Ukulimala ngaphakathi kweso? Ake sifunde ngesilonda se-cornea?

Ingabe amehlo akho abomvu futhi anamanzi? Noma uzizwa sengathi kukhona okubhajwe esweni lakho, okwenza kube nzima ukubona ekukhanyeni? Lokhu kungaba izimpawu zesilonda se-cornea . Ungakhathazeki, ake sixoxe ngalokhu kalula. Lesi yisimo esibucayi, ngakho-ke kubalulekile ukusihlola ngokushesha okukhulu.

Kuyini isilonda se-corneal?

Kalula nje, isilonda se-corneal yinxeba noma isilonda esivelela ku-cornea, ingxenye ecacile, efana ne-dome yangaphambili yeso lakho. Cabanga ngamehlo ethu njenge-windscreen yemoto. Le cornea yiyo evikela ingaphakathi leso lethu ezintweni ezinjengothuli namagciwane angaphandle. Ngakho-ke uma kukhona ukuklwebheka noma ukuqhekeka kule "ngilazi," lokho kubizwa ngokuthi isilonda se-cornea.

Lokhu kubhekwa njengesimo esiphuthumayo sezokwelapha. Ngoba uma kungelashwa ngokushesha, kungaholela ekulimaleni kwamehlo unomphela, ukulahlekelwa umbono, futhi ngezinye izikhathi ngisho nokulahlekelwa umbono ngokuphelele. Ngakho ungakuthathi kalula lokhu, kulungile?

Ziyini izimpawu zesilonda se-cornea?

Izimpawu zesilonda se-corneal zingahluka kancane kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile:

• Amehlo abomvu noma abomvu .
• Ukudabuka noma ukuphuma kaningi emehlweni (i-epiphora) .
• Ubuhlungu bamehlo: Lokhu kungaba ukungakhululeki okuncane kwabanye abantu, njengokuzwa ukushisa ngaphakathi kweso. Kwabanye, kungaba ubuhlungu obukhulu.
• Umuzwa wento ebhajwe esweni, njengengcosana yothuli noma umucu wezinwele (umuzwa wento yangaphandle).
• Ubunzima bokubheka ukukhanya (i-photophobia). Uma sikhuluma iqiniso, umuzwa wobuhlungu nokungakhululeki lapho amehlo evezwa izibani ezikhanyayo noma ukukhanya kwelanga.
• Umbono ofiphele.
• Ukuvuvukala noma ukuvuvukala kwamehlo (i-blepharitis).
• Kuvela ibala elimhlophe noma elimpunga ku-cornea. Kodwa-ke, leli bala alibonakali ngaso sonke isikhathi ngaphandle. Ngisho noma libonakala, ngezinye izikhathi kungaba nzima ukulibona ngaphandle kwemishini ekhethekile.

Uma unesinye noma ngaphezulu salezi zimpawu, kungcono ukubona udokotela wamehlo ngokushesha okukhulu.

Kungani kwakheka lezi zilonda ze-cornea? Ziyini izimbangela?

Kunezimbangela eziningi ezingaba khona zezilonda ze-cornea. Lezi zingahlukaniswa ngezigaba ezimbili eziyinhloko: izimbangela ezithelelanayo kanye nezimbangela ezingezona ezithelelanayo .

Izimbangela ezibangelwa ukutheleleka

Lezi yizimbangela ezivame kakhulu. Ukutheleleka kwenzeka lapho amagciwane engena emzimbeni futhi ebangela ukugula. Kuyafana nalapha.

