Ngaba ngequbuliso ubona izinto ezincinci ezimnyama, ezifana ne-spider webs , zintanta phambi kwamehlo akho? Okanye ngequbuliso ubona ukukhanya okukhanyayo? Mhlawumbi uziva ngathi ikhethini emnyama iwele phambi kwamehlo akho? Ezi azizo iimpawu ekufuneka uzityeshele. Oku kungaba luphawu lokuqhekeka kwe-retina. Le yimeko efuna unyango olungxamisekileyo . Ukuba ayinyangwa, ungalahlekelwa kukubona kwakho ngokupheleleyo. Namhlanje sithetha ngenkqubo ephumelele kakhulu ebizwa ngokuba yi-'Scleral Buckle', enyanga le meko iyingozi.
Ngamafutshane, yintoni utyando lweScleral Buckle?
Ukuze sikuqonde oku, masiqale siqonde kancinci ngendlela amehlo ethu asebenza ngayo. Khawuthelekelele ukuba amehlo ethu afana nebhola encinci. Kudonga olungaphakathi lwale bhola kukho inwebu ebaluleke kakhulu, enovakalelo lokukhanya ebizwa ngokuba yi-retina . Ifana nephepha lodonga eludongeni. Umfanekiso wezinto esizibonayo wenziwa kule retina. Emva koko, ngokuthumela olo lwazi engqondweni, sifumana umbono .
Ukuqhekeka kwe-retina kuxa i-retina yahlukana nezicubu ezingaphakathi kweliso, njengephepha lodonga elixobuka eludongeni. Xa oku kusenzeka, loo nxalenye ayifumani igazi elaneleyo, ngoko ke ilahlekelwa ngumsebenzi wayo.
Ngoku makhe sijonge utyando. Kwi-scleral buckle surgery, i-silicone band encinci okanye i-sponge (ebizwa ngokuba yi-buckle) ibekwa ijikeleze inxalenye emhlophe yeliso, i-sclera, ize ibotshwe. Xa iliso lityhalelwa ngaphakathi kancinci ngale buckle, i-retina ehlukanisiweyo ibuyela esweni ize inamathele eludongeni olungaphakathi kweliso. Kufana nokuncamathisela iphepha lodonga elihlukanisiweyo eludongeni. Ngale ndlela, i-retina iqala ukuphola.
Kuxa kutheni apho olu tyando lucetyiswa khona?
Ugqirha wakho wamehlo uya kucebisa olu tyando ukuba unohlobo lwe-retinal detachment olubizwa ngokuba yi -rhegmatogenous retinal detachment . Olu lolona hlobo luqhelekileyo lwe-retinal detachment. Lwenzeka xa kuvela umngxuma omncinci okanye ukukrazuka kwi-retina, okuvumela ulwelo olungaphakathi kweliso (i-vitreous humor) ukuba luphume phantsi kwe-retina luze luyitsale.
Kukho izinto ezininzi ezibangela umngcipheko ezichaphazela le meko:
- Ukwaluphala : Njengoko sikhula, into efana nejeli engaphakathi kweliso (i-vitreous) iyancipha ize iguquke ibe lulwelo, olunokubangela ukuba i-retina ihlukane.
- Ukwenzakala kweliso: Njengokubethwa kabuhlungu.
- Utyando lwamehlo lwangaphambili: Umzekelo, utyando lwe-cataract.
- I-Myopia Ephezulu: Ngenxa yokuba iliso lithatha imo ende, i-retina iba ncinci kwaye ikrazuke lula.
Ukongeza, ukuba sele ukhe wanyangwa i-retina desquamation kwaye imeko iphinda ibuyele, ugqirha wakho unokucebisa ukuba wenze utyando lwe-scleral buckle.
Kutheni ukhetha iScleral Buckle kuneVitrectomy?
I-Vitrectomy lolunye utyando olukhulu olwenziwayo ngoku ukususa i-retina ehlukanisiweyo. Ekuhambeni kwexesha, i-vitrectomy iye yathandwa kakhulu kunotyando lwe-scleral buckle. Oku kusenokuba kungenxa yokuba ixesha lokuchacha emva kotyando lwe-scleral buckle linokuba nzima ngakumbi.
Nangona kunjalo, kwezinye iimeko, unyango olufanelekileyo nolufanelekileyo kwimeko yakho lunokuba lutyando lweScleral Buckle kuphela. Ngamanye amaxesha, zombini ezi tyando zinokwenziwa kunye.
Ugqirha wakho uza kuqwalasela izinto ezifana nezi:
- Imeko ye-vitreous engaphakathi kweliso lakho.
