Ukhathele ukufuna izibuko zakho noma ama-contact lens njalo ekuseni ngemva kokuvuka? Ukhathele ukumanzisa izibuko zakho uma lina, ukufiphala, nokuzihlanza njalo? Mhlawumbe ungumuntu wezemidlalo, bese lezi zibuko ziyinkinga enkulu. Abantu abaningi bacabanga ukuthi asikho isisombululo salokhu, kangangokuthi kufanele uphile kanje impilo yakho yonke. Kodwa empeleni, kunezindlela zesimanje zokwelapha ezingavalelisa lezi zibuko futhi zikhanyise umbono wakho . Namuhla sikhuluma ngokuhlinzwa okukhethekile okunjalo.
Kuyini ngempela i-Refractive Lens Exchange (RLE)?
Kalula nje, lokhu futhi kuyindlela yokuhlinzwa kwamehlo. Kodwa-ke, lokhu kuhilela ukususa ngokuphelele ilensi yemvelo engaphakathi kweso lakho bese ufaka unomphela ilensi yokwenziwa (Intraocular Lens - IOL ) eyenzelwe ukulingana nenkinga yakho yokubona.
Cabanga ngakho njengokuba nelensi encane enamandla afanayo nezibuko zakho zamehlo noma ama-contact lens afakwe esweni lakho. Uma ilensi yokwenziwa isifakiwe, isebenza njengelensi yakho yemvelo. Igxila ukukhanya okungena esweni lakho futhi ikugxilise ngqo ku -retina . Lokhu kukuvumela ukuthi ubone ngokucacile ngaphandle kokufiphala. Abantu abaningi abasadingi ukugqoka izibuko futhi ngemva kwalokhu kuhlinzwa. Abanye abantu bangase badinge izibuko kuphela emisebenzini eseduze, njengokufunda incwadi noma iphephandaba.
Kungenzeka ukuthi uke wezwa ngokuhlinzwa nge-laser, njenge-`(LASIK)` kanye ne-`(PRK)`. Lokhu kuhlinzwa kushintsha isimo se-cornea yeso ukuze kuthuthukiswe umbono. Kodwa abanye abantu, ikakhulukazi labo abanezinkinga ezinkulu zokubona (ukubona eduze noma ukubona kude), abakwazi ukwenza lokhu kuhlinzwa nge-laser. Yilapho odokotela bephakamisa khona ukuhlinzwa nge-`(Refractive Lens Exchange)`.
Ubani ofanele lolu hlinzwa? (Futhi ubani ofanele lona?)
Lokhu kuhlinzwa akulona olwawo wonke umuntu. Udokotela wakho wamehlo uzohlola amehlo akho bese enquma ukuthi lokhu kulungile yini kuwe. Ithebula elingezansi lizokunikeza umbono omuhle ngalokhu.
| Ubani ofanelekela lokhu kuhlinzwa? | Abantu abangase bangafaneleki kulolu hlinzwa |
|---|---|
| Abantu abane -myopia noma i-hyperopia enzima kakhulu okwenza ukuhlinzwa nge-laser kungenzeki. | Abantu abanezimo ezithinta i-cornea yeso. |
| Abantu abafuna ukunciphisa ukuthembela kwabo ezingilazini ngenxa ye -presbyopia, isimo esenzeka ngokuguga. | Abantu abanokukhubazeka kwe-macular okuhlobene nokuguga . |
| Abantu abane-astigmatism. | Abantu abane -retinopathy ehlobene nesifo sikashukela . |
| Labo abafuna ukugwema ingozi yokuba nama-cataract esikhathini esizayo. | Abantu abanezici eziyingozi zokuqhekeka kwe -retina . |
| Abantu abahlushwa yi -uveitis, isimo sokuvuvukala esivele ngaphakathi kweso. |
Ingabe ubudala bubalulekile?
