Ukutheleleka ngaphakathi kweso? Ake sixoxe nge-'Endophthalmitis'!

Wake wezwa ngokutheleleka okukhulu ngaphakathi kweso? Cishe ubungeke ucabange ukuthi ukutheleleka okukhulu kangaka kungenzeka ngaphakathi kweso. Kodwa-ke, kungenzeka ngempela, futhi kwezokwelapha sikubiza ngokuthi 'i-Endophthalmitis'. Lesi yisimo esibucayi, ngakho-ke kubaluleke kakhulu ukuthola ukwelashwa ngokushesha okukhulu. Namuhla, sizokhuluma ngalokhu ngendlela elula ongayiqonda.

Kuyini i-'Endophthalmitis'? Masiyiqonde kalula!

Kalula nje, i-endophthalmitis iwukutheleleka okuthinta ingaphakathi leso lakho . Lokhu kwenzeka lapho amagciwane noma isikhunta singena esweni futhi sibangela ukuvuvukala . Ukuvuvukala kuyimpendulo eyenzeka lapho amasosha omzimba wethu elwa nokutheleleka.

Cabanga nje, kunezinhlobo ezimbili zoketshezi ngaphakathi kwamehlo ethu. Olunye uketshezi olucacile olubizwa ngokuthi 'i-aqueous humor'. Lolu lutholakala ngaphambili kweliso, phakathi kwelensi ne-cornea. Olunye luyinto efana nejeli ecacile ebizwa ngokuthi 'i-vitreous humor'. Lolu lutholakala ngaphakathi kweliso, phakathi kwelensi ne -retina. Lezi zinhlobo ezimbili zoketshezi zithinteka kakhulu yilesi sifo esibizwa ngokuthi 'i-endophthalmitis'.

Kubalulekile ukukhumbula ukuthi lesi yisimo sezokwelapha esibi kakhulu. Uma singelashwa ngokushesha, ukutheleleka kungasakazeka futhi kubangele ukulahlekelwa umbono . Ngezinye izikhathi, ukutheleleka kungasakazeka kuyo yonke inhlamvu yeso ngisho nasemjikelezweni. Kulokhu, kubizwa ngokuthi i-Panophthalmitis.

Uma ubona udokotela wamehlo, angakutshela ukuthi une-endophthalmitis yamagciwane noma i-endophthalmitis yefungal. Bazophinde bakuhlukanise ngokusekelwe endleleni ukutheleleka okwaqala ngayo.

Kunezinhlobo ezimbili ze-'Endophthalmitis':

1. I-Endophthalmitis Yangaphandle: Lolu uhlobo oluvame kakhulu. Lokhu kwenzeka lapho into evela ngaphandle kweso ingena esweni futhi ibangele ukutheleleka. Isibonelo, uma kukhona ingozi esweni, njengokubhajwa kwento ebukhali esweni, noma ngemva kokuhlinzwa kwamehlo, lesi simo singavela.

2. I-Endogenous Endophthalmitis: Lokhu akuvamile kangako kunezinye izinhlobo. Lokhu kwenzeka lapho ukutheleleka kwebhaktheriya noma isikhunta okuvela kwenye indawo emzimbeni wakho kusakazekela esweni lakho ngegazi lakho . Ngokuqondile, inkinga kwenye indawo emzimbeni wakho ithinta iso lakho.

Ziyini izimpawu ze-Endophthalmitis?

Uma unesinye noma ngaphezulu salezi zimpawu, kufanele ukhathazeke:

• Ububomvu bamehlo: Akukhona lokho kuphela, ngezinye izikhathi amehlo angaba bomvu kakhulu.
• Ubuhlungu obukhulu bamehlo: Ubuhlungu obungabekezeleleki obuvela ngaphakathi kweso.
• Ukubona okunciphile noma okulahlekile: Ngokungazelelwe, umbono uqala ukufiphala noma ukuncipha.
• Ukuzwela ukukhanya okukhanyayo (i-photophobia): Amehlo aba luhlaza okwesibhakabhaka kangangokuthi awakwazi ukubheka ukukhanya.
• Ukuvuvukala kwamehlo: Amajwabu angaphezulu nangaphansi angase avuvuke.
• Amehlo anamanzi (i-epiphora): Umuzwa wezinyembezi ezingapheli ezivela emehlweni.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha, njengoba uma ulinda isikhathi eside, kulapho umonakalo ongaba khona uba mkhulu khona.

Kungani lokhu 'kubizwa ngokuthi i-Endophthalmitis' kwenzeka? Ziyini izimbangela?

Kungaba nezizathu eziningi zalokhu. Izizathu ziyahlukahluka kuye ngezinhlobo ezimbili esixoxe ngazo ngaphambili, `engaphandle` kanye `engaphandle`.

