Ingaba iliso lakho liyajika lijonge ngaphakathi? Masifunde ngale entropion!

Ngaba ngamanye amaxesha ukhe uzive ngathi kukho into engaphakathi kweliso lakho, okanye amehlo akho abomvu kwaye ahlala emanzi? Kulapho iliso lijika lingene ngaphakathi lize libethe ngaphakathi kweliso. Namhlanje siza kuthetha ngale meko, eyaziwa kwisayensi yezonyango njenge-'Entropion'. Ungakhathazeki, wakuba ukwazile oku, uya kuqonda ukuba le ayiyongxaki inkulu kangako.

Yintoni i-Entropion? Masiyiqonde ngokulula!

Ngamafutshane, i-entropion kuxa iliso lakho lijika lijonge ngaphakathi, lijonge kwibhola yeliso lakho. Xa oku kusenzeka, ulusu lweliso lakho kunye neenkophe zakho ziyakhuhlana kumphezulu weliso lakho. Khawuthelekelele, kuvakala ngathi yintlabathi esweni lakho. Olu ngqubano lunokubangela umonakalo omkhulu kumphezulu weliso lakho, ingakumbi indawo ecacileyo engaphambili kweliso lakho, i-cornea , kwaye lunokubangela nokwenzakala.

Kukho elinye icala kule nto, apho iliso lijika libheke ngaphandle. Oko kubizwa ngokuba yi-'Ectropion'. Kodwa namhlanje sithetha ngokujika libheke ngaphakathi.

I-Entropion idla ngokuchaphazela iliso elisezantsi . Abanye abantu banokuba nayo kwiliso elinye kuphela, ngelixa abanye banokuba nayo emehlweni omabini. Siyibiza ngokuba yi-"Bilateral entropion". Ukuba oku akuphathwanga kakuhle, njengoko benditshilo, i-cornea inokonakala kwaye nombono ungalahleka . Ke ngoko, ukuba unezi mpawu, kubaluleke kakhulu ukubona ugqirha wamehlo ukuze ufumane unyango. Njengenyathelo lokuqala, kuzanywa iindlela ezingangenisi ntsholongwane, kodwa ngamanye amaxesha utyando lunokufuneka.

Ziziphi iintlobo eziphambili ze-entropion?

Kukho iintlobo ezininzi eziphambili ze-entropion. Makhe sijonge ukuba zeziphi:

• I-entropion eguquguqukayo: Olu lolona hlobo luqhelekileyo . Njengoko sikhula, izihlunu kunye nemisipha ejikeleze amehlo ethu iyaphela kancinci kancinci kwaye ikhululeke. Yiyo loo nto ke ebangela oku. Njengoko ulusu lootatomkhulu noomakhulu bethu lwalushwabana, namandla ezinto ezingaphakathi nawo ayancipha.

• I-Spastic entropion: Olu hlobo lunokwenzeka ukuba iliso liphazamisekile nangayiphi na indlela, umzekelo, ngokukhuhla iliso kakhulu, ukuba iliso lisulelekile, okanye ukuba iliso liyadumba. Kunokwenzeka kakhulu ukuba kwenzeke emva kotyando lweliso , okanye kubantu abasele beneliso elikhululekileyo ngenxa yokwaluphala.

• I-cicatricial entropion: Le yimeko apho izicubu zesilonda zenzeka khona kwi-eyelid. Oku kunokubangelwa kukutsha, usulelo olunzima, ukwenzakala kweliso, utyando lwamehlo, okanye unyango lwemitha yomhlaza. Olu silonda lubangela ukuba i-eyelid ijike ngaphakathi.

• I-entropion yokuzalwa:Oku kunqabile kakhulu, kodwa abanye abantwana bazalwa benesi simo. Oku kuthetha ukuba iliso lijikwa lingene ngaphakathi ukususela ekuzalweni .

• I-Mechanical entropion: Oku kwenzeka xa i-eyeball isiba nzima kakhulu, nto leyo ebangela ukuba iqengqeleke ngaphakathi. Oku kunokwenzeka ukuba kukho i-bulk okanye i-tumor ephuma kwi-eyeball.

