As you probably know , glaucoma hi mit chhunga pressure a san a, chu chuan zawi zawiin kan mit a tichhe thei a ni. A tam zawkah chuan he pressure hi mittui tlakna hmangin control theih a ni . Mahse, a châng chuan mittui tlakna chauh hian mit chhunga pressure awm chu a thunun thei lo . Chutiang hunah chuan vawiin hian i doctor-in a rawt theih tur surgery bik kan sawi dawn a ni.
Trabeculectomy tih hi eng nge ni?
Trabeculectomy hi glaucoma vanga mit chhunga pressure tihziaawmna tura surgical procedure tih a ni. Glaucoma enkawlna hmasa ber a ni lo. Chumi awmzia chu doctor-te chuan he surgery hi duhthlanna hmasa ber atan an rawt lo tihna a ni. Enkawlna dang, mittui tlakna te hian mit chhunga pressure a thunun thei lo a nih chauhvin ngaihtuah a ni.
A awlsam zawngin, mit atanga tui tam lutuk chhuah chhuahna tur drain thar siam ang mai a ni. Hei hi surgery lian tak a ni lo tlangpui a, chu ni vek chuan in lamah i haw thei tihna a ni.
He surgery hi eng nge thleng tak tak?
Kan mit chhungah hian tui bik a awm a, chu chuan mit chu a chawm a, a pianzia dik takah a vawng reng a ni. Hei hi ‘aqueous humor’ kan ti thin. He tui hi mit chhungah a lo chhuak reng a, mit atang hian a luang chhuak reng a ni. Cycle ang maiin a thleng thin.
Mahse, glaucoma-ah chuan he tui hi mit atanga a luang chhuak thei lo. Chumi hnuah chuan he tui hi mit chhungah a lo awm khawm a, pressure a ti sang hle. He pressure sang hian kan mit leh thluak inzawmtu optic nerve a tichhia a ni. He chhiatna hian zawi zawiin mit a tichhe thin.
Trabeculectomy surgery hian mit atanga tui tam lutuk (aqueous humor) a chhuah theihna tur kawng thar a siam a, chu chuan mit chhunga pressure a tihziaawm a ni.
Hetah hian i hriatthiam tur pawimawh ber chu he surgery hian mit hmuhna hloh tawh chu a siam tha thei lo tih hi a ni. Mahse, mit hmuhna hloh belh zel chu tihtawp emaw, tihkhawtlai emaw a pui thei a ni.
Operation hmain engtin nge i inbuatsaih thin?
I mit surgeon chuan operation hmain i mamawh tur thurawn zawng zawng a pe ang che. Hemi chhung hian i mit enfiah a ni ang a, surgery atan i tling tih i chiang ang. Surgery neih hmain doctor chuan a hnuaia mite hi a sawipui ang che:
- Anesthesia : Surgery hi local anesthesia emaw general anesthesia emaw hmanga tih tur nge tih.
- Damdawi i ei tur: Tuna i damdawi ei zawng zawng, vitamin leh herbal remedies te pawh i doctor hnenah i hrilh tur a ni. Damdawi thenkhat chu operation hmain tihtawp a ngai mai thei.
- Chaw nghei : Operation hma darkar engzat nge ei leh in loh tur tih hriattir i ni ang.
- Mi tanpui tur: Operation hnua in lama lirthei khalhtu tur leh in lama puitu tur che neih a pawimawh hle.
Surgery neih chhung hian eng nge thleng?
Surgery neih chhung hian operation table-ah i mu ang. A tul chuan i kut chhunga vein pakhatah tube te tak te (IV line) inzawmkhawmin damdawi pe thei che a ni. Tichuan, clip ang chi device te tak te hmangin i mitmeng chu a inhawng ang.
A dawtah chuan mit chu anesthetized a ni. A tam zawkah chuan mit chauh hi a hring (local anesthesia) a ni. Chutah chuan i conscious a, mahse engmah hrehawm i nei lo. Pressure engemaw chen i nei thei a, mahse hrehawmna a awm lo. I lungkham a nih chuan Doctor nen inbia hmasa phawt ang che.
Thil bik thenkhatah chuan general anesthesia hmangin operation hi tih a ni a, damlo chu a muhil vek a ni.
Tichuan, surgeon chuan mit var (conjunctiva leh sclera)-ah chuan incision te tak te tak te a siam a, a hmaa kan sawi tawh fluid chu tlanchhuahna tur kawng te tak te a siam a ni. He kawng atanga tui lo chhuak hi mitmeng chunglam hnuaia membrane chhungah a awm khawm a, bubble ang chi te tak te a siam a ni. Hei hi ‘bleb’ an ti a . Ngaihtuah buai suh, he bubble hi pawn lam atanga hmuh tur a awm lo. Heta tui awmkhawm hi taksaah a lut leh ta a ni.
A châng chuan, a hliam chu a hliam leh a khar loh nan damdawi bik an inject ṭhin. A tawp berah chuan stitch tlemte dah a ni a, a tul chuan a hnuah lakchhuah theih a ni a, mit chu bandage/patch hmangin an khar bawk. Hei bakah hian i mit chhunga engmah a luh loh nan eye shield vuah turin an ti bawk ang che. Surgery hi darkar khat vel a ni tlangpui.
