Izindleko Zokuhlinzwa Kwe-Glaucoma

Ingabe ukhathazekile ngezindleko ze ukuhlinzwa kwe-glaucoma? Awuwedwa. Abantu abaningi bazizwa bekhathazekile lapho bebhekene nale nqubo yamehlo edingekayo, ikakhulukazi lapho becabangela isici sezezimali. Izindleko zokuhlinzwa kwe-glaucoma zingahluka kakhulu futhi zincike ezintweni ezifana nohlobo lwenqubo, indawo, nezimo ngazinye. Ukuqonda lezi zindleko zokuhlinza nge-glaucoma laser kubalulekile ezigulini ezifuna ukwenza izinqumo ezifanele mayelana nempilo yamehlo azo.

Iyini I-Glaucoma Surgery?

Ukuhlinzwa kwe-glaucoma kuyinqubo odokotela abayenzayo ukuze behlise ingcindezi ngaphakathi kweso, okusiza ukuvimbela ukulahleka kokubona okwengeziwe ezigulini ezine-glaucoma. Nakuba ayikwazi ukwelapha i-glaucoma noma buyisela umbono olahlekile, inendima ebalulekile ekuvikeleni amehlo asele.

Kunezinhlobo eziningana zokuhlinzwa kwe-glaucoma:

• I-Trabeculectomy: Lokhu kuhlinzwa kudala ukuvuleka okuncane phezulu kwehlo, kufihlwe ngaphansi kwejwabu leso. Ivumela uketshezi oluthe xaxa ukuthi lukhiphe, kunciphisa ukucindezela kwamehlo.
• I-Glaucoma Implant Surgery: Ishubhu elincane noma i-shunt ifakwa engxenyeni emhlophe yeso ukusiza ukukhipha uketshezi oluningi.
• I-Minimally Invasive Glaucoma Surgery (MIGS): Le ndlela entsha inezingozi ezimbalwa nemiphumela engemihle, eyenza ukululama kusheshe. 
• Ngemuva kokuhlinzwa, iziguli zisebenzisa amaconsi ehlo anqunyiwe ukuvimbela ukuvuvukala nokutheleleka. Ukubuyisela ngokuvamile kuhilela ukugwema imisebenzi ekhandlayo yamaviki angu-2 kuya kwangu-4 kanye nokuhambela ama-aphoyintimenti okulandelela ukuze uqinisekise ukuphulukiswa okufanele.

Ziyini Izindleko Zokuhlinzwa Kwe-Glaucoma eNdiya?

Intengo yokuhlinzwa kwe-glaucoma e-India isuka ku-R35,000 iye ku-R40,000. La manani ahlala engaguquki kuwo wonke amadolobha amakhulu, okuhlanganisa i-Bangalore, i-Chennai, i-Delhi, i-Hyderabad, i-Mumbai, ne-Pune. Izindleko zingahluka kuye ngezici eziningana, njengohlobo lokuhlinzwa kanye nezimo zomuntu ngamunye zesiguli.

Izindlela zokuhlinza ezihlukene zinezindleko ezihlukene:

• Ukuhlinzwa Kwelaser: Kunconyelwe i-glaucoma evulekile, ukuhlinzwa kwe-glaucoma laser kubiza cishe u-R35,000 kuya ku-R40,000.
• I-Trabeculectomy: Idala ukuvuleka ku-sclera futhi ibiza cishe u-R30,000 kuya ku-R40,000.
• Ukuhlinzwa Kokufakelwa I-Drainage: Kubandakanya ukubeka ishubhu esweni, okubiza cishe u-R40,000 kuya ku-R50,000.

Izinto Ezithonya Izindleko Zokuhlinzwa Kwe-Glaucoma

Izindleko zokuhlinzwa kwe-glaucoma ziyahlukahluka ngokusekelwe ezintweni eziningana, njenge:

• Uhlobo lwenqubo yokuhlinzwa ludlala indima ebalulekile, njengoba ukuhlinzwa kwe-laser ngokuvamile kubiza kancane futhi akuhlaseli kancane kunokuhlinzwa kokusikwa.
• Ukukhethwa kwesibhedlela nakho kuthinta intengo. Izibhedlela eziyisipesheli kakhulu zivame ukukhokhisa ngaphezu kwezinsizakusebenza ezihlukene noma zikahulumeni. 
• Ubuchwepheshe kanye nedumela likadokotela ohlinzayo kungaba nomthelela ezinkokhelweni, njengoba odokotela abanolwazi olunzulu bebiza amanani aphezulu. 
• Indawo ibalulekile, futhi, njengoba izindleko ziphezulu emadolobheni amakhulu kunasemadolobheni amancane.
• Ezinye izici zihlanganisa isiguli sonke impilo yamehlo, isidingo sokwelashwa okwengeziwe, kanye nohlobo lwe-glaucoma. Ukuhlolwa kokuxilonga, okufana ne-OCT noma izivivinyo zensimu ebonakalayo, kungangeza ezindlekweni. 
• Ukunakekelwa kwangemva kokuhlinzwa, okuhlanganisa nemithi kanye nokubonisana kokulandelela, nakho kunomthelela ezindlekweni eziphelele.

