I-Esotropia

Umxholo

• Iimpawu ze-esotropia
• Oonobangela
• Izinketho zonyango
• I-Esotropia kwiintsana ngokuchasene nabantu abadala
• Imbonakalo kunye neengxaki

Ushwankathelo

I-Esotropia yimeko yamehlo apho elinye okanye omabini amehlo akho ajikele ngaphakathi. Oku kubangela ukubonakala kwamehlo awele. Le meko inokukhula nangaliphi na ixesha.

I-Esotropia iza ngeendlela ezahlukeneyo:

• rhoqo i-esotropia: iliso lijike ngaphakathi ngalo lonke ixesha
• i-esotropia engapheliyo: iso lijikela ngaphakathi kodwa hayi ngalo lonke ixesha

Iimpawu ze-esotropia

Nge-esotropia, amehlo akho awazalathisi kwindawo enye okanye ngexesha elinye eyedwa. Ungakuqaphela oku xa uzama ukujonga into ephambi kwakho kodwa unokuyibona ngokupheleleyo ngeliso elinye.

Iimpawu ze-esotropia zinokuqapheleka nakwabanye. Usenokungakwazi ukuxelela ngokujonga esipilini ngokwakho, ngenxa yokungalunganga.

Elinye iliso linokuwela ngaphezulu kwelinye. Oku kudla ngokubizwa ngokuba "liliso elonqenayo."

Oonobangela

I-Esotropia ibangelwa kukungalungelelani kwamehlo (strabismus). Ngelixa i-strabismus inokuba lilifa, ayingawo onke amalungu osapho aya kuphuhlisa uhlobo olufanayo. Abanye abantu bakhulisa i-esotropia, ngelixa abanye benokuphuhlisa amehlo ajika ajonge ngaphandle endaweni (exotropia).

NgokweKholeji yoNyango yoPhuhliso loMbono, i-esotropia lolona hlobo luqhelekileyo lwe-strabismus. Ngokubanzi, ukuya kuthi ga kwipesenti ezi-2 zabantu abanale meko.

Abanye abantu bazalwa benesotropia. Oku kubizwa ngokuba yi-esotropia yokuzalwa. Le meko inokuphinda ikhule kamva ebomini ukusuka ekuboneni ukubonwa kude okanye ezinye iimeko zonyango. Oku kubizwa ngokuba yi-esotropia efunyenweyo. Ukuba ubona kude kwaye unganxibi iiglasi, uxinzelelo oluqhubekayo emehlweni akho ekugqibeleni ungabanyanzela kwindawo enqamlezileyo.

Oku kulandelayo kunokunyusa umngcipheko we-esotropia:

• isifo seswekile
• Imbali yosapho
• ukuphazamiseka kwemfuza
• hyperthyroidism (idlala lengqula)
• ukuphazamiseka kwemithambo-luvo
• ukuzalwa ngaphambi kwexesha

Ngamanye amaxesha i-esotropia inokubangelwa zezinye iimeko ezingaphantsi. Oku kubandakanya:

• iingxaki zamehlo ezibangelwa sisifo se-thyroid
• Ukuphazamiseka kwentshukumo yamehlo ethe tyaba (iDuane syndrome)
• i-hydrocephalus (ulwelo olugqithisileyo kwingqondo)
• ukungaboni kakuhle
• ukubetha

Izinketho zonyango

Amanyathelo onyango olu hlobo lwesimo samehlo luxhomekeke kubukrakra, kunye nokuba unexesha elingakanani unalo. Isicwangciso sakho sonyango sinokuhluka ngokuxhomekeke ekubeni ukungalungelelaniswa kakuhle kuchaphazela elinye okanye amehlo omabini.

Abantu abane-esotropia, ngakumbi abantwana, banokugqoka iiglasi zamehlo ukunceda ukulungisa ukungalungelelani. Ngamanye amaxesha, unokufuna iiglasi zokubona kude.

Utyando lunokuba lukhetho kwiimeko ezinzima. Nangona kunjalo, esi sicwangciso sonyango sisetyenziselwa ikakhulu iintsana. Ugqirha lujolise ekoluleni amehlo ngokulungelelanisa ubude bezihlunu ezijikeleze amehlo.

