Ingabe amehlo akho avele azizwe sengathi ayasha? Ake sixoxe ngokusha kwe-Corneal Flash!

Wake waya esitolo sokushisela noma ogwini lolwandle ngosuku olushisayo futhi amehlo akho abe bomvu, enamanzi, futhi ezwa sengathi isihlabathi singene emehlweni akho? Kungenzeka ukuthi uke waba nokusha kwe-cornea. Ungakhathazeki, ake sixoxe ngakho ngokuningiliziwe.

Kalula nje, ukusha kwe-cornea kuwukulimala kwe-cornea yamehlo akho, okufana nokusha kwelanga. I-cornea iyi-membrane evikelayo ecacile, encane, efana nebhola ngaphambili kweso emboza umfundi kanye nengxenye enemibala ngaphakathi (iris). Ngakho-ke, uma amehlo akho engavikelekile kahle, kunethuba elikhulu lokulimala kwe-cornea. Ngokuvamile, lokhu kusha kuthinta womabili amehlo ngesikhathi esisodwa.

Yiziphi izinhlobo zokusha kwe-cornea flash?

Kunezinhlobo ezimbili zokusha ikakhulukazi:

1. Ukusha okubangelwa imisebe ye-ultraviolet (UV): Imisebe ye-UV uhlobo lokukhanya esingenakukubona. Lokhu kufana nokusha kwesikhumba okwenzeka uma uphuma elangeni ngaphandle kwezibuko zelanga. Odokotela babiza lokhu ngokuthi i-UV photokeratitis . Kunemithombo eminingana yokwenziwa yemisebe ye-UV esihlangana nayo ekuphileni kwethu kwansuku zonke.

2. Ukusha okushisa: Lokhu ukusha okubangelwa ukushisa. Lokhu kusha kungenzeka uma iso livezwa ukushisa okungazelelwe isikhathi esifushane. Ukusha kungaba kubi kakhulu njengoba ukushisa kwanda, noma njengoba usondela ekushiseni.

Lesi simo empeleni sivame kakhulu. Ukusha okubangelwa ukushisa yikona okuvame kakhulu. Kodwa-ke, eminye yemisebenzi oyenzayo noma izindawo okuzo ingandisa nengozi yakho yokuthola ukusha ngenxa yemisebe ye-UV.

Ziyini izimpawu zalokhu?

Kungakhathaliseki ukuthi uhlobo luni lokusha kwe-cornea, izimpawu ziyafana kakhulu. Ziyi:

• Ubuhlungu bamehlo: Lokhu kungaba nzima ukubekezelela ngezinye izikhathi.
• Ukwesaba ukukhanya: Kufana nokungakwazi ukubuka ukukhanya.
• Izinyembezi ziphuma emehlweni (Epiphora): Izinyembezi ziphuma nje.
• Ukubona okunciphile noma okufiphele.
• Ukuvuvukala komhlophe weso (i-Chemosis).
• Ukuqhaqhazela njalo kwamehlo, njengokungathi kuyacwayiza (i-Blepharospasm).
• Umuzwa oshisayo emehlweni.

Kodwa khumbula, uma ukusha kubangelwa imisebe ye-UV, kungathatha noma yikuphi kusukela kusigamu sehora kuya emahoreni ayi-12 ukuthi izimpawu zivele.

Lokhu kusha kwenzeka kanjani?

Izimbangela zingase zihluke kuye ngokuthi lokhu kusha kubangelwa imisebe ye-UV noma umthombo wokushisa.

Ngenxa yemisebe ye-UV (ukusha kwe-UV flash)

• Ukukhanya kwelanga okubonakalayo: Lokhu kuyimbangela enkulu.
• Ezindaweni ezineqhwa neqhwa: Ukukhanya okuningi okuwela eqhweni naseqhweni kubonakala emuva. Lokhu kubizwa nangokuthi "ubumpumputhe beqhwa". (Nakuba lokhu kungavamile kithi eSri Lanka, kuhle ukukuqaphela).
• Eduze kwamanzi amakhulu: Ezindaweni ezinjengolwandle namachibi amakhulu, ukukhanya okuningi kukhanya ebusweni bamanzi. Uma uchitha isikhathi esiningi ezindaweni ezinjalo, ikakhulukazi ogwini lolwandle, ngaphandle kokuvikelwa kwamehlo, usengozini. Cabanga nje, uma uya ogwini lolwandle nabangani bakho futhi udlala usuku lonke ngaphandle kwezibuko zelanga, amehlo akho angase abe bomvu futhi abe buhlungu uma ubuya ekhaya kusihlwa.

• Imithombo ye-UV yokwenziwa:
• Ithoshi lokushisela: Lokhu kungenzeka ikakhulukazi lapho kushiselwa nge-arc. Abanye abantu babiza lesi simo ngokuthi 'iso lomshiseli' noma 'iso le-arc'. Yingakho kuthiwa akubheki ngqo ekukhanyeni lapho kushiselwa.
• Imibhede yokushiswa kwesikhumba: Lawa amadivayisi akhipha imisebe ye-UV esetshenziselwa ukushintsha umbala wesikhumba (ukushiswa kwesikhumba). Uma ungawambozi amehlo akho, lokhu kungashisa i-cornea yakho. (Kodwa khumbula, ochwepheshe bathi ukusebenzisa imibhede yokushiswa kwesikhumba akukuhle kakhulu empilweni yakho.)
• Amadivayisi okubulala amagciwane e-UV: Nakuba lawa angabulala amagciwane, angashisa amehlo akho uma esetshenziswa ngendlela engafanele.
• Ama-halogen light ane-voltage ephezulu angasebenzi kahle: Uma lawa ma-bulb, asetshenziswa ezindaweni ezifana namahholo amakhulu nezinkundla zemidlalo, eqhuma, angabangela ukulimala kwamehlo noma ungekho eduze.

Ngenxa yokushisa (Ukusha kwe-Thermal flash)

Lokhu kungabangelwa imililo engazelelwe noma ngisho nokuqhuma okuncane. Cabanga ngezinto ezinjengalezi:

• Iziqhumane: Ngisho neziqhumane ezincane zingadala lokhu uma zisetshenziswa ngendlela engafanele. Udinga ukuqaphela kakhulu lapho ukhanyisa iziqhumane ezinjalo ngesikhathi soNyaka Omusha kanye nezikhathi zeVesak. Ngezinye izikhathi, noma ngabe isiqhumane sisondela kakhulu emehlweni akho, ukushisa kungashisa i-cornea yakho.
• Izinto ezivuthayo neziqhumayo: Uphethiloli, izinto ezincane, kanye ne-parafini kungavutha noma kuqhume uma kushiywa eduze kwezinhlansi noma amalangabi avulekile. Uma useduze kakhulu nomlilo noma uma kwenzeka ukuqhuma, amehlo akho angasha.
• Ukusetshenziswa kabi noma izingozi zamagesi aqhumayo: Uma usebenzisa isitofu segesi, ngezinye izikhathi uma igesi ivuza futhi iqoqana, ingasha futhi iqhume. Uma kwenzeka umlilo ngokuzumayo eduze kwesitofu segesi ngenkathi ulima ingadi, ukushisa nakho kungabangela ukusha kanje. Ngisho nomoya-mpilo wezokwelapha (i-Medical Oxygen) unale ngozi uma usetshenziswa ngamanani aphezulu.

Yiziphi izinkinga ezingabangelwa yilokhu?

Lokhu kusha kwe-cornea kungaholela kalula ekuthelelekeni emehlweni akho. Lesi simo singaba sibi kakhulu futhi siholele ezintweni ezifana nokuguguleka kwe-cornea okuphindaphindiwe. Kodwa ungakhathazeki, lezi zinkinga zivame ukwelashwa futhi zelapheke.

Njengokushiswa yilanga ngaso sonke isikhathi, umdlavuza wesikhumbaNjengoba nje kwandisa ingozi yokuthola i-melanoma, ukuchayeka isikhathi eside emisebeni ye-UV kungalimaza namehlo. Lokhu kungandisa ingozi yokuthola i-conjunctival melanoma noma ezinye izimo.

Udokotela ukubona kanjani lokhu?

Udokotela, ngokuvamile udokotela wegumbi lezimo eziphuthumayo noma udokotela wamehlo, uzokuhlola lokhu ngokuhlola amehlo akho, akubuze imibuzo mayelana nezimpawu zakho, imisebenzi yamuva nje (njengokushisela noma ukuchayeka elangeni elinamandla), kanye nokwenza izivivinyo ezimbalwa ezilula.

Ngokuvamile, abantu abashiswe ukushisa bazoba nokushiswa ezinkopheni zabo nasezindaweni ezizungezile ubuso babo. Lokhu kwenza kube lula ukukubona.

Yiziphi izivivinyo ezenziwayo ngalokhu?

Kusetshenziswa izivivinyo ezimbili eziyinhloko kulokhu:

1. Ukupenda nge-fluorescein: Kulokhu, kufakwa udayi okhethekile okhanya ngaphansi kokukhanya okuluhlaza okwesibhakabhaka esweni. Lokhu kuvumela izindawo ezonakele ze-cornea ukuba zibonakale kahle.

