Umbhali: Joan Hall
Umhla Wokudalwa: 28 Eyomdumba 2021
Hlaziya Umhla: 15 Ucanzibe 2025
Anonim
Glaucoma | Clinical Presentation
Ividiyo: Glaucoma | Clinical Presentation

I-Glaucoma liqela leemeko zamehlo ezinokonakalisa i-optic nerve. Le luvo ithumela imifanekiso oyibonayo kwingqondo yakho.

Rhoqo, umonakalo we-optic nerve ubangelwa kukunyuka koxinzelelo kwiso. Oku kubizwa ngokuba luxinzelelo lwe-intraocular.

I-Glaucoma sisizathu sesibini esiqhelekileyo sobumfama e-United States. Zine iindidi eziphambili zeglaucoma:

  • I-glaucoma evulekileyo
  • I-glaucoma yokuvalwa kwe-Angle, ekwabizwa ngokuba yi-glaucoma evaliweyo
  • I-glaucoma yokuzalwa
  • Glaucoma yesibini

Inxalenye engaphambili yamehlo igcwele ulwelo olucacileyo olubizwa ngokuba lulwelo oluhlekisayo. Olu lwelo lwenziwe kwindawo engasemva kwenxalenye enemibala yamehlo (iris). Ishiya iliso ngamajelo apho iris kunye nekornea zidibana khona. Lo mmandla ubizwa ngokuba yi-anterior chamber angle, okanye i-angle. I-cornea sisigqubuthelo esicacileyo ngaphambili kweso elingaphambi kwe-iris, umfundi kunye ne-engile.


Nantoni na ecothisa okanye ethintela ukuhamba kwala manzi iya kubangela uxinzelelo lokwakha kwiliso.

  • Kwi-angle-glaucoma evulekileyo, ukwanda koxinzelelo kuhlala kuncinci kwaye kuyacotha.
  • Kwiglaucoma evaliweyo, ukwanda kuhlala kuphezulu kwaye ngesiquphe.
  • Nokuba loluphi uhlobo lunokonakalisa i-optic nerve.

I-glaucoma evulekileyo lolona hlobo luqhelekileyo lweglaucoma.

  • Unobangela awaziwa. Ukwanda koxinzelelo lwamehlo kwenzeka kancinci kancinci ngokuhamba kwexesha. Awunakuva.
  • Uxinzelelo olonyukayo lutyhala kwi-optic nerve. Ukonakala kwimbilini ye-optic kubangela amabala angaboniyo kumbono wakho.
  • I-glaucoma evulekileyo ejikelezayo ihlala ibaleka kwiintsapho. Umngcipheko wakho uphezulu ukuba unomzali okanye umakhulu notatomkhulu one-glaucoma evulekileyo. Abantu abanemvelaphi yaseAfrika bakumngcipheko ophezulu wesi sifo.

Iglaucoma evaliweyo kwenzeka xa ulwelo luvalekile ngequbuliso kwaye lungakwazi ukuphuma esweni. Oku kubangela ukunyuka okukhawulezayo, okunzima koxinzelelo lwamehlo.


  • Ukucutha amathontsi wamehlo kunye namayeza athile kunokubangela uhlaselo lwe-glaucoma.
  • I-glaucoma evaliweyo-engxamisekileyo yimeko engxamisekileyo.
  • Ukuba unayo i-glaucoma ebukhali kwiliso elinye, usengozini yayo kwiliso lesibini. Umboneleli wakho wezempilo unokunyanga iliso lakho lesibini ukunqanda uhlaselo lokuqala kwiso elo.

Glaucoma yesibini yenzeka ngenxa yesizathu esaziwayo. Zombini i-glaucoma evulekileyo nevaliweyo inokuba yinto yesibini xa ibangelwa yinto eyaziwayo. Izizathu zibandakanya:

  • Amayeza anjenge-corticosteroids
  • Izifo zamehlo, ezifana ne-uveitis (ukuvuvukala kwinqanaba eliphakathi kweso)
  • Izifo ezifana neswekile
  • Ukulimala kwamehlo

I-glaucoma yokuzalwa kwenzeka kwiintsana.

  • Ihlala iqhuba kwiintsapho.
  • Kukho ngexesha lokuzalwa.
  • Kubangelwa xa iliso lingakhuli ngokuqhelekileyo.

VULA-ANGLE GLAUCOMA

  • Uninzi lwabantu alunazo iimpawu.
  • Nje ukuba uqaphele ukulahleka kombono, umonakalo sele unzima.
  • Ukuphulukana nokucotha kombono (wecala) umbono (okwabizwa ngokuba ngumbono wetonela).
  • I-glaucoma ephezulu inokukhokelela kubumfama.