- Ngaba unayo ilensi yakho yendalo, okanye ngaba uye wenza utyando lwe-cataract kunye ne-lens implant?
- Nokuba uza kukwazi na ukubamba intloko yakho kwindawo ethile emva kotyando okanye akunjalo.
Ndingazilungiselela njani ngaphambi kotyando?
Kulungile, masithi ugqirha ugqibe kwelokuba ufuna ukwenza olu tyando. Ugqirha uza kukunika imiyalelo ecacileyo yendlela omawulungiselele ngayo kwangaphambili.
- Imbali yezonyango: Thetha nogqirha wakho malunga nembali yakho epheleleyo yezonyango kunye neempawu zakho zangoku.
- Amayeza: Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, izongezo, kunye neentlungu). Amanye amayeza, ingakumbi amayeza okunciphisa igazi, anokufuna ukuyekiswa kwiintsuku ezimbalwa ngaphambi kotyando.
- Ukutya Neziselo: Ugqirha wakho uza kukwazisa ngexesha omele uyeke ngalo ukutya nokusela ngobusuku bangaphambi kotyando.
- Umqhubi: Olu tyando ludla ngokwenziwa njengenkqubo yokulaliswa ngaphandle, ngoko ke kuya kufuneka uzise umntu onoxanduva lokukuyisa ekhaya emva kotyando.
Kwenzeka ntoni ngexesha lotyando?
Kuya kuba luncedo kuwe ukuba nombono wento eza kwenzeka ngexesha lotyando.
1.I-Anesthesia: Uza kuqala unikwe amayeza amancinci ngemithambo ukuze akuncede uphumle. Emva koko, uza kunikwa enye yeentlobo ezintathu ze-anesthesia: i-local anesthesia , i-regional anesthesia , okanye i-general anesthesia . Kubaluleke kakhulu ukuba uhlale ungashukumi ngokupheleleyo ngexesha lotyando.
2. Ukulungiswa kwamehlo: Ugqirha uza kubeka amaconsi emehlweni aza kwandisa umbona weliso lakho ukuze abone kakuhle ngaphakathi kweliso lakho. Emva koko, iliso lakho liza kuvulwa ngesixhobo esibizwa ngokuba yi-speculum .
3. Utyando: Ugqirha wenza umngxuma omncinci kwi -conjunctiva , i-membrane ecacileyo egubungela umhlophe weliso (i-sclera). Emva koko, xa i-sclera iveziwe, i-buckle, eyi-silicone band okanye i-sponge, ibekwa ijikeleze iliso kwaye iqiniswe. Ngamanye amaxesha le ingaba yi-band epheleleyo, okanye ingaba ziingceba ze-sponge kumacala omabini e-retina apho ihlukane khona.
4. Unyango olongezelelweyo: Ukuqinisekisa ukuba i-retina ihlala inamathele ngokuqinileyo, ugqirha wakho angenza unyango lwe-laser okanye oluqandisayo. Oku kudala isilonda esincinci esijikeleze i-retina, nto leyo ethintela ukuba ingaphindi iphume kwakhona.
5. Ukususwa kolwelo: Ngamanye amaxesha kuyimfuneko ukususa ulwelo oluqokelelene phantsi kwe-retina.
Ngokwesiqhelo, olu tyando luphela luthatha malunga neyure okanye iyure enesiqingatha.
Yintoni onokuyilindela emva kotyando?
Emva kokuba utyando lugqityiwe ngempumelelo, ixesha lakho lokuchacha liqala.
- Uza kunikwa amayeza okubulala iintsholongwane ukuthintela usulelo.
- Uza kunikwa i-eye patch oza kuyinxiba ngaloo mini mhlawumbi nangosuku olulandelayo.
- Uza kuhlala kwigumbi lotyando ude uvuke ngokupheleleyo emva kotyando lokubulala iintlungu, uze emva koko ugoduke nomntu obeze kukuthatha akuse ekhaya.
- Ugqirha undixelela ukuba ndize kutyelelo olulandelayo ngosuku olulandelayo.
- Kuya kufuneka unciphise imisebenzi yakho kangangeentsuku ezimbalwa. Kuphephe ukuphakamisa okanye ukugoba izinto ezisindayo.
- Ukuba uva iintlungu zamehlo, ungathatha amayeza okudambisa iintlungu acetyiswe ngugqirha wakho.
Zithini iingenelo kunye namazinga empumelelo yolu tyando?