• Amabhaktheriya: Izinhlobo eziyinhloko zamabhaktheriya ahlasela i-cornea yi -'Pseudomonas' , 'Staphylococcus' kanyeAbizwa ngokuthi 'i-Streptococcus'. Lawa magciwane angatholakala endaweni esizungezile. Kodwa uma kukhona umkrwelo omncane noma inxeba ku-cornea yethu, angangena ngalo bese ebangela ukutheleleka.
• Ake sithi ugqoka amalensi okuxhumana . Uma ungazihlanzi kahle, noma uma uzigqoka ulele, usengozini enkulu kakhulu yokuthola izifo ezibangelwa amagciwane.
• Amagciwane: Amanye amagciwane angabangela nezilonda ze-cornea. Isibonelo, amagciwane e-herpes simplex (abangela izilonda zomkhuhlane kanye ne-herpes yobulili) kanye negciwane le-varicella-zoster ( elibangela i-chickenpox kanye ne-shingles) yiwona ayinhloko.
• Isikhunta: Ukutheleleka ngesikhunta kungenzeka uma kukhona okuthinta amehlo akho, ikakhulukazi lapho ulima ingadi noma usebenza ngezitshalo noma inhlabathi. Izinhlobo eziyinhloko zesikhunta yi- Aspergillus ne -Candida . Abantu abanamasosha omzimba abuthakathaka (abangavikelekile emzimbeni) basengozini enkulu yokuthola izifo zesikhunta ngoba imizimba yabo ayikwazi ukulwa nalezi zifo.
• Izimuncagazi: I-Acanthamoeba yisifo esivame kakhulu esibangela izilonda ze-cornea. Abantu abagqoka ama-contact lens futhi babhukude (emachibini okubhukuda noma kwezinye izindawo zamanzi) basengozini enkulu. Lokhu kungenxa yokuthi izimuncagazi ze-Acanthamoeba zingasinda emazingeni aphansi e-chlorine (njengasemachibini okubhukuda angahlanzwa kahle). Zingatholakala nasemanzini ompompi. Yingakho kunconywa ukuthi ungalokothi ugeze noma ugcine ama-contact lens akho emanzini ompompi.

Ezinye izimbangela ezingathelelani

Izilonda ze-cornea zingakhula ngisho nangaphandle kokutheleleka. Nazi ezinye izinto ezingaba nomthelela kulokhu:

• Ukulimala kwamehlo: Ukusha, ukuklwebheka kwe-cornea , ukuklebhuka , kanye namanxeba okubhoboza kungaholela ezilondeni uma zingapholi kahle. Lokhu kulimala kungandisa nengozi yokutheleleka kwamehlo.
• Ukuchayeka: Uma une -lagophthalmos , isimo lapho ungakwazi ukuvala amehlo akho ngokuphelele, i-cornea yakho ingonakala ngoba ihlala ivezwa elangeni. Ukuchayeka ekushiseni okukhulu noma emakhazeni nakho kungalimaza i-cornea yakho.
• Amehlo omile kakhulu: Amehlo angomile kakhulu ngenxa yezimo zezulu, izifo zamehlo, noma inhlanganisela yakho kokubili. Lokhu kungalimaza i-cornea futhi kubangele izilonda.
• Imiphumela enobuthi: Lezi zimo zingase zenzeke uma amakhemikhali athile anobuthi engena emehlweni, noma ezimweni ezingavamile, ngenxa yemithi ethile oyiphuzayo.
• Izinkinga zesimiso somzimba sokuzivikela (Izimo zomzimba):Ngezinye izikhathi, ukungasebenzi kahle kwesimiso sethu somzimba kungadala ukuvuvukala ngaphakathi kweso. Lokhu kuvuvukala kwenza buthaka izicubu ze-cornea futhi kwandisa ingozi yokuthola izilonda.

Ubani osengozini enkulu yokuthola lesi simo?

Noma ubani angaba nezilonda ze-cornea, kodwa abanye abantu basengozini enkulu:

• Abantu abagqoka ama-contact lens njalo, ikakhulukazi labo abawagqoka isikhathi eside (ingozi iphakeme nakakhulu uma egqokwa ngenkathi elele, uma egqokwa ngenkathi egeza, noma uma engahlanzwanga kahle).
• Abantu abake baba noma abake baba nokutheleleka ngegciwane le-herpes simplex noma igciwane le-varicella-zoster okwamanje.
• Kulabo abanamehlo omile.
• Kubantu abanezimo zezokwelapha ezenza kube nzima ukuvala amehlo abo ngokuphelele (isibonelo, izimo ezifana ne-'Bell's palsy', ebangela ukungasebenzi kahle kwemizwa yobuso, noma izifo ezifana ne-'Graves' disease', ebangela amehlo ukuba aphume).
• Kulabo abasebenzisa noma abasanda kusebenzisa amaconsi amehlo aqukethe ama-steroid .
• Kulabo abathintekile yi-cornea noma abashile .
• Kubantu abanesifo sikashukela sohlobo lwesibili .
• Kulabo abake bahlinzwa amehlo ngaphambilini.
• Kulabo abanezinye izifo zamehlo, ikakhulukazi izifo ze-cornea .

Yiziphi izinkinga ezingaba khona ngenxa yezilonda ze-cornea?

