Usenokuba sele uyazi ukuba i-glaucoma yimeko apho uxinzelelo oluphezulu ngaphakathi kweliso lunokonakalisa umbono wakho kancinci kancinci. Rhoqo, olu xinzelelo lunokulawulwa ngokusebenzisa amaconsi emehlweni . Nangona kunjalo, kukho amaxesha apho amayeza ewodwa anganelanga ukulawula uxinzelelo lwangaphakathi kweliso . Namhlanje, siza kuxoxa ngotyando olukhethekileyo ugqirha wakho anokulucebisa kwiimeko ezinjalo.
Yintoni iTrabeculectomy?
I-trabeculectomy yinkqubo yotyando eyenziwayo ukunciphisa uxinzelelo ngaphakathi kweliso lakho olubangelwa yi-glaucoma. Ngokuqhelekileyo ayilonyango lokuqala. Oogqirha badla ngokucinga ngolu khetho kuphela xa ezinye iindlela zonyango, ezifana namaconsi eliso anonyango, zingaphumeleli ukugcina uxinzelelo lweliso lakho lukwinqanaba elifanelekileyo.
Ngamafutshane, olu tyando lubandakanya ukudala umjelo omtsha wokukhupha amanzi ukuze kuphume ulwelo olugqithisileyo ngaphakathi kweliso lakho. Ngokuqhelekileyo yinkqubo encinci, kwaye kwiimeko ezininzi, ungabuyela ekhaya ngaloo mini inye.
Kwenzeka ntoni kanye kanye ngeli xesha le nkqubo?
Iliso lakho liqulathe ulwelo olucacileyo olwaziwa ngokuba yi-'aqueous humor' olunika ukutya kunye nokugcina imo yeliso. Olu lwelo luhlala luveliswa kwaye lukhutshwa ngomjikelo olinganayo.
Kwi-glaucoma, le nkqubo yokukhupha amanzi iyavalwa. Ukuqokelelana kolwelo okubangelwa koko kwandisa uxinzelelo, olunokonakalisa umthambo we-optic —unxibelelwano olubalulekileyo phakathi kweliso lakho nengqondo yakho. Lo monakalo yiwo okhokelela ekulahlekelweni kokubona kancinci kancinci.
Ngexesha le-trabeculectomy, ugqirha udala indlela entsha yokuba i-aqueous humor iphume emehlweni, nto leyo enciphisa uxinzelelo ngempumelelo.
Kubalulekile ukuqonda ukuba olu tyando alunakubuyisela umbono osele ulahlekile. Nangona kunjalo, lusebenza kakhulu ekuthinteleni ukulahleka kombono okanye ukucothisa ukuqhubela phambili kwawo kakhulu.
Ukulungiselela utyando lwakho
Ugqirha wakho wamehlo uza kukunika imiyalelo eneenkcukacha. Baza kuvavanya amehlo akho ukuze babone ukuba ufanelekile na kule nkqubo. Ngaphambi kotyando, ugqirha wakho uza kuxoxa ngale nto ilandelayo:
- I-Anesthesia : Nokuba inkqubo iza kwenziwa phantsi kwe-anesthesia yendawo (ukwenza iliso lingasebenzi kakuhle) okanye i-anesthesia eqhelekileyo (apho ulele khona).
- Amayeza Akho: Yazisa ugqirha wakho ngawo onke amayeza akhoyo, kuquka iivithamini okanye izongezo zezityalo. Usenokucelwa ukuba umise amayeza athile ngaphambi kotyando.
- Ukuzila Ukutya : Landela imiyalelo malunga nokuba zingaphi iiyure ekufuneka uziphephe ukutya nokusela ngaphambi kotyando.
- Inkxaso: Uza kufuna umntu oza kukusa ekhaya emva kotyando aze akuncede ngexesha lokuchacha kwakho kokuqala.
Kwenzeka ntoni ngexesha lotyando?
Uza kulala etafileni yotyando, kwaye unokuqaliswa umgca we-IV ukunika amayeza afunekayo. Ikliphu encinci iya kusetyenziswa ukugcina iliso lakho livulekile.
Iliso lakho liza kuba ndindisholo. Uninzi lweenkqubo zenziwa phantsi kwe-anesthesia yendawo, oko kuthetha ukuba uza kube uvukile kodwa ungeva ntlungu. Usenokuziva uxinezelekile, kodwa ungaziva ungonwabanga. Ukuba uxhalabile, nceda uxoxe ngale nto nogqirha wakho kwangaphambili.
Ugqirha uza kudala umngxuma omncinci kwinxalenye emhlophe yeliso lakho (i-conjunctiva kunye ne-sclera) ukuze kwenziwe umjelo omtsha wokukhupha amanzi. Ulwelo oluphuma kule ndlela lwenza i-blister encinci, efihliweyo phantsi kwe-eyelid yakho ebizwa ngokuba yi -'bleb' . Olu lwelo ekugqibeleni lufunxwa ngumzimba.
Ngamanye amaxesha, kufakwa iyeza ukuthintela amanxeba kwindawo yokukhupha amanzi. Ekugqibeleni, ugqirha angakufaka izitishi ezinokunyibilika aze avale iliso lakho ngesiqwenga okanye ibhandishi. Uya kunikwa nesikhuselo samehlo ukuthintela ukwenzakala ngengozi. Lonke olu nyango ludla ngokuthatha malunga neyure.
