Mit pressure chinfel dan: Goniotomy surgery chungchang zir rawh

‘High eye pressure’ emaw ‘glaucoma’ emaw tih tawngkam hi i hre ngai em? I chhungkuaa mi tu emaw hian hetiang dinhmun hi a nei ve mai thei. A nihna takah chuan a hlauhawm deuh a, a chhan chu mit pressure sang hian kan mit a tichhe reng thei a ni. Mahse, lungngai suh, tunlai damdawi hi a changkang hle. Hei hi enkawlna tha leh him ber pakhat chu surgery goniotomy tih hi a ni. Eng nge a nih, engtin nge a tih, leh a hlawkna eng nge ni tih i en ang u .

A awlsam zawngin, goniotomy tih hi eng nge ni?

Goniotomy hi mit chhunga pressure tihhniamna atana surgery bik tih a ni . Microinvasive Glaucoma Surgery (MIGS) tih category-ah a tel a ni. "Microinvasive" tih hian hmanraw te tak te, nalh tak tak hmanga mit tichhe nasa lo taka tih a ni.

Aqueous humor hi kan mit atang hian a lo chhuak reng a, a chhuak reng bawk. He tui hi a chhuah that loh chuan mit chhunga pressure a sang chho zel a ni. Hei hi glaucoma kan tih chu a ni. Goniotomy surgery hian chu tui luang chhuahna kawng chu a hawng a, pressure a tihhniam bawk. Hei hian glaucoma avanga mit nerve chhiatna a veng a, kan mit a humhim bawk.

He surgery hi tu nge nei tam ber?

Tun hma chuan goniotomy surgery hi naupang tê tê , congenital glaucoma vei te chungah an ti tam ber a ni. Mahse, technology lama hmasawnna avang hian tunah chuan puitlingte glaucoma natna hrang hrangah hlawhtling takin an hmang ta a ni.

I mit lam doctor chuan a enfiah ang che a, he surgery hi i glaucoma chi leh i dinhmun nena inmil em tih a rel ang.

Operation hmain engtin nge i inbuatsaih thin?

I mit surgeon chuan operation hmain engkim a hrilhfiah vek ang che. Hengte hi an sawi tlangpui ang:

• Damdawi i ei: Damdawi i ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah i hrilh tur a ni. Damdawi thenkhat (a bik takin thisen tithianghlimtu) chu operation hma ni engemaw zatah tihtawp a ngai mai thei.
• Anesthesia: Anesthesia hi zai laia natna veng turin hman a ni. Mit chauh i rilru a buai thei a, anesthetized vek i ni thei bawk. Anesthesiologist chuan hei hi a hrilhfiah ang che.
• Chaw nghei:Operation hma darkar 8 vel ei leh in loh turin an ti ang che. Tin, darkar 2 hmain tui ang chi tui in i chawlhsan a ngai dawn bawk. Doctor thupek dik takin zawm rawh.

Surgery tih dan tur

He surgery hi i ngaihtuah angin a lian lo. A tlangpuiin minute 15 vel a awh thin.

1. Anesthesia: Pakhatnaah chuan natna nei lo turin damdawi pek i ni ang.

2. Incision te tak te: Chumi hnuah mit surgeon chuan i mit cornea-ah incision te tak te tak, millimeter khat vel zeta sei chu a siam a.

3. Thil hmanraw bik: Incision kaltlangin mit chhungah hmanraw tha tak tak dah a ni. Hemi rual hian mit chungah lens bik (Gonioscopic lens) dah a ni bawk. He lens hian doctor chuan mit chhunga thil awm tha tak takte chu chiang takin a hmu thei a, a ti lian thei bawk.

4. Hnathawh ber: Tunah chuan a pawimawh ber. Mit chhungah hian tui filter thei mesh ang chi hmun a awm a, chu chu trabecular meshwork an ti a ni. Glaucoma i neih chuan he mesh hian hna a thawk tha lo. Doctor-in a tih chu he mesh-ah hian hmanraw nalh tak hmangin cut te te tlemte a siam a ni. Hei hian tui luang chhuak tur kawng thar a siam a, mit chhunga pressure a tlahniam bawk.

5. A tawp: Hna thawh zawh veleh bungrua te chu la chhuakin mit venhim nan mit venhimna te tak te an vuah thin.

Surgery hnu leh dam leh hun chhung

Surgery zawhah hian rei vak lo enkawl i ni ang a, chutah chuan haw phalsak i ni ang. I khalh thei lo a nih avangin in lama khalhtu tur che i mamawh dawn a ni.

Doctor chuan i mit chhunga dah tur eye drop engemaw zat a pe ang che. Ni engemaw zat antibiotics i hman a ngai ang a, kar engemaw zat anti-inflammatory damdawi i hman a ngai bawk ang.

Ni engemaw zat chhungin mittui tla, mit a fiah lo, mitah gritty feeling engemaw zat neih hi thil pangngai a ni. Hengte hi ni rei lote hnuah a bo vek ang.

Dam leh hunah hengte hi hre reng ang che

Risk leh complication a awm em?

Goniotomy atanga harsatna lian tak tak lo thleng hi a tlem hle . Mit surgery dang ang bawkin, natna kai emaw, natna emaw a awm theihna a tlem hle.

Thil dang chiang tak, mahse harsatna tenau tak takte chu:

• Mit chhunga thisen chhuak tenau (hei hi kar khat emaw kar hnih emaw chhungin a mah chauhin a dam tlangpui).
• Hun engemaw chen chu mit pressure a sang chho zel.
• Mit hmuhna lama inthlak danglamna tenau te, entirnan , astigmatism .
• A tlem hle a, mit pressure hniam lutuk (hypotony) emaw retinal detachment ang chi dinhmun a awm thei.

I doctor chuan heng hlauhawmnate hi chipchiar zawkin a hrilhfiah ang che.

Engtikah nge emergency medical advice i lak a ngaih?

Operation zawhah a hnuaia symptoms te hi i hmuh chuan mit doctor ko nghal rawh:

• Mit na tuar theih loh .
• Mit a hloh nghal emaw, mit a fiah lo hle emaw.
• Light chhehvel halo hmuh.
• Mit sen tak tak emaw, mit atanga pus ang chi tui chhuak emaw.

Hetiang emergency ah hian damdawi in Emergency Treatment Unit (ETU) ah kal nghal mai tur a ni.