Unyango oluncedo lwe-glaucoma
Xa unyango lomlomo okanye umlomo, okanye utyando lwe-laser, awusayi kulawula i- glaucoma ngokwaneleyo, uhlobo lotyando lwe-glaucoma olubizwa ngokuba yi-trabeculectomy lungaba linyathelo elilandelayo. Ngamanye amaxesha kuthiwa utyando lwe-filtration, i-trabeculectomy yenziwa yi-ophthalmologist kwigumbi lokusebenza. I-trabeculectomy yindlela eqhutywe ngayo yokugulisa i-glaucoma eyenziwa xa iliso lombuso lihla okanye i-glaucoma laser operesheni ayinciphisi uxinzelelo lwamehlo ngokwaneleyo.
Ugqirha lwe-Trabeculectomy lwenziwa njani?
Ngethuba le-trabeculectomy, i-ophthalmologist iyakususa into encinane yamathambo kumjelo wamanzi ngecala leso lakho, apho i- cornea ihlangabezana ne- iris . Umjelo omtsha wamanzi udala indlela ekhokela ngaphandle kweso kunye naphantsi kwe-sclera, isembozo sangaphandle semhlophe. Ubuncwane obunqamlekileyo beetyhuse kule ngxube yomlambo idala indawo apho amanzi aphuma khona, okwenza i-bubble encane okanye ukuphakama ngaphantsi kwesikhumba sephezulu, esaziwa njengebhubha. Emva kokuba umlambo ugeleza kwi-bleb, i-fluid iyabanjiswa kwakhona ngeempahla, ezivumela umzimba ukuba uphathe umbane.
Yintoni eyenzeka emva kokugqithwa kwe-Trabeculectomy?
Emva kokuba uhamba ne-trabeculectomy, unokuba neentlungu ezincinci okanye unesiva, unomona kwijiso lakho ixesha elifutshane. Ixesha lakho lokubuyisela liza kuba liphakathi kweeveki ezintandathu kunye nesibhozo. Udokotela wakho ugqirha uya kuhlolisisa ibhedi ngexesha lexeshana lakho lokuhamba emva kwaye uza kujonga ngokukhawuleza ukunyamezela kwamehlo akho.
Ukuba ingcinezelo ayikho ephantsi ngokwaneleyo, kunokwenzeka ukuba umsele wamanzi unqande ukuvalwa, ukukhusela ukuphuma okufanelekileyo. Kule meko, i-sutures kunye nezikhonkwane zingatshintshwa kunye ne-laser ukuvumela ukuphuma kakuhle. Amachiza aya kulungiswa ngeli xesha. Impumelelo yokuhlinzwa iya kuxhomekeka kwinqanaba lakho lokuphilisa.
Izinto ezimbalwa zokugcina engqondweni xa uphililisa:
- Udokotela wakho ogqirha uya kuncomela ukuba ulale ngeqhosha elithile lamehlo ukukhusela iliso ebusuku. Oku kugqithwe kwiiveki okanye ezimbini kwiiveki emva kwenyanga emva kokuhlinzwa.
- Uya kufundiswa ukusebenzisa i-antibiotics kunye ne-steroid iso lokuthintela ukusuleleka kunye nokuphulukiswa ngokukhawuleza ngexesha elifutshane emva kokuhlinzwa.
- Gwema nzima kakhulu emva kokuhlinzwa, njengoko oku kunokwandisa uxinzelelo lwamehlo.
- Gwema izinto ezinzima kwiiveki zokuqala zeveki.
Ziziphi iingxaki ezidibene neTrabeculectomy?
- Isiphumo esiphumelelanga: Enye inkathazo kukuba ukuhlinzwa akuthobeli ngokwaneleyo uxinzelelo lwamehlo. I-trabeculectomy ine-65% ukuya kwi-70% yezinga lokuphumelela. Abantu abangafumani mpu melelo ye-100% banokunciphisa kakhulu ukunyanzeliswa kwamehlo, kodwa kungabikho okwaneleyo ukuphelisa imfuneko yokuhlaselwa kwamehlo. Utyando lwe-Trabeculectomy luya kuphinda luphindwe, kodwa ukuhlinzwa okwesibini kunezinga eliphezulu lokungaphumeleli kunokuba utyando lokuqala.
- I-Hypotony: I- Hypotony yimeko apho ingcinezelo yamehlo ingawa kakhulu. Uxinzelelo lweziliso oluphantsi aluphilileyo kwaye lunokubangela ukuba i- choroidal effusion okanye i- retinal detachment .
- Usulelo: Ngenxa yokuba i-bleb yenziwe ngamathambo amancinci, usulelo luhlala luxhalabisa. Ugqirha wakho uya kunika i-antibiotics iliso lehla ukuze uncede ukukhusela intsholongwane. Khumbula ukuba ugqoke izigulane ngexesha udida kwaye unciphise ukusetyenziswa kwamalensi e-contact. Ukuba ubona umbono obancinciweyo, intlungu yeso, ubomvu okanye ukukhutshwa emva kokuba ne-trabeculectomy, qha ga mshelana nodokotela wakho.
> Umthombo:
> I-American Academy ye-Ophthalmology. I-Glaucoma ye-Open-Angle ye-Open-Angle, Ukuhlaziywa okuNcinci (I-Practice Practice Pattern). I-San Francisco: i-American Academy ye-Ophthalmology, ngo-2005.
> Allingham RR, Damji K, Freedman S, uMoroi S, Shafranov G. Ukucandwa kobuchwephesha, iSield's Bookbook of Glaucoma, 5 Ed. ULippincott Williams noWilkins, p.568-609, 2005.