Njengoba kungenzeka ukuthi uyazi , i-glaucoma yisimo lapho ingcindezi ngaphakathi kweso ikhuphuka khona, okungalimaza kancane kancane umbono wethu. Ezimweni eziningi, lokhu kucindezela kungalawulwa ngamaconsi amehlo . Kodwa-ke, ngezinye izikhathi, amaconsi amehlo ewodwa awakwazi ukulawula ingcindezi esweni . Ezimweni ezinjalo, namuhla sikhuluma ngokuhlinzwa okukhethekile udokotela wakho angase akuphakamise.
Kuyini i-Trabeculectomy?
I-Trabeculectomy inqubo yokuhlinzwa eyenziwa ukunciphisa ingcindezi engaphakathi kweso ebangelwa yi-glaucoma. Akuyona indlela yokuqala yokwelapha i-glaucoma. Lokhu kusho ukuthi odokotela abancomi lokhu kuhlinzwa njengendlela yokuqala. Kucatshangelwa kuphela uma ezinye izindlela zokwelapha, njengezinhlansi zamehlo, zehlulekile ukulawula ingcindezi esweni.
Kalula nje, kufana nokudala umsele omusha wokukhipha uketshezi oluningi emehlweni. Lokhu ngokuvamile akuyona indlela enkulu yokuhlinzwa, okusho ukuthi ungaya ekhaya ngalolo suku.
Kwenzekani ngempela ngalokhu kuhlinzwa?
Ngaphakathi kwamehlo ethu, kukhona uketshezi olukhethekile olondla iso futhi luligcine lisesimweni salo esifanele. Lokhu sikubiza ngokuthi 'ihlaya elimanzi'. Lolu ketshezi lukhiqizwa njalo ngaphakathi kweso futhi lugeleza luphuma esweni. Kwenzeka njengomjikelezo.
Kodwa-ke, ku-glaucoma, lolu ketshezi luyavinjelwa ekuphumeni esweni. Lolu ketshezi luyanqwabelana ngaphakathi kweso, okwandisa ukucindezeleka. Lolu xinzelelo oluphezulu lulimaza i-optic nerve, exhumanisa amehlo ethu nobuchopho. Lo monakalo kancane kancane ubangela ukulahlekelwa umbono .
Ukuhlinzwa kwe-Trabeculectomy kudala indlela entsha yokuthi uketshezi oluningi (aqueous humor) luphume esweni, ngaleyo ndlela kuncishiswe ingcindezi engaphakathi kweso.
Into ebaluleke kakhulu okudingeka uyiqonde lapha ukuthi lokhu kuhlinzwa akukwazi ukubuyisela umbono osewulahlekile kakade. Kodwa-ke, kungasiza ekumiseni noma ekunciphiseni ukulahlekelwa umbono okuqhubekayo.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Udokotela wakho wamehlo uzokunikeza zonke izeluleko ozidingayo ngaphambi kokuhlinzwa. Phakathi nalesi sikhathi, amehlo akho azohlolwa futhi uzonqunywa ukuthi uyafaneleka yini ukuhlinzwa. Ngaphambi kokuhlinzwa, udokotela uzoxoxa nawe ngalokhu okulandelayo:
- I-Anesthesia : Ukuthi ukuhlinzwa kuzokwenziwa ngaphansi kwe-anesthesia yendawo noma i-anesthesia ejwayelekile.
- Imithi oyithathayo: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo njengamanje, okuhlanganisa amavithamini kanye nemithi yamakhambi. Eminye imithi kungadingeka iyekwe ngaphambi kokuhlinzwa.
- Ukuzila Ukudla : Uzokwaziswa ukuthi kufanele uzigweme amahora amangaki ngaphambi kokuhlinzwa.
