Created at:1/16/2025
Question on this topic? Get an instant answer from August.
IGlaucoma yiqembu lezinhlungu zamehlo ezilimazayo i-optic nerve, ethwala ulwazi lokubona kusuka emehlweni akho uya ebuchosheni bakho. Lolu lilimaza ngokuvamile kwenzeka lapho ukucindezela kwamanzi ngaphakathi kwamehlo akho kukhula ngokuhamba kwesikhathi, nakuba kungenzeka ngokucindezela okuvamile.
Cabanga nge-optic nerve yakho njengeqoqo lama-cable amancane ahlanganisa iso lakho nebuchopho bakho. Uma i-glaucoma ilimazayo la ma-cable, ulahlekelwa kancane kancane amaqatha okubona, ngokuvamile uqala ngezindleko ezingaphandle bese usebenza ngaphakathi. Into ephazamisayo mayelana ne-glaucoma ukuthi lo mhlaba wokulahleka kokubona ngokuvamile kwenzeka kancane kangangokuthi abantu abaningi abawuqapheli kuze kube yilapho ukulimala okukhulu sekwenzeke.
Abantu abaningi abane-glaucoma abanawo noma yimiphi impawu emazingeni okuqala, kungakho ngokuvamile kubizwa ngokuthi “umholi wethuli lokubona.” Ukubona kwakho kungabonakala kuphelele kuze kube yilapho isifo sesikhulile kakhulu.
Kodwa-ke, kunezixwayiso ezithile ongazibona njengoba isimo siqhubeka. Lezi zimpawu zingase zihluke kuye ngohlobo lwe-glaucoma onayo:
Ezimweni ezingavamile ze-acute angle-closure glaucoma, izimpawu zivele ngokuzumayo futhi zidinga ukunakekelwa kwezokwelapha ngokushesha. Lezi zimpawu eziphuthumayo zihlanganisa ubuhlungu obukhulu besiso, ikhanda, isicanucanu, ukugabha, ukubona okuphazamisekile, nokubona ama-halos ezibonelweni.
Khumbula, ukungabikho kwezimpawu akusho ukuthi ukhulu e-glaucoma. Ukuhlolwa kwamehlo okuvamile yilona gcina lakho elihle kakhulu ngoba lungathola isifo ngaphambi kokuthi uqaphele noma yikuphi ukuguquka kokubona.
Kukhona izinhlobo eziningi ze-glaucoma, ngayinye ithonya amehlo akho ngendlela ehlukile. Ukuqonda lezi zinhlobo kusiza ekuchazeni ukuthi kungani izimpawu kanye nezinqubo zokwelapha zingase zihluke komunye umuntu komunye.
I-glaucoma evulekile yokuqala yilona uhlobo oluvamile, oluthonya abantu abangaba ngu-90% abane leli cala. Kulolu hlobo, imisele yokukhipha amanzi emehlweni yakho ivalekile kancane kancane, njengomsele onomthungo ovuliwe ingxenye. Amanzi aqala ukwakha kancane kancane, ekhuphula kancane kancane uxinzelelo futhi olimaza i-optic nerve.
I-glaucoma evaliwe yekona ivela lapho ikona yokukhipha amanzi ivaliwe ngokuphelele, ngokuvamile ngokuzumayo. Lokhu kwenza ukwanda okusheshayo kokucindezela kwamehlo futhi kudinga ukwelashwa okusheshayo. Abanye abantu banezikona ezincane zokukhipha amanzi ezibenza babe sengozini enkulu yalokhu.
I-glaucoma ye-tension evamile iyifomu eliyingozi lapho ukulimazeka kwe-optic nerve kwenzeka naphezu kokucindezela kwamehlo okuvamile. Abacwaningi bakholelwa ukuthi lokhu kwenzeka ngenxa yokungabi khona kokugeleza kwegazi ku-optic nerve noma ukwanda kokuzwa uxinzelelo.
I-glaucoma yesibili ithuthukiswa ngenxa yesinye isimo sokulimala kwamehlo, ukulimala, noma ukusetshenziswa kwemithi. Izimbangela zihlanganisa ukuvuvukala kwamehlo, imithi ethile efana ne-steroids, noma izinkinga ezivela ekushayweni kweswekile.
I-glaucoma ithuthukiswa lapho okuthile kuphazamisa ukugeleza okuvamile kwamanzi emehlweni akho. Amehlo akho akhiqiza njalo i-fluid ecacile ebizwa nge-aqueous humor, evame ukukhipha ngemisele emincane.
Lapho le sistim yokukhipha ingasebenzi kahle, i-fluid iqala ukwakha futhi ikhuphula uxinzelelo ngaphakathi kwamehlo akho. Ngokuhamba kwesikhathi, loxinzelelo oluphezulu lungalimaza uboya obuthambile be-optic nerve yakho. Cabanga ngakho njengoxinzelelo lwamanzi ohosini lokulinywa - uxinzelelo oluningi lungalimaza ihose ngokwayo.
Nokho, i-glaucoma ayikho njalo ngenxa yesisindo esiphezulu. Kwabanye abantu, i-optic nerve iyathinteka kalula ekubhujisweni, ngisho nasemazingeni esisindo esijwayelekile. Lokhu kungaba ngenxa yokungabi kahle kokujikeleza kwegazi enerve, izici zezofu ezwenza inerve ibe buthakathaka, noma ezinye izimo zempilo eziyisisekelo.
Izici eziningi zingase zifake isandla ezinkingeni zokopha amanzi emehlweni akho. Ukuguga kungenza iziteshi zokopha amanzi zingasebenzi kahle ngokuhamba kwesikhathi. Imithi ethile, ikakhulukazi ama-steroids, ingaphazamisa ukopha amanzi. Ukulimala kwamehlo noma ukuvuvukala kungavimba noma konakalise uhlelo lokopha amanzi.
Kwezinye izikhathi ezingavamile, abantu bazalwa benenkinga yokuthuthukiswa kohlelo lokopha amanzi emehlweni abo, okuholela e-glaucoma yobunye. Abanye abantu banezingqikithi zokopha amanzi eziyincane ngokwemvelo ezihambisana nokuvimba okungazelelwe.
Kufanele ubona udokotela wamehlo njalo ukuhlolwa kwe-glaucoma, ngisho noma ucabanga ukuthi umbono wakho uphelele. I-American Academy of Ophthalmology iphakamisa ukuhlolwa okuphelele kwamehlo unyaka noma emibili ngemva kweminyaka engama-40, nanyaka ngemva kweminyaka engama-65.
Nokho, izimo ezithile zidinga ukunakekelwa kwezokwelapha ngokushesha. Uma uhlangabezana nobuhlungu obukhulu, obukhulu emehlweni obuhambisana nokuhlunguluka kwekhanda, ukugula, noma ukugabha, funa ukunakekelwa okusheshayo ngokushesha. Lezi zingaba izimpawu ze-acute angle-closure glaucoma, engabangela ukulahleka kombono okungapheli emahoreni ambalwa uma ingalashwa.
Kufanele uxhumane nodokotela wakho wamehlo uma ubona noma yiziphi izinguquko ezihamba kancane embonweni wakho, njengokunzima okwandayo ukubona eceleni, izinkinga ngokubona ebusuku, noma amabala amasha aphithizelayo. Nakuba lezi zinguquko zingase zithuthuke kancane, ukutholwa kwangaphambi kwesikhathi nokuphathwa kungasiza ekulondolozeni umbono wakho osaleyo.
Ungalindi izimpawu ukuze zivele ngaphambi kokuhlela ukuhlolwa kwamehlo okujwayelekile. Abantu abaningi bathola ukuthi bane-glaucoma ngesikhathi sokuhlolwa okujwayelekile, isikhathi eside ngaphambi kokuba babe beqaphele noma yiziphi izinkinga zombono ngokwabo.
Izinto eziningi zingakwandisa amathuba akho okuba ne-glaucoma. Ukuqonda le mingceleko kuzokusiza wena nodokotela wakho ukuthi nibone ukuthi udinga ukuhlolwa nokulandelelwa kangakanani.
Ubudala buyinye yemingceleko eqinile kakhulu, i-glaucoma iba yinto evamile ngemuva kweminyaka engama-40. Ubungozi bakho buyaqhubeka bukhula ngeminyaka yonke. Umlando womndeni nawo udlala indima ebalulekile - ukuba nomzali noma umfowabo one-glaucoma kukwandisa ubungozi bakho kakhulu.
