Ukuzwa ngokuhlinzwa kweso lakho lonke kungaba yinto eyesabekayo, eshaqisayo, futhi edabukisayo. Lesi yisihloko esibucayi kakhulu. Udokotela wakho kungenzeka ukuthi ukhulume nawe noma nelungu lomndeni ngalolu hlobo lokuhlinzwa. Ngaleso sikhathi, ungase ube nemibuzo eminingi. Kuvamile ukucabanga izinto ezinjengokuthi, "Kungani ngidinga ukwenza lokhu?", "Kuzokwenzekani ngemva kwalokhu?", "Ngizobhekana kanjani nokuphila?" Ngakho ungesabi. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda, njengokungathi ukhuluma nomngane oseduze.
Kalula nje, kuyini "ukususwa kwe-enucleation"?
Leli igama eliyinkimbinkimbi, kodwa incazelo yalo ilula kakhulu. Igama elithi "enucleation" libhekisela ekususweni kwembulunga yonke yeso lakho, ingxenye yeso esiyibonayo, kanye nengxenye encane yenzwa ye-optic eyixhumanisayo futhi ithwala imiyalezo ebuchosheni.
Kodwa into ebaluleke kakhulu neduduzayo lapha ukuthi imisipha ezungeze iso lakho ekusiza ukuhambisa iso lakho emuva naphambili (imisipha yamehlo) ayisuswa . Udokotela ohlinzayo ushiya leyo misipha ingashintshi. Lokhu kubaluleke kakhulu. Ngoba, uma kamuva uthola iso lokufakelwa, leyo misipha ingaxhunyaniswa neso elisha. Khona-ke iso lokufakelwa lizohamba nelinye iso ngezinga elithile. Lizonikeza ukubukeka kwemvelo kakhulu.
Kungani kudingeka ukuba nohlobo olunjalo lokuhlinzwa?
Akulula ngodokotela ukwenza isinqumo esikhulu kangaka. Lapho zonke ezinye izindlela zokwelapha ezingase zizanywe futhi kungekho neyodwa yazo ephumelele, lokhu kuhlinzwa kuphakanyiswa njengesinyathelo sokugcina. Cabanga nje, ngezinye izikhathi lokhu kuhlinzwa kungasindisa ngisho nokuphila kothile.
Kunezizathu eziningana eziyinhloko zokwenza lokhu kuhlinzwa. Ake sibheke ukuthi ziyini.
| Isizathu esiyinhloko | Incazelo elula |
|---|---|
| Ukulimala kwamehlo okubuhlungu | Ezimweni lapho iso lonakele kakhulu, okubangele ukulahlekelwa umbono ngokuphelele, futhi kungekho ndlela yokulibuyisela esimweni salo, lingaqhubeka nokubangela ubuhlungu kanye nokutheleleka. |
| Umdlavuza wamehlo | Ikakhulukazi ezimweni zomdlavuza njenge- intraocular melanoma kubantu abadala kanye ne -retinoblastoma ezinganeni ezincane (ezingaphansi kweminyaka emi-3 ubudala), ukususa iso kubalulekile ukuze umdlavuza ungasabalali kwezinye izingxenye zomzimba. |
| Ukutheleleka okukhulu | Ukutheleleka okukhulu okungenakulawuleka ngemithi futhi okubhubhisa iso. Isibonelo, izimo ezifana ne -Acanthamoeba Keratitis kanye ne-Endophthalmitis . Lokhu kutheleleka kungaba yingozi empilweni uma kusakazekela ebuchosheni. |
| Iso elingaboni elibuhlungu | Abanye abantu balahlekelwa umbono ngokuphelele kodwa bayaqhubeka nokuba nobuhlungu obungabekezeleleki kulelo liso. Noma uma ukubukeka kweso kushintshile (isib., isimo lapho iso lincipha khona (i-Phthisis Bulbi) ) futhi kubangela ukucindezeleka okukhulu kwengqondo, lokhu kuhlinzwa kwenziwa ukuze kuncishiswe ubuhlungu nokucindezeleka kwengqondo. |
| Ezinye izizathu ezikhethekile | Izimo ezingavamile njenge- Sympathetic Ophthalmia . Kulokhu, lapho iso elilodwa lonakele, amasosha omzimba aqala ngephutha ukuhlasela iso eliphilile. Iso elonakele kufanele lisuswe ukuze kusindiswe iso eliphilile. Lokhu kuhlinzwa kwenziwa nasezimweni lapho amehlo ezalwa emancane kakhulu (i-Microphthalmia) . |
Into ebaluleke kakhulu ukuthi lokhu kuhlinzwa kwenzelwe ukunciphisa ubuhlungu bakho, kukusindise esifweni esisongela impilo, futhi kukuvumele ukuthi uphile impilo evamile futhi.
