Ingaba uxinzelelo olusemehlweni akho luphezulu? Masifunde yonke into malunga novavanyo lweGonioscopy!

Ngaba wakha wahlolwa amehlo akho? Ugqirha wakho wamehlo usenokuba ukuxelele ngovavanyo olubizwa ngokuba yi-"gonioscopy." Eli gama lisenokuvakala liyinkimbinkimbi, kodwa eneneni luvavanyo olulula kakhulu, nolubaluleke kakhulu. Namhlanje, siza kuthetha ngalo ngokweenkcukacha, njengokuba ubuya kuthetha nomhlobo.

Yintoni iGonioscopy? Kutheni ibaluleke kangaka?

Ngamafutshane, i-gonioscopy yinkqubo engenabuhlungu esetyenziselwa ukuhlola izakhiwo ezibuthathaka kakhulu ngaphakathi kweliso lakho. Iingcali zamehlo, ngakumbi, zisebenzisa olu vavanyo ukujonga ukuba inkqubo yokukhupha amanzi engaphakathi kweliso lakho isebenza kakuhle na. Cinga ngayo njengenkqubo yokukhupha amanzi ekhayeni lethu. Ukuba ayisebenzi kakuhle, amanzi anokuqokelelana aze abangele iingxaki, kwaye ukuba ulwelo olungaphakathi kweliso lakho aluphumi kakuhle, iingxaki zinokuvela.

Eyona nto iphambili enokubonwa ngolu vavanyo sisifo esibizwa ngokuba yiglaucoma . Iglaucoma yimeko eyingozi enokonakalisa umthambo we-optic ngenxa yoxinzelelo oluphezulu lwangaphakathi kweso kwaye ikhokelela ekulahlekelweni kokubona kancinci kancinci. Ekubeni idla ngokungabi nazimpawu kwizigaba zokuqala, inokubonwa kwangethuba ngovavanyo olufana nolu.

Yintoni enye enokufunyanwa ngovavanyo lwe-gonioscopy?

Ukongeza kwi-glaucoma, olu vavanyo lunokunceda ekuxilongeni okanye ekususeni ezinye izifo. Umzekelo:

• I-glaucoma evulelekileyo: Olu lolona hlobo luqhelekileyo lwe-glaucoma.
• I-glaucoma evala i-Angle: Le yingxaki engxamisekileyo kwaye kufuneka inyangwe ngokukhawuleza.
• I-Pseudoexfoliation syndrome: Kule meko, izinto ezimhlophe ezifana nomgubo ziyaqokelelana ngaphakathi kweliso, nto leyo enokuthintela ukuhamba kolwelo.
• Izinto ezifana nomhlaza okanye iithumba ezichaphazela iris okanye iindawo ezinxulumene neliso.

Ngoku uyaqonda ukuba olu vavanyo lubaluleke kangakanani, akunjalo? Ukugcina uxinzelelo ngaphakathi kweliso kwinqanaba elifanelekileyo kubalulekile ekukhuseleni umbono wakho.

Lwenziwa njani olu vavanyo? Kwenzeka ntoni ngaphakathi kweliso?

I-Gonioscopy ivumela ugqirha wakho wamehlo ukuba ajonge ngqo kwigumbi elingaphambili leliso lakho. Igumbi elingaphambili yindawo egcwele ulwelo emva kwe-cornea yakho naphambi kwe-iris yakho.

Ugqirha uza kujonga i-engile yokukhupha amanzi . Le yindawo ejikelezileyo efana nesangqa. Kulapho i-iris yakho kunye nenxalenye emhlophe yeliso lakho (i-sclera) kudibana khona. I-humor yamanzi, ulwelo olwenzeka ngaphakathi kweliso, iphuma esweni ngale engile. Le engile kufuneka ibe banzi kwaye ivuleke ngokwaneleyo ukuze ulwelo luphume kakuhle.

Khawucinge nje, awunakuyibona into ekhoneni xa ujonge phambili, akunjalo? Kodwa unokuyibona xa ubambe isibuko kwicala elo. Yiyo loo nto kunjalo ngale nto. Ugqirha unokuyibona ngokucacileyo loo engile kuphela ngokusebenzisa izibuko okanye iilensi zokukhulisa kwilensi ekhethekileyo esetyenziswa kwi-gonioscopy.

Ngaba kukho iintlobo ezahlukeneyo zeelensi ze-gonioscopy?

Ewe, kukho iintlobo ezimbini eziphambili zeelensi ze-gonioscopy:

1. Iilensi ezingangqalanga: Ezi ntlobo zeelensi zisebenzisa izibuko. Ugqirha ubona i-engile yokuhamba kolwelo kuphela xa ukukhanya kubetha kwizibuko kwaye kubonakaliswa. Yiyo loo nto zibizwa ngokuba "zizingangqalanga". Ezi ntlobo zeelensi zihlala zisetyenziswa kwiikliniki zamehlo eziqhelekileyo.

2. Iilensi ezithe ngqo: Ezi lensi azinazo izipili. Ezi lensi zikhulisa ngokuthe ngqo i-engile kwaye zigoba kancinci (zibuyisela ukukhanya) kokukhanya. Ezi zihlala zisetyenziselwa izinto ezifana notyando.

Ndingayilungiselela njani i-gonioscopy?

Kwiimeko ezininzi, akufuneki ulungiselele olu vavanyo. Ugqirha wakho wamehlo angakwenza nangaliphi na ixesha.

Nangona kunjalo, ukuba unxiba iilensi zokunxibelelana , kulungile ukubuza ugqirha wakho ukuba ufuna ukuzisusa ixesha elithile ngaphambi kovavanyo.

Ngamanye amaxesha, ukuba i-gonioscopy yenziwa njengenxalenye yotyando lwamehlo, ugqirha wakho uya kukunika imiyalelo ethile yokuba ungayilungiselela njani.

Yintoni onokuyilindela ngexesha lovavanyo?

Amava anokwahluka kancinci ngokuxhomekeke kuhlobo lwe-gonioscopy onayo.

I-Gonioscopy ethe ngqo

Oku kudla ngokwenziwa esibhedlele. Uninzi lwexesha, uya kunikwa i-anesthesia jikelele . Oku kuthetha ukuba olu vavanyo kunye neenkqubo ezinxulumene nalo zenziwa ngelixa ungekho zingqondweni kwaye ulele.

I-Gonioscopy engathanga ngqo

Olu lolona hlobo lwenziwa rhoqo eofisini kagqirha wamehlo. Lwenziwa ngendlela efanayo novavanyo lwesibane esiqhekekileyo . Uhlala esitulweni, aze ugqirha ame phambi kwakho.

Ngaphambi kokuba uvavanyo luqale, ugqirha uza kufaka amathontsi abangela ukuba umntu angaboni kakuhle emehlweni. I-cornea yeliso lethu inobuthathaka kakhulu, ngoko ke ukuba kukho into eyichukumisayo, ayivakali kakuhle kwaye iliso lakho liyavaleka. Xa kufakwa eli thontsi elibangela ukuba umntu angaboni kakuhle, awuyi kuva ntlungu okanye intlungu, kwaye iliso lakho aliyi kuvaleka.

Emva kokuba iliso liphelelwe ngamandla, ugqirha uza kubeka into ebizwa ngokuba ngamaconsi okumanzisa phezu kwelensi ehlolwayo. Oku kuya kuthintela ukuba amaqamza omoya angabambeki phantsi kwelensi ngelixa ikwindawo yayo. Oku kuya kuvumela ugqirha ukuba abone ngaphakathi kweliso ngokucacileyo. Kuya kunceda nasekuhambiseni ilensi elisweni ngokulula.

Emva koko ugqirha uchukumisa ilensi kancinci esweni lakho, eyibambe ngesandla esinye aze asebenzise isibane esincinci ngesinye.Isixhobo sivuliwe. Ukukhanya okukhanyayo okuvela kuso kukhanyisa ingaphakathi leliso, kwaye kusetyenziswa iglasi yokukhulisa ukujonga ngaphakathi kweliso. Ugqirha uza kukuxelela ukuba ujonge phambili okanye kwicala elithile.

