Ukubona kwakho kuye kwehla ngequbuliso, kodwa akukho ntlungu? Kusenokuba kukopha ngaphakathi kweliso (i-vitreous hemorrhage). Masithethe ngale nto!

Ngaba wakha waphulukana nombono ngequbuliso, kodwa ungenantlungu? Mhlawumbi umbono wakho wawungacacanga, unenkungu, okanye ubone izinto ezimnyama zintanta phambi kwamehlo akho. Inokuba yinto eyoyikisayo. Esinye sezizathu eziphambili zoku kukwenzeka koku kuphuma kwegazi ngaphakathi kweliso. Kwizonyango, oku sikubiza ngokuba yi-vitreous hemorrhage . Ngamafutshane, kukuqokelelana kwegazi kwindawo efana nejeli yeliso.

Yintoni ukopha ngaphakathi kweliso? (Igazi eliphuma kwi-vitreous)

Ngamafutshane, ukuphuma kwegazi kwi-vitreous kukopha kwi -vitreous , ulwelo olungaphakathi kweliso lakho. Oku kunokubangela ukulahleka ngequbuliso kombono okungenabuhlungu kwelo liso. Cinga ngako, i-vitreous yeyona ndawo inkulu ngaphakathi kweliso lethu. Iqulethe into efana nejeli. Le jeli inceda iliso ukuba ligcine imo yalo ingqukuva.

Le meko inokubangelwa zizizathu ezahlukeneyo. Kungoko ke, kubalulekile ukufumana unobangela ochanekileyo ngaphambi kokuba uyinyange. Ngamanye amaxesha inokukhokelela ekulahlekelweni kokubona okungapheliyo, kuxhomekeke kwisizathu. Le meko ixhaphake kakhulu kubantu abane-retinopathy enxulumene nesifo seswekile.

Zithini iimpawu zoku?

Uphawu oluphambili kukulahlekelwa yimbono ngequbuliso okanye ubumfama. Khawuthelekelele, i-vitreous kufuneka ifane neglasi ecocekileyo, kulapho kuphela apho ukukhanya kudlula khona size sibone. Ngoku kwenzeka ntoni xa ifumana igazi? Kufana nokuba ipeyinti ebomvu iwile kwiglasi. Ithintelwe kukuphuma, kwaye yiyo loo nto ibangela iimpawu.

Xa kuvela ukopha kwegazi kwi-vitreous, akukho tshintsho lubonakalayo kwinkangeleko yeliso. Oku kuthetha ukuba iliso alibonakali libomvu ngaphandle. Ngamanye amaxesha, ukuba ukopha kuncinci, okanye ukuba kukwicala elinye leliso, kunokuba nzima nakwiingcali zamehlo ukukubona, nokuba kusetyenziswa izixhobo ezikhethekileyo.

Utshintsho embonweni lungabandakanya:

• Ukubona izinto ezincinci ezimnyama zidada phambi kwamehlo (iiFloaters)
• Ukubona izinto ezifana neentambo zesigcawu
• Umbono ofipheleyo okanye onenkungu
• Ngamanye amaxesha, ungalahlekelwa yimbono yonke.

Kutheni kukho igazi elinje emehlweni? Zithini izizathu?

Zimbini iindlela eziphambili igazi elinokungena ngazo elisweni. Enye ibangelwa ngamandla athile oomatshini , enye ibangelwa sisifo esingabonakaliyo .

1. Ingaba inokuba ibangelwe yingozi ethile okanye yimpembelelo enamandla? (Izizathu zamandla oomatshini)

Ewe, iimpembelelo ezahlukeneyo zomzimba zinokubangela ukopha ngaphakathi kweliso. Ezi ziquka:

• Ukwenzakala ngqo kweliso:Khawuthelekelele ubethelwa liliso yibhola ngelixa udlala ikhilikithi, okanye into ebukhali inamathela elisweni lakho. Emva koko imithambo yegazi ebuthathaka engaphakathi kweliso inokonakala kwaye yophe igazi. Le yeyona nto ibangela abantu abangaphantsi kweminyaka engama-40 ubudala.
• Iintshukumo ezibukhali: Umzekelo, ukushukumisa umntwana omncinci ngequbuliso, imeko ebizwa ngokuba yiShaken Baby Syndrome , kunokubangela ukuba imithambo yegazi engaphakathi kweliso iqhekeke kwaye yophe igazi.
• Ukwahlukana kwangaphakathi: Ijeli engaphakathi kwamehlo ethu (i-vitreous) ngamanye amaxesha iyahlukana ne-retina ngasemva kweliso. Oku kubizwa ngokuba yi-posterior vitreous detachment (PVD) . Xa yahlukana, imithambo yegazi emincinci ephakathi kwezi zimbini inokweluka ize iqhekeke, nto leyo ebangela ukopha. Ngamanye amaxesha i-retina inokukrazula (ukukrazula kwe-retina) okanye ihlukane ngokupheleleyo (ukukrazula kwe-retina) . Ukopha nako kunokwenzeka.
• Uxinzelelo olugqithisileyo: Ngamanye amaxesha xa sibambe umphefumlo size sizame ukuchama okanye ukukhupha indle (ekwabizwa ngokuba yiValsalva maneuver) , uxinzelelo olungaphakathi entlokweni nasemahlweni lunokwanda kwaye lubangele ukuba imithambo yegazi iqhume. Oku kunokwenzeka naxa sithimla okanye sikhwehlela ngendlela engafanelekanga.

2. Ngaba le meko inokubangelwa zezinye izifo? (Izizathu zesifo ezisisiseko)

Ewe, ukopha kwegazi kwi-vitreous kunokubangelwa zizifo ezenza buthathaka imithambo yegazi engaphakathi kweliso okanye ziphazamise ukusebenza kwayo okuqhelekileyo. Eminye imizekelo yile:

• Uhlobo lwesibini lwesifo seswekile kunye ne-retinopathy enxulumene nesifo seswekile
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Ukuvalelwa kwemithambo ye-retinal
• Isifo seSickle Cell
• Umhlaza Wamehlo
• Izifo zegazi, umzekelo i-anemia okanye i-hemophilia
• Iimeko ezonakalisa imithambo yegazi, umzekelo , i-vasculitis
• Ukonakala kweMacular okunxulumene nobudala obumanzi, uhlobo lotshintsho olumanzi olwenzeka kwi-retina yeliso njengoko sikhula.

Ziziphi iingxaki ezinokubakho ngenxa yokopha ngaphakathi kweliso?

Ukopha ngolu hlobo ngamanye amaxesha kunokuba nemiphumo ehlala ixesha elide ekuboneni kwakho . Ezinye zezi ziphumo zinokuba zezokuhlala ixesha elide, ngelixa ezinye zingathatha ixesha ukuphola. Ingcali yakho yamehlo inokukuchazela into enokwenzeka kakhulu kwimeko yakho kunye nento onokuyenza.

Oogqirha bayixilonga njani le meko?

Xa ubona ingcali yamehlo, baya kusebenzisa iindlela ezahlukeneyo zokuxilonga oku. Amaxesha amaninzi, banokusebenzisa isixhobo esincinci esibizwa ngokuba yi-ophthalmoscope okanye umatshini omkhulu obizwa ngokuba yi-slit lamp exam ukuze babone ukuba kukho ukopha na. Nangona kunjalo, banokwenza nezinye iimvavanyo ukuze bafumane ukuba yintoni kanye kanye ebangela oku.

Luhlobo luni lovavanyo olwenziwayo koku?

