Ngaba nawe unengxaki yokuvala amehlo akho kakuhle? Masifunde nge (Lagophthalmos)!

Ngaba ngamanye amaxesha ukufumanisa kunzima ukuvala amehlo akho ngokupheleleyo? Okanye ngaba kukho umntu omaziyo onengxaki? Nangona oku kunokubonakala kuyinto elula kwabanye abantu, kunokuba yimeko ekufuneka ithathwe nzulu. Namhlanje siza kuthetha ngokungakwazi ukuvala amehlo akho ngokupheleleyo, okubizwa ngokuba yi-`(Lagophthalmos)` ngokwezonyango.

Yintoni kanye kanye ``iLagophthalmos''?

Ngamafutshane, "iLagophthalmos" yimeko apho iinkophe zakho zingakwazi ukuvala ngokupheleleyo. Oku kungenzeka kwiliso elinye okanye omabini. Cinga ngako, xa siqhwanyaza okanye silele, iinkophe zethu kufuneka zivalwe ngokupheleleyo. Le ngxaki yenzeka xa zingavalwanga.

Le meko ngamanye amaxesha ingenzeka yodwa. Okanye, inokunxulunyaniswa nenye imeko yezonyango, njenge-eyelid egobileyo (ptosis). Ngamanye amaxesha, ingenzeka njengesiphumo esingemva kotyando lwe-eyelid (blepharoplasty) okanye ukulungiswa kwe-ptosis.

Ukuba imeko ` (Lagophthalmos)` ayinzima kakhulu, oko kukuthi, ukuba iliso livuleke kancinci, isenokungabi yingxaki enkulu. Nangona kunjalo, ukuba iliso alivali kakuhle, linokubangela iingxaki ezinkulu. Khawucinge nje, iliso elimnyama leliso lethu, oko kukuthi, `(i-cornea), lihlala livezwa ngumoya, uthuli, kunye nezinye izinto ezingcolileyo. Oku kunokubangela ukwenzakala kwamehlo, amanxeba, kwaye ngamanye amaxesha nokulahlekelwa ngumbono. Ke ngoko, kubaluleke kakhulu ukunyamekela oku.

Ngaba kukho iintlobo ze-`(Lagophthalmos)`?

Ewe, kukho iintlobo ezininzi eziphambili zale meko "yeLagophthalmos". Masibone ukuba zeziphi.

I-Lagophthalmos yasebusuku

Kulapho amehlo akho evalekile xa uvukile, kodwa xa ulele, awavali ngokupheleleyo. Igama elithi "lagophthalmos" lithetha "amehlo afana nonogwaja." Ngaphambili, kwakukholelwa ukuba oonogwaja balala bevule amehlo. Yiyo loo nto kwakubizwa njalo. Kodwa ngoku izazinzulu zithi oonogwaja balala kakhulu bevale amehlo. Nangona kunjalo, kufunyenwe ukuba malunga nama-20% abantu, okanye malunga nomntu omnye kwabahlanu, amehlo abo avuleke kancinci okanye ngokupheleleyo xa belele ebusuku. Oku kubizwa ngokuba yi-`(Nocturnal Lagophthalmos)`.

I-Paralytic Lagophthalmos ebangelwa kukonakala kwemithambo-luvo

Xa umthambo wobuso ungasebenzi kakuhle, oko kukuthi, ukuba awusebenzi (njengokukhubazeka), sisenokungakwazi ukuvala amehlo ethu ngokupheleleyo. Lo mthambo ufumaneka kumacala omabini obuso bethu. Xa lo mthambo wonakele, kwenzeka i-"Paralytic Lagophthalmos".

I-Lagophthalmos yoomatshini ebangelwa zizizathu zoomatshini

Ngamanye amaxesha le meko ingenzeka kungengenxa yengxaki yemithambo-luvo, kodwa ngenxa yengxaki ethile kwisakhiwo seenkophe, okanye ngenxa yomonakalo obangelwe yingozi. Oku kubizwa ngokuba yi-`(Mechanical Lagophthalmos)`. `(Cicatricial Lagophthalmos)` ikwaluhlobo lwe-`(Mechanical Lagophthalmos)`. Oko kukuthi, iinkophe azinakuvalwa kakuhle ngenxa yamanxeba.

