Ingcinga yokuba iliso lakho lisuswe ngokupheleleyo ikwenza ungcangcazele, akunjalo? Kunzima ukuyicinga. Kodwa ngamanye amaxesha, ngenxa yentlungu enganyamezelekiyo, usulelo oluqatha, okanye ingozi enkulu, iliso lakho linokusindiswa. Kulapho oogqirha bethetha khona ngotyando olubizwa ngokuba yi-'Evisceration'. Nangona igama lisenokuvakala lisoyikisa, wakuba uyazi kakuhle ukuba yintoni na kwaye kutheni lenziwa, uloyiko lwakho luya kuphela. Ngoko masithethe ngayo ngokweenkcukacha.
Ngamafutshane, yintoni i-Evisceration?
Ukukhupha iliso ngaphandle kwelo liso asikokuhlinzwa okususa iliso ngokupheleleyo. Kubandakanya ukuhlinzwa kuphela okungaphakathi kweliso lakho. Nangona kunjalo, inxalenye emhlophe yeliso, i -sclera , kunye nemisipha eshukumisa iliso ishiywe injalo.
Cinga ngekhokhonathi. Xa sikrazula ikhokhonathi, sisusa kuphela iqokobhe lekhokhonathi size sishiye iqokobhe lekhokhonathi, akunjalo? Yiloo nto eyenzekayo nalapha. Sisusa iindawo zangaphakathi zekhokhonathi, sishiya "iqokobhe" langaphandle lekhokhonathi.
Emva kokususa ingaphakathi leliso ngale ndlela, ugqirha ufaka i-implant ekhethekileyo efana nebhola kwindawo engenanto. Oku kunceda ukugcina imo yendalo yeliso. Emva koko, wakuba upholile kakuhle, unokuba neliso lokufakelwa elibukeka lendalo kakhulu ukuba uyafuna. Eli liliso elithambileyo kakhulu, elinombala ofana nelinye iliso lakho.
Kutheni kufuneka wenze olu hlobo lotyando?
Ugqirha uya kucebisa olu hlobo lotyando kuphela xa kungekho ndlela yimbi kwaye kuyimfuneko ngokwenene. Oku kudla ngokuba ngenxa yezizathu ezilandelayo:
- Usulelo olunzima lwamehlo (endophthalmitis): Ngamanye amaxesha, usulelo olunzima kakhulu lunokukhula ngaphakathi kweliso. Ukuba olu sulelo alunakulawuleka ngee -antibiotics eziqhelekileyo, usulelo lunokusasazeka kulo lonke iliso luze lufikelele nasebuchotsheni. Kwiimeko ezinjalo, olu tyando lwenziwa ukuze kususwe iindawo ezineentsholongwane.
- Ukulimala okukhulu kwamehlo: Xa into ebukhali ingena elisweni ize yenze umonakalo omkhulu, iliso lisenokungakwazi ukusindiswa.
- Iliso elingaboniyo nelibuhlungu: Ezinye iimeko zonyango zinokubangela ukulahleka ngokupheleleyo kombono. Nangona kunjalo, ukuba kukho intlungu enganyamezelekiyo nengapheliyo, olu tyando lolona sisombululo silungileyo sokususa loo ntlungu.
- Ukushwabana kweliso ( Phthisis bulbi )): Oku kwaziwa ngokuba yi-'end-stage eye'. Kulapho iliso lincipha khona kancinci kancinci, lingasebenzi, kwaye litshintsha imbonakalo. Olu tyando lusetyenziselwa ukuthintela iintlungu kunye notshintsho kwimbonakalo oluvela kule meko.
Uzilungiselela njani ngaphambi kotyando?
Kubaluleke kakhulu ukuzilungiselela kakuhle ngaphambi kotyando olunje.
1. Ukudibana noGqirha weZiliso: Ngaphambi kotyando, licebo elihle ukudibana nokuthetha nogqirha oza kwenza iliso lakho lokwenziwa (Ocularist). Ngale ndlela, unokujonga ngononophelo izinto ezifana nombala kunye nokuma kwelinye iliso lakho aze athathe imilinganiselo efunekayo yeliso lokwenziwa eliza kwenziwa kamva.
2. Ukuthetha nogqirha wakho: Ufanele uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka neevithamini. Ingakumbi ukuba uthatha amayeza okunciphisa igazi , ugqirha wakho uya kukuxelela ukuba kufuneka uyeke ukuwasebenzisa kwiintsuku ezingaphi ngaphambi kotyando. Ungaze uyeke ukuthatha naliphi na iyeza ngaphandle kokubuza ugqirha wakho.
3. Ukuzila ukutya: Ngosuku olungaphambi kotyando, kufuneka uyeke ukutya nokusela ixesha elide njengoko ugqirha wakho ekuxelela. Oku kudla ngokuba ziiyure ezi-6-8 ngaphambi kotyando.
4. Umntu oza kukusa ekhaya: Olu tyando ludla ngokuba yinkqubo yokulaliswa ngaphandle kwesibhedlele, ngoko ke ungaya ekhaya ngaloo mini inye. Nangona kunjalo, ekubeni uphantsi kwe -anesthesia , awuyi kukwazi ukuqhuba okanye ukuya ekhaya wedwa. Ngokuqinisekileyo uya kufuna ilungu losapho okanye umhlobo ukuba akuse ekhaya.
Indlela oluqhutywa ngayo utyando
Olu tyando ludla ngokuthatha malunga neyure okanye ezimbini. Emva kokuba usiwe kwigumbi lotyando, uya kunikwa i-anesthesia eqhelekileyo, okanye i-anesthesia yendawo, kunye namayeza okukunceda uphumle.
Ugqirha ususa ngononophelo ingaphakathi leliso, eshiya umaleko omhlophe wangaphandle (i-sclera) kunye nemisipha zingasebenzi. Emva koko, kufakwa i-implant efana nebhola ukuze kugcinwe imo yeliso.
Emva kotyando, kubekwa iplastiki yexeshana ebizwa ngokuba yi-conformer ukuze kugcinwe isithuba esiphakathi kweenkophe endaweni yaso kwaye kudale indawo efanelekileyo kwiliso lokwenziwa eliza kufakwa kamva. Ngamanye amaxesha, ugqirha angazivala okwethutyana iinkophe ngee-stitches. Ekugqibeleni, kufakwa ibhandeji yoxinzelelo elisweni ukuze kumiswe ukopha kwaye kuncitshiswe ukudumba.
Kwenzeka ntoni emva kotyando?
Emva kotyando, uza kunikwa ixesha lokuphumla uze uvunyelwe ukuya ekhaya emva kokuba uvukile kwi-anesthesia. Nazi ezinye izinto ekufuneka uzikhumbule emva kokuba ubuyele ekhaya:
- Izithomalalisi zentlungu kunye nee-antibiotics: Ugqirha wakho uza kukunika amayeza entlungu kunye nee-antibiotics okanye ii-steroids ukuthintela usulelo. Thatha la mayeza kanye njengoko uyalelwe.
- Ibhandishi: Musa ukuyisusa ibhandeji de ugqirha wakho akuxelele ukuba uyisuse. Lumka ungayimanzisi. Idla ngokususwa kungekapheli usuku okanye kwintlanganiso elandelayo yeklinikhi (intlanganiso yokulandelelana).
- Imiqathango yomsebenzi:
- Ziphephe izinto ezifuna amandla ezifana nokudada, ukubaleka, ukutsiba, okanye ukudlala imidlalo ubuncinane iiveki ezimbini, mhlawumbi iiveki ezine .
- Kuphephe ukugoba ukusuka esinqeni uye ezantsi kwaye uphakamise ubunzima obungaphezulu kwe-5-10 kg kangangeeveki ezine .
- Ukuhlolwa kwakhona: Uya kucelwa ukuba ubuye emva kweveki. Ngelo xesha, ibhandishi iya kususwa kwaye iliso lakho liya kuhlolwa.
- Ukufakelwa kweliso lokwenziwa: Nje ukuba izicubu ezingaphakathi kweliso ziphiliswe kakuhle, okuhlala kwenzeka emva kweeveki ezi-6-8 , ungafakelwa iliso lokwenziwa. Ugqirha wakho uza kukwazisa ukuba ucwangcise idinga lokwenza oku.
