Ukwenzakala ngaphakathi kweliso? Masifunde ngesilonda se-cornea?

Ngaba amehlo akho abomvu kwaye anamanzi? Okanye uziva ngathi kukho into ebambeke elisweni lakho, nto leyo eyenza kube nzima ukubona ekukhanyeni? Ezi zinokuba ziimpawu zesilonda se-cornea . Ungakhathazeki, masithethe ngale nto ngokulula. Le yimeko embi kakhulu, ngoko ke kubalulekile ukuyihlola ngokukhawuleza.

Yintoni isilonda se-cornea?

Ngamafutshane, isilonda se-cornea sisilonda okanye isilonda esenzeka kwi-cornea, inxalenye ecacileyo, efana ne-dome yangaphambili yeliso lakho. Cinga ngamehlo ethu njengefestile yemoto. Le cornea yinto ekhusela ingaphakathi leliso lethu kwizinto ezinje ngothuli kunye neentsholongwane ezingaphandle. Ngoko ke ukuba kukho umkrwelo okanye umngxuma kule "glasi," oko kubizwa ngokuba yi-cornea ulcer.

Oku kuthathwa njengengxamiseko yezonyango. Kuba ukuba akunyangelwanga ngokukhawuleza, kunokukhokelela ekonakaleni kwamehlo okusisigxina, ekungabonini, kwaye ngamanye amaxesha nasekulahlekelweni ngokupheleleyo kokubona. Ngoko ke musa ukukuthatha lula oku, kulungile?

Zithini iimpawu zesilonda se-cornea?

Iimpawu zesilonda se-cornea zingahluka kancinci kumntu nomntu, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Amehlo abomvu okanye abomvu .
• Ukukrazuka okanye ukuphuma rhoqo emehlweni (i-epiphora) .
• Intlungu yamehlo: Oku kungaba kukungonwabi okuncinci kwabanye abantu, njengokutsha ngaphakathi kweliso. Kwabanye, kunokuba yintlungu enzima.
• Imvakalelo yento ebambeke elisweni, njengesuntswana lothuli okanye umsonto weenwele (uvakalelo lwento yangaphandle).
• Ubunzima bokujonga ukukhanya (photophobia). Ukuchaneka, kukuziva intlungu kunye nokungonwabi xa amehlo evezwa kukukhanya okukhanyayo okanye elangeni.
• Umbono ofipheleyo.
• Ukudumba okanye ukudumba kweenkophe (i-blepharitis).
• Kuvela ibala elimhlophe okanye elingwevu kwi-cornea. Nangona kunjalo, eli bala alisoloko libonakala ngaphandle. Nokuba liyabonakala, ngamanye amaxesha kunokuba nzima ukulibona ngaphandle kwezixhobo ezikhethekileyo.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kungcono ukubona ugqirha wamehlo ngokukhawuleza.

Kutheni ezi zilonda ze-cornea zenzeka? Zithini izizathu?

Zininzi izinto ezinokubangela izilonda ze-cornea. Ezi zinokwahlulwa zibe ziindidi ezimbini eziphambili: izizathu ezibangela ukosuleleka kunye nezizathu ezingezizo ezosulelayo .

Izizathu ezibangelwa lusulelo

Ezi zezona zinto zixhaphakileyo. Iintsholongwane zifumaneka xa iintsholongwane zingena emzimbeni zize zibangele ukugula. Kunjalo nalapha.

