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Kubaga Gukuraho Ijisho (Enucleation): Ntutinye, reka tuvuge kuri ibi

Kubaga Gukuraho Ijisho (Enucleation): Ntutinye, reka tuvuge kuri ibi

Kumva ko ijisho ryawe ryose ryakuwemo bishobora gutera ubwoba, gutera ubwoba, ndetse bikanababaza. Iyi ni ingingo ikomeye cyane. Muganga wawe ashobora kuba yarakuganirije cyangwa yaganiriye nawe cyangwa n'umwe mu bagize umuryango wawe kuri ubu bwoko bw'ukubagwa. Muri icyo gihe, ushobora kuba ufite ibibazo byinshi. Ni ibisanzwe gutekereza ibintu nka, "Kuki ngomba kubikora?", "Ni iki kizaba nyuma y'ibi?", "Nzahangana nte n'ubuzima?" Rero ntutinye. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora kumva, nk'aho uri kuganira n'inshuti yawe magara.

Mu magambo make, "enucleation" ni iki?

Iri ni ijambo rigoye, ariko ibisobanuro byaryo biroroshye cyane. "Enucleation" yerekeza ku kubagwa kw'ijisho ryawe ryose, igice cy'ijisho tubona, hamwe n'agace gato k'umutsi w'amaso urihuza kandi ugatwara ubutumwa mu bwonko.

Ariko ikintu cy'ingenzi kandi gihumuriza hano ni uko imitsi ikikije ijisho ryawe igufasha kwimura ijisho ryawe (imitsi y'amaso) idakurwaho . Umuganga ubaga iyo mitsi nta kibazo. Ibi ni ingenzi cyane. Kuko, nyuma iyo ubonye ijisho ry'inyongera, iyo mitsi ishobora guhuzwa n'ijisho rishya. Hanyuma ijisho ry'inyongera rizagendana n'irindi jisho ku rugero runaka. Rizatanga isura isanzwe cyane.

Kuki ari ngombwa kubagwa nk'ubu?

Ntabwo byoroshye kwa muganga gufata icyemezo gikomeye nk'iki. Iyo ubundi buryo bwose bwo kuvura bwageragejwe kandi nta na bumwe muri bwo bwatanze umusaruro mwiza, ubu buryo bwo kubaga bufatwa nk'uburyo bwa nyuma. Tekereza gato, rimwe na rimwe ubu buryo bwo kubaga bushobora no kurokora ubuzima bw'umuntu.

Hari impamvu nyinshi z'ingenzi zo gukora ubu buvuzi. Reka turebere hamwe izo ari zo.

Impamvu nyamukuru Ibisobanuro byoroshye
Ibikomere byo mu maso bikomeretsa Mu gihe ijisho ryangiritse cyane, rigatuma ritabona neza, kandi nta buryo bwo kurigarura, rishobora gukomeza gutera ububabare n'ubwandu.
Kanseri z'amasoCyane cyane mu gihe cya kanseri nka melanoma yo mu maso ku bantu bakuru na retinoblastoma ku bana bato (bari munsi y'imyaka 3), gukuraho ijisho ni ingenzi kugira ngo kanseri idakwirakwira mu bindi bice by'umubiri.
Indwara zikomeye Indwara zikomeye zidashobora kugenzurwa n'imiti kandi zigasenya ijisho. Urugero, indwara nka Acanthamoeba Keratitis na Endophthalmitis . Izi ndwara zishobora gushyira ubuzima mu kaga iyo zigeze mu bwonko.
Ijisho ritabona ribabaza Hari abantu batakaza ubushobozi bwo kureba burundu ariko bagakomeza kugira ububabare bukabije muri iryo jisho. Cyangwa niba isura y'ijisho yarahindutse (urugero, indwara y'ijisho igabanuka (Phthisis Bulbi) ) kandi bigatera ibibazo bikomeye byo mu mutwe, ubu buryo bwo kubaga bukorwa kugira ngo bugabanye ububabare n'ihungabana ryo mu mutwe.
Izindi mpamvu zidasanzwe Indwara zidasanzwe nka Sympathetic Ophthalmia . Muri ibi, iyo ijisho rimwe ryangiritse, ubudahangarwa bw'umubiri butangira kwibasira ijisho rizima. Ijisho ryangiritse rigomba gukurwaho kugira ngo ijisho rizima rirokoke. Ubu buvuzi bukorwa kandi mu gihe amaso avuka ari mato cyane (Microphthalmia) .