Iingenelo kunye neengozi ezinokubakho zotyando
Njengalo naluphi na utyando, luneengenelo kunye neengozi ezithile, ezibalulekileyo ukuba ziqwalaselwe.
| Iinzuzo | Iingozi/Iingxaki |
|---|---|
| Ungayisusa ngokupheleleyo intlungu enganyamezelekiyo. | Ukopha. |
| Iintsholongwane ezinzima ezifana ne-endophthalmitis zinokulawulwa. | Usulelo lunokwenzeka. Mhlawumbi kuvele ukuvezwa kwe-implant efakiweyo. |
| Emva kokufakelwa kweliso elenziweyo, inkangeleko inokubuyiselwa kakhulu. | I-Sympathetic Ophthalmia: Le yimeko engaqhelekanga apho iliso eliphilileyo elingakatyandwanga lifumana uhlobo oluthile lokudumba (uveitis). |
| Ukugoba kwejwabu eliphezulu okanye elisezantsi. | |
| Ukwakheka kwamaqhuqhuva amancinci afana ne-pyogenic granuloma. | |
| Utshintsho olufana nemibimbi ejikeleze amehlo lunokufuna utyando olongezelelweyo. |
Khumbula, uninzi lwale mingcipheko ayiqhelekanga. Ugqirha wakho uza kuthatha onke amanyathelo afunekayo ukunciphisa le mingcipheko.
Yintoni umahluko phakathi kwe-Evisceration kunye ne-Enucleation?
Usenokuba ukhe weva ngolunye utyando olubizwa ngokuba yi-enucleation. Nangona zombini zilutyando lwamehlo, kukho umahluko omkhulu phakathi kwezi zimbini.
| Uphawu | Ukukhupha | Ukususwa kwe-nucleus |
|---|---|---|
| Inxalenye eza kususwa | Kuphela koko kungaphakathi kweliso. | Ibhola yeliso yonke (kunye nenxalenye ye-optic nerve) iyasuswa. |
| Iindawo eziseleyo | Iqokobhe elimhlophe elingaphandle leliso (i-sclera) kunye nezihlunu zisala. | Kushiyeke izihlunu ezinxulumene neliso kuphela kwaye ziqhagamshelwe kwi-implant. |
| Iimeko ezisetyenziswa kakhulu | Xa unezifo ezinzulu, iingozi, amehlo angaboniyo abuhlungu. | Ihlala isetyenziselwa umhlaza wamehlo. |
Umele ufowunele ugqirha wakho nini
Ukuba ufumana naziphi na kwezi mpawu emva kokuba ubuyele ekhaya emva kotyando, fowunela ugqirha wakho ngoko nangoko :
- Ukuba kukho ukopha okugqithisileyo .
- Ukuba ufumana iintlungu ezinganyamezelekiyo emehlweni okanye entlokweni yakho, nokuba sele usele amayeza okudambisa iintlungu.
- Ukuba kukho ulwelo olufana nobovu oluphuma elisweni, okanye ukuba unomkhuhlane (ezi zinokuba ziimpawu zosulelo ).
- Ukuba elinye iliso elingakhange lenziwe utyando liva iintlungu .
Ndiyaqonda ukuba kuyoyikisa kangakanani ukuva ngolu hlobo lotyando. Kodwa khumbula, ugqirha uya kucebisa into efana nale kuphela ukuba uvakalelwa kukuba sesona sisombululo silungileyo kwimeko esongela ubomi okanye ebuhlungu kakhulu. Thetha nogqirha wakho ngazo zonke izinto ezikuxhalabisayo nezoyikisayo. Baza kukunika lonke ulwazi kunye nenkxaso oyifunayo.
Umyalezo Wokuya Ekhaya
- Ukukhupha iliso ngaphandle asikokususa ngokupheleleyo iliso, kodwa lutyando olususa kuphela iindawo ezingaphakathi kweliso, kushiyeke iqokobhe langaphandle kunye nemisipha yeliso.
- Olu tyando lwenziwa kuphela kwiimeko zosulelo olunzima, iingozi, okanye iintlungu ezinganyamezelekiyo ezingenakusindisa iliso.
- Kubalulekile ukuze umntu aphile ngokukhawuleza ukulandela imiyalelo kagqirha (ukuthatha amayeza, ukuphumla, kunye nokuphepha ukusebenza nzima) emva kotyando.
- Iliso elenziweyo elibonakala lendalo lingafakelwa emva kweeveki ezi-6-8 emva kotyando.
- Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye uloyiko onalo. Kubaluleke kakhulu nakwimpilo yakho yengqondo.
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