Ingaba umbono wakho uya ufiphala kancinci kancinci? Mhlawumbi oku kungenxa yeTerrien Marginal Degeneration!

Ngaba ngamanye amaxesha uvakalelwa kukuba umbono wakho wahlukile kancinci kwaye awubonakali kakuhle emehlweni omabini? Mhlawumbi ukwiliso elinye kuphela. Uninzi lwexesha, asinikeli ngqalelo ingako kwizinto ezinje, akunjalo? Sicinga, "Oku kwenzeka xa ukhula." Nangona kunjalo, kukho ezinye izifo zamehlo ezingaqhelekanga eziqala ngeempawu ezinje. Namhlanje, siza kuthetha ngemeko engaqhelekanga ukuviwa ngayo, kodwa ekufanele ukwaziwa ngayo. Leyo yimeko ebizwa ngokuba yiTerrien Marginal Degeneration .

Yintoni iTerrien Marginal Degeneration? Masiyiqonde ngokulula!

Ngamafutshane, esi sisifo esingaqhelekanga esichaphazela amehlo ethu. Okwenzekayo koku kukuba inxalenye 'ye-cornea', eyi-membrane ecacileyo engaphambili kweliso lethu, iyancipha kancinci kancinci. Yicinge njengekhamera. I-cornea yinxalenye ephambili enceda ekuziseni ukukhanya nokudala umfanekiso ocacileyo. Ifana neglasi ephezu kwewotshi. Ngoko ke, xa le cornea iqala ukuncipha, ngokuhamba kwexesha, inokuphazamisana nokukwazi kwethu ukubona izinto ngokucacileyo.

Oku akwenzeki ngobusuku obunye. Kudla ngokukhula kancinci. Yiyo loo nto abanye abantu bengayiqapheli kwasekuqaleni. Nangona kunjalo, ukuba uyibona kwangethuba imeko, ungafumana unyango oluza kukunceda ukukhusela okanye ukubuyisela umbono wakho. Unyango ludla ngokubandakanya iiglasi , amayeza athile, kwaye ngamanye amaxesha utyando lokulungisa okanye lokutshintsha i-cornea yakho.

Ikuchaphazela njani le Terian Marginal Degeneration (TMD)?

Njengoko besitshilo ngaphambili, kwesi sifo, inxalenye ye-cornea iyancipha. Njengoko ukuwohloka kwe-cornea kuqhubeka, umphetho wangaphandle we-cornea uqala ukuthamba. Oku kubizwa ngokuba yi -peripheral corneal flattening. I-Astigmatism inokwenzeka ngenxa yoku.

Yintoni i-Astigmatism ?

Khawuthelekelele, i-cornea ephilileyo ijikelezwe kakuhle, njengebhola. Emva koko ukukhanya kujoliswa ngqo kwindawo enye kwaye kunike umfanekiso ocacileyo. Kodwa kwi-astigmatism, imilo ye-cornea iyatshintsha kancinci, njengeqanda, okanye njengebhola ye-rugby. Emva koko ukukhanya akujoliswanga kwindawo enye, kodwa kwiindawo ezininzi, ngoko ke izinto ozibonayo zinokubonakala zifiphele, zoluliwe, kwaye ngamanye amaxesha zahlulwe zibe zimbini.

Ngoko ke, le meko ye-astigmatism inokubangela ukuba umbono wakho ungabonakali kakuhle kwaye usenokungakwazi ukubona izinto ngokucacileyo. I-Terian Marginal Degeneration (TMD) inokuchaphazela iliso elinye okanye omabini amehlo.

Iindaba ezimnandi zezokuba, ngokungafaniyo nezinye iimeko zamehlo, i-TMD ayibangeli ntlungu yamehlo. Nangona kunjalo, ngamanye amaxesha amehlo anokuba bomvu aze adumbe kancinci, nto leyo ethetha ukudumba .

Amaxesha amaninzi, ukuba i-cornea iba ncinci kakhulu, inokukrazuka okanye ivuleke . Oku kungenzeka ngequbuliso, okanye kunokwenzeka ukuba iliso lakho lenzakele okanye lonakele. Le yimeko engxamisekileyo kwaye kufuneka ufune unyango ngokukhawuleza.

Ngubani ochaphazeleka kakhulu yile meko?

