Ijwabu lehla

Ukujikisa kwejwabu leso ukuxegisa ngokweqile kwejwabu leso eliphezulu. Umphetho wejwabu leso eliphezulu ungaba ngaphansi kunalokho obekufanele ukwenze (i-ptosis) noma kube nesikhumba esithe xaxa esikhwameni sejwabu leso (dermatochalasis). Ukujula kwejwabu leso ngokuvamile kuyinhlanganisela yezimo zombili.

Inkinga ibizwa nangokuthi i-ptosis.

Ijwabu leso elixegayo livame kakhulu ngenxa yalokhu:

• Ukubuthakathaka kwemisipha ephakamisa ijwabu leso
• Ukulimala kwezinzwa ezilawula leso sicubu
• Ukuxega kwesikhumba samajwabu aphezulu

Ukudonsa ijwabu leso kungaba:

• Kubangelwa inqubo yokuguga ejwayelekile
• Yethula ngaphambi kokuzalwa
• Umphumela wokulimala noma isifo

Izifo noma ukugula okungaholela ekujuleni kwejwabu leso kufaka:

• Isimila ezungeze noma ngemuva kweso
• Isifo sikashukela
• Isifo se-Horner
• I-Myasthenia gravis
• Unhlangothi
• Ukuvuvukala ijwabu leso, njengokuthi nge-stye

Ukudonsa kungahle kube khona kwelinye noma kuzo zombili izinkophe kuye ngesizathu. Isivalo singamboza iso elingaphezulu kuphela, noma wonke umfundi angambozwa.

Izinkinga ngombono zivame ukuba khona:

• Ekuqaleni, kungumqondo nje wokuthi inkambu yombono ephezulu kakhulu iyavalwa.
• Lapho ijwabu leso elilengayo limboza inhlamvu yeso, ukubona kungavinjelwa ngokuphelele.
• Izingane zingabuyisa ikhanda lazo emuva ukuzisiza ukuthi zibone ngaphansi kwejwabu leso.
• Ukukhathala nobuhlungu obuzungeze amehlo nakho kungaba khona.

Ukwanda kokudabuka naphezu komuzwa wamehlo omile kungaqashelwa.

Lapho ukulenga kungakolunye uhlangothi kuphela, kulula ukukuthola ngokuqhathanisa izinkophe ezimbili. Ukudonsa kunzima ukuthola uma kwenzeka ezinhlangothini zombili, noma uma kunenkinga encane kuphela. Ukuqhathanisa izinga lamanje lokujula nenani eliboniswe ezithombeni ezindala kungakusiza ukuthi ubone ukuqhubeka kwenkinga.

Kuzokwenziwa ukuhlolwa komzimba ukuthola imbangela.

Ukuhlolwa okungenziwa kufaka phakathi:

• Ukuhlolwa kwesibani
• Ukuhlolwa kweTensilon kwe-myasthenia gravis
• Ukuhlolwa kwenkambu ebonakalayo

Uma kutholakala isifo, sizokwelashwa. Izimo eziningi zezinkophe ezilengayo kungenxa yokuguga futhi asikho isifo esithintekayo.

Ukuhlinzwa kokuphakamisa ijwabu leso (i-blepharoplasty) kwenziwa ukulungisa amajwabu amehlo aphezulu alengayo.

• Ezimweni ezinzima, kungenziwa ukuthuthukisa ukubukeka kwamajwabu amehlo.
• Ezimweni ezinzima kakhulu, ukuhlinzeka kungadingeka ukulungisa ukuphazanyiswa kombono.
• Ezinganeni ezine-ptosis, ukuhlinzeka kungadingeka ukuvimbela i-amblyopia, ebizwa nangokuthi "iso elvilaphayo."

Ijwabu leso elinciphayo lingahlala lingaguquguquki, liba libi ngokuhamba kwesikhathi (qhubeka), noma lize lihambe (libe phakathi)

Umphumela olindelekile uncike embangela ye-ptosis. Ezimweni eziningi, ukuhlinzwa kuphumelela kakhulu ekubuyiseleni ukubukeka nokusebenza.

Ezinganeni, ijwabu leso elilele ngokwengeziwe lingaholela esweni lamavila noma e-amblyopia. Lokhu kungaholela ekulahlekelweni kombono wesikhathi eside.

Xhumana nomhlinzeki wakho wezempilo uma:

• Ukujikisa kwejwabu leso kuthinta ukubukeka kwakho noma umbono wakho.
• Ijwabu leso elilodwa licwila noma livale ngokungazelelwe.
• Ihlotshaniswa nezinye izimpawu, ezifana nokubona kabili noma ubuhlungu.

Bheka udokotela wamehlo (ophthalmologist) we:

• Ukudonsa izinkophe ezinganeni
• Ukujula okusha noma okushintsha ngokushesha kwejwabu leso kubantu abadala

IPtosis, iDermatochalasis; Blepharoptosis; Ukukhubazeka kwemizwa yesithathu - i-ptosis; Amajwabu amehlo e-Baggy

• I-Ptosis - ukujula kwejwabu leso

I-Alghoul M. Blepharoplasty: i-anatomy, ukuhlela, amasu nokuphepha. Ukuhlinzwa kwe-Aesthet J . 2019; 39 (1): 10-28. I-PMID: 29474509 pubmed.ncbi.nlm.nih.gov/29474509/.

UCioffi GA, uLiebmann JM. Izifo zohlelo olubonakalayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 395.

UFriedman O, uZaldivar RA, uWang TD. I-Blepharoplasty. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 26.

U-Olitsky SE, uMarsh JD. Ukungajwayelekile kwamabhodlela. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 642.

IVargason CW, uNerad JA. I-Blepharoptosis. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 12.4.