Diplopia - nto ... Abantwana kunye ongaboniyo. umbono double

Kwezinye iimeko, abantu babe nombono kabini, leyo kuthiwa diplopia ngokwenzululwazi. Le ngezifo lwamehlo, kodwa ke akukho uzimele, kodwa kunokuba yenye iimpawu kwenye sifo. Kubalulekile ukuqonda unobangela diplopia aze aphathwe ukulondoloza umbono yomguli nokukhangeleka ubomi obuqhelekileyo.

Indlela leli sifo

emehlweni abantu babe isakhiwo ezimbaxa kunye nenkqubo kwimbono izinto ezibangqongileyo, ubizwa ngokuba umbono. Ukuthetha tezisno, amalungu ethu kwamehlo ziquka amehlo ibekwe neziseko kunye inwebu, lens, umzimba vitreous kunye amaqokobhe, ngababini ezintathu alternating izihlunu echaphazela intshukumo amehlo, kwaye kwalapho ukuba banxibelelane ingqondo.

amehlo ezisempilweni ukuhambisa synchronously. kwalapho lomntu ngamnye uqhekeko yesibini nokudlulisela eyenza evela nezinto ebuchotsheni, apho imifanekiso ezimbini ephinda-nye. Ukuba kukho diplopia, ngale ndlela ayikho kuba ezaphukileyo okanye ukulungelelanisa intshukumo ye amehlo, okanye ukudluliselwa inkqubo ulwazi luvo optic okanye imveliso zawo ingqondo. Ngenxa yoko, umntu ubona enye into kabini, oko kukuthi, iliso ekhohlo nasekunene ngokwahlukeneyo. Ngamanye amaxesha imifanekiso emibini afunyenwe inkcazelo efanayo, kodwa kuyenzeka ukuba omnye wabo Kukhazimlayo kunye nezinye i mfiliba. Abanye abantu dvoyatsya izinto ezikude, ngoxa abanye, phezu koko, kuphela ngeliso bebekwe ngokwahlukeneyo omnye, okanye ezo zombini, nabanye ndawonye.

izizathu

Pathology kunye neziphumo mechanical kwi komzila (orbit) kunye izihlunu iliso ekhokelela ekubeni diplopia kwenzeka. Zezi:

• iinkqubo arhabaxa;
• umothuko (paresis);
• thumba kunye hematoma;
• iimeko bekhubazekile.

Yahlula emehlweni ezimbini nako kube ngenxa yeengxaki kunye kwalapho iliso luvo, ezifana:

• aneurism kwemithambo carotid;
• limala ngoomatshini.

Ukongeza, kukho ezinye izifo luvo kunye ezosulelayo ezichaphazela imisebenzi imijelo imithambo-luvo kunye neenkqubo apho kukho diplopia. Zezi:

• umyalezo weimeyile meningitis tuberculous;
• ithumba ebuchotsheni;
• mumps;
• ngqi;
• umphimbo;
• rubella;
• ukunxila okanye kakhulu ngemithi;
• ukunxila okanye utywala.

Abanye diplopia abantu kwenzeka phezulu ingcinezelo luvo, bangxwaba, yaye emva kotyando iliso, strabismus, cataract, kunye lamabutho semehlo.

Kodwa loo nto bonke. Kukho intaphane yezifo, omnye uphawu apho umbono kabini. Ezi ziquka:

• diabetes;
• izinto ezibolileyo;
• multiple;
• thyrotoxicosis.

iimpawu

State xa umntu eqala ukubona ezimbini endaweni into enye, kwaye kukho umqondiso kakhulu omkhulu esi sifo wabonakala diplopia. Iimpawu kwakhona kuba nesiyezi, ubunzima orienteering, a eku--luvo. Xa diplopia lesibini, imvelaphi yayo iimpawu sifo engundoqo. Ukongeza, uhlobo bifurcation uyakwazi ukubona ukuba izihlunu iliso nqa, yaye ukuba kunjalo, labo. Ngoko ke, ukuba ngezifo abachaphazelekayo izihlunu rectus, umntu ubona imifanekiso kabini ngaxeshanye, yaye ukuba elibhalwe ngokumileyo, ngoko izinto ezifana uthathe indawo enye phezu kwenye. izigulane ngokufuthi axis intloko yakhe esihlunwini, oluphazanyiswa.