Zithini iimpawu ze-`(Lagophthalmos)`?

Uphawu oluphambili kukuba iinkophe azivaleki kakuhle. Nangona kunjalo, kunokubakho nezinye iimpawu ezininzi ukongeza koku. Jonga ukuba unayo na kwezi mpawu:

• Ukunkcenkceshela amehlo rhoqo okanye ukuziva ukoma emehlweni. Abanye basenokuziva ngathi amehlo abo ayarhawuzelelwa.
• Ukuziva ngathi kukho into enamathele esweni, njengentaka ebhabhele ngaphakathi, okanye iliso livutha okanye libuhlungu.
• Umbono ofipheleyo. Ukungakwazi ukubona ngokucacileyo.
• Ububomvu bamehlo.
• Ukwanda kovakalelo ekukhanyeni (photophobia). Oku kuthetha ukuba kunzima ukujonga ukukhanya, kwaye amehlo azive ngathi ajika abe luhlaza okwesibhakabhaka.
• Isilonda se-cornea luphawu olubi kakhulu.

Ukuba unenye okanye ngaphezulu kwezi mpawu, kubalulekile ukubona ugqirha ukuze akunike ingcebiso.

Zithini izizathu ze-`(Lagophthalmos)`?

Zininzi izizathu ezinokubangela le meko. Kodwa ayisosifo esosulelayo. Awunakuyifumana komnye umntu, kwaye awunakuyifumana komnye umntu.

Kukho izizathu ezibini eziphambili ze-"Lagophthalmos":

1. Ukonakala kwemithambo-luvo yobuso bakho.

2. Ukonakala kwamehlo akho.

Ngenxa yomonakalo kumthambo wobuso

Kukho izizathu ezahlukeneyo zokuba kutheni umthambo wobuso unokonakala:

• Ukonakala kwamehlo ngenxa yeengozi okanye amanxeba.
• Imeko ebizwa ngokuba yi-'Bell's palsy'. Kule meko, izihlunu kwelinye icala lobuso ziqala ukusebenza ngequbuliso.
• Iimeko ezinje nge- 'Stroke' .
• Iithumba, ezifana nee-acoustic neuromas.
• Ezinye izifo ezibangelwa kukuzikhusela komzimba, ezifana ne-Guillain-Barré syndrome.
• Iimeko zemfuza ezifana ne-'Moebius syndrome'.
• Iintsholongwane ezahlukeneyo.
• Ukungenisa iityhefu.

Ngenxa yomonakalo kwiinkophe

Iinkophe zingonakaliswa okanye zibole ngeendlela ezahlukeneyo. Ezi ziquka:

• Iimeko ezifana ne-'Lax eyelid syndrome (LES)'.Kwimeko enjalo, iinkophe ziyakhululeka kwaye zigobe ngokulula. `(Floppy eyelid syndrome (FES))` yenye yeemeko ezinjalo. Kwimeko enjalo, iinkophe ziyaqengqeleka lula, ngamanye amaxesha nangengozi. `(Floppy eyelid syndrome)` ixhaphake kakhulu kumadoda atyebileyo ane-body mass index (BMI) engaphezulu kwama-25 eminyaka.
• Ezinye izifo, ezifana neStevens-Johnson syndrome, zinokubangela amadyungudyungu eluswini.
• Ukutsha kweekhemikhali.
• Ukonakala kwelanga kulusu.
• Utyando lweenkophe, umzekelo `(ukulungiswa kwe-ptosis)` okanye `(i-blepharoplasty)`.

Indlela yokuqaphela `(Lagophthalmos)`?

Ukuba unale mpawu, bonana nomboneleli wamehlo oza kwenza uvavanyo olwahlukeneyo ukuze abone ukuba unale meko. Ugqirha udla ngokwenza oku kulandelayo:

• Baza kukubuza imibuzo malunga nembali yakho yempilo, njengezinye izifo onazo kunye namayeza owaselayo.
• Uza kuxelelwa ukuba uvale amehlo akho.
• Baza kubona indlela ozivalela nzima ngayo amehlo akho.
• Zilinganisa ubukhulu beenkophe zakho.
• Bajonga ukuba uqhwanyaza kangaphi na kwaye nokuba iinkophe zakho ziyavaleka ngokupheleleyo na xa uqhwanyaza.

