Ngaba wakha weva amagama athi 'uxinzelelo lwamehlo oluphezulu' okanye 'iglaucoma'? Mhlawumbi kukho umntu kusapho lwakho onale meko. Iyoyikisa kancinci, kuba uxinzelelo lwamehlo oluphezulu lunokubangela umonakalo ongunaphakade ekuboneni kwethu. Kodwa ungakhathazeki, amayeza anamhlanje aphucukile kakhulu. Enye yezona ndlela zonyango zisebenzayo nezikhuselekileyo zoku kukuhlinzwa okubizwa ngokuba yi-goniotomy. Makhe sibone ukuba yintoni, yenziwa njani, kwaye zithini izibonelelo zayo .
Ngamafutshane, yintoni i-goniotomy?
I-Goniotomy lutyando olukhethekileyo olwenziwa ukunciphisa uxinzelelo lwangaphakathi kweso . Lukwicandelo elibizwa ngokuba yiMicroinvasive Glaucoma Surgery (MIGS) . Igama elithi "Microinvasive" lithetha utyando olwenziwa kusetyenziswa izixhobo ezincinci kakhulu, ezibuthathaka kwaye ngaphandle kokubangela umonakalo omkhulu emehlweni.
Uhlazo lwamanzi luhlala luveliswa kwaye lukhutshwa emehlweni ethu. Ukuba olu lwelo alukhutshwanga kakuhle, uxinzelelo olungaphakathi kweliso luyanda. Oku kubizwa ngokuba yi-glaucoma. Utyando lwe-goniotomy luvula indlela apho olo lwelo luhamba khona kwaye lunciphisa uxinzelelo. Oku kuthintela umonakalo kwi-optic nerve ebangelwa yi-glaucoma kwaye kukhusela umbono wethu.
Into ebalulekileyo kukuba olu tyando lunokuthintela kuphela umonakalo ongaphezulu . Alunakukwazi ukubuyisela umonakalo osele ukho. Yiyo loo nto kubalulekile ukufumanisa nokunyanga isifo kwangethuba.
Ngubani onokuthi atyandwe kakhulu?
Ngaphambili, utyando lwe-goniotomy lwalusenziwa ikakhulu kubantwana abancinci abane -glaucoma yokuzalwa . Nangona kunjalo, ngenxa yokuqhubela phambili kwezobuchwepheshe, ngoku isetyenziswa ngempumelelo kakhulu kwiimeko ezahlukeneyo ze-glaucoma kubantu abadala.
Ugqirha wakho wamehlo uza kukuhlola aze agqibe ukuba olu tyando lufanelekile na kuhlobo lwakho kunye nemeko yeglaucoma.
Uzilungiselela njani ngaphambi kotyando?
Ugqirha wakho wamehlo uza kukuchazela yonke into ngaphambi kotyando. Badla ngokuthetha ngezi zinto:
- Amayeza owasebenzisayo: Ufanele uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu). Amanye amayeza (ingakumbi amayeza okunciphisa igazi) anokufuneka amiswe kwiintsuku ezimbalwa ngaphambi kotyando.
- I-Anesthesia: I-Anesthesia isetyenziselwa ukuthintela iintlungu ngexesha lotyando. Usenokuphelelwa yingqondo kuphela emehlweni, okanye ungasetyenziswa ngokupheleleyo. Ingcali ye-anesthesia iza kukuchazela oku.
- Ukuzila Ukutya:Uza kucelwa ukuba uyeke ukutya okanye ukusela kangangeeyure ezisi-8 ngaphambi kotyando. Kuya kufuneka uyeke nokusela ulwelo olufana namanzi iiyure ezi-2 ngaphambi kotyando. Landela imiyalelo kagqirha ngokuchanekileyo.
Indlela oluqhutywa ngayo utyando
Olu tyando alukho likhulu njengoko unokucinga. Ludla ngokuthatha malunga nemizuzu eli-15 ukugqitywa.
1. I-Anesthesia: Okokuqala, uza kunikwa amayeza okukwenza ungabi nantlungu.
2. Ukusika okuncinci: Ugqirha wamehlo emva koko wenza ukusika okuncinci kakhulu, malunga nemilimitha ubude, kwi-cornea yeliso lakho.
3. Izixhobo ezikhethekileyo: Isixhobo esincinci kakhulu sifakwa esweni ngomsikelo. Kunye noku, kufakwa ilensi ekhethekileyo (i-gonioscopic lens) phezu kweliso. Le lensi ivumela ugqirha ukuba abone izakhiwo ezincinci ngaphakathi kweliso ngokucacileyo aze akhuliswe.
4. Umsebenzi ophambili: Eyona nto ibalulekileyo ngoku. Kukho inxalenye efana ne-mesh ngaphakathi kweliso ehluza ulwelo, ebizwa ngokuba yi-trabecular meshwork . Xa une-glaucoma, le mesh ayisebenzi kakuhle. Okwenziwa ngugqirha kukusebenzisa isixhobo esithambileyo ukwenza iziqwenga ezimbalwa kule mesh. Oku kudala indlela entsha yokuba ulwelo ludlule kuyo, kwaye uxinzelelo elisweni luyehla.
5. Isiphelo: Xa umsebenzi ugqityiwe, izixhobo ziyasuswa kwaye kufakwe isikhuselo samehlo esincinci ukukhusela amehlo.
Ixesha emva kotyando kunye nexesha lokuchacha
Emva kotyando, uza kubekwa esweni okwethutyana uze uvunyelwe ukuba ugoduke. Ekubeni ungakwazi ukuqhuba, uza kufuna umntu oza kukugodusa.
Ugqirha uza kukunika amaconsi amaninzi emehlweni akho. Kuya kufuneka usebenzise amayeza okubulala iintsholongwane kangangeentsuku ezimbalwa kunye namayeza okulwa nokuvuvukala kangangeeveki ezimbalwa.
Kuqhelekile ukuba ube nokukrazuka, ukubona okufipheleyo, kunye nokuziva ngathi kukho isanti emehlweni kwiintsuku zokuqala ezimbalwa. Ezi zinto ziya kuphela kwiintsuku ezimbalwa.
Khumbula ezi zinto ngexesha lokuchacha
| Izinto ekungamele uzenze (ZIPHEPHE) | Izinto onokuzenza (ZENZE) |
|---|---|
| Ukutsala iliso, ukulityumza. | Hlamba izandla zakho kakuhle phambi kokuba usebenzise iyeza. |
| Ukusebenzisa naluphi na uhlobo lwe-makeup yamehlo. | Thatha amayeza akho ngexesha njengoko ugqirha emyalele. |
| Ukugoba phambili, ukuguqa phantsi. | Ukuba unengxaki yokubona ukukhanya, nxiba iiglasi zelanga. |
| Ukuphakamisa iintsimbi. | Yiya kuhlolwa kwakhona ngemihla ecwangcisiweyo. |
| Ukuzilolonga, ukubaleka, ukudada. | Lumka emehlweni akho xa uhlamba kwaye uhlamba ubuso bakho. |
Ngaba kukho iingozi kunye neengxaki?
Iingxaki ezinkulu ezivela kwi-goniotomy azixhaphakanga . Njengakwezinye iintlobo zotyando lwamehlo, kukho umngcipheko omncinci wokosuleleka okanye iintlungu.
Ezinye iingxaki ezithile, kodwa ezincinci zingabandakanya:
- Ukopha okuncinci ngaphakathi kweliso (oku kudla ngokuziphilisa emva kweveki okanye ezimbini).
- Ukunyuka okwethutyana koxinzelelo lwamehlo.
- Utshintsho oluncinci embonweni, umzekelo , i-astigmatism .
- Amaxesha amaninzi, iimeko ezifana noxinzelelo lwamehlo oluphantsi kakhulu (hypotony) okanye ukuxinana kwe -retinal kunokwenzeka.
Ugqirha wakho uza kukuchazela ezi ngozi ngokweenkcukacha.
Kunini apho kufuneka ufumane ingcebiso yezonyango ezingxamisekileyo?
Emva kotyando, ukuba ufumana ezi mpawu zilandelayo, fowunela ugqirha wamehlo ngokukhawuleza:
- Intlungu yamehlo enganyamezelekiyo.
- Ukulahlekelwa ngumbono ngequbuliso okanye umbono ofiphele kakhulu.
- Ukubona ii-halos ezijikeleze izibane.
- Amehlo abomvu kakhulu okanye ukuphuma kolwelo olufana nobovu emehlweni.
Kwimeko engxamisekileyo efana nale, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-Goniotomy lutyando olukhuselekileyo noluphumeleleyo olwenziwa kubantu abanoxinzelelo lwamehlo oluphezulu ngenxa ye-glaucoma.
- Oku kunceda ukuphuma kolwelo elisweni, kunciphisa uxinzelelo lwamehlo, kwaye kukhusela umbono ekonakaleni okungakumbi.
- Utyando lukhawuleza kakhulu, kwaye ixesha lokuchacha alisoloko libuhlungu.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo (njengokuthatha amayeza nokuphepha umsebenzi onzima) ngexesha lokuchacha kwakho.
- Kubalulekile ukulandela ngexesha elibekiweyo. Ukuba kukho naziphi na iimpawu ezingxamisekileyo, funa ingcebiso kagqirha ngoko nangoko.
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