Zithini iimpawu ze-entropion?

Ukuba une-entropion, unokufumana iimpawu ezininzi ezingathandekiyo zamehlo. Jonga ukuba ezi mpawu zivakala ziqhelekile na kuwe:

• Ukuziva ngathi kukho into ethile esweni. Njengesuntswana lothuli okanye intsini enamathele kulo.
• Ububomvu bamehlo.
• Ukukrazula rhoqo (amehlo anamanzi).
• Umbono ofipheleyo.
• Intlungu yamehlo.
• Amehlo arhawuzelelayo.
• Uvelwano ekukhanyeni (ubunzima bokujonga ngaphandle ekukhanyeni okuqaqambileyo - oku sikubiza ngokuba yi-"Photophobia") kunye novelwano emoyeni.
• Ukuphuma kwamanzi emehlweni okanye ukuphuma kwamanzi kwiikona zamehlo.

Xa uqala ukuba ne-entropion, usenokuba nezi mpawu ngamaxesha athile kuphela. Nangona kunjalo, ngokuhamba kwexesha, ezi mpawu zihlala ziqhubeka.

Kutheni i-entropion isenzeka? Zithini izizathu?

Kukho iimpawu ezintathu eziphambili zeliso eline-entropion: ukuyekelela kwamehlo, umsipha osusa amehlo ophakamisa amehlo uphume kwindawo yawo yokunamathela, kunye nomsipha ovala amehlo onamandla kakhulu, ojika amehlo ngaphakathi endaweni yokuwafaka ngaphandle. Ukuyekelela kwamehlo asezantsi kuxhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala , kuba inkxaso yeliso iyaphela xa sele ikhulile.

Ukongeza, kukho ezinye izizathu ezininzi zokuba kutheni ijwabu leso lingajika lingene ngaphakathi:

• Ukulimala kwamehlo.
• Usulelo lwamehlo.
• Utyando lwamehlo lwangaphambili.
• Ukudumba kunye neemeko zokudumba kwamehlo.
• Izicwili zamanxeba ezibangelwa zezinye zezizathu ezikhankanyiweyo apha ngasentla.

Ngubani osengozini enkulu yokuhlaselwa yi-entropion?

Ubudala yeyona nto ibangela umngcipheko omkhulu wokukhula kwe-entropion. Ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala. Ngokutsho kwe-American Academy of Ophthalmology, le meko ichaphazela malunga ne-2.1% yabantu abangaphezu kweminyaka engama-60 ubudala.

Kwakhona, abantu abane-sleep apnea basengozini enkulu yokuba ne-entropion. Oku kungenxa yokuba iinkophe zabo ezingaphezulu zisenokuba zikhululekile kakhulu (ezibizwa ngokuba yi-"Floppy eyelid syndrome"), nto leyo ebenza bakwazi ukuqengqeleka ngaphakathi.

Enye into kukuba abafazi banamathuba amaninzi okufumana i-entropion kunamadoda.Ndifumene loo nto.

Oogqirha bayixilonga njani i-entropion?

Ingcali yakho yamehlo iya kuqala ikubuze ngeempawu zakho kunye nembali yezonyango. Emva koko iya kwenza uvavanyo olupheleleyo lwamehlo . Iya kujonga naziphi na iingxaki zolusu, usulelo, okanye amanxeba. Iya kuhlola nemiphetho yeenkophe ngononophelo, njengoko kukho ezinye iimeko ezinokubonakala njenge-entropion. Kubalulekile ukwenza uxilongo oluchanekileyo , njengoko oku kuya kumisela unyango olungcono.

