Ngaba wakha waya kugqirha wamehlo waza waxelelwa oku, "Uxinzelelo emehlweni akho lubonakala luphezulu kancinci, masenze uvavanyo oluncinci"? Okanye uloyiko kancinci kuba umntu kusapho lwakho une-glaucoma? Namhlanje siza kuthetha ngovavanyo olubaluleke kakhulu kodwa olulula kakhulu olwenziwa ngamaxesha anjalo. Olu luvavanyo lweGonioscopy. Nangona igama liyinkimbinkimbi kancinci, lilula kakhulu kwaye alinantlungu.
Yintoni iGonioscopy ngokulula?
Ngamafutshane, iGonioscopy luvavanyo olungangenisi gazi olwenziwa ngugqirha wakho wamehlo. Ngokusisiseko lujonga ukuba inkqubo yokukhupha amanzi ngaphakathi kweliso lakho isebenza kakuhle na. Kufana nokujonga ukuba umsele uvalekile na endlwini yakho. Ukuba le nkqubo ayisebenzi kakuhle, uxinzelelo ngaphakathi kweliso lunokwanda, nto leyo enokukhokelela kwiimeko ezinzima ezifana neglaucoma . Ngoko ke olu vavanyo luluncedo kakhulu ekufumaneni ezo zinto kwangethuba.
Kweziphi iimeko olu vavanyo lwenziwa kuzo?
Kukho izizathu ezininzi zokuba ugqirha wakho angacebisa olu vavanyo. I-Glaucoma sisifo apho uxinzelelo olungaphakathi kweliso (uxinzelelo lwangaphakathi kweso) lunyuka, nto leyo ebangela umonakalo kwi-optic nerve, nto leyo enokubangela ukulahleka kokubona kancinci kancinci. Ngoko ke, olu vavanyo lunokwenziwa nanini na xa kukho naluphi na urhano olunxulumene nalo.
Olu vavanyo lwenza ikakhulu:
- Chonga uhlobo lweglaucoma: Kukho iintlobo ezimbini eziphambili zeglaucoma. Ezi yi-angle-closure glaucoma kunye ne-open-angle glaucoma. I-gonioscopy ibalulekile ukuze kuchongwe uhlobo oluchanekileyo onalo.
- Chonga ezinye iimeko zempilo: Oku kunokunceda ekususeni ezinye iimeko ezibangela iimpawu ezifana ne-glaucoma, ezifana ne-pseudoexfoliation syndrome.
- Iithumba okanye iiCancers ngaphakathi kweliso: Olu vavanyo lwenziwa ukuqinisekisa ukuba kukho ukurhanelwa kwethumba okanye umhlaza kwi-iris (inxalenye enombala yeliso).
Khumbula, ukuba uxinzelelo lwamehlo luhlala luphezulu ixesha elide, lunokubangela umonakalo ongunaphakade kweliso kwaye lude lulahlekelwe nayimbono. Yiyo loo nto uvavanyo olufana nolu lubaluleke kangaka.
Lusebenza njani olu vavanyo lweGonioscopy?
Isayensi engasemva koku ilula kakhulu. Khawuthelekelele ufuna ukubona into ekwelinye icala legumbi. Wenza ntoni? Uphakamisa isipili uze usijonge, akunjalo? Le yindlela efanayo elula esetyenziswa apha.
Ngaphakathi kweliso lethu, ngasemva kwe-cornea (inxalenye ecacileyo engaphambili kweliso) naphambi kwe-iris, kukho igumbi elizaliswe lulwelo. Eli libizwa ngokuba yigumbi elingaphambili .Ulwelo olukweli gumbi (i-aqueous humor) luhlala luveliswa kwaye lukhutshwa. Olu lwelo luphuma kwindawo ebizwa ngokuba yi-"drainage angle" apho i-iris kunye nenxalenye emhlophe yeliso (i-sclera) kudibana khona.
Ilensi ekhethekileyo esetyenziswa kwi-gonioscopy isebenzisa iglasi yokukhulisa okanye isibuko ukuvumela ugqirha ukuba abone ngqo i-engile yokukhupha amanzi. Uyakwazi ukubona ngoko nangoko ukuba inciphile, ivalekile, okanye isempilweni.
Ziziphi iintlobo zeelensi zeGonioscopy?
Kukho iintlobo ezimbini eziphambili zeelensi ezisetyenziswa kolu vavanyo. Kungumbono olungileyo ukwazi ukuba loluphi uhlobo lovavanyo olusebenzisayo.
| Uhlobo lwelensi | Ingaba isebenza kanjani | Indawo esetyenziswa rhoqo |
|---|---|---|
| I-Gonioscopy engathanga ngqo | Le lensi inezipili. Ukukhanya kuyabetha kwezo zipili kwaye kuyakhanya, nto leyo evumela ugqirha ukuba abone loo engile. | Kwiofisi kagqirha wamehlo. Le yindlela esetyenziswa kakhulu. |
| I-Gonioscopy ethe ngqo | Le lensi ayinazo izipili. Endaweni yoko, ikhulisa ukukhanya, nto leyo evumela ugqirha ukuba abone ngqo i-engile yokukhupha amanzi. | Oku kudla ngokwenziwa kwigumbi lotyando, kunye nolunye utyando. |
Ngaba kufuneka ndilungiselele ngaphambi kovavanyo?
Ngokwesiqhelo, awudingi naluphi na ulungiselelo olukhethekileyo. Olu luvavanyo olunokwenziwa nangaliphi na ixesha.
Kodwa kukho into enye: Ukuba unxiba iilensi zokunxibelelana, qiniseka ukuba ubuza ugqirha wakho ukuba kufuneka uyeke ukuzinxiba kwiintsuku ezimbalwa ngaphambi kovavanyo.
Ukuba olu vavanyo lwenziwa kunye notyando, ugqirha wakho uza kukunika imiyalelo ethile yokuba ungalulungiselela njani.
Kwenzeka ntoni ngexesha lovavanyo?
Masithethe nge-Indirect Gonioscopy, ekuya kufuneka uyenze. Ivakala ngathi yinxalenye yovavanyo lwamehlo oluqhelekileyo (uvavanyo lwesibane esiqhekekileyo).
1. Ukuphelelwa lithemba kwamehlo: Okokuqala, ugqirha uza kubeka amathontsi athile abangela ukuba amehlo akho aphelelwe lithemba. Oku kuza kwenza amehlo akho aphelelwe lithemba. Ngoko awuyi kuva ntlungu okanye ukungakhululeki.
2. Ukulungiselela ilensi: Okulandelayo, ilensi encinci ibekwa ngononophelo phezu kweliso lakho. Amathontsi amanzi afakwa kwilensi ukuthintela ukuba amaqamza omoya angenzeki phakathi kweliso neliso lakho nokwenza kube lula ukuhambahamba.
3. Uvavanyo: Ngoku umbonile ugqirha esebenzisa umatshini onokukhanya okukhulu, isibane esiqhekekileyo, ukuhlola amehlo akho. Uza kujonga elisweni lakho ngaloo lensi. Ngeli xesha, uza kucelwa ukuba ujonge phambili, okanye ugqirha uza kukucela ukuba ujonge kwicala elithile (phezulu, ezantsi, ekhohlo, ekunene).
4. I-Dynamic Gonioscopy: Ngamanye amaxesha, ugqirha uya kutyhala ilensi kancinci kakhulu esweni lakho. Oku kubizwa ngokuba yi -dynamic gonioscopy . Musa ukoyika, oku kukujonga naziphi na izincamathelo (synechiae) kwi-iris.
5. Isiphelo: Uvavanyo luza kuphela kwimizuzu embalwa. Ilensi iya kususwa. Usenokukrazuka, nto leyo eqhelekileyo.
Olu vavanyo lusenokuquka okanye lungabandakanyi amayeza okwandisa ulusu . Oku kumiselwa ngugqirha.
Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga koku?
Iindaba ezimnandi zezokuba uvavanyo lweGonioscopy ngokwalo alunazo iingozi okanye iziphumo ebezingalindelekanga.
Nangona kunjalo, ngenxa yokusebenzisa amaconsi eliso ukwenza iliso lingabi nanto kwaye mhlawumbi livuleke , unokufumana ukungakhululeki okwethutyana, njengokubona okufipheleyo kangangeeyure ezimbalwa. Ugqirha wakho uza kukuchazela oku.
Ukuba iziphumo aziqhelekanga, yintoni oyenzayo emva koko?
Eyona nto ilungileyo ngale nto kukuba ugqirha angakuxelela iziphumo kwangoko nje ukuba uvavanyo lugqityiwe.
Ukuba ubona i-engile yokukhupha amanzi emxinwa, oko kuthetha ukuba usengozini ye-glaucoma. Ugqirha wakho uya kukuxelela ngonyango olufunayo (amaconsi amehlo, unyango lwe-laser, okanye utyando).
Nangona kunjalo, ngamanye amaxesha i-engile apho olu lwelo luhamba khona ingavalwa ngokupheleleyo. Oku kubizwa ngokuba yi-angle-closure glaucoma . Le yingxamiseko yezonyango kuba inokubangela ukulahleka kokubona ngequbuliso. Ukuba ubona oku, ugqirha wakho uza kukuthumela ukuze ufumane unyango ngoko nangoko.
Ndifanele ndimbone nini ugqirha?
I-Glaucoma sisifo esihlala sikhula buthule, singabonisi zimpawu kwasekuqaleni. Kungoko ke, kubaluleke kakhulu ukuba amehlo akho ahlolwe rhoqo. Kububulumko ukuba amehlo akho ahlolwe ubuncinane kanye ngonyaka, ingakumbi ukuba ungomnye wamaqela alandelayo anobungozi:
- Ukuba uneminyaka engaphezu kwama-40 ubudala
- Ukuba kukho umntu kusapho one-glaucoma
- Ukuba unesifo seswekile (uhlobo lwesibini lweswekile)
- Ukuba unesifo soxinzelelo lwamehlo oluphezulu (uxinzelelo lwamehlo oluphezulu)
- Ukuba usebenzisa ii-corticosteroids ixesha elide
- Ukuba unengxaki yokubona echaphazela kakhulu umbono wakho, njengokubona okukufutshane okanye ukubona kude
| Uphawu | Kwenziwe ntoni |
|---|---|
| Thetha nogqirha wakho. | |
| Ubomvu bamehlo | Ukuba ufumana enye okanye ngaphezulu kwezi mpawu, bonana nogqirha wamehlo ngokukhawuleza. |
| Intloko ebuhlungu, isicaphucaphu, kunye nokuhlanza | |
| Ukubona izangqa ezifana nomnyama xa ujonge izibane | |
| Umbono ophantsi (umbono womjelo) okanye amabala amatsha amnyama | |
| Intlungu okanye uxinzelelo lwamehlo (oku kudla ngokuvela xa uxinzelelo luphezulu kakhulu) | |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. | |
| Ukulahlekelwa ngequbuliso okanye ukufiphala kombono | Ezi zinokuba ziimpawu ezinzulu kakhulu. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane ngaphandle kokulibazisa. |
| Intlungu yamehlo engalindelekanga, eqatha (ingakumbi xa unentloko ebuhlungu kunye nesicaphucaphu) | |
Umyalezo Wokuya Ekhaya
- I-Gonioscopy luvavanyo olungenazintlungu, olulula, nolukhuselekileyo olusetyenziselwa ukufumanisa izifo ezifana ne-glaucoma.
- Olu vavanyo luthatha imizuzu embalwa kuphela.
- Ugqirha wakho angakwazisa ngeziphumo kwangoko nje ukuba uvavanyo lugqityiwe.
- Ukuhlolwa kwamehlo rhoqo kubaluleke kakhulu ukukhusela ukubona kwakho.
- Ukulahlekelwa ngumbono ngequbuliso okanye iintlungu zamehlo eziqatha yingxaki yezonyango. Kwiimeko ezinjalo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
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