Kuganiza zochotsa diso kungakhale kovuta kwambiri, ndipo n'zachibadwa kukhala ndi nkhawa. Ndi vuto lalikulu lomwe mungakumane nalo. Komabe, pali zochitika zina—chifukwa cha ululu wosapiririka, matenda oopsa, kapena kuvulala kwakukulu—komwe kupulumutsa diso sikungathekenso. Pazochitika zotere, dokotala wanu angakuuzeni za njira yotchedwa 'Kuchotsa diso.' Ngakhale dzinalo lingamveke loopsa, kumvetsetsa zomwe limaphatikizapo komanso chifukwa chake limachitidwa kungathandize kuchepetsa nkhawa zanu. Tiyeni tikambirane tsatanetsatane pamodzi.
Mwachidule, kodi Evisceration ndi chiyani?
Kuchotsa diso lonse si kuchotsa diso lonse. M'malo mwake, opaleshoni imeneyi imafuna kuchotsa mkati mwa diso lokha. Mbali yoyera yakunja, yotchedwa Sclera , ndi minofu yomwe imasuntha diso lanu imakhalabe bwino.
Taganizirani izi ngati kuchotsa kokonati: timachotsa mnofu wa mkati koma osakhudza chipolopolo chakunja. Ndicho cholinga cha opaleshoni iyi—timachotsa mkati mwa diso lathu pamene tikusunga “chipolopolo” chakunja cha diso lanu.
Mukachotsa zomwe zili mkati, dokotala wanu adzaika chozungulira chapadera, chotchedwa implant, m'malo amenewo. Choyimira ichi chimathandiza kuti diso lanu likhale ndi mawonekedwe ake achilengedwe komanso kukula kwake. Mukachira mokwanira, mungasankhe kuyika diso lopangira lopangidwa mwapadera. Izi zimapangidwa mwaluso kwambiri, zojambulidwa ndi kujambulidwa kuti zigwirizane ndi diso lina lomwelo kotero kuti mawonekedwe ake ndi achilengedwe kwambiri.
N’chifukwa chiyani opaleshoni imeneyi ndi yofunika?
Dokotala wanu angakulimbikitseni njira imeneyi pokhapokha ngati palibe njira zina zovomerezeka. Nthawi zambiri imasungidwa pazifukwa zotsatirazi:
- Matenda Oopsa a M'maso (Endophthalmitis): Nthawi zina, diso likhoza kukhala ndi matenda aakulu. Ngati maantibayotiki wamba alephera kuliletsa, matendawa amatha kufalikira m'diso lonse ndipo mwina angafike ku ubongo. Pazochitika zovuta ngati zimenezi, opaleshoni imachitika kuti ichotse minofu yodwalayo.
- Kuvulala Kwambiri kwa Maso: Ngati chinthu chalowa m'diso mozama, zomwe zapangitsa kuwonongeka kwakukulu komanso kosatheka kukonzanso, diso silingathenso kupulumutsidwa.
- Diso Lopweteka Komanso Losawona: Matenda ena angayambitse kutayika kwa masomphenya. Ngati diso limenelo likupitirizabe kukhala gwero la ululu wosatha komanso wosapiririka, opaleshoni iyi nthawi zambiri imakhala yankho labwino kwambiri lobwezeretsa moyo wanu wabwino.
- Diso Losweka ( Phthisis bulbi ): Limadziwikanso kuti 'diso lomaliza,' izi zimachitika pamene diso limachepa pang'onopang'ono, limasiya kugwira ntchito, komanso limasintha mawonekedwe. Opaleshoniyi imagwiritsidwa ntchito pochepetsa ululu ndi nkhawa zokhudzana ndi kukongola zomwe zimadza chifukwa cha vutoli.
Kodi mumakonzekera bwanji opaleshoniyi?
Kukonzekera bwino n'kofunika kwambiri kuti munthu achire bwino.
1. Kufunsa Dokotala wa Maso: Ndikothandiza kukumana ndi dokotala wa maso (katswiri wa maso opangidwa) musanachite opaleshoni yanu. Angathe kuwona mtundu ndi mawonekedwe a diso lanu lathanzi kuti ayese bwino za opaleshoni yanu yamtsogolo.
