Mawallafi: Gregory Harris
Ranar Halitta: 15 Afrilu 2021
Sabuntawa: 18 Nuwamba 2024
Anonim
Gyaran retinal detachment - Magani
Gyaran retinal detachment - Magani

Gyaran raunin ido shine tiyatar ido domin sanya ido a cikin yadda yake. Idin kwayar ido shine kyallen fitila mai haske a bayan ido.Kashewa yana nufin ya ja baya daga yadudduka kayan da ke kewaye da shi.

Wannan labarin yana bayanin gyaran kayan maye na rhegmatogenous retinal detachments. Wadannan suna faruwa ne saboda rami ko yaga a cikin kwayar ido.

Yawancin ayyukan gyara ɓatan ido na gaggawa. Idan an samu ramuka ko hawaye a cikin kwayar ido kafin kwayar ido ta balle, likita ido zai iya rufe ramuka ta amfani da laser. Ana yin wannan aikin sau da yawa a cikin ofishin mai ba da sabis na kiwon lafiya.

Idan kwayar ido ta fara cirewa, hanyar da ake kira pneumatic retinopexy za a iya yi don gyara ta.

  • Kwayar cutar pneumatic retinopexy (sanya kumfa gas) galibi hanya ce ta ofishi.
  • Likitan ido yana saka kumfar gas a cikin ido.
  • Sannan an daidaita ku saboda haka kumfa gas din yana yawo akan ramin a cikin kwayar ido kuma ya turashi ya koma wurin.
  • Dikita zai yi amfani da laser don rufe ramin har abada.

Detananan ƙungiyoyi suna buƙatar ƙarin tiyata. Wadannan hanyoyin ana yin su a asibiti ko cibiyar tiyata ta marasa lafiya:


  • Hanyar daɗaɗɗen abin zai sanya bangon ido ya shiga ciki ta yadda zai sadu da ramin a cikin tantanin ido. Za'a iya yin buckling scleral ta amfani da magani mai sanya numfashi yayin da kake farka (maganin sa barci na cikin gida) ko kuma lokacin da kake bacci da rashin jin zafi (anesthesia general).
  • Hanyar vitrectomy tana amfani da kananan na'urori a cikin ido don saki tashin hankali akan kwayar ido. Wannan yana bawa kwayar ido damar komawa matsayin da yake. Ana yin yawancin vitrectomies tare da numban magani yayin da kuke farke.

A cikin maganganu masu rikitarwa, ana iya yin duka hanyoyin a lokaci guda.

Ratattun sassan jiki BA KYAUTA ba tare da magani ba. Ana buƙatar gyara don hana ɓata gani na dindindin

Yadda saurin tiyatar ke bukatar a yi ya dogara da wuri da kuma girman rukunin. Idan za ta yiwu, ya kamata a yi aikin tiyatar a rana guda idan ɓarnatar ba ta shafi yankin gani na tsakiya ba (macula). Wannan na iya taimakawa wajen hana ci gaba da raunin ido. Hakanan zai ƙara damar kiyaye kyakkyawan hangen nesa.


Idan macula ta balle, lokaci yayi da za a dawo da hangen nesa. Har ila yau ana iya yin aikin tiyata don hana duka makanta. A waɗannan yanayin, likitocin ido na iya jiran sati ɗaya zuwa kwana 10 don tsara tiyata.

Haɗarin haɗarin tiyatar cire ido ya haɗa da:

  • Zuban jini
  • Achungiyar da ba a gyara ta gaba ɗaya (na iya buƙatar ƙarin tiyata)
  • Inara matsa lamba a ido (hawan intraocular mai ɗaukaka)
  • Kamuwa da cuta

Ana iya buƙatar rigakafin cutar gabaɗaya. Haɗarin haɗarin duk wani maganin sa barci shine:

  • Amsawa ga magunguna
  • Matsalar numfashi

Kila ba za ku iya dawo da cikakken hangen nesa ba.

