Wake wambona umuntu oneso elilodwa ethungwe livalwe? Noma ingabe udokotela wakho wake wakutshela noma othile omaziyo ukuthi agcine iso lakhe livalwe isikhashana? Lokhu kungase kuzwakale kuyesabeka futhi kungavamile, kodwa empeleni kuyindlela yezokwelapha ebaluleke kakhulu esetshenziselwa ukuvikela nokuphulukisa iso. Namuhla sizokhuluma ngento ebizwa ngokuthi `(Tarsorrhaphy)`. Ake sixoxe ngayo kalula, ngokucacile, nangendlela ongayiqonda.
Kalula nje, iyini i-Tarsorrhaphy?
Lokhu kulula kakhulu. Ake sithi unengalo noma umlenze ophukile. Wenzani udokotela? Ufaka iplasta phezu kwayo ukuze inganyakazi ize iphole, akunjalo? Yilokho okufanayo. I-Tarsorrhaphy inqubo ehilela ukubopha ijwabu elingaphezulu kanye nejwabu elingezansi ndawonye ukuze kugcinwe iso livaliwe, ukuze kuphulukiswe umonakalo ebusweni belihlo, noma ukuze kuvikelwe ekulimaleni okuqhubekayo.
Lokhu kuvame ukwenziwa esweni elilodwa kuphela. Kodwa-ke, uma kudingeka, ngezinye izikhathi kungenziwa kuwo womabili amehlo. Inhloso eyinhloko yalokhu ukuvikela ubuso belihlo (ikakhulukazi i-cornea) ngokugcina iso livaliwe nokudala indawo elidinga ukuphulukiswa kuyo.
Yiziphi izindlela ezahlukene zokwenza i-Tarsorrhaphy?
Uma udokotela ekusikisela le ndlela, uzocabangela izici eziningana. Okungukuthi, kufanele uhlale uvale amehlo isikhathi esingakanani, kufanele uwavale kangakanani, nokuthi iyiphi indlela okufanele uyisebenzise. Ake sibheke ngayinye yalezi.
| Isici sokuhlukaniswa | Incazelo |
|---|---|
| Ngesikhathi |
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| Kuye ngokuthi uthintana kangakanani emehlweni |
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| Ngokwendlela esetshenzisiwe |
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Nokho, kungani ungathanda ukwenza into enjengale?
Kungaba nezizathu eziningi zalokhu. Ngezinye izikhathi kuyindlela yokwelapha. Ngezinye izikhathi kwenziwa ukuvimbela umonakalo ongase ubangelwe ukugula.
Izifo nokulimala kobuso beso
Lokhu kuwusizo kakhulu ezimweni lapho ubuso beso, okungukuthi, i-cornea, bungase bonakaliswe.
- Ukungakwazi ukuvala amehlo kahle: Cabanga ngesimo esifana ne-"Bell's palsy" lapho imizwa ohlangothini olulodwa lobuso ikhubazekile, kanti iso kulolo hlangothi alikwazi ukuvalwa kahle.
- Uma uthola ukwelashwa e-Intensive Care Unit (ICU): Umuntu ongazi lutho ophefumula ngosizo lomshini akawavali amehlo akhe. Lokhu kungabangela amehlo omile kanye nomonakalo. Lokhu kwenzelwa ukuvimbela lokho.
- I-Exposure keratitis: Umonakalo obangelwa ukomisa iso uma lingavaliwe kahle futhi lingavikelekile emoyeni nasothulini.
- Ukusha kwamehlo: Yelapha ukusha okubangelwa ukushisa (ukusha okushisa) noma amakhemikhali anjenge-asidi (ukusha kwamakhemikhali).
- Izifo ze-cornea: Ukusiza ekwelapheni ukulimala kwe-cornea kanye nokutheleleka.
- I-Neurotrophic keratitis: Lesi yisimo esiyingozi. Ngenxa yokuthi imizwa esesweni yonakele, iso alikwazi ukuzwa ngisho nokungcola okuncane. Ngakho-ke lingalimala kalula. Kubalulekile ukuvikela iso ezimweni ezinjalo.
Ushintsho esimweni noma endaweni yenhlamvu yeso
Ezinye izimo zezokwelapha zibangela ukushintsha kwesimo senhlamvu yeso, okwenza kube nzima ukuvala izinkophe kahle.
- Ukuphuma kwamehlo (Proptosis):Izimo ezifana nesifo sikaGraves zingabangela ukuthi amehlo akhule futhi aphume.
- Umdlavuza noma izimila ezizungeze iso: Lokhu kungabangela ukuthi iso lishintshe indawo yalo.
- Izingozi Ezinzima: Uma iso lonakele kakhulu futhi kudingeka i-enucleation, lokhu kwenziwa ukuze kuvikelwe isokhethi.
Izimo ezithinta amehlo
- Ukungasebenzi kahle kwemizwa yobuso: Izimo ezifana nokuthi "uBell's palsy".
- I-Ectropion: Ijwabu elingezansi liphendukele ngaphandle, okwenza iso lingavaleki kahle.
- Ukungazi: Umuntu olimale kakhulu ekhanda futhi osekwi-coma ucwayiza kancane. Lokhu kwenzelwa ukuvimbela amehlo omile.
Yiziphi izinzuzo kanye nokungalungi kwale ndlela?
Njenganoma iyiphi indlela yezokwelapha, lena inezinzuzo zayo kanye nezinkinga ezincane.
| Izinzuzo | Ukungalungi |
|---|---|
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Yini okufanele uyinake ngemva kokwenza lokhu?
Ngemva kokuthola lokhu kwelashwa, kunezinto ezimbalwa okudingeka uzenze ukuze uzuze kakhulu kukho.
Ubuhlungu nokuphulukiswa
Uma uthungwa noma uhlinzwa, udokotela uzoyithunga indawo ukuze ungezwa ubuhlungu. Ngemva kwalokho, bangase bakunike imithi yokwelapha izinhlungu. Noma ungathatha umuthi olula njenge-paracetamol ukulawula ubuhlungu. Udokotela wakho uzokutshela ngqo ukuthi wenzeni.
Into ebaluleke kakhulu ukubuyela emtholampilo ngezinsuku ezihleliwe bese uhlolwa amehlo akho. Ngemva kwalokho kuhlolwa, sizonquma ukuthi amehlo akho aphilile kahle kangakanani nokuthi sekuyisikhathi sokuwavula futhi.
Izinto ongazenza
- Ungahlikihli amehlo akho nganoma yisiphi isizathu. Ukwenza kanjalo kungalimaza izithungo, kuvimbele ukuphola, futhi kwandise ubuhlungu. Buza udokotela wakho ukuthi wenzeni uma uzwa ukulunywa.
- Landela imiyalelo kadokotela wakho ngqo. Angase akunike amaconsi amehlo noma asebenzise izivikelo zamehlo ukuvikela amehlo akho.
- Yiya emitholampilo ngezinsuku ezihleliwe. Lokhu kuyimpoqo. Impumelelo yokwelashwa incike kulokho kulandelwa.
Kufanele ubonane nodokotela ngokushesha nini?
Ngaphezu kwezinsuku zakho ezihleliwe zomtholampilo, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, bona udokotela wakho ngokushesha.
- Uma izithungo zizwakala zikhululekile noma ziphukile.
- Uma ubona ushintsho embonweni wakho.
- Uma uba nezimpawu ezintsha (isib. ukuqubuka, amabhamuza) esweni, esweni, noma esikhumbeni esizungezile.
- Uma kukhona ukuvuvukala, ukubomvu, ukuphuma koketshezi okufana nobomvu, noma ubuhlungu obukhulu eduze kweso elivaliwe (lokhu kungaba izimpawu zokutheleleka).
Kuvamile ukuthi noma ubani azizwe esaba futhi ekhungathekile lapho etshelwa ukuthi avale iso elilodwa noma womabili. Kodwa khumbula, lokhu kuyindlela yokwelapha ephumelela kakhulu yokuvikela umbono wakho nempilo yamehlo. Udokotela wakho uzokhetha indlela engcono kakhulu yesimo sakho futhi akuchazele konke.
Umlayezo Wokuya Nawe Ekhaya
- I-Tarsorrhaphy ayiyona into okufanele uyesabe. Kuyinqubo yezokwelapha evikela iso futhi ilisize liphulukiswe.
- Lokhu kungenziwa okwesikhashana noma unomphela, ngokuphelele noma ngokwengxenye kuphela, kuye ngesimo sakho sezempilo.
- Lokhu kwelashwa kusetshenziswa ezimweni eziningi, njengezifo ezivimbela iso ukuthi livaleke kahle, ukulimala ebusweni beso, kanye nezingozi.
- Ngemva kokwelashwa, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo nokuya emitholampilo ngesikhathi.
- Uma ubona izimpawu zokutheleleka (ukuvuvukala, ukubomvu, ubomvu, ubuhlungu), xhumana nodokotela ngokushesha.
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