Kunzima yini ukubheka eceleni iso lakho? Ingabe lokhu kuyinkinga nge-sixth nerve? Ake sifunde nge-Sixth Nerve Palsy!

Ingabe ngezinye izikhathi uzizwa sengathi iso lakho elilodwa libheke eceleni, okungukuthi, kunzima ukulikhipha? Noma ingabe ubona konke ngokuzumayo kokubili? Izinto ezinjengalezi azivamile. Isizathu salokhu kungaba ubuthakathaka obuthile emsipheni wakho wesithupha we-cranial. Lokhu sikubiza ngokuthi i-Sixth Nerve Palsy. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe.

Kuyini i-Sixth Nerve Palsy?

Kalula nje, i-Sixth Nerve Palsy yisimo esibangelwa ukulimala kwenzwa ekhethekile esisisiza siphendulele amehlo ethu ngaphandle (eceleni). Le nzwa ibizwa nangokuthi i-Abducens Nerve . Lokhu kuphazamisa ikhono lokuhambisa amehlo, okwenza kube nzima ukuwagcina eqondile.

Ubuwazi ukuthi kunezimbili zezinzwa ze-cranial ezixhuma ngqo ebuchosheni bethu? Lokho kusho ezimbili zohlobo ngalunye, olulodwa ohlangothini ngalunye, ngakwesobunxele kanye nolunye ngakwesokudla. Lo mbhangqwana wesithupha wezinzwa ze-cranial yiwona oxhumanisa nemisipha ye-lateral rectus emehlweni ethu, okuyimisipha nje ephendula iso ngaphandle . Lo msipha yiwona osiza iso lesobunxele libuke ngakwesobunxele kanye neso lesokudla libuke ngakwesokudla. Ngakho-ke, ekusebenzeni kabi kwezinzwa zesithupha, izimpawu ezihamba kulo mthambo ziyaphazamiseka, futhi umsipha ophendula iso ngaphandle uba buthakathaka noma ungasebenzi.

Esikhathini esiningi, lesi simo sithinta iso elilodwa kuphela (silibiza ngokuthi uhlangothi olulodwa), kodwa ngezinye izikhathi singathinta womabili amehlo (amabili).

Sivame kangakanani lesi simo?

I-Sixth Nerve Palsy empeleni ayivamile kangako. Emhlabeni wonke, kubikwa amacala amasha aphakathi kuka-350,000 no-900,000 alesi simo minyaka yonke. Ngisho nasezweni elifana neMelika, kubikwa amacala amasha angu-15,000 kuya ku-37,000 kuphela ngonyaka.

Noma ubani angakuthola lokhu. Kodwa ingozi iphakeme kancane, ikakhulukazi ngemva kweminyaka engu-50. Le ngozi iyanda kakhulu njengoba ukhula. Ngokusho kocwaningo, abantu abaneminyaka ephakathi kuka-60 no-75 banamathuba amaningi okuba nakho lokhu.

Ziyini izimpawu zalokhu?

Manje ake sibone ukuthi ziyini izimpawu ze-Sixth Nerve Palsy. Into eyinhloko ukuthi amehlo awakwazi ukunyakaza kahle futhi amehlo awakwazi ukugcinwa ndawonye. Yingakho ezinye izimpawu zivela. Ezinye izimpawu zingase zibangelwe kuphela yilokhu kungasebenzi kahle kwemizwa, futhi kungase kube nezimpawu ezihambisana nezinye izimo zezokwelapha ezibangela lokho.