2. Ukuhlolwa kwesibani esiqhekekile: Lokhu kuhilela ukuhlola ubuso beso ngokuningiliziwe kusetshenziswa ilensi yokukhulisa nokukhanya.

Iyini indlela yokwelapha lokhu?

I-cornea inekhono elimangalisayo lokuziphulukisa ngokushesha, ngakho-ke ukwelashwa okuningi kuhloselwe ukusiza i-cornea ukuthi iphole, ukunciphisa ezinye izimpawu, nokuvimbela izinkinga.

Lokhu okulandelayo kungenziwa njengokwelashwa:

• Ukulawulwa Kobuhlungu: Ngenxa yokuthi lokhu kusha kungaba buhlungu kakhulu, udokotela wakho angase akunike umuthi wokubulala izinzwa ukuze kunciphe indawo. Uma ukusha sekuphelile, ama-painkiller omlomo, njenge -NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) , anganikezwa ukulawula ubuhlungu. Ekushiseni okukhulu, ama-painkiller anamandla, njenge -opioid, nawo anganikezwa ekuqaleni.
• Ama-antibiotic: I-cornea iyisithiyo esivikelayo esivimbela amagciwane ukuthi angangeni. Uma ushile, amagciwane angangena kalula esweni. Ngakho-ke, kubaluleke kakhulu ukusebenzisa amaconsi noma amafutha asetshenziswa esweni ukuze uvimbele ukutheleleka.
• I-eye patch: Ngezinye izikhathi ungase ucelwe ukuthi ugqoke i-eye patch ukuze uvikele amehlo akho. Kodwa-ke, lokhu akudingeki ngaso sonke isikhathi. Udokotela wakho uzokweluleka ngalokhu kuye ngokuthi ukulimala kwakho kubucayi kangakanani.

Uzizwa kanjani ngemva kokwelashwa? Kuthatha isikhathi esingakanani ukululama?

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Uma ufaka umuthi wokwenza kube nezinzwa esweni lakho, ubuhlungu buzophela ngemizuzu embalwa. Kodwa-ke, uma umuzwa wokucasuka usuphelile, ungase uzizwe ungakhululekile futhi. Kodwa ungakhathazeki, udokotela wakho uzokufundisa ukuthi ungasebenzisa kanjani imithi yobuhlungu (njenge-NSAID) ukulawula ubuhlungu. Futhi, njengoba i-cornea iphola ngokushesha kakhulu, ubuhlungu buzoncipha kakhulu ngisho nangemva kokuba umuthi wokwenza kube nezinzwa usuphelile.

Yini ongayilindela uma ushiswa yi-cornea?

Nakuba lokhu kubuhlungu, kuphola ngokushesha. Izimpawu ezifana nokungaboni kahle, amehlo anamanzi, kanye nobuhlungu lapho ubheka ukukhanya kungaba okwesikhashana. Lokhu kuzonyamalala kancane kancane njengoba i-cornea iphola.

Lesi simo sizohlala isikhathi esingakanani?

Ngenhlanhla, i-cornea yakho ingaphola ngokushesha okukhulu. Lokhu kusha kuvame ukuphola ngokuphelele zingakapheli izinsuku ezintathu (amahora angu-72) . Iningi labantu lithola ukuthuthuka okukhulu zingakapheli izinsuku zokuqala noma ezimbili.

Iyini ikusasa lalesi simo?

Nakuba kubuhlungu, uma kwelashwa ngokushesha, kungaholela ekululameni okuphelele. Izinkinga ezifana nokutheleleka kanye nokuhuzuka kwe-cornea zingavela, kodwa azivamile futhi zisabela kahle ekwelashweni. Uma uneminye imibuzo mayelana nesimo sakho, kungcono ukubonisana nodokotela wakho wamehlo.

Ingabe lokhu kungavinjelwa?

