Ingaba umbono wakho uya uncipha kancinci kancinci? Oku kusenokuba yiCorneal Ectasia!

Ngaba ngamanye amaxesha uvakalelwa kukuba ukubona kwakho kuyehla kancinci kancinci? Mhlawumbi awukwazi ukubona ngokucacileyo njengangaphambili, aze amehlo akho abe luhlaza okwesibhakabhaka xa ujonge ukukhanya? Esinye sezizathu zoku kungaba yimeko ekhethekileyo yamehlo. Namhlanje siza kuthetha ngenye imeko enjalo, efuna ingqalelo encinci, ebizwa ngokuba yi -corneal ectasia . Musa ukoyika, eyona nto ibalulekileyo kukwazi oku.

Yintoni iCorneal Ectasia?

Ngamafutshane, i-corneal ectasia liqela leemeko ezichaphazela i-cornea (inxalenye ecacileyo, ejikelezileyo yangaphambili yeliso, njengelensi yekhamera). Okwenzekayo koku kukuba imo ye-cornea yakho iyatshintsha kancinci kancinci. I-cornea iyabhitya kwaye iqhuma phambili. Yicinge njengebhaluni encinci evuthelayo. Oku kutshintsha indlela ukukhanya okungena ngayo elisweni, okubangela i-astigmatism (impazamo yokuchasana) enokwanda ngokuhamba kwexesha. Ngenxa yoko, umbono wakho uya uncipha ngokuhamba kwexesha. Rhoqo, le meko ichaphazela omabini amehlo, kodwa ngamanye amaxesha inokuchaphazela iliso elinye kuphela. Kwabanye abantu, le corneal ectasia inokuba buthathaka kangangokuba ayifumaneki nakwiimvavanyo zeklinikhi. Kodwa njengoko oku kuqhubeka, umbono wakho unokuba buthathaka kangangokuba awukwazi ukubona kakuhle nokuba usebenzisa iiglasi okanye iilensi zoqhagamshelwano. Nangona kunjalo, iingxaki ezinkulu ezifana nokungaboni zinqabile, ngoko akukho nto yokukhathazeka ngayo. Nangona kunjalo, umbono ombi unokuphazamisana nemisebenzi yakho yemihla ngemihla, njengokuya emsebenzini okanye ukunyamekela usapho lwakho. Ke ngoko, kubaluleke kakhulu ukuyixilonga kwangethuba le meko kwaye ufune unyango olufunekayo.

Ziziphi iintlobo ze-cornea ectasia?

Kukho iintlobo ezininzi eziphambili ze-cornea ectasia . Makhe sijonge ukuba ziyintoni na ngokulula:

I-Keratoconus

Olu lolona hlobo luqhelekileyo lwe-cataract . Kule meko, i-cornea iyabhitya ize ikhukhumale kancinci kancinci ibe yimo efana nekhowuni. I-cornea, edla ngokuba yingqukuva, iba yimo efana nekhowuni. Yicinge nje ngomphezulu wekhowuni ye-ayisikhrim.

I-Keratoglobus

Kule meko, i-cornea yonke iba ncinci ngendlela engaqhelekanga kwaye idumbe phambili ukuze ivumelane nayo. I-cornea yonke ingabonakala idumbile, njengebhola enkulu.

Ukuwohloka komda wePellucid

Kule meko, ungabona ukubhitya kwisiqingatha esisezantsi se-cornea, njengenyanga ecwebezelayo. Oko kubhitya kubangela ukuba i-cornea iphume phambili isuka phezulu.

Utyando lwe-ectasia emva kwe-keratorefractive

Oku kukhethekile kancinci. Kwenzeka emva kotyando ukulungisa iingxaki zokubona ezifana ne -myopia ( ukubona okukufutshane).I -Corneal ectasia . Umzekelo yi -post-LASIK ectasia . Kuqikelelwa ukuba malunga nomntu omnye kwabayi-166 abenza utyando lwamehlo lwe-LASIK baya kuba nale meko. Inokwenzeka nasemva kotyando lwe-cornea, olufana ne -PRK .

I-ectasia ye-keratoplasty emva kokungena

Kule meko, i-ectasia yenzeka njengengxaki yokufakelwa i-cornea . Idla ngokuchaphazela abantu abaye bafakelwa i-cornea njengonyango lwesifo i -keratoconus . Inokwenzeka kumntu omnye kwabalishumi kwiminyaka eli-10 emva kotyando.

Ngubani ochaphazeleka kakhulu yile meko?