Izimpawu eziyinhloko yilezi:

• I-Strabismus: Iso elithintekile alikwazi ukuphendulwa ngaphandle kahle, okungabangela ukuthi amehlo abonakale engaqondile kwamanye. Iso elithintekile lingase libonakale liphendulelwe ngaphakathi (esotropia) .
• Ukubona kabili (i-Diplopia):Lesi yisibonakaliso sokuqala abantu abaningi abasiqaphelayo. Uma ubheka izinto ezikude noma uma uzama ukubheka uhlangothi oluthintekile, imibono emibili iyanda. Uma ubheka olunye uhlangothi (uhlangothi olungathintekile), lokhu kuncipha kancane (uma iso elilodwa kuphela elithintekile).
• Ukushintsha ukuma ukuze babone ngokucacile: Abantu abanenkinga yesithupha yemizwa, abangakwazi ukujika iso elilodwa noma womabili ngendlela ethile, bajwayela ukujika ikhanda noma umzimba wabo ukuze babheke kuleyo ndlela. Lokhu kubasiza ukuba bagweme ukubona kabili okubangelwa ukudikiza kwamehlo.
• Isicanucanu nokuhlanza: Lezi yizimpawu ezimbili nje ezingase zivele ngenxa yokushintsha kombono. Zingabangelwa nezinye izimo zezokwelapha ezibangela lokhu kungasebenzi kahle kwezinzwa.
• Ubuhlungu: Ubuhlungu bamehlo kanye nekhanda elibuhlungu kungenzeka uma ucindezela amehlo akho isikhathi eside noma uma unezinkinga zokubona isikhathi eside.

Kungani le nzwa yesithupha (i-Abducens Nerve) ingasebenzi?

Nokho, kungani le nzwa yesithupha (i-abducens nerve) ingasebenzi kahle kanje? Kungaba nezizathu eziningi. Lesi simo singabangelwa yinoma yini elimaza le nzwa. Ubuwazi, ingxenye yale nzwa idlula ebuchosheni bethu. Ngakho-ke, izifo ezithinta ubuchopho zingathinta nale nzwa.

Ngezinye izikhathi, imbangela eqondile ayitholakali. Sibiza lezi zimo ngokuthi yi-idiopathic . Kodwa isikhathi esiningi, odokotela bangathola imbangela futhi bayelaphe. Ake sibheke izimbangela eziyinhloko.

1. Ukulimala

Cabanga uma ushayeka ekhanda endaweni ethile, noma uma uhlangabezana nengozi... le nzwa yesithupha ezungeze ubuchopho bethu ingonakalisa. Isibonelo:

• Ukulimala Kwengqondo Nokulimala Kobuchopho Okwenzakalisayo (ii-TBI )
• Ukuphuka kwekhanda
• Amanxeba angena ekhanda, njengalawo abangelwa yisikhali esibukhali noma inhlamvu

2. Ukutheleleka

Ama-microorganisms afana namagciwane namagciwane angahlasela isimiso sethu sezinzwa. Lo mzwelo wesithupha nawo ungathinteka. Isibonelo:

• Igciwane le-Herpes zoster (yilokhu okubangela i-shingles)
• Igciwane le-Epstein - Barr (yilokhu okubangela i-mononucleosis noma i-'mono')
• I-Meningitis ( i-meningitis )
• I-Cytomegalovirus (CMV )
• Isifo seLyme
• I-Syphilis
• Ukutheleleka kwe-fungus noma i-parasitic
• Uma ukutheleleka kwendlebe ( i-otitis media ) kusakazeka noma kuba kubi kakhulu
• Ukutheleleka nokuvuvukala kwezicubu ezizungeze iso ( i-orbital cellulitis )

Ngezinye izikhathi, eminye imijovo ephilayo enikezwa ukuvimbela ukutheleleka ingabangela nokungasebenzi kahle kwesikhashana kwemizwa yesithupha. Uma kunjalo, izophola ngokwayo.

3. Izinkinga zokujikeleza kwegazi

Uma ukugeleza kwegazi ebuchosheni bethu kuphazamiseka, kungathinta lo mthambo wesithupha. Uma ukugeleza kwegazi kuyeka, kuvela isimo esibizwa ngokuthi ischemia . Lokhu kusho ukuthi lapho amangqamuzana engatholi igazi elanele, alahlekelwa umsebenzi wawo. Uma lokhu kugeleza kwegazi kuba kubi noma kuhlale isikhathi eside, lawo maseli ayafa.

