Chiso chetsinga palsy nekuda kwekutambudzika kwekuzvara

Chiso chetsinga palsy nekuda kwekukuvara kwekuzvara kurasikirwa kwekudzora (kuzvipira) kufamba kwemhasuru muchiso checheche nekuda kwekumanikidza kumeso etsinga nguva isati yatanga kana panguva yekuzvarwa.

Tsinga kumeso yemucheche inonziwo tsinga yechinomwe yeganiani. Inogona kukuvara nguva pfupi isati yasvika kana panguva yekusununguka.

Kazhinji yenguva yacho chikonzero hachizivikanwe. Asi kuendesa kunonetsa, uine kana pasina kushandisa chimbo chinonzi forceps, chinogona kutungamira kune ino mamiriro.

Zvimwe zvinhu zvinogona kukonzera kushungurudzika kwekuberekwa (kukuvara) zvinosanganisira:

• Kukura kwemucheche (kunogona kuonekwa kana amai vane chirwere cheshuga)
• Kubata kwenguva refu kana basa
• Kushandiswa kwepidural anesthesia
• Kushandiswa kwemushonga kukonzeresa kusagadzikana uye kusimba kwekupokana

Kazhinji yenguva, izvi zvinhu hazvitungamire kumeso kwetsinga mitezo kana kubereka kushungurudzika.

Iyo yakajairika fomu yekumeso kwetsinga palsy nekuda kwekubereka kushungurudzika kunosanganisira chete chikamu chepazasi cheuso hwemitsipa. Ichi chikamu chinodzora mhasuru dzakakomberedza miromo. Hutera hwemhasuru hunonyanya kuoneka kana mucheche achichema.

Mwana achangoberekwa anogona kunge aine zviratidzo zvinotevera:

• Eyelid inogona kusavhara padivi rakakanganiswa
• Chiso chepazasi (pazasi pemeso) chinoratidzika chisina kuenzana panguva yekuchema
• Muromo haufambe pasi nenzira imwechete pamativi ese uchichema
• Hapana kufamba (kuremara) padivi rakakanganiswa rechiso (kubva pahuma kusvika pachirebvu mune zvakakomba zviitiko)

Kuongorora kwepanyama kunowanzo kuve kwese kunodiwa kuti uone chirwere ichi. Muzviitiko zvisingawanzoitika, bvunzo yetsinga yekuitisa inodikanwa. Bvunzo iyi inogona kunongedza nzvimbo chaiyo yekukuvara kwetsinga.

Brain imaging bvunzo haina kudikanwa kunze kwekunge mupi wehutano wako achifunga kuti pane rimwe dambudziko (senge bundu kana sitiroko).

Muzviitiko zvakawanda, mucheche anozotariswa zvakanyanya kuti aone kana kuremara kwacho kuchienda kwoga.

Kana ziso remwana risingavharike nzira yese, eyepad uye eyedrops zvinoshandiswa kuchengetedza ziso.

Kuvhiya kunogona kudikanwa kuti ubvise kumanikidza kwetsinga.

Vacheche vane hurema hwechigarire vanoda kurapwa kwakakosha.

Mamiriro acho anowanzoenda ega mumwedzi mishoma.

Mune zvimwe zviitiko, mhasuru dziri padivi pechiso dzakaremara zvachose.

Iye mupi anowanzo ongorora mamiriro aya mwana achiri muchipatara. Mhosva nyoro dzinosanganisira chete muromo wezasi dzinogona kusacherechedzwa pakuzvarwa. Mubereki, sekuru, kana mumwe munhu anogona kucherechedza dambudziko gare gare.

Kana kufamba kwemuromo wemucheche wako kuchitaridzika zvakasiyana kudivi rega rega pavanochema, iwe unofanirwa kuita musangano nemupi wemwana wako.

Iko hakuna yakavimbiswa nzira yekudzivirira kumanikidzwa kukuvara mumwana asati aberekwa. Iko kushandiswa kwakakodzera kwe forceps uye nzira dzakavandudzwa dzekuzvara dzakaderedza mwero wekumeso kwetsinga palsy.

Yechinomwe cranial nerve palsy nekuda kwekutambudzika kwekuzvara; Palsy palsy - kubereka kushungurudzika; Kumeso kupora - neonate; Palsy palsy - mucheche

Balest AL, Riley MM, Bogen DL. Neonatology. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 2.

Harbert MJ, Pardo AC. Neonatal nervous system kushungurudzika. Mune: Swaiman KF, Ashwal S, Ferriero DM, et al, eds. Swaiman's Pediatric Neurology: Misimboti uye Maitiro. 6th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 21.

Kersten RC, Collin R. Lids: kuberekwa uye kuwana zvakashata - inoshanda manejimendi. Mune: Lambert SR, Lyons CJ, eds. Taylor & Hoyt's Pediatric Ophthalmology uye Strabismus. 5 ed. Philadelphia, PA: Elsevier; 2017: chitsiko 19.