I-Scleral Buckling

-Delile

• Ngabe i-scleral buckling isebenza kanjani?
• Isikhathi sokutakula se-scleral buckling
• Usuku 1 kuya ku-2
• Usuku 2 kuya ku-3
• Usuku 3 kuya ku-14
• Isonto 2 kuye ngeviki 4
• Isonto 6 kuye ngeviki 8
• Izingozi kanye nezinkinga zokugoqa kwe-scleral

Ukubuka konke

I-Scleral buckling inqubo yokuhlinza esetshenziselwa ukulungisa iqembu le-retinal. I-scleral, noma okumhlophe kweso, ungqimba olungaphandle olusekelayo lwenhlamvu yeso. Kulokhu kuhlinzwa, udokotela ohlinzayo unamathisela ucezu lwe-silicone noma isiponji emhlophe esweni lapho kudabuka khona izinyembezi. I-buckle yakhelwe ukulungisa iqembu le-retina ngokucindezela i-sclera ngasezinyembezi noma ikhefu le-retinal.

I-retina ungqimba lwezicubu ngaphakathi ngaphakathi kweso. Idlulisa imininingwane ebukwayo isuka emithanjeni ye-optic iye ebuchosheni bakho. I-retina ehlukanisiwe isuka endaweni yayo ejwayelekile. Uma ishiywe ingalashwa, ukuhlukaniswa kwe-retinal kungadala ukulahleka okungapheli kombono.

Kwesinye isikhathi, i-retina ayikhiphi ngokuphelele iso, kodwa kunalokho yakha izinyembezi. I-scleral buckling kwesinye isikhathi ingasetshenziselwa ukulungisa izinyembezi ze-retinal, ezingavimbela ukuhlangana kwe-retinal.

I-Scleral buckling isetshenziselwa ukwelapha izinhlobo ezahlukahlukene zamathimba we-retinal. Ukuhlukaniswa kwe-retinal yisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa kwezokwelapha ngokushesha. I-Scleral buckling ingenye yezindlela zokwelashwa. Izimpawu zokuhlukaniswa zibandakanya ukwanda kwenani lama-float wamehlo. Lawa amachashaza amancane angabonakala emkhakheni wakho wombono. Ungase futhi ube nokukhanya kokukhanya emkhakheni wakho wokubuka, futhi unciphise umbono wangaphandle.

Ngabe i-scleral buckling isebenza kanjani?

I-Scleral buckling yenzeka esimweni sokuhlinzwa. Udokotela wakho angakunika inketho ye-anesthesia ejwayelekile lapho uzolala khona ngenqubo. Noma udokotela wakho angakuvumela ukuthi uhlale uphapheme.

Udokotela wakho uzokunikeza imiyalo ethile kusengaphambili ukuze ukwazi ukulungiselela inqubo. Kuzodingeka ukuthi uzile ngaphambi kokuhlinzwa futhi ugweme ukudla ngemuva kwamabili ngosuku lokuhlinzwa. Udokotela wakho uzokunikeza imininingwane yokuthi ngabe udinga ukuyeka ukuthatha imishanguzo ethile.

Nakhu ongakulindela ngesikhathi sokuhlinzwa:

1. Uzothola i-anesthesia ngaphambi kokuhlinzwa futhi ulale. Uma uhlala uphapheme ngesikhathi sokuhlinzwa kwakho, udokotela wakho uzokusebenzisa amaconsi wamehlo noma akunikeze umjovo wokukhathaza iso lakho. Uzothola namaconsi wamehlo ukuze unwebe amehlo akho. Ukwehliswa kukhulisa umfundi wakho, kuvumela udokotela wakho ukuthi abone ngemuva kweso lakho.

2. Udokotela wakho uzokwenza imbobo engxenyeni engaphandle yeso lakho (i-sclera).

3. I-buckle noma isiponji siyathungwa sizungeze lolu ungqimba olungaphandle lweso bese sithungwa ngendlela ukuze singanyakazi. IBuckling yakhelwe ukuxhasa i-retina ngokucindezela i-scleral iye maphakathi neso, okungaxhuma i-retina yakho nokuvala izinyembezi ze-retina.

4. Ukuvimbela ukudabuka noma iqembu ekuvulekeni kabusha. Udokotela wakho angenza futhi okunye kwalokhu okulandelayo:

• I-Laser photocoagulation. Kule nqubo, udokotela wakho usebenzisa i-laser beam ukushisa indawo ezungeze izinyembezi noma ithimba le-retinal. Lokhu kudala izicubu ezibomvu, ezisiza ukuvala ikhefu nokuvimba ukuvuza oketshezi.
• I-Cryopexy. Kule nqubo, udokotela wakho usebenzisa amakhaza amakhulu ukubamba ingaphandle leso leso, okungadala izicubu ezibomvu ukuthi zikhule futhi zivale ikhefu.

5. Ngemuva kokuhlinzwa, udokotela wakho ukhipha noma yiluphi uketshezi olungemuva kwe-retina yakho bese efaka amaconsi ehlo elwa namagciwane ukuvimbela ukutheleleka.

I-Scleral buckling ivame ukuhlala unomphela. Kepha uma uneqembu elincane le-retinal, udokotela wakho angasebenzisa i-buckle yesikhashana engasuswa lapho iso selipholile.

