Diplopia - kungcono ... Izingane nge ongaboni. umbono double

Kwezinye izimo, abantu babe nombono double, okuyinto ngokwesayensi ngokuthi diplopia. Lokhu zokugula amehlo, kodwa ngokuvamile akuyona ezimele, kodwa kunalokho ingenye izimpawu kwenye isifo. Kubalulekile ukucacisa imbangela diplopia futhi iphathwa ukuze alondoloze umbono lesiguli ukwazi ukuphila okuvamile.

Mshini lesi sifo

amehlo Human akheke eziyinkimbinkimbi futhi uhlelo okuqonda lezinto ezizungezile, ibizwa ngokuthi umbono. Ukukhuluma tezisno, izitho zethu obonayo zihlanganisa izinhlamvu zamehlo ise enethiwekhi kanye ne-cornea, lens, umzimba Vitreous ne amagobolondo, amabhangqa amathathu kushintshana imisipha ezithinta ukuhamba zamehlo, futhi kwalapho ukuthi ukuxhumana ebuchosheni.

amehlo enempilo ukuhambisa synchronously. eziyimpumelelo Nerve ngamunye uqhekeko lwesibili adlulisa izinzwa izinto kubonakala ebuchosheni, lapho izithombe ezimbili bayahlanganiswa zibe munye. Uma kukhona diplopia, lokhu kuhlanganiswa Akubangelwa ngobugebengu noma ukuvumelanisa ukunyakaza we zamehlo, noma ukudluliswa kolwazi inqubo emsipheni optic noma ukucubungula yayo ubuchopho. Ngenxa yalokho, umuntu ubona into eyodwa kabili, okungukuthi, iso kwesokunxele nakwesokudla ngokwehlukile. Ngezinye izikhathi izithombe ezimbili etholwe yencazelo efanayo, kodwa kuyenzeka ukuthi omunye wabo kuxhopha kanye nezinye ezingacacile. Abanye abantu dvoyatsya izinto ezikude, kuyilapho abanye, kunalokho, kuphela eduze zishiyane, noma kokubili labo, nabanye ndawonye.

izizathu

Pathology nemiphumela mechanical phezu orbit (orbit) futhi imisipha iso okuholela yokuthi diplopia kwenzeka. Ziyakwazi:

• izinqubo ukuvuvukala;
• ukuhlukumezeka (paresis);
• isimila kanye hematoma;
• izimo azalwa nako.

Hlukanisa emehlweni ezimbili nakho kungaba ngenxa yezinkinga iso kwalapho, njenge:

• aneurism we Umthambo carotid;
• mechanical ukulimala ekhanda.

Ngaphezu kwalokho, kukhona ezinye izifo zezinzwa ezithathelwanayo ezithinta iziteshi emsipheni imisebenzi nezinqubo lapho kukhona diplopia. Ziyakwazi:

• tuberculous meningitis omsakazo;
• ebuchosheni;
• mumps;
• ngqi;
• idiphtheria;
• rubella;
• ukudakwa ezinzima ngemithi;
• utshwala ukudakwa.

Abanye abantu diplopia kwenzeka ngesikhathi okusezingeni eliphezulu sezinzwa kwadambisa isimo esasishubile, umhayizo, futhi ngemva ukuhlinzwa, strabismus, ale nkinga, futhi lamabutho ngwengwzi.

Kodwa akugcini lapho. Kunezindlela eziningana izifo, omunye uphawu umbono double. Lezi zihlanganisa:

• sikashukela;
• botulism;
• yi-multiple sclerosis;
• thyrotoxicosis.

izimpawu

State lapho umuntu eqala ukubona ezimbili esikhundleni entweni eyodwa, futhi kukhona uphawu yesiteleka kakhulu ukuthi lesi sifo bavele diplopia. Izimpawu zingase futhi kube isiyezi, ubunzima ku Orienteering, ukucasuka emsipheni. Lapho diplopia yesibili, ingemuva balo bengabadlali izimpawu zesifo main. Ngaphezu kwalokho, ubunjalo bifurcation kungacacisa ukuthi uma imisipha iso ongezansi, futhi uma kunjalo, yiziphi. Ngakho, uma zokugula abathintekayo imisipha rectus, umuntu ubona izithombe double okufanayo, futhi uma etshekile ke izinto ezifana ukuthatha isikhundla esisodwa balakaniswa. iziguli kaningi esitshekile ekhanda sakhe sengqondo imisipha, oluphazanyiswa.

