Ngaba iliso lakho livakala likhululekile? Makhe sithethe nge (Floppy Eyelid Syndrome)?

Ngaba uziva neentlungu emehlweni akho kwaye uziva ngathi amehlo akho ayajikajika xa uvuka kusasa? Mhlawumbi amehlo akho aziva ngathi anjengerabha xa uwachukumisa. Nangona oku kuyingxaki encinci kwabanye abantu, kusenokuba luphawu lwemeko esiza kuthetha ngayo namhlanje ebizwa ngokuba yi- (Floppy Eyelid Syndrome) .

Yintoni iFloppy Eyelid Syndrome?

Ngamafutshane, (i-Floppy Eyelid Syndrome) kuxa ulusu lweenkophe zakho, okanye iinkophe zakho, luba lukhuni kwaye lube ngerabha. Luba lolulekileyo, njengebhanti yerabha endala. Oku kwenza kube lula ukuba iinkophe zakho zijike okanye ziphume, ingakumbi xa ulele. Idla ngokuchaphazela zombini iinkophe eziphezulu.

Ixhaphake kangakanani le meko?

Uphando lwangoku lubonisa ukuba phakathi kwe-2% kunye ne-4% yabemi behlabathi banale meko (i-Floppy Eyelid Syndrome). Nangona kunjalo, oogqirha bakholelwa ukuba eli nani linokuba phezulu kakhulu. Isizathu kukuba iimpawu zale meko zinokuvela kwezinye izifo ezininzi. Ngenxa yoko, ngamanye amaxesha oogqirha, ingakumbi oogqirha bamehlo, banyanga ezi mpawu, kodwa basenokungaqondi ukuba yinxalenye yale (i-Floppy Eyelid Syndrome) ngokwayo.

Zithini iimpawu zeFloppy Eyelid Syndrome?

Le meko inokubangela iimpawu ezininzi, ingakumbi xa uvuka kusasa .

• Iinkophe ziyakhululeka kakhulu kwaye zijijeke. Zingajika zingene okanye ziphume nokuba zichukunyiswe kancinci.
• Uziva iintlungu okanye ukutsha emehlweni akho.
• Amehlo ayoma ngenxa yokuba ulwelo lweenyembezi olumanzisa amehlo aluwathambiseli kakuhle.
• Amehlo akho ayancwina kuba umzimba wakho ukhupha iinyembezi ezininzi ukuze zihlale zimanzi.
• Iinkophe ziyadumba kwaye zibuhlungu. Oku sikubiza ngokuba yi- blepharitis ngokwezonyango.
• Kuvakala ngathi kukho into ebambeke ngaphakathi kweliso.
• Ukuba novelwano ekukhanyeni, oko kuthetha ukuba kunzima ukujonga ukukhanya (i-Photophobia) .
• Ulwelo olufana nethontsi luphuma emehlweni.

Kutheni le nto ukugoba kwenkophe kuyingxaki?

Ubusazi na ukuba ulusu oluncinci emizimbeni yethu lufumaneka kwiinkophe zethu ? Ukuze ezi nkophe zisebenze kakuhle, kufuneka zibe ne-elastic . Kulapho zinesithuba khona ekufuneka zihlale ziqinile phezu kwebhola yeliso kwaye zinyuke zize zihle xa sivula, sivala, kwaye siqhwanyaza.

Kodwa iliso alisiso nje isigqubuthelo. Ngaphakathi kukho uhlobo lwedlala elibizwa ngokuba zii-Meibomian glands . La madlala avelisa (Meibum)Zikhupha into enamafutha ebizwa ngokuba yi-meibum (ebizwa ngokuba yi-meibum). Le nto ibaluleke kakhulu kwindlela esebenza ngayo inkqubo yethu yokukrazula. Le oli, ebizwa ngokuba yi-meibum, ixubana nolwelo lokukrazula, ithambisa umphezulu wamehlo kwaye inciphise ukufuma kolwelo lokukrazula. Ayipheleli apho, kodwa ikwanceda ukugcina iinkophe zihlangene xa amehlo evaliwe, idala isivalo esigcina umoya ungangeni. Oku kunceda ukugcina amehlo emanzi.