Le meko, ebizwa ngokuba yiTerian Marginal Degeneration (TMD) , idla ngokubonakala kumadoda angaphezu kweminyaka engama-40 ubudala. Nangona kunjalo, oko akuthethi ukuba abanye abanakuyifumana. Inokwenzeka nakubani na nakweyiphi na iminyaka. Kukwafunyaniswe ukuba abantu abanezifo ezithile zokudumba , ezifana ne -rheumatoid arthritis kunye ne-juvenile idiopathic arthritis, banamathuba amaninzi okufumana i-TMD.

Ixhaphake kangakanani iTerian Marginal Degeneration (TMD)?

Esi sisifo esingaqhelekanga ngokwenene. Abaphandi abakakwazi ukufumanisa ukuba bangaphi abantu abanaso esi sifo. I-TMD yaqala ukuchazwa ngo-1900 nguFelix Terrien, ugqirha wamehlo waseFransi.

Ngaba kukho iintlobo eziphambili zeTerian Marginal Degeneration (TMD)?

Izazinzulu zikholelwa ukuba kukho iintlobo ezimbini eziphambili zale meko, i-terian marginal degeneration ( TMD ).

1. Uhlobo 1: Oku kudla ngokubonakala kubantu abangaphezu kweminyaka engama-55 ubudala. Kolu hlobo, isifo siqhubeka kancinci, ngaphandle kweempawu zokudumba (ezifana nokubomvu nokudumba kwamehlo).

2. Uhlobo 2: Olu hlobo luphawulwa kukudumba . Luxhaphake kakhulu kumadoda aselula aneminyaka engama-20 nengama-30 ubudala. Oogqirha baye babona olu hlobo nakubantu abanezi meko zilandelayo:

• I-Anterior Basement Membrane Dystrophy: Esi sisifo sentliziyo esidluliselwa kwilifa (ngokwemfuza).
• I-Erythema Elevatum Diutinum: Esi sisifo sesikhumba sexesha elide.
• I-Posterior Polymorphous Dystrophy: Esi sisifo samehlo esingaqhelekanga. Sibangela ulwelo okanye ezinye izinto ukuba ziqokelele kwi-cornea.

Ngaba zikhona ezinye izifo ezifana neTerian Marginal Degeneration (TMD)?

Ewe, kukho ezinye izifo zamehlo ezininzi ezibonisa iimpawu ezifanayo nezi mpawu ze-TMD. Yiyo loo nto kubaluleke kangaka ukufumana uxilongo oluchanekileyo. Kulapho kuphela apho unokufumana khona isicwangciso sonyango esifanelekileyo. Ezinye zezi zifo zezi:

• I-Acanthamoeba Keratitis
• I-Corneal Ectasia (iqela lezifo apho imo ye-cornea itshintsha khona kwaye i-astigmatism iyanda ngokuhamba kwexesha)
• Isilonda seCorneal ( ukulimala kwi-cornea)
• I-Keratoconus (apho i-cornea iphuma khona ibe yimo yekhowuni)
• Ukonakala kwe-Marginal Furrow (oku kukwabangela ukuba i-cornea ibe ncinci)
• I-Mooren's Ulcer (Esi sisifo samehlo esibuhlungu esonakalisa i-cornea)
• I-Ocular rosacea (i-Ocular rosacea )
• Ukonakala kwePellucid Marginal Degeneration (PMD) (Esi sisifo esingaqhelekanga se-cornea esibangela ukulahleka kokubona ngokuhamba kwexesha)
• I-Sclerokeratitis (ukudumba kwe-sclera kunye ne-cornea)
• I-Vernal Keratoconjunctivitis (VKC) (i-allergy engapheliyo, eyingozi echaphazela umphezulu weliso)

Ekubeni iimpawu ezinje ziqhelekile kwizifo ezininzi, ukuba ubona into eyahlukileyo, kungcono ukuba ubonane nogqirha wamehlo ukuze akuhlole.

Yintoni ebangela iTerian Marginal Degeneration (TMD)?

Enyanisweni, abaphandi abakakwazi ukufumana unobangela othile we-TMD. Nangona kunjalo, bacinga ukuba isifo sokuzikhusela komzimba (apho inkqubo yomzimba yokuzikhusela ihlasela iiseli eziphilileyo) okanye isifo esiwohlokayo (apho izicubu okanye amalungu omzimba ebuthathaka kancinci kancinci) sinokuba sisizathu. Nangona kunjalo, ezi azikaqinisekiswa okwangoku.

Zithini iimpawu zeTerian Marginal Degeneration (TMD)?