Damar samun sake hadewar ido a ido ya dogara da yawan ramuka, girmansu, da kuma ko akwai tabon abu a yankin.

A mafi yawan lokuta, hanyoyin BA KAMATA buƙatar kwana na dare ba. Kila iya buƙatar iyakance aikin ku na ɗan lokaci.

Idan an gyara kwayar ido ta hanyar amfani da tsarin kumfa na gas, kana bukatar ka sunkuyar da kai kasa ko ka juya zuwa gefe daya na tsawon kwanaki ko makonni. Yana da mahimmanci a kula da wannan matsayin saboda kumfa gas yana tura ƙwayar ido a cikin wurin.


Mutanen da suke da kumfa a ido ba za su iya tashi ba ko zuwa tsaunuka ba har sai kumfar iskar ta narke. Wannan galibi yana faruwa ne tsakanin weeksan makonni.

A mafi yawan lokuta, ana iya hada ido da ido guda. Koyaya, wasu mutane zasu buƙaci tiyata da yawa. Fiye da ƙungiyoyi 9 cikin 10 za'a iya gyara su. Rashin gyara kwayar ido a koda yaushe yana haifar da rashin gani sosai.

Lokacin da raguwa ta auku, masu daukar hoto (sanduna da mazugi) suna fara lalacewa. Da zarar an gyara rukunin, da sannu sanduna da cones za su fara murmurewa. Koyaya, da zarar kwayar ido ta ware, masu daukar hoto ba zasu taba murmurewa ba gaba daya.

Bayan tiyata, ingancin hangen nesa ya dogara da inda ƙungiyar ta faru, da kuma dalilin:

  • Idan ba a shiga yankin hangen nesa ba (macula), gani zai zama mai kyau sosai.
  • Idan macula ta shiga cikin ƙasa da sati 1, yawanci gani zai inganta, amma ba zuwa 20/20 (na al'ada) ba.
  • Idan macula ta kasance a ware na dogon lokaci, wani hangen nesa zai dawo, amma zai samu nakasu sosai. Sau da yawa, zai zama ƙasa da 20/200, iyakar makafin makanta.

Buckling na sikelin; Vitrectomy; Kwayar cutar pneumatic retinopexy; Maganin laser; Rhegmatogenous retinal detachment detachment gyarawa

  • Rataccen kwayar ido
  • Gyaran ganyayyaki na sake-sake - jerin

Guluma K, Lee JE. Ilimin lafiyar ido. A cikin: Walls RM, Hockberger RS, Gausche-Hill M, eds. Magungunan gaggawa na Rosen: Ka'idoji da Aikin Gwajin Asibiti. 9th ed. Philadelphia, PA: Elsevier; 2018: babi na 61.

Todorich B, Faia LJ, Williams GA. Yin aikin tiyata A cikin: Yanoff M, Duker JS, eds. Ilimin lafiyar ido. 5th ed. Philadelphia, PA: Elsevier; 2019: babi na 6.11.

Wickham L, Aylward GW. Hanyoyi mafi kyau don gyara raunin ido. A cikin: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P. Ryan's Retina. Na 6 ed. Philadelphia, PA: Elsevier; 2018: babi 109.

Yanoff M, Cameron D. Cututtuka na tsarin gani. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 423.

Shawarar Mu

Gwargwadon yanayin zafi

Gwargwadon yanayin zafi

Mizanin zafin jikin zai iya taimakawa gano ra hin lafiya. Hakanan yana iya aka idanu ko magani yana aiki ko a'a. Babban zazzabi zazzabi ne.Kwalejin Ilimin Yammacin Amurka (AAP) ta ba da hawarar ka...
C-sashe

C-sashe

a hin C hine haihuwar jariri ta hanyar yin buɗewa a cikin yankin uwa na ciki. Hakanan ana kiranta i ar da ciki.Ana yin haihuwar C- ection lokacinda ba zai yiwu ba ko aminci ga uwa ta haihu ta cikin f...