Isikhathi sokutakula se-scleral buckling

I-Scleral buckling kungathatha cishe imizuzu engama-45 ukuqeda. Isikhathi sokutakula noma kuphi ukusuka emavikini amabili kuya kwamane. Udokotela wakho uzohlinzeka ngemiyalo yokunakekelwa ngemuva. Lokhu kufaka imininingwane yokuthi ungaqala nini ukuthatha imishanguzo kadokotela, kanye nemiyalo yemithi enqunyiwe yokwelapha ubuhlungu be-posturgery.

Usuku 1 kuya ku-2

Ngokuvamile uzokwazi ukuya ekhaya ngosuku lokuhlinzwa, kodwa uzodinga umuntu ozokushayela.

Lindela ezinye izinhlungu emahoreni noma ezinsukwini ezilandela inqubo. Izinga lakho lobuhlungu lingehla ezinsukwini ezimbalwa, kodwa uzoqhubeka nokuba nobomvu, isisa, nokuvuvukala amasonto ambalwa ngemuva kokuhlinzwa.

Kuzodingeka futhi ukuthi ugqoke isichibi seso ezinsukwini ezimbalwa ngemuva kokuhlinzwa futhi usebenzise amaconsi ehlo elwa namagciwane ukuvimbela ukutheleleka. Uzofaka amathonsi wamehlo amasonto angafika kwayisithupha ngemuva kokuhlinzwa.

Usuku 2 kuya ku-3

Ukuvuvukala kungenzeka ngemuva kwe-scleral buckling. Udokotela wakho ohlinzayo angakuyala ukuthi ubeke iqhwa noma iphakethe elibandayo phezu kweso imizuzu engu-10 kuye kwengu-20 ngasikhathi ukunciphisa ukuvuvukala. Bopha iphakethe leqhwa ubhince ithawula ngaphambi kokulibeka esikhunjeni sakho. Abanye odokotela bazoncoma ukufaka i-ice pack ezinsukwini ezintathu zokuqala ngemuva kokuhlinzwa, cishe njalo ngehora elilodwa kuya kwamabili.

Usuku 3 kuya ku-14

Vumela iso lakho ukuthi liphole ngaphambi kokuhlanganyela emsebenzini okhandlayo. Ngalesi sikhathi, gwema ukuzivocavoca umzimba, ukuphakamisa okunzima nokuhlanza. Udokotela wakho angahle futhi anciphise inani lokufunda ukunciphisa ukunyakaza kwamehlo okuningi.

Isonto 2 kuye ngeviki 4

Abanye abantu bangabuyela emsebenzini ngemuva kwamasonto amabili ngemuva kokuqhuma kwescleral. Lokhu kuya ngokuthi uzizwa kanjani nohlobo lomsebenzi owenzayo. Kufanele uhlale ekhaya isikhathi eside uma umsebenzi wakho ubandakanya ukuphakamisa okunzima noma umsebenzi omningi wekhompyutha.

Isonto 6 kuye ngeviki 8

Landela udokotela wakho ukuze ahlolwe iso lakho. Udokotela wakho uzohlola isimo sendawo yokuhlinza ukuze abone ukuthi uphulukiswa kanjani. Udokotela wakho uzophinde futhi ahlole ukuze abone ukuthi kukhona yini ukuthuthuka okubonakalayo, futhi mhlawumbe ancome amalensi okulungisa noma umuthi omusha we-eyeglass oyibekele amehlo akho.

Nakhu okwenzayo nokungafanele ukwenze ngemuva kokwenza inqubo ye-scleral buckling:

• Ungashayeli kuze kube yilapho udokotela wakho ekunika imvume
• Thatha imithi yakho kadokotela njengoba uyalelwe
• Ungazivocavoci noma uphakamise izinto ezisindayo, futhi ugweme ukunyakaza kweso okusheshayo uze ulandele udokotela wakho.
• Gqoka izibuko zelanga emini
• Ungayifaki insipho esweni lakho lapho ugeza noma ugeza ubuso bakho. Ungagqoka izibuko zokubhukuda ukuvikela iso lakho.
• Musa ukulala ngomhlane ngenkathi ulele
• Ungahambi ngendiza kuze kuphole iso lakho. Izinguquko ze-Altitude zingadala ukucindezela kwamehlo okuningi

Izingozi kanye nezinkinga zokugoqa kwe-scleral

Sekukonke, ukugoqa kwesikrini ukulungiswa kwamathimba we-retinal nokubuyiselwa kombono kungaveza imiphumela emihle. Izinkinga, noma kunjalo, zingenzeka, futhi kunezingozi ezihambisana nokuhlinzwa.

Uma uke wahlinzwa iso langaphambilini futhi unezicubu zesibazi esivele sikhona, le nqubo kungenzeka ekuqaleni ingalungisi iqembu le-retinal. Uma kungenjalo, kuzofanele uphinde inqubo futhi udokotela wakho uzodinga ukukhipha izicubu zesibazi ezikhona ngaphambi kokuqhubeka.

Ezinye izingozi nezinkinga ezihambisana nalokhu kuhlinzwa zifaka:

• ukutheleleka
• ukubona kabili
• ngamehlo
• ukopha
• i-glaucoma
• iqembu eliphindaphindiwe
• izinyembezi ezintsha ze-retina

Xhumana nodokotela wakho ngokushesha uma uphuma igazi, uba nomkhuhlane, noma uma uzwa ubuhlungu obukhulu, ukuvuvukala noma ukwehla kombono.