Ingabe amehlo akho avuvukele? Ake sixoxe nge-Corneal Edema!

Wake wavuka ekuseni wazizwa sengathi amehlo akho afiphele futhi unomuzwa wokuthi kukhona okuthile ngaphakathi kuwo? Noma ubona indandatho ezungeze amehlo akho uma ubheka izibani? Mhlawumbe amehlo akho ayabuhlungu futhi ukuthola kunzima ukubuka ukukhanya. Lezi akuzona nje izimpawu, kungaba izimpawu zesimo esibizwa ngokuthi i-Corneal Edema , okuwukuvuvukala kwe-cornea yeso lakho. Ungakhathazeki, sizoxoxa ngalokhu ngokuningiliziwe .

Kuyini i-Corneal Edema?

Kalula nje, i-cornea edema ukuvuvukala kwe-cornea yeso lakho. I-cornea yingxenye yeso eyindilinga, efana nengilazi, ecacile ngaphambili. Ifana nelensi yekhamera. Kubalulekile ukuthi le cornea ibe nempilo enhle ukuze sikwazi ukubona kahle.

Ngakho-ke, ukuvuvukala kwenzeka lapho uketshezi luqoqana ngaphakathi kwalesi sikhwama. Kungaba nezizathu eziningi zalokhu. Kungenzeka uma iso lilimele noma linegciwane. Kungenzeka futhi ngemva kokuhlinzwa kwamehlo, njengokuhlinzwa kwe-cataract . Ngezinye izikhathi, ukuvuvukala kwe-cornea nakho kungenzeka ngenxa yezimo zofuzo.

Lokhu kuthinta kanjani amehlo?

Ulwelwesi lwangaphakathi lwezinhlayiya zethu zamehlo luwungqimba lwamaseli abizwa ngokuthi i-endothelium . Umsebenzi oyinhloko wala maseli endothelial ukususa uketshezi oluningi enhlayiyeni yamehlo nokugcina izinga lomswakama walo. Lawa maseli asebenza njengephampu encane.

Ngakho-ke, uma kukhona umonakalo kula maseli e-endothelial , leyo nqubo yokupompa ayisebenzi kahle. Bese uketshezi oludinga ukuphuma emthanjeni lubhajwa lapho, bese umthambo uqala ukuvuvukala.

Uma une-cornea edema, ungase uqhume noma uqhume ngisho nezicubu ezisesweni lakho ezibizwa ngokuthi i-Descemet's membrane . Lolu hlaka luyingxenye ebaluleke kakhulu yesakhiwo seso lakho esiza ukuligcina licacile.

Ziyini izimpawu zalokhu?

Uma une-cornea edema, ukuvuvukala kwe-cornea, ezinye zezimpawu zingase zibe zimbi kakhulu ekuseni. Lokhu kungenxa yokuthi lapho silele, amehlo ethu avaliwe, ngakho-ke uketshezi luyanqwabelana ngaphakathi kweso esikhundleni sokuphuma. Hlola ukuthi unalezi zimpawu:

• Ukuzwa ubuhlungu noma ukungakhululeki esweni , njengokungathi kukhona into encane enamathele ngaphakathi esweni.
• Umbono ofiphele.
• Ubunzima bokubheka ukukhanya (Photophobia). Abanye abantu bazizwa lokhu kakhulu, njengokungathi ukukhanya kukhanya emehlweni abo.
• Ukubona ama-halo azungeze izibani.
• Akuvamile ukuthi kube nama-blister .
• I-edema ye-corneal microcystic yisimo lapho ukuvuvukala kuhambisana nokwakheka kwama-blister amancane kakhulu.

Into ebaluleke kakhulu ukuthi uma unezinye zalezi zimpawu, ungazinaki futhi ubone udokotela wamehlo ngokushesha.

Kungani kwenzeka i-edema ye-cornea?

Izimbangela eziyinhloko zokuvuvukala kwe-cornea ngokuvamile ukulimala kwamaseli e-endothelial esikhulume ngawo ngaphambili, ukulimala kwamehlo, kanye nezimo zokuvuvukala. Kodwa-ke, ngezinye izikhathi ngisho nodokotela abakwazi ukuthola imbangela eqondile. Ezimweni ezinjalo, kubizwa ngokuthi i-idiopathic corneal edema .