Ubani Odinga Ukuhlinzwa Kwe-Glaucoma?

Odokotela batusa ukuhlinzwa kwe-glaucoma lapho ezinye izindlela zokwelapha zehluleka ukuphatha lesi simo ngempumelelo. Iziguli ezidinga ukuhlinzwa ziwela ezigabeni eziningana. Labo abane-glaucoma evala i-engeli noma i-glaucoma yabantwana ngokuvamile badinga ukungenelela kokuhlinzwa okusheshayo. Nge-glaucoma evulekile, ukuhlinzwa kuba kudingekile lapho umfutho we-intraocular ufinyelela izinga elisongela ukulimaza inzwa yamehlo naphezu kokwelashwa okukhulu kwezokwelapha. Ukukhethwa kokuhlinzwa kuncike ohlotsheni nobukhulu be-glaucoma kanye nezici zesiguli ngasinye.

Kunezici ezimbalwa ezithonya isinqumo sokusebenza. Lokhu kubandakanya:

• Isimo seso
• Imiphumela yemisebenzi yangaphambilini
• Ukwethembeka kwesiguli ekulandeleni ukwelashwa okunqunyiwe
• Ubudala nesimo somzimba wesiguli
• Ubukhona buka i-cataracts
• Isimo sengqondo sesiguli kanye nodokotela ohlinzayo maqondana nokwelashwa kokuhlinzwa
• Odokotela baphinde bacabangele isilinganiso sengozi nenzuzo. Ukulahleka kombono okungaba khona ngaphandle kokuhlinzwa kufanele kudlule izingozi ezihlobene nenqubo. Iziguli ezinomonakalo othuthukisiwe noma lezo ezisengozini yokulahlekelwa ukubona okumaphakathi zingase zidinge ukuhlinzwa ukuze zithole umfutho ophansi we-intraocular kunalezo ezinesifo esisanda kuqala.

Kungani Kudingeka Ukuhlinzwa Kwe-Glaucoma?

Ukuhlinzwa kwe-glaucoma kuba kudingekile lapho ezinye izindlela zokwelapha zehluleka ukuphatha lesi simo ngempumelelo. Lokhu kuphazamiseka kwamehlo okungapheli, okuqhubekayo kulimaza i-optic nerve, ngokuvamile ngenxa yomfutho ophakeme we-intraocular (IOP). Njengoba i-optic nerve iwohloka, amachashaza ayimpumputhe aqala embonweni womuntu.

Odokotela batusa ukuhlinzwa lapho imithi nokwelashwa nge-laser kungawehlisi ngempumelelo umfutho wamehlo. Inhloso eyinhloko yokuhlinzwa kwe-glaucoma ukunciphisa i-IOP, okusiza ukuvimbela ukulahleka kombono okuqhubekayo. Kubalulekile ukuqaphela ukuthi nakuba ukuhlinzwa kungeke kwelaphe i-glaucoma noma ukubuyisela ukubona okulahlekile, kudlala indima ebalulekile ekuvikeleni ukubona okusele.

Yiziphi Izingozi Ezingenzeka Ezihlotshaniswa Nokuhlinzwa Kwe-Glaucoma?

Ukuhlinzwa kwe-glaucoma, njenganoma iyiphi inqubo yezokwelapha, kunezingozi ezingaba khona. Iziguli kufanele zixoxe ngalokhu nezazo odokotela abahlinza amehlo ukwenza izinqumo ezinolwazi. Izingozi ezivamile zihlanganisa ukuphazamiseka kokubona kwesikhashana kanye nokuba buhlungu kweso ngemva kokuhlinzwa. Okubi nakakhulu, nakuba kungavamile, izinkinga zingenzeka:

• Ukulahleka Kombono: Nakuba kungavamile, ukunciphisa umbono unomphela noma ukulahlekelwa kungenzeka.
• Ukopha: Izinkinga zingase zihlanganise ukopha ngaphakathi esweni.
• Ukutheleleka: Naphezu kwezinyathelo zokuvimbela, izimo ezingavamile zokutheleleka kwamehlo kwangaphakathi zingenzeka.
• Ukucindezela Kwamehlo Okuphansi (Hypotony): Lokhu kungaholela ekuqoqweni koketshezi ngemuva kwe-retina.
• Ukulimala: Ukuphulukiswa kwemvelo kungase kubangele ukucindezelwa kwamehlo okuphezulu kunalokho okuhlosiwe ngokuhamba kwesikhathi.
• Ukwakheka Kolwelwesi Lwamehlo: Ukuhlinzwa kungase kusheshise ukukhula kwe-cataract.
• Eminye imiphumela engemihle engaba khona ihlanganisa izinkinga ze-cornea nokulahlekelwa ukubona. 

Kubalulekile ukukala lezi zinkinga ngokuqhathanisa nezinzuzo zokuhlinzwa. Iziguli kufanele zikhulume ngokukhululekile nodokotela wazo ukuze zenze uhlelo olufanele lokwelapha. Khumbula, nakuba lezi zingozi zikhona, iziguli eziningi zenza ukuhlinzwa okuphumelelayo kwe-glaucoma ngaphandle kokubhekana nezinkinga ezinkulu.

