Kodi diso lanu likutembenukira mkati? Tiyeni tiphunzire za entropion iyi!

Kodi nthawi zina mumamva ngati pali chinachake mkati mwa diso lanu, kapena maso anu ndi ofiira ndipo nthawi zonse amatuluka madzi? Apa ndi pamene chikope chimazungulira mkati ndikukantha mkati mwa diso. Lero tikambirana za vutoli, lomwe limadziwika mu sayansi ya zamankhwala kuti 'Entropion'. Musadandaule, mukangodziwa izi, mudzazindikira kuti ili si vuto lalikulu.

Kodi Entropion ndi chiyani? Tiyeni timvetse mosavuta!

Mwachidule, entropion ndi pamene chikope chanu chikutembenukira mkati, ku mpira wa diso lanu. Izi zikachitika, khungu la chikope chanu ndi nsidze zanu zimakanda pamwamba pa diso lanu. Tangoganizirani, zimamveka ngati mchenga m'diso lanu. Kukangana kumeneku kungayambitse kuwonongeka kwakukulu pamwamba pa diso lanu, makamaka gawo lowonekera kutsogolo kwa diso lanu, cornea , ndipo kungayambitsenso kuvulala.

Pali mbali ina ya izi, yomwe ndi pamene diso limatembenukira kunja. Zimenezo zimatchedwa 'Ectropion'. Koma lero tikulankhula za kutembenukira mkati.

Nthawi zambiri, entropion imakhudza chikope cha m'munsi . Anthu ena akhoza kukhala ndi diso limodzi lokha, pomwe ena angakhale nalo m'maso onse awiri. Timatcha "Bilateral entropion". Ngati izi sizinachiritsidwe bwino, monga ndanenera, cornea ikhoza kuwonongeka ndipo ngakhale masomphenya angatayike . Chifukwa chake, ngati muli ndi zizindikiro izi, ndikofunikira kwambiri kuwonana ndi dokotala wa maso kuti akuthandizeni. Choyamba, njira zosavulaza zimayesedwa, koma nthawi zina opaleshoni ingafunike.

Kodi mitundu ikuluikulu ya entropion ndi iti?

Pali mitundu ikuluikulu ingapo ya entropion. Tiyeni tiwone zomwe zili:

• Involutional entropion: Iyi ndi mtundu wofala kwambiri . Pamene tikukalamba, minofu ndi minyewa yozungulira maso athu imafooka pang'onopang'ono ndikumasuka. Ndicho chifukwa chachikulu cha izi. Monga momwe khungu la agogo athu limakwinya, mphamvu ya zinthu zomwe zili mkati imachepanso.

• Spastic entropion: Mtundu uwu ungachitike ngati diso lasokonekera mwanjira iliyonse, mwachitsanzo, popukuta diso mwamphamvu kwambiri, ngati diso latenga kachilombo, kapena ngati diso latupa. Zimachitika makamaka pambuyo pa opaleshoni ya maso , kapena mwa anthu omwe ali kale ndi chikope chomasuka chifukwa cha ukalamba.

• Cicatricial entropion: Iyi ndi matenda omwe minofu ya chilonda imapangika pa chikope. Izi zitha kuchitika chifukwa cha kutentha, matenda oopsa, kuvulala kwa diso, opaleshoni ya diso, kapena chithandizo cha khansa pogwiritsa ntchito radiation. Chilondachi chimapangitsa kuti chikope chitembenukire mkati.

• Entropion yobadwa nayo:Izi sizichitika kawirikawiri, koma ana ena amabadwa ndi vutoli. Izi zikutanthauza kuti diso limatembenuzidwa mkati kuyambira kubadwa .

• Entropion yamakina: Izi zimachitika pamene diso lakhala lolemera kwambiri, zomwe zimapangitsa kuti lizizungulira mkati. Izi zitha kuchitika ngati pali chotupa kapena chotupa m'diso.

Kodi zizindikiro za entropion ndi ziti?