• Iintsholongwane: Iintlobo eziphambili zeentsholongwane ezisulela i-cornea yi -'Pseudomonas' , 'Staphylococcus' kunyeZibizwa ngokuba yi-'Streptococcus'. Ezi ntsholongwane zinokufumaneka kwindawo esingqongileyo. Kodwa ukuba kukho umkrwelo omncinci okanye inxeba kwi-cornea yethu, zinokungena ngalo zize zibangele usulelo.
• Khawucinge ukuba unxibe iilensi zokunxibelelana . Ukuba awuzicoci kakuhle, okanye ukuba uzinxiba ulele, usemngciphekweni omkhulu wokufumana usulelo lweentsholongwane.
• Iintsholongwane: Ezinye iintsholongwane zinokubangela izilonda ze-cornea. Umzekelo, iintsholongwane ze-herpes simplex (ezibangela izilonda zomkhuhlane kunye ne-herpes yesini) kunye ne -varicella-zoster virus ( ebangela i-chickenpox kunye ne-shingles) zezona ziphambili.
• Ifungi: Usulelo lwefungus lunokwenzeka ukuba kukho into edibana namehlo akho, ingakumbi xa ulima igadi okanye usebenza nezityalo okanye umhlaba. Iintlobo eziphambili zefungus yiAspergillus kunye neCandida . Abantu abaneenkqubo zomzimba ezibuthathaka (abangenawo amasosha omzimba aqinileyo) basengozini enkulu yokufumana usulelo lwefungus kuba imizimba yabo ayikwazi ukulwa nosulelo.
• Iintsholongwane: I-Acanthamoeba lolona sulelo luqhelekileyo lwe-parasites olubangela izilonda ze-cornea. Abantu abanxiba iilensi zoqhagamshelwano kwaye baqubhe (kumachibi okudada okanye kwezinye iindawo zamanzi) basengozini enkulu. Oku kungenxa yokuba iintsholongwane ze-Acanthamoeba zinokuphila kumanqanaba aphantsi e-chlorine (njengakumachibi okudada angacocwanga kakuhle). Zinokufumaneka nakumanzi epompo. Yingakho kucetyiswa ukuba ungaze uhlambe okanye ugcine iilensi zakho zoqhagamshelwano emanzini epompo.

Ezinye izizathu ezingezizo ezosulelayo

Izilonda ze-cornea zinokuvela nokuba akukho ntsholongwane. Nazi ezinye izinto ezinokubangela oku:

• Ukulimala kwamehlo: Ukutsha, ukukrazulwa kwe-cornea , ukukrazulwa kwamehlo , kunye namanxeba okubhobozwa anokubangela izilonda ukuba aziphili kakuhle. Ezi zingozi zinokwandisa umngcipheko wokosuleleka kwamehlo.
• Ukuvezwa: Ukuba une -lagophthalmos , imeko apho ungakwazi ukuvala amehlo akho ngokupheleleyo, i-cornea yakho inokonakala kuba ihlala ichaphazeleka lilanga. Ukuvezwa kubushushu okanye kubanda kakhulu kunokonakalisa i-cornea yakho.
• Amehlo omileyo kakhulu: Amehlo anokuba mdaka kakhulu ngenxa yeemeko zemozulu, isifo samehlo, okanye zombini ezi zinto. Oku kungonakalisa i-cornea kwaye kubangele izilonda.
• Iziphumo ezinobungozi: Ezi meko zinokwenzeka ukuba iikhemikhali ezithile ezinobungozi zingena emehlweni, okanye kwiimeko ezingaqhelekanga, ngenxa yamayeza athile owasebenzisayo.
• Iingxaki zenkqubo yomzimba yokuzikhusela (Iimeko zomzimba):Ngamanye amaxesha, ukungasebenzi kakuhle kwenkqubo yethu yokuzikhusela kunokubangela ukudumba ngaphakathi kweliso. Oku kudumba kuyenza buthathaka i-cornea tissue kwaye kwandisa umngcipheko wokuba nezilonda.

Ngubani osengozini enkulu yokuhlaselwa yile meko?

Nabani na unokuba nezilonda ze-cornea, kodwa abanye abantu basengozini enkulu:

• Abantu abanxiba iilensi zokunxibelelana rhoqo, ingakumbi abo bazinxiba ixesha elide (umngcipheko uphezulu nangakumbi ukuba bazinxibe ngelixa belele, ukuba bazinxibe ngelixa behlamba, okanye ukuba azicocwanga kakuhle).
• Abantu abasele benayo okanye abakhe baba nayo ngaphambili intsholongwane ye-herpes simplex okanye intsholongwane ye-varicella-zoster .
• Kwabo banamehlo omileyo.
• Kubantu abaneengxaki zempilo ezenza kube nzima ukuvala amehlo abo ngokupheleleyo (umzekelo, iimeko ezifana ne-'Bell's palsy', ebangela ukungasebenzi kakuhle kwemithambo-luvo yobuso, okanye izifo ezifana nesifo se-'Graves', esibangela ukuba amehlo aphume).
• Kwabo basebenzisa okanye basandula ukusebenzisa amathontsi amehlo anee-steroids .
• Kwabo baneentlungu ze-cornea okanye abatshileyo .
• Kubantu abanesifo seswekile sohlobo lwesibini .
• Kwabo bakhe batyandwa amehlo ngaphambili.
• Kwabo banezinye izifo zamehlo, ingakumbi izifo ze-cornea .

Ziziphi iingxaki ezinokubakho ngenxa yezilonda ze-cornea?

Ukuba isilonda se-cornea asinyangwanga kakuhle, iingxaki ezahlukeneyo zingavela. Ezi ziquka:

• I-Astigmatism okanye olunye utshintsho lombono.
• IiCataracts .
• I-Endophthalmitis, usulelo olubi ngaphakathi kweliso.
• Imeko yeGlaucoma .
• Ukugqobhoka okanye ukuvaleka kwe-cornea.
• Ukukhuhlana kwe-cornea okuphindaphindeneyo (ii-RCE) .
• Ukulahlekelwa ngumbono.

Yiyo loo nto sisithi, ukuba uneempawu ezinje, bonana nogqirha ngokukhawuleza.

Uyibona njani ngokuchanekileyo i-cornea ulcer?

Ukuze kuqinisekiswe ukuba unesilonda se-cornea, ugqirha wamehlo okanye omnye umboneleli wezempilo uya kwenza uvavanyo lwamehlo . Oku kugxile kakhulu kwi-cornea kunovavanyo lwamehlo ngokubanzi.

Esinye sezixhobo eziphambili abazisebenzisayo koku kukuvavanya isibane esiqhekekileyo . Oku kubavumela ukuba bahlolisise i-cornea ngokusondeleyo nangokusondeleyo.

Ngamanye amaxesha, ugqirha uza kuthatha isampuli encinci (i-swab culture) esweni lakho.I-swab ingathathwa ize ithunyelwe kwilebhu ukuze ivavanywe. Oku kuthetha ukuba kuthathwa inani elincinci lokukhupha eliphuma elisweni kwaye livavanywe uhlobo lwebhaktheriya ekhoyo. Oku kunokunceda ekuchongeni uhlobo oluchanekileyo losulelo olubangela isilonda. Kwimeko apho isilonda singasabeli kakuhle kunyango, ugqirha unokucebisa ukuba kwenziwe i- cornea biopsy . Oku kuquka ukuthatha iqhekeza elincinci le-cornea uze ulivavanye.

Ingcali yakho yamehlo iza kukuxelela okungakumbi ngezi mvavanyo. Baza kuchaza nendlela ezenziwa ngayo, isizathu sokuba zibalulekile, kunye nokuba kukho naziphi na iziphumo ebezingalindelekanga emva kwazo.

Uzinyanga njani izilonda ze-cornea? Ngaba oku kunganyangeka ngokupheleleyo?

Ngenxa yokuba zininzi izizathu zezilonda ze-cornea, zininzi iindlela zonyango. Ezinye iindlela zonyango zichanekile, oko kuthetha ukuba zisebenza ngenxa yesizathu esinye kuphela. Ezinye iindlela zonyango ziqhelekile, oko kuthetha ukuba zinceda ukulawula iimpawu ezibangelwa sisilonda.

