Kodi mwachitidwa opaleshoni ya cataract ndipo maso anu ayamba kuoneka osawoneka bwino, ngati kuti muli mu chifunga? Anthu ambiri akuda nkhawa panthawiyi ndipo amaganiza kuti, "O, kodi cataract yanga yabwerera?" Koma izi sizikutanthauza kuti cataract ibwereranso. M'mawu azachipatala, timatcha vutoli kuti 'Posterior Capsule Opacification' kapena PCO. Palibe chodetsa nkhawa nacho, chifukwa njira yosavuta, yopanda ululu komanso yachangu kwambiri ndi YAG laser treatment.
Kodi YAG Laser Capsulotomy ndi chiyani?
Mwachidule, iyi ndi njira yachangu komanso yosavuta yochizira masomphenya osawoneka bwino yomwe imachitika pambuyo pa opaleshoni ya cataract.
Tangoganizirani, panthawi ya opaleshoni ya cataract, timachotsa lenzi yachilengedwe mkati mwa diso lanu, yomwe yakhala ndi mitambo ikakula, ndikuyiyika m'malo mwake ndi lenzi yopangira (Intraocular Lens - IOL). Lenzi yatsopano yopangira iyi singathe kungoyandama mkati mwa diso lanu. Imagwiridwa ndi 'chivundikiro' chopyapyala kwambiri, chonga nembanemba (lens capsule) chomwe chimasunga lenzi yanu yakale yachilengedwe.
Patatha miyezi ingapo kapena zaka zingapo kuchokera pamene opaleshoni yachitika, mwa anthu ena , maselo ena otsala kumbuyo kwa kapisoziyi amakula ndipo amayamba kukhala ngati mitambo, ngati galasi lafumbi. Ndicho chimene timachitcha PCO (Posterior Capsule Opacification).
Chithandizo cha laser cha YAG chimagwiritsa ntchito kuwala kwapadera kwa laser kuti apange dzenje laling'ono pakati pa minofu yopyapyala komanso yamtambo, popanda kuwononga diso. Izi zimathandiza kuti kuwala kudutse m'diso popanda chopinga chilichonse, ndipo maso anu amabwezeretsedwa. Laser yomwe imagwiritsidwa ntchito pa izi imatchedwa `YAG` (yttrium aluminium garnet) chifukwa cha mtundu wapadera wa miyala yamtengo wapatali yomwe imapangidwa nayo.
Kodi ndiyenera kukonzekera bwanji chithandizochi?
Izi sizikufuna kukonzekera kwapadera. Iyi si njira yolalira odwala m'chipatala, koma njira yolalira odwala omwe akupita kuchipatala yomwe ingachitike ku ofesi ya dokotala wa maso.
Mukapita ku chipatala tsiku lomwe mwakonza, mphindi zochepa musanalandire chithandizo, namwino adzabwera kudzakuikani mitundu iwiri ya madontho a m'maso.
1. Mankhwala oletsa kumva kupweteka m'maso: Izi zikutanthauza kuti simudzamva kupweteka kulikonse panthawi ya chithandizo.
2. Madontho otambasula: Izi zimapangitsa kuti dokotala athe kuona bwino lenzi mkati mwa diso.
Madontho awa akayamba kugwira ntchito, mumakhala okonzeka kulandira chithandizo.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Mumakhala pampando, ngati makina oyesera maso, ndipo muyenera kuyika chibwano chanu ndi mphumi pa mpandowo ndikuyang'ana patsogolo.
- Kugwiritsa ntchito lens (mwina):Nthawi zina dokotala angaike lenzi yapadera pamwamba pa diso lanu n’kuligwira pamalo ake. Lili ndi gel, kotero simudzamva kupweteka kulikonse. Diso lanu lidzakhala lopanda mphamvu, kotero palibe ululu uliwonse. Mungamve kupanikizika pang'ono.
- Kutsegula kwa laser: Dokotala adzayambitsa laser. Simudzawona kuwala kwa laser kapena kumva kupweteka kulikonse. Komabe, mungamve phokoso laling'ono ngati la laser likuti 'tick, tick, tick' . Anthu ena angamvenso kuwala kwadzidzidzi kwa mitundu yosiyanasiyana laser ikawagunda. Izi sizachilendo ndipo zimatha pakapita mphindi zochepa.
Ntchito yonseyi imatenga mphindi zosakwana 5-10, ndipo mutha kupita kunyumba mukangomaliza.
Kodi ubwino wa chithandizochi ndi wotani?