Ngati muli ndi entropion, mungakumane ndi zizindikiro zingapo zosasangalatsa za maso. Onani ngati izi zikumveka zachilendo kwa inu:

• Kumva ngati pali chinachake m'diso. Monga kachidutswa ka fumbi kapena nsidze yomatidwa mkati mwake.
• Kufiira kwa maso.
• Kung'amba pafupipafupi (maso otuluka madzi).
• Maso osawoneka bwino.
• Kupweteka kwa maso.
• Maso oyabwa.
• Kumva kukhudza kuwala (kuvutika kuyang'ana kunja mu kuwala kowala - timatcha izi kuti "Photophobia") ndi kukhudzidwa ndi mphepo.
• Kutuluka madzi m'maso kapena kutuluka madzi m'makona a maso.

Mukayamba kudwala matenda a entropion, mungakumane ndi zizindikirozi nthawi zina. Komabe, pakapita nthawi, zizindikirozi nthawi zambiri zimakhala zokhazikika.

N’chifukwa chiyani entropion imachitika? Kodi zimayambitsa chiyani?

Pali zinthu zitatu zazikulu zomwe zimapangitsa kuti chikope chikhale ndi entropion: kufooka kwa chikope, minofu yobwezeretsa chikope yomwe imachotsa chikope pamalo pake, ndi minofu yotseka chikope yomwe ndi yamphamvu kwambiri, kutembenuza chikope mkati m'malo mwa kunja. Kufooka kwa chikope chapansi kumachitika kwambiri mwa anthu azaka zopitilira 60 , chifukwa chothandizira chikopecho chimafooka akamakalamba.

Kuphatikiza apo, pali zifukwa zina zingapo zomwe chikope chingatembenukire mkati:

• Kuvulala m'maso.
• Matenda a maso.
• Opaleshoni ya maso yapitayi.
• Kutupa ndi kutupa kwa maso.
• Zilonda zomwe zimayambitsidwa ndi chilichonse mwa zifukwa zomwe zatchulidwazi.

Ndani ali pachiwopsezo chachikulu cha matenda a entropion?

Ukalamba ndiye chinthu chachikulu chomwe chimayambitsa matenda a entropion. Kawirikawiri amapezeka mwa anthu azaka zopitirira 60. Malinga ndi American Academy of Ophthalmology, matendawa amakhudza pafupifupi 2.1% ya anthu azaka zopitirira 60.

Komanso, anthu omwe ali ndi vuto la kupuma movutikira ali pachiwopsezo chachikulu chotenga matenda a entropion. Izi zili choncho chifukwa chakuti zikope zawo zakumtunda zimakhala zomasuka kwambiri (zotchedwa "Floppy eyelid syndrome"), zomwe zimapangitsa kuti azigubuduzika kwambiri mkati.

Chinthu china n'chakuti akazi ali ndi mwayi waukulu wokhala ndi entropion kuposa amuna.Ndapezanso zimenezo.

Kodi madokotala amazindikira bwanji entropion?

Katswiri wanu wa maso adzakufunsani kaye za zizindikiro zanu ndi mbiri yanu yachipatala. Kenako adzakuyesani maso mokwanira . Adzafufuza mavuto aliwonse a pakhungu, matenda, kapena zipsera. Adzayang'ananso m'mphepete mwa zikope mosamala, chifukwa pali matenda ena omwe angawoneke ngati entropion. Ndikofunikira kupeza matenda olondola , chifukwa izi zidzatsimikizira chithandizo chabwino kwambiri.

