Ukufakelwa kabusha kwe-Corneal

I-cornea ilensi engaphandle ecacile ngaphambili kweso. Ukufakelwa kabusha kwe-corneal ukuhlinzwa ukufaka i-cornea ngezicubu zomuntu onikelayo. Kungokunye ukufakelwa okuvame kakhulu ukwenziwa.

Kungenzeka uvuke ngesikhathi sokufakelwa kabusha. Uzothola umuthi wokukuphumuza. I-anesthesia yendawo (umuthi oyindikindiki) izofakwa ezungeze iso lakho ukuvimba ubuhlungu nokuvimbela ukunyakaza kwamehlo ngesikhathi sokuhlinzwa.

Izicubu zokufakelwa kwakho kwe-corneal zizovela kumuntu (umnikeli) osanda kufa. I-cornea enikelwayo icutshungulwa futhi ihlolwe yibhange lamehlo lendawo ukuze kuqinisekiswe ukuthi kuphephile ukusetshenziswa ekuhlinzeni kwakho.

Sekuyiminyaka, uhlobo oluvame kakhulu lokufakelwa kwe-corneal lubizwa ngokuthi i-keratoplasty engenayo.

• Kusengumsebenzi owenziwa njalo.
• Phakathi nale nqubo, udokotela wakho ohlinzayo uzosusa ucezu oluncane lwe-cornea yakho.
• Izicubu ezinikelwe zizobe sezithunyelwa ekuvulekeni kwe-cornea yakho.

Inqubo entsha ibizwa ngokuthi i-lamellar keratoplasty.

• Kule nqubo, kuphela izingqimba zangaphakathi noma zangaphandle ze-cornea ezithathelwa indawo, hhayi zonke izingqimba, njengakwi-keratoplasty engenayo.
• Kunezindlela ezahlukahlukene zamalambu. Zihluka kakhulu ekutheni ungqimba luphi lushintshwa nokuthi izicubu zabanikeli zilungiswa kanjani.
• Zonke izinqubo ze-lamellar ziholela ekubuyiseleni ngokushesha futhi kube nezinkinga ezimbalwa.

Ukufakelwa kwe-corneal kunconywa kubantu abane:

• Izinkinga zombono ezibangelwa ukuncipha kwe-cornea, imvamisa ngenxa ye-keratoconus. (Ukufakelwa kabusha kungabhekwa uma ukwelashwa okuncane okungahlaseli kungeyona inketho.)
• Ukuqhuma kwe-cornea kusuka ekuthelelekeni okunzima noma ukulimala
• Ukulahleka kombono okubangelwa ukushuba kwe-cornea, imvamisa ngenxa ye-Fuchs dystrophy

Umzimba ungazenqaba izicubu ezifakiwe. Lokhu kwenzeka ezigulini ezi-1 kwezingu-3 eminyakeni emihlanu yokuqala. Ukwenqatshwa kwesinye isikhathi kungalawulwa ngamaconsi wamehlo e-steroid.

Ezinye izingozi zokufakelwa kabusha kwe-corneal yilezi:

• Ukopha
• Isifo senkwethu
• Ukutheleleka kweso
• I-Glaucoma (umfutho ophakeme esweni ongadala ukulahleka kombono)
• Ukulahleka kombono
• Ukuqhuma kweso
• Ukuvuvukala kwe-cornea

Tshela umhlinzeki wakho wezokunakekelwa kwezempilo nganoma yiziphi izimo zezokwelapha ongahle ube nazo, kufaka phakathi ukungezwani komzimba. Phinda utshele umhlinzeki wakho ukuthi yimiphi imithi oyisebenzisayo, ngisho nezidakamizwa, izithasiselo, namakhambi owathengile ngaphandle kwencwadi kadokotela.

Ungahle udinge ukukhawulela imishanguzo eyenza kube nzima ngegazi lakho ukuminyana (izinciphisi zegazi) izinsuku eziyi-10 ngaphambi kokuhlinzwa. Ezinye zazo i-aspirin, ibuprofen (Advil, Motrin), ne-warfarin (i-Coumadin).

Buza umhlinzeki wakho ukuthi imuphi omunye wemithi yakho yansuku zonke, njengamaphilisi amanzi, i-insulin noma amaphilisi esifo sikashukela, okufanele awaphuze ekuseni lapho uhlinzwa.

Uzodinga ukuyeka ukudla nokuphuza uketshezi oluningi ngemuva kwamabili ebusuku ngaphambi kokuhlinzwa kwakho. Abahlinzeki abaningi bazokuvumela ube namanzi, ijusi le-apula, nekhofi noma itiye (ngaphandle kokhilimu noma ushukela) kuze kufike emahoreni amabili ngaphambi kokuhlinzwa. UNGABUPHUZI utshwala emahoreni angama-24 ngaphambi noma ngemuva kokuhlinzwa.

Ngosuku lokuhlinzwa kwakho, gqoka izingubo zokuxegisa nezikahle. UNGAGQIQI ubucwebe. UNGABEKI okhilimu, ama-lotion, noma izimonyo ebusweni bakho noma ngasemehlweni akho.

Uzodinga ukuthi othile akuhambise ekhaya ngemuva kokuhlinzwa kwakho.

Qaphela: Lezi imihlahlandlela ejwayelekile. Udokotela wakho ohlinzayo angakunika ezinye iziyalezo.

Uzobuyela ekhaya ngosuku olufanayo nokuhlinzwa kwakho. Umhlinzeki wakho uzokunika isichibi samehlo sokugqoka cishe izinsuku ezi-1 kuye kwezi-4.

Umhlinzeki wakho uzokunika amaconsi wamehlo ukusiza iso lakho liphole futhi livikele ukutheleleka nokwenqatshwa.

Umhlinzeki wakho uzosusa iziqu ekuhambeleni okulandelayo. Ezinye iziqu zingahlala endaweni isikhathi esingangonyaka, noma kungenzeka zingasuswa nhlobo.

Ukululama ngokuphelele kwamehlo kungathatha unyaka. Lokhu kungenxa yokuthi kuthatha isikhathi ukuthi ukuvuvukala kwehle. Iningi labantu abane-transneal transplant ephumelelayo lizoba nombono omuhle iminyaka eminingi. Uma unezinye izinkinga zamehlo, ungahle ube nokulahleka kombono kulezo zimo.

Ungahle udinge izibuko noma amalensi wokuxhumana ukuze uzuze umbono omuhle kakhulu. Ukulungiswa kombono we-Laser kungaba yinto ongayikhetha uma ubonela eduze, ukubona kude, noma i-astigmatism ngemuva kokuthi ukufakelwa kuphulukise ngokuphelele.

I-Keratoplasty; I-keratoplasty engenayo; I-Lamellar keratoplasty; I-Keratoconus - ukufakelwa kwe-corneal; I-Fuchs 'dystrophy - ukufakelwa kwe-corneal

• Ukuphepha kwamakamelo abantu abadala
• Ukufakelwa kwe-Corneal - ukukhipha
• Ukuvimbela ukuwa
• Ukuvimbela ukuwa - okufanele ubuze udokotela wakho

• Ngaphambi nangemva kokuhlinzwa kwe-corneal
• Ukufakelwa kwe-Corneal - uchungechunge

IGibbons A, Sayed-Ahmed IO, Mercado CL, Chang VS, Karp CL. Ukuhlinzwa kwe-Corneal. Ku: Yanoff M, Duker JS, ama-eds. I-Ophthalmology. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2019: isahluko 4.27.

Shah KJ, Holland EJ, Mannis MJ. Ukufakelwa kabusha kwe-Corneal ku-ocular surface disease. Ku: Mannis MJ, Holland EJ, ama-eds. I-Cornea. Umhla wesi-4. IPhiladelphia, PA: Elsevier; I-2017: isahluko 160.

UJanoff M, uCameron JD. Izifo zohlelo olubonakalayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 423.