Wake wahlolwa amehlo akho? Udokotela ufaka amaconsi emehlweni akho bese ekutshela ukuthi ulinde isikhashana. Uma ubheka, izinto eziseduze, njengezinhlamvu efonini yakho, zibukeka zifiphele, akunjalo? Kuzwakala sengathi awukwazi ngisho nokuphuma elangeni. Nakuba abantu abaningi besaba lokhu, empeleni kuyindlela ewusizo kakhulu odokotela abayisebenzisayo ukuhlola amehlo akho kahle. Namuhla sikhuluma ngalesi simo, okuyi-Cycloplegia.
Kuyini i-Cycloplegia?
Kalula nje, i-Cycloplegia iwukukhubazeka kwesikhashana kwemisipha engaphakathi kweso lakho ekusiza ukuthi ugxile. Lokhu kubangelwa uhlobo olukhethekile lweconsi lamehlo elifakwa udokotela esweni lakho. Lokhu kungokwesikhashana ngokuphelele.
Cabanga ukuthi ngaphakathi kweso lakho kukhona ilensi, njengekhamera encane. Le lensi inesimiso semisipha esincane esikusiza ukuthi ubone izinto eziseduze (isib. incwadi, ifoni) nezinto ezikude kakhulu ngokucacile ngokushintsha ukugxila kwazo. Lokhu sikubiza ngokuthi `(umzimba we-ciliary)`. Inqubo lapho le misipha ifinyela futhi ikhule khona ukuze ishintshe ukuma kwelensi ibizwa ngokuthi "indawo yokuhlala".
Lokhu kulungiswa kufana ne-reflex, okusho ukuthi asikwazi ukuyilawula ngendlela esifisa ngayo. Ngakho-ke ngezinye izikhathi, lapho sihlolwa amehlo ethu, le reflex ingaba nomthelela omncane emiphumeleni yokuhlolwa. Yilapho le ndlela ebizwa ngokuthi i-Cycloplegia iwusizo kakhulu kithi.
Kungani odokotela besebenzisa le ndlela?
Kunezizathu eziningana eziyinhloko zokusebenzisa i-cycloplegia.
- Uma uhlola amehlo: Le ndlela isetshenziswa ikakhulukazi lapho kuhlolwa amehlo ezingane noma lapho kudingeka kulinganiswe amandla angempela ezingilazi (amaphutha okugudluza). Ngoba, ngezinye izikhathi, ikakhulukazi ezinganeni ezincane, le misipha egxile ingasebenza kakhulu futhi ishintshe imiphumela yokuhlolwa kwamehlo. Ngakho-ke, ngokunikeza lo muthi nokumisa leyo misipha isikhashana, udokotela angalinganisa ngokunembile amandla angempela amehlo akho.
- Ngesikhathi sokuhlinzwa kwamehlo: Le ndlela isiza ukukhubazeka okwesikhashana kwemisipha engaphakathi kweso nokugcina iso lisesimweni esisodwa ngesikhathi sokuhlinzwa kwamehlo.
- Njengokwelapha izifo ezithile zamehlo: Le mithi isetshenziselwa ukwelapha izifo ezifana ne-"lazy eye" (i-amblyopia) kanye ne-uveitis, okuwukuvuvukala kwangaphakathi kweso.
- Ukuzwela kokukhanya: Inhlamvu yeso iba nkulu futhi ayikwazi ukulawula inani lokukhanya okungena. Lokhu kwenza kube nzima ukubuka ilanga, futhi amehlo azizwe sengathi aphenduka abe luhlaza okwesibhakabhaka.
- Ubunzima bokubona eduze: Uma ubheka izincwadi, amaphephandaba, umbhalo ocingweni lwakho, noma esikrinini sekhompyutha, umbhalo ubonakala ungacacile.
- Ikhanda elibuhlungu: Abanye abantu bangase babe nekhanda elincane ngenxa yalokhu.
- Umuzwa wokushisa okuncane ngemva kokusebenzisa umuthi wamehlo (lokhu kuvame ukuba kuncane kakhulu futhi kuphele ngokushesha).
- Ukubomvu kwamehlo.
- Ukuluma okuncane emehlweni.
- I-Cycloplegia inqubo ekhubaza okwesikhashana imisipha egxile kweso, esetshenziselwa ukuhlola amehlo nokwelapha izifo ezithile.
- Lokhu kwenziwa ngamaconsi amehlo. Kungokwesikhashana ngokuphelele futhi akubuhlungu.
- Imiphumela emibi evamile ihlanganisa ukubona okufiphele, ubunzima bokubona eduze kwezinto, kanye nokuzwela ukukhanya. Lokhu kuyaphela njengoba umuthi uphela.
- Gwema ukushayela noma ukusebenza eduze ngenkathi une-cycloplegia. Gqoka izibuko zelanga uma uphuma ngaphandle.
- Uma uhlangabezana nezimpawu ezinzima njengokushaya kwenhliziyo okusheshayo, ukudideka, noma ukuxhuzula, bona udokotela wakho ngokushesha noma uye ku-ETU.
- Uma unenkinga noma ukwesaba ngalokhu, khuluma nodokotela wakho wamehlo. Uzochaza konke kuwe.
Isibonelo, uma ingane 'eneso elivilaphayo' (i-amblyopia) inikezwa lo muthi esweni layo eliphilile, kuba nzima ukuthi lelo liso libone eduze. Iso elibuthakathaka kufanele lisebenze kanzima, bese lelo liso liqina.
Futhi, khumbula, ngezinye izikhathi lokhu kungaba umphumela omubi. Isibonelo, uma usebenzisa into efana ne-scopolamine patch ukwelapha isifo sokunyakaza,Kufanele ugeze izandla zakho kahle ngemva kokuwuphatha. Ngaphandle kwalokho, uma umuthi ungena emehlweni akho, umbono wakho ungase ufiphale izinsuku eziningana.
Yiziphi izinzuzo ze-cycloplegia?
Kunezinzuzo eziningana kule ndlela. Ake sizibheke ngale ndlela ukuze siziqonde kahle.
| Inzuzo | Incazelo Elula |
|---|---|
| Okwesikhashana | Uma umuthi uphela, amehlo abuyela esimweni sawo esijwayelekile ngaphandle kwemiphumela yesikhathi eside. |
| Akuhlaseli | Kulula kakhulu ukuyifaka njengamaconsi amehlo. Asikho isidingo sokujova noma ukusika noma yini. |
| Akubuhlungu | Akukho ubuhlungu lapho umuthi usetshenziswa. Kodwa-ke, ngenxa yokuthi ijwabu leso liyavuleka, ungase uzizwe uzwela futhi ungakhululeki uma ubheka ngaphandle. Yingakho odokotela bekunika izibuko zelanga. |
| Ukuba nezinketho eziningi | Uma umuthi owodwa ungasebenzi kuwe, kunezinye izinketho. Futhi, kuye ngezidingo zakho, ungakhetha imithi enemiphumela yesikhashana noma yesikhathi eside. |
Azikho yini imiphumela emibi? Masiqaphele nalokho futhi.
"Umphumela oyinhloko" wemithi ye-cycloplegia ukwanda kwe-pupil. Eqinisweni, lokhu kuyinto udokotela afuna ukuyibona lapho ehlola amehlo akho. Ngakho-ke ungase uzizwe ungakhululekile ngenxa yalokhu.
Ngaphezu kwalokhu, kungase kube neminye imiphumela emibi eminingana:
Into ebaluleke kakhulu ukuthi udokotela wakho akuchazele kusengaphambili ukuthi yimiphi imiphumela emibi yomuthi nokuthi ingase izwakale kanjani.
Lesi simo sizohlala isikhathi esingakanani?
Lokhu kuncike ohlotsheni lomuthi owunikezwayo. Eminye imithi iyaphela phakathi namahora ambalwa, kanti eminye ingase ihlale izinsuku eziningi.
| Igama Lomuthi | Ubude Bomphumela |
|---|---|
| I-Atropine | Izinsuku eziyi-7 kuya kweziyi-12 |
| I-cyclopentolate | Kufika emahoreni angu-24 |
| I-Homatropine | Izinsuku ezi-1 kuya kwezi-3 |
| I-Phenylephrine | Kufika emahoreni ayi-6 |
| I-Scopolamine | Izinsuku ezi-3 kuya kweziyi-7 |
| I-Tropicamide | Amahora angu-6 kuya kwangu-24 |
Yiziphi izimpawu eziyingozi ezidinga ukubona udokotela?
Imiphumela emibi kakhulu evela emithini yamehlo ayivamile. Kodwa-ke, kunezimpawu ezithile eziyingozi okufanele uziqaphele, ikakhulukazi ngemithi yesikhathi eside. Uma ubona noma yikuphi kwalokhu, kufanele ushayele udokotela wakho ucingo ngokushesha noma uye egumbini lezimo eziphuthumayo (ETU) esibhedlela esiseduze nawe.
| Isibonakaliso | Incazelo |
|---|---|
| Izimpawu ezidinga usizo lwezokwelapha ngokushesha | |
| Izinguquko zokuziphatha | Ukudideka okungazelelwe kanye nokukhungatheka. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha kakhulu (i-tachycardia). |
| Ukudideka | Izinto ezifana nokukhohlwa ukuthi ukuphi nokuthi isikhathi sini. |
| Umfutho wegazi ophansi (i-hypotension) | Ukuquleka kanye nesiyezi lapho usukuma. |
| Ukuquleka | Lesi isimo esiyingozi kakhulu. |
| Ukucindezeleka kokuphefumula | Ukuphefumula kancane noma kancane. |
I-Cycloplegia ingase ibonakale iyisicefe kuwe, kodwa empeleni iyithuluzi eliwusizo kakhulu kodokotela bamehlo. Yenza ukuhlolwa kwamehlo kube lula, kwandisa ukunemba kwezibuko, futhi kusiza ekwelapheni izifo eziningana zamehlo. Okubaluleke kakhulu, kungokwesikhashana. Uma umuthi usuphelile, ukubona kwakho kuzobuyela esimweni esijwayelekile.
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