho kuhanjiswa iso labo, noma bezwa sengathi kukhona okubhajwe ngaphakathi.
• Iso eligobile (`i-Ptosis`): Iso leso elithintekile lingase libe ngaphansi kunelinye iso.

Ngezinye izikhathi abantu abane-"Brown Syndrome" bathambekisa amakhanda abo eceleni ngokungazi. Lokhu kwenzeka ngoba amehlo abo awashukumi ngokukhululeka, futhi njengempendulo, bathambekisa amakhanda abo ngokwemvelo lapho bezama ukubona ngqo.

Ngaphezu kwalezi zimpawu, i-"Brown Syndrome" ingathinta nokubona kwakho, ikakhulukazi uma ubheka kude nekhamera esikhundleni sokubheka phambili.

• Ukulahlekelwa umbono: Ukubona esweni elithintekile kungase kunciphe.
• Ukubona okukabili (i-diplopia): Ukubona izinto ezimbili ngesikhathi esisodwa. Lokhu kuvame ukwenzeka ngoba amehlo amabili awagxili kahle ndawonye.
• Ukwehla kokuqonda kokujula: Kungaba nzima ukwahlulela ibanga lezinto. Isibonelo, lokhu kungaba yinkinga lapho ukhuphuka noma wehla izitebhisi noma ushayela imoto.

Yini ebangela "i-Brown Syndrome"?

"I-Brown syndrome" yenzeka lapho okuthile kuthinta imisipha nezicubu (ama-tendon) alawula amehlo ethu. Izinto eziyinhloko ezingabangela lokhu yilezi:

I-Congenital Brown syndrome

Lolu uhlobo oluvame kakhulu lwe-Brown syndrome. I-Congenital isho ukuthi ikhona lapho izalwa. Ngakho-ke, ingane ingaba nalesi simo emehlweni ayo lapho izalwa. Ochwepheshe abakasitholi isizathu esiqondile sokuthi kungani lokhu kwenzeka. Kungase kube ngenxa yoshintsho oluthile olungabonakali ekukhuleni kweso ngesikhathi sokukhulelwa.

Izifo ezizenzakalelayo

Isifo sokuzivikela komzimba yilapho isimiso somzimba wethu sokuzivikela, uhlelo olusivikela ezifweni, sihlasela ngephutha amangqamuzana omzimba wethu. Akucaci kahle ukuthi kungani lokhu kwenzeka. Ezinye izifo zokuzivikela komzimba ezingadala i-"Brown syndrome" zifaka:

• I-Lupus
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• Isifo sikaSjögren
• Isifo samehlo se-thyroid noma isifo se-dysthyroid

Lezi zifo zingabangela ukuvuvukala kwezicubu ezizungeze iso, okuphazamisa ukusebenza kwemisipha eqondile ephezulu.

Izifo zamehlo nezinye izifo zamehlo

Ezinye izifo kanye nezinye izinkinga zamehlo zingabangela ukuvuvukala okuzungeze amehlo, okubangela "i-Brown syndrome." Izibonelo:

• Ukutheleleka kwe-sinus (i-sinusitis):Ukutheleleka okusezimbotsheni zomoya (ama-sinuses) azungeze ikhala kungasakazekela esweni futhi kubangele ukuvuvukala.
• I-Orbital cellulitis: Ukutheleleka kwezicubu ezizungeze iso lapho iso likhona khona.
• I-Trochleitis: Ukuvuvukala kwengxenye encane efana ne-pulley (i-trochlea) lapho i-tendon eqondile ephezulu idlula khona.
• I-Tenosynovitis ku-tendon eqondile ephezulu: Lokhu ukuvuvukala kwesigxobo esimboza i-tendon.

Izingozi (Ukuhlukumezeka)

Ngezinye izikhathi, i-"Brown syndrome" ingabangelwa futhi yizingozi ebusweni noma emehlweni.

• Ukulimala kwamehlo: Into efana nokushaywa ngqo esweni. Cabanga nje, uma umuntu eshaywa yibhola esweni ngesikhathi edlala ikhilikithi, into efana naleyo.
• Ukuphuka kobuso: Ukuphuka kwamathambo azungeze iso kungalimaza imisipha eqondile ephezulu. Lokhu kungenzeka uma ulimele ebusweni engozini yemoto.
• Izinkinga ngemva kokuhlinzwa kwamehlo: Lesi simo singaba umphumela ongemuhle ngemva kokuhlinzwa kwamehlo, kodwa akuvamile kakhulu.

I-"Brown Syndrome" ihlolwa kanjani?