Izimbangela ze-'Endophthalmitis Yangaphandle':

Yilapho amagciwane avela ngaphandle engena khona esweni. Nazi ezinye izibonelo:

• Ukuhlinzwa Kwamehlo: Lesi yimbangela eyinhloko. Lesi simo sivame kakhulu ngemva kokuhlinzwa kwe-cataract . Singase senzeke ngemva kokuhlinzwa kwezinye izimo zamehlo, njenge-glaucoma. Uma izimpawu ezifana nokuncipha kokubona kanye nobuhlungu bamehlo zivela zingakapheli isonto lokuhlinzwa, kungaba yi-endophthalmitis ebukhali, okuwuhlobo olukhula ngokushesha. Ngezinye izikhathi izimpawu zithatha isikhathi eside ukuvela, futhi lokhu kubizwa ngokuthi i-endophthalmitis engapheli.
• Ukujova ngaphakathi kweso noma ngaphakathi kwe-vitreal: Ezinye izimo zamehlo, njengokuguga kwe-macular okuhlobene nobudala, zidinga ukujova esweni. Ukutheleleka nakho kungavela phakathi nalezi zinqubo.
• Izingozi zezimboni noma zethrafikhi: Cabanga ushayiswa esweni umshini emsebenzini, noma kukhona okungena esweni lakho ngesikhathi sengozi yemoto. Lezi zinhlobo zokulimala kwamehlo okungenayo zingangenisa namagciwane esweni lakho.
• Izingozi zemidlalo: Ukulimala kwamehlo kungenzeka kweminye imidlalo, ikakhulukazi leyo ehilela imidlalo enomthelela omkhulu.

Izimbangela ze-'Endogenous Endophthalmitis':

Lokhu kwenzeka lapho ukutheleleka okuvela kwenye ingxenye yomzimba kungena esweni ngegazi. Emazweni aseNtshonalanga, amagciwane avame kakhulu abangela lokhu yi-Staphylococcus aureus kanye ne-Streptococcus pneumoniae. Phakathi kokutheleleka kwesikhunta, okuvame kakhulu yi-Candida albicans.

Nazi ezinye izimo lapho izifo emzimbeni zingangena egazini futhi zifinyelele emehlweni:

• Umsebenzi wamazinyo: Lapho kukhishwa izinyo, noma ngesikhathi sezinqubo ezithile zamazinyo.
• Imithi efakwa ngemithambo: Ngoba ezinye izifo zidinga imithi efakwa ngemithambo.
• Izimo ezifana ne-'Pneumonia' noma i-'Sepsis' (ubuthi egazini): Lezi izifo ezinkulu.
• Ukuhlinzwa noma kuphi emzimbeni: Akukhona ukuhlinzwa kwamehlo kuphela, kodwa nokunye ukuhlinzwa.
• Ithumba noma isilonda sesikhumba.
• Ukutheleleka komgudu womchamo.

Izifundo zakamuva zithole ukuthi abanye abantu abane-COVID-19 nabo bahlakulela lesi simo esibizwa ngokuthi 'i-endogenous endophthalmitis'. Lokhu kungenzeka kakhulu ngenxa yokutheleleka okunye okwenzeka ngesikhathi besesibhedlela. Ubani osengozini enkulu?

• Kulabo asebehlale esibhedlela isikhathi eside.
• Kulabo abanezinye izifo ezingathi sína.
• Labo abathole ama-antibiotic emithanjeni (`ama-antibiotic e-IV`) kanye neminye imithi.

Ingabe i-Endophthalmitis iyathelelana?

Cha. Nakuba kubangelwa yi-ejenti ethelelanayo, lesi sifo asithelelani sisuka komunye umuntu siye komunye .

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Uma uvakashela udokotela wamehlo, uzoqala ngokubuza ngomlando wempilo yakho, abuze ngezimpawu zakho zamanje, bese enza ukuhlolwa kwamehlo okuphelele.

Okulandelayo, bavame ukuthatha isampula yoketshezi esweni lakho , noma into efana nobomvu esweni lakho, bese beyithumela elabhorethri ukuze bayihlole. Lokho kuzosiza ekunqumeni ukuthi hlobo luni lwegciwane olubangela lokhu. Kungase kudingeke futhi ukuthi uhlolwe igazi nomchamo wakho.

Kwezinye izimo, udokotela angase futhi acele ukuhlolwa kwe-ultrasound yamehlo (i-ultrasound yamehlo) .

Iphathwa kanjani?

Lapho welapha i-endophthalmitis, udokotela wakho wamehlo angase akunike imithi . Lokhu kungafaka phakathi ama-antibiotic noma ama-antifungal, noma imithi yokulwa nokuvuvukala njenge- corticosteroids . Lokhu kunganikezwa njengamaconsi noma imijovo yamehlo.

Into ebaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu.

Uma ukubona kwakho kuye kwathinteka kakhulu yilesi sifo, udokotela wakho angase akuncome ukuhlinzwa okubizwa ngokuthi i-vitrectomy . Lokhu kuhlinzwa kususa izinto ezithelelekile ngaphakathi kweso, okuvumela udokotela ohlinzayo ukuba afake ama-antibiotic noma imithi yokukhunta ngqo esweni.

Ngemva kokuhlinzwa, udokotela angase akutshele nokuthi ugqoke i-eye patch isikhashana.

Ingabe kukhona izinkinga ekwelashweni?

Uma ufaka umuthi esweni (imijovo ye-intravitreal), ngezinye izikhathi kungaba nomonakalo omncane ku-cornea noma i-retina. Kodwa-ke, lokhu akwenzeki kaningi.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Izimpawu zakho, njengobuhlungu nokubomvu, zingase ziqale ukuncipha zingakapheli izinsuku ezimbalwa . Kodwa-ke, izinkinga zokubona zingase ziqhubeke isikhathi esithile. I-Endophthalmitis ingathatha amasonto, ngisho nezinyanga, ukuze ixazululeke ngokuphelele . Ngakho-ke, kubalulekile ukuba nesineke nokulandela ukwelashwa.

Yini esingayenza ukuze sinciphise le ngozi?

Lezi zinto zingasiza ekunciphiseni ingozi ye-endophthalmitis:

• Uma umsebenzi wakho uhilela ukuphonsa izinto noma ukuzifaka emehlweni akho (isib. ukusebenza ngemishini, ukushisela), gqoka njalo izimpahla zamehlo ezivikelayo . Lokhu kubalulekile futhi uma udlala imidlalo enamandla.
• Uma kufanele uthinte amehlo akho, geza izandla zakho kahle futhi uzigcine zihlanzekile . Gwema ukuthinta amehlo akho ngokungadingekile.
• Uma uke wahlinzwa, ikakhulukazi ukuhlinzwa kwamehlo, landela imiyalelo kadokotela wakho ngqo . Landela imiyalelo yokuzinakekela ngqo.

Kwenzekani kumuntu one-'Endophthalmitis'? (Isiphetho sokuqala)

Njengezifo eziningi, uma usheshe uqaphele futhi welaphe i-endophthalmitis, kuba ngcono umphumela . Kodwa-ke, kubantu abanezivikeli mzimba ezibuthakathaka noma labo abanezifo ezifana nesifo sikashukela, umphumela uba mubi kakhulu.

Abanye abantu bangase babe nokungaboni kahle ngemva kokwelashwa. Uma lokhu kwenzeka, khuluma nethimba lakho lezokwelapha ngakho bese uthola ukwesekwa okudingayo.

Ngizinakekela kanjani?

Uma une-endophthalmitis, kuzodingeka wenze ama-aphoyintimenti njalo emehlweni . Uma ubona noma yiziphi izinguquko ekuboneni kwakho noma ebuhlungwini bamehlo, tshela udokotela wakho ngokushesha .

Uma ukubona kwakho sekuye kwehla ngemva kokwelashwa, udokotela wakho uzokusiza futhi ukuthola izinsizakalo zokusekela uma kudingeka.

Okubalulekile: Uma uke wahlinzwa, ikakhulukazi ukuhlinzwa kwamehlo noma imijovo yamehlo, futhi uba nezimpawu ezikhathazayo njengobuhlungu bamehlo, ukuphuma koketshezi emzimbeni, noma ukubomvu ngemva kwalokho, bona udokotela ngokushesha. I-endophthalmitis ebukhali iyisimo esiphuthumayo sezokwelapha. Ukuze wandise amathuba akho okululama, kubalulekile ukufuna ukwelashwa ngokushesha okukhulu.

Umlayezo Wokuya Nawe Ekhaya

I-Endophthalmitis ukutheleleka okukhulu okwenzeka ngaphakathi kweso. Kungabangelwa ukulimala kweso, ukuhlinzwa, noma ukusabalala kokutheleleka okuvela kwenye indawo emzimbeni.

• Izimpawu: Amehlo abomvu, ubuhlungu obukhulu, ukuncipha kokubona, ukuzwela ukukhanya, izinkophe ezivuvukile.
• Izimbangela: Ukuhlinzwa kwamehlo, izingozi zamehlo, imithi yamehlo, nezinye izifo emzimbeni.
• Ukwelashwa: Ama-antibiotic noma imithi yokulwa ne-antifungal (amaconsi noma imijovo), mhlawumbe ukuhlinzwa (i-vitrectomy).
• Okubaluleke kakhulu: Bonana nodokotela wamehlo ngokushesha nje lapho kuvela izimpawu. Ukwelashwa kusenesikhathi kungasindisa ukubona kwakho.
• Ukuphepha: Vikela amehlo akho, gcina izandla zakho zihlanzekile, bese ulandela iseluleko sezokwelapha.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Amehlo ayigugu kakhulu, ngakho-ke kungumthwalo wemfanelo wawo wonke umuntu ukuwanakekela.

I- Endophthalmitis, Ukutheleleka Kwamehlo, Ukutheleleka Kwamehlo, Ubuhlungu Bamehlo, Ukulahlekelwa Ukubona, Ukuhlinzwa Kwamehlo, Ukuhlinzwa Kwe-Vitrectomy