Nazi ezinye zezona ndlela zonyango zisetyenziswa kakhulu:

• Amayeza:
• Kunikwa amayeza okubulala iintsholongwane kwizilonda ezibangelwa zizifo ezibangelwa ziintsholongwane. Kukwakho namayeza asebenzayo kwizilonda ezibangelwa ziintsholongwane, iifungi, kunye neentsholongwane.
• Amayeza anjengee -corticosteroids adla ngokunikezelwa ukunciphisa iimpawu zezilonda ze-cornea. La mayeza anciphisa ukudumba.
• Ugqirha wakho angakunika amayeza angengo-steroidal anti-inflammatory (NSAIDs) , anjenge -ibuprofen (Advil® okanye iMotrin®). La mayeza anokunceda ukunciphisa iintlungu kunye nokudumba.
• Ugqirha wakho wamehlo uza kukuxelela okungakumbi ngala mayeza kunye nendlela yokuwasebenzisa (amathontsi, amafutha okugcoba, iipilisi).
• Iilensi ze-Scleral okanye iilensi zoqhagamshelwano zebhandishi: Ezi ziilensi ezikhethekileyo ezibekwa elisweni. Zikhusela i-cornea ekonakaleni okungakumbi kwaye zinika ixesha lokuphola.
• I-Tarsorrhaphy: Olu nyango lubandakanya ukugcina iliso livaliwe ixesha elide. Ukuze enze oku, ugqirha angathunga iinkophe okanye afake iyeza elifana ne -onabotulinumtoxinA (Botox®) ukuze akhubaze okwethutyana izihlunu ezilawula inkophe. Xa iliso livaliwe, i-cornea inendawo engcono yokuphiliswa.
• Utyando: Ukuba izilonda ze-cornea aziphili ngamayeza, utyando lunokufuneka. Kwiimeko ezinzima, ukufakelwa i-cornea kunokufuneka.

Ngokuxhomekeke kwimeko yakho, kunokufuneka olunye unyango. Ingcali yakho yamehlo inokukunika ingcebiso engcono malunga nonyango olukulungeleyo kunye nemiphumo emibi enokubangelwa lulo.

Ngaba izilonda ze-cornea zingathintelwa?

Nangona izilonda ze-cornea zingenakuthintelwa ngokupheleleyo, zininzi izinto esinokuzenza ukunciphisa umngcipheko wethu. Ezinye zazo ziquka:

• Musa ukulala unxibe iilensi zakho zokunxibelelana. Ukulala unxibe iilensi zakho zokunxibelelana yeyona nto ibangela izilonda ezinkulu ze-cornea.
• Musa ukusebenzisa iilensi zokunxibelelana emva komhla wokuphelelwa kwazo. Okukhona unxiba iilensi zokunxibelelana ezithambileyo ixesha elide, kokukhona amathuba okuba zikhule iintsholongwane. Iilensi zokunxibelelana zemihla ngemihla zezona zikhuselekileyo.
• Hlamba izandla zakho rhoqo okanye usebenzise i-sanitizer. Ukuba izandla zakho zibonakala zingcolile okanye zingcolile, zihlambe ngesepha namanzi. Okanye, sebenzisa i-sanitizer esekelwe kutywala (ubuncinane i-60% yotywala).
• Ukukhusela amehlo. Eyona ndlela ilungileyo yokuthintela ukwenzakala kwamehlo kukukhusela amehlo akho. Nxiba iiglasi zokhuseleko ezifanelekileyo kumsebenzi owenzayo.
• Ungaze wabelane nabanye ngayo nantoni na edibana namehlo akho. Oku kuquka izinto ezifana nokuthambisa ubuso, ukuhlamba ubuso, kunye neebhokisi zelensi zokunxibelelana.

