Ukulungiswa kwemisipha yamehlo

Ukulungiswa kwemisipha yamehlo ukuhlinzwa ukulungisa izinkinga zemisipha yamehlo ezidala i-strabismus (amehlo awele).

Inhloso yalokhu kuhlinzeka ukubuyisela imisipha yamehlo endaweni efanele. Lokhu kuzosiza amehlo ahambe kahle.

Ukuhlinzwa kwemisipha yamehlo kuvame ukwenziwa ezinganeni. Kodwa-ke, abantu abadala abanezinkinga ezifanayo zamehlo kungenzeka ukuthi bakwenzile. Izingane zivame ukuba ne-anesthesia ejwayelekile yenqubo. Bazobe belele futhi ngeke babuzwe ubuhlungu.

Ngokuya ngenkinga, iso elilodwa noma womabili angadinga ukuhlinzwa.

Ngemuva kokuthi i-anesthesia iqale ukusebenza, udokotela ohlinzayo wamehlo usika kancane izicubu ezicacile ezimboze okumhlophe kweso. Lesi sicubu sibizwa ngokuthi i-conjunctiva. Ngemuva kwalokho udokotela ohlinzayo uzothola umsipha wamehlo owodwa noma ngaphezulu odinga ukuhlinzwa. Kwesinye isikhathi ukuhlinzwa kuqinisa imisipha, futhi kwesinye isikhathi kuyenze ibe buthakathaka.

• Ukuqinisa imisipha, isigaba semisipha noma ithenda singasuswa ukuze sisenze sibe sifushane. Lesi sinyathelo ekuhlinzeni kuthiwa yi-resection.
• Ukwenza buthakathaka imisipha, iphindwe yanamathiselwa endaweni ebheke ngasemuva kweso. Lesi sinyathelo sibizwa ngokwehla kwamandla omnotho.

Ukuhlinzwa kwabantu abadala kuyafana. Ezimweni eziningi, abantu abadala baphapheme, kepha banikezwa umuthi wokundikaza indawo futhi babasize baphumule.

Lapho inqubo yenziwa kubantu abadala, kusetshenziswa umucu ongaguquguqukayo kusisipha esibuthakathaka ukuze kwenziwe izinguquko ezincane ngokuhamba kosuku noma ngosuku olulandelayo. Le ndlela ivame ukuba nomphumela omuhle kakhulu.

IStrabismus yisifo lapho amehlo womabili angahleleli ohlangothini olufanayo. Ngakho-ke, amehlo awagxili entweni efanayo ngasikhathi sinye. Lesi simo saziwa kakhulu ngokuthi "amehlo awele."

Ukuhlinzwa kunganconywa lapho i-strabismus ingathuthuki ngezibuko noma izivivinyo zamehlo.

Izingozi zanoma iyiphi i-anesthesia yilezi:

• Ukusabela emithini yokubulala izinzwa
• Izinkinga zokuphefumula

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka

Ezinye izingozi zalokhu kuhlinzwa zifaka:

• Ukutheleleka kwamanxeba
• Ukulimala kweso (okungajwayelekile)
• Umbono ophindwe kabili ongapheli (ongajwayelekile)

Udokotela ohlinzayo wamehlo wengane yakho angacela:

• Umlando ophelele wezokwelapha nokuhlolwa komzimba ngaphambi kwenqubo
• Izilinganiso ze-Orthoptic (izilinganiso zokunyakaza kwamehlo)

Hlala utshela umhlinzeki wezokunakekelwa kwempilo yengane yakho ukuthi:

• Iziphi izidakamizwa ingane yakho ezidlayo
• Faka noma iziphi izidakamizwa, amakhambi, noma amavithamini owathengile ngaphandle kwencwadi kadokotela
• Nganoma yikuphi ukungezwani komzimba ingane yakho engaba nakho kunoma yimiphi imithi, i-latex, iteyipu, insipho noma izihlanza isikhumba

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Cishe izinsuku eziyi-10 ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukunika ingane yakho i-aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), kanye nanoma ibaphi abanye abahlinza igazi.
• Buza umhlinzeki wengane yakho ukuthi iziphi izidakamizwa ingane yakho okufanele isaziphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Ingane yakho izocelwa kaningi ukuthi ingaphuzi noma ingadli lutho amahora amaningi ngaphambi kokuhlinzwa.
• Nikeza ingane yakho noma imiphi imishanguzo udokotela wakho akutshele yona ukuthi uyinike ingane yakho ngesiphuzo esincane samanzi.
• Umhlinzeki noma umhlengikazi wengane yakho uzokutshela ukuthi uzofika nini ezohlinzwa.
• Umhlinzeki uzoqinisekisa ukuthi ingane yakho iphilile ngokwanele ukuthi ingahlinzwa futhi ayinazo izimpawu zokugula. Uma ingane yakho igula, ukuhlinzwa kungabambezeleka.

Ukuhlinzwa akudingi ukuhlala ubusuku bonke esibhedlela isikhathi esiningi. Amehlo avame ukuqonde ngqo ngemuva kokuhlinzwa.

Ngenkathi ululama ku-anesthesia nasezinsukwini ezimbalwa zokuqala ngemuva kokuhlinzwa, ingane yakho kufanele igweme ukugcoba amehlo ayo. Udokotela wakho ohlinzayo uzokukhombisa ukuthi ungavimbela kanjani ingane yakho ukuthi ihlikihle amehlo ayo.

Ngemuva kokululama amahora ambalwa, ingane yakho ingaya ekhaya. Kufanele ube nokuhambela okulandelayo nodokotela ohlinzayo wamehlo amasonto ayi-1 kuya kwayi-2 ngemuva kokuhlinzwa.

Ukuvimbela ukutheleleka, mhlawumbe kuzodingeka ubeke amathonsi noma amafutha emehlweni engane yakho.

Ukuhlinzwa kwemisipha yamehlo akulungisi umbono ompofu weso lamavila (amblyopic). Ingane yakho kungadingeka ukuthi ifake izibuko noma isichibi.

Ngokuvamile, lapho ingane isencane lapho ukuhlinzwa kwenziwa, kuba nomphumela ongcono. Amehlo engane yakho kufanele abukeke ejwayelekile emavikini ambalwa ngemuva kokuhlinzwa.

Ukulungiswa kwamehlo; Ukuphinda uhlangane nokwehla kwamandla omnotho; Ukulungiswa kwe-Strabismus; Ukuhlinzwa kwemisipha eyengeziwe

• Ukulungiswa kwemisipha yamehlo - ukukhishwa

• Ama-Walleyes
• Ngaphambi nangemva kokulungiswa kwe-strabismus
• Ukulungiswa kwemisipha yamehlo - uchungechunge

Izingubo ze-DK, i-Olitsky SE. Ukuhlinzwa kwe-Strabismus. Ku: ULambert SR, uLyons CJ, ama-eds. I-Pediatric Ophthalmology ne-Strabismus kaTaylor & Hoyt. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2017: isahluko 86.

U-Olitsky SE, uMarsh JD. Ukuphazamiseka kokuhamba kwamehlo nokuqondanisa. 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 641.

AmaRobbins SL. Amasu wokuhlinzwa kwe-strabismus. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 11.13.

USharma P, Gaur N, Phuljhele S, Saxena R. Yini okusha ngathi kwi-strabismus? Indiya J Ophthalmol. 2017; 65 (3): 184-190. I-PMID: 28440246 pubmed.ncbi.nlm.nih.gov/28440246/.