Izinkinga zokujikeleza kwegazi ezingabangela ukungasebenzi kahle kwenzwa yesithupha zifaka:

• Ukugeleza kwegazi okuphazamisekile ngemithambo yegazi emincane kakhulu ehlinzeka ngegazi emthanjeni wesithupha ( i-microvascular ischemia )
• Ukuhlaselwa yi-Stroke kanye nokuhlaselwa kwe-Ischemic okwesikhashana (i-TIA )
• Ama -aneurysms obuchopho
• Ukopha ngaphakathi kobuchopho ( ukopha ngaphakathi kobuchopho )

4. Izimo zesistimu, ukuvuvukala kanye nokuphazamiseka kwe-metabolic ezithinta izinhlelo eziningi zomzimba

Ezinye izimo zezokwelapha ezithinta izinhlelo eziningi zomzimba nazo zingabangela noma zinegalelo ekungasebenzi kahle kwemizwa yesithupha. Izibonelo:

• Isifo sikashukela sohlobo lwesibili - Lokhu kuvame kakhulu ezweni lethu manje, akunjalo?
• Isifo senhliziyo
• Umfutho wegazi ophezulu ( Umfutho wegazi ophezulu - Umfutho wegazi ophakeme )
• I-Wernicke-Korsakoff syndrome
• I-Multiple sclerosis (MS )
• Isifo se-Lupus ( i-Lupus - Systemic Lupus Erythematosus )
• I-Amyloidosis
• I-Sarcoidosis
• Izifo ze-thyroid

5. Izinkinga zegazi, umdlavuza kanye nezimila

Ezinye izifo ezithinta imithambo yegazi zingabangela ukucindezeleka okukhulu ngaphakathi kogebhezi, okungacindezela futhi kulimaze inzwa yesithupha. Ezinye izinhlobo zezimila ezikhula ngaphakathi kobuchopho nazo zingacindezela le nzwa. Izibonelo:

• I-Leukemia
• I-Lymphoma
• Izimila zobuchopho (zombili ezinomdlavuza nezingenabungozi)
• Umdlavuza osakazeka ebuchosheni

6. Ezinye izimo zemizwa

Ezinye izifo eziningi ezihlobene nesimiso sezinzwa zingabangela lokhu kungasebenzi kahle kwemizwa yesithupha. Izibonelo:

• I-Migraines kanye nekhanda elibuhlungu elihlangene
• Umfutho wegazi ophezulu we-intracranial (umfutho wegazi ophezulu we-intracranial ongaziwa imbangela)
• I-Hydrocephalus (ukuqongelela kwamanzi ebuchosheni)
• Ukukhubazeka kwe-Chiari
• Ukukhubazeka kwemithambo yegazi (AVM )
• Ukuvuza koketshezi lomgogodla (CSF)

7. Izinqubo zezokwelapha

I-abducens nerve ingathinteka noma yonakaliswe ukwelashwa noma izinqubo ezithile zezokwelapha. Nazi ezinye izibonelo:

• Ukumpompa komgogodla (ukubhoboza i-Lumbar ): Lokhu ngezinye izikhathi kungabangela ukwehla kwengcindezi ngaphakathi kwekhanda, okungaholela ekungasebenzi kahle kwemizwa yesithupha. Ngokuvamile, ubuchopho bethu buntanta ku-cerebrospinal fluid (CSF). Uma leli zinga loketshezi lehla, ubuchopho bungagobeka kancane bese bucindezela izicubu ezingaphansi kobuchopho, okuhlanganisa ne-abducens nerve.
• I-anesthesia ye-epidural: Lokhu kususa noketshezi emgogodleni njengoba kushiwo ngenhla futhi kungabangela ukungasebenzi kahle kwemizwa yesithupha.
• Ukwelashwa okufana nokuhlinzwa kobuchopho noma ukwelashwa ngemisebe: Lokhu kungalimaza le nzwa uma kuthinta izindawo eziseduze zobuchopho.

Yiziphi izinto ezibangela lokhu?