Emva kwezi mvavanyo, ugqirha angakuxelela ngqo ukuba unayo "iLagophthalmos", ukuba kunjalo, loluphi uhlobo lwayo, kwaye inzima kangakanani.

Iphathwa njani iLagophthalmos?

Unyango lwe-`(Lagophthalmos)` luxhomekeke kwisizathu. Ugqirha wakho uza kuqala azame ukunyanga unobangela oyintloko. Umzekelo, ukuba lusulelo, ukuba sisimila, okanye ukuba yimeko yolusu, baza kuyinyanga.

Kukho iindlela zotyando kunye neendlela ezingezizo zotyando zokunyanga isifo esithi "Lagophthalmos".

Unyango olungelulo utyando

• Amaconsi amehlo (afana 'neenyembezi zokwenziwa') anceda ekunciphiseni ukoma nokugcina umswakama emehlweni.
• Thambisa i-ointment emehlweni akho ebusuku. Oku kunika umswakama owongezelelekileyo.
• Sebenzisa iteyipu ukugcina iinkophe zivaliwe ebusuku okanye uvale amehlo ukuze ugcine umswakama.
• Iiglasi ezikhethekileyo (`iiglasi zokufuma`). Ezi zinceda ukugcina amehlo efumile.
• Iintsimbi ezincinci ezinokuncamatheliswa kwiinkophe.

Unyango lotyando

Kwezinye iimeko, ingakumbi ukuba imeko inzima okanye ukuba ezinye iindlela zonyango azincedi, utyando lunokufuneka.

• `I-Tarsorrhaphy`: Oku kuquka okwethutyana okanye ngokusisigxina, ngokuyinxenye okanye ngokupheleleyo, ukubopha iinkophe kunye.
• Ukufaka ubunzima begolide okanye beplatinum kwi-eyelid ephezulu: Oku kuquka ukubeka ubunzima obuncinci ngaphakathi kwi-eyelid ephezulu. Amandla adonsela phantsi abangela ukuba i-eyelid iwele phantsi ize ivaleke. Oku kuluncedo kakhulu kubantu abane-lagophthalmos ekhubazekileyo (imeko ebangelwa kukungasebenzi kakuhle kwemithambo-luvo).
• Utyando lweliso eliphezulu: Olu luquka utyando kwimisipha engaphakathi kweliso eliphezulu (`imisipha ebuyiselayo`) kunye nokufakelwa kwesikhumba.
• Utyando lweenkophe ezisezantsi: Olu luquka utyando lokuqinisa iinkophe ezisezantsi ezikhululekileyo nezingenazimbobo kunye nokufakelwa kwesikhumba ukuphakamisa iinkophe.
• Utyando lobuso: Ukuba i-lagophthalmos ibangelwa kukukhubazeka kobuso, kwenziwa utyando olwahlukeneyo lokuphakamisa ubuso. Ezinye zezi ziquka ukufakelwa kwemithambo-luvo kunye nokuhambisa izicubu ezithambileyo.

Khumbula, ugqirha wakho uya kugqiba ukuba loluphi unyango olukufaneleyo, ngoko thetha naye ngononophelo ngale nto uze uyiqonde.

Ngaba kukho naziphi na iingxaki okanye iziphumo ebezingalindelekanga zonyango lwe-`(Lagophthalmos)`?

Njengakwezinye iindlela zonyango, ngamanye amaxesha kukho iingxaki ezinokubakho xa kunyangwa i-"Lagophthalmos." Ezi azenzeki kuwo wonke umntu, kodwa kulungile ukuzazi.

• Amanxeba.
• Usulelo.
• I-Entropion - Oku kuthetha ukuba iliso lijika lingene ngaphakathi, nto leyo ebangela ukurhawuzelelwa kweliso.
• Iinkophe ezigobileyo.
• Iingxaki zesiza sokuhluza.

Ukuba kwenzeka into efana nale, kufuneka uxelele ugqirha ngoko nangoko.

Ndingazilawula njani iimpawu ze-`(Lagophthalmos)`?

Ungenza izinto ezithile ukunceda amehlo akho ahlale emanzi.

• Ukusebenzisa amathontsi emehlweni njengoko ugqirha emyalele.
• Ukuvala amehlo ebusuku uze udlale iteyiphu.

