Anisocoria

I-Anisocoria ingalingani usayizi womfundi. Umfundi uyingxenye emnyama enkabeni yeso. Iyakhula ngokukhanya okuncane futhi ibe mncane ekukhanyeni okukhanyayo.

Umehluko omncane ngosayizi wabafundi utholakala kubantu abangafika kwabangu-1 kwabangu-5 abaphilile. Imvamisa, umehluko wobubanzi ungaphansi kuka-0.5 mm, kepha ungafika ku-1 mm.

Izingane ezizalwe zinabafundi abahlukene abangahle zingabi nayo inkinga yokugula. Uma amanye amalungu omndeni nawo enabafundi abafanayo, umehluko wosayizi wabafundi ungaba ufuzo futhi akukho okumele ukhathazeke ngakho.

Futhi, ngezizathu ezingaziwa, abafundi bangahluka okwesikhashana ngosayizi. Uma zingekho ezinye izimpawu futhi uma abafundi bebuyela kokujwayelekile, ngakho-ke akuyona into okufanele ukhathazeke ngayo.

Ubungako bezitshudeni ezingalingani ezingaphezulu kwe-1 mm ezikhula kamuva empilweni futhi ezingabuyeli kusayizi olinganayo kungaba uphawu lweso, ubuchopho, umthambo wegazi, noma isifo sezinzwa.

Ukusetshenziswa kwamaconsi wamehlo kuyimbangela ejwayelekile yokushintsha okungenabungozi ngosayizi womfundi. Eminye imithi engena emehlweni, kufaka phakathi umuthi ovela kuma-inhalers e-asthma, ingashintsha usayizi womfundi.

Ezinye izimbangela zosayizi ongalingani wabafundi zingafaka:

• I-Aneurysm ebuchosheni
• Ukopha ngaphakathi kogebhezi okudalwe ukulimala ekhanda
• Isimila sobuchopho noma ithumba (njenge, izilonda ze-pontine)
• Ukucindezela ngokweqile esweni elilodwa okubangelwa i-glaucoma
• Ukwanda kwengcindezi yokungasebenzi, ngenxa yokuvuvukala kobuchopho, ukopha okungapheli, isifo sohlangothi, noma isimila esingasebenzi
• Ukutheleleka kolwelwesi oluzungeze ubuchopho (meningitis noma i-encephalitis)
• Ikhanda le-Migraine
• Ukudlikizela (umehluko wosayizi womfundi ungahlala isikhathi eside ngemuva kokuphela kokudlikiza)
• Isimila, isisindo, noma i-lymph node esifubeni esingenhla noma i-lymph node edala ingcindezi emsipheni kungadala ukwehla kokujuluka, umfundi omncane, noma ijwabu leso elilelayo konke ohlangothini oluthintekile (i-Horner syndrome)
• Isifo sikashukela se-oculomotor nerve palsy
• Ngaphambi kokuhlinzwa kwamehlo kwe-cataract
  

Ukwelashwa kuya ngesizathu sosayizi womfundi ongalingani. Kufanele ubone umhlinzeki wezempilo uma unezinguquko ezingazelelwe eziholela kusayizi womfundi ongalingani.

Xhumana nomhlinzeki uma unezinguquko eziphikelelayo, ezingachazwanga, noma ezingazelelwe ngosayizi womfundi. Uma kukhona ushintsho lwakamuva ngosayizi wabafundi, kungaba uphawu lwesimo esibi kakhulu.

Uma unosayizi ohlukile womfundi ngemuva kokulimala kweso noma ekhanda, thola usizo lwezokwelapha ngokushesha.

Njalo funa usizo lwezokwelapha ngokushesha uma ubukhulu obuhlukile bomfundi buvela kanye no:

• Ukubona okufiphele
• Umbono ophindwe kabili
• Ukuzwela kweso ekukhanyeni
• Imfiva
• Ubuhlungu bekhanda
• Ukulahleka kombono
• Isicanucanu noma ukuhlanza
• Ubuhlungu bamehlo
• Intamo eqinile

Umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo mayelana nezimpawu zakho nomlando wezokwelapha, kufaka phakathi:

• Ingabe lokhu okusha kuwe noma abafundi bakho bake baba ngosayizi abahlukile phambilini? Kwaqala nini?
• Ngabe unezinye izinkinga zombono ezinjengokubona okufiphele, ukubona kabili, noma ukuzwela okukhanyayo?
• Ngabe kukhona ukulahleka kombono onakho?
• Ingabe unezinhlungu zamehlo?
• Ingabe unezinye izimpawu ezinjengokuphathwa ikhanda, isicanucanu, ukuhlanza, umkhuhlane noma intamo elukhuni?

Ukuhlolwa okungenziwa kufaka phakathi:

• Izifundo zegazi ezinjenge-CBC nokwehluka kwegazi
• Izifundo ze-Cerebrospinal fluid (ukubhoboza i-lumbar)
• I-CT scan yekhanda
• I-EEG
• Iskena sekhanda le-MRI
• I-Tonometry (uma kusolwa i-glaucoma)
• Ama-X-ray entanyeni

Ukwelashwa kuya ngesizathu senkinga.

Ukukhuliswa komfundi oyedwa; Abafundi besayizi ehlukile; Amehlo / abafundi usayizi ohlukile

• Umfundi ojwayelekile

UBaloh RW, uJen JC. Neuro-ophthalmology. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 396.

UCheng KP. I-Ophthalmology. Ku: Zitelli, BJ, McIntire SC, Nowalk AJ, ama-eds. UZitelli noDavis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2018: isahluko 20.

UTrettell MJ, uRucker JC. Ukungajwayelekile kwepupillary nejwabu leso. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 18.