Umuti wo kurwanya umuvuduko w'amaso: Menya ibijyanye no kubaga goniotomy

Ese wigeze wumva amagambo 'umuvuduko w'amaso ukabije' cyangwa 'glaucoma'? Wenda hari umuntu wo mu muryango wawe ufite iyi ndwara. Mu by'ukuri iteye ubwoba gato, kuko umuvuduko w'amaso ukabije ushobora kwangiza amaso yacu burundu. Ariko ntugahangayike, ubuvuzi bw'iki gihe buteye imbere cyane. Bumwe mu buryo bwiza kandi bwizewe bwo kuvura ibi ni ukubaga byitwa goniotomy. Reka turebe icyo ari cyo, uko bikorwa, n'inyungu zabyo .

Mu magambo make, goniotomi ni iki?

Goniotomi ni uburyo bwihariye bwo kubaga bukorwa kugira ngo bugabanye umuvuduko w'ijisho . Ni ubwo mu cyiciro cyitwa Microinvasive Glaucoma Surgery (MIGS) . "Microinvasive" bivuze kubaga hakoreshejwe ibikoresho bito cyane, byoroshye kandi bitagize ingaruka zikomeye ku jisho.

Urwenya rw'amazi ruhora ruturuka mu maso yacu kandi rugasohoka mu maso. Iyo aya mazi adasohoka neza, umuvuduko uri mu jisho uriyongera. Ibi ni byo twita glaucoma. Kubaga Goniotomy bifungura inzira ayo mazi anyuramo kandi bikagabanya umuvuduko. Ibi birinda kwangirika k'imitsi y'amaso iterwa na glaucoma kandi bikarinda amaso yacu.

Ni nde ufite amahirwe menshi yo kubagwa?

Mu bihe byashize, kubaga goniotomi byakorerwaga cyane cyane abana bato barwaye glaucoma bavukanye . Ariko, bitewe n'iterambere mu ikoranabuhanga, ubu ikoreshwa neza cyane mu ndwara zitandukanye za glaucoma ku bantu bakuru.

Umuganga w'amaso azagusuzuma maze afate umwanzuro niba ubu buryo bwo kubaga bujyanye n'ubwoko n'imiterere y'indwara ya glaucoma yawe.

Witegura ute mbere yo kubagwa?

Umuganga w'amaso wawe azagusobanurira byose mbere yo kubagwa. Akenshi bazakubwira ibi bikurikira:

• Imiti ufata: Ugomba kubwira muganga wawe imiti yose ufata (harimo na vitamine n'imiti y'ibimera). Imiti imwe (cyane cyane imiti igabanya amaraso) ishobora gukenera guhagarikwa iminsi mike mbere yo kubagwa.
• Anesthesia: Anesthesia ikoreshwa mu gukumira ububabare mu gihe cyo kubagwa. Ushobora kuba ufite ikibazo mu jisho gusa, cyangwa ukaba warahawe anesthesia burundu. Umuganga w’inzobere mu by’inzobere azagusobanurira ibi.
• Kwiyiriza ubusa:Uzasabwa kwirinda kurya cyangwa kunywa amasaha agera ku munani mbere yo kubagwa. Uzagomba kandi kureka kunywa amazi amasaha 2 mbere. Kurikiza amabwiriza ya muganga neza.

Uburyo bwo kubaga bikorwa

Ubu buryo bwo kubaga ntabwo bunini nkuko wabitekereza. Ubusanzwe bifata iminota 15 kugira ngo burangire.

1. Anesthesia: Ubwa mbere, uzahabwa imiti yo kugufasha kutagira ububabare.

2. Gukata gato: Umuganga w'amaso agakora akantu gato cyane, gafite uburebure bwa milimetero imwe, mu mboni y'ijisho ryawe.

3. Ibikoresho byihariye: Igikoresho gito cyane gishyirwa mu jisho binyuze mu gukata. Hamwe n'ibi, hashyirwa lens yihariye (lens ya Gonioscopic) hejuru y'ijisho. Iyi lens ituma umuganga abona neza imiterere myiza iri imbere mu jisho kandi ikarushaho kwiyongera.

4. Inshingano nyamukuru: Noneho ikintu cy'ingenzi cyane. Hari igice gisa n'urushundura imbere mu jisho kiyungurura amazi, cyitwa trabecular meshwork . Iyo urwaye glaucoma, iyi mesh ntikora neza. Icyo muganga akora ni ugukoresha igikoresho cyoroshye kugira ngo ace uduce duto muri iyi mesh. Ibi birema inzira nshya amazi anyuramo, kandi umuvuduko mu jisho ukagabanuka.

5. Iherezo: Iyo akazi karangiye, ibikoresho birakurwaho hanyuma hagashyirwaho agakingirizo gato k'amaso kugira ngo karinde amaso.

Nyuma yo kubagwa no gukira igihe cyo gukira

Nyuma yo kubagwa, uzakurikiranwa igihe gito hanyuma wemererwe gutaha. Kubera ko udashobora gutwara imodoka, uzakenera umuntu uzagutwara akagutwara mu rugo.

Muganga azakwandikira ibitonyanga byinshi byo gushyira mu maso. Uzakenera gukoresha imiti igabanya ubukana bw'amaso mu minsi mike n'imiti igabanya ubukana mu byumweru bike.

Ni ibisanzwe kumva urimo gucikagurika, kutabona neza, no kumva umucanga mu maso mu minsi mike ya mbere. Ibi bizashira mu minsi mike.

Ibuka ibi bintu mu gihe cyo gukira

Ese hari ibyago n'ingorane bishobora kubaho?

Ingorane zikomeye ziterwa no gucibwa kwa goniotomi ni gake cyane . Kimwe no kubagwa amaso ukundi, hari ibyago bike byo kwandura cyangwa kubabara.

Izindi ngorane zihariye ariko nto zishobora kuba zirimo:

• Kuva amaraso mu jisho gake (ibi bikunze gukira ubwabyo mu cyumweru kimwe cyangwa bibiri).
• Kwiyongera k'umuvuduko w'amaso by'igihe gito.
• Impinduka nto mu kureba, urugero , astigmatism .
• Ni gake cyane, indwara nko kugabanuka cyane k'umuvuduko w'amaso (hypotony) cyangwa kuziba kw'amaso mu mitsi y'ijisho (retinal detachment).

Muganga wawe azagusobanurira neza izi ngaruka.

Ni ryari ugomba gushaka inama zihutirwa z'abaganga?

Nyuma yo kubagwa, niba ubonye ibimenyetso bikurikira, hamagara muganga w'amaso ako kanya:

• Ububabare bw'amaso budashobora kwihanganira.
• Gutakaza ubushobozi bwo kureba cyangwa kutabona neza cyane.
• Kubona indorerwamo z'urumuri zikikije amatara.
• Amaso atukura cyane cyangwa amazi asa n'ibibyimba ava mu maso.

Mu gihe cy’ubutabazi nk’ubu, jya mu ishami ry’ubuvuzi bw’ibanze (ETU) ry’ibitaro ako kanya.