Konke mayelana nokuhlinzwa kwe-Scleral Buckle ngamagama alula

Ingabe ngokuzumayo ubona izinto ezincane ezimnyama, njengezintambo zesicabucabu , zintanta phambi kwamehlo akho? Noma ingabe ngokuzumayo ubona ukukhanya? Mhlawumbe uzizwa sengathi ikhethini elimnyama liwile phambi kwamehlo akho? Lezi akuzona izimpawu okufanele uzishaye indiva. Lokhu kungaba uphawu lokuhlukana kwe-retinal. Lesi yisimo esidinga ukwelashwa okuphuthumayo . Uma singelashwa, ungalahlekelwa umbono wakho ngokuphelele. Namuhla sikhuluma ngenqubo ephumelele kakhulu ebizwa ngokuthi 'i-Scleral Buckle', elapha lesi simo esiyingozi.

Kalula nje, kuyini ukuhlinzwa kwe-Scleral Buckle?

Ukuze siqonde lokhu, ake siqale siqonde kancane ngendlela amehlo ethu asebenza ngayo. Cabanga ukuthi amehlo ethu afana nebhola elincane. Odongeni lwangaphakathi lwaleli bhola kukhona ulwelwesi olubaluleke kakhulu, oluzwela ukukhanya olubizwa ngokuthi i-retina . Lufana nephepha lodonga odongeni. Isithombe sezinto esizibonayo sakhiwa kule retina. Bese, ngokuthumela lolo lwazi ebuchosheni, sithola umbono .

Ukuhlukaniswa kwe-retinal kwenzeka lapho i-retina ihlukana nezicubu ezingaphakathi kweso, njengephepha lodonga eliphuma odongeni. Uma lokhu kwenzeka, leyo ngxenye ayitholi igazi elanele, ngakho-ke ilahlekelwa umsebenzi wayo.

Manje ake sibheke ukuhlinzwa. Ekuhlinzeni kwe-scleral buckle, ibhande elincane le-silicone noma isiponji (lokhu kubizwa ngokuthi i-buckle) libekwa nxazonke kwengxenye emhlophe yeso, i-sclera, bese liboshelwa. Uma iso licindezelwa ngaphakathi kancane ngaleli bhande, i-retina ehlukanisiwe ibuyela esweni bese inamathela odongeni olungaphakathi kweso. Kufana nokunamathisela iphepha lodonga elihlukanisiwe odongeni. Ngale ndlela, i-retina iqala ukululama.

Kukuziphi izimo lapho lokhu kuhlinzwa kunconywa khona?

Udokotela wakho wamehlo uvame ukuncoma lokhu kuhlinzwa uma unohlobo lokuhlukaniswa kwe-retinal olubizwa ngokuthi i-rhegmatogenous retinal detachment . Lolu uhlobo oluvame kakhulu lokuhlukaniswa kwe-retinal. Kwenzeka lapho kuvela imbobo encane noma ukudabuka ku-retina, okuvumela uketshezi olungaphakathi kweso (i-vitreous humor) ukuthi luphume ngaphansi kwe-retina bese luyikhipha.

Kunezici eziningana eziyingozi ezithinta lesi simo:

• Ukuguga : Njengoba siguga, into efana nejeli ngaphakathi kweso (i-vitreous) iyancipha bese iphenduka uketshezi, okungabangela ukuthi i-retina ihlukane.
• Ukulimala kweso: Njengokushaywa kanzima.
• Ukuhlinzwa kwamehlo kwangaphambilini: Isibonelo, ukuhlinzwa kwe-cataract.
• I-High Myopia: Ngenxa yokuthi iso liba nesimo eside, i-retina iba mncane futhi idabuke kalula.

Ngaphezu kwalokho, uma wake welashwa nge-retinal detachment futhi lesi simo siphinde sibuye, udokotela wakho angase akuncomele ukuhlinzwa kwe-scleral buckle.

Kungani ukhethe i-Scleral Buckle kune-Vitrectomy?

I-Vitrectomy ingenye indlela enkulu yokuhlinzwa eyenziwayo njengamanje ukuze kususwe i-retina ehlukanisiwe. Ngokuhamba kwesikhathi, i-vitrectomy isithandwa kakhulu kunokuhlinzwa kwe-scleral buckle. Lokhu kungenzeka ngoba isikhathi sokululama ngemva kokuhlinzwa kwe-scleral buckle singaba nzima kakhulu.

Udokotela wakho uzocabangela izici ezifana nalezi:

• Isimo se-vitreous ngaphakathi kweso lakho.
• Ingabe unayo ilensi yakho yemvelo, noma ingabe wahlinzwa i-cataract kanye nokufakelwa ilensi?
• Ukuthi uzokwazi yini ukubamba ikhanda lakho endaweni ethile ngemva kokuhlinzwa noma cha.

Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?

Kulungile, ake sithi udokotela usenqume ukuthi ufuna ukuhlinzwa. Udokotela uzokunikeza imiyalelo ecacile yokuthi kufanele uzilungiselele kanjani kusengaphambili.

• Umlando wezokwelapha: Khuluma nodokotela wakho ngomlando wakho wezokwelapha ophelele kanye nezimpawu zamanje.
• Imithi: Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, izithasiselo, kanye nezinhlungu zobuhlungu). Eminye imithi, ikakhulukazi imithi yokunciphisa igazi, kungadingeka iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
• Ukudla Nokuphuza: Udokotela wakho uzokwazisa ngesikhathi okufanele uyeke ngaso ukudla nokuphuza ngobusuku bangaphambi kokuhlinzwa.
• Umshayeli: Lokhu kuhlinzwa kuvame ukwenziwa njengenqubo yokulaliswa esibhedlela, ngakho kuzodingeka ulethe umuntu onesibopho sokukushayela ekhaya ngemva kokuhlinzwa.

Kwenzekani ngesikhathi sokuhlinzwa?

Kuzoba impumuzo kuwe ukuba nombono wokuthi kuzokwenzekani ngesikhathi sokuhlinzwa.

1.I-Anesthesia: Uzoqala unikezwe inani elincane lomuthi ngemithambo ukuze likusize uphumule. Ngemuva kwalokho, uzonikezwa olunye lwezinhlobo ezintathu ze-anesthesia: i-local anesthesia , i-regional anesthesia , noma i-general anesthesia . Kubaluleke kakhulu ukuthi uhlale unganyakazi ngesikhathi sokuhlinzwa.

2. Ukulungiswa kwamehlo: Udokotela uzofaka amaconsi amehlo azokhulisa inhlamvu yeso lakho ukuze abone kangcono ngaphakathi kweso lakho. Ngemuva kwalokho, iso lakho lizovulwa ngedivayisi ebizwa ngokuthi i-speculum .

3. Ukuhlinzwa: Udokotela wenza imbobo encane ku -conjunctiva , ulwelwesi olubonakalayo olumboza okumhlophe kweso (i-sclera). Ngemuva kwalokho, uma i-sclera isivele iveziwe, i-buckle, okuyibhande le-silicone noma isiponji, ibekwa nxazonke kweso futhi iqiniswe. Ngezinye izikhathi lokhu kungaba yibhande eliphelele, noma kungaba yizingcezu zesiponji kuzo zombili izinhlangothi ze-retina lapho ihlukane khona.

4. Ukwelashwa okwengeziwe: Ukuqinisekisa ukuthi i-retina ihlala inamathele ngokuqinile, udokotela wakho angenza ukwelashwa nge-laser noma nge-freezer. Lokhu kudala isibazi esincane esizungeze ukukhala kwe-retinal, okuvimbela ukuthi ingaphinde iphume.

5. Ukususwa koketshezi: Ngezinye izikhathi kuyadingeka ukususa uketshezi oluqongelelene ngaphansi kwe-retina.

Ngokuvamile, lokhu kuhlinzwa konke kuthatha cishe ihora noma ihora nesigamu.

Yini ongayilindela ngemva kokuhlinzwa?

Ngemva kokuba ukuhlinzwa sekuqediwe ngempumelelo, isikhathi sakho sokululama siyaqala.

• Uzonikezwa ama-antibiotic ukuvimbela ukutheleleka.
• Uzonikezwa i-eye patch ozoyigqoka ngalolo suku futhi mhlawumbe nangosuku olulandelayo.
• Uzohlala egumbini lokuhlinza uze uvuke ngokuphelele ekuhlinzweni kwe-anesthesia, bese ungaya ekhaya nomuntu oze ukuzokuthatha uye ekhaya.
• Udokotela ungitshela ukuthi ngize ngizobona udokotela ngosuku olulandelayo.
• Kuzodingeka unciphise imisebenzi yakho izinsuku ezimbalwa. Gwema ukuphakamisa noma ukugoba okunzima.
• Uma uzwa ubuhlungu bamehlo, ungaphuza amaphilisi obuhlungu anconywe udokotela wakho.

Yiziphi izinzuzo kanye namazinga empumelelo alokhu kuhlinzwa?

Inzuzo enkulu newukuphela kwayo yalokhu kuhlinzwa ukuthi kuqeda ingozi yokulahlekelwa ukubona. Ukususwa kwe-retinal kuyisimo esibi esingaholela ekulahlekelweni umbono unomphela uma singelashwa. Ngakho-ke, kubaluleke kakhulu ukuthola ukwelashwa ngokushesha okukhulu.

Ziyini izingozi zokuhlinzwa?

Njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingase zenzeke. Lokhu akuvamile, kodwa kubalulekile ukuqaphela.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Manje usubuza ukuthi, "Kulungile, ngingaqala nini ukusebenza ngokujwayelekile futhi?" Kungathatha amasonto amabili kuya kwamane noma isikhathi eside ukuze ululame ngokugcwele. Kungathatha nezinyanga eziningana ukuthi umbono wakho uzinze.

Buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi elandelayo:

• Ukugeza, ukugeza.
• Ukuqala umsebenzi noma isikole.
• Ukuqala ukushayela.
• Ukwenza umsebenzi onzima njengokuphakamisa izinsimbi noma ukudlala imidlalo.
• Ukuyobhukuda.

Kunini lapho udinga khona ukufonela udokotela ngokuzumayo?

Uma uya ekhaya ngemva kokuhlinzwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha uma uthola noma yiziphi izimpawu ezilandelayo: Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

• Uma ubuhlungu beso buba bukhulu.
• Uma ukuvuvukala kwamehlo kukhuphuka.
• Uma amehlo akho eba mabi kakhulu.

Uma uhlangabezana nalezi zimpawu, ungalibali. Kungaba uphawu lokutheleleka noma olunye uhlobo lwenkinga enkulu.