Cabanga uvuka ekuseni ngolunye usuku uthole elinye lamehlo akho libomvu, livuvukele, futhi ngokuzumayo lingakwazi ukubona kahle. Noma mhlawumbe, ubona ibala elimhlophe elimnyama livela endaweni engabonakali ngaphakathi kweso lakho. Lokhu okuhlangenwe nakho kuyathusa futhi kuyakhathaza ngokuqondakalayo. Namuhla, sizokhuluma ngesimo esingabangela lezi zimpawu: Ama-Corneal Hydrops . Sicela ungesabi; sizokuchaza lokhu ngamagama alula nacacile ukukusiza uqonde ukuthi kungenzeka ukuthi kwenzekani.
Kuyini i-Corneal Hydrops, futhi kungani kwenzeka?
Kalula nje, i-Corneal Hydrops yenzeka lapho i-cornea yakho—isakhiwo esicacile, esifana nengilazi yewashi esimboza ingaphambili leso lakho—ivuvukala uketshezi, njengebhaluni eligcwele amanzi.
Ukuze siqonde ukuthi kungani lokhu kwenzeka, kufanele sibheke isakhiwo se-cornea. Inezingqimba eziningana, futhi ungqimba olungaphakathi luyi-membrane ethambile kakhulu, encane ebizwa ngokuthi i-Descemet's membrane . Uma kuvela ukudabuka okuncane noma ukuqhekeka kulolu ngqimba, uketshezi oluvela ngaphakathi kweso lakho (i-aqueous humor) luvuza lungene ongqimbeni oluphakathi lwe-cornea, olwaziwa ngokuthi i -stroma . Cabanga ngakho njengesiponji esimunca amanzi; i-stroma iyacwiliswa, okubangela ukuba i-cornea ivuvuke futhi igubungele. Yilokhu esikubiza ngokuthi i-Corneal Hydrops.
Ngaphezu kwalokhu kuvuvukala, ungase uzwe ukuvuvukala, ukubomvu, kanye nobuhlungu. Ngenxa yokunqwabelana koketshezi, ungase ubone ibala elimhlophe njengobisi esweni lakho, futhi umbono wakho ungase ufiphale noma ungabonakali ngokuzumayo .
I-Corneal Hydrops ivame ukwenzeka ngokuzumayo. Ungase ulale uzizwa uphilile bese uvuka nokuvuvukala okukhulu kanye nezinguquko ezibonakalayo. Yingakho odokotela besebenzisa igama elithi acute ukuchaza lesi simo, bevame ukubhekisela kulesi simo ngokuthi i-Acute Corneal Hydrops .
Lesi simo sivame ukuvela njengenkinga kubantu asebevele benezimo ezishintsha ukuma kwe-cornea, ezaziwa ngokuthi i-corneal ectasias , njenge- Keratoconus .
Nakuba i-Corneal Hydrops ngezinye izikhathi ingazixazulula yodwa, akumelwe neze wenze izinqumo zezokwelapha wedwa . Uma uhlangabezana nalezi zimpawu, sicela uxhumane nodokotela wamehlo ngokushesha. Yibo kuphela abangakwazi ukubona ngokunembile ukuthi ngabe yi-Corneal Hydrops noma esinye isimo futhi banqume uhlelo lokwelashwa olungcono kakhulu kuwe.
Ivame kangakanani i-Corneal Hydrops?
Ucwaningo lusikisela ukuthi abantu abangu-0.2% kuya ku-2.8% abaneKeratoconus bangase babe neCorneal Hydrops. Nakuba kungesona isimo esivamile kakhulu, kuyisici esibalulekile sengozi kulabo abatholakale beneKeratoconus okufanele basiqaphele.
Kubonakala sengathi kuvame kakhulu kwabesilisa kunabesifazane , futhi kuvame ukuthinta abantu abasha abaseminyakeni yabo yama-20 nama-30.
Ziyini izimpawu ze-Corneal Hydrops?
Nakuba abanye abantu bengase bangakhombisi izimpawu ezisobala, iningi lizobona izimpawu eziningana. Qaphela lezi:
- Ukulahlekelwa umbono ngokuzumayo: Ukubona kwakho okucacile ngaphambili kungase kube namafu noma kuphazamiseke ngokuzumayo.
