Ukukhishwa Kwamehlo (Epiphora) Emakatini

Iyini i-epiphora?
I-Epiphora isho ukuchichima kwezinyembezi emehlweni. Kuwuphawu esikhundleni sesifo esithile futhi kuhlotshaniswa nezimo ezihlukahlukene. Ngokuvamile, ifilimu encane yezinyembezi ikhiqizwa ukuze igcobe amehlo futhi uketshezi okweqile kudonsele emiseleni ye-nasolacrimal, noma imigudu yezinyembezi, etholakala ekhoneni leso eduze kwekhala. Imigudu ye-nasolacrimal ikhipha izinyembezi ngemuva kwekhala nomphimbo. I-Epiphora ivame ukuhlotshaniswa nokukhipha amanzi okwanele kwefilimu yezinyembezi esweni. Isizathu esivame kakhulu sokunganeli kwezinyembezi ukuvaleka kwemigudu ye-nasolacrimal noma ukungasebenzi kahle kwejwabu leso ngenxa yokukhubazeka. I-Epiphora ingase futhi ibangele ukukhiqizwa ngokweqile kwezinyembezi.

Yiziphi izimpawu ze-epiphora?
Izimpawu zomtholampilo ezivame kakhulu ezihlobene ne-epiphora umswakama noma ukuba manzi ngaphansi kwamehlo, uboya obubomvu-bunsundu ngaphansi kwamehlo, iphunga, ukucasuka kwesikhumba, kanye nezifo zesikhumba. Abanikazi abaningi babika ukuthi ubuso bekati labo buhlala bumanzi, futhi bangase babone izinyembezi ziphuma ebusweni besilwane sabo esifuywayo.

Itholakala kanjani i-epiphora?
Isinyathelo sokuqala siwukuthola ukuthi ngabe sikhona yini isizathu esidala ukukhiqizwa kwezinyembezi ngokweqile. Ezinye zezimbangela zokwanda kokukhiqizwa kwezinyembezi emakati zifaka i-conjunctivitis (igciwane noma ibhaktheriya), ukungezwani komzimba nezinto ezithile, ukulimala kwamehlo, izinkophe ezingavamile (i-distichia noma i-ectopic cilia), izilonda ze-cornea, izifo zamehlo, ukungahambi kahle kwe-anatomical njengokugoqwa kwamajwabu amehlo (entropion) noma ukugoqwa. ngaphandle kwamajwabu amehlo (ectropion), kanye ne-glaucoma.

"Isinyathelo sokuqala ukucacisa ukuthi ngabe sikhona yini isizathu sokukhiqizwa kwezinyembezi ngokweqile."
Uma izimbangela ezibucayi kakhulu ze-epiphora seziqediwe, kuyadingeka ukunquma ukuthi ukugeleza kwezinyembezi okufanele nokwanele kwenzeka. Ukuhlolwa kwe-ocular okuphelele kuyenziwa, ukunaka ngokukhethekile imigudu ye-nasolacrimal kanye nezicubu eziseduze, nokubheka izimpawu zokuvuvukala noma ezinye izinto ezingavamile. Ukwakheka kobuso bekati kungase kubambe iqhaza kulesi simo. Ezinye izinhlobo (isb., ama-Persian nama-Himalayan) anobuso obuyisicaba noma obunama-squished in (i-brachycephalics) obungayivumeli ifilimu edabulayo ukuthi ikhiphe kahle. Kulezi zilwane ezifuywayo, ifilimu yezinyembezi ihluleka ukungena epayipini bese ivele igingqike isuke ebusweni. Kwezinye izimo, izinwele ezizungeze amehlo zivimbe umnyango wemigudu ye-nasolacrimal, noma imfucumfucu noma umzimba wangaphandle wenza ipulaki ngaphakathi kwepayipi futhi ivimbele ukugeleza kwezinyembezi.

Esinye sezivivinyo ezilula kakhulu zokuhlola ukugeleza kwamanzi okudabukisayo ukubeka iconsi lebala le-fluorescein esweni, ubambe ikhanda lekati libheke phansi kancane, futhi ubheke ukugeleza kwamanzi ekhaleni. Uma uhlelo lokudonsa amanzi lusebenza ngokujwayelekile, ibala lamehlo kufanele libonakale ekhaleni phakathi nemizuzu embalwa. Ukwehluleka ukubheka ibala akuhloli ngokuqondile umgudu ovalekile we-nasolacrimal kodwa kukhombisa isidingo sokuqhubeka nophenyo.

Iphathwa kanjani i-epiphora?
Uma ipayipi le-nasolacrimal kusolwa ukuthi livinjiwe, ikati lakho lizolaliswa izinzwa futhi ithuluzi elikhethekile lizofakwa embotsheni ukuze kukhishwe okuqukethwe. Kwezinye izimo, i-lacrimal puncta noma ukuvulwa kungase kuhlulekile ukuvula ngesikhathi sokukhula kwekati lakho, futhi uma kunjalo, ingavulwa ngokuhlinzwa phakathi nale nqubo. Uma izifo ezingelapheki noma ukungezwani komzimba nezinto ezithile kuye kwabangela ukuba imigudu ibe mincane, ukuyikhipha kwamanzi kungase kusize ukuwenza abe banzi.

Uma imbangela ihlobene nesinye isimo samehlo, ukwelashwa kuzoqondiswa embangela eyinhloko engabandakanya ukuhlinzwa.

Yini engingayenza ukuze ngifake amabala?
Kunamakhambi amaningi anconyiwe ukuze asuse noma asuse ukungcola ebusweni okuhambisana nezinyembezi ezidlulele. Akukho kulokhu okufakazele ukuthi kusebenza kahle ngo-100%. Ezinye izindlela zokwelapha ezitholakala ezitolo zingase zibe yingozi noma zilimaze amehlo.

Imithamo ephansi yeminye imithi elwa namagciwane ayisanconywa ngenxa yengozi yokuthola ukumelana nama-antibiotic amagciwane okwenza lawa ma-antibiotic abalulekile abe yize ukuze asetshenziswe abantu kanye nezilwane. Eminye imikhiqizo etholakala ekhawuntaleni iye yaphakanyiswa kodwa ayizange ifakazelwe ukuthi iyasebenza ovivinyweni locwaningo.

Ungasebenzisi noma yimuphi umkhiqizo ngaphandle kokubonisana nodokotela wakho wezilwane. Gwema ukusebenzisa noma yimuphi umkhiqizo oqukethe i-hydrogen peroxide eduze kwamehlo, ngoba le mikhiqizo ingabangela umonakalo omkhulu uma ifafazwe emehlweni ungahlosile.

Iyini i-prognosis ye-epiphora?
Ngaphandle kwalapho kungatholakala imbangela eyisisekelo futhi yelashwe, iziguli eziningi ezine-epiphora zizoba neziqephu eziqhubekayo phakathi nokuphila kwazo. Uma isimo sobuso bekati lakho sivimbela ukuphuma okwanele kwefilimu yezinyembezi, kungenzeka ukuthi izinga elithile le-epiphora lizoqhubeka naphezu kwayo yonke imizamo yokwelapha. Ezimweni eziningi, azikho izinkinga eziphawulekayo ezingase ziphakame, futhi ukukhishwa kwezinyembezi kungase kube yizimonyo. Udokotela wakho wezilwane uzoxoxa ngemininingwane yesimo sekati lakho futhi uzonquma izinketho ezithile zokwelapha kanye nesibikezelo sekati lakho.