Mosiyana ndi zomwe munthu angaganize, ukalamba sindiwo womwe umatsogolera khungu lamaso, chifukwa chachikulu ndi Kukula kosayenera kwa levator chikope minofu. Ngati vutoli lilipo pobadwa, kulowererapo nthawi yomweyo kupewa mavuto ena.
Maso komanso mawonekedwe ake onse, ndi crux ya nkhope yonse. Tinaganiza kuti mutha kukhala ndi chidwi chopeza milungu mankhwala achilengedwe a maso akudzitukumula.
Eyelid ptosis zizindikiro
Eyelidi ptosis ndilo dzina laukadaulo la vuto lakope la droopy, koma ndizizindikiro ziti zomwe zimakupangitsani kuzindikira kuti china chake chalakwika? Chowonekera kwambiri ndichakutikutsikira limodzi kapena zikope ziwiri.
Zizindikiro zina ndizo:
- Zovuta kutseka kapena kutsegula maso
- Pakatikati / mwamphamvu khungu likungoyang'ana ndi kuzungulira chikope
- Kutopa ndi zowawa kuzungulira maso, makamaka masana
- Sinthani mawonekedwe a nkhope
Maonekedwe a chikope chothothoka akhoza kukhala okhazikika pakapita nthawi, kukula pang'onopang'ono pazaka kapena kukhala wapakatikati. Komanso, chikope chotsamira sichingatchulidwepo, kapena kuphimba kwathunthu mwana wasukulu ndi iris.
M'mavuto akulu chikopa ptosis può khalani otsekereza kuwona makamaka zikakhudza zikope zonse ziwiri. Nthawi zina, itha kukhala yokhayokha tangotchula kumene choncho sichidziwika nthawi yomweyo.
Chikope chothothoka Zitha kutero mophweka sintha mawonekedwe a munthu osasokoneza thanzi lawo, koma nthawi zina atha kukhala chizindikiro chochenjeza matenda aakulu, zomwe ndi zosangalatsa minofu, misempha, maso kapena ubongo.
La chikopa ptosis itha kudziwonetsanso yokha kwa masiku ochepa kapena kwa maola ochepa ndipo ndi chizindikiro cha mavuto akulu azachipatala. Zikatero, dziwitsani dokotala nthawi yomweyo.
Kuphatikiza apo matendawa nthawi zina amakhala yokhudzana ndi strabismus ndipo zikakhudza ana, chizolowezi ndicho Yendetsani mutu wanu ndikukweza nsidze zanu kuyesa kuwona bwino. Khalidweli, lobwerezedwa pakapita nthawi, limatha kubweretsa mutu ndi "ocular khosi ouma", Kuyambitsa mavuto am'khosi ndi kuchedwa kwachitukuko.
Kutulutsa chikope: zomwe zimayambitsa
Kutulutsa chikope nthawi zambiri kumachitika ndi ukalamba, minofu ya khungu ikayamba kufooka. Akuluakulu, chifukwa chofala kwambiri cha ptosis ndimatenda a levator, chifukwa chovulala kapena zovuta zina za opaleshoni yamaso.
Zina zomwe zimayambitsa chikope chotsamira ndi:
- kuvulala
- zotupa m'maso
- matenda amitsempha
- shuga
- kumwa mankhwala opioid
- kugwiritsa ntchito mankhwala osokoneza bongo komanso kugwiritsa ntchito mankhwala osokoneza bongo
Kutengera choyambitsa, titha kusiyanitsa mitundu yosiyanasiyana ya chikope ptosis:
- Myogenic ptosis: ndichifukwa chofooka kwa levator minofu, yodziwika kwa odwala omwe ali kale ndi matenda ena amaso.
- Matenda a neurogenic ptosis: pamene mitsempha yomwe imayendetsa levator palpebrae imakhudzidwa.
- Aponeurotic ptosis: amatanthauza ukalamba kapena zotsatira zakutsogolo.
- Mawotchi ptosis: amachokera kulemera kwa chikope chomwe chimalepheretsa kuyenda kwake kolondola. Mawotchi ptosis amatha chifukwa chakupezeka kwa misala monga fibroids ndi angiomas.
- Ptosis yoopsa: Amachitika pakutsuka kwa chikope ndikutulutsa minofu ya levator.
