Kungenzeka ukuthi usuvele uyazi ukuthi i-glaucoma yisimo lapho ukucindezeleka okukhulu ngaphakathi kweso kungalimaza kancane kancane umbono wakho. Ngokuvamile, lokhu kucindezeleka kungalawulwa ngokusebenzisa amaconsi amehlo . Kodwa-ke, kunezikhathi lapho imithi yodwa inganele ukulawula ukucindezeleka kwangaphakathi kweso . Namuhla, sizoxoxa ngokuhlinzwa okukhethekile udokotela wakho angase akuncome ezimweni ezinjalo.
Kuyini i-Trabeculectomy?
I-trabeculectomy inqubo yokuhlinzwa eyenziwa ukwehlisa ingcindezi engaphakathi kweso lakho ebangelwa yi-glaucoma. Ngokuvamile akuyona indlela yokuqala yokwelashwa. Odokotela bavame ukucabanga ngale ndlela kuphela uma ezinye izindlela zokwelapha, njengemithi yamehlo, zehluleka ukugcina ingcindezi yeso lakho ingaphakathi kwebanga elifanele.
Kalula nje, ukuhlinzwa kuhilela ukudala umzila omusha wokukhipha amanzi ukuze kuphume uketshezi oluningi ngaphakathi kweso lakho. Ngokuvamile inqubo encane, futhi ezimweni eziningi, ungabuyela ekhaya ngosuku olufanayo.
Kwenzekani ngempela phakathi nale nqubo?
Iso lakho liqukethe uketshezi olucacile olwaziwa ngokuthi 'i-aqueous humor' olunikeza ukondla futhi lugcine isimo seso. Lolu ketshezi lukhiqizwa futhi lukhishwa njalo ngomjikelezo olinganiselayo.
Ku-glaucoma, le nqubo yokukhipha amanzi iyavinjelwa. Ukunqwabelana koketshezi okubangelwa yilokhu kwandisa ingcindezi, okungalimaza i -optic nerve —ukuxhumana okubalulekile phakathi kweso lakho nobuchopho bakho. Lo monakalo yiwona oholela ekulahlekelweni kancane kancane kokubona .
Ngesikhathi sokuhlinzwa kwe-trabeculectomy, udokotela ohlinzayo udala indlela entsha yokuthi i-aqueous humor iphume esweni, okwehlisa ngempumelelo ingcindezi.
Kubalulekile ukuqonda ukuthi lokhu kuhlinzwa akukwazi ukubuyisela umbono osewulahlekile kakade. Kodwa-ke, kusebenza kahle kakhulu ekuvimbeleni ukulahlekelwa umbono okuqhubekayo noma ukunciphisa kakhulu ukuqhubeka kwawo.
Ukulungiselela ukuhlinzwa kwakho
Udokotela wakho ohlinza amehlo uzokunikeza imiyalelo eningiliziwe. Uzohlola amehlo akho ukuze anqume ukuthi ungumuntu ofanele yini inqubo. Ngaphambi kokuhlinzwa, udokotela wakho uzoxoxa ngalokhu okulandelayo:
- I-Anesthesia : Kungakhathaliseki ukuthi inqubo izokwenziwa ngaphansi kwe-anesthesia yendawo (ukubulala amehlo kuphela) noma i-anesthesia ejwayelekile (lapho ulele khona).
- Imithi Yakho: Yazisa udokotela wakho ngayo yonke imithi ekhona, okuhlanganisa amavithamini noma izithasiselo zamakhambi. Ungase ucelwe ukuthi umise imithi ethile ngaphambi kokuhlinzwa.
- Ukuzila Ukudla : Landela imiyalelo mayelana nokuthi kufanele ugweme amahora amangaki ukudla nokuphuza ngaphambi kokuhlinzwa.
- Ukusekelwa: Uzodinga umuntu ozokuthatha akuyise ekhaya ngemva kokuhlinzwa futhi akusize ngesikhathi sokululama kwakho kokuqala.
Kwenzekani ngesikhathi sokuhlinzwa?
Uzolala etafuleni lokuhlinzwa, futhi ungaqala umugqa we-IV ukuze unikeze imithi edingekayo. Kuzosetshenziswa i-clip encane ukugcina ijwabu leso lakho livulekile.
Iso lakho lizophelelwa amandla. Izinqubo eziningi zenziwa ngaphansi kwe-anesthesia yendawo, okusho ukuthi uzobe uphapheme kodwa ungezwa ubuhlungu. Ungase uzizwe ucindezelekile, kodwa hhayi ukungakhululeki. Uma ukhathazekile, sicela uxoxe ngalokhu nodokotela wakho kusengaphambili.
Udokotela ohlinzayo uzodala isikhala esincane engxenyeni emhlophe yeso lakho (i-conjunctiva kanye ne-sclera) ukuze kwakheke umzila omusha wokukhipha amanzi. Uketshezi oluphuma ngale ndlela lwakha i-blister encane, efihliwe ngaphansi kwejwabu leso lakho ebizwa ngokuthi 'i-bleb' . Loketshezi lugcina lumuncwa umzimba.
Ngezinye izikhathi, kufakwa umuthi ukuze kuvinjelwe izibazi endaweni yokukhipha amanzi. Ekugcineni, udokotela ohlinzayo angase afake izithungo ezincibilikayo bese evala iso lakho nge-patch noma ngebhandishi. Uzophinde unikezwe isivikelo samehlo ukuze uvimbele ukulimala ngengozi. Yonke inqubo ivame ukuthatha cishe ihora.
