Zonse zokhudza opaleshoni ya Scleral Buckle mwachidule

Kodi mwadzidzidzi mumaona zinthu zazing'ono zakuda, monga ukonde wa kangaude , zikuyandama pamaso panu? Kapena mwadzidzidzi mumaona kuwala kowala? Mwina mumamva ngati nsalu yakuda yagwa pamaso panu? Izi si zizindikiro zomwe muyenera kungonyalanyaza. Izi zitha kukhala chizindikiro cha kusweka kwa retina. Ichi ndi vuto lomwe limafuna chithandizo chadzidzidzi . Ngati simulandira chithandizo, mutha kutaya masomphenya anu kwathunthu. Lero tikulankhula za njira yopambana kwambiri yotchedwa 'Scleral Buckle', yomwe imachiza vutoli loopsali.

Mwachidule, kodi opaleshoni ya Scleral Buckle ndi chiyani?

Kuti timvetse izi, choyamba tiyeni timvetse pang'ono za momwe maso athu amagwirira ntchito. Tangoganizani kuti maso athu ali ngati mpira waung'ono. Pakhoma lamkati la mpirawu pali nembanemba yofunika kwambiri, yowunikira kuwala yotchedwa retina . Ili ngati pepala lakuthwa pakhoma. Chithunzi cha zinthu zomwe timawona chimapangidwa pa retina iyi. Kenako, potumiza chidziwitso chimenecho ku ubongo, timapeza masomphenya .

Kugawanika kwa retina kumachitika pamene retina imalekanitsidwa ndi minofu yomwe ili mkati mwa diso, ngati pepala lophimba khoma. Izi zikachitika, gawo limenelo sililandira magazi okwanira, kotero limataya ntchito yake.

Tsopano tiyeni tiwone opaleshoniyi. Mu opaleshoni ya scleral buckle, kansalu kakang'ono ka silicone kapena siponji (komwe kumatchedwa buckle) kamayikidwa mozungulira gawo loyera la diso, sclera, ndikukanikizidwa. Diso likakankhidwira mkati pang'ono ndi buckle iyi, retina yochotsedwayo imabwerera m'diso ndikumamatira kukhoma mkati mwa diso. Zili ngati kumamatira pepala lochotsedwa pakhoma. Mwanjira imeneyi, retina imayamba kuchira.

Ndi nthawi ziti pamene opaleshoniyi imalimbikitsidwa?

Dokotala wanu wa maso nthawi zambiri amalangiza opaleshoni iyi ngati muli ndi mtundu wa retina wotchedwa rhegmatogenous retinal detachment . Uwu ndi mtundu wofala kwambiri wa retinal detachment. Imachitika pamene dzenje laling'ono kapena kung'ambika kumachitika mu retina, zomwe zimapangitsa kuti madzi omwe ali mkati mwa diso (vitreous humor) atuluke pansi pa retina ndikuchotsa.

Pali zinthu zingapo zomwe zimakhudza vutoli:

• Ukalamba : Pamene tikukalamba, chinthu chonga jelly chomwe chili mkati mwa diso (vitreous) chimachepa n’kusanduka madzi, zomwe zingayambitse kuti retina ipatuke.
• Kuvulala m'diso: Monga kumenyedwa mwamphamvu.
• Opaleshoni ya maso yapitayi: Mwachitsanzo, opaleshoni ya maso.
• High Myopia: Chifukwa chakuti diso limakhala lalitali, retina imakhala yopyapyala komanso yosweka mosavuta.

Kuphatikiza apo, ngati mudalandirapo chithandizo cha retina ndipo vutoli lidabwereranso, dokotala wanu angakulangizeni opaleshoni ya scleral buckle.

Bwanji kusankha Scleral Buckle m'malo mwa Vitrectomy?

Kuchotsa maso ndi opaleshoni ina yaikulu yomwe ikuchitika panopa kuti ichotse retina yopatukana. Pakapita nthawi, kuchotsa maso ndi maso kwakhala kotchuka kwambiri kuposa opaleshoni ya scleral buckle. Izi zitha kukhala chifukwa chakuti nthawi yochira pambuyo pa opaleshoni ya scleral buckle ingakhale yovuta kwambiri.

Dokotala wanu adzaganizira zinthu monga:

• Momwe vitreous ilili m'diso lanu.
• Kodi muli ndi lenzi yanu yachilengedwe, kapena munachitidwa opaleshoni ya cataract ndi kuikidwa lenzi?
• Kaya mudzatha kugwira mutu wanu pamalo enaake mutachita opaleshoni kapena ayi.

Kodi ndiyenera kukonzekera bwanji ndisanachite opaleshoni?

Chabwino, tiyeni tinene kuti dokotala wasankha kuti mukufuna kuchitidwa opaleshoni iyi. Dokotalayo adzakupatsani malangizo omveka bwino a momwe mungakonzekerere pasadakhale.

• Mbiri ya zachipatala: Lankhulani ndi dokotala wanu za mbiri yonse ya zachipatala zomwe muli nazo komanso zizindikiro zomwe muli nazo panopa.
• Mankhwala: Onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, zowonjezera, ndi mankhwala ochepetsa ululu). Mankhwala ena, makamaka ochepetsa magazi, angafunike kuyimitsidwa masiku angapo opaleshoni isanachitike.
• Chakudya ndi Zakumwa: Dokotala wanu adzakuuzani nthawi yomwe muyenera kusiya kudya ndi kumwa usiku woti opaleshoni ichitike.
• Dalaivala: Opaleshoni iyi nthawi zambiri imachitika ngati njira yopitira kuchipatala, kotero muyenera kubweretsa munthu wodalirika kuti akuyendetseni kunyumba mukatha opaleshoni.