Ixesha elininzi, abantu abane-temporomandibular joint degeneration (TMD) abanazo iimpawu. Yiyo loo ngxaki. Nangona kunjalo, kwezinye iimeko, unokufumana izinto ezinje:

• I-Astigmatism ibangela utshintsho oluncinci kancinci embonweni: Oku kuthetha ukuba umbono uba mfiliba kancinci kancinci kwaye unokuvakala ngathi awusacaci.
• Ukuncwina okanye ukungakhululeki okuncinci emehlweni ngenxa yomphezulu ongalinganiyo we-cornea: Kusenokuvakala ngathi kukho into ebambeke esweni, okanye ngathi kukho uthotho lwesanti esweni.

Kwiimeko ezigqithisileyo, ingozi okanye ukwenzakala kunokubangela ukugqobhoka kwe-cornea (Ukubhoboza okanye ukukrazula) . Le yingxamiseko yezonyango . Oku kunokubangela ukulahleka okukhulu kokubona. Ke ngoko, ukuba kukho nawuphi na umonakalo kwiliso lakho, kufuneka ufune uncedo lwezonyango ngokukhawuleza.

Ifunyanwa njani iTerian Marginal Degeneration (TMD)?

Oogqirha baxilonga i-TMD ngovavanyo lwamehlo olupheleleyo . Ngokuxilonga ngokuchanekileyo imeko, banokuyahlula kwezinye iimeko ezibangela ukuba i-cornea ibe buthathaka, baze bakunike unyango olufanelekileyo.

Ugqirha wakho wamehlo angenza uvavanyo olongezelelweyo ukuze athathe imifanekiso eneenkcukacha zamehlo akho aze ajonge utshintsho kwi-cornea yakho. Olu vavanyo luquka:

• I-Anterior Segment Optical Coherence Tomography
• I-Confocal Microscopy
• I-Corneal Topography (Oku kudala imephu yomphezulu we-cornea)
• Ukuskena iSlit Topography
• I-Ultrasound Biomicroscopy (UBM)

Olu vavanyo luya kuvumela ugqirha wakho ukuba aqonde kakuhle imeko ye-cornea yakho.

Ngaba ikho indlela yokunyanga iTerian Marginal Degeneration (TMD)?

Ngelishwa, akukho nyango lwe-TMD. Kodwa ungakhathazeki. Unyango lunokunceda ukugcina umbono wakho kunye nokuthintela iingxaki. Yiyo loo nto ukuxilongwa kwangoko kubaluleke kakhulu. Emva koko ugqirha wakho unokukunika ukhathalelo olufunayo.

Ziziphi iindlela zonyango zeTerian Marginal Degeneration (TMD)?

Kwiimeko ezininzi, akukho nyango lukhethekileyo lokuwohloka kwamalungu e-temporomandibular (TMD). Ugqirha wakho unokucebisa " ukulinda ngononophelo " (oko kukuthi, ukujonga iimpawu nokulinda ukubona ukuba imeko iba mandundu na) kunye novavanyo oluqhelekileyo lokujonga imeko yakho.

Nangona kunjalo, ukuba le meko ye-TMD ichaphazela umbono wakho, izihlangu zamehlo ezilungisayo zingasetyenziswa njengonyango. Umzekelo:

• Iiglasi ezenziwe nge-polycarbonate: Ezi ziqinile kuneplastiki eqhelekileyo.
• Iilensi zoQhagamshelo eziqinileyo nezingena kwigesi: Ezi luhlobo lwelensi zoQhagamshelo eziqinileyo ezivumela ioksijini ukuba idlulele elisweni.
• Iilensi zeScleral:Ezi ziilensi ezinkulu neziqinileyo zokunxibelelana. Zigubungela yonke i-cornea. Zilungisa i-astigmatism, zikhusela iliso, kwaye ziphucula umbono.

Ukuba une-inflammation encinci, ugqirha wakho unokukunika amaconsi amehlo, amafutha okugcoba, okanye iijeli . Ngamanye amaxesha ii-steroids ezisetyenziswa ngaphandle kwesikhumba nazo zingasetyenziswa. Nangona kunjalo, ukusetyenziswa kwazo kulinganiselwe kuba zinokunciphisa i-cornea.

Ngaba ndiza kufuna utyando lwe-Terian Marginal Degeneration (TMD)?

