Yintoni imephu yokujonga kwakhona kwaye yenzelwe ntoni

Umxholo

• Kwenziwa njani
• Ixabiso leemviwo
• Xa kubonisiwe

Imephu ye-retinal, ekwabizwa ngokuba luvavanyo lwe-fundus okanye uviwo lwe-fundus, luvavanyo apho ugqirha wamehlo akwaziyo ukubona imithambo-luvo, imithambo yegazi kunye nethishu yamehlo ejongene nokubamba imifanekiso, akwazi ukubona utshintsho kwaye avumele unyango. Yiyo loo nto imephu ibonakalisiwe ichonga utshintsho olwenziwe:

• Izifo zamehlo, njenge-glaucoma, i-retinal detachment, i-tumor, ukudumba, ukungabikho kwegazi okanye ukunxila kweziyobisi, umzekelo;
• Izifo zenkqubo ezibangela ukonakala kwamehlo, yokutshintsha imithambo-luvo kunye nemithambo yamehlo, njengesifo seswekile, uxinzelelo lwegazi, izifo zamathambo, izifo zemithambo-luvo okanye izifo zegazi;

Ukongeza, ukubekwa kwimephu yethina kungaboniswa nakwiintsana ezizelwe ngaphambi kwexesha, ezineminyaka engama-32 okanye ngaphantsi, okanye ubunzima be-1,500 g okanye ngaphantsi, njengoko kwezi meko kunokubakho ukuphinda kubekhona ukubonwa kwangaphambili, isifo esibangela utshintsho kwimithambo yegazi lomntwana. Ukungabikho konyango olululo kunokukhokelela kumonakalo ongenakulungiseka ekukhuleni kwamehlo omntwana kwaye, kwezinye iimeko, ubumfama. Qonda into enokwenziwa kula matyala kunyango lwe-retinopathy prematurity.

Kwenziwa njani

Imephu ye-retinal luvavanyo olulula, olwenziwa ngexesha lokubonisana ne-ophthalmologist, engabangeli ukwenzakala okanye ukubangela iintlungu. Ekusebenzeni kwayo, kusetyenziswa isixhobo esibizwa ngokuba yi-ophthalmoscope, esibekwe kumgama omalunga ne-15 cm kunye neeprojekthi zesibane sokukhanya ngasemva kweliso, sivumela ugqirha ukuba abone umfanekiso wommandla.

Ngale nto ibonwayo, ugqirha wamehlo uya kuba nakho ukufumanisa utshintsho olunokwenzeka kwaye, ukuba kukho imfuneko, ayalele iimvavanyo ezingaphezulu, ezinje ngetomography, okanye abonise nonyango, olufana neziyobisi ukunyanga ukudumba okanye uqhaqho ukubeka i-retinal detachment, umzekelo.

Ukongeza, ukwenza uvavanyo, ugqirha usenokubonisa ukwanda komfundi, okwenziwe ngamehlo kunye nokufaka isicelo kuthethwano, ngaphambi nje koviwo, ke kuyacetyiswa ukuba neqabane lokuncedisa ekubuyeni ekhaya. Kukwacetyiswa ukuba ungasebenzisi iilensi zonxibelelwano ezingqongqo ngomhla woviwo, kuba zinokutshintsha iziphumo.

Jonga kwakhona olunye uviwo lwamehlo lunokwenziwa ukuthintela ukubonwa kombono.

Ixabiso leemviwo

Imephu ye-retinal yenziwa simahla yi-SUS, xa kubonisiwe, nangona kunjalo, inokwenziwa nakwiiklinikhi zabucala, ngexabiso elinokwahluka phakathi kwe-100 ukuya kuma-250 reais, eyahluka kakhulu ngokokubekwa kwendawo kunye neklinikhi apho kuvavanywa khona yenziwe.

Xa kubonisiwe

Uviwo lwe-fundus kufuneka lwenziwe kwezi meko zilandelayo:

• Nanini na xa umbono ungasebenzi kakuhle, kwaye isizathu asikokungabikho kweiglasi ezifanelekileyo;
• Abantu abangaphezu kweminyaka engama-50 ubudala, kuba izifo zamehlo zihlala zixhaphakile kweli xesha;
• Abantu abanezifo ezinokubangela ukonakala kwi-retina, ezinje ngoxinzelelo lwegazi, isifo seswekile okanye izifo ze-rheumatological;
• Abantu abane-myopia, njengoko kuyimeko apho i-retina iba ethe-ethe ngakumbi kwaye ithande ukubonakala kwezilonda, ezithi xa zingashiywanga zingakhange zinyangwe, zingakhokelela kwiqela le-retina;
• Xa kusetyenziswa amayeza athatyathwa njenganetyhefu kwi-retina, njengeChloroquine, iChlorpromazine, iTamoxifen okanye i-Isotretinoin, umzekelo;
• Ngexesha langaphambi kotyando ngotyando lwamehlo, njengotyando lokuphinda ubambe okanye lwamehlo;
• Intsapho okanye imbali yobuqu yeqela le-retina;
• Emva komothuko okanye ukonakala kwamehlo;
• Nanini na, ngexesha lokubonisana ngokubanzi, naziphi na izikhalazo ezinxulumene notshintsho lwangaphakathi lwangaphakathi zenziwa;
• Kwiintsana ezizalwe kwiiveki ezingama-32 okanye ngaphantsi, zinobunzima obuyi-1500 g okanye ngaphantsi, kuba kusenokubakho ukuphinda kubekhona ukubuya komzimba.

Ke, ngemephu yeretina, kunokwenzeka ukuba kubonwe kwangethuba utshintsho oluphambili kwiretina okanye izifo zamehlo ngokubanzi, ukuze unyango lwenziwe ngokukhawuleza, kuthintelwe iingxaki, njengokulahleka kombono.