Ingaba uxinzelelo olungaphakathi kweliso luphezulu? Masithethe nge-Ocular Hypertension!

Xa ukhe wahlolwa iliso, ngaba ugqirha wakhe wathetha ngoxinzelelo olungaphakathi kweliso lakho? Mhlawumbi ukhe weva ngemeko ebizwa ngokuba yi-"ocular hypertension." Ligama eloyikisayo, kodwa akukho nto ifanele ixhalabise ngayo. Masithethe ngayo ngendlela elula neqondakala lula, kulungile?

Yintoni kanye kanye i-hypertension yamehlo?

Ngamafutshane, uxinzelelo lwegazi oluphezulu emehlweni kuxa uxinzelelo olungaphakathi kweliso lakho, okanye uxinzelelo lwangaphakathi kweso (IOP), luphezulu kunesiqhelo. Cinga ngako, amehlo ethu ahlala evelisa ulwelo olucacileyo. Oku sikubiza ngokuba "yi-aqueous humor." Olu lwelo lungena ngaphambili kweliso luze luphume elisweni. Oku kufana nendlela itanki yamanzi endlwini yethu ezaliswa ngayo ngamanzi kwaye amanzi angaphezulu aphuma ngayo.

Ngokwesiqhelo, ubungakanani bolwelo olungena elisweni bufanele bulingane nobungakanani obuphuma kulo. Nangona kunjalo, ukuba ngesizathu esithile olu lwelo alukwazi ukuphuma kakuhle, ulwelo luyaqokelelana ngaphakathi kweliso kwaye uxinzelelo luyanda.

Uxinzelelo oluqhelekileyo ngaphakathi kwamehlo ethu lulinganiswa ngeemilimitha ze-mercury (mmHg) . Oku kufana nendlela olulinganiswa ngayo uxinzelelo lwakho lwegazi. Ngokwesiqhelo, olu xinzelelo kufuneka lube phakathi kwe-11 mmHg kunye ne-21 mmHg. Ukuba uxinzelelo kwelinye okanye kuwo omabini amehlo akho luphezulu kune-21 mmHg izihlandlo ezibini okanye ngaphezulu xa utyelele ingcali yokhathalelo lwamehlo, unokurhanelwa ukuba une-hypertension yamehlo.

Ukuba le meko ikhona emehlweni omabini, siyibiza ngokuba yi- "Bilateral Ocular Hypertension." Ukuba uxinzelelo luphezulu kwiliso elinye kuphela, lubizwa ngokuba yi- "Unilateral Ocular Hypertension."

Ngoko ke, ngaba 'i-Ocular Hypertension' kunye ne-'Glaucoma' zizinto ezifanayo?

Hayi, ezi zimbini zahlukile kancinci. Kodwa kukho unxibelelwano. Uxinzelelo lwegazi oluphezulu emehlweni lunokukhokelela kwimeko ebizwa ngokuba yiGlaucoma . IGlaucoma kuxa uxinzelelo oluphezulu ngaphakathi kweliso (i-IOP ephezulu) lonakalisa umthambo wakho wokubona . Lo mthambo wokubona yilowo udibanisa amehlo ethu ngqo ebuchotsheni kwaye uthumela imifanekiso yoko sikubonayo ebuchotsheni.

Khawucinge nje, kuya kwenzeka ntoni ukuba le mithambo-luvo yonakele? Ewe, ukuba i-glaucoma ayinyangwa kakuhle, ungalahlekelwa ngumbono kancinci kancinci. Yiyo loo nto kubaluleke kangaka ukunyamekela 'i-Ocular Hypertension'.

Kubalulekile: Uxinzelelo lwegazi oluphezulu emehlweni yimeko enokuba negalelo kwi-glaucoma. Ngoko ke, kubalulekile ukuyichonga nokuyilawula kwangethuba.

Ixhaphake kangakanani le meko ibizwa ngokuba yi-'Ocular Hypertension'?

