Ngaba unxiba iilensi zokunxibelelana? Okanye ngaba ukhe ube namehlo abomvu narhabaxa xa uhlamba okanye udada? Usenokucinga ukuba yinto eqhelekileyo. Kodwa emva kwezi mpawu, kusenokuba kukho usulelo olubi kakhulu, olusongela nombono. Namhlanje sithetha ngosulelo lwamehlo olungaqhelekanga, kodwa oluyingozi kakhulu olubizwa ngokuba yi-'Acanthamoeba Keratitis (AK)'.
Ngamafutshane, yintoni i-Acanthamoeba Keratitis (AK)?
Olu luhlobo losulelo olubangelwa yintsholongwane ekhula kwinxalenye ecacileyo yeliso lethu, i-cornea. Le ntsholongwane ibizwa ngokuba yi-Acanthamoeba. Ukuba ayinyangwa kakuhle, inokubangela umonakalo omkhulu emehlweni akho kwaye ide ikhokelele ekulahlekelweni ngokupheleleyo kombono .
Idla ngokuchaphazela iliso elinye kuqala, kodwa inokuchaphazela omabini amehlo. Usulelo luqala kumaleko ophezulu we-cornea (epithelium). Njengoko isifo siqhubeka, usulelo lusasazeka luye ngaphakathi.
Ngubani lo Acanthamoeba?
I-Acanthamoeba sisidalwa esincinci esineseli enye esibizwa ngokuba yi-amoeba. Sintsonkothe ngakumbi kunebhaktheriya. Ngenxa yokuba inokugqiba umjikelo wayo wobomi ngaphandle kwabantu okanye izilwanyana, izazinzulu aziyithathi njenge-parasite yokwenyani. Kodwa xa ingena emzimbeni womntu, iziphatha njenge-parasite.
Kukho iintlobo ezingaphezu kwama-20 ze-Acanthamoeba ezifumaneka kwihlabathi liphela. Zihlala kuyo yonke indawo esingqongileyo - emanzini acocekileyo, emanzini anetyuwa, emhlabeni, naphi na. Kwezi, malunga neentlobo ezisi-8 zifunyenwe zibangela esi sifo ``(AK)``.
Eyona nto ikhethekileyo ngesi sidalwa kukuba sinokuphila kwiimeko ezimbini.
1. Uhlobo olusebenzayo: Kule meko, uyasebenza, ehambahamba.
2. Uhlobo lwe-cyst: Kule nto, yenza iqokobhe elikhuselayo eliqinileyo elijikeleze lona, njengesilwanyana esingena ebusika.
Eli nqanaba le-"(cyst)" lelona liyingozi kakhulu. Kuba xa lingaphakathi kweli qokobhe, linokumelana nayo nayiphi na imeko enzima.
- Amaqondo obushushu aphezulu nokubanda: Iyamelana namaqondo obushushu aqala kwi -20 ukuya kwi +56 Celsius.
- Ukunqongophala kwesondlo namanzi: Ingaphila iminyaka emalunga nama-20 kubushushu begumbi!
- Iikhemikhali kunye neetyhefu: Iintsholongwane zinokude zikwazi ukumelana namayeza.
- Ukukhanya kwelanga: Nangona imisebe ye-ultraviolet elangeni ibulala iintsholongwane ezininzi, le cyst inokusinda kuyo.
Kubaluleke kakhulu ukwazi oku kuba le nto iphilayo inokungena emzimbeni wethu ngokusebenzayo nanjenge-"cyst". Yiyo loo nto kufuneka sizikhusele ngokufanelekileyo.
Zithini iimpawu zesi sifo?
Ezi mpawu zenzeka xa i-Acanthamoeba organism ingena kwi-cornea yeliso lakho. Ngamanye amaxesha ezi mpawu zinokufika ziphele. Zinokuba ngcono kangangeentsuku ezimbalwa, emva koko zibe mandundu kwakhona.
Iimpawu eziphambili zezi:
- Intlungu yamehlo: Ngamanye amaxesha intlungu inokuba nkulu kangangokuba ayinyamezeleki.
- Imvakalelo yomzimba wangaphandle: Imvakalelo yokuba kukho into ebambeke elisweni , kodwa awukwazi ukubona nto xa uvula okanye ujonga.
- Amehlo anamanzi (i-epiphora).
- I-Photophobia: Uloyiko lwamehlo ekukhanyeni.
- Ubomvu kunye nokudumba kwamehlo.
- I-cornea yeliso ibonakala inamafu kwaye ingcolile: Ungabona imo efana nesangqa kwi-cornea.
- Umbono ofipheleyo: Olu luphawu oluhlala lukho xa isifo sinzima kakhulu.
Siyifumana njani le sifo?
Esi sifo siyasulelana. Oko kuthetha ukuba singasifumana kwindawo esingqongileyo. Kodwa asidluliselwa ngqo kumntu omnye ukuya komnye. Kukho iindlela ezintathu ezisetyenziswa yile Acanthamoeba ukungena emehlweni ethu.
1. Iilensi zoQhagamshelwano
2. Amanzi angcolileyo
3. Ukulimala kwamehlo
Unxibelelwano phakathi kweelensi zoqhagamshelwano kunye nesi sifo
Le yeyona nto ibalulekileyo. Ama-90% abantu abanesifo se-'Acanthamoeba Keratitis' basebenzisa iilensi zokunxibelelana! Zininzi izizathu zaloo nto.
- Ukunxiba iilensi zoqhagamshelwano ixesha elide kunexesha elicetyisiweyo .
- Ukusebenzisa amanzi empompini xa ugcina kwaye ucoca iilensi zoqhagamshelwano.
- Ukungazicoci kakuhle iilensi zoqhagamshelwano okanye isikhwama sazo.
- Ukuhlamba nokudada ngee-contact lenses.
- Ukusebenzisa iikheyisi zeelensi zokunxibelelana ezingcolileyo kunye nezisombululo.
Kubaluleke kakhulu: Ungaze usebenzise amanzi empompini kuyo nayiphi na into enxulumene nee-contact lens. Nokuba amanzi empompini ane-chlorine, awayi kwanela ukubulala ii-cysts ze-Acanthamoeba.
| Unobangela wosulelo | Inkcazo |
|---|---|
| Amanzi amdaka | I-Acanthamoeba inokuphila lula emanzini. Ingafumaneka emanzini okusela acocekileyo, emanzini asebhotileni, kwanamanzi edamini lokuqubha. Ngokwesiqhelo, ayibangeli ngxaki ukuba ingena emehlweni akho. Nangona kunjalo, ukuba unesilonda samehlo , olunye usulelo, okanye ukuba unenkqubo yomzimba yokuzikhusela ebuthathaka, usemngciphekweni omkhulu. |
| Ukulimala kwamehlo | I-cornea yeliso ifana nefestile yemoto. Ukuba iyakrweleka, kulula ukuba iintsholongwane zingene kuyo. Nokuba luzipho, uzipho, igqabi, okanye uthuli lunokulimaza iliso. |
Indlela yokuxilonga esi sifo?
Enyanisweni kunzima kancinci ukufumanisa esi sifo kwasekuqaleni. Malunga ne-75% - 90% yexesha, oogqirha ekuqaleni bacinga ukuba sisifo nje esibangelwa yintsholongwane okanye yintsholongwane. Kukho izizathu ezahlukeneyo zoku:
- Iimpawu zesi sifo zifana kakhulu nezo zosulelo lwamehlo oluqhelekileyo.
- Ngenxa yokuba esi sisifo esingaqhelekanga, oogqirha abasikrokreli ekuqaleni.
- Uvavanyo lokuqinisekisa isifo (ukukrwela i-cornea okanye i-biopsy) luyinkimbinkimbi kancinci, kwaye ayizizo zonke izibhedlele ezinezixhobo ezifunekayo.
Xa ubona ingcali yokhathalelo lwamehlo, iza kuhlola amehlo akho. Baza kwenza uvavanyo lwesibane esiqhekekileyo ukuze bajonge ngaphakathi kweliso lakho. Baza kubuza ngeempawu zakho kunye nemisebenzi yakutshanje ukuze bafumane umbono wemeko.
