Created at:10/10/2025
Question on this topic? Get an instant answer from August.
Ukufakelwa kwe-cornea kuyinqubo yokuhlinzwa lapho i-cornea elimele noma enesifo ithathelwa indawo ngesicubu se-corneal esinempilo esivela kumnikeli. I-cornea yakho ingqimba yangaphambili yeso lakho ecacile, emise okwe-dome esiza ukugxilisa ukukhanya ukuze kube nombono ocacile. Lapho lesi sicubu esibucayi siba nezibazi, sifiphele, noma silimele, ukufakelwa kungabuyisela umbono wakho nokunethezeka.
Ukufakelwa kwe-cornea, okubizwa nangokuthi i-keratoplasty, kuhilela ukususa ingxenye noma yonke i-cornea yakho elimele bese uyithathela indawo ngesicubu esinempilo esivela kumuntu owanikela nge-corneas yakhe ngemva kokufa. Cabanga ngakho njengokunika iso lakho iwindi elisha, elicacile lokubona ngalo.
Kunezinhlobo ezahlukene zokufakelwa kwe-cornea kuye ngokuthi yiziphi izendlalelo ze-cornea yakho ezidinga ukufakwa esikhundleni. Udokotela ohlinzayo angase athathele indawo izendlalelo zangaphandle kuphela, izendlalelo zangaphakathi, noma ubukhulu be-cornea yonke. Uhlobo oludingayo luncike lapho kulimala khona nokuthi baningi kangakanani.
Le nqubo isize ukubuyisela umbono ezinkulungwaneni zamantu emhlabeni wonke. Izindlela zokuhlinza zesimanje ziye zenza ukufakelwa kwe-cornea kube olunye lwezinhlobo eziphumelela kakhulu zokufakelwa kwezicubu, ezinamazinga aphakeme empumelelo kanye nengozi ephansi yezinkinga.
Udokotela wakho angase ancome ukufakelwa kwe-cornea lapho i-cornea yakho ilimala kakhulu noma inesifo sokusebenza kahle, okubangela izinkinga zombono noma ubuhlungu beso obungenakukwazi ukulungiswa ezinye izindlela zokwelapha. Umgomo uwukubuyisela umbono ocacile, ukunciphisa ubuhlungu, nokuthuthukisa impilo yakho yamehlo iyonke.
Izimo eziningana zingaholela ekulimaleni kwe-cornea okudinga ukufakelwa. Ake ngikuhambise ngezizathu ezivame kakhulu zokuthi kungani abantu bedinga le nqubo:
Ezinye izimo ezingavamile ezingadinga ukufakelwa kwe-cornea zihlanganisa i-dry eye syndrome eqinile engaphenduli kwezinye izindlela zokwelapha, izinkinga ezivela ekuhlinzweni kwamehlo kwangaphambilini, noma izifo ezithile ze-autoimmune ezihlasela i-cornea. Udokotela wakho wamehlo uzohlola ngokucophelela isimo sakho esithile ukuze anqume ukuthi ukufakelwa yisinqumo esingcono kakhulu kuwe.
Inqubo yokufakelwa kwe-cornea ngokuvamile ithatha cishe ihora elilodwa kuya kwamabili futhi ivame ukwenziwa njengokuhlinzwa kwesiguli esingaphandle, okusho ukuthi ungahamba ngosuku olufanayo. Udokotela ohlinzayo uzosebenzisa i-anesthesia yendawo ukuze aqede iso lakho noma i-anesthesia ejwayelekile ukuze ukulalise ngesikhathi sokuhlinzwa.
Nakhu okwenzekayo ngesikhathi sokuhlinzwa, okuhlukaniswe ngezinyathelo eziphathekayo ukuze wazi ukuthi yini ongayilindela:
Uhlobo lwenqubo luyahlukahluka ngokuya ngesimo sakho esithile. Ukufakelwa okugcwele kwesikhathi eside kuthatha zonke izendlalelo ze-cornea, kuyilapho izinqubo ezingxenyeni zesikhathi eside zithatha kuphela izendlalelo ezilimele. Udokotela ohlinzayo wakho uzokuchazela ukuthi iyiphi indlela engcono kakhulu yesimo sakho nokuthi kungani.
Ukulungiselela ukufakelwa kwe-cornea yakho kuhilela izinyathelo eziningana ezibalulekile ezisiza ukuqinisekisa umphumela ongcono kakhulu. Udokotela wakho uzokunikeza imiyalelo ethile, kodwa nakhu ongakulindela ngokujwayelekile emasontweni ahola ukuhlinzwa kwakho.
