Laser Iridectomy: oko kukuthi, i-post-operative xesha, ixabiso kunye nohlolo

Izifo Ophthalmological kugcwele. Amaninzi zifumaneka abadala. ezimbi obonakalayo kwaye oko kukhokelela kubumfama, i glaucoma. Esi sifo luphawulwa ubunzima obungakumbi ngaphakathi lweliso lakho. Enye indlela ye ukunyanga iglaucoma agalelwa okunyangayo uthathwa laser iridectomy. Kuliwa kwiklinikhi ezizodwa ophthalmologic kwaye inani yeenzuzo kuthelekiswa ukuvula uqhaqho.

Yintoni na laser iridectomy

laser Iridectomy - it inkqubo lwamehlo ukuba yenzelwa ukunciphisa uxinzelelo intraocular. Eyona njongo iphambili yale ngoncedo - kukuphucula yayikukuphuphuma ulwelo xa iziko umbono. Olu tyando ukwenza imingxuma ezincinane iris iso. Kukho iindlela ezininzi laser iridectomy. Ezi ziquka:

1. ukusebenza ngaxeshanye.
2. A iridectomy zigaba.
3. Emva komnye umsebenzi.

iridectomy ngaxeshanye yenziwa ngokusebenzisa laser idaleka. Igunya le sixhobo 5 ukuya ku-15 MJ. izicelo laser iyenziwa izihlandlo 1-3. Ngenxa yoko, ukuba kwakhiwe umngxuma ngale iris. Abaxhamla kule ndlela isantya zokuphunyezwa kwayo. Chitha-inyathelo elinye iridectomy kunokuba sibe nomonde kunye nawuphi na umbala wamehlo.

operation Zikhutshelwe lwenziwa iiseshoni eziliqela. Ngaphezu koko, lo lekhefu phakathi laser sesichengeni iliso ziiveki 2-3. Ngenxa yoko, ukuyilwa imingxuma iris iye yalibaziseka iinyanga eziliqela. Umsebenzi efanayo yenziwa kubantu abane ngeliso umbala ukukhanya. Owenziwa abulawe iridectomy kuyimfuneko ukuze uphephe ngokonakalisa iris ezingcakacileyo, kunye nezinye izakhiwo licandelo umbono. unit Power laser sivela 600 ukuya kwi-1000 MW, nexesha exposure - imizuzwana 0.5.

iridectomy sekhombuya lwenziwa kubantu kunye iris ezimnyama. I-laser amandla kule meko 1500 MW, kwaye ixesha sesichengeni - imizuzwana 0.2. Imbobo iris ngcembe ezenziwa lamellar sombala inyama intshabalalo. Ukuze isicelo ukusebenza okanye Argon laser onjalo elifutshane ukubetha.

Ubungqina obubonakalayo buxela ukuba ukuhlinza

Ukulungisa yayikukuphuphuma ulwelo intraocular, ebanjwe iridectomy. laser kusivumela ukuba sikwazi ukucutha umngcipheko umonakalo ntlangano ukuze ubuncinane. Ubungqina obubonakalayo buxela ukuba lo msebenzi iimeko kunye ngxi kolwelo nokunyusa uxinzelelo ngaphakathi lweliso lakho. Ezi ziquka:

1. Okanye mixed ukuvalwa glaucoma.
2. Ukusela kudala.
3. Mgaqweni kwegumbi sobuKristu.
4. Pupillary block.

Laser eye iridectomy eyenziwa nokuthintela bahlaselwe nokoyika glaucoma. uxinzelelo lwegazi oluphezulu kukhokelela ekulahlekeni yentsimi olubonakalayo nokunciphisa namandla aso. A umngcipheko ixesha elide yokuphuhlisa glaucoma ziimfama. Isifo kwenzeka ngenxa ukugcinwa fluid phakathi egumbini iliso. Kunokuba iziphene okanye lufundiwe. Kwimeko yokuqala, glaucoma usisiphumo ukungaqheleki zophuhliso umzimba. Ezifuniweyo ukwanda koxinzelelo intraocular kwenzeka kunye nesifo nezolo ukudumba kunye ukuphazamiseka yegazi ubonelelo iliso. laser Iridectomy iphumelela ngakumbi engile-ukuvalwa glaucoma. Ukusikwa sombala shell kukhokelela ekuphuculweni lokuphuma fluid egumbini sobuKristu kunye noxinzelelo nokunciphisa.