Uvavanyo olufana nolu lunokunceda ekufumaneni ukopha kwe-vitreous okanye iimeko ezibangela oko:

• Uvavanyo lwegazi: Olu vavanyo lujonga amanqanaba eswekile egazini lakho, kunye nezinye iingxaki zegazi, ezifana ne-anemia, iingxaki zokujiya kwegazi, kunye nezinye iingxaki zegazi.
• I-ultrasound scan: Oku kusebenzisa amaza esandi ukujonga ngaphakathi kweliso. Olu luvavanyo olubaluleke kakhulu ukuba ugqirha akakwazi ukubona kakuhle ingaphakathi leliso.
• I-Optical Coherence Tomography (OCT): Le nto isebenzisa umqadi welaser osebenzisa amandla aphantsi ukuthatha imifanekiso yangaphakathi kweliso lakho. Oku kuluncedo kakhulu ekujongeni imithambo yegazi kunye neengqimba ze-retina ngaphakathi kweliso.
• Iiskeni zobuchopho: Ngamanye amaxesha iiskeni ze-CT (i-Computed Tomography - CT) kunye neeskeni ze-MRI (i-Magnetic Resonance Imaging - MRI) zenziwa ukuze kubonwe ukuba kukho uxinzelelo olugqithisileyo kwimithambo yegazi engaphakathi kweliso ukusuka ecaleni lobuchopho bakho.

Zithini iindlela zokunyanga oku? (Unyango)

Kukho iindlela ezahlukeneyo zonyango, kwaye ngamanye amaxesha zingasetyenziswa ezingaphezu kwenye kwezi ndlela. Nazi:

• Unyango oluzinzileyo: Oku kuquka ukulinda iintsuku ezimbalwa, mhlawumbi iiveki ezimbalwa, ukuze sibone ukuba loluphi utshintsho oluza kwenzeka. Kwiimeko ezininzi, imizimba yethu ingazilungisa ngokwayo umonakalo ukuba siwunika ixesha. Ngeli xesha, uya kuxelelwa ukuba uphumle kwaye uphephe imisebenzi eya kukwenza ucinezeleke emehlweni akho . Ungaxelelwa nokuba ulale intloko yakho iphakanyisiwe, nto leyo eya kunceda igazi liphume liye ngasemva kweliso lakho.
• Unyango olujolise kwingcinga: Ezi ndlela ziquka ukulungisa imithambo yegazi eyonakeleyo ngaphakathi kweliso okanye ukunyanga ezinye iingxaki kusetyenziswa iilaser, okanye ukusebenzisa ubushushu obugqithisileyo (iPhotocoagulation) okanye ukubanda kakhulu (iCryotherapy).
• Utyando: Olona tyando luqhelekileyo yi -vitrectomy , equka ukususa into efana nejeli enegazi ngaphakathi kweliso ize ithathelwe indawo yenye into (mhlawumbi i-saline, i-silicone oil, okanye i-gas bubble ekhethekileyo).
• Amayeza: Ngamanye amaxesha ukwakheka kwemithambo yegazi emitsha engafunekiyo (i-neovascularization)Amayeza okulwa ne-VEGF (umz., amayeza okulwa ne-VEGF) anokufakwa elisweni. Ngenxa yokuba le mithambo yegazi mitsha ibuthathaka kakhulu, inokuqhekeka kwaye yophe kwakhona ngokulula, kwaye inokulimaza ngakumbi umbono.
• Ukunyanga unobangela oyintloko: Ukunyanga ngokufanelekileyo imeko ebangela ukopha (umz. isifo seswekile, uxinzelelo lwegazi oluphezulu) kubaluleke kakhulu kungekuphela nje ukunyanga imeko ekhoyo ngoku kodwa nokuthintela ukuba ingaphindi yenzeke.

Ekubeni kukho iindlela ezininzi zonyango, ugqirha wakho wamehlo ngumntu ofanelekileyo ukukuxelela ukuba zeziphi iindlela ezinokukunceda kakhulu.

Ndimele ndilindele ntoni xa ndidibana nemeko efana nale?

Ukuba uphuma igazi ngaphakathi kweliso lakho, umbono wakho unokuncipha okanye utshintshe ngequbuliso. Kodwa awuyi kuva ntlungu . Ukuncipha kombono kunokubonakala ngequbuliso njengezinto ezimnyama ezidada phambi kwamehlo akho (iifloaters) , okanye njengentambo yesigcawu. Okanye umbono wakho unokuba lufiphalo okanye ube nenkungu.

Le meko iza kuhlala ixesha elingakanani?