Uma isilonda se-cornea singelashwa kahle, kungavela izinkinga ezahlukahlukene. Lezi zinkinga zifaka:

• I-Astigmatism noma ezinye izinguquko zombono.
• Ama-cataract .
• I-Endophthalmitis, ukutheleleka okukhulu ngaphakathi kweso.
• Isimo se -glaucoma .
• Ukubhoboka noma ukuqhekeka kwe-cornea.
• Ukuguguleka kwe-cornea okuphindaphindiwe (ama-RCE) .
• Ukulahlekelwa umbono.

Yingakho sithi, uma unezimpawu ezinjengalezi, bona udokotela ngokushesha.

Ungasibona kanjani ngokunembile isilonda se-cornea?

Ukuze kutholakale ukuthi unesilonda se-cornea, udokotela wamehlo noma omunye umhlinzeki wezempilo uzokwenza ukuhlolwa kwamehlo . Lokhu kugxile kakhulu ku-cornea kunokuhlolwa kwamehlo okuvamile.

Elinye lamathuluzi ayinhloko abawasebenzisela lokhu ukuhlolwa kwesibani esiqhekekile . Lokhu kubavumela ukuthi bahlole i-cornea eduze kakhulu.

Ngezinye izikhathi, udokotela uzothatha isampula encane (isiko le-swab) esweni lakho.Kungase kuthathwe i-swab bese ithunyelwa elabhorethri ukuze ihlolwe. Lokhu kusho ukuthi kuthathwa inani elincane lokukhipha okuvela esweni bese kuhlolwa uhlobo lwamagciwane akhona. Lokhu kungasiza ekutholeni uhlobo oluqondile lokutheleleka okubangela isilonda. Ezimweni lapho isilonda singasabeli kahle ekwelashweni, udokotela angase futhi ancome i- cornea biopsy . Lokhu kuhilela ukuthatha ucezu oluncane lwezicubu ze-cornea bese luhlolwa.

Udokotela wakho wamehlo uzokutshela okwengeziwe ngalezi zivivinyo. Uzochaza nokuthi zenziwa kanjani, ukuthi kungani zibalulekile, nokuthi ngabe kukhona yini imiphumela emibi ongayilindela ngemva kwazo.

Uzelapha kanjani izilonda ze-cornea? Ingabe lokhu kungelapheka ngokuphelele?

Ngenxa yokuthi kunezimbangela eziningi zezilonda ze-cornea, kunezindlela eziningi zokwelapha. Ezinye izindlela zokwelapha ziqondile, okusho ukuthi zisebenza ngesizathu esisodwa kuphela. Ezinye izindlela zokwelapha zivamile, okusho ukuthi ziyasiza ekulawuleni izimpawu ezibangelwa isilonda.

Nazi ezinye zezindlela zokwelapha ezisetshenziswa kakhulu:

• Imithi:
• Kunikezwa ama-antibiotic ezilonda ezibangelwa ukutheleleka ngamagciwane. Kukhona nemithi ephumelelayo ezilonda ezibangelwa amagciwane, isikhunta, kanye nezinambuzane.
• Imithi efana ne -corticosteroids ivame ukunikezwa ukunciphisa izimpawu zezilonda ze-cornea. Le mithi inciphisa ukuvuvukala.
• Udokotela wakho angase futhi akunikeze imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) , njenge -ibuprofen (i-Advil® noma i-Motrin®). Lokhu kungasiza ekunciphiseni ubuhlungu nokuvuvukala.
• Udokotela wakho wamehlo uzokutshela kabanzi ngale mithi nokuthi uyisebenzisa kanjani (amaconsi, amafutha okugcoba, amaphilisi).
• Amalensi e-scleral noma amalensi okuxhumana aboshwe ngebhandeji: Lawa amalensi akhethekile abekwa esweni. Avikela i-cornea ekulimaleni okwengeziwe futhi ayinika isikhathi sokuphola.
• I-Tarsorrhaphy: Lokhu kwelashwa kuhilela ukugcina iso livaliwe isikhathi eside. Ukuze enze lokhu, udokotela angathunga izinkophe noma afake umuthi onjenge- onabotulinumtoxinA (Botox®) ukuze akhubaze okwesikhashana imisipha elawula ijwabu. Uma iso livaliwe, i-cornea inendawo engcono yokuphulukisa.
• Ukuhlinzwa: Uma izilonda ze-cornea zingapholi ngemithi, kungase kudingeke ukuhlinzwa. Ezimweni ezimbi kakhulu, kungase kudingeke ngisho nokufakelwa i-cornea .

Kuye ngesimo sakho, kungase kudingeke ezinye izindlela zokwelapha. Uchwepheshe wakho wamehlo angakweluleka kangcono ngokuthi yiziphi izindlela zokwelapha ezikulungele wena nokuthi yimiphi imiphumela emibi ezingase ziyibangele.

