I-Hyphema

I-Hyphema yigazi endaweni engaphambili (igumbi langaphakathi) leso. Igazi liqoqa ngemuva kwe-cornea naphambi kwe-iris.

I-Hyphema ivame ukubangelwa ukuhlukumezeka esweni. Ezinye izimbangela zokopha egumbini langaphambili leso zifaka:

• Ukujwayeleka kwesitsha segazi
• Umdlavuza weso
• Ukuvuvukala okukhulu kwe-iris
• Isifo sikashukela esithuthukile
• Ukuphazamiseka kwegazi njenge-sickle cell anemia

Izimpawu zifaka:

• Ukopha egumbini langaphakathi leso
• Ubuhlungu bamehlo
• Ukuzwela ukukhanya
• Ukungajwayelekile kombono

Ungahle ungakwazi ukubona i-hyphema encane lapho ubuka iso lakho esibukweni. Nge-hyphema ephelele, ukuqoqwa kwegazi kuzovimba ukubuka kwe-iris nomfundi.

Ungadinga izivivinyo nezivivinyo ezilandelayo:

• Ukuhlolwa kwamehlo
• Isilinganiso sengcindezi yangaphakathi (i-tonometry)
• Ukuhlolwa kwe-Ultrasound

Ukwelashwa kungahle kungadingeki ezimweni ezimnene. Igazi limuncwa ezinsukwini ezimbalwa.

Uma ukubuya kwegazi kubuya (kaningi ezinsukwini ezi-3 kuye kwezingu-5), umphumela ongaba khona wesimo uyoba mubi kakhulu. Umhlinzeki wezokunakekelwa kwempilo angancoma okulandelayo ukunciphisa amathuba okuthi kube nokopha okuningi:

• Ukuphumula kombhede
• Ukudweba iso
• Imithi yokuhlalisa phansi

Ungadinga ukusebenzisa amaconsi wamehlo ukunciphisa ukuvuvukala noma wehlise ingcindezi esweni lakho.

Udokotela wamehlo kungadingeka ukuthi asuse igazi ngokuhlinzwa, ikakhulukazi uma ingcindezi esweni iphakeme kakhulu noma igazi liphuza ukumunca futhi. Ungadinga ukuhlala esibhedlela.

Umphumela uncike enanini lokulimala kweso. Abantu abanesifo se-sickle cell banamathuba amaningi okuthi babe nezinkinga zamehlo futhi kumele babhekwe ngeso elibukhali. Abantu abanesifo sikashukela mhlawumbe bazodinga ukwelashwa nge-laser kule nkinga.

Ukulahleka kombono okukhulu kungenzeka.

Izinkinga zingafaka:

• I-glaucoma enamandla
• Ukungaboni kahle
• Ukopha okuphindayo

Shayela umhlinzeki wakho uma ubona igazi ngaphambili kweso noma uma ulimele iso. Uzodinga ukuhlolwa nokwelashwa ngudokotela wamehlo zisuka, ikakhulukazi uma wehlile umbono.

Ukulimala kwamehlo okuningi kungavinjelwa ngokugqoka izibuko zokuphepha noma okunye ukugqoka kwamehlo okuvikela. Njalo gqoka ukuvikelwa kwamehlo ngenkathi udlala imidlalo, efana ne-racquetball, noma imidlalo yokuxhumana, efana ne-basketball.

• Iso

I-Lin TKY, iTingey DP, uShingleton BJ. I-glaucoma ehlotshaniswa nokuhlukumezeka kwe-ocular. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 10.17.

I-Olitsky SE, Hug D, Plummer LS, Stahl ED, Ariss MM, Lindquist TP. Ukulimala kweso. Ku: Kliegman RM, Stanton BF, St Geme JW, Schor NF, ama-eds. Incwadi kaNelson Yezingane. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2016: isahluko 635.

I-Recchia FM, iSternberg P. Ukuhlinzwa kokuhlukumezeka kwe-ocular: imigomo namasu okwelashwa. Ku: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, abahleli. URitina kaRyan. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2018: isahluko 114.