Chirwere chechitanhatu chirwere chepfungwa chinonziwo realus rectus palsy, chirwere chinokonzera mhirizhonga VI kana kuti kubvisa chirwere cheparasi ndechokushaya simba kana kwechirwere chirwere chepfungwa chinokonzera kushungurudzika kwepfungwa kumusana wechipfuva. I lateral rectus muscle ndeimwe yemisungo mitanhatu yemaziso inodzora kufamba kweziso. Izvozvo zvinokonzerwa nehutachiona hwemutsara inonyanya kuita kuti ziso rive mukati, kutarisa ziso mukati-kati kubva kumhino kana kubvisa ziso kunze, kutarisa temberi.
Nechitanhatu chepfungwa yepalysis, munhu anogona kuona kaviri.
Zvinokonzera
Zvinokonzera nharo yechitanhatu mitezo yakasiyana nemakore ekutanga. Kana mamiriro acho aripo pakuberekwa, kazhinji inokonzerwa nemhando yekutambudzika kana kuwanda muuropi. Zvinotevera zvinokonzera kukanganisa kwepfungwa yechitanhatu muvanhu vakuru:
- Stroke
- Trauma
- Viral chirwere
- Uturu hwebongo
- Vascular inflammation
- Kuwedzera zvirwere
- Migraines
- Yakawedzererwa muuropi
Kuwedzera kwekumanikidzwa muuropi chiratidzo chepseudotumor cerebri , chirwere chinowanikwa kakawanda muvechidiki, vakadzi vanodarika zvakanyanya apo kushungurudzika mukati meuropi kunowedzera zvikuru. Iko kukwira kunomanikidzira mutsara uye kunoita nharo yechitanhatu kuora mwoyo. Kune vanhu vakwegura, chinonyanya kukonzera ndeye mwoyo muhupenyu. Vanhu vazhinji vanotambura nehutachiona hwepabonde rwechitanhatu vane chirwere chiduku kumusana weziso apo hauna kuwana ropa rakakwana uye rinotanga kushanda zvisina kururama. Mamiriro ezvinhu akadai sechirwere cheshuga, high blood pressure kana yakakwirira cholesterol inozivikaniswa.
Zviratidzo
Vanhu vazhinji vanotambura nemusana wechitanhatu palsy vachava nesotropia. Anototropia inzvimbo iyo ziso rinoyambuka mukati kumapapiro. Ziso rinotendeukira mukati nokuti re lateral rectus inokundikana kuchengetedza ziso rinotungamirirwa nekukwevera ziso nechokunze kumativi e midline. Icho sotopia inowanzova yakanyanya kuzivikanwa apo munhu wacho anotarisa ari kure kusiyana nekuswedera pedyo.
Varwere vanogonawo kunyunyutika maonero maviri. Apo chirwere chechitanhatu chinokonzerwa nehuparasi chinouya kamwe kamwe, varwere vanogona kuona zviratidzo zviviri. Vana vane realus palsy rekupedzisira vanowanzobhadhara zviri nani uye uropi hunoderedza mifananidzo kuitira kuti mumwe chete aonekwe. Imwe njodzi yeuropi yekubhadhara munyaya iyi ndeye amblyopia. Amblyopia , iyo inonziwo maziso ane usimbe, inogona kukura nokuti imwe yemifananidzo iri kuvharwa. Nemhaka yeizvi, ziso iri harisi kushandiswa nehutano hwemagetsi uye harukure zvakanaka.
Kurapa
Kurapa kwechirwere chechitanhatu chinokonzera kuparara kunoenderana nechinokonzera. Sezvambotaurwa kare, zvirwere zvepfungwa zvakadai sechirwere cheshuga kana huwandu hwepfungwa zvinogona kukonzera nharo yechitanhatu palsy. Aya marudzi emarsies anowanzogadzirisa mumwedzi mitanhatu ivo pachavo. Nharo yechitanhatu inokonzerwa nekushungurudzika inogona kuva nani asi haisi kugadzirisa zvachose. Simba rechitanhatu rinokonzerwa nemamiriro ezvinhu akadai sepseudotumor cerebri kugadzirisa apo kusagadzikana kwechisimba kunoderedzwa kusvika kune zvakajairika. Botox kana botulinum inxin injini inoshandiswawo semushonga. Zvinofadza kuti jekisi inogadzirwa mumutambo wepakati, musisi inopesana nemisungo ye lateral rectus. Izvi zvinobvumira ziso kuti rive nyore nyore kutorwa kusvika mukati-kati kuburikidza nekuporesa musungo wechitanhatu uye yakaratidzwa kuti ikurumidze kugadzirisa.
Kurapa Pfungwa Dzakaviri
Nzira yakajeka yokubvisa zviratidzo zviviri ndeyekuvhara kana kuvhara ziso rimwe. Izvi zvinoitwa nyore nyore kune vanhu vakuru, asi kuvhara ziso recheche kwenguva yakareba kunogona kuwedzera mukana wekuvandudza amblyopia. Kururamiswa kweprisheni kunorayirwa kuvarwere vakawanda. Mhando yekusungirirwa kwepisitori-pajeri inonzi Fresnel prism inogona kushandiswa kumakristeni egore reyeseri kuti ibvise zviratidzo zviviri mumeso ekutanga (kurongedza mberi.) Nemhaka yokuti kusagadzikana kunogona kushanduka, zviratidzo zviviri zvinogona kunge zvichiri kuonekwa mumaziso akanaka kana kuruboshwe. Nhamba yeFresnel press-on prism inogona kuderedzwa sezvo chirwere chepalsy chinoderera.
> Kwakabva:
> Neuro-ophthalmology, 2nd Edition, T. Liu, G., Volpe NJ, Galetta, SL, 2010.