Ngaba uvakalelwa kukuba umbono wakho uyancipha kancinci kancinci? Okanye ngaba ngequbuliso uba nombono ofipheleyo uze ubone izinto ezifana ne-spider webs zintanta phambi kwamehlo akho? Ezi zinto zinokuba ziimpawu zengxaki enkulu yamehlo. Ngoko ke namhlanje siza kuthetha ngotyando olukhethekileyo olunokusombulula uninzi lwezi ngxaki kwaye luncede ekusindiseni umbono wakho. Olu lutyando lwe-Vitrectomy. Nangona igama lingaqhelekanga, masiqonde nje ukuba oku kwenza ntoni.
Ngamafutshane, yintoni iVitrectomy?
Khawuthelekelele ukuba iliso lethu lifana nebhola encinci. Indawo engenanto ngaphakathi kweli bhola izaliswe lulwelo olucacileyo, olufana nejeli. Oku sibiza ngokwezonyango ngokuba yi-vitreous humor . Le jeli yiyo enika iliso imo yalo engqukuva. Ngokwesiqhelo, le jeli kufuneka icoceke kwaye ibonakale, ukuze ukukhanya kungene elisweni ngaphandle kokuphazanyiswa kwaye kuwele kwi -retina ngasemva kweliso.
Kodwa kuya kwenzeka ntoni ukuba, ngenxa yezifo ezithile, olu lwelo lufana nejeli lonakele, ukuba igazi liqokelelana kulo, okanye ukuba luyancipha luze luqale ukuphuma kwi-retina ? Emva koko umbono wethu uyaphazamiseka.
I-Vitrectomy kukususwa ngotyando kwe-vitreous humor enengxaki ngaphakathi kweliso, ukubuyisela iliso kwimeko yalo eqhelekileyo.
Endaweni yejeli esusiweyo, ugqirha uzalisa iliso ngamanzi anetyuwa acocekileyo, ioyile ekhethekileyo yesilicone, okanye iqamza legesi. Oku kunceda iliso ligcine imo yalo efunekayo kwaye ligcine i-retina isendaweni yayo.
Kukweziphi iimeko apho utyando lwe-vitrectomy luyimfuneko?
Zininzi izizathu zokuba olu tyando lwenziwe. Ngamanye amaxesha lunokubangelwa kukopha ngaphakathi kweliso. Ngamanye amaxesha lunokubangelwa yingxaki kwi-retina. Makhe sijonge ezona zizathu ziphambili.
| Imeko yezonyango | Icacisiwe ngokulula |
|---|---|
| Ukuqhekeka kwe-retinal | I-retina, ebaluleke kakhulu ekuboneni, iyahlukana nendawo yayo elisweni. Le yimeko engxamisekileyo. |
| Umonakalo wamehlo obangelwa sisifo seswekile (i-Diabetes-related retinopathy) | Isifo seswekile sinokubangela ukopha kwimithambo yegazi emincinci elisweni okanye ukwakheka kwemithambo yegazi emitsha engafunekiyo. Eli gazi liqokelelana kulwelo lwe-vitreous kwaye lenze umbono ube mfiliba. |
| Umngxuma we-macular | Kuvela umngxuma kwi- macula , inxalenye ye-retina enceda ekuboneni ngokubukhali. |
| I-macular pucker | Ifilimu encinci iyenzeka phezu komphezulu we-macula, nto leyo ebangela ukuba amehlo angaboni kakuhle. |
| Ukopha ngaphakathi kweliso (i-vitreous hemorrhage) | Igazi eliqokelelana kwi-vitreous humor ngenxa yesifo seswekile, ukwenzakala kwamehlo, okanye ezinye izizathu. |
| Ukulimala kakhulu kwamehlo | Coca kwaye ulungise ingaphakathi leliso emva kwengozi, njengokubhoboza okanye ukunqunyulwa kweliso. |
| Usulelo ngaphakathi kweliso (i-Endophthalmitis) | Usulelo olukhulu lwebhaktiriya okanye lwefungus ngaphakathi kweliso. Olu tyando lwenziwa ukuze kususwe ulwelo olusulelekileyo kunye nokufaka amayeza. |
| Iingxaki zotyando lwe-cataract | Ngamanye amaxesha, ukuba iziqwenga zelensi ziwela elisweni ngexesha lotyando lwe-cataract, olu tyando luyimfuneko ukuze zisuswe. |
Kwenzeka ntoni ngaphambi kotyando?
