Wake wezwa amagama athi 'umfutho wamehlo ophezulu' noma 'i-glaucoma'? Mhlawumbe othile emndenini wakho unalesi simo. Empeleni kuyethusa kancane, ngoba umfutho wamehlo ophezulu ungabangela umonakalo ohlala njalo ekuboneni kwethu. Kodwa ungakhathazeki, umuthi wanamuhla uthuthuke kakhulu. Enye yezindlela zokwelapha eziphumelela kakhulu neziphephile zalokhu ukuhlinzwa okubizwa ngokuthi i-goniotomy. Ake sibone ukuthi kuyini, kwenziwa kanjani, nokuthi yiziphi izinzuzo zako .
Kalula nje, kuyini i-goniotomy?
I-Goniotomy iwukuhlinzwa okukhethekile okwenziwa ukunciphisa ingcindezi yangaphakathi kweso . Iyingxenye yesigaba esibizwa ngokuthi i-Microinvasive Glaucoma Surgery (MIGS) . "Microinvasive" kusho ukuhlinzwa okwenziwa kusetshenziswa amathuluzi amancane kakhulu, abucayi futhi ngaphandle kokubangela umonakalo omkhulu emehlweni.
Ihlaya lamanzi lihlala likhiqizwa futhi likhishwa emehlweni ethu. Uma lolu ketshezi lungakhishwa kahle, ingcindezi engaphakathi kweso iyanda. Yilokhu esikubiza ngokuthi i-glaucoma. Ukuhlinzwa kwe-goniotomy kuvula indlela lapho lolo ketshezi lugeleza khona futhi kunciphisa ingcindezi. Lokhu kuvimbela ukulimala kwe-optic nerve okubangelwa yi-glaucoma futhi kuvikela umbono wethu.
Into ebalulekile ukuthi lokhu kuhlinzwa kungamisa umonakalo owengeziwe kuphela. Akukwazi ukubuyisela emuva umonakalo osuvele wenzeke. Yingakho kubalulekile ukuxilonga nokwelapha lesi sifo kusenesikhathi.
Ubani okungenzeka kakhulu ukuthi ahlinzwe?
Esikhathini esidlule, ukuhlinzwa kwe-goniotomy kwakwenziwa kakhulu ezinganeni ezincane ezine-glaucoma yokuzalwa . Kodwa-ke, ngentuthuko kwezobuchwepheshe, manje isetshenziswa ngempumelelo kakhulu ezimweni ezahlukene ze-glaucoma kubantu abadala.
Udokotela wakho wamehlo uzokuhlola futhi anqume ukuthi lokhu kuhlinzwa kufaneleka yini ngohlobo kanye nesimo sakho se-glaucoma.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho wamehlo uzokuchazela konke ngaphambi kokuhlinzwa. Ngokuvamile bazokhuluma ngalezi zinto:
- Imithi oyithathayo: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi (ikakhulukazi imithi yokunciphisa igazi) kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- I-Anesthesia: I-Anesthesia isetshenziselwa ukuvimbela ubuhlungu ngesikhathi sokuhlinzwa. Ungase uzizwe ungakhululekile emehlweni kuphela, noma ungase uzizwe ungakhululekile ngokuphelele. Udokotela wezinzwa uzochaza lokhu kuwe.
- Ukuzila Ukudla:Uzocelwa ukuthi uyeke ukudla noma ukuphuza cishe amahora angu-8 ngaphambi kokuhlinzwa. Kuzodingeka futhi uyeke ukuphuza uketshezi olufana namanzi amahora amabili ngaphambi kokuhlinzwa. Landela imiyalelo kadokotela ngqo.
Indlela ukuhlinzwa okwenziwa ngayo
Lokhu kuhlinzwa akukukhulu njengoba ungase ucabange. Ngokuvamile kuthatha imizuzu eyi-15 ukuqeda.
1. I-Anesthesia: Okokuqala, uzonikezwa imithi yokukwenza ungezwa ubuhlungu.
2. Ukusikwa okuncane: Udokotela ohlinza amehlo ube esesika okuncane kakhulu, okungaba yimilimitha ubude, enkomeni yeso lakho.
3. Amathuluzi akhethekile: Ithuluzi elincane kakhulu lifakwa esweni ngokusebenzisa i-incision. Kanye nalokhu, kufakwa ilensi ekhethekile (i-gonioscopic lens) phezu kweso. Le lensi ivumela udokotela ukuthi abone izakhiwo ezincane ngaphakathi kweso ngokucacile futhi zikhuliswe.
