Kushandura kusagutsikana chiratidzo uye maziso anowanzoonekwa nevana nevechidiki. Iri dambudziko remafupa reziso rinoita kuti zvive nyore kuti maziso atende mukati kana akatarisa pasi kuti averenge kana kutarisa. Paunenge uchiedza kuisa pfungwa pane chimwe chinhu chiri pedyo, mavara emeso anowanzoita kuti meso atendeuke kana kutendeukira mukati. Izvi zvinotibvumira kuva nemafusion akanaka uye maziso ekuona kuitira kuti maziso edu arambe ari mufananidzo mumwe chete.
Kana maziso edu asingatendeuki zvakakwana, tinogona kunge tine kuoma kuverenga uye kunyange kutaridzika kaviri .
Zvinogona kunge zvisingaoneki nguva dzose kuti mumwe munhu anotambura nekushandura kusakwana nokuti zviratidzo zvingasiyana. Vanhu vane kutendeuka kusagadzikana vanowanzonyunyutira nezvezviratidzo zvinotevera kana muchiverenga kana kuita zvakasimba pedyo nebasa:
Akaneta meso
Mashoko ari kufamba kana kuputika
Chiono chechipiri
Dambudziko kuisa pfungwa
Dambudziko rokuverenga chero nguva yakareba
Kugadzira kana kuvhara ziso rimwe
Kutendeuka kusakwana kunowanikwa mune mumwe wevana makumi maviri. Kazhinji kacho mumwe chete kune vana vaviri mudzidzi dzose dzekirasi vane chiitiko ichi. Vana vane kutendeuka kusakwana vanowanzofungidzirwa kuva mapenzi kana kuvhiringidza mukirasi. Vanowanzova vasina hanya uye vanowanzopedza nyore nyore pakuverenga.
Kuziva
Convergence insufficiency haigoni kuonekwa pane nguva dzose maziso ekuongorora. Kazhinji, nzira chete iyo inogona kunyatsoongororwa nayo ndeyokuona chiremba weziso, zvichida nyanzvi yemafuta kana ophthalmologist .
Muzvokwadi, vana vevana kana maitiro ekutarira maonero optometrists kana ophthalmologists vadzidzisi vari nani pakubata nemamiriro aya.
Kune zviitiko zvakasiyana-siyana izvo vanachiremba vemaziso vanozvitsvaga pavanonyatsoona kushandiswa kwekutengesa kusakwanira.
- Yakakura kudarika yakarongeka yakawanda - Kutanga, vanachiremba vemaziso vanoona kuti murwere anotambura nekutendeuka kusina kukwana ane hurukuro yakawanda. A phoria ndiyo nzvimbo yekugara yeziso. Mune vanhu vanotambura nechinetso chekutendeuka, nzvimbo yakasununguka yekuzorora kwemaziso inowanikwa pane kunze. Somugumisiro, kwete chete munhu iyeye ari kuedza kutendeukira kune iri pedyo, asi ivo vanotanga kukunda iyo yakakura yekunze kwekunzvimbo yekuzorora ndokubva vatendeuka zvakajeka pane chinangwa.
- Yakaderedza NPC - Chechipiri, vanhu vanotambura nekushandura kusakwanisa kunopedzisira vava pedyo nepakati yekutendeuka (NPC). NPC ndiyo kuenzaniswa kwokuti pedyo chinangwa chekugadzirisa chinogona kuendeswa sei mumhino apo uchichengetedza zvakanaka binocular chiratidzo. A NPC yakakwana inogona kunge yakaita sendimita 1 kana kunyange iyo yose inoenda kumhino. Munhu ane chimiro chakanaka chinogona kuchengetedza chinangwa chisina nzira yose "kumhuno." NPC yemasendimita gumi chete inofungidzirwa kure kana kuti kunze kwemiganhu yakakwana. Munhu wacho haagoni kuunza maziso avo mukati uye kuchengeta zvakanaka binocular chiratidzo pane imwe nzvimbo inopfuura 10 cm.
- Low binocular fusional reserves - Chechitatu, vanhu vane convergence havakwanisi uye vane zvishoma zvishoma zvezvivako. Isu tinowanzova nemhando umo mitsipa yedu inogona kusiyanisa kana kuchinja maziso edu. Vanhu vane zviratidzo zvakajeka vane zvakawanda zvakasiyana-siyana zvavanogona kutamisa maziso avo pamwe nekukurumidza kuti varambe vaine binocular zvakanaka. Vanhu vane zvikwereti zvakaderera zvakachengetwa havana nzvimbo yekubhadhara. Somugumisiro, havakwanise kutendeuka zvakanyanya sezvinodiwa. Vamwe vanhu vane kutendeuka kusakwana vanonyunyuta nezvekuonekwa kaviri.
