Wake wabheka into eyodwa futhi kwabonakala sengathi zimbili? Njengasefilimini ethusayo ku-TV? Lokhu okuhlangenwe nakho kungasiphazamisa ngempela, akunjalo? Ukubona kuyinto eyigugu kakhulu kithi. Ngakho-ke kujwayelekile ukuzizwa wesaba kancane uma ubona okuthile okuhlukile kukho. Lokhu yilokho okubizwa ngokuthi "i-Diplopia" noma ukubona okuphindwe kabili kwisayensi yezokwelapha.
Ngakho-ke iyini i-diplopia?
Kalula nje, i-diplopia yilapho ubona izithombe ezimbili zento efanayo. Lokhu kuvame ukuba okwesikhashana futhi kuhlala isikhathi esifushane kuphela. Kodwa-ke, ngezinye izikhathi kungaba uphawu lwesimo sezokwelapha esibucayi kakhulu . Uma ubona izithombe ezimbili, ungalahlekelwa ukuqonda kwakho okujulile. Lokhu kungenza izinto ezifana nokushayela imoto noma ukuhamba emgwaqweni kube nzima kakhulu futhi kube yingozi. Ngakho-ke uma uqala ukubona izithombe ezimbili ngokuzumayo, kungcono ukubona udokotela noma udokotela wamehlo ngokushesha .
Zikhona yini izinhlobo ze-diplopia?
Yebo, udokotela wamehlo uzohlukanisa ukubona kwakho okubili kube izinhlobo ezimbili eziyinhloko. Lezi yizi:
1. I-Monocular Diplopia: Cabanga ukuthi noma uvala iso elilodwa ngesandla sakho, usabona izinto ezimbili uma ubheka ngelinye iso. Ungase ubone esinye isithombe, njengesithunzi. Yilokhu esikubiza ngokuthi ``i-Monocular diplopia``. Lolu uhlobo oluvame kakhulu lwe-diplopia, futhi luncane kakhulu. Lokhu kungabangelwa inkinga encane ngaphakathi kweso uqobo.
2. I-Binocular Diplopia: Enye indlela ukuthi, uma unamehlo womabili evulekile, ubona amabili, kodwa uma uvala iso elilodwa kuphela, lokho kubona okuphindwe kabili kuyanyamalala bese kuba elilodwa kuphela elibonakala kahle. Lokhu sikubiza ngokuthi `(i-Binocular diplopia)`. Okwenzekayo lapha ukuthi amehlo womabili awavumelani, noma kungase kube nenkinga ngezinzwa noma imisipha ethinta umbono wamehlo womabili, noma esinye isimo sempilo. Lokhu akufani ne-`(i-Monocular diplopia)` okukhulunywe ngayo ngaphambili, kodwa kungaba yinto engathi sína kakhulu. Ngoba lokhu kubhekisela esimweni lapho amehlo womabili engakwazi ukusebenza ndawonye.
Iphinde ihlukaniswe ngenye indlela - i-diplopia eqondile neqondile.
Udokotela wakho wamehlo angahlukanisa lokhu ngokusekelwe endleleni isithombe esengeziwe osibonayo esitholakala ngayo:
- I-Vertical Diplopia: Lokhu kwenzeka lapho ubona isithombe esengeziwe ngaphezulu noma ngaphansi kwalokho okubukayo. Isibonelo, uma ubona ibhasi lidlula kanye nelinye ibhasi lidlula ngaphezu kwalo, lokho kuyi-vertical diplopia.
- I-Horizontal Diplopia: Yilapho ubona khona izithombe ezengeziwe kuzo zombili izinhlangothi zombono wakho. Lokhu kusho ukuthi esikhundleni sokubona isigxobo esisodwa sokukhanya, ubona izigxobo ezimbili zokukhanya kuzo zombili izinhlangothi zaso.
Sivame kangakanani lesi simo esibizwa ngokuthi i-diplopia?
