Ngaba amehlo ayafiphala emva kotyando lwe-cataract? Masithethe nge-Posterior Capsular Opacification!

Ngaba ukhe wenza utyando lwe-cataract kutshanje? Umele ukuba wanelisekile ngumbono wakho emva kotyando, akunjalo? Kodwa ngamanye amaxesha, emva kwexesha elithile, umbono wakho unokuqala ukuba lufiphale kancinci, njengenkungu. Yile nto sithetha ngayo namhlanje, ebizwa ngokuba yi-'Posterior Capsular Opacification'. Ungakhathazeki, oku kuqhelekile kwaye kunokunyangeka lula.

Ngamafutshane, yintoni le 'posterior capsular opacification'?

Khawucinge nje, ngaba ukhe waphinda waba ne-cataract? Hayi, akunakwenzeka oko. Uyazi ukuba yintoni? Oko kufiphala ogqirha abakubiza ngokuba yi-'cataract' kwenzeka kuphela kwilensi yendalo engaphakathi kwamehlo ethu. Oko kukuthi, kwilensi esiyifumana xa sizalwa. Ilensi yokwenziwa (Intraocular Lens - IOL) efakwa emva kotyando ayibangeli ukuba i-cataract iphinde ivele.

Ngoko ke yintoni 'i-posterior lenticular opacification' (PCO)? Okwenzekayo koku kukuba i-membrane encinci ebizwa ngokuba yi-'lens capsule' ebambe ilensi yokwenziwa (IOL) endaweni yayo iba namafu. Ukuchaneka, ilensi yeliso lakho ingaphakathi kweli capsule. Ngexesha lotyando, ilensi yendalo endala, enamafu iyasuswa kwaye ilensi entsha, ecacileyo yokwenziwa (IOL) ifakwe kuloo capsule. Ngoko ke i-lens capsule isengaphakathi kweliso.

Cinga ngekhaphu yelensi yakho njengegumbi elincinci. Xa ilensi yakho endala, yendalo isusiwe, kufakwa ilensi entsha yokwenziwa (IOL). Kodwa iindonga zegumbi (ikhaphu yelensi) zihlala zifana. Le khaphu yelensi yenziwe ngezinto zendalo ezifana neeseli. Ihlala icacile. Nangona kunjalo, njengoko ilensi yethu yendalo iba namafu, ngokuhamba kwexesha le khaphu yelensi inokuba namafu okanye amafu. Oku sikubiza ngokuba yi-'cataract yesibini'.

Oku kufiphala kwekhaphu yelensi kwenzeka njengenxalenye yenkqubo yokuphiliswa kweliso emva kotyando. Ukuba oku kuyenzeka kuwe, akukho mfuneko yokoyika. Ugqirha angayisusa le 'cataract yesibini' ngonyango lwelaser olukhawulezileyo nolukhawulezileyo.

Le meko inokwenzeka ixesha elingakanani emva kotyando lwe-cataract? Kwaye ixhaphake kangakanani?

Enyanisweni, kunokwenzeka ukuba le 'posterior lenticular opacification' (PCO) yenzeke kwiinyanga ezimbalwa okanye kwiminyaka emva kotyando lwakho lwe-cataract.

Le yeyona ngxaki ixhaphakileyo emva kotyando lwe-cataract.

Ezinye izifundo zibonisa ukuba abantu abafikelela kwi-50% abenza utyando lwe-cataract banokuba nale meko kwiminyaka emihlanu emva kotyando. Ngoko ke njengoko ubona, oku akuqhelekanga kangako.

Zithini iimpawu zoku?

Iimpawu zePosterior Capsular Opacification zifana kakhulu neempawu ze-cataracts owawunazo ngaphambi kotyando. Jonga ukuba unayo na kwezi:

• Umbono ofipheleyo, ongacacanga, okanye onenkungu. Kusenokuvakala ngathi ujonge kwiglasi eqandisiweyo.
• Ukukhanya okanye ii-halos ezijikeleze izibane xa ujonge ukukhanya.
• Uvelwano ekukhanyeni.
• Ubunzima bokufunda iincwadi.

