I-Ptosis - izinsana nezingane

I-Ptosis (ukujula kwejwabu leso) ezinganeni nasezinganeni kulapho ijwabu leso eliphezulu lingaphansi kunalokho okufanele libe yikho. Lokhu kungenzeka ngamehlo noma womabili. Ukudonsa ijwabu leso okwenzeka lapho kuzalwa noma kungakapheli unyaka wokuqala kubizwa ngokuthi yi-congenital ptosis.

I-Ptosis ezinganeni nasezinganeni imvamisa kungenxa yenkinga yemisipha ephakamisa ijwabu leso. Inkinga yezinzwa esigqokweni sejwabu leso nayo ingayibangela ukuba yehle.

I-Ptosis nayo ingenzeka ngenxa yezinye izimo. Ezinye zazo zifaka:

• Ukuhlukumezeka lapho uzalwa (njengokusebenzisa i-forceps)
• Ukuphazamiseka kokuhamba kwamehlo
• Izinkinga zobuchopho nezesistimu
• Izimila zamehlo noma ukukhula

Ukudonsa ijwabu leso okwenzeka kamuva ebuntwaneni noma ebudaleni kungaba nezinye izimbangela.

IZIMPAWU

Izingane ezine-ptosis zingaphonsa ikhanda lazo emuva ukuze zibone. Bangaphakamisa amashiya abo ukuzama ukunyusa ijwabu leso phezulu. Ungaqaphela:

• Ukudonswa kwelinye noma zombili izinkophe
• Ukwanda kwezinyembezi
• Umbono ovinjiwe (kusuka ekujuleni kwejwabu leso kanzima)

IZIVIVINYO NEzivivinyo

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba ukuthola imbangela.

Umhlinzeki naye angenza izivivinyo ezithile:

• Ukuhlolwa kwesibani
• Ukuhlolwa kwe-Ocular motility (ukunyakaza kwamehlo)
• Ukuhlolwa kwenkambu ebonakalayo

Olunye uvivinyo lungenziwa ukubheka izifo noma ukugula okungadala i-ptosis.

UKWELASHWA

Ukuhlinzwa kokuphakamisa ijwabu leso kungalungisa amajwabu amehlo aphezulu alengayo.

• Uma umbono ungathinteki, ukuhlinzwa kungalinda kuze kube yiminyaka yobudala engu-3 kuye kwengu-4 lapho ingane isikhule ikhudlwana.
• Ezimweni ezimbi kakhulu, ukuhlinzwa kuyadingeka ngokushesha ukuvimbela "iso elvilaphayo" (amblyopia).

Umhlinzeki uzophinda aphathe noma yiziphi izinkinga zamehlo ezivela ku-ptosis. Ingane yakho ingadinga:

• Gqoka isichibi seso ukuqinisa umbono esweni elibuthakathaka.
• Gqoka izingilazi ezikhethekile ukulungisa ijika elingalingani le-cornea elibangela ukungaboni kahle (astigmatism).

Izingane ezine-ptosis emnene kufanele zivivinywe iso njalo ukuqinisekisa ukuthi i-amblyopia ayikhuli.

Ukuhlinzwa kusebenza kahle ukuthuthukisa ukubukeka nokusebenza kweso. Ezinye izingane zidinga ukuhlinzwa okungaphezu kokukodwa.

Xhumana nomhlinzeki wakho uma:

• Uyabona ingane yakho inejwabu leso elilengayo
• Ijwabu leso elilodwa licwila noma livale ngokungazelelwe

Blepharoptosis - izingane; I-ptosis yokuzalwa; Ukudonsa ijwabu leso - izingane; Ukujula kwejwabu leso - amblyopia; Ukujula kwejwabu leso - i-astigmatism

• I-Ptosis - ukujula kwejwabu leso

UDowling JJ, North KN, Goebel HH, Beggs AH. I-myopathies ye-Congenital nezinye ezakhiwe. Ku: Darras BT, Jones HR, Ryan MM, DeVivo DC, eds. Ukuphazamiseka kweNeuromuscular of Childhood, Ubuntwana, nobusha. Okwesibili. I-Waltham, MA: I-Elsevier Academic Press; 2015: isahluko 28.

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.