UKUVALWA KWENGQONDO IGLAUCOMA


Iimpawu zinokuza zihambe ekuqaleni, okanye ngokuthe ngcembe ziba mandundu. Ungaqaphela:

  • Ngequbuliso, iintlungu eziqatha kwiliso elinye
  • Ukwehla okanye umbono onamafu, odla ngokubizwa ngokuba ngumbono "onomphunga"
  • Isicaphucaphu nokugabha
  • Imvula efana ne-rainos ejikeleze izibane
  • Iliso elibomvu
  • Iliso liziva lidumbile

IGLAUCOMA YOKUQHUBEKA

Iimpawu zihlala ziqwalaselwa xa umntwana eneenyanga ezimbalwa ubudala.

  • Ubumnyama ngaphambili kwamehlo
  • Ukwandiswa kweliso elinye okanye zombini amehlo
  • Iliso elibomvu
  • Ubuntununtunu ekukhanyeni
  • Ukukrazula

ISEKELA GLAUCOMA

  • Iimpawu zihlala zihambelana nengxaki esisiseko ebangela i-glaucoma.
  • Kuxhomekeka kwisizathu, iimpawu zinokufana ne-glaucoma evulekileyo okanye i-angle-closure glaucoma.

Ekuphela kwendlela yokufumanisa i-glaucoma kukuba kuvavanyo lwamehlo olupheleleyo.

  • Uya kunikwa uvavanyo lokujonga uxinzelelo lwamehlo. Oku kubizwa ngokuba yi-tonometry.
  • Kwiimeko ezininzi, uya kunikwa amathontsi wamehlo ukuze wandise (wande) umfundi wakho.
  • Xa umfundi exutywe, ugqirha wamehlo wakho uya kujonga ngaphakathi ngaphakathi kweliso lakho kunye ne-optic nerve.

Uxinzelelo lwamehlo lwahlukile ngamaxesha ahlukeneyo emini. Uxinzelelo lwamehlo lunokuba yinto eqhelekileyo kwabanye abantu abane-glaucoma. Ke uyakufuna ezinye iimvavanyo ukuqinisekisa iglaucoma. Banokubandakanya:

  • Sebenzisa ilensi ekhethekileyo ukujonga i-engile yamehlo (gonioscopy).
  • Iifoto okanye imifanekiso yokuskena kwelanga ngaphakathi kwamehlo akho (imaging optic imaging).
  • Imifanekiso yokuskena yeLaser ye-engile yamehlo.
  • Ukujonga i-retina yakho- Iretina sisihlunu esibuhlungu ekukhanyeni ngasemva kweliso lakho.
  • Ukujonga ukuba umfundi uphendula njani ekukhanyeni (impendulo yomfundi).
  • Umbono we-3-D wamehlo akho (uviwo lwesibane sokukroba).
  • Ukuvavanywa kokucaca kombono wakho (ukubonakala okuhle).
  • Ukuvavanya indawo yakho yombono (imilinganiselo yentsimi ebonakalayo).

Injongo yonyango kukunciphisa uxinzelelo lwamehlo. Unyango luxhomekeke kuhlobo lweglaucoma onayo.

VULA-ANGLE GLAUCOMA

  • Ukuba une-glaucoma evulekileyo, uya kunikwa amathontsi wamehlo.
  • Unokufuna ngaphezulu kohlobo olunye. Uninzi lwabantu lunokunyangwa ngamathontsi wamehlo.
  • Uninzi lwamehlo asetyenzisiweyo namhlanje aneziphumo ebezingalindelekanga ezimbalwa kunalezo zazisetyenziswa ngaphambili.
  • Unokunikwa iipilisi ukunciphisa uxinzelelo kwiso.

Ukuba amathontsi odwa awasebenzi, unokufuna olunye unyango:

  • Unyango lwe-Laser lusebenzisa i-laser engenazintlungu ukuvula amajelo apho ukuphuma kwamanzi kuphuma khona.
  • Ukuba unyango kunye nonyango lwe-laser alusebenzi, unokufuna utyando. Ugqirha uza kuvula ijelo elitsha ukuze ulwelo luphume. Oku kuya kunceda ukunciphisa uxinzelelo lwakho.
  • Kutshanje, kuye kwaveliswa izinto ezintsha ezinokunceda ukunyanga iglaucoma kubantu abanokuhlinzwa ngamehlo.

I-ACUTE ANGLE GLAUCOMA

Uhlaselo olungqongqo lokuvala i-engile yimeko engxamisekileyo yezonyango. Unokuba yimfama kwiintsuku ezimbalwa ukuba awunyangeki.

