Laser Iridectomy: menene shi, lokacin postoperative, farashi da sake dubawa

Cututtuka ophthalmic suna tartsatsi. Sau da yawa ana samun su a cikin tsofaffi. Abubuwa masu kyau da zasu iya haifar da cikakken makanta shine glaucoma. Wannan cututtuka yana halin karuwa da yawa a cikin ido. Daya hanyar zalunta glaucoma aka dauke Laser iridectomy. An yi shi ne a ƙwararrun ɗakunan shan magani na asibitoci kuma yana da wadata da dama akan budewa ta hannu.

Menene laser iridectomy?

Laser iridectomy wani tsari ne na al'ada wanda aka yi don rage matsa lamba intraocular. Babban manufar wannan yunkurin ita ce inganta yanayin fitar da ruwa cikin ido. The aiki ne ta samar da kananan ramuka a cikin Iris na ido. Akwai hanyoyi da yawa na laser iridectomy. Wadannan sun haɗa da:

1. Ɗauki guda-lokaci.
2. Stage iridectomy.
3. Ayyukan jirage.

Anyi amfani da simintin gyare-gyaren lokaci ta laser. Ikon wannan na'urar yana daga 5 zuwa 15 mJ. Ayyukan laser an yi sau 1-3. A sakamakon haka, yana yiwuwa a samar da wata ta hanyar rami a cikin iris. Amfani da wannan hanya ita ce azabtarwa da sauri. Za'a iya ɗaukar nauyin ɓangare daya a cikin marasa lafiya tare da kowane launi.

Ana gudanar da aikin da aka yi a wasu zamanni. Kuma fassarar tsakanin laser hotuna zuwa ido shine makonni 2-3. A sakamakon haka, an samu rawar rami a cikin iris na tsawon watanni. Ana gudanar da irin wannan aikin don mutanen da ke da launi mai haske. Yin amfani da matakai na gyaran gyare-gyare ya zama dole don kauce wa lalacewa da maƙalar mai ƙyama da sauran sifofin hangen nesa. Ikon laser yana daga 600 zuwa 1000 mW, kuma lokaci mai shima yana da har zuwa 0.5 seconds.

An yi amfani da iridectomy don mutanen da ke da duhu. Ikon laser yana da har zuwa 1500 mW, kuma lokacin da yake ɗauka shine 0.2 seconds. Ramin a cikin iris an kafa shi da hankali, ta hanyar lalacewa ta Lay-by-Layer nama. Domin irin wannan aiki, an yi amfani da laser gajere ko laser argon.

Bayyana don aiki

Don daidaita fitarwa na ruwa mai ciki, anyi aiki ne. Hanyar laser yana ba da damar rage haɗarin lalacewa ga kwayoyin hangen nesa zuwa mafi ƙarancin. Bayanai na wannan aiki sune jihohin da suke tare da stagnation na ruwa da karuwa a cikin ido. Wadannan sun haɗa da:

1. Closed-kwana ko glaucoma gurasa.
2. Ƙari yawan adadin alade.
3. Anomalies a cikin ɗakin murya na ido.
4. Kwalejin yaro.

An yi amfani da launi na laser na idanu a matsayin prophylaxis don mummunar hare-haren glaucoma. Ƙara matsa lamba yana haifar da asarar filaye na hangen nesa da ragewa a kaifi. Glaucoma mai tsawo yana da haɗari saboda ci gaba da makanta. Kwayar yana faruwa ne saboda matsakaicin ruwa tsakanin ɗakunan ido. Zai iya zama innate da samu. A cikin akwati na farko, glaucoma yana haifar da cututtuka a ci gaba da kwayar hangen nesa. Ƙara yawan da aka samu a cikin matsa lamba intraocular yana faruwa tare da cututtuka na ƙwayoyin ƙwayoyin ƙwayoyin cuta da kuma ɓacin jini yana gudana zuwa idanu. Laser iridectomy yana da tasiri sosai a cikin rufe-glaucoma. Sakamakon launin fata wanda yake da alade yana haifar da ingantawa a cikin ruwan da yake ciki daga ɗakin murya na ido kuma ya ba da damar saukar da matsin.

Contraindications zuwa iridectomy

A wasu lokuta, yin amfani da laser tare da laser marar yarda. Contraindications to iridectomy sun hada da yanayi masu biyowa:

1. Opium na cornea ko ruwan tabarau (cataract).
2. Ƙananan zurfin iris.
3. Rubutun ganyayyaki wanda ya taso daga ƙwayoyin kumburi.
4. Detachment na retina na ido.
5. Rashin ido daya.
6. Slit ɗakin majalisa.
7. Daidaran ƙwararren ɗan jariri.
8. Ƙaramar ragu a cikin ƙin gani.
9. Yanayin rashin daidaituwa.

Idan babu contraindications, za a iya yin saurin laser sau da yawa. Bukatar wannan aikin ya ƙaddamar da ƙwararrun magunguna bayan yin gwajin gwajin.

Faɗakarwar taƙama

Gilashin basal laser yana kunshe ne da kafa wani rami na wucin gadi a cikin kusurwar da ke ciki. Wannan yana ba ka damar daidaita saurin ruwa daga ɗakin ɗakin ido a cikin ɗakin baya. Anyi wannan tsari a karkashin maganin cutar ta gida. Baya ga miyagun ƙwayoyi masu guba, dole ne a dana bayani na 1% na "Pilocarpine". Wannan wajibi ne don ƙuntata ɗan jariri a yayin yin amfani da laser.

Ana amfani da ruwan tabarau a ido, wanda zai ba da damar duba girman filin wasa. Bayan haka, an zaɓar wuri na samin rami. Ana iya kasancewa a kowane ɓangare na iris. Ba'a ba da shawarar yin fashewa a sa'o'i 12 ba, tun lokacin da aka samar da gas a wannan yankin. Ophthalmologists sun fi son samar da rami a cikin ɓangaren babban crypt ko a wani ɓangare na sashi na iris.

Gilashin laser yana shiga cikin kyallen takalmin ido ta wurin ruwan tabarau. Yana mayar da hankali ga wani wuri. A shafin da aka zaba, laser yana aiki don 0.2-0.5 seconds. A sakamakon haka, ramin da ake bukata don zurfin ya samo. An kafa yanayin ruwa mai tsabta, wanda zai taimaka wajen rage matsa lamba mai intraocular.

Laser iridectomy: lokaci na ƙarshe, ƙuntatawa

Don kauce wa haɗarin haɗari na aiki, dole ne ku bi shawarwarin masu aikin likita. Sai kawai a cikin wannan yanayin laser iridectomy zai zama tasiri. Lokacin jinkirta yana zuwa makonni 2-3. A wannan lokacin, mai haƙuri dole ne ya kula da zaman lafiya na zaman lafiya, kuma ya hana yin motar motar. A cikin 1 mako ake bukata dauki anti-kumburi jamiái da carbonic anhydrase hanawa. Wadannan sun hada da ido ya fadi "Dorzolamid", "Azopt".

Yayinda ake yin safarar lokaci an bada shawarar yin barci a baya, kuma don kaucewa zafi mai dakin (ba don ziyarci baho da saunas) ba. Ba ruwa ya kamata a shiga idanu don 1 mako.

Abũbuwan amfãni da rashin amfani da hanya

Abubuwan amfani da wannan hanyar magani sun hada da: gagarumin nasara na sakamako da kuma haifar da fitowar yanayi na ruwan dadi a tsakanin ɗakunan ido. Bugu da ƙari, ƙwaƙwalwar laser abu ne mai sauƙi da sauri. Rashin rage zubar da zubar da jini da lalacewa ga takaddun da ke kusa.

Rashin haɓaka shi ne cewa an tilasta wasu marasa lafiya su sake yin aikin tiyata saboda bayyanar synechia - hada fuska da iris a wurin rami.

Laser iridectomy: gwagwarmayar magungunan ƙwayoyi

Ophthalmologists amsa gaskiya ga wannan hanyar magani, musamman idan ta shafi glaucoma rikitarwa. Tare da karawa da karɓuwa a cikin ƙwallon ido, ƙwararren ƙwayar laser ko bude magungunan da aka ba da shawarar.