Ese wabazwe cataract hanyuma amaso yawe agatangira kugaragara nabi, nk'aho uri mu gihu? Abantu benshi barahangayika kuri iyi ngingo bakibaza bati "Ese cataract yanjye iragaruka?" Ariko mu by'ukuri si uko cataract isubira. Mu buvuzi, iyi ndwara tuyita 'Posterior Capsule Opacification' cyangwa PCO. Nta kintu cyo guhangayika, kuko igisubizo cyoroshye, kidatera ububabare kandi cyihuse ni ubuvuzi bwa laser bwa YAG.
Kapsulotomy ya Laser ya YAG ni iki?
Muri make, ubu ni uburyo bwihuse kandi bworoshye bwo kuvura indwara yo kutabona neza ibaho nyuma yo kubagwa cataract.
Tekereza, mu gihe cyo kubaga cataract, dukuraho lens karemano iri mu jisho ryawe, ryabaye nk'ibicu uko imyaka igenda ishira, tukayisimbuza lens y'ubukorano (Intraocular Lens - IOL). Iyi lens nshya y'ubukorano ntishobora kureremba mu jisho ryawe gusa. Ifatwa n'agapfundikizo gato cyane, kameze nk'agapfundikizo (capsule ya lens) kari mu jisho ryawe rya kera karemano.
Nyuma y'amezi make cyangwa imyaka mike yo kubagwa, kuri bamwe , uturemangingo dusigaye inyuma y'iyi capsule turakura maze tugatangira kuba ibicu, nk'ikirahure cyuzuye ivumbi. Ibyo ni byo twita PCO (Posterior Capsule Opacification).
Uburyo bwo kuvura bwa YAG hakoreshejwe umuyoboro wa laser wihariye kugira ngo hakorwe umwobo muto hagati y’urugingo rw’umubiri rwuzuye ibicu, rutangiza ijisho. Ibi bituma urumuri runyura mu jisho nta nkomyi, kandi amaso yawe arasubizwa mu buryo bushya. Umuyoboro wa laser ukoreshwa muri ibi witwa `YAG` (yttrium aluminium garnet) kubera ubwoko bwihariye bw’amabuye y’agaciro ikozemo.
Ni gute nakwitegura ubu buryo bwo kuvurwa?
Ibi ntibisaba imyiteguro yihariye. Ubu buryo si uburyo bwo kuvura indwara mu bitaro, ahubwo ni uburyo bwo kuvura indwara hanze bushobora gukorerwa kwa muganga w'amaso.
Iyo ugiye kwa muganga ku munsi wagenwe, iminota mike mbere y'uko uvurwa, umuforomo azaza akagushyira ubwoko bubiri bw'ibitonyanga by'amaso mu maso.
1. Umuti uvura indwara z'amaso: Ibi bivuze ko utazumva ububabare ubwo aribwo bwose mu gihe cyo kuvurwa.
2. Ibitonyanga byo kwaguka: Ibi byorohereza muganga kubona neza indorerwamo y'amaso.
Iyo ibi bitonyanga bimaze gukora, uba witeguye burundu kuvurwa.
Ni iki kibaho mu gihe cyo kuvurwa?
Wicaye mu ntebe, nk'imashini ipima amaso, kandi ugomba kuyishyiramo agahanga n'akananwa kawe ukareba imbere.
- Gukoresha lens (bishoboka):Hari igihe muganga ashobora gushyira lenzi yihariye ku jisho ryawe akarifata. Risizweho gel, bityo ntuzumva umerewe nabi. Ijisho ryawe rizaba ridafite ububabare, bityo nta bubabare na buke buhari. Ushobora kumva gusa igitutu gito.
- Gukoresha laser: Muganga azakoresha laser. Ntuzabona urumuri rwa laser cyangwa ngo wumve ububabare ubwo aribwo bwose. Ariko, ushobora kumva urusaku ruto nk'urwa laser rugira ruti 'tick, tick, tick' . Hari abantu bashobora kumva amabara atandukanye mu buryo butunguranye iyo laser ibakubise. Ibi ni ibisanzwe kandi bizashira mu minota mike.
Igikorwa cyose kimara iminota iri munsi ya 5-10, kandi ushobora gutaha ukimara kugirangiza.
Ni izihe nyungu z'ubu buvuzi?