Ukunakekelwa ngemva kokuhlinzwa
Isikhathi sokululama sibalulekile. Ngokuvamile kuthatha amasonto amane kuya kwayisithupha ukuze iso liphilise ngokuphelele. Kumelwe ulandele lezi ziqondiso ngokucophelela:
| Okufanele ukwenze | Okungafanele ukwenze |
|---|---|
| Sebenzisa amaconsi amehlo akho owanikezwe udokotela njengoba nje kuqondiswe. Lawa abalulekile ukuvimbela ukutheleleka nokunciphisa ukuvuvukala. | Ungalokothi uthinte, uhlikihle, noma ucindezele iso elihlinziwe. Lokhu kungaphazamisa inqubo yokuphulukiswa. |
| Yiba khona kuzo zonke izikhathi zokulandelela. Impumelelo yokuhlinzwa kwakho incike kulezi zivivinyo. | Gwema ukuphakamisa izinto ezisindayo, ukugoba, ukuhlikihla amehlo akho, noma ukuzikhandla ngesikhathi sokuhamba kwesisu. Le misebenzi ingakhuphula ukucindezeleka kwamehlo. |
| Gqoka isivikelo samehlo sakho ngenkathi ulele. Lokhu kukuvikela ekulimaleni iso lakho ngengozi ebusuku. | Gcina iso lakho lomile. Vimbela amanzi, insipho, noma uthuli ukuthi lungangeni esweni lakho. Qaphela lapho ugeza. |
Ukuvakasha Kokulandelela
Ngokuvamile uzobona udokotela wakho ngosuku olulandela ukuhlinzwa. Bazosusa i-patch bese behlola iso. Emasontweni amabili kuya kwamathathu okuqala, lindela ukuhlolwa masonto onke. Udokotela wakho angase ahlole ukucindezeleka kwakho, futhi uma kudingeka, alungise imithungo esebenzisa i-laser ukuze athuthukise ukucindezeleka kwamehlo akho.
Izinzuzo kanye Nezinkinga Ezingaba Khona
Ukuhlinzwa kwe-trabeculectomy kuyindlela yokwelapha ephumelela kakhulu, kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi ezingaba khona.
- Izinzuzo:
- Ukuhlinzwa kunezinga eliphezulu lempumelelo (60% - 80% ngemva kweminyaka emi-5).
- Kuyindlela engcono kakhulu kulabo abangazange basabele kahle kwezinye izindlela zokwelapha.
- Ngokuvamile kubhekwa njengenqubo ephephile.
- Izingozi Nezinkinga:
- Ama-cataract: Lokhu kuhlinzwa kungasheshisa ukukhula kwe-cataract, okulindelekile futhi kungelashwa kamuva ngokuhlinzwa kwe-cataract.
- Ukutheleleka: Kukhona ingozi encane yokuthola ukutheleleka.
- Ukopha:Kungaba nokopha okuncane ngaphakathi kweso.
- Ukufiphala Kombono: Umbono wakho ungase ufiphale okwesikhashana.
- Izinkinga ze-Bleb: Izinkinga ezihlobene ne-bleb ngokwayo zingase zibe khona.
Nini lapho kufanele ufune usizo lwezokwelapha oluphuthumayo
Ukungakhululeki okuncane kanye nokubomvu kuyinto evamile. Kodwa-ke, ubuhlungu obukhulu abuvamile. Ngenxa yokuthi ingozi yokutheleleka ingaqhubeka isikhathi eside ngemva kokuhlinzwa, kufanele uxhumane nodokotela wakho wamehlo noma uye ekamelweni eliphuthumayo eliseduze ngokushesha uma uhlangabezana nalokhu:
- Ubuhlungu obukhulu bamehlo
- Imfiva
- Ukudabuka noma ukuphuma kwegazi ngokweqile (ubomvu) esweni
- Ukulahlekelwa okungazelelwe noma ushintsho olukhulu embonweni wakho
Uma ukuhlinzwa kungafinyeleli ekunciphiseni ingcindezi okufiswayo, ungalahli ithemba. Ezinye izindlela zokwelapha, njengemibhobho yokukhipha amanzi noma izinqubo ze-laser, zingaxoxwa udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-trabeculectomy iwukuhlinzwa okukhethekile kwe-glaucoma okungalawulwa ngamaconsi amehlo.
- Umgomo ukuvimbela ukulahleka kokubona okwengeziwe ; ayikwazi ukubuyisela lokho osekulahlekile kakade.
- Impumelelo incike ngokuphelele ekuzibophezeleni kwakho ekusebenziseni amaconsi amehlo anikezwe udokotela kanye nokuya kuyo yonke imihlangano yokulandelela.
- Ngesikhathi sokululama, gwema ukuhlikihla iso lakho, ukuphakamisa okunzima, kanye nokuzikhandla.
- Funa usizo oluphuthumayo ngenxa yobuhlungu obukhulu, ukuphuma kwegazi esweni, noma ukushintsha kombono ngokuzumayo.
ukuhlinzwa kwe-trabeculectomy, i-glaucoma, ukuhlinzwa kwamehlo, umfutho wamehlo, i-aqueous humor, i-bleb, i-glaucoma