Igikomeye ni uko ubu bubagwa bukorwa kugira ngo bugukize ububabare, bugukize indwara ishobora kuguhitana, kandi bugufashe kongera kubaho ubuzima busanzwe.

Ni iki wakora mbere yo kubagwa?

Umuganga wawe w’inzobere mu kubaga n’umuganga w’inzobere mu gutera ikinya bazaganira nawe mbere yo kubagwa no kugusobanurira byose. Ntutinye kubaza ikibazo icyo ari cyo cyose ufite muri icyo gihe.

  • Ibiryo n'ibinyobwa: Akenshi, uzasabwa kureka kurya no kunywa burundu nyuma ya saa sita z'ijoro mbere yo kubagwa.
  • Bwira muganga wawe imiti yose ufata, harimo na vitamine n'imiti y'ibimera. Cyane cyane niba ufata imiti igabanya amaraso.Niba ufata imiti igabanya amaraso (nk'imiti igabanya amaraso), ushobora gusabwa guhagarika kuyifata iminsi mike mbere yo kubagwa.
  • Vuga ku jisho ry’inyongera: Niba ugiye guhabwa ijisho ry’inyongera nyuma yo kubagwa, ganira na muganga wawe mbere y’igihe icyo wakora nyuma yo kubagwa n’uko wakwitaho.
  • Umuntu wo kugushyigikira: Ugomba kugira umuntu ushinzwe kugutwara mu rugo nyuma yo kubagwa. Byaba byiza cyane uramutse ufite umuntu uri kumwe nawe mu ijoro rya mbere.

Kubagwa bikorwa gute?

Uku kubagwa ntabwo bigoye cyane kandi akenshi bifata isaha imwe.

1. Anesthesia: Akenshi, ibi bikorwa ukoresheje anesthesia rusange. Ibi bivuze ko uba usinziriye rwose kandi nta kintu wumva. Mu bihe bimwe na bimwe byihariye, ibi bishobora gukorwa ukoresheje gusa agace karimo anesthesi (anesthesia yo mu gace) no kuguha imiti igufasha gusinzira gahoro.

2. Gukuraho ijisho: Muganga atandukanya neza imboni y'ijisho n'ingingo n'imitsi biyikikije maze akarikuraho.

3. Gushyiramo inshinge: Inshinge y’uruziga (orbital implant) ishyirwa mu mwanya urimo ubusa aho ijisho ryakuwe. Ibi byuzuza umwanya imbere kandi bigafasha guha ishusho karemano ahantu ijisho ryari risanzwe.

4. Gufata imitsi: Hanyuma, imitsi y'amaso yari yarabitswe ifatanywa n'imashini nshya ishyirwamo hanyuma ikadodwamo. Iyi mashini ipfukwaho ingirangingo isa n'igice cy'umweru cy'ijisho (`sclera`).

5. Gushyira igipfundikizo cy'agateganyo: Hanyuma, igipfundikizo cya pulasitiki gito cyitwa "conformer" gishyirwa hejuru y'igipfundikizo. Ibi ni ukurinda umwanya ukenewe wo gushyiramo ijisho ry'ubukorano nyuma.

6. Igitambaro cyo kurinda: Amaherezo, igitambaro kinini gishyirwa ku gikomere kugira ngo gikingire kandi kigenzure kubyimba no kuva amaraso. Hari igihe igishishwa cy'amaso gishobora gufungwa by'agateganyo kugeza igihe igikomere gikize.

Nkwiye kwiyitaho nte nyuma yo kubagwa?

Nyuma yo kubagwa, uzaguma mu cyumba cyo gukira igihe gito hanyuma wemererwe gutaha igihe byose bizaba byemejwe ko bimeze neza.