4. Umsebenzi oyinhloko: Manje into ebaluleke kakhulu. Kukhona ingxenye efana ne-mesh ngaphakathi kweso ehlunga uketshezi, ebizwa ngokuthi i-trabecular meshwork . Uma une-glaucoma, le mesh ayisebenzi kahle. Okwenziwa udokotela ukusebenzisa ithuluzi elibucayi ukwenza izingcezu ezimbalwa ezincane kule mesh. Lokhu kudala indlela entsha yokuthi uketshezi lugeleze, futhi ingcindezi esweni iyehla.
5. Isiphetho: Uma umsebenzi usuqediwe, imishini iyasuswa bese kufakwa isivikelo samehlo esincane ukuvikela amehlo.
Isikhathi sangemva kokuhlinzwa kanye nesikhathi sokululama
Ngemva kokuhlinzwa, uzoqashwa isikhashana bese uvunyelwa ukuya ekhaya. Njengoba ungakwazi ukushayela, uzodinga umuntu ozokuhambisa ekhaya.
Udokotela uzokunikeza amaconsi amaningana amehlo ukuze uwafake emehlweni akho. Kuzodingeka usebenzise ama-antibiotic izinsuku ezimbalwa kanye nemithi yokulwa nokuvuvukala amasonto ambalwa.
Kuvamile ukuzwa ukudabuka, ukubona okufiphele, kanye nomuzwa wokucasuka emehlweni ezinsukwini ezimbalwa zokuqala. Lokhu kuzophela ezinsukwini ezimbalwa.
Khumbula lezi zinto ngesikhathi sokululama
| Izinto okungafanele zenziwe (GWEMA) | Izinto okufanele zenziwe (DO) |
|---|---|
| Ukubamba iso, ukulichoboza. | Geza izandla zakho kahle ngaphambi kokusebenzisa umuthi. |
| Ukusebenzisa noma yiluphi uhlobo lwezimonyo zamehlo. | Thatha imithi yakho ngesikhathi njengoba udokotela ekuyalele. |
| Ukugoba phambili, ukuguqa phansi. | Uma unenkinga yokubona ukukhanya, gqoka izibuko zelanga. |
| Ukuphakamisa izinsimbi. | Hamba uyohlolwa ngokulandelayo ngezinsuku ezihleliwe. |
| Ukuzivocavoca, ukugijima, ukubhukuda. | Qaphela amehlo akho lapho ugeza futhi ugeza ubuso bakho. |
Ingabe zikhona izingozi nezinkinga?
Izinkinga ezinkulu ezivela ku-goniotomy azivamile . Njenganoma yikuphi ukuhlinzwa kwamehlo, kunengozi encane yokutheleleka noma ubuhlungu.
Ezinye izinkinga ezithile kodwa ezincane zingafaka:
- Ukopha okuncane ngaphakathi kweso (lokhu kuvame ukuphola ngokwako ngemva kwesonto noma amabili).
- Ukwanda kwesikhashana kokucindezeleka kwamehlo.
- Izinguquko ezincane embonweni, isibonelo , i-astigmatism .
- Akuvamile kakhulu ukuthi kube nezimo ezifana nomfutho wamehlo ophansi kakhulu (i-hypotony) noma ukuqhekezeka kwe -retinal .
Udokotela wakho uzokuchazela kabanzi ngalezi zingozi.
Kunini lapho udinga khona iseluleko sezokwelapha esiphuthumayo?
Ngemva kokuhlinzwa, uma uhlangabezana nezimpawu ezilandelayo, shayela udokotela wakho wamehlo ngokushesha:
- Ubuhlungu bamehlo obungabekezeleleki.
- Ukulahlekelwa umbono ngokuzumayo noma umbono ofiphele kakhulu.
- Ukubona ama-halo azungeze izibani.
- Amehlo abomvu kakhulu noma ukuphuma koketshezi olufana nobovu emehlweni.
Esimweni esiphuthumayo esinjengalesi, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-Goniotomy iyindlela yokuhlinzwa ephephile kakhulu futhi ephumelelayo eyenziwa kubantu abanomfutho wegazi ophezulu ngenxa ye-glaucoma.
- Lokhu kusiza ukuphuma koketshezi emehlweni, kunciphisa ukucindezeleka kwamehlo, futhi kuvikela ukubona ekulimaleni okwengeziwe.
- Ukuhlinzwa kuyashesha kakhulu, futhi isikhathi sokululama ngokuvamile asibuhlungu.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo (njengokuthatha imithi nokugwema umsebenzi onzima) ngesikhathi sokululama kwakho.
- Kubalulekile ukulandelela ngezikhathi ezihleliwe. Uma kuvela izimpawu eziphuthumayo, funa iseluleko sezokwelapha ngokushesha.
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