Nazi imingceleko ebalulekile okumele uyazi:
Ezinye imingceleko engavamile zihlanganisa i-sleep apnea, izikhathi zokukhathazeka, nokuqina kwegazi okuphansi. Ukuba nomunye noma ngaphezulu kwemingceleko akusho ukuthi uzoba ne-glaucoma, kodwa kusho ukuthi kufanele uqaphele kakhulu mayelana nokuhlolwa kwamehlo njalo.
Inkinga ebuhlungu kunazo zonke ye-glaucoma ukulahlekelwa umbono, okungaphulukiswa uma sekwenzeke. Yingakho ukutholakala kwangaphambi kwesikhathi nokuphathwa kubaluleke kakhulu ekulondolozeni ukubona kwakho.
Ukulahlekelwa umbono ngenxa ye-glaucoma kuvame ukulandela iphethini eqondakalayo. Ngokuvamile kuqala ngezindawo ezincane ezingabonakali embonweni wakho ophakathi, ongazingqapheli ekuqaleni. Ngokuhamba kwesikhathi, lezi zindawo ezingabonakali zingakhula futhi zihlangane, zidale izindawo ezinkulu zokulahlekelwa umbono.
Njengoba isifo siqhubeka, ungase uthole ukubona okulinganiselwe, lapho ubona kuphela phambili khona nje, ulahlekelwe ukubona eceleni ngokuphelele. Lokhu kungenza imisebenzi yansuku zonke njengokuqhuba, ukuhamba, noma ngisho nokufunda kube nzima futhi kube yingozi.
Ezigamekweni eziphambili, i-glaucoma ingabangela ukufuna kwamehlo okuthintekayo. Ithonya lokungaboni kahle ngokomzwelo nangokwengqondo lingaba likhulu, okungenzeka lihole ekudidekeni, ukukhathazeka, nokuhla kwekhwalithi yokuphila.
Abanye abantu bangase babe nezinkinga ezivela ekwelapheni, nakuba lezi zivame ukuba zingekho kakhulu kunokungaphathwa kwe-glaucoma. Amaconsi amehlo angabangela imiphumela emibi efana nobomvu, ukushisa, noma ukuguquka kombala wamehlo. Izindlela zokwelapha, nakuba zivame ukuphepha, zinezingozi ezincane zokutheleleka noma ezinye izinkinga.
Nakuba ungakwazi ukunqoba ngokuphelele i-glaucoma, ikakhulukazi uma unezici eziyingozi zezofu, kunezinyathelo eziningi ongazithatha ukuze unciphise ingozi yakho futhi uthole isifo ngokushesha lapho ukwelapha kuphumelela kakhulu.
Ukuhlolwa kwamehlo okuhleliwe okuhleliwe kuyithuluzi lakho elikhulu kunazo zonke lokuvimbela. Lezi zivivinyo zingabona i-glaucoma iminyaka ngaphambi kokuthi ubone noma yiziphi izimpawu, zikunikeze ithuba elihle kakhulu lokulondoloza ukubona kwakho ngokwelashwa kwasekuqaleni.
Ukugcina impilo enhle jikelele kuwasekela impilo yamehlo akho. Ukuzivocavoca okuvamile kungasiza ekuqedeni ukucindezeleka kwamehlo nokwenza ukugeleza kwegazi ku-optic nerve kube ngcono. Ukudla okunempilo okugcwele ama-greens leafy nama-omega-3 fatty acids kungase futhi kusekele impilo yamehlo.
Ukuvikela amehlo akho ekwenzakaleni kubalulekile, ikakhulukazi uma udlala imidlalo noma usebenza ezindaweni lapho kukhona izinto ezindizayo. Ukugqoka ukuvikelwa kwamehlo okufanele kungavimbela ukulimala okungase kube yimbangela ye-glaucoma yesibili.
Uma uthatha imithi ye-corticosteroid, sebenzisana nodokotela wakho ukuze uqaphe ukucindezeleka kwamehlo akho njalo. Ukusetshenziswa kwe-steroid isikhathi eside kungandisa ingozi ye-glaucoma, kodwa lokhu kungaphathwa ngokuqapha okufanele.
