Ngokuphikisana nalokho umuntu angakucabanga, ukuguga akuyona imbangela ehamba phambili yesikhumba se-droopy, empeleni, imbangela evame kakhulu Ukuthuthuka okungafanele kwemisipha yejwabu leso levator. Uma inkinga ikhona ngesikhathi sokuzalwa, kungcono ukungenelela ngokushesha ukugwema ukuphazamiseka okuqhubekayo.
Amehlo nokubukeka kukonke, yi i-crux yobuso bonke. Sicabange ukuthi ungaba nentshisekelo yokuthola onkulunkulu amakhambi emvelo wamehlo akhukhumezayo.
Izimpawu zejwabu leso ptosis
Ijwabu leso ptosis igama lobuchwepheshe le- Inkinga yejwabu leso, kodwa yiziphi izimpawu ezikwenza ubone ukuthi kukhona okungahambi kahle? Okusobala kakhulu yiukwehlisa okukodwa noma zombili izinkophe.
Ezinye izimpawu zifaka:
- Kunzima ukuvala noma ukuvula amehlo
- Ukuwohloka okulingene / okunzima kwesikhumba ngaphakathi naseduze kwejwabu leso
- Ukukhathala nezinhlungu ezizungeze amehlo, ikakhulukazi emini
- Shintsha ekubukekeni kobuso
Ukubukeka kwe- ijwabu leso eligobekile ingahlala izinzile ngokuhamba kwesikhathi, athuthuke kancane kancane ngokuhamba kweminyaka noma kube ngezikhathi ezithile. Ngaphezu kwalokho, ijwabu leso elixegayo lingakhonjiswa ngokulambisa, noma umboze ngokuphelele umfundi ne-iris.
Ezimweni ezimbi kakhulu ijwabu leso ptosis può thola ukuvimba ngokuphelele ukubona ikakhulukazi uma kuthinta zombili izinkophe. Kwezinye izimo, noma kunjalo, kungaba yedwa okusanda kushiwo ngakho-ke ayikhonjwa ngokushesha.
Ijwabu leso elixegayo futhi kalula shintsha ukubukeka komuntu ngaphandle kokuyekethisa impilo yabo, kepha kwesinye isikhathi kungaba uphawu lwesixwayiso sesifo esibi kakhulu, okuthakazelisa kakhulu imisipha, izinzwa, amehlo noma ubuchopho.
La ijwabu leso ptosis ingazibonakalisa iyodwa izinsuku ezimbalwa noma amahora ambalwa futhi kuwuphawu lwezinkinga ezinkulu zezokwelapha. Kulezi zimo, yazisa udokotela wakho ngokushesha.
Futhi lesi sifo kwesinye isikhathi sinjalo ehambisana ne-strabismus futhi uma kuthinta izingane, ukuthambekela ukuthi sitshekisa ikhanda lakho emuva uphakamise amashiya akho ukuzama ukubona kangcono. Lokhu kuziphatha, okuphindaphindwe ngokuhamba kwesikhathi, kungaholela ikhanda kanye "nentamo eqinile“, Kubangela izinkinga zentamo nokubambezeleka kwentuthuko.
Ukujikisa ijwabu leso: izimbangela
Ijwabu leso elikhukhulayo livame ukuvela ngokuguga, njengoba imisipha yamajwabu amehlo iba buthakathaka. Kubantu abadala, imbangela ejwayelekile kakhulu ye-ptosis wumthwalo we-levator, ngenxa yokulimala noma imiphumela emibi yokuhlinzwa kwamehlo.
Ezinye izimbangela eziholela ekujuleni kwejwabu leso yilezi:
- ukulimala
- izimila zamehlo
- ukuphazamiseka kwemizwa
- sikashukela
- ukuthatha izidakamizwa ze-opioid
- ukusetshenziswa kwezidakamizwa nokuhlukumeza
Ngokuya ngesizathu, singahlukanisa izinhlobo ezahlukene zeptosis yejwabu leso:
- I-Myogenic ptosis: kungenxa yokwehla kwemisipha ye-levator, ejwayelekile ezigulini esevele zihlushwa ezinye izifo zamehlo.
- I-neurogenic ptosis: lapho izinzwa ezilawula i-levator palpebrae nazo zihilelekile.
- I-aponeurotic ptosis: kubhekiswe ebudaleni noma emiphumeleni yokusebenza ngemuva kokusebenza.
- I-mechanical ptosis: itholakala ekulinganisweni kwejwabu leso elivimbela ukuhamba kwalo okulungile. I-mechanical ptosis ingavela ebukhoneni besisindo esifana ne-fibroids nama-angiomas.
- I-ptosis ebuhlungu: kwenzeka ngokulandela ukusikeka kwejwabu leso ngokukhishwa kwemisipha ye-levator.
