Opereli min bɛ kɛ ka ɲɛgɛnɛsiralabanaw furakɛ wa? Aw kana siran, an ka kuma o kan! (Glaucome opereli) .

Ni dɔgɔtɔrɔ y’a fɔ aw ye ko ɲɛnamini bɛ aw la, a bɛ se k’a fɔ aw ye ko a bɛ se ka kɛ ko aw mago bɛ opereli la. A bɛnnen don ka siran dɔɔni ani ka siran dɔɔni n’i y’o kumaw mɛn. "Mun bɛna kɛ ne ɲɛw la?", "Nin ye opereliba ye wa?", "Yala a bɛna dimi wa?" ye ɲininkaliw bɛɛ ye minnu bɛ na i hakili la. Nka, i kana i hakili ɲagami. Bi, an bɛna kuma nin ko in kan nɔgɔya la kosɛbɛ, cogo la min bɛ se ka faamuya. I n’a fɔ i bɛna kuma i terikɛ fɛ cogo min na.

Glaucome opereli ye mun ye tigitigi?

O bɛ ɲɛ, fɔlɔ an k’a faamu ɲɛnamini ye min ye. N’an y’a fɔ cogo nɔgɔman na, ɲɛnamini ye kumasen ye min bɛ fɔ kosɛbɛ banaw kulu dɔ ma minnu bɛ ɲɛnamini tiɲɛ , o ye farikolo yɔrɔba ye min bɛ cikanw ta ka bɔ an ɲɛw la ka taa an kunkolo la. O sababuba ye tansiyɔn jiginni ye ɲɛ kɔnɔ (Itraocular Pressure).

Miiri k’a filɛ, an ɲɛ bɛ i ko bololanɛgɛ min falen bɛ ji la. Ji kɛrɛnkɛrɛnnen dɔ min bɛ wele ko ‘Aqueous Humor’ o bɛ bɔ tuma bɛɛ ka bɔ ɲɛ kɔnɔ. O de bɛ ɲɛ to kɛnɛya la. Nka, ɲɛnamini na, o ji bɛ tɛmɛ sira minnu fɛ, olu bɛ datugu, wa ji bɛ ɲɔgɔn sɔrɔ ɲɛ kɔnɔ, o bɛ kɛ sababu ye ka degun caya. O degun min bɛ caya, o bɛ kɛ sababu ye ka ɲɛkisɛw degun ani ka a daminɛ ka tiɲɛ dɔɔni dɔɔni.

O la, ɲɛnamini opereli kuntilenna jɔnjɔn fila bɛ yen:

1. Ji bɔli nɔgɔyali : O ye ka jibɔyɔrɔ datugulen saniya (trabecular meshwork) walima ka sira kura dɔ dabɔ walasa ji ka se ka bɔ nɔgɔya la.

2. Ji bɔli dɔgɔyali : Ka dɔ bɔ ji hakɛ la min bɛ bɔ ɲɛ kɔnɔ.

Nin fɛɛrɛ fila la kelen fɛ, opereli jigi b’a kan ka ɲɛ kɔnɔna degun kunbɛn ani ka ɲɛkisɛ tiɲɛni wɛrɛw bali.

Ɲɛgɛnɛsiraw opereli suguya jumɛnw bɛ yen?

Glaucome opereli bɛ se ka tila kuluba fila ye. O dɔ ye laser opereli ye , min ka teli ka kɛ dɔgɔtɔrɔ ka biro la (biro taabolo). Tɔɔ kelen ye tigɛtigɛ opereli ye, o bɛ kɛ opereli yɔrɔ la. Aw ka dɔgɔtɔrɔ bɛna a latigɛ opereli suguya min ka fisa aw ma ka da fɛn caman kan, i n’a fɔ ɲɛnamini suguya min bɛ aw la, bana juguya, ani aw ɲɛ cogoya.

Sisan, an ka o suguya kelen-kelen bɛɛ lajɛ u danma.

1. Laser Opereli - Foyi tɛ siran, fɛɛrɛ nɔgɔmanw

A ka ca a la, opereli fɔlɔw de ye opereli fɔlɔw ye minnu bɛ fɔ, u ka nɔgɔn kosɛbɛ, wa u bɛ se ka ban miniti damadɔ kɔnɔ.

