Diplopia - zviri ... Children pamwe kutadza kuona zvakanaka. Double chiratidzo

Mune mamwe mamiriro ezvinhu, vanhu vane chiratidzo miviri, iyo nesayenzi inonzi diplopia. Izvi zvokurwara ophthalmic, asi kazhinji hazvisi kuzvimiririra, asi mumwe zviratidzo mumwe chirwere. Zvinokosha kuona chikonzero diplopia uye kubatwa chokuchengetedza murwere chiratidzo uye vadzosere hwandaiva upenyu.

The mashandiro chirwere

Meso Human vane kunzwisisa marongerwo uye gadziriro maonero vachigara zvinhu, anonzi chiratidzo. Achitaura tezisno, nhengo dzedu pamberi zvinosanganisira eyeballs iri nezvigadziko uye cornea, izvo, vitreous muviri pamwe anoshongwa, majoko matatu rakatumbuka tsandanyama kukanganisa kwebasa eyeballs, uye tsinga harinzwi kuti kukurukurirana uropi.

Meso Healthy kufamba synchronously. Tsinga harinzwi mumwe nomumwe mahwanda wechipiri kwokupa nomunhu kubva zvinhu zvinoonekwa muuropi, apo mifananidzo miviri vari zvakare imwe. Kana paine diplopia, kudzokerana ichi hachisi nekuti kuputswa kana synchronize kufamba pamusoro eyeballs, kana nokupfuuridzirwa mashoko kwacho ari optic etsinga kana wayo kubudiswa nokuda uropi. Somugumisiro, mumwe munhu anoona chimwe chinhu kaviri, ndiko kuti, kuruboshwe nezvakarurama ziso yoga. Dzimwe nguva mifananidzo miviri yaunganidzwa imwe tsanangudzo, asi zvinoitika kuti umwe wavo chinopenya uye mumwe kujeka. Vamwe vanhu dvoyatsya zvinhu kure, vamwe, nekusiyana, chete hwakada munzvimbo dzokuzororera dzaiva, kana vose avo, uye vamwe pamwe chete.

zvikonzero

Zvokurwara uye zvemaziso migumisiro pamusoro muchadenga (muchadenga) uye ziso tsandanyama inotisvitsa chokwadi kuti diplopia kunoitika. Ivo:

• anogumbura pezvakaitwa;
• kunotevera (paresis);
• bundu uye hematoma;
• vachiberekwa ezvinhu.

Divide mukuona maviri kunogonawo kuva nokuda matambudziko neziso tsinga harinzwi akadai:

• aneurism of carotid tsinga;
• zvokuimba kukuvara musoro.

Uyezve, pane dzimwe chetsinga uye zvirwere kukanganisa etsinga hova mashandiro uye pezvakaitwa umo diplopia. Ivo:

• tuberculous yomumuzongoza etiology;
• rouropi;
• mumps;
• tetenasi;
• diphtheria;
• rubella;
• zvakakomba kudhaka pamwe mishonga;
• doro kudhaka.

Vamwe vanhu diplopia ndepana yakakwirira huta Zvinetso, chemaneka, uye pashure kuvhiyiwa ziso, strabismus, tsanga, uye retinal yokuzviparadzanisa.

Asi kwete ndizvozvo zvose. Kune akawanda zvirwere, mumwe chiratidzo chiri chiratidzo kaviri. Idzi dzinosanganisira:

• chirwere cheshuga;
• zvanga zvine utachiona uhu;
• nemultiple sclerosis;
• thyrotoxicosis.

zviratidzo

State kana munhu anotanga kuona maviri panzvimbo imwe chinhu, uye pane chinonyanya unoshamisa chiratidzo chokuti chirwere akazviratidza diplopia. Zviratidzo zvinogona kunge kuti dzungu, nematambudziko orienteering, tsinga neshungu. Kana diplopia chesekondari, ayo avakaita ndizvo zviratidzo huru chirwere. Mukuwedzera, yezvakaita bifurcation anogona kuona kana ziso tsandanyama vakashamiswa, uye kana zvakadaro, ndeapi. Saka, kana zvokurwara zvakakanganisa rectus tsandanyama, munhu anoona kaviri mifananidzo yakafanana, uye kana oblique, ipapo zvinhu zvakafanana tora chinzvimbo chimwe pamusoro mumwe. Varwere kazhinji tilted musoro wake kurutivi tsandanyama, ndiko sei.