Inaliti yeBotulinum (Botox) inokusetyenziswa kwezinye iimeko. Oku kunceda ukunciphisa inani elincinci le-esotropia. Ngokunjalo, umbono wakho unokulungelelaniswa. IBotox ayisetyenziswanga njengezinye iindlela zokhetho ze-esotropia.

Ezinye iintlobo zokwenza umthambo wamehlo nazo zinokunceda. Ezi zihlala zibizwa ngokuba lonyango lombono. Umzekelo, ugqirha wakho unokucebisa ukubeka isicatshulwa samehlo ngaphezulu kweliso elingafumanekiyo. Oku kuyanyanzelisa ukuba usebenzise iliso elingalunganga, eliqinisa kwaye linceda ukuphucula umbono. Ukuzivocavoca kwamehlo kunokuqinisa izihlunu ezijikeleze iliso ukuphucula ulungelelwaniso.

I-Esotropia kwiintsana ngokuchasene nabantu abadala

Iintsana ezine-esotropia zinokuba neliso elinye elibonakala lilungelelana ngaphakathi. Oku kubizwa ngokuba yintsana esotropia. Njengoko umntwana wakho ekhula, unokwazi ukubona imiba ngombono we-binocular. Oku kunokubangela ubunzima ngokulinganisa umgama weethoyi, izinto kunye nabantu.

NgokweYunivesithi yaseTexas Southwestern Medical Centre, iintsana ezinale meko zihlala zifunyaniswa phakathi kweenyanga ezintandathu ukuya kwezili-12 ubudala. Utyando lunokufuneka.

Ukuba i-strabismus ibaleka kusapho lwakho, unokucinga ukuba amehlo omntwana wakho ajongiwe njengesilumkiso. Oku kwenziwa yingcali ebizwa ngokuba ngugqirha wamehlo okanye ugqirha wamehlo. Baza kulinganisa umbono womntwana wakho ngokubanzi, kunye nokujonga naluphi na uhlobo lokungalungelelani kakuhle kwiliso elinye okanye kokubini. Kubalulekile, ngakumbi ebantwaneni, ukunyanga i-strabismus ngokukhawuleza ukuthintela nakuphi na ukulahleka kombono kwiso elijikiweyo.

Ukuba elinye iliso lomelele kunelinye, ugqirha unokuqhuba olunye uvavanyo. Banokulinganisa umntwana wakho nge-astigmatism, kunye nokufuphi okanye ukubona kude.

Abantu abaphuhlisa amehlo aweleyo kamva ebomini banento ebizwa ngokuba yi-esotropia efunyenweyo. Abantu abadala abanolu hlobo lwe-esotropia bahlala bekhalaza ngokubona kabini. Rhoqo, imeko iyaziveza xa imisebenzi yemihla ngemihla ebonakalayo iba nzima. Oku kubandakanya:

• ukuqhuba
• kufundwa
• ukudlala imidlalo
• ukwenza imisebenzi enxulumene nomsebenzi
• ukubhala

Abantu abadala abane-esotropia efunyenweyo abanokufuna utyando. Iiglasi kunye nonyango zinokwanela ukunceda ukulungisa umbono wakho.

Imbonakalo kunye neengxaki

Ukushiya kunganyangwa, i-esotropia inokukhokelela kwezinye iingxaki zamehlo, ezinje:

• iingxaki zombono we-binocular
• umbono-mbini
• ukulahleka kombono we-3-D
• ukulahleka kombono kwelinye okanye omabini amehlo

Imbonakalo ngokubanzi yale meko yamehlo ixhomekeke kubukhali kunye nohlobo. Kuba i-esotropia yeentsana ihlala inyangwa isencinci, abantwana abanjalo banokufumana iingxaki ezimbalwa kumbono kwixa elizayo. Abanye banokufuna iiglasi zokubona kude. Abantu abadala abane-esotropia efunyenweyo banokufuna unyango kwimeko engaphantsi okanye iiglasi ezikhethekileyo zokunceda ngokulungelelaniswa kwamehlo.