Ingaba kukho igazi elisweni lakho? Masifunde ngale hyphema!

Ngaba wakha waphawula ukuba iliso lakho okanye elomntu omaziyo ngequbuliso ligcwele igazi ngaphakathi kulo? Mhlawumbi kungenxa yengozi encinci. Le yinto eyoyikisayo kakhulu. Namhlanje siza kuthetha ngale meko, eluhlobo lokugcwala kwegazi ngaphakathi kweliso, eyaziwa ngokwezonyango njenge -hyphema . Ungakhathazeki, masithethe ngayo ngokulula.

Yintoni iHyphema?

Ngamafutshane, i-hyphema yingqokelela yegazi elingaphakathi kweliso lakho, kwinxalenye ebizwa ngokuba yigumbi elingaphambili . Eli gumbi elingaphambili yindawo encinci phambi kwe -iris, inxalenye emnyama enika iliso lakho umbala walo. Khawuthelekelele oku, phambi kwenxalenye enemibala yeliso lakho, phantsi kwe-membrane ecacileyo (i-cornea) ehleli phezu kwenxalenye emhlophe yeliso lakho , efana neglasi.

Ukuba ubungakanani begazi buncinci, usenokungakwazi ukulibona lula. Ngugqirha wamehlo kuphela onokulifumana esebenzisa izixhobo ezikhethekileyo. Nangona kunjalo, ukuba kukho igazi elininzi, usenokukwazi ukulibona. Lidla ngokubonakala ngathi ziileya ezimbini. Ungalibona igazi elidala, elimnyama ngaphantsi, kunye negazi elitsha, elibomvu kancinci phezulu.

Eyona nto ibalulekileyo kukuba ukuba ubona olu hlobo lwegazi elihlanganayo esweni lakho, okanye esweni lomntwana omnyamekelayo, kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko . Kodwa ungakhathazeki, ngonyango olukhawulezileyo, le meko inokunyangwa ngamayeza nokuphumla.

Inzulu kangakanani le nto? Inzulu kangakanani?

Oogqirha bahlulahlula i-hyphema ngokusekelwe kubungakanani begazi eliqokelelene ngaphakathi kweliso. Okukhona igazi likhulu, kokukhona imeko iba mandundu kwaye kokukhona kunokwenzeka ukuba kubekho iingxaki. Uhlu lungale ndlela ilandelayo:

• Ibanga 0 (i-microhyphema): Olu luhlobo lwehlwili legazi elingabonakaliyo njengomaleko. Nangona kunjalo, kukho igazi. Izixhobo ezikhethekileyo zinokufuneka ukuze kubonwe oku.
• Ibanga loku-1: Igazi libonakala ngokweengqimba, kodwa ngaphantsi kwesithathu segumbi elingaphambili leliso lizaliswe ligazi.
• Ibanga lesi-2: Igazi libonakala lineengqimba, apho isithathu ukuya kwisiqingatha segumbi elingaphambili lizaliswe ligazi.
• Ibanga lesi-3: Igazi libonakala lineengqimba, ngaphezulu kwesiqingatha segumbi elingaphambili lizaliswe ligazi, kodwa alizaliswanga ngokupheleleyo.
• Ibanga lesi-4 (i-hyphema iyonke): Kule meko, igumbi elingaphambili lizaliswe ngokupheleleyo ligazi elibomvu okanye elimnyama. Oku ngamanye amaxesha kubizwa ngokuba yi-hyphema "yeebhola ezisibhozo". Kule meko, umngcipheko wokufumana izifo ezinzulu ezifana ne -angle-closure glaucoma uphezulu kakhulu.

Zithini iimpawu zeHyphema?