Kune mhando mbiri diplopia. Kana binocular chinooneka muitiro munyaya maziso maviri, asi mune imwe navo kutarisana akabatana iri misha, izvo zvinoita kuti paradzanisa. Chiratidzo kana chiratidzo ichi mhando ndiko kudzorera hwandaiva mufananidzo kana kuvhara ziso rimwe. Kana monocular mufananidzo kaviri anoona ziso rimwe, sezvazvakanyorwa projected zvakananga pamusoro the retina mbiri pfungwa.

Vana vane kutadza kuona zvakanaka

The chinooneka maonero ari munyika - kunokosha kuti chakaipa kukura kwevana. Naizvozvo, zvinokosha kuti meso avo vari "kushanda" zvakanaka. Zvinosuruvarisa kuti ose 20 vanoenda kukireshi uye vechikoro 4 pane mwana mumwe ane kutadza kuona zvakanaka. Kakawanda iri:

• nearsightedness (myopia) ;
• strabismus;
• Kuona zviri mberi (hyperopia) ;
• upofu;
• astigmatism (madzerere).

Diplopia, kunyanya vachiberekwa, mune vana kwava kushoma. Kakawanda iri kuwanwa somugumisiro chirwere kana kukuvara, maziso uye musoro. Izwi iri kukuvara kana kuwa uye kurova (semuenzaniso, bhora kana chando). Somugumisiro, zvakakuvadza ziso panosangana, uye mashoma nyaya - uye ziso netsandanyama. Kana diplopia waiva mugumisiro yokukuvara, mwana anogona kuona:

• fungiro edema;
• exophthalmos (buckling) kana enophthalmos (pakurega) eyeballs;
• zvaizopedza kana pasi mufambo eyeballs;
• chemosis uye akatsvuka pakati conjunctiva;
• nosebleeds.

Vana vaduku vane kutadza kuona zvakanaka (vachiberekwa diplopia) kuipa dzokumabvazuva pachavo vari muchadenga, haagoni noungwaru kutora kubata chitoyi uye kumhanya zvakanaka nawo zvaidiwa zviito. izvi zvose zvinofanira pasvika vabereki vave chikonzero kuenda kwachiremba.

Diagnostics

Kazhinji, varwere (kunze vaduku) nokuzvidzora mushumo chiratidzo kaviri. Chiremba anofanira kutakura mamwe Kukoshesa kuona mhaka chirwere uye taurira kurapwa. Pane nemiedzo yakawanda. First - club vechiedza kunobva. Chiremba anotungamirira zhenje kwakasiyana-siyana, uye murwere anotsanangura nzvimbo yakajeka pfungwa (kana anoona vaviri), anoti kana vachiswedera mumwe, kure nomumwe. Pahwaro mhinduro idzi akatsunga izvo tsandanyama vanokanganiswa. bvunzo rechipiri - afunge mahwanda. Chechitatu, rakarurama kupfuura - koordimetriya kuitisa kushandisa oftalmokoordimetra OK-1. Uyezve, panguva rokuongorora kunodiwa kuti kuongorora nzvimbo namafungiro, avo mufambo, symmetry ari kuruboshwe uye zvakarurama pameso, chinzvimbo uye kwebasa eyeballs, "chifukidzo bvunzo", kutarisana acuity, kwomusikirwo chiedza uye ruvara maonero.

mabatiro

Zvaakanga kunotsanangurwa chikonzero kuti pane diplopia, kurapwa rinoitwa kana kuchirapa kana zvomusejari nzira. Kana diplopia haisi chikuru, zvinokonzera chirwere aibatwa. Kazhinji zvinoda muchipatara. In nedanho nokupora doubling pacharo haazombotaurwi mumaziso. Kana diplopia yakaitika nokuda kukuvara, zvinokwanisika kuita ophthalmic chiremba kuvhiyiwa. Muzviitiko apo bifurcation kunokonzerwa nezvinetso optic etsinga, anoitisa kurapwa pachiimbwa ophthalmologist wetsinga, neurosurgeon uye dzimwe nguva. Mune zvimwe zviitiko, kurapa munhu prismatic kururamiswa achibatsirwa dzinokosha magirazi uye kurovedza ziso kuti murwere anogona kuchengeta yavo kumba. Navo pane mhando dzakawanda, zvichienderana norudzi diplopia.