Ukuba oku kuhlala ixesha elingakanani kuxhomekeke kwizinto ezininzi. Unobangela, ubukhali bemeko, kunye nonyango olufumeneyo. Kungathatha iintsuku, iiveki, okanye iinyanga ukuba umbono wakho ubuyele esiqhelweni. Igazi elingaphakathi kweliso liphuma kancinci kancinci liye ngasemva kweliso, kodwa kuthatha ixesha. Imizimba yethu ingalisusa eli gazi, kodwa yinkqubo ecothayo kakhulu.

Iyintoni imbonakalo yale meko? (Imbonakalo)

Iziphumo zoku zixhomekeke kwisizathu kunye nokuba ufumana unyango ngokukhawuleza kangakanani. Abantu abaneengxaki ezihlala ixesha elide ezifana nesifo seswekile okanye i-macular degeneration banokuba neziphumo ezicothayo. Ubungakanani bokopha buchaphazela neziphumo. Ingcali yakho yamehlo inokukuxelela into onokuyenza ukuze ufumane iziphumo ezilungileyo kwimeko yakho.

Ngaba le meko ingathintelwa? (Ukuthintela)

Ixesha elininzi, oku kwenzeka ngeendlela esingenakukwazi ukuziqikelela okanye ukuzilawula. Ngoko ke akunakwenzeka ukuba sikuthintele ngokupheleleyo. Nangona kunjalo, kukho izinto ezimbalwa esinokuzenza ukunciphisa lo mngcipheko:

• Nxiba isikhuselo samehlo: Ukuba wenza umsebenzi oyingozi okanye udlala imidlalo (umz. i-squash, i-cricket), ukunxiba iiglasi zokhuseleko kunokunceda ekuthinteleni umonakalo wamehlo ngenxa yeengozi.
• Fumana uhlolo lwezonyango rhoqo: Ngokufumana uhlolo olupheleleyo lwezonyango kugqirha wosapho lwakho ubuncinane kanye ngonyaka, unokubona izifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu ngaphambi kokuba ube neempawu.
• Lawula izifo ezihlala ixesha elide: Ukuba unezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi oluphezulu, ukuzilawula njengoko ugqirha wakho ekucebisa kunokunciphisa umngcipheko wokuba nale meko.
• Hlola amehlo akho rhoqo ukuba kuyimfuneko:Ingakumbi ukuba unesifo esiyingozi njengesifo seswekile, jonga amehlo akho rhoqo ngugqirha wamehlo, njengoko ugqirha wakho ekuyalele. Ngale ndlela, utshintsho olusesweni lunokubonwa kwangethuba kwaye lunyangwe.

Ndifanele ndimbone nini ugqirha?

Ukuba ngequbuliso ubona ukulahleka kombono, ukufiphala, okanye ii-floating ezintsha ngaphandle kwentlungu, kuya kufuneka ubone ugqirha, ngcono ukuba yingcali yamehlo, ngokukhawuleza.

Awunakukwazi ukuyixilonga ngokwakho le nto okanye ukuyinyanga ngokwakho. Udinga ugqirha wamehlo oqeqeshiweyo ukuze ayixilonge ngokuchanekileyo aze akunike iingcebiso ngeendlela zonyango.

Okokugqibela, khumbula...

Ukulahlekelwa ngumbono ngequbuliso, ngaphandle kwentlungu okanye umbono ofipheleyo yingxaki yokwenyani. Akufanele kuthathwe lula. Ukuxilongwa kwangoko kunye nonyango kunokwenza umahluko omkhulu. Kukho iindlela ezininzi zonyango.

Ukuba unemibuzo malunga nokuphuma kwegazi ngaphakathi kweliso, okubizwa ngokuba yi -vitreous hemorrhage , okanye ukuba unemeko eyonyusa umngcipheko wakho, thetha nogqirha wakho wamehlo. Angakuxelela into omawuyilindele kunye nendlela yokujongana nayo. Khumbula, amehlo akho axabisekile!

Ukubona Amehlo, Ukopha Iliso, Isifo Seswekile Amehlo, Izifo Zamehlo, Ukulahlekelwa Yimbono Ngesiquphe, Ukopha Ngegazi Egazini, Impilo Yamehlo