Ukulala Ngamehlo Akho Kuvulekile: Okufanele Ukwazi

-Delile

• Ngilele ngivule amehlo?
• Ziyini izimpawu?
• Izimbangela zokulala uvule amehlo
• Ukuvakashela udokotela wakho
• Yiziphi izinkinga zokulala uvule amehlo?
• Ungazilapha kanjani izimpawu ezibangelwa ukulala uvule amehlo
• Imithi
• Ukuhlinzwa
• Uyini umbono?

Ngilele ngivule amehlo?

Ingabe uvuka njalo ekuseni uzizwa sengathi kune-sandpaper emehlweni akho? Uma kunjalo, kungenzeka ukuthi ulele uvule amehlo.

Kungabonakala njengomkhuba nje ongajwayelekile, kepha kungaba yingozi emehlweni akho uma uyekwa ungelashwa isikhathi eside. Ukulala ngamehlo akho evulekile kubhekiswa kwezokwelapha njenge-lagophthalmos yasebusuku. ILagopthalmos ivame ukubangelwa izinkinga ezinzwa noma imisipha ebusweni ezenza kube nzima ukugcina amehlo akho evaliwe ngokuphelele.

Cishe ngeke wazi ukuthi ulala uvule amehlo ngaphandle kokuthi othile akutshele ukuthi uyakwenza, kepha uma uvuka unezimpawu zamehlo ezomile, ezinjengobuhlungu, ububomvu nokubona okufiphele, kungaba umqondo omuhle ukungena nodokotela wakho.

Ziyini izimpawu?

Siyacwayiza emini bese sivale izinkophe zethu ebusuku ngesizathu esihle kakhulu. Ukuvala ijwabu leso kumboza inhlamvu yeso ngongqimba oluncane loketshezi lwezinyembezi. Izinyembezi zisiza ukugcina indawo enomswakama ukuze amaseli eso asebenze kahle. Uketshezi lwezinyembezi lusiza nokukhipha uthuli nemfucumfucu.

Ngaphandle kokuthambisa okufanele, iso lingalimala, liklwebheke noma litheleleke. Izimpawu ze-lagophthalmos yasebusuku zihlobene nokoma kwengxenye yangaphandle yeso.

Zingafaka:

• ububomvu
• ukungaboni kahle
• evuthayo
• ukucasuka
• ukuklwebheka
• ukuzwela ukukhanya
• ukuzwa sengathi kukhona okukuhlikihla iso lakho
• ukulala okungekho ezingeni elifanele

Izimbangela zokulala uvule amehlo

I-lagophthalmos yasebusuku ivame ukuhlobene nenkinga yemisipha noma izinzwa zobuso. Noma yini edala ubuthakathaka noma ukukhubazeka emisipheni ye-orbicularis oculi (imisipha evala amajwabu amehlo), ingaholela ekulaleni uvule amehlo. Ezinye izibonelo zifaka:

• Ukukhubazeka kukaBell
• ukuhlukumezeka noma ukulimala
• unhlangothi
• isimila, noma ukuhlinzwa okususa isimila eduze kwezinzwa zobuso, njenge-acoustic neuroma
• izifo ze-neuromuscular
• izimo ezizimele, njenge-Guillain-Barré syndrome
• I-Moebius syndrome, isimo esingajwayelekile esibonakala ngama-cranial nerve palsies

Kungabangelwa nokutheleleka, kufaka phakathi:

• Isifo seLyme
• inqubulunjwana
• mumps
• uvendle
• uchoko
• udiphtheria
• i-botulism

I-lagophthalmos yasebusuku nayo ingabangelwa ukulimala ngokomzimba kumajwabu amehlo. Ukuhlinzwa ijwabu leso noma isibazi sokusha noma okunye ukulimala kungalimaza ijwabu leso futhi kwenze ukuthi lingakwazi ukuvala ngokuphelele. Amehlo aqhamukayo noma aqhamukayo (exophthalmos) abangelwa yi-Graves ’ophthalmopathy, isimo esivame ukubonakala kubantu abane-gland yegilo engasebenzi ngokweqile (hyperthyroidism), nakho kungenza kube nzima ukuvala amajwabu amehlo.

Kwabanye abantu, ukulala uvule amehlo akunasizathu esibonakalayo. Kungase futhi kusebenze emindenini. Ngokuvamile, ama-eyelashes aphezulu kakhulu nangaphansi angavimbela umuntu ukuthi akwazi ukuvala amehlo akhe ebusuku.

Ukuvakashela udokotela wakho

Udokotela wakho uzokubuza imibuzo ngomlando wakho wezokwelapha. Qiniseka ukuthi utshela udokotela wakho nganoma yikuphi ukulimala kwakamuva, ukutheleleka, ukungezwani komzimba, noma ukuhlinzwa okubandakanya ikhanda, ubuso noma amehlo.

