Ngaba amehlo akho avuvukile ngequbuliso kwaye umbono wakho awubonakali kakuhle? Masifunde ngale (Corneal Hydrops)?

Khawuthelekelele uvuka kusasa uze ngequbuliso elinye lamehlo akho libe bomvu, lidumbile, kwaye awukwazi ukubona kakuhle. Okanye, kuthekani ukuba kuvela into efana nebala elimhlophe ngequbuliso ngaphakathi kweliso lakho? Ewe, ukuba kwenzeka into efana nale, ngamava othusayo kwaye axhalabisayo. Namhlanje siza kuthetha ngesifo esinokuchaphazela amehlo. Leyo yimeko ebizwa ngokuba yi-`(Corneal Hydrops)`. Ungakhathazeki, siza kuthetha ngale nto ngokulula, ngendlela onokuyiqonda.

Yintoni i-`(Corneal Hydrops)`? Kutheni oku kusenzeka?

Ngamafutshane, `(Corneal Hydrops)` yinxalenye ecacileyo, efana neglasi yewotshi yeliso lethu ngaphezu kwendandatho emnyama (oko kukuthi, inxalenye enemibala yeliso), esiyibiza ngokwezonyango ngokuba yi`(cornea)`, kuba loo `(cornea)` iyavuvukala. Ivuvukala njengeglasi egcwele amanzi. Ngoku makhe sibone ukuba kutheni oku kusenzeka. `(cornea)` yethu ineeleya ezininzi. Kukho i-membrane ethambileyo kakhulu, ethambileyo ephantse ibe ngaphakathi, ebizwa ngokuba yi`(Descemet's membrane)`. Ukuba ngesizathu esithile kukho ikroba elincinci kule `(Descemet's membrane)`, njengokukrazuka okuncinci kwilaphu, ulwelo olungaphakathi kweliso lethu (aqueous humor) luvuza ngale kroba luye kwi`(stroma)`, oluphakathi kwe`(cornea)`. Cinga ngayo njengesiponji esifunxa amanzi. Kulapho inxalenye ye`(stroma)` izaliswe lulwelo kwaye ivuvukala. Yile nto siyibiza ngokuba yi`(Corneal Hydrops)`. Ukongeza koku kudumba, kunokubakho ukudumba ngaphakathi kweliso, okufana nokubomvu kunye nentlungu. Emva koko, into efana nendawo emhlophe, efana nobisi inokuvela kwi-'(cornea)' yakho. Oku kunokubangela ukuba umbono wakho ocacileyo ube lufiphale . Le meko ye-'(Corneal Hydrops)' idla ngokuvela ngequbuliso, ngequbuliso. Usenokuba uphilile namhlanje kwaye xa uyijonga kusasa olulandelayo, iliso lakho lisenokudumba kwaye umbono wakho unokutshintsha. Yiyo loo nto oogqirha besebenzisa igama elithi `(acute)` ukuthetha 'ngequbuliso'. Yiyo loo nto usenokuva ne-'(Acute Corneal Hydrops)' ngayo. Ithetha into efanayo, yenzeke ngequbuliso. Le meko inokwenzeka njengengxaki kubantu abanezifo ezitshintsha imo ye-cornea, njenge-'(Keratoconus)'. Sibiza eli qela lezifo ezitshintsha imo ye-cornea `(cornea)` `(corneal ectasias)`. Ngamanye amaxesha i-`(Corneal Hydrops)` inokuba ngcono ngaphandle konyango. Nangona kunjalo, ungaze uzame ukwenza izigqibo wedwa . Ukuba unale mpawu, qiniseka ukuba ubonana nogqirha wamehlo, ingcali yamehlo. Yena angafumanisa ukuba le yi-`(Corneal Hydrops)` okanye yinto eyahlukileyo, aze aqinisekise ukuba loluphi unyango olufanelekileyo kuwe.

Ixhaphake kangakanani iCorneal Hydrops?

Ngokwezifundo ezifunyenweyo, phakathi kwe-0.2% kunye ne-2.8% yabantu abaneKeratoconus banesifo seCorneal Hydrops. E-United States, ukuxhaphaka kuqikelelwa ukuba ngabantu abangama-55 kwabayi-100,000. Oku kuthetha ukuba iCorneal Hydrops ayiqhelekanga, kodwa kubalulekile ukuba abo baneKeratoconus bayiqaphele. Le meko ixhaphake kancinci kumadoda kunakwabasetyhini . Idla ngokuchaphazela abantu abaselula abakwiminyaka yabo yama-20 nama-30.

Zithini iimpawu ze-`(Corneal Hydrops)`?

