Ingabe amehlo ayafiphala ngemva kokuhlinzwa kwe-cataract? Ake sixoxe nge-Posterior Capsular Opacification!

Uke wahlinzwa i-cataract muva nje? Kumelwe ukuthi ujabule ngombono wakho ngemva kokuhlinzwa, akunjalo? Kodwa ngezinye izikhathi, ngemva kwesikhathi esithile, umbono wakho ungaqala ukufiphala kancane futhi, njengenkungu. Yilokhu esikhuluma ngakho namuhla, okubizwa ngokuthi 'i-Posterior Capsular Opacification'. Ungakhathazeki, lokhu kuvamile futhi kungelashwa kalula.

Kalula nje, kuyini lokhu 'kwe-posterior capsular opacification'?

Cabanga nje, ingabe usuphinde waba ne-cataract? Cha, lokho akunakwenzeka. Uyazi ukuthini? Lokho kufiphala odokotela abakubiza ngokuthi 'i-cataract' kwenzeka kuphela kulensi yemvelo engaphakathi kwamehlo ethu. Okusho ukuthi, kulensi esiyithola lapho sizalwa. Ilensi yokwenziwa (Intraocular Lens - IOL) efakwa ngemva kokuhlinzwa ayibangeli ukuthi i-cataract iphinde ivele.

Ngakho-ke kuyini 'i-posterior lenticular opacification' (PCO)? Okwenzekayo kulokhu ukuthi ulwelwesi oluncane olubizwa ngokuthi 'i-lens capsule' olubamba ilensi yokwenziwa (IOL) endaweni luba namafu. Ukuze kube sobala, ilensi yeso lakho ingaphakathi kwale capsule. Ngesikhathi sokuhlinzwa, ilensi yemvelo endala, enamafu iyasuswa bese kufakwa ilensi entsha, ecacile yokwenziwa (IOL) kuleyo capsule. Ngakho i-lens capsule isengaphakathi kwalelo iso.

Cabanga nge-lens capsule yakho njengegumbi elincane. Uma ilensi yakho endala, yemvelo isusiwe, kufakwa ilensi entsha yokwenziwa (IOL). Kodwa izindonga zegumbi (i-lens capsule) zihlala zinjalo. Le lens capsule yenziwe ngezinto zemvelo ezifana namaseli. Ngokuvamile icacile kakhulu. Kodwa-ke, njengoba nje ilensi yethu yemvelo iba namafu, ngokuhamba kwesikhathi le lens capsule ingaba namafu noma ibe namafu. Yilokhu esikubiza ngokuthi 'i-cataract yesibili'.

Lokhu kufiphala kwe-capsule yelensi kwenzeka njengengxenye yenqubo yokuphulukiswa kweso ngemva kokuhlinzwa. Uma lokhu kwenzeka kuwe, asikho isidingo sokwesaba. Udokotela angasusa le 'cataract yesibili' ngokwelashwa nge-laser okusheshayo kakhulu.

Lesi simo singaba khona isikhathi esingakanani ngemva kokuhlinzwa kwe-cataract? Futhi sivame kangakanani?

Eqinisweni, kungenzeka ukuthi lokhu 'kuvuleka kwe-posterior lenticular' (PCO) kwenzeke ezinyangeni ezimbalwa noma ngisho neminyaka ngemva kokuhlinzwa kwe-cataract.

Lena inkinga evame kakhulu ngemva kokuhlinzwa kwe-cataract.

Ezinye izifundo zibonisa ukuthi abantu abangafika ku-50% abahlinzwa i-cataract bangase babe nalesi simo phakathi neminyaka emihlanu yokuhlinzwa. Ngakho-ke njengoba ubona, lokhu akuyona into engavamile.

Ziyini izimpawu zalokhu?

Izimpawu ze-Posterior Capsular Opacification empeleni zifana kakhulu nezimpawu ze-cataracts owawunazo ngaphambi kokuhlinzwa. Bheka ukuthi unazo yini lezi:

• Umbono ofiphele, ongacacile, noma onenkungu. Kungase kuzwakale njengokubuka ngengilazi eqandisiwe.
• Ukukhanya noma ama-halo azungeze izibani uma ubheka ukukhanya.
• Ukuzwela ukukhanya.
• Ubunzima bokufunda izincwadi.

Uma unalezi zimpawu, into ebaluleke kakhulu ukungesabi bese ucela iseluleko sezokwelapha.

Kungani lokhu kwenzeka ngempela?

Ngemva kokuba udokotela wakho wamehlo esuse ilensi yemvelo esweni lakho ngesikhathi sokuhlinzwa kwe-cataract, amanye amangqamuzana e-epithelial elensi angase ahlale. Lawa maseli abe esethuthela ebusweni be-capsule yelensi lapho kufakwa khona ilensi yokwenziwa. Odokotela bakubiza lokhu ngokuthi 'ukufuduka kwamangqamuzana'. Empeleni kuyingxenye yenqubo evamile yokuphulukiswa komzimba.

Njengoba amangqamuzana eqoqana, i-capsule yelensi yakho, evame ukuba sobala, iqala kancane kancane ukuba namafu futhi ibe nezibazi.

Njengoba kushiwo ngaphambili, uma i-lens capsule yakho iyigumbi, kufana nothuli oluqongelela efasiteleni lalelo gumbi. Ngakho-ke lokhu kufiphala kunciphisa ikhono lakho lokubona umhlaba ngaphandle kwefasitela (okungukuthi iso lakho) ngokucacile. Yilapho izimpawu ezifanayo ezakwenza wahlinzwa i-cataract kwasekuqaleni ziqala ukuvela khona.

Ubani osengozini enkulu yokuthola 'i-cataract yesibili'?

Noma ubani ohlinzwa i-cataract usengozini yokuthola le 'cataract yesibili'. Kodwa-ke, uma unezinye zezimo ezilandelayo, ingozi yakho ingaba phezulu kancane:

• Izimo zamehlo ezibangelwa isifo sikashukela (i-retinopathy ehlobene nesifo sikashukela)
• I-Glaucoma
• i-retinitis pigmentosa
• Izinga eliphezulu le-myopia
• Ukuvuvukala kolwelwesi lwe-uveal lweso (i-Uveitis)

Futhi, uma ube nezinkinga (njengokuvuvukala kwamehlo) ngesikhathi noma ngemuva nje kokuhlinzwa kwakho kwe-cataract, lokho kungandisa le ngozi.

Odokotela bakubona kanjani lokhu?

Odokotela bamehlo baxilonga lesi simo, esibizwa ngokuthi i-Posterior Capsular Opacification , ngokuhlola amehlo akho ngokucophelela. Lokhu kwenziwa kusetshenziswa ukuhlolwa okungenabuhlungu okubizwa ngokuthi ukuhlolwa kwesibani esinqunyiwe . Lokhu kuvumela udokotela ukuthi ahlole ingaphakathi leso lakho eduze. Udokotela uzobuza nangomlando wakho wezokwelapha kanye nanoma yikuphi ukuhlinzwa kwamehlo oke wakwenza.

Ngakho-ke yiziphi izindlela zokwelapha lokhu?

Odokotela belapha le 'cataract yesibili' nge -'YAG laser capsulotomy'.Lokhu ngezinye izikhathi kubizwa ngokuthi 'i-posterior capsulotomy'. Lokhu kungenziwa ehhovisi likadokotela futhi kuthatha cishe imizuzu emihlanu. I-'YAG' igama lohlobo olukhethekile lwe-laser olusetshenziselwa lokhu.

Yilokhu okwenzekayo kulokhu kwelashwa:

1. Okokuqala, iso lakho lizophelelwa amandla ngamaconsi akhethekile , ngakho ngeke uzwe ubuhlungu.

2. Ngemuva kwalokho, udokotela usebenzisa umsebe we-laser ukwenza imbobo encane kakhulu ku-capsule yelensi enamafu.

3. Le mbobo ivumela ukukhanya ukuthi kudlule kulensi yakho yangaphakathi kweso (IOL) ngaphandle kokuphazamiseka, okukunika umbono ocacile futhi.

Kulula, akunjalo?

Ngizozizwa ngingcono ngokushesha kangakanani ngemva kokwelashwa?

