Esimweni esivamile, ubuso bomuntu bubucayi emaceleni angakwesokudla nangakwesobunxele. Uma ngeso elilodwa noma kokubili amehlo e-iris ahlanganiswa ngaphezu kwe-1,8-2 mm, i-ptosis yejwabu leso eliphezulu (izintambo) zenzeka. Lezi zifo zivela ezihlokweni ezihlukahlukene ezifunyenwe, kanti futhi zizalwa.
Izimbangela ze-ptosis yejwabu leso eliphezulu
Ukuze unqume umthombo wokuthuthukiswa kwalesi sifo, kubalulekile ukwazi ukuhlukaniswa kwayo.
I-ptosis yama-Congenital, njengombuso, emazweni amabili, aphakama ngenxa yezici ezilandelayo:
- Blepharophimosis. Libhekene ne-genetic pathology, elihambisana negebe elincane eliyinqaba, kanye nemisipha engapheliyo yejwabu leso eliphezulu. Kufanele kuqaphele ukuthi ijwabu leso elincane livame ukuvela.
- Ukusebenza okungalungile kwe-nucleus ye-oculomotor nererve. Ngenxa yalokho, ijwabu leso liphansi njalo kunalokho okufanele libe khona.
- Ifa lomuthi wezakhi ezizimele, okubangela ukuthuthukiswa kwengxube ye-muscle ukuphakamisa ijwabu leso eliphezulu.
- I-palpebromandibular syndrome. Lesi sifo sibonakala ukuxhunywa kwe-trigeminal nerve ne-muscle, okubangela ukunyuka kwejwabu leso. Isimo esithulile asikashiywanga, kepha ngesikhathi sokuhlafuna kuvela. Njengomthetho, le syndrome ihambisana ne-amblyopia ne-strabismus.
Okuvamile kakhulu uhlobo olutholakalayo lwesifo. Izizathu zalo:
- I-Myasthenia gravis (ukukhathala kwemisipha). Ukwehluleka kwejwabu leso kuyabonakala ngemithwalo ebonakalayo, izinguquko zayo ezinzima ngokuqhubeka kwe-pathology.
- Ukunciphisa imishini yekhulu leminyaka. Kwenzeka ngenxa yezinqubo ze-tumor, ukuhlukunyezwa kwezicubu.
- Imiphumela emibi yezinhlobo ezithile zokuhlinza nge-plastic ne-cosmetology, isibonelo, i-ptosis yejwabu leso eliphezulu ngemuva kwe- Disport noma i-Botox . Kubonakala njengomphumela wamaphuzu angakhethiwe ngendlela engalungile yomjovo, ngaphezu kwesilinganiso esinconywayo, ukujova umuthi oseduze kakhulu namashiya.
- Ukuhlukaniswa kwethemoni ye-motor muscle yejwabu leso kusuka epulatifheni elihlanganisiwe. Ngokuvamile kuthinta abantu abaneminyaka yobudala obudala noma labo abanokulimala kwe-serous eye.
- Ukukhubazeka kwe-oculomotor nerve, evela ezinhlobonhlobo zokuphefumula, isifo sikashukela, izicubu.
Ngaphezu kwalokho, izifo ezichazwe kungaba:
- egcwele - ijwabu leso livala ngokuphelele umfundi;
- engaphelele - umugqa we-eyelashes uphakathi naphakathi komfundi;
- i-ptosis eyingxenye yejwabu leso eliphezulu - umfundi uhlanganiswa nesithathu.
Futhi, lokhu kuhlukaniswa kubonisa isigaba sokukhubazeka, okuchaza ubuciko obubonakalayo. Ngesilinganiso esibi (iptosis ephelele), ikhono lokubona ngokuvamile liyancipha kancane kancane.
Indlela yokuphatha i-ptosis yejwabu leso eliphezulu?
Indlela yokwelapha kuphela ephumelelayo ukulungiswa kokuhlinzwa. Ukuqedwa kwe-ptosis ye-eyisikili ephakeme kusetshenziselwa kuphela izimbangela ze-neurogenic zesifo. Iqukethe ekubuyiselweni kwemisebenzi yokhathazeka ngokusetshenziswa kwe-UHF ne-galvanotherapy, ukulungiswa kwemishini.
Ukungenelela kokuhlinzwa kanye namaqhinga abaphathi bayo kuxhomeke esimweni sokugula.
Ukwelashwa kwe-ptosis yejwabu leso eliphezulu ngokusebenza
Uma lesi sifo sizalwa, inqubo ihlanganisa ukunciphisa (isifuba) semisipha, ephakamisa ijwabu leso eliphezulu. Ngezinye izikhathi kukhonjelwa emisipha yangaphambili, lapho i-ptosis iphelele. Inxeba ifakwe uphawu lwezingubo eziqhubekayo.
Izifo ezitholakalayo zihilela ukunciphisa hhayi imisipha ngokwayo, kodwa i-aponeurosis yayo, okwathi ngemva kwalokho i-sutured engxenyeni ephansi yejwabu leso (i-tarsal plate). Ngamafomu omnene we-ptosis, lo msebenzi ungenziwa ngesikhathi esifanayo ne- blepharoplasty . Ngemva kokungenelela kokuhlinzwa isiguli sisheshe sibuyiselwe - ezinsukwini ezingu-7-10.