2. Kukambirana za Mankhwala ndi Dokotala Wanu: Perekani dokotala wanu mndandanda wathunthu wa mankhwala onse ndi zowonjezera zomwe mumamwa. Ngati mukumwa mankhwalaNgati mugwiritsa ntchito mankhwala ochepetsa magazi ( Anticoagulants ), dokotala wanu adzakulangizani nthawi yoti musiye kumwa mankhwalawo. Musasiye kumwa mankhwala olembedwa ndi dokotala musanafunse dokotala wanu kaye.
3. Kusala Kudya: Mudzafunika kusiya kudya ndi kumwa kwa nthawi inayake musanachite opaleshoni yanu, nthawi zambiri maola 6-8, monga momwe gulu lanu lachipatala lalangizira.
4. Konzani Mayendedwe: Nthawi zambiri iyi ndi njira yopitira kuchipatala, zomwe zikutanthauza kuti mumapita kunyumba tsiku lomwelo. Komabe, chifukwa cha zotsatira za mankhwala oletsa ululu , simuyenera kuyendetsa galimoto. Mudzafunika mnzanu kapena wachibale kuti akutengereni kunyumba.
Panthawi ya Ndondomekoyi
Opaleshoni nthawi zambiri imatenga ola limodzi kapena awiri. Mukalowa m'chipinda chochitira opaleshoni, mudzalandira mankhwala oletsa ululu kapena mankhwala oletsa ululu am'deralo kuti mukhale omasuka komanso omasuka panthawi yonse yochita opaleshoni.
Dokotala wanu adzachotsa mosamala mkati mwa diso lanu pamene akusunga sclera ndi minofu. Kenako choyikamocho chimayikidwa kuti chisunge kapangidwe ka diso lanu. Kuti muwonetsetse kuti mukuchira bwino ndikukonzekeretsa malo a diso lanu lamtsogolo, chophimba cha pulasitiki chakanthawi chotchedwa 'conformer' chimayikidwa. Nthawi zina, zikope zimatha kusokedwa kwakanthawi. Pomaliza, bandeji yokakamiza imayikidwa kuti ichepetse kutupa ndikuletsa kutuluka magazi.
Kuchira Pambuyo pa Opaleshoni
Mukayang'aniridwa kwa nthawi yayitali mukuchira, mudzatulutsidwa. Mukapita kunyumba, chonde kumbukirani izi:
- Kusamalira Ululu ndi Mankhwala: Tsatirani malangizo a dokotala wanu mosamala okhudza kuchepetsa ululu, maantibayotiki, kapena ma steroid omwe mwapatsidwa. Imwani monga momwe mwalangizidwira.
- Kusamalira Bandeji: Sungani bandeji yanu youma komanso yosalala mpaka dokotala wanu atakuuzani zina, nthawi zambiri panthawi yokumana ndi dokotala.
- Zoletsa Zochita:
- Pewani kuchita zinthu zolimbitsa thupi, kuthamanga, kapena kusambira kwa milungu iwiri kapena inayi.
- Pewani kuwerama m'chiuno kapena kunyamula zinthu zolemera kuposa 5-10 kg kwa milungu yosachepera inayi.
- Kukumana ndi Wodwala: Mwina mudzayesedwa pakatha pafupifupi sabata imodzi. Panthawiyo, bandeji idzachotsedwa, ndipo diso lidzayang'aniridwa.
- Kuyika Diso Lanu Lopangira Mapuloteni: Zilonda zikachira bwino—nthawi zambiri patatha milungu 6-8—dokotala wanu adzakonza momwe diso lanu lopangira mapuloteni lidzagwiritsidwire ntchito.
