Ingabe umbono wakho uya ngokuya ufiphala kancane kancane? Mhlawumbe lokhu kungenxa ye-Terrien Marginal Degeneration!

Ingabe ngezinye izikhathi uzizwa sengathi umbono wakho uhlukile kancane futhi ufiphele emehlweni womabili? Mhlawumbe kusesweni elilodwa nje. Esikhathini esiningi, asizinaki kakhulu izinto ezinjengalezi, akunjalo? Sicabanga ukuthi, "Yilokhu okwenzekayo uma ukhula." Kodwa-ke, kunezifo zamehlo ezingavamile eziqala ngezimpawu ezinjengalezi. Namuhla, sizokhuluma ngesimo esingavamile ukuzwakala ngaso, kodwa okufanele ukwazi ngaso. Leso yisimo esibizwa ngokuthi i-Terrien Marginal Degeneration .

Kuyini uTerrien Marginal Degeneration? Masiqonde kalula!

Kalula nje, lesi yisifo esingavamile esithinta amehlo ethu. Okwenzekayo kulokhu ukuthi leyo ngxenye 'ye-cornea', okuyi-membrane ecacile ngaphambili kweso lethu, iyancipha kancane kancane. Cabanga ngayo njengekhamera. I-cornea yingxenye eyinhloko esiza ekuletheni ukukhanya nokudala isithombe esicacile. Kufana nengilazi ephezu kwewashi. Ngakho-ke, lapho le cornea iqala ukuncipha, ngokuhamba kwesikhathi, ingaphazamisa ikhono lethu lokubona izinto ngokucacile.

Lokhu akwenzeki ngobusuku obubodwa. Kuvame ukukhula kancane. Yingakho abanye abantu bengakuboni ekuqaleni. Kodwa-ke, uma ubona lesi simo kusenesikhathi, ungathola ukwelashwa okuzosiza ekuvikeleni noma ekubuyiseleni umbono wakho. Ukwelashwa kuvame ukuhlanganisa izibuko , imithi ethile, futhi ngezinye izikhathi ukuhlinzwa ukulungisa noma ukufaka esikhundleni i-cornea yakho.

Lokhu kukhubazeka kwe-Terian Marginal Degeneration (TMD) kukuthinta kanjani?

Njengoba sishilo ngaphambili, kulesi sifo, ingxenye ye-cornea iyancipha. Njengoba ukuwohloka kwe-cornea kuqhubeka, unqenqema lwangaphandle lwe-cornea luqala ukuthamba. Lokhu kubizwa ngokuthi i-peripheral corneal flattening. I-Astigmatism ingenzeka ngenxa yalokhu.

Kuyini i-Astigmatism ?

Cabanga nje, i-cornea enempilo iyindilinga enhle, njengebhola. Bese ukukhanya kugxilwe endaweni eyodwa futhi kunikeze isithombe esicacile. Kodwa ku-astigmatism, ukuma kwe-cornea kuyashintsha kancane, njengeqanda, noma njengebhola le-rugby. Bese ukukhanya akugxilile endaweni eyodwa, kodwa ezindaweni eziningana, ngakho izinto ozibonayo zingabonakala zifiphele, zeluliwe, futhi ngezinye izikhathi zihlukaniswe kabili.

Ngakho-ke, lesi simo se-astigmatism singabangela ukuthi umbono wakho ufiphale futhi ungase ungakwazi ukubona izinto kahle. I-Terian Marginal Degeneration (TMD) ingathinta iso elilodwa noma womabili amehlo.

Izindaba ezinhle ukuthi, ngokungafani nezinye izimo zamehlo, i-TMD ngokuvamile ayibangeli ubuhlungu bamehlo. Kodwa-ke, ngezinye izikhathi amehlo angaba bomvu futhi avuvuke kancane, okuwukuvuvukala .

Akuvamile kakhulu, uma i-cornea iba mncane kakhulu, ingadabuka noma ibhoboke . Lokhu kungenzeka ngokuzumayo, noma kungenzeka uma iso lakho lilimele noma lonakele. Lesi yisimo esiphuthumayo futhi kufanele ufune usizo lwezokwelapha ngokushesha.

Ubani othinteka kakhulu yilesi simo?

Lesi simo, esibizwa ngokuthi i-Terian Marginal Degeneration (TMD) , sivame ukubonakala kwabesilisa abangaphezu kweminyaka engama-40. Kodwa-ke, lokho akusho ukuthi abanye abakwazi ukusithola. Singenzeka kunoma ubani kunoma yimuphi ubudala. Kutholakale nokuthi abantu abanezifo ezithile zokuvuvukala , njenge -rheumatoid arthritis kanye ne-juvenile idiopathic arthritis, banamathuba amaningi okuthola i-TMD.

Ivame kangakanani i-Terian Marginal Degeneration (TMD)?

Empeleni lesi yisimo esingavamile kakhulu. Abacwaningi abakakwazi ukuthola ukuthi bangaki abantu abanalesi sifo. I-TMD yaqala ukuchazwa ngo-1900 nguFelix Terrien, udokotela wamehlo waseFrance.

Ingabe zikhona izinhlobo eziyinhloko ze-Terian Marginal Degeneration (TMD)?

Ososayensi bakholelwa ukuthi kunezinhlobo ezimbili eziyinhloko zalesi simo, i-terian marginal degeneration ( TMD ).

1. Uhlobo 1: Lokhu kuvame ukubonakala kubantu abaneminyaka engaphezu kwengu-55. Kulolu hlobo, lesi sifo siqhubeka kancane, ngaphandle kwezimpawu zokuvuvukala (njengokubomvu nokuvuvukala kwamehlo).

2. Uhlobo 2: Lolu hlobo lubonakala ngokuvuvukala . Luvame kakhulu kwabesilisa abasebasha abaneminyaka engama-20 nama-30. Odokotela nabo baye babona lolu hlobo kubantu abanezimo ezilandelayo:

• I-Anterior Basement Membrane Dystrophy: Lesi yisifo senhliziyo esidluliselwa ngofuzo (esibangelwa ufuzo).
• I-Erythema Elevatum Diutinum: Lesi yisifo sesikhumba sesikhathi eside.
• I-Posterior Polymorphous Dystrophy: Lesi futhi yisifo samehlo esingavamile. Sibangela uketshezi noma ezinye izinto ukuthi ziqongelelane ku-cornea.

Ingabe zikhona ezinye izifo ezifana ne-Terian Marginal Degeneration (TMD)?

Yebo, kunezinye izifo zamehlo eziningana ezibonisa izimpawu ezifanayo nalezi zimpawu ze-TMD. Yingakho kubaluleke kakhulu ukuthola ukuxilongwa okunembile. Kulapho kuphela lapho ungathola khona uhlelo lokwelashwa olufanele kakhulu. Ezinye zalezi zifo yilezi:

• I-Acanthamoeba I-Keratitis
• I-Corneal Ectasia (iqembu lezifo lapho isimo se-cornea sishintsha khona kanye ne-astigmatism eyanda ngokuhamba kwesikhathi)
• Isilonda se-Corneal ( ukulimala kwe-cornea)
• I-Keratoconus (lapho i-cornea iphuma khona ibe yisimo sekhoni)
• Ukonakala kwe-Marginal Furrow (lokhu kubangela nokuthi i-cornea ibe mncane)
• I-Mooren's Ulcer (Lesi isifo samehlo esibuhlungu esilimaza i-cornea)
• I-Ocular rosacea (i-Ocular rosacea )
• Ukonakala kwe-Pellucid Marginal Degeneration (PMD) (Lesi futhi yisifo esingavamile se-cornea esibangela ukulahlekelwa umbono ngokuhamba kwesikhathi)
• I-Sclerokeratitis (ukuvuvukala kwe-sclera ne-cornea)
• I-Vernal Keratoconjunctivitis (VKC) (ukusabela okubangelwa ukungezwani komzimba isikhathi eside, okuthinta ubuso beso)

Njengoba izimpawu ezinjengalezi zingaba yinto evamile ezifweni eziningi, uma ubona okuhlukile, kungcono ukubona udokotela wamehlo ukuze akuhlole.

Yini ebangela i-Terian Marginal Degeneration (TMD)?

Eqinisweni, abacwaningi abakakwazi ukuthola imbangela ethile ye-TMD. Kodwa-ke, basola ukuthi isifo sokuzivikela komzimba (lapho amasosha omzimba ehlasela khona amangqamuzana anempilo) noma isifo esiwohlokayo (lapho izicubu noma izitho zomzimba ziba buthaka kancane kancane) kungaba yimbangela. Kodwa-ke, lokhu akukaqinisekiswa okwamanje.

Yiziphi izimpawu ze-Terian Marginal Degeneration (TMD)?

Esikhathini esiningi, abantu abane-temporomandibular joint degeneration (TMD) abanazo izimpawu. Yileyo inkinga. Kodwa-ke, kwezinye izimo, ungase ubhekane nezinto ezifana nalezi:

• I-Astigmatism ibangela izinguquko kancane kancane embonweni: Lokhu kusho ukuthi umbono uba lufifi kancane kancane futhi ungase uzwakale sengathi awusacaci.
• Ukukitaza okuncane noma ukungakhululeki emehlweni ngenxa yokungalingani kobuso be-cornea: Kungase kuzwakale sengathi kukhona okunamathele esweni, noma sengathi kukhona uhlamvu lwesihlabathi esweni.

Ezimweni ezimbi kakhulu, ingozi noma ukulimala kungabangela ukubhoboka kwe-cornea (Ukubhoboza noma Ukudabuka) . Lesi yisimo esiphuthumayo sezokwelapha . Lokhu kungabangela ukulahlekelwa okukhulu kokubona. Ngakho-ke, uma unomonakalo esweni lakho, kufanele ufune usizo lwezokwelapha ngokushesha.

I-Terian Marginal Degeneration (TMD) ihlolwa kanjani?

Odokotela baxilonga i-TMD ngokuhlolwa kwamehlo okuphelele . Ngokuxilonga ngokunembile lesi simo, bangakwazi ukusihlukanisa nezinye izimo ezibangela ukuba i-cornea ibe buthaka, futhi bakunikeze ukwelashwa okufanele.

Udokotela wakho wamehlo angenza izivivinyo ezengeziwe ukuze athathe izithombe ezinemininingwane zamehlo akho futhi ahlole izinguquko ku-cornea yakho. Lezi zivivinyo zifaka:

• I-Anterior Segment Optical Coherence Tomography
• I-Confocal Microscopy
• I-Corneal Topography (Lokhu kudala imephu yobuso be-cornea)
• Ukuskena I-Slit Slit Topography
• I-Ultrasound Biomicroscopy (UBM)

Lezi zivivinyo zizovumela udokotela wakho ukuthi aqonde kahle isimo se-cornea yakho.

Ingabe ikhona ikhambi le-Terian Marginal Degeneration (TMD)?

Ngeshwa, ayikho ikhambi le-TMD. Kodwa ungakhathazeki. Ukwelashwa kungasiza ekulondolozeni umbono wakho futhi kuvimbele izinkinga. Yingakho ukuxilongwa kusenesikhathi kubaluleke kangaka. Khona-ke udokotela wakho angakunikeza ukunakekelwa okudingayo.

Yiziphi izindlela zokwelapha i-Terian Marginal Degeneration (TMD)?

Ezimweni eziningi, akukho ukwelashwa okuqondile kokuwohloka kwamalunga e-temporomandibular (TMD). Udokotela wakho angase akuncome " ukulinda ngokuqapha " (okungukuthi, ukubheka izimpawu nokulinda ukubona ukuthi isimo siba sibi yini) kanye nokuhlolwa okuvamile ukuze kuqashwe isimo sakho.

Kodwa-ke, uma lesi simo se-TMD sithinta umbono wakho, izibuko zamehlo ezilungisayo zingasetshenziswa njengokwelashwa. Isibonelo:

• Izibuko ezenziwe nge-polycarbonate: Lezi ziqinile kunepulasitiki evamile.
• Amalensi Okuxhumana Aqinile, Angena Ngegesi: Lawa uhlobo lwelensi yokuxhumana oluqinile kancane oluvumela umoya-mpilo ukuthi udlulele esweni.
• Amalensi e-Scleral:Lawa ama-contact lens amakhulu, aqinile. Amboza lonke i-cornea. Alungisa i-astigmatism, avikele iso, futhi athuthukise ukubona.

Uma unokuvuvukala okuncane, udokotela wakho angase akunike amaconsi amehlo, amafutha okugcoba, noma amajeli . Ngezinye izikhathi ama-steroid angasetshenziswa. Kodwa-ke, ukusetshenziswa kwawo kulinganiselwe ngoba angenza i-cornea ibe ncane kakhulu.

Ingabe ngizodinga ukuhlinzwa ngenxa ye-Terian Marginal Degeneration (TMD)?

Ezimweni ezithuthukile ze-TMD, ukuhlinzwa kungadingeka ukuze kulondolozwe, kugcinwe, noma kubuyiselwe ukusebenza kweso lakho. Udokotela wakho wamehlo angase futhi ancome ukuhlinzwa uma amalensi okulungisa engasizi.

Uma i-cornea yakho yonakele kakhulu, udokotela wakho angase akuncome ukufakelwa i-cornea . Lokhu kuhilela ukusebenzisa izicubu ezivela kumuntu onempilo noma i-cornea yokwenziwa. Ungafakelwa i-cornea kanje:

• Ukufakelwa Kokujiya Okuyingxenye (i-Lamellar Keratoplasty): Kulokhu, kufakwa ingxenye kuphela ye-cornea yakho.
• Ukufakelwa Okujiyile Okugcwele - I-Keratoplasty Engena: Kulokhu, yonke i-cornea yakho iyashintshwa.

Udokotela wakho uzokutshela okwengeziwe ngalezi zinhlinzeko.

Ingabe kukhona engingakwenza ukuvimbela ukuthuthukiswa kwe-Terian Marginal Degeneration (TMD)?

Akukho lutho ongakwenza ukuvimbela i-TMD ngoba imbangela eqondile ayaziwa. Kodwa-ke, ungathatha izinyathelo ezithile zokuvikela amehlo akho nokuvimbela isimo ukuba singabi sibi kakhulu .

Ukuze uvimbele ukulimala kwe-cornea, zama ukugqoka izibuko zokuzivikela phakathi nalezi zikhathi:

• Uma uhlanza nge-bleach noma amanye amakhemikhali.
• Uma usebenza ngaphandle, njengokugunda utshani.
• Uma udlala imidlalo efana ne-baseball ne-hockey.
• Kungakhathaliseki ukuthi kusetshenziswa amathuluzi noma kusetshenziswa upende.

Uma ugqoka ama-contact lens, landela imiyalelo yokuhlanza nokubulala amagciwane amalensi akho ngokucophelela ukuze uvimbele ukutheleleka kwamehlo noma kwe-cornea. Ngokuhambisana nokuqokwa kukadokotela wakho wamehlo nokulandela imihlahlandlela yokwelashwa, ungavimbela izinkinga futhi uvikele ukubona kwakho okuyigugu.

Yini okufanele ngiyilindele uma ngine-Terion Marginal Degeneration (TMD)?

Abantu abaningi banesifo se-Terian Marginal Degeneration (TMD).Kungaphathwa kahle ngezibuko noma ama-contact lens kanye nokuhlolwa njalo kwezokwelapha. Uma une-cornea encane kakhulu, khuluma nodokotela wakho ngezinketho ezingcono kakhulu zokuvikela amehlo akho nokwelapha izimpawu zakho. Ungakhathazeki, ungaphila impilo evamile ngalesi simo.

Kufanele uthole nini iseluleko sezokwelapha mayelana nokuwohloka kwamalunga e-temporomandibular (TMD)?

Kubalulekile ukuqaphela isimo se-Terian Marginal Degeneration (TMD) kusenesikhathi ukuze uthole ukwelashwa okusebenzayo. Uma uzwa ukungakhululeki kwamehlo, ubuhlungu, noma izinguquko embonweni , yazisa udokotela wakho ngokushesha. Udokotela wakho angakunikeza izinketho zokwelapha ezingakunikeza impumuzo futhi zilondoloze umbono wakho.

Khumbula, amehlo angenye yezitho ezizwela kakhulu futhi eziyigugu emzimbeni wethu. Ngakho-ke, uma ubona noma yiluphi ushintsho noma ukungakhululeki emehlweni akho, kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngaphandle kokusishaya indiva.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Ukonakala kwe-Terrien Marginal kuyisimo esingavamile esibangela ukuthi imiphetho ye-cornea yethu ibe mncane. Le cornea yiyo esisiza sibone kahle. Abantu abaningi ababoni zimpawu. Kwabanye, ukulungisa amehlo kungasiza ekuvikeleni umbono wabo futhi kuvimbele izinkinga. Thola ukuhlolwa kwamehlo njalo. Ngemuva kwalokho ungathola ukunakekelwa okudingayo. Nakekela amehlo akho! Ngoba sinamehlo amabili kuphela okubona umhlaba.

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