Wake waya kudokotela wamehlo watshelwa ukuthi, "Ingcindezi emehlweni akho ibonakala iphezulu kancane, ake senze isivivinyo esincane"? Noma ingabe wesaba kancane ngoba othile emndenini wakho une-glaucoma? Namuhla sizokhuluma ngesivivinyo esibaluleke kakhulu kodwa esilula kakhulu esenziwa ngezikhathi ezinjalo. Leso isivivinyo se-Gonioscopy. Nakuba igama liyinkimbinkimbi kancane, lilula kakhulu futhi alinabuhlungu.
Kuyini i-Gonioscopy kalula?
Kalula nje, i-Gonioscopy ukuhlolwa okungahlaseli okwenziwa udokotela wakho wamehlo. Ngokuyisisekelo ihlola ukuthi uhlelo lokukhipha amanzi ngaphakathi kweso lakho lusebenza kahle yini. Kufana nokuhlola ukuthi ipayipi livalekile yini endlini yakho. Uma lolu hlelo lungasebenzi kahle, ingcindezi engaphakathi kweso inganda, okungaholela ezimweni ezimbi kakhulu njenge -glaucoma . Ngakho-ke lokhu kuhlolwa kusiza kakhulu ekutholeni izinto ezinjalo kusenesikhathi.
Kukuziphi izimo lapho kwenziwa khona lokhu kuhlolwa?
Kunezizathu eziningana zokuthi kungani udokotela wakho angancoma lokhu kuhlolwa. I-glaucoma yisifo lapho ingcindezi engaphakathi kweso (ingcindezi yangaphakathi kweso) ikhuphuka khona, okubangela umonakalo emthanjeni we-optic, okungaholela ekulahlekelweni kokubona kancane kancane. Ngakho-ke, lokhu kuhlolwa kungenziwa noma nini lapho kukhona ukusola okuhlobene nakho.
Lokhu kuhlolwa kwenza ikakhulukazi:
- Thola uhlobo lwe-glaucoma: Kunezinhlobo ezimbili eziyinhloko ze-glaucoma. Lezi yi-angle-closure glaucoma kanye ne-open-angle glaucoma. I-gonioscopy ibalulekile ukuze kutholakale ukuthi uhlobo luni olunalo.
- Thola ezinye izimo zezokwelapha: Lokhu kungasiza futhi ekususeni ezinye izimo ezibangela izimpawu ezifana ne-glaucoma, njenge-pseudoexfoliation syndrome.
- Izimila noma Umdlavuza Ongaphakathi Kweso: Lokhu kuhlolwa kwenziwa futhi ukuqinisekisa ukuthi kukhona yini izinsolo zomdlavuza noma umdlavuza ku-iris (ingxenye enombala yeso).
Khumbula, uma umfutho wamehlo uhlala uphezulu isikhathi eside kakhulu, kungabangela umonakalo ohlala njalo emehlweni ngisho nokulahlekelwa umbono ngokuphelele. Yingakho ukuhlolwa okufana nalokhu kubaluleke kangaka.
Lolu vivinyo lwe-Gonioscopy lusebenza kanjani?
Isayensi ngemuva kwalokhu ilula kakhulu. Cabanga ukuthi ufuna ukubona into ekhoneni elikwelinye igumbi. Wenzani? Uphakamisa isibuko bese ubheka ngaso, akunjalo? Leyo yindlela efanayo elula esetshenziswa lapha.
Ngaphakathi kweso lethu, ngemuva kwe-cornea (ingxenye esobala ngaphambili kweso) naphambi kwe-iris, kukhona igumbi eligcwele uketshezi. Lokhu kubizwa ngokuthi igumbi elingaphambili .Uketshezi olukuleli gumbi (i-aqueous humor) lukhiqizwa futhi lukhishwa njalo. Lolu ketshezi luphuma endaweni ebizwa ngokuthi "i-drainage angle" lapho kuhlangana khona iris kanye nengxenye emhlophe yeso (i-sclera).
