Umcabango wokususwa kweso lakho ngokuphelele ukwenza uthuthumele, akunjalo? Kunzima ukucabanga. Kodwa ngezinye izikhathi, ngenxa yobuhlungu obungabekezeleleki, ukutheleleka okukhulu, noma ingozi enkulu, iso lakho lingasindiswa. Yilapho odokotela bekhuluma khona ngokuhlinzwa okubizwa ngokuthi 'i-Evisceration'. Ngisho noma igama lingase lizwakale lesabisa, uma usuwazi kahle ukuthi liyini nokuthi kungani lenziwa, ukwesaba kwakho kuzophela. Ngakho ake sixoxe ngakho ngokuningiliziwe.
Kalula nje, kuyini ukususwa kwe-Evisceration?
Ukususa iso ngaphandle kwesikhumba akuyona inqubo yokuhlinzwa esusa iso ngokuphelele. Kuhilela ukususa kuphela okuqukethwe iso lakho ngokuhlinzwa. Kodwa-ke, ingxenye emhlophe yeso, i -sclera , kanye nemisipha eshukumisa iso ishiywa ingathintekile.
Cabanga ngekakhukhunathi. Uma sihlikihla ikakhukhunathi, sisusa i-kernel kuphela bese sishiya igobolondo likakhukhunathi, akunjalo? Yilokho okwenzekayo nalapha. Sisusa izingxenye zangaphakathi ze-kernel, sishiya "igobolondo" langaphandle le-kernel.
Ngemva kokukhipha ingaphakathi leso ngale ndlela, udokotela ufaka i-implant ekhethekile efana nebhola endaweni engenalutho. Lokhu kusiza ukugcina isimo semvelo seso. Ngemuva kwalokho, uma usupholile kahle, ungaba neso lokufakelwa elibukeka lemvelo kakhulu uma ufisa. Leli yiso elithambile kakhulu, elinombala ofana ncamashi nelinye iso lakho.
Kungani udinga ukwenza lolu hlobo lokuhlinzwa?
Udokotela uzoncoma lolu hlobo lokuhlinzwa kuphela uma kungekho okunye okukhethwa kukho futhi kuyadingeka ngempela. Lokhu kuvame ukubangelwa yizizathu ezilandelayo:
- Ukutheleleka kwamehlo okukhulu (i-endophthalmitis): Ngezinye izikhathi, ukutheleleka okukhulu kakhulu kungakhula ngaphakathi kweso. Uma lokhu kungenakulawuleka ngama -antibiotic avamile, ukutheleleka kungasakazeka kulo lonke iso ngisho nasebuchosheni. Ezimweni ezinjalo, lokhu kuhlinzwa kwenziwa ukuze kususwe izingxenye ezithelelekile.
- Ukulimala okukhulu kwamehlo: Uma into ebukhali ingena esweni futhi ibangele umonakalo omkhulu, iso lingase lingakwazi ukusindiswa.
- Iso elingaboni futhi elibuhlungu: Ezinye izimo zezokwelapha zingabangela ukulahlekelwa umbono ngokuphelele. Kodwa-ke, uma kukhona ubuhlungu obungabekezeleleki nobuqhubekayo, lokhu kuhlinzwa kuyisisombululo esingcono kakhulu sokuqeda lobo buhlungu.
- Ukushwabana kweso ( i-Phthisis bulbi)): Lokhu kwaziwa nangokuthi 'iso lesigaba sokugcina'. Yilapho iso lincipha kancane kancane, lingasebenzi, futhi lishintsha ukubukeka. Lokhu kuhlinzwa kusetshenziselwa ukugwema ubuhlungu kanye nezinguquko ekubukekeni ezenzeka kulesi simo.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Kubaluleke kakhulu ukuzilungiselela kahle ngaphambi kokuhlinzwa okunje.
1. Ukuhlangana Nodokotela Wezinso: Ngaphambi kokuhlinzwa, kungumqondo omuhle ukuhlangana nokukhuluma nochwepheshe ozokwenza iso lakho lokwenziwa (Ocularist). Ngale ndlela, angabuka ngokucophelela izinto ezifana nombala nesimo selinye iso lakho bese ethatha izilinganiso ezidingekayo zeso lokwenziwa elizokwenziwa kamuva.
