Ukulungiswa kwezihlunu zamehlo

Ukulungiswa kwemisipha yamehlo lutyando ukulungisa iingxaki zemisipha yamehlo ebangela i-strabismus (amehlo awele).

Injongo yolu tyando kukubuyisela izihlunu zamehlo kwindawo efanelekileyo. Oku kuya kunceda amehlo ahambe ngokuchanekileyo.

Utyando lwemisipha yamehlo luhlala lusenziwa ebantwaneni. Nangona kunjalo, abantu abadala abaneengxaki zamehlo ezifanayo banokuyenza loo nto. Ngokuqhelekileyo abantwana baya kuba ne-anesthesia jikelele kwinkqubo. Baya kuba belele kwaye abayi kuva zintlungu.

Kuxhomekeke kwingxaki, elinye okanye omabini amehlo anokufuna utyando.

Emva kokuba i-anesthesia iqale ukusebenza, ugqirha wamehlo wenza usiko oluncinci kwizicwili ezicacileyo ezigubungela umhlophe wamehlo. Esi sihlunu sibizwa ngokuba sisihlanganisi. Emva koko ugqirha uya kufumana enye okanye nangaphezulu kwezihlunu zamehlo ezifuna utyando. Ngamanye amaxesha utyando luyomeleza umsipha, kwaye ngamanye amaxesha luyenza buthathaka.

• Ukomeleza umsipha, icandelo le-muscle okanye le-tendon linokususwa ukuze lenze lifutshane. Eli nyathelo lotyando kuthiwa yi-resection.
• Ukuze buthathaka isihlunu, sidityaniswe saya kwinqanaba elikude ngasemva kweliso. Eli nyathelo libizwa ngokuba kukudodobala koqoqosho.

Utyando lwabantu abadala luyafana. Kwiimeko ezininzi, abantu abadala bavukile, kodwa banikwa amayeza okuphelisa indawo kwaye babancede baphumle.

Xa inkqubo yenziwe kubantu abadala, kusetyenziswe isitshixo esihlengahlengisiweyo kwimisipha ebuthathaka ukuze utshintsho oluncinci lwenziwe kamva ngalo olo suku okanye ngosuku olulandelayo. Obu buchule buhlala buneziphumo ezilungileyo kakhulu.

I-Strabismus sisifo apho amehlo amabini engahambelani kwicala elinye. Ke ngoko, amehlo awajongi kwinto enye ngexesha elinye. Isimo saziwa kakhulu ngokuba "ngamehlo aweleyo."

Utyando lunokucetyiswa xa i-strabismus ingaphucuki ngeglasi okanye uqeqesho lwamehlo.

Umngcipheko kuyo nayiphi na i-anesthesia yile:

• Impendulo kumayeza okubulala iintlungu
• Iingxaki zokuphefumla

Iingozi zalo naluphi na utyando zezi:

• Ukopha
• Usulelo

Eminye imingcipheko kolu tyando ibandakanya:

• Usulelo lwenxeba
• Ukonakala kwamehlo (kunqabile)
• Umbono osisigxina kabini (onqabileyo)

Ugqirha wamehlo womntwana wakho unokucela:

• Imbali yonyango epheleleyo kunye novavanyo lomzimba ngaphambi kwenkqubo
• Imilinganiselo ye-Orthoptic (imilinganiselo yokuhamba kwamehlo)

Soloko uxelela umboneleli wezempilo womntwana wakho:

• Zeziphi iziyobisi ezithathwa ngumntwana wakho
• Faka naziphi na iziyobisi, amayeza, okanye iivithamini ozithengileyo ngaphandle kommiselo
• Malunga nakho nakuphi na ukwaliwa komzimba umntwana wakho anokuba nako kuwo nawaphi na amayeza, i-latex, iteyiphu, iisepha okanye izicoci zolusu

Ngexesha leentsuku ngaphambi kotyando:

• Malunga neentsuku ezili-10 ngaphambi kotyando, unokucelwa ukuba uyeke ukunika umntwana wakho iasprini, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nabanye abacoci gazi.
• Buza umboneleli womntwana wakho ukuba zeziphi iziyobisi umntwana wakho anokuzithatha ngosuku lotyando.

Ngomhla wotyando:

• Umntwana wakho uhlala ecelwa ukuba angaseli okanye atye nantoni na iiyure ezininzi ngaphambi kotyando.
• Nika umntwana wakho naziphi na iziyobisi ugqirha akuxelele ukuba uzinike umntwana wakho ngesiphuzo esincinci samanzi.
• Umboneleli okanye umongikazi womntwana wakho uya kukuxelela ukuba uza kufika nini kotyando.
• Umboneleli uya kuqinisekisa ukuba umntwana wakho usempilweni ngokwaneleyo ukuba angenza utyando kwaye akanayo imiqondiso yokugula. Ukuba umntwana wakho uyagula, utyando lunokulibaziseka.

Olu tyando aludingi kuhlala esibhedlele ixesha elininzi. Amehlo ahlala ethe tye kanye emva kotyando.

Ngelixa uchacha kwi-anesthesia nakwiintsuku zokuqala emva kotyando, umntwana wakho kufuneka akuphephe ukurabha amehlo. Ugqirha wakho uza kukubonisa indlela yokuthintela umntwana wakho ekuthambiseni amehlo akhe.

Emva kweeyure ezimbalwa zokuchacha, umntwana wakho angaya ekhaya. Kuya kufuneka utyelelo olulandelayo kunye nogqirha ogqirha iso kwiiveki ezi-1 ukuya kwezi-2 emva kotyando.

Ukuthintela usulelo, kuya kufuneka ubeke amathontsi okanye ioyile emehlweni omntwana wakho.

Utyando lwemisipha yamehlo ayilungisi umbono ombi weliso elinamavila (amblyopic). Umntwana wakho kungafuneka anxibe iiglasi okanye isikhephe.

Ngokubanzi, omncinci umntwana kuxa utyando lwenziwa, ngcono iziphumo. Amehlo omntwana wakho kufuneka abonakale aqhelekileyo kwiiveki ezimbalwa emva kotyando.

Ukulungiswa kwamehlo; Ukubuyiselwa kunye nokudodobala koqoqosho; Ukulungiswa kweStrabismus; Utyando olwenziwa kwimisipha eyongezelelweyo

• Ukulungiswa kwemisipha yamehlo - ukukhutshwa

• IiWalleyes
• Ngaphambi nasemva kokulungiswa kwe-strabismus
• Ukulungiswa kwemisipha yamehlo - uthotho

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U-Olitsky SE, uMarsh JD. Ukuphazamiseka kokuhamba kwamehlo kunye nokulungelelaniswa. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 641.

Iirobbins SL. Iindlela zokwenza utyando lwe-strabismus. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 11.13.

USharma P, uGaur N, uPhuljhele S, uSaxena R. Yintoni entsha kuthi kwi-strabismus? Indiya J Ophthalmol. Ngo-2017; 65 (3): 184-190. IINKCUKACHA: 28440246 pubmed.ncbi.nlm.nih.gov/28440246/.