Ingabe izilonda ze-cornea zingavinjelwa?

Nakuba izilonda ze-cornea zingenakuvinjelwa izikhathi eziyi-100%, kunezinto eziningi esingazenza ukuze sinciphise ingozi yethu. Ezinye zazo zifaka:

• Ungalali ugqoke ama-contact lens. Ukulala ugqoke ama-contact lens kuyimbangela enkulu yezilonda ezinkulu ze-cornea.
• Ungasebenzisi ama-contact lens aphelelwe yisikhathi. Uma ugqoka ama-contact lens athambile isikhathi eside, kulapho amathuba okukhulisa amagciwane khona. Ama-contact lens ansuku zonke aphephile kakhulu.
• Geza izandla zakho njalo noma usebenzise i-sanitizer. Uma izandla zakho zibukeka noma zizizwa zingcolile, zigeze ngensipho namanzi. Noma, sebenzisa i-sanitizer esekelwe kutshwala (okungenani u-60% utshwala).
• Ukuvikela amehlo. Indlela engcono kakhulu yokuvimbela ukulimala kwamehlo ukuvikela amehlo akho. Gqoka izibuko zokuphepha ezifanele umsebenzi owenzayo.
• Ungalokothi wabelane nganoma yini ethinta amehlo akho nabanye. Lokhu kufaka phakathi izinto ezifana nezimonyo, izihlanzi zobuso, kanye nama-contact lens cases.

Kuthatha isikhathi esingakanani ukuthi isilonda se-cornea siphole? Ayini amathuba okululama?

Kuye ngembangela yesilonda se-cornea, isimo saso singahluka kakhulu. Lokhu kusho ukuthi isikhathi esithathayo ukuphulukiswa nokuthi siphulukiswa kahle kangakanani singahluka. Udokotela wakho wamehlo angakuchazela kangcono lokhu ngokusekelwe esimweni sakho.

Ezinye zezinto eziyinhloko ezithinta amathuba okululama yilezi:

• Usayizi wesilonda: Izilonda ezinkulu ngokuvamile zithatha isikhathi eside ukuphola, futhi imiphumela ingase ibe mincane kancane.
• Imbangela: Izilonda ezikhula ngezizathu ezithile kunzima ukuzelapha nokuzelapha.
• Indawo yehlathi: Lapho ihlathi likhona e-Cornea, liphinde lithinte imiphumela.
• Impendulo ekwelashweni: Uma isiguli sisabela kahle ekwelashweni, isibikezelo sokululama ngokuvamile siba sihle.

Isikhathi sokululama sincike ezintweni ezahlukahlukene, ngakho udokotela wakho kuphela ongakutshela ukuthi kuzothatha isikhathi esingakanani ngokuya ngesimo sakho.

Ngizinakekela kanjani?

Uma unesilonda se-cornea, izinto ezibaluleke kakhulu ongazenza yilezi:

• Landela imiyalelo yokwelashwa kadokotela wakho ngqo. Lokho kusho konke kusukela endleleni yokuphuza imithi yakho, indlela yokusebenzisa iso lakho, kanye nendlela yokuzivikela.
• Qiniseka ukuthi uya kudokotela ngezinsuku akutshela ukuthi uze ngazo. Lokhu kuhambela okulandelayo kuyindlela kuphela udokotela angabona ngayo ukuthi isilonda siphola kanjani futhi ashintshe ukwelashwa uma kudingeka.
• Uma unemibuzo, khuluma nodokotela wamehlo wakho.Uma uba nezimpawu ezintsha, unemibuzo mayelana nokuthi ungayithatha kanjani imithi yakho, uzizwa sengathi ukwelashwa kwakho akusebenzi, noma unezinkinga ngemiphumela emibi evela ekwelashweni kwakho, tshela udokotela wakho . Bangakunikeza izindlela zokunciphisa umthelela wezimpawu zakho noma ukushintsha ukwelashwa kwakho ukuze umise imiphumela emibi.

Kufanele ngimbone nini udokotela? / Kufanele ngifune nini iseluleko sezokwelapha?