I-Diplopia empeleni iyisimo esivame kakhulu.Ngokwezibalo, abantu abangaphezu kuka-800,000 e-United States kuphela bavakashela odokotela bamehlo minyaka yonke ngenxa yokubona kabili. Kubhekwa futhi njengesizathu esiyinhloko sokuthi abantu baye egumbini lezimo eziphuthumayo. Kuthiwa abantu ababalelwa ku-50,000 baya egumbini lezimo eziphuthumayo minyaka yonke ngenxa yokubona kabili. Ngakho-ke ungacabanga ukuthi lokhu kungaba yinto evamile kangakanani.
Yiziphi ezinye izimpawu ezikhona ngaphandle kokubona ezimbili?
Uma une-diplopia, ungase ube nezinye izimpawu ngaphezu kokubona kabili. Isibonelo:
- Ikhanda elibuhlungu: Ngezinye izikhathi ikhanda elibuhlungu lingase libe khona.
- Isicanucanu: Ungase uzizwe sengathi isisu sakho siyaphenduka futhi ungase uzizwe sengathi uzohlanza.
- Isiyezi: Kungase kuzwakale sengathi izinto ziyakuzungeza.
- Ubuhlungu bamehlo: Ungase uzwe ubuhlungu, ikakhulukazi uma uhambisa amehlo akho.
Lezi zimpawu azibonakali kubo bonke ngendlela efanayo. Abanye abantu bangase babe neyodwa noma ezimbili, kanti abanye bangase babe nazo zonke.
Kungani lokhu kubona okuphindwe kabili kwenzeka? Yiziphi izizathu?
Izinkinga eziningi zamehlo zingabangela ukubona okubili. Noma yini ethinta ubuchopho bakho, amehlo, noma imizwa nemisipha elawula amehlo ingabangela lokho.
Nazi ezinye izibonelo:
- I-Astigmatism: Kulesi simo, ukukhanya akugxili endaweni eyodwa ngoba iso aliyona inhlangothi yonke.
- I-Myopia: Ukubona eduze: Ukubona izinto eduze ngokucacile, kodwa izinto ezikude zibonakala zingacacile.
- I-Hypopia: Ukubona kude: Ukubona izinto ezikude ngokucacile, kodwa ukubona izinto eziseduze kufiphele.
- Ukusebenzisa izibuko noma ama-contact lens angalingani kahle.
- Ama-cataract: Ukufiphala kwelensi yeso.
- Isifo samehlo esomile: Lapho amehlo engakhiqizi izinyembezi ezanele.
- I-Migraines: Isimo esibonakala ngobuhlungu obukhulu bekhanda.
- Ukukhubazeka kwe-iris (ingxenye enombala yeso).
- Izinkinga zemizwa yobuchopho: Lezi zinzwa zilawula ukunyakaza kwamehlo.
- Ukuvela kwamehlo (i-Proptosis).
- I-Keratoconus: Ukuguqulwa kwe-cornea yeso okumise okwekhoni.
- Ukulimala ekhanda noma izingozi.
Cabanga ngale ndlela: amehlo akho afana namakhamera amabili. Kuphela uma womabili amakhamera egxile endaweni efanayo ngesikhathi esisodwa lapho sibona khona isithombe esisodwa esicacile. Uma ikhamera eyodwa inyakaza kancane, noma uma ukugxila kuphuma esimeni esibi, sigcina sibona izithombe ezimbili. Kunjalo-ke ngalokhu.
Yiziphi izici ezibangela i-diplopia?
Nakuba noma ubani angaba nokubona okubili, kuvame kakhulu kubantu abadala abangaphezu kweminyaka engama-60.
Futhi, le ngozi inganda uma unezifo ezithile zezinzwa noma ezinye izimo zempilo. Isibonelo:
- I-Myasthenia gravis: Lesi yisifo esenza imisipha ibe buthaka.
- I-Vertigo: Isimo esibangela isiyezi.
- Ama-aneurysms obuchopho: Ukuvuvuka komthambo wegazi ebuchosheni.
- Ukushaya kwenhliziyo.
- Isifo Sikashukela: Ukulimala kwamehlo, ikakhulukazi ngenxa yesifo sikashukela (i-retinopathy ehlobene nesifo sikashukela).
- Ukuntuleka kwevithamini B1.
- Isifo se-thyroid.