Uvavanyo olusetyenziselwa ukuxilonga i-entropion

Ugqirha angenza iimvavanyo ezininzi ukuqinisekisa ukuba unayo na i-entropion:

• Uvavanyo olukhawulezileyo: Kolu vavanyo, ugqirha utsala iliso lakho elingezantsi ngaphandle kokulivumela ukuba liqhwanyaze. Emva koko bajonga ukuba kuthatha ixesha elingakanani ukuba libuyele phezulu. Lidla ngokubuyela phezulu kungakapheli umzuzwana okanye emibini.
• Uvavanyo lokuphambukisa: Kolu vavanyo, ugqirha utsala iliso lakho elingezantsi kude neliso lakho. Ngokulitsala, umgama ophakathi kweliso kunye neliso uyalinganiswa. Ukuba lo mgama ungaphezulu kweemilimitha ezi-6, uthathwa njengongaqhelekanga.
• Uvavanyo lwesibane esiqhekekileyo: Isibane esiqhekekileyo sisibonakude esikhethekileyo . Esebenzisa ukukhanya okuqaqambileyo, ugqirha uza kuhlola iliso lakho ngononophelo ukuze abone ukuba kukho naziphi na iimpawu zale meko. Oku kunokubona nomonakalo omncinci elisweni.

Ziziphi iindlela zonyango lwe-entropion?

Ugqirha wakho angasebenzisa iindlela ezahlukeneyo ukunyanga i-entropion. Unyango oluqhelekileyo luquka:

• Ukuthambisa amehlo: Ukufaka amafutha anamafutha okanye iinyembezi ezenziweyo emehlweni kunokunceda ekunciphiseni ukungonwabi. Nangona kunjalo, esi asisosisombululo sexesha elide.

• Iilensi zokunxibelelana ezithambileyo: Ugqirha wakho unokucebisa ukuba usebenzise iilensi zokunxibelelana ezithambileyo ukukhusela amehlo akho kwiingxaki zamehlo. Ezi lensi zisebenza njengebhandishi kwaye zinciphisa iimpawu.

• Iteyiphu: Uhlobo oluthile lweteyiphu lungasetyenziswa ukubamba ijwabu leso okwethutyana. Oku kukwayinto enokwenziwa lula ekhaya.

• Izititshi: Ugqirha angatshintsha indawo yeliso aze abeke izititshi ezimbalwa ukuze azibambe. Izicwili eziveliswa zezi zititshi ziya kunceda ukugcina iliso lingajiki ngaphandle kangangeenyanga eziliqela.

• Iinaliti zeBotox®:Ingxinxo encinci ye-botulinum ingafakwa ukuze buthathaka izihlunu ezijika ijwabu lingene ngaphakathi. Oku kunika isiqabu kangangeenyanga eziliqela.

• Ukususwa kweenkophe/Ukususwa kweenkophe: Ukuze kuthintelwe ukuba iinkophe ezicaphukisayo zingakhuhli phezu kweliso, i-"Epilation" yinkqubo yokukhuthula nokususa ezo nkophe.

Khumbula, uninzi lwezi ndlela zonyango zezexeshana. Ukuba ufuna isisombululo esihlala sihleli, kuya kufuneka utyando.

Ngamanye amaxesha, ukuba i-inverted pupil ibangelwa kukudumba okungapheliyo, ugqirha wakho unokuyalela uvavanyo lwegazi (iilabhoratri) okanye i-biopsy ukujonga izizathu ezingaqhelekanga ezifana ne-ocular cicatricial pemphigoid okanye i-trachoma.

Utyando lwe-entropion

Nangona unyango olungelulo utyando olukhankanyiweyo apha ngasentla lunokunceda kwixesha elifutshane, utyando ludla ngokufuneka ukuze kulungiswe ngokupheleleyo iliso elijijekileyo kwaye libuyiselwe kwindawo yalo eqhelekileyo. Olu tyando ludla ngokwenziwa phantsi kwe-sedation kunye ne-local anesthesia. Uya kukwazi ukuya ekhaya ngaloo mini utyando lwakho.

Kukho iinkqubo ezininzi zotyando zokulungisa i-entropion:

• Ukuqinisa ijwabu leso: Oku kuquka ukuqinisa ijwabu leso lakho ngokulifinyeza kancinci (elibizwa ngokuba yi-wedge resection okanye i-lateral tarsal strip).
• Ukufakwa kwakhona kwe-retractor: Oku kubandakanya ukuqinisa umsipha ovula novala ijwabu leso (i-'lid retractor').
• Ukususa i-Orbicularis ebulking: Oku kuquka ukwenza buthathaka inxalenye yemisipha enceda ukuvala ijwabu leso (umsipha we-orbicularis).
• Ukwakhiwa kwakhona komda weenkophe: I-Electrocautery okanye i-cryotherapy ingasetyenziselwa ukususa ngokusisigxina i-eyelid ephambukile ngenxa yokwenzakala okanye ukudumba okungapheliyo.