Kukho iindidi ezimbini diplopia. Xa inkqubo ezibonwayo binocular ababandakanyekayo emehlweni omabini, kodwa enye yazo esqwini olubonakalayo asuswa, nto leyo ebangela uqhekeko. Uphawu okanye uphawu olu hlobo ukubuyisela umfanekiso eqhelekileyo xa uvala iliso elinye. Ukuba umfanekiso double monocular ubona unaliso linye, njengoko kuthelekelelwe ngqo kwi kwiretina iingongoma ezimbini.

Abantwana ongaboniyo

Le mbono olubonakalayo zehlabathi ngeenxa - kubalulekile kuphuhliso eqhelekileyo kwabantwana. Ngoko ke, kubalulekile ukuba amehlo abo "Working" kakuhle. Ngelishwa, ngokuba zonke eyodwa 20 besikolo 4 kukho umntwana omnye umntu ongaboniyo. Amaninzi ngayo:

• ukubona (ukubona) ;
• strabismus;
• ezikude (hyperopia) ;
• ukungaboni;
• astigmatism (Umbono umehluko).

Diplopia, ingakumbi enaso, abantwana kunqabile. Amaninzi ke ezifunyenwe ngenxa yesifo okanye ukonzakala, amehlo kunye nentloko. Ngokomthetho yona walimala ukuwa embetha (umz, ibhola okanye ikhephu). Ngenxa yoko, eyonakeleyo iliso socket, yaye kwiimeko ezinqabileyo - kunye nezihlunu amehlo. Ukuba diplopia yaba sisiphumo ukwenzakala, umntwana nazo:

• nokudumba ijwabu;
• exophthalmos (buckling) okanye enophthalmos (oyekayo) amehlo;
• offset okanye amehlo ukuhamba eliphantsi;
• chemosis kunye anozizi le conjunctiva;
• nokopha.

abantwana abaselula ongaboniyo (diplopia naso) kubi hlengisa ngokwabo emajukujukwini, akanako ngobuqili ukuthatha ukuphatha yokudlala kwaye isebenze kakuhle nalo amanyathelo afunekayo. Konke oku kufuneka lokwazisa abazali kwaye kusebenza namkhusane ukuya kwagqirha.

ekuxilongweni

Njengomgaqo, izigulane (ngaphandle nabantwana) self-ingxelo malunga umbono kabini. Ugqirha kufuneka enze uvavanyo phambili ukufumanisa unobangela isifo kwaye zibeka unyango. Kukho iimvavanyo ezininzi. Okokuqala - tracking umthombo wokukhanya. Ugqirha ukhokela itotshi kumacala ahlukeneyo, kwaye isigulane ichaza indawo iingongoma eziqaqambileyo (xa ebona bobabini), uthi xa besondela omnye komnye, kude omnye komnye. Ngenxa yezi mpendulo uzimisele apho izihlunu abachaphazelekayo. Uvavanyo yesibini - ingqondo uqhekeko. Okwesithathu, inembe - koordimetriya uqhuba usebenzisa oftalmokoordimetra Kulungile-1. Ukongeza, ngethuba lokuhlolwa efunekayo ukujonga ukuma iinkophe, ukuhamba kwazo, wolingano yamehlo asekhohlo nasekunene, indawo kunye nentshukumo ke amehlo, "njengesigqubuthelo-test", acuity ezibonwayo, basabela ekukhanyeni kunye nombala ziqhele.

unyango

Kokuba kuchaziwe isizathu sokuba kukho diplopia, unyango yenziwa iindlela nokuba zonyango okanye yotyando. Ukuba diplopia akanguye primary, isifo engundoqo liphathwa. rhoqo kufuna nokulaliswa esibhedlele. Xa inkqubo lokubuyisela kabini ngokwayo iphele emehlweni. Ukuba diplopia kwenzeka ngenxa yokulimala, kusenokwenzeka ukwenza uqhaqho yingcibi lwamehlo. Kwiimeko apho bifurcation ibangwa iingxaki kunye luvo optic, uqhuba unyango ngokusebenzisana kunye luvo zamehlo, neurosurgeon kwaye ngamanye amaxesha. Kwezinye iimeko, unyango na ukulungiswa prismatic nangoncedo iindondo ezizodwa kunye nemithambo eye ukuba isigulane ukubamba zabo ekhaya. Them kukho iintlobo ezininzi, kuxhomekeke kuhlobo diplopia.