- Umuntu ozokusiza: Kubalulekile ukuba nomuntu ozokuhambisa ekhaya ngemva kokuhlinzwa futhi akusize ekhaya.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngesikhathi sokuhlinzwa, uzolala etafuleni lokuhlinzwa. Uma kudingeka, ipayipi elincane (umugqa we-IV) lingaxhunywa emthanjeni ongalweni yakho ukuze likunike imithi. Ngemuva kwalokho, kuzosetshenziswa ithuluzi elincane elifana ne-clip ukuze kugcinwe amehlo akho evulekile.
Okulandelayo, iso liyalaliswa i-anesthesia. Ngokuvamile, yiso kuphela eliba ndikindiki (i-anesthesia yendawo). Usuke usuqaphile, kodwa awuzizwa ubuhlungu. Nakuba ungase uzizwe ucindezelekile, akukho ubuhlungu. Uma ukhathazekile ngakho, khuluma nodokotela kusengaphambili.
Kwezinye izimo ezikhethekile, ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile, okwenza isiguli silale ngokuphelele.
Ngemuva kwalokho, udokotela ohlinzayo wenza umgodi omncane kakhulu engxenyeni emhlophe yeso (i-conjunctiva kanye ne-sclera), okwenza kube khona indlela encane yokukhipha uketshezi esikhulume ngalo ngaphambili. Uketshezi oluphuma kule ndlela luqoqana ngaphakathi kwe-membrane ngaphansi kwejwabu elingaphezulu, lwakha isakhiwo esincane esifana nebhamuza. Lokhu kubizwa ngokuthi 'i-bleb' . Ungakhathazeki, leli bhamuza alibonakali ngaphandle. Uketshezi oluqoqana lapha luphinde lungene emzimbeni.
Ngezinye izikhathi, umuthi okhethekile ufakwa ukuze kuvinjelwe ukusikwa ukuthi kungaboli futhi kuvaleke. Ekugcineni, kufakwa izithungo ezimbalwa ezingasuswa kamuva uma kudingeka, bese iso livalwa ngebhandeji/i-patch. Ngaphezu kwalokho, uzocelwa ukuthi ugqoke isivikelo samehlo ukuze uvimbele noma yini ukuthi ingangeni esweni lakho. Ukuhlinzwa kuvame ukuthatha cishe ihora.
Yini okufanele siyenze ngemva kokuhlinzwa?
Isikhathi sokululama ngemva kokuhlinzwa sibaluleke kakhulu. Ngokuvamile kuthatha amasonto amane kuya kwayisithupha ukuze iso liphole ngokuphelele. Kunezinto ezimbalwa okufanele uzilandele phakathi nalesi sikhathi.
| Izinto okufanele zenziwe (Okufanele Uzenze) | Okungafanele ukwenze |
|---|---|
| Sebenzisa amaconsi amehlo udokotela wakho akunikeza wona ngesikhathi esifanele nangendlela efanele. Lawa abalulekile ukuvimbela ukutheleleka nokunciphisa ukuvuvukala. | Ungathinti, ucindezele, noma uhlikihle iso elihlinziwe nganoma yisiphi isizathu. Lokhu kungaphazamisa ukuphulukiswa. |
| Qiniseka ukuthi uya emitholampilo yokulandelela ngezinsuku ezihleliwe. Impumelelo yokuhlinzwa inqunywa yilezi zivivinyo. | Gwema ukuphakamisa, ukugoba, ukuklwebha, kanye nokuzikhandla ngesikhathi sokuhamba kwamathumbu. Lezi zinto zingandisa ukucindezeleka kwamehlo. |
| Qiniseka ukuthi ugqoka isivikelo samehlo esinikeziwe uma ulele. Lokhu kuzokuvikela ekulimaleni kwamehlo okungahlosiwe ngenkathi ulele. | Gwema ukuthola amanzi, insipho, noma uthuli emehlweni akho. Qaphela nalapho ugeza. |
Imitholampilo yokulandelela ngemva kokuhlinzwa
Kuzodingeka ubone udokotela ngosuku olulandela ukuhlinzwa. Ibhandeji lizosuswa bese amehlo akho ehlolwa. Ngemva kwalokho, uzocelwa ukuba uze emtholampilo kanye noma kabili ngesonto emasontweni amabili kuya kwamathathu okuqala. Ingcindezi esesweni lakho izolinganiswa futhi, uma kudingeka, kungasikwa umthungo owodwa noma emibili nge-laser ukuze kuncishiswe ingcindezi. Ngakho-ke, ungaphuthelwa ukuya kule mitholampilo.