Yebo, impela! Lokhu kuyinto engavinjelwa kalula. Amathuba okwenza izingozi ezingacabangeki aphansi kakhulu. Uma ulandela lezi zinyathelo ezilula, ungagwema le ngozi ngezinga elikhulu:

• Gqoka izibuko zelanga ezivimba i-UV: Lokhu kubaluleke kakhulu uma usezindaweni lapho ilanga likhanya khona kakhulu (amabhishi, izindawo ezinkulu zamanzi). Lokhu kubalulekile uma usebenza ngemithombo yokukhanya kwe-UV, njengokushisela, noma uma usebenzisa imibhede yokushisisa (yize ochwepheshe bethi ukusebenzisa imibhede yokushisisa akuphephile nhlobo).
• Gqoka izibuko zokuphepha noma izibuko ezingashisi: Lokhu kungasiza ekuvikeleni amehlo akho uma useduze nezinto ezivuthayo noma amalangabi avulekile.
• Sebenzisa izinto ezivuthayo ngokuqapha: Sebenzisa kuphela izinto ezenzelwe ukukhanyisa, futhi noma kunjalo, qaphela. Ungalokothi usebenzise uphethiloli ukukhanyisa. Futhi, khumbula ukuthi amagama athi "okuvuthayo" kanye "nokuvutha" womabili asho "okuvuthayo." Uma into ingavuthi, kufanele ibhalwe ngokuthi "okungavuthi."
• Qaphela kakhulu lapho usebenzisa iziqhumane: Nakuba zingase zibonakale zijabulisa, khumbula ukuthi iziqhumane ziyingozi. Ungavumeli izingane ezincane zikhanyise iziqhumane zodwa. Ezinye iziqhumane azifaneleki ezinganeni, ngisho noma ziqashwe abantu abadala.

Uma ngishiswa yi-cornea, yini okufanele ngiyenze?

Uma ucabanga ukuthi unesifo sokusha kwe-cornea, noma uma usola ngisho nokuncane ukuthi unesifo, ungalibali ukufuna iseluleko sezokwelapha. Izimpawu zokusha okunye okubangelwa imisebe ye-UV zingathatha amahora amaningi ukuvela. Ukwelashwa okusheshayo kungasiza ekulawuleni izimpawu ezikhona futhi kuvimbele isimo ukuba singabi sibi kakhulu.

Noma yikuphi ukusha kokushisa ebusweni noma eduze kwamehlo kudinga usizo lwezokwelapha ngokushesha. Ungazami ukuzelapha wena, noma ukukuhlehlise. Ukwenza kanjalo kungenza ubuhlungu bube bubi kakhulu, kuholele ekuthelelekeni, futhi kubangele ezinye izinkinga esikhathini esizayo.

Uma udokotela wakho ekunike ama-antibiotic, wathathe njengoba nje uqondisiwe. Ungayeki ukuwathatha uma uzizwa ungcono. Ukuthatha imithi isikhathi esiphelele esinqunyiwe kuyindlela engcono kakhulu yokuvimbela ukuphindaphinda kokutheleleka kanye nokukhula kwezifo ezingamelani nama-antibiotic.

Kufanele ngimbone nini udokotela? Kufanele ngiye nini egumbini lezimo eziphuthumayo?

Ngemva kokuxilongwa okokuqala egumbini lezimo eziphuthumayo, uzothunyelwa kudokotela wamehlo . Bonana nodokotela ngokushesha okukhulu. Ungase ucelwe ukuthi ubuye izikhathi ezimbalwa ukuze ubone ukuthi amehlo akho aphola kanjani futhi uhlole noma yiziphi ezinye izinkinga. Kubaluleke kakhulu ukuya kudokotela njengoba kuqondiswe.

Ngemva kokwelashwa, abantu abaningi ngeke baphinde badinge ukunakekelwa okuphuthumayo. Kodwa uma ubuhlungu bakho bubonakala buba bubi kakhulu noma umbono wakho ubonakala uba mubi kakhulu, hamba uye ekamelweni lezimo eziphuthumayo ngokushesha.

Kuye ngesimo sakho, kungase kube nezinye izizathu ezidinga ukwelashwa okuphuthumayo. Udokotela wakho wamehlo uzochaza ukuthi ziyini lezi zimpawu nokuthi yiziphi izimpawu okufanele uziqaphele.

Okokugcina, izinto okufanele uzikhumbule

Ukusha kwe-Corneal Flash kuyisimo esibuhlungu kodwa esingelapheka. Uma ucabanga ukuthi unalesi simo, into engcono kakhulu ongayenza ukufuna usizo lwezokwelapha ngokushesha okukhulu. Ungalindi nje. Ukwenza kanjalo kungaholela ekuthelelekeni nakwezinye izinkinga. Ngenhlanhla, i-cornea iyingxenye yomzimba wethu ephulukisa ngokushesha. Uma uthola ukwelashwa ngokushesha futhi ulandela imiyalelo kadokotela wakho, kufanele uzizwe ungcono ezinsukwini ezimbili kuya kwezintathu (noma ngisho nangaphambi kwalokho).

Ukusha kwe - cornea, ukusha kwamehlo, i-photokeratitis, imisebe ye-UV, ukusha okushisa, ubuhlungu bamehlo, ukushisela iso