Mayeso omwe amagwiritsidwa ntchito pozindikira entropion

Dokotala akhoza kuchita mayeso angapo kuti atsimikizire ngati muli ndi entropion:

• Kuyesa kwa Snap-back: Mu mayeso awa, dokotala amakoka chikope chanu cham'munsi popanda kukusiyani mukutsinzina. Kenako amaona nthawi yomwe imatenga kuti chikwere mmwamba. Nthawi zambiri chimakwera mmwamba mkati mwa sekondi imodzi kapena ziwiri.
• Mayeso oletsa kusokoneza: Mu mayesowa, dokotala amachotsa chikope chanu chapansi pa diso lanu. Mwa kuchikoka, mtunda pakati pa chikope ndi diso umayesedwa. Ngati mtunda uwu uli woposa mamilimita 6, umaonedwa kuti ndi wachilendo.
• Kuyesa nyali yodulidwa: Nyali yodulidwa ndi maikulosikopu yapadera . Pogwiritsa ntchito kuwala kowala, dokotala adzayang'ana diso lanu mosamala kuti awone ngati pali zizindikiro zilizonse za vutoli. Izi zitha kuzindikira ngakhale kuwonongeka kochepa kwambiri kwa diso.

Kodi mankhwala a entropion ndi otani?

Dokotala wanu angagwiritse ntchito njira zingapo pochiza entropion. Mankhwala ofala kwambiri ndi awa:

• Madontho a m'maso opaka mafuta: Kupaka mafuta odzola kapena kung'amba kochita kupanga m'maso kungathandize kuchepetsa ululu. Komabe, iyi si njira yothetsera mavuto kwa nthawi yayitali.

• Magalasi ofewa: Dokotala wanu angakulangizeni kugwiritsa ntchito magalasi ofewa kuti muteteze maso anu ku mavuto a maso. Magalasi amenewa amagwira ntchito ngati bandeji ndipo amachepetsa zizindikiro.

• Tepi: Mtundu wapadera wa tepi ungagwiritsidwe ntchito kugwira chikope kwakanthawi. Ichi ndi chinthu chomwe chingachitike mosavuta kunyumba.

• Kusoka: Dokotala akhoza kusintha chikope ndikuyika ma stitches angapo kuti chigwire bwino. Zilonda zomwe zimapangidwa ndi ma stitches awa zithandiza kuti chikopecho chisatembenuke kwa miyezi ingapo.

• Majakisoni a Botox®:Mankhwala ochepa a botulinum angalowetsedwe kuti afooketse minofu yomwe imatembenuza chikope mkati. Izi zimathandiza kuti minofuyo ipumule kwa miyezi ingapo.

• Kuchotsa nsidze / Kuchotsa nsidze: Kuti nsidze zosasangalatsa zisakhudze pamwamba pa diso, ``Kuchotsa nsidze'' ndi njira yochotsera nsidzezo.

Kumbukirani kuti njira zambiri zochiritsira zimenezi ndi zakanthawi kochepa. Ngati mukufuna njira yokhazikika, muyenera opaleshoni.

Nthawi zina, ngati mwana wosawoneka bwino wayamba chifukwa cha kutupa kosatha, dokotala wanu angakupatseni mayeso a magazi (lab) kapena biopsy kuti aone ngati pali zinthu zinazake zomwe zimachitika kawirikawiri monga matenda a maso monga cicatricial pemphigoid kapena trachoma.

Opaleshoni ya entropion

Ngakhale kuti njira zosagwiritsa ntchito opaleshoni zomwe zatchulidwazi zingathandize kwakanthawi kochepa, opaleshoni nthawi zambiri imafunika kuti chikope cha m'chikope chikonzedwe bwino ndikuchibwezeretsa pamalo ake abwinobwino. Opaleshoniyi nthawi zambiri imachitika pansi pa mankhwala oletsa ululu komanso mankhwala oletsa ululu. Mudzatha kupita kunyumba tsiku lomwelo lomwe opaleshoni yanu ikuchitika.

Pali njira zingapo zochitira opaleshoni kuti akonze entropion:

• Kulimbitsa zikope: Izi zimaphatikizapo kulimbitsa chikope chanu mwa kuchifupikitsa pang'ono (chotchedwa wedge resection kapena lateral tarsal strip).
• Kubwezeretsanso chotengera: Izi zimaphatikizapo kulimbitsa minofu yomwe imatsegula ndi kutseka chikope (chotengera chivindikiro cha `chivindikiro`).
• Kuchotsa ululu wa Orbicularis: Izi zimaphatikizapo kufooketsa gawo la minofu lomwe limathandiza kutseka chikope (minofu ya orbicularis).
• Kukonzanso mbali ya zikope: Electrocautery kapena cryotherapy ingagwiritsidwe ntchito kuchotsa chikope chomwe chapatuka chifukwa cha kuvulala kapena kutupa kosatha.