Indlela eqhelekileyo kukuqala ngokunyanga usulelo olubangelwa yintsholongwane/intsholongwane. Ukuba olo nyango aluncedi, kuya kurhanelwa ukuba `(AK)` kwaye kuyaqalwa unyango ngaloo nto.
Zithini iindlela zonyango?
Kukho iinjongo ezimbini eziphambili zonyango. Enye kukuphelisa usulelo, enye kukunciphisa iintlungu kunye nezinye iimpawu. Ekuqaleni, unyango lusetyenziswa ngamayeza, kwaye ukuba isifo sinzima, kunokufuneka utyando.
Unyango oluphambili ngamathontsi e-antiseptic asetyenziswa ngamayeza. La mathontsi afanele asetyenziswe njengoko ugqirha emyalele.
Kwezinye iimeko ezinzima, utyando lunokufuneka:
- Ukususwa kwesikhumba: Oku kunokususa iintsholongwane ze-Acanthamoeba kwi-cornea kwaye kwenze kube lula ukuba amayeza angene.
- Ukufakelwa kwe-cornea: Ngamanye amaxesha i-cornea eyonakeleyo kufuneka isuswe ngokupheleleyo kuze kufakwe entsha.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Kungenjalo, usulelo lunokubuya. Izinto eziphilayo ezikwinqanaba le-"cyst" zinokuphinda zisebenze kwaye zibangele iimpawu nokuba emva kweenyanga.
Ungazikhusela njani kwesi sifo?
Esi sisifo esinokuthintelwa kakhulu. Kufuneka ulumke kakhulu ngezi zinto xa unxiba iilensi zokunxibelelana.
| Izinto ekufanele zenziwe | Musa ukwenza |
|---|---|
| Sebenzisa izisombululo ezikhethekileyo kuphela ukugcina nokucoca iilensi zoqhagamshelwano. | Ungaze usebenzise amanzi empompini, amanzi asebhotileni, okanye amathe . |
| Coca i-contact lens case yakho rhoqo kwaye usebenzise entsha rhoqo kwiinyanga ezi-3. | Musa ukuhlamba, ukudada, okanye ukuhlamba ngelixa unxibe iilensi zokunxibelelana. |
| Nxiba iilensi zoqhagamshelwano kuphela kwixesha elichazwe ngugqirha wakho. | Musa ukulala ebusuku unxibe iilensi zokunxibelelana (ngaphandle kokuba ugunyaziswe ngugqirha wakho ngokuthe ngqo). |
| Ukuba unesifo samehlo, qiniseka ukuba uyazisusa iilensi zokunxibelelana kunye nekhava obuyisebenzisa. | Musa ukuyityeshela intlungu yamehlo, ukuba bomvu, okanye ukubona okufipheleyo. |
Ukuba uneempawu zosulelo lwamehlo kangangeentsuku ezingaphezu kwezimbalwa, qiniseka ukuba ubona ugqirha. Okukhona uqala unyango ngokukhawuleza, kokukhona amathuba akho okukhusela amehlo akho aphezulu.
Umyalezo Wokuya Ekhaya
- I-Acanthamoeba Keratitis (AK) lusulelo olungaqhelekanga kodwa olunzima olunokukhokelela ekubeni yimfama.
- Esi sifo sidla ngokuvela kubantu abasebenzisa iilensi zoqhagamshelwano ngendlela engafanelekanga.
- Ungaze usebenzise amanzi empompini ukuhlamba okanye ukugcina iilensi zonxibelelwano.
- Yeka ngokupheleleyo ukuhlamba okanye ukudada ngelixa unxibe iilensi zonxibelelwano.
- Ukuba unentlungu yamehlo enganyamezelekiyo, ubomvu, uvakalelwa kukukhanya, okanye umbono ofipheleyo, musa ukuyityeshela loo nto kwaye ubone ugqirha wakho ngoko nangoko. Unyango olukhawulezileyo lunokusindisa umbono wakho oxabisekileyo.
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