Kuganiza zochotsa diso lanu lonse kumakuchititsani kunjenjemera, sichoncho? N'zovuta kuganiza. Koma nthawi zina, chifukwa cha ululu wosapiririka, matenda oopsa, kapena ngozi yaikulu, diso lanu lingapulumutsidwe. Apa ndi pamene madokotala amalankhula za opaleshoni yotchedwa 'Evisceration'. Ngakhale dzinalo lingamveke loopsa, mukadziwa bwino lomwe kuti ndi chiyani komanso chifukwa chake likuchitidwa, mantha anu adzatha. Choncho tiyeni tikambirane mwatsatanetsatane.
Mwachidule, kodi Evisceration ndi chiyani?
Kuchotsa diso m'maso si opaleshoni yochotsa diso lonse. Imafuna opaleshoni yochotsa zomwe zili m'diso lanu zokha. Komabe, gawo loyera la diso, sclera , ndi minofu yomwe imasuntha diso sizili ndi vuto lililonse.
Taganizirani za kokonati. Tikadula kokonati, timachotsa njere yokha ndikusiya chipolopolo cha kokonati, sichoncho? Ndicho chimene chimachitikanso apa. Timachotsa mbali zamkati mwa njere, ndikusiya "chipolopolo" chakunja cha njere.
Pambuyo pochotsa mkati mwa diso mwanjira imeneyi, dokotalayo amaika choyikamo chapadera chonga mpira pamalo opanda kanthu. Izi zimathandiza kuti diso likhalebe ndi mawonekedwe achilengedwe. Kenako, mukachira bwino, mutha kukhala ndi diso lopangidwa lomwe limawoneka lachilengedwe ngati mukufuna. Ili ndi diso lofewa kwambiri, lofiirira lomwe limafanana ndi diso lanu lina.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni yamtunduwu?
Dokotala angalimbikitse opaleshoni yamtunduwu pokhapokha ngati palibe njira ina ndipo ndiyofunikira kwambiri. Izi nthawi zambiri zimachitika chifukwa cha zifukwa zotsatirazi:
- Matenda oopsa a maso (endophthalmitis): Nthawi zina, matenda oopsa kwambiri amatha kuchitika mkati mwa diso. Ngati matendawa sangathe kuthetsedwa ndi maantibayotiki wamba, matendawa amatha kufalikira m'diso lonse komanso mpaka muubongo. Pazochitika zotere, opaleshoniyi imachitika kuti ichotse ziwalo zomwe zili ndi kachilomboka.
- Kuvulala kwakukulu kwa maso: Chinthu chakuthwa chikalowa m'diso ndikuwononga kwambiri, diso silingathe kupulumutsidwa.
- Diso losawona komanso lopweteka: Matenda ena angayambitse kutayika kwa masomphenya. Komabe, ngati pali ululu wosapiririka komanso wopitirira, opaleshoni iyi ndiyo njira yabwino kwambiri yothetsera ululuwo.
- Kuchepa kwa diso ( Phthisis bulbi)): Izi zimadziwikanso kuti 'diso lomaliza'. Apa ndi pomwe diso limachepa pang'onopang'ono, siligwira ntchito, ndipo limasintha mawonekedwe. Opaleshoni iyi imagwiritsidwa ntchito kupewa ululu ndi kusintha kwa mawonekedwe komwe kumachitika mu vutoli.
Kodi mumakonzekera bwanji musanachite opaleshoni?
Ndikofunikira kwambiri kukonzekera bwino musanachite opaleshoni ngati iyi.
1. Kukumana ndi Dokotala wa Maso: Musanachite opaleshoni, ndi bwino kukumana ndi kulankhula ndi katswiri amene angakupangireni diso lochita kupanga (Ocularist). Mwanjira imeneyi, amatha kuona mosamala zinthu monga mtundu ndi mawonekedwe a diso lanu lina ndikutenga miyeso yofunikira ya diso lochita kupanga lomwe lidzapangidwe mtsogolo.