Ngoko ke, xa amehlo akho elahlekelwa bubuthambile, ayawa, awahlali kwindawo yawo ngokufanelekileyo. Emva koko i-(Meibum) evela kwi-(Meibomian glands) ayidibani kakuhle nolwelo lokukrazula. Emva koko ukuthambisa kwamehlo kuyaphazamiseka. Kwakhona, ngenxa yokuba amehlo ahambahamba lula, loo mvalo ongenamoya awukheki ngokufanelekileyo xa amehlo akho evaliwe. Le yinto enokwenzeka ngalo lonke ixesha, ingakumbi xa ulele .

Zithini izizathu zeFloppy Eyelid Syndrome?

Eyona sizathu sokuwa kwamehlo kukuphulukana neproteni ebizwa ngokuba yi-elastin kwiinkophe. Le elastin yiyo enika ulusu ukuqina kwalo. Kodwa isizathu esichanekileyo soku asikaziwa. Nangona kunjalo, uphando luye lwaphakamisa amathandabuzo malunga nezinto ezininzi. Kunzima ukutsho ukuba ezi zizizathu eziqinisekileyo okanye zizinto ezinegalelo nje. Kodwa ezi kucingelwa ukuba zidlala indima:

• Ukutyeba kakhulu kunye ne-Obstructive Sleep Apnea (OSA): Ezi meko zimbini zihlobene kakhulu. Ukuba utyebile kakhulu, oko kukuthi, utyebe kakhulu, usemngciphekweni omkhulu wokuba ne-OSA. Nge-OSA, ukuphefumla kwakho kuyayeka ngelixa ulele. Oku kunciphisa ubungakanani beoksijini efunyanwa ngumzimba wakho. Oku kunqongophala kweoksijini kutshintsha ii-chemical reactions zomzimba, kwaye kuveliswa ii-enzymes ezininzi ezinokuqhekeza iproteni ebizwa ngokuba yi-elastin. Malunga nesiqingatha sabantu abane-OSA nabo banesifo esibizwa ngokuba yi-Floppy Eyelid Syndrome.
• Iingxaki zezicubu ezidityanisiweyo: Ezi zizifo ezichaphazela izicubu ezidityanisiweyo ezifana ne-cartilage kunye ne-tendon. Ezi zifo zinokuchaphazela nendlela umzimba owenza kwaye usebenzisa ngayo i-elastin. Umzekelo, iimeko ezifana ne -Marfan syndrome kunye ne-Ehlers-Danlos syndrome .
• I-genetics: Utshintsho kwi-DNA yakho lunokuchaphazela indlela umzimba wakho oyenza kwaye uyisebenzise ngayo i-elastin. Ezi zisenokufunyanwa ngabazali bakho, okanye zisenokuba lutshintsho olwenzeka ngengozi ngexesha usakhula njengomntwana ongekazalwa.
• Ezinye izifo ezichaphazela amehlo kunye nezihlunu ezingqongileyo: Abantu abanezifo ezibangela ukuba amehlo avuvuke banokuba semngciphekweni omkhulu. Umzekelo , izifo ze-thyroid , ezifana nesifo sikaHashimoto .

Ukongeza koku, kukho nezinye izinto ezininzi ezibangela oku:

• Isini: Amadoda anamathuba amaninzi okufumana i-Floppy Eyalid Syndrome kunabafazi. Malunga nesibini kwisithathu ngamadoda.
• Ubudala:Le meko ixhaphake kakhulu kubantu abadala. Nangona inokuvela ebantwaneni, ayiqhelekanga kakhulu.
• Ubuhlanga: Abantu abanesikhumba esigoqekileyo (i-epicanthic fold) kwikona engaphakathi yeliso, njengezinye iintlanga zaseAsia, basenokungabi naso esi sifo ngenxa yesakhiwo seenkophe zabo.