Ukhathalelo emva kotyando
Ixesha lokuchacha libalulekile. Ngokuqhelekileyo kuthatha iiveki ezi-4 ukuya kwezi-6 ukuba iliso liphilise ngokupheleleyo. Kufuneka ulandele le miyalelo ngononophelo:
| Izinto ekufanele zenziwe | Musa ukwenza |
|---|---|
| Sebenzisa amathontsi akho anikwe ngugqirha njengoko uyalelwe. La mathontsi abalulekile ukuthintela usulelo nokunciphisa ukudumba. | Ungaze uchukumise, uhlikihle, okanye ucinezele iliso elihlinzweyo. Oku kunokuthintela inkqubo yokuphiliswa. |
| Yiya kuzo zonke iintlanganiso zokulandelela. Impumelelo yotyando lwakho ixhomekeke kwezi zilingo. | Kuphephe ukuphakamisa izinto ezinzima, ukugoba, ukuhlikihla amehlo, okanye ukuzikhandla xa uhambisa isisu. Ezi zenzo zinokunyusa uxinzelelo lwamehlo. |
| Nxiba isikhuselo samehlo xa ulele. Oku kukukhusela ekubeni ungonzakalisi iliso lakho ngengozi ebusuku. | Gcina iliso lakho lomile. Vimbela amanzi, isepha, okanye uthuli ukuba lungangeni elisweni lakho. Lumka xa uhlamba. |
Utyelelo Olulandelayo
Ngokwesiqhelo uza kubona ugqirha wakho ngosuku olulandela utyando. Baza kususa ibala baze bahlole iliso. Kwiiveki ezimbini ukuya kwezintathu zokuqala, lindela ukuvavanywa veki nganye. Ugqirha wakho unokujonga uxinzelelo lwakho, kwaye ukuba kuyimfuneko, alungise imithungo esebenzisa i-laser ukuze aphucule uxinzelelo lwamehlo akho.
Iingenelo kunye neengxaki ezinokubakho
Utyando lwe-trabeculectomy lunyango oluphumelele kakhulu, kodwa njengalo naluphi na utyando, lunemingcipheko enokubakho.
- Iingenelo:
- Olu tyando luphumelele kakhulu (60% – 80% emva kweminyaka emi-5).
- Lukhetho oluhle kakhulu kwabo bangakhange basabele kakuhle kwezinye iindlela zonyango.
- Ngokuqhelekileyo kuthathwa njengenkqubo ekhuselekileyo.
- Iingozi kunye neengxaki:
- IiCataracts: Olu tyando lunokukhawulezisa ukukhula kwe-cataract, okulindelekileyo kwaye lunokunyangeka kamva ngotyando lwe-cataract.
- Usulelo: Kukho umngcipheko omncinci wokufumana usulelo.
- Ukopha:Ukopha okuncinci ngaphakathi kweliso kunokwenzeka.
- Umbono Ongacacanga: Umbono wakho usenokuba ungacacanga okwethutyana.
- Iingxaki zeBleb: Iingxaki ezinxulumene nebleb ngokwayo zinokwenzeka.
Ixesha lokufuna uncedo lwezonyango olukhawulezileyo
Ukungakhululeki okuncinci kunye nokubomvu zizinto eziqhelekileyo. Nangona kunjalo, iintlungu eziqatha aziqhelekanga. Ngenxa yokuba umngcipheko wosulelo unokuqhubeka ixesha elide emva kotyando, kufuneka uqhagamshelane nogqirha wakho wamehlo okanye uye kwigumbi likaxakeka elikufutshane ngokukhawuleza ukuba ufumana:
- Intlungu enkulu yamehlo
- Ifiva
- Ukukrazula okanye ukukhupha ubovu kakhulu emehlweni
- Ukulahlekelwa ngequbuliso okanye utshintsho olukhulu embonweni wakho
Ukuba utyando aluphumeleli ekunciphiseni uxinzelelo olufunekayo, musa ukuphelelwa lithemba. Ezinye iindlela, ezifana neetyhubhu zokukhupha amanzi okanye iinkqubo ze-laser, zinokuxoxwa ngugqirha wakho.
Umyalezo oya nawo ekhaya
- I-trabeculectomy lutyando olukhethekileyo lwe-glaucoma olungalawulwa ngamaconsi asemlonyeni.
- Injongo kukuthintela ukulahleka kokubona okungakumbi ; ayinakubuyisela oko sele kulahlekile.
- Impumelelo ixhomekeke ngokupheleleyo ekuzibopheleleni kwakho ekusebenziseni amaconsi amehlo abhalwe ngugqirha kunye nokuya kwintlanganiso nganye yokulandelela.
- Ngexesha lokuphola, kuphephe ukukhuhla iliso lakho, ukuphakamisa izinto ezinzima, kunye nokuzikhandla.
- Funa uncedo olungxamisekileyo xa kukho intlungu eqatha, ukuphuma kwamanzi emehlweni, okanye utshintsho olukhawulezileyo embonweni.
i-trabeculectomy, i-glaucoma, utyando lwamehlo, uxinzelelo lwamehlo, i-aqueous humor, i-bleb, i-glaucoma
