Ngaba wakha waphawula ukuba abanye abantu banezangqa ezimbini ezimnyama emehlweni abo? Okanye ngaba wakha waphawula ukuba emva kokwenzakala kakhulu emehlweni, umbono wakho uyatshintsha ngequbuliso kwaye awukwazi nokujonga ukukhanya? Esinye sezizathu zokuba oku kwenzeke yimeko ebizwa ngokuba yi-`(Iridodialysis)` esiza kuthetha ngayo namhlanje. Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.
Yintoni le ``(Iridodialysis)''?
Ngamafutshane, `(Iridodialysis)` yinxalenye enemibala engaphakathi kweliso lethu, oko kukuthi , iris – ewe, leyo abanye benu banayo eluhlaza okwesibhakabhaka, mdaka, ngwevu – oko kukuthi, inxalenye enamathele elisweni, ehlukanisiweyo nesiseko. Kufana nomfanekiso onamathele eludongeni oluye lwaphuma kwelinye icala.
Isiseko se-iris siqhagamshelwe nomzimba we-ciliary . Umzimba we-ciliary ufana nomzi-mveliso omncinci ngaphakathi kweliso . Nguwo ovelisa i-humor yamanzi , ulwelo olukhethekileyo olondla iliso kwaye lugcine imo yalo . Ayipheleli apho, kodwa umsipha we-ciliary onceda ilensi yamehlo ethu ukuba igxile xa sijonga kufutshane okanye kude ukwafumaneka emzimbeni we-ciliary. Ngoko ke, xa i-iris isusiwe kwisiseko se-iris, imeko ebizwa ngokuba yi-`(Iridodialysis)` iyenzeka. Oku ngamanye amaxesha kubizwa ngokuba yi-`(coredialysis)`, kodwa kukwakho neemeko apho kubangelwa kukukrazuka okwahlukileyo ngexesha lotyando.
Ngubani onokuphuhlisa le `(Iridodialysis)`?
Enyanisweni, le meko ibizwa ngokuba yi-"Iridodialysis" inokwenzeka nakubani na, kuba ibangelwa kakhulu kukwenzakala kwamehlo .
Ycinge:
- Ukuba udlala ikhilikithi uze ubethe ibhola ebaleka ngesantya esiphezulu esweni .
- Kuthekani ukuba into ethile - iqhekeza lesinyithi, ilitye elinqabileyo - iphoswa esweni lakho emsebenzini ize ibangele ingozi?
- Ukuba umntwana omncinci udlala aze iliso lakhe libethwe yinto efana nomlenze wetafile.
- Kuthekani ukuba ingqiniba yomhlobo wakho ikubethe elisweni ngelixa udlala esikolweni?
Oku kunokwenzeka. Ngamanye amaxesha, le meko inokwenzeka xa umntu enokwenzakala elisweni ngexesha lemidlalo, iingozi zeemoto, ewa, ingakumbi kubantu abadala. Inokwenzeka, nangona ingaqhelekanga, ngexesha lotyando lwamehlo , njengotyando lwe-cataract .
Zithini iimpawu ze-`(Iridodialysis)`?
Ngoku makhe sijonge iimpawu ezinokuthi zibonakaliswe ngumntu one-``(Iridodialysis)``. Ayingabo bonke abantu abaya kuba nazo zonke ezi mpawu, kodwa ezinye zazo zisenokuba zikhona:
- Ukubona kabini (i-diplopia) : Ingakumbi xa ujonge ngeliso elinye. Njengaxa i-antenna yeTV ingasebenzi kakuhle.
- Intlungu ebuhlungu yamehlo : Ngamanye amaxesha intlungu isenokunganyamezeleki.
- Ukopha ngaphakathi kweliso (hyphema) : Oku kunokubangelaInxalenye enemibala ingabonakala ngathi igcwele igazi elivela ngaphambili.
- Utshintsho kubungakanani bomfundi : Ngamanye amaxesha, kunokubakho omnye umfundi obonakala ngathi akadibani. Njengomfundi wesibini . Olu luphawu olukhulu lwe-`(Iridodialysis)`.
- I-traumatic cataract: Umbono uqala ukufiphala ngenxa yomonakalo kwilensi yeliso ngenxa yengozi.
- Ukukhanya : Oku kuthetha ukuba xa ujonge izibane okanye ukukhanya kwelanga, amehlo akho aba luhlaza okwesibhakabhaka kwaye kunzima ukuwajonga.
- I-Photophobia : Oku kuthetha ukuba nokukhanya okuncinci kunzima emehlweni ukunyamezela kwaye kubangela ukuba amehlo avaleke.
