Ijwabu leso elivuvukele

Ukuvuvuka kwejwabu leso kuthinta abantu abaningi esikhathini esithile empilweni yabo, kusukela ekukhukhumeleni okuncane kuya ekuvuvukeni okukhulu okuthinta ukubona. Amajwabu amehlo avuvukele yisimo esivamile samehlo esingathuthuka ngenxa yezizathu ezihlukahlukene, kusukela ekukhaleni okulula kuya ekuvuvukeni kuya ekulimaleni kweso. Ukuqonda imbangela ethile yokuvuvukala kwejwabu leso kusiza ekunqumeni indlela yokwelapha ephumelela kakhulu. Lesi sihloko sichaza ukuthi yini ebangela ukuvuvuka kwamajwabu amehlo, izindlela zokwelapha ezitholakalayo, izindlela zokuvimbela, kanye nesikhathi sokufuna usizo lwezokwelapha.

Yini Ijwabu leso elivuvukele?

Ukuvuvuka kwejwabu leso kwenzeka lapho uketshezi lunqwabelana noma kukhula ukuvuvukala ezicutshini zeso. Amehlo omuntu ayisakhiwo esiyinkimbinkimbi esihlanganisa izingxenye ezimbalwa ezibalulekile, njengezinkophe, izindlala ezikhala izinyembezi, izindlala zokujuluka, nezindlala ze-sebaceous (amafutha noma i-meibomian). Lezi zakhiwo zingadala ukusabela kokuvuvukala, okuholela ekuvuvukeni kwejwabu leso. Lesi simo singathinta ijwabu leso elingenhla noma elingaphansi futhi, kwezinye izimo, womabili amajwabujwabujwabujwabujwabujwabujwabujwabu amehlo kanyekanye. Nakuba ijwabu leso elivuvukele ngokuvamile lixazulula phakathi namahora angu-24, ubunzima nobude besikhathi kungahluka kuye ngembangela ewumsuka.

Izici eziyinhloko zejwabu leso elivuvukele zihlanganisa:

• Ukunqwabelana koketshezi kuzicubu zejwabu leso
• Amazinga ahlukahlukene wokungakhululeki, kusukela kokungabi nabuhlungu kuye kobuhlungu
• Izimpawu ezihambisana nazo ezifana ukulunywa
• Ibanga lobunzima ukusuka ekukhukhumaleni okumaphakathi kuya ekuvuvukeni okubonakalayo

Kubalulekile ukuqaphela ukuthi ijwabu leso elivuvukele liyahluka emehlweni aqhumile, nakuba ezinye izimo zezokwelapha zingabangela zombili izimpawu ngesikhathi esisodwa. 

Izimpawu Zokuvuvuka Kwamehlo

Abantu abanokuvuvukala kwejwabu leso bavame ukubona izinguquko ezibonakalayo kanye nokungakhululeki ngokomzimba endaweni ethintekile.

Okulandelayo ezinye izimpawu ezivamile zamehlo avuvukele:

• Ukukhukhumala okubonakalayo noma ukuvuvukala kwejwabu leso
• Ububomvu nokucasuka
• Amehlo enamanzi
• Ukuklwebheka noma ukuzwa ukusha
• Ubuhlungu lapho uthinta indawo ethintekile
• Uqweqwe noma ukukhishwa eduze kwamehlo
• Ukuzwela okukhanyayo

Abanye abantu bangase babe nezimpawu ezengeziwe ezibonisa isimo esibucayi kakhulu. Lezi zimpawu eziyisixwayiso zidinga ukunakekelwa kwezempilo ngokushesha:

• Fever
• Ubuhlungu obukhulu noma ukuvuvukala
• Kabili noma umbono ongenalutho
• Ubunzima bokuhambisa iso
• Ukuvala ngokuphelele ijwabu leso
• Isiyezi noma isicanucanu

Izimbangela Zokuvuvuka Kwejwabu leso

Okulandelayo yizizathu ezivamile zokuvuvuka kwejwabu leso:

• Amagciwane:
  • I-Stye (Hordeolum): Ithumba elincane, elibuhlungu eduze kwempande yenkophe
  • I-Chalazion: Indlala kawoyela evimbekile eyenza isigaxa esiqinile
  • I-blepharitis: Ukuvuvukala kwamaphethelo ejwabu leso
  • I-Conjunctivitis (iso elibomvu): Ukuvuvukala kwendawo yeso
• Izici Zemvelo kanye Nendlela Yokuphila:
  • Ukungezwani nokungezwani nothuli, impova, noma izimonyo
  • Ukungabi nokulala
  • Ukugcinwa kwe-Fluid
  • Ukuhlukumezeka ngokomzimba noma ukulimala
  • Ukulunywa izinambuzane
• Izimo zezempilo ezibucayi: 
  • Lokhu kuhlanganisa i-orbital cellulitis (ukutheleleka kwesokhethi yamehlo), isifo se-Graves (isifo sokuzivikela komzimba), futhi, ezimweni ezingavamile, umdlavuza wamehlo. 
• Ezinye Izimbangela Zokuvuvuka Kwejwabu leso:
  • Ukukhukhumala ekuseni kuvame kakhulu futhi ngokuvamile kubangelwa ukugcinwa koketshezi ngesikhathi sokulala.
  • Imisebenzi ethile, njengokukhala noma ukuvezwa okucasulayo, ingase futhi ibangele ukuvuvukala kwesikhashana. 

Ukwelashwa Kwejwabu leso elivuvukele

Odokotela bamehlo batusa ukuthi kuqale ngezinketho zokwelapha ezingavamisile kakhulu ngaphambi kokuthuthela ekungeneleleni okukhulu. Ezimweni ezithambile zokuvuvukala kwejwabu leso, odokotela bavame ukutusa ukuqapha isimo amahora angama-24-48 ngenkathi usebenzisa izindlela zokunakekela eziyisisekelo. Okulandelayo ezinye izinketho ezijwayelekile zokwelapha ukuvuvuka kwejwabu leso:

• Izicindezela: I-compress ebandayo (njengendwangu yokugeza ebandayo, emanzi noma ama-cubes ambalwa eqhwa eboshwe ngethawula likakotini) ejwabu leso elithintekile imizuzu engu-10-15 ingasiza ekunciphiseni ukuvuvukala. Ngokufanayo, i-compress efudumele isiza ukukhulula ukuphuma kwe-crusty futhi isuse noma yimaphi amafutha okungenzeka avale izindlala ze-ocular.
• Ukuhlanza: Hlanza amehlo akho ngobumnene ngamanzi anosawoti noma i-shampoo yengane encibilikisiwe kanye neswabhu kakotini noma indwangu yokugeza. 
• Ukuphumula: Uma amajwabu amehlo akho evuvukele, yeka ukufaka izimonyo zamehlo noma amalensi othintana naye, phumula kakhulu, futhi ugweme ukukhanya kwelanga okuqondile. Ungazithinti izinkophe zakho.
• Umuthi Wokuvuvuka Kwejwabu leso:
  • Imithi ye-Antihistamine yokuvuvukala okuhlobene nokungezwani komzimba
  • Ama-antibiotics (ngomlomo noma nge-topical) wezifo ezibangelwa amagciwane
  • Amaconsi e-eye anti-inflammatory ukunciphisa ukuvuvukala
  • Imithi ye-steroid yokuvuvukala okukhulu
• I-Drainage yokuhlinzwa: Nge-styes eqinile noma i-chalazia

Ungambona Nini Udokotela Ovuvukale Ijwabu leso

Ukunakekelwa kwezokwelapha kuba kudingekile uma izimpawu ziqhubeka ngaphezu kwamahora angu-48-72 noma ziba zimbi naphezu kokwelashwa ekhaya. Abantu kufanele bafune iseluleko ngokushesha ku-ophthalmologist uma behlangabezana:

