Ectropion

I-Ectropion kukujika kwejwabu leso ukuze ubuso bangaphakathi bubonakale. Ihlala ichaphazela ijwabu leso elisezantsi.

I-Ectropion ihlala ibangelwa yinkqubo yokwaluphala. Ukudibanisa (ukuxhasa) izicwili zejwabu leso kuba buthathaka. Oku kubangela ukuba isiciko sijike ukuze ngaphakathi kwesiciko esisezantsi kungasafani neliso lakho. Inokubangelwa yile:

• Isiphene esenzeka ngaphambi kokuzalwa (umzekelo, kubantwana abane-Down syndrome)
• Ukukhubazeka ebusweni
• Izicubu ezibomvu ekutsheni

Iimpawu zibandakanya:

• Omile, amehlo abuhlungu
• Ukukrazula okugqithisileyo kweso (epiphora)
• Ijwabu leso lijikela ngaphandle (ezantsi)
• Ixesha elide (elingapheliyo) i-conjunctivitis
• I-Keratitis
• Ubomvu besivalo kunye nenxalenye emhlophe yamehlo

Ukuba une-ectropion, uya kuba nakho ukukrazula kakhulu. Oku kwenzeka ngenxa yokuba iliso liyoma, emva koko lenze iinyembezi ngakumbi. Iinyembezi ezigqithileyo azinakungena kumjelo wokuhambisa iinyembezi. Ke ngoko bayakha ngaphakathi kwisiciko esisezantsi kwaye baphalaze ngaphaya komphetho wesivalo esidleleni.

Umboneleli wezempilo uya kwenza uxilongo ngokwenza uvavanyo lwamehlo kunye neenkophe. Iimvavanyo ezizodwa azifuneki amaxesha amaninzi.

Iinyembezi ezingezizo (igrisi) zinokunciphisa ukoma kwaye zigcine i-cornea ifumile. I-oyile inokuba luncedo xa iliso lingenako ukuvala yonke indlela, njengaxa ulele. Utyando luhlala lusebenza. Xa i-ectropion inxulumene nokuguga okanye ukukhubazeka, ugqirha wotyando unokuqinisa izihlunu ezibambe iinkophe endaweni yazo. Ukuba imeko ibangelwa kukunqanqatheka kolusu, kungafakwa ulusu okanye unyango lwelaser. Olu tyando ludla ngokwenziwa eofisini okanye kwiziko lotyando ngaphandle. Iyeza lisetyenziselwa ukuphazamisa indawo (i-anesthesia yendawo) ngaphambi kokuhlinzwa.

Iziphumo zihlala zilungile kunyango.

Ukomiswa kwe-Corneal kunye nokucaphuka kungakhokelela ku:

• Ukuxhamla kwe-Corneal
• Izilonda ze-Corneal
• Usulelo lwamehlo

Izilonda ze-Corneal zingabangela ukulahleka kombono.

Fowunela umboneleli wakho ukuba uneempawu ze-ectropion.

Ukuba une-ectropion, fumana uncedo lonyango olungxamisekileyo ukuba:

• Umbono oya usiba mbi
• Intlungu
• Ubuntununtunu ekukhanyeni
• Ukubomvu kwamehlo okuya kusiba mandundu ngokukhawuleza

Amatyala amaninzi akanakuthintelwa. Unokufuna ukusebenzisa iinyembezi okanye amafutha okuthambisa ukuthintela ukwenzakala kwi-cornea, ngakumbi ukuba ulinde unyango olusisigxina.

• Iliso

UCioffi GA, uLiebmann JM. Izifo zenkqubo yokubonakalayo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 395.

IMaamari RN, iKouch SM. Ectropion. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 12.6.

UNicoli F, u-Orfaniotis G, uCiudad P, et al. Ukulungiswa kwe-ectropion ye-cicatricial usebenzisa i-laser engafakwanga ablative. I-Lasers Med Sci. Ngo-2019; 34 (1): 79-84. IINKCUKACHA: 30056585 pubmed.ncbi.nlm.nih.gov/30056585/.

I-Olitsky SE, iMarsh JM. Ukungaqheleki kweziciko. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 642.