- Ibala elimhlophe elifana nobisi esweni: Indawo ye-cornea lapho uketshezi luqoqene khona ivame ukubonakala ingacacile noma imhlophe.
- Ubuhlungu bamehlo : Abanye abantu bangase babe nokungakhululeki okukhulu noma ubuhlungu.
- Ukuzwela okukhulu kokukhanya (i-Photophobia): Izibani zingase zibonakale zikhanya ngendlela engabonakali noma zibe buhlungu ukuzibuka.
- Ukubomvu kwamehlo : Iso elithintekile lingase libonakale libomvu.
- Amehlo anamanzi: Ungase uzizwe sengathi ukhala njalo.
- Ubunzima bokugqoka amalensi okuxhumana: Uma ugqoka amalensi okuxhumana, ungase ukuthole kubuhlungu noma kungenzeki ukuwafaka.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, iseluleko esingcono kakhulu engingakunika sona ukuxhumana nodokotela wamehlo ngokushesha ngaphandle kokulibala .
Kungani kwenzeka i-Corneal Hydrops?
I-Corneal Hydrops ayithelelani, njengomkhuhlane ovamile. Ochwepheshe bezokwelapha bakholelwa ukuthi kunezici eziningana ezibangela ukukhula kwayo:
- Ukuncipha kwe-cornea: Lapho i-cornea iba mncane kakhulu futhi ibuthakathaka, amathuba okudabuka kwe-Descemet's membrane ayanda.
- Ukushintsha kwesimo se-corneal (i-Corneal ectasia): Izimo ezifana ne -Keratoconus zibangela ukuthi i-cornea ilahlekelwe yisimo sayo semvelo esiyindilinga futhi iqhume ibe yi-cone. Lokhu kuphazamiseka kubeka ingcindezi ezicutshini, okwenza kube lula ukulimala.
- Ukuhlikihla amehlo njalo: Abantu abaningi banomkhuba wokuhlikihla amehlo abo ngamandla. Lokhu kuyingozi kakhulu; ukucindezela kungacindezela i-cornea futhi kubangele ukuqhekeka kolwelwesi oluthambile.
Ubani osengozini enkulu yokuthola i-Corneal Hydrops?
Abanye abantu basengozini enkulu kunabanye, okuhlanganisa:
- Abantu abane-Corneal ectasia: Ngokukhethekile, labo abatholakale bene-Keratoconus babhekene nengozi enkulu kakhulu.
- Abantu abane-Atopy: I-Atopy iwukuthambekela ezimweni zokungezwani komzimba noma isimiso somzimba sokuzivikela esisabela kakhulu. Ngenxa yokuthi laba bantu bavame ukuba nokulunywa kwamehlo okungapheli, bathambekele kakhulu ekuhlikihlweni kwamehlo njalo.
- Abantu abane- Down syndrome : Abantu abane-Down syndrome banobudlelwano obukhulu ne-Keratoconus, ngakho-ke, banengozi ephezulu yokuthola i-Corneal Hydrops.
Yiziphi izinkinga ezingaba khona ze-Corneal Hydrops?
Ngesikhathi sokusebenzisa i-Corneal Hydrops, umbono wakho uzophazamiseka nakanjani. Ngaphezu kwalokho, uma ukuvuvukala (i-corneal edema) kuqhubeka isikhathi eside ngaphandle kokuphathwa kahle, kungaholela ekukhuleni kwemithambo yegazi emisha, engajwayelekile . Le mithambo yegazi ayifanele i-cornea ecacile futhi ingaphazamisa umbono. Kungaholela nasekuqhekekeni kwe-cornea okuhlala njalo.
I-Corneal Hydrops ihlolwa kanjani?
Uma ubona udokotela wakho wamehlo, uzoqala ngokuxoxa ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho uzokwenza ukuhlolwa kwamehlo okuphelele. Ezimweni eziningi, lokhu kuhlolwa kwanele ukuthi udokotela axilonge i-Corneal Hydrops.
Yiziphi izivivinyo ezihilelekile?
Uma udokotela wakho edinga ulwazi olwengeziwe, angase ancome izithombe zokuxilonga ezengeziwe noma izivivinyo zokuhlola izinga lomonakalo.
