I-Esotropia

-Delile

• Izimpawu ze-esotropia
• Izimbangela
• Izinketho zokwelashwa
• I-Esotropia ezinganeni uma kuqhathaniswa nabantu abadala
• Ukubukeka nezinkinga

Ukubuka konke

I-Esotropia yisimo samehlo lapho iso lakho elilodwa noma womabili ejika ngaphakathi. Lokhu kubangela ukuvela kwamehlo awele. Lesi simo singakhula nganoma yisiphi isikhathi.

I-Esotropia nayo iza ngama-subtypes ahlukene:

• i-esotropia engaguquki: iso liphendukele ngaphakathi ngaso sonke isikhathi
• i-esotropia engaphakathi: iso liphendukela ngaphakathi kepha hhayi ngaso sonke isikhathi

Izimpawu ze-esotropia

Nge-esotropia, amehlo akho awaziqondisi endaweni eyodwa noma ngasikhathi sinye ngokwawo. Ungakubona lokhu lapho uzama ukubheka into ephambi kwakho kepha ukwazi ukuyibona ngokuphelele ngamehlo owodwa.

Izimpawu ze-esotropia nazo zingabonakala kwabanye. Ungahle ungakwazi ukusho ngokuzibuka ngokwakho esibukweni, ngenxa yokungahambi kahle.

Iso elilodwa lingase liwele ngaphezu kwelinye. Lokhu kuvame ukubizwa ngokuthi "iso elvilaphayo."

Izimbangela

I-Esotropia idalwa ukungahambi kahle kwamehlo (strabismus). Ngenkathi i-strabismus ingaba ifa, akuwona wonke amalungu omndeni azokwakha uhlobo olufanayo. Abanye abantu bahlakulela i-esotropia, kanti abanye bangathuthukisa amehlo aphendukela ngaphandle esikhundleni (exotropia).

Ngokwe-College of Optometrists in Vision Development, i-esotropia iyindlela ejwayelekile kakhulu ye-strabismus. Sekukonke, kufika kumaphesenti ama-2 abantu abanalesi simo.

Abanye abantu bazalwa benesotropia. Lokhu kubizwa nge-congenital esotropia. Isimo singaphinde sikhule ngokuhamba kwesikhathi empilweni kusuka ekuboneni kude okungalashwa noma kwezinye izimo zezokwelapha. Lokhu kubizwa ngokuthi yi-esotropia etholakele. Uma ubheka kude futhi ungazifaki izibuko, ukucindezela okuqhubekayo emehlweni akho kungagcina kubaphoqelele ukuba bawele.

Okulandelayo kungakhuphula nobungozi bakho be-esotropia:

• isifo sikashukela
• umlando womndeni
• ukuphazamiseka kofuzo
• i-hyperthyroidism (indlala yegilo esebenzayo)
• ukuphazamiseka kwemizwa
• ukuzalwa ngaphambi kwesikhathi

Kwesinye isikhathi i-esotropia ingabangelwa ezinye izimo ezingaphansi. Lokhu kufaka phakathi:

• izinkinga zamehlo ezibangelwa yisifo se-thyroid
• ukuphazamiseka kokuhamba kwamehlo okuvundlile (iDuane syndrome)
• i-hydrocephalus (uketshezi oluningi ebuchosheni)
• ukungaboni kahle
• unhlangothi

Izinketho zokwelashwa

Izinyathelo zokwelashwa zalolu hlobo lwesimo semehlo zixhomeke ebucayi, kanye nokuthi unesikhathi esingakanani unaso. Uhlelo lwakho lokwelashwa lungahluka futhi ngokuya ngokuthi ukungalungiswa kahle kuthinta yini iso elilodwa noma womabili.

Abantu abane-esotropia, ikakhulukazi izingane, bangagqoka izibuko zamehlo zokusiza ukulungisa ukungahambi kahle. Kwezinye izimo, ungadinga izibuko zokubona kude.

Ukuhlinzwa kungaba yindlela yamacala abucayi. Kodwa-ke, lolu hlelo lokwelashwa lusetshenziselwa kakhulu izinsana. Ukuhlinzwa kugxila ekuqondiseni amehlo ngokulungisa ubude bemisipha ezungeze amehlo.