• Ubuhlungu obukhulu lapho unyakazisa iso
• Ukubona okufiphele noma okuhlanekezelwe
• Imfiva ehambisana nezimpawu zamehlo
• Ukungakwazi ukuhambisa iso ngokujwayelekile
• Umbono oqhubeka uwohloka
• Umuzwa wento ebhajwe esweni
• Ezintantayo embonweni

Prevention

Izinyathelo eziningana zokuvimbela zingasiza ukunciphisa ingozi yokuvuvukala kwejwabu leso:

• Gcina Ukuhlanzeka Kwamehlo Okuhle:
  • Susa izimonyo zamehlo ngaphambi kokulala
  • Hlanza izinkophe njalo ngesihlanzi esimnene
  • Gwema ukuthinta amehlo ngezandla ezingageziwe
• Vikela Ezintweni Zemvelo:
  • Gqoka ama-eyewear avikelayo phakathi nemisebenzi enothuli
  • Sebenzisa izibuko zelanga ukuze uvikele amehlo akho ezintweni ezingezwani nomzimba
  • Gcina ama-air philts ehlanzekile ukuze unciphise izinto ezingezwani nasendlini
• Zijwayeze Imikhuba Enempilo:
  • Thola ukulala ngokwanele ukuze uvimbele ukugcinwa koketshezi
  • Hlala unamanzi usuku lonke
  • Lawula i-allergies ekhona ngendlela efanele
  • Gwema ukwabelana ngezimonyo zamehlo noma amathawula

Amakhambi Asekhaya Okuvuvukala Ijwabu leso

Amakhambi amaningana asebenzayo asekhaya angadambisa ukuvuvukala kwejwabu leso ngaphandle kokudinga ukungenelela kwezokwelapha.

• I-Compress Epholile: Isebenza njengenye yezindlela eziphumelela kakhulu zokunciphisa ukuvuvukala kwejwabu leso. Abantu bangadala lokhu ngokucwilisa indwangu yokugeza ehlanzekile emanzini apholile futhi bayisebenzise endaweni ethintekile imizuzu engu-5-10. Izikhwama zetiye eziqandisiwe zinikeza izinzuzo ezimbili - izinga lokushisa elibandayo linciphisa ukuvuvukala kuyilapho ama-tannins emvelo esiza ukubopha imithambo yegazi.
• Amakhambi Emvelo: 
  • Izingcezu zekhukhamba ezipholile ezibekwe emehlweni avaliwe imizuzu engu-10-15
  • Amaphedi kakotini afakwe i-hazel endaweni engenhla esihlathini
  • Ukubhucunga ubuso usebenzisa iminwe ehlanzekile, epholile
  • Ukhilimu wamehlo oqandisiwe noma isicelo se-serum
  • Amathuluzi amarola obuso asetshenziswa ngomfutho okhanyayo
• I-hydration efanele: Ukuphuza amanzi anele kusiza ukugcina ibhalansi yoketshezi futhi kunciphisa ukugcinwa koketshezi eduze kwamehlo. 

Isiphetho

Amajwabu amehlo avuvukele athinta abantu abaningi futhi asukela ekukhukhumaleni kwasekuseni okuncane kuya ezimeni ezinzima ezidinga ukunakekelwa ngokushesha. Izimo eziningi zisabela kahle kumakhambi alula asekhaya afana nokucindezelwa okupholile kanye nokuhlanzeka kwamehlo okufanele, kuyilapho abanye bangadinga ukungenelela kwezokwelapha ngama-antibiotics noma ezinye izindlela zokwelapha ezinqunyiwe.

Abantu kufanele baqaphe izimpawu zabo ngokucophelela futhi basebenzise izindlela zokuzivikela ezinjengokugcina amehlo ehlanzekile, ukuvikela izimo zemvelo, nokulandela imikhuba enempilo. Ukunakekelwa kwezokwelapha kubaluleka lapho izimpawu ziqhubeka ngaphezu kwamahora angu-48 noma zihlanganisa izimpawu eziyisixwayiso ezifana nobuhlungu obukhulu noma ukushintsha kokubona.