Abanye abantu basenokungabonakalisi zimpawu nokuba banazo `(Corneal Hydrops)`. Nangona kunjalo, abantu abaninzi bayaba nazo iimpawu. Nazi ezi zinto:

• Ukulahlekelwa ngumbono ngequbuliso: Iliso elalinombono olungileyo ngaphambili liba luzizi kwaye lingakwazi ukubona kakuhle.
• Indawo emhlophe, efana nobisi ngaphakathi kweliso: Indawo apho ulwelo luqokelelana khona kwi-cornea iba mhlophe.
• Intlungu yamehlo : Abanye abantu banokuba neentlungu eziqatha.
• I-Photophobia: Amehlo aba luhlaza okwesibhakabhaka kangangokuba awakwazi ukujonga ukukhanya aze azive ebuhlungu.
• Ububomvu bamehlo: Amehlo anokuba bomvu.
• Amehlo anamanzi: Kusenokuvakala ngathi kukho iinyembezi eziphumayo.
• Ubunzima bokufaka iilensi zoqhagamshelwano: Ukuba unxiba iilensi zonxibelelwano, unokufumana kunzima ukuzifaka, okanye ungaziva ungakhululekanga ukuzifaka.

Ukuba unenye okanye ngaphezulu kwezi mpawu, icebiso endinokukunika lona kukubona ugqirha wamehlo ngaphandle kokuchitha ixesha .

Kutheni le nto `(Corneal Hydrops)` isenzeka? Zithini izizathu?

I-Corneal Hydrops ayisiyonto inokusasazwa ukusuka komnye umntu ukuya komnye njengomkhuhlane. Oogqirha bakholelwa ukuba kukho izizathu ezininzi eziphambili zoku:

• Ukuncitshiswa kwe-cornea yakho: Xa i-cornea iba buthathaka kwaye incipha, kukho ithuba elikhulu lokuba kuvele ukukrazuka kwi-membrane ye-Descemet.
• I-Corneal ectasia : Izifo ezifana neKeratoconus zibangela ukuba i-cornea ilahlekelwe yimo yayo eqhelekileyo eyingqukuva ize ibe yi-conical. Olu tshintsho lunokonakalisa ne-membrane ye-Descemet.
• Ukuhlikihla amehlo rhoqo:Abanye abantu bahlala behlikihla okanye bekrwitsha amehlo abo. Oku kuyingozi kakhulu emehlweni. Ukwenza oku kunokubangela uxinzelelo kwi-`(cornea)` kwaye kubangele ukukrazuka kwi-`(Descemet's membrane)`.

Ngubani osengozini enkulu yokuhlaselwa yi-`(Corneal Hydrops)`?

Abanye abantu banamathuba amaninzi okuba nale meko kunabanye. Makhe sijonge ukuba bangoobani:

• Abantu abanezifo ezikudidi lwe-`(Corneal ectasia)`: Ingakumbi abo bane-`(Keratoconus)` basengozini enkulu.
• Abantu abane-atopic dermatitis: I-Atopy yimeko apho amajoni omzimba esabela kakhulu, okanye ethanda ukuba ne-allergies. Abantu abanale meko banokuba semngciphekweni omkhulu kuba bathanda ukuhlikihla amehlo abo rhoqo ngenxa yezinto ezinje ngamehlo arhawuzelelwayo .
• Abantu abaneDown syndrome : Abantu abaneDown syndrome nabo basengozini yokuhlaselwa yiCorneal Hydrops kunye neemeko ezifana neKeratoconus.

Ziziphi iingxaki ezinokubakho ze-`(Corneal Hydrops)`?

Ngexesha le-`(Corneal Hydrops)`, umbono wakho ngokuqinisekileyo uya kuphazamiseka. Kwakhona, ukuba oku kudumba (i-corneal edema) kuhlala ixesha elide, oko kukuthi, ukuba akuphathwanga kakuhle, imithambo yegazi emitsha inokwenziwa ngaphakathi kweliso (neovascularization) . Le mithambo yegazi ayisiyonto ifanele ukuba kwi-`(cornea)`, kwaye inokuphazamisana ngakumbi nombono. Kwakhona, isilonda sinokwenziwa kwi-`(cornea)`.

Ifunyanwa njani iCorneal Hydrops?

Xa undwendwela ugqirha wamehlo, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Emva koko, uza kwenza uvavanyo lwamehlo olupheleleyo. Ngexesha lovavanyo, ugqirha uya kuhlala ekwazi ukuxilonga iCorneal Hydrops.

Zeziphi iimvavanyo ezenziwayo koku?

Ngamanye amaxesha, ukuba ugqirha ufuna ulwazi oluthe kratya, unokucebisa ezinye iimvavanyo ezongezelelweyo.