Pali zifukwa zingapo zomwe anthu ambiri amasankhira chithandizo cha laser cha YAG.
| Ubwino | Kufotokozera kosavuta |
|---|---|
| Zotetezeka kwambiri | Chiwopsezo cha mavutowa n'chochepa kwambiri. Ngakhale atachitika, nthawi zambiri amakhala ochepa ndipo amachiritsidwa mosavuta. |
| Wopambana kwambiri | Kafukufuku wasonyeza kuti anthu oposa 95 mwa anthu 100 omwe amalandira chithandizochi amakhala ndi masomphenya omveka bwino. |
| Palibe chifukwa chokhalira kuchipatala. | Uwu ndi chithandizo chakunja kwa dokotala. Mutha kupita kunyumba mukamaliza chithandizo. |
| Palibe ululu/kusasangalala | Popeza diso lachita dzanzi, simudzamva kupweteka kapena kusasangalala panthawi ya chithandizo. |
| Osakwiya kwambiri | Iyi ndi njira yosavuta kwambiri kuposa opaleshoni yeniyeni chifukwa imachitika ndi laser yokha, popanda kudula diso. |
Kodi pali zovuta zilizonse zomwe zingachitike?
Mavuto aakulu pambuyo pa chithandizo cha laser cha YAG ndi osowa. Ngati achitika, nthawi zambiri amakhala ochepa ndipo amatha kuchiritsidwa.
- Ma Floaters: N'zofala kuona madontho ang'onoang'ono akuda kapena ulusi ukuyendayenda pamaso panu (myodesopsias) kwa masiku angapo mutalandira chithandizo. Izi ndi zidutswa zazing'ono za chipolopolo cha lens zomwe zimasweka ndi laser. Izi zimatha zokha mkati mwa masiku kapena milungu ingapo.
Kupatula izi, palinso mavuto ena angapo omwe angachitike kawirikawiri.
- Kutupa mkati mwa diso (`Uveitis`)
- Kutupa kwa retina (`Cystoid macular edema`)
- Kuchotsedwa kwa retina
- Kung'ambika kwa retina
Kumbukirani kuti izi ndi zochitika zosachitika kawirikawiri.
Ndiyenera kupita kwa dokotala nthawi yanji nthawi yomweyo?
Kawirikawiri, palibe chifukwa chowunikira maso mwapadera mutalandira chithandizo cha laser cha YAG. Kuyezetsa maso kwanu kwa chaka ndi chaka n'kokwanira. Komabe, ngati mukukumana ndi zizindikiro zotsatirazi, mwina ndi vuto lomwe limafuna thandizo lachipatala mwachangu.
Chofunika kwambiri: Ngati mukukumana ndi zizindikiro izi, zitha kukhala zadzidzidzi. Choncho pitani ku Dipatimenti Yoona Zadzidzidzi ya Chipatala (ETU) nthawi yomweyo kapena dziwitsani dokotala wanu wa maso mwamsanga.
- Kuwala kwadzidzidzi mkati mwa diso (photopsias).
- Mwadzidzidzi ndinaona 'madontho/ulusi wambiri' (madontho akuda). (Ndizachilendo kuona ochepa, koma samalani ngati muwona ambiri nthawi imodzi.)
- Zikuoneka ngati mbali imodzi ya masomphenya yaphimbidwa ndi nsalu yakuda.
- Kutaya masomphenya mwadzidzidzi.
Zizindikirozi zitha kuchitika chifukwa cha vuto lalikulu lotchedwa retinal detachment. Ngati sitilandira chithandizo mwachangu, masomphenya m'diso limenelo akhoza kutayika kwamuyaya. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikirozi.
Uthenga Wopita Nawo Kunyumba
- Vuto la kusawona bwino pambuyo pa opaleshoni (PCO) ndi vuto lofala lomwe lingachitike pakapita nthawi pambuyo pa opaleshoni ya cataract. Izi sizikutanthauza kuti cataract imabwereranso.
- Chithandizo cha laser cha YAG ndi njira yachangu, yopanda ululu, komanso yotetezeka yochotsera vuto la masomphenya.
- Chithandizo chonsechi chimatenga mphindi zosakwana 10, ndipo mutha kupita kunyumba tsiku lomwelo.
- Mavuto aakulu ndi osowa, koma samalani ndi zizindikiro zadzidzidzi monga mphezi ndi kuzimitsa kwa magetsi.
- Ngati muli ndi nkhawa kapena mantha okhudzana ndi izi, chonde lankhulani ndi dokotala wa maso anu mosazengereza.
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