Ingabe amehlo akho abomvu futhi anamanzi? Lokhu kungaba yi-Canaliculitis!

Kungenzeka ukuthi wake wakuzwa ngezinye izikhathi, akunjalo? Ngokungazelelwe iso lakho liba bomvu, kuzwakale sengathi kukhona okunamathele ngaphakathi kweso lakho, bese izinyembezi zivele zigeleze. Ungase futhi ubone okuthile okufana noketshezi oluphuzi kuphuma esweni lakho. Kuvamile ukuzizwa ukhathazekile kancane lapho kwenzeka into efana nale. Kodwa ungakhathazeki, akuzona zonke lezi zimpawu okumele zibe zimbi kakhulu. Namuhla sizokhuluma ngesimo esingadala izimpawu ezifanayo, kodwa esingavamile kakhulu kithi, kodwa kubalulekile ukuqaphela. Leso yisimo esibizwa ngokuthi i-canaliculitis .

Kuyini i-Canaliculitis? Masiyiqonde kalula!

Kalula nje, i-canaliculitis ukuvuvukala, noma ukuvuvukala, kwemisele emincane ('canaliculi') emehlweni ethu ekhipha izinyembezi. Cabanga ukuthi iso ngalinye lethu linezimbobo ezine ezincane, ezimbili phezulu nezimbili phansi, ngaphakathi phakathi kweso nekhala. Lezi zimbobo yilapho izinyembezi zikhiqizwa khona ezindlaleni zezinyembezi, zimanzise iso, bese ziphuma ziye ekhaleni. Lawa amapayipi amancane, noma imisele, esiwabiza ngokuthi 'canaliculi'. Uma eyodwa noma ngaphezulu yalezi misele itheleleka noma ivinjiwe ngandlela thile, ingavuvukala, ibomvu, futhi ibe buhlungu. Yilokho esikubiza ngokuthi i-canaliculitis.

Uma lesi simo sivela, iso, ikakhulukazi ohlangothini lwekhala, liba bomvu bese liqala ukuphuma igazi ngenxa yobuhlungu.

Ubani onamathuba amaningi okuthola lesi simo? Sivame kangakanani?

I-Canaliculitis ingathinta noma ubani, kodwa ucwaningo luthole ukuthi abesifazane nabantu abaneminyaka engaphezu kwengu-40 banamathuba amancane okuba nayo.

Kodwa-ke, lesi akusona isimo esivamile kakhulu. I-Canaliculitis iphakathi kuka-2% no-4% wazo zonke izimo zesistimu ye-lacrimal. Ngakho-ke, akuyona into evame ukubonwa.

Ziyini izimpawu ze-canaliculitis?

I-Canaliculitis yenzeka lapho eyodwa noma zombili lezi zindlela ezincane zokudabuka (i-'canaliculus') zitheleleka noma zilimale ngandlela thile. Ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Uketshezi oluphuzi noma ukuphuma okufana nobomvu esweni: Lolu uphawu oluyinhloko. Iso lingase livalwe ekuseni, ikakhulukazi ngaphakathi kweso, ikakhulukazi ohlangothini lwekhala.
• Ubuhlungu bamehlo: Kungase kuzwakale sengathi kukhona okuhlabayo ngaphakathi kweso, noma kungase kuzwakale sengathi kusinda.
• Amaqhubu aqinile emigudwini yokudabuka: Ngezinye izikhathi, uma uwathinta ngesandla sakho, ungase uzwe iqhubu elincane eliqinile ngaphansi kweso eduze kwekhala.
• Ububomvu bamehlo: Ingaphakathi lamehlo (amakhala) lingase libe bomvu, ikakhulukazi.
• Ukuvuvukala komsele wokukhala izinyembezi (`punctum`): Lowo msele omncane wokukhala izinyembezi engikhulume ngawo ekuqaleni, ungase uvuvukele, ubomvu, futhi ubonakale uvuvukile kancane.
• Ukudabuka okuvamile (i-epiphora): Uma imigudu yokukhala izinyembezi ivaliwe, izinyembezi zimane ziphume emehlweni ngoba azikwazi ukuphuma kahle.
• Izinguquko kumbala wesikhumba ozungeze amajwabu amehlo: Ngezinye izikhathi, uma lesi simo siqhubeka, umbala wesikhumba ozungeze amajwabu amehlo ungashintsha kancane.

Okubalulekile: Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha.

Kungani kwenzeka i-canaliculitis? Ziyini izimbangela?

Ezimweni eziningi, imbangela eyinhloko yalesi simo ukutheleleka okubangelwa uhlobo oluthile lwebhaktheriya elibizwa ngokuthi `i-Actinomyces israelii` . Lena yimbangela evame kakhulu. Kodwa-ke, izimpawu ze-canaliculitis zingavela ngenxa yezinye izizathu ngaphandle kwaleli bhaktheriya. Isibonelo:

• Ukutheleleka ngesikhunta: Ezinye izinhlobo zesikhunta nazo zingangena kulezi ziteshi futhi zibangele ukutheleleka.
• Amanye amabhaktheriya: Ngaphandle kwe-Actinomyces Israeli, amanye amabhaktheriya nawo angabangela lokhu.
• Ukutheleleka ngegciwane: Amagciwane nawo awavamile ukubangela lesi simo.

Ngezinye izikhathi, kunezimbobo ezincane ze-silicone ezifakwa emgudwini wokukhala izinyembezi (`punctum`) ukwelapha amehlo omile, kodwa azihlali endaweni efanele futhi zingabhajwa emigudwini yokukhala izinyembezi (`canaliculi`), okubangela ukuvuvukala. Uma imbobo enjalo, noma yini encane, ibhajwa emgudwini wokukhala izinyembezi, kunethuba elikhulu lokutheleleka.

Ingabe lokhu kuzothinta umbono wami?

I-Canaliculitis ngokuvamile ayibangeli umonakalo ohlala njalo ekuboneni kwakho. Lokho kuyimpumuzo, akunjalo? Kodwa-ke, ukuvuvukala nokuqhekeka okuvamile okubangelwa yilesi simo kungathinta okwesikhashana umbono wakho. Kungase kuzwakale sengathi amehlo akho afiphele. Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho uzwa izimpawu.

Ingabe lesi simo singabangelwa ingozi yamehlo?

Yebo, ngezinye izikhathi uma kwenzeka okuthile esweni, okungukuthi, uma kukhona uhlobo oluthile lokulimala (`ukuhlukumezeka`) emigudwini yokudabuka (`canaliculi`), ukuvuvukala, okungukuthi, ukuvuvukala, kungenzeka lapho. Uma kukhona ukulimala okukhulu kwamehlo, umgudwi wokudabuka ungadabuka futhi. Ezimweni ezinjalo, odokotela abahlinzayo bamehlo benza ukuhlinzwa ukuze balungise lowo mgudwi odabuke (`ukusika kwe-canalicular`).

Ingabe iCanaliculitis iyathelelana?

Cha, lezi yizindaba ezinhle. I-Canaliculitis ayithelelani. Lokhu kusho ukuthi awukwazi ukuyidlulisela komunye umuntu.

Odokotela bakuthola kanjani ngokunembile i-canaliculitis?

Uma unalezi zimpawu, into yokuqala okufanele uyenze ukubona udokotela wamehlo. Uzohlola amehlo akho ngokucophelela. Bazokubuza ngezimpawu zakho. Bazobheka ukubomvu esweni lakho kanye nokuvuvukala kwe-punctum yakho engenhla (ebizwa ngokuthi i-pouting punctum). Udokotela angase futhi acindezele i-punctum yakho noma eduze kwemisele yakho yezinyembezi ukuze abone ukuthi kukhona yini uketshezi oluphumayo esweni lakho.

Yiziphi izivivinyo zokuxilonga?