  • Ububabare: Hashobora kubaho ububabare mu minsi 3-5 ya mbere. Koresha imiti igabanya ububabare yanditswe na muganga wawe nk'uko yabigutegetse. Abantu benshi bashobora kubigenzura bakoresheje imiti igabanya ububabare idatanzwe na muganga.
  • Igitambaro: Ntugakureho igitambaro kiremereye kugeza igihe muganga wawe akubwiye. Akenshi gikurwaho mu gihe cyo gukurikiraho mu cyumweru kimwe. Kugeza icyo gihe, ugomba kwitonda kugira ngo kitose .
  • Imiti: Koresha imiti yica udukoko nkuko byavuzwe kugira ngo wirinde kwandura. Ushobora kandi guhabwa ibitonyanga mu maso.
  • Ikiruhuko:Irinde gukora imyitozo ngororamubiri ivunanye, guterura ibyuma, cyangwa kunama mu gihe cy'ibyumweru 2-4. Ha umubiri wawe umwanya wo gukira.
  • Ijisho ry'ubukorano: Iyo igikomere kimaze gukira neza, akenshi mu byumweru 6-8, uzahabwa umuganga w'amaso (umuganga w'amaso). Azaguha ijisho ry'ubukorano risa neza cyane rihuye n'ibara n'ingano y'irindi jisho ryawe.

Ese hari ingaruka zishobora guterwa n'ubu buvuzi?

Nkuko bigenda mu kubagwa kose, hari ingaruka nke cyane, ariko izi ni gake cyane.

  • Kuva amaraso
  • Indwara zandurira mu mubiri
  • Inkovu
  • Ibibazo by'amaso (urugero: imboni irahumye - `ptosis`)
  • Gusohora inshinge

Iyo ikintu nk'iki kibaye, gishobora kuvurwa, bityo ntugahangayike.

Iyo ukeneye kuvugana na muganga!

Ni ngombwa kwitondera umubiri wawe mu gihe cyo gukira. Niba ubonye kimwe mu bimenyetso biri hepfo, hamagara muganga wawe ako kanya.

Ibibazo byihutirwa - fata ingamba zo kubyitwaramo
Umuriro Iyo ubushyuhe bw'umubiri wawe buzamutse, bishobora kuba ikimenyetso cy'ubwandu.
Ububabare bukabije Niba ufite ububabare bukomeye mu mutwe wawe cyangwa mu maso, ntabwo bushira nubwo wafata imiti igabanya ububabare.
Amashyira asohoka mu bisebe Iyo igisebe gitangiye kuvamo amashyira y'umuhondo cyangwa icyatsi kibisi cyangwa gifite impumuro mbi.
Gukuraho inshinge Niba inshinge cyangwa 'conformer' byashyizwemo bisohotse.
Kuruka no kugira isesemi Niba uhora uruka cyangwa ufite isesemi.

Ubutumwa bwo kujyana mu rugo

  • Gufata icyemezo cyo gukurwamo ijisho ni ibintu bigoye cyane kandi bibabaza wowe n'umuryango wawe. Ni ibisanzwe kugira ibyo byiyumvo.
  • Ubu buryo bwo kubaga akenshi bukorwa nk'uburyo bwa nyuma, iyo nta yandi mahitamo ahari. Bushobora kugabanya ububabare budakira, bugakiza indwara zikomeye nka kanseri, ndetse bukanarokora ubuzima.
  • Niba ukeneye ubufasha bw'amarangamutima mu gihe cyo gukira, vugana na muganga wawe cyangwa uwo ukunda. Niba bibaye ngombwa, ushobora gushaka inama cyangwa amatsinda y'ubufasha hamwe n'abantu bahuye n'ibibazo nk'ibyo.
  • Nyuma yo kubona ijisho ry’ubukorano, abantu benshi bagira isura isanzwe, bityo ushobora kongera gukora ubuzima bwawe busanzwe ufite icyizere.

Gukuraho ingirabuzima fatizo, gukuramo ijisho, kubagwa gukuramo ijisho, ijisho ry'ubukorano, ijisho ry'inyongera, kanseri y'amaso, retinoblastoma, melanoma yo mu maso, indwara z'amaso, imitsi y'amaso
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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