Ilensi ekhethekile esetshenziswa ku-gonioscopy isebenzisa ingilazi noma isibuko esikhulisayo ukuze udokotela abone i-engeli yokukhipha amanzi ngqo. Angabona ngokushesha ukuthi inciphile, ivinjiwe, noma iphilile.
Yiziphi izinhlobo zamalensi e-Gonioscopy?
Kunezinhlobo ezimbili eziyinhloko zamalensi asetshenziswa kulokhu kuhlolwa. Kungumqondo omuhle ukwazi ukuthi hlobo luni lokuhlolwa olusebenzisayo.
| Uhlobo lwelensi | Indlela esebenza ngayo | Indawo evame ukusetshenziswa |
|---|---|---|
| I-Gonioscopy Engaqondile | Le lensi inezibuko. Ukukhanya kushaya lezo zibuko bese kuboniswa, okuvumela udokotela ukuthi abone leyo engela. | Ehhovisi likadokotela wamehlo. Lena yindlela evame ukusetshenziswa kakhulu. |
| I-Gonioscopy Eqondile | Le lensi ayinazo izibuko. Kunalokho, ikhulisa ukukhanya, ivumela udokotela ukuthi abone i-engeli yokukhipha amanzi ngqo. | Lokhu kuvame ukwenziwa egumbini lokuhlinza, kanye nokunye ukuhlinzwa. |
Ingabe ngidinga ukulungiselela ngaphambi kokuhlolwa?
Ngokuvamile, awudingi ukulungiselela okukhethekile. Lokhu ukuhlolwa okungenziwa nganoma yisiphi isikhathi.
Kodwa kukhona into eyodwa: Uma ugqoka ama-contact lens, qiniseka ukuthi ubuza udokotela wakho uma kudingeka uyeke ukuwagqoka ezinsukwini ezimbalwa ngaphambi kokuhlolwa.
Uma lokhu kuhlolwa kwenziwa kanye nokuhlinzwa, udokotela wakho uzokunikeza imiyalelo eqondile yokuthi ungakulungiselela kanjani.
Kwenzekani ngesikhathi sokuhlolwa?
Ake sixoxe nge-Indirect Gonioscopy, okungenzeka ukuthi kuzodingeka uyenze. Kuzwakala sengathi kuyingxenye yokuhlolwa kwamehlo okuvamile (ukuhlolwa kwesibani esinqunyiwe).
1. Ukushaya amehlo: Okokuqala, udokotela uzofaka amaconsi okukushaya amehlo. Lokhu kuzokushaya amehlo. Ngakho ngeke uzwe ubuhlungu noma ukungakhululeki.
2. Ukulungiselela ilensi: Okulandelayo, ilensi encane ibekwa ngokucophelela phezu kweso lakho. Amaconsi amanzi afakwa kulensi ukuvimbela ukwakheka kwamabhamuza omoya phakathi kwelensi neso lakho nokwenza kube lula ukuhambahamba.
3. Ukuhlolwa: Manje usumbonile udokotela esebenzisa umshini onokukhanya okukhulu, isibani esivulekile, ukuhlola amehlo akho. Uzobheka iso lakho ngaleyo lensi. Kuleli qophelo, uzocelwa ukuthi ubheke phambili, noma udokotela uzokucela ukuthi ubheke ohlangothini (phezulu, phansi, kwesobunxele, kwesokudla).
4. I-Dynamic Gonioscopy: Ngezinye izikhathi, udokotela uzocindezela kancane ilensi esweni lakho. Lokhu kubizwa ngokuthi i-dynamic gonioscopy . Ungesabi, lokhu kuhloswe ukuhlola noma yikuphi ukunamathela (i-synechiae) esweni.
5. Ukuphela: Ukuhlolwa kuzophela ngemizuzu embalwa. Ilensi izobe isisuswa. Ungase uzwe ukudabuka, okuyinto evamile.
Lokhu kuhlolwa kungahlanganisa noma kungabandakanyi imithi yokwandisa . Lokhu kunqunywa udokotela.
Ingabe kukhona izingozi noma imiphumela emibi kulokhu?
Izindaba ezinhle ukuthi ukuhlolwa kwe-Gonioscopy ngokwako akunazo izingozi noma imiphumela emibi.