Zimbili izinhlobo diplopia. Lapho Binocular inqubo ezibukwayo ehilelekile kokubili amehlo, kodwa omunye wabo eksisi ezibukwayo is abangenamakhaya, elibangela uqhekeko. Uphawu noma uphawu lolu hlobo Iwukubuyisela isithombe evamile lapho ukuvala iso elilodwa. Uma monocular isithombe double ubona ngeso elilodwa, njengoba kulindeleke ngqo kuyi-retina amaphuzu amabili.

Izingane nge ongaboni

I okuqonda sibonwa umhlaba ophila - kubalulekile ekuthuthukiseni evamile kwezingane. Ngakho-ke, kubaluleke kakhulu ukuba amehlo abo "ukusebenza" ngendlela efanele. Ngeshwa, zonke esikoleni 20 kanye nezingane zesikole 4 kukhona nengane eyodwa ongaboni. Ngokuvamile kuba:

• ukubona eduze (myopia) ;
• strabismus;
• ezikude (hyperopia) ;
• ubumpumputhe;
• astigmatism (umbono anyakaza).

Diplopia, azalwa naso ikakhulukazi, ezinganeni ezingavamile. Ivame ukutholakala atholwe ngenxa yesifo noma ukulimala, amehlo kanye ikhanda. Ngokuyisisekelo ukulimala lapho bangawi bese ukushaya (isib ibhola noma iqhwa). Ngenxa yalokho, ezilimele iso isokhethi, futhi ezimweni ezingavamile - futhi imisipha iso. Uma diplopia kwaba ngumphumela ukulimala, ingane ingase ukuzwa:

• edema ijwabu leso;
• exophthalmos (buckling) noma enophthalmos (ukunithandazela) zamehlo;
• offset noma ongaphakeme ukuhamba zamehlo;
• chemosis futhi ububomvu we conjunctiva;
• umongozima.

Izingane ezincane nge ongaboni (diplopia azalwa naso) sibi eMpumalanga ngokwabo emkhathini, awukwazi ngobuqili ukuthatha ukusingatha ithoyizi futhi ukusebenzisa kahle ke izenzo ezidingekayo. Konke lokhu kufanele wazise abazali futhi ngikhonze njengomshumayeli wesikhathi nobuqili uya kudokotela.

ukuhlola

Njengomthetho, iziguli (ngaphandle nabancane) self-mbiko ngalo mbono double. Udokotela kufanele afeze kokuhlaziywa okwengeziwe ukuze kutholakale imbangela yokushona sifo futhi zibeka ukwelashwa. Kukhona kokuhlolwa kaningana. Okokuqala - ethungatha we umthombo wokukhanya. Udokotela khaphi ithoshi bacondze etindzaweni letehlukene, kanti isiguli uchaza indawo amaphuzu elikhanyayo (uma ebona bobabili), uthi lapho besondela nomunye, kude nomunye. Ngesisekelo lezi zimpendulo uzimisele okuyinto imisipha kuthinteka. Eyesibili test - ingqondo uqhekeko. Okwesithathu, inembe kunazo - koordimetriya kokuqhuba usebenzisa oftalmokoordimetra Kulungile-1. Ngaphezu kwalokho, ngesikhathi sokuhlolwa edingekayo ukuze hlola isikhundla Isivalo, ukuhamba kwabo, wesimethri kwesokunxele kwesokudla amehlo, isikhundla kanye ukuhamba zamehlo, "ikhava-test", acuity ezibukwayo, asabela ngayo ukukhanya ukubonakala kombala.

ukwelashwa

Njengoba kuchazwe yokuthi kukhona diplopia, impatho Kwenziwa izindlela noma zokwelapha noma kuhlinzwa. Uma diplopia akulona eyinhloko, isifo ecashile belashwa. Ngokuvamile kudinga esibhedlela. Ngo inqubo yokutakula Ukubuyelela kabili ngokwayo ubalekela emehlweni. Uma diplopia iphutha ngenxa yokulimala, kungenzeka enifeza amehlo ukuhlinzwa ohlinzayo. Ezimweni lapho bifurcation kubangelwa izinkinga nge emsipheni optic, uqhuba ukwelashwa ngokuhlanganyela kudokotela wezifo zamehlo wezinzwa, ohlinza izinzwa futhi ngezinye izikhathi. Kwezinye izimo, ayikho indlela yokuyelapha izilungiso prismatic ngosizo izibuko akhethekile iso umzimba ukuthi isiguli ukuma baqine ekhaya. Kwabo kukhona izinhlobo eziningana, kuye ngokuthi uhlobo diplopia.