Ukuxilongwa kwe-glaucoma kuhilela ukuhlolwa okungapheli lusizi okuningi udokotela wakho wamehlo angakwenza ngesikhathi sokuhlolwa okuphelele kwamehlo. Akukho ukuhlolwa olulodwa olukhona ukuxilonga i-glaucoma ngokuqinisekile, ngakho-ke udokotela wakho uzosebenzisa ukuhlolwa okuhlanganisiwe ukuze athole umbono ophelele wezempilo yamehlo akho.
Isinyathelo sokuqala ngokuvamile ukulinganisa ukucindezeleka kwamehlo akho usebenzisa indlela ebizwa ngokuthi i-tonometry. Udokotela wakho angase asebenzise umoya omncane oqhuma emehlweni akho noma ithuluzi elincane elithinta isikhashana iso lakho ngemuva kokufakwa kwamaconsi okuqeda ubuhlungu.
Udokotela wakho uzobuye ahlole inzwa yakho yamehlo ngokubuka emehlweni akho ngezithuluzi ezikhethekile. Bafuna izimpawu zomonakalo njengokuqhekeka noma ukuncipha kwenuzwa. Izithombe zenzwa yakho yamehlo zingathwebulwa ukuze kulandelelwe noma yiziphi izinguquko ngokuhamba kwesikhathi.
Ukuhlolwa kwesigaba sokubona kuqopha ukubona kwakho okungaphandle ukuze kutholakale noma yiziphi izindawo eziphithizelayo. Ngalesi sihloko, uzobheka phambili ngenkathi izibani zikhanya ezindaweni ezahlukene zokubona kwakho, futhi uzocindezela inkinobho lapho uzibona.
Ukuhlolwa okwengeziwe kungafaka ukulinganisa ubukhulu be-cornea yakho, ukuhlola ingxenye yokophamelana yeso lakho, nokudweba izithombe ezinemininingwane yenzwa yakho yamehlo ne-retina. Lokhu kuhlolwa kusiza udokotela wakho ukuthi angabona ukuthi awunayo i-glaucoma, kodwa futhi uhlobo lwayo nokuthi luthuthukile kangakanani.
Ukuphathwa kwe-glaucoma kugxile ekuthobeni ukucindezeleka kwamehlo ukuvimbela umonakalo owengeziwe enzwini yakho yamehlo. Nakuba singakwazi ukubuyisela ukubona okulahlekile kakade, ukwelashwa okulungile kunganciphisa noma kuyeke ukuncipha kokubona okwengeziwe kubantu abaningi.
Amaconsi amehlo ngokuvamile yiyona ndlela yokuqala yokwelapha futhi asebenza ngokunciphisa ukukhiqizwa kwezinto ezinwetshiwe emehlweni akho noma ngokuthuthukisa ukophamelana. Ungase udinga ukusebenzisa uhlobo olulodwa noma izinhlobo eziningi zamaconsi nsuku zonke. Kubalulekile ukuwasebenzisa ngokuqondile njengoba kulotshiwe, ngisho noma ungazizwa yizimpawu.
Uma amaconsi amehloni engalawuli ngokwanele ukucindezeleka kwamehlo akho, udokotela wakho angase akukhuthaze ukwelashwa nge-laser. Lezi zinqubo zingathuthukisa ukuphuma kwamanzi noma kunciphisa ukukhiqizwa kwamanzi emehlweni akho. Iningi lezokwelapha nge-laser lenziwa ehhovisi futhi liyande futhi liyamnene.
Ukuhlinzwa kuba yilona khetho uma imithi ne-laser therapy zinganelisi. Ukuhlinzwa kwendabuko kudala umzila omusha wokukhipha amanzi ukuze aphume emehlweni akho. Izindlela ezintsha zokwelapha ezingena kakhulu zingathuthukisa nokuphuma kwamanzi ngesikhathi esincane sokuphulukisa.
Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezidingo zakho ezikhethekile zohlobo lweglaucoma, ukuthi luthuthukile kangakanani, nokuthi uphendula kangcono kanjani ezinye izindlela zokwelapha. Imihlangano yokuqapha njalo kubalulekile ukuqapha intuthuko yakho nokulungisa ukwelashwa njengoba kudingeka.
