Umcabango wokususwa kweso ungakuphazamisa kakhulu, futhi kungokwemvelo ukuzizwa ukhathazekile. Kuyithuba elinzima ukubhekana nalo. Kodwa-ke, kunezimo—ezibangelwa ubuhlungu obungabekezeleleki, ukutheleleka okukhulu, noma ukulimala okukhulu—lapho ukusindisa iso kungasakwazi khona. Ezimweni ezinjalo, udokotela wakho ohlinzayo angase axoxe ngenqubo ebizwa ngokuthi 'i-Evisceration.' Nakuba igama lingase lizwakale lesabisa, ukuqonda kahle ukuthi lihilelani nokuthi kungani lenziwa kunganciphisa kakhulu ukukhathazeka kwakho. Ake sixoxe ngemininingwane ndawonye.
Kalula nje, kuyini ukususwa kwe-Evisceration?
Ukukhipha iso lakho ngaphandle kokuhlinzwa akukhona ukususwa ngokuphelele kweso lakho. Kunalokho, le nqubo yokuhlinzwa ihilela ukususa kuphela okuqukethwe ngaphakathi kweso. Ungqimba olumhlophe lwangaphandle, olwaziwa ngokuthi i -Sclera , kanye nemisipha eshukumisa iso lakho ihlala ingashintshi.
Cabanga ngakho njengokukhipha imbobo ebhodweni likakhukhunathi: sisusa inyama engaphakathi ngenkathi sishiya igobolondo langaphandle lingathintekile nhlobo. Yilokho okubalulekile kwalokhu kuhlinzwa—sisusa okungaphakathi ngenkathi silondoloza “igobolondo” langaphandle leso lakho.
Uma okuqukethwe sekususiwe, udokotela wakho ohlinzayo uzofaka i-sphere ekhethekile, eyaziwa ngokuthi i-implant, kuleso sikhala. Le implant isiza ukugcina isimo semvelo kanye nobukhulu beso lakho. Uma usupholile ngokuphelele, ungakhetha ukufaka iso lokufakelwa elenziwe ngokwezifiso. Lawa enziwe ngemininingwane emangalisayo, apendwe futhi ahlelwe ngendlela yokuthi afane nelinye iso lakho eduze kangangokuthi ukubukeka kwawo kungokwemvelo ngendlela emangalisayo.
Kungani lokhu kuhlinzwa kuyadingeka?
Udokotela wakho uzoncoma le nqubo kuphela uma kungekho ezinye izindlela ezisebenzayo. Ngokuvamile igcinelwe izimo ezilandelayo:
- Izifo Ezibucayi Zeso (i-Endophthalmitis): Ngezinye izikhathi, iso lingaba nokutheleleka okujulile. Uma ama-antibiotic ajwayelekile ehluleka ukulilawula, ukutheleleka kungasakazeka kulo lonke iso futhi kufinyelele ebuchosheni. Ezimweni ezinjalo ezibucayi, kwenziwa ukuhlinzwa ukuze kususwe izicubu ezithelelekile.
- Ukulimala Kwamehlo Okukhulu: Uma into ingene ngokujulile esweni, okwabangela umonakalo omkhulu nongenakulungiswa, iso lingase lingasakwazi ukusindiswa.
- Iso Elibuhlungu Nelingaboni: Izimo ezithile zingaholela ekulahlekelweni umbono ngokuphelele. Uma lelo liso lihlala liwumthombo wobuhlungu obungapheli, obungabekezeleleki, lokhu kuhlinzwa kuvame ukuba yisisombululo esingcono kakhulu sokubuyisela izinga lempilo yakho.
- Iso Elishwabene ( i-Phthisis bulbi ): Laziwa nangokuthi 'iso elisesigabeni sokugcina,' lokhu kwenzeka lapho iso lincipha kancane kancane, liyeka ukusebenza, futhi lishintsha ukubukeka. Lokhu kuhlinzwa kusetshenziselwa ukunciphisa ubuhlungu kanye nokukhathazeka ngezimonyo okuhambisana nalesi simo.
Ulungiselela kanjani ukuhlinzwa?
Ukulungiselela kahle kubalulekile ukuze ululame kahle.
1. Ukubonisana nodokotela wamehlo: Kuyasiza ukuhlangana nodokotela wamehlo (uchwepheshe wamehlo okwenziwa) ngaphambi kokuhlinzwa kwakho. Bangahlola umbala nesimo seso lakho eliphilile ukuze bathathe izilinganiso ezinembile ze-prosthesis yakho yesikhathi esizayo.
2. Ukuxoxa Ngemithi Nodokotela Wakho Ohlinzayo: Nikeza udokotela wakho uhlu oluphelele lwazo zonke imithi kanye nezithasiselo ozithathayo. Uma usebenzisa imithiUma usebenzisa imithi yokunciphisa igazi ( ama-Anticoagulants ), udokotela wakho ohlinzayo uzokweluleka ngokuthi kufanele uyiyeke nini. Ungalokothi uyeke ukuthatha imithi oyinikezwe ngudokotela ngaphandle kokubonisana nodokotela wakho kuqala.
3. Ukuzila Ukudla: Kuzodingeka uyeke ukudla nokuphuza isikhathi esithile ngaphambi kokuhlinzwa kwakho, ngokuvamile amahora angu-6-8, njengoba kuyalelwe yithimba lakho lezokwelapha.
4. Hlela Izinto Zokuhamba: Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela, okusho ukuthi uya ekhaya ngalolo suku. Kodwa-ke, ngenxa yemiphumela ye -anesthesia , akumelwe ushayele. Uzodinga umngane noma ilungu lomndeni ukuthi likuyise ekhaya.
Ngesikhathi Senqubo
Ukuhlinzwa ngokuvamile kuthatha ihora elilodwa kuya kwamabili. Uma ususegumbini lokuhlinzwa, uzothola i-anesthesia ejwayelekile noma i-anesthesia yendawo ene-sedation ukuze uhlale ukhululekile futhi ukhululekile phakathi nenqubo.
Udokotela wakho ohlinzayo uzosusa ngokucophelela okuqukethwe ngaphakathi ngenkathi elondoloza i-sclera nemisipha. I-implant ibe isibekwa ukuze kugcinwe isakhiwo seso lakho. Ukuqinisekisa ukuphulukiswa okufanele nokulungiselela isikhala seso lakho lokufakelwa lesikhathi esizayo, kufakwa isembozo sepulasitiki sesikhashana esibizwa ngokuthi 'i-conformer'. Kwezinye izimo, izinkophe zingase zithungwe okwesikhashana. Ekugcineni, kufakwa ibhandishi lokucindezela ukuze kuncishiswe ukuvuvukala nokuvimbela ukuphuma kwegazi.
Ukululama Ngemva Kokuhlinzwa
Ngemva kwesikhathi sokuhlolwa kokululama, uzokhishwa. Uma ususekhaya, sicela ukhumbule okulandelayo:
- Ukuphathwa Kobuhlungu Nemithi: Landela imiyalelo kadokotela wakho ngokucophelela mayelana nokuqeda ubuhlungu, ama-antibiotic, noma ama-steroid anikezwe udokotela. Ziphuze njengoba nje kuqondiswe.
- Ukunakekelwa Kwebhandeji: Gcina ibhandeji lakho lomile futhi liqinile kuze kube yilapho udokotela wakho ekweluleka ngenye indlela, ngokuvamile ngesikhathi sokuqokwa kwakho kokulandelela.
- Imikhawulo Yemisebenzi:
- Gwema imisebenzi enzima, ukugijima, noma ukubhukuda okungenani amasonto amabili kuya kwamane.
- Gwema ukugoba okhalweni noma ukuphakamisa izinto ezisindayo ezingaphezu kuka-5-10 kg okungenani amasonto amane.
- Ama-aphoyintimenti Okulandelela: Cishe uzohlolwa cishe ngesonto. Ngaleso sikhathi, ibhandishi lizosuswa, bese iso lihlolwa.
- Ukufaka Iso Lakho Lokufakelwa: Uma izicubu sezipholile ngokuphelele—ngokuvamile ngemva kwamasonto angu-6-8—udokotela wakho ohlinzayo uzohlela ukufakwa kweso lakho lokufakelwa elenziwe ngokwezifiso.
Izinzuzo kanye Nezingozi Ezingaba Khona
Njenganoma yikuphi ukungenelela kokuhlinzwa, kunezinzuzo kanye nezingozi ezingaba khona. Kubalulekile ukuxoxa ngalokhu ngokugcwele nethimba lakho lokuhlinzwa eNirogi Lanka ukuqinisekisa ukuthi unolwazi oluphelele.
| Izinzuzo | Izingozi/Izinkinga |
|---|---|
| Ukuphumula okuphumelelayo ebuhlungwini obungapheli, obungenakubekezeleleka. | Ukopha. |
| Ukulawulwa kwezifo eziyingozi zamehlo, njenge-endophthalmitis. | Ingozi yokutheleleka noma ukuchayeka okungenzeka kwe-orbital implant. |
| Ukubuyiselwa kokubukeka kwemvelo, okulinganayo uma i-prosthesis yamehlo isifakiwe. | I-Sympathetic Ophthalmia: Isimo esingavamile kakhulu lapho ukuvuvukala (i-uveitis) kwenzeka khona esweni eliphilile, elingahlinzwa. |
| Ukugoba kwejwabu leso elingenhla noma elingezansi (i-ptosis). | |
| Ukuthuthukiswa kokukhula okuncane njenge-pyogenic granuloma. | |
| Isidingo esingaba khona sokuhlinzwa kwesibili kokulungisa ngenxa yezinguquko ekwakhekeni kweso. |
Sicela ukhumbule ukuthi iningi lalezi zinkinga alivamile. Ithimba lakho lokuhlinzwa laseNirogi Lanka lizothatha zonke izinyathelo zokunciphisa lezi zingozi.
Uyini umehluko phakathi kwe-Evisceration kanye ne-Enucleation?
Kungenzeka ukuthi uke wezwa ngenqubo ebizwa ngokuthi i-Enucleation. Nakuba zombili ziyizinketho zokuhlinzwa kweso, kunomehluko omkhulu phakathi kwazo.
| Isici | Ukususwa | Ukususwa kwe-nucleation |
|---|---|---|
| Okuqukethwe Kususiwe | Okuqukethwe ngaphakathi kweso kuphela . | Ibhola leso lonke (kufaka phakathi ingxenye yenzwa ye-optic). |
| Izingxenye Ezisele | Igobolondo elimhlophe langaphandle (i-sclera) kanye nemisipha yamehlo ahlala ephilile. | Kusele imisipha yamehlo kuphela; lena inamathele ku-orbital implant. |
| Ukusetshenziswa Okuyinhloko | Ukutheleleka okukhulu, ukulimala, noma amehlo abuhlungu, angaboni. | Ngokuvamile kuyathandwa kakhulu ngezimila zangaphakathi kwamehlo noma umdlavuza. |
Nini Ukuxhumana Nodokotela Wakho
Ngemva kokubuyela ekhaya, sicela uxhumane nodokotela wakho ngokushesha uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:
- Ukopha ngokweqile endaweni okuyo.
- Ubuhlungu obukhulu, obuqhubekayoesweni noma ekhanda elingaphenduli emithini enikezwe udokotela.
- Izimpawu zokutheleleka , njengokukhipha okungavamile emehlweni noma umkhuhlane.
- Noma yikuphi ubuhlungu noma ukubomvu kwelinye iso lakho (eliphilile) .
Kungokwemvelo ukuzizwa ukhathazekile ngalokhu kuhlinzwa. Sicela wazi ukuthi ithimba lakho lezokwelapha lisikisela le nqubo kuphela uma kuyisisombululo esiphephile nesisebenza kahle kakhulu sokuphatha ubuhlungu obukhulu noma isimo esisongela ukuphila. Khuluma ngokukhululekile nodokotela wakho ngazo zonke izinto ezikukhathazayo—bakhona ukukunikeza ukwesekwa nolwazi oludingayo.
Umlayezo Wokuya Nawe Ekhaya
- Ukukhipha izicubu kuhilela ukususa kuphela okuqukethwe yiso, kulondolozwe igobolondo langaphandle le-scleral kanye nemisipha.
- Lokhu kuhlinzwa kugcinelwe amacala okutheleleka okukhulu, ukulimala, noma ubuhlungu obungapheli.
- Ukulandela ngokuqinile imiyalelo yangemva kokuhlinzwa—okuhlanganisa ukunamathela emithini, ukuphumula, nokugwema ukuthwala izinto ezisindayo—kubalulekile ukuze ululame.
- Ngokuvamile ungafakwa iso lokwenziwa elingokoqobo kakhulu, elenziwe ngokwezifiso cishe emavikini ayi-6-8 ngemuva kokuhlinzwa.
- Inhlalakahle yakho yengqondo ibalulekile; zizwe ukhululekile njalo ukubuza udokotela wakho noma yimiphi imibuzo ongase ube nayo.
Ukususwa kwamehlo, Ukususwa kwesisu, Ukuhlinzwa kwamehlo, Iso lokwenziwa, I-Endophthalmitis, Ukukhishwa kwe-Enucleation, I-Ophthalmology
