Glaucoma natna avanga operation tih tur? Hlau suh, sawi ila! (Glaucoma Surgery tih a ni) .

I doctor-in glaucoma i vei thu a hrilh che chuan operation i mamawh mai thei tih a hrilh mai thei che a ni. Chu thu i hriat chuan tlem a hlauhthawn leh hlauhthawn hi thil pangngai tak a ni. "Ka mit hi eng nge thleng ang?", "Hei hi operation lian tak a ni em?", "A na dawn em?" tih hi rilruah zawhna lo lang vek a ni. Mahse, lungngai suh. Vawiin hian he thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn a ni. I thianpa i biak ang chiah khan.

Glaucoma surgery hi eng nge ni tak tak?

Okay, a hmasain glaucoma hi eng nge a nih i hrethiam ang u. A awlsam zawngin, glaucoma hi kan mit atanga thluak thlenga thuchah thlentu nerve lian ber optic nerve tichhe thei natna pawl hming tlangpui a ni. Hei hi a chhan ber chu mit chhunga pressure sang (Itraocular Pressure) a ni.

Kan mit hi ball tuiin a khat ang maiin han ngaihtuah teh. Mit chhungah hian tui bik ‘Aqueous Humor’ an tih chu siam chhuah leh chhuah chhuah zel a ni. Hei hian mit a ti hrisel reng a ni. Mahse, glaucoma-ah chuan he tui luang chhuakna kawngte chu a inkharkhip a, chu chuan mit chhungah tui a awm khawm a, pressure a tisang a ni. Hetianga pressure sang zel avang hian kan sawi tak optic nerve chu a compress a, zawi zawiin a chhe tan ta a ni.

Chuvangin, glaucoma surgery hian thil tum lian tak pahnih a nei a:

1. Fluid chhuah awlsamna: Hei hian blocked drainage system (trabecular meshwork) tihfai emaw, fluid awlsam zawka a luang chhuah theihna tur kawng thar siam emaw a ni.

2. Tui siam chhuah tihtlem: Mit chhunga tui awm zat tihtlem.

Heng kawng pahnih zinga pakhat emaw hmang hian surgery hian mit chhunga pressure control a beisei a, optic nerve tihchhiat belh zel tur a veng bawk.

Glaucoma surgery chi hrang hrang nge awm?

Glaucoma surgery hi chi hnih ah then theih a ni. Pakhat chu laser surgery , doctor office-ah tih a ni tlangpui (office procedure). A dang chu incisional surgery a ni a, operation room-ah tih a ni. I doctor chuan eng surgery chi nge i tana tha ber tih chu thil tam tak a zirin a rel ang a, chu chu glaucoma i neih chi hrang hrang, natna nasat dan leh i mit dinhmun te hi a ni.

Tunah chuan heng chi hrang hrangte hi a hranin han thlir ila.

1. Laser Surgeries - Hlauh tur engmah a awm lo, tih dan awlsam tak a ni

Hengte hi surgery hmasa ber rawtna a ni fo a, a awlsam hle a, minute tlemte chhungin tihfel theih a ni.

• Laser Trabeculoplasty: Hei hi glaucoma natna laser hmanga surgery neih tam ber a ni. Laser light hmangin mit drainage system-a blockage awmte chu a paih chhuak thin. A chi hnih a awm.
• ALT (Argon Laser Trabeculoplasty): Hei hi hmanraw hlui deuh deuh a ni.
• SLT (Selective Laser Trabeculoplasty): Hei hi hmanraw thar ber leh hman tlanglawn ber a ni. Hemiah hian laser beam hi a target zawk a, chuvangin mit tihchhiat a tlem zawk. Tin, he surgery hi a tul chuan tih leh theih a ni bawk. Hei hi ‘open-angle glaucoma’ vei tam tak tan chuan enkawlna tha tak a ni.

• Laser Peripheral Iridotomy (LPI): Hei hi closed-angle glaucoma vei tan tih a ni. Laser hian mit rawng hrang hrang, iris-ah hian khur te tak te a siam a. Hei hian mit chhunga tui chu a sir khatah pooling ai chuan zalen takin a luang thei a ni. A châng chuan, he surgery hi glaucoma vei theihna hlauhawma awmte venna atan pawh tih a ni.

• Cyclophotocoagulation (CPC): Hei hian aqueous humor siamtu ciliary body chu laser beam hmanga target a, chu chuan fluid siam chhuah a tihtlem phah a ni. Hei hi glaucoma na zawk nei, enkawlna dang dawng lote tan tih a ni tlangpui.

2. Incisional Surgeries - Operation room-a tih dan tur

Laser hmanga enkawlna hian a natna hi a thunun thei lo a nih chuan i doctor chuan hetiang hian operation neih a rawt thei ang. Hengte hi operation room-ah tih a ni.

