Mibvunzo Yekubvunza Cataract Yenyu Yakavhiya

Zvinogona kuva chinhu chinotyisa kutarisana nekuvhiyiwa kwechirwere. Ichokwadi, vanachiremba vemaziso vakawanda vanoda chidzidzo pamubhedha. Vanachiremba vemaziso vanopinda mukukurumidza kukuru uye vanoudza varwere avo vanoda chirwere checataract kuti vavandudze maonero avo vasina kutsanangura zvakananga cataract uye kuti chirwere checataract chinodini.

Chirwere chetachiona ndechekuvhara kwemaziso emeso. Kusuruvara ndiyo inokonzera kukanganisa pakati pevanhu vakwegura kupfuura 55. Vazhinji vakwegura vane imwe yero ye lens clouding, iyo inowanzoita chikamu chekukwegura. Chirwere chetachiona chakafanana nekutarisa nepawindo rezhenje. Nharo dzinowanzokura zvakanyanya zvokuti hauzoni kuchema kwemaonero ako. Kusuruvara kunogona kukonzera iwe unoda zvakawanda zvakanyanya chiedza kuti uverenge. Vanhu vane chirwere vanowanzonyunyutira nezve glares uye halos kumativi ose apo vari kutyaira usiku. Dzimwe nguva usiku hwokufambisa kunenge kusingaiti.

Kana uri kufunga nezvekuvhiyiwa kwechirwere, iva nechokwadi chekuita tsvakurudzo yako kuitira kuti uzive chii chaunotarisira. Kutevera mibvunzo mishanu yekubvunza chiremba wako asati aita chirwere chako chechipatitis.

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Ndichati Ndizive Kana Inguva YeCataract Surgery?
Getty Images / Thomas Northcut

Mhinduro yemubvunzo uyu mune dzimwe nzira iri nyore: kana iwe uchinzwa kuti chiratidzo chako hachina kunaka sezvaunoda kuti chive. Munyika chaiye, dzimwe nguva zvakaoma kutaura nguva iyo. Nharo dzinowanzokura zvishoma nezvishoma saka hazvisi nyore nguva dzose kutaura. Kumbira chiremba wako kuti huwandu hwehuwandu hwehutarisiro hwako ndehupi. Imwe nzira yekuyera huwandu hwekuona ndeyekuwana kuti chii chakanakisisa chawakaratidza kuona acuity. Izvi zvinoreva kunyatsoona kuti chiratidzo chako chakanaka sei nekugadzirisa magirazi kana kuti mashizha. Izvi zvichakupa pfungwa yekuti zvakaipa zvako zvakashata zvakadini. Maziso anowanzoona 20/20. Kana maonero ako ari 20/60, iyo yakawanda kakawanda kupfuura yakajairika. Unhu hwekuona kwako hunogona kuyerwa nehuwandu hweBAT. BAT ichafananidza kuti maonero ako ndeapi apo unotarisana nemakumbo paunenge uchityaira usiku. Iwe unogona kunge une 20/25 zvakanakisisa kururamiswa, asi kana uchienzaniswa neuyu kuongorora kweBAT, chiratidzo chako chinogona kudonhera kusvika 20/100.

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Ndechipi Chine Chokuvhiya Ndichange Ndine?
Mumwe chiremba anoshandisa zvigadzirwa zvokuvhiya kuti abvise lens kubva muziso remurwere ane cataract. Getty Images / MedicImage

Makore mashomanana apfuura, uyu waiva mubvunzo wakajeka. Nenzira, vanhu vazhinji vaiva nechirwere chechipatara ne phacoemulsification. Nzira yacho yakagadziriswa uchishanda nekasi kadiki yekutanga kusungirirwa, inoteverwa nenzira inotungamirirwa ne phacoemulsifier. A phacoemulsifier isimbi inonzi ultrasound iyo inodedera pamusorosoro wakadaro iyo cataract iri emulsified kana kuputika muzvimedu zviduku uye zvakanyatsotorwa kubva muziso. Kufambira mberi kusvika muna 2011 apo FDA yakabvuma "chirwere chemalasi cataract" kana kuti kunyanya, "femtosecond laser cataract surgery." Mune chirwere chema-cataract chirwere, chiremba anovhiya anogona kutarisa mufananidzo wakakurumbira, wakagadziriswa wakapiwa kwaari kana chikwata chakagadzirwa muOCT. A incipiral incision inogona kuve yakarongeka pasina kutora chiitiko chechiremba. Izvi zvinonzi laser-designed incision ndezvokuchengeteka uye zvisimbiso zviri nani kupfuura chiremba chinogadzirwa nechiremba.

