Ingabe inhlamvu yeso lakho iyajika iye ngaphakathi? Ake sifunde ngale entropion!

Ingabe ngezinye izikhathi uzizwa sengathi kukhona okuthile ngaphakathi kweso lakho, noma amehlo akho abomvu futhi ahlala emanzi? Yilapho ijwabu leso ligobhoza ngaphakathi bese lishaya ingaphakathi leso. Namuhla sizokhuluma ngalesi simo, esaziwa kwezesayensi yezokwelapha ngokuthi 'i-Entropion'. Ungakhathazeki, uma usukwazi lokhu, uzobona ukuthi lokhu akuyona inkinga enkulu kangako.

Kuyini i-Entropion? Masiyiqonde kalula!

Kalula nje, i-entropion yilapho ijwabu lakho liphendukela ngaphakathi, libheke enhlamvini yeso lakho. Uma lokhu kwenzeka, isikhumba sejwabu lakho kanye nezinkophe ziyakhuhla ebusweni belihlo lakho. Cabanga nje, kuzwakala sengathi uhlamvu lwesihlabathi esweni lakho. Lokhu kungqubuzana kungabangela umonakalo omkhulu ebusweni belihlo lakho, ikakhulukazi ingxenye esobala engaphambili kwelihlo lakho, i-cornea , futhi kungabangela nokulimala.

Kukhona olunye uhlangothi lwalokhu, lapho inhlamvu yeso iphendukela ngaphandle. Lokho kubizwa ngokuthi 'i-Ectropion'. Kodwa namuhla sikhuluma ngokuphendukela ngaphakathi.

I-Entropion ivame ukuthinta ijwabu elingezansi . Abanye abantu bangase babe nayo esweni elilodwa kuphela, kanti abanye bangase babe nayo kuwo womabili amehlo. Siyibiza ngokuthi "i-Bilateral entropion". Uma lokhu kungelashwa kahle, njengoba ngishilo, i-cornea ingase yonakale futhi ngisho nombono ungase ulahleke . Ngakho-ke, uma unalezi zimpawu, kubaluleke kakhulu ukubona udokotela wamehlo ukuze uthole ukwelashwa. Njengesinyathelo sokuqala, kuzanywa izindlela ezingahlaseli, kodwa ngezinye izikhathi ukuhlinzwa kungadingeka.

Yiziphi izinhlobo eziyinhloko ze-entropion?

Kunezinhlobo eziningana eziyinhloko ze-entropion. Ake sibheke ukuthi ziyini:

• I-entropion eguquguqukayo: Lolu uhlobo oluvame kakhulu . Njengoba sikhula, imisipha nemisipha ezungeze amehlo ethu iyabuthaka kancane kancane futhi ikhululeke. Leso yisona sizathu esiyinhloko salokhu. Njengoba nje isikhumba sogogo nomkhulu bethu sasishwabana, amandla ezinto ezingaphakathi nawo ayancipha.

• I-Spastic entropion: Lolu hlobo lungenzeka uma iso liphazamiseka nganoma iyiphi indlela, isibonelo, ngokuhlikihla iso kakhulu, uma iso litheleleka, noma uma iso livuvukala. Kungenzeka kakhulu ukuthi kwenzeke ngemva kokuhlinzwa kwamehlo , noma kubantu asebevele benamehlo axegayo ngenxa yokuguga.

• I-cicatricial entropion: Lesi yisimo lapho kwakheka khona izicubu zesibazi esikhumbeni sejwabu. Lokhu kungabangelwa ukusha, ukutheleleka okukhulu, ukulimala kweso, ukuhlinzwa kwamehlo, noma ukwelashwa ngemisebe yomdlavuza. Lokhu kusibazi kubangela ukuthi ijwabu leso liphendukele ngaphakathi.

• I-entropion yokuzalwa:Lokhu akuvamile kakhulu, kodwa ezinye izingane zizalwa zinalesi simo. Lokhu kusho ukuthi inhlamvu yeso iphendukela ngaphakathi kusukela ekuzalweni .

• I-entropion yemishini: Lokhu kwenzeka lapho inhlamvu yeso isinda kakhulu, okubangela ukuthi igoqeke ngaphakathi. Lokhu kungenzeka uma kuvela inqwaba noma isimila enhlamvu yeso.