Eyona nzuzo inkulu nekuphela kwayo yolu tyando kukuba isusa umngcipheko wokulahlekelwa kukubona. Ukususwa kwe-retina yimeko enzima enokubangela ukulahleka kokubona okungapheliyo ukuba ayinyangwa. Ke ngoko, kubaluleke kakhulu ukufumana unyango ngokukhawuleza.
Izinga lempumelelo yotyando lwe-scleral buckle liphezulu kakhulu, malunga ne-80% - 90%. Oku kuthetha ukuba ukuba abantu abalishumi baya kwenza utyando, abasibhozo okanye abalithoba baya kufakelwa ii-retina zabo ngempumelelo.
Zithini iingozi zotyando?
Njengakwezinye iintlobo zotyando, kukho iingozi kunye neengxaki ezinokwenzeka. Ezi azixhaphakanga, kodwa kubalulekile ukuba uqaphele.
| Ingxaki enokwenzeka | Ingcaciso elula |
|---|---|
| Umbono ophindwe kabini | Ngenxa yempembelelo kwimisipha yamehlo, into enye ingabonakala ngathi zizinto ezimbini, nokuba zezokwexeshana okanye ezingapheliyo. |
| Ukopha esweni | Ukopha esweni kunokwenzeka ngexesha okanye emva kotyando. |
| Usulelo | Njengakwezinye iintlobo zotyando, kukho umngcipheko omncinci wokosuleleka kwamehlo. |
| Ukwanda kokuphazamiseka kokubona umgama | Ibhanti inokutshintsha kancinci imo yeliso lakho, nto leyo eyandisa ukubona kwakho okukufutshane. |
| IiCataracts | Utyando lunokukhawulezisa inkqubo yokufiphala kwelensi yeliso (ii-cataracts). |
| Uxinzelelo oluphezulu lwangaphakathi kweso | Emva kotyando, uxinzelelo emehlweni lunokwanda. Oku kunokunyangeka ngamayeza. |
| Ukuqhekeka kwe-retinal | Kwezinye iimeko ezingaqhelekanga, i-retina inokuphinda iphume nasemva kotyando. |
Kuthatha ixesha elingakanani ukuphiliswa?
Ngoku ubuza, "Kulungile, ndingaphinda ndiqale nini ukusebenza ngokuqhelekileyo?" Kungathatha iiveki ezimbini ukuya kwezine okanye ixesha elide ukuze uphile ngokupheleleyo. Kungathatha iinyanga ezininzi ukuba umbono wakho uzinze.
Buza ugqirha wakho ngqo ukuba ungaqhubeka nini na nale misebenzi ilandelayo:
- Ukuhlamba, ukuhlamba.
- Ukuqala umsebenzi okanye isikolo.
- Ukuqala ukuqhuba.
- Ukwenza umsebenzi onzima njengokuphakamisa iintsimbi okanye ukudlala imidlalo.
- Ukuya kudada.
Kunini apho kufuneka ngequbuliso ubize ugqirha?
Xa ubuyela ekhaya emva kotyando, kubaluleke kakhulu ukufuna ingcebiso yezonyango ngokukhawuleza ukuba ufumene naziphi na kwezi mpawu zilandelayo: Ukuba ufumana naziphi na kwezi mpawu zilandelayo, fowunela ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane.
- Ukuba intlungu yeliso iba qatha.
- Ukuba ukudumba kwamehlo kuyanda.
- Ukuba amehlo akho aya esiba mandundu.
Ukuba ufumana ezi mpawu, musa ukulibazisa. Isenokuba luphawu losulelo okanye olunye uxinzeleko olukhulu.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwe-retinal yimeko engxamisekileyo efuna unyango olukhawulezileyo. Musa ukuyityeshela iimpawu ezinje ngamabala amnyama ahambayo phambi kwamehlo akho, ukubona ukukhanya kombane, okanye ukuziva ngathi isikrini siwile.
- I-Scleral Buckle lutyando oluphumelele kakhulu lokudibanisa kwakhona i-retina.
- Kolu tyando, kubekwa i-silicone buckle ejikeleze iliso kwaye i-retina ehlukanisiweyo inamathele eludongeni ngokutyhala iliso kancinci ngaphakathi.
- Kungathatha iiveki ezininzi ukuba umntu aphile emva kotyando, kwaye kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho (njengokusetyenziswa kwamayeza kunye nemiqathango yokusebenza) ngokuchanekileyo.
- Ukuba ufumana iimpawu ezifana nokunyuka kwentlungu yamehlo, ukudumba, okanye ukulahleka kokubona emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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