Ubwino ndi Zoopsa Zomwe Zingakhalepo
Monga opaleshoni ina iliyonse, pali ubwino ndi zoopsa zomwe zingachitike. Ndikofunikira kukambirana izi mokwanira ndi gulu lanu la opaleshoni ku Nirogi Lanka kuti muwonetsetse kuti mwadziwa zonse.
| Ubwino | Zoopsa/Zovuta |
|---|---|
| Mpumulo wothandiza ku ululu wosatha komanso wosapiririka. | Kutuluka magazi. |
| Kuwongolera matenda oopsa a maso, monga endophthalmitis. | Kuopsa kwa matenda kapena kupezeka kwa choyikamo cha orbital. |
| Kubwezeretsa mawonekedwe achilengedwe, ofanana akangoyika chogwirira cha maso. | Matenda a maso opweteka: Matenda osowa kwambiri omwe kutupa (uveitis) kumachitika m'diso lathanzi, losachitidwa opaleshoni. |
| Kugwa kwa chikope chapamwamba kapena chapansi (ptosis). | |
| Kukula kwa zotupa zazing'ono monga pyogenic granuloma. | |
| Kufunika kochita opaleshoni yachiwiri yokonzanso chifukwa cha kusintha kwa mawonekedwe a maso. |
Kumbukirani kuti mavuto ambiriwa ndi osowa. Gulu lanu la opaleshoni ku Nirogi Lanka lidzayesetsa kusamala kuti lichepetse zoopsazi.
Kodi kusiyana pakati pa Evisceration ndi Enucleation ndi kotani?
Mwina munamvapo za njira yotchedwa Enucleation. Ngakhale kuti zonsezi ndi njira zochitira opaleshoni ya diso, pali kusiyana kwakukulu pakati pa izo.
| Mbali | Kuchotsa | Kuchotsa nyuklea |
|---|---|---|
| Zomwe Zachotsedwa | Zomwe zili mkati mwa diso zokha . | Mpira wonse wa diso (kuphatikizapo gawo la mitsempha ya maso). |
| Zigawo Zotsala | Chipolopolo choyera chakunja (sclera) ndi minofu ya maso sizikuwonongeka. | Minofu ya maso yokha ndiyo yatsala; iyi yalumikizidwa ku orbital implant. |
| Kugwiritsa Ntchito Kwambiri | Matenda aakulu, kuvulala, kapena maso opweteka, osawona. | Kawirikawiri amakonda kwambiri zotupa za m'maso kapena khansa. |
Nthawi Yoti Mulankhule ndi Dokotala Wanu
Mukabwerera kunyumba, chonde funsani dokotala wanu nthawi yomweyo ngati mwakumana ndi zotsatirazi:
- Kutuluka magazi ambiri kuchokera pamalopo.
- Ululu waukulu, wopitiriram'diso kapena m'mutu zomwe sizikugwirizana ndi mankhwala omwe mwapatsidwa.
- Zizindikiro za matenda , monga kutuluka magazi m'diso kapena kutentha thupi.
- Kupweteka kulikonse kapena kufiira m'diso lanu lina (lathanzi) .
Ndizachibadwa kuda nkhawa ndi opaleshoniyi. Dziwani kuti gulu lanu lachipatala limapereka malangizo oti muchite opaleshoniyi pokhapokha ngati ndi njira yotetezeka komanso yothandiza kwambiri yothetsera ululu waukulu kapena matenda omwe angakupheni. Lankhulani momasuka ndi dokotala wanu za nkhawa zanu zonse—iwo alipo kuti akupatseni chithandizo ndi chidziwitso chomwe mukufuna.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa maso kumatanthauza kuchotsa zomwe zili m'diso, kusunga chipolopolo chakunja cha scleral ndi minofu.
- Opaleshoni iyi imaperekedwa kokha kwa anthu omwe ali ndi matenda aakulu, kuvulala, kapena ululu wosachiritsika.
- Kutsatira mosamalitsa malangizo a pambuyo pa opaleshoni—kuphatikizapo kutsatira mankhwala, kupuma, komanso kupewa kunyamula zinthu zolemera—ndikofunikira kwambiri kuti muchiritse.
- Nthawi zambiri mungaperekedwe diso lochita kupanga lopangidwa mwapadera, lomwe limakhala ndi mawonekedwe enieni, pakatha milungu 6-8 mutachita opaleshoni.
- Ubwino wanu wamaganizo ndi wofunika; nthawi zonse khalani omasuka kufunsa dokotala wanu mafunso aliwonse omwe mungakhale nawo.
Kuchotsa diso, Kuchotsa diso m'maso, Opaleshoni ya maso, Diso lochita kupanga, Endophthalmitis, Kutulutsa diso m'maso, Ophthalmology