Kuthatha ixesha elingakanani ukuba isilonda se-cornea siphole? Ngawaphi amathuba okuchacha?

Ngokuxhomekeke kwisizathu sesilonda se-cornea, imeko yaso inokwahluka kakhulu. Oku kuthetha ukuba ixesha elithathwayo ukuphiliswa kunye nendlela esiphiliswa ngayo zinokuhluka. Ugqirha wakho wamehlo unokukuchazela ngcono oku ngokusekelwe kwimeko yakho.

Ezinye zezinto eziphambili ezichaphazela amathuba okubuyela esimeni esifanelekileyo zezi:

• Ubungakanani besilonda: Izilonda ezinkulu zihlala zithatha ixesha elide ukuphola, kwaye iziphumo zinokuba ncinci kancinci.
• Unobangela: Izilonda ezikhula ngenxa yezizathu ezithile kunzima ukuzinyanga nokuziphilisa.
• Indawo yehlathi: Apho ihlathi likwiCornea khona, ihlathi nalo liyayichaphazela imiphumo.
• Impendulo kunyango: Ukuba isigulana sisabela kakuhle kunyango, ikamva lokuba siza kuphila lihlala lilungile.

Ixesha lokuchacha lixhomekeke kwizinto ezahlukeneyo, ngoko ke ngugqirha wakho kuphela onokukuxelela ukuba kuza kuthatha ixesha elingakanani ngokwemeko yakho.

Ndingazinyamekela njani?

Ukuba unesilonda se-cornea, ezona zinto zibalulekileyo onokuzenza zezi:

• Landela imiyalelo yonyango kagqirha wakho ngokuchanekileyo. Oko kuthetha yonke into ukususela kwindlela yokusela amayeza akho, indlela yokusebenzisa iliso lakho, kunye nendlela yokuzikhusela.
• Qiniseka ukuba uya kugqirha ngeentsuku akuxelela ukuba uze ngazo. Olu tyelelo lokulandelela lukuphela kwendlela ugqirha anokubona ngayo indlela isilonda esiphola ngayo aze atshintshe unyango ukuba kuyimfuneko.
• Ukuba unemibuzo, thetha nengcali yamehlo.Ukuba ufumanisa iimpawu ezintsha, unemibuzo malunga nendlela yokusela amayeza akho, uvakalelwa kukuba unyango lwakho alusebenzi, okanye uneengxaki ngeziphumo ebezingalindelekanga ezivela kunyango lwakho, xelela ugqirha wakho . Banokukunika iindlela zokunciphisa impembelelo yeempawu zakho okanye ukutshintsha unyango lwakho ukuze kumiswe iziphumo ebezingalindelekanga.

Ndifanele ndimbone nini ugqirha? / Ndifanele ndifune nini ingcebiso yezonyango?

Ingcali yakho yamehlo iza kukuxelela ukuba zeziphi iimpawu ekufuneka uthethe nazo okanye ufune iingcebiso zonyango ukuba unazo. Ezi zihlala ziquka izinto ezifana nezi:

• Ukuba iimpawu ziyaqhubeka nokuba mandundu nangona unyango luqhubeka.
• Ukuba unesifo sokukhanya esingaphezulu , ingakumbi ukuba sinzima ngokwaneleyo ukuba singakuthinteli ekwenzeni imisebenzi yemihla ngemihla.
• Ukuba umbono wakho uba luzizi okanye umbono wakho uyancipha.
• Ukuba uneentlungu eziqatha emehlweni .
• Ukuba kukho ukukhupha okugqithisileyo kweliso .

Ndingayibuza ntoni ingcali yamehlo?

Ungabuza imibuzo yakho yengcali yamehlo efana nale:

• Yintoni unobangela wesilonda sam se-cornea?
• Loluphi unyango olucebisayo?
• Ndingenza ntoni ukunceda amehlo am aphile?
• Zeziphi iimpawu ekufuneka ndikubize ngazo?
• Zeziphi iimpawu ekufuneka ndifune uncedo lwezonyango olungxamisekileyo kuzo?
• Ngawaphi amathuba okuchacha ngokwemeko yam? Yintoni endinokuyenza ukuze ndifumane iziphumo ezilungileyo?

