Yini Iso Elihwamukayo Elomile?

-Delile

• Ziyini izimpawu ze-EDE?
• Yini ebangela i-EDE?
• I-EDE itholakala kanjani?
• Iphathwa kanjani i-EDE?
• Yiziphi izinkinga ezingase zivele?
• Uyini umbono we-EDE?
• Yini ongayenza ukuvimbela i-EDE?

Iso elomile lokuhwamuka

I-evaporative eye eye (EDE) iyindlela ejwayelekile kunazo zonke yesifo esome iso. Isifo seso elomile yisimo esingakhululekile esidalwa ukungabikho kwezinyembezi zekhwalithi. Ngokuvamile kubangelwa ukuvinjelwa kwezindlala zikawoyela eziqonde emaphethelweni amajwabu amehlo akho. Lezi zindlala ezincane, ezibizwa ngokuthi ama-meibomian gland, zikhipha uwoyela ukumboza iso lakho futhi uvimbele izinyembezi zakho ukuba zome.

Qhubeka ufunde ukuze ufunde kabanzi nge-EDE.

Ziyini izimpawu ze-EDE?

Izimpawu ze-EDE ziyehluka ngobukhulu. Ngokuvamile, amehlo akho azozizwa engakhululekile. Ukungakhululeki kungafaka:

• ubulukhuni, sengathi kunesihlabathi emehlweni akho
• ukuzwa okuhlabayo
• ukungaboni kahle
• ukungakwazi ukubekezelela ukugqoka amalensi wokuxhumana
• ukuzwela ekukhanyeni
• ukukhathala kweso, ikakhulukazi ngemuva kokusebenza kwikhompyutha yakho noma lapho ufunda

Amehlo akho nawo angaba nokubomvu okukhuphukile noma izinkophe zakho zingabonakala zivuvukile.

Yini ebangela i-EDE?

Izinyembezi ziyinhlanganisela yamanzi, uwoyela, namafinyila. Zimboza iso, zenze indawo ibe bushelelezi futhi ivikele iso ekutheleleni. Ingxube efanele yezinyembezi iyakusiza nokuthi ubone ngokucacile. Uma izindlala zakho ze-meibomian zivinjelwa noma zivutha, izinyembezi zakho ngeke ziqukathe inani elifanele lamafutha ukuzigcina zingahwamuki. Lokho kungadala i-EDE.

Izindlala zingavinjelwa ngezizathu eziningi. Uma ungacwayizi kaningi ngokwanele ungahlakulela ukuqoqwa kwemfucumfucu onqenqemeni lwamajwabu amehlo akho, uvimbele izindlala ze-meibomian. Ukugxila kanzima esikrinini sekhompyutha, ukushayela, noma ukufunda kunganciphisa ukuthi ucwayiza kangaki.

Ezinye izinto ezingaphazamisa izindlala ze-meibomian yilezi:

• izimo zesikhumba, njenge-rosacea, i-psoriasis, noma isikhumba sezinwele nobuso besikhumba
• ukugqoka amalensi wokuxhumana isikhathi eside
• imithi, efana nama-antihistamine, ama-anti-depressants, ama-retinoids, i-hormone replacement therapy, i-diuretics, noma ama-decongestants
• ezinye izifo, njengeSjogren's syndrome, isifo samathambo, isifo sikashukela, isimo segilo
• ukungezwani komzimba okuthinta amehlo akho
• ukuntuleka kukavithamini A, okungajwayelekile emazweni athuthukile
• abanye ubuthi
• ukulimala kweso
• ukuhlinzwa iso

Uma i-EDE ilashwa kusenesikhathi, ukuvinjelwa kwendlala ye-meibomian kungaguqulwa. Kwezinye izimo, ukungakhululeki kwe-EDE kungaba okuhlala njalo, kudinga ukwelashwa okuqhubekayo kwezimpawu.

I-EDE itholakala kanjani?

Uma amehlo akho engakhululekile noma ebuhlungu isikhathi esingaphezu kwesikhashana, noma uma umbono wakho ufiphele, kufanele ubone udokotela.

Udokotela wakho uzokubuza imibuzo ngempilo yakho ejwayelekile nemithi oyiphuzayo. Futhi bazokunikeza ukuhlolwa kwamehlo okuphelele. Udokotela wakho angakudlulisela kudokotela wezifo zamehlo. Udokotela wamehlo ungudokotela ogxile kwezempilo yamehlo.

Ukuhlola amehlo owomile, udokotela angenza izivivinyo ezikhethekile ukukala ivolumu yezinyembezi nekhwalithi yakho.

• Ukuhlolwa kweSchirmer kukala ivolumu yezinyembezi. Lokhu kubandakanya ukufaka emapheshana okusula ngaphansi kwamajwabu amehlo akho aphansi ukuze ubone ukuthi kukhiqizwa umswakama ongakanani emva kwemizuzu emihlanu.
• Amadayi amaconsi wamehlo angasetshenziswa ukusiza udokotela wakho abone ubuso bamehlo akho futhi alinganise izinga lokuhwamuka kwezinyembezi zakho.
• I-microscope yamandla aphansi nomthombo wokukhanya oqinile, obizwa nge-slit-lamp, ungasetshenziswa ukuvumela udokotela wakho ukuthi abheke ebusweni beso lakho.

Udokotela wakho angaqhuba ezinye izivivinyo ukukhipha izimbangela zezimpawu zakho.

Iphathwa kanjani i-EDE?

Ukwelashwa kuzoya ngobukhulu bezimpawu zakho nokuthi ngabe kukhona yini imbangela yesisekelo esidinga ukwelashwa. Isibonelo, uma umuthi ukunikela esweni lakho elomile, udokotela angase asikisele omunye umuthi. Uma kusolwa i-Sjogren's syndrome, udokotela angakudlulisela kuchwepheshe ukuze athole ukwelashwa.

Udokotela wakho futhi angaphakamisa izinguquko ezilula, njengokusebenzisa i-humidifier ukugcina umswakama omningi emoyeni noma, uma ugqoka amalensi oxhumana nawo, uzama uhlelo oluhlukile lokuhlanza amalensi akho.

Ngokuvinjelwa okulingene kwezindlala zakho ze-meibomian, udokotela angase asikisele ukusebenzisa ukucindezela okufudumele ezinkalweni zakho kabili ngosuku imizuzu emine isikhathi ngasinye. Bangaphinde bancome uketshezi lwe-lid-the-counter. Kungase kudingeke ukuthi uzame izikhukhula ezahlukahlukene zezembozo ukuthola okukusebenzela kahle. I-baby shampoo ingasebenza, esikhundleni sokukhuhla okubiza kakhulu.

Udokotela wakho futhi angakweluleka ukwehla kwamehlo noma izinyembezi zokufakelwa ukwenza amehlo akho akhululeke kakhudlwana. Kunezinhlobo eziningi zamaconsi, izinyembezi, ama-gel, namafutha okugcoba, futhi ungahle udinge ukuzama ukuthola ukuthi yini okukusebenzela kangcono.

Uma ukuvinjelwa kwezindlala zakho ze-meibomian kunzima kakhulu, ezinye izindlela zokwelashwa ziyatholakala:

• Uhlelo lwe-LipiFlow thermal pulsation, olusetshenziswa ehhovisi likadokotela, lungasiza ekuvuleni izindlala ze-meibomian. Idivayisi inika ijwabu leso lakho elingezansi ukusikhipha ngomusa imizuzu eyi-12.
• Ukuqhwanyaza ukuqeqeshwa nokuzivocavoca kungasiza ekuthuthukiseni ukusebenza kwe-meibomian gland yakho.
• Ukwelashwa okukhanyayo okunamandla okuhambisana nokuhlikihlwa kwamehlo kunganikeza ukukhululeka kwezimpawu ezithile.
• Ungathatha futhi imishanguzo kadokotela, njenge-topical azithromycin, i-liposomal spray, i-tetracycline yomlomo, i-doxycycline (i-Monodox, i-Vibramycin, i-Adoxa, i-Mondoxyne NL, i-Morgidox, i-NutriDox, i-Ocudox), noma imishanguzo elwa nokuvuvukala.

Yiziphi izinkinga ezingase zivele?

Uma i-EDE yakho ishiywa ingalashwa, ubuhlungu nokungahambi kahle kungenza kube nzima ngawe ukufunda, ukushayela, noma ukwenza imisebenzi yansuku zonke. Kungadala nezinkinga ezinkulu. Kungakhuphula ubungozi bokutheleleka ngamehlo, kufaka phakathi ukuthelekiswa kwamehlo, ngoba izinyembezi zakho azanele ukuvikela ubuso bamehlo akho. Amehlo akho angavuvukala, noma ungaba nengozi enkulu yokuklwebheka i-cornea yakho noma ukulimaza ukubona kwakho.

Uyini umbono we-EDE?

Izimpawu ze-EDE zingelashwa ngempumelelo ezimweni eziningi. Ezimweni ezimnene, inkinga ingahle ivele ngemuva kokwelashwa kokuqala. Uma isimo esiyisisekelo njenge-Sjogren's syndrome sidala inkinga, leso simo kufanele silashwe ukuzama ukugcina izimpawu zamehlo zilawulwa. Kwesinye isikhathi izimpawu zingahlala zingamahlalakhona, futhi kungadingeka ukuthi usebenzise izinyembezi zokufakelwa, izikhuhla zamehlo, nemithi ukuze ugcine amehlo akho enethezekile.

Ucwaningo oluqhubekayo lwe-EDE, neso elomile ngokujwayelekile, kungenzeka lize nezindlela ezintsha zokwelapha izimpawu nokuvimbela izindlala ze-meibomian ukuthi zivinjwe.

Yini ongayenza ukuvimbela i-EDE?

Nakhu okunye ongakwenza ukusiza ukuvimbela i-EDE:

• Gcina isimiso sansuku zonke sokucindezelwa kwamehlo afudumele nezikhukhula zesembozo ngisho nangemva kokuba izimpawu zakho sezinqumile.
• Blink njalo ukugcina amehlo akho ethanjisiwe.
• Hlanganisa umoya emsebenzini nasekhaya.
• Gwema ukubhema nokuba phakathi kwabantu ababhemayo.
• Phuza amanzi amaningi ukuze ugcine unamanzi.
• Gqoka izibuko zelanga uma ungaphandle ukuvikela amehlo akho elangeni nasemoyeni. Uhlobo oluhlanganayo luhlinzeka ngokuvikelwa okuphezulu.