Ukuba ubona uphawu olufana nolu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
Kutheni le nto `(Iridodialysis)` isenzeka?
Njengoko benditshilo ngaphambili, imbangela ephambili ye-`(Iridodialysis)` kukwenzakala kwamehlo . Kukho iintlobo ezimbini zezi:
1. Ukulimala kwamehlo okungaboniyo : Oku kuthetha ukuba kukho into ebetha iliso kakhulu, kodwa iliso aligqobhozwanga. Umzekelo, ukubethelwa, ukubethelwa ibhola, okanye ukuwa okubetha iliso ndaweni ithile.
2. Ukulimala kwamehlo okungenayo : Oku kubandakanya umngxuma esweni. Umzekelo, ukuhlatywa ngemela, ukubhobozwa ngentambo, okanye iqhekeza lesinyithi kwindawo yokusebenza elingena ngequbuliso esweni.
Umzekelo, ukuba uzibethela ebusweni kwisitulo esingaphambili okanye kwisiteringi kwingozi yemoto, okanye ukuba kukho into eyenzeka emehlweni akho ngelixa usebenza ngaphandle kweeglasi zokhuseleko (umz., kwivenkile yokulungisa imithi okanye kwivenkile yokulungisa isinyithi), kukho ithuba elikhulu lokuba uza kuba ne-`(iridodialysis)` enokulimala okunzima kangaka. Siyibiza ngokuba yi-`(iridodialysis)` ebangelwa yingozi efana nale iridodialysis ebuhlungu .
Ngamanye amaxesha, kunqabile kakhulu, oku kunokwenzeka njengengxaki yotyando lwamehlo.
Ugqirha uyibona njani le nto?
Ukuba ukhe wenzakala emehlweni kwaye uneempawu endizikhankanyileyo ngaphambili, kufuneka ubone ugqirha wamehlo/ogqirha wamehlo ngokukhawuleza. Xa ugqirha ehlola iliso lakho, banokujonga ukuba i-iris ayisekho na. Basebenzisa izixhobo ezikhethekileyo ukwenza oku.
Ukongeza, ezi mvavanyo zilandelayo zingenziwa ukujonga eminye imonakalo elisweni okanye kwimizimba yangaphandle:
- I-ultrasound yeliso lakho : Oku kukuvumela ukuba ubone iindawo ezibuthathaka ngaphakathi kweliso lakho.
- I-CT scan (i-computed tomography scan) : Oku kungasetyenziselwa ukubona ukuba kukho umonakalo emathanjeni ajikeleze iliso okanye ukuba kukho amaqhekeza amancinci ngaphakathi kweliso.
Ugqirha uza kwenza uvavanyo olubizwa ngokuba yi-gonioscopy . Olu luvavanyo olungenabuhlungu. Lujonga ukuba ingaba amanzi aphuma kakuhle na emehlweni.Ngaba ikho into enokwenzeka yokuba kubekho imeko efana ne -glaucoma ?
Ziziphi iindlela zonyango ze-`(Iridodialysis)`?
Eyona nto ingcono kukuba, ayizizo zonke iimeko ze-iridodialysis ezifuna unyango. Ngamanye amaxesha, ukuba ukuqhekeka kwe-iris kuncinci kwaye akukho zimpawu zibalulekileyo (umz., ukubona kulungile, akukho ntlungu), ugqirha wakho unokukuxelela ukuba ulinde. Iliso lakho linokuyiqhela ngokuhamba kwexesha.
Kwezinye iimeko, iilensi zoqhagamshelwano ezikhethekileyo zingasetyenziselwa ukunciphisa ukubonakala kwendandatho yesibini emnyama kunye nokunciphisa ukuvalelwa ekukhanyeni. Ezi lensi zinokufuthwa ukuze zifane nombala we-iris kwaye zigubungele indawo engekhoyo.
Nangona kunjalo, ukuba iris ikhululekile kakhulu, ungenza oku kulandelayo:
- Ukuba ubona izinto ezimbini ngeliso elinye, "unembono ephindwe kabini kwiliso elinye" .
- Ukuba awukwazi ukumelana nokukhanya okuqaqambileyo .
- Ukuba uvakalelwa kakhulu zizinto zangaphandle (photophobia) .
- Ukuba awukhululekanga ngenkangeleko yakho (ngenxa yokwahluka kwamehlo , abanye abantu bakufumanisa kungathandeki oku).
...Kwiimeko ezinje , utyando lunokufuneka.