Ziziphi iingxaki ezinokubakho zeFloppy Eyelid Syndrome?

Xa amehlo akho ewa, oko kuthintela amehlo akho ekubeni ahlale emanzi kwaye ethanjiswe. Oku kunokubangela ukuba amehlo akho athukuthele kwaye onakale . Oku kunokukhokelela koku:

• Isifo samehlo awomileyo .
• I-Keratitis kukudumba kwe-cornea, inxalenye engaphambili ecacileyo yeliso.
• Ukukhukuliseka kwe-cornea okuphindaphindekayo (RCE) .
• Izilonda ze-cornea kunye namanxeba.
• Kwiimeko ezinzima, ukuba azinyangwa, ukulahleka kombono kunokwenzeka.

Ifunyanwa njani le meko (iFloppy Eyelid Syndrome)?

Ngenxa yokuba iimpawu zesi (Floppy Eyelid Syndrome) zenzeka nakwezinye izifo ezininzi, akukho vavanyo luthile lokusixilonga ngokuchanekileyo.

Ingcali yamehlo ingafumanisa le meko ngokukubuza ngeempawu zakho, ikubuze imibuzo malunga nokubona kwakho nendlela amehlo akho aziva ngayo, ize ihlole iinkophe zakho. Ngexesha lovavanyo, ugqirha uza kubeka incam yomnwe wakhe eluswini lwenkophe yakho. Luvavanyo oluthambileyo ngokwaneleyo ukuba lungakulimazi, kodwa oluqinileyo ngokwaneleyo ukubona ukuba ungahamba kangakanani kwaye utsale iinkophe zakho.

Iingcali ezininzi zamehlo zisebenzisa le ndlela ukuze zibone ukuba une-Floppy Eyelid Syndrome na kwaye imbi kangakanani na. Kukho iinkqubo ezimbini eziphambili zokulinganisa ezisetyenziselwa oku:

• Indlela yokulinganisa: Oku kulinganisa ubungakanani bokuhamba kweenkophe. Esi sikali siqala ku-0 ukuya ku-4.
• Inkqubo Yokubona Iliso Le-Conjunctival: Kule meko, ugqirha wamehlo uza kuphakamisa iliso lakho eliphezulu ngelixa ujonge ezantsi. Ubunzima bumiselwa kukuba inxalenye emhlophe yeliso, ebizwa ngokuba yi-conjunctiva, ibonakala kangakanani. Esi sikali siqala ku-0 ukuya ku-3.

Ziziphi iindlela zonyango zesi sifo (i-Floppy Eyelid Syndrome)?

Kukho iindlela ezimbini eziphambili zonyango: indlela yokugcina izinto zisemgangathweni kunye nendlela yotyando .

Indlela yokulondoloza

Indlela yokugcina izinto ngendlela engqongqo ibandakanya ukuzama ukuthintela iimpawu zesi sifo ukuba zingabikho. Oku kudla ngokubandakanya ukugcina amehlo akho egqunywe ngeplasta ngelixa ulele, ulele unemaski yamehlo, okanye uthambise iinyembezi okanye amafutha okwenziwa ngaphambi kokuba ulale.

Kwakhona, ugqirha wakho uza kukucela ukuba wenze uvavanyo lokulala ukuze kubonwe ukuba unayo na i-OSA. Khumbula oko, unokuba ne-OSA nokuba awutyebanga kakhulu.

Eyona nto ibalulekileyo: Ukuba une-OSA, ukusebenzisa umatshini we -Continuous Positive Airway Pressure (CPAP) okanye umatshini we-Bilevel Positive Airway Pressure (BPAP) (ngamanye amaxesha obizwa ngokuba yi-BiPAP®) kunokunceda ukubuyisela ukulahleka kwe-elastin kunye nokuphucula ukuthamba kweenkophe zakho. Kubaluleke kakhulu ukusebenzisa lo matshini ubusuku ngabunye. Ngaphandle koko, akuyi kunceda kakhulu. Kwelinye icala, i-OSA enganyangwanga inokuba yingozi, ngoko ke ukusebenzisa umatshini kubaluleke ngakumbi.