Ekuqokweni kwakho, udokotela wakho uzokubuza imibuzo embalwa, efana nale:

• Unezimpawu ezingakanani?
• Ingabe izimpawu zakho ziba zimbi kakhulu lapho uvuka? Ingabe bayathuthuka usuku lonke?
• Ngabe usebenzisa ifeni yophahla noma olunye uhlelo lokushisa noma lokupholisa olunemimoya yomoya ebusuku?
• Ngabe kukhona owake wakutshela ukuthi amehlo akho avulekile ngokwengxenye noma ngokugcwele lapho ulele?

Uma udokotela wakho esola ukuthi ulele uvule amehlo, bangase bakucele ukuthi wenze imisebenzi embalwa ukuze ubuke amehlo akho ngenkathi evaliwe. Isibonelo, ungacelwa ukuba ulale phansi futhi uvale ngobumnene amehlo womabili, sengathi uzothatha isihlwathi. Udokotela wakho uzobona okwenzekayo ezinhlokweni zakho emva komzuzu noma emibili kudlulile. Bangabheka ukubona ukuthi ijwabu leso liyanyikima noma livuleke lodwa.

Ezinye izivivinyo zifaka:

• ukulinganisa isikhala phakathi kwamajwabu amehlo akho ngerula
• ukukala inani lamandla asetshenziswa ukuvala amehlo akho lapho ucwayiza
• ukuhlolwa kwesibani, lapho kusetshenziswa imicroscope nokukhanya okukhanyayo ukubuka amehlo akho
• ukuhlolwa kwebala le-fluorescein ukubona ukuthi azikho yini izimpawu zokulimala esweni lakho

Yiziphi izinkinga zokulala uvule amehlo?

Ukwehla kwamanzi emzimbeni kungadala izinkinga ezinkulu, njenge:

• ukulahleka kombono
• izifo esweni
• ingozi eyengeziwe yokulimala noma imihuzuko esweni
• ukuchayeka kwe-keratopathy (ukulimala kwe-cornea, ungqimba olungaphandle lweso)
• isilonda se-corneal (isilonda esivulekile ku-cornea)

Ungazilapha kanjani izimpawu ezibangelwa ukulala uvule amehlo

Udokotela wakho angancoma ukusebenzisa ama-googles omswakama ebusuku ukusiza ukuthambisa amehlo akho ngenkathi ulele. Ungazama futhi i-humidifier. Isisindo sangaphandle sejwabu leso, esigqokwa ngaphandle kwezinkophe zakho ezingaphezulu ebusuku, noma itheyiphu yokuhlinzwa, singasiza ukugcina amehlo akho evaliwe.

Imithi

Ukugcina iso ligcotshisiwe, udokotela wakho angakunika imithi, efana nale:

• amaconsi wamehlo
• izinyembezi zokufakelwa, ezinikezwa okungenani kane ngosuku
• amafutha okugcoba ukuvimbela imihuzuko

Ukuhlinzwa

Ezimweni ezinzima zokukhubazeka, ungadinga ukufakelwa kwegolide okuhlinzwa. Lokhu kufakwa kwejwabu leso kusebenza njengesisindo sejwabu leso ukusiza ukuvala ijwabu leso eliphezulu, kepha kuyisixazululo saphakade.

Ngesikhathi senqubo emfushane, udokotela wakho uzokwenza imbobo encane ngaphandle kwejwabu leso lakho ngenhla kwemivimbo. Ukufakwa kwegolide kufakwa ephaketheni elincane kujwabu leso futhi kubanjwa endaweni ngemithungo. Ukusikeka kube sekuvalwa ngemithungo bese kufakwa ijwabu leso ngamafutha okulwa namagciwane.

Ngemuva kokuhlinzwa, ungahlangabezana nokulandelayo, kepha kufanele kudlule isikhathi:

• ukuvuvukala
• ukungakhululeki
• ububomvu
• ukulinyazwa

Ijwabu leso lingazizwa lijiyile kancane, kepha ukufakelwa ngokuvamile akubonakali.

Uyini umbono?

Ukulala uvule amehlo akuvamisile ukuthi kube okungathi sína, futhi kungaphathwa ngezixazululo ezilula, njengamaconsi wamehlo, izisindo zesembozo, kanye nezinto zokuthambisa. Noma kunjalo, futhi kungaba uphawu lwesinye isimo.

Kubalulekile ukuvakashela udokotela wakho uma unenkinga yokuvala amehlo akho ukuze ulale noma ubona ukuthi amehlo akho acasuke ngokweqile usuku lonke. Inkambo ehamba phambili ukwelapha i-lagopthalmos yasebusuku ngaphambi kokuba kube yinkinga enkulu.

Ngisho nasezimweni ezinzima, ukuhlinzwa kokufakelwa kuyisixazululo esiphephile nesisebenzayo sokulala uvule amehlo. Akugcini nje ngokuphatha isilinganiso sempumelelo esingamaphesenti angama-90, kepha okufakelwayo kungasuswa kalula uma kudingeka.