Ingabe ingcindezi emehlweni akho iphakeme? Ake sifunde konke mayelana nokuhlolwa kwe-Gonioscopy!

Wake wahlolwa amehlo akho? Udokotela wakho wamehlo kungenzeka ukuthi ukutshelile ngokuhlolwa okubizwa ngokuthi "i-gonioscopy." Igama lingase lizwakale liyinkimbinkimbi kancane, kodwa empeleni liwukuhlolwa okulula kakhulu, futhi okubaluleke kakhulu. Namuhla, sizoxoxa ngakho ngokuningiliziwe, njengoba nje ungakhuluma nomngane.

Iyini i-Gonioscopy? Kungani ibaluleke kangaka?

Kalula nje, i-gonioscopy inqubo engenabuhlungu esetshenziselwa ukuhlola izakhiwo ezibucayi kakhulu ngaphakathi kweso lakho. Ochwepheshe bamehlo, ikakhulukazi, basebenzisa lolu vivinyo ukuhlola ukuthi uhlelo lokukhipha amanzi ngaphakathi kweso lakho lusebenza kahle yini. Cabanga ngalo njengohlelo lokukhipha amanzi endlini yethu. Uma lungasebenzi kahle, amanzi anganqwabelana futhi abangele izinkinga, futhi uma uketshezi olungaphakathi kweso lakho lungaphumi kahle, kungavela izinkinga.

Into eyinhloko engatholakala ngalesi sivivinyo yisifo esibizwa ngokuthi i-glaucoma . I-Glaucoma yisimo esiyingozi esingalimaza i-optic nerve ngenxa yokwanda kwengcindezi yangaphakathi kweso futhi kancane kancane iholele ekulahlekelweni kokubona. Njengoba ivame ukungabi nazimpawu ezigabeni zokuqala, ingatholakala kusenesikhathi ngezivivinyo ezinjengalezi.

Yini enye engatholakala ngokuhlolwa kwe-gonioscopy?

Ngaphezu kwe-glaucoma, lokhu kuhlolwa kungasiza ekuxilongeni noma ekususeni ezinye izimo. Isibonelo:

• I-glaucoma evulekile: Lolu uhlobo oluvame kakhulu lwe-glaucoma.
• I-glaucoma evalekile nge-angle: Lokhu kuyisimo esiphuthumayo futhi sidinga ukwelashwa ngokushesha.
• I-Pseudoexfoliation syndrome: Kulesi simo, izinto ezimhlophe ezifana nempuphu ziyanqwabelana ngaphakathi kweso, okungavimba ukuhamba koketshezi.
• Izinto ezifana nomdlavuza noma izimila ezithinta i-iris noma izingxenye zeso ezihlobene.

Manje usuyaqonda ukuthi lokhu kuhlolwa kubaluleke kangakanani, akunjalo? Ukugcina ingcindezi ngaphakathi kweso isezingeni elifanele kubalulekile ekuvikeleni umbono wakho.

Kwenziwa kanjani lokhu kuhlolwa? Kwenzekani ngaphakathi kweso?

I-Gonioscopy ivumela udokotela wakho wamehlo ukuthi abheke ngqo egumbini elingaphambili leso lakho. Igumbi elingaphambili liyindawo egcwele uketshezi ngemuva kwe-cornea yakho naphambi kwe-iris yakho.

Udokotela uzobheka i-engeli yokukhipha amanzi . Lena indawo eyindilinga ebukeka njengendandatho. Yilapho kuhlangana khona iris yakho kanye nengxenye emhlophe yeso lakho (i-sclera). I-aqueous humor, uketshezi olwakha ngaphakathi kweso, iphuma esweni ngale engeli. Le engeli idinga ukuba banzi futhi ivuleke ngokwanele ukuze uketshezi luphume kahle.

Cabanga nje, awukwazi ukubona into ekhoneni uma ubheka phambili, akunjalo? Kodwa ungayibona uma ubambe isibuko kuleyo ndlela. Kunjalo nalokhu. Udokotela angayibona kahle leyo engela kuphela ngokusebenzisa izibuko noma amalensi okukhulisa ilensi ekhethekile esetshenziswa ku-gonioscopy.