Yiziphi izinzuzo kanye nezinkinga ezingaba khona zalokhu kuhlinzwa?
Ukuhlinzwa kwe-Trabeculectomy kuyindlela yokwelapha ephumelela kakhulu. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile.
- Izinzuzo:
- Kunezinga eliphezulu lempumelelo lika-60% - 80% eminyakeni emi-5 ngemuva kokuhlinzwa.
- Lena inketho enhle kulabo abaye bahluleka kwezinye izindlela zokwelapha.
- Ngokuvamile ukuhlinzwa okuphephile.
- Izingozi Nezinkinga:
- Ama-cataract:Izinga lokwakheka kwe-cataract lingase likhuphuke ngemva kwalokhu kuhlinzwa. Kodwa lokhu kuyinto odokotela abayilindele. Futhi, ukuhlinzwa kwe-cataract kungayiphulukisa ngokuphelele.
- Ukutheleleka : Kukhona ingozi encane yokuthola ukutheleleka kwamehlo.
- Ukopha: Ukopha ngaphakathi kweso kungenzeka.
- Umbono ofiphele: Ngezinye izikhathi umbono ungase ufiphele okwesikhashana.
- Izinkinga nge-bleb: Ukukhula noma izinguquko ku-bleb kungabangela izimo ezifana nokugoba kwamehlo (i-ptosis).
Kufanele ngibone nini udokotela ngokushesha?
Kujwayelekile ukuba nokungakhululeki kanye nokubomvu ngemva kokuhlinzwa. Kodwa-ke, akuvamile ukuba nobuhlungu obukhulu . Futhi, ingozi yokutheleleka ingaqhubeka izinyanga, ngisho neminyaka, ngemva kokuhlinzwa. Ngakho-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shesha uye kudokotela okwenze ukuhlinzwa kwakho noma eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU).
- Ubuhlungu obukhulu bamehlo
- Imfiva
- Ukudabuka ngokweqile (i-epiphora) noma ukuphuma kobomvu esweni
- Ukulahlekelwa noma ukuncipha kombono ngokuzumayo
Uma ukuhlinzwa kungaphumeleli, okusho ukuthi ukucindezeleka kwamehlo akwehli njengoba kulindelekile, ungakhathazeki. Kunezinye izindlela zokwelapha. Udokotela wakho uzokuchazela izinto ezifana nokufaka ithubhu elincane (ithubhu yokukhipha amanzi) ukuze kukhishwe uketshezi ngaphakathi kweso noma ukwelashwa nge-laser (inqubo ye-cyclodestructive).
Umlayezo Wokuya Nawe Ekhaya
- I-Trabeculectomy ukuhlinzwa okukhethekile okwenziwa lapho i-glaucoma ingenakulawuleka ngokwelashwa okufana namaconsi amehlo.
- Umgomo oyinhloko walokhu kuhlinzwa ukuvimbela ukulahlekelwa umbono okwengeziwe. Umbono osewulahlekile kakade awukwazi ukubuyiselwa.
- Ukuze ukuhlinzwa kuphumelele, kubaluleke kakhulu ukusebenzisa amaconsi amehlo anikezwe udokotela ngqo nokuya emitholampilo ngezinsuku ezihleliwe.
- Gwema ukuthintana emehlweni, ukuphakamisa izinto ezisindayo, kanye nokuthintana ngokuphelele ngesikhathi sokululama.
- Uma uzwa ubuhlungu obukhulu, ukuphuma kwegazi emehlweni, noma izinguquko ezisheshayo embonweni ngemva kokuhlinzwa, xhumana nodokotela wakho ngokushesha.
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