Kuvamile ukuthi noma ubani azizwe esaba kakhulu futhi ethukile lapho ezwa igama elithi "ukususwa kwamehlo." Kodwa ngezinye izikhathi, ukuze kuncishiswe ubuhlungu obungabekezeleleki, kulawulwe ukutheleleka okuyingozi, noma ngemva kwengozi enkulu, ukuhlinzwa kwamehlo kuyadingeka. Kodwa akuzona njalo ukuthi lonke iso lisuswe. Namuhla sikhuluma ngokuhlinzwa okukhethekile okususa kuphela okuqukethwe yiso, kushiye i-sclera (lokho esikubiza ngokuthi "ingxenye emhlophe yeso") kanye nemisipha eshukumisa iso. Yilokhu okubizwa ngokuthi "i-Evisceration" ngokwezokwelapha.
Kungani kudingeka ukuba nohlobo olunjalo lokuhlinzwa?
Lokhu akuyona into eyenziwa kalula. Udokotela uzoncoma lolu hlobo lokuhlinzwa kuphela ezimweni ezithile nezibucayi. Cabanga ngalezi zimo:
- Ukutheleleka kwamehlo okukhulu: Ngezinye izikhathi ukutheleleka okukhulu kakhulu kungakhula ngaphakathi kweso. Lokhu kubizwa ngokuthi "i-Endophthalmitis." Uma lokhu kutheleleka kungenakulawuleka ngemithi, kungasakazekela hhayi nje kuphela esweni kodwa nasebuchosheni, okubangela izinkinga ezisongela ukuphila. Ezimweni ezinjalo, kwenziwa ukuhlinzwa ukuze kususwe izingxenye ezithelelekile.
- Ukulimala okukhulu kwamehlo: Uma into ebukhali inamathela esweni bese ililimaza kakhulu, lingase lingakwazi ukulungiswa. Lingabangela nobuhlungu obungabekezeleleki.
- Iso elingaboni futhi elibuhlungu: Ezinye izimo zezokwelapha zingaholela ekulahlekelweni umbono ngokuphelele. Kulungile ukulahlekelwa umbono wakho, kodwa uma ubhekene nobuhlungu obungapheli, obungabekezeleleki, lesi yisisombululo esingcono kakhulu sokuqeda lobo buhlungu.
- I-Phthisis bulbi: Lesi yisimo lapho iso lincipha kancane kancane bese lingasebenzi. Lesi simo singadala nobuhlungu nezinkinga zokubona.
Uzilungiselela kanjani ngaphambi kokuhlinzwa?
Njengoba lokhu kuwukuhlinzwa okuhleliwe, uzoba nesikhathi sokulungiselela kusenesikhathi.
1. Ukuhlangana nodokotela wamehlo: Ngemva kokuhlinzwa, uzodinga iso lokufakelwa. Uchwepheshe owenza lokhu ubizwa ngokuthi i-Ocularist. Kubaluleke kakhulu ukuhlangana naye ngaphambi kokuhlinzwa. Angabe esehlela iso lokufakelwa elizofanelana nelinye iso lakho futhi libukeke lemvelo ngangokunokwenzeka. Lokhu kufana nelensi yokuxhumana ebanzi oyifaka esweni lakho.
2. Ukukhuluma nodokotela wakho: Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, ngisho namavithamini. Ikakhulukazi uma uthatha noma yini efana nemithi yokuvimbela ukuphuma kwegazi , udokotela wakho uzokutshela ukuthi zingaki izinsuku ngaphambi kokuhlinzwa okudingeka uyeke ukuzithatha.
3. Ezinye izinto: Ngosuku olungaphambi kokuhlinzwa, uzonikezwa imiyalelo yokuthi ungayeka nini ukudla nokuphuza. Uzocelwa futhi ukuthi ulethe ilungu lomndeni noma umngane omethembayo ukuze akuyise ekhaya ngemoto ngemva kokuhlinzwa.Qhubeka ukhuluma. Ngoba isikhathi esiningi lokhu kuwukuhlinzwa kwangaphandle, ungaya ekhaya ngalolo suku, kodwa awukwazi nhlobo ukushayela.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kwenziwa egumbini lokuhlinza. Ungase unikezwe i-anesthesia ejwayelekile noma i-anesthesia yendawo ukuze uzizwe ungenaso isigqi futhi uzizwe ukhululekile.
Udokotela ohlinzayo ususa ngokucophelela okuqukethwe yiso (i-cornea, ilensi, kanye nento efana nejeli ngaphakathi kweso). Kodwa-ke , ingxenye emhlophe yeso (i-sclera) kanye nemisipha ezungeze iso ehambisa iso emuva naphambili ishiywa ingathintekile.
