I-Proptosis ne-Bulging Eyes
I-proptosis, eyaziwa nangokuthi i-exophthalmos, iyinhlangano eyodwa noma kokubili kwamehlo. Ngenkathi abanye abantu ngokwemvelo banamehlo abonakala ekhuphuka ngenxa yokuhluka kwe-anatomy yethu, abanye bangathuthukisa isimo. Uma umuntu ngokungazelelwe ahlakulele i-proptosis, kubhekwa njengokubalulekile. Ukuphuma okungazelelwe kwe-proptosis kumele kuhlolwe njalo ngudokotela wezilanga.
Yini Ebangela Ukuguqulwa Kwezinto?
Esinye sezimbangela ezivame kakhulu zomabili (amehlo womabili) amehlo anonya kakhulu isimo se -roid esibizwa ngokuthi yi- Graves Disease .
Ezikhungweni ze-Graves, ukuvuvukala, i-fibrosis nokukhwabanzeka kungase kwenzeke ngaphakathi kwemisipha yamehlo ezungeze iso. Lokhu kuqubuka i-orbit yebony lapho iso lihlala khona, okwenza amehlo agxile phambili.
Uma umuntu eqala ukuhlolwa kwe-unilateral (iso elilodwa), ukuhlolwa kwezokwelapha kunconywa ngokushesha njengoba lokhu kungaba uphawu lwesimo esibucayi sezokwelapha. I-unilateral proptosis ingabangela ukutheleleka kwe-sinus okuye kwasakazwa ku-orbit ekwakheni i-abscess. I-unilateral proptosis nayo ingabangelwa ukuhlukumezeka, ukuvuvukala, ukulimala kwe-arterio-venus, izicubu zomzimba noma umdlavuza.
Ukuhlola okushiwo yi-Proptosis
Lapho i-proptosis ilula, udokotela angalinganisa i-degree of bulging nombusi noma i-exophthalmometer. Uma izilinganiso zingaphandle kwezingxenye ezivamile, ukuhlolwa okuningi kunganconywa. Izivivinyo zingabandakanya i-MRI, umsebenzi wegazi, i-ultrasound noma i-biopsy.
Ingabe i-Proptosis iyinkimbinkimbi?
Ukuguqulwa komthelela kungathinta amehlo ngezindlela eziningana ezahlukene.
Okokuqala, ngoba i-orbit ehamba phambili ingaphakamisa ingcindezi ngemuva kweso, ingcindezi ngaphakathi kweso ingakhuphuka. Ukucindezelwa ngaphakathi kweso kuyaziwa ngokuthi ingcindezi ye-intraocular. Lapho ingcindezi ye-intraocular ikhula, ingozi yokuthuthukisa i-glaucoma nayo iyakhula.
Lapho kwenzeka i-proptosis, amajwabu amehlo angase angakwazi ukuvala ngokuphelele ngesikhathi egoqa noma elele ngokujwayelekile, okwenza ukuba i- cornea yome kakhulu.
Lokhu okomile akuyona nje into engakhululekile, kepha ukulimala kungase kwenzeke okungaholela ekulahlekelweni kombono unomphela. Izinyembezi zokufakelwa noma ama-gel kufanele kufakwe izikhathi eziningana ngosuku ukuze kunciphise ukungahambi futhi kuvimbele i-cornea ukuba ingabe yome kakhulu. Ama-patches angase agqoke ebusuku ngenkathi elele ukugcina amehlo enomanzi. Ezimweni ezimbi, ukunyakaza kwamehlo kungahle kuthinteke, kubangele umbono ophindwe kabili .
Ukwelapha i-proptosis igxile ekutholeni imbangela eyimbangela. Endabeni yesifo segciwane, imithi ingaba yiyo yonke into edingekayo ukunciphisa i-proptosis. Ezimweni ezimbi kakhulu, ukuhlinzwa kungadingeka.
Source: Slamovits, Thomas L. noRonald Burde. "I-Neuro-ophthalmology." 1994 Incwadi Yonyaka ka-Mosby-Europe LTD, amakhasi 116-119.