Ukwehluleka ukuguquguquka yimbono nesifo sengqondo esivamekile kubantwana nakubantu abadala. Le disorder ye-muscle disorder yenza kube nzima ukuba amehlo angene ngaphakathi lapho ebuka phansi ukufunda noma ukugxila. Uma uzama ukugxila ezintweni eziseduze, imisipha ejwayelekile yezinzwa yenza amehlo aguquke noma aphenduke phambili. Lokhu kusivumela ukuba sibe nombono omuhle we-fusion ne-binocular ukuze amehlo ethu agcine isithombe esisodwa.
Uma amehlo ethu engaguquki ngokwanele, singase sibe nobunzima bokufunda futhi sibone umbono ophindwe kabili .
Kungase kungabonakali ngaso sonke isikhathi ukuthi umuntu unenkinga yokuguquguquka ngoba izimpawu zingahluka. Abantu abanenkinga yokuguquguquka ngokuvamile bakhononda ngalezi zimpawu lapho befunda noma benza umsebenzi oseduze kakhulu:
Amehlo aphelile
Amazwi ahambayo noma aqoqa
Umbono kabili
Ukubunzima ukugxila
Ukulukhuni ukufunda noma yimuphi ubude besikhathi
Ukukhipha noma ukuvala iso elilodwa
Ukungaqiniseki kokuguquka kukhona kweyodwa kwezingane ezingu-20. Cishe eyodwa kuya kwezingane ezimbili kuzo zonke izilasi zinezimo. Izingane ezikwazi ukuguqulwa kwe-convergence ngokuvamile zicatshangwa ukuthi zivilapha noma ziphazamisa ekilasini. Bavame ukungakhathaleli kahle futhi ngokuvamile bakhathele kalula uma befunda.
Ukuxilongwa
Ukungaqiniseki kokuguqulwa akuvame ukutholakala ekubukeni kwombono ovamile. Ngokuvamile, indlela kuphela okumele ihlolwe kahle ukubona udokotela weso, noma i- optometrist noma i-ophthalmologist .
Eqinisweni, ama-optometrists noma ama-ophthalmologists babhekana nochwepheshe abangcono ekusebenzelaneni nalesi simo.
Kunezici eziningana ukuthi odokotela bamazinyo babheka lapho bebona kahle ukungenakuthola kokuhlanganiswa.
- Okukhulu kunokwakheka okuvamile - Okokuqala, odokotela bamaziso bathola ukuthi isiguli esinezinkinga zokuguqulwa kwesibalo sinokubukeka okukhulu. I-phoria yindawo yokuphumula yemvelo yeso. Kubantu abahlushwa inkinga yokuguquguquka, isimo sokuphumula sokwemvelo sisesimweni esingaphandle. Ngenxa yalokho, akukhona nje lowo muntu ozama ukuguqula eseceleni esiseduzane, kodwa okokuqala kufanele anqobe leso sikhundla esikhulu sokuphumula sangaphandle futhi aguquke ngokujwayelekile ekuhlosweni.
- I-NPC eyancipha - Okwesibini, abantu abahlupheka ngenxa yokungakwazi ukuguquguquka banesisindo esincane se-convergence (NPC). I-NPC yisilinganiso sokuthi isondlo sokulungisa singasondela kanjani ekhaleni ngenkathi sigcina umbono omuhle we-binocular. I-NPC evamile ingaba yi-1 cm noma yonke indlela eya ekhaleni. Umuntu onomqondo omuhle we-fusional angagcina i-target engashadile yonke indlela "ekhaleni." I-NPC ye-10 cm kuphela ibhekwa njengekude noma ngaphandle kwemingcele evamile. Lo muntu akakwazi ukuletha amehlo abo ngaphakathi futhi alondoloze okuhle okuhle kwebinocular at iphuzu kuka 10 cm.
- Izindawo zokugcina ze-binocular fusional - Okwesithathu, abantu abane-convergence insufficient nabo banamabanga aphansi ohlanganiso. Ngokujwayelekile sinezinhlobo lapho imisipha yethu ikwazi ukuhlukanisa noma ukuguqula amehlo ethu. Abantu abanombono ovamile banezinhlobo eziningi ezikwazi ukuhambisa amehlo abo masinyane ukuze balondoloze umbono omuhle we-binocular. Abantu abanezinqolobane eziphansi zokugcina izinto abanakho indawo yokukhokhela. Ngenxa yalokho, abakwazi ukuguqula ngendlela edingekayo. Abanye abantu abanokungafaneleki kokuguquguquka bakhononda ngemibono kabili.
- Ukuntuleka ngokwengcebo - Ngezinye izikhathi izingane nezingane ezincane ezinokuphelelwa amandla okuguquguquka nazo zinezinkinga zokuhlala. Nakuba ungaba nomunye ngaphandle komunye, ngokuvamile zibangele inkinga ngoba indawo yokuhlala ne-convergence isondelene kakhulu neurologically. Indawo yokuhlala yi-reflex othomathikhi eyenzeka lapho sigxila ezintweni eziseduze. I-muscle iso, kanye ne-lens, ishintshela ukuvumela amandla okugxila okukhulayo. Lokhu kuvumela ukuthi izinto zicaciswe. Uhlelo lokuhlala kanye nesistimu ye-convergence ye-iso ihlangene eduze futhi omunye angathinta omunye. Abantu abanokungeneli kokuguquguquka ngokuvamile banesilinganiso esingafaneleki sokuguqulwa ngokwezinga lezindlu abahlala kuzo. Kuthiwa kunendawo ephansi yokuhlala-convergence / yokuhlala. Odokotela bamehlo bangalinganisa lesi isilinganiso ukuze babone uma kungaphandle kwemingcele evamile.
Ukwelapha
Abaningi bokunakekelwa kwamehlo baphatha ukwelashwa okungenalutho ngokusebenzisa i-home-based therapy ebizwa ngokuthi "ipenseli-push-ups." Ngesikhathi se-push-ups, isiguli silandela incwadi encane noma isithombe epenile. Ipensela ihanjiswa kancane kancane ebhuloho lempumu. Umgomo ukugcina incwadi ecacile futhi engashadile ngaphandle kwemibono kabili. Isiguli siqala ukudweba ipensela ekhaleni. Nsuku zonke, umgomo ukuwuletha osondelene kakhulu nasemakhaleni bese ubamba ukulungiswa ngombono ocacile, ongashadile. Amaphini-push-ups aphindaphindiwe imizuzu engu-10-15 ngosuku.
Ngoba imiphumela ye-pencil push-ups yahluka kakhulu, isifundo senziwa yi-National Eye Institute eyaziwa ngokuthi i-Convergence Insufficiency Treatment Trial (CITT).
Lona luhlolo lokuqala olwenziwe kahle oluqhathaniswa nokwelapha okuhlukile. Ucwaningo lwamaviki angu-12 luqhathanisa izinhlobo ezintathu zokwelashwa kwombono, ezimbili zazo ezazisetshenziswa ukwelapha ekhaya futhi eyodwa yokwelapha ehhovisi eqhutshwa umuthi oqeqeshiwe. Ucwaningo lubuthole ukuthi cishe amaphesenti angama-75 alabo abathola ukwelashwa kwe-office ngothisha oqeqeshwe kanye nokwelashwa kwekhaya babika izimpawu ezimbalwa futhi ezincane ezihlobene nokufunda kanye nomunye umsebenzi oseduze uma kuqhathaniswa nabantu abanobuchwepheshe bombono kuphela.
Ezinye zokwelapha
Ama-Glass Esigqoko - Amandla akhethekile ahambisa izithombe abizwa ngokuthi i-prism futhi angabekwa esitokisini se-eyeglass. I-Prism ibangela ukuthi izithombe zisuswe ukuze umuntu angenele ukuguqulwa akudingeki aguquke okuningi. Lokhu akuphilisi isimo kodwa kuxazulula izimpawu eziningi. Inkinga nge-prism yukuthi abanye abantu bangazivumelanisa nayo. Ngenxa yalokho, inani eliphakeme lama-prism kumele linikezwe ukuze kufinyelelwe umphumela ofanayo.
Ukwelashwa - Ukuhlinzwa ngokuvamile kuvame ukuguqulwa kokuguquguquka njengoba isimo siphenduka kahle ekuthatheni imithi.
Izwi elivela
Ungakhathaleli ithonya lokuthi isimo esinjengokuntuleka kokuguquguquka kungaba nokukwazi ukufunda, ukuhlushwa, ukuqonda nokufundiswa komuntu omdala osemusha. Uma ingane ikhipha ekilasini, kungenzeka ngenxa yenkinga yombono njengokungasebenzi kahle. Abazali kufanele bazi ukuthi ukungakwazi ukuguqula kungabangela izimpawu eziningi ezenza kube nzima ukufunda nokuqonda. Kodwa-ke, odokotela manje banokuthi ubufakazi bokuthi ukwelashwa kombono okusekelwe ehhovisi nomuthi oqeqeshiwe kanye nokuqinisa ukwelapha ekhaya kungaphatha lesi simo bese kuqeda izimpawu.
> Umthombo:
> Ukuguguleka kokuguqulwa kwesilingo Isivivinyo sohlelo lokufunda. Isivivinyo somtholampilo esingahleliwe sokwelashwa kokungakwazi ukuguqula izingane ngendlela efanele. I-Arch Ophthalmol, Okthoba 2008.