I-Anisocoria: yini, izimbangela eziyinhloko nokuthi yini okufanele uyenze

-Delile

• Izimbangela eziyisithupha ze-anisocoria
• 1. Amagalelo ekhanda
• 2. Migraine
• 3. Ukuvuvukala kwemizwa ye-optic
• 4. Isigaxa sobuchopho, i-aneurysm noma isifo sohlangothi
• 5. Umfundi ka-Adie
• 6. Ukusetshenziswa kwemithi nezinye izinto
• Uzoya nini kudokotela

I-Anisocoria yigama lezokwelapha elisetshenziselwa ukuchaza lapho abafundi benosayizi abahlukene, nelinye elihlanjululwe kakhulu kunelinye. I-Anisocoria uqobo ayizibangeli izimpawu, kepha okungaba umsuka wayo kungaveza izimpawu, njengokuzwela ekukhanyeni, ebuhlungwini noma ukungaboni kahle.

Imvamisa, i-anisocoria yenzeka lapho kunenkinga ohlelweni lwezinzwa noma emehlweni futhi, ngakho-ke, kubaluleke kakhulu ukuya ngokushesha kudokotela wezifo zamehlo noma esibhedlela ukuthola imbangela bese uqala ukwelashwa okufanele kakhulu.

Kukhona nabanye abantu abangahle babe nabafundi abahlukene nsuku zonke, kepha kulezi zimo, kuvamisile ukuthi kungabi uphawu lwenkinga, kumane nje kuyisici somzimba. Ngakho-ke, i-anisocoria kufanele ibe yisizathu se-alamu kuphela lapho ivela kusukela kumzuzu owodwa kuya komunye, noma ngemuva kwezingozi, ngokwesibonelo.

Izimbangela eziyisithupha ze-anisocoria

Kunezimbangela eziningana zokubonakala kwabafundi ngosayizi ohlukile, kepha ezijwayelekile kakhulu zifaka:

1. Amagalelo ekhanda

Uma ushaywa ngamandla ekhanda, ngenxa yengozi yomgwaqo noma ngesikhathi semidlalo enomthelela omkhulu, ngokwesibonelo, ukuhlukumezeka kwekhanda kungavela, lapho kuvela khona ukwephuka okuncane kugebhezi. Lokhu kungagcina kubangele ukopha ebuchosheni, okungabeka ingcindezi esifundeni esithile sobuchopho esilawula amehlo, sidale i-anisocoria.

Ngakho-ke, uma i-anisocoria ivela ngemuva kokushaywa ekhanda, kungaba uphawu olubalulekile lokopha kwegazi lobuchopho, ngokwesibonelo. Kepha kulezi zimo, ezinye izimpawu zingavela, njengokuphuma kwegazi emakhaleni noma ezindlebeni, ikhanda elibi kakhulu noma ukudideka nokulahlekelwa ibhalansi. Funda kabanzi mayelana nokuhlukumezeka ekhanda nezimpawu zako.

Okufanele ngikwenze: usizo lwezokwelapha kufanele lubizwe ngokushesha, lushayele abayi-192 nokugwema ukuhambisa intamo yakho, ikakhulukazi ngemuva kwezingozi zomgwaqo, njengoba kungenzeka kube nokulimala komgogodla.

2. Migraine

Ezimweni eziningana ze-migraine, ubuhlungu bungagcina buthinte amehlo, okungadala ukuthi ijwabu leso elilodwa lingagcini, kodwa futhi nomfundi oyedwa avuleke.

Imvamisa, ukuthola ukuthi i-anisocoria idalwa yi-migraine, udinga ukuhlola ukuthi zikhona yini ezinye izimpawu ze-migraine, ezinjengekhanda elibuhlungu kakhulu ikakhulukazi ohlangothini olulodwa lwekhanda, ukungaboni kahle, ukuzwela ekukhanyeni, ubunzima bokugxila noma ukuzwela umsindo.

Okufanele ngikwenze: indlela enhle yokuqeda ubuhlungu be-migraine ukuphumula egumbini elimnyama nelithulile, ukugwema izinto ezingaphandle, kodwa-ke, kukhona nezinye izixazululo ezinganconywa udokotela uma i-migraine ivame ukwenzeka. Okunye ongakwenza ukuphuza itiye le-sagebrush, njengoba kuyisitshalo esisiza ukuqeda ikhanda kanye ne-migraines. Nakhu ukuthi ungayilungisa kanjani le tiye.

3. Ukuvuvukala kwemizwa ye-optic

Ukuvuvukala kwe-optic nerve, okwaziwa nangokuthi i-optic neuritis, kungenzeka ngenxa yezimbangela eziningana, kepha kuvame ukuvela kubantu abanezifo ezizimele, njenge-multiple sclerosis, noma abanezifo ezinjenge-chicken pox noma isifo sofuba. Lapho kuvela, lokhu kuvuvukala kuvimbela ukudluliswa kwemininingwane kusuka ebuchosheni kuye esweni futhi, uma kuthinta iso elilodwa kuphela, kungaholela ekuveleni kwe-anisocoria.