Isiphetho

Ukuhlinzwa kwe-glaucoma kuba nomthelela omkhulu ezimpilweni zeziguli, kunikeza ithemba lokulondoloza ukubona lapho ezinye izindlela zokwelapha kusilela. Izindleko zalezi zinqubo ziyahlukahluka kakhulu, kuthonywa izici ezifana nohlobo lokuhlinzwa, indawo, nezidingo zesiguli ngasinye. Ukuqonda lezi zici kunikeza iziguli amandla okwenza izinqumo ezinolwazi mayelana nempilo yamehlo azo futhi zihlole izinketho zokuphatha izindleko.

Ekugcineni, isinqumo sokuhlinzwa kwe-glaucoma sincike ekuhlolweni ngokucophelela kwezingozi nezinzuzo. Nakuba inqubo inezinkinga ezingaba khona, ezigulini eziningi, imele isinyathelo esibalulekile sokuvikela umbono wazo osele. Ngokuxoxa ngezinketho nethimba lazo lokunakekela amehlo nokucabangela izici ezifana nezindleko nesikhathi sokululama, iziguli zingakwazi ukuhlela inkambo engcono kakhulu yokulawula i-glaucoma yazo nokugcina izinga lempilo yazo.

Disclaimer

Imininingwane yezindleko nezilinganiso ezinikezwe kule webhusayithi ezezinjongo zokwaziswa kuphela futhi zisekelwe ezimweni ezimaphakathi. Azihlanganisi isilinganiso esinqunyiwe noma isiqinisekiso sezindleko zokugcina.

Izibhedlela ze-CARE azimeli noma azikukhuthazi ukuqiniseka kwalezi zibalo zezindleko. Izindleko zakho zangempela zizohluka ngokuya ngohlobo lokwelashwa, izinsiza ezikhethiwe noma izinsizakalo, indawo yesibhedlela, impilo yesiguli, ukuhlinzekwa komshwalense, kanye nezidingo zezokwelapha ezinqunywe udokotela wakho. Ukusebenzisa kwakho okuqukethwe kwale webhusayithi kusho ukuthi uyakwamukela futhi wamukele lokhu kuhlukahluka nokuthi noma yikuphi ukuthembela ezindlekweni ezilinganiselwe kuzifaka engozini ngokwakho. Ukuze uthole ulwazi lwezindleko lwamanje kakhulu nolwenzelwe wena siqu, sicela usithinte ngokuqondile noma usishayele.

FAQ sika

1. Ingabe ukuhlinzwa kwe-glaucoma Kuphephile?

Ukuhlinzwa kwe-glaucoma kunezinga eliphezulu lempumelelo ekwehliseni ukuqhubekela phambili kwesimo. Kodwa-ke, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Lokhu kuhlanganisa ukulahlekelwa ukubona, ukopha emehlweni, ukutheleleka, ukucindezeleka kwamehlo okuphansi (hypotony), izibazi, nokwakheka kwe-cataract. Ngaphandle kwalezi zinkinga ezingaba khona, izinzuzo zivame ukudlula ubungozi, ikakhulukazi ezimeni ezithuthukile.

2. Ingabe ukuhlinzwa kwe-glaucoma kubuhlungu?

Abantu abaningi abahlinzwa nge-glaucoma ababuzwa ubuhlungu obukhulu. Inqubo ngokuvamile yenziwa ngaphansi kwe-anesthesia yendawo, ukugcina iziguli ziphapheme kodwa zikhululekile. Uma ubuhlungu buvela ngemva kokuhlinzwa, iziguli kufanele zithintane nodokotela wazo wamehlo ukuze uthole izinketho zokusiza.

3. Ingabe ukuhlinzwa kwe-glaucoma unomphela?

Imiphumela yokuhlinzwa kwe-glaucoma ingahluka. Kwabanye, izinzuzo zihlala isikhathi eside, kanti ezinye zingadinga ukuhlinzwa okwengeziwe uma ukuvulwa kweso kuqala ukuvala. Ukuhlolwa njalo kubalulekile ukuze kuqashwe umfutho wamehlo futhi kunqunywe ukuthi kuyadingeka yini ukwelashwa okwengeziwe. Ucwaningo lubonisa ukuthi i-trabeculectomy, ukuhlinzwa okuvamile kwe-glaucoma, kunganciphisa ukucindezela kwamehlo kubantu abangaba ngu-7 kwabayishumi.

4. Siyini isigaba sokugcina se-glaucoma?

I-glaucoma yesigaba sokuphela ibonakala ngokuncipha kakhulu kokubona kahle. Kulesi sigaba, insimu yokubuka ingaphansi kwama-degree angu-10, noma i-acuity ebonakalayo i-20/200 noma imbi kakhulu ngenxa ye-glaucoma. Naphezu kwesimo esithuthukisiwe salesi simo, ukungenelela kokuhlinzwa kusengaba nomthelela omuhle, okungase kulondoloze umbono osalayo kanye nokwenza ngcono izinga lempilo ngokugcina iso elingenabuhlungu.