Ukuphatha i-glaucoma ekhaya kubandakanya ikakhulu ukuthatha imithi yakho ebekiwe njalo nokwenza izinqumo zokuphila ezisekela impilo yamehlo akho. Umkhuba wakho wansuku zonke udlala indima ebalulekile ekulondolozeni umbono wakho.
Ukuthatha amaconsi akho amehlo ngokuqondile njengoba kuqokiwe yilokho okubaluleke kakhulu ongakwenza. Yenza umkhuba okusiza ukuba ukhumbule, njengokuthatha amaconsi ngesikhathi esifanayo nsuku zonke noma ukusebenzisa uhlelo lokusebenza lokukhumbuza imithi. Uma unesinkinga ngamaconsi, ungayeki ukuwasebenzisa - xoxa nodokotela wakho ngezinye izindlela.
Ukuzivocavoca okuvamile, okulinganiselwe kungasiza ekuqedeni ukucindezeleka kwamehlo ngokwemvelo. Imisebenzi efana nokuhamba, ukubhukuda, noma ukujika ibhayisikili imizuzu engama-30 izinsuku eziningi zeviki ingaba usizo. Noma kunjalo, gwema imisebenzi ebandakanya izikhundla ezihlala phansi, njengoba lezi zingase zikhulise ukucindezeleka kwamehlo okwesikhashana.
Ukudla ukudla okunempilo okugcwele imifino eluhlaza, izinhlanzi, nemifino nemifino enezimbali kungase kusekele impilo yamehlo jikelele. Ukugcina umzimba uqinisile kubalulekile, kodwa gwema ukuphuza amanzi amaningi ngokushesha, njengoba lokhu kungabangela ukwanda okwesikhashana kokucindezeleka kwamehlo.
Vivikela amehlo akho ekulimaleni ngokugqoka izibuko zokuphepha ezifanele ngesikhathi semisebenzi eyingozi. Futhi, qaphela imisebenzi engase ihilele ukushintsha okungazelelwe kokucindezela, njengokuzama amanzi noma izikhundla ezithile ze-yoga.
Ukulungiselela i-aphoyintimenti yakho ye-glaucoma kusiza ukuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho nokuthi udokotela wakho uneyonke imininingwane edingekayo ukuze anikeze ukunakekelwa okuhle kakhulu.
Ngaphambi kwe-aphoyintimenti yakho, buza ulwazi mayelana nomlando wezempilo yamehlo yomndeni wakho, ikakhulukazi noma yimiphi izihlobo eziye zaba ne-glaucoma noma ezinye izifo zamehlo. Yenza uhlu lwawo wonke amaphilisi owathatha, kufaka phakathi amaphilisi okuthengwa ngaphandle kwesikripthi kanye nezinye izinto, njengoba amanye angathinta ukucindezeleka kwamehlo.
Bhala phansi noma yiziphi izimpawu noma ukushintsha kokubona okuye wakubona, ngisho noma kubonakala kuncane. Faka lapho kwaqala khona, ukuthi kwenzeka kangakanani, nokuthi yini eyenza kube ngcono noma kubi. Phawula futhi noma yimiphi imibuzo ofuna ukuyibuza udokotela wakho.
Uma uqopha ama-lenses wokuxhumana, kungase kudingeke ukuthi uwasushe ngaphambi kokuhlolwa okuthile, ngakho-ke letha izibuko zakho njengokusiza. Hlela ukuthi abafundi bakho banwebe ngesikhathi sokuhlolwa, okungenza ukubona kwakho kuhlale kuhlasimule isikhathi eside ngemuva kwalokho. Cabanga ngokuhlela ukuthutha ekhaya uma kudingeka.
Letha uhlu lwama-eye drops akho wamanje nanoma yimiphi imiphumela yokuhlolwa yangaphambili evela kwabanye odokotela bamehlo. Lolu lwazi lusiza udokotela wakho ukulandelela ukushintsha esimweni sakho ngokuhamba kwesikhathi futhi ugweme ukuphinda ukuhlolwa okungadingeki.
