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October 10, 2025
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I-Lazy eye, eyaziwa ngokuthi yi-amblyopia ngokwelapha, kwenzeka lapho elinye iso lingathuthuki ukubona okuvamile ngesikhathi sobuntwana. Lokhu kudala isimo lapho ubuchopho bakho buthanda iso elinamandla futhi ngokuyisisekelo ‘liphoswe’ izibonakaliso ezivela kwelesibuthakathaka.
Cabanga ngakho njengoba ubuchopho bakho bukhetha ukuthembela kwelinye iso ngaphezu kwesinye, njengokuthanda isandla sakho esinamandla. Nakuba lokhu kungase kuzwakale kukhathaza, i-lazy eye empeleni ivamile kakhulu, ithinta cishe amaphesenti angu-2-3 ezingane. Izindaba ezimnandi ukuthi ngokutholakala kwasekuqaleni nokuphathwa okuqondile, izingane eziningi zingathuthukisa ukubona okuhle kakhulu.
I-Lazy eye ivela lapho ubuchopho bakho nelinye iso lingasebenzi ndawonye kahle ngesikhathi seminyaka ebalulekile yokuthuthukiswa kokubona. Ubuchopho bakho bufunda ukuthembela kakhulu eso elibona kahle, kuyilapho elinye iso liba ‘livila’ ngenxa yokungasetshenziswa.
Leli simo liqala ngokuvamile ngaphambi kweminyaka engu-8, lapho isimiso sakho sokubona sisakhiwa. Iso elithintekayo aliphukile noma alilimale. Kunalokho, izindlela zezinzwa phakathi kwaleso iso nobuchopho bakho azithuthukanga njengoba kufanele. Kungakho ukungenelela kwasekuqaleni kubaluleke kakhulu - ubuchopho bakho buhlala buthanda ukuguquka ngale minyaka emincane.
Kubalulekile ukuqonda ukuthi i-lazy eye akuyona into eyenzeka ngobusuku obubodwa. Isimo sithuthuka kancane njengoba isimiso sokubona sengane yakho siqina, kungakho ukuhlolwa kwamehlo okuvamile ngesikhathi sobuntwana kubaluleke kakhulu.
Ukuqaphela i-lazy eye kungaba nzima ngoba izingane zivame ukuhlanganisa kahle kangangokuthi izibonakaliso ezicacile azivamile ukuvela. Noma kunjalo, kunezibonakaliso eziningi ongazibheka ukuze zikukhombise ukuthi ingane yakho ingaba nezingqinamba zokubona phakathi kwamehlo ayo.
Nazi izimpawu ezivame kakhulu okufanele uzibheke:
Abanye abantwana bathuthukisa izimpawu ezinemininingwane okunzima ukuqaphela. Bangase bahlale beqhuma izinto ngecala elilodwa, babe nezinselele ngezitebhisi, noma babonakale beqhwakele ngesikhathi semisebenzi yezemidlalo. Lezi zindlela zivame ukubonisa izinselele ezihambisana nokubona okuncishisiwe.
Khumbula ukuthi abantwana abaningi abane-lazy eye ababonisi zimpawu ezicacile neze. Lokhu kungenxa yokuthi ubuchopho babo buyaqeqeshwa kakhulu ekubuyiseleni, kungakho ukuhlolwa kwamehlo ochwepheshe kuyindlela ethembekile kakhulu yokuthola isimo.
I-Lazy eye iza ngezindlela eziningi ezahlukene, ngayinye ithuthukiswa ngezimbangela ezihlukahlukene. Ukuqonda le mihlobo kungakusiza uqonde kangcono ukuthi kungenzeka yini okwenzekayo ngombono womntanakho.
Imikhakha emithathu ephambili yi:
I-amblyopia ye-strabismic cishe yilokho abantu abaningi abakucabanga uma becabanga ngeso elilenga, ngoba ukungalingani kweso kuvame ukubonakala. Noma kunjalo, i-amblyopia ye-refractive ingaba yiyona ebalulekile futhi ivame ukuba nzima ukuyithola ngaphandle kokuhlolwa komqeqeshi.
I-amblyopia yokushiywa iyilona uhlobo oluyimfihlo kodwa oluphuthumayo kakhulu, njengoba idinga ukwelashwa ngokushesha ukuvimbela ukulahleka kokubona okungapheli. Ngenhlanhla, lo mbono uvame ukubonwa ekuqaleni ngoba ukuvimba komzimba kuvame ukubonakala.
Iso elilenga lithuthukiswa uma kukhona okuthinta ukuthuthukiswa kokubona okuvamile eminyakeni yokuqala yengane yakho. Imbangela yengcambu iwukuthi ubuchopho bakho buthola ulwazi lokubona olungacaci noma oluphikisanayo oluvela elinye iso, okubenza bakhethe isithombe esicacile esisuka kwenye iso.
