Isifo seso elomile

Udinga izinyembezi ukumanzisa amehlo nokugeza izinhlayiya ezingene emehlweni akho. Ifilimu yezinyembezi enempilo esweni iyadingeka ukuze ubone kahle.

Amehlo omile ayakhula lapho iso lingakwazi ukugcina inhlanganisela yezinyembezi inempilo.

Iso elomile livame ukuvela kubantu abaphilile ngenye indlela. Kuya ngokuya kujwayelekile ngeminyaka. Lokhu kungenzeka ngenxa yezinguquko zehomoni ezenza amehlo akho akhiqize izinyembezi ezimbalwa.

Ezinye izimbangela ezivamile zamehlo omile zifaka:

• Indawo eyomile noma indawo yokusebenza (umoya, umoya opholisayo)
• Ukuvezwa yilanga
• Ukubhema noma ukubhema intuthu kagwayi
• Imithi ebandayo noma yokungezwani komzimba
• Ukugqoka amalensi wokuxhumana

Iso elomile nalo lingabangelwa:

• Ukushisa noma ukushiswa kwamakhemikhali
• Ukuhlinzwa kwamehlo kwangaphambilini
• Ukusetshenziswa kwamaconsi wamehlo kwezinye izifo zamehlo
• Isifo esingajwayelekile somzimba lapho izindlala ezikhiqiza izinyembezi zibhujiswa (iSjögren syndrome)

Izimpawu zingafaka:

• Ukubona okufiphele
• Ukushiswa, ukulunywa, noma ububomvu esweni
• Umuzwa onobuqili noma okhandlayo esweni
• Ukuzwela ekukhanyeni

Ukuhlolwa kungafaka:

• Ukulinganisa kwe-acuity ebonakalayo
• Sika ukuhlolwa kwesibani
• Ukuhlonza isifo se-cornea nefilimu yezinyembezi
• Ukukalwa kwesikhathi sokuhlukaniswa kwefilimu yezinyembezi (i-TBUT)
• Ukukalwa kwezinga lokukhiqizwa kwezinyembezi (ukuhlolwa kweSchirmer)
• Ukukala kokuhlushwa kwezinyembezi (osmolality)

Isinyathelo sokuqala ekwelashweni izinyembezi zokufakelwa. Lokhu kuza njengokulondoloziwe (ibhodlela le-screw cap) nokungagodliwe (twist vial open). Izinyembezi ezigcinwe zilula kakhulu, kepha abanye abantu bayazwela kwizigcina-mkhuba. Kunemikhiqizo eminingi etholakalayo ngaphandle kwemithi kadokotela.

Qala ukusebenzisa amaconsi okungenani ama-2 noma ama-4 ngosuku. Uma izimpawu zakho zingangcono ngemuva kwamasonto ambalwa wokusebenzisa okujwayelekile:

• Khulisa ukusetshenziswa (kufika emahoreni ama-2).
• Shintshela kumaconsi angagciniwe uma ubusebenzisa uhlobo olulondoloziwe.
• Zama umkhiqizo ohlukile.
• Khuluma nomhlinzeki wakho wezokunakekelwa kwezempilo uma ungakwazi ukuthola uphawu olusebenzela wena.

Ezinye izindlela zokwelashwa zingafaka:

• Amafutha wezinhlanzi ama-2 kuya kathathu ngosuku
• Izibuko, izibuko noma amalensi oxhumana nawo agcina umswakama emehlweni
• Imithi efana neRestasis, iXiidra, i-corticosteroids yama-topical, ne-tetracycline yomlomo ne-doxycycline
• Amapulaki amancane afakwa emiseleni yezinyembezi yokusiza umswakama uhlale ebusweni beso isikhathi eside

Ezinye izinyathelo eziwusizo zifaka:

• UNGABHALI futhi ugweme intuthu kagwayi, umoya oqondile nomoya opholisayo.
• Sebenzisa i-humidifier, ikakhulukazi ebusika.
• Nciphisa imithi yokungezwani komzimba nemithi ebandayo engakomisa futhi yenze izimpawu zakho zibe zimbi kakhulu.
• Shaya ngenhloso kaningi. Phumula amehlo akho ngesikhashana.
• Hlanza ama-eyelashes njalo futhi usebenzise ukucindezela okufudumele.

Ezinye izimpawu zamehlo ezomile kungenxa yokulala ngamehlo evuleke kancane. Amafutha okugcoba asebenza kangcono kule nkinga. Kufanele uwasebenzise ngamanani amancane ngoba angafiphaza umbono wakho. Kungcono ukuzisebenzisa ngaphambi kokulala.

Ukuhlinzwa kungasiza uma izimpawu kungenxa yokuthi amajwabu amehlo asesimweni esingajwayelekile.

Iningi labantu abaneso elomile abanokukhathazeka kuphela, futhi akukho ukulahleka kombono.

Ezimweni ezinzima, ukumbozwa okusobala esweni (i-cornea) kungahle kulimale noma kutheleleke.

Shayela umhlinzeki wakho ngokushesha uma:

• Unamehlo abomvu noma abuhlungu.
• Unokubhoboza, ukukhipha, noma isilonda esweni noma esigqokweni sakho.
• Ube nokulimala esweni lakho, noma uma uneso eliqhumayo noma ijwabu leso elinciphayo.
• Unobuhlungu obuhlangene, ukuvuvukala, noma ukuqina nomlomo owomile kanye nezimpawu zamehlo ezomile.
• Amehlo akho awabi ngcono ngokuzinakekela ezinsukwini ezimbalwa.

Hlala kude nezindawo ezomile nezinto ezicasula amehlo akho ukusiza ukuvimbela izimpawu.

I-Keratitis sicca; Xerophthalmia; I-Keratoconjunctivitis sicca

• Ukwakheka kwamehlo
• Indlala Lacrimal

Bohm KJ, Djalilian AR, Pflugfelder SC, iStrarr CE. Iso elomile. Ku: Mannis MJ, Holland EJ, ama-eds. I-Cornea. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2017: isahluko 33.

I-Dorsch JN. Isifo seso elomile. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 475-477.

UGoldstein MH, uRao NK. Isifo samehlo esomile. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 4.23.