Ngezinye izikhathi sibone izimo lapho amehlo ezingane ezincane noma abantu abadala engaqondiswanga ohlangothini olufanayo. Abanye abantu babiza lokhu ngokuthi "i-strabismus". Lesi simo, lapho iso elilodwa libukeka liqondile kanti elinye iso liphenduka ohlangothini oluhlukile, senza abanye abantu bazizwe benamahloni futhi kwenza kube nzima ukubhekana nomphakathi. Kodwa lesi yisimo sezokwelapha esivame ukwelashwa nokulungiswa. Ngakho ikhambi eliyinhloko neliphumelela kakhulu kulokhu ukuqondisa amehlo ngokuhlinzwa kwemisipha. Sikhuluma ngalokhu kuhlinzwa namuhla, okungukuthi, i-Strabismus Surgery.
Kalula nje, kuyini ukuhlinzwa kwe-Strabismus?
Ukuhlinzwa kwe-Strabismus kuwukuhlinzwa kwemisipha yamehlo okwenziwa ukulungisa ukuma kwamehlo akho, okungukuthi, ukuwaqondisa emgqeni ofanayo. Amehlo ethu ahamba phambili naphambili, phezulu naphansi, ngosizo lwemisipha emincane ewazungezile (imisipha yamehlo). Ngakho-ke, kulokhu kuhlinzwa, ukuma kwamehlo kulungiswa ngokuqinisa noma ukukhulula leyo misipha kancane. Bese, amehlo akho womabili ajwayela ukubuka ndawonye, ngasohlangothini olufanayo.
Ubani odinga lokhu kuhlinzwa?
Cishe u-5% wabantu emhlabeni unalesi simo samehlo (strabismus). Uma amehlo akho engaqondile kahle, okusho ukuthi unesicanucanu, futhi ezinye izindlela zokwelapha, njengezibuko, azisizanga, udokotela wakho wamehlo angancoma lokhu kuhlinzwa. Lokhu kuhlinzwa kuvame ukwenziwa ezinganeni ezincane , kodwa kungenziwa nakubantu abadala .
Lokhu kuhlinzwa kungadingeka uma kukhona izimo ezilandelayo:
| Igama Lesimo (Igama Lezokwelapha) | Incazelo elula |
|---|---|
| I-Exotropia | Iso elilodwa noma womabili ohlangothini lwezindlebe, okungukuthi, ukuphendukela ngaphandle . |
| I-Esotropia | Iso elilodwa noma womabili aphendukela ngaphakathi, okungukuthi, ngasekhaleni . (Yilokhu abantu abaningi abakubiza ngokuthi 'ukugoba'). |
| I-Hypertropia | Ukuphendulela iso elilodwa phezulu uma liqhathaniswa nelinye. |
| I-Hypotropia | Iso elilodwa libheke phansi uma liqhathaniswa nelinye. |
| Izimo ezibangelwa yisifo sohlangothi | Ngezinye izikhathi, ngemva kwesimo esifana nokukhubazeka, ukulawula amehlo kungathinteka, okuholela kulolu hlobo lokudlidliza. |
| I-Nystagmus | Ukunyakaza kwamehlo okusheshayo okungalawuleki. Ngezinye izikhathi kwenziwa nokuhlinzwa ngenxa yalokhu. |
Zikhona yini izinhlobo zalezi zinhlinzeko?
Yebo, lokhu kuhlinzwa kungenziwa esweni elilodwa noma kuwo womabili amehlo. Uma kwenziwa kuwo womabili amehlo, kubizwa ngokuthi "ukuhlinzwa kwe-Bilateral strabismus." Kunezindlela eziningana udokotela alawula ngazo imisipha esweni lakho.
- Ukususwa: Lokhu kuhilela ukusika ingxenye encane yomsipha weso bese uyifinyeza . Umsipha ube usuqina bese udonsa iso liye kolunye uhlangothi.
- Ukugoqa: Lena futhi indlela yokuqinisa imisipha. Kodwa-ke, lapha, ingcezu ayinqunywa futhi isuswe. Esikhundleni salokho, imisipha iyagoqwa bese kufakwa umthungo ngaphandle .
- Ukwehla: Lokhu kuhilela ukususa umsipha weso lapho unamathele khona esweni, ukuwuhambisa kancane emuva, bese uwunamathisela kabusha . Umsipha ube usuphumula bese iso liphendukela kolunye uhlangothi.
Ngezinye izikhathi, ikakhulukazi kubantu abadala, kwenziwa "ukuhlinzwa okulungisekayo". Lokhu kusho ukuthi ngemva kokuhlinzwa sekuphelile futhi ubuye uqaphile, udokotela angashukumisa izithungo emisipheni yeso kancane ukuze alungise indawo yeso.
Kwenzekani ngaphambi kokuhlinzwa?