2. Ukukhuluma nodokotela wakho: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini. Ikakhulukazi uma uthatha imithi yokuvimbela ukuphuma kwegazi , udokotela wakho uzokutshela ukuthi kufanele uyeke ukuyithatha izinsuku ezingaki ngaphambi kokuhlinzwa. Ungalokothi uyeke ukuthatha noma yimuphi umuthi ngaphandle kokubuza udokotela wakho.
3. Ukuzila Ukudla: Ngosuku olungaphambi kokuhlinzwa, kufanele uyeke ukudla nokuphuza isikhathi eside njengoba udokotela wakho ekutshelile. Lokhu kuvame ukuba amahora angu-6-8 ngaphambi kokuhlinzwa.
4. Umuntu ozokuthatha akuyise ekhaya: Lokhu kuhlinzwa kuvame ukuba inqubo yokulaliswa esibhedlela, ngakho-ke ungaya ekhaya ngalolo suku. Kodwa-ke, njengoba ungaphansi kwe -anesthesia , ngeke ukwazi ukushayela noma ukuya ekhaya wedwa. Ngokuqinisekile uzodinga ilungu lomndeni noma umngane ukuthi akuyise ekhaya.
Indlela ukuhlinzwa okwenziwa ngayo
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora noma amabili. Ngemva kokuyiswa egumbini lokuhlinza, uzonikezwa i-anesthesia ejwayelekile, noma i-anesthesia yendawo, kanye nemithi yokukusiza uphumule.
Udokotela ususa ngokucophelela ingaphakathi leso, ashiye ungqimba olumhlophe lwangaphandle (i-sclera) kanye nemisipha kungaphazamisekile. Ngemuva kwalokho, kufakwa i-implant efana nebhola ukuze kulondolozwe ukuma kweso.
Ngemva kokuhlinzwa, kufakwa i-flap yesikhashana yepulasitiki ebizwa ngokuthi i-conformer ukuze kugcinwe isikhala esiphakathi kwamehlo futhi kudalwe indawo efanele iso lokufakelwa elizofakwa kamuva. Ngezinye izikhathi, udokotela angase avale okwesikhashana amehlo ngemithungo. Ekugcineni, kufakwa ibhandishi lokucindezela esweni ukuze kumiswe ukopha futhi kuncishiswe ukuvuvukala.
Kwenzekani ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzonikezwa isikhathi sokuphumula bese uvunyelwa ukuya ekhaya ngemva kokuvuka ekuhlinzweni kwe-anesthesia. Nazi ezinye izinto okufanele uzikhumbule ngemva kokubuyela ekhaya:
- Ama-painkiller nama-antibiotic: Udokotela wakho uzokunikeza imithi yobuhlungu nama-antibiotic noma ama-steroid ukuvimbela ukutheleleka. Thatha le mithi njengoba nje uyalelwe.
- Ibhandeji: Ungalisusi ibhandishi kuze kube yilapho udokotela wakho ekuyala ukuba ulisuse. Qaphela ukuthi ungalimanzisi. Ngokuvamile lisuswa zingakapheli izinsuku noma ngesikhathi sokuhlolwa okulandelayo emtholampilo (isikhathi sokuhlolwa okulandelayo).
- Imikhawulo yomsebenzi:
- Gwema imisebenzi enzima njengokubhukuda, ukugijima, ukugxuma, noma ukudlala imidlalo okungenani amasonto amabili, mhlawumbe amasonto amane .
- Gwema ukugoba kusukela okhalweni kuya phansi nokuphakamisa izinsimbi ezingaphezu kuka-5-10 kg amasonto amane .
- Ukuhlolwa kabusha: Ngokuvamile uzocelwa ukuthi ubuye cishe ngemva kwesonto. Ngaleso sikhathi, ibhandishi lizosuswa futhi iso lakho lizohlolwa.
- Ukufakelwa kweso lokwenziwa: Uma izicubu ezingaphakathi kweso sezipholile kahle, okuvame ukuba ngemva kwamasonto ayisithupha kuya kwayisishiyagalombili , ungafakelwa iso lokwenziwa. Udokotela wakho uzokwazisa ukuthi uhlele i-aphoyintimenti yalokhu.
Izinzuzo kanye nezingozi ezingaba khona zokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, kunezinzuzo kanye nezingozi ezithile, okubalulekile ukuzazi.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Ungasusa ngokuphelele ubuhlungu obungenakubekezeleleka. | Ukopha. |
| Izifo ezinzima njenge-endophthalmitis zingalawulwa. | Kungase kube nokutheleleka. Kungenzeka ukuthi kube nokuvezwa kwe-implant efakiwe. |
| Ngemva kokufakelwa kweso lokwenziwa, ukubukeka kwalo kungabuyiselwa kakhulu. | I-ophthalmia enozwela: Lesi yisimo esingavamile kakhulu lapho iso eliphilile elingakahlinzwa liba nohlobo oluthile lokuvuvukala (i-uveitis). |
| Ukugoba kwejwabu leso elingenhla noma elingezansi. | |
| Ukwakheka kwamaqhubu amancane njenge-pyogenic granuloma. | |
| Izinguquko ezifana nemibimbi ezungeze amehlo zingadinga ukuhlinzwa okwengeziwe. |
Khumbula, iningi lalezi zingozi alivamile. Udokotela wakho uzothatha zonke izinyathelo ezidingekayo ukuze anciphise lezi zingozi.
Uyini umehluko phakathi kwe-Evisceration kanye ne-Enucleation?
Kungenzeka ukuthi uke wezwa ngolunye ukuhlinzwa okubizwa ngokuthi i-enucleation. Nakuba kokubili kuwukuhlinzwa kwamehlo, kunomehluko omkhulu phakathi kwalokhu okubili.
| Isici | Ukususwa | Ukususwa kwe-nucleation |
|---|---|---|
| Ingxenye ezosuswa | Okungaphakathi kweso kuphela . | Ibhola leso lonke (kanye nengxenye yenzwa yokubona) liyasuswa. |
| Izingxenye ezisele | Igobolondo elimhlophe langaphandle leso (i-sclera) kanye nemisipha kusasele. | Kusala imisipha ehlobene neso kuphela futhi ixhunywe ku-implant. |
| Izimo ezivame ukusetshenziswa kakhulu | Uma ungenwa izifo ezinzima, izingozi, amehlo angaboni kahle abuhlungu. | Ivame ukusetshenziselwa umdlavuza wamehlo. |
Ukushayela nini udokotela wakho ucingo
Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngemva kokuya ekhaya ngemva kokuhlinzwa, shayela udokotela wakho ngokushesha :
- Uma kukhona ukopha ngokweqile .
- Uma uzwa ubuhlungu obungabekezeleleki emehlweni noma ekhanda lakho, ngisho nangemva kokuthatha imithi yobuhlungu.
- Uma kukhona uketshezi olufana nobovu oluphuma esweni, noma uma unomkhuhlane (lokhu kungaba izimpawu zokutheleleka ).
- Uma elinye iso elingazange lihlinzwe lizwa ubuhlungu .
Ngiyaqonda ukuthi kungaba yinto esabekayo kangakanani ukuzwa ngalolu hlobo lokuhlinzwa. Kodwa khumbula, udokotela uzosikisela into efana nale kuphela uma enomuzwa wokuthi iyisisombululo esingcono kakhulu esimweni esisongela impilo noma esibuhlungu kakhulu. Khuluma nodokotela wakho ngazo zonke izinto ezikukhathazayo nokwesaba kwakho. Bazokunikeza lonke ulwazi kanye nokusekelwa okudingayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukususa iso ngokuphelele akusikho ukususwa ngokuphelele kweso, kodwa kunalokho ukuhlinzwa okususa izingxenye ezingaphakathi kweso kuphela, kushiye igobolondo langaphandle kanye nemisipha yeso.
- Lokhu kuhlinzwa kwenziwa kuphela ezimweni zokutheleleka okukhulu, izingozi, noma ubuhlungu obungabekezeleleki obungenakukwazi ukusindisa iso.
- Kubalulekile ukuze umuntu alulame ngokushesha ukulandela imiyalelo kadokotela (ukuthatha imithi, ukuphumula, nokugwema umsebenzi onzima) ngemva kokuhlinzwa.
- Iso lokwenziwa elibukeka lingokwemvelo lingafakwa emasontweni ayi-6-8 ngemva kokuhlinzwa.
- Khuluma nodokotela wakho ngokukhululekile nganoma yimiphi imibuzo noma ukwesaba onakho. Kubaluleke kakhulu futhi empilweni yakho yengqondo.
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