Neovascular glaucoma inogona kuparadza rudzi rwe glaucoma runogona kukonzera bofu kana isingarapwa nokukurumidza. Neovascular glaucoma inorondedzerwa sechipiri glaucoma, sezvo inokonzerwa nemamwe mararamiro. Vanhu vazhinji vanovandudza glaucoma inovandudza chirwere ichi zvishoma nezvishoma, pamusoro pemakore emakore. Zvisinei, neovascular glaucoma inogona kuitika kamwe kamwe.
Ndiani ari pangozi?
Vanhu vari pangozi yakawanda yekukura kwemaoacoma inonzi glaucoma inosanganisira avo vane chirwere cheshuga , huwandu hweropa, high cholesterol, kana chimwe chinetso chemwoyo. Vanhu vazhinji vane zvirwere zvehutachiona zvekare zvinotakura.
"Glaucoma Yemazuva 90"
Neovascular glaucoma dzimwe nguva kunonzi "90-day glaucoma" nokuti inowedzera pedyo nemasikati makumi mapfumbamwe pashure peimwe rudzi rwechiitiko chinonzi ischemic vascular. Chiitiko chinonzi ischemic vascular chiitiko chiitiko icho mishonga inogona kukurumidza kushayikwa kushayikwa kweropa kana kupera kunonoka kweropa uye oxygen kune imwe nzvimbo. Vanhu vakawanda vane majocoma ane mishonga inokonzerwa nehutachiona huchaita chimwe chezviitiko zvakapfuura:
- anoshanda chirwere cheshuga chetinopathy
- carotid artery disease
- retinal blood blood vessel occlusion
- retinal detachment
Mushure mekuitika kwechikafu, mashizha anokurumidza kupera oksijeni. Nhengo dziri muziso dzinotumira zviratidzo kuti dzikure mitsva yeropa itsva (chirongwa chinonzi neovascularization) muchiedza kuunza oksijeni uye kudya kune zvisikwa.
Zvisinei, mitsva iyi yeropa inokanganisa uye isina simba uye inowanzoita kuti ropa richeke. Iyi mhinduro inounza zvirwere zvemuviri zvinokonzera kuvhiringidza.
Nemhaka yokuti kumucheto kwe iris yakazara nemidziyo yeropa, idzi itsva mitsva yehuta inotanga kukura imomo. Mitsva itsva inowedzera kuburikidza nemudzidzi uye kuenda kune imwe nzvimbo yekutanga ye iris uye pakupedzisira mumakona eziso, apo cornea inosangana ne iris.
Nzira yeziso inoshandisa meshwork inoshandiswa, iyo inopinza pipe yemhando iyo inosvina uye inopisa intraocular fluid mukati meziso.
Iyi mitsva yeropa itsva nemamwe mavara anogadzirisa achavhara pipe iyi uye inokonzera kuvharwa kwekona. Apo kona inoguma, dambudziko reziso rinova rakakwirira kwazvo, zvichiita kuti maziso asingaoneki uye ziso rvuku, rinorwadza. Zvinotora mazuva makumi mapfumbamwe kuti chirongwa ichi chiitike-saka zita rokuti "90-day glaucoma."
Kukurumidza Kurapa
Kukurumidzira, kurapa kunorwadza kunodiwa kuti urege kupofumadza. Neovascular glaucoma inobatwa nekuderedza kushanda kwemaziso nokukurumidza uye kuderedza kuputika. Kana kuputika kuchiitika munharaunda yapamberi yeziso, mavara acho anova akaoma, zvichikonzera zvimwe zvinetso. Pangopera kusuruvara nekuputika zvishoma, vanachiremba vazhinji vanoita pan-retinal photocoagulation (PRP). PRP yakapararira kuvhiringidzika kwetina retina kuparadza ischemic retina kuitira kuti mitsva yeropa idzva irege kuwedzera. Izvi zvinowanzokonzera kuderedzwa kwemidziyo yeropa. Nokuti PRP inoparadza chikamu chetina, varwere vangave vakaderera purogiramu yemhepo . Kazhinji kazhinji, chiratidzo chekati chinoramba chichigadzikana.
Shoko Rinobva
Mishonga mitsva inotanga kushandiswa nevanodzidza retinal, iyo inosanganisira zvinodhaka zvinotyisa, zvakadai seAvastin.
Iyi mishonga inogadzirisa maitiro ezvirwere zvekudzivirira zvirwere zvemashure ekumira mutezo wemvura uye kukura. Zvidzidzo zvakaratidza kusarudzwa kwakakurumidza kwemidziyo iyi asi dzimwe nguva mamiriro acho achadzoka zvakare kana chinokonzera chikonzero chisingatauri. Nemhaka yeizvi, antiangiogenic zvinoshandiswa pamwe chete ne PRP. Kungoti maziso eziso ari kubatwa, chinokonzera chikonzero chinofanira kutariswa, chinowanzoshuga cheshuga, hypertension, carotid arteri chirwere, kana zvimwe zvinetso zvepascular.
Kunobva:
Supplement to Review of Optometry, The Handbook of Ocular Disease Managment, Chirevo chechitatu. Neovascular Glaucoma, pp. 36A-38A, 15 Apr 2011.