Yini okufanele uyenze ngaphambi kokuhlinzwa?
Udokotela wakho ohlinzayo kanye nodokotela obulala izinzwa bazokhuluma nawe ngaphambi kokuhlinzwa futhi bakuchazele konke. Ungesabi ukubuza noma yimiphi imibuzo onayo ngaleso sikhathi.
- Ukudla Nokuphuza: Ngokuvamile, uzocelwa ukuba uyeke ukudla nokuphuza ngokuphelele ngemva kwamabili ebusuku ngaphambi kokuhlinzwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa amavithamini kanye nemithi yamakhambi. Ikakhulukazi uma uthatha imithi yokunciphisa igazi.Uma uthatha imithi yokunciphisa igazi (njengemithi yokunciphisa igazi), ungase ucelwe ukuthi uyeke ukuyithatha ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Khuluma ngeso lokufakelwa: Uma uzothola iso lokufakelwa ngemva kokuhlinzwa, khuluma nodokotela wakho kusengaphambili ngalokho okufanele ukwenze ngemva kwenqubo nokuthi ungalinakekela kanjani.
- Umuntu ozokusekela: Kufanele ube nomuntu ozokuyisa ekhaya ngemva kokuhlinzwa. Kungaba kuhle uma ubunomuntu ohamba nawe ngobusuku bokuqala.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa akuyinkimbinkimbi kakhulu futhi kuvame ukuthatha cishe ihora.
1. I-Anesthesia: Esikhathini esiningi, lokhu kwenziwa ngokukufaka ngaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ulele ngokuphelele futhi awuzwa lutho. Kwezinye izimo ezikhethekile, lokhu kungenziwa ngokufaka izinzwa endaweni kuphela (i-anesthesia yendawo) nokukunikeza umuthi wokukusiza ulale kancane.
2. Ukususa iso: Udokotela uhlukanisa ngokucophelela inhlamvu yeso ezicutshini nasemisipheni ezungezile bese eyisusa.
3. Ukubeka i-implant: I-implant eyindilinga (i-orbital implant) ifakwa endaweni engenalutho lapho iso likhishwe khona. Lokhu kugcwalisa isikhala esingaphakathi futhi kusiza ukunikeza indawo lapho iso lalikhona isimo semvelo.
4. Ukunamathela kwemisipha: Okulandelayo, imisipha yamehlo egciniwe ngaphambili inamathela ku-implant esanda kufakwa bese ithungwa. Le implant imbozwe ngezicubu ezifana nengxenye emhlophe yeso (i-`sclera`).
5. Ukubeka isembozo sesikhashana: Okulandelayo, isembozo sepulasitiki esincane esibizwa ngokuthi ``conformer`` sibekwa phezu kwesifakelo. Lokhu kwenzelwa ukuvikela isikhala esidingekayo ukufaka iso lokwenziwa kamuva.
6. Ibhandeji lokuvikela: Ekugcineni, kufakwa ibhandishi elikhulu lokucindezela phezu kwenxeba ukuze livikeleke futhi lilawule ukuvuvukala nokopha. Ngezinye izikhathi ijwabu leso lingase lithungwe okwesikhashana kuze kube yilapho inxeba liphola.