Utyando lwe-`(Iridodialysis)`
Kukho iindlela ezahlukeneyo zotyando zokubopha kwakhona iris. Oogqirha bazama ukugcina inkangeleko yendalo kunye nokusebenza kweliso kangangoko kunokwenzeka.
- Ngamanye amaxesha, i-iris ehlukanisiweyo iphinda inamathele kwingcambu kusetyenziswa izititshi ezikhethekileyo ezintle kakhulu (ii-sutures) .
- Kwezinye iimeko, kwenziwa imizamo yokulungisa oku kusetyenziswa ubuchwepheshe be-laser .
- Inkqubo entsha kukufakelwa kwe-iris yokwenziwa kunye nelensi yangaphakathi kweso (IOL ) . Oku kwenziwa xa i-iris yonakele kakhulu.
Nangona kunjalo, uninzi lwexesha, emva kwengozi yeliso, olu nyango lwe-`(Iridodialysis)` lwenziwa kuphela de iliso liphole kancinci kwaye ukudumba kuphele. Kuba akusoloko kulungile ukwenza utyando kwangoko emva kokwenzakala.
Le lensi yangaphakathi kweso yilensi ecacileyo yokwenziwa esebenza njengelensi yendalo eliso lethu. Xa ukukhanya kungena elisweni, kudlula kule lensi kuze kufike kwi-retina . Ezi lensi zokwenziwa zisetyenziselwa ukususa i-cataracts nokuzifaka, kunye nakwezinye iinkqubo zotyando lwe-iridodialysis.
Awukwazi ukusinda `(Iridodialysis)`?
Akunakwenzeka ukuthintela ngokupheleleyo `(Iridodialysis)`. Kuba iingozi azikho njengoko besilindele. Nangona kunjalo, ngokukhusela amehlo akho, le ngozi ingancitshiswa kakhulu. Ngokwedatha esinayo, malunga ne-90% yokulimala kwamehlo kunokuthintelwa . Nazi ezinye izinto onokuzenza:
- Nxiba izibuko zokukhusela amehlo xa usebenza, ingakumbi xa usika, usika, udibanisa, okanye usebenza ngeekhemikhali. Musa ukulinda de kube kamva ukuze "unxibe."
- Xa udlala imidlalo ekhawulezayo, umzekelo ikhilikithi (ingakumbi xa udlala ibhola okanye ubetha), isquash, okanye ukukhwela ibhayisekile, qiniseka ukuba unxibe iiglasi zokhuseleko okanye isigcina-ntloko esifanelekileyo kuloo mdlalo.
- Soloko unxibe ibhanti yakho xa uqhuba. Oku kuya kunciphisa kakhulu umngcipheko wokwenzakala entloko nasebusweni.
- Lumka xa usenza imisebenzi yasekhaya. Umzekelo, cinga ngamehlo akho xa usika amasebe egadini okanye ubethelela izikhonkwane.
Ndifanele ndimbone nini ugqirha?
Oku kubaluleke kakhulu. Ukuba unenxeba okanye ukwenzakala kwamehlo , musa ukuhlala nje ucinge, "Le yinto encinci." Ngamanye amaxesha, nokuba umonakalo owubonayo ngaphandle mncinane, kunokubakho umonakalo omkhulu ngaphakathi kweliso. Ngoko ke, qiniseka ukuba ubona ugqirha, ngakumbi ugqirha wamehlo.
Emva koko ungabuza ugqirha imibuzo efana nale:
- "Gqirha, kuzakuthatha ixesha elingakanani ukuba ndibe ngcono?"
- "Ndingaqhubeka nini nemisebenzi yam yesiqhelo (umsebenzi, umsebenzi wesikolo)?"
- "Zeziphi iimpawu ekufuneka ndikubone ngoko nangoko okanye ndiye kwigumbi likaxakeka ukuba ndivela?" (umz., ukulahleka kombono ngesiquphe, iintlungu ezinganyamezelekiyo).
- "Ndingenza ntoni ukuthintela into efana nale ukuba ingaphindi yenzeke?"
- "Ndingayicwangcisa njani ishedyuli yam elandelayo yokuhlolwa?"
Ungoyiki ukubuza le mibuzo. Amehlo akho axabiseke kakhulu kuwe.
Yintoni umahluko phakathi kwe-`(Cyclodialysis)` kunye ne-`(Iridodialysis)`?
La magama mabini afana kancinci, nto leyo enokubangela ukudideka. Nangona omabini la magama eemeko zamehlo, kukho umahluko omncinci.
- I-Iridodialysis kukususa i-iris , inxalenye enombala yeliso , kwindawo yayo yokuqala.
