Ingabe ijwabu lakho lizwakala likhululekile nje? Ake sixoxe nge-(Floppy Eyelid Syndrome)?

Ingabe uzizwa ubuhlungu emehlweni akho kanye nomuzwa wokuthi amehlo akho ayaphenduka emuva naphambili uma uvuka ekuseni? Mhlawumbe amehlo akho azizwa sengathi anjengerabha uma uwathinta. Nakuba lokhu kuyisiphazamiso esincane kwabanye abantu, kungaba futhi uphawu lwesimo esizokhuluma ngaso namuhla esibizwa ngokuthi (i-Floppy Eyelid Syndrome) .

Iyini i-Floppy Eyelid Syndrome?

Kalula nje, (i-Floppy Eyelid Syndrome) yilapho isikhumba sezinkophe zakho, noma izinkophe, siba buthakathaka futhi sibe njoloba. Siba bushelelezi, njengebhande lerabha elidala. Lokhu kwenza kube lula ukuthi izinkophe zakho zigoqeke noma ziphume, ikakhulukazi uma ulele. Ngokuvamile kungathinta zombili izinkophe ezingaphezulu.

Sivame kangakanani lesi simo?

Ucwaningo lwamanje lusikisela ukuthi phakathi kuka-2% no-4% wabantu bomhlaba banalesi simo (i-Floppy Eyelid Syndrome). Kodwa-ke, odokotela bakholelwa ukuthi leli nani lingaba phezulu kakhulu. Isizathu ukuthi izimpawu zalesi simo zingavela nakwezinye izifo eziningi. Ngakho-ke, ngezinye izikhathi odokotela, ikakhulukazi odokotela bamehlo, belapha lezi zimpawu, kodwa bangase bangaqapheli ukuthi kuyingxenye yalesi (i-Floppy Eyelid Syndrome) uqobo.

Ziyini izimpawu ze-Floppy Eyelid Syndrome?

Lesi simo singadala izimpawu eziningana, ikakhulukazi uma uvuka ekuseni .

• Amajwabu amehlo ayakhululeka kakhulu futhi awe. Angagoqeka/angene ngisho noma ethinte kancane.
• Uzwa ubuhlungu noma ukushisa emehlweni akho.
• Amehlo ayoma ngoba uketshezi lwezinyembezi olumanzisa amehlo aluwagcobi kahle.
• Amehlo akho ayamanzi ngoba umzimba wakho ukhipha izinyembezi eziningi ukuze zihlale zimanzi.
• Amajwabu amehlo avuvukele futhi abuhlungu. Siphinde sibize lokhu ngokuthi i-blepharitis ngokwezokwelapha.
• Kuzwakala sengathi kukhona okunamathele ngaphakathi kweso.
• Ukuzwela ukukhanya, okusho ukuthi kunzima ukubheka ukukhanya (i-Photophobia) .
• Kuphuma uketshezi olufana nethonsi emehlweni.

Kungani lokhu kugoba kwejwabu kuyinkinga?

Ubuwazi ukuthi isikhumba esincane kakhulu emizimbeni yethu sitholakala ezinkopheni zethu ? Ukuze lezi zinkophe zisebenze kahle, kudingeka zibe nokunwebeka . Yilapho-ke 'zinendawo' ezidinga ukuhlala ziqinile phezu kwebhola leso futhi zihambe phezulu naphansi lapho sivula, sivala, futhi sicwayiza.

Kodwa ijwabu leso aliyona nje into embozayo. Ngaphakathi kwalo kukhona uhlobo lwendlala ebizwa ngokuthi ama-Meibomian glands . La ma-glands akhiqiza (i-Meibum)Zikhipha into enamafutha ebizwa ngokuthi i-meibum (ebizwa ngokuthi i-meibum). Le nto ibaluleke kakhulu endleleni uhlelo lwethu lwezinyembezi olusebenza ngayo. Le oyili, ebizwa ngokuthi i-meibum, ixubana noketshezi lwezinyembezi, igcobe ubuso bamehlo futhi inciphise ukuhwamuka koketshezi lwezinyembezi. Akukhona lokho kuphela, kodwa futhi kusiza ukugcina izinkophe zihlangene lapho amehlo evaliwe, kudala isivalo esivimba umoya ngaphandle. Lokhu kusiza ukugcina amehlo emanzi.

Ngakho-ke, uma amehlo akho elahlekelwa yilokhu kuthamba, ayawa, awahlali endaweni yawo kahle. Ngemuva kwalokho i-(Meibum) evela kuma-(Meibomian glands) ayihlangani kahle noketshezi lokudabuka. Ngemuva kwalokho ukuthambisa kwamehlo kuyaphazamiseka. Futhi, ngoba amehlo ahamba kalula, leso sivalo esingangeni moya asakheki kahle uma amehlo akho evaliwe. Lokhu kuyinto engenzeka ngaso sonke isikhathi, ikakhulukazi uma ulele .

Yiziphi izimbangela ze-Floppy Eyelid Syndrome?

Isizathu esiyinhloko sokugoba kwamehlo ukulahleka kwephrotheni ebizwa ngokuthi i-elastin emajwabu amehlo. Le-elastin yiyona enika isikhumba ukuqina kwaso. Kodwa isizathu esiqondile salokhu asikaziwa. Kodwa-ke, ucwaningo luphakamise ukungabaza ngezinto eziningana. Kunzima ukusho ukuthi lezi yizimbangela eziqondile noma zimane ziyizimbangela ezibangela lokhu. Kodwa lezi kucatshangwa ukuthi zidlala indima:

• Ukukhuluphala kanye ne-Obstructive Sleep Apnea (OSA): Lezi zimo ezimbili zihlobene kakhulu. Uma ukhuluphele kakhulu, okungukuthi, ukhuluphele kakhulu, usengozini enkulu yokuthola i-OSA. Nge-OSA, ukuphefumula kwakho kuyayeka ngenkathi ulele. Lokhu kunciphisa inani lomoya-mpilo owutholayo emzimbeni wakho. Lokhu kuntuleka komoya-mpilo kushintsha ukusabela kwamakhemikhali emzimbeni, futhi kukhiqizwa ama-enzyme engeziwe angaphula iphrotheni ebizwa ngokuthi i-elastin. Cishe ingxenye yabantu abane-OSA nabo bahlakulela lesi simo (i-Floppy Eyelid Syndrome).
• Izinkinga zezicubu ezixhumene: Lezi yizifo ezithinta izicubu ezixhumene njenge-cartilage kanye ne-tendon. Lezi zifo zingathinta nendlela umzimba owenza futhi usebenzise ngayo i-elastin. Isibonelo, izimo ezifana ne -Marfan syndrome kanye ne-Ehlers-Danlos syndrome .
• Izakhi zofuzo: Izinguquko ku-DNA yakho zingathinta indlela umzimba wakho owenza futhi usebenzise ngayo i-elastin. Lokhu kungase kuzuzwe njengefa kubazali bakho, noma kungaba izinguquko ezenzeka ngengozi ngesikhathi usakhula njengomntwana.
• Ezinye izifo ezithinta amehlo nezicubu ezizungezile: Abantu abanezifo ezibangela ukuba amehlo avuvuke bangase babe sengozini enkulu. Isibonelo , izifo ze-thyroid , njengesifo sikaHashimoto .

Ngaphezu kwalokhu, kunezinye izici eziningana ezibangela lokhu:

• Ubulili: Amadoda anamathuba amaningi okuthola i-Floppy Eyalid Syndrome kunabesifazane. Cishe izingxenye ezimbili kwezintathu zingabesilisa.
• Ubudala:Lesi simo sivame kakhulu kubantu abadala. Nakuba singakhula ezinganeni, asivamile kakhulu.
• Ubuzwe: Abantu abanesikhumba esigoqekile (i-epicanthic fold) ekhoneni elingaphakathi leso, njengezinye izizwe zase-Asia, bangase bangabi namathuba amaningi okuthola lesi simo ngenxa yesakhiwo sezinkophe zabo.

Yiziphi izinkinga ezingaba khona ze-Floppy Eyelid Syndrome?

Uma amehlo akho ewa, kuvimbela amehlo akho ukuthi ahlale emanzi futhi egcotshwe. Lokhu kungabangela ukuthi amehlo akho acasuke futhi alimale . Lokhu kungaholela ku:

• Isifo samehlo esomile .
• I-Keratitis ukuvuvukala kwe-cornea, ingxenye engaphambili yeso esobala.
• Ukuguguleka kwe-cornea okuphindaphindiwe (RCE) .
• Izilonda ze-cornea kanye nezibazi.
• Ezimweni ezimbi kakhulu, uma kungelashwa, kungenzeka ukulahlekelwa umbono .

Lesi simo (i-Floppy Eyelid Syndrome) sitholakala kanjani?

Ngenxa yokuthi izimpawu zalesi (i-Floppy Eyelid Syndrome) zenzeka nakwezinye izifo eziningi, azikho izivivinyo ezithile zokusixilonga ngokunembile.

Udokotela wamehlo angasithola lesi simo ngokukubuza ngezimpawu zakho, akubuze imibuzo mayelana nokubona kwakho nokuthi amehlo akho azizwa kanjani, futhi ahlole izinkophe zakho. Ngesikhathi sokuhlolwa, udokotela uzobeka isihloko somunwe wakhe esikhumbeni senkophe yakho. Kuyisivivinyo esithambile ngokwanele ukuba singalimazi, kodwa esiqinile ngokwanele ukubona ukuthi ungahamba ibanga elingakanani futhi udonse izinkophe zakho.

Ochwepheshe abaningi bamehlo basebenzisa le ndlela ukuthola ukuthi une-Floppy Eyelid Syndrome nokuthi imbi kangakanani . Kunezinhlelo ezimbili eziyinhloko zokuhlola ezisetshenziswa kulokhu:

• Indlela yokulinganisa: Lokhu kulinganisa inani lokunyakaza kwejwabu leso. Lesi sikali sisuka ku-0 siye ku-4.
• Uhlelo Lokubonakala Kweso: Kulokhu, udokotela wamehlo uzophakamisa ijwabu lakho elingaphezulu ngenkathi ubheka phansi. Ubunzima bunqunywa ukuthi ingxenye emhlophe yeso, ebizwa ngokuthi i-conjunctiva, ibonakala kangakanani. Lesi sikali sisukela ku-0 kuya ku-3.

Yiziphi izindlela zokwelapha lesi sifo (i-Floppy Eyelid Syndrome)?

Kunezindlela ezimbili eziyinhloko zokwelapha: indlela yokulondoloza kanye nendlela yokuhlinzwa .

Indlela yokonga

Indlela yokulondoloza ihilela ukuzama ukuvimbela izimpawu zalesi simo ukuba zingaveli. Lokhu kuvame ukuhilela ukugcina amehlo akho embozwe ngeplasta ngenkathi ulele, ulele ugqoke imaski yamehlo, noma ugcobe izinyembezi zokwenziwa noma umuthi wamehlo ngaphambi kokulala.

Futhi, udokotela wakho uzokucela ukuthi uhlole ukulala ukuze abone ukuthi une-OSA. Khumbula lokho, ungaba ne-OSA noma ungekhuluphele ngokweqile.

Into ebaluleke kakhulu: Uma une-OSA, ukusebenzisa umshini we -Continuous Positive Airway Pressure (CPAP) noma umshini we-Bilevel Positive Airway Pressure (BPAP) (ngezinye izikhathi obizwa ngokuthi i-BiPAP®) kungasiza ekubuyiseleni emuva ukulahlekelwa yi-elastin futhi kuthuthukise ukuqina kwamehlo akho. Kubaluleke kakhulu ukusebenzisa lo mshini njalo ebusuku. Ngaphandle kwalokho, ngeke kusize kakhulu. Ngakolunye uhlangothi, i-OSA engalashwanga ingaba yingozi, ngakho-ke ukusebenzisa umshini kubaluleke kakhulu.

Indlela yokuhlinzwa

Ukuhlinzwa kuvame ukucatshangelwa uma izinyathelo zokulondoloza zingasebenzi. Futhi, uma isimo sakho (i-Floppy Eyelid Syndrome) sibi kakhulu futhi kunengozi yokulimala kwamehlo, khona-ke ukuhlinzwa kungaba yindlela yokukhetha. Kunezinqubo eziningana zokuhlinzwa ezingaqinisa izicubu zejwabu leso lakho. Udokotela wakho wamehlo noma udokotela ohlinzayo uzokutshela okwengeziwe ngenqubo abayincomayo nokuthi yini ongayilindela.

Yini ongayilindela uma une-(Floppy Eyelid Syndrome)?

Uma une-Floppy Eyelid Syndrome, izimpawu zakho zivame ukuhambisana nezinkinga zomswakama emehlweni akho. Izimpawu zivame ukuba zimbi kakhulu uma uvuka ekuseni . Uma uvame ukulala ngohlangothi lwakho, uhlangothi lwakho oluthandayo lweso lungase luthinteke kakhulu yizimpawu zakho. Nakuba lesi simo singeyona ingozi ngqo, singabangela umonakalo ongapheli emehlweni akho futhi sithinte umbono wakho.

Uma usola ukuthi une-(Floppy Eyelid Syndrome), kungumqondo omuhle ukubona udokotela wamehlo bese uyahlolwa. Uma kunjalo, udokotela wakho uzokuhlola (OSA) futhi, uma kudingeka, akwelaphe.

Ukuze lesi simo (i-Floppy Eyelid Syndrome) sithuthuke ngokwaso, imbangela eyinhloko, njenge-OSA, kumele ixazululwe ngokuphelele. Kodwa-ke, i-OSA ngokwayo kumele yelashwe, njengoba ingaholela ezinkingeni ezisongela ukuphila.

Iyini inhloso yalesi simo (i-Floppy Eyelid Syndrome)?

Umbono we-Floppy Eyelid Syndrome muhle kakhulu ngokwelashwa. Ukusebenzisa ukwelashwa okufana ne-(CPAP) noma (BPAP) noma (OSA) kuzosiza izimpawu zakho ukuthi zithuthuke okungenani ngezinga elithile. Izimpawu ezisele ngeke zibe zimbi kakhulu futhi kube lula ukuzilawula ngezinye izindlela zokwelapha ezilondolozayo.

Izinga lempumelelo yokwelashwa ngokuhlinzwa kwe-Floppy Eyelid Syndrome liphezulu kakhulu. Izinga lempumelelo lokuhlinzwa liphakathi kuka-91% no-98% .

Ingabe i-Floppy Eyelid Syndrome ingavinjelwa?

Ngenxa yokuthi asazi kahle ukuthi i-Floppy Eyelid Syndrome ikhula kanjani, akunakwenzeka ukuyivimbela ngokuphelele. Kodwa-ke, ochwepheshe bakholelwa ukuthi ungayinciphisa ingozi yakho yokuthola i-Floppy Eyelid Syndrome ngokwelapha noma ukugwema izimo ezingase zibe nomthelela kuyo. Lokhu kungafaka:

• Ukugcina isisindo sakho siphilile.
• Sebenzisa umshini wakho womoya oqinile njengoba kunconywa, njalo ebusuku, ungaphuthelwa ngisho nosuku olulodwa.
• Lawula noma yiziphi izifo ezingamahlalakhona ongase ube nazo (njengesifo sikaHashimoto) ukuze uvimbele izinguquko zamehlo ezingase zibe nomthelela ku-Floppy Eyelid Syndrome.

Ngingazinakekela kanjani uma ngine-(Floppy Eyelid Syndrome)?

Uma une-Floppy Eyelid Syndrome, kubalulekile ukulandela imiyalelo kadokotela wakho wamehlo eduze ngangokunokwenzeka. Ukuvikela amehlo akho ngenkathi ulele kufanele kube yinto eza kuqala . Futhi, sebenzisa izinyembezi zokwenziwa, amaconsi amehlo, noma eminye imikhiqizo njengoba kunconywa. Kubalulekile futhi ukugwema ukuhlikihla amehlo akho . Lokhu kungenza amehlo akho awe.

Uma udokotela wakho ekuthumelela kuchwepheshe wezokulala ukuze ahlole i-OSA, kufanele wenze lokho njengoba kunconywa. Uma i-OSA itholakala, landela imiyalelo yochwepheshe ngqo. Lokhu kubalulekile, njengoba i-OSA engalashwanga ingaba yingozi.

Kufanele ngimbone nini udokotela wami noma ngifune iseluleko sezokwelapha?

Uma ingelashwa, i-Floppy Eyelid Syndrome ingabangela ukulimala kwamehlo unomphela. Uma unezimpawu, kufanele ubonane nochwepheshe wamehlo ngokushesha okukhulu . Lokhu akuyona into ephuthumayo, kodwa akuyona into okufanele uyibekezelele, ungayinaki, noma uzame ukuyiphatha wedwa.

Uma usuvele wazi ukuthi unalesi simo, khuluma nodokotela wakho uma izimpawu zakho zishintsha noma ziba zimbi kakhulu. Uma ukwelashwa kungasizi, noma uma kubonakala sengathi kulahlekelwa ukusebenza kahle, ungakhuluma nodokotela wakho nangalokho.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Nazi ezinye imibuzo ongayibuza udokotela wakho:

• Ingakanani inkinga yami (i-Floppy Eyelid Syndrome)?
• Lokhu kuthinta kanjani amehlo ami manje?
• Yini engingayenza ukuze ngiphathe isimo sami ngalesi sikhathi?
• Yiziphi izinkinga noma imiphumela emibi okufanele ngiyiqaphele futhi ngiyiqaphele?

Uyini umehluko phakathi kwe-Floppy Eyelid Syndrome nezinye izimo ezibangela ukugoba kwamehlo (i-ptosis)?

Amajwabu amehlo alengayo, isimo esaziwa kwezesayensi yezokwelapha ngokuthi i-ptosis , singavela ngezindlela ezimbili:

• Uma amehlo akho ebuthakathaka ngenxa yenkinga yemisipha ngokwayo.
• Uma imizwa exhunywe emisipheni ingasebenzi kahle, lokho kusho ukuthi izimpawu ezenza imisipha inyakaze ziyaphazamiseka.

I-Floppy Eyelid Syndrome ihlukile kwezinye izindlela ezimbili ngoba ihlobene ngqo nokuqina kwesikhumba . Ayithinti imisipha noma uhlelo lwezinzwa oluhilelekile ekunyakazeni kwamehlo.

Isifinyezo nezinto okufanele uzikhumbule

Nakuba i-Floppy Eyelid Syndrome ingase ibonakale njengento encane, ingaba uphawu lwesimo esibi kakhulu, esingase sibe yingozi esibizwa ngokuthi i-Obstructive Sleep Apnea (OSA). Uma ingelashwa, i-Floppy Eyelid Syndrome ingabangela ukulimala kwamehlo unomphela.

Uma unezimpawu ze-(Floppy Eyelid Syndrome), ungazinaki noma uzibekezelele. Ukuqaphela nokwelapha lesi simo kuzokusiza ukuthi uhlale uphilile, ubone kangcono, futhi uvimbele izinkinga eziyingozi. Ngakho-ke, qiniseka ukuthi ubona udokotela futhi uthole iseluleko.

I- Floppy Eyelid Syndrome, i-OSA, i-Sleep Apnea, Isifo Samehlo, i-CPAP, i-Eyelid Rolling