Ziyini izimpawu ze-entropion?

Uma une-entropion, ungase ube nezimpawu eziningana zamehlo ezingakhululekile. Bona ukuthi lezi zizwakala zijwayelekile yini kuwe:

• Umuzwa oqhubekayo wokuthi kukhona okuthile esweni. Njengothuli noma i-eyelash enamathele kulo.
• Ukubomvu kwamehlo.
• Ukudabuka njalo (amehlo anamanzi).
• Umbono ofiphele.
• Ubuhlungu bamehlo.
• Amehlo alumayo.
• Ukuzwela ukukhanya (ubunzima bokubheka ngaphandle ekukhanyeni okukhulu - lokhu sikubiza ngokuthi "i-Photophobia") kanye nokuzwela umoya.
• Ukuphuma kwamanzi emehlweni noma ukuphuma kwamanzi emakhoneni amehlo.

Uma uqala ukuba ne-entropion, ungase uzizwe lezi zimpawu ngezikhathi ezithile kuphela. Kodwa-ke, ngokuhamba kwesikhathi, lezi zimpawu zivame ukuqhubeka njalo.

Kungani kwenzeka i-entropion? Ziyini izimbangela?

Kunezici ezintathu eziyinhloko zejwabu leso eline-entropion: ukuxega kwejwabu leso, umsipha we-eyelid retractor ophakamisa ijwabu leso uphume endaweni yalo yokunamathela, kanye nomsipha wokuvala ijwabu leso oqinile kakhulu, ophendula ijwabu leso ngaphakathi esikhundleni sokulibhekisa ngaphandle. Ukuxega kwejwabu leso elingezansi kuvame kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala , ngoba ukusekelwa kwejwabu leso kuyaphela njengoba iminyaka ikhula.

Ngaphezu kwalokho, kunezinye izizathu eziningana zokuthi kungani ijwabu leso lingaphenduka libheke ngaphakathi:

• Ukulimala kwamehlo.
• Ukutheleleka kwamehlo.
• Ukuhlinzwa kwamehlo kwangaphambilini.
• Ukuvuvukala kanye nezimo zokuvuvukala kwamehlo.
• Izicubu zezibazi ezibangelwa yinoma yiziphi izimbangela ezibalwe ngenhla.

Ubani osengozini enkulu yokuthola i-entropion?

Ubudala buyisici esikhulu esiyingozi sokuthuthukisa i-entropion. Ngokuvamile kwenzeka kubantu abangaphezu kweminyaka engama-60. Ngokusho kwe-American Academy of Ophthalmology, lesi simo sithinta cishe abantu abangu-2.1% abangaphezu kweminyaka engama-60.

Futhi, abantu abane-sleep apnea basengozini enkulu yokuthola i-entropion. Lokhu kungenxa yokuthi izinkophe zabo ezingaphezulu zingase zikhululeke kakhulu (okubizwa ngokuthi "i-Floppy eyelid syndrome"), okwenza kube lula ukuthi zigoqeke ngaphakathi.

Enye into ukuthi abesifazane banamathuba amaningi okuthuthukisa i-entropion kunabesilisa.Ngikutholile nalokho.

Odokotela bayixilonga kanjani i-entropion?

Udokotela wakho wamehlo uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wezokwelapha. Ngemuva kwalokho uzokwenza ukuhlolwa kwamehlo okuphelele . Uzohlola noma yiziphi izinkinga zesikhumba, izifo, noma izibazi. Uzohlola futhi imiphetho yamehlo ngokucophelela, njengoba kunezinye izimo ezingabonakala njenge-entropion. Kubalulekile ukwenza ukuxilongwa okunembile , njengoba lokhu kuzonquma ukwelashwa okungcono kakhulu.

Ukuhlolwa okusetshenziselwa ukuxilonga i-entropion

Udokotela angenza izivivinyo eziningana ukuqinisekisa ukuthi une-entropion:

• Ukuhlolwa kwe-Snap-back: Kulokhu kuhlolwa, udokotela udonsa ijwabu lakho elingezansi ngaphandle kokukuvumela ukuthi ucwayize. Bese bebheka ukuthi kuthatha isikhathi esingakanani ukuthi libuyele phezulu. Ngokuvamile libuyela phezulu phakathi nomzuzwana noma emibili.
• Ukuhlolwa kokuphazamiseka: Kulokhu kuhlolwa, udokotela udonsa ijwabu lakho elingezansi ebholeni leso lakho. Ngokulidonsa, ibanga eliphakathi kwejwabu leso nebhola leso liyalinganiswa. Uma leli banga lingaphezu kwamamilimitha ayi-6, kubhekwa njengokungajwayelekile.
• Ukuhlolwa kwesibani esinqunyiwe: Isibani esinqunyiwe siyi -microscope ekhethekile . Esebenzisa ukukhanya okukhanyayo, udokotela uzohlola iso lakho ngokucophelela ukuze abone ukuthi kukhona yini izimpawu zalesi simo. Lokhu kungabona ngisho nomonakalo omncane kakhulu esweni.

Yiziphi izindlela zokwelapha i-entropion?

Udokotela wakho angase asebenzise izindlela eziningana ukwelapha i-entropion. Izindlela zokwelapha ezivamile zifaka:

• Amaconsi amehlo agcotshwayo: Ukufaka amafutha anamafutha noma izinyembezi zokwenziwa esweni kungasiza ekunciphiseni ukungakhululeki. Kodwa-ke, lesi akusona isisombululo sesikhathi eside.

• Amalensi okuxhumana athambile: Udokotela wakho angase akuncome ukusebenzisa amalensi okuxhumana athambile ukuvikela amehlo akho ezinkingeni zamehlo. Lawa malensi asebenza njengebhandeji futhi anciphisa izimpawu.

• Itheyiphu: Uhlobo olukhethekile lwetheyiphu lungasetshenziswa ukubamba ijwabu leso okwesikhashana. Lokhu futhi kuyinto elula ongayenza ekhaya.

• Izithungo: Udokotela angase abeke kabusha ijwabu leso bese ebeka izithungo ezimbalwa ukuze alibambe endaweni yalo. Izicubu zesibazi ezidalwe yilezi zithungo zizosiza ukuvimbela ijwabu leso ukuthi lingaphenduki izinyanga eziningana.

• Imijovo yeBotox®:Inani elincane le-botulinum toxin lingafakwa ukuze lenze buthaka imisipha ephendula ijwabu leso lingene ngaphakathi. Lokhu kunikeza impumuzo izinyanga eziningana.

• Ukususwa kwezinkophe/Ukususwa kwezinkophe: Ukuze kuvinjwe izinkophe ezicasulayo ukuthi zingakhuhli ebusweni beso, inqubo yokuzikhipha nokuzisusa ibizwa ngokuthi "Ukususwa kwezinkophe".

Khumbula, iningi lalezi zindlela zokwelapha lingelesikhashana. Uma ufuna ikhambi elihlala njalo, uzodinga ukuhlinzwa.

Ngezinye izikhathi, uma i-inverted pupil ibangelwa ukuvuvukala okungapheli, udokotela wakho angase acele ukuhlolwa kwegazi (amalebhu) noma i-biopsy ukuze ahlole izimbangela ezingavamile njenge-ocular cicatricial pemphigoid noma i-trachoma.

Ukuhlinzwa kwe-Entropion

Nakuba ukwelashwa okungekona ukuhlinzwa okukhulunywe ngakho ngenhla kungasiza esikhathini esifushane, ukuhlinzwa kuvame ukudingeka ukuze kulungiswe ngokuphelele ijwabu eliguquliwe bese libuyiselwa esimweni salo esijwayelekile. Lokhu kuhlinzwa kuvame ukwenziwa ngaphansi komuthi wokudambisa kanye ne-anesthesia yendawo. Uzokwazi ukuya ekhaya ngosuku olufanayo nokuhlinzwa kwakho.

Kunezinqubo eziningana zokuhlinzwa zokulungisa i-entropion:

• Ukuqinisa ijwabu leso: Lokhu kuhilela ukuqinisa ijwabu leso lakho ngokulifinyeza kancane (okubizwa ngokuthi i-wedge resection noma i-lateral tarsal strip).
• Ukufakwa kabusha kwe-Retractor: Lokhu kuhilela ukuqinisa imisipha evula futhi ivale ijwabu leso (i-'lid retractor').
• Ukususa i-Orbicularis ebulking: Lokhu kuhilela ukwehlisa ingxenye yomsipha esiza ukuvala ijwabu leso (umsipha we-orbicularis).
• Ukwakhiwa kabusha komphetho wejwabu leso: I-electrocautery noma i-cryotherapy ingasetshenziswa ukususa unomphela ijwabu leso eliye laphambuka ngenxa yokulimala noma ukuvuvukala okungapheli.

Nakuba ukwelashwa okungewona ukuhlinzwa kuwusizo esikhathini esifushane, ukuhlinzwa ngokuvamile kuyadingeka ukuze kulungiswe ngokuphelele nangokuhlala njalo i-entropion.

Abantu abaningi babhekana nemiphumela emibi yesikhashana ngemva kokuhlinzwa kwe-entropion. Ukuvuvukala nokuklwebheka yikona okuvame kakhulu. Lokhu kuyingxenye evamile yenqubo yokuphulukiswa. Lokhu kungaphathwa ngemithi enqunywe udokotela wakho kanye nokucindezela okubandayo. Ezimweni eziningi, ukuhlinzwa kuphele ngokuphelele phakathi namasonto amabili.

Kufanele ngimbone nini udokotela?

Uma uzizwa sengathi ijwabu lakho liphendukela ngaphakathi, funa iseluleko sezokwelapha ngokushesha.Uma inhlamvu yeso lakho ibonakala ingaphenduki ngaphakathi, kodwa uhlala uzizwa sengathi kukhona okuthile ngaphakathi kweso lakho, bona udokotela. Kungaba yi-entropion.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma une-entropion, ungabuza udokotela wakho le mibuzo:

• Yiziphi izinkinga okufanele ngiziqaphele?
• Yini okufanele ngiyigweme ngesikhathi sokululama?
• Ingabe kudingeka ngibuye ukuzohlola? Uma kunjalo, nini?
• Yini engingayenza ukuze ngivimbele i-entropion ukuthi ingaphinde ivele?

Ingabe i-entropion ingavinjelwa?

I-Entropion yisimo esivame ukuba yingxenye yemvelo yokuguga futhi ngezinye izikhathi esibangelwa yizicubu zesilonda, ngakho-ke kunzima ukusivimbela ngokuphelele. Kodwa-ke, ukuze unciphise ingozi yokuthola i-entropion ngenxa yokulimala kwamehlo, gqoka izibuko zokuphepha lapho wenza umsebenzi ongalimaza amehlo akho (isibonelo, lapho usika ukhuni noma ushisela).

Kwenzekani uma une-entropion? Yini ongayilindela?

Abantu abaningi abafuna ukwelashwa kwe-entropion ngaphambi kokuba ibangele umonakalo esweni bathola imiphumela emihle. Ukuhlinzwa kwe-entropion kuvame ukuxazulula inkinga, futhi lesi simo asivamile ukuphinda.

Kodwa-ke, kubalulekile ukwelapha i-entropion ukuze kuvinjelwe izinkinga ezihlala njalo. Izinkinga ezingahlotshaniswa nejwabu leso eliphendukezelwe zifaka:

• Ukutheleleka kwamehlo
• Ukuklwebheka kwe-cornea
• Ukulahlekelwa umbono

Umlayezo Wokuya Nawe Ekhaya

Uma uhlala uzizwa sengathi kukhona okuthile esweni lakho, noma uma ijwabu lakho libonakala liphendukela ngaphakathi, ungase ube ne-entropion. Kubalulekile ukuthola lesi simo sokwelashwa ukuze uvimbele izinkinga zesikhathi eside njengokulimala kwe-cornea kanye nokulahlekelwa umbono. Khuluma nodokotela wakho ngezinketho zokwelapha ezingathuthukisa ukungakhululeki kwakho, impilo yamehlo, kanye nekhwalithi yokuphila iyonke. Ungesabi noma ube namahloni okukhuluma ngakho. Uma uthola ukwelashwa ngokushesha, kulapho ungaba ngcono khona ngokushesha!

I- Entropion, ukujika ngaphakathi kwebhola leso, izifo zamehlo, amehlo alumayo, amehlo abomvu, ukubona, ukuguga namehlo