Pakati pekusakwana kwekunakisa kwechiso, ptosis yepamusoro maziso anowanzoonekwa kune vakadzi. Uku ndiko kuputika, kusakanganiswa kwemajeri, izvo zvinowanzoonekwa zvishoma nezvishoma uye pakupedzisira zvinopfuurira. Vakawanda vari kutsvaga nzira dzokubvisa kukanganisa kwakadaro, asi zvakakosha kutanga kutanga chikonzero chacho.
Ptosis yepamusoro eyelid - zvinokonzera
Kubvisa chimwe chinhu chisingafadzi chichava nyore kana ukaona chinosanganiswa nechitarisiko chazvo. Ptosis yepamusoro eyelid yemhosva yacho inogona kuwirirana nehutachiona husina kunaka kana kuti kuve nekukanganisa kunowanikwa. Nhengo dzeChenenital dzenheji yepamusoro dzakakamurwa kuva miviri miviri mikuru:
- genetically conditioned ptosis uye pasi-development of the muscle lifting the upper eyelid (shortening, thinning, loosening or lack of muscle);
- ptosis yehutano hwehutano (hutano, husingagadziri mutsara wezana remakore, nehutachiona hwehutano hunovhuniwa), hwakagadzirwa mutero nekuda kwezvirwere zvakasiyana-siyana zveamai kana kuti nekuda kwekurwadziwa kwekuzvarwa.
Zvikonzero zvinowanikwa ptosis zvinogona kuva zvikonzero zvinotungamirira paresis kana kuora mitezo yemutsipa unofanirwa kukwidziridza maziso epamusoro uye kuvhura ziso. Uyu mushutu unonzi muvhiri, uri pasi pehutsetse hwemafuta ehudhi yepamusoro, huchibatanidza nekaputika yekateti yekateti uye yeganda rekoyi. Mukuwedzera, kuputika kunowanzokonzerwa nekuderedza, kutambanudza kana kutengesa kwerevator. Zvichienderana nechikonzero, vanosiyanisa zvinhu zvakadai zveptosis:
1. Aponeurotic inobatanidza ne:
- kukwegura kwakakwana kwehupenyu;
- kukanganisa kwemasikironi emasumbu kana kuti aponeurosis yemusumbu (tendon plate) nemhaka yekutambudza kana chirwere chinoputika, chirwere chepurasitiki.
2. Neurogenic, inobva ku:
- Kukuvadzwa nekukuvadza kweropa remamiriro;
- zvirwere zvepfungwa (stroke, multiple sclerosis nevamwe);
- utachiona hwehutachiona hwehutano;
- kukundwa kwemutsipa wekervical mitsipa, ane mutoro wokusimudza mazamu;
- Neuropathy muvanhu vane chirwere cheshuga;
- kushanda aneurysm.
3. Myasthenic, inokonzerwa ne generalized myasthenia gravis.
4. Mechanical inobva ku:
- kuumbwa kwechigunun'una chinotyisa pamheyeri;
- kuumbwa kwenyoka;
- kurova muviri wekunze muziso.
5. Oncogenic, iyo inotungamirira kukura kwechirwere chakaipa mumugumo.
Congenital ptosis yeoyelid yakakwirira
Muzviitiko zvakawanda, kuberekwa, maitiro ekugadziriswa kwemajeri epamusoro, iyo inoparidzwa kubva kune umwe wevabereki, ndeyemativi maviri. Ichi chakaremara chinosanganiswa nekudzika pasi kwemukoko wepamusoro weeyelid inowanikwa muhuduku uye inowanzobatanidzwa ne strabismus kana amblyopia. Muzviitiko zvisingawanzoitiki, congenital ptosis inokonzerwa ne palpebromandibular syndrome, umo mutsara weheyeri yepamusoro isingagadziriswi nezvinoitwa nemisungo yejaya. Mukuwedzera, ptosis inopesana nechemberi ye blepharophimosis, apo kuderedza uye kupfupisa kwegaka reziso kunoonekwa.