Ngamanye amaxesha kunokusetyenziswa inkqubo ebizwa ngokuba yi- "dynamic gonioscopy" . Oku kuthetha ukuba ugqirha uza kucinezela kancinci umphezulu weliso lakho ngelensi. Oku kuya kuvumela ugqirha ukuba abone ukuba iris yakho inamathele kwi-cornea okanye kwilensi (synechiae).

Xa iliso lakho lihloliwe ngokupheleleyo, ugqirha uza kulisusa ilensi. Angasebenzisa nento efana namaconsi okumanzisa ukuhlamba amehlo akho. Kuqhelekile ukuba amehlo akho abe namanzi kwaye akrazuke ngeli xesha. Ugqirha uza kukunika into efana nethishu yokusula iinyembezi zakho.

Olu vavanyo lusenokubandakanya okanye lungabandakanyi ukuvuleka kwamehlo akho. Ngamanye amaxesha, ugqirha unokufuna ukujonga ngaphakathi kweliso lakho ngaphambi nasemva kokuvuleka kwawo. Ugqirha uya kukuxelela ngale nto.

Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga ezivela kolu vavanyo?

Akukho miphumo okanye iingozi nge-gonioscopy ngokwayo. Nangona kunjalo, amayeza asetyenziselwa ukwenza iliso lingabi nanto kwaye livuleke anokubangela ezinye iziphumo ebezingalindelekanga (umz., ukubona okufipheleyo, ukuva ukukhanya). Ugqirha wakho uza kukuxelela okungakumbi ngezi zinto.

Uvavanyo luvakala njani? Ingaba lubuhlungu?

Ngenxa yokuba iliso lakho lingavakali ngexesha lovavanyo, awuyi kuva ntlungu okanye ukungakhululeki. Ngamanye amaxesha, usenokuziva nje uziva ulunywa kancinci, njengaxa uhlikihla amehlo akho. Oku kuqhelekile.

Uzifumana njani iziphumo zovavanyo? Zithetha ukuthini?

• Ukuba i-Direct Gonioscopy yenziwe ngotyando, ugqirha uza kukuxelela ngeziphumo emva kokuba ubuyele engqondweni.
• Ukuba wenze i-gonioscopy engangqalanga eofisini kagqirha wakho, ugqirha wakho uya kukwazi ukukuxelela iziphumo ngexesha okanye emva kovavanyo. Uza kukuchazela oko bakubonileyo, oko bakuthethayo, kunye nonyango olufunekayo, ukuba lukhona.

Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?

Ukuba ugqirha wakho wamehlo ufumanisa ukuba une-engile encinci yokukhupha amanzi okanye ukuba ulwelo aluphumi kakuhle, uza kuthetha nawe malunga neendlela zonyango.

Ukunyanga i-glaucoma kubaluleke kakhulu kuba ukuba uxinzelelo olungaphakathi kweliso luphezulu kakhulu, lunokubangela umonakalo osisigxina kwi-optic nerve engasemva kweliso, nto leyo enokubangela ukuba umntu angaboni kakuhle.

Ukuba ugqirha wakho ufumanisa ukuba i-engile apho ulwelo luphuma khona elisweni lakho ivaliwe ngokupheleleyo, ibizwa ngokuba yi -angle-closure glaucoma . Le yingxamiseko yezonyango.Kuba oku kunokubangela ukulahleka kokubona ngequbuliso (kwaye kunokuba yinto engapheliyo). Ukuba oku kuyenzeka, ugqirha wakho wamehlo uya kukucebisa unyango olungxamisekileyo aze akuthumele kwiziko elinezibonelelo ezifunekayo.

Ndifanele ndimbone nini ugqirha wamehlo?

I-Glaucoma yeyona nto iphambili ebangela ukulahleka kokubona kwihlabathi liphela. Malunga nama-90% ezigulane ze-glaucoma zinesimo esingapheliyo. Oku kuthetha ukuba iimpawu zikhula kancinci. Yiyo loo nto kucetyiswa ukuba uhlolwe amehlo akho ubuncinane kanye ngonyaka okanye emibini (okanye ubuncinane kanye ngonyaka ukuba ungaphezulu kweminyaka engama-40).

Ukongeza, kubalulekile ukuba uhlolwe amehlo rhoqo, njenge-gonioscopy, ukuba unenye yezi meko zilandelayo okanye izinto ezinobungozi:

• Ukuba uneminyaka engama-65 ubudala okanye ngaphezulu.
• Ukuba unesifo seswekile sohlobo lwesibini .
• Ukuba kukho umntu kusapho lwakho one-glaucoma (imbali yosapho ene-glaucoma).
• Ukuba unexinzelelo oluphezulu ngaphakathi kweliso (uxinzelelo oluphezulu lwegazi emehlweni).
• Ukuba unesiphene sokuzalwa okanye unesifo samehlo esizuzwe njengelifa kunye nesofuzo.
• Ukuba usebenzisa amayeza anjenge -corticosteroids ixesha elide.
• Ukuba i-optic nerve yonakele okanye inembonakalo ekrokrisayo.
• Ukuba unengxaki yokubona izinto ezikufutshane okanye ukubona izinto ezikude kakhulu.
• Ukuba unesifo se-sickle cell .

Kwakhona, qiniseka ukuba ubona ugqirha ukuba ubonakalisa iimpawu zeglaucoma. Ezi mpawu ziquka:

• Ububomvu bamehlo.
• Intloko ebuhlungu.
• Isicaphucaphu nokuhlanza.
• Ukuva uxinzelelo okanye intlungu emehlweni (oku kudla ngokuvela xa uxinzelelo olusesweni luphezulu kakhulu).
• Ukubona i-halo efana nomnyama xa ujonge izibane.
• Ukubona okunciphileyo, umzekelo , ukubona itonela (ukubona ngathi ujonge ngetyhubhu) okanye ukuphuhliswa kwamabala amatsha angaboniyo (i-scotomas).

Ufanele uye nini kunyango olungxamisekileyo?

Kukho iimpawu ezithile zeglaucoma ekufuneka ufune uncedo lwezonyango ngokukhawuleza ukuba ziyavela. Ezi mpawu ziquka:

• Ukulahlekelwa ngumbono ngequbuliso.
• Ukuqala ngequbuliso kwentlungu eqatha yamehlo, intloko ebuhlungu, isicaphucaphu, kunye nokuhlanza.

Ukuba kwenzeka into efana nale, musa ukulibazisa.

Ngaba kukho naziphi na iingxaki kwi-gonioscopy?

I-Gonioscopy luvavanyo oluxabisekileyo kakhulu. Nangona kunjalo, olu vavanyo lodwa alwanelanga ukuqinisekisa ukuba une-glaucoma okanye awunayo. Zininzi ezinye izinto ezibangela ukuxilongwa kwe-glaucoma. I-Gonioscopy yinxalenye enye yephazili.

Uvavanyo lwe-gonioscopy luthatha ixesha elingakanani?

I-gonioscopy engangqalanga ithatha malunga nemizuzu emihlanu. Nangona kunjalo, idinga lakho lingathatha ixesha elide kuba nezinye iimvavanyo zinokufuneka.

Ixesha elithathwayo ukuze kwenziwe i-Direct Gonioscopy linokwahluka kakhulu ngokuxhomekeke kwinkqubo eyenziwayo. Ugqirha wakho angakuxelela okungakumbi ngale nto.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Gonioscopy isenokuvakala ngathi iyinkimbinkimbi, kodwa uvavanyo ngokwalo lulula kakhulu. Yinkqubo engenabungozi, engenabuhlungu engonakalisi iliso. Inokunceda ekufumaneni iimeko ezinokubangela umonakalo ongunaphakade emehlweni akho. Inokwenziwa rhoqo eofisini kagqirha, kwaye iziphumo ziyafumaneka ngokukhawuleza.

Ukuba unemibuzo okanye unenkxalabo malunga nolu vavanyo, thetha nogqirha wakho wamehlo. Angachaza uvavanyo kuwe, athomalalise uloyiko lwakho, aze akuncede uqonde ukuba uvavanyo luza kubonisa ntoni. Khumbula, uvavanyo olufana nolu lunokwenza umahluko omkhulu ekukhuseleni umbono wakho oxabisekileyo.

I- Gonioscopy, uvavanyo lwamehlo, i-glaucoma, impilo yamehlo, ukhathalelo lombono, ugqirha wamehlo, uxinzelelo lwamehlo