Amehlo Amanzi

Lapho kukhona ukukhiqizwa kwezinyembezi ngokweqile noma ukuphuma kwamanzi okunganele emehlweni noma emehlweni, kuvele amehlo anamanzi. Amehlo anamanzi, ngezinye izikhathi abizwa ngokuthi i-epiphora, abangela ukuba izinyembezi ziphume ebusweni. Amanzi achithekela ebusweni lapho kukhona uketshezi oluningi, noma izinyembezi azikwazi ukuphuma ngokwanele ngesistimu ye-nasolacrimal. Kuye ngesizathu, amehlo agcwele amanzi angahamba wodwa. Izindlela zokuzinakekela ekhaya zingase zibe usizo ekwelapheni amehlo agcwele amanzi, ikakhulukazi uma ukuvuvukala noma amehlo omile kuyimbangela. Uma amehlo enamanzi ehlala isikhathi eside futhi ehambisana nezinye izimpawu, umuntu kufanele abonane nodokotela.

Izinhlobo Zamehlo Amanzi

Kunezinhlobo eziningana zamehlo agcwele amanzi, ngalinye linezimbangela ezihlukene. Nazi ezinye izinhlobo ezivamile:

• I-Epiphora: Leli yigama lohlobo oluvame kakhulu lwamehlo anamanzi, lapho amehlo ekhipha izinyembezi ezeqile. Kungabangelwa izici ezihlukahlukene, okuhlanganisa ukucasuka, ukungezwani komzimba nezinto ezithile, isifo samehlo esomile, noma ngisho nezimpendulo ezingokomzwelo ezifana nokukhala.
• I-Allergic Conjunctivitis: Ukungezwani nezinto ezifana nempova, izibungu zothuli, noma isilwane esifuywayo kungaholela ekubeni amehlo anamanzi. Amehlo aba bomvu futhi ayaluma, futhi ukudabuka ngokweqile kuwuphawu oluvamile.
• I-Dry Eye Syndrome: Kuyaxaka ukuthi i-eye syndrome eyomile ingabangela ukugcwala kwamehlo. Uma amehlo engakhiqizi izinyembezi zekhwalithi ephezulu ngokwanele, angacasuka, okuholela ekudabukeni kwe-reflex njengempendulo yokuzivikela.
• Imibhobho yezinyembezi evinjiwe: Imigudu yezinyembezi evinjiwe noma emincane ingavimbela izinyembezi ukuthi zingaphumi kahle. Lokhu kungabangelwa izici ezihlukahlukene, okuhlanganisa izifo, ukuvuvukala, noma izinkinga zesakhiwo. Kungaholela ekubeni amehlo agcwale amanzi ngoba izinyembezi azikwazi ukugeleza.
• Amagciwane: Ukutheleleka kwamagciwane noma amagciwane esweni, njenge-conjunctivitis (iso elibomvu), kungabangela ukudabuka ngokweqile kanye nezinye izimpawu ezinjengobomvu nokuphuma.

Izimpawu Zamehlo Amanzi

Nazi izimpawu ezimbalwa kanye nezimpawu zamehlo amanzi umuntu angase ahlangane nazo:

• Ukukhukhumala nokubabomvu kwamehlo
• Ukungaphatheki kahle kwamehlo
• Ukuvuvukala noma ukutheleleka
• Ukukhubazeka kombono
• Ukungezwani komzimba
• Sneezing
• Ukudikiza kwamehlo nokuphuma

Izimbangela Zamehlo Amanzi

I-Dry eye syndrome ingenye yezimbangela ezivame kakhulu zamehlo amanzi. Uma amehlo engakutholi ukugcotshwa okwanele, kuholela ekudabukeni okungapheli, okuqhubekisela phambili umjikelezo.

Ezinye izizathu ezivamile zihlanganisa:

• Izimo zezulu ezifana nomoya, ilanga, amakhaza nothuli.
• Izakhi zemvelo njengokungcola nokukhanya okuqinile.
• Ukuvuvukala kwejwabu leso.
• I-eyelashes engaphakathi.
• Imigudu yezinyembezi evalekile.
• Ukuklwebheka noma ukuklwebheka esweni.
• Imithi yokwelapha umdlavuza, njenge-chemotherapy kanye nemisebe.
• Imithi ethile kadokotela.
• Amagesi acasulayo, uketshezi, izinto zangaphandle, noma amakhemikhali emehlweni.
• Ijwabu leso liyanyakaza, kungaba ngaphakathi noma ngaphandle.
• I-Allergies, izinkinga ze-sinus, kanye nomkhuhlane ovamile.

Amehlo anamanzi ngokuvamile ayaphela wodwa lapho inkinga ewumsuka isixazululiwe noma amehlo eseluleme ngokugcwele. Nokho, kwezinye izimo, isimo singase siqhubeke.

Izinyembezi ziphuma kanjani futhi kungani amehlo ekhala amanzi?

Izinyembezi zibalulekile ekugcineni amehlo enempilo kanye nokugcoba. Akhiqizwa yizindlala ze-lacrimal ezitholakala ngenhla ngayinye iso. Lapho ucwayiza, izinyembezi zisakazeka ebusweni beso lakho, ziligcine linomanzi futhi zigeza imfucumfucu noma izinhlayiya zangaphandle.

Ngemva kokuba izinyembezi sezifeze injongo yazo, kudingeka ziphume. Lokhu kuphuma kwamanzi kwenzeka ngezimbotshana ezincane ezibizwa ngokuthi i-puncta, esekhoneni elingaphakathi lejwabu leso ngalinye. Ukusuka lapho, izinyembezi zihamba emiseleni emincane ebizwa ngokuthi i-canaliculi, bese ingena esakeni le-lacrimal, futhi ekugcineni yehle ngomgudu we-nasolacrimal, oxhuma emgodini wekhala. Yingakho ngezinye izikhathi lapho ukhala noma amehlo akho ekhala, ungase futhi uzwe ikhala eligelezayo.

Amehlo Amanzi (Epiphora) angenzeka ngezizathu ezihlukahlukene:

• Ama-Irritants: Uma amehlo akho echayeke ezintweni ezicasulayo njengentuthu, uthuli, impova, noma amakhemikhali, akhiqiza izinyembezi ezengeziwe njengendlela yokuzivikela yokukhipha izinto ezicasulayo.
• I-Allergies: Ukungezwani komzimba kungabangela ukuba amehlo abe namanzi njengengxenye yokusabela komzimba komzimba ezintweni ezingezwani nazo.
• Amehlo Omile: Okuxakayo ukuthi amehlo omile angaholela ekubeni abe namanzi. Lapho amehlo akho omile, angase akhiphe izinyembezi ezengeziwe ngomzamo wokugcoba ubuso.
• Imibhobho Yezinyembezi Evinjiwe: Uma isistimu yokukhipha amanzi yezinyembezi ivimbekile noma inciphile, izinyembezi azikwazi ukuphuma kahle, okuholela ekubeni amehlo agcwale amanzi. Lokhu kungenzeka ngenxa yezizathu ezihlukahlukene, okuhlanganisa izifo, ukuvuvukala, noma ukungahambi kahle kwesakhiwo.
• Ukusabela Kwemizwelo: Imizwa enamandla njengokudabuka, injabulo, noma ukuhleka kungabangela ukukhiqizwa kwezinyembezi, okuholela epiphora.

Abonwa kanjani Amehlo Amanzi?

Ukuxilonga amehlo anamanzi akunzima kakhulu. Udokotela uzophenya umsuka wesimo ukuze akhiphe izilonda, izifo, i-entropion (ijwabu leso elijika ngaphakathi), noma i-ectropion (ijwabu leso elibheke ngaphandle).

Kwezinye izimo, isiguli singase sidinge ukubona i- ukunakekelwa kwamehlo uchwepheshe abazohlola amehlo abo, ngokunokwenzeka ngenkathi bedangele. Ukuze anqume ukuthi imigudu emincane yokukhipha amanzi ngaphakathi esweni ivalekile yini, udokotela kungase kudingeke ayiphenye. Ukwengeza, bangafaka into ethile emgudwini wezinyembezi ukuze babone uma iphuma ekhaleni lesiguli. Uma isiguli singezwa uketshezi emakhaleni aso, lokho kubonisa ukuthi uhlelo lwaso lokukhala aluvimbekile. Nokho, uma kuphazamiseka, uketshezi luzogeleza lubuyele esweni.

