Ingabe kukhona igazi esweni lakho? Ake sifunde ngale hyphema!

Wake waphawula ukuthi iso lakho noma lomunye umuntu omaziyo ngokuzumayo ligcwele igazi ngaphakathi kulo? Mhlawumbe kungemva kwengozi encane. Lokhu kuyinto eyesabekayo ngempela. Namuhla sizokhuluma ngalesi simo, okuwuhlobo lokugcwala kwegazi ngaphakathi kweso, okwaziwa ngokwezokwelapha ngokuthi i-hyphema . Ungakhathazeki, ake sixoxe ngakho kalula.

Iyini i-Hyphema?

Kalula nje, i-hyphema iqoqo legazi elingaphakathi kweso lakho, engxenyeni ebizwa ngokuthi igumbi elingaphambili . Leli gumbi elingaphambili liyindawo encane phambi kwe -iris, ingxenye emnyama enikeza iso lakho umbala walo. Cabanga ngalokhu, phambi kwengxenye enombala yeso lakho, ngaphansi kwe-membrane ecacile (i-cornea) ehlezi ngaphezu kwengxenye emhlophe yeso lakho , efana nengilazi.

Uma inani legazi lincane, ungase ungakwazi ukulibona kalula. Udokotela wamehlo kuphela ongalithola esebenzisa imishini ekhethekile. Kodwa-ke, uma kunegazi eliningi, ungase ukwazi ukulibona. Ngokuvamile libukeka njengezingqimba ezimbili. Ungabona igazi elidala, elimnyama ngaphansi, kanye negazi elisha, elibomvu elikhanyayo phezulu.

Into ebaluleke kakhulu ukuthi uma ubona lolu hlobo lokugcwala kwegazi esweni lakho, noma esweni lengane oyinakekelayo, kubalulekile ukufuna iseluleko sezokwelapha ngokushesha . Kodwa ungakhathazeki, ngokwelashwa okusheshayo, lesi simo singelapheka ngemithi nokuphumula.

Kubaluleke kangakanani lokhu? Kunzima kangakanani?

Odokotela bahlukanisa i-hyphema ngokusekelwe enanini legazi eliqongeleleke ngaphakathi kweso. Uma inani legazi likhulu, isimo siba sibi kakhulu futhi kulapho amathuba okuba nezinkinga anda khona. Ukuhlukaniswa kungokulandelayo:

• Ibanga 0 (i-microhyphema): Lolu uhlobo lwehlule legazi elingabonakali njengengqimba. Kodwa-ke, kukhona igazi. Kungadingeka imishini ekhethekile ukuze kubonwe lokhu.
• Ibanga 1: Igazi libonakala ngezendlalelo, kodwa ngaphansi kwengxenye eyodwa kwezintathu yegumbi elingaphambili leso ligcwele igazi.
• Ibanga lesi-2: Igazi libonakala ligcwele, kanti ingxenye yesithathu kuya kwengxenye yegumbi elingaphambili ligcwele igazi.
• Ibanga lesi-3: Igazi libonakala ligcwele, ingxenye engaphezu kwengxenye yegumbi elingaphambili ligcwele igazi, kodwa aligcwalisiwe ngokuphelele.
• Ibanga lesi-4 (i-hyphema iyonke): Kulesi simo, igumbi elingaphambili ligcwele igazi elibomvu noma elimnyama. Lokhu ngezinye izikhathi kubizwa ngokuthi i-hyphema "yamabhola ayisishiyagalombili". Kulesi simo, ingozi yokuthola izimo ezibucayi njenge- angle-closure glaucoma iphezulu kakhulu.

Ziyini izimpawu ze-Hyphema?

Uma une-hyphema, ungase ube nezimpawu ezifana nalezi:

• Kubonakala sengathi igazi seliqoqene phakathi kwengxenye enombala yeso lakho (iris) kanye nolwelwesi olucacile phezu komhlophe weso lakho (i-cornea). Kufana nedamu elincane legazi ngaphakathi kweso lakho.
• Umbono uba lufiphale noma uphendukezelwe.
• Ikakhulukazi izingane ezincane, zivame ukubonakala zikhathele futhi zilele (lokhu kungaba uphawu lokulimala ekhanda, ngakho-ke qaphela).
• Kuvela ukuhlanza kanye nesicanucanu (lokhu kusho ukuthi ingcindezi engaphakathi kweso lakho ingaba phezulu kakhulu).

Ngaphezu kwalokhu, ungase ubone nokuvuvukala kwamehlo. Nakuba lokhu kungesona uphawu lwe-hyphema uqobo, kungabangelwa ukulimala okubangele i-hyphema.

Uma uke waba nengozi futhi unanoma yiziphi zalezi zimpawu, hamba uye ekamelweni lezimo eziphuthumayo eliseduze ngokushesha . Khumbula, ukwelashwa kusenesikhathi kubaluleke kakhulu.

Yini ebangela lesi simo?

I-Hyphema ibangelwa kakhulu ukulimala kwamehlo, izifo ezithile zamehlo, kanye nezinye izimo eziningana zezokwelapha. Ake sibheke ukuthi ziyini:

• Izingozi ezihlobene nezemidlalo: Ikakhulukazi uma amabhola amancane (amabhola ekhilikithi, amabhola ethenisi) eshaya iso. Kungenzeka futhi emidlalweni efana nebhokisi kanye nocingo. Cabanga nje, ukube ubudlala ikhilikithi bese ibhola elihamba ngokushesha lishaya iso lakho...
• Izibhamu: Izingozi ezivela ezintweni ezifana nezibhamu zomoya, izibhamu zebhola lokupenda, izibhamu zama-pellet, kanye nezibhamu ze-BB. Lezi ziyingozi kakhulu.
• Izingozi zezimoto: Ngisho nasengozini yemoto, iso lingalimala futhi liphume igazi.
• Ukulimala okuhlabayo: Uma into ebukhali ingena esweni.
• Ukulimala kokubuyela emuva: Kufanele kuqashelwe kakhulu uma usebenzisa lezi zinto.
• Isifo se-Sickle cell: Lesi yisifo esibangelwa ufuzo.
• I-Hemophilia: Lokhu futhi kuyinkinga yokujiya kwegazi.
• Isifo sikaVon Willebrand.
• I-Leukemia: Uhlobo lomdlavuza wegazi.
• Isifo sikashukela noma izimo ezihlobene naso: Isibonelo , i-retinopathy ehlobene nesifo sikashukela kanye ne -neovascularization .
• Umdlavuza wamehlo: ikakhulukazi i-melanoma yamehlo .
• Ukuhlinzwa kwamehlo: Ikakhulukazi ngemva kokuhlinzwa okubandakanya umzimba we-iris kanye ne-ciliary .
• Le ngozi ikhona nakubantu abasebenzisa imithi ethile yokunciphisa igazi (ama-anticoagulant) .

Yiziphi izici eziyingozi ze-hyphema?

Kunezici ezimbili eziyinhloko ezibangela ingozi yokuthuthukisa i-hyphema:

• Ubudala: Phakathi kuka-70% no-75% wamacala e-hyphema ngengozi ayenzeka ezinganeni nakubantu abadala abasebasha. Labo abaneminyaka ephakathi kweyi-10 no-20 basengozini enkulu. I-hyphema ngengozi ivame kakhulu kubantu abadala, ikakhulukazi labo abaneminyaka engaphezu kweyi-50.
• Ubulili: Amadoda anamathuba amaningi okuthuthukisa i-hyphema. Ochwepheshe bathi amadoda anamathuba amathathu kuya kwahlanu okuthuthukisa i-hyphema kunabesifazane.

Yiziphi izinkinga zalesi simo?

