Uzizwa sengathi umbono wakho uyancipha kancane kancane? Noma ingabe ngokuzumayo uba nombono ofiphele bese ubona izinto ezifana ne-spider webs zintanta phambi kwamehlo akho? Lezi zinto zingaba izimpawu zenkinga enkulu yamehlo. Ngakho-ke namuhla sizokhuluma ngokuhlinzwa okukhethekile okungaxazulula eziningi zalezi zinkinga futhi kusize ekusindiseni umbono wakho. Lokho ukuhlinzwa kwe-Vitrectomy. Nakuba igama liyinqaba kancane, ake siqonde ukuthi lokhu kwenzani.
Kalula nje, kuyini i-Vitrectomy?
Cabanga nje ukuthi iso lethu lifana nebhola elincane. Isikhala esingenalutho ngaphakathi kwaleli bhola sigcwele uketshezi olucacile, olufana nejeli. Lokhu yikho esikubiza ngokwezokwelapha ngokuthi i-vitreous humor . Le jeli yilokho okunikeza iso isimo salo esiyindilinga. Ngokuvamile, le jeli kufanele ihlanzeke futhi ibonakale, ukuze ukukhanya kungene esweni ngaphandle kokuvinjelwa futhi kuwele ku -retina ngemuva kweso.
Kodwa kwenzekani uma, ngenxa yezifo ezithile, lolu ketshezi olufana nejeli lonakala, uma igazi liqongelela kulo, noma uma luncipha bese luqala ukuphuma ku-retina ? Khona-ke umbono wethu uyaphazamiseka.
I-Vitrectomy ukususwa ngokuhlinzwa kwe-vitreous humor eyinkinga ngaphakathi kweso, ukubuyisela iso esimweni salo esijwayelekile.
Esikhundleni sejeli esusiwe, udokotela ohlinzayo ugcwalisa iso ngamanzi anosawoti ahlanzekile, uwoyela okhethekile we-silicone, noma ibhamuza legesi. Lokhu kusiza iso ukuthi ligcine isimo salo esifiselekayo futhi ligcine i-retina isendaweni yayo.
Kukuziphi izimo lapho ukuhlinzwa kwe-vitrectomy kuyadingeka khona?
Kunezizathu eziningi zokuthi kungani lokhu kuhlinzwa kungenzeka kwenziwe. Ngezinye izikhathi kungase kube ngenxa yokopha ngaphakathi kweso. Ngezinye izikhathi kungase kube ngenxa yenkinga nge-retina. Ake sibheke izizathu eziyinhloko.
| Isimo sezokwelapha | Kuchazwe kalula |
|---|---|
| Ukuhlukaniswa kwe-retinal | I-retina, ebalulekile ekuboneni, iyasuka endaweni yayo esweni. Lesi yisimo esiphuthumayo. |
| Ukulimala kwamehlo okubangelwa isifo sikashukela (i-retinopathy ehlobene nesifo sikashukela) | Isifo sikashukela singabangela ukuphuma kwegazi emithanjeni yegazi emincane esweni noma ukwakheka kwemithambo yegazi emisha, engafuneki. Leli gazi liqoqana oketshezini lwe-vitreous futhi lifiphaze umbono. |
| Umgodi we-macular | Kuvela imbobo ku- macula , ingxenye ye-retina esiza ekuboneni okubukhali. |
| I-macular pucker | Kwakha ifilimu encane ebusweni be-macula, ebhidliza futhi iphazamise umbono. |
| Ukopha ngaphakathi kweso (i-vitreous hemorrhage) | Igazi eliqongelelekayo ku-vitreous humor ngenxa yesifo sikashukela, ukulimala kwamehlo, noma ezinye izimbangela. |
| Ukulimala okukhulu kwamehlo | Hlanza futhi ulungise ingaphakathi leso ngemva kwengozi, njengokubhoboza noma ukunqunywa esweni. |
| Ukutheleleka ngaphakathi kweso (i-Endophthalmitis) | Ukutheleleka okukhulu kwebhaktheriya noma isikhunta ngaphakathi kweso. Lokhu kuhlinzwa kwenziwa ukuze kususwe uketshezi olunegciwane bese kujovwa imithi. |
| Izinkinga zokuhlinzwa kwe-cataract | Ngezinye izikhathi, uma izingcezu zelensi ziwela esweni ngesikhathi sokuhlinzwa kwe-cataract, lokhu kuhlinzwa kuyadingeka ukuze kususwe. |
Kwenzekani ngaphambi kokuhlinzwa?
Ngenxa yokuthi lokhu kuwukuhlinzwa, kunezinyathelo eziningana zokukulungiselela kusengaphambili.
- Ukuzila Ukudla:Ngosuku olungaphambi kokuhlinzwa, udokotela wakho uzokutshela ukuthi kufanele uyeke nini ukudla nokuphuza. Ngokuvamile, ngeke uvunyelwe ukudla noma ukuphuza noma yini amahora ambalwa ngaphambi kokuhlinzwa.
- Ukuqwashisa Ngemithi: Kufanele utshele udokotela wakho nganoma yimiphi imithi oyithathayo (isibonelo, imithi yokunciphisa igazi). Angase akucele ukuthi uyeke ukuyithatha izinsuku ezimbalwa.
- Umuntu ozokusiza: Ngeke ukwazi ukuya ekhaya wedwa ngemva kokuhlinzwa, ngakho-ke uzokwaziswa ukuthi ulethe umuntu ozokuthatha akuyise ekhaya.
- Ukuskena: Ngezinye izikhathi, into efana nokuskena nge-ultrasound ingenziwa ukuze kubhekwe ngaphakathi kweso ngaphambi kokuhlinzwa.
Ake sibone ukuthi ukuhlinzwa kwenziwa kanjani.
Ungakhathazeki ngalokhu. Ithimba lezokwelapha lizokwenza konke okusemandleni alo ukuqinisekisa ukuthi awuzizwa ubuhlungu.
1. I-Anesthesia: Okokuqala, iso lakho lizophelelwa amandla (i-anesthesia yendawo) . Lokhu kungase kuhilele ukujova eduze kweso. Uzobe uqaphile, kodwa ngeke uzwe ubuhlungu. Ngezinye izikhathi unganikwa umuthi emthanjeni ukuze ulale kancane (i-sedation) , noma unganikwa i-anesthesia ejwayelekile . Lokhu kuzoncika esimweni sakho kanye nohlobo lokuhlinzwa.
2. Ukulungiswa kwamehlo: Iso lakho lizovulwa ngomuthi. Ngemuva kwalokho, kuzosetshenziswa ithuluzi elincane elibizwa ngokuthi i-eye speculum ukugcina iso lakho livulekile ngesikhathi sokuhlinzwa.
3. Ukuhlinzwa: Udokotela ohlinzayo wenza izimbobo eziningana ezincane kakhulu engxenyeni emhlophe yeso bese efaka izinto ezincane kakhulu esweni. Ngemuva kwalokho, uketshezi lwe-vitreous oluyinkinga lususwa kancane kancane. Uma kunemithambo ephuma igazi, ukwelashwa nge-laser kungasetshenziswa ukuyivimba.
4. Ukugcwalisa Kabusha: Ngemva kokususa uketshezi lwe-vitreous nokwenza ukulungiswa okudingekayo, isikhala sigcwaliswa ngamanzi anosawoti, ibhamuza legesi, noma uwoyela we-silicone, njengoba kushiwo ngaphambili.
5. Isikhathi: Isikhathi esithathwayo sokuhlinzwa siyahlukahluka kuye ngokuthi kwenziwani. Nakuba ukuhlinzwa okulula kungathatha cishe ihora, ukuhlinzwa okuyinkimbinkimbi kungathatha isikhathi eside.
Yini ongayilindela ngemva kokuhlinzwa?
Ngemva kokuhlinzwa, uzoqashwa isikhashana bese uthunyelwa ekhaya. Kunemiyalelo embalwa okufanele uyilandele uma ubuyela ekhaya.
Into ebaluleke kakhulu: ukuma okufanele ukuze uhlale uphapheme!
Uma unebhamuza legesi noma uwoyela we-silicone esweni lakho, udokotela wakho angase akuncome ukuthi uhlale phansi ubuso izinsuku ezimbalwa noma amasonto ukuze kusizwe i-retina ukuthi iphole kahle. Lokhu kungaba nzima, kodwa kubalulekile ukuthi iso lakho liphole kahle.Buza udokotela wakho ngezinto ezifana nemicamelo ezingakusiza ukuthi ugcine lesi simo ngendlela efanele.
- I-patch yamehlo: Ngemva kokuhlinzwa, uzoba ne-patch yamehlo. Udokotela wakho uzokutshela ukuthi uyisuse nini.
- Amaconsi Eso: Kuzodingeka usebenzise izinhlobo eziningana zamaconsi amehlo ukuvimbela ukutheleleka nokunciphisa ukuvuvukala. Kubaluleke kakhulu ukusebenzisa umuthi njengoba nje uyalelwe, ngesikhathi esifanele.
- Ukungakhululeki: Iso lingase libe bomvu kancane futhi livuvukele. Ungase uzizwe ulunywa futhi uklwebheka kancane. Lokhu kujwayelekile. Kodwa-ke, uma kukhona ubuhlungu obukhulu , yazisa udokotela ngokushesha.
- Umbono: Umbono ungase ungabonakali ezinsukwini ezimbalwa zokuqala ngemva kokuhlinzwa. Uma kufakwa ibhamuza legesi esweni, kungase kubonakale sengathi ubukeka ungaphansi kwamanzi. Leli bhamuza legesi lizoncibilika kancane kancane emavikini ambalwa. Uma kufakwa uwoyela we-silicone, kuzodingeka wenze olunye ukuhlinzwa okuncane ukuze ulisuse.
Yiziphi izinzuzo nezingozi?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane.
| Izinzuzo | Izingozi/Izinkinga Ezingaba Khona |
|---|---|
| Ukukwazi ukusindisa noma ukuthuthukisa umbono weso obekuyoba yimpumputhe unomphela. | Ukutheleleka ngaphakathi kweso. |
| Ukususa izimpawu ezicasulayo eziphazamisa umbono. | Ukopha ngaphakathi kweso. |
| Ikhono lokwelapha ngempumelelo izifo eziningi zamehlo ezazingelapheki ngaphambili. | Ukuqhekeka noma ukudabuka kwe-retinal. |
| Ukusiza ukuthola ukuxilongwa okunembile kanye nohlelo lokwelashwa. | Ukwakheka kwe-cataract noma ukuqhubeka okusheshayo kwe-cataracts ekhona. |
| Ukwanda noma ukwehla komfutho wamehlo. | |
| Akuvamile kakhulu, ukulahlekelwa umbono. |
Ungakhathazeki ngalezi zingozi. Azenzeki njalo. Udokotela wakho ohlinzayo uzokuchazela konke futhi enze konke okusemandleni akhe ukunciphisa ingozi.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Uma ubuyela ekhaya ngemva kokuhlinzwa, uma unezinye zezimpawu ezilandelayo, kufanele wazise udokotela wakho ngokushesha .
- Uma uzwa ubuhlungu obungabekezeleleki, obukhulu esweni lakho .
- Uma umbono wakho uba mubi kakhulu .
- Uma iso libomvu kakhulu, livuvukele, futhi linoketshezi olufana nobovu (lezi yizimpawu zokutheleleka).
- Uma unezimpawu ezisolisayo noma ezingavamile .
Ungazinaki izinto ezinjengalezi. Uma usheshe ukubika, kuba lula ukulawula noma iyiphi inkinga.
Umlayezo Wokuya Nawe Ekhaya
- I-Vitrectomy iyindlela yokuhlinzwa ephumelela kakhulu engelapha izifo eziningi zamehlo ezingathi sína ezithinta umbono. Asikho isidingo sokwesaba lokhu.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa, ikakhulukazi indawo efanele yekhanda kanye nokusebenzisa amaconsi eso , kubalulekile ukuze iso liphole.
- Ngaphambi nangemva kokuhlinzwa, buza udokotela wakho noma yimiphi imibuzo noma ukungabaza ongase ube nakho.
- Uma uzwa ubuhlungu obukhulu, ukwehla kokubona, noma izimpawu zokutheleleka ngemva kokuhlinzwa, yazisa udokotela wakho noma isibhedlela ngokushesha.
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