Strabismus

Strabismus chirwere umo maziso ese ari maviri haana kumira munzira imwechete.Naizvozvo, havatarise chinhu chimwe chete panguva imwe chete. Nzira yakajairika ye strabismus inozivikanwa se "maziso akayambuka."

Tsandanyama nhanhatu dzakasiyana dzakakomberedza ziso rimwe nerimwe uye dzinoshanda "sechikwata." Izvi zvinobvumira maziso ese kutarisisa chinhu chimwe chete.

Mune mumwe munhu ane strabismus, mhasuru idzi hadzishande pamwe chete. Nekudaro, rimwe ziso rinotarisa chinhu chimwe, nepo rimwe ziso rinotendeuka kune rimwe divi uye rinotarisa kune chimwe chinhu.

Kana izvi zvikaitika, mifananidzo miviri yakasiyana inotumirwa kuuropi - imwe kubva paziso rega rega. Izvi zvinokanganisa uropi. Muvana, uropi hunogona kudzidza kufuratira (kudzvinyirira) mufananidzo kubva paziso risina kusimba.

Kana iyo strabismus ikasarapwa, ziso iro uropi rinofuratira harizomboona zvakanaka. Uku kurasikirwa kwemaonero kunonzi amblyopia. Rimwe zita rekuti amblyopia "ziso rine usimbe." Dzimwe nguva husimbe hunovapo pakutanga, uye hunokonzera strabismus.

Muvana vazhinji vane strabismus, chikonzero hachizivikanwe. Mune inopfuura hafu yezviitiko izvi, dambudziko riripo kana kuti nguva pfupi mushure mekuberekwa. Izvi zvinonzi congenital strabismus.

Kazhinji yenguva, dambudziko rine chekuita nekudzora tsandanyama, uye kwete nesimba remhasuru.

Zvimwe zvinetswa zvine chekuita ne strabismus muvana zvinosanganisira:

• Apert chirwere
• Cerebral palsy
• Kuberekwa rubella
• Hemangioma padyo neziso panguva yehucheche
• Incontinentia pigmenti syndrome
• Noonan chirwere
• Prader-Willi chirwere
• Kudzokorora kwechirwere chekutanga
• Retinoblastoma
• Kushungurudzika kwepfungwa kukuvara
• Trisomy 18

Strabismus inokura muvakuru inogona kukonzerwa ne:

• Botulism
• Chirwere cheshuga (chinokonzera mamiriro anozivikanwa sekuwana akaoma mitezo strabismus)
• Graves chirwere
• Guillain-Barré chirwere
• Kukuvadza kune ziso
• Shellfish muchetura
• Kurohwa
• Kushungurudzika kwepfungwa kukuvara
• Kuona kurasikirwa kubva kune chero chirwere chemaziso kana kukuvara

Nhoroondo yemhuri ye strabismus chinhu chengozi. Kufanoona zviri kure kungave kuri kukonzera, kazhinji muvana. Chero chimwe chirwere chinokonzera kurasikirwa kwemaonero chinogona kukonzera strabismus.

Zviratidzo zve strabismus zvinogona kunge zviripo nguva dzese kana kuti zvinogona kuuya nekuenda. Zviratidzo zvinogona kusanganisira:

• Maziso akayambuka
• Kuona kaviri
• Maziso asingatarisi munzira imwechete
• Kufambidzana kwemaziso (maziso haafambi pamwechete)
• Kurasikirwa kwemaonero kana kudzika kwekuona

Izvo zvakakosha kuti uzive kuti vana vangangodaro vasingazive nezve kuona kwakapetwa. Izvi zvinodaro nekuti amblyopia inogona kukura nekukurumidza.

Anopa hutano anoita bvunzo dzepanyama. Uku kuongorora kunosanganisira kuongororwa kwakazara kwemeso.

Iyi miedzo inotevera ichaitwa kuti uone kuti maziso ari kunze kwekuenderana zvakadii.

• Corneal mwenje reflex
• Kuvhara / kufumura bvunzo
• Retinal bvunzo
• Yepasi ophthalmic bvunzo
• Kuona zvakanaka

Uropi uye huta system (neurological) bvunzo ichaitwawo.

Nhanho yekutanga yekurapa strabismus muvana ndeyekupa magirazi, kana zvichidikanwa.