Ukhiye wokulawula amajwabu amehlo avuvukele ukubonwa ngokushesha kwezimpawu kanye nokusabela okufanele - kungaba ngokunakekelwa kwasekhaya noma ngosizo lwezokwelapha oluchwepheshile. Imikhuba evamile yokunakekelwa kwamehlo kanye nokuqwashisa ngezibangeli ngazinye kusiza ukuvimbela iziqephu eziphindelelayo nokugcina impilo yamehlo iyonke.

Imibuzo Evame Ukubuzwa

1. Uyini umehluko phakathi kwamehlo akhukhumele navuvukele?

Amehlo akhukhumele ngokuvamile abangelwa ukugcinwa koketshezi futhi ngokuvamile avela ekuseni noma ngemva kokukhala. Amehlo avuvukele, nokho, abonisa ukuvuvukala noma ukutheleleka futhi ngokuvamile ahlanganisa ubuhlungu, ububomvu, noma ezinye izimpawu. Nakuba ukukhukhumala ngokuvamile kuzixazulula ngokwakho, ukuvuvukala kungase kudinge usizo lwezokwelapha.

2. Iyiphi indlela esheshayo yokwelapha iso elivuvukele?

Ukusebenzisa i-compress ebandayo imizuzu eyishumi nanhlanu kuya kwamashumi amabili kungaba usizo olusheshayo. Ezinye izindlela ezisebenzayo zihlanganisa:

• Ukusebenzisa izinyembezi zokwenziwa ukugcina amehlo emanzi
• Ukugwema amalensi okuxhumana kanye nezimonyo zamehlo
• Ukugcina indawo yamehlo ihlanzekile ngokuwasha okuthambile

3. Kungani ijwabu leso lami langaphezulu livuvukele?

Ukuvuvuka kwamajwabu amehlo angenhla kuvame ukubangelwa ukungezwani komzimba noma izifo ezifana ne-blepharitis Lesi simo singase futhi sibangelwe yizindlala zikawoyela ezivalekile noma ama-styes, abonakala njengezigaxa ezibuhlungu eceleni kwejwabu leso.

4. Kungani ijwabu leso lami elingezansi livuvukele?

Ukuvuvuka kwejwabu leso elingaphansi kuvame ukuvela ngenxa yokugcinwa koketshezi noma ukungezwani komzimba nezinto ezithile Kungase futhi kubonise izimo ezifana ne-conjunctivitis noma i-orbital cellulitis, ikakhulukazi uma kuhambisana nobubomvu nobuhlungu.

5. Ingabe ukushisa noma ukubanda kungcono enkopheni evuvukele?

Ama-cold compresses asebenza kahle kakhulu ekuvuvukeni okukhulu kanye nokungezwani komzimba njengoba esiza ekwehliseni ukuvuvukala futhi ashwabane imithambo yegazi. Ama-compress afudumele asebenza kangcono ekwelapheni ama-styes, i-chalazia, nezindlala zamafutha ezivinjiwe njengoba zisiza ukukhulisa ukujikeleza nokukhuthaza ukugeleza kwamanzi.

6. Kungani ijwabu leso lami livuvukala lapho ngivuka ekuseni?

Ukuvuvukala kwejwabu leso lasekuseni ngokuvamile kwenzeka ngenxa yokugcinwa koketshezi ngesikhathi sokulala. Lokhu kwenzeka ngoba ukulala phansi kuvumela uketshezi ukuthi luqoqeke esicutshini esizungeze amehlo. Izinga lokungalali kahle kanye nokudla kukasawoti omningi kungenza lesi simo sibe sibi kakhulu.

UDkt. Neelu Mundhala

CARE Medical Team

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