Ukwelashwa Kwamehlo Amanzi

Yini ebangela amehlo amanzi ayonquma ukuthi alaphe kanjani. Amehlo esikhashana anamanzi axazulula ngokwemvelo ngaphandle kokungenelela kwezokwelapha athinta abantu abaningi. Ukwelashwa okuqondile okudingwa isiguli kuzonqunywa udokotela. Izindlela zokwelapha ezijwayeleke kakhulu zihlanganisa:

• Amaconsi Eso Amisiwe: Uma amehlo anamanzi ebangelwa izimo ezifana namehlo omile noma ukuvuvukala, udokotela angase atuse amaconsi athile esweni. Lawa maconsi angasiza ekugcobiseni amehlo, anciphise ukucasuka, futhi athuthukise ukuzinza kwefilimu yezinyembezi, ekugcineni ehlise ukudabuka ngokweqile.
• Ukwelapha I-Allergies: I-allergies, njenge-hay fever, ingaholela ekucasukeni kwamehlo nokuklebhuka ngokweqile. Ukulawulwa kokungezwani komzimba kungase kuhilele ama-antihistamine, ama-decongestants, noma amaconsi esweni asezingeni eliphezulu ukuze kulawuleke ukungezwani komzimba nokukhulula amehlo anamanzi.
• Ukuchaza Imithi Yokutheleleka: Uma amehlo enamanzi ngenxa yokutheleleka kwamehlo, udokotela angase anikeze ama-antibiotics noma imithi elwa namagciwane ukuze asuse ukutheleleka. Lokhu kungasiza ukuxazulula inkinga ewumsuka futhi kunciphise ukudabuka.
• Ukususwa Ngokuhlinzwa Kwemibhobho Evalekile Yezinyembezi: Ezimweni lapho imigudu yezinyembezi ivaliwe noma incishisiwe, okuholela ekuphumeni okuncane kwezinyembezi, ukungenelela kokuhlinzwa kungase kudingeke. I-Dacryocystorhinostomy (DCR) iyinqubo yokudala indlela entsha yokukhipha amanzi yezinyembezi, ukudlula umgudu ovalekile.
• Ukulungisa Ukugeleza Kwezinyembezi Zokuhlinza: Ngezinye izikhathi, amapayipi okudabula noma amasistimu okudonsa amanzi angase alimale noma angasebenzi kahle ngenxa yezimo zokuzalwa noma ukulimala. Ukuhlinzwa kungenziwa ukuze kulungiswe noma kwakhiwe kabusha isistimu yokukhipha izinyembezi, okuvumela izinyembezi ukuthi ziphume kahle.

Ubiza nini udokotela?

Ukwelashwa okungcono kakhulu kwe-watery eye syndrome kungase kuncike kumbangela. Uma isiguli siba nokukhala okubeleselayo noma ngokweqile kanye nanoma yiziphi izimpawu ezilandelayo, kufanele sibonane nodokotela noma uchwepheshe wamehlo:

• Izinkinga zamehlo noma ukungaboni kahle.
• Iso eliklwetshiwe noma elimele.
• Ikhanda elibuhlungu kanye nezinkinga zokubona.
• Izinto emehlweni.
• Ukuphuma kwamehlo noma ukopha.
• Ukuba khona kwento yangaphandle efakwe ngaphakathi kwejwabu leso.
• Amehlo abomvu, avuvukele, alumayo noma abuhlungu.
• Ukulimala okungajwayelekile eduze kweso.
• Ukuzwela endaweni ye-sinus noma yamakhala.
• Amehlo anamanzi angazixazululi ngokwawo.

Amathiphu Okuvimbela Amehlo Amanzi

Ukuvimbela amehlo amanzi kungase kuhlanganise amasu ahlukahlukene kuye ngokuthi imbangela eyinhloko. Nawa amanye amathiphu okuvikela ajwayelekile:

• Gwema Izinto Ezicasulayo: Nciphisa ukuchayeka entuthuni, uthuli, impova, isilwane esifuywayo, nezinye izinto ezicasula umoya ezingadala ukukhiqizwa kwezinyembezi ngokweqile.
• Izingubo zamehlo ezivikelayo: Gqoka izibuko noma izibuko ukuze uvikele amehlo akho emoyeni, othulini, nezinye izici zemvelo ezingabangela ukucasuka.
• Ukuhlanzeka Kwamehlo Okufanelekile: Gcina amehlo akho ehlanzekile ngokugeza izandla njalo futhi ugweme ukuthinta noma ukucikica amehlo, okungase kwethule izinto eziwucasulayo noma izinto ezingezwani nomzimba.
• Lawula I-Allergies: Uma unokungezwani komzimba nezinto ezithile, hlonza futhi ugweme izinto ezikubangelayo uma kungenzeka. Cabangela ukusebenzisa i-over-the-counter noma imithi kadokotela yokungezwani komzimba njengoba kunconywe umhlinzeki wakho wezempilo.
• Humidify the Air: Ezindaweni ezomile, sebenzisa umhwamuko ukuze ungeze umswakama emoyeni, ongasiza ekuvimbeleni amehlo omile kanye nokukhihla kwezinyembezi ngokweqile njengempendulo eyisinxephezelo.
• Ukucwayiza Njalo: Uma uchitha isikhathi esiningi ugqolozele izikrini, khumbula ukucwayiza njalo ukuze ugcine amehlo akho enomswakama futhi uvimbele ukoma.
• I-Stay Hydrated: Phuza amanzi amaningi ukuze ugcine i-hydration iyonke, engasiza ukugcina amehlo akho egcotshwe ngendlela efanele.
• Ukunakekelwa Okufanelekile Kwelensi Yokuxhumana: Uma ugqoka amalensi wokuxhumana, landela ukuhlanza okunconyiwe kanye nezinqubo zokubulala amagciwane ukuze uvimbele ukucasuka nokutheleleka, okungaholela ekubeni amehlo anamanzi.
• Izivivinyo Zamehlo Ezivamile: Hlela ukuhlolwa kwamehlo okuvamile nochwepheshe wokunakekelwa kwamehlo ukuze uqaphe impilo yamehlo akho, uthole noma yiziphi izimo ezicashile kusenesikhathi, futhi uthole ukwelashwa okufanele.

Amakhambi Asekhaya

• Enye yezindlela zokwelapha ezingcono kakhulu zemvelo zokutheleleka kwamehlo amanzi anosawoti noma i-saline solution. I-saline solution ifaniswe nezinyembezi, okuyindlela engokwemvelo iso elizihlanza ngayo. Ukwengeza, usawoti unezimfanelo zokulwa namagciwane. Lokhu kulandela ukuthi i-saline ingaphatha ngempumelelo izifo zamehlo ngenxa yalokhu.
• Enye indlela yokuphumuza umoya futhi uphumule ukubeka izikhwama zetiye ezibandayo phezu kwamajwabu amehlo avaliwe. Lokhu kuphakanyiswe njengekhambi elingaba khona lasekhaya lezifo zamehlo.
• Uma amehlo ebuhlungu, evutha, noma ecasukile, ukucindezela okufudumele kungase kukhulule ama-styes ngokususa izithiyo ezibangela i-stye. Bangase futhi basize ekudambiseni izimpawu zamehlo omile.
• Ukucindezela okubandayo akuphathi kahle izifo zamehlo, okufana nokuminyanisa okushisayo. Nokho, banganciphisa ukungakhululeki okubangelwa izimo ezithile zamehlo. Ezimweni zokugula kwamehlo noma ukulimala, ukucindezela okubandayo kusiza ukunciphisa ukuvuvukala.
• Ukusetshenziswa kwamaconsi eso loju ukwelapha izifo zamehlo kubonise imiphumela ethembisayo kwezinye izivivinyo.
• Eminye imikhuba okufanele icatshangelwe ihlanganisa ukubeka phansi incwadi, ukuvala i-TV, noma ukuvala ikhompuyutha.

Isiphetho

Akuvamisile ukuthi amehlo agcwele amanzi abonise okuthile okuphathelene nakho. Eqinisweni, amehlo agcwele amanzi ngokuvamile awasona isizathu sokukhathazeka. Isizathu esivame kakhulu samehlo amanzi yinto yangaphandle, njengechashaza lothuli, elingena esweni. Umzimba uzozama ukukhipha ukucasuka ngokwenza amehlo abe manzi. Kodwa-ke, izifo eziningana zingabangela namehlo amanzi, futhi uma zishiywe zingalashwa, zingaba zimbi kakhulu. Kungumqondo omuhle ukuhlela ukuvakasha nodokotela ukuze kutholakale imbangela uma amehlo asomile ephikelela.

Imibuzo Evame Ukubuzwa

1. Amehlo agcwele amanzi abonisani?

Ukungezwani nothuli, isikhunta, noma isikhunta kungesinye sezizathu ezenza umuntu abe namehlo agcwele amanzi. Enye imbangela engenzeka i-blepharitis, evuvukala eceleni kwejwabu leso noma ukuvaleka komgudu wezinyembezi.