Izimo ukwenza iridectomy

Kwezinye iimeko, ekuqhubeni utyando usebenzisa laser engamkelekanga. Izimo ukuba iridectomy ziquka miqathango ilandelayo:

1. Clouding i inwebu okanye ilens crystalline (cataract).
2. kubunzulu Ukunqongophala iris.
3. nokudumba kwenwebu ezivele ngenxa yeenkqubo arhabaxa.
4. Kwecala retina.
5. Ukungabikho unaliso linye.
6. Uqhoqhoqho-like ikhamera ngaphambili.
7. Ukushwabana sphincter ngayo umfundi.
8. ukuncipha okuqhubekayo acuity olubonakalayo.
9. Immunodeficiency States.

Xa engekho Izimo laser iridectomy izihlandlo eziliqela kunokuba kwenziwe. Imfuneko yokuba lo msebenzi imisela zamehlo emva kokwenza uvavanyo diagnostic.

Technique le iridectomy

Laser iridectomy carcinoma yi ukuyilwa kuvulwa kwikona engaphakathi inwebu. It ivumela ukuseka lokuphuma fluid ukusuka iliso sobuKristu egumbini ngasemva. Le nkqubo lwenziwa phantsi Ukubulawa yasekuhlaleni. Ukongeza ichiza iintlungu kufuneka zivuze-1% isisombululo "pilocarpine". Kuyimfuneko ukuba unciphise umfundi ngexesha laser ungenelelo ngoncedo.

Ukuze ube nokufaka isicelo ilens iliso, nto leyo evumela ukuba nkulu ngokutsha asendle yotyando. Emva koko, khetha indawo wokusungula umngxuma. Oku kungenziwa akhiwe ngayo nayiphi na inxalenye iris. Akunconywa okuhlatywa iiyure eziyi-12, ukususela kule ndawo amadlu igesi yande. Ophthalmologists bakhetha ukwenza umngxuma yokothula crypt enkulu okanye ukuxozwa lwenxalenye iris.

I-laser umqadi ingena laphu ngemehlo iliso. Oku ijonga kwindawo ethile. Kwindawo laser ekhethiweyo isebenza imizuzwana 0.2-0.5. Ngenxa yoko, kwasekwa ubunzulu umngxuma efunekayo. Ukujikeleziswa le ulwelo zolwelo ilungiswa, ngokwenjenjalo kuncitshiswe uxinzelelo intraocular.

Laser iridectomy: ithuba post-operative, imiqathango

Ukwenzela ukuphepha imiphumo eyingozi kwenu kukusebenza, kuyimfuneko ukuba ukulandela izindululo zamehlo. Kuphela kule meko iya kuba laser olusebenzayo iridectomy. ixesha Postoperative ithatha iiveki 2-3. Ngeli xesha, isigulane kufuneka athobele le intuthuzelo nokubona, kwakunye ayeke ukuqhuba. Ngaphakathi kwiveki 1 kufuneka athathe arhente anti-ezithintela ukosuleleka kunye గుర్తులు ibhaloni anhydrase inhibitors. Ezi zinto zibandakanya wamehlo "Dorzolamide", "Azopt."

Ngeli xesha postoperative kucetyiswa ukuba balale ngomqolo, uze uphephe ukufuma ophezulu (hayi ukutyelela leebhate kunye ama). Amanzi kufuneka mandingaweli iliso yeveki e-1.

Eluncedo nengeloncedo ubuchule

Izinto eziluncedo yale ndlela zonyango ziquka: isiphumo impumelelo ngokukhawuleza kwaye adale semibhobho ngokwendalo uburharha zolwelo phakathi iikhamera iliso. Ukongeza, laser iridectomy - inkqubo yalula ekhawulezayo. Umngcipheko ukopha kunye umonakalo ezingqongileyo inyama inciphisiwe.

Esi sithintelo kuthathwa ukuba ezinye izigulane kuyanyanzeleka ukuba wenze utyando kwakhona ngenxa isenzeko azikhuli - azikhuli iris kwisayithi emngxunyeni kwakhiwa.

Laser iridectomy: Ukubuyekezwa Ophthalmologists

Ophthalmologists ezintle ngale ndlela unyango, ingakumbi xa kuziwa glaucoma gingxi. Xa yabonisa nokwanda kwamalweyile ngendlela xi yeso kucetyiswa laser trabeculoplasty, okanye uqhaqho evulekileyo.