Ngemuva kwalokho, kufakwa i-implant encane efana nebhola endaweni engenalutho ukusiza ukugcina isimo seso. I-conformer yesikhashana yepulasitiki ibekwa phezu kwe-implant. Lokhu kusiza ukugcina isikhala esingaphakathi kweso sifana. Lokhu kwenza kube lula ukufaka iso lokwenziwa kamuva. Ngezinye izikhathi, ama-eyelid angase athungwe avale kuze kube yilapho inxeba liphola. Ekugcineni, kufakwa ibhandishi lokucindezela esweni ukuze kumiswe ukopha futhi kuncishiswe ukuvuvukala. Yonke inqubo ivame ukuthatha cishe ihora noma amabili.
| Izinzuzo zokuhlinzwa | Izingozi ezingaba khona |
|---|---|
| Ungasusa ngokuphelele ubuhlungu obungenakubekezeleleka. | Njenganoma yikuphi ukuhlinzwa, ukuphuma kwegazi kungenzeka. |
| Izifo eziyingozi ezifana ne-`(Endophthalmitis)` zingalawulwa. | Ukutheleleka kwesilonda noma i-implant efakiwe. |
| Ngemva kokufakelwa iso lokwenziwa, ukubukeka kwalo kungabuyiselwa. | Akuvamile kakhulu ukuthi kube nesimo sokuvuvukala esithinta elinye iso eliphilile (i-Sympathetic ophthalmia). |
| Iso lokwenziwa linikeza ukunyakaza okungcono kunokususa inhlamvu yeso yonke. | Ukugoba kwejwabu leso elingenhla noma elingezansi. |
| Ukwakheka kwamaqhubu amancane (i-pyogenic granuloma) enxebeni noma isidingo sokuhlinzwa okwengeziwe. |
Yini okufanele ngiyenze ngemva kokuhlinzwa?
Ukuze isikhathi sakho sokululama siphumelele, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
- Uzonikezwa imithi efana nemithi yokunciphisa izinhlungu, imithi elwa namagciwane ukuvimbela ukutheleleka, kanye nama-steroid ukunciphisa ukuvuvukala. Yiphuze njengoba nje kuqondiswe.
- Ungalisusi ibhandishi elisesweni lakho kuze kube yilapho udokotela wakho ekuyala ukuba ulisuse (ngokuvamile ngosuku lokuqala noma uze ubuyele emtholampilo). Kubalulekile futhi ukuqaphela ukuthi lingangenisi amanzi.
- Gwema ukubhukuda, ukugijima, noma ukugxuma okungenani amasonto amabili, mhlawumbe amasonto amane.
- Yeka ukugoba kusukela okhalweni uye phansi bese uphakamisa izinsimbi amasonto amane.
- Uzocelwa ukuthi ubuye uzobona udokotela ukuze alandelelwe cishe ngesonto.
- Uma amanxeba esepholile kahle, okusho ukuthi ngemva kwamasonto ayisithupha kuya kwayisishiyagalombili, ungavakashela i-Ocularist yakho bese ufakwa iso lokufakelwa elihlala njalo.
Uyini umehluko phakathi kwe-Evisceration kanye ne-Enucleation?
Kokubili ukuhlinzwa kokususa amehlo, kodwa kunomehluko omncane. Ku-'Evisceration', ungqimba lwangaphandle lweso (i-sclera) kanye nemisipha kuyashiywa. Ku-'Enucleation' , lonke i-eyeball kanye nengxenye ye-optic nerve kuyasuswa. I-'Enucleation' ivame ukwenziwa uma kukhona okuthile ngaphakathi kweso, njengomdlavuza.
Kalula nje, ukukhipha izicubu kushiya ungqimba lwangaphandle lweso, kuyilapho ukukhipha izicubu kususa lonke inhlamvu yeso. Ngemva kokuhlinzwa kokubili, iso lokwenziwa lingagqokwa.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Kujwayelekile ukuba nobuhlungu obuncane kanye nokuvuvukala ngemva kokuhlinzwa. Kodwa-ke, uma uhlangabezana nalezi zimpawu , shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma kukhona ukopha ngokweqile .
- Uma uzwa ubuhlungu obukhulu emehlweni noma ekhanda lakho obungenakulawuleka ngisho nangemithi yobuhlungu.
- Uma ubona izimpawu zokutheleleka njengomkhuhlane kanye nobomvu .
- Okubaluleke kakhulu: Uma kukhona ubuhlungu noma izinguquko zokubona kwelinye iso eliphilile (lokhu kungaba uphawu lwesimo esibizwa ngokuthi 'i-Sympathetic ophthalmia', ukwelashwa okusheshayo kubalulekile).
Kungokwemvelo ukuzizwa wesaba uma uzwa ngalolu hlobo lokuhlinzwa. Kodwa khumbula, lokhu kwenziwa njengendlela engcono kakhulu yokusindisa impilo yakho, ukudambisa ubuhlungu obukhulu, noma ukuvimbela ezinye izinkinga. Xoxa ngazo zonke izinto ezikukhathazayo nokwesaba kwakho nodokotela wakho. Kuyilungelo lakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Evisceration kuyindlela yokuhlinzwa esusa izingxenye zangaphakathi zeso kuphela, ishiye isembozo sangaphandle nemisipha ingathintekile, kunokususa lonke iso.
- Lokhu kwenziwa kakhulu ezimweni zokutheleleka okukhulu, ubuhlungu obungabekezeleleki, noma izingozi ezinkulu.
- Kubalulekile ukulandela imiyalelo kadokotela wakho ngokucophelela ukuqinisekisa ukuthi uyalulama ngokugcwele ngemva kokuhlinzwa. Ikakhulukazi, kufanele ugweme ukuphakamisa izinto ezisindayo nokuzivocavoca isikhashana.
- Uma inxeba selipholile, ungagqoka iso lokufakelwa elifana nelinye iso lakho futhi libukeka lingokwemvelo kakhulu.
- Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho ngalokhu. Inhlalakahle yakho yengqondo nayo ibaluleke kakhulu.
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