- Kusagadzikana kwekugara - Dzimwe nguva vana nevechidiki vaduku vane kushanduka kwekugadzikana uye vane nzvimbo dzisina kukwana. Kunyangwe iwe unogona kuva nechimwe kunze kwechimwe, kazhinji kacho zvose zvinokonzera dambudziko nokuti kugara uye kutenderera kunopindirana zvikuru neurologically. Nzvimbo dzekugara ndiyo inofanirwa kugadzirisa iyo inoitika patinotarisa pane chinhu chiri pedyo. Misi iri muziso, pamwe neyeri, inochinja kubvumira simba rinowedzera kuisa pfungwa. Izvi zvinobvumira pedyo nezvinhu kuti zvive pachena. Nzvimbo yekugara uye kushanduka kwemaziso eziso zvakanyatsobatanidzwa uye imwe inogona kukanganisa imwe. Vanhu vane kutendeuka kusakwana vanowanzova nehuwandu husina kukwana hwekushandura kune huwandu hwekugara maziso avo. Vanonzi vane nzvimbo shoma yekugara-convergence / kugadzirisa chiyero. Vanachiremba vemaziso vanogona kuenzanisa chiyero ichi kuti vaone kana iri kunze kwemiganhu yakakwana.
Kurapa
Vashandi vanoona nezvekuona kwemaziso vanobata kutendeuka kusakwana kuburikidza vachishandisa chirongwa chinonzi home-based therapy chinonzi "pencil push-ups." Panguva yepencil push-ups, murwere anotevera tsamba duku kana mifananidzo peni. Ipencilisi inounzwa zvishoma nezvishoma kuenda kubhiriji yemhino. Chinangwa ndechekuchengetedza tsamba yacho zvakajeka uye isina kuroora pasina maonero maviri. Murwere anotanga kuvhara penzura pedyo nemhino. Zuva roga roga, chinangwa ndechokuti uwedzere pedyo uye pedyo nepamhino uye kubatisisa kugadzirisa nekujeka, kusarudzwa kumwe. Pencil push-ups inodzokororwa kwe 10-15 maminitsi pazuva.
Nokuti migumisiro yepencil push-ups yakasiyana zvakanyanya, chidzidzo chaitungamirirwa neNational Eye Institute inozivikanwa seChirgence Insufficiency Treatment Trial (CITT).
Ichi ndicho chidzidzo chekutanga chakagadzirirwa zvakanaka kuenzanisa mishonga yakasiyana. Chidzidzo chevhiki gumi nembiri chakafananidza maitiro matatu ekurapa maonero, maviri acho aive mahara-based therapy uye imwe sangano-based therapy yakagadzirwa nemudzidzisi akadzidziswa. Chidzidzo chacho chakawana kuti vanenge 75 muzana yeavo vakagamuchira mahofisi e-office nemumwe muongorori akadzidziswa pamwe nekurapa kumusha vairatidza zviratidzo zvishoma nezvishoma zvakanyanya zvine chokuita nokuverenga uye zvimwe zviri pedyo nebasa zvichifananidzwa nevanhu vaive nemishonga inoratidzira maonero chete.
Zvimwe Zvirwere
Prism Magirazi - Simba rinokosha rinoshandura mifananidzo rinonzi prism uye rinogona kuiswa muirairo yegorosi. Prism inokonzera mifananidzo kuti iparadzwe kuitira kuti munhu ane kutendeuka kusakwana haafaniri kutendeuka zvakanyanya. Izvi hazviregi mamiriro acho asi zvinogadzirisa zviratidzo zvakawanda. Dambudziko nejeri nderokuti vamwe vanhu vanogona kuenderana nazvo. Somugumisiro, chikamu chakakwirira chejeri chinofanira kunyorerwa kuti chibudirire zvakafanana.
Kuvhiya - Kuvhiya kazhinji ndiyo yekupedzisira kushandiswa kwekutendeuka kusakwanisa sezvo chiitiko chinopindura zvakanyanyisa kuchipatara chemaono.
Shoko Rinobva
Usazvidza kukanganisa kwokuti mamiriro ezvinhu akadai sekushandura kusakwanisa kunogona kuve nekukwanisa kwevana kana kuti vechidiki kuverenga, kuisa pfungwa, kunzwisisa, uye dzidzo. Kana mwana ari kuita zvidzidzo mukirasi, zvinogona kunge zvichikonzerwa nechinetso chekuona sekushandura kusakwana. Vabereki vanofanira kuziva kuti kutendeuka kusakwana kunogona kukonzera zviratidzo zvakawanda zvinoita kuti zvive zvakaoma kuverenga nekuzvinzwisisa. Zvisinei, vanachiremba iye zvino vane uchapupu hwokuti hofisi-based therapy inoratidzirwa nemudzidzisi akarovedzwa pamwe chete-kumba kwekusimbisa kurapa kunogona kubata chirwere uye kubvisa zviratidzo.
> Kwakabva:
> Kutendeuka Kusakwanira Kurairwa Chiedzo Chidzidzo Chekudzidza. Randomized clinical trial of treatments for symptomatic convergence insufficiency in children. Arch Ophthalmol, Gumiguru 2008.