Esi sisifo esixhaphakileyo kunokuba unokucinga. Umzekelo, kwilizwe elifana neMelika, kuqikelelwa ukuba phakathi kwezigidi ezi-3 nezi-6 zabantu abanesifo esinjalo. Oku kuthetha ukuba bonke basengozini yokufumana i-glaucoma. Kubaluleke kakhulu ukuqaphela ezi meko kwilizwe lethu kwaye uhlolwe amehlo rhoqo.

Ngubani osengozini enkulu yokuba ne-'Ocular Hypertension'?

Makhe sijonge izinto ezibangela le meko. Ezinye izinto esingenakuzitshintsha, umzekelo, ubudala nohlanga. Kodwa kukho izinto ekufuneka siziqaphele.

Nazi ezinye izinto ezibangela umngcipheko wokuba ne-'Ocular Hypertension' kunye ne-glaucoma:

• Uxinzelelo lwegazi: Oku kuthetha ukuba uxinzelelo lwegazi lwakho luphezulu kunesiqhelo.
• Uxinzelelo lwegazi oluphantsi (Hypotension): Uxinzelelo lwegazi oluphantsi kunoluqhelekileyo nalo lunokuchaphazeleka.
• Isifo seswekile: Le ngozi iphezulu kubantu abanesifo seswekile.
• I-Extreme Myopia: Kwabo banxiba iiglasi, ingakumbi abo banemithi ephezulu kakhulu.
• Ukuncitshiswa kwenxalenye esembindini ye-cornea yeliso: I-cornea yi-membrane ekhuselayo ecacileyo engaphambili kweliso. Oku kunokwenzeka ngakumbi kubantu abane-cornea ezincinci.
• Ukopha entlokweni yemithambo-luvo ye-optic.

Ezinye iimeko zinokunyusa le ngozi:

• Isifo Sokusasazwa Kwemibala: Oku kwenzeka xa iziqwenga ezincinci zemibala ziqhekeka kwinxalenye enombala yeliso (iris), zivala inkqubo yokukhupha amanzi.
• I-Pseudoexfoliation Syndrome: Kule meko, iziqwenga ezincinci zezinto ezifana neproteni zinokuqokelelana ngaphakathi kweliso kwaye ziphazamise ukuphuma kolwelo.

Ezinye izinto ezinobungozi:

• Ukuba uneminyaka engaphezu kwama-40 ubudala.
• Ukuba nembali yosapho ene-glaucoma okanye uxinzelelo lwegazi oluphezulu emehlweni.
• Ukuba ngumntu waseAfrika okanye waseHispanic. (Nangona oku kungabalulekanga kangako eSri Lanka, kulungile ukwazi.)
• Ukusetyenziswa ixesha elide kwamayeza e-steroid (umz., amanye amayeza e-asthma, i-arthritis, njl.njl.)
• Ukuba wayekhe wenzakala emehlweni okanye watyandwa amehlo ngaphambili.

Ingaba oku kuneempawu ezikhethekileyo?

Le yeyona nxalenye inzima malunga noxinzelelo lwegazi oluphezulu emehlweni. Ngokwesiqhelo, le meko ayibonisi zimpawu . Usenokungaqapheli nto. Yiyo loo nto sisoloko sithi ukuvavanywa kwamehlo rhoqo kubaluleke kakhulu. Kuphela xa ugqirha wakho wamehlo ekwenza uvavanyo apho unokwazi ukubona ukuba uxinzelelo olungaphakathi kweliso lakho luphezulu.

Nangona kunjalo, kunqabile kakhulu ukuba abanye abantu bazive iintlungu ezincinci xa beshukumisa amehlo abo okanye bechukumisa amehlo abo.

Nangona ezinye iingxaki zamehlo zinokubangela intloko ebuhlungu kunye nesiyezi, oku kunqabile kakhulu kwimeko yoxinzelelo lwegazi oluphezulu emehlweni.

Kutheni uxinzelelo olungaphakathi kweliso lusanda? Zithini izizathu?

Kukho izizathu ezibini eziphambili ze-'Ocular Hypertension'. Esinye kukuba ulwelo olungaphakathi kweliso olubizwa ngokuba yi -'Aqueous Humor' esithethe ngalo ngaphambili luveliswa ngokugqithisileyo. Esinye kukuba kukho ukuvaleka okanye enye ingxaki kwindlela ulwelo oluphuma ngayo elisweni, oko kukuthi, i-'Anterior Chamber Angle' . Le 'drainage angle' ikwindawo engaphambili kweliso, phakathi kwe-iris kunye ne-cornea.

Kuza kwenzeka ntoni ukuba le ndlela yokukhupha amanzi ivalekile? Ulwelo luyaqokelelana kwaye uxinzelelo luyanda. Kukho izizathu ezahlukeneyo zokuba oku kwenzeke:

• I-engile yokukhupha amanzi isenokuvaleka.
• Nangona igumbi elingaphambili livulekile, ulwelo lusenokungaphumi kakuhle.
• Ezo ziqwenga zepigment okanye iziqwenga zeproteni ezikhankanyiweyo ngaphambili zibambeke apho ulwelo luphuma khona.
• Indlela isenokuba ivalwe yinto efana nomhlaza wamehlo.
• Isenokuba ikwabangelwa kukonakala kwamehlo ngaphambili.

Ngaba uxinzelelo lunokubangela ukuba uxinzelelo lwamehlo lunyuke?

Ewe, oku kubalulekile. Uphando lwakutshanje lufumanise ukuba uxinzelelo, okanye uxinzelelo lwengqondo, lunokunyusa uxinzelelo lwangaphakathi kwamehlo. Ke ngoko, ukunyamekela impilo yakho yengqondo kulungile namehlo akho.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ugqirha wakho wamehlo uza kuqala akuhlole amehlo ngokucokisekileyo. Ukuba ukrokrela ukuba une-hypertension yamehlo, unokuyalela ezinye iimvavanyo ezikhethekileyo. Ezi ziquka:

• I-Gonioscopy: Olu vavanyo lujonga ukusebenza kwenkqubo yokukhupha ulwelo ngaphakathi kweliso lakho (i-engile yegumbi elingaphambili). Lusebenzisa ilensi ekhethekileyo kunye ne-microscope ebizwa ngokuba yi-slit lamp .
• I-Pachymetry: Oku kulinganisa ubukhulu be-cornea yakho, njengoko ubukhulu be-cornea buchaphazela uxinzelelo ngaphakathi kweliso.
• I-Tonometry: Olu luvavanyo olulinganisa ngokuthe ngqo uxinzelelo ngaphakathi kweliso (IOP). Mhlawumbi ukhe wahlolwa amehlo apho uziva umoya uvuthuza elisweni lakho, akunjalo? Kunjalo.
• Uvavanyo lweMigca yokubona: Oku kuvavanya intsimi yakho yokubona, oko kuthetha ukuba ubona kude kangakanani kwaye unokubona izinto na emacaleni. Le ndawo yokubona inokuncipha kwiimeko ezifana neglaucoma.
• I-Optical Coherence Tomography (OCT): Olu luvavanyo oluphambili kakhulu. Lunokuvavanya ngokuchanekileyo impilo yeeseli zemithambo-luvo ze-optic, oko kuthetha ukuba zonakele na.

Kuphela emva kwezi mvavanyo apho unokwazi ukubona ngokuchanekileyo ukuba unesifo segazi esingaphezulu kweqondo okanye ukuba unesifo se-glaucoma.

Ziziphi iindlela zonyango lwe-Ocular Hypertension?

Ngamanye amaxesha, ukuba imeko yakho ayimbi kakhulu, ugqirha unokugqiba ekubeni athethe nawe aze akucele ukuba uze kuhlolwa amehlo rhoqo ukuze ajonge imeko.

Nangona kunjalo, ukuba ugqiba kwelokuba kufuneka wehlise uxinzelelo lwakho, ugqirha wakho unokukunika amaconsi emehlweni . Baza kukuxelela nokuba uhlale ubuyela ukujonga uxinzelelo lwakho ngamaxesha athile.

Kukho iintlobo ezahlukeneyo zamayeza anciphisa uxinzelelo ngaphakathi kweliso:

• IiProstaglandins: La mayeza anikwa kube kanye ngemini kwaye asebenza ngokunyusa ubungakanani bolwelo oluphuma elisweni.
• Ii-Beta-blockers: Ezi zinokunikwa kanye okanye kabini ngemini. Zinciphisa ulwelo oluveliswa ngaphakathi kweliso.
• Ii-agonists ze-Alpha-adrenergic: Ezi zinokunikwa kabini okanye kathathu ngemini. Zisebenza ngokunciphisa ukuveliswa kolwelo ngelixa zinyusa ukuphuma kolwelo.
• IiCarbonic Anhydrase Inhibitors: La mayeza anciphisa ukuveliswa kolwelo. Anikwa kabini ukuya kathathu ngemini.
• I-Rho Kinase Inhibitor: Eli yeza lithathwa kanye ngemini likwanciphisa ukuveliswa kolwelo.
• Ii-Miotic okanye ii-Cholinergic agents: Ezi kufuneka zisetyenziswe malunga namaxesha amane ngemini. Nangona zazisetyenziswa kakhulu ngaphambili, azisasetyenziswa rhoqo. Zisebenza ngokunyusa ukuphuma kolwelo oluvela emehlweni.

Nceda uqaphele: Njengazo zonke amayeza, abanye abantu banokufumana iziphumo ebezingalindelekanga ezivela kula mayeza amehlo. Umzekelo, ukuba bomvu kwamehlo, ukurhawuzelela, nokutsha. Ngoko ke, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo.

Ngamanye amaxesha, ukuba la mayeza awawulawuli uxinzelelo, unokufuna utyando ukuze wehlise uxinzelelo ngaphakathi kweliso lakho. Olunye uhlobo yi -laser trabeculoplasty . Oku kusebenzisa i-laser beam ukuvula ukuvaleka kwenkqubo yokukhupha amanzi.

Ndingawunciphisa na umngcipheko wokuba noxinzelelo lwegazi oluphezulu emehlweni?

Uninzi lwexesha, izinto ezibangela umngcipheko wokuba noxinzelelo lwegazi oluphezulu emehlweni zizinto esingenakuzitshintsha (umz., ubudala, imbali yosapho). Nangona kunjalo, kukho izinto esinokuzenza ukugcina amehlo ethu ephilile. Ezi zibalulekile kwimpilo yakho iyonke kunye nempilo yamehlo akho.

Ukuhlolwa kwamehlo

Le yeyona nto ibalulekileyo . Ungaphoswa kukubona ugqirha wamehlo rhoqo nokuhlolwa kwamehlo akho. Ukuba kukho ingxaki , kungcono ukuyichonga kwangethuba .

Ukutshaya

Musa ukutshaya. Ukutshaya kubi kakhulu emehlweni akho. Ukuba uyatshaya, thetha nogqirha wakho malunga nokufumana uncedo lokuyeka.

Amanye amacebiso okukhusela impilo yamehlo

• Sebenzisa iiglasi zelanga: Ingakumbi xa uphuma elangeni elinamandla.
• Nxiba izibuko zokukhusela amehlo: Xa usenza nawuphi na umsebenzi (umz. ukusebenza ngomthi, ukugaya) okanye ukudlala imidlalo ebetha ngamandla.
• Lumka ngezifo zamehlo kusapho lwakho: izifo ezifana ne-glaucoma kunye ne-macular degeneration .
• Phumla amehlo akho xa uchitha ixesha elininzi ujonge iikhompyutha kunye neefowuni.
• Lumka kwiintsholongwane zamehlo: ingakumbi ukuba unxiba iilensi zokunxibelelana .

Impilo iyonke

Ukugcina umzimba wakho uphela usempilweni kunceda ekukhuseleni amehlo akho.