Ukuba une-hyphema, unokufumana iimpawu ezifana nezi:

• Kubonakala ngathi igazi liqokelelene phakathi kwenxalenye enemibala yeliso lakho (iris) kunye ne-membrane ecacileyo phezu komhlophe weliso lakho (i-cornea). Lifana nedama elincinci legazi ngaphakathi kweliso lakho.
• Umbono uba lufiphale okanye ugqwetheke.
• Ingakumbi abantwana abancinci, badla ngokubonakala bediniwe kwaye belele (oku kungaba luphawu lokwenzakala entloko, ngoko ke lumka).
• Kuye kubekho ukugabha kunye nesicaphucaphu (oku kuthetha ukuba uxinzelelo olungaphakathi kweliso lakho lunokuba phezulu kakhulu).

Ukongeza kwezi, ungabona nokudumba kwamehlo. Nangona oku kungengophawu lwe-hyphema ngokwayo, kunokubangelwa kukwenzakala okubangele i-hyphema.

Ukuba ukhe waba nengozi kwaye unezinye zezi mpawu, yiya kwigumbi likaxakeka elikufutshane ngokukhawuleza . Khumbula, unyango lwangethuba lubaluleke kakhulu.

Yintoni ebangela le meko?

I-Hyphema ibangelwa kakhulu kukwenzakala kwamehlo, izifo ezithile zamehlo, kunye nezinye izifo ezininzi. Makhe sijonge ukuba zithini:

• Iingozi ezinxulumene nemidlalo: Ingakumbi xa iibhola ezincinci (iibhola zekriketi, iibhola zetenisi) zibetha iliso. Oku kungenzeka nakwimidlalo efana nebhokisi kunye nocingo. Khawucinge nje, ukuba ubudlala ikriketi kwaye ibhola ehamba ngesantya ibetha iliso lakho...
• Izibhamu: Iingozi ezivela kwizinto ezifana nezibhamu zomoya, izibhamu zebhola yokupenda, izibhamu zepellet, kunye nezibhamu zeBB. Ezi ziyingozi kakhulu.
• Iingozi zeemoto: Nokuba kwenzeka ingozi yemoto, iliso linokwenzakala kwaye liphume igazi.
• Ukulimala okungenela esweni: Ukuba into ebukhali ingena esweni.
• Ukulimala kokubuyela umva: Kufuneka kuqatshelwe kakhulu xa usebenzisa ezi zinto.
• Isifo seSickle Cell: Esi sisifo esibangelwa lufuzo.
• I-Hemophilia: Le yingxaki yokujiya kwegazi.
• Isifo sikaVon Willebrand.
• I-Leukemia: Uhlobo lomhlaza wegazi.
• Isifo seswekile okanye iimeko ezinxulumene naso: Umzekelo , i-retinopathy enxulumene nesifo seswekile kunye ne -neovascularization .
• Umhlaza wamehlo: ingakumbi i-melanoma yamehlo .
• Utyando lwamehlo: Ingakumbi emva kotyando olubandakanya iris kunye nomzimba we-ciliary .
• Le ngozi ikwakho nakubantu abasebenzisa amayeza athile okunciphisa igazi (i-anticoagulants) .

Ziziphi izinto ezibangela umngcipheko we-hyphema?

Kukho izinto ezimbini eziphambili ezibangela umngcipheko wokuphuhlisa i-hyphema:

• Ubudala: Phakathi kwama-70% nama-75% eemeko ze-hyphema ngengozi zenzeka ebantwaneni nakubantu abadala abancinci. Abo baphakathi kweminyaka eli-10 nama-20 ubudala basengozini enkulu. I-hyphema ngengozi ixhaphake kakhulu kubantu abadala, ingakumbi abo bangaphezulu kwama-50.
• Isini: Amadoda anamathuba amaninzi okufumana i-hyphema. Iingcali zithi amadoda anamathuba amathathu ukuya kahlanu okufumana le hyphema kunabafazi.

Zithini iingxaki zale meko?