• Laser Trabeculoplasty : Nin ye laser opereli ye min ka teli ka kɛ ɲɛnamini na. A bɛ laser yeelen kɛ walasa ka ɲɛda jibɔyɔrɔ datugulenw bɔ. A sugu fla bɛ yen.
• ALT (Argon Laser Trabeculoplasty): Nin ye fɛɛrɛ kɔrɔlen dɔ ye.
• SLT (Selective Laser Trabeculoplasty): Nin ye fɛɛrɛ kura ye min bɛ kɛ ka caya. O la, laser-fiɲɛ bɛ Laɲini kosɛbɛ, o la tiɲɛni bɛ Dɔgɔya ɲɛ na. Ani fana, opereli in bɛ se ka segin ka kɛ ni a mago bɛ a la. Nin ye furakɛli ye min bɛ se ka kɛ kosɛbɛ ‘ɲɛnajɛ da wulilen’ caman na .

• Laser peripheral Iridotomy (LPI): O bɛ kɛ mɔgɔ minnu na, ɲɛnamini bɛ minnu na . Laser bɛ dingɛ fitininba dɔ kɛ ɲɛ yɔrɔ kulɛrilen na, n’o ye ɲɛkisɛ ye. O bɛ a to ɲɛ kɔnɔ ji bɛ woyo a yɛrɛ ma sanni a ka ɲɔgɔn lajɛ fan kelen fɛ. Tuma dɔw la, nin opereli in bɛ kɛ fana walasa ka ɲɛnamini bali mɔgɔ minnu na, farati bɛ minnu na.

• Cyclophotocoagulation (CPC): O ye ka cili farikolo laɲini, min bɛ jisuma bɔ, ni laser yeelen ye walasa ka ji bɔli dɔgɔya. A ka ca a la, o bɛ kɛ mɔgɔ minnu na, ɲɛnamini jugumanba bɛ minnu na, minnu ma furakɛli wɛrɛw jaabi.

2. Opereli tigɛlenw - Taabolo minnu bɛ kɛ opereli yɔrɔ la

Ni laser furakɛli ma se ka bana in kunbɛn, dɔgɔtɔrɔ bɛ se ka opereli fɔ nin cogo in na. Olu bɛ kɛ opereli yɔrɔ dɔ la.

• Trabeculectomy : Nin ye opereli kunba ye min bɛ kɛ laada la. Yan, operelikɛla bɛ tigɛ fitini dɔ kɛ ɲɛkisɛ finman na (sclera), ka jibɔyɔrɔ yɔrɔ dɔ bɔ, ka sira kura da jibɔyɔrɔ ye. O bɛ se ka kɛ sababu ye ka degun dɔgɔya ɲɛ kɔnɔ.

• Tube Shunt: Nin ye fɛɛrɛ wɛrɛ ye. Yan, tubabu finmanba dɔ bɛ don ɲɛ na walasa ka ji bɔ ɲɛ kɔnɔ. Nin fana ye fɛɛrɛ ye min bɛ ɲɛ sɔrɔ ɲɛnamini jugumanba la.

• Ɲɛgɛnɛsiraw opereli min tɛ fɛn caman kɛ (MIGS): Nin ye fɛɛrɛ kura ye o baara in na. Nin opereli in bɛ kɛ ni tigɛyɔrɔ fitininba ye ni minɛn misɛnninw ni fɛnw ye minnu bɛ don a kɔnɔ. O bɛ kɛ sababu ye ka kɛnɛya waati surunya ani ka gɛlɛyaw dɔgɔya. Tuma caman na, MIGS bɛ se ka kɛ waati kelen na ni ɲɛnamini opereli ye. O ka fisa mɔgɔw ma minnu bɛ bana daminɛ na.

Aw ka kan ka aw labɛn cogo di sani aw ka opereli kɛ?

Ni opereli don bɛ aw bolo, dɔgɔtɔrɔ bɛna aw kunbɛn sani opereli ka kɛ. O waati la, nin ko ninnu bɛ se ka kɛ:

• Ɲɛ sɛgɛsɛgɛli : Aw bɛna aw ɲɛw sɛgɛsɛgɛ ka ɲɛ ani ka sɛgɛsɛgɛli wajibiyalen caman kɛ.
• Aw bɛ kuma aw jigi bɛ min kan: Aw bɛ a ɲɛfɔ aw ka kan ka min makɔnɔ ani aw ka kan ka min kɛ opereli kɔfɛ.
• Kɛnɛyako tariku : Aw bɛ bana wɛrɛw ɲininka aw bɛ minnu na ani aw bɛ fura minnu ta (kɛrɛnkɛrɛnnenya la joli segin furaw ).