Ezinye izimpawu ezijwayelekile ezimeni zokuvuvukala kwemizwa ye-optic zifaka phakathi ukulahleka kombono, ubuhlungu bokuhambisa iso ngisho nobunzima bokuhlukanisa imibala.

Okufanele ngikwenze: Ukuvuvukala kwemizwa ye-optic kudinga ukwelashwa nge-steroids enqunywe udokotela futhi, imvamisa, ukwelashwa kudinga ukuqalwa ngemijovo ngqo emthanjeni. Ngakho-ke, kungakuhle ukuthi uye esibhedlela ngokushesha, uma izimpawu zokushintsha kweso zivela kubantu abanezifo ezizimele noma ngokutheleleka ngegciwane.

4. Isigaxa sobuchopho, i-aneurysm noma isifo sohlangothi

Ngaphezu kokuhlukumezeka ekhanda, noma ikuphi ukuphazamiseka kobuchopho njengesimila esikhulayo, i-aneurysm noma isifo sohlangothi, kungabeka ingcindezi engxenyeni yobuchopho futhi kugcine kushintshe usayizi wabafundi.

Ngakho-ke, uma lolu shintsho lwenzeka ngaphandle kwesizathu esizwakalayo noma uma luhambisana nezimpawu ezinjengokuncinza engxenyeni ethile yomzimba, ukuzizwa uphelelwa amandla noma ubuthakathaka kolunye uhlangothi lomzimba, kufanele uye esibhedlela.

Okufanele ngikwenze: noma nini lapho kukhona ukusola kokuphazamiseka kobuchopho, kufanele uye esibhedlela ukuthola imbangela bese uqala ukwelashwa okufanele kakhulu. Bona okuningi ngokwelapha isimila sobuchopho, i-aneurysm noma unhlangothi.

5. Umfundi ka-Adie

Lesi yisifo esingajwayelekile lapho omunye wabafundi engasabeli ekukhanyeni, ahlala ehlanjululwa njalo, sengathi kuhlala kusendaweni emnyama. Ngakho-ke, lolu hlobo lwe-anisocoria lungabonakala kalula lapho luvezwa yilanga noma lapho lithwebula isithombe nge-flash, ngokwesibonelo.

Yize kungelona inkinga enkulu, kungadala ezinye izimpawu ezinjengokungaboni kahle, ubunzima bokugxila, ukuzwela ekukhanyeni nasekhanda elijwayelekile.

Okufanele ngikwenze: lesi sifo asinakho ukwelashwa okuthile, noma kunjalo, udokotela wezifo zamehlo angeluleka ukusetshenziswa kwezingilazi ngezinga ukuze kulungiswe ukufiphala nokufiphala, kanye nokusetshenziswa kwezibuko zelanga ukuvikela ukukhanya kwelanga, ukunciphisa ukuzwela.

6. Ukusetshenziswa kwemithi nezinye izinto

Eminye imishanguzo ingadala i-anisocoria ngemuva kokuyisebenzisa, njenge-clonidine, izinhlobo ezahlukahlukene zamaconsi wamehlo, ukunamathela kwe-scopolamine ne-aerosol ipratropium, uma kuthintana neso. Ngaphezu kwalokhu, ukusetshenziswa kwezinye izinto, njenge-cocaine, noma ukuxhumana nama-anti-flea collars noma izifutho zezilwane noma izinto ze-organophosphate nakho kungadala ushintsho kusayizi wabafundi.

Okufanele ngikwenze: uma kwenzeka ubuthi benziwe izinto noma ukusabela ngemuva kokusebenzisa izidakamizwa, kunconywa ukuthi ufune usizo lwezokwelapha ukuze ugweme izinkinga noma ushayele abayi-192 bese ucela usizo. Uma kwenzeka i-anisocoria ingenxa yokusetshenziswa kwemithi futhi izimpawu ezihambisanayo zikhona, udokotela kufanele abuyiswe ukuze ahlole ukushintshaniswa noma ukumiswa kwemithi.

Uzoya nini kudokotela

Cishe kuzo zonke izimo ze-anisocoria kuyalulekwa ukuxhumana nodokotela ukuthola imbangela, noma kunjalo, kungaba yisimo esiphuthumayo lapho izimpawu ezifana nalezi:

• Imfiva engaphezu kuka-38ºC;
• Ubuhlungu lapho unyakazisa intamo;
• Ukuzizwa uphela amandla;
• Ukulahleka kombono
• Umlando wokuhlukumezeka noma izingozi;
• Umlando wokuxhumana nobuthi noma ukusetshenziswa kwezidakamizwa.

Kulezi zimo, kufanele uye esibhedlela ngokushesha ngoba lezi zimpawu zingakhombisa ukutheleleka noma izinkinga ezinzima kakhulu, ezingenakulashwa ehhovisi likadokotela.