- I-Anterior segment optical coherence tomography (AS-OCT): Cabanga ngalokhu njengokuskena okuningiliziwe kwengaphambili leso lakho. Kuvumela udokotela wakho ukuthi aqinisekise ukuxilongwa kwe-Corneal Hydrops, alinganise ubukhulu bokuvuvukala, futhi aqaphe inqubekela phambili yakho yokuphulukiswa.
- I-Ultrasound biomicroscopy (UBM): Lokhu kusebenzisa ubuchwepheshe be-ultrasound ukuhlinzeka ngombono ocacile, okusiza ekutholeni noma yikuphi ukudabuka kulwelwesi lwe-Descemet.
- I-Tomography: Lokhu kuskena kunikeza imephu ecacile, ye-3D yesimo kanye nobukhulu be-cornea yakho.
- Ukuhlolwa kwe-Seidel: Lokhu kuhlolwa okulula kuhlola noma yikuphi ukuvuza koketshezi oluvela esweni lakho.
Lezi zivivinyo azihlaseli nhlobo futhi azibuhlungu, ngakho-ke asikho isidingo sokukhathazeka. Udokotela wakho uzokuchazela isinyathelo ngasinye ngokucacile.
Yiziphi izindlela zokwelapha ezitholakalayo ze-Corneal Hydrops?
Ukwelashwa kwe-Corneal Hydrops kuvame ukuhilela amaconsi anemithi noma, kwezinye izimo, ukungenelela kokuhlinzwa. Ngaphezu kwalokho, udokotela wakho angase elaphe isimo esiyisisekelo esibangele lokhu, njenge-Keratoconus.
Ukwelashwa Kwezokwelapha
Uma ukudabuka kwesikhumba se-Descemet yakho kuncane futhi ukuvuvukala kulawuleka, odokotela bavame ukukunikeza imithi yokwelapha.
- Amaconsi e-Hypertonic saline : Lawa maconsi anokuhlushwa okuphezulu kosawoti, okusiza ekukhipheni uketshezi oluningi ku-corneal stroma yakho ukuze kuncishiswe ukuvuvukala.
- Amaconsi e-steroid: Lawa asetshenziselwa ukuthulisa ukuvuvukala ngaphakathi kweso.
- Ukwehla kokucindezela: Uma ukucindezeleka kwakho kwangaphakathi kwamehlo kukhuphuka, lokhu kwehla kuzosiza ukuthi kuhlale kuphephile.
- Amaconsi e-antibiotic: Lawa anqunyelwe ukuvimbela noma yikuphi ukutheleleka okungenzeka.
- Amaconsi anwebekayo: Ngezinye izikhathi, amaconsi anwebekayo umfundi asetshenziselwa ukuqeda ubuhlungu.
Kubalulekile ukulandela imiyalelo kadokotela wakho ngokunembile futhi usebenzise la maconsi njengoba kuhleliwe.
Kunini lapho kudingeka khona ukuhlinzwa?
Uma ukudabuka kolwelwesi lwe-Descemet kukhulu, ukuvuvukala kukhulu, noma kunengozi yokubhoboka kwe-cornea, udokotela wakho angase ancome ukuhlinzwa. Lezi zinqubo zihlose ukuvala ukudabuka nokuvimba ukuvuza koketshezi. Kwezinye izimo, kungafakwa ibhamuza legesi esweni ukusiza ukuvuvukala kuphele ngokushesha. Ezimweni ezingavamile nezinzima lapho ukwelashwa kuyephuza khona, imithambo yegazi engavamile ingakheka, okungadinga ukunakekelwa okukhethekile okwengeziwe.
Ungakwazi yini ukuvimbela i-Corneal Hydrops?
Uma unesimo esifana ne-Keratoconus, xoxa 'nge-Crosslinking' nodokotela wakho wamehlo. Le nqubo ingasiza ekuqiniseni i-cornea yakho, okungenzeka inciphise ingozi yezinkinga ezifana ne-Corneal Hydrops. Nakuba kungenzeki njalo ukuvimbela ngokugcwele izimo eziphuthumayo, unganciphisa kakhulu ingozi yakho ngokugwema ukuhlikihla amehlo . Uma uhlushwa yi-allergies yesizini noma ukucasuka kwamehlo okungapheli, sicela ufune ukwelashwa—ukugcina izandla zakho kude namehlo akho kuyindlela engcono kakhulu yokuvikela impilo yakho yamehlo.
Kuthatha isikhathi esingakanani ukululama futhi liyini ithemba?
Nakuba udokotela wakho engelapha i-Acute Corneal Hydrops, kungase kuhlale izibazi ezithile ze-cornea, okungase kuthinte umbono wakho. Uma lokhu kwenzeka, udokotela wakho angaxoxa ngezinketho ezifana nokufakelwa i-cornea. Ngesikhathi nangemva kokululama kwakho, ukuya kuzo zonke izikhathi zokulandelela kubalulekile . Ukululama kungathatha noma yikuphi kusukela emavikini ambalwa kuya ezinyangeni eziningana, kuye ngokuthi ukuvuvukala kungakanani kanye nokusabela komzimba wakho okuhlukile kokuphulukiswa.
Ungawavikela kanjani amehlo akho?
- Gwema ukuhlikihla amehlo akho: Lona umthetho obaluleke kakhulu. Uma unesifo sokulunywa, sebenzisa amaconsi anqunyiwe esikhundleni salokho.
- Gcina wonke ama-aphoyintimenti okulandelela: Ukuqapha njalo kubalulekile ukuze ululame.
- Lawula izimo eziyisisekelo: Uma une-Keratoconus noma esinye isimo samehlo, namathela ngokuqinile ohlelweni lwakho lokwelashwa.
Kufanele ufune nini ukunakekelwa okuphuthumayo?
Uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo, funa usizo lwezokwelapha ngokushesha emnyangweni wezimo eziphuthumayo:
- Ukulahlekelwa umbono ngokuzumayo, okukhulu.
- Ubuhlungu bamehlo obukhulu, obungabekezeleleki.
- Izimpawu zokutheleleka okukhulu (isb., umkhuhlane noma ukubanda okungazelelwe).
- Ukuphuma koketshezi noma ubomvu obungavamile emehlweni.
Ungalindi; ukungenelela kusenesikhathi kubalulekile kulezi zimo.
Ungakwazi yini ukugqoka ama-contact lens ane-Corneal Hydrops?
Ukugqoka ama-contact lens ngesikhathi sokuhlaselwa yi-Corneal Hydrops ngokuvamile akumnandi futhi kungabangela ubuhlungu . Cishe kuzodingeka uyeke ukuwagqoka ngokushesha. Uma iso lakho selipholile, udokotela wakho uzokwazisa ukuthi kuphephile yini ukubuyela ekusebenziseni ama-contact lens futhi nini.
Kungokwemvelo ukuzizwa ukhathazekile lapho umbono wakho ufiphala ngokuzumayo noma uzwa ubuhlungu bamehlo. Lezi zimpawu zingaba izinkomba zeCorneal Hydrops. Uma ubona lezi zinguquko, sicela ubonane nodokotela wakho wamehlo ngokushesha ukuze akwazi ukubona imbangela futhi aqale ukwelashwa okudingekayo ukuze avikele ukubona kwakho.
Umlayezo Wokuya Nawe Ekhaya
Ukuze sifinyeze, nansi into okudingeka uyikhumbule nge-Corneal Hydrops:
- Kuwukuvuvukala okungazelelwe kwe-cornea okubangelwa ukudabuka kwe-inner membrane (i-Descemet's membrane).
- Izimpawu ezibalulekile: Ukubona okufiphele ngokuzumayo, amabala amhlophe esweni, ubuhlungu, kanye nokuzwela ukukhanya.
- Amaqembu asengozini enkulu ahlanganisa labo abane-Keratoconus noma labo abavame ukuhlikihla amehlo abo.
- Uma ubona izimpawu, thintana nodokotela wamehlo ngokushesha.
- Ukwelashwa kuyahlukahluka kusukela emathonsini anomuthi kuya ekuhlinzweni.
- Gwema ukuhlikihla amehlo futhi ulandele iseluleko sezokwelapha ngokuqinile ukuze ululame ngokushesha nangokuphephile.
Umbono wakho uyigugu. Unganqikazi ukubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo endleleni.