I-corneal ectasia inokuchaphazela abantu bayo nayiphi na iminyaka kunye nohlanga. Ayikhethi cala phakathi kwamadoda nabafazi. Ngamanye amaxesha inokuqala ebuntwaneni kwaye iqhubeke iye kubudala obuphakathi okanye kamva. Ubudala apho iimpawu ziqala ukubonakala (ukuqala) buyahluka ngokuxhomekeke kuhlobo:

• I-Keratoglobus : Idla ngokuvela ebuntwaneni okanye ebusheni (kwiminyaka eli-10 ubudala).
• I-Keratoconus : Ubuntwana bokuqala (ekupheleni kweminyaka eli-10 ukuya kwengama-20).
• Ukuwohloka kwemisipha ye-pellucid : Kwiminyaka yoo-20, yoo-30, okanye yoo-40.
• I-ectasia emva kotyando : Ngaliphi na ixesha ukusuka kwiinyanga ezimbalwa ukuya kwiminyaka emva kotyando .

Ziziphi iimpawu zeCorneal Ectasia?

I-corneal ectasia isenokuba ayinazimpawu kwisigaba sokuqala. Nangona kunjalo, njengoko imeko iqhubeka, iimpawu ezifana nezi:

• Umbono uya usiba mbi kancinci kancinci ngokuhamba kwexesha.
• Ukukhanya xa ujonge ukukhanya . Abanye abantu bathi kuvakala ngathi amehlo abo ayatsha.
• IiHalos : Ukubona izangqa zijikeleze izibane ngelixa uqhuba ebusuku.
• I-Diplopia (ukubona kabini) kukubona imifanekiso emibini endaweni yomnye.

Eyona mpawu ixhaphakileyo kwezi kukubona kancinci kancinci ngokuhamba kweminyaka. Ekuqaleni, oku kunokuba yinto engabonakaliyo, kwaye unokukwazi ukulungisa umbono wakho ngeeglasi. Kodwa ngokuhamba kwexesha, umbono wakho unokuba mbi kangangokuba neeglasi okanye iilensi zoqhagamshelwano azisenakukunceda. Oku kungenxa yokubaI-corneal ectasia yimeko apho imo ye-cornea yakho itshintsha khona, nto leyo eyenza i-astigmatism ibe mandundu. Kwezinye iintlobo, ezifana ne -keratoconus , amanxeba e-cornea anokubakho, nto leyo enokunciphisa umbono wakho.

Ngaba kukho naziphi na iingxaki eziyingozi ze-cornea ectasia?

Amaxesha amaninzi, i-corneal ectasia inokukhokelela kwiingxaki ezinkulu. Enye yezi yi -corneal hydrops . Le yimeko apho i-cornea idumba ngequbuliso ize ibe namanzi. Le yingxamiseko yezonyango . Ichaphazela malunga ne-3% yabantu abane -keratoconus . Iimpawu ze- corneal hydrops ziquka:

• Umbono ofipheleyo ngequbuliso
• Uvakalelo oluphezulu ekukhanyeni (amehlo aluhlaza okwesibhakabhaka)
• Intlungu emehlweni am ayinyamezeleki.

Ukuba unale mpawu, kuya kufuneka uye kwicandelo likaxakeka lesibhedlele esikufutshane nawe ngoko nangoko. Le yinto ekungafanele irhoxiswe.

Zithini izizathu zoku? Zithini izinto ezibangela umngcipheko?

Kudla ngokuba nzima ukuchonga unobangela ochanekileyo we-corneal ectasia . Iimeko ezifana ne -keratoconus kunye ne -keratoglobus zibonakala zihamba kwiintsapho (oko kuthetha ukuba umntu kusapho usenokuba unayo). I-Ectasia emva kotyando isenokuba ibangelwa bubuthathaka kwi-cornea obungakhange bufunyanwe ngexesha lovavanyo lwangaphambi kotyando. Usenokuba sengozini enkulu yokuba ne -cornea ectasia ngenxa yezi zizathu zilandelayo:

• Ukuba unesifo se -connective tissue , esifana ne -Ehlers-Danlos syndrome .
• Ukuba unesifo esikwenza uhlikihle amehlo rhoqo. Umzekelo , i-hay fever , i-allergies yothuli, okanye i-eczema . Ukuhlikihla amehlo akho rhoqo kunokubangela oku, ngoko ke kufuneka ulumke nako.
• Ukuba unxiba iilensi zonxibelelwano, ingakumbi iilensi eziqinileyo, ixesha elide.
• Ukuba ukhe watyandwa ukuze ulungise umbono.