Ngaphambi kokuhlinzwa, udokotela wakho uzokubuza imibuzo embalwa.
- Umlando wakho wezokwelapha ophelele . Lokhu kusho izifo zakho zangaphambilini nezamanje, ukuhlinzwa, njll.
- Uma wake wahlinzwa imisipha yamehlo ngaphambilini, khuluma nodokotela wakho ngalolo hlinzwa.Kuzodingeka ubheke imibiko emidala (imibiko yokusebenza).
- Kufanele utshele udokotela wakho ngayo yonke imithi kanye nezithasiselo ozisebenzisayo, ikakhulukazi imithi yokunciphisa igazi.
- Ingabe wena noma omunye emndenini wakho wake waba nezinkinga nge -anesthesia ?
- Ingabe une-allergies kunoma yimiphi imithi ?
Uzohlangana nodokotela wezinzwa ezinsukwini ezimbalwa ngaphambi kokuhlinzwa kwakho. Uzokutshela ukuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngaphambi kokuhlinzwa. Ngokuvamile, ngeke uvunyelwe ukudla noma ukuphuza noma yini kusukela phakathi kwamabili ngobusuku obandulele. Ungase futhi ucelwe ukuthi uyeke ukuthatha imithi ethile izinsuku ezimbalwa ngaphambi kokuhlinzwa.
Ngaphezu kwalokho, amehlo akho azophinde ahlolwe ngaphambi kokuhlinzwa ukuze kuqinisekiswe ukuthi yimiphi imisipha okudingeka ihlinzwe.
Kwenzekani ngesikhathi sokuhlinzwa?
Akukho okufanele ukhathazeke ngakho, lokhu kuyindlela yokuhlinzwa ephephile kakhulu. Nakhu okwenzekayo ngesikhathi sokuhlinzwa:
1. Uzonikezwa umuthi ngomthambo (ngomjovo - IV).
2. Bonke abantwana kanye nabantu abadala abaningi banikezwa umuthi wokubulala izinzwa ojwayelekile. Lokhu kusho ukuthi uzolala ngokuphelele phakathi nokuhlinzwa futhi ngeke uzwe lutho. Abanye abantu abadala banganikwa nomuthi oqeda amehlo kuphela futhi ubenze bazizwe belele kancane.
3. Ithimba lokuhlinzwa lizoqhubeka nokuqapha izimpawu zakho ezibalulekile, njengokushaya kwenhliziyo yakho nokuphefumula.
4. Kusetshenziswa ithuluzi elikhethekile (i-eye speculum) ukugcina iso lakho livulekile.
5. Udokotela wenza ukusika okuncane olwelwesini oluncane olumboza ingxenye emhlophe yeso (i-conjunctiva).
6. Ngemuva kwalokho, umsipha okudingeka uhlinzwe ubanjwa ngehuku elikhethekile, uphakanyiswe phezulu, bese kwenziwa noma yiziphi izinguquko ezidingekayo (njengokufushanisa noma ukukhulula).
7. Ngemva kokwenza ukulungisa okudingekayo, umsipha uhlanganiswa kabusha neso nge -sutures encibilikayo , bese i-incision ivalwa.
8. Ekugcineni, ithuluzi elalibambe iso livulekile liyasuswa bese kufakwa amaconsi noma amafutha emehlweni.
Lonke lolu hlinzwa luvame ukuthatha imizuzu engama-30 kuya emahoreni amabili .
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoyiswa ekamelweni lokululama. Ithimba lezokwelapha lizoqapha isimo sakho uze ulungele ukuya ekhaya.
- Umuntu omdala onokwethenjelwa kuzodingeka akuphelezele uye ekhaya. Uzocelwa ukuba ahlale nawe amahora angama-24 ngemva kokuhlinzwa.
- Kuzodingeka uphumule futhi ugweme ukuzikhandla ngokweqile izinsuku ezimbalwa kuya kwesonto.
- Amaconsi noma amafutha agcotshwe udokotelaKufanele uyisebenzise ngesikhathi esifanele.
- Uma kuziwa ebuhlungwini, bangase bakutshele ukuthi uthathe umuthi wokuqeda izinhlungu njengeParacetamol noma mhlawumbe i-Ibuprofen.
- Qiniseka ukuthi ubuza ngokucacile ukuthi yini okufanele uyiqaphele ngemva kokuhlinzwa nokuthi kufanele ukhulume nini nodokotela.
Yiziphi izinzuzo zokwenza lokhu kuhlinzwa?
Inzuzo eyinhloko yalokhu kuhlinzwa yindlela amehlo akho asebenzisana ngayo, okusho ukuthi umbono ongcono onezinhlangothi ezintathu (3D) . Lokhu kubaluleke kakhulu ezinganeni ezincane.