Ptosis yepamusoro weoyelidhi mushure me botox
Chimwe chikamu chinowanzobatanidzwa ndiko kusakanganiswa kwezana remakore shure kweBotox. Ichi chisingafadzi chinoratidzwa muna 15-20% yevarwere vakagadziriswa majekiseni pamwe nekugadzirira kwebhodiniti ye botulinum muhuma. Chikonzero cheptosis munyaya iyi ndiko kuiswa kwechirwere mumusumbu unosimudzira girasi refu, izvo zvinokonzera kuti zvipere. Izvi zvinowanzoitika apo kudzorera botox therapy kunoitwa kuburikidza nekupfupi kwemazuva mashoma, semugumisiro wekuti maziso emusana haana nguva yokudzorera kufamba kwavo.
Dzimwe nguva kuregererwa kwemafungiro kunokonzerwa nehutungamiri hwehuwandu hwakawandisa hwechirwere kana kuti kusagadzirisa nzira yekuisa maratidziro ezvimwe zvikamu zvejairo, apo zvinyorwa zvemaziso zvisingatariswi (semuenzaniso, mutsara wakamanikana) uye majekiseni anoitwa maererano nehuwandu hwemagetsi. Kana izvi zvisizvo zvisina kusarudzwa nenzira yakashata, maofidi anodonhedzera anokonzerwa nekupora muviri kwemisumbu, iyo yakanga isina kurongwa kukuvadza.
Kusununguka kwemaofidi makuru pamusoro pekurumwa kwezvipembenene
Izvi zvinoitika kuti kuregererwa kwechikonzero chemazana kunobatanidza nekurumwa munzvimbo yeziso yezvipembenene zvakasiyana - utsi, midge, nyuchi nezvimwe zvakadaro. Muchiitiko ichi, pane kuvhiringidzika-kukonzera edema, iyo inokonzera kuputika kwemaofi. Muchiitiko ichi, kuwedzera kune zviratidzo zveptosis, pane zviratidzo zvakadai sokudzikinurwa kwemaofi, hupfumi hwaro, ruvara rwehuni uye kutsva kwekunzwa.
Zera remakore eyelidhi yakakwirira
Mune vakwegura, kuburuka kwemaziso epamusoro echikonzero chacho kunosanganiswa nekuderedza uye kutambanudza kwemasikironi emasumbu nemigumisi, sechikonzero chekuti mavara eganda anotanga kumira. Mukuwedzera, izvi zvinotungamirirwa nehutachiona hwehutano hwehutano hweganda nekuda kwekuderera kwekugadzirwa kwegorgen uye elastin, kushungurudzika kwemakemikari mumatumbu uye mamwe maitiro anobatana nekukwegura.
Ptosis yepamusoro eyelid - zviratidzo
Apo mazamu akarembera pasi, izvi zvinoratidzwa nezviratidzo zvinotevera:
- iyo eyelidhi yakaderedzwa yeimwe kana maziso ose, zvichiita kuti kusagadzikana zvishoma kana kwakakwana kwegono reziso (kumucheto kwechoko chepamusoro chinotakura iris kupfuura 1.5 mm);
- nguva dzose yakamutsa mashizha nekuda kwekuedza kubhadhara ptosis;
- kutarisa chiso chekutarisa;
- tsika yekukanda musoro wako kuti uvandudze kuonekwa;
- kuoma mukunyunyutika kufamba kweziso;
- kuoma kana kusakwanisa kuvhura zvachose ziso;
- kuwedzera kwokuneta kweziso;
- kuderedza kuona maonero;
- zviratidzo zviviri , kunzwa kwejecha mavari;
- tsika yokuputika kwemaziso.
