I-glaucoma ye-Congenital: yintoni, kutheni isenzeka kunye nonyango

Umxholo

• Ungayinyanga njani i-glaucoma ezalwe nayo
• Iimpawu glaucoma lokuzalwa
• Uxilongo lwe glaucoma lokuzalwa

I-Congenital glaucoma sisifo esinqabileyo samehlo esichaphazela abantwana ukususela ekuzalweni ukuya kwiminyaka emi-3 ubudala, esibangelwa kukunyuka koxinzelelo ngaphakathi kwamehlo ngenxa yokuqokelelana kolwelo, olunokuthi luchaphazele i-optic nerve kwaye lukhokelele kwimfama xa lunga nyangwa.

Umntwana owazalwa ene-glaucoma yokuzalwa uneempawu ezinjengamafu kunye ne-cornea edumbileyo kunye namehlo awandisiweyo. Kwiindawo apho kungabikho kuvavanyo lwamehlo, kuhlala kufunyanwa kuphela malunga neenyanga ezi-6 okanye kwanasemva koko, nto leyo eyenza kube nzima emntwaneni ukuba afumane olona nyango lubalaseleyo kunye nokuxelwa kwangaphambili.

Ngesi sizathu, kubalulekile ukuba usana olusandul 'ukuzalwa lwenze uvavanyo lwamehlo ngugqirha wamehlo kude kube sekupheleni kwekota yokuqala. Kwimeko yokuqinisekiswa kweCongenital Glaucoma, ugqirha wamehlo unokuyalela ukuba amathontsi wamehlo anciphise uxinzelelo lwe-intraocular, kodwa oku kwenziwa ukunciphisa uxinzelelo ngaphambi kotyando. Unyango lubandakanya utyando nge-goniotomy, trabeculotomy okanye ukufakelwa kwamalungu afakelwayo akhupha ulwelo lwangaphakathi.

Ungayinyanga njani i-glaucoma ezalwe nayo

Ukunyanga i-Congenital Glaucoma, ugqirha wamehlo unokuyalela amathontsi wamehlo ukunciphisa uxinzelelo lwe-intraocular ukunciphisa uxinzelelo ngaphambi koqhaqho. Olu tyando lwenziwa nge-goniotomy, trabeculotomy okanye ukufakelwa kwamalungu afakelwayo akhupha ulwelo lwangaphakathi.

Kubalulekile ukwenza uxilongo kwangoko kwaye uqalise ngonyango, njengoko kunokwenzeka ukuthintela iingxaki, ezinje ngobumfama. Yazi eyona nto iphambili yamehlo ukunyanga i-glaucoma.

Iimpawu glaucoma lokuzalwa

I-glaucoma ye-Congenital inokuchongwa ngeempawu ezithile ezinje:

• Ukuya kunyaka-1: I-cornea yeso iyavuvukala, ibe ngamafu, umntwana ubonisa ukungahambi kakuhle ekukhanyeni kwaye azame ukugubungela amehlo ekukhanyeni;
• Phakathi kweminyaka eyi-1 no-3: I-cornea inyuka ngobukhulu kwaye kuqhelekile ukuba abantwana badunyiswe ngamehlo abo amakhulu;
• Ukuya kutsho kwiminyaka emi-3: Iimpawu kunye neempawu ezifanayo. Amehlo aya kukhula kuphela ngokwandisa uxinzelelo kude kube kule minyaka.

Ezinye iimpawu ezinjenge-secretion egqithileyo kunye namehlo abomvu anokubakho kwi-glaucoma yokuzalwa.

Uxilongo lwe glaucoma lokuzalwa

Ukuxilongwa kwangoko kwe-glaucoma kunzima, njengoko iimpawu zithathwa njengezingacacanga kwaye zinokwahluka ngokobudala beempawu kunye nenqanaba lokungalunganga. Nangona kunjalo, i-glaucoma ye-congenital inokuchongwa ngovavanyo olupheleleyo lwamehlo olubandakanya ukulinganisa uxinzelelo ngaphakathi kwamehlo kunye nokuvavanya onke amalungu eliso anjenge-cornea kunye ne-optic nerve, umzekelo. Funda ngakumbi malunga novavanyo lweglaucoma.

Ngokubanzi, iglaucoma ibangelwa kukunyuka koxinzelelo emehlweni, eyaziwa ngokuba luxinzelelo lwe-intraocular. Ukwanda koxinzelelo kwenzeka ngenxa yokuba ulwelo olubizwa ngokuba lulwelo oluhlekisayo luveliswa elisweni kwaye, njengoko iliso livaliwe, olu lwelo kufuneka lutshelwe ngokwendalo. Xa inkqubo yokuhambisa amanzi ingasebenzi kakuhle, ulwelo alunakukhutshwa ngaphandle kwiso kwaye ke uxinzelelo ngaphakathi kwamehlo luyanda.

Nangona kunjalo, ngaphandle kokunyuka koxinzelelo sesona sizathu siqhelekileyo, kukho iimeko apho kungekho xinzelelo luphezulu lwangaphakathi kwaye, kwezi meko, esi sifo sibangelwa kukungasebenzi kakuhle kwemithambo yegazi ye-optic, umzekelo.

Funda ngakumbi malunga nokuchonga i-glaucoma kule vidiyo ilandelayo: