Ingaba oku kuyenzeka nakuwe emehlweni? Masifunde nge-Angle-Closure Glaucoma!

Ngaba wakha wazibuza ukuba zeziphi iingxaki ezinokuvela xa uxinzelelo emehlweni akho lusanda? Usenokuba ukhe wahlangabezana nezinto ezifana neentlungu zamehlo ngequbuliso kunye nokungaboni kakuhle. Namhlanje siza kuthetha ngesifo samehlo esifuna unonophelo oluncinci, kodwa esinokulawulwa ukuba unolwazi olufanelekileyo. Oko yi-angle-closure glaucoma, okanye `(Angle-Closure Glaucoma)`.

Yintoni i-Angle-Closure Glaucoma?

Ngamafutshane, i-angle-closure glaucoma yenye yeentlobo ezimbini eziphambili ze-glaucoma. I-Glaucoma yimeko apho uxinzelelo olungaphakathi kweliso lakho, olwaziwa ngokwezonyango njenge- Intraocular Pressure (IOP) , lunyuka ngaphezu kwamanqanaba aqhelekileyo.

Khawuthelekelele, ngaphakathi kwamehlo ethu kukho ulwelo olukhethekileyo olubizwa ngokuba yi-Aqueous Humor . Olu lwelo luhlala luveliswa ngaphakathi kweliso, kwaye ulwelo oludala lukhutshwa elisweni. Oku kwenzeka ngenkqubo efana nomsele omncinci. Ngoku, kwenzeka ntoni ukuba ngesizathu esithile indlela olu lwelo olufanele luphume ngayo ivaliwe? Kulapho uxinzelelo olungaphakathi kweliso lunyuka khona.

Kwi-angle-closure glaucoma, indawo enemibala yeliso lakho, i-iris, iyadumba okanye ivuvuke phambili, ivale i-engile yokukhupha amanzi. Oku kungenzeka ngequbuliso okanye ngokuhamba kwexesha. Abanye abantu bakwabiza le closed-angle glaucoma.

Ngaba kukho iintlobo ezahlukeneyo zeglaucoma evala i-angle?

Ewe, kukho neentlobo eziphambili zezi. Masibone ukuba zeziphi.

1. I-Glaucoma ePhambili yokuVala i-Angle

Kukho iindlela ezintathu zokwenza oku:

• I-Acute Angle-Closure Glaucoma: Le yingxamiseko enkulu yezonyango. Kuba yenzeka ngequbuliso, ukuba ayinyangwa ngokufanelekileyo , inokukhokelela ekulahlekelweni kokubona okungapheliyo. Iimpawu ziquka iintlungu ezinkulu zamehlo, umbono ofipheleyo, ukubona imingxunya enemibala (ii-halos) xa ujonge ukukhanya, isicaphucaphu, ukuhlanza, kunye nokubomvu kweliso. Le yimeko embi kakhulu. Khawuthelekelele, uNilanthi Akka wabuya emsebenzini ngenye imini waza ngequbuliso weva intlungu ebukhali kwelinye lamehlo akhe, ebona imingxunya enemibala xa ejonge ukukhanya , kwaye evakalelwa ngathi intloko yakhe iza kuqhuma. Kwakungenxa yokuba waya esibhedlele ngokukhawuleza kuphela apho umbono wakhe wasinda khona.
• I-Glaucoma evalekileyo evala iingalo: Kulapho indlela yolwelo ivuleka ize ivaleke ngamanye amaxesha. Abanye abantu banokuba neempawu ezifika ziphinde zihambe.
• I-Glaucoma Engapheliyo Yokuvalwa Kweengalo:Oku kusenokungabangeli zimpawu ekuqaleni. Nangona kunjalo, iimpawu zinokubonakala kancinci kancinci ngokuhamba kwexesha. Kamva, oku kunokuba nzima, okanye uxinzelelo olusesweni lunokunyuka kancinci kancinci kwaye lonakalise umthambo wakho wokubona .

2. I-Glaucoma yeSibini eValwayo yi-Angle

Olu hlobo lwenzeka xa kukho enye imeko yezonyango. Umzekelo:

• Isifo seswekile esingalawulwa kakuhle: Oku kunokukhokelela kwizifo ezifana ne-Proliferative Diabetes-Related Retinopathy.
• Iimeko ezifana "ne-Ischemic Central Vein Occlusion" ngenxa yoxinzelelo lwegazi oluphezulu olungalawulwa kakuhle okanye ezinye izifo zemithambo yegazi.
• I-Uveitis (ukudumba kwangaphakathi kweliso).
• Iinwebu kunye namanxeba abangelwa kukwenzakala kwamehlo okanye iimeko zokudumba.

Ixhaphake kangakanani le sifo?

Ngokwezibalo, malunga nomntu omnye kwabayi-1,000 uza kuba ne-angle-closure glaucoma. Le ngozi iphezulu kakhulu emva kweminyaka engama-40 .

Ngokutsho kolunye uqikelelo, abantu abangaphezu kwezigidi ezili-17 abaneminyaka engaphezu kwama-40 kwihlabathi liphela bane-primary angle-closure glaucoma. Elona nani likhulu laba bantu, malunga nezigidi ezili-12, bahlala kumazwe aseAsia. Ngoko ke, kubalulekile ukukwazi oku kumazwe afana nelethu.

Zithini iimpawu zeglaucoma evalekileyo ngecala?

Njengoko besitshilo ngaphambili, i-glaucoma evaliweyo yi-acute angle inokubangela iimpawu ezifana nezi:

• Intlungu yamehlo enzulu (ngamanye amaxesha ayinyamezeleki).
• Ububomvu bamehlo.
• Ukulahlekelwa okanye ukungaboni kakuhle.
• Ukubona izangqa ezinemibala yomnyama zijikeleze ukukhanya (iiHalos).
• Intloko ebuhlungu (ngamanye amaxesha kwicala elinye leliso).
• Isicaphucaphu nokuhlanza.

Ukuba iimpawu ezinje zibonakala ngequbuliso, kubaluleke kakhulu ukuziphatha njengengxamiseko kwaye ufune iingcebiso zonyango ngokukhawuleza!

I-glaucoma engapheliyo nengakhawuleziyo yokuvalwa kwe-angle isenokungabi yimbangela yeempawu rhoqo, kodwa ngamanye amaxesha unokubona izinto ezifana nezi:

• Ububomvu bamehlo.
• Umbono ofipheleyo.
• Ukungakhululeki kwamehlo (njengentlungu, ubunzima).
• Intloko ebuhlungu okanye intlungu kwindawo yamashiya.

Kutheni kukho i-glaucoma evala i-angle?

Oku kwenzeka kuba, njengoko besitshilo ngaphambili, ulwelo olungaphakathi kweliso olubizwa ngokuba yi-"Aqueous Humor" alunakungena okanye luphume ngokufanelekileyo. Umzimba wethu uhlala uvelisa ulwelo olutsha oluza kuthatha indawo yolwelo oludala.

Xa ulwelo oludala lungakwazi ukuphuma elisweni, luyaqokelelana ngaphakathi kweliso luze lonyuse uxinzelelo. Olu xinzelelo luphezulu yilo lubangela umonakalo kwi-optic nerve, i-nerve ephambili edibanisa amehlo ethu nengqondo.

Zininzi izizathu zokuba kubekho i-glaucoma. Kodwa kwi-angle-closure glaucoma, esona sizathu siphambili kukuba ngokuhamba kwexesha, ilensi yendalo engaphakathi kweliso lethu iyaqina kancinci, iyityhalele phambili ize ivale indlela yolwelo oluhamba nge-iris.

Ngaba le yinto ezuzwe njengelifa?

Uphando lubonise ukuba i-angle-closure glaucoma inxulunyaniswa nembali yosapho kwaye ii-genes ezithile nazo zidlala indima kuyo . Oku kuthetha ukuba ukuba umntu kusapho lwakho unesi sifo, nawe usemngciphekweni omkhulu wokuba naso. Ke ngoko, kubalulekile ukuxelela ugqirha wakho ngembali yosapho lwakho.

Ziziphi izinto ezinokubangela umngcipheko wokuba ne-angle-closure glaucoma?

Kukho izinto ezininzi ezibangela umngcipheko kule meko:

• Ubudala: Umngcipheko uyanda njengoko ukhula, njengoko uxinzelelo lwangaphakathi kweso (IOP) lunokwanda kwaye utshintsho olunokwenzeka emehlweni lunokwenzeka.
• Isini: Abafazi basengozini enkulu yokuhlaselwa yile meko.
• Uhlanga: Abantu abazalwa eAsia (njengathi) basengozini enkulu.