Iingxaki eziphambili ezinokubakho nge-hyphema zezi:

• Uxinzelelo lwegazi oluphezulu: Igazi eliqokelelana kwigumbi elingaphambili leliso linokuthintela ukuphuma kwamanzi amdaka. Oku kwandisa uxinzelelo lwangaphakathi kweliso , okubangela uxinzelelo lwegazi oluphezulu. Oku kunokukhokelela ngokukhawuleza kwi -glaucoma , enokukhokelela ekubeni ungaboni ngokusisigxina . Oku kuyingozi kakhulu.
• Ukopha kwakhona: Kulapho inxeba elibangele i-hyphema liqala khona ukopha kwakhona. Oku kunokwenzeka kakhulu kwiiyure ezingama-72 emva kokopha kokuqala. Ukopha kwesibini kudla ngokuba nzima kakhulu kunokokuqala. Kukwanomngcipheko omkhulu weengxaki zokubona kunye namehlo ezihlala ixesha elide. Ke ngoko, kubaluleke kakhulu ukuthintela oku.
• Ukudaya kwegazi kwi-cornea: Igazi eliqokelelana kwigumbi elingaphambili leliso linokubangela ukudaya komaleko ongasemva we-cornea. Oku kuxhaphake kakhulu kwiimeko ze-hyphema enegazi elininzi kuyo, ebizwa ngokuba yi-grade 3 kunye ne-4 hyphemas. La mabala anokubangela ukuba umbono wakho ubonakale ubomvu ixesha elide.

I-Hyphema inokuba nzima kakhulu kubantu abanesifo se-sickle cell (ekwaziwa ngokuba yi-sickle cell trait) . Oku kungenxa yokuba isifo se-sickle cell sibangela ukuba iiseli ezibomvu zegazi zitshintshe imilo, nto leyo ebenza babe namathuba amaninzi okubhajwa kwimijelo yokukhupha amanzi elisweni.

Indlela yokuqaphela i-hyphema?

Ugqirha wamehlo okanye ugqirha wegumbi longxamiseko unokuxilonga i-hyphema ngovavanyo lwamehlo olulula.

Ugqirha wakho angenza iimvavanyo ezifana nezi:

• Uvavanyo lokubona kakuhle: Olu luvavanyo lokujonga ukuba ubona kakuhle kangakanani na.
• Uvavanyo lwesibane esiqhekekileyo: Uvavanyo lweliso ngemayikroskopu ekhethekileyo.
• I-Gonioscopy: Uvavanyo lwe-engile yokukhupha amanzi kweliso.
• I-Tonometry: Ukulinganisa uxinzelelo lwangaphakathi kweso.
• Uvavanyo lwe-ultrasound: Jonga imeko engaphakathi kweliso.

Ukongeza, ugqirha wakho unokuyalela uvavanyo lwegazi ukujonga iingxaki ezithile zegazi. Ngokuxhomekeke kwiimpawu zakho kunye nesizathu esiyintloko semeko yakho, ezinye iimvavanyo zinokucetyiswa. Ugqirha wakho uza kukuxelela okungakumbi ngezi.

Iphathwa njani i-hyphema?

Kukho iindlela ezahlukeneyo zonyango lwe-hyphema. Akukho nanye kwezi ndlela zonyango eza "kuyinyanga" ngokupheleleyo, kodwa inokunceda ekuthinteleni okanye ekunciphiseni umngcipheko weengxaki ezinkulu.

Ukuba i-hyphema yakho ayinzima kwaye umngcipheko weengxaki uphantsi, unokwaneliseka ziindlela ezilula zonyango. Ezinye iindlela zonyango ziyafumaneka ukuthintela iingxaki ezinzulu. Ugqirha wakho angasebenzisa olunye okanye ngaphezulu kwezi ndlela zonyango ngokudibeneyo:

• Ukuphumla: De iliso lakho liphole, kuphephe ukwenza imisebenzi enzima enokunyusa uxinzelelo ngaphakathi kweliso lakho. Kwakhona, hlala kude nezinto ezinokucinezela amehlo akho, njengokufunda iincwadi nokubukela iTV.
• Ukukhusela amehlo: Nxiba isigqubuthelo samehlo okanye isigqubuthelo samehlo. Oku kuya kuthintela ukwenzakala kwamehlo okungakumbi kwaye kuncede amehlo akho aphumle kwaye aphile.
• Gcina intloko yakho iphakanyisiwe: Xa ulele, gcina intloko yakho iphakanyisiwe ngeemiqamelo ezimbini. Oku kunceda ekukhupheni naliphi na igazi eliqokelelene ngaphakathi kweliso.
• Amayeza: Amayeza anceda rhoqo ngamayeza okulwa nokuvuvukala kunye namayeza athintela ukuphuhliswa kwe-glaucoma. Oogqirha badla ngokucebisa amayeza okudambisa iintlungu afana ne -acetaminophen (umz. iPanadol®) kwiintlungu zamehlo ezibangelwa yi-hyphema. Nangona kunjalo, amayeza okulwa nokuvuvukala angengo-steroidal (NSAIDs) (umz. i-ibuprofen , i-aspirin ) ayacetyiswa ukuba aphetshwe, kuba anokunyusa umngcipheko wokopha ngakumbi.
• Utyando: Yi-5% kuphela yabantu abane-hyphema abafuna utyando. Utyando alusoloko luyimfuneko ngaphandle kokuba kukho ukopha okanye ezinye iimpawu ezinokubangela umonakalo ongunaphakade kweliso.

Indlela yokuphatha ekhaya?

Ukuba i-hyphema yakho ayinzima kwaye ayibangeli ezinye iimpawu okanye iingxaki, ungayinyanga ekhaya. Olu nyango lulula ludla ngokuquka:

• Ukuphumla: Kuphephe imisebenzi enzima enokunyusa uxinzelelo ngaphakathi kweliso de iliso liphole.
• Ukunxiba i-eye patch: Ukunxiba i-eye patch kunokukhusela iliso ekonzakaleni okungakumbi kwaye kuncede neliso ukuba liphumle kwaye liphole.
• Ukugcina intloko yakho iphakanyisiwe: Ukugcina intloko yakho ingaphezulu kwentliziyo yakho kunceda igazi eliqokelelene ngaphakathi kweliso ukuba libuyele emzimbeni.

Utyando lweHyphema

Yi-5% kuphela yabantu abane-hyphema abadinga utyando. Ukuba unesifo sokopha kakhulu kwaye uxinzelelo ngaphakathi kweliso lakho alunciphi kwiiyure ezingama-24, okanye ukuba iimpawu zakho zinzima ngokwaneleyo ukubangela umonakalo ongunaphakade kweliso lakho, unokufuna utyando.

Ugqirha ukhupha igazi elingaphakathi kweliso aze anciphise uxinzelelo.

Ndingazinyamekela njani?

Ngelixa uphola kwi-hyphema, landela imiyalelo kagqirha wakho okanye kagqirha wakho ngokuchanekileyo. Ukuba uxelelwe ukuba unxibe i-eye patch, yinxibe ixesha elimiselweyo, kanye njengoko kuyalelwe. I-Hyphema idla ngokuziphilisa ngokwayo kwiintsuku ezimbalwa.

Nokuba ufuna unyango olulula kuphela, iintsuku ezintlanu zokuqala emva kokuba iliso liwile zibaluleke kakhulu . Ngeli xesha, iliso lakho lisengozini enkulu yokuphinda lizilimaze, oko kuthetha ukuba liqala ukopha. Oku kunokukhokelela kwiingxaki ezinkulu, kuquka nokulahlekelwa yimbono engapheliyo. Ngoko ke lumka kakhulu.

Ngaba i-hyphema ingathintelwa?

Ewe, ezinye iimeko ze-hyphema zinokuthintelwa kakhulu . Iingcali zithi i-90% yeziganeko ze-hyphema ezivela kwiingozi ezinxulumene nemidlalo zinokuthintelwa ngokunxiba izibuko zokukhusela (ezifana neemaski zokukhusela, iiglasi okanye iiglasi zeglasi). Kwakhona, ukunxiba izibuko xa usebenzisa izixhobo zamandla yindlela ebalulekileyo yokuthintela i-hyphema. Sebenzisa izibuko zokukhusela ezifanelekileyo nezihlangabezana nemigangatho efanelekileyo. Khumbula ukuba iiglasi eziqhelekileyo aziboneleli ngolu khuseleko.