Surgery zawhah eng nge kan tih ang?
Surgery hnua dam leh hun chhung hi a pawimawh hle. Mit a dam kim theih nan kar 4 atanga kar 6 vel a ngai tlangpui. Hemi hun chhung hian i zawm ngei ngei tur thil tlemte a awm.
| Thil tih tur (Do's) . | Tih loh tur |
|---|---|
| I doctor-in a pek che eye drops chu a hun takah leh a dik takin hmang rawh. Hengte hi infection laka inven nan leh swelling tihziaawm nan a pawimawh hle. | Operated eye chu eng thil vang pawhin khawih suh, hrual suh, hnawih suh. Hei hian damna a tibuai thei a ni. |
| Follow-up clinic-ah hun ruat saah kal ngei ngei tur a ni. Surgery hlawhtlinna chu heng test te hian a hril a ni. | Bowel movement laiin lifting, bending, scratching leh straining te hi pumpelh tur a ni. Heng thilte hian mit a tisang thei a ni. |
| Mut dawnin eye shield pek chu bun ngei ngei tur a ni. Hei hian mut laiin tum loh taka mit hliam lakah a venghim ang che. | I mitah tui, sahbawn, leivut awm loh tur. Inbual lai pawhin fimkhur rawh. |
Operation hnua clinic enkawl zui zel tur
Operation hnu ni khatah doctor i pan a ngai dawn a ni. Bandage chu lakchhuah a ni ang a, i mit chu enfiah a ni ang. Chumi hnuah chuan kar hmasa pahnih atanga kar thum chhung chu kar khatah vawi khat emaw vawi hnih emaw clinic-a lo kal turin an ti ang che. I mit chhunga pressure chu teh a ni ang a, a tul chuan laser hmangin stitch pakhat emaw pahnih emaw chu tan la, pressure tihhniam belh zel theih a ni bawk. Chuvangin, heng clinic-a kal hi lo hloh suh.
He surgery hian hlawkna leh harsatna awm thei te chu engte nge ni?
Trabeculectomy surgery hi a hlawhtling hle a ni. Mahse, surgery dang ang bawkin risk engemaw zat a awm a ni.
- Hlawkpuina:
- Hlawhtlinna sang tak a awm a, operation hnu kum 5 hnuah 60% - 80% a ni.
- Hei hi enkawlna dang hlawhchham tawh tan chuan duhthlan tur tha tak a ni.
- Vawi tam tak chu surgery him tak a ni.
- Risk leh Complication awm thei:
- Cataract natna: 1.1.He surgery hnuah hian mitdelna (cataract formation) rate a sang thei hle. Mahse hei hi doctor-te beisei a ni. Tin, mitdel surgery hmangin a tidam vek thei bawk.
- Infection : Mit natna vei theihna chance tlem a awm.
- Thisen chhuah: Mit chhungah thisen a chhuak thei.
- Mit hmuh lohna: A châng chuan mit hmuhna chu rei lo têah a fiah lo thei bawk.
- Bleb chungchanga harsatna: Bleb lian emaw, inthlak danglam emaw hian mitmeng tlak (ptosis) ang chi dinhmun a thlen thei.
Engtikah nge doctor ka hmuh nghal ang?
Operation hnuah pawh hrehawmna leh sen hring engemaw zat neih hi thil pangngai a ni. Mahse, natna nasa tak neih chu thil pangngai a ni lo . Tin, natna kai theihna hi operation hnuah pawh thla tam tak, kum tam tak chhung pawh a awm thei bawk. Chuvangin, a hnuaia symptoms te hi i neih chuan i surgery titu doctor hnenah emaw, damdawi in Emergency Department (ETU) ah emaw kal nghal rawh.
- Mit na lutuk
- Khawsik
- Mit atanga mittui tlak tam lutuk (epiphora) emaw, bawlhhlawh chhuak emaw
- Mit hmuhna hloh emaw tlahniam nghal emaw
Surgery a hlawhtlin loh chuan mit pressure beisei angin a tlahniam lo tihna a nih chuan lungngai suh. Enkawlna dang a awm bawk. I doctor chuan mit chhunga tui chhuahna tur tube te tak te (drainage tube) dah emaw, laser hmanga enkawlna (cyclodestructive procedure) emaw ang chi thil a hrilhfiah ang che.
Take-Home Thuchah a ni
- Trabeculectomy hi mittui tlakna ang chi enkawlna hmanga glaucoma control theih loh huna surgery bik tih a ni.
- He surgery hian a tum ber chu mit hmuhna hloh belh zel tur venna a ni. Vision bo tawh chu siam that theih a ni lo.
- Surgery hlawhtlinna atan chuan doctor-in mittui tlakna tur a pek dik tak hman a pawimawh hle a, ni ruat saah clinic-ah kal a pawimawh hle.
- Dam chhung hian mit inhnaih, thil rit phurh leh khawih vek loh tur.
- Natna nasa tak i neih emaw, mit atanga tui i chhuah emaw, operation hnua i mit a inthlak thut a nih chuan doctor rawn nghal tur a ni.
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