Ukuhlolwa kweSchirmer

Ukuhlolwa kweSchirmer kunquma ukuthi iso likhiqiza izinyembezi ezanele ukuligcina limanzi.

Udokotela wamehlo uzobeka ukuphela kwesiqephu sephepha esikhethekile ngaphakathi kwejwabu leso elingezansi leso ngalinye. Womabili amehlo ahlolwa ngasikhathi sinye. Ngaphambi kovivinyo, uzonikezwa amaconsi wamehlo akindayo ukuvimbela amehlo akho ukuthi angadabuki ngenxa yokucasuka okuvela emapheshaneni ephepha.

Inqubo ngqo ingahluka. Ngokuvamile, amehlo avaliwe imizuzu emihlanu. Vala amehlo akho ngobumnene. Ukuvala amehlo ngokuqinile noma ukugcoba amehlo ngesikhathi sokuhlolwa kungadala imiphumela yokuhlolwa engajwayelekile.

Ngemuva kwemizuzu engu-5, udokotela ususa iphepha bese elinganisa ukuthi selinamanzi kangakanani.

Kwesinye isikhathi ukuhlolwa kwenziwa ngaphandle kokuncipha kwamaconsi ukuze kuvivinywe ezinye izinhlobo zezinkinga zezinyembezi.

Ukuhlolwa komucu obomvu we-phenol kufana nokuhlolwa kweSchirmer, ngaphandle kokuthi kusetshenziswa imichilo ebomvu yochungechunge olukhethekile esikhundleni semichilo yamaphepha. Amaconsi endikindiki awadingeki. Ukuhlolwa kuthatha imizuzwana engu-15.

Uzocelwa ukuthi ususe izingilazi zakho noma ama-lens oxhumana nawo ngaphambi kokuhlolwa.

Abanye abantu bathola ukuthi ukubamba iphepha ngeso kuyacasula noma kukhathazeke kancane. Amaconsi abindayo avame ukuhlaba ekuqaleni.

Lokhu kuhlolwa kusetshenziswa lapho udokotela wamehlo esola ukuthi uneso elomile. Izimpawu zifaka ukoma kwamehlo noma ukuchelela ngokweqile kwamehlo.

Umswakama ongaphezu kwe-10 mm ephepheni lokuhlunga ngemuva kwemizuzu engu-5 kuwuphawu lokukhiqizwa kwezinyembezi okujwayelekile. Womabili la mehlo ngokujwayelekile akhipha izinyembezi ezifanayo.

Amehlo omile angavela ku:

• Ukuguga
• Ukuvuvukala noma ukuvuvukala kwamajwabu amehlo (i-blepharitis)
• Izinguquko zesimo sezulu
• Izilonda ze-Corneal kanye nezifo
• Ukutheleleka kweso (isibonelo, i-conjunctivitis)
• Ukulungiswa kombono we-Laser
• Umdlavuza wegazi
• I-Lymphoma (umdlavuza wesistimu ye-lymph)
• Isifo samathambo
• Ijwabu leso langaphambili noma ukuhlinzwa kobuso
• Isifo seSjögren
• Ukushoda kuka-Vitamin A.

Azikho izingozi ngalokhu kuhlolwa.

UNGAKHOTI amehlo okungenani imizuzu engama-30 ngemuva kokuhlolwa. Shiya amalensi wokuxhumana ngaphandle okungenani amahora amabili ngemuva kokuhlolwa.

Noma isivivinyo seSchirmer sitholakale ngaphezu kweminyaka eyikhulu, ucwaningo oluningi lukhombisa ukuthi alikhombisi kahle iqembu elikhulu labantu abaneso elomile. Kwenziwa izivivinyo ezintsha nezingcono. Isivivinyo esisodwa silinganisa i-molecule ebizwa ngokuthi i-lactoferrin. Abantu abanemikhiqizo ephansi yezinyembezi neso elomile banamazinga aphansi ale molekyuli.

Olunye uvivinyo lilinganisa i-osmolarity yezinyembezi, noma ukuthi izinyembezi zigxile kangakanani. Ukuphakama kwe-osmolarity, maningi amathuba okuthi uneso elomile.

Ukuhlola izinyembezi; Isivivinyo sokuklebhula; Ukuhlolwa kwamehlo okomile; Ukuhlolwa okuyimfihlo kwe-Basal; USjögren - uSchirmer; Ukuhlolwa kukaSchirmer

• Iso
• Ukuhlolwa kukaSchirmer

U-Akpek EK, Amescua G, Farid M, et al; I-American Academy of Ophthalmology Exercred Practice Pattern Cornea kanye nephaneli yezifo zangaphandle. Iphethini Yokuzijwayeza Encanyelwayo Yesifo Seso elomile. I-Ophthalmology. 2019; 126 (1): 286-334. I-PMID: 30366798 www.ncbi.nlm.nih.gov/pubmed/30366798.

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

UFeder RS, u-Olsen TW, uPrum BE Jr, et al. Ukuhlolwa okuphelele kwamehlo kwezokwelapha kwabantu abadala Okuncanyelwayo Kwezinkombandlela Zokuzikhethela. I-Ophthalmology. 2016; 123 (1): 209-236. I-PMID: 26581558 www.ncbi.nlm.nih.gov/pubmed/26581558.