Wake wahlolwa amehlo udokotela wabheka ngaphakathi kweso lakho wathi, "Ngibona amabala amhlophe afana nekotini ngaphakathi kweso lami"? Kumelwe ukuthi wesaba kancane lapho uzwa lokho? Kumelwe ukuthi wacabanga, "O, kwenzekeni esweni lami?" Kodwa ungakhathazeki. Yilokhu esikubiza ngokuthi 'amabala e-Cotton Wool' kwezokwelapha. Into ebalulekile ukuthi, lokhu akusona isifo ngempela. Kodwa-ke, kungaba uphawu olubalulekile lwenye inkinga yezempilo emzimbeni wethu. Ngakho-ke ake sixoxe ngalokhu ngqo, kalula.
Ziyini ngempela lezi Zibala Zoboya Bekotini?
Kalula nje, lawa amabala amhlophe, afana nekotini avela ebusweni be -retina, ulwelwesi oluzwela kakhulu ngemuva kwamehlo ethu. Leli gama livela kulokho kubukeka okufana nekotini.
Into ebalulekile ukuthi awukwazi ukubona la mabala esibukweni. Futhi ngokuvamile awabangeli ubuhlungu. Kodwa ngezinye izikhathi, ukufiphala kwesikhashana kokubona (i-scotoma) kungenzeka endaweni lapho kukhona khona indawo. Udokotela wakho kuphela ongawabona ngqo. Uzosebenzisa ukuhlolwa okukhethekile okubizwa ngokuthi i-ophthalmoscope noma ukuhlolwa kwesibani esinqunyiwe ngesikhathi sokuhlolwa kwamehlo.
Amabala e-Cotton Wool empeleni awasona isifo, kodwa kunalokho ayisibonakaliso esisixwayisayo esisinika inkomba yesinye isimo sezokwelapha emzimbeni wethu.
Kungani kuvela amabala anjengalawa? Yiziphi izimbangela eziyinhloko?
Lezi zindawo zibangelwa umonakalo, ukuvuvukala, noma izinguquko ongqimbeni lwe-nerve fiber ye-retina yethu. Isizathu esiyinhloko salokhu ukuntuleka kwegazi kuleyo ndawo (ischemia) . Cabanga nje, uma umthambo wegazi omncane ngaphakathi kweso lethu uvaleka ngesizathu esithile, ingxenye ye-retina eyondliwa yilowo mthambo wegazi iyalimala. Yilapho umonakalo uvela khona bese sibona isiqephu esimhlophe soboya bekotini.
Kunezizathu eziningi zokuthi kungani imithambo yegazi ingavimbeka noma i-retina yonakale ngale ndlela. Ake sibheke lezi zimbangela ngamaqembu.
| Isigaba Sembangela | Incazelo kanye nezibonelo |
|---|---|
| Izinkinga Zokujikeleza Kwegazi | Nazo ke.Imbangela evame kakhulu ukuthi. Lesi simo singabangelwa ukulimala kwemithambo yegazi emincane esweni, ikakhulukazi ngenxa yesifo sikashukela esingalawulwa (isifo sikashukela sohlobo 2) kanye nomfutho wegazi ophezulu (i-Hypertension) . Singabangelwa futhi ukuqhekeka kwegazi (i-embolism). |
| Izinkinga Zokuzivikela Emzimbeni Nokuvuvukala | Lezi zindawo zingabangelwa nezifo ezibangelwa amasosha omzimba, lapho amasosha omzimba wethu ehlasela khona amaseli ethu ngephutha. |
| Izifo | Lokhu kungabangelwa izifo ezithile zamagciwane noma zamagciwane, ikakhulukazi izifo ezithinta i-retina. Isibonelo, ukutheleleka nge-HIV . |
| Umdlavuza | Lezi zindawo zingabonakala emidlavuzeni ehlobene negazi efana ne -leukemia kanye ne-lymphoma . |
| Izinkinga Zokopha | Lokhu kungenzeka nasezimweni ezifana ne-hemoglobin ephansi (i-anemia) noma ama-platelet aphansi (i-thrombocytopenia). |
| Ukwanda kwengcindezi yangaphakathi kwekhanda (i-Intracranial Hypertension) | Ingcindezi ebuchosheni ebangelwa ukwanda koketshezi lomgogodla (CSF) oluzungeze ubuchopho nayo ingathinta amehlo. |
| Ezinye izizathu | Lezi zindawo zingabangelwa nemithi ethile (isib. i-Interferon), ukulimala okukhulu ekhanda, kanye nokuya ezindaweni eziphakeme. |
Ngezinye izikhathi akukho sizathu esingatholakala. Kuleso simo, sikubiza ngokuthi `idiopathic` (akukho sizathu esaziwayo).
