Corneas kuhlwayelwe: inkcazelo, izalathisi, ncomo iindleko. iso Microsurgery

Kweli hlabathi lanamhlanje kukho uphuhliso olukhawulezayo amayeza. Impumelelo kuvandlakanywa kuzo zonke iindawo. Oku kusebenza iindlela zotyando nezinyangayo konyango, uphethwe, izinto ezifunyaniswe zizazinzulu. Akukho ngaphandle, kunye zamehlo. Nokufika microsurgical iindlela uqhaqho iliso kuye ikhuseleke kwaye isebenza kakhulu. Izinto eziluncedo zamehlo mihla - khona ibuyambo ekhawulezileyo yalula le mbono. Abohlukeneyo le inwebu, ngaphambili kwabonakala kungenakwenzeka, ngoku luqhutywa onke amaziko ezikhethekileyo. Ngenxa yoko, keratoplasty abantu abaninzi aphinde ukukwazi ukubona olujongwayo lubonwe.

Abohlukeneyo le inwebu - yintoni na le nto?

Lo msebenzi unegama yenzululwazi - keratoplasty. Kwakhona, oko ubizwa ngokuba abohlukeneyo le inwebu. Ekubeni le iziko phambi akukho igazi, kwiimeko ezininzi, asinde kwaye usebenzo ngempumelelo. Emva kokuba ebone umbono keratoplasty is ngcono kakhulu okanye babuyiselwe ngokupheleleyo. Ikakhulu corneas yotyando zabaxhasi zande. Ukukhutshwa kwezinto ezonakeleyo okanye umzimba uphela. Kwezinye iimeko, kuvelisa izinto esinye ngumntu. Kwiimeko ezininzi, oku kusebenza lwenzeka phantsi Ukubulawa jikelele. Noko ke, abasemagunyeni bacebisa kwenziwa keratoplasty usebenzisa Ukubulawa zasekuhlaleni. Ukusebenza lo msebenzi kukho phantse kusoloko kwingxaki ye abohlukeneyo kwenwebu inqabile kakhulu. Ngenxa yezi zizathu, keratoplasty yindlela ethandwayo zonyango ehlabathini lonke.

Kwezinye iimeko, wenza esinye kwenwebu?

Umsebenzi lokususa i inwebu lwenziwa kuphela phantsi ezibonisa engqongqo. Kwiimeko ezininzi, unobangela umonakalo zomzimba umothuko kunye nesifo arhabaxa. Kuzo zombini ezi meko kukho ukonakala ebalulekileyo yombono okanye ilahleko epheleleyo ukubonakala (ngaphantsi rhoqo). Maxa wambi keratoplasty lwenziwa ngeenjongo mhle. Kukho izizathu zilandelayo zokwenza lo msebenzi:

1. Eyesore. Kusenokwenzeka ukuba zombini izifo sisiba mandundu, yaye iziko ukwenzakala umbono.
2. Retinopathy. Oku kubhekiselele ezo fom, yeyiphi Azifumaneki unyango ngamayeza nokunyanga. Ezi ziquka dystrophic, retinopathy bullous.
3. ukulimala kwenwebu. Kusenokubakho wadibana kwimibutho eyahlukeneyo kwamanye amazwe oluza esweni.
4. ukutsha Chemical.
5. Olindelwe lo maleko le inwebu. Ku iqatshelwe kwesi sifo, njengoko keratoconus.
6. Isilonda namakhwiniba ilunga.
7. Namabala.
8. lokukhanya kwenwebu. Ngokuqhelekileyo isiphumo unyango laser.
9. ukukhubazeka izithambiso.

Izimo ukuba keratoplasty

Kwiimeko ezininzi, microsurgery iso - indawo yamayeza ukuba ifumaneke ngokubanzi. Izimo ukuba baqhube imisebenzi amalungu yombono zinqabile. Keratoplasty lwenziwa kumntu wonke, ukuba iziphene kuluhlu. Umda Age kulo msebenzi ayikho. Kodwa ke ama-3 ithi apho keratoplasty akuvumelekanga. Ezi ziquka:

1. Eyesores ube ukugeleza kwegazi. Ubukho iimpahla kwenza kukusebenza yotyando kwenwebu angasebenzi.
2. leukomas kolimo kunye noxinzelelo ephakamileyo intraocular (glaucoma).
3. izifo ebonakalayo apho amathuba aphezulu ukwaliwa lenkohlakalo. Ezi ziquka izifo ngumzimba, isifo seswekile decompensated.

Zeziphi iintlobo keratoplasty

Njengabo imisebenzi kakhulu keratoplasty ingenziwa ngeendlela ezahlukeneyo. Kuxhomekeke kuhlobo yotyando (donor okanye inwebu ngumntu), ubukhulu kunye nobunzulu isiphako. Keratoplasty ingaba iyonke okanye ngokuyinxenye. Kwimeko yokuqala, indawo yonke inwebu. In owesibini - yinxalenye organ, apho ubukhulu sihlume yi mm-4 ukuya ku-6. Ukongezelela, maxa wambi wenza retinoplastika losuku. Ngezantsi lenzelwe ukutshintshwa le inwebu phantse kwindawo yonke, ngaphandle kokuba ungqameko (1-2 mm), ibekwe ngeenxa kwesebe. Kuxhomekeke kubunzulu sentshabalalo kunye cell esinye nge lamellar. Kwimeko yokuqala, isiphako ohlala yonke ububanzi umzimba. retinoplastika sekhombuya inokuba ngaphambili nangesemva (okanye langaphandle wambetha udonga engaphakathi inwebu). Njengoko kusetyenziswa izinto ngezitho zomzimba cadaveric kuquka neonates. lenkohlakalo ezingezizo eyenziwe iilebhu ezizodwa.

Indlela yokulungiselela keratoplasty?

Eye Microsurgery, kwakunye nezinye iintlobo iinkqubo zotyando, kubandakanya ukulungiswa phambi kokwenza le nkqubo. Inyathelo lokuqala kukuba ukwenza unyango kwezonyango lweenkqubo arhabaxa. Oku kusebenza naluphi na usulelo iliso iinkophe (conjunctivitis, iridocyclitis). Emva unyango, i-HIV uxilongo epheleleyo ezigqeba kombono yenziwe. Kwenziwa iimviwo ophthalmologic, iimvavanyo laboratory (pat OAM igazi ngamachiza ezinto). Kuyimfuneko ukuba ukufumanisa ukuba yintoni na ngezifo lomguli. Oku kubaluleke kakhulu kuba ezinye izifo inokuba contraindication for uqhaqho. "Imo Indlala 'ukuba kwenziwa olwandulela retinoplastiki.

Su Ukufakelwa kwenwebu

utyando abohlukeneyo kwenwebu luyenziwa kusetyenziswa izixhobo ezikhethekileyo microsurgical. Ukwenza retinoplastiku enze zombini kutyando laser yemveli neenkqubo. Kwiminyaka yakutshanje, indlela yesibini ithathwa bhetele ukususela oko kunciphisa ixesha postoperative kwaye kunciphisa ubungozi iingxaki. Yotyando corneas abe necebo ukuphunyezwa ethile. Okokuqala, isigulane ilele phezu kwesingqengqelo kunye nokuvelisa analgesia. Emva koko ukulungisa iinkophe kunye iliso (sclera phezu ngohlangothi). Inqanaba elilandelayo - ukususwa welungu eyonakeleyo okanye inxalenye (oku kwenziwa laser okanye isixhobo ngotyando). Ngaphezu koko wenziwe esinye kwenwebu. Inqanaba lokugqibela ibandakanya uhlolo welds, ukuhlolwa ubukho iingxaki.

Ithuba postoperative ngexesha keratoplasty

Emva kokuba ukufakelwa, umguli inwebu kufuneka ibe eziliqela ubuncinane iiyure phantsi kweliso zonyango. Ngaphandle kwento yokuba umguli uye ekhaya, kufuneka ukuba bahlolwe yi zamehlo. Kwakhona Kucetyiswa emva kotyando elithethe kwi iliso (umthwalo lincinane kakhulu iziko mbono). Ukuba sutures ukulungiswa ngotyando iyasuswa emva kweenyanga ezimbalwa (unyaka omnye). iingxaki ezinokwenzeka keratoplasty - uyopha, nangokurhala, yotyando ukwaliwa. Kule meko apho ukungakhululeki, photophobia, ukurhawuzelela njalo njalo. D. Naziphi na iimpawu ibangela udluliselwe ezingxamisekileyo zamehlo.

kwenwebu yotyando amehlo: iingcali ncomo

Ngokutsho oogqirha retinoplastika yindlela ekhuselekileyo nesebenzayo alulame. Kucetyiswa ukuba zonke izigulane kungekho Izimo. Izigulane bonelisekile kunye nokusebenza. Umbono kulwa iminyaka emininzi emva abohlukeneyo, kunye nezigulo zinqabile kakhulu. Okwangoku, i-laser ekhethwayo uthathwa lokususa i inwebu. Iindleko ukusebenza kuxhomekeke ukhetho leekliniki. Ixabiso umlinganiselo 50-70 amawaka engange ngeliso elinye. Xa ukhetha kabini zenza iindleko esinye.