Ziziphi iingxaki ezinokubakho ngenxa yoku?

Njengezinye iintlobo zeglaucoma, i-angle-closure glaucoma inokonakalisa i-optic nerve yakho kwaye ikhokelele ekulahlekelweni kokubona okungapheliyo. Yiyo loo nto kubaluleke kakhulu ukuyixilonga nokuyinyanga kwangethuba.

Sifunyaniswa njani esi sifo?

Xa usiya kugqirha, uza kuqala akubuze ngeempawu zakho, imbali yakho yezonyango, kunye nokuba kukho nabani na kusapho lwakho okhe waba nezigulo ezifanayo.

Emva koko ugqirha wakho wamehlo uza kwenza uvavanyo olucokisekileyo lwamehlo .

Zithini iimvavanyo zokuxilonga?

Ugqirha usebenzisa iimvavanyo ezifana nezi ukuze afumanise i-angle-closure glaucoma:

• I-Gonioscopy: Oku kunokujonga i-engile yokukhupha amanzi kweliso lakho.
• Uvavanyo lweSibane esiqhekekileyo: Le yimakroskopu ekhethekileyo evumela ugqirha ukuba abone ngaphakathi kweliso lakho.
• Uvavanyo olulinganisa uxinzelelo lwangaphakathi kweso (IOP).
• Uvavanyo lweMimandla yokuBonakalayo: Oku kuvavanya umbono wakho ongaphandle.
• Uvavanyo lokujonga imifanekiso: Umzekelo, uvavanyo olufana ne-Optical Coherence Tomography (OCT) okanye i-Ultrasound.

Ukuba ugqirha wakho ucinga ukuba une-angle-closure glaucoma, uya kukuphepha ukusebenzisa amayeza akhulisa i-pupil yeliso lakho, njengoko la mayeza angenza ukuphuma kolwelo kube mandundu.

Inyangwa njani i-glaucoma evala i-angle?

Inyaniso kukuba, i-glaucoma evalekileyo yi-angle-closureAyinakuphiliswa ngokupheleleyo, kodwa kukho iindlela zonyango zokuyilawula nokunciphisa umonakalo ekuboneni.

Unyango lwe-glaucoma evaliweyo nge-acute angle

Le meko ifuna ukunyangwa ngokukhawuleza ukuze kuthintelwe ukulahleka kokubona. Ugqirha wakho angacebisa unyango olufana nolu:

• Amayeza: Oku kungabandakanya amathontsi amehlo (afana neTimolol, Pilocarpine, kunye neBrimonidine) kunye neepilisi zomlomo ezifana neAcetazolamide.
• I-Laser Iridotomy: Le yinkqubo esebenzisa i-laser beam. Apha, kwenziwa umngxuma omncinci kwi-iris yakho ukuvumela ulwelo ukuba luhambe ngokukhululekileyo. Ukuba une-glaucoma evaliweyo ebukhali kwelinye iliso, ugqirha wakho uhlala esenza le iridotomy ye-laser kuwo omabini amehlo. Ngaphandle koko, kukho umngcipheko wokuba nelinye iliso lakho liya kuba nale meko.

Unyango lwe-glaucoma engavaliyo ngokukhawuleza

Ugqirha udla ngokucebisa ukuba kwenziwe i-iridotomy nge-laser kwiimeko ezincinci ze-glaucoma evaliweyo nge-angle.

Ugqirha usenokucebisa ukuba kususwe i-cataract , kuba oko kunokucothisa ukuqhubela phambili kwe-glaucoma engapheliyo yokuvala i-angle.

Iingxaki okanye iziphumo ebezingalindelekanga zonyango

Emva konyango lwelaser, usenokuba namava okungaboni kakuhle kunye nokuziva ukukhanya kangangeentsuku ezimbalwa. Usenokubona nomzila wokukhanya kwindawo yonyango lwelaser. Ngokuqhelekileyo uya kucelwa ukuba uqhube nomntu emva kolu nyango. Nangona kunjalo, ungaqhubeka nemisebenzi yakho yesiqhelo ngosuku olulandelayo.