Udokotela uzokwenza ukuhlolwa okuphelele kwezimpawu zakho kuqala (`ukuhlolwa kwezokwelapha`). Uzokubuza ngezimpawu zakho futhi acabangele ukuthi yiziphi ezinye izimo ezingabangela lezi zimpawu. Lokhu kubizwa ngokuthi 'ukuxilongwa okuhlukile'. Lokhu kungenxa yokuthi kunezinye izimo ezingabangela amehlo abomvu, abuhlungu kanye namehlo anamanzi. Isibonelo:

• I-Blepharitis (ukuvuvukala komphetho wejwabu leso)
• Isifo samehlo, okungukuthi, isifo samehlo abomvu (`i-Conjunctivitis` noma i-Pink eye)
• Amaqhubu amancane esweni (`Stye`)

I-Canaliculitis idinga ukuhlukaniswa kulezi zimo.

Ngezinye izikhathi, isampula yoketshezi oluvela esweni lakho ingathathwa futhi ihlolwe ngaphansi kwe-microscope ukuze kutholakale ukuthi kukhona yini ukutheleleka ngamagciwane.

Iphathwa kanjani i-Canaliculitis?

Ngokuvamile, lokhu kubangelwa ukutheleleka ngamagciwane, okungelashwa ngama -antibiotic . Udokotela wakho angakunika ama-antibiotic omlomo, ama-antibiotic cream, noma amaconsi amehlo e-antibiotic. Ngezinye izikhathi, amehlo akho angase aniselwe ngesisombululo sama-antibiotic.

Ingabe kukhona ukwelashwa okungenziwa ekhaya?

Yebo, kunezinto ezilula ongazenza ekhaya nge-canaliculitis. I-compress efudumele ingumqondo omuhle. Udokotela wakho angakutshela ukuthi ucwilise indwangu ehlanzekile emanzini afudumele bese uyibeka esweni lakho njalo. Lokhu kuzosiza ekunciphiseni ukuvuvukala. Bangase futhi batuse ukuhlikihla indawo njalo. Kodwa-ke, kufanele uhlale uthintana nodokotela wakho ngaphambi kokwenza noma yiziphi zalezi zinto.

Ingabe kuzodingeka ngihlinzwe?

I-Canaliculitis, eyaziwa nangokuthi i-acute canaliculitis, ivame ukwelashwa ngama-antibiotic, ama-compress afudumele, kanye nokuhlikihla. Kodwa-ke, uma lokhu kwelashwa kungasizi, udokotela wakho angenza ukuhlinzwa okuncane okubizwa ngokuthi i-canaliculotomy ukususa ukuvaleka kwemigudu yakho yokudabuka. Lokhu kuvame ukwenziwa ngaphandle kwesibhedlela, okusho ukuthi akudingeki uhlale esibhedlela.

Ngesikhathi sokuhlinzwa, udokotela angafaka ithubhu elincane (i-`stent`) ukusiza ukudabuka kuphume kahle. Ngezinye izikhathi ukusikwa kungashiywa kuvulekile kuze kube yilapho inxeba liphola, noma lingathungwa.

Sinjani isikhathi sokululama ngemva kokuhlinzwa?

Ngemva kokuhlinzwa kwe-canaliculotomy, kuzodingeka uthathe isikhathi ukuze uvumele inxeba liphole. Uma ubune-stent, imvamisa izosuswa ehhovisi likadokotela ngemva kwezinyanga ezimbalwa.

Ingabe i-canaliculitis ingabangela ezinye izinkinga?

I-Canaliculitis yisimo esingaba nzima ngezinye izikhathi ukusithola nokwelapha. Uma singelashwa ngokushesha, lesi simo singahlala isikhathi eside (`i-chronic canaliculitis`). Futhi, ngezinye izikhathi ukutheleleka kungaphinde kubuye. Abanye abantu abaye bahlinzwa banethuba elincane lokulimala.

Uma ngine-Canaliculitis, ngizinakekela kanjani?

Uma amehlo akho ezwa sengathi abomvu, avuvukile, noma anamanzi, bona udokotela ngokushesha. Landela imiyalelo kadokotela wakho ngqo. Yenza lokho abakutshela ukuthi ukwenze ekhaya ngqo. Thatha imithi yakho ngesikhathi.

