Corneal kuisazve

Iyo cornea ndiyo yakajeka yekunze lens pamberi peziso. A corneal transplant kuvhiyiwa kutsiva iyo cornea netishu kubva kune anopa. Icho chimwe chezvinhu zvakajairika zvakaiswa.

Iwe ungangove wakamuka panguva yekumisikidza. Uchawana mushonga wekukuzorodza. Local anesthesia (chiveve mushonga) ichajowa yakatenderedza ziso rako kudzivirira marwadzo uye kudzivirira kufamba kweziso panguva yekuvhiya.

Iyo turu yeiyo yako corneal transplant ichauya kubva kumunhu (mupi) uyo achangobva kufa. Iyo yakapihwa cornea inogadziriswa uye kuyedzwa nevemuno bhengi reziso kuona kuti yakachengeteka kuti ishandiswe mukuvhiya kwako.

Kwemakore, mhando yakajairika yekukweva kornea yainzi inopinza keratoplasty.

• Icho chichiri chiitiko chinowanzoitwa.
• Munguva iyi maitiro, chiremba wako anovhiya achabvisa chidimbu chakatenderera checnea yako.
• Iwo matipi akapihwa anozosonerwa mukati mekuvhurwa kwekonora yako.

Imwe nzira nyowani inonzi lamellar keratoplasty.

• Mune maitiro aya, chete zvemukati kana zvekunze zvidimbu zvecornea zvinotsiviwa, kwete zvese zvidimbu, sekukupinda mukati keratoplasty.
• Kune akatiwandei akasiyana malamari matekinoroji. Ivo vanosiyana zvakanyanya pane iyo dura inotsiviwa uye magadzirirwo enyama yevanopa.
• Maitiro ese emalarar anotungamira kukurumidza kupora uye mashoma matambudziko.

Iyo corneal transplant inokurudzirwa kune vanhu vane:

• Chiono matambudziko anokonzerwa nekuonda kweiyo cornea, kazhinji kazhinji nekuda kwekeratoconus. (Kuchenesa kunogona kutariswa kana kurapwa kushoma kuri chisiri chisarudzo.)
• Kuora kweiyo cornea kubva kuzvirwere zvakakomba kana kukuvara
• Kuona kurasikirwa kunokonzerwa nekusviba kweiyo cornea, kazhinji kazhinji nekuda kweFuchs dystrophy

Mutumbi unogona kuramba nyama yakaiswa. Izvi zvinoitika mune vangangoita 1 kubva pavatatu varwere mumakore mashanu ekutanga. Kuramba dzimwe nguva kunogona kudzorwa nemadonhwe eziso e-steroid.

Dzimwe njodzi dzekusimudza corneal ndeidzi:

• Kubuda ropa
• Kurwara
• Kubatwa neziso
• Glaucoma (yakanyanya kumanikidza muziso iyo inogona kukonzera kurasikirwa kwemaonero)
• Kurasikirwa kwemaonero
• Kupenga kweziso
• Kuzvimba kwekona

Udza mupi wako wezvehutano nezve chero mamiriro ehutano aungave nawo, kusanganisira allergies. Uyezve udza wako mupi kuti ndeapi mishonga yauri kutora, kunyangwe zvinodhaka, zvinowedzerwa, uye mishonga yawakatenga pasina mushonga.

Ungangoda kudzikamisa mishonga inoita kuti ropa rako rigwambe (kuonda ropa) kwemazuva gumi pamberi pekuvhiyiwa. Mimwe yeiyi aspirin, ibuprofen (Advil, Motrin), uye warfarin (Coumadin).

Kumbira mupi wako kuti ndeupi mimwe mishonga yezuva nezuva, senge mapiritsi emvura, insulin kana mapiritsi echirwere cheshuga, aunofanira kutora mangwanani ekuvhiyiwa kwako.

Iwe unozofanirwa kumira kudya uye kunwa mvura zhinji mushure mepakati pehusiku husiku usati waitwa oparesheni. Vazhinji vanopa vanokurega uine mvura, muto weapuro, uye kofi yakajeka kana tii (isina kirimu kana shuga) kusvika maawa maviri usati wavhiyiwa. Usanwa doro maawa makumi maviri nemasere usati waitwa kana mushure mekuvhiyiwa.

Pazuva rekuvhiyiwa kwako, pfeka mbatya dzakasununguka, dzakanaka. Usapfeke chero chishongo. Usaise mafuta, mafuta ekuzora kana kumeso kumeso kwako kana kwakatenderedza maziso ako.

Iwe unozofanirwa kuve nemumwe munhu ekuchaira iwe kumba mushure mekuvhiyiwa kwako.

Ongorora: Aya ndiwo marongedzero akajairwa. Chiremba wako anogona kukupa mimwe mirayiridzo.

Uchaenda kumba pazuva rimwechete nekuvhiyiwa kwako. Wako anokupa anokupa chigamba cheziso chekupfeka kweinenge 1 kusvika kumazuva mana.

Wako mupi achapa madonhwe eziso kuti abatsire ziso rako kupora uye kudzivirira hutachiona nekurambwa.

Wako mupi achabvisa stitches pakushanya kwekutevera. Zvimwe zvigaro zvinogona kugara munzvimbo kwenguva yakareba segore, kana zvingasazobviswa zvachose.

Kudzoreredza kwekuona kwemaziso kunogona kutora kusvika gore. Izvi zvinodaro nekuti zvinotora nguva kuti kuzvimba kudonhe. Vazhinji vanhu vane rakabudirira corneal kuisirwa vanozova nekuona kwakanaka kwemakore mazhinji. Kana iwe uine mamwe matambudziko eziso, iwe unogona kunge uchiri nekuona kurasikirwa kubva kune iwo mamiriro.

Iwe ungangoda magirazi kana malensi ekutaurirana kuti uwane iwo akanakisa maonero. Laser yekuona kururamisa inogona kunge iri sarudzo kana iwe uchiona padhuze, kuona zviri kure, kana astigmatism mushure mekumisikidza kwapora zvizere.

Keratoplasty; Inopinda keratoplasty; Lamellar keratoplasty; Keratoconus - corneal kuisazve; Fuchs 'dystrophy - kuisirwa corneal

• Kuchengetedzwa kwekugezera kwevakuru
• Corneal transplant - kubuda
• Kudzivirira kudonha
• Kudzivirira kudonha - chii chekubvunza chiremba wako

• Asati uye mushure mekuvhiyiwa kwekoni
• Corneal transplant - akateedzana

Gibbons A, Sayed-Ahmed IO, Mercado CL, Chang VS, Karp CL. Corneal kuvhiyiwa. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 4.27.

Shah KJ, Holland EJ, Mannis MJ. Corneal kupinza mune ocular pamusoro chirwere. Mune: Mannis MJ, Holland EJ, eds. Cornea. 4th ed. Philadelphia, PA: Elsevier; 2017: chits. 160.

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