Kufanele ngizinakekele kanjani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzogcinwa ekamelweni lokululama isikhashana bese uvunyelwa ukuya ekhaya uma konke sekuqinisekisiwe ukuthi kuhamba kahle.
- Ubuhlungu: Kungase kube nobuhlungu ezinsukwini zokuqala ezingu-3-5. Sebenzisa imithi yobuhlungu enqunywe udokotela wakho njengoba kuyalelwe. Iningi labantu lingakulawula lokhu ngemithi yobuhlungu ethengiswa ngaphandle kwemithi kadokotela.
- Ibhandeji: Ungalisusi ibhandishi elisindayo kuze kube yilapho udokotela wakho ekuyala ukuba ulisuse. Livame ukususwa ekuhambeleni kwakho okulandelayo cishe ngesonto. Kuze kube yileso sikhathi, kufanele uqaphele ukuthi ungalivumeli limanzi .
- Imithi: Sebenzisa ama-antibiotic njengoba nje uyalelwe ukuze uvimbele ukutheleleka. Unganikwa namaconsi amehlo.
- Ukuphumula:Gwema umsebenzi onzima, ukuphakamisa izinsimbi, noma ukugoba amasonto ama-2-4. Nika umzimba wakho isikhathi sokululama.
- Iso lokwenziwa: Uma isilonda sesipholile ngokuphelele, ngokuvamile emavikini angaba ngu-6-8, uzothunyelwa kuchwepheshe wamehlo (udokotela wamehlo). Uzokwakha iso lokwenziwa elibukeka lemvelo kakhulu elifanelana nombala nobukhulu belinye iso lakho.
Ingabe zikhona izingozi kulokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezincane kakhulu ezihilelekile, kodwa lezi azivamile.
- Ukopha
- Izifo
- Izibazi
- Izinkinga zamajwabu amehlo (isb., ijwabu amehlo eligobile - `i-ptosis`)
- Ukukhishwa kwesithako esifakiwe
Uma kwenzeka into efana nale, ingelapheka, ngakho ungakhathazeki ngayo.
Uma udinga ukukhuluma nodokotela!
Kubalulekile ukunaka umzimba wakho ngesikhathi sokululama kwakho. Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, shayela udokotela wakho ngokushesha.
| Izimo Eziphuthumayo - nakekela lezi | |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba wakho likhuphuka, kungaba uphawu lokutheleleka. |
| Ubuhlungu obukhulu | Uma uzwa ubuhlungu obukhulu ekhanda lakho noma endaweni yamehlo lokho akupheli ngisho nangemva kokuthatha imithi yobuhlungu. |
| Ukukhishwa kobomvu | Uma inxeba likhipha uketshezi oluphuzi noma oluhlaza okotshani (ubomvu) noma linephunga elibi. |
| Ukususa i-implant | Uma i-implant noma 'i-conformer' efakiwe iphuma. |
| Ukuhlanza kanye nesicanucanu | Uma uhlanza njalo noma unesicanucanu. |
Umlayezo Wokuya Nawe Ekhaya
- Ukwenza isinqumo sokususwa kweso kuyinto enzima kakhulu futhi ebuhlungu kuwe nomndeni wakho. Kuvamile ukuba naleyo mizwa.
- Lokhu kuhlinzwa kuvame ukwenziwa njengendlela yokugcina, lapho kungekho ezinye izinketho. Kungaqeda ubuhlungu obungapheli, kwelaphe izifo ezinkulu njengomdlavuza, futhi kusindise ngisho nokuphila.
- Uma udinga ukwesekwa ngokomzwelo ngesikhathi sokululama kwakho, khuluma nodokotela wakho noma othandekayo wakho ngakho. Uma kudingeka, ungafuna amaqembu okwelulekwa noma okusekelana nabantu abaye baba nokuhlangenwe nakho okufanayo.
- Ngemva kokuthola iso lokwenziwa, abantu abaningi babukeka ngendlela yemvelo kakhulu, ngakho-ke ungaqhubeka nokuphila kwakho okuvamile ngokuzethemba futhi.
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