Imijovo ye-Botulinum toxin (Botox) ingasetshenziswa kwezinye izimo. Lokhu kusiza ukunciphisa inani elincane le-esotropia. Ngokulandelayo, umbono wakho ungahambisana. IBotox ayisetshenziswa njengezinye izindlela zokwelashwa ze-esotropia.

Izinhlobo ezithile zokuzivocavoca iso nazo zingasiza. Lokhu kuvame ukubizwa ngokuthi ukwelashwa kombono. Isibonelo, udokotela wakho angancoma ukubeka isichibi seso phezu kweso elingathintekile. Lokhu kukuphoqa ukuthi usebenzise iso elingalungisiwe, eliyiqinisayo futhi lisize ukwenza ngcono umbono. Ukuzivocavoca ngeso nakho kungaqinisa imisipha ezungeze iso ukuthuthukisa ukuqondanisa.

I-Esotropia ezinganeni uma kuqhathaniswa nabantu abadala

Izinsana ezine-esotropia zingaba neso elilodwa elibonakala liqondana ngaphakathi. Lokhu kubizwa nge-infantile esotropia. Njengoba ingane yakho ikhula, ungabona izingqinamba ngombono we-binocular. Lokhu kungadala ubunzima ngokulinganisa ibanga lamathoyizi, izinto nabantu.

Ngokusho kwe-University of Texas Southwestern Medical Center, izinsana ezinalesi sifo zivame ukutholakala zinezinyanga eziyisithupha kuya kwezi-12 ubudala. Ukuhlinzwa kungadingeka.

Uma i-strabismus isebenza emndenini wakho, ungacabanga ukuthi amehlo engane yakho ahlolwe njengenye yezinyathelo. Lokhu kwenziwa ngungoti obizwa nge-ophthalmologist yezingane noma udokotela wamehlo. Bazolinganisa umbono ophelele wengane yakho, futhi babheke noma yiluphi uhlobo lokungalungi kahle kwelinye noma kuwo womabili amehlo. Kubalulekile, ikakhulukazi ezinganeni, ukwelapha i-strabismus ngokushesha ngangokunokwenzeka ukuvimbela noma yikuphi ukulahleka kombono esweni eliguquliwe.

Uma iso elilodwa linamandla kunelinye, udokotela angaqhubeka nokuhlola. Futhi bangalinganisa ingane yakho nge-astigmatism, kanye nokuba seduze noma ukubona kude.

Abantu abaqala ukuwela ngamehlo kamuva empilweni banalokho okubizwa ngokuthi yi-esotropia etholakele. Abantu abadala abanalolu hlobo lwe-esotropia bahlala bekhononda ngombono ophindwe kabili. Imvamisa, isimo siziveza lapho imisebenzi yokubuka yansuku zonke iba nzima ngokwengeziwe. Lokhu kufaka phakathi:

• ukushayela
• kuyafundwa
• ukudlala imidlalo
• ukwenza imisebenzi ehlobene nomsebenzi
• ukubhala

Abantu abadala abane-esotropia etholakele kungenzeka bangadingi ukuhlinzwa. Izibuko nokwelashwa kunganele ukusiza ukuqondisa umbono wakho.

Ukubukeka nezinkinga

Ukushiywe ungelashwa, i-esotropia ingaholela kwezinye izinkinga zamehlo, njenge:

• izinkinga zombono we-binocular
• ukubona kabili
• ukulahleka kombono we-3-D
• ukulahleka kombono kwelinye noma womabili amehlo

Umbono jikelele walesi simo sehlo kuncike ebukhulwini nohlobo. Njengoba i-esotropia yezinsana ivame ukwelashwa isencane, izingane ezinjalo zingase zibe nezinkinga ezimbalwa zokubona ngokuzayo. Abanye bangadinga izibuko zokubona kude. Abantu abadala abane-esotropia etholakele bangadinga ukwelashwa ngesimo esingaphansi noma izibuko ezikhethekile ukusiza ngokuqondaniswa kwamehlo.