Umbhali: Gregory Harris
Umhla Wokudalwa: 14 Utshazimpuzi 2021
Hlaziya Umhla: 21 Eyenkanga 2024
Anonim
I-Laser photocoagulation - iliso - Iyeza
I-Laser photocoagulation - iliso - Iyeza

I-Laser photocoagulation ngotyando lwamehlo kusetyenziswa i-laser ukunciphisa okanye ukutshabalalisa izakhiwo ezingaqhelekanga kwi-retina, okanye ngabom kubangela ukonakala.

Ugqirha wakho uya kwenza olu tyando kwindawo yokulala okanye eofisini.

I-Photocoagulation yenzeka ngokusebenzisa i-laser ukwenza ukutshisa okuncinci kwimicu ekujoliswe kuyo. Amabala e-laser ahlala esetyenziswa kwi-1 yeepateni ezi-3.

Ngaphambi kwenkqubo, uya kunikwa amathontsi wamehlo ukuze unciphise abafundi bakho. Rare, uyakufumana ifoto ye-anesthetic yendawo. Ukudubula kunokuba kungonwabisi. Uya kuba uvukile kwaye ungabinazintlungu ngexesha lenkqubo.

  • Uya kuhlala phantsi nesilevu sakho kwindawo yokuphumla. Iilensi ezikhethekileyo ziya kubekwa kwiliso lakho. Iilensi ziqukethe izipili ezinceda ugqirha ukuba ajolise kwilaser. Uya kuyalelwa ukuba ujonge ngqo phambili okanye ekukhanyeni okujolise kuko ngelinye iliso.
  • Ugqirha uya kujolisa i-laser kwindawo ye-retina efuna unyango. Ngokubetha kwe-laser nganye, uya kubona ukukhanya kwesibane. Kuxhomekeke kwimeko yokunyangwa, kunokubakho iipulse ezimbalwa kuphela, okanye uninzi lwe-500.

Isifo seswekile sinokwenzakalisa amehlo ngokubangela ukubonwa kwakhona kweswekile. Sisinye sezifo zamehlo eziqhelekileyo ezifuna i-laser photocoagulation. Ingayonakalisa i-retina, inxalenye engemva kweso lakho. Eyona nto ibaluleke kakhulu kwimeko leyo kukuphindaphindeka kwesifo seswekile, apho iinqanawa ezingaqhelekanga zikhula khona kwi-retina. Ixesha elingaphezulu, ezi nqanawa zingopha okanye zibangele ukonakala kweretina.


Kwi-laser photocoagulation yesifo seswekile, i-laser energy ijolise kwiindawo ezithile zeretina ukukhusela iinqanawa ezingaqhelekanga ekukhuleni okanye ekunciphiseni ezo zisenokuba zikhona. Ngamanye amaxesha kuyenziwa ukwenza i-edema fluid embindini we-retina (macula) ihambe.

Olu tyando lusenokusetyenziselwa ukunyanga ezi ngxaki zilandelayo zamehlo:

  • Ithumba elibuyayo
  • Ukonakala kwemacular, ukuphazamiseka kwamehlo okutshabalalisa ngokuthe ngcembe, umbono ophakathi
  • Inyembezi kwi-retina
  • Ukuvaleka kwemithambo encinci ethwala igazi lisuse kwiretina
  • I-Retina detachment, xa i-retina ngasemva kweliso lahlula kulwahlulo lungezantsi

Kuba ukubetha kwelaser nganye kubangela ukutshiswa kwemicroscopic kwi-retina, ungahlakulela:

  • Ukulahleka kancinci kombono
  • Ukucutha umbono wobusuku
  • Amabala angaboniyo
  • Ukuncipha kombono osecaleni
  • Kunzima ukugxila
  • Umbono omfiliba
  • Ukunciphisa umbala wombala

Ukuba ayinyangwa, i-diabetic retinopathy inokubangela ukungaboni okungapheliyo.


Amalungiselelo akhethekileyo awafane afuneke ngaphambi kokuba i-laser photocoagulation. Ngokwesiqhelo, omabini amehlo aya kuhluzwa kwinkqubo.

Yenza amalungiselelo okuba kubekho umntu oza kukuqhubela ekhaya emva kwenkqubo.

Umbono wakho uya kufiphala kwiiyure ezingama-24 zokuqala. Unokubona i-float, kodwa ezi ziya kuncipha ngokuhamba kwexesha. Ukuba unyango lwakho lwaluyi-macular edema, umbono wakho unokubonakala umbi kwiintsuku ezimbalwa.

Utyando lweLaser lusebenza kakuhle kwinqanaba lokuqala lokuphulukana nombono. Ayikwazi ukubuyisa umbono olahlekileyo. Nangona kunjalo, inokuwunciphisa kakhulu umngcipheko wokulahleka kombono ngokusisigxina.

Ukulawula isifo seswekile kunokunceda ukuthintela ukubonwa kwakhona kweswekile. Landela ingcebiso kagqirha wamehlo ngendlela yokukhusela umbono wakho. Yiba neemviwo zamehlo rhoqo njengoko kucetyiswa, zihlala kanye kwiminyaka eli-1 ukuya kwemi-2.

Ukujiya kweLaser; Utyando lwamehlo lweLaser; Ukufotokopa; I-Laser photocoagulation - isifo seso seswekile; I-Laser photocoagulation - isifo seswekile; Ifotokoko yokujonga; Ukusasaza (okanye i-pan retinal) ifotoocoagulation; Ukuphindaphindwa kwemithambo-luvo - laser; PRP - laser; Iphethini yegridi ye-photocoagulation-laser


UBrownlee M, uAiello LP, uSun JK, et al. Iingxaki zesifo seswekile. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 37.

I-Flaxel CJ, i-Adelman RA, iBaley ST, et al. Isifo seswekile, ukubonwa kwakhona kukhetha ipateni yokuziqhelanisa. Ophthalmology. Ngo-2020; 127 (1): P66-P145. IINKCUKACHA: 31757498 pubmed.ncbi.nlm.nih.gov/31757498/.

Lim JI. Ukujonga kwakhona isifo seswekile. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 6.22.

U-Mathew C, uYunirakasiwi A, uSanjay S. Uhlaziyo kulawulo lwe-edema yesifo seswekile. J Isifo seSwekile. Ngo-2015; ngo-2015: 794036. IINKCUKACHA: 25984537 pubmed.ncbi.nlm.nih.gov/25984537/.

UWiley HE, ukuhlafuna i-EY, iFerris FL. Isifo seswekile esinganyangekiyo kunye nesifo seswekile. Ku: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, ii-eds. URetina kaRyan. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2018: isahluko 50.

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