- Kodwa i-cyclodialysis yinkqubo yokwahlula umzimba we-ciliary (inxalenye yeliso enamathela kwi-iris kwaye ivelise ulwelo oluyondla iliso) kwinxalenye emhlophe yeliso ( i-sclera) .
Xa umzimba we-ciliary uphuma kwi-sclera, ukuhamba kwamanzi ngaphakathi kweliso kuyavalwa, nto leyo ebangela ukuba liqokeleleke ngaphakathi kweliso, nto leyo enyusa uxinzelelo lwamehlo kwaye ibangele imeko ebizwa ngokuba yi -glaucoma .
Yintoni umahluko phakathi kwe-`(Iridonese)` kunye ne-`(Iridodialysis)`?
La magama mabini afana kancinci, ngoko ke anokudideka. Omabini anxulumene ne-iris, inxalenye enemibala yeliso .
- I-Iridodialysis kukususa i-iris.
- Kodwa i-Iridoneses kuxa i-iris ishukuma xa uhambisa amehlo akho ukusuka kwelinye icala ukuya kwelinye.. Njengejeli. Apha iris ayishukumi, kodwa ayishukumi ngokuthe chu kwaye ibonisa ukubonakala kokungcangcazela. Oku ngamanye amaxesha kunokubangelwa kukwenzakala kweliso okanye ingxaki ngelensi yeliso .
Okokugqibela, izinto ekufuneka uzikhumbule
Ngoko ke, `(Iridodialysis)` yimeko eyingozi eyenzeka xa iris, indawo enombala yeliso , isuka kwindawo yayo yokuqala. Oku ngamanye amaxesha kunokubangela ukuba iliso libonakale njengendandatho yesibini emnyama, kwenze kube nzima ukubona ekukhanyeni, kwaye kunokuba buhlungu.
Eyona nto ibalulekileyo kukuba ukuba unengozi yamehlo, nokuba ucinga ukuba incinci, okanye ukuba ubona nantoni na engaqhelekanga emva kotyando lwamehlo (umz., utshintsho lombono, iintlungu, ukungakwazi ukubona ukukhanya, ukuba bomvu kweliso), bonana nogqirha wamehlo ngokukhawuleza ngaphandle kokulibazisa.
Ukuba ufumanisa isifo kwangethuba uze ufumane unyango olufunekayo, unokufumana iziphumo ezilungileyo. Kwiimeko ezininzi, unokusindisa nombono wakho. Ngoko ke, luxanduva lwakho ukunyamekela amehlo akho. Kuba sinala mehlo mabini kuphela ukuze sibone eli hlabathi lihle!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Ukudideka kweSkena: Yintoni umahluko phakathi kweMRI, iMRA, kunye nesi skena seMRV?
I-MRI siskeni esiqhelekileyo esijonga yonke ingqondo/amalungu omzimba. I-MRA (MR Angiography) siskeni esijonga kuphela 'ii-Arteries' ezithwala igazi elicocekileyo lisuka entliziyweni. Kodwa esi sibizwa ngokuba yi-MRV (MR Venography) siskeni esikhethekileyo esijonga kuphela 'iiVeins', imithambo yegazi engcolileyo ebuyisela lonke elo gazi entliziyweni.
💬 Kutheni ugqirha ekwenza oku ngqo kwi-MRV scan?
Eyona nto iphambili kukufumanisa ukuba kukho 'igazi eliqhekekileyo' na kumthambo omkhulu engqondweni (Cerebral Venous Sinus Thrombosis/CVST)! Ukuba unentloko ebuhlungu engapheliyo enganyamezelekiyo, okanye ukuba umbono wakho awubonakali kakuhle, oogqirha basebenzisa olu vavanyo ukufumanisa elo gazi liqhekekileyo liyingozi (ngaphambi kokuba kwenzeke istroke).
💬 Ngaba ufumana idayi/inaliti ngaphambi kolu vavanyo?
Kwiimeko ezininzi, ewe. Ukuze ufumane umfanekiso ocacileyo wemithambo, idayi ebizwa ngokuba yi-'Gadolinium' (idayi yokungafani) ifakwa emzimbeni ngomthambo osengalweni. Emva koko, njengoko idayi ihamba ngomthambo ukuya engqondweni, indawo echanekileyo apho igazi liqhekeka khona ibonakala ngokucacileyo ngombala omnyama. (Le dayi iyingozi kubantu abaneengxaki zezintso.)
I- Iridodialysis, ukwahlukana kwe-iris, ukwenzakala kwamehlo, i-iris yesibini, iintlungu zamehlo, ukubona kabini, utyando lwamehlo











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