Izinkinga eziyinhloko ezingase zenzeke nge-hyphema yilezi:

• Umfutho wegazi ophakeme emehlweni: Igazi eliqongelela ekamelweni elingaphambili leso lingavimba ukuphuma kwamanzi angcolile. Lokhu kwandisa umfutho wegazi ophakeme emehlweni , okubangela umfutho wegazi ophakeme emehlweni. Lokhu kungaholela ngokushesha ku -glaucoma , okungaholela ebumpumputheni obungapheli . Lokhu kuyingozi kakhulu.
• Ukopha Kabusha: Yilapho inxeba elibangele i-hyphema liqala khona ukopha futhi. Lokhu kungenzeka kakhulu ukuthi kwenzeke zingakapheli amahora angu-72 kusukela kokuphuma kwegazi kokuqala. Ukopha kwesibili kuvame ukuba kubi kakhulu kunokokuqala. Futhi kunengozi enkulu kakhulu yezinkinga zokubona kanye namehlo zesikhathi eside. Ngakho-ke, kubaluleke kakhulu ukuvimbela lokhu.
• Ukudaya kwegazi le-cornea: Igazi eliqoqana ekamelweni elingaphambili leso lingabangela ukudaya kwengqimba yangemuva ye-cornea. Lokhu kuvame kakhulu ezimweni ze-hyphema enegazi eliningi kuyo, ebizwa ngokuthi ama-hyphemas ebanga lesi-3 nelesi-4. Lawa mabala angabangela ukuthi umbono wakho ubonakale ubomvu isikhathi eside.

I-Hyphema ingaba nzima kakhulu kubantu abanesifo se-sickle cell (esaziwa nangokuthi i-sickle cell trait) . Lokhu kungenxa yokuthi isifo se-sickle cell sibangela ukuthi amangqamuzana abomvu egazi ashintshe isimo, okwenza kube lula ukuthi abhajwe emiseleni yokukhipha amanzi esweni.

Ungayibona kanjani i-hyphema?

Udokotela wamehlo noma udokotela wegumbi lezimo eziphuthumayo angaxilonga i-hyphema ngokuhlolwa kwamehlo okulula okumbalwa.

Udokotela wakho angenza izivivinyo ezifana nalezi:

• Ukuhlolwa kokubona kahle: Lokhu ukuhlolwa kokubona ukuthi ubona kahle kangakanani.
• Ukuhlolwa kwesibani esinqunyiwe: Ukuhlolwa kweso nge-microscope ekhethekile.
• I-Gonioscopy: Ukuhlolwa kwe-engeli yokukhipha amanzi yeso.
• I-Tonometry: Ukulinganisa ingcindezi yangaphakathi kweso.
• Ukuhlolwa kwe-Ultrasound: Bona isimo ngaphakathi kweso.

Ngaphezu kwalokho, udokotela wakho angase futhi acele ukuhlolwa kwegazi ukuze kuhlolwe izifo ezithile zegazi. Kuye ngezimpawu zakho kanye nembangela eyinhloko yesimo sakho, kungase kunconywe ezinye izivivinyo. Udokotela wakho uzokutshela okwengeziwe ngalokhu.

Iphathwa kanjani i-hyphema?

Kunezindlela eziningana zokwelapha i-hyphema. Akukho neyodwa yalezi zindlela zokwelapha ezoyelapha ngokuphelele, kodwa zingasiza ekuvimbeleni noma ekunciphiseni ingozi yezinkinga ezinkulu.

Uma i-hyphema yakho ingeyimbi kakhulu futhi ingozi yezinkinga iphansi, ungase waneliseke ngemithi elula. Ezinye izindlela zokwelapha ziyatholakala ukuvimbela izinkinga ezinkulu. Udokotela wakho angase asebenzise eyodwa noma ngaphezulu yalezi zindlela zokwelapha ngokuhlanganiswa:

• Ukuphumula: Kuze kube yilapho iso lakho selipholile, gwema imisebenzi enzima engandisa ukucindezeleka ngaphakathi kweso lakho. Futhi, gwema izinto ezingakhathaza amehlo akho, njengokufunda izincwadi nokubuka i-TV.
• Isivikelo samehlo: Gqoka isivikelo samehlo noma isivikelo samehlo. Lokhu kuzovimbela ukulimala kwamehlo okuqhubekayo futhi kusize amehlo akho aphumule futhi aphole.
• Gcina ikhanda lakho liphakeme: Uma ulele, gcina ikhanda lakho liphakeme ngemicamelo emibili. Lokhu kusiza ukukhipha noma yiliphi igazi eliqongeleleke ngaphakathi kweso.
• Imithi: Imithi evame ukusiza imithi yokulwa nokuvuvukala kanye nemithi evimbela ukuthuthukiswa kwe-glaucoma. Odokotela bavame ukuncoma imithi yobuhlungu efana ne -acetaminophen (isib. i-Panadol®) yobuhlungu bamehlo obubangelwa yi-hyphema. Kodwa-ke, imithi engeyona i-steroidal yokulwa nokuvuvukala (ama-NSAID) (isib. i-ibuprofen , i-aspirin ) iyalulekwa ukuba igwenywe, njengoba ingandisa ingozi yokopha okwengeziwe.
• Ukuhlinzwa: Abantu abangu-5% kuphela abane-hyphema abadinga ukuhlinzwa. Ukuhlinzwa ngokuvamile akudingeki ngaphandle kokuthi kukhona ukopha noma ezinye izimpawu ezingadala umonakalo ongapheli esweni.

Indlela yokwelapha ekhaya?

Uma i-hyphema yakho ingekho nzima futhi ingabangeli ezinye izimpawu noma izinkinga, ungayilapha ekhaya. Lezi zindlela zokwelapha ezilula zivame ukufaka:

• Ukuphumula: Gwema imisebenzi enzima engandisa ingcindezi ngaphakathi kweso kuze kube yilapho iso liphola.
• Ukugqoka i-eye patch: Ukugqoka i-eye patch kungavikela iso ekulimaleni okuqhubekayo futhi kusize iso ukuthi liphumule futhi liphilise.
• Ukugcina ikhanda lakho liphakeme: Ukugcina ikhanda lakho lingaphezu kwenhliziyo yakho kusiza igazi eliqongeleleke ngaphakathi kweso ukuthi libuyele emzimbeni.

Ukuhlinzwa kwe-Hyphema

Abantu abangu-5% kuphela abane-hyphema abadinga ukuhlinzwa. Uma unesifo sokopha kakhulu futhi ingcindezi engaphakathi kweso lakho ingapheli zingakapheli amahora angu-24, noma uma izimpawu zakho zinkulu ngokwanele ukubangela umonakalo ongapheli esweni lakho, ungase udinge ukuhlinzwa.

Udokotela ohlinzayo ukhipha igazi elingaphakathi kweso futhi anciphise ukucindezeleka.

Ngizinakekela kanjani?

Ngesikhathi usalulama ekucindezelekeni, landela imiyalelo kadokotela wakho noma kadokotela ohlinzayo ngqo. Uma utshelwa ukuthi ugqoke isichibi samehlo, sigqoke isikhathi esinqunyiwe, njengoba nje kuqondiswe. I-Hyphema ivame ukuphola ngokwayo ezinsukwini ezimbalwa.

Ngisho noma udinga ukwelashwa okulula kuphela, izinsuku ezinhlanu zokuqala ngemva kokuba i-hyphema ivele zibaluleke kakhulu . Phakathi nalesi sikhathi, iso lakho lisengozini enkulu yokuzilimaza kabusha, okusho ukuthi liqala ukuphuma igazi. Lokhu kungaholela ezinkingeni ezinkulu, okuhlanganisa nokulahlekelwa umbono unomphela. Ngakho-ke qaphela kakhulu.

Ingabe i-hyphema ingavinjelwa?

Yebo, amanye amacala e-hyphema angavinjelwa kakhulu . Ochwepheshe bathi ama-90% amacala e-hyphema avela ezingozini ezihlobene nezemidlalo angavinjelwa ngokugqoka izibuko zokuzivikela (njengezimaski zokuzivikela, izibuko noma izibuko zamehlo). Futhi, ukugqoka izibuko zamehlo lapho usebenzisa amathuluzi kagesi kuyindlela ebalulekile yokuvimbela i-hyphema. Sebenzisa izibuko zamehlo ezifanelana kahle futhi ezihlangabezana nezindinganiso ezifanele. Khumbula ukuthi izibuko ezivamile azinikezi lesi sivikelo.

Nokho, ngezinye izikhathi kuba nama-hyphema azenzakalelayo avela ngokuzumayo, ngaphandle kwengozi esobala. Ayikho indlela yokuwavimbela.

Iyini inhloso ye-hyphema?

I-Hyphema iyisimo esiphuthumayo sezokwelapha ngoba ingabangela izinkinga ezifana nokulimala kwamehlo unomphela kanye nokulahlekelwa umbono. Kodwa-ke, lezi zinkinga zingavinjelwa ngokufuna usizo lwezokwelapha ngokushesha . Iningi labantu liyalulama ezinsukwini ezinhlanu kuya kweziyisikhombisa ngokunakekelwa okufanele, okuhlanganisa imithi, ukuphumula, kanye nezinye izindlela zokwelapha ezilula.

Kufanele ngimbone nini udokotela wami noma ngifune ukwelashwa?

Ngemva kokuthola ukwelashwa kokuqala kwe-hyphema, kufanele ufune usizo lwezokwelapha ngokushesha uma unezinye zezimpawu ezilandelayo:

• Uma ubona igazi elisha livela phambi kwe-iris yeso lakho.
• Uma ubona ushintsho oluzumayo embonweni noma ulahlekelwa umbono.
• Uma kukhona ushintsho ezingeni lakho lobuhlungu, noma uma uba nezimpawu ezengeziwe njengesicanucanu nokuhlanza (lokhu kungase kubonise ukuthi ingcindezi engaphakathi kweso lakho ingaba phezulu kakhulu).

Udokotela wakho wamehlo noma omunye udokotela angakutshela ukuthi yiziphi ezinye izimpawu okufanele uziqaphele.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungabuza udokotela wakho imibuzo efana nale:

• Yini engenza ngibe ne-hyphema?
• Ingakanani i-hyphema yami?
• Ingabe kuzodingeka ngenze izivivinyo ezengeziwe?
• Uhlobo luni lokwelashwa engizoludinga?
• Kuzothatha isikhathi esingakanani ukuphulukiswa?
• Ingabe kufanele ngishayele ihhovisi noma ngiye ekamelweni lezimo eziphuthumayo? Kuthiwani uma ngibona umehluko?

Uyini umehluko phakathi kwe-hyphema kanye ne-subconjunctival hemorrhage?

I-Hyphema yisimo lapho igazi liqoqana ngaphakathi kweso lakho bese liqoqana ekamelweni elingaphambili leso lakho. Ku-hyphema, igazi libonakala lisendaweni lapho iso lakho linombala khona. Ngokuphambene nalokho, ukuphuma kwegazi ngaphansi kwe-conjunctival kuwukuqhuma komthambo wegazi engxenyeni emhlophe yeso lakho (i-sclera) . I-Hyphema ibuhlungu, kodwa ukuphuma kwegazi ngaphansi kwe-conjunctival akubuhlungu. Kodwa-ke, kokubili kungenzeka ngesikhathi esisodwa, ikakhulukazi ngemva kwengozi noma ukulimala.

Ekugcineni, umyalezo okufanele uwuthathe uye ekhaya:

I-Hyphema ingaba yinto eyesabekayo. Nakuba lesi simo sibucayi futhi ukunakekelwa kwezokwelapha okusheshayo kubalulekile, ukwelashwa kusenesikhathi kungathuthukisa kakhulu amathuba akho okulondoloza umbono wakho nokuvimbela izinkinga.

Iningi labantu lidinga izinto ezilula njengemithi nokuphumula kuze kube yilapho amehlo abo ephola. Udokotela wakho wamehlo angakuchazela lokhu ngokuningiliziwe futhi akuqondise ngalokho ongakwenza ukuze usize isimo sakho siphole ngokushesha. Ngakho-ke ungesabi, bese ulandela iseluleko sikadokotela wakho.

` I-Hyphema, ukuphuma kwegazi esweni, izinkinga zamehlo, ukulimala kwamehlo, ukulahlekelwa umbono, i-glaucoma, udokotela wamehlo