Nakuba izibuko zamehlo ziqondile, ukucaca kokubona kwakho ngeke kushintshe ngalolu hlinzo. Lokhu kusho ukuthi uma ugqoka izibuko, kuzodingeka uzigqoke ngemva kohlinzo. Kodwa-ke, abantu abaningi bathi bazizwa beqiniseka kakhulu ngokubukeka kwabo ngemva kwalolu hlinzo.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Ukuhlinzwa kwe-Strabismus kuyindlela ephephile kakhulu , kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile.
- Ukuphinda kwe-squint: Ngezinye izikhathi, ngemva kwesikhathi esithile ngemva kokuhlinzwa, amehlo angase abuyele esimweni sawo sakudala noma angase aphambuke kakhulu aye kwesokudla.
- Ukutheleleka: Igciwane lingangena esweni bese libangela ukutheleleka.
- Ukopha: Kungase kube nokopha okuncane.
- Ukungezwani komzimba nemithi noma izinzwa: Lokhu akuvamile kakhulu.
- I-Diplopia: Ungase ubone izinto ngazimbili izinsuku ezimbalwa ngemva kokuhlinzwa.
- Izibazi: Kungase kwakheke isibazi esincane endaweni emhlophe yeso.
- Ijwabu eligobile (i-Ptosis): Akuvamile ukuthi ijwabu ligobile kancane.
- Ukulimala engxenyeni emhlophe yeso (i-sclera): Lokhu futhi kuyinkinga engavamile kakhulu.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Ngemva kokuhlinzwa, kuzodingeka uphumule izinsuku ezimbalwa kuya esontweni elilodwa noma amabili. Amehlo akho azoba bomvu amasonto ambalwa . Ungase uzwe nobuhlungu noma umuzwa wokugcwala emehlweni akho. Kungathatha amasonto amathathu kuya kwayi-12 ukuthi amehlo akho aphole ngokuphelele.
Okubalulekile:
- Ungashayeli kuze kube yilapho udokotela wakho ekuyala ukuthi ushayele.
- Gwema amachibi okubhukuda, ama-sauna, noma ama-hot tub amasonto amabili ngemva kokuhlinzwa. Lokhu kungasiza ekuvimbeleni ukutheleleka.
Ufuna ukubona udokotela futhi ngasiphi isikhathi?
Uma unezinye zezimpawu ezilandelayo, shayela udokotela wakho ngokushesha.
| Izimpawu okufanele uziqaphele |
|---|
| Uma ubuhlungu bamehlo bukhula usuku nosuku esikhundleni sokuncipha. |
| Uma uzizwa sengathi umbono wakho uya ngokuya uba buthaka . |
| Uma ubona izimpawu zokutheleleka (isib. umkhuhlane, ukuphuma kwegazi esweni, ukwanda kokubomvu kwengxenye emhlophe yeso, ukuvuvukala kwejwabu leso ). |
| Uma kuvela isilonda noma iqhubu elibomvu engxenyeni emhlophe yeso. |
| Uma unezinye izimpawu ezikwenza uzizwe ungakhululekile noma usola. |
Eminye imibuzo evame ukubuzwa
Kuthatha isikhathi esingakanani ukubona ababili?
Ungase ube ne-diplopia izinsuku ezimbalwa ngemva kokuhlinzwa. Kwabanye abantu, kungase kuhlale isikhathi eside. Uma unenkinga ngalokhu, khuluma nodokotela wakho wamehlo.
Ngingakwazi yini ukubuyela embhedeni ngemva kokuhlinzwa?
Yebo, ngezinye izikhathi kungadingeka ukuhlinzwa okungaphezu kokukodwa ukuze kulungiswe ngokuphelele i-squint. Lokhu kuyiqiniso ikakhulukazi ezinganeni ezihlinzwa zisencane.
Ingabe ngidinga ukugqoka izibuko ngemva kokuhlinzwa?
Yebo, uzoqhubeka nokugqoka izibuko. Ukuhlinzwa kwe-Strabismus akushintshi umuthi wakho noma ukucaca kokubona kwakho. Kulungisa kuphela ukuma kwamehlo akho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Strabismus kuyindlela ephephile kakhulu futhi ephumelelayo yokulungisa ukungalungi kwamehlo.
- Lokhu kuhlinzwa kungenziwa kokubili ezinganeni nakubantu abadala.
- Lokhu akugcini nje ngokulungisa indawo yamehlo, kodwa futhi kuthuthukisa umbono we-3D futhi kwandisa ukuzethemba.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngemva kokuhlinzwa (ikakhulukazi ukusetshenziswa kwamaconsi amehlo nokuphumula).
- Lokhu kuhlinzwa ngeke kushintshe imithi yakho kadokotela. Kuzodingeka uqhubeke nokugqoka izibuko ukuze ugcine umbono ocacile.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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