Ectropion

Ectropion ndiko kubuda kweziso reziso kuitira kuti mukati memukati mubude pachena. Iyo inowanzo kukanganisa iyo yezasi eyelid.

Ectropion inowanzo kukonzereswa neyakaitika kuchembera. Iyo inobatanidza (inotsigira) zvinyama zvejoni rinopera simba. Izvi zvinoita kuti muvharo ubude kuitira kuti mukati mevhavha yepazasi usachapikisana neziso reziso. Inogona zvakare kukonzerwa ne:

• Kuremara kunoitika asati aberekwa (semuenzaniso, muvana vane Down syndrome)
• Kumeso kuoma mitezo
• Mavanga matema kubva kutsva

Zviratidzo zvinosanganisira:

• Akaoma, maziso anorwadza
• Kuwedzeredza kubvarura kweziso (epiphora)
• Eyelid inotendeukira kunze (pasi)
• Yenguva refu (isingagumi) conjunctivitis
• Keratitis
• Kutsvuka kwechivharo uye chena chikamu cheziso

Kana iwe uine ectropion, iwe ungangodaro uine zvakanyanya kubvaruka. Izvi zvinoitika nekuti ziso rinowoma, rozoita kuwanda misodzi. Misodzi yakawandisa haigone kupinda munzira yekudonha misodzi. Naizvozvo, vanovaka mukati mevhavha yepazasi uye vozodurura pamusoro pemucheto wechivharo padama.

Anopa hutano anozoongorora nekuita ongororo yemaziso nema eyelids. Special bvunzo hadzidiwe kazhinji yenguva.

Yekugadzira misodzi (girizi) inogona kurerutsa kuoma uye kuchengetedza iyo cornea yakanyorova. Mafuta anokwanisa kubatsira kana ziso risingakwanise kuvhara nzira dzese, senge paunenge wakarara. Kuvhiya kunowanzo shanda. Kana ectropion ichienderana nekukwegura kana kuoma mitezo, chiremba anovhiya anogona kusimbisa mhasuru dzinobata maziso emawere munzvimbo. Kana mamiriro acho ari nekuda kwekukuvara kweganda, kubatirira ganda kana kurapwa laser kunogona kushandiswa. Kuvhiyiwa kunowanzoitwa muhofisi kana kunzvimbo yekuvhiya kwevarwere. Mushonga unoshandiswa kudzikamisa nzvimbo (local anesthesia) pamberi pekuvhiya.

Mhedzisiro yacho inowanzo kuve yakanaka nekurapwa.

Corneal kuoma uye kutsamwa kunogona kutungamira ku:

• Corneal abrasions
• Corneal maronda
• Zvirwere zvemaziso

Corneal ulcers inogona kukonzera kurasikirwa kwemaonero.

Fonera mupiki wako kana iwe uine zviratidzo zveectropion.

Kana iwe uine ectropion, tora rubatsiro rwekukurumidzira kurapwa kana uine:

• Chiono chiri kuramba chichiwedzera
• Kurwadziwa
• Kunzwisisa kuchiedza
• Kutsvuka kweziso kuri kuwedzera kukurumidza

Zviitiko zvakawanda hazvigone kudzivirirwa. Iwe ungangoda kushandisa yekunyepedzera misodzi kana mafuta ekuzvidzivirira kudzivirira kukuvara kune iyo cornea, kunyanya kana iwe wakamirira kurapwa kwekusingaperi.

• Ziso

Cioffi GA, Liebmann JM. Zvirwere zvechiratidzo chekuona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 395.

Maamari RN, Couch SM. Ectropion. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 12.6.

Nicoli F, Orfaniotis G, Ciudad P, uye al. Kugadziriswa kwecicatricial ectropion uchishandisa isiri-yekudzora fractional laser kumuka. Lasers Med Sci. 2019; 34 (1): 79-84. PMID: 30056585 pubmed.ncbi.nlm.nih.gov/30056585/.

Olitsky SE, Marsh JM. Kusagadzikana kwemabhodhi. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 642.