Abanye abantu bangase babe sengozini enkulu yokuthola lokhu kungasebenzi kahle kwemizwa yesithupha. Ezimweni eziningi, noma ngabe izimbangela ezibalwe ngenhla aziyona imbangela eyinhloko, ezinye izici zingaba nomthelela ekuthuthukisweni kwalesi simo. Izibonelo:

• Izifo ze-metabolic ezifana nesifo sikashukela ( uhlobo 2 sikashukela )
• Izifo zesimiso sokujikeleza kwegazi ezifana nomfutho wegazi ophezulu ( i-Hypertension )
• Izifo zokuvuvukala noma ze-autoimmune ezifana ne-multiple sclerosis

Yiziphi izinkinga ezingabangelwa yilokhu?

Izinkinga zokungasebenzi kahle kwemizwa yesithupha zincike kakhulu embangela kanye nokwelashwa. Lokhu kungahluka kakhulu, ngakho udokotela wakho angakweluleka kangcono ngezinkinga ezingaba khona eziqondene nesimo sakho nokuthi yini ongayenza ukuze uzivimbele noma uzinciphise.

Ikakhulukazi uma lokhu kwenzeka enganeni encane, into eyodwa odokotela abazama ukuyivimbela yisimo esibizwa ngokuthi i-amblyopia. Siphinde sikubize ngokuthi 'iso elivilaphayo'. Okwenzekayo kulokhu ukuthi ubuchopho bomntwana buqala kancane kancane ukugxila esweni elilodwa kuphela futhi bungazinaki izimpawu ezivela kwelinye iso. Bese iso elingasetshenziswanga lishintshela kancane kancane kolunye uhlangothi, okwenza isimo sibe sibi kakhulu.

Kutholakala kanjani lokhu?

Udokotela onjengodokotela wamehlo , udokotela wezinzwa , noma udokotela wezinzwa angasebenzisa inhlanganisela yezindlela zokuxilonga i-Sixth Nerve Palsy. Lezi zindlela zifaka:

• Ukuhlolwa kokubona: Udokotela noma udokotela wamehlo uzohlola ikhono lakho lokuhambisa amehlo akho ngezindlela ezithile ukuze abone ukuthi ngabe inzwa yesithupha iyona kuphela ethintekile, njengoba ukungasebenzi kahle kwenzwa yesithupha kungenzeka kanye nokungasebenzi kahle kweminye imizwa eseduze, ikakhulukazi leyo elawula ukunyakaza kwamehlo.
• Ukuhlolwa kwelebhu: Lezi ziyindlela eyinhloko yokuthola ukuthi unesifo esingatholakala yini ngokuhlolwa kwelebhu, njengesifo se-metabolic, isifo segazi, noma ukutheleleka. Amazinga akho eglucose egazini noma e-A1C avame ukuhlolwa. Bangahlola nezinto ezifana namazinga ama-platelet , amangqamuzana omzimba, noma ama-antibodies egazini lakho abonisa isifo sokuzivikela komzimba.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - i-MRI): Ukuskena kwe-MRI kubalulekile ekuxilongeni ukungasebenzi kahle kwemizwa yesithupha , ikakhulukazi kubantu abangaphansi kweminyaka engama-50. Lokhu kuhlolwa kungaveza izithombe ezicacile zezicubu ezingaphakathi kwekhanda lakho, okuhlanganisa ne-abducens nerve kanye nezicubu zobuchopho ezizungezile. Lokhu kungasiza ekususeni noma ekususeni izimo ezingathi sína noma eziyingozi, njengesifo sohlangothi, umdlavuza, noma izimila.

Kuphathwa kanjani lokhu?

Kunezindlela eziningi zokwelapha lokhu, futhi ngokuvamile ziwela ezigabeni ezimbili:

1. Iyini imbangela yalokhu kungasebenzi, ungakuyeka kanjani?

2. Ukwelapha imiphumela yalokhu kungasebenzi kahle, futhi uma kungenzeka, ukuyibuyisela esimweni esijwayelekile, uma kudingeka.

