Kumva za kuchotsedwa diso lanu lonse kungakhale koopsa, kodabwitsa, komanso komvetsa chisoni. Iyi ndi nkhani yovuta kwambiri. Dokotala wanu mwina analankhula nanu kapena wachibale wanu za opaleshoni yamtunduwu. Panthawiyo, mungakhale ndi mafunso ambiri. Ndizachilendo kuganiza zinthu monga, "Chifukwa chiyani ndiyenera kuchita izi?", "Nchiyani chidzachitike pambuyo pa izi?", "Ndidzathana bwanji ndi moyo?" Choncho musachite mantha. Tiyeni tikambirane izi mwachidule, m'njira yomwe mungamvetse, ngati kuti mukulankhula ndi mnzanu wapamtima.
Mwachidule, kodi "enucleation" ndi chiyani?
Liwu ili ndi lovuta kulimvetsa, koma tanthauzo lake ndi losavuta. "Kuchotsa diso" kumatanthauza kuchotsedwa kwa diso lonse, gawo la diso lomwe timaliona, pamodzi ndi gawo laling'ono la mitsempha ya maso yomwe imalumikiza ndi kutumiza mauthenga ku ubongo.
Koma chofunika kwambiri komanso chotonthoza apa ndichakuti minofu yozungulira diso lanu yomwe imakuthandizani kusuntha diso lanu (minofu ya maso) siichotsedwa . Dokotala wa opaleshoni amasiya minofu imeneyo yonse. Izi ndizofunikira kwambiri. Chifukwa, mukadzalandira diso lopangidwa ndi opaleshoni, minofu imeneyo imatha kulumikizidwa ndi diso latsopano. Kenako diso lopangidwa ndi opaleshoni lidzasuntha ndi diso lina pamlingo winawake. Lidzapereka mawonekedwe achilengedwe kwambiri.
N’chifukwa chiyani opaleshoni yamtunduwu ndi yofunika?
Sikophweka kwa dokotala kupanga chisankho chachikulu chotere. Pamene njira zina zonse zochiritsira zayesedwa ndipo palibe chomwe chapambana, opaleshoni iyi imaonedwa ngati njira yomaliza. Tangoganizani, nthawi zina opaleshoni iyi ingapulumutse moyo wa munthu.
Pali zifukwa zingapo zazikulu zochitira opaleshoniyi. Tiyeni tiwone zomwe zili.
| Chifukwa chachikulu | Kufotokozera kosavuta |
|---|---|
| Kuvulala kwa maso koopsa | Ngati diso lawonongeka kwambiri, zomwe zachititsa kuti maso awonongeke kwathunthu, ndipo palibe njira yolibwezeretsera, likhoza kupitiriza kupweteka ndi matenda. |
| Khansa ya maso | Makamaka pa nkhani ya khansa monga khansa ya m'maso mwa akuluakulu ndi retinoblastoma mwa ana aang'ono (osakwana zaka 3), kuchotsa diso ndikofunikira kuti khansa isafalikire mbali zina za thupi. |
| Matenda oopsa | Matenda oopsa omwe sangathetsedwe ndi mankhwala ndipo amawononga maso. Mwachitsanzo, matenda monga Acanthamoeba Keratitis ndi Endophthalmitis . Matendawa akhoza kukhala oopsa ngati afalikira ku ubongo. |
| Diso losawona bwino | Anthu ena amataya masomphenya kwathunthu koma amapitirizabe kukhala ndi ululu wosapiririka m'diso limenelo. Kapena ngati mawonekedwe a diso asintha (monga vuto lomwe diso limachepa (Phthisis Bulbi) ) ndipo limayambitsa kuvutika maganizo kwakukulu, opaleshoniyi imachitika kuti ichepetse ululu ndi kuvutika maganizo. |
| Zifukwa zina zapadera | Matenda osowa monga Sympathetic Ophthalmia . Pamenepa, diso limodzi likawonongeka, chitetezo cha mthupi chimayamba kuukira diso lathanzi molakwika. Diso lowonongeka liyenera kuchotsedwa kuti diso lathanzi lipulumuke. Opaleshoniyi imachitikanso ngati maso amabadwa ang'onoang'ono kwambiri (Microphthalmia) . |
Chofunika kwambiri ndichakuti opaleshoniyi ichitike kuti muchepetse ululu wanu, kuti mupulumuke ku matenda oopsa, komanso kuti mukhale ndi moyo wabwinobwino.
