Isiqhelo somzimba sobubanzi bomfundi sikwi-3 ukuya kwe-5 mm. Esi sibonakaliso sitshintsha kuxhomekeke kwinqanaba lokukhanya kwendawo ejikelezileyo kunye nomoya womntu. Kodwa i-mydriasis inokubonisa ukuphazamiseka kwanoma iyiphi iisistim zomzimba, ngoko kubalulekile ukuseka imbangela ebangela ukuba abafundi abahlanjululwayo - izizathu ezifunyenwe ngexesha liza kunceda ukuxilonga nokusombulula ingxaki.
Kutheni abafundi belo xesha behlala bekhulisiwe?
Ukuba imeko enemibuzo ayikho into engafanelekanga, ingabangela izifo ezilandelayo:
- ukulimala kwe-intracranial, eyakhokelela ekuphumeni kwegazi;
- aneorysm;
- encephalitis;
- i-meningitis;
- iinkqubo ezivuthayo kwi-membrane yelanga;
- ubuhlungu beengqondo;
- ukuhluthwa;
- botulism;
- izikhwebu ezingapheliyo okanye ezinzima, i-migraine;
- i-tumor ye-lymph node yesigxina se-thoracic;
- i glaucoma ;
- umahluko kumxinzelelo we-intraocular.
Ngamanye amaxesha abafundi abaxhamlileyo banokubonisa izizathu ezinjengokuxhatshazwa komzimba kunye nokutyhefuza. Njengomthetho, bahlakulela ngenxa yemisebenzi yobugcisa ehlobene nokusetyenziswa kweemichiza eziyingozi, kunye nokusetyenziswa kwezidakamizwa, izidakamizwa ze-hallucinogenic, iindleko ezinkulu zotywala. Kubalulekile ukuba uqaphele ukuba nangokushiya imikhwa emibi kunye nokugcinwa kwendlela yokuphila enempilo, ubungakanani bezingane bahlala befana, ngaphezu kwama-5 mm ububanzi.
Kutheni abafundi baxubusha?
Ukongezelela kwimiba engentla, ukukhupha i-mydriasis, kufuneka kuqatshelwe imiphumo emibi yamanye amayeza. Ngoko, xa usebenzisa i-Scopolamine, i-Adrenaline, i-Atropine ne-Gomatropin kaninzi. Ukongezelela, onke amaconsi asehlo aqulethe i-tropicamide abangela ukuhlengahlengiswa kwexesha elifutshane kunye nokufutshane. Ukuba isisombululo sijojelwe kwisigxoba esisodwa se-conjunctival, ke le meko yentsholongwane ichaphazela leli lihlo.
Kubalulekile ukukhumbula ukuba ukugqithiswa kwengqondo kwengqondo kunokukhokelela kubafundi abahlanjululwayo-isizathu esisekukhululweni okukhulu kwama-hormone kwigazi (i-adrenaline, i-oxytocin, i-cortisol). Ngokuqhelekileyo, ukwanda kwenani kubonakala ngeempembelelo ezingalunganga zengqondo, ezinjengokwesaba, umsindo, intlungu enzima, ukuxinezeleka okude. Okunqabile kakhulu oku kubukhulu bungaphezulu kwe-5 mm ngenxa yovuyo nolonwabo.
Kwiimeko ezigqithisileyo, abafundi abaqine kakhulu banobangela bokuzalwa. Kungekudala, isifo esikhethekileyo sama-Dilitatism, esichazwe ngumbonakaliso wekliniki echazwe, yafunyanwa. Kwenzeka ngenxa yomonakalo okhethekileyo okanye opheleleyo kwiimbilini ze-optic ngeendlela ezahlukeneyo zangaphakathi (inkqubo yokuvuvukala, i-bacterial, i-virus okanye i-fungal infection, izifo ezingapheliyo) okanye zangaphandle (ukulimala komonakalo nokulimala) izizathu. Nge-Dilitatism yeBeri, amandla okwenza iimbilini ukuba aphendule utshintsho ekukhanyeni ngokuya kancane, ide ilahlekelwe ngokupheleleyo nexesha. Njengomphumo wale nkqubo, umfundi uhlala njalo
- intlungu emehlweni ekukhanyeni okukhulu;
- ukukhala kunye nokubomvu kweentloko zeentloko;
- photophobia;
- Ukunciphisa ubunzima obubonakalayo ebumnyameni;
- ukuphazamiseka okubonakalayo ekukhanyeni okukhanyayo (amabala kunye nemigca phambi kwamehlo, ukhanyisa).