Ngingayinciphisa kanjani ingozi yami yokuthola lesi simo?

Imbangela eyinhloko ye-canaliculitis ukutheleleka ngamagciwane. Ngakho-ke, nazi ezinye izinto ongazenza ukuze uzivikele ezifweni:

• Gwema ukuthinta amehlo akho njalo. Singaba namagciwane ezandleni zethu singaqapheli.
• Uma ugqoka ama-contact lens, wahlanze kahle bese uwashintsha ngesikhathi.
• Susa izimonyo zamehlo njalo ezinyangeni ezimbalwa. Uma uthola ukutheleleka kwamehlo, qiniseka ukuthi uyazisusa izimonyo ezisetshenzisiwe.
• Geza izandla zakho njalo futhi kahle. Lokhu kusiza ekuvimbeleni izifo eziningi.

Ngingazi kanjani ukuthi ngisengozini yokuthola i-canaliculitis?

I-Canaliculitis ingenzeka kunoma ubani. Kodwa-ke, uma wake wafaka ama-punctal plugs emigudwini yakho yokudabuka ukuze welaphe amehlo omile, ungase ube sengozini enkulu yokuba nalesi simo. Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu, njengokubomvu, ubuhlungu, noma ukudabuka, bheka udokotela ngokushesha.

Uma ngine-Canaliculitis, yini okufanele ngiyilindele?

I-Canaliculitis ingathatha isikhathi ukuphulukiswa, ngakho-ke yiba nesineke. Sebenzisa noma yimiphi imithi, okhilimu, kanye namaconsi amehlo udokotela wakho akunike wona njengoba nje eqondisiwe. Ungayeki ukwelashwa maphakathi.

Ingabe i-Canaliculitis ingelapheka ngokuphelele?

Yebo, i-canaliculitis iyisimo esingelapheka.Nokho, ukuze uthole imiphumela emihle kakhulu, kubalulekile ukuqala ukwelashwa kusenesikhathi. Ngakho-ke, uma unezimpawu, funa iseluleko sezokwelapha ngokushesha.

Kufanele ngiphinde ngimbone nini udokotela uma ngine-canaliculitis?

Uma uthola izimpawu ezintsha, noma uma izimpawu zakho zamanje zibonakala ziba zimbi kakhulu, shayela udokotela wakho ngokushesha.

Uma amehlo akho ebomvu futhi ebuhlungu, kungaba yinto eyesabekayo nengakhululekile. Ungase uzibuze ukuthi lokhu kuyisibonakaliso sento engathi sína. Ngakho-ke, kungcono ukukhuluma nodokotela. Ungase ube ne-canaliculitis. Lokhu ukuvuvukala okubangelwa ukutheleleka noma ukuvaleka kwamapayipi amancane athwala izinyembezi emehlweni ethu ziye ekhaleni lethu. Udokotela wakho angase akunikeze ama-antibiotic ukwelapha ukutheleleka, kanye nokuncoma izindlela zasekhaya zokunciphisa ubuhlungu nokuvuvukala.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

• I-Canaliculitis ukuvuvukala kwemigudu yokudonsa izinyembezi esweni.
• Izimpawu eziyinhloko ukubomvu, ubuhlungu, ukuphuma koketshezi emehlweni, kanye nokudabuka njalo.
• Lesi akusona isifo esithathelwanayo, kodwa sidinga usizo lwezokwelapha ngokushesha.
• Esikhathini esiningi, ingelapheka ngama-antibiotic. Ngezinye izikhathi, kungase kudingeke ukuhlinzwa okuncane.
• Uma uhlangabezana nanoma yiziphi izimpawu zamehlo, ikakhulukazi ukubomvu nobuhlungu, bheka udokotela wamehlo ngokushesha. Ungaziphilisi.

Amehlo akho ayigugu kakhulu, ngakho-ke wanakekele kahle!

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I- Canaliculitis, izifo zamehlo, ukuvuvukala kwemigudu yokudonsa amehlo, izifo zamehlo, ukubomvu kwamehlo, ukuvuvukala kwamehlo, impilo yamehlo