Ngenxa yokulimala kwamehlo nokuhlinzwa

• Ukulimala kwamehlo: Cabanga uma ushaywa yibhola esweni ngenkathi udlala ikhilikithi, noma uma ushaywa yiso engozini yemoto ngenkathi uhamba, ngesikhathi sokulwa, noma uma ikhemikhali ingena esweni lakho ngenkathi usebenza efektri. Lokhu kulimala kungaba ngesimo sokuklwebheka, ukufaka okuthile esweni lakho, noma ukusha.
• Ukuhlinzwa Kwamehlo: Kuvamile ukuzwa ukuvuvukala ngemva kokuhlinzwa kwamehlo okuningi. Lokhu kuvuvukala kuvame ukuphela phakathi namasonto ambalwa. Kodwa-ke, kwabanye abantu, ikakhulukazi labo abanezinkinga zamehlo ezikhona kakade, lokhu kuvuvukala kungaba unomphela.

Ngenxa yezifo zamehlo

Ezinye izifo zamehlo zingabangela nokuthi uketshezi luqoqeke ku-cornea, okubangela ukuvuvukala kwe-cornea.

• I-Iritis: Lokhu ukuvuvukala kwe-iris yeso.
• I-Keratitis: Lokhu ukuvuvukala okwenzeka ku-cornea.
• I-Fuchs' dystrophy: Lesi yisimo esizuzwa njengefa. Kulesi simo, amangqamuzana e-endothelial esweni awakwazi ukususa uketshezi esweni. Lokhu kungabangela ukuvuvukala nokuqhakaza.
• I-Glaucoma: Lesi simo silimaza i-optic nerve esweni. Lokhu kungabangela ukucindezeleka okukhulu ngaphakathi kweso, okubangela ukuvuvukala.

Yiziphi ezinye izizathu?

Kunezinye izizathu ezithinta lesi simo.

• Ukusetshenziswa kwemithi ethile.
• Ukugqoka ama-contact lens aqine kakhulu esweni. Kubaluleke kakhulu ukusebenzisa ama-contact lens afanelana kahle namehlo akho, uwahlanze bese uwasebenzisa isikhathi esinqunyiwe.
• Izifo.

Ukuthola kanjani lokhu?

Ukuze wazi ngokuqinisekile ukuthi uneso elivuvukele, udinga ukubona uchwepheshe wamehlo. Uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa kwamehlo okuphelele futhi bahlole iso lakho ngokucophelela besebenzisa imishini ekhethekile.

Udokotela angase futhi enze isivivinyo sokulinganisa ubukhulu be-cornea yakho, okubizwa ngokuthi i-pachymetry . Angase futhi enze i-ultrasound ukuhlola amehlo akho.

Olunye uvivinyo olungenziwa yiloluI-Optical Coherence Tomography yengxenye engaphambili. Lokhu ukuhlolwa okungahlaseli, okungenabuhlungu okusebenzisa ukukhanya ukuhlola impilo yeso lakho.

Yiziphi izindlela zokwelapha?

Udokotela uzokwelapha ukuvuvuka kwe-cornea kanye nanoma yiziphi izimo zezokwelapha ezingase zibangele noma zibe nomthelela kukho. Kwezinye izimo ezincane, ukuvuvuka kwe-cornea kungaphela ngokwako.

Ukwelashwa okungadingi ukuhlinzwa

Udokotela wakho angase akunike eminye imithi, njengemithi yokwelapha noma amaphilisi noma imijovo.

• Ama-antibiotic okutheleleka.
• Ama-Corticosteroids okuvuvukala.
• Izixazululo ze-hypertonic zokunciphisa okuqukethwe koketshezi lweso. Lezi zingafika njengamaconsi eso.
• Uma ingcindezi esweni iphezulu ngenxa ye-glaucoma, kunikezwa imithi yokunciphisa ingcindezi.
• Uma kukhona amabhamuza, amalensi okuxhumana akhethekile angagqokwa ukuze kuncishiswe ukungakhululeki okubangelwa yiwo.

