Ingabe amehlo akho abukeka egobile? Ake sixoxe nge-Enophthalmos!

Wake waphawula ukuthi amehlo abanye abantu abonakala ecwile kancane, njengokungathi acwile ezimbotsheni zawo? Mhlawumbe nawe uke wabhekana nalokhu, noma mhlawumbe uke wabona othile omaziyo ekwenza. Kwezokwelapha, lokhu kubizwa ngokuthi i-enophthalmos . Leli gama lingase lizwakale lingathi sína, kodwa ungakhathazeki. Ake sixoxe ngakho kalula, ngendlela ongayiqonda. Ngoba lesi simo singavela ngezizathu eziningana, futhi kunezinto ongayenza ngakho.

Iyini ngempela i-Enophthalmos?

Kalula nje, i-enophthalmos yilapho elinye noma womabili amehlo akho eshona ngaphakathi, noma eshona ngaphakathi, engosini yeso. Igama elithi "en" kulokhu lisho "ngaphakathi" kanti elithi "ophthalmos" lisho "iso." Olunye uhlangothi lwalokhu, lapho amehlo ephuma, lubizwa ngokuthi i-exophthalmos noma i-proptosis . Abanye abantu bakubiza nangokuthi "amabhola amehlo aphumayo."

Lesi simo samehlo acwile, esibizwa ngokuthi i-enophthalmos, singaba yinto yokuzalwa noma etholwe . Singathinta neso elilodwa (eliyi-unilateral) noma womabili amehlo (ayi-bilateral).

Kungaba nezizathu eziningana zalokhu. Isibonelo:

• Ukuphelelwa amanzi emzimbeni kusho ukuntuleka kwamanzi emzimbeni.
• Ezinye izimo zezokwelapha, njenge -Horner's syndrome .
• Ukulimala kwamehlo okubuhlungu - Lokhu kungabangelwa izinto ezifana nezingozi zezimoto, ukulwa, noma ukuphuka kwe-orbital. Lokhu kubizwa ngokuthi i-traumatic enophthalmos .
• Izimo zokuzalwa ezifana ne -Silent Sinus Syndrome .
• Njengoba umuntu esekhulile (osekhulile), amehlo ngezinye izikhathi angacwila kancane.

Ubani othinteka kakhulu yi-Enophthalmos?

Lesi simo sivame ukubonakala kubantu abaye bahileleka ezingozini zezimoto (izimoto, amaloli, izithuthuthu), noma kulabo abaye baphuka i-orbital ngenxa yokushaywa ebusweni noma ukulwa. Ithambo le-orbital liwuhlaka lwamathambo oluvikela iso. Ngokwezibalo, lesi simo sithinta amadoda kancane kunabesifazane.

Ziyini izimpawu ze-enophthalmos?

Uma une-enophthalmos, izimpawu zingase zihluke kuye ngembangela. Kodwa-ke, kunezimpawu ezivamile ongase uzibone:

• Ukubona okukabili (i-Diplopia): Ukubona izinto ezimbili ngesikhathi esisodwa. Lokhu kuyacasula ngempela.
• Ubunzima bokugxila ekuboneni:Kuthatha isikhathi ukubona kahle, noma kungase kungabonakali nhlobo.
• Ukungalingani kwezici zobuso: Lokhu kusho ukuthi uhlangothi olulodwa lobuso bakho alufani nhlobo nolunye. Lokhu kungenzeka uma amehlo akho eshone.
• Ukugoba kwejwabu elingaphezulu (i-Ptosis): Kungakwenza ubukeke ulele.
• I-Deep sulcus : Umsele ojulile obonakala phakathi kwejwabu eliphezulu kanye neshiya.
• Amehlo omile: Ukuzizwa sengathi amehlo akho awatholi ukudabuka okwanele, ukubomvu, nokuvuvukala.

Ngezinye izikhathi udokotela angazibona ezinye zalezi zimpawu (ukugoba kwamehlo aphezulu, ukungalingani kobuso, amehlo ashone) ngokushesha nje lapho ekubona.

Kungani kuvela i-enophthalmos? Ziyini izimbangela?

Kunezimbangela eziningi ezingaba khona zamehlo acwile, noma i-enophthalmos. Lezi zimbangela zingahlukaniswa ngezigaba eziningana eziyinhloko.

1. Izinguquko kusayizi wesokhethi lakho (i-orbit)

Uma sithi "i-orbit," sisho isokhethi elinamathambo elizungeze iso lakho. Ngezinye izikhathi, isokhethi nakho konke okungaphakathi kwalo (kufaka phakathi inhlamvu yeso) kubizwa ngokuthi "i-orbit." Ngakho-ke, uma usayizi walesi sokhethi seso ushintsha futhi uba mkhulu, indawo yezinto ezingaphakathi ingashintsha. Kunezizathu eziningana zokuthi kungani usayizi wesokhethi seso ungashintsha:

• Ukuphuka kwamathambo azungeze iso lakho: Lena imbangela evame kakhulu. Ngokukhethekile, ukuphuka kwamathambo ngaphansi kwesokhethi leso (ukuphuka kwephansi le-orbital). Ukuphuka kwe-orbital kuwuhlobo olubi kakhulu lokuphuka. Kungabuye kwenzeke ngenxa yokulimala komhlathi kanye namanye amathambo ebusweni.
• I-Sinus Syndrome Ethule (i-SSS) noma i-maxillary sinus atelectasis engapheli : Lesi yisimo lapho ingxenye engezansi yeso ibuthakathaka futhi iwela ngaphakathi ngenxa yesifo se-maxillary sinuses, izikhala zomoya ezitholakala ezihlathini ezinhlangothini zombili zekhala.
• Ezinye izimo, njenge- neurofibromatosis, zingabangela ukulahlekelwa noma ukukhubazeka kwamathambo ebusweni.
• Izinguquko emathanjeni ngokuguga: Amathambo ethu nawo ayashintsha ngokuhamba kwesikhathi.

2. Izinguquko kulokho okungaphakathi kweso lakho

Ngezinye izikhathi, amehlo acwile angase abangelwe izinguquko ezicutshini ezinamafutha kanye nemisipha ngaphakathi kwesokhethi, kunokuba kube nezinkinga ngamathambo. Izibonelo:

• Ukulahlekelwa yizicubu zamafutha kanye nobuthakathaka bemisipha ngokuguga: Izimo ezimbili ezibangelwa yilezi zinguquko ezihlobene nokuguga zinamagama ahlukene: i-Giant Fornix Syndrome (GFS) kanye ne-senile sunken eye syndrome . I-GFS yisimo esivame ukubangela i-conjunctivitis.(isifo samehlo). Zombili lezi zimo zingadala nezinkinga ebusweni beso.
• Izinkinga zemithambo yegazi.
• Imiphumela yesikhathi eside yokwelashwa ngemisebe ekhanda.
• Izifo ezishintsha indlela yokusabalala kwamafutha emzimbeni wonke, ikakhulukazi ebusweni: Isibonelo esisodwa salokhu yi -Parry-Romberg syndrome , ethinta uhlangothi olulodwa lobuso kuphela. Esinye isibonelo yi -human immunodeficiency virus (HIV) .
• I-Scleroderma: Lesi yisimo sokuzivikela komzimba lapho izicubu ezahlukahlukene emzimbeni, njengesikhumba, izinso, kanye nohlelo lokugaya ukudla, ziqina khona.
• Ukulimala noma ukuhlinzwa kweso (ngisho noma ithambo lingaphukile): Ngezinye izikhathi, ngisho noma ithambo lingaphukile, ukulimala noma ukuhlinzwa kweso kungabangela ukuba iso licwile.
• Eminye imithi esetshenziswa ukwelapha i-glaucoma: Kukhona isimo esibizwa ngokuthi i-prostaglandin-associated periorbitopathy (PAP) . Lokhu kungase kungapheli ngokuphelele ngisho nangemva kokuyeka umuthi.

3. Izinguquko ngobukhulu bamehlo akho

Ngezinye izikhathi, indawo yamehlo ingashintsha ngenxa yezinguquko esweni ngokwalo, njengokuthi iso liba lincane.

• Umdlavuza osakazeke emehlweni: Umdlavuza osakazekele esweni usuka endaweni efana nebele, i-prostate, amaphaphu, uhlelo lwesisu, isikhumba, noma i-parotid gland.
• Ukulimala okukhulu kwamehlo ngenxa yengozi (ngisho noma ithambo lingaphukile).
• I-Congenital fibrosis syndrome: Lesi yisimo esiba khona lapho umuntu ezalwa. Sibangela izibazi (i-fibrosis) emehlweni womabili. Ngenxa yokuthi sithinta amehlo womabili (amabili), lo mehluko ungase ungabonakali ekuqaleni.

Ungayithola kanjani i-Enophthalmos? (Ukuxilongwa)

Ezimweni eziningi, ikakhulukazi uma iso elilodwa kuphela lithintekile yi-enophthalmos, udokotela angakwazi ukuxilonga lesi simo ngokushesha nje lapho ekubona. Ngaphezu kwalokho, bazobuza ngomlando wakho wezokwelapha futhi benze ukuhlolwa kwamehlo okuphelele.

Futhi, kunezinsimbi ezikhethekile kanye nokuhlolwa okusetshenziswa odokotela bamehlo ukuze balinganise ngokunembile ukuthi une-enophthalmos noma cha:

• I-Exophthalmometry: Lokhu kulinganisa ukuthi iso lakho liphuma kude kangakanani (liphuma) noma lishona (lishona) kangakanani ngaphandle kwesokhethi leso.
• Ukuskena kwe-Computed Tomography (CT): Le ndlela ihlanganisa ama-X-ray namakhompyutha ukudala izithombe zezingxenye zomzimba nezicubu ezinobukhulu obuthathu (3D). Lokhu kunganikeza ukuqonda okungcono ngesimo samathambo nezicubu ngaphakathi kweso.
• Ukuthwebula Izithombe Zokuzwakala Kwe-Magnetic (i-MRI scan): Le ndlela isebenzisa i-magnet, amaza omsakazo, kanye nekhompyutha (engenawo umsebe) ukukhiqiza izithombe ezinemininingwane yezingxenye zomzimba nezicubu. Inganikeza imininingwane emihle kakhulu yezicubu ezithambile.

Khumbula, kungase kungadingeki ukuthi wenze zonke lezi zivivinyo. Udokotela wakho uzonquma ukuthi yiziphi izivivinyo ezifanele ngokusekelwe esimweni sakho.

Iphathwa kanjani i-Enophthalmos?

Ukwelapha i-enophthalmos kusho ukwelapha imbangela eyinhloko. Ngakho-ke, ukwelashwa kuyahlukahluka kuye ngembangela.

• Ukuqala noma ukuyeka imithi: Ngezinye izikhathi lokhu kungenxa yesimo sezokwelapha, esidinga ukuqala imithi. Noma, uma kuyinto efana nomuthi we-glaucoma, udokotela wakho angase akucebise ukuthi uyeke noma ushintshe lowo muthi.
• Ukuhlinzwa: Uma kungenxa yokuthile okufana nokuphuka kwe-orbital, kungase kudingeke ukuhlinzwa ukuze kulungiswe. Ngezinye izikhathi ukuhlinzwa kwenziwa ukuze kulungiswe ivolumu yeso noma ukusekela iso.

Ingabe zikhona izinkinga ezihlobene nokwelashwa?

Yebo, ngezinye izikhathi izinkinga zingavela ngemva kokwelashwa kwe-enophthalmos. Akwenzeki kuwo wonke umuntu, kodwa kuhle ukwazi:

• Izimpawu ziya ziba zimbi kakhulu.
• Ukulahlekelwa ukulingana kobuso.
• Ukulahlekelwa umbono (okungavamile kakhulu).
• Ukubona okuphindwe kabili (i-Diplopia).
• Ukuncipha noma ukulahlekelwa ikhono lokuhambisa amehlo.

Yingakho kubalulekile ukufuna ukwelashwa okufanele kuchwepheshe.

Unganciphisa kanjani ingozi ye-enophthalmos?

Into eyodwa ongayenza ukuze unciphise ingozi yakho yalesi simo ukuzivikela ekuqhekekeni kwamehlo akho kanye namathambo obuso.

• Sebenzisa imishini yokuphepha: Gqoka izibuko zokuphepha nezigqoko ezifanele uma udlala imidlalo noma wenza noma yimiphi imisebenzi eyingozi.
• Shayela ngokucophelela: Izingozi zezimoto ziyimbangela ehamba phambili yokulimala ebusweni.
• Gwema ukulwa: Ukushaywa ebusweni kungalimaza isokhethi.

Iyini ikusasa lokululama komuntu one-enophthalmos?

Umbono wokululama komuntu one-enophthalmos uncike kakhulu embangela eyinhloko. Isibonelo, ukwelashwa kwe-fracture noma i-sinus syndrome esemncane kuvame ukuveza imiphumela emihle kakhulu. Kodwa-ke, uma imbangela iyinkimbinkimbi kakhulu, ukwelashwa kungaba nzima kakhulu futhi izikhathi zokululama zingahluka.

Kufanele ngimbone nini udokotela?

Uma ubhekene nengozi ebangela ukushayeka emehlweni noma ebusweni, kubalulekile ukubona udokotela. Kubalulekile futhi ukukhuluma nodokotela uma ubona noma yiziphi izinguquko ekuboneni kwakho (isib. ukubona okufiphele, ukubona okuphindwe kabili) noma uma uzizwa sengathi amehlo akho acwile. Uma usheshe uthole imbangela, kuba lula ukwelapha.

Uyini umehluko phakathi kwe-Enophthalmos ne-Hypoglobus?

I-Enophthalmos yilapho amabhola akho emehlo ewela khona emasokisini awo. I-Hypoglobus yilapho amabhola akho ehla khona. Kokubili kungabangelwa ukuhlukumezeka kanye ne-Silent Sinus Syndrome.

Uyini umehluko phakathi kwe-Enophthalmos ne-Anophthalmos?

I-Anophthalmos ukungabikho kweso elilodwa noma womabili lapho ezalwa. I-Enophthalmos ukufuduka kweso , okubangela ukuthi licwile ngaphakathi. Lezi yizimo ezimbili ezihluke ngokuphelele.

Uyini umehluko phakathi kwe-Enophthalmos ne-Pseudoenophthalmos?

Ngezinye izikhathi, kungaba nesimo lapho iso libonakala lishonile ngaphandle kokuthi lishonile ngempela. Lokhu kubizwa ngokuthi i-pseudo-enophthalmos ( i-pseudo isho ukuthi "amanga"). Isibonelo, uma iso elilodwa libona eduze kakhulu (elibona eduze) kunelinye, lelo so lingase libonakale lishonile. Kodwa iso alishonile ngempela.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma unamehlo acwile (i-enophthalmos), udokotela wakho angakusiza ukuthola imbangela. Lesi simo singase sibangelwe yinto esobala, njengokuphuka, noma kungaba yinto ongazi ukuthi iyenzeka, njengenkinga ye-sinus.

Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha uma ubhekene nengozi ebusweni noma emehlweni. Futhi, uma ubona noma yiziphi izinguquko ekuboneni kwakho, khuluma nodokotela wakho ngakho. Ukuxilongwa kusenesikhathi kanye nokwelashwa kungavimbela izinkinga eziningi. Ungakhathazeki, kunezixazululo zakho konke!

I- Enophthalmos, amehlo acwile, izifo zamehlo, izinkinga zamehlo, isokhethi lamehlo, ukubona, ukungalingani kobuso