Izimo eziningi zingabangela le nqubo:
Ngezinye izikhathi, izimbangela ezingavamile zingase zinikeze ekuthuthukiseni kweso elilenga. Lezi zingafaka izinhlobo ezithile ze-genetic syndromes, izinkinga zokubeletha kwangaphambi kwesikhathi, noma ukulibaziseka ekuthuthukiseni okunethemba uhlelo lokubona. Emacaleni ambalwa, izimo ezinkulu ezifana nezinkinga ze-retina noma izinkinga ze-optic nerve zingabangela i-amblyopia.
Okubalulekile ukuqonda ukuthi iso elilenga alibangelwa yilutho owalwenza noma awungenzanga njengomzali. Lezi yizinguquko zokukhula ezenzeka ngokwemvelo, futhi ngokunakekelwa okuqondile, zingaphathwa ngempumelelo.
Kufanele uhlele ukuhlolwa kwamehlo uma ubona noma yiziphi izimpawu ezibonisa ukuthi amehlo engane yakho awasebenzi ndawonye kahle. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kuwathuthukisa kakhulu amathuba okukhula kobona obuhle kuwo womabili amehlo.
Xhumana nochwepheshe wokunakekela amehlo uma ubona:
Ngisho noma ungaboni zimpawu ezikhathazayo, ukuhlolwa kwamehlo okuvamile kubalulekile. I-American Academy of Pediatrics isikisela ukuhlolwa kobona ngeminyaka engu-4, futhi ochwepheshe abaningi bayaphakamisa ukuhlolwa okusheshayo uma kukhona umlando womndeni wezinkinga zamehlo.
Ungalindi uma unezinye izinkinga - ukwelashwa kweso elilenga kuphumelela kakhulu uma kuqalwa ngokushesha. Isistimu yombono yengane yakho ilungele kakhulu phakathi neminyaka engu-7-8 yokuqala yokuphila, okwenza lesi sibe yiwindo elifanele sokungenelela.
Izici ezithile zingandisa amathuba engane yakho okukhula kweso elilenga. Nakuba ukuba nalezi zici ezingozi akusho ukuthi isimo sizokwenzeka, ukwazi ngazo kungakusiza uhlale ulindile izimpawu zokuqala.
Izici eziyinhloko ezingozi zihlanganisa:
Ezinye izimbangela ezingavamile zingozi kufanele zinikezwe ukunakekelwa. Lezi zihlanganisa izinhlobo ezithile ze-syndromes ezivela e-genetic njenge-Down syndrome, ukusetshenziswa kwezidakamizwa ngumama ngesikhathi sokukhulelwa, noma izinkinga ngesikhathi sokubeletha ezihlasela ukunikezwa komoya-mpilo ebuchosheni.
Ukuba nezimbangela zingozi kusho nje ukuthi kufanele uqaphele kakhulu ukuthuthuka kokubona kwengane yakho futhi uqinisekise ukuhlolwa njalo kwamehlo. Abantwana abaningi abanezimbangela eziningi zingozi abazange bathuthukise i-lazy eye, kanti abanye abangenazo izimbangela ezibonakalayo zingozi bayenza.
Uma i-lazy eye ingaphathwa, ingabangela izinkinga ezihlala njalo zokubona eziyothinta ingane yakho phakathi nokuphila kwayo. Izindaba ezinhle ukuthi lezi zinkinga zivimbeka kakhulu ngokutholakala kwangaphambi kwesikhathi nokuphathwa okufanele.
Izinkinga ezinkulu kakhulu zihlanganisa:
Izinkinga ezingavamile kodwa ezinzima zingase zenzeke ezimweni ezithile. Ngokwesibonelo, uma i-amblyopia yokushiywa evela ekukhulupheni okungokuzalwa ingelashwa phakathi kwamasonto ambalwa okuqala okuphila, iso elithintekayo lingase lingakhuli ukubona okuwusizo, ngisho nalapho kwenziwa ukuhlinzwa kamuva.
Iqiniso elikhuthazayo ukuthi iningi lalezi zinkinga lingagwenywa ngokwelashwa ngesikhathi. Ngisho nalapho iso elivila litholwa kamuva ebuntwaneni, ukuthuthukiswa kokubona okukhulu kuvame ukwenzeka, nakuba ukungenelela kwangaphambili kuvame ukuletha imiphumela emihle.
Nakuba ungakwazi ukuvimbela iso elivila ngokuphelele, njengoba amacala amaningi evela ekuhlukahlukenini kwentuthuko yemvelo, ungathatha izinyathelo ezibalulekile zokulithola ngokushesha lapho ukwelashwa kunomphumela kakhulu.
Izindlela zokuvimbela ezibaluleke kakhulu zigxile ekubeni uthole ngokushesha:
Uma umndeni wakho unentaba yobunzima bemehlo, cabanga ngokuhlolwa kwamehlo okusheshayo nokuvamile. Abanye ochwepheshe bayeka ukuhlolwa kokuqala ngeminyaka eyi-1-2 kubantwana abanemikhawulo enkulu.
Khumbula ukuthi ukuvimbela iso elilengawo kuyiqiniso mayelana nokwesekelwa kwangaphambili kunokugwema isimo ngokuphelele. Uma iso elilengawo litholakala futhi liphelelwe ngokushesha, umphumela uba ngcono ekukhuleni kobona lwengane yakho.
Ukubona iso elilengawo kudinga ukuhlolwa okuphelele kwamehlo nguchwepheshe wokunakekela amehlo. Bazosebenzisa amavivinyo amaningana ukuhlola ukuthi iso ngalinye libona kangcono kangakanani nokuthi amehlo engane yakho asebenza ndawonye kangcono kangakanani.
Inkqubo yokuxilonga ivame ukufaka:
Kubantwana abancane abangakwazi ukufunda izincwadi, odokotela bamehlo basebenzisa amasu akhethekile afana namashadi ezithombe, izibani, noma ngisho namavivinyo angabonakali angadingi izimpendulo zezwi. Lezi zindlela zingahlola ukubona ngokuqondile ngisho nasezinganeni ezincane.
Ukuhlolwa akubuhlungu futhi ngokuvamile kuthatha imizuzu engama-30-60. Uchwepheshe wakho wokunakekela amehlo angase asebenzise amaconsi ukuphazamisa ukubona kwengane yakho isikhashana ukuze kube nokulinganiswa okuqondile, ngakhohlela ukuphazamiseka kokubona okungamahora ambalwa kamuva.
Ukwelapha amehlo athambile kugxile ekuqeqeshweni ingqondo yengane yakho ukusebenzisa iso elibuthakathaka, ukuvumela ukuthi likhule libe nombono omuhle. Indlela ethile ethathiwe ixhomeke kulokho okubangela i-amblyopia nokuthi iyingozi kangakanani.
Izindlela zokwelapha ezivamile zihlanganisa:
Impumelelo yokwelapha ixhomeke kakhulu ekuqaleni kwasekuqaleni, ngokukhethekile ngaphambi kweminyaka engu-7-8 lapho uhlelo lokubona luhlanganiswa kakhulu. Noma kunjalo, ukuthuthuka okuthile kuvame ukwenzeka ngisho noma ukwelashwa kuqala kamuva ebuntwaneni noma ebusheni.
Iqembu lakho lokunakekela amehlo lizodala uhlelo lokwelapha oluqondene nezidingo zakho ezingane. Abantwana abaningi badinga izinyanga eziningi kuya eminyakeni yokwelashwa okuqhubekayo, ngokubeka iliso okuqhubekayo ukuze kulungiswe indlela njengoba ukubona kuthuthuka.
Ukuphatha kahle ukwelashwa kwamehlo athambile ekhaya kudinga isineke, ukuzinza, neqhinga lokuqamba ukuze usize ingane yakho ukubambisana nokwelashwa okuqokiwe. Izindlela eziningi zokwelapha zisebenza kangcono uma zilandela ngokuqondile njengoba kunconywe ngochwepheshe bakho wokunakekela amehlo.
Nazi izindlela eziwusizo zokuphatha ekhaya:
Lindela ukumelana okuthile ekuqaleni - lokhu kuyinto evamile ngokuphelele. Abantwana abaningi bathola ukuthi ukunamathela izipende akunethezeka noma kuyadumaza ekuqaleni. Hlala unezinhlungu futhi uqine ngenkathi unikeza ukukhuthazwa okuningi nokudumisa ngokubambisana.
Gcina ukuxhumana okujwayelekile neqembu lakho lokunakekela amehlo mayelana nendlela ukwelashwa okuqhubeka ngayo ekhaya. Bangakunikeza amasu engeziwe noma balungise uhlelo lokwelapha uma ubhekene nezinselele eziqhubekayo.
Ukulungiselela i-aphoyintimenti yamehlo yengane yakho kungasiza ukuqinisekisa ukuthi uthola ulwazi oluyigugu kakhulu futhi wenze ukuvakasha kuhambe kahle. Ukuzilungiselela kancane kuhamba ibanga elide ekubhekaneni nezinkathazo zakho nasekukuqondeni izidingo zombono zengane yakho.