Hapana mubvunzo kuti mumaoko emajoka akareruka chirwere chechiremba, chirwere chemalasi cataract chirwere chakanakisisa uye chakanaka. Zvisinei, nokuda kwehutachiona, vamwe vanhu havagoni kuita chirwere checataract chirwere. Phacoemulsification ichiri nzira yakakwirira kwazvo yekuita chirwere checataract. Chikamu chechisarudzo chako chichave chakavakirwa pamutengo, sezvo Medicare uye makambani ehurumende yveshuwarisi haafaniri kuvhara chirwere checataract chirwere.

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Ndeipi Mhando YeLens Inoshandiswa Ichaiswa Muziso Rangu?
Intraocular (artificial) lens pamunwe wakagadzirwa. Getty Images / GIPhotoStock

Iyi ndiyo imwe nzvimbo umo kukurukurirana kukuru kunofanira kuitika pakati pevarwere uye chiremba. Mubvunzo uyu unonyanya kukoshesa mararamiro ako kupfuura optics. Unoshandisa sei maziso ako zuva nezuva? Ndezvipi zvinokosha zvaunoda? Iwe uri mufananidzo-Unhu huri pane zvakakosha zvakakosha kwauri? Zvakakosha nokuti chiremba wako anogona kunyanya kuisa chiratidzo chako paunenge uchida. Iwe unoda kuva wakakwana, magirazi-asina kurega maonero uye ovhara magirazi ekuverenga zvishoma, kana zvakasiyana?

Zvakare, nguva dzakashanduka. Iye zvino vanhu vane sarudzo yekuita kuti chiremba chiremba aise majekiti akawanda emukati mavara epraocular. Izvi zvinoreva kuti iyo inogadzirwa ichaedza kuendesa kure yakakwirira kurema, chiratidzo chepakati nepamwe pedyo nekuona isina magirazi. Kunyange zvazvo teknolojia yepamusoro yakawanda iri mberi, vanachiremba vakawanda vanoona kuti murwere anonzwisisa kuti hapana chivimbiso chokuti vachave nezviratidzo zvachose zvisina magirazi.

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Chii Changu Ngozi Yangu Zvinetso Zvinogona Kuitika?
Getty Images / Brad Wilson

Kuvhiya kwechirwere yese kune ngozi dzehutachiona, ropa, uye retinal detachment. Zvisinei, vamwe vanhu vanogona kunge vane ngozi yakawanda yezvinetso izvi kupfuura vamwe. Semuenzaniso, vanhu vanonyanya kutarisa vane njodzi yakakura yokuva necheti retina munguva yeupenyu hwavo kupfuura munhu asingatarisirwi. Apo vanachiremba vane chirwere chinonyanya kukanganisa, vanogona kutora matanho chaiwo kana kuti vane nyanzvi yekudzidzira retinhare pafoni kana zvinetso zvichiitika. Imwe muenzaniso inogona kuva murwere ari kutora ropa rakapfava kana anti-coagulant kune zvinetso zvemoyo. Ava varwere dzimwe nguva vanokumbirwa kusiya mishonga iyi kwemazuva mashomanana vasati vavhiyiwa.

> Kwakabva:

> Kuchengetedzwa kweMukuru Murefu neCataract, Optometric Clinical Practice Guideline, AMERICAN OPTOMETRIC ASSOCIATION, 243 N. Lindbergh Blvd., St. Louis, MO 63141-7881, 1995, Yakadzokororwa 2004