Kodi muyenera kuchita chiyani musanachite opaleshoni?
Dokotala wanu wa opaleshoni ndi dokotala wogonetsa adzakulankhulani musanachite opaleshoniyo ndipo adzakufotokozerani zonse. Musaope kufunsa mafunso aliwonse omwe muli nawo panthawiyo.
- Chakudya ndi Zakumwa: Nthawi zambiri, mudzapemphedwa kuti musiye kudya ndi kumwa kwathunthu pambuyo pa pakati pausiku usiku woti opaleshoni ichitike.
- Uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini ndi mankhwala azitsamba. Makamaka ngati mukumwa mankhwala ochepetsa magazi.Ngati mukumwa mankhwala ochepetsa magazi (monga mankhwala oletsa magazi kuundana), mungapemphedwe kuti musiye kumwa mankhwalawa masiku angapo opaleshoni isanachitike.
- Kambiranani za diso lopangira opaleshoni: Ngati mudzalandira diso lopangira opaleshoni mutachita opaleshoni, lankhulani ndi dokotala wanu pasadakhale za zomwe mungachite mukatha opaleshoniyo komanso momwe mungasamalire.
- Munthu woti akuthandizeni: Muyenera kukhala ndi munthu amene adzakutengerani kunyumba mutachitidwa opaleshoni. Zingakhale bwino ngati mutakhala ndi munthu wina usiku woyamba.
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni iyi si yovuta kwambiri ndipo nthawi zambiri imatenga pafupifupi ola limodzi.
1. Mankhwala Oletsa Kupweteka: Nthawi zambiri, izi zimachitika mwa kukuikani pansi pa mankhwala oletsa kupweteka. Izi zikutanthauza kuti mwagona tulo tofa nato ndipo simukumva chilichonse. Nthawi zina zapadera, izi zitha kuchitika mwa kungochotsa dzanzi pamalopo (mankhwala oletsa kuvutika maganizo) ndikukupatsani mankhwala okuthandizani kugona pang'ono.
2. Kuchotsa diso: Dokotala amachotsa mosamala diso ndi minofu yozungulira ndikulichotsa.
3. Kuyika choyika: Choyika chozungulira (orbital implant) chimayikidwa pamalo opanda kanthu pomwe diso linachotsedwa. Izi zimadzaza malo omwe ali mkati ndipo zimathandiza kupatsa malo omwe diso linali kale mawonekedwe achilengedwe.
4. Kulumikizana kwa minofu: Kenako, minofu ya maso yomwe idasungidwa kale imalumikizidwa ku choyika chatsopanocho ndikusokedwa mkati. Choyika ichi chimaphimbidwa ndi minofu yofanana ndi gawo loyera la diso (`sclera`).
5. Kuyika chivundikiro cha kanthawi: Kenako, chivundikiro cha pulasitiki chopyapyala chotchedwa ``conformer`` chimayikidwa pamwamba pa choyikamo. Izi ndi kuteteza malo ofunikira kuti muyike diso lochita kupanga pambuyo pake.
6. Bandeji yoteteza: Pomaliza, bandeji yaikulu yokakamiza imayikidwa pa bala kuti itetezeke ndikuletsa kutupa ndi kutuluka magazi. Nthawi zina chikope chingasokedwe kwakanthawi mpaka bala litachira.
Kodi ndiyenera kudzisamalira bwanji nditachita opaleshoni?