Uyifumana njani le nto? (Ukuxilongwa)

Iingcali zokhathalelo lwamehlo zixilonga i-cornea ectasia ngokuthi:

• IgqityiweKwenziwa uvavanyo lwamehlo olupheleleyo.
• Baza kuthetha nawe baze bakubuze ngembali yakho yezonyango nokuba kukho nabani na kusapho lwakho okhe waba neemeko ezifanayo.
• Kuyenziwa uvavanyo olukhethekileyo, olufana novavanyo lwesibane esinomngxuma ( uvavanyo lweliso ngesibane esinomngxuma esikhethekileyo) kunye ne -cornea topography ( uvavanyo oluthatha imephu yomphezulu we-cornea luze lujonge utshintsho kwimo yayo).

" Ukufunyaniswa kwangethuba kwesi sifo kuvumela ugqirha wakho ukuba enze isicwangciso sonyango esifanelekileyo kuwe. Yiyo loo nto kubalulekile ukuba uhlolwe amehlo minyaka le, ingakumbi ukuba umntu kusapho lwakho une -keratoconus okanye ezinye izifo zamehlo." "Kwakhona, olu xilongo lubalulekile ngaphambi kokuba wenze utyando lokulungisa umbono olufana ne -LASIK . I-Corneal ectasia, esele ikho, inokuba mandundu nokuba incinci kakhulu kwaye awunazo iimpawu. Ke ngoko, ugqirha wakho uya kwenza uvavanyo ngaphambi kotyando ukuqinisekisa ukuba usemngciphekweni ophantsi."

Ngaba kukho unyango lwe-cornea ectasia?

Ewe, ngokuqinisekileyo! Kukho iindlela ezahlukeneyo zonyango lwe -Corneal Ectasia . Olu nyango luqala kwiiglasi ukuya kutyando. Iingcali zamehlo ziya kukhetha unyango olufanela iimfuno zakho. Uhlobo lonyango olufunayo luya kuxhomekeka kubukhali bemeko yakho kunye nokuba ubona kakuhle kangakanani. Iindlela zonyango ziquka:

Kwenzeka ntoni kwizipili?

Iiglasi zinokukunceda ubone ngcono , kodwa azithinteli ukuba isifo singaqhubeki. Iiglasi zihlala ziluncedo kwizigaba zokuqala ze-cornea ectasia .

Ndixelele ngeelensi zoqhagamshelwano.

Njengeeglasi, iilensi zokunxibelelana zinokukunceda ubone ngcono , kodwa aziyeki okanye zinciphise ukuqhubela phambili kwesi sifo. Zinokunceda kwizigaba zokuqala neziphakathi. Kukho iintlobo ezahlukeneyo zeelensi zokunxibelelana, kuquka iilensi ezithambileyo neziqinileyo, kunye neelensi ze-scleral ezenzelwe ngokukodwa le meko. Ugqirha wakho uya kukhetha eyona ifanelekileyo kuwe.

Kunini apho kufuneka khona utyando?

Utyando ludla ngokuba lolona lufanelekileyo kwiimeko eziphakathi ukuya kwezinzima ze-cornea ectasia . Ugqirha wakho wamehlo uya kuqala azame ukugcina umbono wakho ulungile ngokwaneleyo kwimisebenzi yemihla ngemihla ngeendlela ezilula ezifana neeglasi kunye neelensi zoqhagamshelwano. Nangona kunjalo, ukuba iiglasi kunye neelensi zoqhagamshelwano azilungisi ngokwaneleyo umbono wakho, okanye ukuba uvavanyo lubonisa ukuba imeko iya isiba mandundu, unokufuna utyando.Utyando lwahlukile kwiiglasi kunye neelensi zoqhagamshelwano. Kuba utyando lunokucothisa okanye luyekise ukuqhubela phambili kwesi sifo. Ukuba ugqirha wakho ucebisa utyando, ungazibuza ukuba loluphi uhlobo lotyando olufunekayo kunye nokuba kuza kwenzeka ntoni emva koko. Kubalulekile ukuzinika ixesha lokufunda ngeendlela zakho zotyando. Utyando ngalunye luneenzuzo kunye neengozi zalo. Thetha nogqirha wakho malunga nolu tyando kunye noko kukulungeleyo. Iindlela zotyando ziquka:

• Ukufakelwa kwendandatho ye-Corneal : Olu tyando lubandakanya ukufakwa kwendandatho yeplastiki encinci (iziqwenga) kwi-cornea yakho ukulungisa imo ye-cornea yakho. Oku kunceda ukunciphisa ukugoba kwe-cornea kunye nokukhanya okugxileyo okungena elisweni lakho, okunokunceda ekuqiniseni umbono wakho. Ezi ndandatho ze-cornea zikwabizwa ngokuba yi -Intrastromal Corneal Ring Segments (ICRS) .
• I-Corneal Cross-Linking (CXL) : Olu lutyando olubaluleke kakhulu. Lusebenzisa i-riboflavin (i-vitamin B2) kunye nokukhanya kwe-UV ukuqinisa ubudlelwane phakathi kwee-collagen fibers (iiproteni ezinika i-cornea amandla kunye nokuma kwayo) kwi-cornea yakho. Kufana nokuqinisa iintsika zesakhiwo. I-CXL inokucothisa okanye iyeke ukuqhubeka kwe-cornea ectasia . Iluncedo ngakumbi ukuba yenziwe ngaphambi kokuba isifo siqhubeke.
• Ukufakelwa kweCornea : Olu tyando lukunika i-cornea entsha (evela kumntu onikelayo). Oogqirha basebenzisa iindlela ezahlukeneyo kuxhomekeke ekubeni izicubu zakho ze-cornea zonakele kangakanani. Umzekelo, kwi- Deep Lamellar Keratoplasty (DALK) , ugqirha ususa kuphela iileya eziphezulu neziphakathi ze-cornea, eshiya umaleko ophilileyo ongaphantsi ( i-endothelium ) ungashukumi. Le yinkqubo enomngcipheko omncinci wokungamkeleki kune -keratoplasty engena ngaphakathi (ethatha indawo yazo zonke iileya ze-cornea).

Ngoko ke kuza kwenzeka ntoni emva kwale meko? (Imbono)

Ugqirha wakho ngumntu ofanelekileyo ukubuza ngempilo yakho kunye nokuba ikamva liphethe ntoni. Uyayazi imeko yamehlo akho kunye nembali yakho yezonyango. Angakuxelela into omawuyilindele ngokusekelwe kwimbali yakho kunye neziphumo zovavanyo. Ukuba unemibuzo okanye iinkxalabo, ungathandabuzi ukucela iimpendulo.

Ziziphi iindlela zokunciphisa lo mngcipheko?

Ngelishwa, uninzi lweentlobo ze-cornea ectasia azinakuthintelwa. Nangona kunjalo, ukubonwa kwangoko kunokukunceda ufumane unyango olukhawulezileyo kwaye uphephe izinto ezinokwenza imeko ibe mandundu.Ungenza oku kulandelayo ukuze wandise amathuba akho okubhaqwa kwangethuba:

• Fumana uvavanyo lwamehlo rhoqo ngonyaka.
• Ngaphambi kokuba wenze utyando lokulungisa umbono, buza ugqirha wakho malunga nomngcipheko we-cornea ectasia .
• Fumanisa ukuba kukho nabani na kusapho lwakho oye waba ne -corneal ectasia (kwaye wabelane ngolu lwazi nogqirha wakho).

Ndingazinyamekela njani?

Uninzi lotshintsho kwindlela yokuphila alunampembelelo ingako kwi-corneal ectasia . Nangona kunjalo, ukuhlikihla amehlo akho kunokwenza ezinye iintlobo ze-corneal ectasia zibe mbi ngakumbi. Oku kubaluleke kakhulu. Zama ukuphepha ukuhlikihla amehlo akho kangangoko unako. Ukuba unengxaki yokwenza oku, okanye ukuba kubangelwa yi-allergy, thetha nogqirha wamehlo okanye ugqirha oyintloko. Banokukunika iingcebiso kwaye, ukuba kuyimfuneko, bakunike amayeza. Umzekelo, amanye amayeza e-allergy (i-antihistamines) anokunceda ukunciphisa umnqweno wokuhlikihla amehlo akho.

Ndifanele ndimbone nini ugqirha?

Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi ukuze ufumane uphononongo. Oku kuya kuxhomekeka kuhlobo lwe- corneal ectasia onayo, ubunzima bayo, kunye nonyango olufumanayo. Kusenokufuneka uye kuphononongo rhoqo kwiinyanga ezintathu ukuya kwezintandathu ukuze ubone ukuba imeko iya isiba mandundu na. Olu phononongo luya kunceda ugqirha wakho ukuba agqibe ixesha elifanelekileyo lokuqala unyango. Kubalulekile ukugcina onke amadinga akho. Ugqirha wakho uza kujonga imeko yakho ngokusondeleyo aze enze uvavanyo olufunekayo ukuze acwangcise unyango lwakho. Ukuze ugcine umbono wakho we-corneal ectasia kangangoko kunokwenzeka, kufuneka ukhuthale kakhulu malunga nonyango lwakho kunye novavanyo lwakho. Ukuba ufumana iimpawu ze-corneal ectasia , oko kuthetha ukuba umbono wakho uya usiba mandundu kancinci kancinci, tsalela umnxeba ugqirha wakho ngoko nangoko uze wenze idinga, nokuba kusese lixesha lokuhlolwa kwamehlo kwakho ngonyaka.