- Neurotoxic ptosis: ndi chizindikiro chachizungu cha poyizoni, chomwe chimafuna chithandizo mwachangu.
Matenda a dokotala
Yekhayo amene angazindikire chikope chotsamira ndi dokotala komanso wabwinobe, yemwe angayese mosamala zikope zonse ziwirizo, kuyang'ana chotchinga chonse cha diso.
Musanapite kukayezetsa zovuta, miyezo yotsatirayi imapangidwa ndendende:
- Kutsekemera kwa eyelidi: Mtunda pakati pa chikope chakumtunda ndi chakumunsi molunjika molunjika pakati pa mwana;
- Mtunda wapatsogolo ukuwonetsedwa: mtunda pakati pa likulu la pupillary light reflex ndi kumtunda ndi kutsika kwa chikope.
- Ntchito ya Levator.
- Kutalika kwa khola la khungu kuchokera kumtunda kwa chivindikiro chapamwamba.
Zina angathe kuthandiza kudziwa chifukwa cha chikope ptosis ali:
- Kutalika kwa zikope;
- Mphamvu yamitsempha yamalembo;
- Kusuntha kwa diso
- Zovuta pakupanga misozi;
- Kutseka kwa incomolete mkombero wa chikope;
- Kukhalapo / kupezeka kwa masomphenya awiri, kutopa kwa minofu kapena kufookakuvuta kuyankhula kapena kumeza mutu, kumva kulasalasa.
Kuti afotokozere bwino chithandizo chothandiza kwambiri, nthawi zina amafufuza zowonjezerapo ndi dokotala wa maso. Mwachitsanzo, ngati wodwala akupereka zizindikiro za vuto la ubongo kapena ngati kuyezetsa kwa diso kukuwonetsa misa mkati mwazitsulo. Poterepa, amafunsidwa mayeso enieni.
Momwe mungachiritse chikope chotsamira
M'milandu yocheperako kuposa chikope chothothoka, zina zitha kukhala zokwanira zolimbitsa thupi zolimbitsa minofu yoyenera kukweza chikope. Pali magalasi ndi magalasi enieni kuti athe kuthandizira chikope ndikupewa opaleshoni.
Kuwongolera a vuto lalikulu la chikope cha ptosis, yankho lokhalo ndilo amachita opaleshoni, kudzera pakulowererapo komwe kumangopachika e kumalimbitsa minofu ya levator, ndi zotsatira zabwino komanso pankhani ya aesthetics.
Ngati panthawiyi dokotalayo azindikira izi minofu ya chikopa ndi yofooka kwambiri, atha kusankha kulumikiza chikope ndi nsidze, komanso idzakhala minofu ya pamphumi yomwe ili ndi ntchito yokweza.
Pambuyo pa opaleshoni ndi zachilendo kusakhoza kutseka kwathunthu, koposa zonse ndikofunikira kudziwa kuti zodabwitsazi zitha kukhala milungu iwiri kapena zitatu.
Nthawi zina pangafunike kutero kulowereranso kwachiwiri makamaka kupanga zikope ziwiri ndizofanana bwino.
Zovuta zomwe zingachitike pambuyo pa blepharoplasty ndizo:
- kutaya magazi kwambiri
- matenda m'deralo
- zipsera ndi kuwonongeka kwa minyewa ya nkhope kapena minofu
Odwala omwe ali ndi khungu la ptosis, ayenera kukhala amafufuzidwa pafupipafupi ndi dokotala wa maso kuwunika momwe vutoli likuyendera, ngakhale sanachitidwe opaleshoni.
Matenda omwe amabwera chifukwa cha chikope chakugwa
Pali mndandanda wonse wa matenda omwe angapangitse chiopsezo chokhala ndi khungu la ptosis. Ndi ati? Nawu mndandanda.
- shuga
- Matenda a Horner's
- Myasthenia gravis
- Chilonda
- Zovuta zakubadwa
- Khansara yaubongo kapena zovuta zina zomwe zingakhudze mitsempha kapena kusintha kwa minofu
- Kufa ziwalo kapena kuvulala kwa mitsempha yachitatu (oculomotor nerve)
- Kupwetekedwa mutu kapena zikope
- Chifuwa cha Bell (kuwonongeka kwa mitsempha ya nkhope)
- Kusokonekera kwa minofu