Into ebaluleke kakhulu okumele uyiqonde nge-glaucoma ukuthi ukutholakala kwangaphambi kwesikhathi nokuphathwa okuqhubekayo kungagcina ukubona kwakho impilo yonke. Nakuba isifo ngokwalo singelapheki, singaphathwa kahle uma sibanjwe ngokushesha.
Ungalindi ukubona izimpawu ngaphambi kokubona udokotela wamehlo. Ukuhlolwa kwamehlo okuhleliwe okuhleliwe yilona luvikelelo oluhle kakhulu lokulahlekelwa ukubona okuvela ku-glaucoma. Uma uthola ukuthi une-glaucoma, ukulandela uhlelo lwakho lokwelashwa njalo kukuhlinzeka ngethuba elihle kakhulu lokugcina umbono wakho.
Khumbula ukuthi ukuba ne-glaucoma akusho ukuthi uzophulukana nokubona. Ngokwelashwa wanamuhla kanye nokuzimisela kwakho ukunakekelwa, abantu abaningi abane-glaucoma bagcina umbono oluwusizo ekuphileni kwabo konke. Hlala uqine, hlala uqine ekwelapheni, futhi ugcine ukuxhumana okuvulekile neqembu lakho lokukhathalela amehlo.
Okwamanje, ayikho imithi ye-glaucoma, kodwa ingalawulwa kahle ngokwelashwa okufanele. Umgomo ukunciphisa ukulahlekelwa umbono ngokunciphisa ukucindezeleka kwamehlo. Nakuba singakwazi ukubuyisela umbono oselulahlekile, ngokuvamile singayimisa noma siyinciphisa kakhulu imiphumela engeziwe. Abantu abaningi abane-glaucoma bagcina umbono omuhle ekuphileni kwabo konke ngokwelashwa okuqhubekayo.
IGlaucoma inenzuzo yezakhiwo, futhi ukuba nomuntu womndeni one-glaucoma kukwandisa ingozi yabantwana bakho ngokuphindwe ka-4 kuya ku-9. Noma kunjalo, lokhu akusho ukuthi bayothola leyo simo. Indlela engcono kakhulu ukuqinisekisa ukuthi amalungu omndeni wakho enza ukuhlolwa kwamehlo okujwayelekile, ikakhulukazi ngemuva kweminyaka engama-40, ukuze noma iyiphi i-glaucoma itholakale futhi iwelashwe ngokushesha uma ithuthuka.
Abantu abaningi abane-glaucoma bangqhubeka beshayela ngokuphepha, ikakhulukazi ezingxenyeni zokuqala zesifo. Noma kunjalo, njengoba umbono ophakathi uyancipha, ukushayela kungaba inselele noma kungaphephile. Udokotela wakho wamehlo angahlola insimu yakho yokubona futhi akuqondise mayelana nokuphepha kokushayela. Abanye abantu bangase badinge ukulinganisela ukushayela emini noma ezindleleni abaziyo njengoba isimo siqhubeka.
Njenganoma yimiphi imithi, amaconsi amehlo eglaucoma angaba nemiphumela emibi, yize kungekho bonke abantu abayithola. Imipumela emibi evamile ihlanganisa ukushisa okwesikhashana, ubobu bombala, noma ukubona okungacace kangako ngemuva nje kokusebenzisa amaconsi. Amanye amaconsi angabangela ukushintsha kombala wamehlo, ukukhula kwezinwele zezinwele, noma ukuphazamisa izinga lenhliziyo yakho noma ukuphefumula. Uma uhlangabezana nemiphumela emibi ephazamisayo, xoxa nodokotela wakho ngemithi ehlukile kunokuba uyeke ukwelashwa.
Uma usuqalile ukuxilongwa neglaucoma, ngokuvamile uzodinga ukuhlolwa kwamehlo njalo ezinyangeni ezintathu kuya kweziyisithupha, kuye ngokuthi isimo sakho silawulwa kangcono kangakanani. Phakathi kwesigaba sokwelashwa sokuqala, ungadinga ukuvakasha okuvamile ukuqinisekisa ukuthi ukucindezeleka kwamehlo wakho kuphendula kahle ekwelapheni. Njengoba isimo sakho siqina, ukuvakasha kungase kuhlukaniswe kude, kodwa ukulandelela okuqhubekayo kubalulekile ukuphila.