• I-Anterior segment optical coherence tomography (AS-OCT): Oku kufana nokuskena ngaphakathi kweliso. Kunokuchonga ngokuchanekileyo i-cornea hydrops, kuvavanye ubungakanani bokudumba, kwaye kujongwe inkqubela yokuphiliswa.
• I-Ultrasound biomicroscopy (UBM): Oku kufana ne-ultrasound scan. Kunceda ekuqinisekiseni ukuba kukho ukukrazuka kwi-membrane ye-Descemet.
• I-Tomography: Olu vavanyo lunokufumana umfanekiso ocacileyo wemilo kunye nobukhulu be-cornea yakho.
• Uvavanyo lweSeidel: Olu vavanyo lujonga ukuba ulwelo olungaphakathi kweliso luyavuza na kwi-cornea.

Zonke ezi mvavanyo azibuhlungu, ngoko ke akukho nto yokoyika. Ugqirha uza kukuchazela yonke into.

Ziziphi iindlela zonyango ze-`(Corneal Hydrops)`?

I-Corneal Hydrops inyangwa ngamayeza kwaye ngamanye amaxesha ngotyando. Kusenokufuneka nokuba kunyangwe imeko ebangela i-Corneal Hydrops (efana neKeratoconus).

Unyango ngamayeza

Ukuba ukukrazuka kwi-membrane kaDescemet kuncinci kwaye ukudumba kuncinci, oogqirha badla ngokucebisa amayeza asetyenziswa esikhumbeni abizwa ngokuba ngamaconsi asemlonyeni.

• Isisombululo se-hypertonic saline : Esi sisicombululo esinetyuwa eninzi. Xa sisetyenziswa esweni, sikhupha ulwelo olugqithisileyo kwi-stroma kwaye sincede ekunciphiseni ukudumba.
• Amathontsi ane-steroid: La anciphisa ukudumba ngaphakathi kweliso.
• Ukunciphisa uxinzelelo lwamehlo `(amathontsi)`: Ngamanye amaxesha uxinzelelo lwamehlo lunokuba phezulu. Ukuba oko kuyenzeka, la `(amathontsi)` anikwa ukulawula uxinzelelo lwamehlo.
• Ii-antibiotics (amathontsi): Ezi zinikwa ukuba kuyimfuneko ukuthintela amathuba osulelo.
• Amathontsi eliso avula iliso elimnyama: La mathontsi anceda ekunciphiseni iintlungu.

Ngokutsho kukagqirha, kubaluleke kakhulu ukusebenzisa la ``(amathontsi)`` ngexesha elifanelekileyo.

Kunini apho kufuneka khona utyando?

Ukuba ukukrazuka kwi-membrane ye-Descemet kukhulu, ukudumba kukhulu, okanye kukho umngcipheko wokugqobhoka kwe-cornea, oogqirha banokucebisa utyando. Olu tyando lubandakanya ukuvala ukukrazuka nokuthintela ulwelo ukuba lungaphumi. Ngamanye amaxesha kufakwa i-gas bubble kwi-cornea ukunciphisa ukudumba ngokukhawuleza. Kwiimeko ezinzima, ukuba azinyangwa kakuhle, i-cornea hydrops inokubangela ukuba imithambo yegazi engaqhelekanga ivele ngaphakathi kweliso. Ukuba oko kuyenzeka, kuya kufuneka inyangwe.

Ngaba iCorneal Hydrops ingathintelwa?

Ukuba unemeko efana ne-(Keratoconus)`, thetha nogqirha wakho wamehlo malunga nonyango olubizwa ngokuba yi-`(Crosslinking)`. Olu nyango lwe-`(Crosslinking)` lunokuthintela isifo se-`(Keratoconus)` ukuba singabi mandundu, kwaye lunokunciphisa nomngcipheko weengxaki ezifana ne-`(Corneal Hydrops)`. Nangona kunjalo, kwezinye iimeko, i-`(Acute Corneal Hydrops`, eza njengengxaki ye-`(Keratoconus)` kunye nezinye izifo ze-`(corneal)`, isenokungathintelwa ngokupheleleyo. Ukuba une-allergies yexesha elithile okanye ezinye iimeko ezibangela amehlo arhawuzelelayo, zama ukunciphisa ukukhuhla nokukrwela amehlo akho kangangoko kunokwenzeka . Oku kuya kunceda ekuthinteleni kungekuphela nje i-`(Corneal Hydrops)`, kodwa nezinye iingxaki ezininzi zamehlo.

Kuza kuthatha ixesha elingakanani ukuchacha kwi-`(Corneal Hydrops)`? Injani imeko?

