Ukukhutshwa kwamehlo (Epiphora) kwiikati

Yintoni i-epiphora?
I-Epiphora ithetha ukuphuphuma kweenyembezi emehlweni. Luphawu kunokuba sisifo esithile kwaye sidibene neemeko ezahlukeneyo. Ngokuqhelekileyo, ifilimu encinci yeenyembezi iveliswa ukuthambisa amehlo kunye nokugqithisa kwamanzi amaninzi kwimibhobho ye-nasolacrimal, okanye iintambo zokukrazula, ezibekwe kwikona yeso ecaleni kwempumlo. Imibhobho ye-nasolacrimal ikhupha iinyembezi emva kwempumlo kunye nomqala. I-Epiphora idla ngokunxulumene nokungonelanga kwefilimu yeenyembezi emehlweni. Esona sizathu siqhelekileyo sokungonelanga kokukhutshwa kweenyembezi kukuvaleleka kwemibhobho ye-nasolacrimal okanye ukungasebenzi kakuhle kwenkophe ngenxa yokukhubazeka. I-Epiphora isenokubangelwa yimveliso eninzi yeenyembezi.

Ziziphi iimpawu ze-epiphora?
Ezona mpawu zixhaphakileyo zeklinikhi ezinxulumene ne-epiphora kukufuma okanye ubumanzi phantsi kwamehlo, ubumdaka obubomvu-bumdaka boboya ngaphantsi kwamehlo, ivumba, ukucaphuka kwesikhumba, kunye nosulelo lwesikhumba. Abanini abaninzi baxela ukuba ubuso bekati yabo buhlala bumanzi, kwaye banokubona iinyembezi ziqengqeleka ebusweni besilwanyana sabo.

Ifunyaniswa njani i-epiphora?
Inyathelo lokuqala kukuqinisekisa ukuba kukho unobangela osisiseko wokuveliswa kweenyembezi ngokugqithisileyo. Ezinye zezinto ezibangela ukwanda kweenyembezi kwiikati ziquka i-conjunctivitis (intsholongwane okanye ibhaktheriya), ukungezwani komzimba, ukulimala kwamehlo, i-eyelashes engaqhelekanga (i-distichia okanye i-ectopic cilia), izilonda ze-cornea, izifo zamehlo, ukungahambi kakuhle kwe-anatomical njengokuqengqeleka kwiinkophe (entropion) okanye ukuqengqeleka. ngaphandle kweenkophe (ectropion), kunye neglaucoma.

"Inyathelo lokuqala kukuqinisekisa ukuba kukho unobangela osisiseko wokuveliswa kweenyembezi ngokugqithisileyo."
Nje ukuba ezona zizathu zinzima kakhulu ze-epiphora zipheliswe, kuyafuneka ukuba kubonwe ukuba kuyenzeka na ukukhupha amanzi okukrazula okufanelekileyo kunye okwaneleyo. Uvavanyo olucokisekileyo lwe-ocular lwenziwa, ukuhlawula ingqalelo ekhethekileyo kwimizila ye-nasolacrimal kunye nezicubu ezikufutshane, kunye nokukhangela iimpawu zokuvuvukala okanye ezinye izinto ezingaqhelekanga. Ubume bobuso bekati bunokudlala indima kule meko. Ezinye iindidi (umzekelo, iiPersi kunye neeHimalayan) zinobuso obusicaba okanye obuthe tyaba (brachycephalics) obungavumeli ukuba ifilimu ekrazukileyo ikhuphe amanzi kakuhle. Kwezi zilwanyana zasekhaya, ifilimu yeenyembezi iyasilela ukungena kumbhobho kwaye ivele iqengqeleke ebusweni. Kwezinye iimeko, iinwele ezijikeleze amehlo zithintela ngokwasemzimbeni ukungena kwimibhobho ye-nasolacrimal, okanye i-debris okanye umzimba wangaphandle wenza iplagi ngaphakathi kombhobho kwaye unqande ukukhupha iinyembezi.

Olunye lolona vavanyo lulula lokuvavanya ukukrazula kwamanzi kukubeka ithontsi le-fluorescein stain esweni, ubambe intloko yekati ijonge ezantsi, kwaye ujonge ukukhupha amanzi empumlweni. Ukuba inkqubo yokuhambisa amanzi isebenza ngokuqhelekileyo, ibala lamehlo kufuneka libonwe empumlweni phakathi kwemizuzu embalwa. Ukungaphumeleli ukujonga ibala akuxilongi ngokucacileyo umbhobho ovaliweyo we-nasolacrimal kodwa kubonisa imfuneko yophando olongezelelweyo.

Iphathwa njani i-epiphora?
Ukuba i-nasolacrimal duct irhanelwa ukuba ivaliwe, ikati yakho iya kuthotywa i-anesthetized kwaye isixhobo esikhethekileyo siya kufakwa kwi-duct ukukhupha iziqulatho. Kwezinye iimeko, i-lacrimal puncta okanye ukuvulwa kungaphumelelanga ukuvula ngexesha lokuphuhliswa kwekati yakho, kwaye ukuba kunjalo, inokuvulwa ngotyando ngexesha lenkqubo. Ukuba izifo ezingapheliyo okanye ukwaliwa kubangele ukuba imibhobho ibe mxinwa, ukugungxulwa kunokunceda ukuwenza banzi.

Ukuba isizathu sinxulumene nenye imeko yamehlo, unyango luya kubhekiswa kwisizathu esiphambili esingabandakanya utyando.

Ndingenza ntoni ukuze ndifake amabala?
Zininzi izisombululo eziye zacetyiswa ukuba zisuse okanye zipheliswe ibala lobuso elinxulunyaniswa neenyembezi ezigqithisileyo. Akukho nanye kwezi ebonakalise ukuba isebenza nge-100%. Olunye unyango oluthengiswa ngaphandle kwekhawuntara lunokuba yingozi okanye lube yingozi emehlweni.

Iidosi ezisezantsi zamanye amayeza okubulala iintsholongwane azisacetyiswa ngenxa yomngcipheko wokunganyangeki ngamayeza okubulala iintsholongwane nto leyo eyenza ezi ntsholongwane zixabisekileyo zingabi naxabiso kusetyenziso lwabantu kunye nonyango lwezilwanyana. Ezinye iimveliso ze-counter-the-counter zicetyisiwe kodwa azikangqinwa ukuba ziyasebenza kulingo lophando.

Musa ukusebenzisa nayiphi na imveliso ngaphandle kokubonisana nogqirha wakho wezilwanyana. Kuphephe ukusebenzisa nayiphi na imveliso enehydrogen peroxide kufutshane namehlo, kuba ezi mveliso zinokubangela umonakalo omkhulu ukuba zitshizwe ngempazamo emehlweni.

Yintoni i-prognosis ye-epiphora?
Ngaphandle kokuba unobangela osisiseko unokufunyanwa kwaye unyangwe, uninzi lwezigulane ezine-epiphora ziya kuba neziqendu eziphazamisayo kubo bonke ubomi babo. Ukuba i-anatomy yobuso bekati yakho ithintela ukukhutshwa okwaneleyo kwefilimu yeenyembezi, kunokwenzeka ukuba iqondo elithile le-epiphora liya kuqhubeka nangona zonke iinzame zonyango. Kwiimeko ezininzi, akukho zingxaki zibalulekileyo ezinokuvela, kwaye ibala leenyembezi linokuba sisithambiso. Ugqirha wakho wezilwanyana uya kuxoxa ngeenkcukacha zemeko yekati yakho kwaye uya kugqiba ukhetho oluthile lonyango kunye ne-prognosis yekati yakho.