Ingabe nawe unenkinga yokuvala amehlo akho kahle? Ake sifunde nge (Lagophthalmos)!

Ingabe ngezinye izikhathi ukuthola kunzima ukuvala amehlo akho ngokuphelele? Noma ingabe othile omaziyo unale nkinga? Nakuba lokhu kungase kubonakale kuyinto elula kwabanye abantu, empeleni kungaba yisimo esidinga ukuthathwa ngokungathi sína. Namuhla sizokhuluma ngalokhu kungakwazi ukuvala amehlo akho ngokuphelele, okubizwa ngokuthi `(Lagophthalmos)` ngokwezokwelapha.

Iyini ngempela "iLagophthalmos"?

Kalula nje, "iLagophthalmos" yisimo lapho izinkophe zakho zingakwazi ukuvala ngokuphelele. Lokhu kungenzeka kwelinye iso noma kuwo womabili amehlo. Cabanga ngakho, lapho sicwayiza noma silala, izinkophe zethu kufanele zivalwe ngokuphelele. Le nkinga yenzeka uma zingavalwanga ngokuphelele.

Lesi simo ngezinye izikhathi singazenzekela sodwa. Noma, singahlotshaniswa nesinye isimo sezokwelapha, njengejwabu eligobile (i-ptosis). Ngezinye izikhathi, singavela futhi njengomphumela ongemuhle ngemva kokuhlinzwa kwejwabu (i-blepharoplasty) noma ukulungiswa kwe-ptosis.

Uma isimo ` (Lagophthalmos)` singesibi kakhulu, okungukuthi, uma ijwabu livulekile kancane, kungase kungabi yinkinga enkulu. Kodwa-ke, uma ijwabu lingavali kahle, lingabangela izinkinga ezinkulu. Cabanga nje, iso elimnyama leso lethu, okungukuthi, `(i-cornea), lihlala livezwa umoya, uthuli, nokunye ukungcola. Lokhu kungabangela ukulimala kwamehlo, izibazi, futhi ngezinye izikhathi ngisho nokulahlekelwa umbono. Ngakho-ke, kubaluleke kakhulu ukunakekela lokhu.

Ingabe zikhona izinhlobo ze-`(Lagophthalmos)`?

Yebo, kunezinhlobo eziningana eziyinhloko zalesi simo se-"Lagophthalmos". Ake sibone ukuthi ziyini.

I-Lagophthalmos Yasebusuku

Lokhu kwenzeka lapho amehlo akho evamise ukuvalwa uma uvukile, kodwa uma ulele, awavali ngokuphelele. Igama elithi "lagophthalmos" lisho "amehlo afana nonogwaja." Esikhathini esidlule, kwakukholelwa ukuthi onogwaja balala bevule amehlo. Yingakho kwakuthiwa kanjalo. Kodwa manje ososayensi bathi onogwaja balala kakhulu bevale amehlo. Kodwa-ke, kutholakale ukuthi cishe abantu abangu-20%, noma cishe oyedwa kwabahlanu, banamehlo avulekile noma avulekile ngokuphelele ngenkathi belele ebusuku. Lokhu kubizwa ngokuthi `(Nocturnal Lagophthalmos)`.

I-Paralytic Lagophthalmos ebangelwa ukulimala kwemizwa

Uma inzwa yobuso ingasebenzi kahle, okungukuthi, uma ingasebenzi (njengokukhubazeka), singase singakwazi ukuvala amehlo ethu ngokuphelele. Le nzwa itholakala ezinhlangothini zombili zobuso bethu. Uma le nzwa yonakele, kwenzeka i-"Paralytic Lagophthalmos".

I-Lagophthalmos yemishini ebangelwa izimbangela zemishini

Ngezinye izikhathi lesi simo singase sivele hhayi ngenxa yenkinga yemizwa, kodwa ngenxa yenkinga ethile esakhiweni sezinkophe, noma ngenxa yomonakalo obangelwe yingozi. Lokhu kubizwa ngokuthi `(Mechanical Lagophthalmos)`. `(Cicatricial Lagophthalmos)` futhi uhlobo `(Mechanical Lagophthalmos)`. Okusho ukuthi, izinkophe azikwazi ukuvalwa kahle ngenxa yezibazi.

Ziyini izimpawu ze-`(Lagophthalmos)`?

