Ngaba wakha wavuka kusasa waza ngequbuliso waziva ngathi amehlo akho abomvu, abuhlungu, kwaye kunzima ukuwabona ekukhanyeni? Okanye ubona izinto ezincinci ezimnyama zintanta phambi kwamehlo akho? Nangona ngamanye amaxesha sicinga ngezi zinto 'njengezifo zamehlo', mhlawumbi le yinto efuna ingqalelo engakumbi. I-Uveitis yenye yeemeko ezinjalo ezifuna ingqalelo ekhawulezileyo. Namhlanje, siza kuthetha ngale nto ngendlela elula onokuyiqonda.
Yintoni i-Uveitis?
Ngamafutshane, i-uveitis kukudumba okanye ukudumba komaleko ongaphakathi kweliso lethu obizwa ngokuba yi-'uvea'.
Khawucinge ukuba iliso lethu lifana nebhola encinci. Le bhola ineendonga ezintathu, oko kukuthi, iileya ezintathu. I-uvea yeyona iphakathi kwezo ndonga. Le leya yinxalenye ebaluleke kakhulu enika iliso igazi kwaye yondla iliso. Ngoko ke xa le nxalenye ivuvukala, siyibiza ngokuba yi-Uveitis. Oku kunokuchaphazela iliso elinye okanye omabini amehlo ngaxeshanye.
Ngoku ungacinga ukuba kukudumba okuncinci nje. Kodwa iliso liyindawo encinci. Ngoko ke xa le uvea idumba, uxinzelelo ngaphakathi kweliso luyanda ngenxa yoko kudumba kwaye imilo yeliso inokutshintsha kancinci. Imilo yeliso ibaluleke kakhulu ekuboneni kwethu. Ngoko ke nolu tshintsho luncinci lunokusenza singabi nambono okanye ludideke.
Ukuba oku akuphathwanga kakuhle, kunokukhokelela ekulahlekelweni kokubona okungapheliyo okanye nokuba yimfama kwiimeko ezinzima. Ngoko ke oku akuyonto ifanele ithathwe lula.
Ziziphi iimpawu ze-uveitis?
I-Uveitis ayichaphazeli zonke iindawo zeliso ngendlela efanayo. Iimpawu ziyahluka ngokuxhomekeke kwindawo echaphazeleke kuyo. Oogqirha bayahlulahlula ibe ziintlobo ezintathu eziphambili: I-Anterior Uveitis, i-Intermediate Uveitis, kunye ne-Posterior Uveitis. Ngamanye amaxesha zonke iindawo ezintathu zinokuchaphazeleka ngaxeshanye. Oku kubizwa ngokuba yiPanuveitis.
Uhlobo oluqhelekileyo lwe-uveitis yi-anterior uveitis, echaphazela umphambili weliso. Makhe sijonge iimpawu zohlobo ngalunye.
| Inxalenye yeliso echaphazelekayo | Iimpawu ozivayo/ozibonayo |
|---|---|
| Ngaphambili kweliso (Ngaphambili) (Uhlobo oluqhelekileyo olubonwayo) |
|
| Esiphakathi nesingasemva |
|
Kutheni le nto i-Uveitis isenzeka? Zithini izizathu?
Kwiimeko ezininzi, phakathi kwama-50% nama-70% amatyala, akukho sizathu sithile sifumanekayo . Oogqirha bakubiza ngokuba yi-'idiopathic'. Oko kuthetha ukuba kwenzeka ngaphandle kwesizathu. Nangona kunjalo, kukho izizathu ezininzi ezinokubakho. Makhe sizijonge.
| Udidi lwesizathu | Inkcazo kunye nemizekelo |
|---|---|
| Iintsholongwane | Le meko inokubangelwa ziintsholongwane ezingena emzimbeni.
|
| Ezinye izifo emzimbeni (Iingxaki Ezibangelwa Yinkqubo) | Ngamanye amaxesha, i-uveitis ayisiyongxaki nje emehlweni. Inokuba luphawu lwesinye isifo esichaphazela umzimba wethu wonke. Oku kunokwenzeka ngakumbi kwizifo ezizikhuselayo emzimbeni, apho amajoni ethu omzimba esihlasela. |
| Ukulimala Kwamehlo | Oku kungenzeka ngenxa yokwenzakala kweliso okanye ukudumba emva kotyando lweliso. |
| Amanye amayeza | I-Uveitis inokubakho njengesiphumo esingesihle sezinye iziyobisi. |
Ingaba oku kusulela umntu komnye umntu?
Hayi. I-Uveitis ayosuleli. Nangona kunjalo, ukuba unobangela we-uveitis sisifo esosulelayo (umz. isifo sephepha), usulelo olusisiseko lunokosulela.
Yintoni enokwenzeka ukuba i-uveitis iba yingozi?
Ukuba akunyangelwanga ngokukhawuleza, oku kudumba ngaphakathi kweliso kunokukhokelela kwiingxaki ezinkulu. Ezinye zezi ziquka:
- IiCataracts: Ukubona okufipheleyo ngenxa yokufiphala kwelensi yeliso.
- I-Glaucoma: Ukulahlekelwa ngumbono okungapheliyo ngenxa yokunyuka okuqhubekayo koxinzelelo ngaphakathi kweliso, nto leyo eyonakalisa umthambo we-optic.
- Ukonakala kwe-retina: Ukonakala kwe-membrane ebuthathaka enika umbono emehlweni ngenxa yokudumba (i-Cystoid Macular Edema) okanye ukuqhekeka (i-Detached Retina).
- I-Synechiae: Ukunamathela kwe-iris kwilensi okanye kwi-cornea phambi kweliso .
Eyona ndlela ilungileyo yokuthintela izinto ezinje kukuqala unyango kwangoko nje ukuba iimpawu zibonakale.
Ugqirha ufumanisa njani i-uveitis?
Xa ubona ingcali yamehlo enezi mpawu, iya kuqala ikubuze ngeempawu zakho, usulelo lwakutshanje, kunye nazo naziphi na iingozi oye wazifumana.
Emva koko, kusetyenziswa isixhobo esikhethekileyo ('isibane esiqhekekileyo') ukuhlola ingaphakathi lelihlo lakho. Oku kunokubona iimpawu zokudumba ngaphakathi kwelihlo. Uxinzelelo olungaphakathi kwelihlo lunokulinganiswa ('tonometry') kwaye kungenziwa iskeni ye-'octogram'` ukujonga utshintsho kwiileya ezingasemva kweliso.
Ngamanye amaxesha, ukuze ufumane unobangela we-uveitis, ugqirha wakho unokukucela ukuba wenze olunye uvavanyo.
- Uvavanyo lwegazi: Jonga ukuba kukho usulelo okanye iingxaki zenkqubo yomzimba yokuzikhusela emzimbeni.
- I-X-ray okanye i-MRI scan: Jonga iimpawu zesifo esifubeni okanye kwenye indawo emzimbeni.
- I-Fluorescein Angiography: Uvavanyo olukhethekileyo lokuhlola imithambo yegazi engaphakathi kweliso.
Ziziphi iindlela zonyango lwe-uveitis?
Ngenxa yokuba zininzi izizathu ze-uveitis, unyango luyahluka kakhulu. Akukho ndlela inye yokunyanga. Unyango luxhomekeke ekubeni yintoni ebangele i-uveitis yakho kunye nokuba yeyiphi inxalenye yeliso eliyichaphazelayo.
Kukho iinjongo ezintathu eziphambili zonyango:
1. Ukunciphisa ukudumba (ukudumba): Iisteroids zezona mayeza asetyenziswa kakhulu koku. Ezi zinokunikwa njengee-eye drops, i-injection ezijikeleze iliso, okanye iipilisi.
2. Ukulawula iintlungu: Amaconsi akhethekileyo amehlo (i-cycloplegics) asetyenziselwa ukunciphisa iintlungu zamehlo kunye nokuva ukukhanya. La maconsi anciphisa iintlungu ngokwandisa i-pupil yeliso kunye nokuthintela ukufinyela kwemisipha yeliso.
3. Ukunyanga unobangela oyintloko: Ukuba unobangela lusulelo lwebhaktiriya, amayeza okubulala iintsholongwane anokunikwa, kwaye ukuba yintsholongwane, amayeza okubulala iintsholongwane anokunikwa. Ukuba unobangela yingxaki kwinkqubo yomzimba yokuzikhusela, amayeza athile anokufuneka.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Kubalulekile ukuthatha amayeza akho ngexesha kwaye uye kuhlolwa ngemihla ebekiweyo.
Ingaba le meko inzima kangakanani? Ngaba ingathintelwa?
Enyanisweni, i-Uveitis yeyona nto iphambili ekulahlekelweni kokubona nokungaboni ehlabathini. Kodwa ungoyiki. Iyingozi kuphela ukuba awufumani unyango ngoko nangoko . Ukuba ubona ugqirha kwangoko emva kokuba uneempawu kwaye uqale unyango, unethuba elingcono lokuchacha ngokupheleleyo kwaye uphephe naluphi na umonakalo ekuboneni kwakho.
I-Uveitis ayinakuthintelwa ngokupheleleyo, kuba unobangela wayo awuqhelekanga. Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko wethu.
- Hlola amehlo akho rhoqo: Kubalulekile ukujonga amehlo akho ubuncinane kanye ngonyaka. Ngale ndlela, naziphi na iingxaki zinokubonwa kwangethuba.
- Khusela amehlo akho: Nxiba iiglasi zokhuseleko xa usenza umsebenzi onobungozi okanye udlala imidlalo.
- Nyanga izifo ngokukhawuleza: Bonana nogqirha ngokukhawuleza ukuze uthintele naluphi na usulelo ukuba lungasasazeki emzimbeni.
Ndifanele ndimbone nini ugqirha ngokukhawuleza?
Ukuba unayo nayiphi na kwezi mpawu, musa ukucinga nje ukuba, 'Mhlawumbi yingxaki yamehlo nje kwaye iza kulunga yodwa,' kodwa bonana nogqirha, ingakumbi ugqirha wamehlo, ngokukhawuleza. Ixesha libaluleke kakhulu kwesi sifo.
Nika ingqalelo ekhethekileyo kwezi mpawu:
- Ukuba intlungu yeliso iya isiba mandundu.
- Ukuba umbono uyancipha okanye uyanyamalala ngequbuliso.
- Ukuba ubona ukukhanya phambi kwamehlo akho.
- Ukuba ngequbuliso unamabala amnyama amaninzi ('amabala athambileyo') phambi kwamehlo akho, okanye ukuba lawo unawo abonakala kakhulu.
- I-Photophobia, oko kuthetha ukuba ukukhanya okuqaqambileyo kubangela intlungu yamehlo.
Ukuba sele unyangwa i-uveitis kwaye ezi mpawu ziya zisiba mandundu, qhagamshelana nogqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Uveitis kukudumba kwangaphakathi kweliso. Iimpawu eziphambili kukuba bomvu, iintlungu, kunye nokungaboni kakuhle.
- Oku kusenokungabi nasizathu saziwayo, kodwa kunokubangelwa zizifo, ezinye izifo emzimbeni, okanye iingozi.
- Ukuba uneempawu , musa ukulibazisa . Ukubonana nogqirha wamehlo ngokukhawuleza kunokunceda ukuthintela ukulahleka kokubona okungapheliyo.
- Landela unyango olunikwe ngugqirha ngokuchanekileyo. Amehlo akho axabiseke kakhulu kuwe. Ngoko ke wanyamekele.
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