Tevere, amblyopia kana ziso rehusimbe rinofanirwa kurapwa. Chigamba chakaiswa pamusoro peziso riri nani. Izvi zvinomanikidza uropi kushandisa ziso risina kusimba uye kuwana zvirinani kuona.

Mwana wako anogona kunge asingade kupfeka chigamba kana magirazi emaziso. Chimedu chinomanikidza mwana kuti aone kuburikidza neziso risina kusimba pakutanga. Nekudaro, zvakakosha kwazvo kushandisa chigamba kana magirazi emaziso sekurairwa.

Kuvhiya kwetsandanyama kwemaziso kunogona kudikanwa kana maziso achiri asingafambe nenzira kwayo. Misumbu yakasiyana muziso ichaitwa yakasimba kana kushoma.

Kuvhiya kwetsandanyama kwemaziso hakugadzirise kuona kwakashata kweziso rine husimbe. Kuvhiya kwemhasuru kuchakundikana kana amblyopia isina kurapwa. Mwana anogona achiri kupfeka magirazi mushure mekuvhiyiwa. Kuvhiya kunowanzo kubudirira kana kuchiitwa kana mwana ari mudiki.

Vakuru vane strabismus nyoro inouya uye inoenda inogona kuita nemagirazi. Ziso mhasuru kurovedza muviri kunogona kubatsira kuchengetedza maziso akatwasuka. Mamwe mafomu akaomarara anoda kurapwa kuti atwasanudze maziso. Kana strabismus yaitika nekuda kwekurasa kurasikirwa, iko kurasikirwa kwemaonero kunozoda kugadziriswa pamberi pekuvhiya kwetrabismus kungabudirire.

Mushure mekuvhiyiwa, maziso anogona kutaridzika akatwasuka, asi matambudziko ekuona anogona kuramba aripo.

Mwana anogona kunge achine matambudziko ekuverenga kuchikoro. Vakuru vangave nenguva yakaoma yekutyaira. Chiratidzo chinogona kukanganisa kugona kutamba mitambo.

Kazhinji, dambudziko rinogona kugadziriswa kana rikaonekwa nekurapwa nekukurumidza. Kurasikirwa kwekuona zvachose mune rimwe ziso kunogona kuitika kana kurapwa kukanonoka. Kana amblyopia ikasarapwa neanenge makore gumi nerimwe, zvinogona kuve zvechigarire, zvisinei, tsvagurudzo nyowani inoratidza kuti fomu yakakosha yekucheka uye mimwe mishonga inogona kubatsira kuvandudza amblyopia, kunyangwe muvakuru. Inenge chikamu chimwe muzvitatu chevana vane strabismus vanozoita amblyopia.

Vana vazhinji vanozowana strabismus kana amblyopia zvakare. Naizvozvo, mwana anozoda kutariswa kwazvo.

Strabismus inofanirwa kuongororwa nekukurumidza. Fonera mupiki wako kana chiremba wemaziso kana mwana wako:

• Inoita kunge yakatarisana nemeso
• Kunyunyuta kwekuona kaviri
• Ane dambudziko rekuona

Ongorora: Zvinetso zvekudzidza uye zvekuchikoro dzimwe nguva zvinogona kunge zvichikonzerwa nekutadza kwemwana kuona bhodhi kana zvinyorwa zvekuverenga.

Maziso akayambuka; Esotropia; Exotropia; Hypotropia; Hypertropia; Squint; Walleye; Kusarongeka kwemaziso

• Kugadziriswa kwemaziso eziso - kubuda

• Maziso akayambuka
• Walleyes

American Association yePediatric Ophthalmology uye Strabismus webhusaiti. Strabismus. aapos.org/browse/glossary/entry?GlossaryKey=f95036af-4a14-4397-bf8f-87e3980398b4. Yakagadziridzwa Gumiguru 7, 2020. Yakasvika muna Zvita 16, 2020.

Cheng KP. Ophthalmology. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 20.

Lavin PJM. Neuro-ophthalmology: ocular mota system. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 44.

Olitsky SE, Marsh JD. Kukanganiswa kwekufamba kwemaziso uye kuenderana. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 641.

Salmon JF. Strabismus. Mune: Salmon JF, ed. Kanski's Clinical Ophthalmology. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 18.

Yen MY. Therapy ye amblyopia: maonero matsva. Taiwan J Ophthalmol. 2017; 7 (2): 59-61. PMID: 29018758 pubmed.ncbi.nlm.nih.gov/29018758/.