  • Unokunikwa amathontsi, iipilisi, kunye namayeza anikezwe ngomthambo (nge-IV) ukunciphisa uxinzelelo lwamehlo.
  • Abanye abantu bakwadinga utyando olungxamisekileyo, olubizwa ngokuba yi-iridotomy. Ugqirha usebenzisa i-laser ukuvula itshaneli entsha kwi-iris. Ngamanye amaxesha oku kwenziwa ngotyando. Ijelo elitsha likhulula uhlaselo kwaye liya kuthintela olunye uhlaselo.
  • Ukunceda ukuthintela uhlaselo kwelinye iliso, inkqubo efanayo iya kuhlala isenziwa kwelinye iliso. Oku kunokwenziwa nokuba khange kuhlaselwe.

IGLAUCOMA YOKUQHUBEKA

  • I-glaucoma ye-Congenital iphantse inyangwe ngokuhlinzwa.
  • Oku kwenziwa kusetyenziswa i-anesthesia ngokubanzi. Oku kuthetha ukuba umntwana ulele kwaye akaziva zintlungu.

ISEKELA GLAUCOMA

Ukuba une-glaucoma yesibini, ukunyanga unobangela kunokunceda iimpawu zakho zihambe. Olunye unyango lunokufuneka.

I-glaucoma evulekileyo evulekileyo ayinakunyangeka. Ungayilawula kwaye ugcine ukubona kwakho ngokulandela umkhombandlela womboneleli wakho.

I-glaucoma evaliweyo yongxamiseko kwezonyango. Ufuna unyango kwangoko ukugcina umbono wakho.

Iintsana ezinesifo sokuzalwa glaucoma zihlala zisenza kakuhle xa uqhaqho lwenziwe kwangethuba.

Wenza njani nge-glaucoma yesibini kuxhomekeke kwinto ebangela imeko.

Ukuba unentlungu ebukhali kwamehlo okanye ukulahleka kombono ngesiquphe, fumana uncedo olukhawulezileyo lonyango. Oku kunokuba yimiqondiso yeglaucoma evaliweyo.

Awunakuthintela i-glaucoma evulekileyo. Uninzi lwabantu alunazo iimpawu. Kodwa unokunceda ukuthintela ukulahleka kombono.

  • Uvavanyo olupheleleyo lwamehlo lunokunceda ukufumana i-glaucoma evulekileyo engile kwangoko, xa kulula ukuyinyanga.
  • Bonke abantu abadala kufuneka babe kuvavanyo lwamehlo olupheleleyo beneminyaka engama-40.
  • Ukuba usemngciphekweni we-glaucoma, kuya kufuneka uhlolwe ngokupheleleyo amehlo kwakamsinya kuneminyaka engama-40.
  • Kuya kufuneka ube novavanyo lwamehlo rhoqo njengoko kucetyiswa ngumboneleli wakho.

Ukuba usemngciphekweni we-glaucoma evaliweyo, umboneleli wakho unokucebisa unyango ngaphambi kokuba uhlaselwe ukunceda ukuthintela ukonakala kwamehlo kunye nokulahleka kombono.

Glaucoma evulekileyo; Iglaucoma engapheliyo; Glaucoma engapheliyo evulekileyo; I-glaucoma yokuqala evulekileyo; I-glaucoma evaliweyo; I-glaucoma emxinwa; Ukuvalwa kweglaucoma; Glaucoma ebukhali; Glaucoma yesibini; Glaucoma azalwa nayo; Ukuphulukana nombono-glaucoma

  • Iliso
  • Uvavanyo lwesibane
  • Uvavanyo lwentsimi ebonakalayo
  • Iglaucoma
  • Imithambo-luvo

Ukujongwa okukhethekileyo kwe-2019 ye-glaucoma: ukuxilongwa kunye nolawulo (Isikhokelo se-NICE NG81) [kwi-Intanethi]. ILondon: iZiko leSizwe lezeMpilo kunye noKhathalelo oluGqwesileyo (e-UK); 2019 Sep 12. PMID: 31909934 pubmed.ncbi.nlm.nih.gov/31909934/.

RL epheleleyo, McMillan BD. Ulawulo lonyango lwangoku lwe-glaucoma. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.24.

I-Jampel HD, iVillarreal G. Amayeza asekwe kubungqina kwi-glaucoma. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.34.

UMadu A, uRhee DJ. Loluphi unyango oluza kusetyenziswa kwi-glaucoma. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 10.23.

UMoyer VA; Umsebenzi woKhuseleko kwi-US. Ukuvavanywa kwe-glaucoma: INkcazo yeNgcebiso ngeNkcazo yeNkonzo yokuThintela. UAnn Intern Med. Ngo-2013; 159 (7): 484-489. IINKCUKACHA: 24325017 pubmed.ncbi.nlm.nih.gov/24325017/.

Prum BE Jr, Lim MC, Mansberger SL, okqhubekayo. Isikrokro se-glaucoma esivulekileyo esisisiseko sikhetha izikhokelo zepatheni yokwenza. Ophthalmology. Ngo-2016; 123 (1): P112-P151. IINKCUKACHA: 26581560 pubmed.ncbi.nlm.nih.gov/26581560/.

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