• Yitya ukutya okunempilo nokunesondlo. Faka imifuno eluhlaza (njengespinatshi, ikale, kunye nemifuno eluhlaza) kunye nentlanzi etyebileyo kwi -omega-3 fatty acids (njengesalmon, tuna, kunye ne-mackerel).
• Hlala usebenza. Ukuzilolonga kunceda ekukhuseleni kwezinye izifo.
• Lawula uxinzelelo lwakho lwegazi, amanqanaba e-cholesterol, kunye namanqanaba eswekile egazini.
• Fumana iindlela zokunciphisa uxinzelelo. Izinto ezifana neyoga, ukucamngca, okanye umthambo nazo ziindlela ezilungileyo zokunciphisa uxinzelelo.

Yintoni endimele ndiyilindele ukuba ndine-Ocular Hypertension?

Uxinzelelo lwegazi oluphezulu emehlweni alunakunyangeka ngokupheleleyo. Nangona kunjalo, ugqirha wakho unokunyanga aze ajonge imeko.

Abantu abane-'Ocular Hypertension' basengozini enkulu yokuba ne-glaucoma. Nangona kunjalo, ayinguye wonke umntu one-'Ocular Hypertension' oza kuba ne-glaucoma . Gcina loo nto engqondweni. Ukuba ulandela imiyalelo kagqirha wakho ngokufanelekileyo, unokuhlala uthintela okanye ulibazise ukuphuhliswa kwe-glaucoma.

Ndifanele ndimbone nini ugqirha malunga noxinzelelo lwegazi oluphezulu lwamehlo?

Ndwendwela ugqirha wakho rhoqo njengoko ekuxelela. Kwakhona, ukuba ufumana ukungakhululeki kwamehlo okungaqhelekanga, iintlungu, okanye ukungakhululeki okungapheliyo, qiniseka ukuba ubona ugqirha wakho wamehlo . Kwakhona, xelela ugqirha wakho ngoko nangoko ukuba ufumanisa naziphi na iimpawu ezintsha zamehlo okanye ukuba uphawu olukhoyo luya lusiba mandundu.

Nangona kubalulekile ukuba wonke umntu ahlolwe amehlo rhoqo, kubaluleke kakhulu ukuba une-Ocular Hypertension. Kubalulekile nokuthatha amayeza ugqirha wakho awakunika kanye njengoko ekuxelela. Ngononophelo olufanelekileyo, unokuthintela ukuba i-Ocular Hypertension ingabi mandundu, yonakalise i-optic nerve, kwaye ibangele ukulahleka kokubona.

Umyalezo Oza Kuwuthatha Ekhaya Ovela Kwinto Esiyithethileyo

Kulungile, makhe sijonge ezinye zezona zinto zibalulekileyo ekufuneka uzikhumbule kwizinto esizithethileyo malunga ne-'Ocular Hypertension':

• Uxinzelelo lwegazi oluphezulu emehlweni kukunyuka koxinzelelo ngaphakathi kweliso . Ngokwesiqhelo alubangeli zimpawu .
• Le meko ingakhokelela kwisifo esiyingozi esibizwa ngokuba yi-glaucoma . I-Glaucoma ingakhokelela nasekulahlekelweni kombono.
• Ukuhlolwa kwamehlo rhoqo yeyona ndlela ilungileyo yokubona oku kwangethuba.
• Ukuba ugqirha wakho ukuxelela ukuba une-'Ocular Hypertension', musa ukoyika . Kukho unyango lwayo. Landela imiyalelo kagqirha ngokuchanekileyo.
• Ukugcina indlela yokuphila esempilweni (ukutya okunempilo, ukuzilolonga, kunye nokuphepha ukutshaya) kubaluleke kakhulu kwimpilo yamehlo.

Khumbula, amehlo akho axabiseke kakhulu. Ngoko ke luxanduva lwakho ukuwanyamekela. Ukuba uneengxaki, ungoyiki ukuthetha nogqirha.

Uxinzelelo lwegazi oluphezulu emehlweni , uxinzelelo lwamehlo, iglaucoma, impilo yamehlo, uxilongo lwamehlo, uxinzelelo lwangaphakathi kwamehlo, i-IOP