Kodi chimachitika ndi chiyani panthawi ya opaleshoni?

Zidzakhala mpumulo kwa inu kukhala ndi lingaliro la zomwe zidzachitike panthawi ya opaleshoni.

1.Anesthesia: Choyamba mudzapatsidwa mankhwala ochepa kudzera mu mtsempha kuti akuthandizeni kupumula. Kenako, mudzapatsidwa imodzi mwa mitundu itatu ya anesthesia: local anesthesia , regional anesthesia , kapena general anesthesia . Ndikofunikira kwambiri kuti mukhale chete nthawi yonse ya opaleshoni.

2. Kukonzekera maso: Dokotala adzayika madontho a maso omwe adzakulitsa diso lanu kuti athe kuwona bwino mkati mwa diso lanu. Kenako, diso lanu lidzatsegulidwa ndi chipangizo chotchedwa speculum .

3. Opaleshoni: Dokotala amadula pang'ono mu conjunctiva , nembanemba yowonekera bwino yomwe imaphimba choyera cha diso (sclera). Kenako, sclera ikaonekera, chomangira, chomwe ndi silicone band kapena siponji, chimayikidwa mozungulira diso ndikuchilimbitsa. Nthawi zina ichi chingakhale chomangira chonse, kapena chingakhale zidutswa za siponji mbali zonse ziwiri za retina komwe chapatukana.

4. Mankhwala Owonjezera: Kuti atsimikizire kuti retina ikugwirabe ntchito bwino, dokotala wanu angapereke chithandizo cha laser kapena kuzizira. Izi zimapangitsa kuti pakhale chilonda chaching'ono chozungulira retina, zomwe zimapangitsa kuti isatulukenso.

5. Kuchotsa madzimadzi: Nthawi zina ndikofunikira kuchotsa madzimadzi omwe asonkhana pansi pa retina.

Kawirikawiri, opaleshoni yonseyi imatenga pafupifupi ola limodzi kapena ola limodzi ndi theka.

Kodi mungayembekezere chiyani mutachita opaleshoni?

Pambuyo poti opaleshoniyo yatha bwino, nthawi yanu yochira imayamba.

• Mudzapatsidwa mankhwala opha tizilombo kuti mupewe matenda.
• Mudzapatsidwa chigamba cha maso kuti muvale tsiku limenelo komanso mwina tsiku lotsatira.
• Mudzakhala m'chipinda chochitira opaleshoni mpaka mutadzuka kwathunthu kuchokera ku mankhwala oletsa ululu, kenako mutha kupita kunyumba ndi munthu amene anabwera kudzakutengerani kunyumba.
• Dokotala anandiuza kuti ndibwere kudzakumana ndi dokotala tsiku lotsatira.
• Muyenera kuchepetsa zochita zanu kwa masiku angapo. Pewani kunyamula zinthu zolemera kapena kupindika.
• Ngati mukumva kupweteka kwa maso, mutha kumwa mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani.

Kodi ubwino ndi chiŵerengero cha kupambana kwa opaleshoniyi ndi chiyani?

Phindu lalikulu komanso lokhalo la opaleshoniyi ndilakuti limachotsa chiopsezo chotaya masomphenya. Kutsekeka kwa retina ndi vuto lalikulu lomwe lingayambitse kutayika kwa masomphenya kosatha ngati silinachiritsidwe. Chifukwa chake, ndikofunikira kwambiri kupeza chithandizo mwachangu momwe mungathere.

Kodi zoopsa za opaleshoni ndi ziti?

Monga momwe zimakhalira ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe zingachitike. Izi sizichitika kawirikawiri, koma ndikofunikira kudziwa.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Tsopano mukufunsa kuti, "Chabwino, ndi liti pamene ndingayambenso kugwira ntchito bwino?" Zingatenge milungu iwiri kapena inayi kapena nthawi yayitali kuti muchiritse bwino. Zingatengenso miyezi ingapo kuti maso anu akhazikike.

Funsani dokotala wanu nthawi yeniyeni yomwe mungayambirenso kuchita zinthu zotsatirazi:

• Kusamba, kusamba.
• Kuyamba ntchito kapena sukulu.
• Kuyamba kuyendetsa galimoto.
• Kuchita ntchito zovuta monga kunyamula zolemera kapena kusewera masewera.
• Kupita kusambira.

Kodi ndi liti pamene mwadzidzidzi muyenera kuyimbira dokotala?

Mukapita kunyumba mutachita opaleshoni, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo ngati mwapeza zizindikiro zotsatirazi: Ngati mukumana ndi zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Padzidzidzi (ETU) ya chipatala chapafupi.

• Ngati ululu wa maso ukukula kwambiri.
• Ngati kutupa kwa maso kukuchulukirachulukira.
• Ngati maso anu akuipiraipira.

Ngati mukukumana ndi zizindikiro izi, musazengereze. Zingakhale chizindikiro cha matenda kapena mavuto ena aakulu.