Tsoka ilo palibe palibe mankhwala ochiritsira. Kuwoneka bwino komwe kunatayika chifukwa cha glaucoma sikungabwezeretsedwe. Cholinga cha chithandizocho ndicho thandizani or CHEDWERANIKO PANG'ONO ndi kuwonongeka kotsatira. Kuchita izi, nthawi zambiri, kudzakhala nkhani yochepetsera kupanikizika mkati mwa diso mwa kuwongolera kufalikira kwa nthabwala zamadzimadzi.

THEophthalmologist, dokotala wosamalira maso, adzakhazikitsa ndondomeko ya chithandizo ndikuwunika masomphenya nthawi zonse. Njira zomwe zingatheke ndi monga madontho a maso, mankhwala amkamwa, chithandizo cha laser, ndipo, ngati pakufunika, opaleshoni. Nthawi zambiri, mankhwala ayenera kumwedwa moyo wonse.

Ngati choyambitsa glaucoma chikudziwika, ndikofunikira kuchiza. Komanso, mankhwala a corticosteroid omwe amaperekedwa m'maso amatsutsana ndi anthu omwe ali ndi glaucoma. Choncho ndi bwino kuti musayambe kapena kusiya mankhwala amtunduwu. Nthawi zina, kugwiritsa ntchito kwawo sikungapeweke. Ndiye ndikofunikira kupeza kutsatiridwa bwino kwambiri ndi ophthalmologist.

Kwa glaucoma yotseguka

Madontho a m'maso (madontho a m'maso)

Amachepetsa kupanikizika m'maso. Madontho amaperekedwa pafupipafupi chifukwa amayambitsa zovuta zoyipa poyerekeza ndi mankhwala omwe amamwa pakamwa.

Mitundu ingapo ya madontho a maso amagwiritsidwa ntchito. Zina mwazofala ndizo beta blockers, ndi alpha-adrenergic mankhwala, ndi prostaglandin analogues, ndi carbonic anhydrase inhibitors ndi miotics. Ambiri mwa mankhwalawa amagwira ntchito pochepetsa kutulutsa kwa nthabwala zamadzi m'maso ndikuwonjezera kutulutsa kwake.

The zotsatira zoyipazi amasiyana kuchokera ku mtundu wina wa gout kupita ku mtundu wina. Izi zikhoza kukhala, mwachitsanzo, pakamwa pouma, kutsika kwa magazi, kutsika kwa mtima, kukwiya kwa maso, kufiira m'maso, kapena kutopa. Ndibwino kuti mudziwitse dokotala za zotsatira zilizonse zomwe zimachitika, ngati zilipo.

Ndikofunika kutsatira mlingo mosamala. Mankhwalawa ndi othandiza kwambiri, ngati amatsatiridwa tsiku ndi tsiku komanso kwa moyo.

Mankhwala apakamwa

Ngati madonthowo sakuchepetsa mokwanira kuthamanga kwa intraocular, zomwe ndizosowa, mankhwala amkamwa amatha kuperekedwa (mwachitsanzo, carbonic anhydrase inhibitors). Komabe, mankhwalawa amayambitsa zotsatirapo nthawi zambiri komanso zomveka kuposa madontho a maso.

Chithandizo cha Laser

Izi, zomwe zimatchedwa trabeculoplasty, ndizofala kwambiri. Itha kuperekedwanso musanagwiritse ntchito madontho amaso. Zitha kuchitikanso ngati glaucoma ikukulirakulirabe ngakhale akulandira chithandizo kapena ngati mankhwala saloledwa bwino.

Chithandizo cha laser ichi ndicholinga chothandizira kufalikira kwa nthabwala zamadzi m'maso. Kulowererapo sikupweteka komanso mwachangu: kumachitika mumphindi imodzi kapena ziwiri za mphindi ziwiri. Mtengo wa laser umalunjika pa trabeculum (onani chithunzi chamkati mwa diso pamwambapa). Sizikudziwika chifukwa chake amachepetsa kuthamanga.

Ngakhale njira ya laser itachitidwa, chithandizo chamankhwala (nthawi zambiri madontho a maso) chiyenera kutsatiridwa kwa moyo wonse.

Opaleshoni yakale

Opaleshoni yamaso imeneyi imatchedwa trabeculectomy. Kuchitapo kanthu kumafuna kupanga njira yatsopano yotulutsira nthabwala zamadzimadzi, pochotsa kachigawo kakang'ono ka trabeculum. Kuyika mapaipi kumachitika pafupipafupi. The chubu amatsogolera amadzimadzi nthabwala mu mosungira kuseri kwa diso. Pafupifupi 80 peresenti ya anthu omwe amachitidwa opaleshoniyi safunanso madontho a m'maso pambuyo pake.

Mitundu ina ya maopaleshoni ili mkati kuyesera. Pambuyo pake, amatha kusintha trabeculectomy. Komabe, padzatenga zaka zingapo kuti tidziwe momwe angagwiritsire ntchito bwino. Zitsanzo zikuphatikizapo Canalostomy, Ex-Press®, Canaloplasty, Gold Implant, Glaukos iStent®, ndi Trabeculotome.

Kwa glaucoma yopapatiza

Un chithandizo chamwadzidzidzi chofunika. Timagwiritsa ntchito zingapo Mankhwala kuchepetsa msanga kuthamanga kwa intraocular.

Kupanikizika kukatsitsidwa, ndibwino kuti mutsegule njira yodutsa mu iris, pogwiritsa ntchito cheza laser. Izi zimatchedwairidotomy msewu wa mphete. Mankhwalawa amalola kutuluka kwa nthabwala zamadzimadzi, pofuna kupewa kubwereza. Madontho a anesthesia amayamba kugwiritsidwa ntchito m'maso, monganso lens (yochotsedwa pambuyo pa chithandizo). Pambuyo pa chithandizo, madontho odana ndi kutupa amalembedwa ndipo ayenera kugwiritsidwa ntchito m'maso kwa masiku angapo. Mankhwala ena angafunike.

Kwa congenital glaucoma

Ndizo opaleshoni amatha kukonza mtundu uwu wa glaucoma. Amachitidwa kuyambira masabata oyambirira a moyo.