Ngakhale kuti mankhwala osagwiritsa ntchito opaleshoni ndi othandiza pakapita nthawi yochepa, opaleshoni nthawi zambiri imafunika kuti entropion ikonzedwe mokwanira komanso kosatha.

Anthu ambiri amakumana ndi zotsatirapo zoyipa kwakanthawi pambuyo pa opaleshoni ya entropion. Kutupa ndi mabala ndizofala kwambiri. Izi ndi gawo lachizolowezi la njira yochiritsira. Izi zitha kuthandizidwa ndi mankhwala omwe dokotala wanu wakupatsani komanso ma compress ozizira. Nthawi zambiri, opaleshoniyo imatha mkati mwa milungu iwiri.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukumva ngati chikope chanu chikutembenukira mkati, funsani upangiri wa dokotala nthawi yomweyo.Ngati diso lanu silikuoneka kuti likutembenukira mkati, koma nthawi zonse mukumva ngati pali chinachake mkati mwa diso lanu, pitani kwa dokotala. Ikhoza kukhala entropion.

Ndi mafunso ati omwe muyenera kufunsa dokotala?

Ngati muli ndi entropion, mungafunse dokotala mafunso awa:

• Ndi mavuto ati omwe ndiyenera kusamala nawo?
• Kodi ndiyenera kupewa chiyani panthawi yochira?
• Kodi ndiyenera kubweranso kudzayesa? Ngati ndi choncho, liti?
• Kodi ndingachite chiyani kuti entropion isabwererenso?

Kodi entropion ingapewedwe?

Entropion ndi vuto lomwe nthawi zambiri limakhala gawo lachilengedwe la ukalamba ndipo nthawi zina limayamba chifukwa cha zipsera, kotero n'kovuta kupewa kotheratu. Komabe, kuti muchepetse chiopsezo cha entropion chifukwa cha kuvulala kwa maso, valani magalasi otetezera mukamagwira ntchito yomwe ingavulaze maso anu (monga kudula matabwa kapena kuwotcherera).

Kodi chimachitika ndi chiyani ngati muli ndi entropion? Kodi mungayembekezere chiyani?

Anthu ambiri omwe amafunafuna chithandizo cha entropion asanawononge diso amapeza zotsatira zabwino. Opaleshoni ya entropion nthawi zambiri imathetsa vutoli, ndipo vutoli silimabwereranso kawirikawiri.

Komabe, ndikofunikira kuchiza entropion kuti tipewe mavuto okhazikika. Mavuto omwe angagwirizane ndi chikope chopindika ndi awa:

• Matenda a maso
• Kuvulala kwa cornea
• Kutaya masomphenya

Uthenga Wopita Nawo Kunyumba

Ngati nthawi zonse mukumva ngati pali chinachake m'diso lanu, kapena ngati chikope chanu chikuoneka kuti chikutembenukira mkati, mwina muli ndi entropion. Ndikofunikira kupeza chithandizo cha vutoli kuti mupewe mavuto a nthawi yayitali monga kuwonongeka kwa cornea ndi kutayika kwa masomphenya. Lankhulani ndi dokotala wanu za njira zina zothandizira zomwe zingakuthandizeni kumasuka, thanzi la maso, komanso moyo wanu wonse. Musachite mantha kapena kuchita manyazi kulankhula za izi. Mukalandira chithandizo mwachangu, mudzakhala bwino mwachangu!

` Entropion, kutembenuza mkati mwa diso, matenda a maso, maso oyabwa, maso ofiira, maso openya, ukalamba ndi maso