2. Kulankhula ndi dokotala wanu: Muyenera kuuza dokotala wanu za mankhwala onse omwe mumamwa, ngakhale mavitamini. Makamaka ngati mukumwa mankhwala oletsa magazi kutuluka magazi , dokotala wanu adzakuuzani masiku angati opaleshoni isanachitike. Musasiye kumwa mankhwala aliwonse popanda kufunsa dokotala wanu.
3. Kusala Kudya: Tsiku lisanafike opaleshoni, muyenera kusiya kudya ndi kumwa nthawi yonse yomwe dokotala wanu wakuuzani. Izi nthawi zambiri zimakhala maola 6-8 opaleshoni isanachitike.
4. Munthu woti akutengereni kunyumba: Opaleshoni iyi nthawi zambiri imakhala yochitidwa ndi wodwala wakunja, kotero mutha kupita kunyumba tsiku lomwelo. Komabe, popeza muli pansi pa mankhwala oletsa kupweteka , simudzatha kuyendetsa galimoto kapena kupita nokha kunyumba. Mudzafunika wachibale kapena mnzanu kuti akutengereni kunyumba.
Momwe opaleshoni imachitikira
Opaleshoni imeneyi nthawi zambiri imatenga ola limodzi kapena awiri. Mukapita ku chipinda chochitira opaleshoni, mudzapatsidwa mankhwala oletsa ululu, kapena mankhwala oletsa ululu am'deralo, komanso mankhwala okuthandizani kupumula.
Dokotala amachotsa mkati mwa diso mosamala, ndikusiya gawo loyera lakunja (sclera) ndi minofu zili bwino. Kenako, choyikamo chonga mpira chimayikidwa kuti chikhalebe mawonekedwe a diso.
Pambuyo pa opaleshoni, chotchinga cha pulasitiki cha kanthawi kochepa chotchedwa conformer chimayikidwa kuti chikhale ndi malo pakati pa zikope ndi kupanga malo oyenera diso lochita kupanga lomwe lidzalowetsedwa pambuyo pake. Nthawi zina, dokotala amatha kutseka zikope kwakanthawi ndi kusoka. Pomaliza, bandeji yokakamiza imayikidwa pa diso kuti asiye kutuluka magazi ndikuchepetsa kutupa.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni?
Pambuyo pa opaleshoni, mudzapatsidwa nthawi yopuma kenako mudzaloledwa kupita kunyumba mukadzuka kuchokera ku opaleshoni yoletsa kupweteka. Nazi zinthu zina zomwe muyenera kukumbukira mukapita kunyumba:
- Mankhwala opha ululu ndi maantibayotiki: Dokotala wanu adzakupatsani mankhwala opha ululu ndi maantibayotiki kapena ma steroid kuti mupewe matenda. Imwani mankhwala awa monga momwe mwalangizidwira.
- Bandeji: Musachotse bandejiyo mpaka dokotala wanu atakuuzani kuti muchotse. Samalani kuti musanyowetse. Nthawi zambiri imachotsedwa mkati mwa tsiku limodzi kapena pa nthawi yotsatira ya chipatala (nthawi yotsatira).
- Zoletsa ntchito:
- Pewani kuchita zinthu zolimbitsa thupi monga kusambira, kuthamanga, kulumpha, kapena kusewera masewera kwa milungu iwiri kapena inayi .
- Pewani kupindika kuyambira m'chiuno kupita pansi ndikunyamula zolemera zopitirira 5-10 kg kwa milungu inayi .
- Kuyang'ananso: Nthawi zambiri mudzapemphedwa kuti mubwererenso pakatha pafupifupi sabata imodzi. Panthawiyo, bandeji idzachotsedwa ndipo diso lanu lidzayang'aniridwa.
- Kuika diso lochita kupanga: Ziwalo zomwe zili mkati mwa diso zikachira bwino, zomwe nthawi zambiri zimakhala patatha milungu 6-8 , mutha kuyika diso lochita kupanga. Dokotala wanu adzakudziwitsani kuti mukonze nthawi yoti muchite izi.