Ukulungiselela kwakho cishe kuzofaka lezi zinyathelo ezibalulekile zokusiza ukuthi konke kuhambe kahle:
Udkt. ohlinzayo uzophinde axoxe ngalokho okufanele ukulindele ngesikhathi sokululama futhi aphendule noma yimiphi imibuzo onayo. Unganqikazi ukubuza nganoma yini ekukhathazayo - ukuzizwa unolwazi futhi ulungile kungasiza ekunciphiseni ukukhathazeka mayelana nenqubo.
Ngemva kokufakelwa kwe-cornea yakho, udokotela wakho uzoqapha intuthuko yakho ngokuqokwa okuvamile kokulandela kanye nezivivinyo ezihlukahlukene. Lokhu kuhlolwa kusiza ekuqinisekiseni ukuthi i-cornea yakho entsha iyaphola kahle futhi umbono wakho uyathuthuka njengoba kulindelekile.
Ukwelashwa kwakho kuzolandelelwa ngezilinganiso eziningana ezibalulekile ezibonisa ukuthi ukufakelwa kwakho kusebenza kahle kangakanani. Izivivinyo zokubona zilinganisa ukuthi ungabona kahle kangakanani ebangeni elihlukene. Udokotela wakho uzophinde ahlolisise ingcindezi ngaphakathi kweso lakho futhi ahlolisise izicubu ezifakelwe izimpawu zokwenqatshwa noma ezinye izinkinga.
Ukuphola kwenzeka kancane kancane ezinyangeni eziningi. Ungase uqaphele ukuthuthuka kombono emasontweni ambalwa, kodwa kungathatha izinyanga eziyisithupha kuya ngonyaka ukuthi umbono wakho uzinze ngokugcwele. Abanye abantu bahlangabezana nokuguquguquka embonweni wabo ngesikhathi sokwelashwa, okuvame ukuba okujwayelekile.
Udktela wakho uzofuna izimpawu zokuthi umzimba wakho wamukela izicubu ezintsha ze-cornea. Izimpawu ezinhle zihlanganisa izicubu ezifakwe kahle, ukucindezela kweso okuzinzile, kanye nombono othuthuka ngokuqhubekayo. Noma yiziphi izinguquko ezingazelelwe embonweni, ubuhlungu obandayo, noma ububomvu kufanele kubikwe kudokotela wakho ngokushesha.
Ukunakekela kahle iso lakho ngemva kokufakelwa kwe-cornea kubalulekile ukuze ukuphola kuphumelele nokuthuthukiswa kombono wesikhathi eside. Udokotela wakho uzohlinzeka ngemiyalelo enemininingwane, kodwa okubalulekile ukulandela isimiso sakho semithi nokuvikela iso lakho ngenkathi liphola.
Umkhuba wakho wokunakekelwa ngemva kokuhlinzwa uzohlanganisa izinto eziningana ezibalulekile ezisebenza ndawonye ukuze zithuthukise ukuphola:
Amathonsi esweni alwa nokwenqatshwa abaluleke kakhulu ngoba asiza ekuvikeleni amasosha akho omzimba ekuhlaseleni izicubu ezifakiwe. Ungase udinge ukusebenzisa la mathonsi izinyanga noma iminyaka ngemva kokuhlinzwa. Ungayeki ukuwasebenzisa ngaphandle kwemvume kadokotela wakho, ngisho noma iso lakho lizizwa lijwayelekile ngokuphelele.
Umphumela ongcono kakhulu wokufakelwa kwe-cornea ukuthuthukiswa okukhulu kombono okuvumela ukuthi ubuyele emisebenzini yakho yansuku zonke ejwayelekile ngemikhawulo emincane. Abantu abaningi bathola ukuthuthukiswa okukhulu kombono, nakuba izinga lezinto lehluka ngokuya ngesimo sakho samehlo esithile kanye nempilo yamehlo iyonke.
Amanani empumelelo okufakelwa kwe-cornea akhuthaza kakhulu. Cishe ama-85-95% okufakelwa kwe-cornea ahlala ecacile futhi esebenza ngemva konyaka owodwa, kanti amaningi ahlala iminyaka eyi-10 noma ngaphezulu. Izinga eliqondile lempumelelo lincike ezintweni ezinjengobudala bakho, isizathu sokufakelwa, kanye nempilo yakho yamehlo iyonke.
Umphumela wakho ongcono kakhulu kungenzeka uhlanganisa izicubu ezifakelwe ezihlala zilungile isikhathi eside, umbono olungile ngokwanele ukushayela nokufunda, nenkululeko ebuhlungwini noma ukungakhululeki owaba nakho ngaphambi kokuhlinzwa. Abanye abantu bafinyelela embonweni osondela ku-20/20, kanti abanye babona ukuthuthuka okukhulu kodwa bangase badinge izibuko noma amalensi okuxhumana.
