Kusho ukuthini i-PERRLA ekuhlolweni kwamehlo? Masiqonde kalula!

Wake wahlolwa amehlo wezwa udokotela noma uchwepheshe wezempilo esho into efana nethi 'PERRLA'? Noma wake wabona igama elinjalo embikweni wakho? Uma uzwa lokhu, ungase ucabange, "Liyini leli gama elingavamile?" Ungakhathazeki, liyisifinyezo sesivivinyo esilula kakhulu, kodwa esibaluleke kakhulu. Ake sixoxe ngakho namuhla, kulula njengokukhuluma nomngane.

Isho ukuthini i-PERRLA? Isho ukuthini?

Kalula nje, i-PERRLA inqubo ejwayelekile esetshenziswa odokotela ukuhlola ukuthi ngabe i-pupillary (indawo emnyama phakathi kweso lakho, noma lokho odokotela abakubiza ngokuthi i-pupillary ) isebenza kahle yini. Lokhu kubizwa nangokuthi "ukuhlolwa kwe-pupillary." Lokhu kungenziwa nguchwepheshe wakho wamehlo (``Ophthalmologist'') noma udokotela ojwayelekile.

Igama elithi PERRLA lakhiwa ngokuhlanganisa izinhlamvu zokuqala zamagama amaningana esiNgisi. Ake sibheke ukuthi uhlamvu ngalunye lumelelani, futhi uzoqonda ukuthi kulula kangakanani.

• P - Abafundi : Lena ibala elimnyama eliphakathi neso lakho, elibizwa nangokuthi umfundi. Empeleni lena yisikhungo sengxenye enombala yeso (iris). Udokotela uzoqala ahlole ukuze abone ukuthi umfundi usesikhundleni esifanele yini.

• E - Ukulingana : 'Ukulingana' kusho 'ukufana'. Ngakho-ke esikubhekayo lapha ukuthi amasongo amnyama emehlweni akho womabili angalingana yini. Emehlweni anempilo, lawa kufanele afane. Uma elilodwa likhulu kanti elinye lincane, lokho kungaba yinkomba yokuthile.

• R - Indilinga : Okulandelayo, bheka ukuma kwendandatho yakho emnyama. Indandatho emnyama enempilo kufanele ibe yindilinga kahle, ibe nemiphetho ecacile. Njengendilinga encane. Uma yeluliwe, ingenasimo, noma inemiphetho engacacile, lokho kuyaphawulwa.

• R - Ukusabela : 'Ukusabela' kusho 'ukusabela'. Lokhu kubhekisela endleleni iris yakho esabela ngayo endaweni ezungezile, ikakhulukazi ngaphandle . Emehlweni aphilile, iris iyancipha ukuze ivikeleke uma ivezwa ekukhanyeni, futhi inwebeka ebumnyameni ukuze ibone kangcono indawo ezungezile. Njengelensi yekhamera.

• L - Ukukhanya : Lokhu kuhlobene negama elithi 'Reactive' ngenhla. Udokotela uzokhanyisa ithoshi elincane emehlweni akho ukuze abone ukuthi ama-blackheads ayancipha yini. Lokhu kwenziwa ngokukhanyisa ukukhanya kuwo womabili amehlo ngokushintshana. Lokhu kwenzelwa ukubona ukuthi amehlo asabela kahle yini ukuze azivikele ekukhanyeni.

• A - Indawo Yokuhlala : Lokhu kuyinto edinga incazelo encane. 'Indawo yokuhlala' ikhono elikhethekile leso. Cabanga, ufunda incwadi phambi kwakho, bese ngokuzumayo uphakamisa ikhanda lakho ubheke umuntu okude. Khona-ke amehlo akho kufanele ajwayele lelo banga. Yilokho okubizwa ngakho. Amehlo aphilile angakwaziBheka into eseduze bese ushintsha ngokuzumayo ugxile ekubhekeni into ekude. Uma wenza lokhu, ubukhulu bendandatho emnyama buyashintsha. Uma ubheka into eseduze, indandatho emnyama iba ncane, futhi uma ubheka into ekude, iba nkulu. Lokhu kuhlolwa kuhlola nokuthi leli khono likhona yini.

Manje usuyaqonda ukuthi iyini i-PERRLA? Empeleni luwuhlu lokuhlola olusetshenziswa odokotela ukuhlola ukuthi amehlo akho aphilile yini. Kufana nokubheka uhlu lapho ulungisa imoto.

Ukuhlolwa kwe-PERRLA kwenziwa nini?