Indlela yotyando

Utyando ludla ngokuqwalaselwa ukuba amanyathelo okugcina asebenze. Kwakhona, ukuba imeko yakho (i-Floppy Eyelid Syndrome) inzima kwaye kukho umngcipheko wokonakala kwamehlo, ngoko utyando lunokuba lukhetho. Kukho iinkqubo ezahlukeneyo zotyando ezinokuqinisa izicubu zeliso lakho. Ugqirha wakho wamehlo okanye ugqirha uza kukuxelela okungakumbi malunga nenkqubo abayicebisayo kunye nento omawuyilindele.

Yintoni onokuyilindela ukuba unayo (i-Floppy Eyelid Syndrome)?

Ukuba une-Floppy Eyelid Syndrome, iimpawu zakho zihlala zixhomekeke kwiingxaki zokufuma emehlweni akho. Iimpawu zihlala zimbi xa uvuka kusasa . Ukuba ulala ngecala, icala olithandayo leliso linokuchaphazeleka ngakumbi ziimpawu zakho. Nangona le meko ingeyona ingozi ngokuthe ngqo, inokubangela umonakalo ongunaphakade emehlweni akho kwaye ichaphazele umbono wakho.

Ukuba ukrokrela ukuba unayo (i-Floppy Eyelid Syndrome), kungcono ukubona ugqirha wamehlo ukuze ahlolwe. Ukuba kunjalo, ugqirha wakho uza kuyijonga (i-OSA) kwaye, ukuba kuyimfuneko, ayinyange.

Ukuze le meko (i-Floppy Eyelid Syndrome) iphucuke ngokwayo, unobangela oyintloko, njenge-OSA, kufuneka ujongwane nayo ngokupheleleyo. Nangona kunjalo, i-OSA ngokwayo kufuneka inyangwe, kuba inokukhokelela kwiingxaki ezisongela ubomi.

Iyintoni ikamva lale meko (i-Floppy Eyelid Syndrome)?

Imbonakalo yeFloppy Eyelid Syndrome ilungile kakhulu kunyango. Ukusebenzisa unyango olufana ne (CPAP) okanye (BPAP) okanye (OSA) kuya kunceda iimpawu zakho ziphucuke ubuncinane ukuya kwinqanaba elithile. Iimpawu eziseleyo aziyi kuba nzima kakhulu kwaye kulula ukuzilawula ngonyango oluqhelekileyo.

Izinga lempumelelo yonyango lweFloppy Eyelid Syndrome ngotyando liphezulu kakhulu. Izinga lempumelelo yotyando liphakathi kwe-91% kunye ne-98% .

Ngaba i-Floppy Eyelid Syndrome ingathintelwa?

Ngenxa yokuba singazi kakuhle ukuba i-Floppy Eyelid Syndrome ikhula njani, akunakwenzeka ukuyithintela ngokupheleleyo. Nangona kunjalo, iingcali zikholelwa ukuba ungayinciphisa ingozi yokuba ne-Floppy Eyelid Syndrome ngokunyanga okanye ukuphepha iimeko ezinokubangela loo nto. Ezi zinokuquka:

• Ukugcina ubunzima bakho busempilweni.
• Sebenzisa umatshini wakho womoya okhuthaza uxinzelelo oluphezulu njengoko kucetyiswa, ubusuku ngabunye, ungaphoswa lusuku olunye.
• Lawula naziphi na izifo ezingapheliyo onokuba nazo (ezifana nesifo sikaHashimoto) ukuze uthintele utshintsho lwamehlo olunokubangela iFloppy Eyelid Syndrome.

Ndingazinyamekela njani ukuba ndine (Floppy Eyelid Syndrome)?