Ka fara o kan, u bɛna fɛnw lisɛli di aw ma aw ka kan ka minnu kɛ sani opereli ka kɛ. O bɛ se ka kɛ fɛn ye min tɛ kelen ye mɔgɔ ni mɔgɔ cɛ, nka a ka ca a la, o de ye fɛnw ye minnu ka kan ka kɛ.

Mun bɛ kɛ opereli senfɛ ani opereli kɔfɛ?

Opereli kɛtuma na

Fɛn min bɛ kɛ, o bɛna ɲɔgɔn ta ka kɛɲɛ ni opereli suguya ye min kɛra.

• Laser opereli: A ka ca a la, o bɛ kɛ ɲɛdɔgɔtɔrɔso la. A bɛna ɲini aw fɛ aw ka sigi sigilan kan, ɲɛjibɔlanw bɛna kɛ aw ɲɛ na. O kɔ, ɲɛkisɛ kɛrɛnkɛrɛnnen dɔ bɛna bila aw ɲɛ na, ka laser kɛ ka a furakɛ. O bɛna miniti damadɔ dɔrɔn de ta. Aw tɛna dimi si sɔrɔ.
• ‘Tigɛ’ opereli (Trabeculectomy, Tube Shunt, MIGS): Olu bɛ kɛ opereli yɔrɔ la. Aw bɛ se ka hakiliɲagamifura di aw ma IV la walima ka anestezi caman kɛ, o la aw tɛna dimi foyi sɔrɔ. o opereli ninnu bɛ se ka kɛ yɔrɔ o yɔrɔ la k' a ta miniti 30 na ka se lɛrɛ kelen ma .

Opereli kɔfɛ

Opereli kɔfɛ, dɔgɔtɔrɔ bɛna aw ɲɛ tansiyɔn lajɛ.

• Laser opereli kɔfɛ, aw bɛ se ka taa so lɛrɛ damadɔ kɔnɔ.
• Opereli kɔfɛ opereli yɔrɔ la, aw mago bɛna kɛ mɔgɔ la min bɛ taa ni aw ye. A bɛ se ka ɲɛkisɛ dɔ di aw ma.
• A kɛnɛyali waati bɛ danfara ka kɛɲɛ ni opereli suguya ye. Laser opereli kɔfɛ, aw bɛ se ka baara kɛcogo kɔrɔw daminɛ kokura tile kelen kɔnɔ. Nka, opereli ‘tigɛlen’ kɔfɛ, a bɛna ɲini aw fɛ aw ka aw yɛrɛ tanga fɛn gɛlɛnw kɔrɔtali ni u kɔrɔtali ma dɔgɔkun damadɔ kɔnɔ.
• Aw bɛna ɲɛdimifura dɔw di aw ma walasa aw ka u don aw ɲɛ na. Olu ye ka banakisɛw bali ani ka kɛnɛyali teliya. A nafa ka bon kosɛbɛ ka ɲɛdimifura ninnu don u la i n’a fɔ a ɲɛfɔlen don cogo min na tigitigi, waati bɛnnen na tigitigi.
• A bɛna ɲini aw fɛ aw ka na tugu-tugu-ɲɔgɔn kɔ tile ni dɔgɔkun opereli kɔfɛ. A nafa ka bon ka o lajɛw labato.

Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ dɔgɔtɔrɔ wele joona.

Ni aw taara so opereli kɔfɛ, a nafa ka bon aw ka farati fɛn o fɛn dɔn joona. Ni aw ye nin taamasiɲɛ ninnu dɔ ye, aw ka kan ka dɔgɔtɔrɔ wele joona .

• Ni aw ye ɲɛdimi jugumanba sɔrɔ min tɛ se ka muɲu .
• Ni aw ka yeli bɛ dɔgɔya yɔrɔnin kelen walima ni a bɛ kɛ fɛn ye min tɛ yeli kɛ.
• Ni ɲɛw bilennen don kosɛbɛ ka ɲɛji bɔ.
• Ni kɔnɔboli walima fɔɔnɔ bɛ aw la.

O tɛ kɛ tuma caman na, nka ni a kɛra, o bɛ se ka kɛ banakisɛ walima gɛlɛya wɛrɛw taamasiɲɛ ye, wa a bɛ furakɛli teliya de wajibiya.