Ukulungiswa kweqembu le-retinal

Ukulungiswa kwe-Retinal detachment ukulungisa ukuhlinzwa kwamehlo ukubeka i-retina emuva endaweni yayo ejwayelekile. I-retina iyisicubu esizwela ukukhanya ngemuva kweso. Ukuhlukaniswa kusho ukuthi isukile ezingqimbeni zezicubu ezizungezile.

Lo mbhalo uchaza ukulungiswa kwamathimba we-rhegmatogenous retinal. Lokhu kwenzeka ngenxa yomgodi noma ukudabuka ku-retina.

Iningi lemisebenzi yokulungisa iqembu le-retinal liyaphuthuma. Uma izimbobo noma izinyembezi ku-retina zitholakala ngaphambi kokuba i-retina inyakaze, udokotela wamehlo angavala izimbobo esebenzisa i-laser. Le nqubo ivame ukwenziwa ehhovisi lomhlinzeki wezempilo.

Uma i-retina isanda kuqala ukukhipha, inqubo ebizwa nge-pneumatic retinopexy ingenziwa ukuyilungisa.

• I-pneumatic retinopexy (ukufakwa kwe-bubble gas) imvamisa inqubo yehhovisi.
• Udokotela wamehlo ufaka igwebu legesi esweni.
• Ube usubekiwe ngakho-ke ibhamuza legesi liyantanta liye phezulu lize libheke embobeni ye-retina bese liyiphindisela endaweni yalo.
• Udokotela uzosebenzisa i-laser ukuvala lo mgodi unomphela.

Amaqembu amakhulu adinga ukuhlinzwa okuthuthukile kakhulu. Izinqubo ezilandelayo zenziwa esibhedlela noma esikhungweni sokuhlinzwa kwabagulayo:

• Indlela ye-scleral buckle ifaka udonga lwangaphakathi ngaphakathi ukuze ihlangane nomgodi ku-retina. I-scleral buckling ingenziwa kusetshenziswa umuthi wokukindishiza ngenkathi uphapheme (i-anesthesia yendawo) noma lapho ulele futhi ungenazinhlungu (i-anesthesia ejwayelekile).
• Inqubo ye-vitrectomy isebenzisa amadivayisi amancane kakhulu ngaphakathi kweso ukukhipha ukungezwani ku-retina. Lokhu kuvumela i-retina ukuthi ibuyele emuva endaweni yayo efanele. Ama-vitrectomies amaningi enziwa ngemithi yokundikindiki ngenkathi uphapheme.

Ezimweni eziyinkimbinkimbi, zombili izinqubo zingenziwa ngasikhathi sinye.

Amaqembu e-retinal UNGABI ngcono ngaphandle kokwelashwa. Ukulungisa kuyadingeka ukuvimbela ukulahleka kombono unomphela.

Ukuthi ukuhlinzwa kudinga ukwenziwa masinyane kangakanani kuncike endaweni nobukhulu beqembu. Uma kunokwenzeka, ukuhlinzwa kufanele kwenziwe ngalo lolo suku uma iqembu lingazange lithinte indawo yombono ophakathi (i-macula). Lokhu kungasiza ekuvikeleni ukuhlukaniswa okwengeziwe kwe-retina. Futhi kuzokhulisa ithuba lokugcina umbono omuhle.

Uma i-macula inyathela, kwephuze kakhulu ukubuyisa umbono ojwayelekile. Ukuhlinzwa kusengenziwa ukuvimbela ukungaboni ngokuphelele. Kulezi zimo, odokotela bamehlo bangalinda isonto kuya ezinsukwini eziyi-10 ukuhlela ukuhlinzwa.

Izingozi zokuhlinzwa kwe-retinal detachment zihlanganisa:

• Ukopha
• Ithimba elingalungisiwe ngokuphelele (lingadinga ukuhlinzwa okwengeziwe)
• Khulisa ukucindezela kwamehlo (umfutho ophakeme we-intraocular)
• Ukutheleleka

Kungadingeka i-anesthesia ejwayelekile. Izingozi zanoma iyiphi i-anesthesia yilezi:

• Ukusabela emithini
• Izinkinga ukuphefumula

Ungahle ungaphinde uthole umbono ophelele.

Amathuba okufakwa kabusha ngempumelelo kwe-retina ancike kwinani lezimbobo, ubukhulu bazo, nokuthi ngabe kukhona izicubu ezibomvu endaweni.

Ezimweni eziningi, inqubo ayidingi ukuhlala esibhedlela ubusuku bonke. Ungahle udinge ukukhawulela umsebenzi wakho womzimba isikhathi esithile.

Uma i-retina ilungiswa kusetshenziswa inqubo yegesi bubble, udinga ukugcina ikhanda lakho libheke phansi noma liphendukele ohlangothini olulodwa izinsuku ezimbalwa noma amasonto. Kubalulekile ukugcina lesi sikhundla ukuze ibhamuza legesi liphushele i-retina endaweni yayo.

Abantu abanebhamu legesi esweni kungenzeka bangandizi noma baye ezindaweni eziphakeme kuze kube yilapho iqabunga legesi lichithwa. Lokhu kwenzeka kaningi emasontweni ambalwa.

Isikhathi esiningi, i-retina ingaxhunyaniswa ngokusebenza okukodwa. Kodwa-ke, abanye abantu bazodinga ukuhlinzwa okuningi. Ngaphezulu kwamathimba ayi-9 kwayi-10 angalungiswa. Ukwehluleka ukulungisa i-retina njalo kuholela ekulahlekelweni kombono ngezinga elithile.

Lapho kutholakala iqembu, ama-photoreceptors (izinduku nezigaxa) aqala ukonakala. Ngokushesha lapho iqembu lilungiswa, ngokushesha izinduku nama-cones azoqala ukubuyela esimweni. Kodwa-ke, lapho i-retina isinqamukile, ama-photoreceptor kungenzeka angalulami ngokuphelele.

Ngemuva kokuhlinzwa, ikhwalithi yombono incike lapho kutholakala khona iqembu, nembangela:

• Uma indawo emaphakathi yombono (macula) ibingabandakanyeki, umbono uvame ukuba muhle kakhulu.
• Uma i-macula ibibandakanyekile isikhathi esingaphansi kweviki elilodwa, umbono uzothuthukiswa, kepha hhayi ku-20/20 (ojwayelekile).
• Uma i-macula ihlukaniswe isikhathi eside, umbono othile uzobuya, kepha uzokhubazeka kakhulu. Imvamisa, kuzoba ngaphansi kuka-20/200, umkhawulo wobumpumputhe obusemthethweni.

Ukugoqa kwesikrini; I-vitrectomy; I-retinopexy yomoya; Laser retinopexy; Ukulungiswa kweqembu le-retinal dethement

• I-retina etholakele
• Ukulungiswa kweqembu le-retinal - uchungechunge

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