Lokhu kuhlinzwa kuvame ukuba ngcono kubantu abaneminyaka engaphezu kwengu-40. Kunezizathu eziningana zalokhu. Esinye ukuthi abantu asebekhulile banamathuba amancane okuba nezinkinga ngemva kokuhlinzwa. Esinye ukuthi abantu abaningi abaneminyaka engaphezu kwengu-40 kakade banezinga elithile lokubona eduze (i-presbyopia). Ngakho-ke lokhu kuhlinzwa kungaxazulula leyo nkinga ngesikhathi esisodwa.
Uyini umehluko phakathi kokuhlinzwa kwe-cataract nalokhu?
Lokhu kuyinto abantu abaningi abadidekile ngayo. Zombili lezi zinqubo zokuhlinzwa zihilela ukususa ilensi yemvelo yeso bese kufakwa ilensi yokwenziwa (IOL). Kodwa-ke, isizathu sokuhlinzwa sihlukile ngokuphelele.
- Ukuhlinzwa kwe -cataract : Lokhu kwenziwa ngoba ilensi yemvelo esweni lakho isibe namafu (njengengilazi enenkungu). Lokhu kumafu kuphazamisa umbono wakho. Ngakho ilensi enamafu iyasuswa bese kufakwa ilensi yokwenziwa ecacile ukuze kubuyiselwe umbono ocacile. Lokhu kuyisidingo sezokwelapha.
- Ukuhlinzwa Kokushintshana Kwelensi Ebonakalayo (i-RLE): Lokhu kwenzelwa ukulungisa izinkinga zokubona (njengokubona eduze noma ukubona kude) ezenzeka lapho ilensi yakho yemvelo icacile , kodwa ingakwazi ukugxila kahle ekukhanyeni. Inkinga lapha akuyona ukufiphala kwelensi, kodwa inkinga yokugxila . Lokhu kwenzelwa ukunciphisa ukuthembela kwakho ezibukweni noma kumalensi okuxhumana nokwenza impilo yansuku zonke ibe lula. Ngakho-ke, lokhu ukuhlinzwa okukhethwayo kunokuba kube yimfuneko yezokwelapha.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho wamehlo uzohlola amehlo akho kahle ngaphambi kokuhlinzwa futhi uzoxoxa nawe ngezinhlobo zamalensi angaphakathi kweso (ama-IOL) angase afakwe. Kubalulekile ukubuza noma yimiphi imibuzo ongase ube nayo ngalesi sikhathi.
Yazi kahle ngokukhetha ilensi yangaphakathi kweso (i-IOL) efanele wena. Buza udokotela wakho ngezinzuzo kanye nokungalungi kohlobo ngalunye lwelensi nokuthi luzothinta kanjani impilo yakho yansuku zonke.
Kunezinhlobo eziningana eziyinhloko zama-IOL:
- Ama-Monofocal IOL: Lawa malensi anganikeza umbono ocacile ekude noma ekude . Awakwazi ukukunikeza kokubili. Isibonelo, uma ugqoka lawa malensi ukuze ubone kude, uzodinga izibuko zemisebenzi eseduze njengokufunda incwadi noma ukuhlola ifoni yakho.
- Ama-IOL amaningi (amalensi anikeza kokubili ibanga kanye nombono oseduze): Lawa malensi akuvumela ukuthi ubone kokubili ibanga kanye nezinto eziseduze ngaphandle kwezibuko. Kodwa-ke, anezinkinga ezithile. Abanye abantu bangase babe nokukhanya kanye nama-halo lapho beshayela ebusuku. Lokhu kuvame ukunyamalala ngokuhamba kwesikhathi.
- Indlela ye-Monovision: Lena indlela ethakazelisa kakhulu. Okwenzayo lapha ukufaka ilensi ethi ``monofocal``` yokubona ibanga kwelinye iso kanye nelensi ethi ``monofocal`` yokubona eduze kwelinye iso. Nakuba kuzwakala kungavamile ekuqaleni, ngemva kwesikhashana ubuchopho bakho buyajwayela lokhu bese uqala ukubona ibanga kanye neliseduze ngaphandle kokuqaphela.
Khuluma nodokotela wakho ukuze unqume ukuthi iyiphi kulezi zinketho efanelana kahle nendlela yakho yokuphila, umsebenzi kanye nezidingo zakho.
Kwenziwa kanjani ukuhlinzwa?
Asikho isizathu sokwesaba lokhu kuhlinzwa. Ngokuvamile kuthatha imizuzu eyi-15-30 ukuqeda. Izinyathelo ezihilelekile ekuhlinzeni yilezi ezilandelayo:
1. Okokuqala , kufakwa amaconsi amehlo ukuze aliqede . Ngakho ngeke uzwe ubuhlungu. Uma kudingeka, unganikwa umuthi wokudambisa ukuze uhlale uzolile. Uzophaphama, kodwa umbono wakho uzoba lufifi. Okubonayo nje ukukhanya nokunyakaza okuthile.
2. Okulandelayo, udokotela ohlinzayo usebenzisa umsebe we-laser noma i-blade encane kakhulu ukwenza ukusika okuncane kakhulu lapho kuhlangana khona umhlophe weso (i-sclera) kanye ne-cornea.
3. Bese, usebenzisa ithuluzi elibunjwe njengepeni (i-phacoemulsification), ilensi yakho yemvelo iyaphulwa ibe yizicucu ezincane bese ikhishwa ngokucophelela.
4. Manje, ilensi yokwenziwa ekhethiwe ngaphambilini (i-IOL) ifakwa esikhaleni esidalwe ngaleyo nciphiso encane futhi ibekwe kahle ngaphakathi kwekhaphu lelensi elithambile elibamba ilensi.
5. Lokhu kunqunywa kuncane kangangokuthi akudingi ngisho nokuthungwa . Kuzozivaleka futhi kuziphole ngokwako.
6. Ekugcineni, uzodluliselwa ewadini unesivikelo samehlo esincane esinamathiselwe.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzobhekwa cishe imizuzu engama-30 bese uvunyelwa ukuya ekhaya. Kubalulekile ukuthi kube nomuntu ozokuthatha akuyise ekhaya. Futhi, kufanele ube nomuntu ozokuthatha akuyise emtholampilo wakho wokuqala ngemuva kokuhlinzwa. Udokotela uzokutshela ukuthi ungaphinde ushayele nini futhi.
Kuvamile ukuzwa ukungakhululeki ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Lokhu kungokwesikhashana.
- Ukufiphala okuncane kombono
- Umbono ophindwe kabili
- Ukuluma emehlweni, sengathi kukhona isihlabathi kuwo.
- Ukubomvu kwamehlo
- Izinyembezi zigeleza emehlweni
Lokhu kuzonyamalala ngokuphelele ngokuhamba kwesikhathi. Abanye abantu bangase babe nemiphumela emibi ebonakalayo evela ku-intraocular lens (IOL).
- Kubukeka njengesithunzi uma kubukwa ohlangothini
- Ukubona umugqa wokukhanya okhazimulayo uma ubuka ohlangothini
- Ukubona ama-halo noma ukukhanya okuzungeze izibani, ikakhulukazi ebusuku
Lokhu kuvame kakhulu kubantu abane-multifocal IOLs, futhi kuvame ukuncipha ngokuhamba kwesikhathi njengoba ubuchopho bujwayelana nabo.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi. Ukuhlinzwa kwenziwa udokotela wamehlo onolwazi nochwepheshe kunganciphisa kakhulu izingozi.