Udokotela wakho noma udokotela wamehlo uzokwenza ukuhlolwa kwamehlo ukuze anqume ukuthi unesifo i-Brown syndrome. Bazobheka amehlo akho ngenkathi ubheke phambili kanye nalapho uhambisa amehlo akho kuzo zonke izinhlangothi. Ngokukhethekile, bazokucela ukuthi ubheke phezulu, phansi, kwesokudla, kwesobunxele, ngaphakathi nangaphandle. Bazobe sebekwazi ukubona ukuthi kukhona yini imikhawulo ekuhambeni kwamehlo akho.

Akukhona lokho kuphela, bazohlola namehlo akho ukuze bahlole ezinye izimo zamehlo ezingase zibangele lezi zimpawu. Ngezinye izikhathi, imishini ekhethekile ingasetshenziswa ukukala izinto ezifana nokucindezeleka kwamehlo kanye nokubona.

Iphathwa kanjani i-"Brown Syndrome"?

Ukwelashwa kwe-"Brown syndrome" kuncike embangela kanye nobunzima bezimpawu.

Ukwelashwa kwe-"Brown syndrome" yokuzalwa

Ezinye izingane ezizalwa zine-Brown syndrome zingase zikhule zidlule kulesi simo ngaphandle kokwelashwa . Uma ingane yakho ine-Brown syndrome, udokotela wakho wamehlo uzokutshela ukuthi kufanele uhlolwe amehlo kangaki futhi aqaphe izinguquko emehlweni ayo. Ngezinye izikhathi, njengoba ingane yakho ikhula, imisipha ingakhululeka kancane futhi inkinga ingase iphele.

Ukwelashwa kwe-"Brown Syndrome" okubangelwa ukuvuvukala

Uma izimpawu zakho zibangelwa ukuvuvukala (ukuvuvukala) okuzungeze iso, kungakhathaliseki ukuthi kungenxa yesifo sokuzivikela komzimba, ukutheleleka, noma ingozi, ukwelapha imbangela eyisisekelo kuvame ukunciphisa izimpawu ze-"Brown syndrome."

Udokotela uzokutshela ukuthi yiluphi ukwelashwa okudingekayo, kuye ngokuthi imbangela yokuvuvukala ibangelwa yini.

Cishe uzodinga imithi yokunciphisa ukuvuvukala kwemisipha yakho eqondile. Imithi evame kakhulu esetshenziswa kwi-Brown syndrome yile:

• Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala): Lena imithi esiyithathayo yobuhlungu nokuvuvukala, njenge-aspirin, i-ibuprofen, ne-naproxen. Nakuba le mithi ingathengwa ekhemisi, kubalulekile ukufuna iseluleko sezokwelapha uma uyisebenzisa njalo izinsuku ezingaphezu kweziyi-10.
• Ama-Corticosteroids: Ngezinye izikhathi udokotela wakho angase afake i-corticosteroid ngqo emisipheni yakho eqondile. Lokhu kungasiza ekunciphiseni ukuvuvukala ngokushesha.
• Ama-immunosuppressants: Udokotela wakho angase akunike le mithi yokuvimba amasosha omzimba wakho ekuhlaseleni amangqamuzana anempilo. Le mithi ivame ukunikezwa abantu abanezifo ezizimele.

Ukuhlinzwa kwe-"Brown Syndrome"

Iningi labantu abane-Brown syndrome abadingi ukuhlinzwa. Kodwa-ke, uma lesi simo sithinta kakhulu umbono wakho, noma uma ezinye izindlela zokwelapha zingazithuthukisi izimpawu zakho, udokotela wakho angase akuncome ukuhlinzwa ukuze kulungiswe imisipha yakho eqondile esezingeni eliphezulu.

Kuye ngokuthi imbangela ye-"Brown Syndrome" yakho, udokotela wakho ohlinzayo uzokutshela ukuthi yini ongayilindela nokuthi yiziphi izindlela azosebenzisa. Isibonelo:

• I-Tenotomy noma i-tenectomy: Lokhu kuhlinzwa kwenziwa ukuze kukhululeke i-oblique yakho ephakeme uma iqinile noma inciphile.
• Ukwelula i-superior oblique: Uma imfushane kakhulu, kungenziwa ukuhlinzwa ukuze yelulwe.
• Ukususwa kwe-cyst: Ngezinye izikhathi le nkinga ingabangelwa into efana ne-cyst encane. Uma kunjalo, izosuswa.

Ungesabi ukuhlinzwa. Lokhu kuvame ukuba ukuhlinzwa okuphumelelayo, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Udokotela wakho uzokuchazela zona ngokuningiliziwe.

Ingabe i-"Brown Syndrome" ingavinjelwa?

