Wake waphawula ukuthi abanye abantu banamasongo amabili amnyama emehlweni abo? Noma ingabe uke waphawula ngokuzumayo ukuthi ngemva kokulimala kakhulu kwamehlo, umbono wakho uyashintsha ngokuzumayo futhi awukwazi ngisho nokubuka ukukhanya? Esinye sezizathu ezenza lokhu kwenzeke yisimo esibizwa ngokuthi `(Iridodialysis)` esizokhuluma ngaso namuhla. Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela ongayiqonda.
Kuyini lokhu "(Iridodialysis)"?
Kalula nje, `(Iridodialysis)` yingxenye enombala ngaphakathi kweso lethu, okungukuthi , iris – yebo, leyo abanye kini abanayo eluhlaza okwesibhakabhaka, onsundu, ompunga – okungukuthi, ingxenye enamathele esweni, ehlukanisiwe nesisekelo. Kufana nesithombe esinamathele odongeni esivele ohlangothini olulodwa.
Isisekelo se-iris sixhunywe nomzimba we-ciliary . Umzimba we-ciliary ufana nefektri encane ngaphakathi kweso . Yiyona ekhiqiza i-aqueous humor , uketshezi olukhethekile olondla iso futhi lugcine isimo salo . Akukhona lokho kuphela, kodwa nemisipha ye-ciliary esiza ilensi yamehlo ethu ukuthi igxile lapho sibheka eduze noma kude nayo itholakala emzimbeni we-ciliary. Ngakho-ke, lapho i-iris ihlukanisiwe nesisekelo se-iris, kwenzeka isimo esibizwa ngokuthi `(Iridodialysis)`. Lokhu ngezinye izikhathi kubizwa ngokuthi `(coredialysis)`, kodwa kunezimo lapho kubangelwa ukudabuka okuhlukile ngesikhathi sokuhlinzwa.
Ubani ongathuthukisa lokhu `(Iridodialysis)`?
Empeleni, lesi simo esibizwa ngokuthi "iridodialysis" singenzeka kunoma ubani, njengoba sibangelwa kakhulu ukulimala kwamehlo .
Cabanga ngakho:
- Uma udlala ikhilikithi bese ibhola elihamba ngokushesha likushaye esweni .
- Kuthiwani uma into ethile – ucezu lwensimbi, itshe elincane – iphonswa esweni lakho emsebenzini bese ibangela ingozi?
- Uma ingane encane idlala bese iso layo lishaywa yinto efana nomlenze wetafula.
- Kuthiwani uma indololwane yomngane wakho ikushayisa esweni ngenkathi udlala esikoleni?
Lokhu kungenzeka. Ngezinye izikhathi, lesi simo singavela ngokulimala kweso ngesikhathi semidlalo, izingozi zezimoto, ukuwa, ikakhulukazi kubantu abadala. Kungenzeka futhi, nakuba kungavamile, ngesikhathi sokuhlinzwa kwamehlo , njengokuhlinzwa kwe-cataract .
Yiziphi izici ze-`(Iridodialysis)`?
Manje ake sibheke izimpawu umuntu one-"(Iridodialysis)" angase azibonise. Akuwona wonke umuntu ozobhekana nazo zonke lezi zimpawu, kodwa ezinye zazo zingase zibe khona:
- Ukubona okukabili (i-diplopia) : Ikakhulukazi uma ubheka ngeso elilodwa. Njengalapho i-antenna ye-TV ingasasebenzi kahle.
- Ubuhlungu obukhulu bamehlo : Ngezinye izikhathi ubuhlungu bungaba nzima ukububekezelela.
- Ukopha ngaphakathi kweso (hyphema) : Lokhu kungabangelaIngxenye enombala ingase ibukeke sengathi igcwele igazi elivela ngaphambili.
- Ushintsho ngobukhulu bomfundi : Ngezinye izikhathi, kungase kube nomunye umfundi obonakala sengathi uhlukene. Njengomfundi wesibili . Lokhu kuyisibonakaliso esikhulu se-`(Iridodialysis)`.
- I-cataract ebuhlungu: Ukubona kuqala ukufiphala ngenxa yomonakalo welensi yeso ngenxa yengozi.
- Ukugqama : Lokhu kusho ukuthi uma ubheka izibani noma ukukhanya kwelanga, amehlo akho aba luhlaza okwesibhakabhaka futhi kunzima ukuwabuka.
- Ukwesaba ukukhanya : Lokhu kusho ukuthi ngisho nokukhanya okuncane kunzima emehlweni ukubekezelela futhi kubangela ukuthi amehlo avaleke.
Uma ubona uphawu olufana nalolu, kufanele nakanjani ubonane nodokotela.
Kungani lokhu `(Iridodialysis)` kwenzeka?
Njengoba ngishilo ngaphambili, imbangela eyinhloko ye-`(Iridodialysis)` ukulimala kwamehlo . Kunezinhlobo ezimbili zalezi:
1. Ukulimala kweso okubuthuntu : Lokhu kusho ukuthi kukhona okushaya iso kanzima, kodwa iso alihlatshwanga. Isibonelo, isibhakela, ibhola, noma ukuwa okushaya iso ndawana thize.
2. Ukulimala kweso okungenayo : Lokhu kuhilela imbobo esweni. Isibonelo, ukugwazwa ngommese, ukubhobozwa ngocingo, noma ucezu lwensimbi endaweni yokusebenza olungena ngokuzumayo esweni.
Isibonelo, uma uzishaya ngobuso esihlalweni sangaphambili noma esiteringini engozini yemoto, noma uma uthola okuthile esweni lakho ngenkathi usebenza ngaphandle kwezibuko zokuphepha (isb., esitolo sokusebenza ngokhuni noma esitolo sokusebenza ngensimbi), kunethuba elikhulu lokuthi uzoba ne-`(iridodialysis)` enokulimala okukhulu kangaka. Sibiza i-`(iridodialysis)` ebangelwa ingozi efana nale iridodialysis ebuhlungu .
Ngezinye izikhathi, okungajwayelekile kakhulu, lokhu kungenzeka futhi njengenkinga yokuhlinzwa kwamehlo.
Udokotela ukubona kanjani lokhu?
Uma uke waba nokulimala kweso futhi unezimpawu engizikhulumile ekuqaleni, kufanele ubonane nomhlinzeki wokunakekelwa kwamehlo/udokotela wamehlo ngokushesha. Uma udokotela ehlola iso lakho, bangahlola ukuthi i-iris ihlukanisiwe yini. Basebenzisa imishini ekhethekile ukwenza lokhu.
Ngaphezu kwalokho, kungenziwa izivivinyo ezilandelayo ukuhlola eminye imonakalo esweni noma emizimbeni yangaphandle:
- I-Ultrasound yeso lakho : Lokhu kukuvumela ukuthi ubone izingxenye ezibucayi ngaphakathi kweso lakho.
- I-CT scan (i-computed tomography scan) : Lokhu kungasetshenziswa ukubona ukuthi kukhona yini umonakalo emathanjeni azungeze iso noma ukuthi kukhona yini izingcezu ezincane ngaphakathi kweso.
Udokotela uzokwenza nokuhlolwa okubizwa ngokuthi i-gonioscopy . Lokhu ukuhlolwa okungenabuhlungu. Kuhlola ukuthi ngabe amanzi aphuma kahle yini esweni.Ingabe kungenzeka ukuthi kube nesimo esifana ne -glaucoma ?
Yiziphi izindlela zokwelapha `(Iridodialysis)`?
Ingxenye engcono kakhulu ukuthi, akuzona zonke izimo ze-iridodialysis ezidinga ukwelashwa. Ngezinye izikhathi, uma ukuhlukana kwe-iris kuncane futhi kungekho zimpawu ezinkulu (isb., ukubona kuhle, akukho buhlungu), udokotela wakho angakutshela ukuthi ulinde. Iso lakho lingajwayelana nakho ngokuhamba kwesikhathi.
Kwezinye izimo, amalensi okuxhumana akhethekile angasetshenziswa ukunciphisa ukubonakala kwendandatho yesibili emnyama nokunciphisa ukuzwela ekukhanyeni. Lawa malensi angashintshwa ukuze afane nombala we-iris futhi amboze indawo engekho.
Kodwa-ke, uma iris inkulu kakhulu, ungenza futhi:
- Uma ubona izinto ezimbili ngeso elilodwa, "ubona kabili iso elilodwa" .
- Uma ungakwazi ukubekezelela ukukhanya .
- Uma uzwela kakhulu ngaphandle (photophobia) .
- Uma ungakhululekile ngokubukeka kwakho (ngenxa yokungafani kwamehlo , abanye abantu bakuthola kungakhululekile lokhu).
...Ezimweni ezinjengalezi , ukuhlinzwa kungadingeka.
Ukuhlinzwa kwe-`(Iridodialysis)`
Kunezinqubo ezahlukene zokuhlinzwa zokubopha kabusha i-iris. Odokotela bazama ukulondoloza ukubukeka kwemvelo kanye nokusebenza kweso ngangokunokwenzeka.
- Ngezinye izikhathi, i-iris ehlukanisiwe ixhunywa kabusha empandeni kusetshenziswa izithungo ezikhethekile ezinhle kakhulu (i-sutures) .
- Kwezinye izimo, kwenziwa imizamo yokulungisa lokhu kusetshenziswa ubuchwepheshe be-laser .
- Inqubo entsha ukufakwa kwe-iris yokwenziwa kanye nelensi yangaphakathi kweso (IOL ) . Lokhu kwenziwa uma i-iris yonakele kakhulu.
Kodwa-ke, isikhathi esiningi, ngemva kwengozi yeso, lokhu kwelashwa kwe-`(Iridodialysis)` kwenziwa kuphela kuze kube yilapho iso selipholile kancane futhi ukuvuvukala sekuphelile. Ngoba akulungile ngaso sonke isikhathi ukwenza ukuhlinzwa ngokushesha ngemva kokulimala.
Le lensi yangaphakathi kweso ilensi yokwenziwa ecacile esebenza njengelensi yemvelo esweni lethu. Uma ukukhanya kungena esweni, kudlula kule lensi bese kushaya i-retina . La malensi okwenziwa asetshenziselwa ukususa ama-cataracts nokuwafaka, kanye nakwezinye izihlinzeko ze-iridodialysis.
Awukwazi yini ukusinda `(Iridodialysis)`?
Akunakwenzeka ukuvimbela ngokuphelele `(Iridodialysis)`. Ngoba izingozi azikho lokho esikulindele. Kodwa-ke, ngokuvikela amehlo akho, le ngozi ingancishiswa kakhulu. Ngokwemininingwane esinayo, cishe ama-90% okulimala kwamehlo kungavinjelwa . Nazi ezinye izinto ongazenza:
- Gqoka njalo izibuko zamehlo ezivikelayo uma usebenza, ikakhulukazi lapho usika, usika, ushisela, noma usebenza ngamakhemikhali. Ungalindi kuze kube sekwephuzile ukuze "ugqoke."
- Uma udlala imidlalo esheshayo, isibonelo ikhilikithi (ikakhulukazi lapho udlala ibhola noma ushaya ibhola), i-squash, noma ukugibela ibhayisikili, qiniseka ukuthi ugqoka izibuko zokuphepha noma isigqoko sokuzivikela esifanele lowo mdlalo.
- Gqoka ibhande lakho lesihlalo njalo uma ushayela. Lokhu kuzonciphisa kakhulu ingozi yokulimala ekhanda nasebusweni bakho.
- Qaphela lapho wenza imisebenzi yasekhaya. Isibonelo, cabanga ngamehlo akho lapho usika amagatsha engadini noma ushaya izipikili ngesando.
Kufanele ngimbone nini udokotela?
Lokhu kubaluleke kakhulu. Uma unenkinga yamehlo noma ukulimala , ungahlali nje ucabanga ukuthi, "Lokhu kuyinto encane nje." Ngezinye izikhathi, noma ngabe umonakalo owubonayo ngaphandle mncane, kungase kube nomonakalo omkhulu ngaphakathi kweso. Ngakho-ke, qiniseka ukuthi ubona udokotela, okungcono kube udokotela wamehlo.
Ngemuva kwalokho ungabuza udokotela imibuzo efana nale:
- "Dokotela, kuzongithatha isikhathi esingakanani ukuba ngibe ngcono?"
- "Ngingaqhubeka nini nemisebenzi yami evamile (umsebenzi, umsebenzi wesikole)?"
- "Yiziphi izimpawu okufanele ngikubone ngokushesha noma ngiye ekamelweni lezimo eziphuthumayo uma ngiba nazo?" (isib., ukulahlekelwa umbono ngokuzumayo, ubuhlungu obungabekezeleleki).
- "Yini okufanele ngiyenze ukuze ngivimbele into efana nale ukuthi ingaphinde yenzeke?"
- "Ngingahlela kanjani ukuhlolwa kwami okulandelayo?"
Ungesabi ukubuza le mibuzo. Amehlo akho ayigugu kakhulu kuwe.
Uyini umehluko phakathi kwe-`(Cyclodialysis)` kanye ne-`(Iridodialysis)`?
La magama amabili afana kancane, okungaholela ekudidekeni. Nakuba womabili ayizimo zamehlo, kunomehluko omncane.
- I-Iridodialysis iwukususwa kwe-iris , ingxenye enombala yeso , endaweni yayo yokuqala.
- Kodwa i-cyclodialysis inqubo yokuhlukanisa umzimba we-ciliary (ingxenye yeso enamathela ku-iris futhi ikhiqize uketshezi olondla iso) engxenyeni emhlophe yeso ( i-sclera) .
Uma umzimba we-ciliary usuka ku-sclera, ukugeleza kwamanzi ngaphakathi kweso kuyavimbeka, okubangela ukuthi liqoqeke ngaphakathi kweso, okwandisa ukucindezeleka kwamehlo futhi kubangele isimo esibizwa ngokuthi i-glaucoma .
Uyini umehluko phakathi kwe-`(Iridonese)` kanye ne-`(Iridodialysis)`?
La magama amabili afana kancane, ngakho-ke angadideka. Womabili ahlobene ne-iris, ingxenye enombala yeso .
- I-Iridodialysis iwukususwa kwe-iris.
- Kodwa i-Iridonosis yilapho i-iris inyakazisa khona lapho uhambisa amehlo akho kusukela kolunye uhlangothi kuya kolunye.. Njengejeli. Lapha iris ayinyakazi, kodwa ayinyakazi kancane kancane futhi ikhombisa ukubukeka okuthuthumelayo. Lokhu ngezinye izikhathi kungaba ngenxa yokulimala kweso noma inkinga ngelensi yeso .
Okokugcina, izinto okufanele uzikhumbule
Ngakho-ke, i-`(Iridodialysis)` iyisimo esiyingozi esenzeka lapho i-iris, ingxenye enombala yeso , isuswa endaweni yayo yokuqala. Lokhu ngezinye izikhathi kungabangela ukuthi iso libonakale njengendandatho yesibili emnyama, kwenze kube nzima ukubona ekukhanyeni, futhi kungaba buhlungu.
Into ebaluleke kakhulu ukuthi uma unokulimala kwamehlo, noma ngabe ucabanga ukuthi kuyinto encane, noma uma ubona noma yini engavamile ngemva kokuhlinzwa kwamehlo (isib., ukushintsha kombono, ubuhlungu, ukungakwazi ukubona ukukhanya, ukubomvu kweso), bonana nodokotela wamehlo ngokushesha ngaphandle kokulibala.
Uma uqaphela lesi sifo kusenesikhathi futhi uthola ukwelashwa okudingekayo, ungathola imiphumela emihle. Ezimweni eziningi, ungasindisa ngisho nombono wakho. Ngakho-ke, kungumthwalo wakho ukunakekela amehlo akho. Ngoba sinala mehlo amabili kuphela okubona leli zwe elihle!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
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I- Iridodialysis, ukuhlukaniswa kwe-iris, ukulimala kwamehlo, i-iris yesibili, ubuhlungu bamehlo, ukubona kabili, ukuhlinzwa kwamehlo











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