Uphawu oluyinhloko ukuthi izinkophe azivaleki kahle. Kodwa-ke, kungase kube nezinye izimpawu eziningana ngaphezu kwalokhu. Bheka ukuthi unazo yini lezi zimpawu:

• Ukunisela amehlo njalo noma umuzwa wokoma emehlweni. Abanye bangase bazizwe sengathi amehlo abo ayaluma.
• Umuzwa oqhubekayo njengokungathi kukhona okunamathele esweni, njengokungathi inyoni indiza, noma iso liyasha noma ubuhlungu.
• Umbono ofiphele. Ukungakwazi ukubona kahle.
• Ukubomvu kwamehlo.
• Ukuzwela okukhulu ekukhanyeni (i-photophobia). Lokhu kusho ukuthi kunzima ukubuka ukukhanya, futhi amehlo azizwa sengathi aphenduka abe luhlaza okwesibhakabhaka.
• Isilonda se-cornea siyisibonakaliso esibi kakhulu.

Uma unesinye noma ngaphezulu salezi zimpawu, kubalulekile ukubona udokotela ukuze akunike iseluleko.

Yiziphi izimbangela ze-`(Lagophthalmos)`?

Kunezimbangela eziningana ezingaba khona zalesi simo. Kodwa akusona isifo esithelelanayo. Awukwazi ukusithola komunye umuntu, futhi awukwazi ukusithola komunye umuntu.

Kunezimbangela ezimbili eziyinhloko ze-"Lagophthalmos":

1. Ukulimala kwemizwa yobuso bakho.

2. Ukulimala kwamehlo akho.

Ngenxa yomonakalo emsipheni wobuso

Kunezizathu ezahlukahlukene zokuthi kungani inzwa yobuso ingalimala:

• Ukulimala kwamehlo ngenxa yezingozi noma ukusikeka.
• Isimo esibizwa ngokuthi 'i-Bell's palsy'. Kulokhu, imisipha kolunye uhlangothi lobuso ivele ingasebenzi.
• Izimo ezifana 'ne -Stroke' .
• Izimila, njenge-acoustic neuromas.
• Ezinye izifo zokuzivikela komzimba, njenge-Guillain-Barré syndrome.
• Izimo zofuzo ezifana ne-'Moebius syndrome'.
• Izifo ezahlukahlukene.
• Ukungenisa ubuthi.

Ngenxa yomonakalo wezinkophe

Amajwabu amehlo angonakala noma abe nezibazi ngezindlela ezahlukene. Lokhu kufaka phakathi:

• Izimo ezifana ne-'Lax eyelid syndrome (LES)'.Kulesi simo, izinkophe ziyakhululeka futhi zigobe kalula. `(Floppy eyelid syndrome (FES))` ingenye yezimo ezinjalo. Kulesi simo, izinkophe zigobhoza kalula, ngezinye izikhathi ngisho nangengozi. `(Floppy eyelid syndrome)` ivame ukubonakala kwabesilisa abakhuluphele abane-body mass index (BMI) engaphezu kuka-25.
• Ezinye izimo zezokwelapha, njenge-Stevens-Johnson syndrome, zingabangela ukuqubuka kwesikhumba.
• Ukusha kwamakhemikhali.
• Ukulimala kwelanga esikhumbeni.
• Ukuhlinzwa kwejwabu leso, isibonelo `(ukulungiswa kwe-ptosis)` noma `(i-blepharoplasty)`.

Ungayibona kanjani i-`(Lagophthalmos)`?

Uma unalezi zimpawu, bonana nomhlinzeki wokunakekelwa kwamehlo ozokwenza izivivinyo ezahlukene ukuze anqume ukuthi unalesi simo. Udokotela uvame ukwenza okulandelayo:

• Bazokubuza imibuzo mayelana nomlando wakho wezempilo, njengezinye izifo onazo kanye nemithi oyiphuzayo.
• Uzotshelwa ukuthi uvale amehlo akho.
• Bazobona ukuthi uvala amehlo akho kanzima kangakanani.
• Zilinganisa ubukhulu bezinkophe zakho.
• Baqapha ukuthi ucwayiza kangaki nokuthi amajwabu akho avaleka ngokuphelele yini uma ucwayiza.

Ngemva kwalezi zivivinyo, udokotela angakutshela ngqo ukuthi une-"Lagophthalmos", uma kunjalo, uhlobo lwayo, nokuthi inzima kangakanani.

Iphathwa kanjani i-Lagophthalmos?

Ukwelashwa kwe-`(Lagophthalmos)` kuncike esibangweni. Udokotela wakho uzoqala azame ukwelapha imbangela eyisisekelo. Isibonelo, uma kuyisifo, uma kuyithumba, noma uma kuyisifo sesikhumba, bazoselapha.

Kukhona izindlela zokuhlinzwa kanye nezindlela ezingezona ezokuhlinzwa zokwelapha isimo esithi "Lagophthalmos".

Ukwelashwa okungadingi ukuhlinzwa

• Amaconsi amehlo (njengezinyembezi zokwenziwa) asiza ekunciphiseni ukoma nokugcina umswakama emehlweni.
• Faka umuthi wokugcoba emehlweni akho ebusuku. Lokhu kunikeza umswakama owengeziwe.
• Sebenzisa itheyipu ukugcina izinkophe zivaliwe ebusuku noma uvale amehlo ukuze ugcine umswakama.
• Izibuko ezikhethekile (`izibuko zomswakama`). Lezi zisiza ukugcina amehlo emanzi.
• Izisindo ezincane ezinganamatheliswa ezinkopheni.

Ukwelashwa ngokuhlinzwa

Kwezinye izimo, ikakhulukazi uma isimo sibi kakhulu noma uma ezinye izindlela zokwelapha zingasizi, kungase kudingeke ukuhlinzwa.

• `I-Tarsorrhaphy`: Lokhu kuhilela okwesikhashana noma unomphela, ingxenye noma ngokuphelele, ukubopha izinkophe ndawonye.
• Ukufaka izisindo zegolide noma zeplatinum embotsheni yeso ephezulu: Lokhu kuhilela ukufaka izisindo ezincane ngaphakathi embotsheni yeso ephezulu. Amandla adonsela phansi abangela ukuthi imbotsheni yeso iwele phansi futhi ivaleke. Lokhu kuwusizo kakhulu kubantu abane-lagophthalmos ekhubazekile (isimo esibangelwa ukungasebenzi kahle kwemizwa).
• Ukuhlinzwa kwejwabu eliphezulu: Lokhu kufaka phakathi ukuhlinzwa kwemisipha engaphakathi kwejwabu eliphezulu ('imisipha ye-retractor') kanye nokufakelwa kwesikhumba.
• Ukuhlinzwa kwe-Lower Eyelid: Lokhu kufaka phakathi ukuhlinzwa kokuqinisa ama-eyelid aphansi akhululekile futhi "agobile" kanye nokufakelwa kwesikhumba ukuze kuphakanyiswe ama-eyelid.
• Ukuhlinzwa kobuso: Uma i-lagophthalmos ibangelwa ukukhubazeka kobuso, kwenziwa ukuhlinzwa okuhlukahlukene ukuze kuphakanyiswe ubuso. Okunye kwalokhu kufaka phakathi ukufakelwa kwemizwa kanye nezicubu ezithambile ezihambayo.

Khumbula, udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okufanele wena, ngakho khuluma naye ngalokhu ngokucophelela futhi ukuqonde.

Ingabe zikhona izinkinga noma imiphumela emibi yokwelashwa kwe-`(Lagophthalmos)`?

Njenganoma yikuphi ukwelashwa kwezokwelapha, ngezinye izikhathi kuba nezinkinga ezingase zenzeke ngokwelashwa kwe-"Lagophthalmos." Lokhu akwenzeki kuwo wonke umuntu, kodwa kuhle ukuzazi.

• Izibazi.
• Ukutheleleka.
• I-Entropion - Lokhu kusho ukuthi ijwabu leso liphendukela ngaphakathi, okubangela ukucasuka kweso.
• Amajwabu amehlo athambile.
• Izinkinga zesayithi lokuhlushwa.

Uma kwenzeka into efana nale, kufanele utshele udokotela ngokushesha.

Ngingabhekana kanjani nezimpawu ze-`(Lagophthalmos)`?

Ungenza izinto ezithile ukuze ugcine amehlo akho emanzi.

• Ukusebenzisa amaconsi amehlo njengoba kunqunywe udokotela.
• Ukuvala amehlo ebusuku nokudlala i-tape.

Uma unesifo esifana nokukhubazeka kobuso, ungase udinge usizo ngezinto ezifana nokudla nokukhuluma. Khuluma nodokotela wakho ngalokho futhi.

Ngingayinciphisa kanjani ingozi ye-`(Lagophthalmos)`?

Ayikho indlela yokuvimbela ngokuphelele "iLagophthalmos". Kodwa-ke, ungathatha izinyathelo zokuvikela amehlo akho ngokuthi:

• Gqoka imishini yokuzivikela emboza amehlo akho uma usebenza noma udlala imidlalo yokuthintana.
• Gqoka izibuko zelanga uma libalele.
• Gwema ukubheka emehlweni okungadingekile.
• Geza izandla zakho kahle ngaphambi kokuthinta amehlo akho.

Ngaphezu kwalokho, uma ucabanga ngokuhlinzwa ukuze kulungiswe ijwabu eligobile (`ukulungiswa kwe-ptosis`) noma ukuze kuhlotshiswe amajwabu akho (`i-blepharoplasty`), qiniseka ukuthi ubonana nodokotela ohlinzayo we-oculoplastic.Odokotela abahlinzayo be-Oculoplastic bangodokotela bamehlo abangochwepheshe ekuhlinzeni okwakha kabusha amehlo.

Kwenzekani uma ngine-`(Lagophthalmos)`?

Isibikezelo sokululama kusuka ku-lagophthalmos ngokuvamile sihle, ikakhulukazi uma singesibi kakhulu. I-Lagophthalmos ebangelwa yizimo ezifana ne-Bell's palsy ivame ukuzixazulula yodwa.

Kodwa-ke, uma isimo sibi kakhulu, kubalulekile ukufuna ukwelashwa okufanele. Ukwehluleka ukwenza kanjalo kungabangela umonakalo ongapheli emehlweni.

Kufanele ngimbone nini udokotela mayelana ne-`(Lagophthalmos)`?

Uma unezinye zalezi zimpawu, njengamehlo omile, amehlo anamanzi, noma umuzwa oqhubekayo wokuthile okunamathele esweni lakho, kufanele nakanjani ubone udokotela. Ikakhulukazi uma ubona noma yiziphi izinguquko ekuboneni kwakho, ungakuzibi.

Uma usuvele utholakale une-`(Lagophthalmos)` futhi uthola ukwelashwa ngayo, kodwa izimpawu zingathuthuki, noma zingabi zimbi nakakhulu, yazisa udokotela wakho ngokushesha.

Ngezinye izikhathi ungase ungaqapheli nokuthi amehlo akho angaphezulu nangaphansi awavaleki kahle kuze kube yilapho ebangela izinkinga emehlweni akho. Ezimweni eziningi, lolu hlobo lwe-lagophthalmos lubangelwa yisimo sokukhubazeka kobuso njenge-Bell's palsy. Ngakho-ke, uma unezinkinga zokubona noma ukungakhululeki kwamehlo okuqhubekayo, qiniseka ukuthi ufuna iseluleko sezokwelapha.

Okokugcina, into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ngakho-ke, `(Lagophthalmos)` yisimo lapho izinkophe zingakwazi ukuvala kahle. Lokhu akuyona into okufanele ithathwe kalula, ngoba amehlo ethu ayizitho ezibucayi kakhulu.

• Uma ubona noma yini engavamile, engakhululekile, noma ushintsho embonweni wakho, sicela ungakushayi indiva. Bonana nodokotela ngokushesha.
• Uma izimpawu ezifana namehlo omile, amehlo anamanzi, kanye nomuzwa wokugcwala ziqhubeka, kungaba uphawu lwe-"Lagophthalmos".
• Uma kutholakala futhi kwelashwa ngokushesha, lesi simo singaphathwa kahle.
• Kubaluleke kakhulu ukulandela iseluleko sezokwelapha nokuvikela amehlo akho .

Kungumthwalo wakho ukuvikela amehlo akho, ngakho-ke sicela uqaphele ngalokhu.

I- Lagophthalmos, ukungakwazi ukuvala amehlo, amehlo omile, izinkophe, imizwa yobuso, ukuhlinzwa kwamehlo, ukukhubazeka kukaBell, isilonda se-cornea, i-photophobia