Lokhu kuhlolwa kwe-PERRLA kuvame ukwenziwa odokotela. Ake sibone ukuthi kuziphi izimo:

• Ngesikhathi sokuhlolwa kwamehlo okuvamile: Uma uya kohlolwa kwamehlo kanye ngonyaka, lolu hlolo lwe-PERRLA luzokwenziwa lapho nakanjani. Luyingxenye yokuhlolwa okuvamile.
• Ngesikhathi sokuhlolwa ngokomzimba okuvamile: Ngezinye izikhathi lokhu kungenziwa ngesikhathi sokuhlolwa ngokomzimba okuphelele ngudokotela womndeni wakho, ngoba amehlo anganikeza nezinkomba ngezinye izifo emzimbeni wethu.
• Ukuhlolwa kwemizwa: Lokhu kuhlolwa kubalulekile futhi uma unezinkinga ngobuchopho bakho noma uhlelo lwemizwa, ngoba ukusebenza kwamehlo kuhlobene ngqo nokusebenza kobuchopho.
• Esimweni esiphuthumayo: Uma ulimele iso, ushaye ikhanda, noma unenkinga yokubona ngokuzumayo, lokhu kuhlolwa kwenziwa ngokushesha egumbini lezimo eziphuthumayo.

Iningi labantu lithola imiphumela evamile kulokhu kuhlolwa. Kodwa-ke, ngezinye izikhathi uma imiphumela ingavamile, kudingeka ukuhlolwa okwengeziwe ukuze kutholakale imbangela.

Ukuhlolwa kwe-PERRLA kwenziwa kanjani?

Lokhu ukuhlolwa okulula kakhulu. Ngeke uzizwe ubuhlungu. Udokotela noma udokotela wamehlo uzosebenzisa ithoshi elincane eliphathwa ngesandla, mhlawumbe umunwe noma ipeni, ukwenza lokhu.

Uzohlaliswa esihlalweni ekamelweni elimnyama kancane. Ngemuva kwalokho, njengoba udokotela ekutshela, kuzodingeka ubheke ngayinye. Kubalulekile ukuthi uhlale uzolile futhi ungacasuki.

Kwenzekani ngesikhathi sokuhlolwa?

Udokotela ulandela lezi zinyathelo:

1. Kala ukuma nosayizi wendandatho emnyama ngokubheka amehlo: Okokuqala, mane ubheke amehlo akho ubone ukuthi amasongo amabili amnyama afanayo yini ngobukhulu, ayindilinga, futhi anemiphetho ecacile.

2. Ukuhlolwa kokukhanya okujikajikayo (ukuhlolwa kukaMarcus Gunn): Ngesikhathi ubheke phambili, udokotela uzosusa ithoshi lisuke kwelinye iso liye kwelinye njalo ngemizuzwana emibili. Lokhu kuzobheka ukuthi i-iris emehlweni womabili isabela kanjani ekukhanyeni.

3. Ukuhlolwa kokukhanya: Khanyisa isibani esweni elilodwa bese ubona ukuthi iso elimnyama liyancipha yini. Bese wenza okufanayo nakwelinye iso. Yenza lokhu kabili noma kathathu.

4. Ukuhlolwa kokubona okuseduze nokukude:Udokotela uzosondeza umunwe wakhe noma ipeni lakhe ebusweni bakho, bese elisusa kude, bese elisusa eceleni, bese ekucela ukuthi ulibheke. Lokhu kwenzelwa ukuhlola ikhono 'lokuhlala' lamehlo akho.

5. Ukuhlolwa kwe-Near reflex: Ucelwa ukuthi ubheke into ekude , kuyilapho impendulo yeso elimnyama ibonwa.

Konke lokhu kuzothatha imizuzu embalwa. Kuyisivivinyo esisheshayo kakhulu.

Kuthatha isikhathi esingakanani ukuthola imiphumela yokuhlolwa kwe-PERRLA?

Ngokuvamile, uzokwazi imiphumela yalolu vivinyo ngokushesha . Lapho nje udokotela eqeda ukuhlolwa, uzokutshela ukuthi konke kuhamba kahle noma kukhona okungahambi kahle. Uma unemibuzo, ungesabi ukubuza udokotela.

Isho ukuthini imiphumela ye-PERRLA engajwayelekile?

Uma imiphumela yokuhlolwa kwe-PERRLA ingajwayelekile, ungesabi ngokushesha, ucabange ukuthi kusho ukuthi kukhona okungahambi kahle . Kusho ukuthi udinga ukubheka okunye mayelana nempilo yamehlo akho noma umbono wakho.

Ngezinye izikhathi kungaba yinto elula. Mhlawumbe unenkinga yokubona uma kufanele ugqoke izibuko zamehlo noma ama-contact lens.

Kodwa-ke, ngezinye izikhathi le miphumela engavamile ingabonisa esinye isimo sezokwelapha esiyisisekelo. Uma kunjalo, udokotela wakho uzoyala ukuhlolwa okwengeziwe ukuthola imbangela eqondile.

Yiziphi izinhlobo zezimo ezingasiza ekuxilongweni kokuhlolwa kwe-PERRLA?

Umphumela ongajwayelekile ekuhlolweni kwe-PERRLA ungaba uphawu oluyisixwayiso lwezimo ezithile zezokwelapha. Nazi izibonelo ezimbalwa:

• I-Anisocoria: Lesi yisimo lapho ama-irises alamehlo amabili ehlukene ngobukhulu. Elinye likhulu kanti elinye lincane.
• I-Adie's pupil: Kulesi simo, i-pupil emnyama esweni elilodwa inkulu kunejwayelekile futhi ayinciphi ngisho noma ivezwa ekukhanyeni okunamandla.
• Abafundi baka-Argyll Robertson: Lokhu kuvame ukubonakala ezigabeni zokugcina zesifo sofuba esifana ne-syphilis. Kulokhu, umfundi uba mncane kakhulu uma ebheka into eseduze, kodwa angasabeli ekukhanyeni.
• Ukulimala kwamehlo: Le miphumela ingahluka uma kukhona into efana nokuklwebheka kwe-cornea noma ukulimala kwemisipha ngaphakathi kweso.
• I-Glaucoma: I-Glaucoma yisimo lapho ingcindezi esweni ikhuphuka khona.
• I-Horner syndrome: Lesi yisimo esithinta imizwa exhumanisa ubuchopho namehlo nobuso.
• Izinkinga zemizwa yokubona: Isibonelo, i-optic neuritis ukuvuvukala (ukuvuvukala) kwemizwa yokubona, imizwa eyinhloko exhumanisa iso nobuchopho.

Akukhona lokho kuphela, kodwa ngezinye izikhathi imiphumela engavamile evela ekuhlolweni kwe-PERRLA ingabonisa nezimo ezingathi sína ezihlobene nobuchopho. Lokhu kufaka phakathi:

• Ukuqhekeka noma ubuthakathaka bomthambo wegazi ebuchosheni (`Aneurysm`)
• Uhlobo oluthile lomonakalo wobuchopho (`Isilonda sobuchopho`)
• Isimila sobuchopho
• Ukushaywa yikhanda (umthelela ebuchosheni obangelwa ukushaywa kanzima ekhanda)
• Isimo esifana nokuquleka
• Isifo sohlangothi

Lokhu kungase kuzwakale kuyesabisa, kodwa khumbula, umphumela we-PERRLA ongavamile awusho ukuthi unezinye zalezi zifo. Kusho nje ukuthi, "Kukhona okuthile lapha, ake sibheke kabanzi ngakho."

Kufanele uhlolwe amehlo akho kangaki?

Ukuhlolwa kwamehlo njalo kubalulekile ekugcineni umbono ophilile kanye nempilo iyonke. Khuluma nodokotela wakho noma udokotela wamehlo ukuze uhlele isimiso esikufanele. Qiniseka ukuthi uya kohlolwa kwakho ngokuvumelana nalolo hlelo.

Ingozi yokuthola izifo zamehlo iyanda, ikakhulukazi njengoba sikhula. Ngakho-ke, ngokwenza lezi zivivinyo kusenesikhathi, singabona izimo bese siqala ukwelashwa ngaphambi kokuba zibe yinkinga enkulu.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma uya njalo ukuyohlolwa amehlo, kungenzeka ukuthi uke wezwa ngokuhlolwa kwe-PERRLA. Kuwukuhlolwa okulula, kodwa okubaluleke kakhulu. Kunikeza udokotela wakho umbono omuhle ngempilo yamehlo akho kanye nokubona kwakho.

Futhi, ukuhlolwa kwe-PERRLA kungakunikeza izinkomba mayelana nezinye izifo ezifihliwe emzimbeni wakho. Ngemuva kwalokho zingatholakala kusenesikhathi futhi zelashwe ngaphambi kokuba lesi sifo sibe sibi kakhulu . Kungokunakekelwa kokuvimbela okunje lapho singasisiza khona sihlale siphilile isikhathi eside.

Ngakho-ke, ngesikhathi esizayo lapho uyohlolwa amehlo futhi uzwe nge-PERRLA, manje usuyazi ukuthi kusho ukuthini. Ukunakekela impilo yakho kusezandleni zakho!

Ukuhlolwa kwamehlo , i-PERRLA, iso elimnyama, umbono, impilo yamehlo, ukuxilongwa, ukuhlolwa kwempilo