Ukuba unesifo esifana nokukhubazeka kobuso, ungadinga uncedo kwizinto ezifana nokutya nokuthetha. Thetha nogqirha wakho ngaloo nto.

Ndingayinciphisa njani ingozi ye-`(Lagophthalmos)`?

Akukho ndlela yokuthintela ngokupheleleyo "iLagophthalmos". Nangona kunjalo, ungathatha amanyathelo okukhusela amehlo akho ngokuthi:

• Nxiba izixhobo zokuzikhusela ezigubungela amehlo akho xa usebenza okanye udlala imidlalo yokudibanisa.
• Nxiba iiglasi zelanga xa ilanga likhanya.
• Kuphephe ukudibana emehlweni ngokungeyomfuneko.
• Hlamba izandla zakho kakuhle phambi kokuba uchukumise amehlo akho.

Ukongeza, ukuba ucinga ngotyando lokulungisa ijwabu eligobileyo (`ukulungiswa kwe-ptosis`) okanye ukuhombisa ijwabu lakho (`i-blepharoplasty`), qiniseka ukuba ubonana nogqirha we-oculoplastic.Oogqirha be-Oculoplastic ngoogqirha bamehlo abaziingcali kutyando lokwakha kwakhona olujikeleze amehlo.

Kuza kwenzeka ntoni ukuba ndine `(Lagophthalmos)`?

Ingqikelelo yokuba umntu angachacha kwi-lagophthalmos idla ngokuba ntle, ingakumbi ukuba ayinzima kangako. I-Lagophthalmos ebangelwa ziimeko ezifana ne-Bell's palsy idla ngokuziphelela.

Nangona kunjalo, ukuba imeko imbi kakhulu, kubalulekile ukufuna unyango olufanelekileyo. Ukungakwenzi oko kunokubangela umonakalo ongunaphakade emehlweni.

Ndifanele ndimbone nini ugqirha malunga ne-`(Lagophthalmos)`?

Ukuba unezinye zezi mpawu, ezinje ngamehlo omileyo, amehlo anamanzi, okanye ukuziva into ebambeke esweni lakho rhoqo, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Ingakumbi ukuba ubona naluphi na utshintsho ekuboneni kwakho, musa ukulutyeshela.

Ukuba sele ufunyenwe une-`(Lagophthalmos)` kwaye ufumana unyango lwayo, kodwa iimpawu aziphucuki, okanye azibi mbi nangakumbi, yazisa ugqirha wakho ngoko nangoko.

Ngamanye amaxesha usenokungaqondi nokuba iinkophe zakho eziphezulu nezisezantsi azivaleki kakuhle de kube yingxaki emehlweni akho. Kwiimeko ezininzi, olu hlobo lwe-lagophthalmos lubangelwa yimeko yokukhubazeka kobuso efana ne-Bell's palsy. Ke ngoko, ukuba uneengxaki zokubona okanye ukungakhululeki kwamehlo okungapheliyo, qiniseka ukuba ucela ingcebiso kagqirha.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Ngoko ke, `(Lagophthalmos)` yimeko apho iinkophe zingakwazi ukuvala kakuhle. Oku akuyonto ifanele ithathwe lula, kuba amehlo ethu angamalungu abuthathaka kakhulu.

• Ukuba ubona into engaqhelekanga, engathandekiyo, okanye etshintshayo embonweni wakho, nceda ungayityesheli. Yiya kugqirha ngoko nangoko.
• Ukuba iimpawu ezifana namehlo omileyo, amehlo anamanzi, kunye nokuziva urhawuzelelwe, oko kusenokuba luphawu lwe-"Lagophthalmos".
• Ukuba ifunyenwe kwaye inyangwa ngokukhawuleza, le meko inokulawulwa kakuhle.
• Kubaluleke kakhulu ukulandela iingcebiso zonyango nokukhusela amehlo akho .

Luxanduva lwakho ukukhusela amehlo akho, ngoko ke siyakucela ukuba uqaphele oku.

I- Lagophthalmos, ukungakwazi ukuvala amehlo, amehlo omileyo, iinkophe, imithambo-luvo yobuso, utyando lwamehlo, i-Bell's palsy, isilonda se-cornea, i-photophobia