Ngeshwa akekho akukho ukwelashwa okwelaphayo. I-Visual acuity elahlekile ngenxa ye-glaucoma ayikwazi ukuphinde itholakale. Ngakho-ke inhloso yokwelashwa uku ukuvimbela or YEHLISA KANCANE IJUBANE the umonakalo olandelayo. Ukwenza lokhu, ezimweni eziningi, kuyoba yindaba yokunciphisa ukucindezela ngaphakathi kweso ngokuthuthukisa ukujikeleza kwamahlaya aqueous.

THEophthalmologist, udokotela wokunakekelwa kwamehlo, uzosungula uhlelo lokwelapha futhi aqaphe umbono njalo. Ukungenelela okungenzeka kuhlanganisa amaconsi iso, imithi yomlomo, ukwelashwa nge-laser, futhi, uma kudingeka, nokuhlinzwa. Ezimweni eziningi, imithi kufanele iphuzwe impilo yonke.

Uma imbangela ye-glaucoma ibonakala, kuyobaluleka ukuyiphatha. Ngaphezu kwalokho, ukwelashwa kwe-corticosteroid okunikezwa emehlweni kuvinjelwe kubantu abane-glaucoma. Ngakho-ke kuhle ukuthi ungaqali noma umise lolu hlobo lokwelashwa. Kwezinye izimo, ukusetshenziswa kwabo akunakugwenywa. Khona-ke kuyadingeka ukuthola ukulandelwa okuhle kakhulu kudokotela wamehlo.

Nge-glaucoma ye-angle evulekile

Amaconsi iso (amaconsi iso)

Banciphisa ingcindezi esweni. Amaconsi anikezwa njalo ngoba adala imiphumela engemihle embalwa kunemithi ephuzwa ngomlomo.

Kusetshenziswa izinhlobo eziningana zamaconsi iso. Ezinye ezivame kakhulu beta blocker, lo ama-alpha-adrenergic agents, lo ama-analogues e-prostaglandin, lo i-carbonic anhydrase inhibitors futhi ama-miotics. Iningi lale mithi lisebenza ngokunciphisa kokubili ukukhiqizwa kwamahlaya ane-aqueous emehlweni nokwandisa ukuphuma kwayo.

The okuqhamuka uma udla imishanguzo ziyahlukahluka kolunye uhlobo lwe-gout kuya kolunye. Lokhu kungaba, isibonelo, umlomo owomile, umfutho wegazi ophansi, izinga lokushaya kwenhliziyo eliphansi, ukucasuka kwamehlo, ububomvu eduze kwamehlo, noma ukukhathala. Kungcono ukwazisa udokotela wakho nganoma yimiphi imiphumela emibi eyenzekayo, uma ikhona.

Kubalulekile ukulandela umthamo ngokucophelela. Lokhu kwelashwa kusebenza kakhulu, inqobo nje uma kulandelwa nsuku zonke futhi ngokuphila.

Imithi yomlomo

Uma amaconsi enganciphisi ngokwanele ukucindezela kwe-intraocular, okungavamile, imithi yomlomo ingase ibekwe (isibonelo, i-carbonic anhydrase inhibitors). Kodwa-ke, le mithi idala imiphumela emibi kaningi futhi igqame kakhulu kunamaconsi iso.

Ukwelashwa nge-Laser

Lokhu kungenelela, okubizwa i-trabeculoplasty, kuya ngokuya kuvame. Ingase inikezwe ngaphambi kokusebenzisa amaconsi esweni. Kungenziwa futhi uma i-glaucoma iba yimbi naphezu kokwelashwa noma uma umuthi ungabekezeleleki kahle.

Lokhu kwelashwa kwe-laser kuhloswe ukusiza ukujikeleza kwamahlaya ane-aqueous esweni. Ukungenelela akunabuhlungu futhi kuyashesha: kwenziwa esikhathini esisodwa noma ezimbili zemizuzu emi-2. I-laser beam iqondiswe ku-trabeculum (bona umdwebo wezakhiwo zangaphakathi zeso ngenhla). Akucaci ukuthi kungani inciphisa ingcindezi.

Noma ngabe kwenziwa inqubo ye-laser, ukwelashwa ngezidakamizwa (imvamisa kaningi amaconsi iso) kusafanele kulandelwe impilo yakhe yonke.

Ukuhlinzwa kwakudala

Lokhu kuhlinzwa kwamehlo kubizwa i-trabeculectomy. Ukungenelela kuhloswe ukudala indlela entsha yokukhipha amahlaya ane-aqueous, ngokususa ingxenye encane ye-trabeculum. Ukufakwa kwamapayipi kuvame. Ishubhu iqondisa amahlaya ane-aqueous endaweni yokugcina amanzi ngemuva kweso. Cishe u-80% wabantu abahlinzekwe ngalokhu kuhlinzwa abasakudingi okokuthoswa kwamehlo ngemva kwalokho.

Ezinye izinhlobo zokuhlinzwa zingaphakathi ukuhlolwa. Ekugcineni, bangathatha indawo ye-trabeculectomy. Nokho, kuzothatha iminyaka eminingana ngaphambi kokuthi sinqume ukusebenza kahle kwazo. Izibonelo zifaka i-Canalostomy, i-Ex-Press®, i-Canaloplasty, i-Gold Implant, i-Glaukos iStent®, ne-Trabeculotome.

Nge-glaucoma ene-angle encane

Un ukwelashwa okuphuthumayo iyadingeka. Sisebenzisa eziningana izidakamizwa ukunciphisa ngokushesha ingcindezi ye-intraocular.

Uma ukucindezela kwehlisiwe, okufanelekile ukuvula indlela yokuhamba nge-iris, usebenzisa umsebe laser. Lokhu kungenelela kubizwa ngokuthii-iridotomie indandatho yomgwaqo. Lokhu kwelashwa kuvumela ukugeleza kwamahlaya ane-aqueous, ukuze kugwenywe ukuphindaphinda. Amaconsi okubulala izinzwa aqale afakwe esweni, njenge-lens yokuxhumana (ekhishwa ngemva kokwelashwa). Ngemuva kokwelashwa, amaconsi e-anti-inflammatory anqunywe futhi kufanele asetshenziswe esweni izinsuku ezimbalwa. Okunye ukwelashwa kungase kudingeke.

Nge-glaucoma yokuzalwa

Kuphela ukuhlinzwa ingalulungisa lolu hlobo lwe-glaucoma. Kwenziwa kusukela emasontweni okuqala okuphila.