Isici esiyinhloko imbangela. Kodwa nezinye izici nazo zidlala indima. Ezimweni eziningi, ukungasebenzi kahle kwemizwa yesithupha kuyaphela ngokwako uma imbangela eyisisekelo seyelashwe. Njengoba kunezici eziningi ezisetshenziswa ekunqumeni ukwelashwa okungcono kakhulu kwalokhu, udokotela wakho angakunikeza ulwazi mayelana nezinketho zokwelapha ezingcono kakhulu kuwe. Angakwazi ukwenza ulwazi luhambisane nesimo sakho kanye nezidingo zakho.

Kubantu abaningi, ukwelashwa okuncane noma akukho okudingekayo nhlobo. Uma isimo sakho sibonakala singadingi ukwelashwa ekuqaleni, udokotela wakho noma uchwepheshe wamehlo cishe uzoncoma ukuvakashelwa okulandelayo. Ukwelashwa kwe-glaucoma kuyadingeka kuphela uma kudingeka. Kodwa-ke, ukwelashwa kwemiphumela ye-glaucoma, noma izimpawu, kuvame ukwenziwa.

Ukwelapha imiphumela yokungenzi lutho kulula kakhulu, ngokuvamile kugxile ekunciphiseni noma ekumiseni izimpawu. Ezinye izindlela zokwelapha ezingasiza ngalokhu zifaka:

• Ukugqoka i-eye patch noma i-filter: Ukumboza iso elilodwa kukuvimbela ekuboneni kokubili. Lokhu kungenxa yokuthi umbono ovela esweni elilodwa kuphela ofinyelela ebuchosheni. Kuye ngesimo sakho, udokotela wakho angancoma ukuthi ugqoke i-eye patch ngezinye izikhathi noma ngaso sonke isikhathi. Kukhona nezihlungi ezigqokwayo ezinganamathiselwa ezibukweni, ezisebenza ngendlela efanayo ngoba zihlunga ukukhanya.
• Umjovo we-OnabotulinumtoxinA: Lo muthi ungavimba okwesikhashana izimpawu ukuthi zingahambi ngemithambo ephathwayo. Ungajovwa eduze kwemithambo ethile ukunciphisa ukudikiza kwamehlo.
• Ukuhlinzwa kwe-Strabismus:Kunezindlela eziningana zokuhlinzwa ezingasiza ngokungasebenzi kahle kwemizwa yesithupha. Ezinye zazo zithuthukisa ukulawulwa kwemisipha ye-lateral rectus uma ibuthakathaka. Ezinye izindlela zokuhlinzwa zithatha ingxenye yemisipha ekolunye uhlangothi lweso lakho (ethola izimpawu ezivela komunye umsipha) bese ziyiphoqa ukuthi isebenze njengale misipha ye-lateral rectus.
• Ukulungiswa kwe-Prism: Lokhu kungaba amadivayisi amancane, anezingqimba eziningi anganamatheliswa kumalensi akho engilazi. Noma, amalensi akho engilazi angenziwa ngokulungiswa kwe-prism okwakhelwe kuwo. I-prism igoba ukukhanya. Uma igobile nge-engeli efanele, kwenza kube lula ukuthi amehlo akho agxile futhi abone izinto.

Izinkinga/imiphumela emibi yokuhlinzwa

Ukuhlinzwa kwe-Strabismus ngezinye izikhathi kungalungisa noma kulungise ngokweqile ukungasebenzi kahle kwenzwa yesithupha. Uma lokhu kwenzeka, umehluko ungalungiswa ngokulungiswa kwe-prism. Lokhu kungalungisa ukulungiswa okungaphelele noma kuguqule ukulungiswa ngokweqile.

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Isikhathi sokululama ngemva kokwelashwa siyahlukahluka kumuntu nomuntu. Udokotela wakho angakutshela ukuthi yini ongayilindela kuye ngesimo sakho esithile.

Ezinye izindlela zokwelapha zisebenza ngokushesha, zinikeza impumuzo ezimpawini. Isibonelo salokhu ukufaka i-eye patch. Kuvimba ukubona kwelinye iso futhi kumise ngokushesha ukubona kuzo zombili. Ukulungiswa kwe-Prism nakho kunganikeza impumuzo esheshayo, kodwa kungathatha izinsuku noma amasonto ukuzivumelanisa nakho ngokugcwele - kuye ngokuthi kungakanani ukulungiswa.

Yini okufanele ngiyilindele uma ngine-Sixth Nerve Palsy?

I-Sixth Nerve Palsy ngokuvamile ayisongeli impilo, kodwa ingaphazamisa impilo yethu yansuku zonke. Ingaphazamisa umsebenzi wesikole, umsebenzi, izinto esizithandayo, kanye nemisebenzi yomphakathi. Ingaphinde ingakhululeki. Ungase ube nesiyezi, isicanucanu, kanye nekhanda elibuhlungu.

Uma unezimpawu zokungasebenzi kahle kwemizwa yesithupha, ikakhulukazi ukungakwazi ukubheka ngaphandle (noma kunoma iyiphi indlela obheka ngayo), kufanele nakanjani ubone udokotela. Esikhathini esiningi, lokhu kuyinkinga encane. Kodwa ngezinye izikhathi kungabangelwa yisimo esibucayi kakhulu. Indlela engcono kakhulu yokwandisa amathuba akho okuthola umphumela omuhle ukuthola ukuxilongwa bese uqala ukwelashwa ngokushesha okukhulu .

I-Sixth Nerve Palsy ihlala isikhathi esingakanani?

Ukuthi lokhu kuhlala isikhathi esingakanani kungahluka. Kwezinye izimo, njenge-migraines, kungahlala amahora ambalwa. Kwezinye izimo, kungahlala isikhathi eside, kusukela ezinyangeni ezintathu kuya kweziyisithupha. Kwezinye izimo, kungaba yisimo esihlala njalo. Udokotela wakho ungumuntu ongcono kakhulu ongakhuluma naye ngalokho okungenzeka kwenzeke kuwe nokuthi yini ongayenza ukuze unciphise isikhathi okukuthinta ngaso, noma ukuzivumelanisa nemiphumela yako.

Iyini ikusasa lalesi simo?

Sekukonke, umbono wokungasebenzi kahle kwemizwa yesithupha muhle. Kubantu abaningi, kuyisimo sesikhashana esizixazulula ngokwaso noma ngokwelashwa kwembangela eyisisekelo.

Kodwa-ke, kwezinye izimo, kungabangelwa yizimo ezibucayi kakhulu. Lokhu kuyiqiniso ikakhulukazi uma lesi simo senzeka kumuntu ongaphansi kweminyaka engama-50, futhi/noma sithinta amehlo womabili. Kodwa-ke, kuhlale kungumqondo omuhle ukufuna iseluleko sezokwelapha uma unezimpawu zokungasebenzi kahle kwemizwa yesithupha. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungenza umehluko phakathi kokululama okuphelele kanye nemiphumela yesikhathi eside (mhlawumbe ehlala njalo).

Ingabe i-Sixth Nerve Palsy ingavinjelwa?

Kuyinto eyenzeka ngokuzumayo nangokungalindelekile. Izimo zezokwelapha eziyisisekelo ezibangela lokhu azihlali ziyibangela, futhi ngezinye izikhathi imbangela ayitholakali. Ngakho akunakwenzeka ukuyivimbela ngokuphelele. Kodwa-ke, kunezinto esingazenza ukuze sinciphise ingozi yokuthi kwenzeke ngenxa yezizathu ezithile. Isibonelo:

• Gqoka imishini yokuzivikela uma kudingeka: Ukulimala ekhanda, ikakhulukazi ukuxhuzula kanye nokulimala kobuchopho okubuhlungu , kungabangela ukungasebenzi kahle kwemizwa yesithupha. Ukugqoka imishini yokuzivikela - ikakhulukazi izigqoko zokuzivikela, ukuvikela ikhanda, kanye namabhande esihlalo - kubaluleke kakhulu ukuvimbela lesi simo.
• Lawula izimo zakho ezingamahlalakhona: Ezinye izimo, njengesifo sikashukela sohlobo 2 kanye nomfutho wegazi ophakeme, zingalawulwa. Uma kudingeka, udokotela wakho angakunikeza isiqondiso kanye nezinketho zokwelapha.
• Ungakushayi indiva ukutheleleka: Uma unezimpawu zokutheleleka ezingapheli ngemva kwezinsuku ezimbalwa, bona udokotela. Ukutheleleka ngamagciwane kudinga ama-antibiotic ukuvimbela ukutheleleka ukuthi kungabhebhetheki noma kusakazeke. Kodwa khumbula, ama-antibiotic awasebenzi kuma-virus, futhi ukutheleleka ngamagciwane kufanele kuphele ngokwako noma ngokunakekelwa okusekelayo.

Ngizinakekela kanjani?

Uma une-Sixth Nerve Palsy, udokotela wakho uzokuqondisa ukuthi ungayiphatha kanjani kanye nezimo eziyisisekelo (uma zikhona) ezingase ziyibangele. Kubaluleke kakhulu ukulandela imiyalelo yabo, ikakhulukazi uma kukhulunywa ngokulawula izimpawu zakho. Ukugqoka amaski, izihlungi, noma amanye amadivayisi okulungisa kubalulekile, njengoba kungakusiza ukuthi ululame ngokushesha futhi kunciphise izimpawu ezingakhululekile.

Kufanele ngimbone nini udokotela wami, noma kufanele ngifune nini iseluleko sezokwelapha?

Kufanele uqhubeke nokuvakasha okulandelayo njengoba kunconywe udokotela wakho ukuze uqaphe izinguquko esimweni sakho futhi ulungise ukwelashwa kwakho uma kudingeka. I-Sixth Nerve Palsy akuyona into ephuthumayo, kodwa yisimo esidinga ukuxilongwa nokwelashwa ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Nazi ezinye imibuzo ongase ufune ukubuza udokotela wakho:

• Iyini imbangela yokungasebenzi kahle kwemizwa yami yesithupha, futhi ingabe zikhona izimbangela ezibonakalayo noma izici ezibangela lokhu ezingelashwa?
• Ingabe lokhu kuthinte ezinye izinzwa zekhanda noma izicubu eziseduze?
• Yiziphi izimpawu okufanele ngizilindele?
• Yini engingayenza ukuze nginciphise izimpawu zami?
• Ingabe kukhona ukwelashwa okunganciphisa ubukhulu bezimpawu zami zamanje noma okungisheshise ukululama?
• Yini engingayenza ukuvimbela lokhu ukuthi kungenzeki futhi (ukuphindaphinda)?

Okokugcina, khumbula (Umyalezo Wokuya Ekhaya)

Ngakho-ke, ngemva kwakho konke lokhu kukhuluma, cishe uyaqonda ukuthi iyini i-Sixth Nerve Palsy. Akuyona into okufanele uyesabe, ngokuvamile ingeyesikhashana, futhi ingelapheka ngokwelashwa. Kodwa-ke, njengoba kushiwo ngaphambili, ngezinye izikhathi kungaba khona imbangela enkulu ngemuva kwayo.

Ngakho-ke, uma ukuthola kunzima ukubheka eceleni, uma ubona eyodwa noma ezimbili, noma uma unezinye izimpawu ezishiwo ngenhla, sicela ufune iseluleko sezokwelapha ngokushesha. Ukuthola imbangela nokuqala ukwelashwa ngokushesha ngangokunokwenzeka kuzokusiza ukuthi ululame ngokushesha futhi ugweme izinkinga zesikhathi eside. Ngemuva kwalokho ungagxila ezintweni ezibalulekile empilweni ngaphandle kokuvinjelwa yimiphumela yalesi simo.

` Isifo Sokukhubazeka Kwezinzwa Sesithupha, Isifo Sokukhubazeka Kwezinzwa Esiqeda Ukukhubazeka, Ukudikiza Kwamehlo, Ukubona Okubili, Ukukhubazeka, Izifo Zamehlo, Izifo Zezinzwa