Kuphathwa kanjani lokhu?
Into ebaluleke kakhulu lapha yilokhu. Akukho ukwelashwa okuqondile kwamabala e-cotton wool. Ngoba akusona isifo, kumane kuwuphawu lwesifo.
Ngakho-ke, ukwelashwa kuhloswe ngesimo esiyisisekelo esibangele la mabala.
- Uma imbangela kuyisifo sikashukela , khona-ke isifo sikashukela sidinga ukulawulwa kahle.
- Uma imbangela ingumfutho wegazi ophakeme , kufanele ilawulwe ngemithi kanye nezinguquko endleleni yokuphila.
- Uma imbangela kuyisifo , leso sifo sidinga ukwelashwa.
Ingxenye engcono kakhulu ukuthi uma imbangela eyinhloko iphathwa kahle, la mabala azonyamalala kancane kancane. Ngokuvamile azonyamalala ngokuphelele phakathi kwamasonto ayisithupha kuya kwayi-12 . Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo.
Kwenzekani uma ungazinakekeli lezi zindawo?
Amabala Oboya Bekotini ayisibonakaliso esiyisixwayiso, futhi uma enganakwa, angenza isimo esiyisisekelo sibe sibi kakhulu. Isibonelo, isifo sikashukela esingalawulwa noma umfutho wegazi ophakeme kungalimaza kakhulu i-retina, ekugcineni kuholele ekulahlekelweni umbono unomphela noma ubumpumputhe.
Futhi, lezi zifo azithinti amehlo kuphela, kodwa nomzimba wonke, njengenhliziyo yethu, izinso, nobuchopho. Ngakho-ke, uma udokotela ebona indawo efana nale, kufanele kubhekwe njengesixwayiso esingathi sína. Into engcono kakhulu ongayenza ukwenza izivivinyo ezidingekayo, ukuthola imbangela, bese uqala ukwelashwa ngokushesha okukhulu.
Ingabe Amabala Oboya Bekotini Angavinjelwa?
Yebo, kungenzeka. Izimbangela eziyinhloko zalezi zindawo izifo ezihlobene nendlela yokuphila ezifana nesifo sikashukela kanye nomfutho wegazi ophakeme, futhi ukuzivimbela noma ukuzilawula kunganciphisa le ngozi.
- Thola ukuhlolwa kwezokwelapha njalo: Thola ukuhlolwa kwezokwelapha okuphelele okungenani kanye ngonyaka. Lokhu kusiza ekuboneni izinkinga ngaphambi kokuba kuvele izimpawu.
- Lawula izifo ezingamahlalakhona: Uma unezifo ezifana nesifo sikashukela noma umfutho wegazi ophakeme, thatha imithi yakho njengoba nje udokotela wakho ekuncoma futhi uyiphathe kahle.
- Ukudla okunempilo: Yidla ukudla okunempilo nokulinganiselayo.
- Gcina isisindo esinempilo: Kubaluleke kakhulu ukugcina isisindo esinempilo ngobude bakho.
- Ukuzivocavoca: Hlala umatasa futhi uvivinya umzimba nsuku zonke.
- Gqoka imishini yokuphepha: Vikela ikhanda namehlo akho lapho udlala imidlalo noma wenza umsebenzi oyingozi.
- Ungawanaki amagciwane: Funa iseluleko sezokwelapha ngokushesha nganoma yikuphi ukutheleleka.
Kuvamile ukuzizwa wesaba kancane lapho udokotela ekutshela ukuthi unamabala e-cotton wool esweni lakho. Kodwa ungesabi, cabanga ngakho njengesibonakaliso sesixwayiso sasekuqaleni. Kukunika ithuba lokuqaphela inkinga yempilo eyisisekelo, uqale ukwelashwa kusenesikhathi, futhi uvikele impilo yamehlo akho kanye nomzimba wakho wonke.
Umlayezo Wokuya Nawe Ekhaya
- Amabala e-Cotton Wool awasona isifo, kodwa ayisibonakaliso esiyisixwayiso sesinye isimo sezokwelapha emzimbeni wakho (ngokuvamile isifo sikashukela noma umfutho wegazi ophakeme).
- Awukwazi ukubona la mabala esibukweni. Angatholakala kuphela udokotela ngesikhathi sokuhlolwa kwamehlo.
- Akukho ukwelashwa okuqondile kwalezi zindawo. Ukwelashwa kuqondiswe esimweni esiyisisekelo esizibangele.
- Uma isifo esiyisisekelo selashwa kahle, la mabala avame ukunyamalala ngokwawo phakathi kwamasonto noma izinyanga ezimbalwa.
- Uma udokotela wakho ebona indawo efana nale, kubaluleke kakhulu ukungayinaki, kodwa ukwenza izivivinyo ezidingekayo ukuze kutholakale imbangela futhi kutholakale ukwelashwa okufanele.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini Ukuvuvukala Kwamehlo / I-Periorbital Edema?
Lokhu akusikho nje ukuvuvukala okuncane okuvame ukwenzeka uma uvuka ulele! 'Ukuvuvukala Kwamehlo' kwenzeka lapho ijwabu leso elingaphezulu/elingezansi noma isikhumba esizungezile iso siba sikhulu ngendlela engavamile (ukunqwabelana koketshezi) bese kuba buhlungu. Ngezinye izikhathi ingaphakathi leso liba bomvu obumnyama futhi izinyembezi zihambisana nalokhu. Lokhu kuyisibonakaliso esikhulu sesixwayiso sokulimala okukhulu kweso noma isifo esiyingozi emzimbeni!
💬 Yiziphi izimbangela eziyinhloko zokuvuvukala okungazelelwe ngaphakathi noma eduze kweso (Ukuvuvukala Kwamehlo)?
Kunezizathu eziningana eziyinhloko zalokhu: 1) 'Ukungezwani komzimba' - Uma uthuli/impova ingena emehlweni, amehlo ayavuvukala futhi alume kungakapheli imizuzu (ukukhishwa kwe-histamine). 2) 'Izifo zamehlo / izifo zamagciwane (Iso Elipinki / I-Conjunctivitis)'. 3) Iqhubu elivuvukele esweni (I-Stye/Chalazion - njenge-pimple). 4) Isizathu esiyingozi kakhulu ukwehluleka kwenhliziyo, isibindi noma izinso (Ukwehluleka kwezitho zomzimba)! Ngenxa yalokhu, umzimba uyayeka ukuhlunga amanzi bese lawo manzi eza futhi agcwalise ubuso/amehlo.
💬 Yiziphi 'izimo ezisongela ukuphila/eziphuthumayo' lapho kufanele ugijimele khona ngokushesha kudokotela wamehlo (noma emnyangweni wezimo eziphuthumayo) uma iso lakho livuvukele?
Ungafaka iqhwa ekuvuvukeni okuvamile (i-Cold compress). Kodwa ingozi enkulu! 1) Uma ukuvuvukala kuhambisana nokungaboni kahle (ukulahlekelwa umbono), 2) Uma iso libuhlungu sengathi lizoqhuma (Ubuhlungu obukhulu / Isilonda), 3) Uma kukhona ubomvu obuluhlaza/obuphuzi (ukuphuma kwe-Pus) esweni, kusho ukuthi liyabola, 4) Uma kukhona umkhuhlane omkhulu (Umkhuhlane) kanye nokuvuvukala (i-Cellulitis - amagciwane angaya ebuchosheni), udinga ukulaliswa esibhedlela ngokushesha!
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