Inofanira kunzwisiswa kuti ptosis yepamusoro maziso haisi kungova nemafungiro ekunyengedza, asi chinetso chakakomba chekushaya ropa chinogona kukonzera kuonekwa kwakanyanya kwekuona. Inonyanya kukanganisa kana chirwere chimwe-sided. Rega zviratidzo zveptosis yeoyelid yakakwirira, kunyange yakataurwa zvishoma, haikwanisi, sezvo kukanganisa kunokwanisa kufambira mberi nokukurumidza.
Ptosis yepamusoro eyelid - dhigirii
Zvichienderana nechekupi kwechokumusoro kwemaofidi iyo inoderedzwa maererano nekudzidzisa kweziso, ptosis yepamusoro maofiyadhi inoparadzaniswa kuita zvidimbu zvitatu zvekuoma:
- ptosis yechipfu chechipiri chepamusoro-eyelid - apo chetatu chemudzidzi chakafukidzwa;
- ptosis yechipiri chechipiri - kana hafu yevadzidzi yakafukidzwa kana 2/3 chechikamu chayo;
- ptosis 3 madigiri - zvinoreva kuvhara zvakakwana kwevadzidzi veziso.
Ptosis yepamusoro eyelid - kuongororwa
Kuti uongorore hutachiwana mubvunzo, chirwere chinowanzoitwa ophthalmologic chinotarisirwa, nekusagadzikana kweeyelidhi uye nedhigirii yacho maererano nechepakati pakati pepakati pemudzidzi uye nechepamusoro kwemaofi. Kuti uwane chikonzero chekutsauka uye zvinetso zvaakaguma nazvo, chiremba anoongorora kufamba kwemaziso nemashizha, kuenzanisa kwekufamba kwemaziso, kunotarisa ukuru hwepeta rejeri. Mukuwedzera, kukoshesa nemunda wekuona zvakasimbiswa, iyo fundus inodzidzwa, iyo yemaitiro epakona inotaridzirwa.
Kana pane kusava nechokwadi kwezvipembenene zvinoshungurudza zvemapfupa emapfupa, ruzivo rwemashoko ehupamhi hwemotokari inopiwa basa rekuona sachigaro, uye kana chirwere cheshuga chikafungidzirwa, kombiyuta kana maginist resonance imaging yeuropi inogona kukurudzirwa. Zvinowanzodiwa kuti tibvunzurwe neurologist, neurosurgeon.
Ptosis yepamusoro yeoyelidhi - kurapwa pasina chirwere
Kurapa kwakakosha kwekuderera kwemajeri hakudiwi, kana ichi chiitiko chechinguva. Semuenzaniso, ptosis yeoyelid yakakwirira, inokonzerwa nekurumwa kwezvipembenene, ichazvitsakatisa mushure mokunge kuzvimba kuchiburuka. Kuti ikurumidze izvi, antihistamine kunze (Fenistil) uye systemic zvinodhaka ( Loratadine , Suprastin), nzvimbo yekorticosteroids (Advantan, Hydrocortisone) inoshandiswa. Izvo ndezvechokwadi kune ptosis mushure mezvipembenene zveBotox, izvo zvinoitika mushure memavhiki mashomanana (dzimwe nguva zvinodhaka zvinogona kukurudzirwa kuti zvive nyore kuratidza musimba kufamba - Neuromidine, apraklonidine).
Ptosis inoberekwa nezera rehutachiona hwepamusoro hwemaodi inogona kuchengetedza, asi pane dzimwe nguva inokurudzira kusimbisa kururamisa masks, marangi nekusimudza. Kana iyo ptosis yeurophenisiti yejeri yepamusoro inowanikwa, inofanira kuibvisa sei, chiremba achakutaurira mushure mekuongorora kwezvikamu. Kazhinji mumamiriro ezvinhu akadaro, kudzorera basa rekushandiswa kwemishonga:
- Physiotherapeutic nzira ( UHF , galvanotherapy, myostimulation, therapy paraffin);
- Kugadzirira mishonga yemishonga yakakwana ( B vitamini );
- kushambadza kunokosha uye gymnastics pameso.
