Ongakulindela ngePterygium Surgery

-Delile

• Ukubuka konke
• Izinqubo zePresurgical
• Yini ongayilindela ngesikhathi sokuhlinzwa kwepterygium
• Ama-Sutures vs. iglu
• Inqubo ye-sclera engenalutho
• Ukubuyiselwa
• Izinkinga
• Umbono

Ukubuka konke

Ukuhlinzwa kwePterygium inqubo eyenziwayo ukususa iziqu ze-conjunctiva (pterygia) ezingezona umdlavuza esweni.

Isihlanganisi izicubu ezicacile ezimboza ingxenye emhlophe yeso nengaphakathi lamajwabu amehlo. Amanye amacala e-pterygium akhiqiza izimpawu ezingasho lutho. Ukwanda okukhulu kwezicubu ze-conjunctiva kungamboza i-cornea futhi kuphazamise umbono wakho.

Izinqubo zePresurgical

Ukuhlinzwa kwe-pterygium kungukuhlinzwa okuncane okungahlaseli. Imvamisa kuthatha imizuzu engaphezu kwengu-30 kuye kwengu-45. Udokotela wakho cishe uzokunikeza imihlahlandlela ejwayelekile yokulungiselela ukuhlinzwa kwakho kwe-pterygium.

Kungadingeka ukuthi uzile ukudla noma udle ukudla okulula ngaphambi kwesikhathi. Ngaphezu kwalokho, uma ugqoka amalensi oxhumana nawo, ungacelwa ukuthi ungawagqoki okungenani amahora angama-24 ngaphambi kwenqubo.

Ngoba uzohlala kancane, odokotela bazodinga ukuthi uhlele izinto zokuhamba ngemuva kokuhlinzwa, ngoba uzobe ungakwazi ukuzishayela.

Yini ongayilindela ngesikhathi sokuhlinzwa kwepterygium

Inqubo yokuhlinza i-pterygium iyingozi esheshayo futhi ephansi:

1. Udokotela wakho uzokuhlalisa futhi abulale amehlo akho ukuvimbela ukungakhululeki ngesikhathi sokuhlinzwa. Bazobe sebehlanza izindawo ezizungezile.
2. Udokotela wakho uzosusa i-pterygium kanye nezinye izicubu ezihlangene ze-conjunctiva.
3. Lapho nje i-pterygium isusiwe, udokotela wakho uzokufaka esikhundleni sayo ngokuxhunyaniswa kwezicubu ze-membrane ezihambisanayo ukuvimbela ukukhula kwe-pterygium okuphindayo.

Ama-Sutures vs. iglu

Lapho nje i-pterygium isusiwe, odokotela bazosebenzisa i-sutures noma i-fibrin glue ukuze bavikele i-conjunctiva tissue graft endaweni yayo. Zombili lezi zindlela zinciphisa ukubakhona kwe-pterygia ephindaphindekayo.

Ngenkathi ukusebenzisa ama-suture ancibilikayo kungabhekwa njengomkhuba wokulinganisa, kungadala ukuhlukunyezwa okungaphezulu kokuhlinzwa, futhi kunwebe isikhathi sokutakula amasonto ambalwa.

Ukusebenzisa i-fibrin glue, ngakolunye uhlangothi, kukhombisile ukunciphisa ukuvuvukala nokungakhululeki ngenkathi kusikwa isikhathi sokutakula ngesigamu (uma kuqhathaniswa nokusebenzisa ama-sutures). Kodwa-ke, njengoba i-fibrin glue ingumkhiqizo owenziwe ngegazi, ingahle ibe nengozi yokudlulisela izifo nezifo ezibangelwa amagciwane. Ukusebenzisa i-fibrin glue nakho kungabiza kakhulu kunokukhetha ama-sutures.

Inqubo ye-sclera engenalutho

Enye inketho, yize ithwala ingozi eyengeziwe yokuphindeka kwe-pterygium, inqubo ye-sclera engenalutho. Kule nqubo yendabuko ethe xaxa, udokotela wakho ususa izicubu ze-pterygium ngaphandle kokufaka esikhundleni sokuxhunyelelwa kwezicubu. Lokhu kushiya okumhlophe okuyisisekelo kweso kuvele obala ukuzelapha kukodwa.

Ngenkathi inqubo ye-sclera engenalutho iqeda ubungozi obuvela emithini noma ku-fibrin glue, kunezinga eliphakeme le-pterygium regrowth, futhi ngosayizi omkhulu.

Ukubuyiselwa

Ekupheleni kokuhlinzwa, udokotela wakho uzofaka isichibi seso noma iphedi ukuze athole induduzo nokuvikela ukutheleleka. Kubalulekile ukuthi ungahlikihli amehlo akho ngemuva kwenqubo yokugwema ukukhipha izicubu ezinamathiselwe.

Udokotela wakho uzokunikeza imiyalo yokunakekelwa ngemuva, kufaka phakathi izinqubo zokuhlanza, ama-antibiotics, nokuhlela ukuvakashelwa okulandelwayo.

Isikhathi sokutakula singathatha noma yikuphi phakathi kwamasonto ambalwa kuye ezinyangeni ezimbalwa ukuze iso lakho liphole ngokuphelele, ngaphandle kwezimpawu zokubomvu noma ukungaphatheki kahle. Noma, lokhu kungabuye kuncike ohlotsheni lwenqubo esetshenzisiwe ngesikhathi sokuhlinzwa.

Izinkinga

Njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi. Ukulandela ukuhlinzwa kwe-pterygium, kuyinto ejwayelekile ukuzwa ukungaphatheki kahle nokubomvu. Kujwayelekile futhi ukubona ukufiphala okuthile ngesikhathi sokululama.

Kodwa-ke, uma uqala ukuhlangabezana nobunzima bokubona, ukulahleka okuphelele kombono, noma ukuqaphela ukuphindaphinda kwepterygium, hlela ukuvakasha kudokotela wakho.

Umbono

Yize ukuhlinzwa kwe-pterygium kuvame ukusebenza ngempumelelo, ezimweni ezimnene, udokotela wakho angancoma ukunikezwa nemithi yokugcoba. Kodwa-ke, uma lokhu kukhula okuhle kungathinti umbono wakho noma ikhwalithi yempilo, isinyathelo esilandelayo kungenzeka kube ukuhlinzwa.