2. Imuphi umuthi ongcono kakhulu wamehlo anamanzi?

Ukwelashwa okungcono kakhulu kwamehlo amanzi okubangelwa ukungezwani komzimba yi-antihistamine. Emehlo apinki, amaconsi eso e-antibiotic ahle kakhulu. Uma amehlo enamanzi ngenxa yenkinga yamehlo ecashile noma ukugula, udokotela wamehlo noma udokotela wamehlo angase atuse amathonsi eso anemithi noma olunye uhlobo lokwelapha.

3. Ingabe amehlo agcwele amanzi ayinkinga enkulu?

Amehlo anamanzi angase abe inkinga yesikhashana, kodwa futhi angaba uphawu lwesifo esibi kakhulu samehlo noma ukuvaleka kwemigudu yezinyembezi. Uma amehlo elokhu ephuza noma uma kunezinkinga zombono, kuhle ukuvakashela udokotela.

4. Ingabe amehlo agcwele amanzi angabangela ubuhlungu bekhanda?

Amehlo anamanzi ngokwawo awabangeli ubuhlungu bekhanda ngokuqondile. Kodwa-ke, uma amehlo akho agcwele amanzi ngenxa yezinkinga ezifana nokungezwani komzimba nezinto ezithile, itheku ukuminyana, noma ukucindezeleka kwamehlo, lezi zimo zingase zibe nomthelela izinhlungu zekhanda. Kubalulekile ukukhomba imbangela yazo zombili izimpawu bese ubhekana nazo ngendlela efanele.

5. Indlela yokumisa amehlo amanzi?

Ukumisa amehlo agcwele amanzi kuya ngembangela ewumsuka. Uma amehlo akho agcwele amanzi ebangelwa izinto ezicasulayo noma izinto ezingezwani nazo, ukugwema izinto ezikubangelayo nokusebenzisa ama-antihistamine noma imishanguzo yokungezwani nomzimba kungasiza. Ukuhlanzeka kwamehlo okufanele, ukuthulisa umoya, nokuvikela amehlo akho ezintweni ezizungezile nakho kungaba yinzuzo. Kodwa-ke, uma inkinga iqhubeka noma iba yimbi, thintana nodokotela wamehlo ukuze uthole ukuhlolwa okuphelele kanye nohlelo lokwelapha lomuntu siqu.

6. Nginamehlo agcwele amanzi ngomchamo yini?

Amehlo anamanzi ahambisana nokuphuma koketshezi angabonisa ukutheleleka okucashile noma ukuvuvukala, okufana ne-conjunctivitis (iso elibomvana) noma umgudu wezinyembezi ovalekile. Uma unamehlo agcwele amanzi ngokuphuma koketshezi, ikakhulukazi uma kuhambisana nokubabomvu, ukulunywa, noma ubuhlungu, kubalulekile ukuthola usizo lwezokwelapha ngokushesha. Umhlinzeki wakho wokunakekelwa kwezempilo angakwazi ukuxilonga imbangela futhi akunikeze ukwelashwa okufanele, okungase kuhlanganise ama-antibiotics, imithi elwa namagciwane, noma okunye ukungenelela.

7. Imaphi amaconsi esweni angasetshenziselwa amehlo anamanzi?

Ukukhethwa kwamaconsi esweni amehlo amanzi kuncike imbangela eyinhloko. Uma amehlo akho anamanzi ngenxa yokungezwani komzimba nezinto ezithile, amaconsi e-antihistamine angasiza ekudambiseni izimpawu ngokunciphisa ukuvuvukala nokuluma. Izinyembezi zokwenziwa noma amaconsi ehlo agcobayo anganikeza ukukhululeka kwamehlo omile, okungase ngezinye izikhathi kuholele ekubeni amehlo anamanzi njengempendulo yokunxeshezelwa. Kodwa-ke, kubalulekile ukubonana nochwepheshe bezempilo ngaphambi kokusebenzisa noma yimaphi amaconsi iso, ikakhulukazi uma unezimo zamehlo ezivele zikhona noma ungaqiniseki ngembangela yezimpawu zakho. Bangancoma amaconsi esweni afaneleka kakhulu esimweni sakho esithile futhi baqinisekise ukuthi aphephile futhi ayasebenza kuwe.

Okubhekwayo:

https://my.clevelandclinic.org/health/symptoms/17944-epiphora-watery-eyes 

CARE Medical Team

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