Ingabe kunezinhlobo ezahlukene zamalensi e-gonioscopy?

Yebo, kunezinhlobo ezimbili eziyinhloko zamalensi e-gonioscopy:

1. Amalensi angaqondile: Lezi zinhlobo zamalensi zisebenzisa izibuko. Udokotela ubona i-engeli yokugeleza koketshezi kuphela uma ukukhanya kushaya izibuko futhi kuboniswa. Yingakho zibizwa ngokuthi "ezingaqondile". Lezi zinhlobo zamalensi zivame ukusetshenziswa emitholampilo yamehlo evamile.

2. Amalensi aqondile: Lawa malensi awanazo izibuko. Lawa malensi akhulisa i-engeli ngqo futhi agobe kancane (aphinde ashintshe) ukukhanya. Lawa avame ukusetshenziswa kakhulu lapho kwenziwa izinto ezifana nokuhlinzwa.

Ngingalungiselela kanjani i-gonioscopy?

Ezimweni eziningi, awudingi ukwenza lutho olukhethekile ukuze ulungiselele lokhu kuhlolwa. Udokotela wakho wamehlo angakwenza noma nini.

Kodwa-ke, uma ugqoka ama-contact lens , kuwumqondo omuhle ukubuza udokotela wakho ukuthi udinga ukuwasusa isikhathi esithile ngaphambi kokuhlolwa.

Ngezinye izikhathi, uma i-gonioscopy yenziwa njengengxenye yokuhlinzwa kwamehlo okunye, udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungayilungiselela kanjani.

Yini ongayilindela ngesikhathi sokuhlolwa?

Okuhlangenwe nakho kungahluka kancane kuye ngohlobo lwe-gonioscopy onayo.

I-Gonioscopy Eqondile

Lokhu kuvame ukwenziwa esibhedlela. Esikhathini esiningi, uzonikezwa i-anesthesia ejwayelekile . Lokhu kusho ukuthi lolu vivinyo kanye nezinqubo ezihlobene nalo zenziwa ngenkathi ungazi lutho futhi ulele.

I-Gonioscopy Engaqondile

Lolu uhlobo oluvame ukwenziwa ehhovisi likadokotela wamehlo. Lwenziwa ngendlela efanayo nokuhlolwa kwesibani esinqunyiwe . Uhlala esihlalweni, bese udokotela emi phambi kwakho.

Ngaphambi kokuba kuqale ukuhlolwa, udokotela uzofaka amaconsi okubangela ukungakhululeki esweni lakho. I-cornea yeso lethu iyazwela kakhulu, ngakho-ke uma kukhona okukuthintayo, kuzwakala kungakhululekile futhi iso lakho liyavaleka. Uma kufakwa lokhu kwehla kokubangela ukungakhululeki noma ubuhlungu, ngeke uzizwe ungakhululekile noma uzwa ubuhlungu, futhi iso lakho ngeke livaleke.

Ngemva kokuba iso lingezwani, udokotela uzobeka into ebizwa ngokuthi amaconsi okumanzisa ebusweni belensi ehlolwayo. Lokhu kuzovimbela amabhamuza omoya ukuthi angabambeki ngaphansi kwelensi ngenkathi isendaweni yayo. Lokhu kuzovumela udokotela ukuthi abone ngaphakathi kweliso ngokucacile. Kuzosiza futhi ukuhambisa ilensi esweni kalula.

Udokotela ube esethinta ilensi kancane esweni lakho, eyibambe ngesandla esisodwa bese esebenzisa isibani esivulekile ngesinye.Idivayisi ivuliwe. Ukukhanya okukhulu okuvela kuyo kukhanyisa ingaphakathi leso, bese kusetshenziswa ingilazi yokukhulisa amehlo ukubheka ngaphakathi kweso. Udokotela uzokutshela ukuthi ubheke phambili noma ohlangothini oluthile.

Ngezinye izikhathi inqubo ebizwa ngokuthi "i-dynamic gonioscopy" ingasetshenziswa. Lokhu kusho ukuthi udokotela uzocindezela kancane ubuso belihlo lakho ngelensi. Lokhu kuzovumela udokotela ukuthi abone ukuthi iris yakho inamathele yini ku-cornea noma ku-lens (synechiae).

Uma iso lakho selihloliwe ngokuphelele, udokotela uzolisusa ilensi. Angase asebenzise into efana namaconsi okumanzisa ukuze ahlanze amehlo akho. Kuvamile ukuthi amehlo akho abe namanzi futhi acwebezele phakathi nalesi sikhathi. Udokotela uzokunika into efana nethishu ukuze asule izinyembezi zakho.

Lokhu kuhlolwa kungase kuhilele noma kungahileli ukunwebeka kwamehlo akho. Ngezinye izikhathi, udokotela kungadingeka abheke ngaphakathi kweso lakho ngaphambi nangemva kokunwebeka. Udokotela uzokutshela ngalokhu.

Ingabe kukhona izingozi noma imiphumela emibi evela kulolu vivinyo?

Akukho miphumela emibi noma izingozi nge-gonioscopy ngokwayo. Kodwa-ke, imithi esetshenziselwa ukwenza iso libe buhlungu futhi livuleke ingabangela eminye imiphumela emibi emincane (isib., ukubona okufiphele, ukuzwela ukukhanya). Udokotela wakho uzokutshela okwengeziwe ngalokhu.

Kuzwakala kanjani ukuhlolwa? Ingabe kubuhlungu?

Ngenxa yokuthi iso lakho libuhlungu ngesikhathi sokuhlolwa, ngeke uzwe ubuhlungu noma ukungakhululeki. Ngezinye izikhathi, ungase uzizwe umuzwa omncane wokuhlaba, njengalapho uhlikihla amehlo akho. Lokhu kuvamile.

Uthola kanjani imiphumela yokuhlolwa? Isho ukuthini?

• Uma kwenziwa i-Direct Gonioscopy ngokuhlinzwa, udokotela uzokutshela ngemiphumela ngemva kokuba ubuye waqonda.
• Uma une-gonioscopy engaqondile ehhovisi likadokotela wakho, udokotela wakho uzokwazi ukukutshela imiphumela ngesikhathi sokuhlolwa noma ngemva kwalokho. Uzokuchazela ukuthi babone ini, basho ukuthini, nokuthi yiluphi ukwelashwa okudingekayo, uma lukhona.

Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?

Uma udokotela wakho wamehlo ethola ukuthi une-engeli encane yokukhipha amanzi noma ukuthi uketshezi aluphumi kahle, uzokhuluma nawe ngezindlela zokwelapha.

Ukwelapha i-glaucoma kubaluleke kakhulu ngoba uma ingcindezi engaphakathi kweso iphezulu kakhulu, ingabangela umonakalo ongapheli emthanjeni obona ngemuva kweso, okungaholela ekulahlekelweni umbono unomphela.

Uma udokotela wakho ethola ukuthi i-engeli lapho uketshezi luphuma khona esweni lakho ivaliwe ngokuphelele, ibizwa ngokuthi i-angle-closure glaucoma . Lesi yisimo esiphuthumayo sezokwelapha.Ngoba lokhu kungabangela ukulahlekelwa umbono ngokuzumayo (futhi kungaba unomphela). Uma lokhu kwenzeka, udokotela wakho wamehlo uzoncoma ukwelashwa okuphuthumayo futhi akuthumele esikhungweni esinezinsiza ezidingekayo.

Kufanele ngimbone nini udokotela wami wamehlo?

I-Glaucoma iyimbangela ehamba phambili yokulahlekelwa ukubona emhlabeni wonke. Cishe ama-90% eziguli ze-glaucoma anesimo esingamahlalakhona. Lokhu kusho ukuthi izimpawu zikhula kancane. Yingakho kunconywa ukuthi uhlolwe amehlo okungenani kanye ngonyaka noma emibili (noma okungenani kanye ngonyaka uma ungaphezu kweminyaka engama-40).