Ukwelashwa ngokuhlinzwa

Kwezinye izimo ezinzima, ikakhulukazi uma kunezibazi ezinkulu, kungase kudingeke ukuhlinzwa.

• Ukufakelwa kwe-cornea kuwukuhlinzwa kokufakelwa i-cornea entsha. Lokhu kungaba yi-cornea yonke noma ingxenye yayo.
• Uma ingcindezi esweni iphezulu ngenxa ye-glaucoma, kwenziwa ukuhlinzwa ukuze kuyinciphise.

Ikusasa lizoba njani kulesi simo?

Ezimweni eziningi, uma isimo sokuvuvuka kwe-cornea kanye nezimo zezokwelapha ezibangela lokhu kwelashwa ngendlela efanele, isibikezelo ngokuvamile silungile . Lokhu kusho ukuthi kunethuba elihle lokululama.

Ungazivikela kanjani kulokhu?

Kunezinto eziningana ongazenza ukuze uzivikele ekuvuvukeni kwe-cornea.

• Nakekela amehlo akho. Gqoka izibuko zokuzivikela lapho usebenza noma udlala imidlalo. Isibonelo, gqoka isigqoko sokuzivikela lapho ugibela isithuthuthu noma ibhayisikili, futhi ugqoke izibuko zokuphepha lapho wenza umsebenzi ofana nokushisela.
• Thola ukuhlolwa kwamehlo njalo njengoba kunconywe udokotela wakho. Ngaleyo ndlela, uma kunenkinga, ingatholakala kusenesikhathi.
• Lawula ezinye izimo zempilo, ikakhulukazi uma unezimo ezingabangela ukuvuvukala kwe-cornea (isib. isifo sikashukela, umfutho wegazi ophakeme).
• Uma ugqoka ama-contact lens, landela imiyalelo kadokotela wakho ngokucophelela mayelana nendlela yokuwahlanza nokuthi uwagqoka isikhathi esingakanani.

Kufanele ubonane nini nodokotela?

Uma unezimpawu ezithinta umbono wakho, noma ezibangela ubuhlungu noma ukungakhululeki emehlweni akho, qiniseka ukuthi ubona udokotela.

Uma usuvele unesifo samehlo, landela imiyalelo kadokotela wakho ngokucophelela mayelana nokuthi kufanele ubonane kangaki nodokotela wakho nokuthi ungayisebenzisa kanjani imithi yakho.

Khumbula, i-Corneal Edema yisimo samehlo esibi kakhulu. Uma amehlo akho ebuhlungu, noma uma uke wahlinzwa amehlo, bona udokotela wakho wamehlo ngokushesha. Ungase ube nesinye isimo esidinga ukwelashwa. Ukufuna usizo lwezokwelapha kusenesikhathi kuyindlela engcono kakhulu yokuthola imiphumela emihle kakhulu. Ukubona kwakho kubaluleke kakhulu kuwe kanye nethimba lezokwelapha elikwelaphayo.

Umyalezo oya nawo ekhaya

I-Corneal Edema ukuvuvukala kwe-cornea yeso. Kungabangela ubuhlungu bamehlo, ukungakhululeki, nezinkinga zokubona. Kungabangelwa ukulimala kwamehlo, izifo, ukuhlinzwa, izifo ezithile zamehlo, kanye nezimo zofuzo. Uma unezimpawu, ikakhulukazi uma umbono wakho ungacacile ekuseni futhi unenkinga yokubona ekukhanyeni, bheka udokotela wamehlo ngokushesha. Lesi simo singalawulwa ngezinga elikhulu ngokwelashwa okufanele. Ngakho-ke, ungesabi futhi ungalibali ukufuna iseluleko sezokwelapha. Kungumthwalo wakho wemfanelo ukuvikela amehlo akho!

Ukuvuvuka kwe - corneal, ukuvuvuka kwe-corneal, izifo zamehlo, ukubona okufiphele, impilo yamehlo, i-endothelium, i-Fuchs' dystrophy