Ngaphambi kwe-aphoyintimenti, buza lolu lwazi:
Siza ingane yakho ukuba ilungele ngokuchaza ukuthi udokotela weziso uzobuka amehlo ayo ukuqinisekisa ukuthi asebenza kahle. Yiqinisekise ukuthi ukuhlolwa ngeke kulimale, noma ngabe ingase ithole amaconsi akhethekile asekela izinto zibe buthuntu isikhathi esithile.
Hlela ukuthi isikhathi sokuqokwa sibe side kunalokho okulindelekile, ikakhulukazi uma lokhu kuyihlolo lokuqala elikhulu leso. Letha imisebenzi ukuze ugcine ingane yakho imatasa uma kukhona isikhathi sokulinda, futhi uhlalele omunye umuntu ukuba ashayele ekhaya uma ingane yakho ithola amaconsi okuqandisa.
Iso elivilaphayo yisimo esivamile sokubona ebuntwaneni esiphendula kahle kakhulu ekwelapheni uma sibanjwe ngokushesha. Nakuba kungase kuzwakale kukhathaza ekuqaleni, iqiniso liwukuthi izingane eziningi ezineso elivilaphayo zingathuthukisa ukubona okuthuthukisiwe kakhulu ngokunakekelwa okuhle nokuphathwa okuqhubekayo.
Into ebaluleke kakhulu okumele uyikhumbule iwukuthi ukutholakala kwangaphambi kwesikhathi kwenza umehluko omkhulu ekuphumeleleni kokwelapha. Ukuhlolwa kwamehlo okuvamile phakathi nobuntwana, ukuqapha izimpawu ezingase zibe khona, nokulandelwa kokwelapha okunconywayo yizithulu zakho ezinhle kakhulu zokuqinisekisa ukuthi ingane yakho ithuthukisa ukubona okuhle kunakho konke.
Uma ingane yakho ihlonishwe ngesiso elivilaphayo, yazi ukuthi awuwedwa kule ndlela. Ngokubekezela, ukuzinza, nokwesekwa yiqembu lakho lokunakekela amehlo, izingane eziningi ziqondana kahle nokwelashwa futhi ziqhubeka zijabulela impilo esebenzayo, ephumelelayo ngokubona okuthuthukisiwe.
Nakuba igama elithi “ukwelapha” lingase libe namandla kakhulu, isiso elivilaphayo singalashwa ngempumelelo, ikakhulukazi uma sibanjwe ngokushesha. Izingane eziningi zithuthukisa ukubona okuthuthukisiwe kakhulu emehlweni athintekayo ngokwelashwa okuhle. Ikhona ukusungula ukwelashwa phakathi neminyaka ebalulekile yokuthuthuka lapho ubuchopho buhlanganisa kakhulu ukuguquka.
Lokhu kuncike kulokho okubangela iso elivilaphayo. Uma izinkinga zokubona njengokubona okude noma okuseduze kuyizimbangi, umntanakho cishe uzodinga izibuko isikhathi eside. Noma kunjalo, iresiphi yezibuko ingase ishintshe njengoba amehlo akhe ekhula, futhi abanye abantwana bathola ukuthi badinga ukulungiswa okuncane ngokuhamba kwesikhathi.
Isikhathi sokwelashwa sihlukahluka kakhulu kuye ngokubunzima besimo nokuthi sibonwe nini. Abanye abantwana babona ukuthuthuka phakathi nezinyanga ezimbalwa, kuyilapho abanye bengadinga ukwelashwa iminyaka eminingana. Izinhlelo zokwelapha eziningi zihlanganisa ukulandelela okuvamile ngokwenziwa izinguquko njengoba ukubona kuthuthuka.
Iso elivilaphayo lithuthukela ebuntwaneni lapho isimiso sokubona sisakhiwa, ngokuvamile ngaphambi kweminyaka engu-8. Abantu abadala abathuthuki iso elivilaphayo, kodwa bangase baqaphele iso elivilaphayo elingazange libonwe ebuntwaneni. Nakuba ukwelashwa kwabantu abadala kunzima kakhulu, ukuthuthuka okuthile kusasenzeka ngokuqeqeshwa okunikezelwe.
Abantwana abaningi abane-lazy eye bangabamba iqhaza ngokuphephile emidlalweni yezemidlalo, yize bengase badinge isikhathi esengeziwe sokuthuthukisa amakhono adinga ukubona okujulile. Khuluma nodokotela wakho wamehlo mayelana nanoma yiziphi izinkathazo ezithile. Izibuko zokuvikela kubaluleke kakhulu kubantwana abane-lazy eye njengoba ukuvikela iso elinamandla kuba kubaluleke nakakhulu.
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