Ngokuvamile, umbono wakho uzoqala ukucaca zingakapheli izinsuku ezimbili noma ngaphezulu ngemva kokuhlinzwa nge-laser capsulotomy ye-YAG. Kodwa-ke, ungase uzizwe untanta emehlweni akho cishe amasonto amabili. Lezi yizicucu ezincane zemfucumfucu ezisuswa ngesikhathi sokwelashwa nge-laser. Zizoncibilika zodwa ngokuhamba kwesikhathi.

Ingabe zikhona izinkinga ngalokhu kwelashwa nge-laser?

I-YAG laser capsulotomy inqubo enengozi encane kakhulu yezinkinga ezinkulu . Kodwa-ke, kunezinkinga ezimbalwa ezingavamile ezingaba khona:

• Ukuvaleka kwe-retinal. Le ngozi inganda kancane uma unezinga eliphezulu lokubona eduze.
• Ukwanda kwengcindezi esweni lakho. Le ngozi iphezulu kubantu abane-glaucoma.
• Ukuhlukana kwe-IOL.

Nakuba lokhu kungavamile kakhulu, kuwumqondo omuhle ukukhuluma nodokotela wakho ngalokhu.

Eminye imibuzo embalwa ebalulekile...

Ingabe lokhu 'kungabonakali kwelensi yangemuva' kuzothuthuka ngokuzenzakalelayo?

Cha. Udinga ukwelashwa ukuze uphinde ubone kahle. Uma ubona izimpawu, ungalibali ukubona udokotela.

Ingabe ikhona indlela yokuvimbela ukwakheka 'kwe-cataract yesibili'?

Akukho lutho ongakwenza ukuvimbela lokhu ukuthi kungenzeki. Kodwa-ke, abacwaningi bahlala bezama ukuthuthukisa amasu amasha okuhlinza kanye nobuchwepheshe be-intraocular lens (IOL) obunganciphisa le ngozi. Ungakhuluma nodokotela wakho ngalezi zinguquko zakamuva ukuze ufunde kabanzi.

Ingabe lesi simo sizophulukiswa ngokuphelele uma selashwa?

Yebo, impela! Ngokwelashwa, 'ama-cataracts esibili' aphulukisa ngokushesha. Kufanele uzizwe ungcono futhi umbono wakho kufanele ucace zingakapheli amahora angama-24 ngemuva kokuhlinzwa nge-laser.

Ingabe lokhu 'kungabonakali kahle kwelensi yangemuva' kuya kuba kubi ngokuhamba kwesikhathi?

Yebo, njengoba i-lens capsule yakho iba namafu kancane kancane, izimpawu zakho zingase zibe zimbi kakhulu. Yingakho kubalulekile ukubona udokotela ngokushesha nje lapho ubona noma yiziphi izimpawu ezintsha, uthole ukuxilongwa okufanele, bese uthola ukwelashwa.

Ikusasa lizoba njani ngemva kokwelashwa kwalesi simo?

Abantu abaningi bathola imiphumela emihle kakhulu ngemva kokwelashwa 'kwe-cataracts yesibili'. Akuvamile kakhulu, i-capsule yakho yelensi ingase ibe namafu futhi. Uma lokhu kwenzeka, udokotela wakho angayilapha ngokwelashwa nge-laser, njengoba nje ayekwenza ngaphambili.

Kufanele ngimbone nini udokotela? Kuthiwani uma kuyisimo esiphuthumayo?

Uma unezimpawu zesimo 'sesibili se-cataract', bona udokotela ngokushesha. Akuyona into enhle ukulibazisa ukwelashwa. Lokhu kungenxa yokuthi lezi zimpawu (isibonelo, izinguquko embonweni) zingaba izimpawu zezinye izimo eziningi zamehlo, hhayi nje 'i-secondary cataracts'. Udokotela wakho uzokuhlola, athole ukuthi kwenzekani ngempela, futhi akunikeze ukwelashwa okufanele.

