We yu tink bɔt fɔ pul yu yay kpatakpata, dat kin mek yu shek, nɔto so? I at fɔ imajin. Bɔt sɔntɛnde, bikɔs yu de fil pen we yu nɔ go ebul fɔ bia, yu gɛt bad bad sik, ɔ yu gɛt siriɔs aksidɛnt, yu yay kin sev. Dis na we dɔktɔ dɛn kin tɔk bɔt di ɔpreshɔn we dɛn kɔl ‘Evisceration’. Pan ɔl we di nem kin tan lɛk se yu de mek yu fred, we yu dɔn no gud gud wan wetin i bi ɛn wetin mek dɛn de du am, yu fred go dɔn. So lɛ wi tɔk bɔt am ditayli.
Fɔ tɔk am simpul wan, wetin na Evisceration?
Evisceration nɔto ɔpreshɔn we de pul di yay kpatakpata. I min se yu fɔ ɔpreshɔn fɔ pul di tin dɛn nɔmɔ we de insay yu yay. Bɔt di wayt pat na di yay, we na di sklera , ɛn di mɔsul dɛn we de muv di yay, dɛn kin lɛf am.
Tink bɔt wan kokonat. We wi grat kokonat, na di kernel nɔmɔ wi kin pul ɛn lɛf di kokonat shel, nɔto so? Na dat de apin na ya bak. wi de pul di insay pat dεm na di kεnεl, lεf di כta "shεl" fכ di kεnεl.
Afta di dɔktɔ dɔn pul di insay pat pan di yay dis we, i kin put spɛshal tin we tan lɛk bɔl insay di ɛmti ples. Dis kin ɛp fɔ mek di yay kɔntinyu fɔ gɛt di natura shep. Dɔn, we yu dɔn wɛl, yu kin gɛt prɔstɛtik yay we go luk rili natura if yu want. Dis na ay we rili dilik, we gɛt kɔlɔ ɛn we tan lɛk yu ɔda yay.
Wetin mek yu nid fɔ du dis kayn ɔpreshɔn?
Dɔktɔ go jɔs tɛl yu fɔ du dis kayn ɔpreshɔn we ɔda tin nɔ de ɛn i rili nid fɔ du am. Dis kin bi bikɔs ɔf dɛn rizin ya:
- Sivεr ay infεkshכn (endophthalmitis): Sɔntɛnde, wan rili siriɔs infεkshɔn kin kam insay di yay. If dɛn nɔ ebul fɔ kɔntrol dɛn tin ya wit antibayɔtik we dɛn kin yuz ɔltɛm , di sik kin go ɔlsay na di yay ɛn ivin insay di bren. If na so i bi, dɛn kin du dis ɔpreshɔn fɔ pul di pat dɛn we gɛt di sik.
- Siriɔs injury na di yay: We sɔntin shap go insay di yay ɛn mek i pwɛl bad bad wan, di yay nɔ go ebul fɔ sev.
- Yay we blaynd ɛn we de mek i fil pen: Sɔm sik dɛn we pɔsin kin gɛt kin mek i nɔ ebul fɔ si igen. Bɔt if pen de we pɔsin nɔ go ebul fɔ bia ɛn we de kɔntinyu fɔ de, dis ɔpreshɔn na di bɛst sɔlv fɔ pul da pen de.
- Di yay we de shrink ( Phthisis bulbi) .): Dɛn kin kɔl dis bak ‘ɛnd-stej ay’. Dis na di say we di yay kin smɔl smɔl, i nɔ kin wok, ɛn i kin chenj di we aw i luk. Dɛn kin yuse dis ɔpreshɔn fɔ avɔyd di pen ɛn chenj na di we aw pɔsin de luk we kin apin pan dis sik.
Aw yu kin pripia bifo dɛn du yu ɔpreshɔn?
I rili impɔtant fɔ rɛdi yusɛf fayn fayn wan bifo yu du ɔpreshɔn lɛk dis.
1. Mit wit di Ocularist: Bifo di ɔpreshɔn, i fayn fɔ mit ɛn tɔk to di spɛshal pɔsin we go mek yu atifishal yay (Ocularist). Dis we ya, i kin tek tɛm wach tin dɛn lɛk di kɔlɔ ɛn shep we yu ɔda yay gɛt ɛn tek di mɛzhɔmɛnt dɛn we i nid fɔ di atifishal yay we dɛn go mek leta.
2. Fɔ tɔk to yu dɔktɔ: Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, ivin di vaytamɛn dɛn. Ɛspɛshali if yu de tek antikoagulant , yu dɔktɔ go advays yu ɔmɔs dez bifo di ɔpreshɔn yu fɔ stɔp fɔ tek am. Nɔ ɛva stɔp fɔ tek ɛni mɛrɛsin we yu nɔ aks yu dɔktɔ.
3. Fastin: Di de bifo di ɔpreshɔn, yu fɔ stɔp fɔ it ɛn drink fɔ as lɔng as yu dɔktɔ tɛl yu. Dis kin bi 6-8 awa bifo di ɔpreshɔn.
4. Sɔmbɔdi fɔ kɛr yu go na os: Dis ɔpreshɔn na ɔutpatient prosidur, so yu kin go na os di sem de. Bɔt bikɔs dɛn de gi yu anestezi , yu nɔ go ebul fɔ drayv ɔ go na os yu wan. Yu go mɔs nid pɔsin ɔ yu padi fɔ kɛr yu go na os.
Aw dɛn kin du di ɔpreshɔn
Bɔku tɛm, dis ɔpreshɔn kin tek lɛk wan ɔ tu awa so. Afta dɛn kɛr yu go na di ɔpreshɔn rum, dɛn go gi yu jenɛral anestesia, ɔ lokal anestesia, ɛn mɛrɛsin fɔ ɛp yu fɔ rilaks.
Di dɔktɔ tek tɛm pul di insay pat pan di yay, ɛn lɛf di wayt ɔda layt (sclera) ɛn di mɔsul intakt. Dɔn, dɛn kin put di implant we tan lɛk bɔl fɔ mek di yay kɔntinyu fɔ shep.
Afta dɛn dɔn du di ɔpreshɔn, dɛn kin put wan tɛmporari plastic flap we dɛn kɔl kɔnfɔma fɔ mek di ples bitwin di aylid dɛn kɔntinyu fɔ de ɛn fɔ mek di atifishal yay we dɛn go put leta fit bɛtɛ. Sɔntɛnde, di dɔktɔ kin lɔk di aylid fɔ sɔm tɛm wit stich. Fɔ dɔn, dɛn kin put prɛshɔn bɛnd na di yay fɔ mek i nɔ blɔd ɛn fɔ mek i nɔ swel.
Wetin kin apin afta di ɔpreshɔn?
Afta di ɔpreshɔn, dɛn go gi yu sɔm tɛm fɔ rɛst ɛn afta dat dɛn go alaw yu fɔ go na os afta yu wek frɔm di anestezi. Na sɔm tin dɛn we yu fɔ mɛmba afta yu dɔn go na os:
- Di mɛrɛsin fɔ mɛn pen ɛn antibayɔtik: Yu dɔktɔ go gi yu mɛrɛsin fɔ mek yu fil pen ɛn antibayɔtik ɔ stɛroyd fɔ mek yu nɔ gɛt di sik. Tek dɛn mɛrɛsin ya jɔs lɛk aw dɛn tɛl yu fɔ tek.
- Bandej: Nɔ pul di bandej te yu dɔktɔ tɛl yu fɔ pul am. Tek tɛm mek i nɔ wet. Dɛn kin pul am insay wan de ɔ di nɛks klinik apɔntinmɛnt (fɔl-ap apɔntinmɛnt).
- Di tin dɛn we dɛn nɔ fɔ du:
- Nɔ du tin dɛn we go mek yu tranga lɛk fɔ swim, rɔn, jomp, ɔ fɔ ple spɔt fɔ at le tu wiks, sɔntɛm fɔ 4 wiks .
- Nɔ bɛn frɔm di wɛst dɔŋ ɛn es di wet we pas 5-10 kg fɔ 4 wik .
- Ri-ɛgzamin: Dɛn go aks yu fɔ kam bak insay lɛk wan wik so. Da tɛm de, dɛn go pul di bandej ɛn chɛk yu yay.
- we yu put di atifishal yay: we di tisu dεm we de insay di yay dכn hεl fayn fayn wan, we kin bi afta 6-8 wik , yu kin mek dεn put di atifishal yay. Yu dɔktɔ go mek yu no fɔ mek yu arenj fɔ dis.
Di bɛnifit ɛn di prɔblɛm dɛn we kin apin we dɛn du ɔpreshɔn
Lɛk ɛni ɔpreshɔn, i gɛt bɛnifit ɛn sɔm prɔblɛm dɛn, we impɔtant fɔ no bɔt.
| Bɛnifit dɛn | Risk/Kɔmplikeshɔn dɛn |
|---|---|
| Yu kin pul di pen we yu nɔ go ebul fɔ bia kɔmɔt kpatakpata. | Blɔd we de kɔmɔt. |
| Dɛn kin kɔntrol siriɔs infɛkshɔn lɛk ɛndoftalmit. | Infɛkshɔn kin apin. Possibly exposure of di implant we dɛn put insay. |
| Afta dɛn put atifishal yay insay, bɔku pan di we aw i tan kin tan bak. | Sympathetic ophthalmia: Dis na wan sik we nɔ kin apin so ɔltɛm usay di yay we gɛt wɛlbɔdi we nɔ du ɔpreshɔn kin gɛt sɔm kayn inflamɛns (uveitis). |
| Di aylid we de ɔp ɔ dɔŋ we de drɔp. | |
| di fכmeshכn fכ sכm sכm sכm sכm sכm sכm sכm dεm lεk pyogenic granuloma. | |
| Chenj lεk wrinkles arawnd di yay kin nid fכ כpεrayshכn mכr. |
Mɛmba se bɔku pan dɛn bad tin ya nɔ kin apin so ɔltɛm. Yu dɔktɔ go tek ɔl di tin dɛn we yu nid fɔ du fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya.
Wetin na di difrɛns bitwin Evisceration ɛn Enucleation?
Sɔntɛm yu dɔn yɛri bɔt ɔda ɔpreshɔn we dɛn kɔl enucleation. Pan ɔl we dɛn ɔl tu na ay ɔpreshɔn, big difrɛns de bitwin dɛn tu.
| Tin | Evisceration we de kɔmɔt na di bɔdi | Enuklieshɔn we dɛn kin yuz |
|---|---|---|
| Di pat we dɛn fɔ pul | Na wetin de insay di yay nɔmɔ. | di כl aybol (wit pat pan di optik nεv) dεn de kכl am. |
| Di pat dɛn we lɛf | di כta wayt shεl na di yay (sclera) εn di mכsul dεm de stil de. | Na di mɔsul dɛn nɔmɔ we gɛt fɔ du wit di yay de lɛf ɛn kɔnɛkt to di implant. |
| Situeshɔn dɛn we dɛn kin yuz mɔ | Fɔ siriɔs infɛkshɔn, aksidɛnt, blaynd yay we de pen. | Bɔku tɛm dɛn kin yuz am fɔ gɛt kansa na di yay. |
Ustɛm fɔ kɔl yu dɔktɔ
If yu gɛt ɛni wan pan dɛn sik ya afta yu dɔn go na os afta dɛn dɔn du yu ɔpreshɔn, kɔl yu dɔktɔ wantɛm wantɛm :
- If blɔd de kɔmɔt pasmak .
- If yu gɛt pen we yu nɔ go ebul fɔ bia na yu yay ɔ ed, ivin afta yu dɔn tek mɛrɛsin fɔ mek yu fil pen.
- If wata we tan lɛk pus de kɔmɔt na di yay, ɔ if yu gɛt fiva (dɛn tin ya kin bi sayn fɔ se yu gɛt infekshɔn ).
- If di ɔda yay we nɔ bin gɛt ɔpreshɔn fil pen .
A ɔndastand aw i kin mek pɔsin fred fɔ yɛri bɔt dis kayn ɔpreshɔn. Bɔt mɛmba se, dɔktɔ go jɔs tɛl dɛn sɔntin lɛk dis if dɛn fil se na di bɛst sɔlv fɔ wan sik we go mek pɔsin in layf de pan denja ɔ we go mek i fil pen bad bad wan. Tɔk to yu dɔktɔ bɔt ɔl di tin dɛn we de mɔna yu ɛn di tin dɛn we yu de fred. Dɛn go gi yu ɔl di infɔmeshɔn ɛn sɔpɔt we yu nid.
Mɛsej we dɛn kin kɛr go na os
- Evisceration nɔto fɔ pul di yay kɔmplit wan, bɔt na ɔpreshɔn we dɛn kin pul di pat dɛn nɔmɔ we de insay di yay, ɛn lɛf di ɔda shel ɛn di mɔsul dɛn na di yay.
- Dɛn kin jɔs du dis ɔpreshɔn we pɔsin gɛt siriɔs infɛkshɔn, aksidɛnt, ɔ pen we pɔsin nɔ ebul fɔ bia we nɔ ebul fɔ sev di yay.
- I impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala wetin di dɔktɔ tɛl am fɔ du (fɔ tek mɛrɛsin, rɛst, ɛn avɔyd fɔ du ebi ebi wok) afta dɛn dɔn du di ɔpreshɔn.
- wan atifishal yay we luk rili nכchכral kin implant 6-8 wik afta di כpεrayshכn.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we yu de fred. I rili impɔtant bak fɔ yu maynd wɛl bɔdi.
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