Nangona kunjalo, ngamanye amaxesha kukho ii-hyphemas ezizenzekelayo ezivele ngequbuliso, ngaphandle kwengozi ecacileyo. Akukho ndlela yokuzithintela.

Iyintoni imbono ye-hyphema?

I-Hyphema yingxamiseko yezonyango kuba inokubangela iingxaki ezifana nokonakala kwamehlo okungapheliyo kunye nokulahlekelwa yimbono. Nangona kunjalo, ezi ngxaki zinokuthintelwa ngokufuna unyango ngokukhawuleza . Uninzi lwabantu luyaphola kwiintsuku ezintlanu ukuya kwezisixhenxe ngononophelo olufanelekileyo, kubandakanya amayeza, ukuphumla, kunye nolunye unyango olulula.

Ndifanele ndimbone nini ugqirha wam okanye ndifune unyango?

Emva kokuba ufumene unyango lokuqala lwe-hyphema, kufuneka ufune unyango ngokukhawuleza ukuba unezinye zezi mpawu zilandelayo:

• Ukuba ubona igazi elitsha livela phambi kwe-iris yeliso lakho.
• Ukuba ubona utshintsho olukhawulezileyo embonweni okanye ulahlekelwe kukubona.
• Ukuba kukho utshintsho kwinqanaba leentlungu zakho, okanye ukuba ubonakalisa ezinye iimpawu ezifana nokucaphuka nokuhlanza (ezi zinokubonisa ukuba uxinzelelo olungaphakathi kweliso lakho lunokuba luphezulu kakhulu).

Ugqirha wakho wamehlo okanye omnye ugqirha angakuxelela ukuba zeziphi ezinye iimpawu ekufuneka uziqaphele.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza ugqirha wakho imibuzo efana nale:

• Yintoni ebangela ukuba ndiphuhlise i-hyphema?
• Ingakanani i-hyphema yam?
• Ngaba kuya kufuneka ndenze iimvavanyo ezingaphezulu?
• Luhlobo luni lonyango endiya kulufuna?
• Kuza kuthatha ixesha elingakanani ukuphiliswa?
• Ngaba ndifanele nditsalele umnxeba eofisini okanye ndiye kwigumbi longxamiseko? Kuthekani ukuba ndibona umahluko?

Yintoni umahluko phakathi kwe-hyphema kunye ne-subconjunctival hemorrhage?

I-Hyphema yimeko apho igazi liqokelelana ngaphakathi kweliso lakho lize liqokelele kwigumbi elingaphambili leliso lakho. Kwi-hyphema, igazi libonakala likwindawo apho iliso lakho linombala khona. Ngokwahlukileyo koko, i-subconjunctival hemorrhage yi-blood vessel eqhumayo kwinxalenye emhlophe yeliso lakho (i-sclera) . I-Hyphema ibuhlungu, kodwa i-subconjunctival hemorrhage ayinabuhlungu. Nangona kunjalo, zombini zinokwenzeka ngaxeshanye, ngakumbi emva kwengozi okanye ukwenzakala.

Okokugqibela, umyalezo oya ekhaya:

I-Hyphema inokuba yinto eyoyikisayo. Nangona le meko inzima kwaye unyango olukhawulezileyo lubalulekile, unyango lwangethuba lunokuphucula kakhulu amathuba akho okugcina umbono wakho kunye nokuthintela iingxaki.

Uninzi lwabantu lufuna izinto ezilula ezifana namayeza kunye nokuphumla de amehlo abo aphole. Ugqirha wakho wamehlo unokukuchazela oku ngokweenkcukacha aze akukhokele kwinto onokuyenza ukunceda imeko yakho iphole ngokukhawuleza. Ngoko ke musa ukoyika, kwaye landela icebiso likagqirha wakho.

I- Hyphema, ukopha esweni, iingxaki zamehlo, ukwenzakala kwamehlo, ukulahleka kokubona, i-glaucoma, ugqirha wamehlo