Yintoni endinokuyilindela ukuba ndine-angle-closure glaucoma?

Ukuba unyanga i-angle-closure glaucoma ngokufanelekileyo, imeko yakho kufuneka iphucuke. Ukuba yi-acute angle-closure glaucoma, unyango olukhawulezileyo lubalulekile ukuze ugcine umbono wakho uvulekile.

Kubalulekile ukuba uhlolwe amehlo akho rhoqo, njengoko ugqirha wakho ecebisa.

Ngaba i-glaucoma evalekileyo nge-angle ingathintelwa?

Hayi, i-angle-closure glaucoma ayinakuthintelwa ngokupheleleyo. Nangona kunjalo, ukuvavanywa kwamehlo rhoqo ngugqirha wamehlo kunokukunceda ubone ukuba usemngciphekweni na. Ukuba usemngciphekweni, ugqirha wakho unokukunika iingcebiso malunga namayeza omawuwaphephe kunye nonyango omawuwathathe. Kwakhona, ukuba unesifo seswekile, kubalulekile ukulawula amanqanaba eswekile egazini lakho.

Ndifanele ndimbone nini ugqirha wam?

Ukuba ubona naluphi na utshintsho ekuboneni kwakho, qiniseka ukuba ubona ugqirha wamehlo. Kwakhona, yiya kuvavanyo ngokweshedyuli ayiyalele yona.

Ndingaya nini kwigumbi likaxakeka?

Kufuneka ufune uncedo lwezonyango olungxamisekileyo kwezi meko. Oku kungabandakanya ukufowunela ugqirha wamehlo okanye ukuya kwigumbi likaxakeka:

• Ukuba iimpawu ziqala ngequbuliso (umz., ukulahleka kokubona).
• Ukuba uva iintlungu eziqatha emehlweni.
• Ukuba iimpawu ezininzi zivela kunye (umz., ukuba bomvu kwamehlo, isicaphucaphu, kunye nentlungu yamehlo).
• Ukuba kukho ukwenzakala kweliso.
• Ukuba iimpawu ziyavela emva kotyando lwamehlo.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wam okanye ingcali yamehlo?

Ungabuza iqela lakho lezonyango imibuzo efana nale:

• Luhlobo luni lweglaucoma endinalo?
• Ucebisa luphi unyango?
• Ngaba uhlobo lweglaucoma endinalo lufuzo?
• Zithini iziphumo ebezingalindelekanga zonyango?
• Imeko yam iza kuba njani kwixesha elifutshane nelide?
• Ngaba kukho imisebenzi endifanele ndiyiphephe?
• Ndifanele ndenze amaxesha amangaphi okudibana nabantu?
• Ngaba ndiyafaneleka ukuthatha inxaxheba kuvavanyo lweklinikhi?
• Ngaba uyazi naliphi na iqela lenkxaso endingajoyina kulo?

Kuluncedo ukubhala phantsi amanqaku abalulekileyo ngexesha ledinga lakho. Kukwangumbono olungileyo ukuza nelungu losapho okanye umhlobo ukuze akuncede ubuze imibuzo kwaye ukhumbule iimpendulo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Glaucoma sisifo esiqhelekileyo, kwaye kukho iintlobo ezininzi zaso. I-Angle-closure glaucoma yenye yezo ntlobo. Ukuba ufumana i-acute angle-closure glaucoma, kufuneka iphathwe njengengxamiseko yezonyango.

Ukuba ufumana iimpawu ezifana neentlungu zamehlo, intloko ebuhlungu, ukubomvu, kunye nesicaphucaphu, tsalela umnxeba ugqirha wakho okanye uye kwigumbi longxamiseko ngoko nangoko. Ungadinga uncedo olukhawulezileyo lwezonyango ukuze ulondoloze umbono wakho. Ezinye iintlobo ze-glaucoma ezivalekileyo nazo zifuna unyango. Njengakweyiphi na imeko, ukubonwa kwangoko kunye nonyango zezona ndlela zibalaseleyo zokuyinyanga. Musa ukoyika, ukuqonda ngamandla amakhulu!

I-Angle -Closure Glaucoma, iGlaucoma, Uxinzelelo lwamehlo, i-Optic Nerve, Ukulahleka kokubona, Intlungu yamehlo, Unyango lweLaser