Ukwelashwa okuwusizo kwe-glaucoma
Uma imithi yokwelapha noma yomlomo, noma ngisho nokuhlinzwa kwe-laser, engasakwazi ukulawula i- glaucoma ngokwanele, uhlobo lwe-glaucoma ukuhlinzwa olubizwa ngokuthi i-trabeculectomy lungaba yisinyathelo esilandelayo. Ngezinye izikhathi okubizwa ngokuthi ukuhlinzwa, i-trabeculectomy yenziwa yi-ophthalmologist ekamelweni lokusebenza. I-trabeculectomy yindlela ejwayelekile kakhulu yokuhlinzeka nge-glaucoma eyenziwa lapho iso lesicoco liwela noma ukuhlinzwa kwe-laser glaucoma akunciphisi ukucindezela kweso ngokwanele.
Ukuhlinzwa Kwama-Trabeculectomy Kwenziwe Kanjani?
Ngesikhathi se-trabeculectomy, i-ophthalmologist izosusa isicu esincane sezingxube emgodini we-drainage engxenyeni yeso lakho, lapho i- cornea ihlangana ne- iris . Umgodi omusha wamanzi udala indlela ephuma ngaphandle kweso futhi ngaphansi kwe-sclera, isembozo sangaphandle esimhlophe saso. Umcengezi omncane wezicubu kule ngxube yamanzi yakha isikhala lapho amanzi egeleza khona, okwenza ibhuloho elincane noma ukuphakama ngaphansi kwejwabu leso eliphezulu, elibizwa ngokuthi i-bleb. Ngemuva kokuthi umkhuhlane ugeleza ungena ebhantshini, umthamo uketsheziwe yizikebhe, okuvumela umzimba ukuba uthwale umkhuhlane.
Kwenzekani Ngemuva Kokuhlinzwa Kwe-Trabeculectomy?
Ngemuva kokuthola i-trabeculectomy, ungase ungakhululekile noma ube nomuzwa onesihlabathi, onobuhlungu esweni lakho okwesikhashana. Isikhathi sakho sokutakula cishe sibe phakathi kwamasonto ayisithupha nesishiyagalombili. Udokotela wakho ohlinzayo uzohlola i-bleb izikhathi eziningana phakathi nesikhathi sakho sokuthutha futhi uzoqapha ngokucophelela ukucindezeleka kwamehlo akho.
Uma ingcindezi ayitholakali ngokwanele, kungenzeka ukuthi umsele wamanzi uvinjiwe, ukuvimbela ukuphuma kahle. Kulesi simo, ama-sutures kanye nezigxivizo zingashintshwa nge-laser ukuvumela ukuphuma okungcono. Imithi izophinde ishintshwe ngalesi sikhathi. Ukuphumelela kokuhlinzwa kuyoxhomeka esilinganisweni sakho sokuphulukiswa.
Izinto ezimbalwa okufanele uzikhumbule ngenkathi uphulukisa:
- Udokotela wakho ohlinzayo uzokuncoma ukuthi ulale ngesikhumba esithile esikhethekile ukuvikela iso ebusuku. Lokhu kugqunywe kusuka kumasonto owodwa noma amabili kuya kwenyanga emva kokuhlinzwa.
- Uzozwa ukuthi usebenzise ama-antibiotic neso steroid iso wehla ukuze uvimbele ukutheleleka nokuphulukiswa kwejubane okwesikhashana ngemuva kokuhlinzwa.
- Gwema ukucindezela kanzima ngemuva kokuhlinzwa, njengoba lokhu kungandisa ukwanda kwehlo.
- Gwema imisebenzi eqinile emasontweni ambalwa okuqala.
Iziphi Izinkinga Ezihlobene Ne-Trabeculectomy?
- Umphumela ongaphumelelanga: Okunye ukuphikisana ukuthi ukuhlinzeka akukwenyici ngokwanele ukucindezeleka kweso. I-trabeculectomy inezinga lokuphumelela elingu-65% kuya ku-70%. Abantu abangatholi impumelelo engu-100% bangase banciphise kakhulu ukucindezeleka kwamehlo, kodwa nje abakwanele ukuqeda isidingo samaconsi ehlohlo. Ukwelashwa kwe-Trabeculectomy kungabuyekezwa, kodwa ukuhlinzekwa kwesibili kunenani eliphezulu lokuhluleka kunokuhlinzwa okuyisisekelo.
- I-Hypotony: I- Hypotony yisimo lapho ukucindezeleka kweso kungase kwehle kakhulu. Ukucindezeleka kwamehlo okuphansi akusiyo impilo futhi kungabangela imfucuza ye-choroidal noma i- retinal detachment .
- Ukwelashwa: Ngenxa yokuthi i-bleb isakhiwe ngezicubu ezincane, ukutheleleka kuhlale kukukhathazeka. Udokotela wakho uzobeka umuthi we-antibiotic iso ukuze usize ukuvimbela ukutheleleka. Khumbula ukugqoka izigqoko ngenkathi ubhukuda bese unciphisa ukusetshenziswa kwama-lens. Uma uhlangabezana nombono oncishisiwe, ubuhlungu beso, ubomvu noma ukukhishwa ngemuva kokuba ne-trabeculectomy, xhumana nodokotela wakho ngokushesha.
> Umthombo:
> I-American Academy ye-Ophthalmology. I-Glaucoma Yokuvula Okuyisisekelo Eyinhloko, Ukubuyekezwa Okulinganiselwe (I-Practice Practice Pattern). I-San Francisco: I-American Academy of Ophthalmology, ngo-2005.
> Allingham RR, Damji K, Freedman S, Moroi S, Shafranov G. Ukuhlinza Ukuhlunga, iShield's Bookbook of Glaucoma, Umhlaka 5. ULippincott Williams noWilkins, ngo-568-609, 2005.