Ubwino ndi zoopsa zomwe zingachitike chifukwa cha opaleshoni
Monga opaleshoni iliyonse, ili ndi ubwino ndi zoopsa zina, zomwe ndizofunikira kuzidziwa.
| Ubwino | Zoopsa/Zovuta |
|---|---|
| Mukhoza kuchotsa ululu wosapiririka kwathunthu. | Kutuluka magazi. |
| Matenda oopsa monga endophthalmitis amatha kuthetsedwa. | Matenda angayambe. Mwina kuonekera kwa choyikamo chomwe chaikidwa. |
| Pambuyo poika diso lochita kupanga, mawonekedwe ake amatha kubwezeretsedwanso. | Matenda a maso opweteka: Izi sizichitika kawirikawiri pomwe diso labwino lomwe silinachite opaleshoni limakhala ndi kutupa kwamtundu wina (uveitis). |
| Kugwa kwa chikope chapamwamba kapena chapansi. | |
| Kupangidwa kwa ziphuphu zazing'ono monga pyogenic granuloma. | |
| Kusintha monga makwinya ozungulira maso kungafunike opaleshoni ina. |
Kumbukirani kuti zoopsa zambirizi sizichitika kawirikawiri. Dokotala wanu adzachita zonse zofunika kuti achepetse zoopsazi.
Kodi kusiyana pakati pa Evisceration ndi Enucleation ndi kotani?
Mwina munamvapo za opaleshoni ina yotchedwa enucleation. Ngakhale kuti zonsezi ndi opaleshoni ya maso, pali kusiyana kwakukulu pakati pa ziwirizi.
| Mbali | Kuchotsa | Kuchotsa nyuklea |
|---|---|---|
| Gawo loti lichotsedwe | Chokhacho chomwe chili mkati mwa diso. | Mpira wonse wa diso (pamodzi ndi gawo la mitsempha ya maso) umachotsedwa. |
| Zigawo zotsala | Chipolopolo choyera chakunja cha diso (sclera) ndi minofu zimatsala. | Minofu yokhudzana ndi diso yokha ndiyo yotsala ndi kulumikizidwa ku choyikamo. |
| Zochitika zomwe zimagwiritsidwa ntchito kwambiri | Pa matenda aakulu, ngozi, maso opweteka akhungu. | Kawirikawiri amagwiritsidwa ntchito pa khansa ya maso. |
Nthawi yoti muyimbire dokotala wanu
Ngati mukukumana ndi zizindikiro izi mutapita kunyumba mutachita opaleshoni, imbani dokotala nthawi yomweyo :
- Ngati pali kutuluka magazi ambiri .
- Ngati mukumva kupweteka kosapiririka m'maso kapena m'mutu, ngakhale mutamwa mankhwala ochepetsa ululu.
- Ngati pali madzi ofanana ndi mafinya akutuluka m'diso, kapena ngati muli ndi malungo (izi zitha kukhala zizindikiro za matenda ).
- Ngati diso lina lomwe silinachite opaleshoni likumva kupweteka .
Ndikumvetsa momwe zimakhalira zoopsa kumva za opaleshoni yamtunduwu. Koma kumbukirani, dokotala angakupatseni lingaliro lotere ngati akuona kuti ndi njira yabwino yothetsera vuto lomwe lingawononge moyo wanu kapena lopweteka kwambiri. Lankhulani ndi dokotala wanu za nkhawa zanu zonse ndi mantha anu. Adzakupatsani chidziwitso chonse ndi chithandizo chomwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa diso lonse si kuchotsa diso lonse, koma opaleshoni yomwe imachotsa ziwalo zomwe zili mkati mwa diso, ndikusiya chipolopolo chakunja ndi minofu ya diso.
- Opaleshoni iyi imachitika pokhapokha ngati pali matenda aakulu, ngozi, kapena ululu wosapiririka womwe sungapulumutse diso.
- Ndikofunikira kuti munthu achire mwachangu kutsatira malangizo a dokotala (kumwa mankhwala, kupuma, komanso kupewa kugwira ntchito yolemetsa) atachitidwa opaleshoni.
- Diso lochita kupanga looneka ngati lachilengedwe likhoza kuikidwa patatha milungu 6-8 kuchokera pamene opaleshoni yachitika.
- Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zomwe muli nazo. Ndikofunikanso kwambiri pa thanzi lanu la maganizo.
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