Ndingaya nini kwiSebe leeNgxamiseko (i-ETU) ?

Ukuba unayo nayiphi na kwezi mpawu , yiya kwigumbi likaxakeka esibhedlele ngokukhawuleza :

• Ukuba uva intlungu yeliso ngequbuliso okanye enzima.
• Kulungile ukuba umbono wakho ngequbuliso uba lufiphale okanye ukuba izinto zibonakala zimbini.
• Ukuba iliso liyadumba (i-edema) , oko kukuthi, ukuba liyakhula ngokungathi lizaliswe ngamanzi.

Ezi zisenokuba ziimpawu zengxamiseko yezonyango, ezifana ne -corneal hydrops, efuna unyango olukhawulezileyo.

Yintoni umahluko phakathi kwe-cornea ectasia kunye ne-keratoconus?

Kulula ukuwabhidanisa la magama mabini, akunjalo? I-Corneal Ectasia yiNjengesambulela esiphambili. Oko kuthetha ukuba ludidi olukhulu, iqela lezifo. I-Keratoconus lolunye uhlobo lwe-corneal ectasia , kwaye ikwaluhlobo oluqhelekileyo . Uphando lubonisa ukuba malunga nomntu omnye kwabangama-400, okanye omnye kwabangama-2,000, une -keratoconus . Nangona kunjalo, olunye uphando lubonisa ukuba inani langempela labantu abanale meko linokuba phezulu kakhulu kunezi zibalo. I-corneal ectasia inokubangela uxinzelelo, ixhala, kunye nokukhungatheka njengoko usebenza, unyamekela usapho, okanye uqhubeka nobomi bakho bemihla ngemihla. Kodwa iindaba ezimnandi zezokuba iindlela zonyango ziyaphucuka imihla ngemihla. Ezinye iindlela zotyando zikunika ithuba lokucothisa okanye lokumisa ukuqhubela phambili kwesi sifo. Thetha nogqirha wamehlo malunga nendlela efanelekileyo kuwe.

Ngoko ke, zeziphi izinto ekufuneka sizikhumbule kuzo zonke ezi zinto?

• I-corneal ectasia yimeko apho i-cornea yeliso iba ncinci ize ivele phambili, nto leyo ebangela ukuba umbono ungasebenzi kakuhle. I-Keratoconus lolona hlobo luxhaphakileyo lwale meko.
• Ukuba uneempawu ezifana nokulahlekelwa kancinci kancinci kokubona, ukuva ukukhanya, okanye ukubona imisesane ejikeleze izibane , ngokuqinisekileyo kuya kufuneka ubone ugqirha wamehlo.
• Ukufunyanwa kwangoko kunye nonyango olufanelekileyo kubaluleke kakhulu. Oku kunokunceda ukuthintela ukuwohloka ngakumbi kombono.
• Iindlela zonyango ziquka iiglasi, iilensi zoqhagamshelwano, kunye notyando olwahlukeneyo (olufana ne-'Corneal Cross-Linking', 'Corneal Rings', 'Cornea Transplant') . Ugqirha wakho uya kugqiba ukuba yintoni ekulungeleyo.
• Kuphephe ukuhlikihla amehlo akho. Oku kungayenza imeko ibe mandundu.
• Musa ukulibazisa ukuvavanywa kwamehlo minyaka le, ingakumbi ukuba kukho umntu kusapho lwakho onale ngxaki.
• Ukuba ngequbuliso uva iintlungu ezinkulu zamehlo, umbono ofipheleyo, okanye ukudumba kweliso lakho , yingxamiseko leyo. Yiya esibhedlele ngokukhawuleza.

Amehlo akho axabiseke kakhulu. Ngoko ke ukuba ubona notshintsho oluncinci ekuboneni kwakho, lunyamekele. Ungoyiki ukuthetha nogqirha. Unyango lwakwangoko lunokunceda kakhulu ekufumaneni iziphumo ezilungileyo.

I-Corneal Ectasia, iKeratoconus, Ukulahlekelwa Kukubona, iCornea, Izifo Zamehlo, Iziphene Zokubona, Ukufakelwa Kwe-Cornea