Amacala adinga ukwelashwa okuphuthumayo

Uma unezimpawu ezilandelayo zokuqhekeka kwe-retinal , hamba esibhedlela ngokushesha:

• Kungazelelwe, kuvela izindiza ezintsha ezintantayo phambi kwamehlo.
• Ukukhanya okukhanyayo, kungaba amehlo evuliwe noma evaliwe.
• Umuzwa wento efana nesithunzi esisakazeka embonweni wakho, noma njengekhethini eliwayo.

Kulesi simo, uma ushesha ukufuna usizo lwezokwelapha, amathuba akho okwelashwa ayanda. Ukulibazisa ukwelashwa kungaholela ngisho nasekulahlekelweni umbono unomphela.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma usuzohlinzwa i-cataract, ungabuza udokotela wakho ngalokhu okulandelayo:

• Iyini ingozi yami yokuba ne-'cataract yesibili'?
• Yini ongayenza ukuze unciphise leyo ngozi?
• Kunini lapho kungenzeka khona ukuthi i-cataract yesibili ivele khona?
• Yiziphi izimpawu okufanele ngiziqaphele?

Uma ucabanga ukwelashwa nge-laser kwe-cataract yesibili, buza udokotela wakho ngalokhu okulandelayo:

• Yini okufanele ngiyilindele phakathi nalokhu kuhlinzwa?
• Sinjani isikhathi sokululama?
• Umbono wami uzobuyela nini esimweni esijwayelekile?
• Yiziphi izingozi engingase ngibhekane nazo ngenxa yalokhu kwelashwa?
• Yini ongayenza ukuze unciphise ingozi yami yezinkinga?
• Angakanani amathuba okuthola i-cataract yesibili futhi esikhathini esizayo?

Akekho ofuna ukuba nenkinga ngemva kokuhlinzwa. Uma lokho kwenzeka, ungase uzizwe udumele futhi udangele. Kodwa khumbula, le 'cataract yesibili' yisimo esenzeka ngemva kokuhlinzwa kwe-cataract.Kuvamile kakhulu. Odokotela bayazi ukuthi bangakwelapha kanjani kahle. Futhi bayaqiniseka ukuthi maduze uzophinde ubone kahle futhi ukwazi ukuphila impilo evamile.

Kodwa-ke, kungakhathaliseki ukuthi uhlinzwa kanjani, kungakhathaliseki ukuthi uhlinzwa nge-cataract noma uhlinzwa nge-laser 'ye-secondary cataracts,' kubalulekile ukukhuluma nodokotela wakho ngezinkinga ezingaba khona. Ngokuqaphela izingozi, unganciphisa ukwesaba kwakho ngalokho okuzayo, futhi ulungele ukubhekana nanoma yiziphi izinkinga ezingase zivele endleleni.

Okokugcina, izinto ezibaluleke kakhulu okufanele uzikhumbule

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono 'i-Posterior Capsular Opacification' noma 'i-Secondary Cataract' esikhulume ngayo.

• Lokhu akusikho ukuphinda kwe-cataract yakho endala. Lokhu kuwukufiphala kwe-capsule yelensi ephethe ilensi yokwenziwa (IOL).
• Lena inkinga evamile engenzeka ngemva kokuhlinzwa kwe-cataract. Ngakho ungesabi.
• Izimpawu ziyafana neze-cataract yangaphambilini: ukubona okufiphele, ukuzwela ukukhanya, njll.
• Lokhu kungelapheka ngokuphelele ngokwelashwa nge-laser okulula nokusheshayo okubizwa ngokuthi 'i-YAG laser capsulotomy'.
• Umbono wakho uzophinde ucace phakathi nosuku noma ezimbili ngemva kokwelashwa.
• Uma uba nanoma yiziphi izimpawu, funa iseluleko sezokwelapha ngokushesha. Ikakhulukazi uma ubhekana nezinguquko ezisheshayo embonweni, ama-floating amasha, noma ukuba namahloni, bona udokotela ngokushesha.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho wamehlo. Amehlo anempilo ayimpahla ebalulekile!

Ukuvulwa Kwama - Capsular Angemuva, i-PCO, i-Cataract Yesibili, Ukuhlinzwa Kwe-Cataract, i-LAser ye-YAG, Impilo Yamehlo, Umbono Ofiphele