Udokotela wakho wamehlo uzokutshela ukuthi yiziphi izimpawu okufanele ukhulume naye ngazo noma afune iseluleko sezokwelapha uma unazo. Lezi zivame ukufaka izinto ezifana nalezi:

• Uma izimpawu ziqhubeka ziba zimbi naphezu kokwelashwa.
• Uma unomuzwa wokukhanya ophakeme , ikakhulukazi uma kukhulu ngokwanele ukukuvimbela ekwenzeni imisebenzi yansuku zonke.
• Uma umbono wakho uba lufifi noma umbono wakho uncipha.
• Uma unesifo esibuhlungu kakhulu emehlweni .
• Uma kukhona ukuphuma kwegazi okweqile emehlweni .

Yini okufanele ngiyibuze udokotela wami wamehlo?

Ungabuza uchwepheshe wamehlo imibuzo efana nale:

• Iyini imbangela yesilonda sami se-cornea?
• Yikuphi ukwelashwa okuncomayo?
• Yini engingayenza ukuze ngisize amehlo ami alulame?
• Yiziphi izimpawu okufanele ngikubize ngazo?
• Yiziphi izimpawu okufanele ngifune usizo lwezokwelapha oluphuthumayo ngazo?
• Ayini amathuba okululama ngokwesimo sami? Yini engingayenza ukuze ngithole umphumela omuhle?

Ukugqoka ama-contact lens kuyandisa kanjani ingozi yokuba nesilonda se-cornea?

Uma ugqoka ama-contact lens isikhathi eside, inani lomoya-mpilo ofinyelela emehlweni akho liyancipha. Futhi, uma ufaka ama-lens esweni lakho, amabhaktheriya angangena kule lens esuka eminweni yakho noma ezixazululweni ezingahlanzwanga kahle bese ebhajwa ngaphansi kwelensi. Lezi zinto zandisa ingozi yokutheleleka futhi zingaholela esilonda se-cornea.

Umuntu ogqoka ama-contact lens cishe unamathuba aphindwe kayishumi okuthola isilonda se-cornea kunomuntu ongawagqoki. Umuntu olala nama-contact lens cishe unamathuba aphindwe kayikhulu okuthola isilonda kunomuntu ongawagqoki! Cabanga ukuthi lokho kuyingozi kangakanani.

Uyini umehluko phakathi kokuhuzuka kwe-cornea kanye nesilonda se-cornea?

• Ukuklwebheka kwe-cornea kuwukuklwebheka noma ukuqhekeka kwe-cornea yakho. Lezi zinhlobo zokulimala kwe-cornea zivame ukuzelapha zodwa.
• Isilonda se-corneal siyisilonda esivulekile ku-cornea yakho. Isilonda se-cornea singabangelwa ukutheleleka, amehlo omile, nezinye izimo. Kalula nje, ukuklwebheka kuwukulimala okungaphezulu, kanti isilonda siyisilonda esijulile esinokulahleka kwezicubu.

Uyini umehluko phakathi kwesilonda se-cornea kanye ne-keratitis?

Lezi zimo ezimbili zamehlo zihlobene kakhulu.

• Isilonda se-corneal yinxeba elivulekile - ukulahlekelwa kwezicubu ze-cornea - okuvame ukwenzeka ngenxa yokutheleleka kwamehlo.
• I-Keratitis yigama elijwayelekile leqembu lezimo ezibangela ukuvuvukala kwe-cornea yakho. Ukutheleleka kwamehlo, ukulimala, kanye nokugqoka ama-contact lens isikhathi eside kakhulu - ezinye zezinto ezifanayo ezingabangela izilonda ze-cornea - nazo zingabangela i-keratitis. Uma i-keratitis iba nzima, ingaholela esilondeni se-cornea.

Zombili lezi zimo zingabangela ukulahlekelwa umbono.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Isilonda se-corneal siyisimo esiphuthumayo esisongela umbono. Ngisho nokulimala okuncane esweni kungabangela isilonda se-corneal. Uma ucabanga ukuthi unezimpawu zesilonda se-corneal, bona udokotela wakho wamehlo ngokushesha. Bazohlola iso lakho, baxilonge, bese beqala ukwelashwa.

Uma ugqoka ama-contact lens, qiniseka ukuthi uyazi ukuthi uwafaka kanjani, uwahlanze futhi uwagcine kanjani . Ithimba lakho lokunakekelwa kwamehlo lingakufundisa lawa masu afanele futhi liphendule noma yimiphi eminye imibuzo ongase ube nayo.

Khumbula, amehlo akho ayigugu kakhulu. Ngakho-ke, wanakekele. Ungathathi lutho kalula, ngisho noma luncane kakhulu!

Isilonda se - corneal, ukulimala kwamehlo, ukutheleleka kwamehlo, amalensi okuxhumana, ukubomvu kwamehlo, umbono ofiphele