- I-Multiple sclerosis (MS): Isifo esithinta isimiso sezinzwa.
Odokotela bakuthola kanjani lesi simo se-diplopia?
Udokotela wamehlo nguyena kuphela ongakwazi ukuthola ukuthi ubona kabili yini kanye nembangela yakho. Uzokwenza ukuhlolwa kwamehlo futhi ahlole ukubona kwakho ngokuhlolwa kokubona.
Uma une-`(i-Monocular diplopia)`, isikhathi esiningi azikho izivivinyo ezengeziwe ezidingekayo. Kodwa-ke, uma une-`(i-Binocular diplopia)`, kungadingeka ukuthi wenze izivivinyo ezinjengalezi:
- Ukuthwebula izithombe ze-magnetic resonance (MRI): Lokhu kungabona ngokucacile amehlo akho, imisipha ezungeze amehlo akho, imizwa, kanye nezingxenye zobuchopho bakho.
- I-computed tomography (CT) scan: Lokhu kungabheka namehlo nezakhiwo ezizungezile, ikakhulukazi amathambo.
- Ukuhlolwa kwegazi: Hlola izimo zezokwelapha eziyisisekelo, njengesifo sikashukela nezinkinga ze-thyroid.
Lezi zivivinyo zingasiza udokotela wakho ukuthola ukuthi kukhona yini izinkinga ngamehlo akho, emathanjeni, emisipheni, ebuchosheni, noma emgogodleni.
Iphathwa kanjani inkinga yokubona kabili?
Ukwelashwa okudingayo kuzoncika embangela ye-diplopia yakho, ezokwelashwa uchwepheshe wamehlo noma umhlinzeki wezempilo.
Kwabanye abantu, lokhu kungathuthukiswa ngokuthola izibuko ezintsha noma ama-contact lens, noma ngokulungisa amadala. Ngezinye izikhathi, kungadingeka umboze iso elilodwa isikhashana ("i-eye patch") noma usebenzise i-contact lens ekhethekile ukusiza amehlo akho aphinde abone ngendlela evamile.
Udokotela wakho wamehlo uzochaza ukuthi ungazilawula kanjani izimpawu zakho futhi uqede i-diplopia.
Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?
Kuncike futhi embangweni we-diplopia. Amanye amacala okubona kabili azophela ngokwawo ngaphandle kokwelashwa. Amanye ngeke aphele kuze kube yilapho udokotela wamehlo elapha imbangela.
Uma uhlinzwa ukuze kulungiswe izinkinga zamehlo (isibonelo, ukususwa kwe-cataract), kungathatha amasonto ambalwa ukuthi ululame.
Ingabe i-diplopia ingavinjelwa?
Akukho ongakwenza ukuvimbela ukubona okubili ikakhulukazi. Kodwa-ke, ukunakekela amehlo akho nokubona uchwepheshe wamehlo njalo ukuze ahlolwe kuyindlela engcono kakhulu yokubona noma yiziphi izinkinga kusenesikhathi.
Landela lezi zinyathelo ukuze ugcine impilo yamehlo inhle:
- Ungabhemi.
- Nika amehlo akho ikhefu ekubukeni izikrini ze-elekthronikhi usuku lonke. Bheka eceleni imizuzu embalwa okungenani njalo ngemva kwesigamu sehora.
- Gqoka izibuko zokuphepha noma izibuko ezifanele umsebenzi wakho, ezemidlalo, noma izinto ozithandayo.
- Hlola amehlo njalo ngonyaka noma emibili (noma njengoba kunconywe udokotela wakho wamehlo).
Yini okufanele ngiyilindele uma ngine-diplopia?
Ukubona kabili ngokuvamile kuyinkinga yesikhashana. Ungashayeli noma wenze noma yini engakubeka wena noma abanye engozini lapho ukubona kwakho kuphazamiseka. Kuye ngembangela ye-diplopia yakho, kungadingeka wenze izinguquko ezithile endleleni yakho yansuku zonke.
Kunini lapho kufanele ukhathazeke khona ngokubona okukabili?
