Anisocoria

I-Anisocoria ayilingani nobungakanani bomfundi. Umfundi yinxalenye emnyama embindini wamehlo. Iya iba nkulu ekukhanyeni okungacacanga kwaye incinci ekukhanyeni okuqaqambileyo.

Umahluko omncinci kubungakanani babafundi ufunyanwa ukuya kuthi ga kwi-1 kubantu aba-5 abasempilweni. Rhoqo, umahluko wobudeki ungaphantsi kwe-0.5 mm, kodwa unokufikelela kwi-1 mm.

Iintsana ezizalwe zinabafundi abahlukeneyo abanako ukungabinangxaki. Ukuba amanye amalungu osapho nawo anabafundi abafanayo, umahluko wobungakanani bomfundi unokuba yimfuza kwaye akukho nto ixhalabisayo.

Kananjalo, ngenxa yezizathu ezingaziwayo, abafundi banokwahluka ngokobungakanani okwexeshana. Ukuba azikho ezinye iimpawu kwaye ukuba abafundi babuyela esiqhelweni, ayisiyonto yakuzixhalabisa ngayo.

Ubungakanani bomfundi ongalinganiyo ongaphezulu kwe-1 mm okhula mva ebomini kwaye angabuyeli kubungakanani obulinganayo inokuba luphawu lweliso, ingqondo, umthambo wegazi, okanye isifo se-nerve.

Ukusetyenziswa kwethontsi lamehlo kungunobangela oqhelekileyo wotshintsho olungenabungozi kubungakanani bomfundi. Amanye amayeza angena emehlweni, kubandakanya amayeza e-asthma inhalers, anokutshintsha ubungakanani bomfundi.

Ezinye izizathu zokungalingani komfundi ngokungalingani zinokubandakanya:

• I-Aneurysm kwingqondo
• Ukopha ngaphakathi kukakayi okubangelwa kukonzakala kwentloko
• Ithumba lobuchopho okanye ithumba (njenge, izilonda zepontine)
• Uxinzelelo olugqithisileyo kwiliso elinye elibangelwa yi-glaucoma
• Ukonyuka koxinzelelo lwangaphakathi, ngenxa yokuvuvukala kwengqondo, ukuphuma kwegazi ngaphakathi, ukubetha okuqatha, okanye ithumba elingaphakathi.
• Usulelo lweembrane ezijikeleze ingqondo (meningitis okanye encephalitis)
• Intloko ebuhlungu
• Ukuhlutha (umahluko wobungakanani bomfundi unokuhlala ixesha elide emva kokuba ukuthinjwa kuphelile)
• Ithumba, ubunzima, okanye i-lymph node kwisifuba esingasentla okanye i-lymph node ebangela uxinzelelo kwi-nerve kunokubangela ukwehla kokubila, umfundi omncinci, okanye ijwabu le-drooping konke kwicala elichaphazelekayo
• Isifo seswekile oculomotor luvo
• Phambi kotyando ngamehlo kwamehlo
  

Unyango luxhomekeke kwisizathu sobungakanani bomfundi ongalinganiyo. Kuya kufuneka ubone umboneleli wezempilo ukuba uneenguqulelo ngesiquphe ezikhokelela kubungakanani bomfundi ongalinganiyo.

Nxibelelana nomboneleli ukuba uhlala uqhubeka, ungachazwanga, okanye utshintsha ngesiquphe kubungakanani bomfundi. Ukuba kukho naluphi na utshintsho kutshanje kubungakanani bomfundi, inokuba luphawu lwesimo esibi kakhulu.

Ukuba ubungakanani bomfundi obahlukeneyo emva kokulimala kwamehlo okanye kwentloko, fumana uncedo lwezonyango kwangoko.

Soloko ufuna unyango kwangoko ukuba ubungakanani bomfundi obahlukeneyo benzeka kunye:

• Umbono omfiliba
• Umbono kabini
• Ubuntununtunu bamehlo ekukhanyeni
• Ifiva
• Intloko ebuhlungu
• Ukuphulukana nombono
• Isihlunu okanye ukugabha
• Intlungu yamehlo
• Intamo elukhuni

Umboneleli wakho uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga neempawu zakho kunye nembali yezonyango, kubandakanya:

• Ngaba le intsha kuwe okanye ngaba abafundi bakho bakhe baba nobukhulu obahlukileyo ngaphambili? Iqale nini?
• Ngaba unazo ezinye iingxaki zombono ezinje ngombono ongacacanga, umbono ophindwe kabini, okanye ubuntununtunu bokukhanya?
• Ngaba unayo nayiphi na ilahleko yombono?
• Ngaba unentlungu emehlweni?
• Ngaba unazo ezinye iimpawu ezinje ngentloko, isicaphucaphu, ukugabha, umkhuhlane, okanye intamo elukhuni?

Uvavanyo olunokwenziwa lunokubandakanya:

• Izifundo zegazi ezinjengeCBC kunye nokwahluka kwegazi
• Izifundo zeCerebrospinal fluid (ukugqobhoza empontshwa)
• Ukuvavanywa kwentloko kwe-CT
• I-EEG
• Iskena seNtloko seMRI
• I-Tonometry (ukuba ikrokrelwa i-glaucoma)
• X-reyi entanyeni

Unyango luxhomekeke kwisizathu sengxaki.

Ukwandiswa komfundi omnye; Abafundi bobukhulu obahlukeneyo; Amehlo / abafundi babungakanani obahlukeneyo

• Umfundi oqhelekileyo

IBaloh RW, uJen JC. Neuro-ophthalmology. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 396.

Cheng KP. Ophthalmology. Ku: Zitelli, BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 20.

UThurtell MJ, uRucker JC. Ukungaqheleki kwamehlo kunye neenkophe. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl 18.