Ukuba unezi mpawu, eyona nto ibalulekileyo kukungaphakuzeli uze ufune iingcebiso zonyango.

Kutheni oku kusenzeka ngokwenene?

Emva kokuba ugqirha wakho wamehlo ekhuphe ilensi yendalo elisweni lakho ngexesha lotyando lwe-cataract, ezinye zeeseli ze-epithelial zelensi zisenokusala. Ezi seli emva koko ziyafudukela kumphezulu wekhaphukhaphu yelensi apho ilensi yokwenziwa ibekwe khona. Oogqirha bakubiza oku ngokuthi 'ukufuduka kweeseli'. Enyanisweni yinxalenye yenkqubo eqhelekileyo yokuphiliswa komzimba.

Njengoko iiseli ziqokelelana, i-capsule yelensi yakho, ehlala icacile, iqala ukuba namafu kwaye ibe nezibazi kancinci kancinci.

Njengoko bekutshiwo ngaphambili, ukuba i-lens capsule yakho ligumbi, kufana nothuli oluqokelelene efestileni yelo gumbi. Ngoko ke oku kufiphala kunciphisa amandla akho okubona ihlabathi ngaphandle kwefestile (oko kukuthi iliso lakho) ngokucacileyo. Kulapho ke iimpawu ezifanayo ezabangela ukuba wenze utyando lwe-cataract kwasekuqaleni ziqala ukuphinda zivele.

Ngubani osengozini enkulu yokuba ne-'secondary cataract'?

Nabani na otyando lwe-cataract usemngciphekweni wokufumana le 'cataract yesibini'. Nangona kunjalo, ukuba unenye yezi meko zilandelayo, umngcipheko wakho unokuba phezulu kancinci:

• Iingxaki zamehlo ezibangelwa sisifo seswekile (i-Diabetes-related retinopathy)
• I-Glaucoma
• I-Retinitis pigmentosa
• Inqanaba eliphezulu le-myopia
• Ukudumba kwenwebu yeliso (Uveitis)

Kwakhona, ukuba ubuneengxaki (ezifana nokudumba kwamehlo) ngexesha okanye emva nje kotyando lwakho lwe-cataract, oko kunokunyusa le ngozi.

Oogqirha bayibona njani le nto?

Iingcali zamehlo zixilonga le meko, ebizwa ngokuba yiPosterior Capsular Opacification , ngokuhlola amehlo akho ngononophelo. Oku kwenziwa kusetyenziswa uvavanyo olungenabuhlungu olubizwa ngokuba luvavanyo lwesibane esiqhekekileyo . Oku kuvumela ugqirha ukuba ajonge ngokusondeleyo ingaphakathi lelihlo lakho. Ugqirha uya kukubuza nangembali yakho yezonyango kunye nalo naluphi na utyando lwamehlo owakha walwenza.

Ngoko ke zeziphi iindlela zonyango zoku?

Oogqirha banyanga le 'cataract yesibini' nge -'YAG laser capsulotomy'.Oku ngamanye amaxesha kubizwa ngokuba yi-'posterior capsulotomy'. Oku kungenziwa eofisini kagqirha kwaye kuthatha malunga nemizuzu emihlanu. Igama elithi 'YAG' ligama lohlobo olukhethekileyo lwelaser olusetyenziselwa oku.

Nantsi into eyenzekayo kolu nyango:

1. Okokuqala, iliso lakho liza kuba ndindisholo ngamathontsi akhethekileyo , ukuze ungabi nantlungu.

2. Emva koko, ugqirha usebenzisa umqadi welaser ukwenza umngxuma omncinci kakhulu kwikhaphu yelensi enamafu.

3. Lo mngxuma uvumela ukukhanya ukuba kudlule kwilensi yakho yangaphakathi kweso (IOL) ngaphandle kokuphazamiseka, nto leyo ekunika umbono ocacileyo kwakhona.

Kulula, akunjalo?

Ndiza kuziva bhetele nini emva konyango?

Ngokwesiqhelo, umbono wakho uza kuqala ukucaca kungekapheli usuku okanye emva koko emva kokuhlinzwa nge-laser capsulotomy ye-YAG. Nangona kunjalo, ungaziva ngathi amehlo akho ayaphaphazela kangangeeveki ezimbini. Ezi ziingceba ezincinci zenkunkuma ezisuswayo ngexesha lonyango nge-laser. Ziya kunyibilika zodwa ngokuhamba kwexesha.

Ngaba kukho naziphi na iingxaki ngolu nyango lwelaser?

I-YAG laser capsulotomy yinkqubo enomngcipheko omncinci kakhulu weengxaki ezinkulu . Nangona kunjalo, kukho iingxaki ezimbalwa ezingaqhelekanga ezinokwenzeka:

• Ukuvaleka kwe-retina. Le ngozi inokwanda kancinci ukuba unezinga eliphezulu lokubona izinto ezikufutshane.
• Uxinzelelo oluphezulu emehlweni akho. Le ngozi iphezulu kubantu abane-glaucoma.
• Ukususwa kwe-IOL.

Nangona ezi zinqabile kakhulu, kungcono ukuthetha nogqirha wakho ngale nto.

Eminye imibuzo embalwa ebalulekileyo...

Ngaba oku 'kungabonakali kwe-posterior lens membrane' kuya kuphucula ngokuzenzekelayo?

Hayi. Ngokuqinisekileyo udinga unyango ukuze uphinde ubone kakuhle. Ukuba ufumana iimpawu, musa ukulibazisa ukuya kugqirha.

Ngaba ikho indlela yokuthintela ukwakheka 'kwe-cataracts yesibini'?

Akukho nto unokuyenza ukuthintela oku ukuba kungenzeki. Nangona kunjalo, abaphandi bahlala bezama ukuphuhlisa iindlela ezintsha zotyando kunye nobuchwepheshe be-intraocular lens (IOL) obunokunciphisa lo mngcipheko. Ungathetha nogqirha wakho malunga nezi ntuthuko zamva nje ukuze ufunde okungakumbi.

Ngaba le meko iya kunyangwa ngokupheleleyo ukuba inyangiwe?

Ewe, ngokuqinisekileyo! Ngonyango, 'ii-cataracts zesibini' ziyaphola ngokukhawuleza. Kuya kufuneka uzive ungcono kwaye umbono wakho kufuneka ucace kwiiyure ezingama-24 emva kotyando lwe-laser.

Ngaba le 'lens posterior opacity' iba mandundu ngokuhamba kwexesha?

Ewe, njengoko ikhaphu yakho yelensi isiya isiba namafu kancinci kancinci, iimpawu zakho zinokuba mandundu. Yiyo loo nto kubalulekile ukubona ugqirha kwangoko xa ubona naziphi na iimpawu ezintsha, ufumane uxilongo olufanelekileyo, kwaye ufumane unyango.

Liza kuba njani ikamva emva konyango lwale meko?

Abantu abaninzi bafumana iziphumo ezilungileyo kakhulu emva konyango lwe-'secondary cataracts'. Kunqabile kakhulu, i-lens capsule yakho inokuphinda ibe namafu. Ukuba oku kuyenzeka, ugqirha wakho angayinyanga ngonyango lwe-laser, njengoko bebesenza ngaphambili.

Ndifanele ndimbone nini ugqirha? Kuthekani ukuba yingxamiseko?

Ukuba uneempawu zesifo 'sesibini se-cataract', bonana nogqirha ngokukhawuleza. Akulunganga ukulibazisa unyango. Oku kungenxa yokuba ezi mpawu (umzekelo, utshintsho ekuboneni) zinokuba ziimpawu zezinye iimeko zamehlo ezininzi, kungekuphela nje 'zesibini se-cataract'. Ugqirha wakho uza kukuhlola, afumanise ukuba kwenzeka ntoni ngokwenene, aze akunike unyango olufanelekileyo.

Amatyala afuna unyango olungxamisekileyo

Ukuba uneempawu ezilandelayo zokuqhekeka kwe-retina , yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele ngoko nangoko:

• Ngequbuliso, kuvela ii-floating ezintsha phambi kwamehlo.
• Ukukhanya okukhanyayo, nokuba amehlo evuliwe okanye evaliwe.
• Imvakalelo yento efana nesithunzi esisasazeka embonweni wakho, okanye njengekhethini ewayo.