Ukubona kabili kuyinto okufanele ukhathazeke ngayo njalo, kodwa ungacabangi ukuthi okubi kakhulu. Ezimweni eziningi kungokwesikhashana. Eqinisweni, i-diplopia ingaba ngcono ngokwayo. Kodwa-ke, uma ubona kabili, kubalulekile ukuhlolwa amehlo akho.
Uma ubona kabili izikhathi ezingaphezu kwesisodwa, noma uma kufika futhi kudlula (`i-diplopia yesikhashana noma eqhubekayo`), ungase ube ne-diplopia yesikhashana. Ngisho noma ukubona kwakho kabili kuthuthuka ngokwakho, kufanele ubonane nochwepheshe wamehlo noma omunye umhlinzeki wezempilo.
Ngizinakekela kanjani?
Tshela udokotela wakho wamehlo nganoma yiziphi izinguquko emehlweni akho noma ekuboneni kwakho. Uma ugqoka izibuko noma ama-contact lens, hlola amehlo akho njalo futhi udokotela wakho alungise imithi yakho njengoba kudingeka.
Kufanele ngimbone nini udokotela wami?
Bona udokotela wakho wamehlo ngokushesha nje lapho ubona noma yiziphi izinguquko embonweni wakho. Kungakhathaliseki ukuthi kuyinto elula njengokuthola izibuko ezintsha noma into engathi sína kakhulu, ungalindi kuze kube yilapho izimpawu ziba zimbi kakhulu.
Kufanele ngiye nini egumbini lezimo eziphuthumayo?
Uma ubona kabili kodwa ungabe usabona kahle emahoreni ambalwa, noma uma ubona kabili kanye nalezi zimpawu , iya ekamelweni lezimo eziphuthumayo ngokushesha:
- Ubuhlungu obukhulu emehlweni.
- Isiyezi.
- Ubuthakathaka bemisipha.
- Ubunzima bokukhuluma (njengokungingiza).
- Ukudideka.
Khumbula, i-diplopia ingaba uphawu lokuqala lwenkinga enkulu yobuchopho, njengesifo sohlangothi, ngakho ungalushayi indiva.
Yimiphi imibuzo okufanele ngiyibuze udokotela wami?
Ungabuza udokotela wakho imibuzo efana nale:
- "Dokotela, kungani ngibona lezi zinto ezimbili?"
- "Kuzothatha isikhathi esingakanani lokhu?"
- "Hlobo luni lokwelashwa engizoluthola?"
- "Kufanele ngihlolwe amehlo ami kanye namehlo ami kangaki?"
Kungani ngibone izinto ezimbili ezinje ngokuzumayo?
Nakuba imbangela ye-diplopia ikhula kancane kancane, ungase uyibone ngokuzumayo. Nakuba ukubona kabili kungaba uphawu oluyisixwayiso sesimo sempilo esingathi sína, ngokuvamile kuyinkinga yesikhashana.
Bonana nodokotela wamehlo ngokushesha nje lapho ubona ushintsho embonweni wakho, ikakhulukazi uma ngokuzumayo luba lubi kakhulu. Uma umbono wakho uba mubi ngemva kwengozi, njengengozi yemoto noma ukuwa, iya egumbini lezimo eziphuthumayo.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Kuvamile ukuzizwa wesaba kancane uma uzwa ngenkinga yamehlo, ikakhulukazi uma ubona izinto ezimbili ezinjengalezi. Kodwa khumbula, nakuba i-diplopia ingaba uphawu lwento engathí sina, ngokuvamile kuyinkinga yesikhashana engelashwa futhi yelapheke.
Into ebaluleke kakhulu ukungakuthathi kalula ukubona kwakho. Uma ubona noma yiziphi izinguquko embonweni wakho, noma uma unomuzwa wokuthi kukhona okungahambi kahle, khuluma nodokotela wakho ngokushesha. Uma kutholakala ngokushesha, kulapho kungenzeka khona ukuthi ukwelashwa kuphumelele. Amehlo anempilo ayimpahla enhle empilweni. Ngakho-ke masiwanakekele!
i- diplopia, ukubona okuphindwe kabili, ukubona okuphindwe kabili, izifo zamehlo, izinkinga zokubona, impilo yamehlo, izimpawu

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