Ukuba uneFloppy Eyelid Syndrome, kubalulekile ukulandela imiyalelo kagqirha wakho wamehlo ngokusondeleyo kangangoko unako. Ukukhusela amehlo akho ngelixa ulele kufanele kube yinto ephambili . Kwakhona, sebenzisa iinyembezi zokwenziwa, amaconsi amehlo, okanye ezinye iimveliso njengoko kucetyiswa. Kubalulekile nokuba ungakhuhli amehlo akho . Oku kunokwenza amehlo akho awe.

Ukuba ugqirha wakho ukuthumele kwingcali yokulala ukuze ahlole i-OSA, kufuneka wenze njalo njengoko kucetyisiwe. Ukuba i-OSA ifunyenwe, landela imiyalelo yengcali ngqo. Oku kubalulekile, njengoko i-OSA enganyangwanga inokubulala.

Ndifanele ndimbone nini ugqirha wam okanye ndifune ingcebiso kagqirha?

Ukuba ayinyangwanga, i-Floppy Eyelid Syndrome inokubangela umonakalo ongunaphakade emehlweni. Ukuba uneempawu, kufuneka ubonane nengcali yamehlo ngokukhawuleza . Le ayisiyongxaki ingxamisekileyo, kodwa ayisiyonto ekufuneka uyinyamezele, ungayinaki, okanye uzame ukuyinyanga wedwa.

Ukuba sele uyazi ukuba unale meko, thetha nogqirha wakho ukuba iimpawu zakho ziyatshintsha okanye ziya ziba mandundu. Ukuba unyango aluncedi, okanye ukuba lubonakala luphelelwa ngamandla, ungathetha nogqirha wakho ngaloo nto.

Ndingayibuza yiphi imibuzo ugqirha wam?

Nantsi eminye imibuzo onokuyibuza ugqirha wakho:

• Ingxaki yam (iFloppy Eyelid Syndrome) inzima kangakanani?
• Oku kuyichaphazela njani amehlo am ngoku?
• Ndingenza ntoni ukuze ndinyange imeko yam ngeli xesha?
• Zeziphi iingxaki okanye iziphumo ebezingalindelekanga ekufuneka ndizazi kwaye ndiziqaphele?

Yintoni umahluko phakathi kweFloppy Eyelid Syndrome kunye nezinye iimeko ezibangela ukugoba kwamehlo (i-ptosis)?

Iinkophe ezigobileyo, imeko eyaziwa kwisayensi yezonyango njenge-ptosis , inokwenzeka ngezinye iindlela ezimbini:

• Ukuba amehlo akho abuthathaka ngenxa yengxaki yemisipha ngokwawo.
• Ukuba imithambo-luvo edibene nemisipha ayisebenzi kakuhle, oko kuthetha ukuba imiqondiso eyenza imisipha ishukume iyaphazamiseka.

I-Floppy Eyelid Syndrome yahlukile kwezinye iindlela ezimbini kuba inxulumene ngokukodwa nokuthamba kolusu . Ayichaphazeli izihlunu okanye inkqubo yemithambo-luvo ebandakanyeka ekushukumeni kwamehlo.

Isishwankathelo kunye nezinto ekufuneka uzikhumbule

Nangona i-Floppy Eyelid Syndrome isenokubonakala ngathi yinto encinci, inokuba luphawu lwesifo esibi kakhulu nesinokubulala esibizwa ngokuba yi-Obstructive Sleep Apnea (OSA). Ukuba asinyangwa, i-Floppy Eyelid Syndrome inokubangela umonakalo ongapheliyo emehlweni.

Ukuba uneempawu ze (Floppy Eyelid Syndrome), musa ukuzityeshela okanye ukuzinyamezela. Ukuqaphela nokunyanga le meko kuya kukunceda uhlale usempilweni, ubone ngcono, kwaye uthintele iingxaki eziyingozi. Ngoko ke, qiniseka ukuba ubona ugqirha kwaye ufumane ingcebiso.

Isifo seFloppy Eyelid, i-OSA, i-Sleep Apnea, isifo samehlo, i-CPAP, i-Eyelid Rolling