Kwimeko enjalo, okukhona ukhawuleza ufune unyango, kokukhona amathuba akho okufumana unyango oluphumelelayo esanda. Ukulibazisa unyango kunokukhokelela ekulahlekelweni kokubona okungapheliyo.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba uza kwenziwa utyando lwe-cataract, ungabuza ugqirha wakho ngale nto ilandelayo:

• Iyintoni ingozi yam yokuba ne-'cataract yesibini'?
• Yintoni onokuyenza ukunciphisa loo mngcipheko?
• Kunini apho i-cataract yesibini inokwenzeka khona?
• Zeziphi iimpawu ekufuneka ndizijonge?

Ukuba ucinga ngonyango lwe-laser lwe-cataract yesibini, buza ugqirha wakho malunga noku:

• Yintoni endimele ndiyilindele ngexesha lotyando?
• Linjani ixesha lokuchacha?
• Imbono yam iza kubuyela nini kwimeko eqhelekileyo?
• Ziziphi iingozi endinokujamelana nazo ngenxa yolu nyango?
• Yintoni onokuyenza ukunciphisa umngcipheko weengxaki endinazo?
• Zithini amathuba okufumana i-cataract yesibini kwakhona kwixesha elizayo?

Akukho mntu ufuna ukuba nengxaki emva kotyando. Ukuba oko kuyenzeka, ungaziva udanile kwaye ulusizi. Kodwa khumbula, le 'cataract yesibini' yimeko eyenzeka emva kotyando lwe-cataract.Kuqhelekile kakhulu. Oogqirha bayayazi indlela yokuyinyanga kakuhle. Kwaye baqinisekile ukuba kungekudala uza kuphinda ubone kakuhle kwaye ukwazi ukuphila ubomi obuqhelekileyo.

Nangona kunjalo, nokuba loluphi utyando olwenziwayo, nokuba lutyando lwe-cataract okanye utyando lwe-laser lwe-'secondary cataracts', kubalulekile ukuthetha nogqirha wakho malunga neengxaki ezinokubakho. Ngokuqaphela iingozi, unganciphisa uloyiko lwakho malunga nento ezayo, kwaye ulungele ukujongana nazo naziphi na iingxaki ezinokuvela endleleni.

Okokugqibela, ezona zinto zibalulekileyo ekufuneka uzikhumbule

Kulungile, ngoko ke ndiyathemba ukuba ngoku uyiqonda ngcono i-'Posterior Capsular Opacification' okanye i-'Secondary Cataract' esithethe ngayo.

• Oku akusikho ukuphinda-phinda kwe-cataract yakho endala. Oku kukufiphala kwe-capsule yelensi ephethe ilensi yokwenziwa (IOL).
• Le yingxaki eqhelekileyo enokwenzeka emva kotyando lwe-cataract. Ngoko ke ungoyiki.
• Iimpawu ziyafana nezo ze-cataract yangaphambili: ukubona okufipheleyo, ukuva ukukhanya, njl.njl.
• Oku kunokunyangeka ngokupheleleyo ngonyango olulula nolukhawulezayo lwelaser olubizwa ngokuba yi-'YAG laser capsulotomy'.
• Umbono wakho uza kucaca kwakhona emva kosuku okanye ezimbini emva konyango.
• Ukuba ufumana naziphi na iimpawu, funa ingcebiso kagqirha ngokukhawuleza. Ingakumbi ukuba ubona utshintsho olukhawulezileyo embonweni, ukudibana neentanta ezintsha, okanye ukuba nentloko ende, bonana nogqirha ngoko nangoko.

Ukuba unemibuzo engaphezulu malunga noku, ungathandabuzi ukuthetha nogqirha wakho wamehlo. Amehlo aphilileyo aluncedo kakhulu!

Ukuvulwa kweCapsula yangasemva , i-PCO, iCataract yesibini, utyando lweCataract, iLaser ye-YAG, impilo yamehlo, umbono ofipheleyo