Ngaba ugqirha wakho ukuxelele ukuba uxinzelelo lwamehlo akho luphezulu, ukuba une-glaucoma, kwaye unokufuna utyando? Kuqhelekile ukuba uzive usoyika kwaye uxhalabile xa usiva la mazwi. Sonke siba novelwano ngakumbi xa kufikwa kumehlo ethu. Kodwa ungoyiki. Isayensi yezonyango iphucuke kakhulu kule mihla. Namhlanje sithetha ngokuba luyintoni utyando lwe-glaucoma, ukuba lwenziwa njani, kunye nokuba kufuneka uloyike na.
Yintoni iglaucoma? Kwenzeka ntoni emva kotyando?
Ngamafutshane, i-glaucoma yimeko eyonakalisa umthambo we-optic, odibanisa amehlo ethu nengqondo yethu. Isizathu esiphambili soku kukunyuka koxinzelelo ngaphakathi kweliso.
Khawuthelekelele, ulwelo olubizwa ngokuba yi-'Aqueous humor' luhlala luveliswa ngaphakathi kwamehlo ethu, kwaye luphuma nakwelihlo. Oku kufana netanki yamanzi egcwala ngamanzi, kodwa amanzi aphuma kwelinye icala. Ukuba kukho naluphi na uthintelo ekuphumeni kolu lwelo, ulwelo luyaqokelelana ngaphakathi kwelihlo kwaye uxinzelelo luyanda. Olu xinzelelo lunyukayo lulo olonakalisa i-optic nerve ethambileyo.
Kukho iinjongo ezimbini eziphambili zotyando lwe-glaucoma:
1. Ukudala indlela entsha yokuba ulwelo oluqokelelana ngaphakathi kweliso luphume lula.
2. Kungenjalo, ukunciphisa ubungakanani bolwelo oluveliswa ngaphakathi kweliso.
Injongo yotyando, kusetyenziswa enye yezi ndlela zimbini, kukunciphisa uxinzelelo lwamehlo nokuthintela umonakalo ongakumbi kwi-optic nerve.
Ziziphi iintlobo eziphambili zotyando lweglaucoma?
Utyando lweGlaucoma lunokwahlulwahlulwa lube ziindidi ezimbini eziphambili: utyando lwelaser kunye notyando lokusikwa. Ugqirha wakho wamehlo uya kugqiba ukuba yeyiphi indlela efanelekileyo kuwe, kuxhomekeke kwimeko yakho.
| Uhlobo lotyando | Inkcazo emfutshane |
|---|---|
| 1. Utyando lweLaser - Ludla ngokwenziwa eofisini kagqirha | |
| I-Laser Trabeculoplasty | Inkqubo eqhelekileyo. Ukukhanya kwelaser kujoliswe kwi-trabecular meshwork, ehluza ulwelo elisweni, isuse imiqobo kwaye iququzelele ukuhamba kolwelo. |
| I-Laser Peripheral Iridotomy (LPI) | I-laser yenza umngxuma omncinci kakhulu kwi-iris, indawo enemibala yeliso, ukuze kube lula ukuhamba kolwelo. |
| I-Cyclophotocoagulation (CPC) | I-laser ijoliswe kwinxalenye yeliso evelisa ulwelo (umzimba we-ciliary), nto leyo enciphisa ukuveliswa kolwelo. |
| 2. Utyando Lokusika - Ludla ngokwenziwa kwigumbi lotyando | |
| I-Trabeculectomy | Inkqubo yesintu. Kwenziwa umngxuma omncinci kwindawo emhlophe yeliso (i-sclera) ukuze kudalwe indlela entsha yokukhupha ulwelo. |
| I-Tube Shunt | Ityhubhu encinci kakhulu, eguquguqukayo (i-shunt) ifakwa esweni ukuze kukhutshwe ulwelo. |
| Utyando lweGlaucoma oluNcinci (i-MIGS) | Itekhnoloji yamva nje. Utyando lwenziwe kusetyenziswa izixhobo ezincinci kakhulu kwaye ngokusikwa okuncinci kakhulu. Ukuphila ngokukhawuleza. |
Okungakumbi malunga notyando lwelaser
Utyando lwelaser yinkqubo engenabuhlungu enokuthi igqitywe ngemizuzu embalwa. Uhlobo olutsha lwelaser trabeculoplasty yi-SLT (Selective Laser Trabeculoplasty). Oku kunokuphindwa ukuba kuyimfuneko. Ngamanye amaxesha kuyacetyiswa njengonyango lokuqala lweglaucoma. Inkqubo ye-LPI isetyenziselwa ngokukodwa i-closed-angle glaucoma.
Okungakumbi malunga notyando lokusika
Oku kudla ngokwenziwa xa i-glaucoma ingenakulawuleka ngonyango lwe-laser okanye ngamayeza. Kodwa ngendlela yamva nje, i-`MIGS` (Utyando lwe-Glaucoma oluNcinci), izinto ezininzi zitshintshile. Kule meko, ukusikwa kuncinci kakhulu, ixesha lokuphiliswa lifutshane, kwaye iingozi ziphantsi. Kwiimeko ezininzi, utyando lwe-`MIGS` lunokwenziwa ngaxeshanye notyando lwe-cataract.
Ulungiselela njani utyando?
Ngaphambi kotyando, ugqirha uza kudibana nawe aze akuchazele yonke into. Ngelo xesha:
- Amehlo akho aza kuhlolwa kakuhle kwaye kuza kwenziwa uvavanyo olufunekayo.
- Baza kuthetha ngento onokuyilindela kolu tyando.
- Baza kukubuza ngembali yakho yempilo kunye namayeza owasebenzisayo (ingakumbi amayeza okunciphisa igazi).
Ngokwesiqhelo uya kunikwa imiyalelo ethile ngaphambi kotyando, efana nale:
- Uza kucelwa ukuba uyeke ukuthatha amayeza okunciphisa igazi (umz., i-aspirin, ii-NSAID) kangangeentsuku ezimbalwa.
- Ukuba unikwa i-anesthesia, uza kucelwa ukuba ucele umntu ukuba akuqhubele kuba awukwazi ukuqhuba imoto .
- Baza kukwazisa ngokuthe ngqo ukuba kufuneka uzile ixesha elingakanani ngaphambi kotyando.
- Imiyalelo ecacileyo inikwe malunga namayeza ekufuneka uwathathe kunye namayeza omawungawathathi ngosuku olungaphambi kotyando.
Ungoyiki ukubuza ugqirha nayiphi na imibuzo onayo. Kuya kukunceda kakhulu ukwazi yonke into ngokucacileyo.
Kwenzeka ntoni emva kotyando? Ngaba ndiza kuva iintlungu?
Awuyi kuva ntlungu ngexesha lotyando kuba iliso lakho liza kuba ndindisholo. Emva kotyando, ungaziva ubuhlungu obuncinci okanye ukungakhululeki kweliso lakho. Ugqirha uza kukunika iintlungu zokuphelisa iintlungu kunye namaconsi amehlo ukunceda koku.
Ixesha lokuchacha liyahluka ngokuxhomekeke kuhlobo lotyando olwenzileyo.
- Emva kotyando lwe-laser, ungaphinda uqalise imisebenzi yakho yesiqhelo kungekapheli usuku okanye ezimbini.
- Emva kotyando olunenxeba, kuya kufuneka ulumke okwethutyana. Kuya kufuneka uphephe ukuphakamisa izinto ezinzima, ukufaka amanzi emehlweni, okanye ukukhuhla amehlo akho kangangeveki okanye ezimbini, okanye mhlawumbi inyanga.
Ugqirha uza kukuxelela xa kufuneka ubuye ukuze ufumane amadinga okulandela. Qiniseka ukuba uyaya kuloo madinga. Kulapho ke izinto ezifana noxinzelelo lwamehlo kunye nokuphiliswa kwazo ziyahlolwa.
Ndifanele ndimtsalele umnxeba nini ugqirha?
Xa ubuyela ekhaya emva kotyando, kubalulekile ukwazisa ugqirha wakho ngokukhawuleza ukuba uziva into engaqhelekanga. Ukuba unezinye zeempawu ezilandelayo, ungalibazisi.
- Ukuba ufumana intlungu enganyamezelekiyo, enzima .
- Ukuba uziva ngathi umbono wakho uyaphela ngequbuliso okanye uyafiphala.
- Ukuba iliso liba bomvu kakhulu, iinyembezi ziyaphuma okanye i-mucus iyanda.
Ukuba oku kuyenzeka, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
Umyalezo Wokuya Ekhaya
- Injongo ephambili yotyando lwe-glaucoma kukunciphisa uxinzelelo lwamehlo nokukhusela umbono wakho ekonakalisweni okungakumbi.
- Kukho iindlela ezahlukeneyo, ezifana ne-laser, incisional surgery, kunye ne-MIGS. Ugqirha wakho uza kukhetha indlela efanelekileyo kuwe.
- Olu lutyando olukhuselekileyo ngokubanzi, kwaye kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye.
- Ukulandela imiyalelo kagqirha ngononophelo ngaphambi nasemva kotyando kubalulekile ukuze uphile ngokukhawuleza.
- Zive ukhululekile ukubuza ugqirha wakho nayiphi na imibuzo onokuba nayo malunga notyando okanye imeko yakho. Ukuqonda okucacileyo lolona yeza lilungileyo.
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