- I-Neurotoxic ptosis: luphawu lwakudala lobuthi, oludinga ukwelashwa ngokushesha.
Ukuxilongwa kukadokotela
Okuwukuphela komuntu ongahlonza ijwabu leso elincibilikile ngudokotela futhi ongcono kakhulu, ozokwenza ukuhlolwa ngokucophelela kwezinkophe zombili, eqaphela sonke isokhethi yamehlo.
Ngaphambi kokuqhubeka nokuhlolwa kwenkinga, izilinganiso ezilandelayo zenziwa ngokunembile:
- Ukuqhekeka kwejwabu leso: ibanga phakathi kwejwabu leso eliphezulu nelingezansi ngokuqondanisa okuqondile nendawo emaphakathi yomfundi;
- Ukuma kwebanga kubonisiwe: ibanga phakathi kwesikhungo se-pupillary light reflex nobubanzi bejwabu leso eliphansi nelingezansi.
- Umsebenzi we-Levator muscle.
- Ibanga lesikhumba esisuka ohlangothini lwesembozo esingenhla.
Ezinye izici ezingakwazi siza ukuthola imbangela ye-ptosis yamajwabu amehlo zingabantu:
- Ukuphakama kwamajwabu amehlo;
- Amandla we-Levator muscle;
- Ukunyakaza kwamehlo
- Ukungajwayelekile ekukhiqizeni izinyembezi
- Ukuvalwa kwe-incomolete kwejwabu leso;
- Ubukhona / ukungabi khona kwe- ukubona kabili, ukukhathala kwemisipha noma ubuthakathakakunzima ukukhuluma noma ukugwinya ikhanda, ukuluma.
Ukuthola ukwelashwa okuphumelela kakhulu, kwesinye isikhathi kwenziwa uphenyo olwengeziwe ngudokotela wezifo zamehlo. Isibonelo, uma isiguli siveza izimpawu zenkinga yezinzwa noma uma ukuhlolwa kwamehlo kukhombisa isisindo ngaphakathi kwesokhethi yamehlo. Kulokhu, kuzobhalwa izivivinyo ezithile.
Ungayelapha kanjani ijwabu leso elilengayo
Ezimweni ezingaphansi kakhulu kune ijwabu leso elinciphayo, ezinye zinganele ukuzivocavoca okuhlose ukuqinisa imisipha efanelekile ukuphakamisa ijwabu leso. Bangu izingilazi namalensi oxhumana naye athile ukwazi ukuxhasa ijwabu leso futhi ugweme ukuhlinzwa.
Ukulungisa a icala elibi le-ptosis ijwabu leso, okuwukuphela kwekhambi ukuthi ukusebenzisa ukuhlinzwa, ngokungenelela okulengayo e kuqinisa imisipha ye-levator, ngemiphumela emihle futhi maqondana nobuhle.
Uma ngesikhathi sokuhlinzwa udokotela ohlinzayo ekubona lokho imisipha ye-levator yejwabu leso ibuthakathaka kakhulu, inganquma ukuxhuma ijwabu leso neshiya, futhi kuzoba yimisipha yesiphongo enomsebenzi wokuyiphakamisa.
Ngemuva kokuhlinzwa kuyinto ejwayelekile ukungakwazi ukuvala amehlo akho ngokuphelele, futhi ngaphezu kwakho konke kubalulekile ukwazi ukuthi le nto ingahlala okungenani amasonto ama-2 noma ama-3.
Ezimweni ezehlukile kungadingeka ukungenelela kwesibili ikakhulukazi ukwenza izinkophe ezimbili zilingana ngokuphelele.
Izinkinga ezingenzeka ngemuva kwe-blepharoplasty zifaka:
- ukopha ngokweqile
- ukutheleleka endaweni okuhlinzwa kuyo
- isibazi nokulimaza izinzwa noma imisipha yobuso
Iziguli eziphethwe ijwabu leso ptosis, kumele zibe njalo ihlolwa njalo ngudokotela wamehlo ukuqapha ukuqhubeka kwenkinga, noma ngabe bengakahlinzwa.
Izifo ezihambisana nejwabu leso elilengayo
Kukhona uchungechunge oluphelele lwe- izifo ezingakhuphula ubungozi bokuthola ijwabu leso ptosis. Yimaphi lawo? Nalu uhlu.
- I-Diabete
- Isifo sikaHorner's
- I-Myasthenia gravis
- Stroke
- Ukuhlukumezeka kokuzalwa
- Umdlavuza wobuchopho noma ezinye izifo ezimbi ezingathinta ukusabela kwezinzwa noma kwemisipha
- Ukukhubazeka noma ukulimala kwe-3rd cranial nerve (oculomotor nerve)
- Ukuhlukumezeka ekhanda noma ezinkophe
- Ukukhubazeka kukaBell (ukulimala kwenzwa yobuso)
- Ukukhubazeka kwemisipha
