Kuqhelekile ukuba nabani na azive enoloyiko olukhulu kwaye othukile xa esiva igama elithi "ukususwa kwamehlo." Kodwa ngamanye amaxesha, ukuze kuthomalaliswe iintlungu ezinganyamezelekiyo, kulawulwe usulelo oluyingozi, okanye emva kwengozi enkulu, utyando lwamehlo luyimfuneko. Kodwa akusoloko kususwa lonke iliso. Namhlanje sithetha ngotyando olukhethekileyo olususa kuphela umxholo weliso, lushiye i-sclera (esiyibiza ngokuba "yinxalenye emhlophe yeliso") kunye nezihlunu ezishukumisa iliso. Oku kubizwa ngokuba yi-"Evisceration" ngokwezonyango.
Kutheni kuyimfuneko ukwenza olu hlobo lotyando?
Oku akuyonto ilula. Ugqirha uya kucebisa olu hlobo lotyando kuphela kwiimeko ezithile nezinzima. Cinga ngezi meko:
- Usulelo olunzima lwamehlo: Ngamanye amaxesha usulelo olunzima kakhulu lunokukhula ngaphakathi kweliso. Oku kubizwa ngokuba yi-"Endophthalmitis." Ukuba olu sulelo alunakulawulwa ngamayeza, lunokusasazeka kungekuphela nje elisweni kodwa nakwingqondo, nto leyo ebangela iingxaki ezisongela ubomi. Kwiimeko ezinjalo, kwenziwa utyando lokususa iindawo ezinesi sifo.
- Ukulimala okukhulu kwamehlo: Ukuba into ebukhali inamathela elisweni ize yonakalise kakhulu, isenokungakwazi ukulungiswa. Inokubangela neentlungu ezinganyamezelekiyo.
- Iliso elingaboniyo nelibuhlungu: Ezinye iimeko zonyango zinokubangela ukuba ungaboni ngokupheleleyo. Kulungile ukulahlekelwa umbono wakho, kodwa ukuba ufumana intlungu engapheliyo, enganyamezelekiyo, esi sesona sisombululo silungileyo sokususa loo ntlungu.
- I-Phthisis bulbi: Le yimeko apho iliso lincipha kancinci kancinci lize lingasebenzi. Le meko inokubangela iintlungu kunye neengxaki zokubona.
Uzilungiselela njani ngaphambi kotyando?
Ekubeni olu lutyando olucwangcisiweyo, uya kuba nexesha lokulungiselela kwangaphambili.
1. Ukudibana noGqirha weZifo: Emva kotyando, kuya kufuneka ube neliso lokufakelwa. Ingcali eyenza ezi zinto ibizwa ngokuba yi-Ocularist. Kubaluleke kakhulu ukudibana nayo ngaphambi kotyando. Emva koko inokucwangcisa iliso lokufakelwa eliza kuhambelana nelinye iliso lakho kwaye libukeke lendalo kangangoko kunokwenzeka. Oku kufana nelensi yoqhagamshelwano etyebileyo oyifaka esweni lakho.
2. Ukuthetha nogqirha wakho: Ufanele uxelele ugqirha wakho ngazo zonke iiyeza ozisebenzisayo, kuquka neevithamini. Ingakumbi ukuba usebenzisa nantoni na efana ne-anticoagulants , ugqirha wakho uya kukuxelela ukuba kufuneka uyeke ukuzisebenzisa kwiintsuku ezingaphi ngaphambi kotyando.
3. Ezinye izinto: Ngosuku olungaphambi kotyando, uza kunikwa imiyalelo yokuba lixesha lini lokuyeka ukutya nokusela. Uza kucelwa nokuba uze nelungu losapho okanye umhlobo othembekileyo ukuba akuqhubele ekhaya emva kotyando.Qhubeka uthetha. Kuba uninzi lwexesha olu lutyando lokunyanga ngaphandle, ungagoduka ngaloo mini inye, kodwa awukwazi ukuqhuba imoto.
Kwenzeka ntoni ngexesha lotyando?
Olu tyando lwenziwa kwigumbi lotyando. Usenokunikwa i-anesthesia eqhelekileyo okanye i-anesthesia yendawo ukuze iliso lakho lingabi nantlungu kwaye likwenze uzive ukhululekile.
Ugqirha ususa ngononophelo okungaphakathi kweliso (i-cornea, ilensi, kunye nento efana nejeli ngaphakathi kweliso). Nangona kunjalo , inxalenye emhlophe yeliso (i-sclera) kunye nezihlunu ezijikeleze iliso ezihambisa iliso ngasemva nangaphambili zishiywe zinjalo.
Emva koko, kufakwa i-implant encinci efana nebhola kwindawo engenanto ukunceda ukugcina imo yeliso. I-conformer yeplastiki yexeshana ibekwa phezu kwe-implant. Oku kunceda ukugcina indawo engaphakathi kweliso ifana. Oku kwenza kube lula ukufaka iliso lokwenziwa kamva. Ngamanye amaxesha, iinkophe zinokuthungwa zivalwe de inxeba liphole. Ekugqibeleni, kufakwa ibhandeji yoxinzelelo elisweni ukuze kumiswe ukopha nokunciphisa ukudumba. Yonke inkqubo idla ngokuthatha malunga neyure okanye ezimbini.
| Iingenelo zotyando | Iingozi ezinokubakho |
|---|---|
| Ungayisusa ngokupheleleyo intlungu enganyamezelekiyo. | Njengakwezinye iintlobo zotyando, ukopha kungenzeka. |
| Iintsholongwane eziyingozi ezifana ne-`(Endophthalmitis)` zinokulawulwa. | Usulelo lwenxeba okanye i-implant efakiweyo. |
| Emva kokuba iliso elenziweyo lifakwe, inkangeleko inokubuyiselwa. | Kunqabile kakhulu ukuba kubekho imeko yokudumba echaphazela elinye iliso eliphilileyo (i-Sympathetic ophthalmia). |
| Iliso elenziweyo linika intshukumo engcono kunokususa i-eyeball yonke. | Ukugoba kwejwabu eliphezulu okanye elisezantsi. |
| Ukwakheka kwamaqhuqhuva amancinci (i-pyogenic granuloma) enxebeni okanye isidingo sotyando olongezelelweyo. |
Ndingenza ntoni emva kotyando?
Ukuze ixesha lakho lokuchacha liphumelele, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
- Uza kunikwa amayeza afana neepilisi zokuthomalalisa iintlungu, ii-antibiotics zokuthintela usulelo, kunye nee-steroids zokunciphisa ukudumba. Zithathe kanye njengoko kuyalelwe.
- Musa ukuyisusa ibhandeji elisesweni lakho de ugqirha wakho akuxelele ukuba uyenze njalo (ngesiqhelo ngosuku lokuqala okanye ude ubuyele ekliniki). Kubalulekile nokuba uqaphele ukuba ungalivumeli limanzi.
- Kuphephe ukudada, ukubaleka, okanye ukutsiba ubuncinane iiveki ezimbini, mhlawumbi iiveki ezine.
- Yeka ukugoba ukusuka esinqeni uye ezantsi uze uphakamise iintsimbi kangangeeveki ezine.
- Uza kucelwa ukuba ubuye uze kubona ugqirha ukuze kulandelelwe imeko yakho emva kweveki.
- Xa amanxeba epholile kakuhle, oko kuthetha ukuba emva kweeveki ezi-6 ukuya kwezi-8, ungatyelela i-Ocularist yakho uze ufake iliso lokufakelwa elihlala lihleli.
Yintoni umahluko phakathi kwe-Evisceration kunye ne-Enucleation?
Zombini ziindlela zokususa amehlo, kodwa kukho umahluko omncinci. Kwi-'Evisceration', umaleko wangaphandle weliso (i-sclera) kunye nezihlunu ziyashiywa. Kwi-'Enucleation' , lonke iliso kunye nenxalenye ye-optic nerve ziyasuswa. I-'Enucleation' idla ngokwenziwa ukuba kukho into engaphakathi kweliso, njengomhlaza.
Ngamafutshane, ukususwa kwesikhumba kushiya umaleko ongaphandle weliso, ngelixa ukususwa kwesikhumba kususa lonke iliso. Emva kotyando olubini, iliso lokwenziwa linganxitywa.
Ufanele ufune nini ingcebiso yezonyango ngokukhawuleza?
Kuqhelekile ukuba nentlungu encinci kunye nokudumba emva kotyando. Nangona kunjalo, ukuba ufumana ezi mpawu , fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukuba kukho ukopha okugqithisileyo .
- Ukuba ufumana iintlungu eziqatha emehlweni okanye entloko yakho ezingenakulawulwa nokuba usebenzisa amayeza okudambisa iintlungu.
- Ukuba ubona iimpawu zosulelo ezifana nomkhuhlane kunye nobomvu .
- Okubaluleke kakhulu: Ukuba kukho utshintsho kwintlungu okanye umbono kwelinye iliso eliphilileyo (oku kungaba luphawu lwemeko ebizwa ngokuba yi-'Sympathetic ophthalmia', unyango olukhawulezileyo lubalulekile).
Kungokwemvelo ukuziva usoyika xa usiva ngolu hlobo lotyando. Kodwa khumbula, oku kwenziwa njengendlela engcono yokusindisa ubomi bakho, ukukunceda kwiintlungu ezinzima, okanye ukuthintela ezinye iingxaki. Xoxa ngazo zonke izinto ezikuxhalabisayo kunye noloyiko lwakho nogqirha wakho. Lilungelo lakho.
Umyalezo Wokuya Ekhaya
- Ukukhupha iliso ecaleni lutyando olususa kuphela iindawo zangaphakathi zeliso, lushiya isigqubuthelo sangaphandle kunye nezihlunu ziphelele, endaweni yokususa lonke iliso.
- Oku kwenziwa ikakhulu kwiimeko zosulelo olunzima, iintlungu ezinganyamezelekiyo, okanye iingozi ezinzulu.
- Kubalulekile ukulandela imiyalelo kagqirha wakho ngononophelo ukuqinisekisa ukuba uyaphila ngokupheleleyo emva kotyando. Ngokukodwa, kufuneka uphephe ukuphakamisa izinto ezisindayo nokuzilolonga okwethutyana.
- Xa inxeba selipholile, unganxiba iliso lokufakelwa elifana nelinye iliso lakho kwaye libukeka lendalo kakhulu.
- Thetha ngokukhululekileyo nogqirha wakho malunga nemibuzo okanye iinkxalabo onokuba nazo malunga noku. Impilo-ntle yakho yengqondo nayo ibaluleke kakhulu.
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