Isikhathi sokululama siyahluka, kodwa abantu abaningi bangakwazi ukubuyela emsebenzini emasontweni ambalwa futhi baqale kabusha imisebenzi eminingi ejwayelekile phakathi nenyanga eyodwa noma emibili. Ukululama okubonakalayo okuphelele kungathatha izinyanga eziyisithupha kuya ngonyaka njengoba iso lakho lizivumela ezicutshini ezintsha ze-corneal futhi noma yiziphi izithungo zisuswa.
Izici eziningana zingakhuphula ingozi yakho yezinkinga ngemva kokufakelwa kwe-cornea, nakuba izinkinga ezingathi sína zingavamile ngamasu okuhlinza anamuhla. Ukuqonda lezi zici eziyingozi kukusiza kanye nodokotela wakho ukuthi nihlele indlela engcono kakhulu yesimo sakho esithile.
Ezinye izici ezingase zithinte impumelelo yakho yokufakelwa zilawulwa nguwe, kanti ezinye zihlobene nomlando wakho wezokwelapha noma isimo samehlo akho. Nazi izici eziyingozi okufanele uziqaphele:
Ezinye izimo ezingavamile njenge-Stevens-Johnson syndrome noma ukusha kwamakhemikhali okukhulu kudala izinselelo ezengeziwe ngoba zithinta yonke indawo yamehlo. Udokotela ohlinzayo uzoxoxa ngezici zakho eziyingozi futhi achaze ukuthi bahlela kanjani ukunciphisa izinkinga ezingaba khona esimweni sakho esithile.
Ngenkathi ukufakelwa kwe-cornea kuvame ukuphumelela kakhulu, njenganoma yikuphi ukuhlinzwa, kungaba nezinkinga. Izinkinga eziningi ziyelapheka uma zitholwa ngokushesha, yingakho ukulandela imiyalelo yakho yokunakekelwa ngemva kokuhlinzwa nokuya kuwo wonke ama-aphoyintimenti okulandelayo kubaluleke kakhulu.
Izinkinga ezivame kakhulu zisukela ezinkingeni ezincane ezixazululeka ngokushesha kuya ezinkingeni ezingathi sína ezidinga ukwelashwa okwengeziwe. Nakhu okufanele ukwazi mayelana nezinkinga ezingaba khona:
Izinkinga ezingavamile kodwa ezingathi sína zihlanganisa ukopha okukhulu ngaphakathi kweso, ukuhlukana kwe-retinal, noma ukwehluleka okuphelele kokufakelwa okudinga ukuhlinzwa okuphindwayo. Ingozi yalezi zinkinga ezinzima iphansi kakhulu ngodokotela abanolwazi kanye nokunakekelwa okufanele ngemva kokuhlinzwa.
Izinkinga eziningi zingelashwa ngempumelelo uma zitholwa ngokushesha. Yingakho udokotela wakho ezofuna ukukubona njalo ngemva kokuhlinzwa nokuthi kungani kufanele uxhumane nabo ngokushesha uma uqaphela izinguquko zombono ezingazelelwe, ubuhlungu obukhulu, noma ukukhishwa okungavamile esweni lakho.
Kufanele uxhumane nodokotela wakho wamehlo ngokushesha uma uhlangabezana nezimpawu ezithile zokuxwayisa ngemva kokufakelwa kwe-cornea yakho, njengoba ukwelashwa kwasekuqaleni kuvame ukuvimbela izinkinga ezingathi sína. Ungakhathazeki ngokushaya ucingo kaningi - ithimba lakho lezokwelapha lifuna ukuzwa kuwe uma kukhona okubonakala kungajwayelekile.
Kunezimpawu ezithile ezidinga ukunakekelwa kwezokwelapha ngokushesha ngoba zingabonisa ukwenqatshwa, ukutheleleka, noma ezinye izinkinga ezingathi sína. Thembela emizweni yakho - uma kukhona okuzizwa kungahambi kahle ngeso lakho, ngaso sonke isikhathi kungcono ukubheka nodokotela wakho:
Kufanele futhi uthinte udokotela wakho uma ushaywe ngengozi emehlweni, uma amaconsi akho amehlo anikeziwe abangela ukusha okukhulu noma ukusabela komzimba, noma uma uqala izimpawu zokutheleleka njengomkhuhlane. Ngisho nezinkinga ezincane zifanele ukuxoxwa, ikakhulukazi ezinyangeni zokuqala ngemva kokuhlinzwa lapho iso lakho lisalulama.
Yebo, ukufakelwa kwe-cornea kungaba ukwelashwa okuhle kakhulu kwe-keratoconus ethuthukile lapho ezinye izindlela zokwelapha njengamalensi okuxhumana akhethekile noma ukuxhumana kwe-corneal kungazange kunikeze ukuthuthukiswa kombono okwanele. Izinga lempumelelo leziguli ze-keratoconus liphezulu ikakhulukazi ngoba lawo mehlo ngokuvamile anempilo.
Nge-keratoconus, odokotela bahlinza ngokuvamile benza ukufakelwa okuyingxenye ethatha indawo yezendlalelo zangaphambili ze-cornea kuphela. Le ndlela ngokuvamile iphiliswa ngokushesha futhi inamazinga aphansi okwenqatshwa kunokufakelwa okugcwele. Iziguli eziningi ze-keratoconus zithuthukisa kakhulu umbono ngemva kokufakelwa.
Ukwenqatshwa kokufakelwa kwe-cornea akubangeli ngaso sonke isikhathi umonakalo unomphela uma kubanjwe futhi kwelashwa ngokushesha. Ukwenqatshwa kwesigaba sokuqala kuvame ukubuyiselwa ngamaconsi amehlo e-steroid aqinile nokuqapha eduze ngudokotela wakho wamehlo.
Kodwa-ke, uma ukwaliwa kuqhubeka ngaphandle kokwelashwa, kungabangela ukufiphala unomphela kanye nokulimala kwesicubu esitshaliwe. Yingakho kubalulekile ukusebenzisa imithi yakho yokulwa nokwaliwa ngendlela eqondile njengoba kunqunywe futhi uthinte udokotela wakho ngokushesha uma ubona noma yiziphi izimpawu zokuxwayisa njengokuncipha kombono, ububomvu, noma ukuzwela ekukhanyeni.
Ukutshalwa kwe-Cornea kungahlala iminyaka eminingi, ngocwaningo olukhombisa ukuthi cishe ama-85-90% ahlala ecacile futhi esebenza ngemva kweminyaka emihlanu, kanti ama-70-80% aqhubeka nokusebenza kahle ngemva kweminyaka eyishumi. Ezinye izitshalo zihlala iminyaka engu-15-20 noma ngaphezulu ngokunakekelwa okufanele.
Ukuqina kokutshalwa kwakho kuncike ezintweni ezifana nobudala bakho, isizathu sokutshalwa, ukuthi uyilandela kahle kangakanani inqubo yakho yemithi, kanye nempilo yakho yamehlo iyonke. Ukuthatha amaconsi akho okulwa nokwaliwa ngokuqhubekayo nokuya ekuhlolweni okuvamile kuthuthukisa kakhulu amathuba akho empumelelo yesikhathi eside.
Yebo, ukutshalwa kwe-cornea okuphindwayo kungenzeka uma ukutshalwa kwakho kokuqala kwehluleka, nakuba amazinga empumelelo ngokuvamile ephansi kancane kunokutshalwa kokuqala. Udokotela ohlinzayo uzohlola isizathu sokwehluleka kanye nempilo yakho yamehlo iyonke ukuze anqume ukuthi okunye ukutshalwa kuyindlela enhle.
Ukutshalwa kwesibili kungaphumelela, ikakhulukazi uma okokuqala kwehluleka ngenxa yezinkinga zobuchwepheshe kunokwaliwa okungapheli. Udokotela wakho uzoxoxa ngezingozi nezinzuzo ezisekelwe esimweni sakho esithile futhi akusize uqonde okulindelekile kunqubo ephindwayo.
Abantu abaningi badinga izibuko noma amalensi okuxhumana ngemva kokutshalwa kwe-cornea ukuze bathole umbono wabo ongcono kakhulu, nakuba imiyalelo yakho ingase ihluke kakhulu kulokho obukugqoka ngaphambi kokuhlinzwa. I-cornea etshaliwe ingase ibe nomumo ohlukile kancane kune-cornea yakho yasekuqaleni, ethinta indlela ukukhanya okugxila ngayo emehlweni akho.
Udokotela wamehlo wakho uzolinda kuze kube yilapho iso lakho seliphile ngokugcwele futhi umbono wakho uzinzile ngaphambi kokubhala amehlo amasha, okuthatha izinyanga eziningana. Abanye abantu bathola ukuthi badinga amehlo kuphela ukufunda noma ukubona ibanga, kanti abanye bayazuza ngokugqoka amehlo isikhathi esiningi.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.