Ugqirha wakho unokunyanga i-acute corneal hydrops. Nangona kunjalo, oku kunokushiya isilonda kwi-cornea. Esi silonda sinokuba nemiphumo ehlala ixesha elide ekuboneni kwakho. Ukuba oku kuyenzeka, isilonda sinokufuna unyango olongezelelweyo, mhlawumbi notyando (njengokufakelwa i-cornea). Kubalulekile ukugcina amadinga okulandela rhoqo nogqirha wakho ngexesha nasemva kokuchacha kwakho. Kulapho ugqirha wakho anokumisela khona isicwangciso sonyango esifanelekileyo kuwe. Ixesha lokuchacha linokususela kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa. Oku kuxhomekeke kubungakanani bokudumba, uhlobo lokukrazuka, kunye nendlela umzimba wakho osabela ngayo.

Ndingawanyamekela njani amehlo am?

• Kuphephe ukuhlikihla amehlo akho kangangoko unako. Le yeyona nto ibalulekileyo. Ukuba unamehlo arhawuzelelayo, sebenzisa amaconsi amehlo njengoko ugqirha wakho eyalele.
• Ungaphoswa yimihla yokuhlolwa kwamehlo oyinikwe ngugqirha wakho. Yiya uyokujonga amehlo akho ngexesha.
• Ukuba unesifo esifana ne-`(Keratoconus)`, landela unyango oluchaziweyo ngokuchanekileyo.

Ndifanele ndimbone nini ugqirha? Kufuneka nini unyango olungxamisekileyo?

Ugqirha wakho uza kukuxelela ukuba kufuneka uye nini kuye okanye uye kwigumbi likaxakeka. Ngokubanzi, funa ingcebiso kagqirha ngokukhawuleza ukuba kukho nayiphi na kwezi zilandelayo:

• Ukuba umbono wakho uyanyamalala ngequbuliso okanye uncipha kakhulu.
• Ukuba ngequbuliso uva iintlungu zamehlo ezinganyamezelekiyo.
• Ukuba kuvela iimpawu zosulelo olufana nomkhuhlane.
• Ukuba kukho ukukhupha okufana nobovu okungalindelekanga okuphuma elisweni.

Kwiimeko ezinje, kungcono ukwenza ngokukhawuleza ngaphandle kokulibazisa.

Ndingasebenzisa iilensi zoqhagamshelwano ukuba ndineCorneal Hydrops?

Xa une-`(Corneal Hydrops)`, ukunxiba iilensi zoqhagamshelwano kusenokungakhululeki kwaye kube buhlungu . Wakuba wazi ukuba unale meko, kuya kufuneka uyeke ukunxiba iilensi zonxibelelwano. Emva konyango, unokukwazi ukunxiba iilensi zonxibelelwano kwakhona ngemvume kagqirha wakho. Thetha nogqirha wakho ngale nto uze wenze isigqibo.

Kuqhelekile ukuba nabani na oyika xa umbono wakhe uncipha ngequbuliso kwaye amehlo akhe ebuhlungu. Ngamanye amaxesha, ezi mpawu zinokuba ziimpawu zesifo esibizwa ngokuba yi-`(Corneal Hydrops)`. Ke ngoko, ukuba unale mpawu, bonana nogqirha wamehlo ngokukhawuleza. Uya kukwazi ukufumanisa unobangela wokudumba kwe-`(cornea)` yakho aze acebise unyango olufunekayo.

Okokugqibela, umyalezo oya ekhaya

Kulungile, sithethe kakhulu nge-`(Corneal Hydrops)` ngoku, akunjalo? Khumbula la manqaku:

• I-Corneal Hydrops kukudumba ngequbuliso kwe-cornea. Eyona nto ibangela oku kukukrazuka kwe-membrane ethambileyo ye-cornea (i-membrane kaDescemet) ebangela ukuba ulwelo luvuzele elisweni.
• Ukubona okufipheleyo ngequbuliso, ibala elimhlophe kumhlophe weliso, iintlungu zeliso, kunye nokuva ukukhanya zezona mpawu ziphambili.
• Abantu abanezifo ezifana ne-"Keratoconus" kunye nabo bahlikihla amehlo abo rhoqo basengozini enkulu yokuhlaselwa yile meko.
• Ukuba uneempawu ezinje, musa ukwenza izigqibo wedwa kwaye ubone ugqirha wamehlo ngoko nangoko.
• Unyango lunokubandakanya amathontsi, kwaye ngamanye amaxesha utyando lunokufuneka.
• Ukuphepha ukuhlikihla amehlo akho nokulandela icebiso likagqirha kubaluleke kakhulu ukuze uphile ngokukhawuleza kwaye uthintele iimeko ezifanayo kwixesha elizayo.

Khumbula, amehlo akho axabiseke kakhulu. Ngoko ke wanyamekele kakuhle. Ukuba uneminye imibuzo malunga noku, ungathandabuzi ukubuza ugqirha wakho.