Iglaucoma..iglaucoma: phakathi kweempawu kunye nonyango

I-glaucoma okanye i-glaucoma yimbangela yesibini yobumfama kwihlabathi, kodwa kuyafaneleka ukuba uqaphele ukuba kukho iindlela ezininzi zokukhusela ezinceda isigulane ukuba siphephe i-glaucoma, njengoko ukufumanisa kwangaphambili kwesi sifo kunceda ukunyanga. Nangona iglaucoma inokuchaphazela abantwana nabantu abadala ngokufanayo, abantu abaneminyaka engaphezu kwamashumi amane ubudala, abo banesifo seswekile, nabo banembali yeentsapho zesi sifo ngabona bachanabeke kakhulu kuyo.

Ubunzima besi sifo buhlala kwiimpawu zayo ezithe cwaka, ezibandakanya: i-cornea enamafu, ngakumbi kubantwana, kunye nokwanda kovakalelo ekukhanyeni. Umzekelo, izigulana ezineglaucoma zinokubona iihalos ezijikeleze izibane eziqaqambileyo. Olunye uphawu olusisilumkiso, olusebenza njengentsimbi yokulumkisa abantu abane<em>glaucoma, kubomvu kwamehlo, okukhatshwa ziintlungu eziqatha nesiyezi, nto leyo eyanda njengoko iintlungu zisanda. I-Glaucoma inokubangela umonakalo kwintsimi yakho yokubona, ebonakala ngokunyamalala ngokuthe ngcembe kokukwazi kwakho ukubona ngepheripheral (icala), okukhokelela ekwehleni kwindawo yakho yokubona. Ukuba unyango lulibazisekile kweli nqanaba, lungonakalisa kakhulu umbono wakho, kubangele (umbono wetonela).

Kubalulekile ukuqaphela ukuba i-glaucoma sisifo samehlo esingapheliyo kwaye ukwanda koxinzelelo kunokukhokelela kumonakalo kwi-nerve ye-optic emva kweso kwaye ngaloo ndlela ukulahlekelwa ngumbono ngokuthe ngcembe. Inene, iglaucoma ngoyena nobangela womonakalo wemithambo ye-optic kunye nokuphazamiseka kokubona okungenakulungiseka ngaphezu kwaso nasiphi na esinye isifo esinokuchaphazela amehlo. Kodwa iindaba ezimnandi zezokuba abantu abaneglaucoma banokuchacha kakuhle ukuba babambelela kumayeza rhoqo okanye bayatyandwa. Unyango lwe-glaucoma lubandakanya oku kulandelayo:

1. Ukuhluzwa kolwelo lwamehlo (I-Trabeculectomy)

Kukho uninzi lweendlela zotyando zale mihla ezinokusetyenziswa ukuthoba inqanaba loxinzelelo ngaphakathi kwamehlo nokunceda ukumisa okanye ukucothisa ukuqhubeka kweglaucoma, ngaloo ndlela kugcinwe umbono. Obu buchule bukwanceda ukunciphisa imingcipheko eyayanyaniswa notyando lokuhluza ulwelo lwamehlo. Kobu buchule botyando, inxalenye ye-sclera iyasikwa ukwenza "ucango oluthe tye" lokukhupha ulwelo lwamehlo kwindawo edalwe ngexesha lotyando emva koko iye kwimithambo yegazi ejikeleze iliso.

 

2. Isixhobo sokukhupha i-glaucoma

Izixhobo zokukhupha amanzi ngeglaucoma yenye yeendlela zotyando ezisetyenziselwa ukunyanga le ngxaki. Uphononongo olukhulu lwamva nje lwekliniki lubonise ukuba ukufakelwa kweityhubhu zeglaucoma ze-Baerveldt kusebenze ngokugqwesileyo kuneityhubhu zika-Ahmed, ezineziphumo ezibalaseleyo zexesha elide. UGqr. UMustafa nguye kuphela ugqirha wotyando e-UAE owenza utyando lokufakela ityhubhu ye-Baerveldt.

 

3. Unyango lokufakelwa kwelaser ngokuzikhethela

Unyango lokufakelwa kwelaser ngokuzikhethela (SLT) Lunyango lwe-laser lweglaucoma, oludla ngokwenzeka ngenxa yoxinzelelo oluphezulu ngaphakathi kwiliso ngenxa yokungaphumi kakuhle kolwelo ngemijelo yeliso (ukuhluza uthungelwano lwethishu). Kule nkqubo, i-laser isetyenziselwa ukuphucula ukuphuma kwamanzi, yinkqubo ekhawulezayo, engenazintlungu eyenziwa kwiikliniki zangaphandle, kwaye inokusetyenziswa njengokhetho lokuqala lonyango..

 

4. I-Micropulse laser I-Micropulse

I-Micropulse laser yenye inkqubo yonyango yelaser ejolise ekunciphiseni ubungakanani bolwelo oluveliswa liso, ngaloo ndlela ithoba inqanaba loxinzelelo ngaphakathi kuyo. Le nkqubo ngoku ingasetyenziselwa ukunyanga zonke iimeko zeglaucoma, nezona ziqatha.

 

 

 

5. Ukususwa kweLaser inxalenye ye-iris

I-iridectomy eyinxalenye yeperipheral (IP) Lunyango lwelaser kubantu abano, okanye abasemngciphekweni wokukhula, uhlobo lweglaucoma olubizwa ngokuba yi-angle-closure glaucoma. I-engile yinxalenye engaphakathi kwiliso apho ulwelo lwamehlo lukhupha amanzi. Ukuba le engile imxinwa okanye ivaliwe, oku kuthintela ulwelo ekuphumeni, nto leyo enokukhokelela kuxinzelelo oluphezulu ngaphakathi kwiso, kubangele umonakalo. I-angle emxinwa idla ngokubonwa ngexesha lovavanyo lwesiqhelo lwamehlo, kwaye abantu abafuna olu hlobo lonyango badla ngokungabi nazimpawu..

 

6. iStent

I-tube encinci ye-mesh enobubanzi be-1 mm, eyenziwe nge-titanium, ifakwe yaziwa njenge iStent)Ngotyando ukuxhasa amandla endalo eliso lokukhupha ulwelo kwaye ngaloo ndlela kuncitshiswe inqanaba loxinzelelo ngaphakathi kulo. Olu tyando luncinci lokunyanga iglaucoma lutyando olukhuselekileyo, kwaye esinye seziphumo zalo kukuba abaguli akufuneki basebenzise...  ezininzi Amehlo ahla yonke imihla.

 

7. intente Xen Gel

Olunye utyando olungenabungozi kancinci kukufakelwa kwestent Xen Gel Kwakhona kunciphisa uxinzelelo olungaphakathi kwiliso ngokukhupha ulwelo ngetyhubhu (i-stent) edibanisa igumbi elingaphambili leliso kwi-bulla (okanye i-reservoir) ephantsi kwe-conjunctiva..