Ingabe ngokuzumayo ubona amachashazi amnyama noma ama-floaters amaningi kunokujwayelekile? Noma ubona ukukhanya okukhanyayo? Noma mhlawumbe kuvela isikrini esimnyama phambi kwamehlo akho? Ungathathi lezi zinto kalula. Lezi zingaba izimpawu zesimo esiphuthumayo sezokwelapha esibizwa ngokuthi i-retinal detachment. Uma ungelashwa, ungalahlekelwa umbono wakho ngokuphelele.
Kuyini ukuhlukaniswa kwe-retinal?
Kalula nje, iso lethu lifana nekhamera. I-retina iyi-membrane ezwela kakhulu esebenza njengefilimu ekule khamera. Izithombe zezinto esizibonayo zakheka kule membrane. Le retina inamathele ezicutshini ezinikeza ukudla okunomsoco okudingekayo. Uma ngesizathu esithile le retina ihlukana nalezo zicubu, yilokho esikubiza ngokuthi i-retina detachment.
Lesi yisimo esiphuthumayo sezokwelapha esibucayi kakhulu . Uma sesinqamukile, i-retina ilahlekelwa igazi layo kanye nezakhamzimba, futhi leyo ngxenye yeso iqala ukufa. Uma ingelashwa ngokushesha, ukubona kungalahleka unomphela.
Ngakho-ke, kuyini ukuhlinzwa kwe-Scleral Buckle?
Enye yezinqubo zokuhlinzwa eziyinhloko ezisetshenziswa ekwelapheni ukuhlukaniswa kwe-retinal ibizwa ngokuthi i-scleral buckle. Okwenzeka lapha kulula kakhulu.
Cabanga nje, unengxenye emhlophe yeso lakho (i-sclera), futhi nxazonke kwalo kukhona ithuluzi elincane elifana nebhande elenziwe nge-silicone noma isiponji elibizwa ngokuthi i-buckle. Kufana nokufaka ibhande okhalweni lwakho. Leli bhande lidala ingcindezi encane esweni kusukela ngaphandle ngaphakathi. Lokhu kucindezela kubangela ukuthi i-retina ehlukanisiwe inamathele kabusha ezicutshini ezingaphansi. Lokhu kuxhuma kabusha kuyivumela ukuthi iphole.
Kunconywa bani lokhu kuhlinzwa?
Isizathu esivame kakhulu sokuba udokotela wakho wamehlo angase ancome lokhu kuhlinzwa uhlobo lokususwa kwe-retinal olubizwa ngokuthi "rhegmatogenous". Lolu uhlobo oluvame kakhulu. Imbangela enkulu yalokhu ukuguga. Ngaphezu kwalokho:
- Ukulimala kwamehlo
- Ukuhlinzwa kwamehlo kwangaphambilini (isb. ukuhlinzwa kwe-cataract)
- I-Myopia Ephakeme
- Uma i-retina ihlukana futhi ngemva kokwelashwa kwangaphambilini
Kulezi zimo, odokotela bangase banqume ukwenza ukuhlinzwa kwe-scleral buckle bodwa noma kuhlanganiswe nokunye ukwelashwa (isb., i-vitrectomy). Udokotela wakho uzonquma ukuthi yikuphi ukwelashwa okungcono kakhulu kuwe.
Kwenzekani ngesikhathi sokuhlinzwa?
Lokhu kuhlinzwa kuvame ukuthatha cishe ihora noma ihora nesigamu. Ake sibheke kancane kancane ukuthi lokhu kuhlinzwa kwenziwa kanjani.
| Isinyathelo | Incazelo |
|---|---|
| Ukubulala izinzwa | Uzonikezwa i-anesthesia ejwayelekile noma i-anesthesia yendawo, futhi kubalulekile ukuthi uhlale unganyakazi phakathi nenqubo. |
| Ukwandiswa kweso elimnyama | Amaconsi eso avula imbobo yeso, okuvumela udokotela ukuthi abone ingaphakathi leso ngokucacile. |
| Ukugcina iso livulekile | Iso lakho livulwa ngethuluzi elikhethekile elibizwa ngokuthi i-speculum. |
| Ukwenza i-incision encane | Kwenziwa ukusikwa okuncane kulwelwesi olubonakalayo noluncane (i-conjunctiva) phezu kwengxenye emhlophe yeso. |
| Ukubopha ibhande | Ibhande le-silicone noma lesiponji okukhulunywe ngalo ngaphambilini elithi `(buckle)`` libekwa lizungeze ingxenye emhlophe yeso elithi `(sclera)`` bese liqiniswa. |
| Ukwelashwa okwengeziwe | Ukwelashwa nge-laser noma ngokuqandisa kungasetshenziswa ukusiza i-retina ukuthi ihlale inamathele. Ngezinye izikhathi, uketshezi oluqongelelene ngaphansi kwe-retina nalo luyasuswa. |
Yiziphi izinzuzo kanye nezinkinga ezingaba khona zalokhu kuhlinzwa?
Inzuzo eyinhloko yalokhu kuhlinzwaUkwelashwa okuphumelelayo kwesimo esibucayi okungaholela ekulahlekelweni umbono. Ngokusho kweminye imibiko, izinga lempumelelo yalokhu kuhlinzwa liphezulu lifinyelela ku-80% kuya ku-90% .
Kodwa njenganoma yikuphi ukuhlinzwa, kunezingozi nezinkinga ezingavela, futhi kubalulekile ukuzazi.
Khumbula, akuzona zonke lezi zinkinga ezizokwenzeka kuwo wonke umuntu. Amathuba okuthi zivele mancane kakhulu .
- Ukubona okukabili: Ngezinye izikhathi ungase ubone izinto ziphindwe kabili isikhathi esifushane ngemva kokuhlinzwa.
- Ukopha esweni: Lokhu kuyinto engavamile kakhulu.
- Ukutheleleka: Uzonikezwa umuthi wokulwa namagciwane wokuvimbela ukutheleleka ngemva kokuhlinzwa.
- Ukwanda kokubona eduze: Njengoba iso liba lide kancane ngenxa yokuhlinzwa, izinga lokubona eduze lingakhuphuka kancane.
- Ama-cataract: Ingozi yokuba nama-cataract inganda kancane ngokuhamba kwesikhathi ngemva kokuhlinzwa.
- Ukwanda kokucindezela kwangaphakathi kweso: Ukucindezela ngaphakathi kweso kunganda.
- Ukuhlukaniswa kwe-retinal: Nakuba kungavamile, kunengozi yokuthi i-retinal ihlukane noma idabuke futhi.
Kuthatha isikhathi esingakanani ukululama futhi kwenzekani ngemva kokuhlinzwa?
Kungathatha amasonto amabili kuya kwamane noma isikhathi eside ukuze ululame ngokugcwele. Ngemva kokuhlinzwa, kuzodingeka usebenzise imithi yamehlo. Kuzodingeka futhi ugqoke isichibi samehlo ngosuku lokuqala noma ngaphezulu.
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo. Ikakhulukazi, buza udokotela wakho ukuthi ungaqhubeka nini nemisebenzi elandelayo.
- Indlu yokugezela
- Ukuqala umsebenzi noma isikole
- Ukuqala ukushayela
- Umsebenzi onzima njengokudlala imidlalo noma ukuphakamisa izinsimbi
- Ukuyobhukuda
Isikhathi sokubona udokotela ngokushesha
Lena yingxenye ebaluleke kakhulu. Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo lapho uya ekhaya ngemva kokuhlinzwa, kufanele wazise udokotela wakho ngokushesha . Uma kudingeka, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Uma ubuhlungu bamehlo bungaba obungabekezeleleki.
- Uma ukuvuvukala kwamehlo kukhuphuka.
- Uma umbono wakho uba mubi ngokuzumayo.
Ungazinaki lezi zimpawu. Ukwelashwa okusheshayo kungavimbela izinkinga ezinkulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqhekeka kwe-retinal kuyisimo esiphuthumayo sezokwelapha. Uma uzwa ukuntanta, ukukhanya, noma isikrini esimnyama phambi kwamehlo akho, funa usizo lwezokwelapha ngokushesha.
- I-Scleral Buckle iyindlela yokuhlinzwa ephumelela kakhulu elapha lesi simo. Ihilela ukubeka ibhande elizungeze iso nokubopha kabusha i-retina ehlukanisiwe.
- Kuzothatha amasonto ambalwa ukululama ngokuphelele ngemva kokuhlinzwa. Phakathi nalesi sikhathi, kubalulekile ukulandela imiyalelo kadokotela wakho ngqo.
- Uma uzwa ubuhlungu obukhulu bamehlo, ukuvuvukala, noma ukulahlekelwa umbono ngemva kokuhlinzwa, kuyisimo esiphuthumayo. Shayela udokotela wakho ngokushesha.
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