I-Scleral Buckling

Umxholo

• Isebenza njani i-scleral buckling?
• Ixesha lokubuyisela kwimeko yesiqhelo
• Usuku 1 ukuya ku-2
• Usuku 2 ukuya ku-3
• Usuku 3 ukuya ku-14
• Iveki yesi-2 kwiveki yesi-4
• Iveki yesi-6 ukuya kwiveki yesi-8
• Imingcipheko kunye neengxaki ze-scleral buckling

Ushwankathelo

I-Scleral buckling yinkqubo yotyando esetyenziselwa ukulungisa isixhobo se-retinal. I-scleral, okanye umhlophe wamehlo, ngumaleko wangaphandle oxhasa iliso. Kolu tyando, ugqirha wotyando uncamathisela isiqwenga sesilicone okanye isiponji emhlophe kwiliso kwindawo enenyembezi zamehlo. I-buckle yenzelwe ukulungisa i-retinal detachment ngokutyhala i-sclera ukuya kwiinyembezi okanye ukuphuka.

Iretina ngumaleko wethishu ngaphakathi ngaphakathi kweliso. Ihambisa ulwazi olubonakalayo ukusuka kwimithambo-luvo ye-optic iye kwingqondo yakho. Iretina iyasuswa kwindawo yayo yesiqhelo. Ukuba ishiywe inganyangwa, i-retinal detachment inokubangela ukulahleka okungapheliyo kombono.

Ngamanye amaxesha, i-retina ayihlukani ngokupheleleyo nelihlo, kodwa endaweni yoko yenza iinyembezi. I-scleral buckling ngamanye amaxesha ingasetyenziselwa ukulungisa iinyembezi zamehlo, ezinokuthintela ukubonwa kwe-retina.

I-Scleral buckling isetyenziselwa ukunyanga iintlobo ezahlukeneyo zeempawu zokubuyisa. Ukuchithwa kwe-retinal yimeko engxamisekileyo yonyango efuna unyango kwangoko. I-Scleral buckling yenye yeendlela zokhetho. Iimpawu zomkhosi zibandakanya ukwanda kwenani leetafile zamehlo. Ezi ziincinci ezincinci ezincinci ezibonakalayo kwibala lakho lombono. Unokuba nokukhanya kokukhanya kwicandelo lakho lombono, kunye nokunciphisa umbono wombono.

Isebenza njani i-scleral buckling?

I-Scleral buckling yenzeka kwindawo yotyando. Ugqirha wakho unokukunika ukhetho lweanesthesia ngokubanzi apho uya kulala khona ngenkqubo. Okanye ugqirha unokukuvumela ukuba uhlale uphaphile.

Ugqirha wakho uya kunika imiyalelo ethile kwangaphambili ukuze ulungiselele inkqubo. Uya kucelwa ukuba ukhawuleze ngaphambi kotyando kwaye uphephe ukutya emva kobusuku ngosuku lotyando. Ugqirha wakho uya kubonelela ngolwazi malunga nokuba ufuna ukuyeka ukuthatha amayeza athile.

Nantsi into onokuyilindela ngexesha lotyando:

1. Uya kufumana i-anesthesia ngaphambi kokuhlinzwa kwaye ulale. Ukuba uhlala uphaphile ngexesha lotyando, ugqirha wakho uyakufaka amathontsi wamehlo okanye akunike inaliti yokuqaqamba iliso lakho. Uyakufumana kwakhona ukuhla kwamehlo ukukhulisa amehlo akho. Ukudityaniswa kukhulisa umfundi wakho, ukuvumela ugqirha wakho ukuba abone ngasemva kweliso lakho.

2. Ugqirha wakho uza kwenza uqweqwe lwangaphandle kwiliso lakho (sclera).

3. I-buckle okanye isiponji siyathungwa sijikeleze lo maleko ongaphandle wamehlo size sithungwe endaweni ukuze singahambi. I-Buckling yenzelwe ukuxhasa i-retina ngokutyhala iscleral ukuya embindini weliso, enokuthi iphinde ifake i-retina yakho kunye nokuvala iinyembezi zeretina.

4. Ukuthintela iinyembezi okanye iqela ekuvulekeni kwakhona. Ugqirha wakho unokwenza enye yezi zinto zilandelayo:

• Ifoto ye-Laser. Kule nkqubo, ugqirha wakho usebenzisa umqadi we-laser ukutshisa indawo ejikeleze iinyembezi okanye i-detachment. Oku kudala izicwili ezibomvu, ezinceda ukutywina ikhefu kunye nokuyeka ukuvuza kolwelo.
• ICryopexy. Kule nkqubo, ugqirha wakho usebenzisa ukubanda okukhulu ukubanda umphezulu wangaphandle kwamehlo, onokubangela ukuba kuphuke izicwili ezibomvu kwaye kutywinwe ikhefu.

5. Emva kotyando, ugqirha wakho ukhupha nayiphi na incindi emva kweretina yakho aze asebenzise amayeza okubulala iintsholongwane ukuthintela usulelo.

I-Scleral buckling ihlala ihlala isigxina. Kodwa ukuba unesixhobo esincinci se-retina, ugqirha wakho unokusebenzisa i-buckle yexeshana enokususwa xa iliso liphilile.

Ixesha lokubuyisela kwimeko yesiqhelo

I-Scleral buckling ingathatha malunga nemizuzu engama-45 ukuyigqiba. Ixesha lokufumana kwakhona naphi na ukusuka kwiiveki ezimbini ukuya kwezine. Ugqirha wakho uya kubonelela ngemiyalelo yokhathalelo. Oku kubandakanya ulwazi malunga nokuba ungaphinda uqhubeke nini ukuthatha amayeza kagqirha, kunye nemiyalelo yonyango emiselweyo ukunyanga iintlungu zasemva kokuhlinzwa.

Usuku 1 ukuya ku-2

Ngokwesiqhelo uya kuba nakho ukugoduka ngosuku lotyando, kodwa uyakufuna umntu okuqhubayo.

Lindela ezinye iintlungu kwiiyure okanye kwiintsuku ezilandelayo kwinkqubo. Inqanaba lakho leentlungu linokuhla kwiintsuku ezimbalwa, kodwa uya kuqhubeka ubomvu, uthambile, kunye nokudumba iiveki ezimbalwa emva kotyando.

Kuya kufuneka unxibe isiziba seso kwiintsuku ezimbalwa emva kotyando kwaye usebenzise i-antibiotic eye eye ukuthintela usulelo. Uya kufaka amathontsi wamehlo ukuya kwiiveki ezintandathu emva kotyando.

Usuku 2 ukuya ku-3

Ukuvuvukala kunokwenzeka emva kokuqhekeka kwescleral. Ugqirha wakho unokuyalela ukuba ubeke umkhenkce okanye ipakethi ebandayo phezu kwamehlo kangangemizuzu eli-10 ukuya kwengama-20 ngexesha lokunciphisa ukudumba. Bopha ipakethe yomkhenkce ngetawuli ngaphambi kokuyibeka kulusu lwakho. Abanye oogqirha baya kuncoma ukufaka ipakethi yomkhenkce kwiintsuku ezintathu zokuqala emva kotyando, malunga neyure nganye ukuya kwezimbini.

Usuku 3 ukuya ku-14

Vumela iliso lakho ukuba liphile ngaphambi kokuzibandakanya nomsebenzi onzima. Ngeli xesha, thintela ukuzilolonga, ukuphakamisa okunzima kunye nokucoca. Ugqirha wakho unokunciphisa inani lokufunda ukunciphisa ukunyakaza kwamehlo kakhulu.

Iveki yesi-2 kwiveki yesi-4

Abanye abantu banokubuyela emsebenzini emva kweeveki ezimbini emva kokudutyulwa. Oku kuxhomekeke kwindlela oziva ngayo kunye nohlobo lomsebenzi owenzayo. Kuya kufuneka uhlale ixesha elide ekhaya ukuba umsebenzi wakho ubandakanya ukuphakamisa okunzima okanye umsebenzi omninzi wekhompyuter.

Iveki yesi-6 ukuya kwiveki yesi-8

Landela ugqirha wakho ukuze kuvavanywe iliso lakho. Ugqirha wakho uya kujonga imeko yendawo yoqhaqho ukujonga ukuba uphola kangakanani. Ugqirha wakho uya kujonga ukuze abone ukuba akukho phuculo na emehlweni, kwaye mhlawumbi acebise iilensi zokulungisa okanye iyeza elitsha leglasi yamehlo.

Nazi izinto ezimbalwa ezenziwayo kunye nezingafanelekanga emva kokuba kwenziwe inkqubo yokubabaza:

• Musa ukuqhuba de ugqirha akunike imvume
• Thatha amayeza akho amiselweyo njengoko kuyalelwe
• Musa ukuzivocavoca okanye ukuphakamisa izinto ezinzima, kwaye unqande ukunyakaza kwamehlo ngokukhawuleza de ulandele ugqirha wakho.
• Nxiba iiglasi zelanga emini
• Musa ukufumana isepha elisweni lakho xa uhlamba okanye uhlamba ubuso bakho. Unganxiba izibuko zokuqubha ukukhusela iliso lakho.
• Sukulala ngomqolo xa ulele
• Musa ukuhamba ngenqwelomoya kude kuphole iliso. Utshintsho oluphezulu lunokudala uxinzelelo lwamehlo

Imingcipheko kunye neengxaki ze-scleral buckling

Ngokubanzi, ukubopha isikhululo kulungiso lwee-retina kunye nokubuyiselwa kombono kunokuvelisa iziphumo ezilungileyo. Iingxaki, nangona kunjalo, zinokwenzeka, kwaye kukho umngcipheko onxulumene notyando.

Ukuba ukhe wenza utyando lwamehlo lwangaphambili kwaye unezihlunu esele zikho, le nkqubo ayinakho ekuqaleni ukulungisa i-retina detachment. Ukuba akunjalo, kuya kufuneka uyiphinde le nkqubo kwaye ugqirha wakho uyakufuna ukususa izicwili ezikhoyo ngaphambi kokuba uqhubeke.

Eminye imingcipheko kunye neengxaki ezinxulumene nolu tyando zibandakanya:

• usulelo
• umbono kabini
• ngamehlo
• ukopha
• iglaucoma
• ukuphindaphinda okuphindiweyo
• iinyembezi ezintsha zamehlo

Nxibelelana nogqirha ngokukhawuleza ukuba unayo nayiphi na into eyophayo, ube nomkhuhlane, okanye ukuba uva iintlungu, ukudumba, okanye ukunciphisa umbono.