Ngenxa yokuthi kuyisimo sokuzalwa, noma esibangelwa izifo esingenakuzilawula (njengezifo zokuzivikela komzimba) kanye nezingozi, i-"Brown syndrome" empeleni kunzima ukuyivimbela .

Kodwa, ngokuvamile, kubaluleke kakhulu ukugqoka izibuko zokuphepha njalo nokusebenzisa imishini yokuzivikela efanele uma usebenza ngamathuluzi noma wenza noma yimuphi umsebenzi ongalimaza amehlo akho . Lokhu kungavimbela hhayi kuphela "i-Brown Syndrome" kodwa nezinye ukulimala okuningi kwamehlo.

Kufanele ngihlolwe amehlo nini?

Ukuhlola amehlo akho njalo kanye nokubona kungasiza udokotela wakho wamehlo ukuthi athole noma yiziphi izinkinga kusenesikhathi. Ukuthi kufanele uhlolwe kangaki amehlo akho ngokuvamile kuncike eminyakeni yakho:

• Izingane ezincane: Udokotela wezingane uzohlola amehlo engane yakho ngesikhathi sokuvakashela kwayo njalo esibhedlela - ikakhulukazi eminyakeni yokuqala, bese kuba kabili ngonyaka.
• Abantu abadala abangaphansi kweminyaka engama-40: Njalo eminyakeni emihlanu kuya kweyishumi.
• Abantu abadala abaneminyaka ephakathi kuka-40 no-54 ubudala: Njalo eminyakeni emibili kuya kwemine.
• Abantu abadala abangaphezu kweminyaka engama-55 ubudala: Njalo ngonyaka kuya eminyakeni emithathu.

Uma ugqoka izibuko, ama-contact lens, noma ezinye izinsiza-kubona, kungadingeka ukuthi uhlolwe amehlo akho kaningi. Abantu abanesifo sikashukela nabo kudingeka bahlolwe amehlo kaningi kunalabo abakulolu hlu, ngoba isifo sikashukela singathinta amehlo.

Into engcono kakhulu ongayenza ukubuza udokotela wakho wamehlo ukuthi udinga kangaki ukuhlolwa kwamehlo.

Yini ongayilindela uma une-"Brown Syndrome"?

Uma imbangela ye-"Brown Syndrome" isilashiwe, izimpawu zakho kufanele zithuthuke. Ungalindela ukululama okuphelele .

Ezinye izingane ezizalwa zine-"Brown Syndrome" zikhula zidlule kulesi simo ngaphandle kokwelashwa njengoba zikhula.

Ngisho noma uhlinzwa, i-"Brown syndrome" ngokuvamile ayinayo imiphumela yesikhathi eside emehlweni noma ekuboneni kwakho. Ngakho ungakhathazeki kakhulu ngayo.

Kufanele ngimbone nini udokotela?

Bonana nodokotela ngokushesha nje lapho ubona noma yiziphi izinguquko emehlweni noma embonweni wakho. Ngisho noma kubonakala kuyinto encane, kungaba uphawu lokuqala lwenkinga enkulu.

Uma unezinye zalezi zimpawu, hamba esibhedlela ngokushesha :

• Ukulahlekelwa umbono ngokuzumayo.
• Ubuhlungu obukhulu bamehlo.
• Uma uzizwa sengathi ubona izibani ezintsha (`izibani`) noma izinto ezintantayo (`izibani`) phambi kwamehlo akho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungakhohlwa ukubuza imibuzo efana nale:

• Ingabe ngine-"Brown Syndrome" noma esinye isimo se-strabismus?
• Izimpawu zami zizohlala isikhathi esingakanani?
• Ingabe ngizodinga ukwelashwa?
• Yini ebangela "i-Brown Syndrome"?
• Kufanele ngiphinde ngihlolwe amehlo ami kangaki futhi?

Ngaphezu kwale mibuzo, buza noma yikuphi ukungabaza noma imibuzo ongase ube nayo. Udokotela ulapha ukuzokusiza.

Uyini umehluko phakathi kwe-"Brown syndrome" kanye ne-"lazy eye" (i-amblyopia)?

"I-Brown syndrome" kanye "ne-lazy eye" (i-amblyopia - abanye abantu bayibiza nangokuthi "i-lazy eye") zombili lezi zimo ezivame ukuthinta iso elilodwa. Kodwa umehluko ukhona kulokho okwenzeka ngempela esweni noma ekuboneni.

"I-Brown syndrome," njengoba sesixoxile ngaphambili, iyinkinga yemisipha noma i-tendon eshukumisa iso. Lokhu kwenza kube nzima ukujika iso kuzo zonke izinhlangothi. Nakuba kungathinta umbono, akusona isifo sangaphakathi kweso.