• Trabeculectomy: Hei hi hmanlai atanga an tih thin surgery ber a ni. Hetah hian surgeon chuan mit var (sclera)-ah hian incision te tak te a siam a, drainage system thenkhat a la chhuak a, chu chuan tui chhuahna tur kawng thar a siam a ni. Hei hian mit chhunga pressure tihziaawmna kawngah a hlawk hle thei a ni.

• Tube Shunt: Hei hi hmanraw dang a ni. Hetah hian mit chhung atanga tui chhuak tur chu mit chhungah tube te tak te, te tak te tak te an dah a. Hei hi glaucoma na tak tan pawh hmanraw hlawhtling tak a ni.

• Minimally Invasive Glaucoma Surgery (MIGS): Hei hi he lama technology thar ber a ni. He surgery hi instrument tenau tak tak leh implant te hmanga incision te tak te hmanga tih a ni. Hei hian dam hun a ti rei lo va, harsatna a awm tlem zawk bawk. Vawi tam tak chu MIGS hi mitdel surgery nen a rualin tih theih a ni. Hei hi natna bul tanna lama awmte tan a tha ber.

Operation hmain engtin nge i inbuatsaih ang?

Surgery date i neih hunah doctor in surgery hmain a hmu ang che. Chutih hunah chuan a hnuaia thilte hi a thleng thei a ni:

• Mit enfiah: I mit uluk taka enfiah a ni ang a, a tul anga test eng emaw zat tih a ni ang.
• I beisei chungchang sawi: Operation hnua i beisei tur leh i tih tur sawifiah.
• Hriselna chanchin: Natna dang i neih leh i damdawi ei (a bik takin thisen tithianghlimtu ) te zawt rawh.

Chu bakah, operation hmaa tih tur list an pe bawk ang che. Hei hi mi tin a inang lo thei a, mahse a tlangpuiin hengte hi tih tur a ni.

Surgery neih chhung leh operation zawhah eng nge thleng?

Surgery neih lai hian

I surgery chi hrang hrang a zirin eng nge thleng dawn a inang lo ang.

• Laser surgery: Hei hi mit doctor office-ah tih a ni fo. Chair-ah thu turin an ti ang che, numbing eye drops i mit ah an hnawih ang. Tichuan i mit chhungah lens bik dah a ni ang a, chu chu laser hmangin enkawl a ni ang. Hei hian minute tlemte chauh a la ngai dawn a ni. Natna engmah i hre lovang.
• ‘Cutting’ surgery (Trabeculectomy, Tube Shunt, MIGS): Hengte hi operation room-ah tih a ni. IV sedation emaw general anesthesia emaw pek i ni thei a, chuvang chuan natna i nei lovang. Heng surgery te hi minute 30 atanga darkar khat vel a ni thei .

Surgery an neih hnuah

Surgery zawhah doctor in i mit pressure a check ang.

• Laser surgery hnuah darkar tlemte chhungin i haw thei tawh ang.
• Operation room-a operation i neih zawh chuan i zuitu tur i mamawh ang. Eye patch pek i ni mai thei.
• Surgery chi hrang hrang a zirin dam leh hun a inang lo. Laser surgery hnuah ni khat chhungin hna pangngai i thawk leh thei a ni. Mahse, ‘incision’ surgery i tih hnuah kar engemaw zat chu thil rit phur leh ben loh turin an ti ang che.
• I mit chhunga dah tur eye drop thenkhat pek i ni ang. Chungte chu hri kai laka invenna leh dam chakna tur a ni. Heng mittui tlakna te hi a thupek ang chiah, a hun dik takah dah a pawimawh hle.
• Operation hnu ni leh kar engemaw zat chhungin follow-up appointment nei turin lo kal turin an ti ang che. Heng appointment te hi zawm a pawimawh hle.

Heng symptoms te hi i neih chuan doctor ko nghal tur a ni.

Operation hnua in lama i haw hunah chuan a hlauhawmna awm thei chu a rang thei ang bera hriat a pawimawh. A hnuaia symptoms te hi i neih chuan i doctor i ko nghal tur a ni .

• Mit na tak, tuar theih loh khawpa natna nasa tak i neih chuan .
• I mit a tlahniam nghal emaw, a fiah lo emaw a nih chuan .
• Mit a sen nasa hle a , mittui a tla bawk a nih chuan.
• Nausea emaw, luak chhuak emaw i neih chuan.

Hei hi a thleng fo lo a, mahse a thleng a nih chuan natna hrik emaw, harsatna dang emaw chhinchhiahna a ni thei a, enkawl vat a ngai a ni.