Kukonzekera kwa gulu la retinal

Kukonzekera kwa magulu a retinal ndi opaleshoni ya maso kuti iike retina kumbuyo kwake. Diso la minyewa ndi kamene kamayang'ana kuwala kumbuyo kwa diso. Kutenga kumatanthauza kuti yachoka pamitundu yoyandikana nayo.

Nkhaniyi ikufotokoza kukonzedwa kwa magulu amitsempha am'mitsempha yamagazi. Izi zimachitika chifukwa cha dzenje kapena misozi mu diso.

Ntchito zambiri zokonzanso magulu a retina ndizofulumira. Ngati mabowo kapena misozi mu diso ipezeka diso lisanatuluke, dokotala wamaso amatha kutseka mabowo pogwiritsa ntchito laser. Njirayi imachitika nthawi zambiri muofesi ya othandizira zaumoyo.

Ngati diso latsika kumene, njira yotchedwa pneumatic retinopexy itha kuchitidwa kuti ikonzeke.

• Pneumatic retinopexy (kuyikapo mpweya wamafuta) nthawi zambiri imakhala njira yantchito.
• Dokotala wamaso amalowetsa mpweya mu diso.
• Kenako mumakhala pabwino kotero kuti mpweya wamafuta umayandama ndikubowoka pa dzenje la diso ndikulikankhira m'malo mwake.
• Dokotala adzagwiritsa ntchito laser kuti asindikize dzenjelo.

Magulu akuluakulu amafunika opaleshoni yayikulu kwambiri. Njira zotsatirazi zimachitika mchipatala kapena kuchipatala cha odwala:

• Njira yolumikizira ma scleral imalowetsa khoma la diso mkati kuti likwaniritse dzenje la diso. Scleral buckling itha kugwiritsidwa ntchito pogwiritsa ntchito mankhwala osokoneza bongo mukadzuka (dzanzi dzanzi) kapena mukamagona komanso mulibe ululu (anesthesia).
• Njira ya vitrectomy imagwiritsa ntchito tizinthu tating'onoting'ono mkati mwa diso kuti tithandizire kutaya kwa diso. Izi zimathandiza kuti diso liziyenda bwino. Ma vitrectomies ambiri amachitika ndimankhwala osokoneza bongo mukadzuka.

Muzovuta, njira zonsezi zitha kuchitika nthawi imodzi.

Magulu obwezeretsa retina SAKHALA bwino popanda kulandira chithandizo. Kukonza kumafunika kuti tipewe kutaya masomphenya kwamuyaya.

Kuchita opaleshoni mwachangu kuyenera kuchitidwa kumadalira malo komanso kukula kwa gulu. Ngati kuli kotheka, opaleshoniyi iyenera kuchitidwa tsiku lomwelo ngati gulu silinakhudze malo owonekera (macula). Izi zitha kuthandiza kupewa diso lina. Ikulimbikitsanso mwayi wosunga masomphenya abwino.

Macula ikasunthika, ndichedwa kuti mubwezeretse masomphenya. Opaleshoni imatha kuchitidwa kuti iteteze khungu lonse. Zikatero, madokotala amaso amatha kudikirira sabata mpaka masiku 10 kuti akonze opaleshoni.

Zowopsa za opaleshoni yamagulu ophatikizira ndi awa:

• Magazi
• Gulu lomwe silinakhazikike kwathunthu (lingafune maopaleshoni ochulukirapo)
• Kuwonjezeka kwa kupanikizika kwa diso (kukwezedwa kwa intraocular pressure)
• Matenda

Anesthesia wamba angafunike. Zowopsa za anesthesia iliyonse ndi izi:

• Zomwe zimachitika ndi mankhwala
• Mavuto kupuma

Simungathe kuwona bwino.

Kuthekanso kophatikizanso kwa diso kumadalira kuchuluka kwa mabowo, kukula kwake, komanso ngati pali zilonda zipsera m'derali.

Nthawi zambiri, ndondomekoyi SIYENERA kuti mugone kuchipatala usiku wonse. Mungafunike kuchepetsa zochita zanu zolimbitsa thupi kwakanthawi.

Ngati diso limakonzedwa pogwiritsa ntchito njira yowira gasi, muyenera kuyang'ana mutu wanu pansi kapena kutembenukira mbali imodzi kwa masiku angapo kapena milungu ingapo. Ndikofunikira kukhalabe pamalopo kotero kuti kuwira kwa gasi kumakankhira diso m'malo mwake.

Anthu omwe ali ndi mpweya wabwino m'diso sangathe kuwuluka kapena kupita kumtunda mpaka mpweyawo utasungunuka. Izi zimachitika nthawi zambiri mkati mwa milungu ingapo.

Nthawi zambiri, diso limatha kulumikizidwa ndi ntchito imodzi. Komabe, anthu ena adzafunika maopaleshoni angapo. Oposa 9 mwa magulu 10 akhoza kukonzedwa. Kulephera kukonza diso nthawi zonse kumabweretsa kutayika kwamaso pamlingo winawake.

Pakakhala gulu, ma photoreceptor (ndodo ndi ma cones) amayamba kuchepa. Posakhalitsa bungweli litakonzedwa, posachedwa ndodo ndi ma cones zimayamba kuchira. Komabe, diso likangotuluka, ma photoreceptor sangachiritsenso.

Pambuyo pa opaleshoni, mtundu wa masomphenya umadalira komwe gululi linachitikira, ndi chifukwa chake:

• Ngati dera lowonera (macula) silinakhudzidwe, masomphenya amakhala abwino kwambiri.
• Ngati macula adakhalapo pasanathe sabata limodzi, masomphenya nthawi zambiri amasinthidwa, koma osati 20/20 (yachibadwa).
• Ngati macula adasungidwa kwa nthawi yayitali, masomphenya ena abwerera, koma adzawonongeka kwambiri. Nthawi zambiri, zimakhala zochepera 20/200, malire a khungu lovomerezeka.

Mapuloteni; Kulimbitsa thupi; Pneumatic retinopexy; Laser retinopexy; Rhegmatogenous retinal detachment kukonza

• Diso lotetezedwa
• Kukonzanso kwa gulu la retinal - mndandanda

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[Nkhani yaulere ya PMC] [Adasankhidwa] Todorich B, Faia LJ, Williams GA. Opaleshoni ya scleral buckling. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: mutu 6.11.

Wickham L, Aylward GW. Njira zabwino zokonzanso gulu la retina. Mu: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P. Retina wa Ryan. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 109.

Yanoff M, Cameron D. Matenda a mawonekedwe. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 423.