Ese umuganga wawe yakubwiye ko umuvuduko w'amaso yawe uri hejuru, ko urwaye glaucoma, kandi ko ushobora kubagwa? Ni ibisanzwe kumva ufite ubwoba no guhangayika iyo wumvise aya magambo. Twese turushaho kugira ubwoba iyo bigeze ku maso yacu. Ariko ntutinye. Siyansi y'ubuvuzi irateye imbere cyane muri iyi minsi. Uyu munsi turimo kuvuga ku kubagwa glaucoma, uko bikorwa, ndetse niba ukwiye kubitinya.
Glaucoma ni iki? Ni iki kibaho nyuma yo kubagwa?
Muri make, glaucoma ni indwara yangiza imitsi y'amaso, ihuza amaso yacu n'ubwonko bwacu. Impamvu nyamukuru ibitera ni ukwiyongera k'umuvuduko w'ijisho.
Tekereza, amazi yitwa 'Aqueous humor' ahora akorwa mu maso yacu, kandi anasohoka mu jisho. Ibi bimeze nk'ikigega cy'amazi cyuzuyemo amazi, ariko amazi agasohoka mu rundi ruhande. Iyo hari imbogamizi mu gusohoka kw'aya mazi, amazi yirundanya mu jisho kandi umuvuduko ukiyongera. Uku kwiyongera k'umuvuduko niko kwangiza imitsi yoroshye y'amaso.
Hariho intego ebyiri z'ingenzi zo kubaga glaucoma:
1. Guhanga inzira nshya kugira ngo amazi yirundanye mu jisho ashobore gusohoka byoroshye.
2. Bitabaye ibyo, kugabanya ingano y'amazi akorerwa mu jisho.
Intego yo kubaga, hakoreshejwe bumwe muri ubu buryo bubiri, ni ukugabanya umuvuduko w'amaso no gukumira kwangirika kw'imitsi y'amaso.
Ni ubuhe bwoko bw'ingenzi bwo kubaga glaucoma?
Kubaga glaucoma bishobora kugabanywamo ibice bibiri by'ingenzi: kubaga hakoreshejwe laser no kubaga incision. Umuganga w'amaso azagena uburyo bukubereye, bitewe n'uburwayi bwawe.
| Ubwoko bw'ukubaga | Ibisobanuro bigufi |
|---|---|
| 1. Kubaga hakoreshejwe laser - Ubusanzwe bikorerwa kwa muganga | |
| Trabeculoplasty ya laser | Uburyo busanzwe. Itara rya laser ryerekeza ku ruhu rw'amaso, ruyungurura amazi mu jisho, rugakuraho ibiziba kandi rworohereza gutembera kw'amazi. |
| Iridotomi ya Laser Peripheral Iridotomi (LPI) | Laser ikora umwobo muto cyane muri iris, igice cy'ijisho gifite ibara, kugira ngo yorohereze urujya n'uruza rw'amazi. |
| Cyclophotocoagulation (CPC) | Umuyoboro wa laser werekeza ku gice cy'ijisho gitanga amazi (ciliary body), bigabanya umusaruro w'amazi. |
| 2. Kubaga mu buryo bwo gukata - Ubusanzwe bikorerwa mu cyumba cyo kubaga | |
| Kubaga trabeculectomy | Uburyo busanzwe. Hakorwa umwenge muto mu gice cy'ijisho cyera (sclera) kugira ngo habeho inzira nshya yo gusohora amazi. |
| Umuyoboro w'amazi unyuramo umuyoboro | Umuyoboro muto cyane woroshye (shunt) ushyirwa mu jisho kugira ngo uvane amazi. |
| MIGS (Kubagwa kwa Glaucoma mu buryo buciriritse) | Ikoranabuhanga rigezweho. Kubaga byakozwe hakoreshejwe ibikoresho bito cyane no mu gukata intoki. Gukira vuba. |
Birenzeho gato ku bijyanye no kubaga hakoreshejwe laser
Kubaga hakoreshejwe laser ni uburyo butababaza cyane, akenshi bushobora gukorwa mu minota mike. Uburyo bushya bwo gukora laser trabeculoplasty ni SLT (Selective Laser Trabeculoplasty). Ibi bishobora gusubirwamo bibaye ngombwa. Hari igihe bigirwa inama yo kuvura glaucoma bwa mbere. Uburyo bwa LPI bukoreshwa cyane cyane kuri glaucoma ifunze.
