I-Ectropion

I-Ectropion ukuphuma kwejwabu leso ukuze indawo yangaphakathi ivezwe. Ngokuvamile kuthinta ijwabu leso elingezansi.

I-Ectropion ivame ukubangelwa inqubo yokuguga. Izicubu ezixhumayo (ezisekelayo) zejwabu leso ziba buthakathaka. Lokhu kudala ukuthi isivalo sivele ukuze ingaphakathi lesembozo esingezansi lingabe lisaphikisana nenhlamvu yeso. Kungabangelwa futhi:

• Ukukhubazeka okwenzeka ngaphambi kokuzalwa (isibonelo, ezinganeni ezine-Down syndrome)
• Ukukhubazeka ebusweni
• Izicubu ezibusayo ezishile

Izimpawu zifaka:

• Omile, amehlo abuhlungu
• Ukudabuka ngokweqile kweso (epiphora)
• Ijwabu leso liphendukela ngaphandle (phansi)
• I-conjunctivitis yesikhathi eside (engapheli)
• I-Keratitis
• Ukubomvu kwesembozo nengxenye emhlophe yeso

Uma une-ectropion, cishe uzodabuka ngokweqile. Lokhu kwenzeka ngoba iso liyoma, bese lenza izinyembezi eziningi. Izinyembezi ezeqile azikwazi ukungena emseleni wokukhipha izinyembezi. Ngakho-ke, zakha ngaphakathi kwesembozo esingezansi bese zichithela onqenqemeni lwesembozo esihlathini.

Umhlinzeki wezokunakekelwa kwempilo uzoxilonga ngokwenza ukuhlolwa kwamehlo nezinkophe. Ukuhlolwa okukhethekile akudingeki isikhathi esiningi.

Izinyembezi ezingezona ezokwenziwa (igrisi) zinganciphisa ukoma futhi zigcine i-cornea imanzi. Amafutha angasiza lapho iso lingakwazi ukuvala yonke indlela, njengalapho ulele. Ukuhlinzwa kuvame ukusebenza ngempumelelo. Lapho i-ectropion ihlobene nokuguga noma ukukhubazeka, udokotela ohlinzayo angaqinisa imisipha ebambe amajwabu amehlo endaweni. Uma isimo singenxa yokushwabana kwesikhumba, kungasetshenziswa ukufakelwa kwesikhumba noma ukwelashwa nge-laser. Ukuhlinzwa kuvame ukwenziwa ehhovisi noma esikhungweni sokuhlinza abagulayo. Umuthi usetshenziselwa ukundikaza indawo (i-anesthesia yendawo) ngaphambi kokuhlinzwa.

Umphumela uvame kakhulu ukwelashwa.

Ukoma kwe-Corneal nokucasuka kungaholela ku:

• Imihuzuko yeCorneal
• Izilonda ze-Corneal
• Ukutheleleka kweso

Izilonda ze-Corneal zingadala ukulahleka kombono.

Shayela umhlinzeki wakho uma unezimpawu ze-ectropion.

Uma une-ectropion, thola usizo oluphuthumayo lwezokwelapha uma une:

• Umbono oya ngokuya uba mubi
• Ubuhlungu
• Ukuzwela ekukhanyeni
• Ukubomvu kwamehlo okuya ngokuya kubambi ngokushesha

Amacala amaningi awakwazi ukuvinjelwa. Ungahle uthande ukusebenzisa izinyembezi zokugcoba noma amafutha okuvimbela ukulimala ku-cornea, ikakhulukazi uma ulinde ukwelashwa okungapheli.

• Iso

UCioffi GA, uLiebmann JM. Izifo zohlelo olubonakalayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 395.

UMaamari RN, uCouch SM. I-Ectropion. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 12.6.

UNicoli F, u-Orfaniotis G, uCiudad P, et al. Ukulungiswa kwe-ectropion ye-cicatricial kusetshenziswa ukuvuselelwa kwe-laser engeyona eyabisi. I-Lasers Med Sci. 2019; 34 (1): 79-84. I-PMID: 30056585 pubmed.ncbi.nlm.nih.gov/30056585/.

U-Olitsky SE, uMarsh JM. Ukungajwayelekile kwamabhodlela. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 642.