Retinal boka rekugadzirisa

Retinal detachment kugadzirisa ndiko kuvhiya kwemaziso kuisa retina kumashure munzvimbo yayo yakajairwa. Iyo retina ndiyo yakajeka-inonamira tishu kumashure kweziso. Detachment zvinoreva kuti yakadhonza kubva pamatanho enyama yakatenderedza.

Ichi chinyorwa chinotsanangura kugadziriswa kwemashure erhegmatogenous retinal. Izvi zvinoitika nekuda kwegomba kana kubvarura muiyo diso.

Mazhinji retinal detachment ekugadzirisa mashandiro ari kukurumidza. Kana maburi kana misodzi iri muitina ikawanikwa pamberi peti retina, chiremba weziso anogona kuvhara maburi achishandisa laser. Maitiro aya anowanzoitwa muhofisi yemutarisiri wehutano.

Kana iyo retina ichangotanga kusunungura, maitiro anonzi pneumatic retinopexy anogona kuitwa kuigadzirisa.

• Pneumatic retinopexy (gasi bubble kuiswa) inowanzo kuve hofisi maitiro.
• Chiremba weziso anopinza bubble gasi muziso.
• Iwe unobva wamiswa saka iro gaba gasi rinoyangarara pamusoro rakanangana neburi muiyo retina uye ndokuridzosera kumashure munzvimbo.
• Chiremba anoshandisa laser kuvhara zvachose gomba.

Makundi akasimba anoda kuvhiyiwa kwepamberi. Iyi inotevera nzira inoitwa muchipatara kana kunze kwekuvhiya nzvimbo:

• Iyo scleral buckle nzira inoisa mukati madziro eziso mukati kuitira kuti isangane negomba mune iro retina. Scleral buckling inogona kuitwa uchishandisa chiveve mushonga paunenge wakamuka (local anesthesia) kana kana iwe wakarara uye uchirwadziwa pasina (general anesthesia).
• Iyo vitrectomy maitiro anoshandisa zvidiki zvidiki mukati meziso kuburitsa kusagadzikana pane iyo retina. Izvi zvinobvumira iyo retina kuti idzokere munzvimbo yayo chaiyo. Mazhinji vitrectomies anoitwa nemushonga unovhiringidza iwe uchinge wakamuka.

Muzviitiko zvakaoma, maitiro ese ari maviri anogona kuitwa panguva imwe chete.

Zvikamu zveRetinal HAZVI nani kunze kwekurapwa. Kugadzirisa kunodiwa kudzivirira kurasikirwa kwekuona zvachose.

Kukurumidza kupi kuvhiyiwa kunoda kuitwa kunoenderana nenzvimbo uye nekukura kwechikwata. Kana zvichibvira, kuvhiyiwa kunofanira kuitwa zuva rimwe chetero kana boka racho risina kukanganisa nzvimbo yepakati yekuona (iyo macula). Izvi zvinogona kubatsira kudzivirira kumwe kuzadzikiswa kweiyo retina. Izvo zvakare zvichawedzera mukana wekuchengetedza chiratidzo chakanaka.

Kana iyo macula ikasununguka, zvanonoka kudzorera zvakajairika kuona. Kuvhiya kunogona kuitwa kuti udzivise hupofu hwese. Mune zviitiko izvi, vanachiremba vemaziso vanogona kumirira vhiki kusvika kumazuva gumi kuti varongedze kuvhiyiwa.

Ngozi dzekuvhiyiwa kwevasina kudzora dzinosanganisira:

• Kubuda ropa
• Chikwata chisina kunyatsogadziriswa (chingangoda kuvhiiwa kwakawanda)
• Wedzera muziso kumeso (yakakwira intraocular kumanikidza)
• Utachiona

General anesthesia inogona kudikanwa. Njodzi dzeanesthesia ndeiyi:

• Zviitiko kumishonga
• Matambudziko kufema

Iwe haugone kupora zvakazara kuona.

Iyo mikana yekubudirira kubatanidzwazve kwetina kunoenderana nehuwandu hwemaburi, saizi yawo, uye kana paine zvinyama zvinyoro munzvimbo iyi.

Muzviitiko zvakawanda, maitiro HAUDI kugara muchipatara kwehusiku. Ungangoda kudzikamisa kuita kwako kwemuviri kwenguva yakati.

Kana iyo retina yakagadziriswa uchishandisa iyo gasi bubble maitiro, iwe unofanirwa kuchengetedza musoro wako wakatarisana pasi kana kutendeukira kune rimwe divi kwemazuva akati wandei kana vhiki. Izvo zvakakosha kuti uchengetedze chinzvimbo ichi kuitira kuti gasi dhudhi riputire iro retina munzvimbo.

Vanhu vane gaba gasi muziso vanogona kusabhururuka kana kuenda kumatunhu akakwirira kudzamara bhora regasi raparara. Izvi zvinowanzoitika mukati memavhiki mashoma.

Kazhinji yenguva, iyo retina inogona kusungirirwa pamwe nekumwe kushanda. Zvisinei, vamwe vanhu vachada kuvhiyiwa kwakawanda. Zvinopfuura zvipfumbamwe kubva pagumi zvezvikamu zvinogona kugadziriswa. Kukundikana kugadzirisa iyo retina kunoguma nekurasikirwa kwemaonero kune imwe nhanho.

Kana pakaitika boka, iwo mafotoreceptor (matanda nemakoni) anotanga kudzikira. Nokukurumidza boka rakagadziriswa, nokukurumidza matanda nemakoni zvinotanga kupora. Nekudaro, kana iyo retina yadzikira, iyo photoreceptors inogona kusazombopora zvachose.

Mushure mekuvhiyiwa, hunhu hwekuona hunobva pane kwave neuto, uye chikonzero:

• Kana iyo yepakati nzvimbo yekuona (macula) yanga isingabatanidzwe, chiratidzo chinowanzove chakanyanya kunaka.
• Kana iyo macula yaibatanidzwa kweisingasviki vhiki rimwe, chiratidzo chinowanzo gadziridzwa, asi kwete kusvika 20/20 (zvakajairika).
• Kana iyo macula yakadzvanywa kwenguva yakareba, kumwe kuratidzika kuchadzoka, asi kunenge kwakaremara kwazvo. Kazhinji, inenge iri pasi pe20 / 200, iyo muganho wekupofumadzwa zviri pamutemo.

Scleral buckling; Vitrectomy; Pneumatic retinopexy; Laser retinopexy; Rhegmatogenous retinal detachment kugadzirisa

• Yakaiswa retina
• Retinal boka rekugadzirisa - dzakateedzana

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Todorich B, Faia LJ, Williams GA. Scleral buckling kuvhiyiwa. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chits. 6.11.

Wickham L, Aylward GW. Yakanakisa maitirwo ekugadzirisa ekudzora kwemauto. Mu: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P. Retina yaRyan. 6th ed. Philadelphia, PA: Elsevier; 2018: chits. 109.

Yanoff M, Cameron D. Zvirwere zveinoonekwa system. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsuwa 423.