Kushambadza ne ptosis yeoyelid yakakwirira
Mumakiriniki uye cosmetology salons kururamisa mamiriro acho epakutanga kunogona kukurudzira bhuku nekudzivirira kupisa musasa pamwe neptosis yeoyelid yakakwirira. Kuzvimiririra zvinokwanisika kuitisa kupisa uye kumba, kutevera mazano akadaro (nguva yegadziro iri 5-10 maminitsi):
- Bvisa maiti, shandisa mafuta ekuzora paganda.
- Mhedziso dzakatenderera dzinokonzera mazamu epamusoro ane manotsi eminwe kubva mukati nechekunze kwekona kweziso.
- Ramba uchinge uchisasa, uchichinja chiedza che stroking.
- Chikamu chinotevera ndechekugadzirwa kwekufambisa kune imwe nzira (musabata maziso emaziso).
- Pakupera kwechikamu, chengetedza maziso ako nekotoni pads yakasvibiswa nekudziya kwechikamu chamomile, gara kwemaminitsi akawanda.
Gymnastics ne ptosis yeoyelid yakakwirira
Izvo zvinotevera zvinoshandiswa ne ptosis eyelid yakakwirira zvinopa maitiro akanaka (basa rimwe nerimwe rinodzokororwa 10-15 dzimwe nguva):
- Sezvo uine hutano hwakanaka, tarisa mberi uye kuita zvishoma nezvishoma kufamba kwemasvikiro nemaziso nenguva uye ne-clockwise.
- Kugadzirisa kufamba nemaziso kumusoro uye pasi.
- Kusimudza musoro wake, kushamisa zvishoma muromo wake uye nekukurumidza kunamatira meso ake kwemasekondi makumi matatu; Kushandura kuona kubva kumativi ekure pane imwe iri pedyo nemeso uye pane zvinopesana.
- Anovhara maziso ake uye akabata maziso ake neminwe yake, edza kuedza kusvinudza maziso ake zvakakura sezvinobvira; kumanikidzira munwe wake kubhiriji yemhino dzake, pamwe achitarisa kwaari neruoko rwake rworuboshwe kana zorudyi.
- Kucherechedza kwemaminitsi mashomanana ozarura meso ako zvakasimba.
Kuregererwa kweiyodhi yepamusoro - kurapwa nemishonga yevanhu
Apo ptosis yepamusoro eyelid inowanikwa, kurapwa kumba kunogona kubhadharwa nemishonga yevanhu kushandisa michina yemhuka. Saka, migumisiro yakanaka inoratidza kushandiswa kwemasikisi emafudzi emajeri kubva patsva mbatata. Aya maitiro anobatsira kubvisa kuzvikudza, kusimbisa nekusimbisa ganda rakakomberedza meso , rinobatsira kuderedza kuratidzwa kweptosis. Iwe unongotora mbatatisi pane grater, kupora huwandu hunoita mufiriji uye unoshanda kune maziso emaawa gumi nemaminetsi gumi nemashanu, wozorora nemvura.
Ptosis yeyelin eyelid - opera
Kana mubvunzo wacho ukamuka pamusoro pekurapa ptosis yeoyelid yepamusoro 2 kana 3 digiro, saka hazvizobviri kuwana chiitiko chakanaka pasina maitiro ekuvhiya. Kuvhima kunoitwa pasi pekugara kweanesthesia. Mukana wekuberekwa ptosis, musero unosimudza chikokovonho unopfupiswa, uye pamwe nehutachiwana hutachiwana, aponeurosis yemusemu uyu yakanyanyisa. Mukuwedzera, chikamu chiduku cheganda chinobviswa uye rinonongedza suture rinoshandiswa. Kuita kuti kuderedza kushungurudzika, kuvandudza kupera kwemaokie, diathermocoagulation inoshandiswa mukushanda.