Kodwa-ke, ngenxa yokusebenzisa amaconsi eso ukuze uqede amehlo futhi mhlawumbe ukhulise ijwabu , ungase uzwe ukungakhululeki kwesikhashana, njengokubona okufiphele amahora ambalwa. Udokotela wakho uzokuchazela lokhu.
Uma imiphumela ingajwayelekile, yini oyenzayo ngokulandelayo?
Into engcono kakhulu ngalokhu ukuthi udokotela angakutshela imiphumela ngokushesha nje lapho ukuhlolwa sekuqediwe.
Uma ubona i-engeli encane yokukhipha amanzi, kusho ukuthi usengozini yokuthola i-glaucoma. Udokotela wakho uzobe esexoxa ngokwelashwa okudingayo (amaconsi amehlo, ukwelashwa nge-laser, noma ukuhlinzwa).
Kodwa-ke, ngezinye izikhathi i-engeli lapho lolu ketshezi lugeleza khona ingavalwa ngokuphelele. Lokhu kubizwa ngokuthi i-angle-closure glaucoma . Lokhu kuyisimo esiphuthumayo sezokwelapha ngoba kungabangela ukulahlekelwa umbono ngokuzumayo. Uma ubona lokhu, udokotela wakho uzokudlulisela ekwelashweni ngokushesha.
Kufanele ngimbone nini udokotela?
I-Glaucoma yisifo esivame ukuvela buthule, ngaphandle kokubonisa izimpawu ezigabeni zokuqala. Ngakho-ke, kubaluleke kakhulu ukuhlolwa kwamehlo akho njalo. Kuwukuhlakanipha ukuhlolwa kwamehlo akho okungenani kanye ngonyaka, ikakhulukazi uma ungomunye wamaqembu alandelayo asengozini:
- Uma uneminyaka engaphezu kwengu-40 ubudala
- Uma othile emndenini ene-glaucoma
- Uma unesifo sikashukela (uhlobo 2 lwesifo sikashukela)
- Uma unengcindezi ephezulu yamehlo (umfutho wegazi ophakeme emehlweni)
- Uma usebenzisa ama-corticosteroids isikhathi eside
- Uma unenkinga yokubona ethinta kakhulu ukubona kwakho, njengokubona eduze noma ukubona kude
| Isibonakaliso | Okufanele ngikwenze |
|---|---|
| Khuluma nodokotela wakho. | |
| Ukubomvu kwamehlo | Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu, bona udokotela wakho wamehlo ngokushesha okukhulu. |
| Ikhanda elibuhlungu, isicanucanu, nokuhlanza | |
| Ukubona izindandatho ezifana nothingo lwenkosazana uma ubheka izibani | |
| Umbono onciphile (umbono womhubhe) noma izindawo ezintsha ezimnyama | |
| Ubuhlungu noma ingcindezi yamehlo (lokhu kuvame ukwenzeka uma ingcindezi iphezulu kakhulu) | |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha. | |
| Ukulahlekelwa noma ukufiphala kombono ngokuzumayo | Lezi kungaba izimpawu ezimbi kakhulu. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngaphandle kokulibala. |
| Ubuhlungu obungazelelwe, obukhulu emehlweni (ikakhulukazi ngekhanda elibuhlungu kanye nesicanucanu) | |
Umlayezo Wokuya Nawe Ekhaya
- I-Gonioscopy iyindlela yokuhlola engenabuhlungu, elula, nephephile esetshenziselwa ukuxilonga izifo ezifana ne-glaucoma.
- Lokhu kuhlolwa kuthatha imizuzu embalwa kuphela.
- Udokotela wakho angakwazisa ngemiphumela ngokushesha nje lapho ukuhlolwa sekuqediwe.
- Ukuhlolwa kwamehlo njalo kubaluleke kakhulu ukuvikela ukubona kwakho.
- Ukulahlekelwa umbono ngokuzumayo noma ubuhlungu obukhulu bamehlo kuyisimo esiphuthumayo sezokwelapha. Ezimweni ezinjalo, hamba uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
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