Ingabe ugqoka amalensi okuxhumana? Noma ingabe ubhekana namehlo abomvu, anamabala lapho ugeza noma ubhukuda? Ungase ucabange ukuthi kuyinto evamile. Kodwa ngemuva kwalezi zimpawu, kungase kube nokutheleleka okubi kakhulu, okusongela ngisho nombono. Namuhla sikhuluma ngokutheleleka kwamehlo okungajwayelekile, kodwa okuyingozi kakhulu okubizwa ngokuthi i-'Acanthamoeba Keratitis (AK)'.
Kalula nje, iyini i-Acanthamoeba Keratitis (AK)?
Empeleni lokhu kuyisifo esibangelwa yi-parasite ekhula engxenyeni esobala yeso lethu, i-cornea. Lesi silwanyana sibizwa ngokuthi i-Acanthamoeba. Uma singelashwa kahle, singadala umonakalo omkhulu emehlweni akho futhi siholele nasekulahlekelweni umbono ngokuphelele .
Ngokuvamile kuthinta iso elilodwa kuqala, kodwa kungathinta amehlo womabili. Ukutheleleka kuqala engxenyeni ephezulu ye-cornea (i-epithelium). Njengoba lesi sifo siqhubeka, ukutheleleka kusakazekela ngaphakathi.
Ubani lo Acanthamoeba?
I-Acanthamoeba iyisidalwa esincane esineseli elilodwa esibizwa ngokuthi i-amoeba. Iyinkimbinkimbi kakhulu kunebhaktheriya. Ngenxa yokuthi ingaqeda umjikelezo wayo wokuphila ngaphandle kwabantu noma izilwane, ososayensi abayibheki njenge-parasite yangempela. Kodwa uma isingene emzimbeni womuntu, iziphatha njenge-parasite.
Kunezinhlobo ezingaphezu kuka-20 ze-Acanthamoeba ezitholakala emhlabeni wonke. Zihlala yonke indawo esizungezile - emanzini ahlanzekile, emanzini anosawoti, enhlabathini, yonke indawo. Kulezi, cishe izinhlobo ezingu-8 zitholakale zibangela lesi sifo ``(AK)``.
Into ekhethekile kakhulu ngalesi sidalwa ukuthi singaphila ezimweni ezimbili.
1. Isimo esisebenzayo: Kulesi simo, uyasebenza, uyazulazula.
2. Uhlobo lwe-cyst: Kulokhu, yakha igobolondo eliqinile kakhulu elivikelayo elizungezile, njengesilwane esilala ebusika.
Lesi sigaba "(i-cyst)" siyingozi kakhulu. Ngoba uma singaphakathi kwaleli gobolondo, singamelana nanoma yisiphi isimo esibi.
- Izinga lokushisa eliphezulu nokubanda: Imelana namazinga okushisa asukela ku--20 kuya ku-+56 Celsius.
- Ukuntuleka kokudla okunomsoco namanzi: Ingaphila iminyaka engaba ngu-20 ekamelweni lokushisa!
- Amakhemikhali kanye nobuthi: Izimuncagazi zingaba nokungamelani nemithi.
- Ukukhanya kwelanga: Nakuba imisebe ye-ultraviolet ekukhanyeni kwelanga ibulala amagciwane amaningi, lesi simila singasinda kuwo.
Kubaluleke kakhulu ukwazi lokhu ngoba lesi sitho singangena emizimbeni yethu kokubili ngenkuthalo kanye "njengesimila". Yingakho kudingeka sizivikele ngendlela efanele.
Ziyini izimpawu zalesi sifo?
Lezi zimpawu zenzeka lapho isilwane i-Acanthamoeba singena ku-cornea yeso lakho. Ngezinye izikhathi lezi zimpawu zingase zibuye ziphele. Zingase zibe ngcono izinsuku ezimbalwa, bese ziphinde zibe zimbi kakhulu.
Izimpawu eziyinhloko yilezi:
- Ubuhlungu bamehlo: Ngezinye izikhathi ubuhlungu bungaba bukhulu kangangokuthi abubekezeleleki.
- Umuzwa womzimba wangaphandle: Umuzwa wokuthi kukhona okunamathele esweni , kodwa awukwazi ukubona lutho uma uvula noma ubheka.
- Amehlo anamanzi (i-epiphora).
- I-Photophobia: Ukuzwela kwamehlo ekukhanyeni.
- Ukubomvu nokuvuvukala kwamehlo.
- I-cornea yeso ibonakala inamafu futhi ingcolile: Ungase ubone isimo esifana nendandatho ku-cornea.
- Ukubona okufiphele: Lokhu kuvame ukuba uphawu oluvela lapho isifo sibi kakhulu.
Sithola kanjani lesi sifo?
Lesi sifo siyathelelana. Lokho kusho ukuthi singasithola endaweni ezungezile. Kodwa asidluliselwa ngqo kusuka komunye umuntu siye komunye. Kunezindlela ezintathu ngokuyinhloko lesi sidalwa se-Acanthamoeba esingangena ngazo emehlweni ethu.
1. Amalensi Okuxhumana
2. Amanzi angcolile
3. Ukulimala kwamehlo
Ukuxhumana phakathi kwama-contact lens nalesi sifo
Lokhu kuyinto ebaluleke kakhulu. Abantu abangu-90% abathola i-'Acanthamoeba Keratitis' basebenzisa amalensi okuxhumana! Kunezizathu eziningana zalokho.
- Ukugqoka ama-contact lens isikhathi eside kunesikhathi esinconyiwe .
- Ukusebenzisa amanzi ompompi lapho ugcina futhi uhlanza amalensi okuxhumana.
- Ukungahlanzi amalensi okuxhumana noma isikhwama sawo ngendlela efanele.
- Ukugeza nokubhukuda ngama-contact lens.
- Ukusebenzisa amakesi nezixazululo zamalensi okuxhumana angcolile.
Kubaluleke kakhulu: Ungalokothi usebenzise amanzi ompompi kunoma yini ehlobene nama-contact lens. Ngisho noma amanzi ompompi equkethe i-chlorine, ngeke anele ukubulala ama-cyst e-Acanthamoeba.
| Imbangela yokutheleleka | Incazelo |
|---|---|
| Amanzi angcolile | I-Acanthamoeba ingaphila kalula emanzini. Ingatholakala emanzini okuphuza ahlanzekile, emanzini asemabhodleleni, ngisho nasemanzini okubhukuda. Ngokuvamile, ayibangeli izinkinga uma ingena emehlweni akho. Kodwa-ke, uma ulimele esweni , ukutheleleka okunye, noma uma unesimiso somzimba esibuthakathaka, usengozini enkulu. |
| Ukulimala kwamehlo | I-cornea yeso ifana ne-windscreen yemoto. Uma iklwebheka, kulula ukuthi amagciwane angene. Ngisho nozipho, uzipho, iqabunga, noma ngisho nokungcola kungalimaza iso. |
Ungasithola kanjani lesi sifo?
Empeleni kunzima kancane ukuthola lesi sifo ezigabeni zokuqala. Cishe u-75% - 90% wesikhathi, odokotela ekuqaleni bacabanga ukuthi ukutheleleka okulula kwebhaktheriya noma igciwane. Kunezizathu eziningana zalokhu:
- Izimpawu zalesi sifo zifana kakhulu nezezifo zamehlo ezivamile.
- Ngenxa yokuthi lesi yisifo esingavamile, odokotela abasoli ngaso ekuqaleni.
- Ukuhlolwa kokuqinisekisa lesi sifo (ukuklwebheka kwe-cornea noma i-biopsy) kuyinkimbinkimbi kancane, futhi akuzona zonke izibhedlela ezinemishini edingekayo.
Uma ubona uchwepheshe wokunakekelwa kwamehlo, uzohlola amehlo akho. Bazokwenza ukuhlolwa kwesibani esiqhekekile ukuze babheke ngaphakathi kweso lakho. Bazobe sebebuza ngezimpawu zakho kanye nemisebenzi yakamuva ukuze bathole umbono wesimo.
Umkhuba ojwayelekile ukwelapha ukutheleleka ngamagciwane/igciwane kuqala. Uma lokho kwelashwa kungasizi, khona-ke kusolwa ukuthi `(AK)` bese kuqaliswa ukwelashwa ngalokho.
Yiziphi izindlela zokwelapha?
Kunemigomo emibili eyinhloko yokwelapha. Eyokuqala ukuqeda ukutheleleka, kanti enye ukunciphisa ubuhlungu nezinye izimpawu. Ekuqaleni, ukwelashwa kwenziwa ngemithi, futhi uma isifo sibi kakhulu, kungase kudingeke ukuhlinzwa.
Ukwelashwa okuyinhloko amaconsi okubulala amagciwane asetshenziswa endaweni. Lawa kufanele asetshenziswe njengoba nje udokotela eqondisile.
Kwezinye izimo ezinzima, ukuhlinzwa kungadingeka:
- Ukususwa kwesikhumba: Lokhu kungasusa izinto eziphilayo ze-Acanthamoeba ku-cornea futhi kwenze kube lula ukuthi imithi ingene.
- Ukufakelwa kwe-cornea: Ngezinye izikhathi i-cornea eyonakele kufanele isuswe ngokuphelele bese kufakelwa entsha.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ngaphandle kwalokho, ukutheleleka kungase kubuye. Izinto eziphilayo ezisesigabeni "se-cyst" zingaphinde zisebenze futhi zibangele izimpawu ngisho nangemva kwezinyanga.
Ungazivikela kanjani kulesi sifo?
Lesi yisifo esingavinjelwa kakhulu. Kufanele uqaphele kakhulu ngalezi zinto uma ugqoka ama-contact lens.
| Okufanele ukwenze | Okungafanele ukwenze |
|---|---|
| Sebenzisa izixazululo ezikhethekile kuphela ukugcina nokuhlanza amalensi okuxhumana. | Ungalokothi usebenzise amanzi ompompi, amanzi asemabhodleleni, noma amathe . |
| Hlanza ibhokisi lakho le-contact lens njalo bese usebenzisa elisha njalo ezinyangeni ezi-3. | Ungagezi, ubhukude, noma ugeze ngenkathi ugqoke ama-contact lens. |
| Gqoka amalensi okuxhumana kuphela isikhathi esinqunywe udokotela wakho. | Ungalali ebusuku ugqoke ama-contact lens (ngaphandle uma kugunyazwe udokotela wakho ngokuqondile). |
| Uma uhlaselwa yisifo samehlo, qiniseka ukuthi ususa ama-contact lens kanye nekesi obulisebenzisa. | Ungawushayi indiva ubuhlungu bamehlo, ukubomvu, noma ukubona okufiphele. |
Uma unezimpawu zokutheleleka kwamehlo izinsuku ezingaphezu kwezimbalwa, qiniseka ukuthi ubona udokotela. Uma uqala ukwelashwa ngokushesha, amathuba akho okuvikela amehlo akho ayanda.
Umlayezo Wokuya Nawe Ekhaya
- I-Acanthamoeba Keratitis (AK) ukutheleleka okungajwayelekile kodwa okungathi sína okungaholela ebumpumputheni.
- Lesi sifo sivame ukwenzeka kubantu abasebenzisa ama-contact lens ngendlela engafanele.
- Ungalokothi usebenzise amanzi ompompi ukugeza noma ukugcina amalensi okuxhumana.
- Yeka ngokuphelele ukugeza noma ukubhukuda ngenkathi ugqoke ama-contact lens.
- Uma unezinhlungu zamehlo ezingabekezeleleki, ukubomvu, ukuzwela ukukhanya, noma ukubona okufiphele, ungakushayi indiva bese ubona udokotela wakho ngokushesha. Ukwelashwa okusheshayo kungasindisa ukubona kwakho okuyigugu.
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