| Izinzuzo | Izingozi Nezinkinga |
|---|---|
| Zonke izinhlobo zeziphambeko zokubona (ukungaboni kude, eduze, ukubona eduze) zingalungiswa. | Ukuhlukaniswa kwe-retinal: Lena inkinga enkulu kakhulu engenzeka. Ingozi iphezulu kancane kubantu abanenkinga yokubona eduze kakhulu nalabo abangaphansi kweminyaka engu-50. |
| Ungakhululeka ngokuphelele noma cishe ngokuphelele ezingilazini (abantu abane kwabahlanu abahlinzwayo ngeke badinge izibuko). | Ukulahlekelwa umbono: Ukulahlekelwa umbono okuthile kungenzeka ngenxa yezimbangela ezingavamile kakhulu, njengokulimala kwe-retina. |
| Asikho isidingo sokukhathazeka ngokuthi ama-cataract azovela esikhathini esizayo (ama-cataract akheka kuphela kulensi yemvelo). | Ukuqhekeka kwe-capsular yangemuva: Ulwelwesi oluthambile olubamba ilensi endaweni yalo lungadabuka ngesikhathi sokuhlinzwa. Udokotela ohlinzayo angakwazi ukukuphatha lokhu ngaleso sikhathi. |
| Ukuvulwa kwe-capsular ngemuva: Lokhu akuyona ngempela i-cataract. Kuyifu le-capsule elibamba ilensi yokwenziwa ezinyangeni noma eminyakeni ngemva kokuhlinzwa. Lokhu kungasuswa kabusha ngemizuzu embalwa ngokwelashwa okulula kakhulu nge-laser. |
Kufanele ubonane nini nodokotela?
Kuvamile ukuthi iso libhekane nezinguquko ezithile ngesikhathi sokuphulukiswa ngemva kokuhlinzwa, kodwa kunezimpawu ezithile okufanele siziqaphele ngokukhethekile.
| Uma lezi zimpawu zingathuthuki futhi ziba zimbi kakhulu usuku nosuku, xhumana nodokotela wakho ngokushesha. | |
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| Lezi yizimo eziphuthumayo! Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha. | |
Lokhu kungaba izimpawu zokuqhekeka kwe-retina. Ukwelashwa kusenesikhathi kungasindisa ukubona kwakho.
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Yiziphi ezinye izinketho ezikhona ngaphandle kwalokhu kuhlinzwa?
Ukushintshaniswa Kwelensi Ebonakalayo akuwona wonke umuntu. Kungase kube nezinye izinketho ezifanele wena.
- Izibuko noma Amalensi Okuxhumana: Lena inketho elula kakhulu futhi engangenisi umswakama.
- Ukuhlinzwa nge-laser (LASIK, PRK): Lokhu kungafaneleka kubantu abanezinkinga zokubona ezincane kuya kweziphakathi.
- Ukufakelwa Kwelensi Ye-Phakic Intraocular (PIOL): Lokhu kuhilela ukufaka ilensi entsha phambi kwelensi yakho yemvelo ngaphandle kokuyisusa. Kufana nokufaka ilensi yokuxhumana ngaphakathi kweso lakho. Lena inketho enhle, ikakhulukazi kubantu abangaphansi kweminyaka engama-40 abanokubona eduze okukhulu kodwa abangakaqali ukubona eduze.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho wamehlo mayelana nenketho ngayinye yalezi, izinzuzo nezingozi zazo, bese ukhetha okulungele wena.
Umlayezo Wokuya Nawe Ekhaya
- I-Refractive Lens Exchange (RLE) iyisisombululo esihlala njalo sokungabi nezibuko noma ama-contact lens.
- Lokhu kuhlukile ekuhlinzweni kwe-cataract. Lokhu kwenzelwa ukulungisa amaphutha okugxila ekuboneni.
- Kubaluleke kakhulu ukukhetha ilensi yangaphakathi kweso (IOL) efanele evumelana nendlela yakho yokuphila. Khuluma nodokotela wakho ngakho.
- Izinga lempumelelo yalokhu kuhlinzwa liphezulu kakhulu. Kodwa-ke, njengakuzo zonke izinhlobo zokuhlinzwa, kunengozi encane. Ukukhetha udokotela ohlinzayo onolwazi kunganciphisa le ngozi.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa (ikakhulukazi amabala amnyama angazelelwe, ukubaniza kombani), funa iseluleko sezokwelapha ngokushesha.
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