Ingabe amehlo akho ayoma njalo? Ake sixoxe ngokuthi lawa ma-Punctal Plugs ayini! (Ama-Punctal Plugs)

Ingabe ngezinye izikhathi uzizwa sengathi amehlo akho omile kakhulu, sengathi kunezinhlayiya zesihlabathi ngaphakathi, noma umuzwa nje wokusha? Lena inkinga abantu abaningi abanayo. Ngakho-ke namuhla sizokhuluma ngokwelashwa okulula kakhulu kodwa okuphumelelayo kakhulu kwamehlo omile. Lokho yi-Punctal Plugs. Nakuba igama lizwakala njengento enkulu, liyinto encane kakhulu futhi elula.

Kalula nje, ayini lawa ma-Punctal Plugs?

Ukuze siqonde lokhu, ake siqale siqonde kancane ngendlela amehlo ethu asebenza ngayo. Cabanga nje, sihlala sinezinyembezi ezincane emehlweni ethu. Lezi nyembezi yizo ezigcina amehlo ethu ehlanzekile futhi emanzi. Njengezihlanzi zemoto, uma sicwayiza, le filimu yezinyembezi isakazeka kulo lonke iso.

Manje, lezi zinyembezi azigcini nje ngokuqongelela nokugeleza. Zidinga futhi ukuphuma esweni. Ngenxa yalokhu, sinezimbobo ezimbili ezincane kakhulu emakhoneni amehlo ethu, ohlangothini lwekhala lethu, kokubili ezinkopheni eziphezulu nezingezansi. Lezi zibizwa ngokuthi 'i-puncta'. Lezi zimbobo yilapho izinyembezi ezindala zingena khona epayipini elingena ekhaleni (i-nasolacrimal duct) bese likhishwa. Uyakhumbula lapho sikhala, kuphuma uketshezi oluncane ekhaleni lethu? Lokho kungenxa yokuthi lezi zinyembezi zingena ekhaleni.

Ngakho-ke, ama-Punctal Plugs ayipulaki elincane elithambile, elibekwa phezu kwezimbobo ezincane zokudabuka (i-puncta) ezikhipha izinyembezi. Njengepulaki elivimba imbobo yokudabuka esinkini, lawa mapulaki avimba izinyembezi ukuthi zingaphumi esweni, noma okungenani azinciphise. Lokhu kuvumela izinyembezi ukuthi zihlale ngaphakathi kweso isikhathi eside, zigcine iso limanzi.

Ingabe kunezinhlobo ezahlukene zalezi ziplagi?

Yebo, nakanjani. Akuwona wonke umuntu osebenzisa uhlobo olufanayo. Udokotela wakho uzokhetha uhlobo olufanele kakhulu ngokusekelwe esimweni sakho. Zingahlukaniswa zibe izinhlobo eziningana, ikakhulukazi ngokusekelwe ezintweni ezenziwe ngazo kanye nesikhathi ezihlala ngaso esweni.

Ngaphezu kwalokho, kunezinye izinhlobo ezimbili ezikhethekile:

• Ama-plug anemithi: Amanye ama-plug aqukethe imithi. Uma i-plug isifakiwe esweni, umuthi ukhishwa kancane kancane ungene esweni.
• Amapulagi anezimbobo: Lawa mapulagi anembobo encane phakathi. Lokhu kuvumela izinyembezi ukuthi zigeleze ngokukhululeka, kunokuba zivale ngokuphelele. Lawa asetshenziswa kubantu abanamehlo anamanzi.

Zisetshenziswa ngaziphi izimo lezi?

Lezi zisetshenziswa kakhulu ukwelapha amehlo omile . Kungaba nezizathu eziningi zamehlo omile. Ngezinye izikhathi izinyembezi zethu ziba zekhwalithi embi futhi ziphele ngokushesha kakhulu. Noma izindlala zezinyembezi zingase zingakhiqizi izinyembezi ezanele. Ezinye zezizathu zalokhu yilezi:

• Ezinye izifo ezibangelwa ukuzivikela komzimba, njenge-Sjögren's syndrome, i-Graft vs. host disease (GVHD), noma i-Systemic lupus erythematosus (Lupus).
• Izifo ezibangela ukulimala kwe-cornea.
• Imithi ethile, ikakhulukazi imithi yokugula ngengqondo, imithi yokucindezeleka, kanye neminye imithi yomfutho wegazi ophakeme (ama-beta-blockers).
• Umswakama ophansi endaweni yethu (isimo sezulu esomile kakhulu).
• Ukuchayeka ezintweni ezifana nentuthu kagwayi kanye nentuthu yamakhemikhali.

Ingabe kubuhlungu ukufaka ipulaki ye-punctal?

Lutho neze. Kulula kakhulu, kuyashesha, futhi akubuhlungu. Ungakwenza ngemizuzu embalwa khona kanye ehhovisi likadokotela wakho.

Yilokhu okuvame ukwenzeka:

1. Okokuqala, ungafaka inani elincane leconsi lamehlo ukuze uqede ijwabu leso lakho. Ngemuva kwalokho ngeke uzwe lutho.

2. Ngemuva kwalokho, udokotela uzobamba ijwabu lakho bese, esebenzisa ithuluzi elibucayi kakhulu, efaka leli plagi kulowo mgodi omncane (i-punctum).

3. Lokhu ngeke kuthinte okumhlophe kweso lakho, ngakho-ke asikho isizathu sokwesaba.

4. Ungase uzwe ukucindezela okuncane lapho ufaka ipulaki. Ungase ungakuzwa ngisho nokukuzwa ngoba kubuhlungu.

5. Uma ipulaki isifakiwe kahle, umsebenzi usuqedile. Ungaya ekhaya njengenjwayelo.

Ziyini izinzuzo zalokhu kwelashwa?

Kunezinzuzo eziningana zokusebenzisa ama-punctal plugs.

• Kuphephile kakhulu: Lokhu akuvamile ukubangela izinkinga noma imiphumela emibi, futhi ngisho naleyo ayibi yingozi.
• Kuyashesha futhi akubuhlungu: Kungenziwa ehhovisi likadokotela, ngemizuzu embalwa nje.
• Akudingeki kube yinto ehlala njalo: Izinhlobo zesikhashana ziyancibilika ezinsukwini ezimbalwa. Ngisho nezinhlobo "ezihlala njalo" zingasuswa kalula ngudokotela nganoma yisiphi isikhathi uma kudingeka.
• Ezinye izindlela zokwelapha zisebenza kahle kakhulu: Izinhlobo zamaconsi amehlo owasebenzisayo, njengezinyembezi zokwenziwa, zihlala esweni isikhathi eside, ngakho imiphumela yazo iba ngcono kakhulu.

Ingabe ikhona imiphumela emibi noma izingozi?

Njenganoma yikuphi ukwelashwa kwezokwelapha, kunezingozi ezithile ezihilelekile, kodwa lezi ngokuvamile zincane.

Izinto ezingenzeka kaningi

• Ukuwa kweplagi: Lokhu kuyinto evame kakhulu. Amaplagi abekwe embotsheni yeso eliphezulu avame kakhulu ukuwa.
• Amehlo anamanzi (i-Epiphora): Ngezinye izikhathi amehlo akho angase athole amanzi ngoba izinyembezi zakho azikwazi ukuphuma. Uma lokhu kwenzeka, kungase kudingeke ushintshele epulakini ``elinezimbobo`` elinembobo phakathi nendawo.
• Iplagi ingaphuma kancane: Uma lokhu kwenzeka, kungase kubangele ukucasuka ebusweni beso. Udokotela angase akwazi ukuyibeka kabusha noma ayisuse.

Izinkinga ezingavamile

• I-Pyogenic granuloma: Inhlama encane yenyama ingakheka eduze komsele wokukhala ngenxa yokucasuka okubangelwa yi-plug. Lokhu kuvame ukunyamalala ngokuphelele ngemva kokuba i-plug isusiwe futhi kufakwe umuthi.
• I-punctal stenosis: Ipulaki ingabangela ukuncishiswa komgodi. Lokhu kuvame ukuba okwesikhashana.
• Ukuhamba ngaphakathi kwepulagi: Lokhu akuvamile kakhulu. Amapulagi amasha manje anomklamo okhethekile wokuvimbela lokhu.

Yini okufanele ngiyiqaphele ngemva kokufaka ama-plug?

Udokotela wakho uzokuchazela lokhu ngokuningiliziwe, kodwa ngokuvamile, khumbula lezi zinto.

• Gwema ukuhlikihla amehlo akho: Ukuhlikihla amehlo akho kakhulu kungakhipha ipulaki. Uma amehlo akho eluma noma engakhululekile, buza udokotela wakho ukuthi wenzeni.
• Sebenzisa eminye imithi ngendlela efanele: Sebenzisa amanye amaconsi amehlo, njengezinyembezi zokwenziwa, njengoba udokotela wakho ekuyalele. Asebenza kahle kakhulu ngama-plug.
• Geza izandla zakho kahle ngaphambi kokuthinta amehlo noma ubuso bakho: Lokhu kuyinto okufanele sonke siyenze ngokuvamile. Kungumqondo omuhle ukuqaphela kakhulu uma unezimbobo ezindlebeni zakho.

Ngingashayela nini udokotela ucingo?

Uma unama-punctal plugs afakiwe futhi uhlangabezana nanoma yiziphi izimpawu ezingezansi, shayela udokotela wakho ngokushesha.

Ama-punctal plugs amadivayisi amancane anganikeza impumuzo ebalulekile ekungaphatheki kahle kwamehlo. Nakuba kungase kube yinto eyesabekayo ukuwafaka, empeleni ayindlela yokwelapha ephephile kakhulu futhi ephumelelayo. Uma unamehlo omile, khuluma nodokotela wakho ngawo. Ngemuva kwalokho ungenza imisebenzi yakho yansuku zonke ngaphandle kokukhathazeka ngokungaphatheki kahle kwamehlo.