Hari impamvu nyinshi zituma abantu benshi bahitamo ubuvuzi bwa laser bwa YAG.
| Akamaro | Ibisobanuro byoroshye |
|---|---|
| Umutekano cyane | Ingaruka zo kugira ibibazo ni nke cyane. Nubwo byabaho, akenshi biba ari bito kandi byoroshye kubivura. |
| Byagenze neza cyane | Ubushakashatsi bwagaragaje ko abantu barenga 95 mu 100 bavurwa ubu buvuzi bafite amaso asobanutse neza. |
| Nta mpamvu yo kuguma mu bitaro. | Ubu ni ubuvuzi bukorerwa hanze. Ushobora gutaha nyuma yo kuvurwa. |
| Nta bubabare/kubabara | Kubera ko ijisho ridafite ibinya, ntabwo uzumva ububabare cyangwa ngo ugire ikibazo mu gihe cyo kuvurwa. |
| Nta gukaza umurego cyane | Ubu buryo bworoshye cyane kuruta kubaga nyine kuko bukorwa gusa hakoreshejwe imirasire ya laser, nta gukata mu jisho. |
Ese hari ingorane zishobora kubaho?
Ingorane zikomeye nyuma yo kuvurwa na laser ya YAG ntizikunze kubaho. Iyo zibayeho, akenshi ziba nto kandi zishobora kuvurwa.
- Uduce duto tw’umukara cyangwa udupira tw’umukara tugenda imbere y’amaso yawe (myodesopsias) mu minsi mike nyuma yo kuvurwa. Utu ni uduce duto tw’agace k’ijisho gasaguka na laser. Utu tugenda twonyine mu minsi mike cyangwa ibyumweru bike.
Uretse ibi, hari izindi ngorane nyinshi zishobora kubaho gake cyane.
- Kubyimba imbere mu jisho (`Uveitis`)
- Kubyimba kwa retina (`Cystoid macular edema`)
- Gutandukanya retinal
- Gucika kw'ijisho
Wibuke ko ibi ari ibintu bidakunze kubaho.
Ni ryari ngomba kubonana na muganga ako kanya?
Ubusanzwe, nta gukorerwa isuzuma ryihariye rikenewe nyuma yo kuvurwa na laser ya YAG. Isuzuma ry’amaso risanzwe ngarukamwaka rirahagije. Ariko, niba ubonye kimwe muri ibi bimenyetso bikurikira, gishobora kuba ari indwara isaba ubuvuzi bwihuse.
Icy'ingenzi cyane: Niba ubonye kimwe muri ibi bimenyetso, bishobora kuba ari ikibazo cyihutirwa. Bityo rero jya ku bitaro byita ku barwayi ba ETU byihutirwa cyangwa ubimenyeshe muganga wawe w'amaso vuba bishoboka.
- Umucyo utunguranye imbere mu jisho (photopsias).
- Uhita ubona umubare munini w' 'udupira' (utudomo twirabura/imigozi). (Ni ibisanzwe kubona bike, ariko hangayika niba ubona byinshi icyarimwe.)
- Bisa nkaho uruhande rumwe rw'iyerekwa rutwikiriwe n'igitambaro cy'umukara.
- Gutakaza ubushobozi bwo kureba butunguranye.
Ibi bimenyetso bishobora guterwa n'indwara ikomeye yitwa retinal detachment. Iyo idavuwe vuba, kureba muri iryo jisho bishobora gutakaza burundu. Kubwibyo, ni ngombwa cyane kumenya ibi bimenyetso.
Ubutumwa bwo kujyana mu rugo
- Gutera kanseri y'amaso nyuma yo kubagwa (PCO) ni indwara ikunze kugaragara nyuma y'igihe runaka nyuma yo kubagwa kanseri y'amaso. Iyi si indwara yo kongera gutera kanseri y'amaso.
- Uburyo bwo kuvura bwa YAG laser ni uburyo bwihuse cyane, butababaza, kandi bwizewe bwo gukuraho ubu buryo bwo kutabona neza.
- Ubu buryo bwose bwo kuvura butwara iminota iri munsi ya 10, kandi ushobora gutaha uwo munsi.
- Ingorane zikomeye ni gake cyane, ariko menya ibimenyetso byihutirwa nko kubangamirwa n'urumuri mu jisho no kuzimira.
- Niba ufite impungenge cyangwa ubwoba kuri ibi, nyamuneka vugana n'umuganga w'amaso yawe nta gushidikanya.
💬 Comments (0)
Kwipimisha kanseri y'ibere, kwisuzuma no kwirinda byakozwe byoroshye. Kanseri y'ibihaha
Ishyirireho intego ya calorie hanyuma ubare itariki yo kugabanya ibiro.