Ngaphezu kwalokho, kubalulekile ukuhlolwa kwamehlo njalo, njenge-gonioscopy, uma unezinye zezimo ezilandelayo noma izici eziyingozi:

• Uma uneminyaka engu-65 noma ngaphezulu.
• Uma unesifo sikashukela sohlobo lwesibili .
• Uma othile emndenini wakho ene-glaucoma (umlando womndeni we-glaucoma).
• Uma unengcindezi ephezulu ngaphakathi kweso (umfutho wegazi ophakeme emehlweni).
• Uma unesifo sokuzalwa noma unesifo samehlo esizuzwe njengefa kanye nesofuzo.
• Uma usebenzisa imithi efana ne -corticosteroids isikhathi eside.
• Uma i-optic nerve yonakele noma inokubukeka okusolisayo.
• Uma unenkinga yokubona eduze noma ukubona kude kakhulu.
• Uma unesifo se-sickle cell .

Futhi, qiniseka ukuthi ubona udokotela uma uba nezimpawu ze-glaucoma. Izimpawu ezinjalo zifaka:

• Ukubomvu kwamehlo.
• Ikhanda elibuhlungu.
• Isicanucanu nokuhlanza.
• Ukuzwa ukucindezeleka noma ubuhlungu emehlweni (lokhu kuvame ukwenzeka uma ukucindezeleka emehlweni kuphezulu kakhulu).
• Ukubona i-halo efana nothingo lwenkosazana uma ubheka izibani.
• Ukwehla kokubona, isibonelo , umbono womhubhe (ukubona sengathi ubheka ngepayipi) noma ukuvela kwamabala amasha angaboni (ama-scotoma).

Kufanele uye nini ukuthola ukwelashwa okuphuthumayo?

Kunezimpawu ezithile ze-glaucoma okufanele ufune usizo lwezokwelapha ngokushesha uma zivela. Lezi zimpawu zifaka:

• Ukulahlekelwa umbono ngokuzumayo.
• Ukuqala ngokuzumayo kobuhlungu obukhulu bamehlo, ikhanda elibuhlungu, isicanucanu, nokuhlanza.

Uma kwenzeka into efana nale, ungalibali.

Ingabe kukhona okungalungile nge-gonioscopy?

I-Gonioscopy iyisivivinyo esibaluleke kakhulu. Kodwa-ke, lokhu kuhlolwa kukodwa akwanele ukusho ngokuqinisekile ukuthi une-glaucoma noma cha. Kunezinye izici eziningi ezisetshenziswa ekuxilongweni kwe-glaucoma. I-Gonioscopy iyisiqeshana esisodwa nje sephazili.

Kuthatha isikhathi esingakanani ukuhlolwa kwe-gonioscopy?

I-gonioscopy engaqondile ithatha cishe imizuzu emihlanu. Kodwa-ke, ukuqokwa kwakho kungathatha isikhathi eside ngoba kungase kudingeke nezinye izivivinyo.

Isikhathi esithathwayo ukwenza i-Direct Gonioscopy singahluka kakhulu kuye ngenqubo eyenziwayo. Udokotela wakho angakutshela okwengeziwe ngalokhu.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Gonioscopy ingase izwakale iyinkimbinkimbi, kodwa ukuhlolwa ngokwayo kulula kakhulu. Kuyinqubo engahlaseli, engenabuhlungu engalimazi iso. Ingasiza ekutholeni izimo ezingabangela umonakalo waphakade emehlweni akho. Ivame ukwenziwa ehhovisi likadokotela, futhi imiphumela itholakala ngokushesha.

Uma unemibuzo noma ukukhathazeka mayelana nalokhu kuhlolwa, khuluma nodokotela wakho wamehlo. Angakuchazela ukuhlolwa, anciphise ukwesaba kwakho, futhi akusize uqonde ukuthi ukuhlolwa kuzobonisani. Khumbula, ukuhlolwa okufana nalokhu kungenza umehluko omkhulu ekuvikeleni umbono wakho oyigugu.

I- Gonioscopy, ukuhlolwa kwamehlo, i-glaucoma, impilo yamehlo, ukunakekelwa kwamehlo, udokotela wamehlo, ukucindezeleka kwamehlo