Birenzeho gato ku bijyanye no kubaga incision
Ibi bikunze gukorwa iyo glaucoma idashobora kugenzurwa hakoreshejwe uburyo bwa laser cyangwa imiti. Ariko hamwe n'uburyo bugezweho, `MIGS` (Ubuvuzi bwa Glaucoma Buto Butera Indwara), ibintu byinshi byarahindutse. Muri ibi, gukata ni bike cyane, igihe cyo gukira ni gito, kandi ingaruka ni nke. Kenshi na kenshi, kubaga `MIGS` bishobora gukorwa icyarimwe no kubaga cataract.
Witegura ute kubagwa?
Mbere yo kubagwa, muganga azahura nawe akagusobanurira byose. Icyo gihe:
- Amaso yawe azasuzumwa neza kandi hakorwe ibizamini bikenewe.
- Bazakubwira icyo ushobora kwitega muri iki gikorwa cyo kubagwa.
- Bazakubaza amateka y'ubuzima bwawe n'imiti ufata (cyane cyane imiti igabanya amaraso).
Ubusanzwe uzahabwa amabwiriza amwe n'amwe mbere yo kubagwa, nka:
- Uzasabwa guhagarika gufata imiti igabanya amaraso (urugero: aspirine, NSAIDs) mu gihe cy'iminsi mike.
- Niba urimo gusinzira, uzasabwa gushaka umuntu wo kugutwara kuko udashobora gutwara imodoka .
- Bazakubwira neza igihe ugomba kwiyiriza ubusa mbere yo kubagwa.
- Amabwiriza asobanutse neza ajyanye n'imiti ugomba gufata n'iyo utagomba gufata umunsi umwe mbere y'uko ubagwa.
Ntutinye kubaza muganga ikibazo icyo ari cyo cyose ufite. Bizagufasha cyane kumenya byose neza.
Bizagenda bite nyuma yo kubagwa? Ese hari ububabare nzongera kumva?
Mu gihe cyo kubagwa ntuzumva ububabare ubwo aribwo bwose kuko ijisho ryawe rizaba ridafite ibinya. Nyuma yo kubagwa, ushobora kumva ububabare buto cyangwa kutamererwa neza mu jisho ryawe. Muganga azaguha imiti igabanya ububabare n'ibinini by'amaso kugira ngo bigufashe muri ibi.
Igihe cyo gukira kiratandukana bitewe n'ubwoko bw'ikibagwa wakorewe.
- Nyuma yo kubagwa hakoreshejwe laser, ushobora kongera gukora imirimo isanzwe mu munsi umwe cyangwa ibiri.
- Nyuma yo kubagwa ukoresheje incision, ugomba kwitonda igihe gito. Uzakenera kwirinda guterura ibintu biremereye, gushyira amazi mu maso, cyangwa kwisiga amaso mu gihe cy'icyumweru kimwe cyangwa bibiri, cyangwa wenda ukwezi.
Muganga azakubwira igihe ugomba kugaruka kugira ngo ukurikirane gahunda. Menya neza ko ugiye muri izo gahunda. Icyo gihe ni bwo ibintu nk'umuvuduko w'amaso no gukira bigenzurwa.
Ni ryari ngomba guhamagara muganga?
Iyo ugiye mu rugo nyuma yo kubagwa, ni ngombwa guhita ubimenyesha muganga wawe niba wumva ikintu kidasanzwe. Niba ufite kimwe muri ibi bimenyetso bikurikira, ntugatinde.
- Niba uhura n'ububabare bukomeye kandi budashobora kwihanganira .
- Niba wumva ko kureba kwawe kugenda bitunguranye cyangwa bitangiye kugaragara nabi.
- Iyo ijisho rihindutse umutuku cyane, amarira atemba cyangwa amatembabuzi ariyongera.
Ibi nibibaho, hamagara muganga wawe ako kanya cyangwa ujye mu ishami rishinzwe ubutabazi bw’ibanze (ETU) ry’ibitaro biri hafi yawe.
Ubutumwa bwo kujyana mu rugo
- Intego nyamukuru yo kubaga glaucoma ni ukugabanya umuvuduko w'amaso no kurinda amaso yawe kwangirika kurushaho.
- Hari uburyo butandukanye, nko kubaga hakoreshejwe laser, kubaga incisional, na MIGS. Muganga wawe azaguhitiramo uburyo bukubereye.
- Muri rusange ubu bubagwa butekanye, kandi mu bihe byinshi, ushobora gutaha uwo munsi.
- Gukurikiza amabwiriza y'ubuvuzi witonze mbere na nyuma yo kubagwa ni ingenzi kugira ngo ukire vuba.
- Ujye ubaza muganga wawe ikibazo icyo ari cyo cyose ushobora kuba ufite ku bijyanye no kubagwa kwawe cyangwa indwara yawe. Gusobanukirwa neza ni wo muti mwiza.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment