Zithini iimpawu zeglaucoma? Ungayibona njani?
I-glaucoma ayibangeli zimpawu kwasekuqaleni . Ingena ngokunyenya njengotshaba olufihlakeleyo. Yiyo loo nto abantu abaninzi eSri Lanka bengazi nokuba bane-glaucoma. Ngamanye amaxesha, iimpawu ziqala ukubonakala emva kokuba umonakalo ongenakulungiseka wenzeke esweni.Iimpawu eziqhelekileyo:
Nazi ezinye zeempawu eziqhelekileyo:- Ukuva intlungu okanye uxinzelelo emehlweni
- Intloko ebuhlungu
- Amehlo abomvu okanye abomvu
- Ukubona umfanekiso omnye ngathi babini, imeko ebizwa ngokuba yi-``diplopia```
- Umbono ofipheleyo
- Ukungaboni kakuhle kancinci kancinci
- Ukukhula kancinci kancinci kwamabala amnyama embonweni (i-scotomas) okanye ukuncitshiswa kwendawo yokubona, ngokungathi ujonge ngetyhubhu (umbono we-tunnel). Khawuthelekelele ukuba xa ufunda iphephandaba, oonobumba kwelinye icala babonakala bengacacanga, okanye xa uhamba esitalatweni, uziva ngathi omabini amacala akacacanga.
Iimpawu ezifuna ingqalelo ekhawulezileyo!
Ezinye iintlobo zeglaucoma, ingakumbi i-angle-closure glaucoma, zinokubangela iimpawu ezinzima ngequbuliso.Kwiimeko ezinjalo, kufuneka uncedo lwezonyango olukhawulezileyo, okanye ukulahleka kombono okungapheliyo kunokwenzeka. Nazi iimpawu zale meko ingxamisekileyo:- Ingqokelela yegazi phambi kweliso lakho elimnyama (hyphema)
- Amehlo avuvukileyo okanye akhulisiweyo (i-buphthalmos) (oku kubachaphazela ngakumbi abantwana abancinci)
- Isicaphucaphu nokuhlanza kunye nentlungu yamehlo /uxinzelelo
- Xa ujonga izibane, ubona izangqa ezinemibala yomnyama ezijikelezileyo. Njengokuba uqhuba ebusuku, ubona izangqa ezinemibala ezijikeleze izibane zesitalato.
- Ukuvela ngequbuliso okanye ngokwanda kwee-floaters (myodesopsias) (amachaphaza amancinci amnyama, iigobolondo, njl.njl.) phambi kwamehlo
- Ukulahlekelwa ngumbono ngequbuliso nangayiphi na indlela
- Ukukhanya okukhawulezileyo phambi kwamehlo ( photopsias )
Kutheni kuvela i-glaucoma? Yintoni unobangela?
Eyona nto ibangela i-glaucoma kukonakala komthambo we-optic ongaphakathi kweliso lakho . Oku kufana nentambo ethwala oko sikubonayo ukuya engqondweni. Kunokwenzeka ngaphandle kwesizathu esicacileyo, kodwa kukho izinto ezininzi ezinegalelo kule meko. Enye yezona zinto zibalulekileyo kwezi zinto zinobungozi luxinzelelo olungaphakathi kweliso (uxinzelelo lwamehlo olungaphakathi kweliso) . Cinga ngale ndlela, ulwelo olubizwa ngokuba yi-aqueous humor luhlala luveliswa ngaphakathi kwamehlo ethu ukuze londle iliso. Olu lwelo luhamba ngeliso elimnyama luye ngaphambili kweliso. Kwiliso eliphilileyo, olu lwelo luphuma elisweni ngenethiwekhi yeenkqubo zokukhupha amanzi ezibizwa ngokuba yi-trabecular meshwork, apho iliso elimhlophe lidibana khona neliso elinombala (indawo enemibala ejikeleze iliso elimnyama). Kufana netanki yamanzi enombhobho oqhotyoshelwe kuyo ukuze kukhutshwe amanzi. Kwi-glaucoma, inkqubo yokukhupha amanzi iyavalwa okanye imelane nokuhamba kolwelo. Olu lwelo alunandawo yokuya kwaye luyaqokelelana ngaphakathi kweliso. Olu lwelo lugqithisileyo luyaqokelelana, nto leyo ebangela ukuba uxinzelelo olungaphakathi kweliso lunyuke. Ekugqibeleni, olu xinzelelo lunyuka lunokonakalisa umthambo wakho we-optic, nto leyo ekhokelela kwi-glaucoma. Isizathu sale ngqalutye ngaphakathi kweliso sinokuhluka ngokuxhomekeke kuhlobo lweglaucoma onayo.Ngaba kukho iintlobo zeglaucoma?
Ewe, kukho iintlobo ezahlukeneyo zeglaucoma, kodwa zinokwahlulwahlulwa ngokubanzi zibe ziindidi ezininzi:- I-glaucoma eyintloko evulelekileyo: I-glaucoma evulelekileyo yimeko apho imijelo yokukhupha amanzi, eziindawo apho umhlophe weliso udibana nomphetho wangaphandle wenxalenye enemibala yeliso, ivuleka khona. I-Aqueous humor ingena kwezi mijelo kwaye iphuma kwigumbi elingaphambili leliso. Olu lolona hlobo luqhelekileyo lwe-glaucoma.Okwenzekayo kukuba imisele yamanzi iyavaleka kancinci kancinci, njengemisele yesinki ezaliswa bubumdaka kancinci kancinci. Oku kwenzeka kancinci kangangokuba kusenokungabikho zimpawu ekuqaleni.
- I-glaucoma evala i-angle yokuqala: Ngokwesiqhelo, i-humor yamanzi kufuneka iphume kwigumbi elingasemva kweliso, idlule kwi-sclera, iye kwigumbi elingaphambili. Kodwa ngamanye amaxesha, ilensi yeliso lakho idumba kakhulu phambili, ithintele ukuhamba kolwelo kwi-sclera. Ulwelo olugqithisileyo kwigumbi elingasemva lunokutyhala i-sclera phambili, lunciphise okanye luvale ngokupheleleyo i-engile apho ulwelo luphuma khona. Oku kunokuba yimeko engalindelekanga, engalindelekanga. Iliso linokuba bomvu kwaye libe buhlungu.
- I-Secondary glaucoma: Oku kwenzeka xa uxinzelelo olukwiliso lusanda ngenxa yesinye isimo okanye isiganeko. Umzekelo, inokubangelwa kukwenzakala kwamehlo (cinga ngebhola yekriketi ebetha iliso), i-pigmentary dispersion syndrome (iziqwenga ezincinci zepigment elisweni eziqhekekayo zize zivale umjelo wokukhupha amanzi), i-uveitis (ukudumba kwangaphakathi kweliso), amayeza athile (ingakumbi ii-corticosteroids kunye ne-cycloplegics), kunye notyando lwamehlo.
- I-Congenital glaucoma: Le yi-glaucoma ekhula ngexesha losana olusandul’ ukuzalwa, oko kukuthi, xa umntwana esesibelekweni. Umzekelo, iimeko ezifana ne-aniridia (iris yeliso ayikheki kakuhle), i-Axenfeld-Rieger syndrome, i-Marfan syndrome, i-congenital rubella syndrome, kunye ne-neurofibromatosis type 1 zinokubangela oku. Le yimeko ekhoyo xa umntwana ezalwa, kwaye ukuba amehlo omntwana makhulu, anamanzi, okanye anovelwano ekukhanyeni, kufuneka ufune ingcebiso kagqirha ngoko nangoko.
Ziziphi izinto ezinokubangela umhlaza we-glaucoma?
Kukho izinto ezininzi ezinokubangela umngcipheko onokuchaphazela ukukhula kwe-glaucoma. Makhe sijonge ukuba zeziphi:- Ubudala: Uninzi lweentlobo zeglaucoma zichaphazela abantu abangaphezu kweminyaka engama-40 ubudala. (I-Congenital glaucoma yeyona nto ingaqhelekanga koku.) Iingcali ziqikelela ukuba malunga ne-10% yabantu abangaphezu kweminyaka engama-75 ubudala bane-glaucoma. Oku kuthetha ukuba kubalulekile ukuyinyamekela njengoko ukhula.
- Uhlanga/Izizukulwana: Abantu abazalwa eAfrika, ingakumbi abo bazalwa e-Afro-Caribbean, basengozini enkulu yokufumana i-glaucoma yokuqala evulekileyo. Abantu baseAsia (kuquka nathi) kunye nabazalwa e-Inuit nabo basengozini enkulu yokufumana i-glaucoma evaliweyo.
- Isini:Abafazi basengozini enkulu yokufumana i-angle-closure glaucoma. Iingcali zikholelwa ukuba oku kungenxa yokwahluka ngokwesini kwindlela elime ngayo iliso.
- Iimpazamo zokujova: Abantu ababona kufutshane, okanye i-myopia, basengozini enkulu yokufumana i-open-angle glaucoma. Ngokufanayo, abantu ababona kufutshane, okanye i-hyperopia, basengozini enkulu yokufumana i-angle-closure glaucoma.
- Imbali yosapho: Ukuba umntu kusapho lwakho, ingakumbi umama wakho, utata, umntwana, okanye umntakwenu, ukhe waba ne-glaucoma, usemngciphekweni omkhulu wokuba nayo. Njengokuba izifo ezifana nesifo seswekile kunye noxinzelelo lwegazi oluphezulu zidla ngokubonakala kwiintsapho zethu, ezinye zeemeko ezibangela i-glaucoma yesibini nazo ziyimfuza.
- Izifo Ezingapheliyo: Uphando lufumanise ukuba abantu abanezifo ezithile ezingapheliyo, ezifana noxinzelelo lwegazi oluphezulu nesifo seswekile, basengozini enkulu yokufumana i-glaucoma. Ngoko ke ukuba unazo ezi zifo, kulungile ukuba amehlo akho azilawule kakuhle.
Ziziphi iingxaki ezinokubakho ngenxa yeglaucoma?
Khawucinge ngento enokwenzeka ukuba awufumani unyango lokulawula uxinzelelo olungaphakathi kweliso lakho. Ukuba oko kuyenzeka, i-glaucoma ingonakalisa i-retina yakho kunye ne-optic nerve, ekugqibeleni ibangele ukuba ziyeke ukusebenza. Oku kubangelwa yingxaki ephambili ye-glaucoma, ebangelwa kukulahlekelwa yimbono kunye nokungaboni ngokupheleleyo. Isiphumo sokugqibela yinto iingcali eziyibiza ngokuba yi-absolute glaucoma. Oku kuthetha ukuba iliso elichaphazelekayo liba yimfama ngokupheleleyo. Linokuba lukhuni, njengelitye, xa ulichukumisa, kwaye linokuba buhlungu.Ifunyanwa njani i-glaucoma?
Ingcali yamehlo inokuxilonga i-glaucoma ngokuhlolwa kwamehlo. Enyanisweni, olu vavanyo lwamehlo lunokuxilonga i-glaucoma ngaphambi kokuba ube neempawu okanye umonakalo emehlweni akho. Ngexesha lovavanyo, umfundi wakho uyavuleka (i-mydriasis), nto leyo evumela ugqirha ukuba abone ngaphakathi kweliso lakho. Nazi ezinye zeemvavanyo eziphambili ezinokunceda ekuxilongeni i-glaucoma:- Uvavanyo lobuchule bokubona - ukuvavanya ukuba ubona kakuhle kangakanani (ngokukucela ukuba ufunde umgca woonobumba).
- Uvavanyo lwentsimi ebonakalayo - Ukujonga ububanzi bombono wakho kunye nokuba ungawabona na amacala omabini.
- Uvavanyo lokuqonda ubunzulu
- I-Tonometry - Ukulinganisa uxinzelelo ngaphakathi kweliso. Oku kwenziwa ngokusebenzisa isixhobo esivuthela umoya elisweni okanye ngokuchukumisa iliso.
- I-Pachymetry - Ukulinganisa ubukhulu be-cornea, inxalenye ecacileyo engaphambili kweliso.
- Uvavanyo lwesibane esiqhekekileyo - Uvavanyo olwenziwe nzulu kwiindawo ezahlukeneyo zeliso kusetyenziswa imakroskopu ekhethekileyo.
- I-Gonioscopy - Ilensi ekhethekileyo ibekwa esweni ukuze kuhlolwe i-engile apho ulwelo luphuma khona.
- `Optical coherence tomography (OCT)` - Oku kuskena iileya ezithambileyo ngaphakathi kweliso, ingakumbi ubukhulu beefayibha ze-optic nerve.
- I-Fluorescein angiography - uvavanyo lokujonga imithambo yegazi esweni.
- Uvavanyo lwe-ultrasound `(Ultrasound)`
- Kunqabile ukuba kwenziwe i-computed tomography (CT) scan okanye i-magnetic resonance imaging (MRI) scan.
Ziziphi iindlela zonyango lwe-glaucoma?
Injongo ephambili yonyango lwe-glaucoma kukunciphisa uxinzelelo ngaphakathi kweliso (uxinzelelo lwangaphakathi kweso) kunye nokuthintela isifo ukuba singabi mandundu . Kukho unyango oluphambili olunokunceda koku:- Amayeza: La ngamayeza anciphisa uxinzelelo ngaphakathi kweliso lakho. Ukuba uxinzelelo lwakho lweliso luphezulu kunesiqhelo (imeko ebizwa ngokuba yi-'ocular hypertension'), la mayeza anokunceda ukuthintela i-glaucoma ukuba ingaveli okanye ithintele umonakalo onokubangela iimpawu. La mayeza angeza njengamaconsi okanye iipilisi zamehlo. Kubalulekile ukuthatha la mayeza kanye njengoko ugqirha wakho ekuxelele.
- Utyando lweGlaucoma: Olu tyando lwenzelwe ukunceda i-aqueous humor ikhuphe amanzi ngokulula kwaye inciphise uxinzelelo ngaphakathi kweliso. Olu tyando luquka i-trabeculectomy (ukudala indlela entsha yokukhupha ulwelo), ii-tube shunts (ukufaka ityhubhu encinci elisweni ukuze kukhutshwe ulwelo), unyango lwe-laser (ukusebenzisa i-laser ukuvula inkqubo yokukhupha amanzi), kunye notyando lwe-glaucoma olungena emzimbeni (MIGS).
Iyintoni imbonakalo yeglaucoma?
Enyanisweni, ukuba ayinyangwa, i-glaucoma inokukhokelela ekulahlekelweni kokubona okungapheliyo kunye nokungaboni. Kodwa ngonyango, esi sifo sinokulawulwa okanye sithintelwe ukuba singabi mandundu . Kodwa ekubeni oku kunokwahluka kumntu nomntu, umntu ongcono ukuthetha naye ngale nto ngugqirha wakho wamehlo. Angakuxelela ukuba imeko yakho injani kwaye yintoni onokuyenza ukuyiguqula.Ngaba i-glaucoma ingathintelwa?
Ngelishwa, i-glaucoma ayinakuthintelwa ngokupheleleyo.Ukuxilongwa kwangoko kunye nonyango kunokunceda ukulawula uxinzelelo lwangaphakathi kweso kunye nokuthintela okanye ukulibazisa ukulahleka kokubona. Kukho izinto ezibalulekileyo onokuzenza ukunceda:- Fumana uhlolo lwamehlo rhoqo : Ungabona uxinzelelo oluphezulu ngaphakathi kwamehlo akho ngaphambi kokuba kuvele iimpawu zeglaucoma. Ukufunyanwa kwangoko kunokukunceda wena kunye nogqirha wakho wamehlo ukuthintela iglaucoma ukuba ibe mandundu, okanye ubuncinane uyinciphise. Licebo elihle ukuba uhlolwe amehlo akho ubuncinane kanye ngonyaka emva kweminyaka engama-40, ingakumbi ukuba unembali yentsapho yeglaucoma.
- Ukulawula uxinzelelo lwegazi oluphezulu emehlweni: Ukuba uxinzelelo olungaphakathi kwamehlo akho luphezulu kunesiqhelo, ugqirha wakho wamehlo uya kucebisa iindlela zonyango. Kubaluleke kakhulu ukulandela icebiso labo. Oku kunokukunceda uthintele okanye ubuncinci ukulibazise ukulahleka kokubona.
- Yazi kwaye ulawule izinto ezikubangela umngcipheko: Ungazama ukulawula okanye ukuthintela iimeko ezithile, ezinje ngoxinzelelo lwegazi oluphezulu kunye nesifo seswekile. Kwakhona, ukusebenzisa izinto ezifana neeglasi zokhuseleko kunokunceda ukuthintela ukwenzakala kwamehlo.
Ukuba ndineglaucoma, ndingenza ntoni ukuze ndizincede?
Ukuba une-glaucoma, eyona nto ingcono onokuyenza kukulandela imiyalelo kagqirha wakho wamehlo yokunyanga nokulawula le meko . Angacebisa utshintsho oluthile kwindlela ophila ngayo kunye nemikhwa yakho. Oku kungabandakanya:- Musa ukuzityeshela iimpawu ezintsha okanye utshintsho embonweni.
- Ukugcina ubunzima bakho busempilweni.
- Hlala usebenza (kodwa buza ugqirha wakho malunga nemithambo ekufuneka uyiphephe, njengoko eminye imithambo, efana neyoga intloko yakho ijonge phantsi, inokunyusa uxinzelelo lwamehlo).
- Ukuya kumbona njengoko ugqirha ecebisa.
Ndingalufuna nini uncedo lwezonyango?
Ezinye iintlobo zeglaucoma, ezifana ne-angle-closure glaucoma, zinokukhula ngokukhawuleza. Ngoko ke kufuneka uncedo lwezonyango ngokukhawuleza ukuthintela umonakalo osisigxina kunye nokulahlekelwa yimbono. Ukuba unayo nayiphi na kwezi mpawu, nokuba ziqala ngequbuliso okanye ziya zisiba mandundu, yiya kuhlolwa ngoko nangoko:- Intlungu enkulu yamehlo okanye uxinzelelo
- Intloko ebuhlungu
- Umbono ophindwe kabini (i-diplopia) okanye umbono ofipheleyo
- Isicaphucaphu nokuhlanza okubangelwa yintlungu/uxinzelelo lwamehlo
- Ukubona izangqa ezinemibala yomnyama zijikeleze izibane
- Ukulahlekelwa ngumbono ngequbuliso nangayiphi na indlela
- Izibane zokukhanya ziqala ukubonakala phambi kwamehlo.
- Ukuqala ngequbuliso okanye ukwanda kokubonakala kwezinto ezidadayo phambi kwamehlo (i-myodesopsias)
Yeyiphi imibuzo endifanele ndiyibuze ugqirha wamehlo?
Kungcono ukubuza imibuzo yengcali yamehlo efana nale:- Luhlobo luni lweglaucoma endinalo?
- Yintoni ebangela i-glaucoma yam?
- Ziziphi iindlela zonyango endinazo, kwaye ucebisa ntoni?
- Zithini iziphumo ebezingalindelekanga okanye iingxaki zonyango (okanye zonyango)?
- Ziziphi iimpawu okanye utshintsho ekufuneka ndilutsalele eofisini yakho okanye ndifune ingcebiso kagqirha?
Musa ukoyika ukubuza le mibuzo. Okukhona uyiqonda ngcono imeko yakho, kokukhona unokufumana uncedo lonyango kwaye ukhusele umbono wakho.Kwabaninzi bethu, ukubona kwethu kubaluleke kakhulu, mhlawumbi yeyona nto ibalulekileyo ebomini. Ngoko ke kuyinto eqhelekileyo ukoyika nokuxhalaba malunga nokulahlekelwa kukubona ngenxa yemeko efana ne-glaucoma. Kodwa iindaba ezimnandi zezokuba i-glaucoma yimeko enokufunyanwa kwaye inyangwe kwangethuba. Okukhona ufumanisa isifo ngokukhawuleza kwaye uqale unyango, kokukhona amathuba akho okusithintela ukuba singabi mandundu. Nangona ingenakuyekiswa ngokupheleleyo, idla ngokulibazisa ukuqala kwemiphumo emibi kangangeminyaka, kwanamashumi eminyaka.
Ezona zinto zibalulekileyo ekufuneka sizikhumbule kweli nqaku (Umyalezo Wokubuyela Ekhaya)
Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako malunga neglaucoma:- I-Glaucoma isenokuba sisifo esingathethiyo: isenokungabangeli zimpawu kwasekuqaleni. Yiyo loo nto ukuvavanywa kwamehlo rhoqo kubaluleke kakhulu, ingakumbi ukuba unezinto ezinokubangela umngcipheko.
- Ukufunyanwa kwangoko yeyona ndlela ilungileyo yokukhusela: Ukuba kufunyenwe kwangoko, unyango lunokuthintela kakhulu ukulahleka kokubona okungakumbi.
- Lumka ngezinto ezinokubangela umngcipheko: Ukuba unembali yentsapho yakho yale meko, uneminyaka engaphezu kwama-40 ubudala, okanye unezifo ezifana nesifo seswekile okanye uxinzelelo lwegazi, kufuneka ulumke ngakumbi.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo: Ukuba ufunyaniswe une-glaucoma, kubalulekile ukulandela amayeza kunye nemiyalelo enikwe ngugqirha wakho ngokuchanekileyo.
- Musa ukuzityeshela iimpawu zongxamiseko: Ukuba ufumana iintlungu zamehlo ngequbuliso, umbono ofipheleyo, okanye ubona imisesane ejikeleze izibane, bonana nogqirha ngokukhawuleza.
Khumbula, amehlo akho axabiseke kakhulu kuwe. Ngoko ke, luxanduva lwakho ukuwanyamekela. Musa ukoyika, ukuba uyazi kwaye uthatha amanyathelo afunekayo, ungaphila kakuhle nangona une-glaucoma.
I- Glaucoma, uxinzelelo lwamehlo, isifo samehlo, ukulahleka kokubona, ubumfama, umthambo wamehlo, uvavanyo lwamehlo











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