Wake wambona udokotela ekhanyisa amehlo akho ngethoshi elincane? Noma mhlawumbe uke wambona udokotela ekwenza lokho lapho ehlola amehlo engane yakho. Empeleni lokhu kuyindlela elula kakhulu yokuhlola, kodwa ebaluleke kakhulu. Ngokuyisisekelo kuhlola ukuthi amehlo akho asesimweni esifanele yini, okungukuthi, ukuthi aqondene kahle yini. Namuhla sizokhuluma ngalesi sivivinyo esilula, kodwa esibaluleke kakhulu.
Kuyini ukuhlolwa kwe-Corneal Light Reflex?
Kalula nje, lokhu ukuhlolwa okuhlola ukuthi amehlo akho aqondile yini ngokukhanyisa ukukhanya ku-cornea yeso lakho nokubheka indlela ukukhanya okukhanya ngayo. Okudingayo nje igumbi elimnyama kanye nokukhanya okuncane, njengesibani se-penlight. Kubizwa nangokuthi i-Hirschberg Test , ukuhlonipha udokotela wamehlo waseJalimane owakuthola okokuqala, uJulius Hirschberg. Kuthatha isikhathi esifushane ukukwenza futhi akubuhlungu.
Lokhu kuhlolwa kuvame ukwenziwa izikhathi eziningana:
- Ngesikhathi sokuhlolwa kwamehlo: Lokhu kuyinto odokotela bamehlo (odokotela bamehlo noma odokotela bamehlo) abavame ukuyenza lapho behlola amehlo.
- Uma uhlola ukukhula kwezingane ezincane: Odokotela bezingane bavame ukwenza lokhu lapho behlola izinsana ezincane nezingane emitholampilo, njengoba kuyindlela engcono kakhulu yokuthola izimo ezifana ne-strabismus noma i-amblyopia noma i-lazy eye kusenesikhathi.
- Ngesikhathi sokuhlolwa kwaminyaka yonke kwabantu abadala: Ngisho nodokotela abajwayelekile benza lokhu kuhlolwa okulula lapho benza ukuhlolwa kwempilo yomzimba noma kwezinzwa.
Lolu vivinyo lusebenza kanjani?
Cabanga ngamehlo akho njengezimbulunga ezimbili ezincane ezikhazimulayo. Okwenziwa udokotela ukukhanyisa ukukhanya okuncane emehlweni akho. Ukukhanya bese kushaya i-cornea, ingxenye esobala engaphambili kweso lakho, bese kubonakala njengechashazi elincane.
Uma amehlo akho eqondene kahle, okungukuthi, uma ukuqondisana kuphelele, ichashazi elincane lapho ukukhanya kuboniswa khona kufanele libonakale endaweni efanayo kuwo womabili amehlo.
Udokotela ubheka indawo yalelo chashazi elincane. Lokho kungabona kalula uma kunenkinga ngokuhleleka kwamehlo.
Kwenzekani ngesikhathi sokuhlolwa nangemva kwalokho?
Lokhu kulula kakhulu.
Ngesikhathi sokuhlolwa
Okokuqala, udokotela ufiphaza igumbi kancane ukuze ukwazi ukubona kahle ukukhanya okukhanya emehlweni akho. Ngemuva kwalokho, uzokucela ukuthi uhlale phambi kwakhe bese ubheka ngqo esibanini esincane esisesandleni sakhe. Ngesikhathi wenza lokhu, udokotela uzoqaphela ngokucophelela ukuthi ukukhanya kuwela kuphi emehlweni akho.
Ngemva kokuhlolwa
Kuye ngomphumela, udokotela uzokwenza okuthile:
1. Uma indawo yamehlo ilungile: khona-ke akukho nkinga. Uzodlulela kwezinye izingxenye zokuhlolwa.
2. Uma kubonakala sengathi kunenkinga ngokuma kwamehlo: Uma kunjalo, kuzokwenziwa izivivinyo ezilula ukuze kuqinisekiswe futhi kulinganiswe ubukhulu bokuphambuka. Asikho isidingo sokukhathazeka ngalokhu, lokhu kwenzelwa ukuqonda isimo ngqo.
Ithini imiphumela yalolu vivinyo?
Udokotela angakutshela ukuthi unenkinga yini ngokuhleleka kwamehlo akho ngesikhathi sokuhlolwa noma ngokushesha ngemva kwalokho.
Uma isikhundla sijwayelekile:
Irekhodi lakho lezokwelapha lizolibhala ngokuthi "ukulingana" noma "i-ortho." Lokhu kusho ukuthi ukukhanya kubonakala endaweni efanayo emehlweni womabili.
Ngezinye izikhathi siyakhohliswa!
Lokhu kubizwa ngokuthi i-pseudostrabismus . Cabanga ukuthi ezinye izingane zinekhala elibanzi kancane elinesikhumba ezinhlangothini zombili. Khona-ke, uma sibheka ngaphandle, amehlo ethu angase abukeke kancane ngaphakathi. Kodwa empeleni akukho lutho olungalungile ngamehlo. Lolu vivinyo lwe-Corneal Light Reflex lungabona ngokunembile izimo ezinjengalezi ezingezona ngempela i-strabismus, kodwa ezibonakala ngaleyo ndlela.
Uma isimo singavamile:
Uma indawo yamehlo ihlukile ngempela, udokotela uzophawula nokuthi hlobo luni. Nazi izinhlobo ezimbalwa eziyinhloko.
| Uhlobo Lokungalungi | Kalula nje... (Incazelo Elula) |
|---|---|
| I-Esotropia | Iso elilodwa noma womabili aphendukele ngaphakathi (ngaphakathi) ngasekhaleni . |
| I-Exotropia | Womabili amehlo noma iso elilodwa libheke ngaphandle . |
| I-Hypertropia | Iso elilodwa libekwe phezulu kunelinye. |
| I-Hypotropia | Iso elilodwa libekwe phansi kunelinye. |
Uma kuqinisekiswa ukuthi kunenkinga, yini oyenzayo ngokulandelayo?
Uma udokotela wezingane noma udokotela womndeni wakho ethola inkinga ngokuma kwamehlo akho, bazokudlulisela kudokotela wamehlo . Njengoba benolwazi olukhethekile emkhakheni wamehlo, bangakutshela ngqo ukuthi yini ebangela lokhu nokuthi yiziphi izindlela zokwelapha ezitholakalayo.
Ngezinye izikhathi, lezi zinguquko endaweni yamehlo zingabangelwa inkinga yobuchopho, njengokushaywa yisifo sohlangothi noma ukuquleka kwemisipha. Ezimweni ezinjalo, ukwelashwa kuzoncika embangela eyinhloko. Udokotela wakho uzokuchazela lokhu ngokuningiliziwe.
Kufanele simbone nini udokotela ngalokhu?
Lena yingxenye ebaluleke kakhulu.
- Uma ubona ushintsho oluhamba kancane kancane:
- Izingane: Uma ubona ukuphambuka okuncane emehlweni engane yakho okukhula kancane kancane, bheka udokotela wezingane ngokushesha . Izimo ezifana ne -amblyopia zingelapheka ngokuphelele uma zitholakala kusenesikhathi. Kodwa-ke, uma ukwelashwa kuyephuza ngemva kokuba sebekhulile, kungaholela ekulahlekelweni umbono unomphela. Ngakho-ke, uma ubona into efana nale, ungalibali.
- Abantu Abadala: Uma amehlo omuntu omdala eshintsha kancane kancane indawo yakhe, kungcono ukubona udokotela wamehlo ukuze ahlolwe.
- Uma amehlo akho evuvukala ngokuzumayo (lokhu kuyisimo esiphuthumayo!):
- Uma indawo yamehlo ishintsha ngokuzumayo kakhulu phakathi namahora noma imizuzu embalwa, kuyisimo esiphuthumayo sezokwelapha .
- Uma ngokuzumayo ubona umbono ofiphele, ikakhulukazi ngemva kokulimala ekhanda noma unezimpawu zesifo sohlangothi, akufanele uchithe isikhathi uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
Manje usungabona ukuthi singafunda ulwazi olubaluleke kangakanani kulolu vivinyo olulula. Ngakho-ke uma unokungabaza ngalolu vivinyo, noma ngesimo samehlo akho noma engane yakho, ungangabazi ukukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Corneal Light Reflex (Hirschberg Test) kuyindlela elula kakhulu, engenabuhlungu, futhi esheshayo yokuhlola ukuhambisana kwamehlo.
- Lokhu kubaluleke kakhulu ekutholakaleni kusenesikhathi kwezimo ezifana ne-strabismus kanye ne-amblyopia ezinganeni ezincane.
- Uma ubona ukwanda kancane kancane kobukhulu bamehlo engane, ukufuna iseluleko sezokwelapha ngokushesha kungasiza ekuvimbeleni ukukhubazeka kokubona unomphela.
- Akuwona wonke amaphutha amehlo avela ngaphandle angaba amaphutha angempela. Ngezinye izikhathi kungaba amaphutha angamanga (i-pseudostrabismus). Lokhu kuhlolwa kungaqinisekisa lokho.
- Ukuqhaqhazela kwamehlo okungazelelwe, ikakhulukazi ngemva kokulimala ekhanda noma izimpawu zesifo sohlangothi, kuyisimo esiphuthumayo esidinga ukwelashwa ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela .
- Uma unenkinga mayelana nokuma kwamehlo akho, ungalokothi unqikaze ukukhuluma nodokotela wakho.











💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho