Entropion
Uhlolojikelele
I-entropion yisimo lapho ilid eyelid lakho, ngokuvamile elingaphansi, liguqulwe ngaphakathi kangangokuthi iziphothi zakho zikhubetha ibhola lokho, okubangela ukungakhululeki.
I-Entropion (en-TROH-pee-on) yisimo lapho i-eyelid yakho iphenduka ngaphakathi kangangokuthi iziphothi zakho nesikhumba sikhubetha ubuso be-eye. Lokhu kubangela intukuthelo nokungakhululeki.
Uma une-entropion, i-eyelid yakho ingaguqulwa njalo noma kuphela uma ukhanya kanzima noma ucindezela ama-eyelid akho. I-Entropion ivame kakhulu kubantu abadala, futhi ngokuvamile ithinta kuphela i-eyelid elingaphansi.
Izinyembezi zokwenziwa namafutha okugcoba angasiza ekuqedeni izimpawu ze-entropion. Kodwa ngokuvamile ukucutshungulwa kuyadingeka ukuze kulungiswe ngokuphelele isimo. Uma kushiywe singaphathwe, i-entropion ingabangela ukonakala okumboza okucacile engxenyeni yangaphambili yamehlo akho (i-cornea), ukutheleleka kwamehlo nokulahleka kobono.
Izimpawu
Izimpawu nezimpawu ze-entropion zivela ekusukeleni kweziphothi zakho nekhala lokugqwala ngaphandle ebusweni beliso lakho. Ungase uhlangabezane nalokhu okulandelayo: Ukuzwa sengathi kukhona okuthile eliswini lakho Ubomvu beliso Ukucaphuka noma ubuhlungu beliso Ukuzwela ekukhanyeni nasemoyeni Amazinyo amanzi (ukukhala okukhulu) Ukukhipha i-mucous nokuqina kwekhala. Funani ukunakekelwa okusheshayo uma uthole ukuxilongwa kwe-entropion futhi uhlangabezane nalokhu okulandelayo: Ubomvu obukhula ngokushesha emehlweni akho Ubuhlungu Ukuzwela ekukhanyeni Ukunciphisa ukubona Lezi yizimpawu nezimpawu zokulimala kwe-cornea, okuyingozi kubukhazikhazi bakho. Yenza i-aphoyintimenti ukubona udokotela wakho uma uzizwa sengathi uhlale unethile eliswini lakho noma uqaphela ukuthi ezinye zeziphothi zakho zibonakala ziguqula ngaphakathi eliswini lakho. Uma ushiya i-entropion ingalashwa isikhathi eside kakhulu, ingalimaza kakhulu iliso lakho. Qala ukusebenzisa izinyembezi zokwenziwa namafutha okugcoba amehlo ukuvikela iliso lakho ngaphambi kokuqokwa kwakho.
Isikhathi sokubona udokotela
Funani usizo oluphuthumayo uma unembulungeni ye-entropion futhi uhlangabezana nalokhu okulandelayo:\n\n- Ukuqina okusheshayo kobuhlungu emehlweni akho\n- Ubuhlungu\n- Ukukhanya okukhulu\n- Ukubona okunciphayo\n\Lezi yizimpawu nezimpawu zokulimala kwesisu, okuyingozi kubukhazikhazi bakho.\n\nYenza i-aphoyintimenti ukubona udokotela wakho uma uzizwa sengathi uhlale unethile emehlweni akho noma uqaphela ukuthi ezinye zeziphothi zakho zibonakala ziguqula ngaphakathi emehlweni akho. Uma ushiya i-entropion ingalashwa isikhathi eside kakhulu, ingalimaza amehlo akho unomphela. Qala ukusebenzisa izinyembezi ezingezenzakalweni namafutha okuhlanza amehlo ukuvikela iso lakho ngaphambi kokuqokwa kwakho.
Izimbangela
I-entropion ingabangelwa yi:
- Ubuthakathaka bemisipha. Njengoba ugoduka, imisipha engaphansi kwamehlo akho ithambekele ekubuthakathekeni, futhi ama-tendon ahlala. Lesi yisizathu esivamile kakhulu se-entropion.
- Ama-scars noma ukuhlinzwa kwangaphambili. Isikhumba esilimele ngokushisa kwezinto ezikhiqizwayo, ukulimala noma ukuhlinzwa singakwazi ukuguqula umgca ovamile wamehlo.
- Ukutheleleka kwamehlo. Ukutheleleka kwamehlo okuthiwa yi-trachoma kuvamile emazweni amaningi ase-Afrika, e-Asia, eLatin America, eMiddle East nasePacific Islands. Kungabangela ukulinyazwa kwamehlo angaphakathi, okuholela e-entropion ngisho nobuthakathaka.
- Ukuqina. Ukuvuvukala kwamehlo okubangelwa ukumomotheka noma ukuvuvukala kungakwenza uzame ukukhulula izimpawu ngokugcoba amehlo noma ukuwagcina evaliwe. Lokhu kungabangela ukubamba kwemisipha yamehlo nokugoqa komgca wamehlo ngaphakathi ngokumelene ne-cornea (i-spastic entropion).
- Ukuqina kokuthuthukiswa. Uma i-entropion ikhona ngesikhathi sokuzalwa (i-congenital), ingabangelwa yi-fold eyengeziwe yesikhumba emehlweni ebangela izinwele eziqondiswe ngaphakathi.
Izici eziyingozi
Izici ezandisa ingozi yakho yokuthuthukisa i-entropion zihlanganisa:
- Ubudala. Lapho ugoduka, amathuba akho okukhula lesimo ande.
- Ukushiswa kwangaphambili noma ukulimala. Uma uke waba nokushiswa noma ezinye izilonda ebusweni bakho, inyama ephukile ephumayo ingakubeka engozini enkulu yokuthuthukisa i-entropion.
- Ukutheleleka kweTrachoma. Ngenxa yokuthi i-trachoma ingalimaza amehlo angaphakathi, abantu abake baba nale ntshukumo banamathuba amaningi okukhula i-entropion.
Izingqinamba
Ukucabukeka nokulimala kwamehlo yiwo amahluleki abaluleke kakhulu ahlobene ne-entropion ngoba angabangela ukulahleka okungaphelili kobona.
Ukuvimbela
Ngokuvamile, i-entropion ayikwazi ukunqatshelwa. Ungase ukwazi ukuvimba uhlobo olubangelwa ukutheleleka kwe-trachoma. Uma amehlo akho ebomvu futhi ekhathazekile ngemva kokuvakashela indawo lapho ukutheleleka kwe-trachoma kuvamile khona, funa ukuhlolwa nokuphathwa ngokushesha.
Ukuxilongwa
I-entropion ivame ukuxilongwa ngokuhlolwa kwamehlo okujwayelekile nokuhlolwa komzimba. Udokotela wakho angakudonsa amehlo akho ngesikhathi sokuxilongwa noma akucele ukuba ukhanye noma uvale amehlo akho ngamandla. Lokhu kuyamsiza ukuthi ahlole isikhundla selid eyelid emehlweni, amandla emisipha kanye nokuqinile kwalo.
Uma i-entropion yakho ibangelwa yilokho olukhulu, ukuhlinzwa kwangaphambili noma ezinye izimo, udokotela wakho uzoqhubeka nokuhlola inyama ezungezile.
Ukwelashwa
Indlela yokwelapha ixhomeke kuko lokho okubangela i-entropion yakho. Ukwelashwa okungekho oqaphelweni kuyatholakala ukuqeda izimpawu nokuvikela iso lakho ekwenzakaleni. Uma ukuvuvukala noma ukutheleleka okusebenzayo kubangela i-entropion (i-entropion ehlasimulisayo), i-eyelidi lakho lingabuya ekuhlaleni kwalo okujwayelekile njengoba welapha iso elivuvukile noma elitheleleke. Kodwa uma ukwenzakala kwezicubu sekwenzeke, i-entropion ingaqhubeka ngisho noma enye isimo sesiphathwe. Ukuhlinzwa kuvame ukudingeka ukuqondisa ngokuphelele i-entropion, kodwa ukulungisa okwesikhashana kungaba usizo uma ungakwazi ukubekezelela ukuhlinzwa noma kufanele ulisebenzise.
- I-lense yokuxhumana ebushelelezi. Udokotela wakho wamehlo angakuncoma ukuthi usebenzise uhlobo lwe-lense yokuxhumana ebushelelezi njengohlobo lwebhandeji le-cornea ukusiza ukunciphisa izimpawu. Lezi ziyatholakala nge-refractive prescription noma ngaphandle kwayo.
- I-Botox. Izilinganiso ezincane ze-onabotulinumtoxinA (Botox) eziqanjwe e-eyelidi eliphansi zingaguqula i-eyelidi ngaphandle. Ungathola uchungechunge lwezinjoloba, imiphumela ihlala ize kube yizinyanga eziyisithupha.
- Izicathulo eziphendula i-eyelidi ngaphandle. Le nqubo ingenziwa ehhovisi lika-dokotela wakho nge-anesthesia yendawo. Ngemva kokunciphisa i-eyelidi, udokotela wakho ubeka izicathulo eziningana ezindaweni ezithile e-eyelidi elithintekayo. Izicathulo ziphendula i-eyelidi ngaphandle, futhi ukwenzakala kwezicubu okuphumayo kukugcina endaweni ngisho noma izicathulo zisusiwe. Ngemva kwezinyanga ezimbalwa, i-eyelidi lakho lingaziguqula libuyele ngaphakathi. Ngakho-ke le ndlela ayilona ikhambi lesikhathi eside.
- Ithephu yesikhumba. Ithephu ekhethekile yesikhumba esicacile ingafakwa e-eyelidi lakho ukuyivimba ukuba ingaguquki.
Izicathulo eziphendula i-eyelidi ngaphandle. Le nqubo ingenziwa ehhovisi lika-dokotela wakho nge-anesthesia yendawo. Ngemva kokunciphisa i-eyelidi, udokotela wakho ubeka izicathulo eziningana ezindaweni ezithile e-eyelidi elithintekayo. Izicathulo ziphendula i-eyelidi ngaphandle, futhi ukwenzakala kwezicubu okuphumayo kukugcina endaweni ngisho noma izicathulo zisusiwe. Ngemva kwezinyanga ezimbalwa, i-eyelidi lakho lingaziguqula libuyele ngaphakathi. Ngakho-ke le ndlela ayilona ikhambi lesikhathi eside. Uhlobo lokuhlinzwa onalo luxhomeke esimweni sesicubu esizungezile i-eyelidi lakho nasekufuneni kwe-entropion yakho. Uma i-entropion yakho ihlobene nobudala, udokotela wakho wobuchwepheshe cishe uzosususa ingxenye encane ye-eyelidi lakho eliphansi. Lokhu kusiza ukubopha amatendon namasigxobo athintekayo. Uzobe unezicathulo ezimbalwa ekhoneni langaphandle leso lakho noma ngaphansi nje kwe-eyelidi lakho eliphansi. Uma unezicubu ezinzakalayo ngaphakathi kwelidi lakho noma ube nokwenzakala noma ukuhlinzwa kwangaphambili, udokotela wakho wobuchwepheshe angenza ukufakwa kwe-mucous membrane usebenzisa izicubu ezivela ophahleni lomlomo wakho noma emizileni yempumulo. Ngaphambi kokuhlinzwa uzothola i-anesthetic yendawo ukuze unciphise i-eyelidi lakho nendawo ezungeze lona. Ungase uhlaliswe kancane ukwenza ukhululeke kakhulu, kuye ngohlobo lwenqubo oyenzayo nokuthi yenziwa yini ekliniki yokuhlinzwa kwabantu abangaphandle. Ngemva kokuhlinzwa ungase udinga ukusebenzisa i-ointment ye-antibiotic emehlweni akho inyanga. Ngemva kokuhlinzwa cishe uzobhekana nokuvuvukala okwesikhashana nokukhuluphala emehlweni nakuzungeze iso lakho. I-eyelidi lakho lingase lizwakale liqinile ngemva kokuhlinzwa. Kodwa njengoba uyahlanza, lizobe likhululeke kakhulu. Izicathulo zivame ukususwa cishe ngemuva kweviki elilodwa lokuhlinzwa. Ungalindela ukuvuvukala nokukhuluphala ukuqeda ezinyangeni ezimbili.
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