Nangona unyango olungelulo utyando luluncedo kwixesha elifutshane, utyando ludla ngokufuneka ukuze kulungiswe ngokupheleleyo nangokusisigxina i-entropion.

Abantu abaninzi bafumana iziphumo ebezingalindelekanga zexeshana emva kotyando lwe-entropion. Ukudumba kunye nokukrweleka zezona zinto zixhaphakileyo. Ezi ziyinxalenye eqhelekileyo yenkqubo yokuphiliswa. Ezi zinokulawulwa ngamayeza achazwe ngugqirha wakho kunye nee-cold compresses. Kwiimeko ezininzi, utyando luphela ngokupheleleyo kwiiveki ezimbini.

Ndifanele ndimbone nini ugqirha?

Ukuba uvakalelwa kukuba iliso lakho lijika lijonge ngaphakathi, funa ingcebiso kagqirha ngokukhawuleza.Ukuba iliso lakho alibonakali ngathi lijika lijonge ngaphakathi, kodwa uhlala uziva ngathi kukho into engaphakathi kweliso lakho, bona ugqirha. Isenokuba yi-entropion.

Yeyiphi imibuzo omele uyibuze ugqirha?

Ukuba une-entropion, ungabuza ugqirha wakho le mibuzo:

• Zeziphi iingxaki ekufuneka ndiziqaphele?
• Yintoni endifanele ndiyiphephe ngexesha lokuchacha?
• Ngaba kufuneka ndibuye ukuze ndize kuvavanywa? Ukuba kunjalo, nini?
• Ndingenza ntoni ukuthintela ukuba i-entropion ingaphindi ivele?

Ngaba i-entropion ingathintelwa?

I-Entropion yimeko edla ngokuba yinxalenye yendalo yokwaluphala kwaye ngamanye amaxesha ibangelwa zizicwili, ngoko ke kunzima ukuyithintela ngokupheleleyo. Nangona kunjalo, ukunciphisa umngcipheko wokufumana i-entropion ngenxa yokwenzakala kweliso, nxiba iiglasi zokhuseleko xa usenza umsebenzi onokwenzakalisa amehlo akho (umzekelo, xa usika iinkuni okanye udibanisa iintsimbi).

Kwenzeka ntoni ukuba une-entropion? Ungalindela ntoni?

Abantu abaninzi abafuna unyango lwe-entropion ngaphambi kokuba yenze umonakalo emehlweni bafumana iziphumo ezilungileyo. Utyando lwe-entropion ludla ngokusombulula ingxaki, kwaye imeko ayiphindi ivele.

Nangona kunjalo, kubalulekile ukunyanga i-entropion ukuthintela iingxaki ezingapheliyo. Iingxaki ezinokunxulunyaniswa ne-inverted eye ziquka:

• Usulelo lwamehlo
• Ukukrala kwe-cornea
• Ukulahleka kombono

Umyalezo Wokuya Ekhaya

Ukuba uhlala uziva ngathi kukho into ethile elisweni lakho, okanye ukuba iliso lakho libonakala lijika lijonge ngaphakathi, usenokuba ne-entropion. Kubalulekile ukufumana unyango lwesi sifo ukuthintela iingxaki zexesha elide ezifana nomonakalo we-cornea kunye nokulahleka kombono. Thetha nogqirha wakho malunga neendlela zonyango ezinokuphucula ukungakhululeki kwakho, impilo yamehlo, kunye nomgangatho wobomi ngokubanzi. Musa ukoyika okanye ukungabi nantloni ukuthetha ngayo. Okukhona ufumana unyango ngokukhawuleza, kokukhona ungaphola ngokukhawuleza!

I- Entropion, ukujika ngaphakathi kwebhola yeliso, izifo zamehlo, amehlo arhawuzelelayo, amehlo abomvu, ukubona, ukwaluphala kunye namehlo