Ukunxiba iilensi zoqhagamshelwano kuyandisa njani ingozi yokuba nesilonda se-cornea?

Xa unxiba iilensi zokunxibelelana ixesha elide, umlinganiselo weoksijini ofikelela emehlweni akho uyancipha. Kwakhona, xa ufaka iilensi esweni lakho, iintsholongwane zinokungena kwilensi ngeminwe yakho okanye kwizisombululo ezingacocwanga kakuhle kwaye zivaleleke phantsi kwelensi. Ezi zinto zonyusa umngcipheko wosulelo kwaye zinokukhokelela kwisilonda se-cornea.

Umntu onxiba iilensi zokunxibelelana unamathuba aphindwe kalishumi okuba nesilonda se-cornea kunalowo ungazinxibiyo. Umntu olala eneelensi zokunxibelelana unamathuba aphindwe kalikhulu okuba nesilonda kunalowo ungazinxibiyo! Khawuthelekelele indlela okuyingozi ngayo oko.

Yintoni umahluko phakathi kokukrala kwe-cornea kunye nesilonda se-cornea?

• Ukukrweleka kwe-cornea kukukrweleka okanye umkrwelo kwi-cornea yakho. Olu hlobo lokulimala kwe-cornea luhlala luphola ngokwalo.
• Isilonda se-cornea sisilonda esivulekileyo kwi-cornea yakho. Isilonda se-cornea sinokubangelwa lusulelo, amehlo omileyo, nezinye iimeko. Ngamafutshane, umkrwelo kukwenzakala okungaphezulu, ngelixa isilonda sisilonda esinzulu esinokulahleka kwezicubu.

Yintoni umahluko phakathi kwesilonda se-cornea kunye ne-keratitis?

Ezi meko zimbini zamehlo zihlobene kakhulu.

• Isilonda se-cornea sisilonda esivulekileyo - ukulahleka kwezicubu ze-cornea - esidla ngokubangelwa kusulelo lwamehlo.
• I-Keratitis ligama eliqhelekileyo leqela leemeko ezibangela ukudumba kwe-cornea yakho. Usulelo lwamehlo, ukwenzakala, kunye nokunxiba iilensi zoqhagamshelwano ixesha elide - ezinye zezinto ezifanayo ezinokubangela izilonda ze-cornea - nazo zinokubangela i-keratitis. Ukuba i-keratitis iba mandundu, inokukhokelela kwisilonda se-cornea.

Zombini ezi meko zinokubangela ukulahleka kokubona.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Isilonda se-cornea sisifo esiyingozi kakhulu emehlweni. Nokuba ukwenzakala okuncinci kweliso kunokubangela isilonda se-cornea. Ukuba ucinga ukuba uneempawu zesilonda se-cornea, bonana nogqirha wakho wamehlo ngoko nangoko. Baza kuhlola iliso lakho, baxilonge, baze baqalise unyango.

Ukuba unxiba iilensi zokunxibelelana, qiniseka ukuba uyazi indlela yokuzifaka, ukuzicoca, nokuzigcina kakuhle . Iqela lakho lokhathalelo lwamehlo lingakufundisa ezi ndlela zifanelekileyo kwaye liphendule nayiphi na eminye imibuzo onokuba nayo.

Khumbula, amehlo akho axabiseke kakhulu. Ngoko ke, wanyamekele. Musa ukuthatha nantoni na njengento elula, nokuba yeyona incinci!

Isilonda se - corneal, ukwenzakala kweliso, usulelo lwamehlo, iilensi zoqhagamshelwano, ukubomvu kweliso, umbono ofipheleyo