Pambuyo pa opaleshoni, mudzasungidwa m'chipinda chochiritsira kwa kanthawi kenako mudzaloledwa kupita kunyumba zonse zikatsimikizika kuti zili bwino.
- Ululu: Pakhoza kukhala ululu wina kwa masiku atatu kapena asanu oyambirira. Gwiritsani ntchito mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani monga momwe mwalangizira. Anthu ambiri amatha kuwongolera izi ndi mankhwala ochepetsa ululu omwe amaperekedwa ndi dokotala.
- Bandeji: Musachotse bandeji yolemerayo mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Nthawi zambiri imachotsedwa mukapita kuchipatala pakatha pafupifupi sabata imodzi. Mpaka nthawi imeneyo, muyenera kusamala kuti isanyowe .
- Mankhwala: Gwiritsani ntchito maantibayotiki monga momwe mwalangizidwira kuti mupewe matenda. Mungathenso kupatsidwa madontho a m'maso.
- Mpumulo:Pewani kuchita zinthu zolemetsa, kunyamula zolemera, kapena kuwerama kwa milungu iwiri kapena inayi. Perekani thupi lanu nthawi yoti lichiritse.
- Diso Lochita Kupanga: Chilonda chikachira bwino, nthawi zambiri pakatha milungu 6-8, mudzatumizidwa kwa katswiri wa maso (katswiri wa maso). Iye adzapanga diso lochita kupanga looneka ngati lachilengedwe lomwe likugwirizana ndi mtundu ndi kukula kwa diso lanu lina.
Kodi pali zoopsa zilizonse pa opaleshoniyi?
Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa zazing'ono kwambiri, koma izi sizichitika kawirikawiri.
- Kutuluka magazi
- Matenda
- Zilonda
- Mavuto a zikope (monga, chikope chopindika - `ptosis`)
- Kutulutsa kwa choyikacho
Ngati chinthu chonga ichi chichitika, chingachiritsidwe, choncho musadandaule nazo.
Pamene muyenera kulankhula ndi dokotala!
Ndikofunikira kusamala thupi lanu pamene mukuchira. Ngati mukukumana ndi zizindikiro zilizonse zomwe zili pansipa, imbani dokotala nthawi yomweyo.
| Zadzidzidzi - samalirani izi | |
|---|---|
| Malungo | Ngati kutentha kwa thupi lanu kukwera, kungakhale chizindikiro cha matenda. |
| Ululu waukulu | Ngati muli ndi ululu waukulu m'mutu mwanu kapena m'maso, ululuwo sumatha ngakhale mutamwa mankhwala ochepetsa ululu. |
| Kutuluka kwa mafinya | Ngati bala likutuluka madzi achikasu kapena obiriwira (mafinya) kapena lili ndi fungo loipa. |
| Kuchotsa choyikamo | Ngati choyikamo kapena 'conformer' chomwe chinayikidwacho chatuluka. |
| Kusanza ndi nseru | Ngati mukusanza nthawi zonse kapena mukumva nseru. |
Uthenga Wopita Nawo Kunyumba
- Kusankha kuchotsa diso ndi chinthu chovuta komanso chopweteka kwambiri kwa inu ndi banja lanu. Ndizachibadwa kukhala ndi malingaliro amenewo.
- Opaleshoni iyi nthawi zambiri imachitika ngati njira yomaliza, pamene palibe njira zina. Imatha kuchepetsa ululu wosatha, kuchiritsa matenda akuluakulu monga khansa, komanso kupulumutsa miyoyo.
- Ngati mukufuna thandizo la maganizo pamene mukuchira, lankhulani ndi dokotala wanu kapena wokondedwa wanu za vutoli. Ngati kuli kofunikira, mutha kupeza upangiri kapena magulu othandizira anthu omwe adakumanapo ndi zomwezo.
- Anthu ambiri akapatsidwa diso lochita kupanga, amaoneka ngati achilengedwe, kotero mutha kupitiriza moyo wanu watsiku ndi tsiku molimba mtima.
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