Isimo esibizwa ngokuthi "iso elivilaphayo" (`amblyopia`) siqala ebuntwaneni. Uma ingane yakho ine-`amblyopia`, ubuchopho bayo bufunda ukungasinaki isithombe esivela esweni elingaqondile noma elifiphele. Esikhundleni salokho, ubuchopho busebenzisa kuphela isithombe esivela esweni elinamandla, okuvumela ukubona kweso elibuthakathaka ukuba kubi kakhulu. Kalula nje, iso elilodwa "liyavilapha" ngoba ubuchopho abulisebenzisi kahle.

Okubalulekile, izingane ezizalwa zine-Brown syndrome ngezinye izikhathi zingaba ne-amblyopia kamuva ekuphileni. Ngakho-ke, kubalulekile ukubona udokotela noma udokotela wamehlo ngokushesha okukhulu uma ubona noma yiziphi izinguquko emehlweni engane yakho.

Uyini umehluko phakathi kwe-"Brown Syndrome" kanye ne-strabismus (amehlo ahlanganisiwe)?

I-Strabismus yisimo lapho amehlo akho engaqondile khona. Ngamanye amazwi, elinye iso liphendukela ohlangothini oluhlukile kunelinye. Lokhu yilokho esikubiza ngokuthi "ama-cross-eyed" ngamagama avamile.

"I-Brown syndrome" empeleni uhlobo lwe-strabismus. Uzoyibona ngokucacile uma ubheka ngaphakathi noma phezulu. Kuzobukeka sengathi elinye lamehlo akho alinyakazi njengelinye (noma mhlawumbe alinyakazi nhlobo).

Kuye ngokuthi umonakalo ongakanani owenzekile emisipheni yamehlo akho kanye nemisipha, amehlo akho angase aphazamiseke kancane ngisho noma ubheke phambili.

Ukubona into efana nokuma ngokuphelele kokunyakaza kwamehlo, noma ukuzwa ukuthi ingane yakho inesifo sokuzalwa, kungaba yinto eyesabekayo ngempela. Lokho kuvamile. Kodwa izindaba ezinhle ukuthi, kungakhathaliseki ukuthi iyini imbangela ye-"Brown syndrome," cishe njalo kuyinkinga yesikhashana. Eqinisweni, wena noma ingane yakho kungenzeka ningadingi ukwelashwa okukhethekile ngaphandle kokuvakashela njalo kudokotela wamehlo.

Ngakho-ke, uma ubona noma yiluphi ushintsho emehlweni akho noma ekuboneni, ungalushayi indiva bese ubona udokotela noma udokotela wamehlo ngokushesha. Khumbula ukuthi ngezinye izikhathi, ngisho noshintsho oluncane lungaba uphawu lokuqala lwenkinga enkulu edinga ukwelashwa ngokushesha.

Izinto okufanele uzikhumbule kulesi sihloko (Umyalezo Wokuya Ekhaya)

Kulungile, manje usuyiqonda kahle i-"Brown Syndrome" esikhulume ngayo. Nazi izinto ezimbalwa okufanele uzikhumbule:

• "I-Brown syndrome" yisimo lapho iso liba nobunzima bokunyakaza ngokukhululeka (ikakhulukazi ngaphakathi naphezulu) ngenxa yenkinga ngomsipha oqondile noma i-tendon eshukumisa iso.
• Lokhu kungaba khona ekuzalweni, noma kungavela kamuva ngenxa yezifo, izifo ezihlasela amasosha omzimba, noma izingozi.
• Uphawu oluyinhloko umuzwa wokuqina lapho ubheka phezulu bese uphendula impumulo eceleni. Ukubona kabili kanye nobuhlungu bamehlo nakho kungase kwenzeke.
• Esikhathini esiningi, lesi simo sithinta iso elilodwa kuphela.
• Izimo zokuzalwa ngezinye izikhathi ziyazixazulula zodwa njengoba ingane ikhula. Ezinye izimbangela zingelashwa (ngemithi noma, ngokungavamile, ngokuhlinzwa).
• Uma unenkinga noma izinguquko ekuhambeni kwamehlo akho noma kwengane yakho, qiniseka ukuthi ubona udokotela wamehlo . Ukutholwa kusenesikhathi kanye nokwelashwa kungcono kakhulu.

Akukho okufanele ukwesabe, kunezindlela zokwelapha ezinhle zalesi simo, futhi ezimweni eziningi singalapheka ngokuphelele!

Isifo Esinsundu, Izinkinga Zokunyakaza Kwamehlo, Izifo Zamehlo, Ukungahambisani Kwamehlo, Izifo Zamehlo Zezingane, I-Superior Oblique