Ngenxa yokuba olu lutyando, kukho amanyathelo aliqela okukulungiselela kwangaphambili.
- Ukuzila Ukutya:Ngosuku olungaphambi kotyando, ugqirha wakho uza kukuxelela ukuba uyeke nini ukutya nokusela. Ngokwesiqhelo, awuyi kuvunyelwa ukuba utye okanye usele nantoni na kangangeeyure ezimbalwa ngaphambi kotyando.
- Ukwazisa ngamayeza: Ufanele uxelele ugqirha wakho malunga namayeza owasebenzisayo (umzekelo, amayeza okunciphisa igazi). Angakucela ukuba uyeke ukuwasebenzisa kangangeentsuku ezimbalwa.
- Umntu oza kumnceda: Awuyi kukwazi ukuya ekhaya wedwa emva kotyando, ngoko ke uya kucetyiswa ukuba uze nomntu oza kukuthatha akuse ekhaya.
- Iiskeni: Ngamanye amaxesha, into efana ne -ultrasound scan ingenziwa ukujonga ngaphakathi kweliso ngaphambi kotyando.
Makhe sibone ukuba utyando lwenziwa njani.
Ungakhathazeki ngale nto. Iqela lezonyango liza kwenza konke okusemandleni alo ukuqinisekisa ukuba awuva ntlungu.
1. I-Anesthesia: Okokuqala, iliso lakho liza kuba ne-numbness (i-local anesthesia) . Oku kungabandakanya inaliti ejikeleze iliso. Uza kuba sengqondweni, kodwa awuyi kuva ntlungu. Ngamanye amaxesha unokunikwa iyeza emthanjeni ukuze ulale kancinci (i-sedation) , okanye unokunikwa i-anesthesia eqhelekileyo . Oku kuya kuxhomekeka kwimeko yakho kunye nohlobo lotyando.
2. Ukulungiswa kwamehlo: Iliso lakho liza kuxutywa ngamayeza. Emva koko, kuya kusetyenziswa isixhobo esincinci esibizwa ngokuba yi-eye speculum ukugcina iliso lakho livulekile ngexesha lotyando.
3. Utyando: Ugqirha wenza imingxunya embalwa kakhulu kwindawo emhlophe yeliso aze afake izixhobo ezincinci kakhulu esweni. Emva koko, ulwelo oluyingxaki lwe-vitreous lususwa kancinci kancinci. Ukuba kukho imithambo ephuma igazi, unyango lwe-laser lunokusetyenziswa ukuyimisa.
4. Ukuzalisa kwakhona: Emva kokususa ulwelo lwe-vitreous nokwenza ukulungiswa okufunekayo, indawo igcwaliswa ngamanzi anetyuwa, iqamza legesi, okanye ioyile ye-silicone, njengoko bekutshiwo ngaphambili.
5. Ixesha: Ixesha elithathwayo kutyando liyahluka ngokuxhomekeke kwinto eyenziwayo. Nangona utyando olulula lunokuthatha malunga neyure, utyando oluntsonkothileyo lunokuthatha ixesha elide.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, uza kubekwa esweni okwethutyana uze uthunyelwe ekhaya. Kukho imiyalelo embalwa ekufuneka uyilandele xa ubuyela ekhaya.
Eyona nto ibalulekileyo: ukuma ngendlela eyiyo ukuze uhlale uphezulu!
Ukuba unebhamuza yegesi okanye ioyile yesilicone esweni lakho, ugqirha wakho unokucebisa ukuba uhlale phantsi ubuso kangangeentsuku ezimbalwa okanye iiveki ukuze uncede i-retina iphilise kakuhle. Oku kunokuba nzima, kodwa kubalulekile ukuba iliso lakho liphilise kakuhle.Buza ugqirha wakho ngezinto ezifana nemiqamelo enokukunceda ugcine le ndawo ifanelekileyo.
- I-eye patch: Emva kotyando, uza kuba ne-eye patch. Ugqirha wakho uza kukuxelela ukuba uyisuse nini.
- Amaconsi amehlo: Kuya kufuneka usebenzise iintlobo ezahlukeneyo zamaconsi amehlo ukuthintela usulelo nokunciphisa ukudumba. Kubaluleke kakhulu ukusebenzisa amayeza kanye njengoko kuchaziwe, ngexesha elifanelekileyo.
- Ukungakhululeki: Iliso lisenokuba bomvu kancinci kwaye lidumbile. Usenokuziva urhawuzelelwa kwaye ukrweleka kancinci. Ezi ziqhelekile. Nangona kunjalo, ukuba kukho iintlungu eziqatha , yazisa ugqirha ngokukhawuleza.
- Umbono: Umbono usenokuba lufiphale kwiintsuku ezimbalwa zokuqala emva kotyando. Ukuba iqamza legesi lifakwe esweni, lisenokubonakala ngathi ujongeka ungaphantsi kwamanzi. Eli qamza legesi liya kunyibilika kancinci kancinci kwiiveki ezimbalwa. Ukuba ioyile yesilicone ifakwe, kuya kufuneka wenze olunye utyando oluncinci ukuze uyisuse.
Zithini iingenelo kunye neengozi?
Njengakwezinye iindlela zotyando, kukho iingenelo kunye neengozi ezincinci.
| Iingenelo | Iingozi/Iingxaki Ezinokwenzeka |
|---|---|
| Ukukwazi ukusindisa okanye ukuphucula umbono weliso obeliya kuba yimfama ngonaphakade. | Usulelo olungaphakathi kweliso. |
| Ukususa iimpawu ezicaphukisayo eziphazamisa umbono. | Ukopha ngaphakathi kweliso. |
| Ukukwazi ukunyanga ngempumelelo izifo ezininzi zamehlo ezazinganyangeki ngaphambili. | Ukuqhekeka kwe-retina okanye ukukrazuka kwayo. |
| Ukunceda ekufumaneni uxilongo oluchanekileyo kunye nokucwangcisa unyango. | Ukwakheka kwe-cataract okanye ukuqhubela phambili ngokukhawuleza kwe-cataracts ekhoyo. |
| Ukunyuka okanye ukwehla koxinzelelo lwamehlo. | |
| Kunqabile kakhulu, ukulahleka kombono. |
Musa ukukhathazeka ngezi ngozi. Azenzeki rhoqo. Ugqirha wakho uza kukuchazela yonke into aze enze konke okusemandleni akhe ukunciphisa umngcipheko.
Kufuneka ubone ugqirha ngokukhawuleza nini?
Xa ubuyela ekhaya emva kotyando, ukuba unezinye zezi mpawu zilandelayo, kufuneka wazise ugqirha wakho ngokukhawuleza .
- Ukuba ufumana intlungu enganyamezelekiyo, enzima emehlweni akho .
- Ukuba umbono wakho uya usiba mbi ngakumbi nangakumbi .
- Ukuba iliso libomvu kakhulu, lidumbile, kwaye linomphunga ofana nobovu (ezi ziimpawu zosulelo).
- Ukuba uneempawu ezikrokrisayo okanye ezingaqhelekanga .
Musa ukuzityeshela izinto ezinje. Okukhona ukhawuleza ukuxela, kokukhona kulula ukulawula nayiphi na ingxaki.
Umyalezo Wokuya Ekhaya
- I-Vitrectomy lutyando oluphumelele kakhulu olunokunyanga izifo ezininzi ezinzulu zamehlo ezichaphazela umbono. Akukho mfuneko yokoyika oku.
- Ukulandela imiyalelo kagqirha emva kotyando, ingakumbi indlela echanekileyo yokuma kwentloko kunye nokusebenzisa amaconsi eliso , kubalulekile ukuze iliso liphole.
- Ngaphambi nasemva kotyando, buza ugqirha wakho nayiphi na imibuzo okanye amathandabuzo onokuba nawo.
- Ukuba ufumana iintlungu eziqatha, ukubona okunciphileyo, okanye iimpawu zosulelo emva kotyando, yazisa ugqirha wakho okanye isibhedlele sakho ngoko nangoko.
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