Kwiimeko eziphucukileyo ze-TMD, utyando lunokufuneka ukuze kulondolozwe, kugcinwe, okanye kubuyiselwe ukusebenza kweliso lakho. Ugqirha wakho wamehlo unokucebisa utyando ukuba iilensi zokulungisa azincedi.

Ukuba i-cornea yakho yonakele kakhulu, ugqirha wakho angacebisa ukuba utyandwe i-cornea . Oku kuquka ukusebenzisa izicwili ezivela kumntu ophilileyo okanye i-cornea yokwenziwa. Ungatyandwa ngolu hlobo:

• Ukufakelwa koBukhulu obuNgaphelelanga (iLamellar Keratoplasty): Kule meko, kutshintshwa inxalenye kuphela ye-cornea yakho.
• Ukufakelwa Utyando Olupheleleyo - I-Keratoplasty Engena: Kule nto, yonke i-cornea yakho iyatshintshwa.

Ugqirha wakho uza kukuxelela okungakumbi ngezi ntlobo zotyando.

Ngaba kukho into endinokuyenza ukuthintela uphuhliso lweTerian Marginal Degeneration (TMD)?

Akukho nto unokuyenza ukuthintela i-TMD kuba isizathu esichanekileyo asikaziwa. Nangona kunjalo, ungathatha amanyathelo okukhusela amehlo akho kwaye uthintele ukuba imeko ingabi mandundu .

Ukuze uthintele umonakalo kwi-cornea, zama ukunxiba izibuko zokukhusela amehlo ngala maxesha:

• Xa ucoca nge-bleach okanye ezinye iikhemikhali.
• Xa usebenza ngaphandle, njengokucheba ingca.
• Xa udlala imidlalo efana nebaseball kunye nehockey.
• Nokuba kuxa usebenzisa izixhobo okanye xa upeyinta.

Ukuba unxiba iilensi zokunxibelelana, landela imiyalelo yokucoca nokubulala iintsholongwane kwiilensi zakho ngononophelo ukuze uthintele usulelo lwamehlo okanye lwe-cornea. Ngokulandela amadinga akho kagqirha wamehlo kunye nokulandela izikhokelo zonyango, unokuthintela iingxaki kwaye ukhusele ukubona kwakho okuxabisekileyo.

Yintoni endimele ndiyilindele ukuba ndine-Terion Marginal Degeneration (TMD)?

Abantu abaninzi banesifo seTerian Marginal Degeneration (TMD).Ingalawulwa kakuhle ngeeglasi okanye iilensi zokunxibelelana kunye nokuhlolwa rhoqo ngugqirha. Ukuba une-cornea encinci kakhulu, thetha nogqirha wakho malunga neendlela ezilungileyo zokukhusela amehlo akho kunye nokunyanga iimpawu zakho. Ungakhathazeki, ungaphila ubomi obuqhelekileyo ngale meko.

Ufanele ufune nini ingcebiso kagqirha malunga nokuwohloka kwamalungu e-temporomandibular (TMD)?

Kubalulekile ukuqaphela imeko ye-Terian Marginal Degeneration (TMD) kwangethuba ukuze ufumane unyango olusebenzayo. Ukuba ufumana ukungakhululeki kwamehlo, iintlungu, okanye utshintsho ekuboneni , yazisa ugqirha wakho ngoko nangoko. Ugqirha wakho unokukunika iindlela zonyango ezinokukunika isiqabu kwaye zigcine umbono wakho.

Khumbula, amehlo yenye yezona zitho zibuthathaka nezixabisekileyo emzimbeni wethu. Ngoko ke, ukuba ubona naluphi na utshintsho okanye ukungakhululeki emehlweni akho, bubulumko ukufuna ingcebiso kagqirha ngaphandle kokuyityeshela.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Ukonakala kwe-Terrien Marginal yimeko engaqhelekanga ebangela ukuba imiphetho ye-cornea yethu ibe ncinci. Le cornea yiyo esinceda sibone ngokucacileyo. Abantu abaninzi ababoni zimpawu. Kwabanye, ukulungiswa kwamehlo kunokunceda ukukhusela umbono wabo kunye nokuthintela iingxaki. Fumana uhlolo lwamehlo rhoqo. Emva koko ungafumana unyango olufunekayo. Nyamekela amehlo akho! Kuba sinamehlo amabini kuphela okubona ihlabathi.

Ukonakala kweTerrien Marginal, Izifo zamehlo, iCornea, umbono ofipheleyo, i-Astigmatism, impilo yamehlo