Taiaho Iridectomy: he aha te mea te reira, te pou-operative wā, utu me arotake

He whānui mate Ophthalmological. Nuinga o ngā wā e kitea e ratou i roto i te paari. pathologies nui e taea arahi ki matapo, he papahewa. āhuatanga tēnei mate e nui haere te pēhanga i roto i te 'Afio. Ko tētahi ara o te rongoā papahewa whakaaro te taiaho iridectomy. Kei te kawea te reira i roto i roto i te whare hauora ophthalmologic motuhake, me te kua he maha o ngā painga whakaritea ki te whakatuwhera pokanga.

He aha te mea taiaho iridectomy

taiaho Iridectomy - reira tukanga ophthalmic whakamana e te ki te whakaiti i te pēhanga intraocular. Ko te whāinga matua o te wawaotanga - ko ki te whakapai ake i te matamua o te wai i roto i te okana o kite. Ko te mahi, ko te ki te hanga i rua iti i roto i nga iris o te kanohi. He maha ngā tikanga o te taiaho iridectomy. Ko ētahi o ēnei:

1. mahi tukutahi.
2. He iridectomy taumata.
3. Hōhonu mahi.

hanga iridectomy tukutahi e te tikanga o te taiaho pākau i. Ko te mana o tenei pūrere ko 5 ki te 15 MJ. tono Taiaho e whakamana 1-3 wā. Ka rite ki te hua, ka taea ki te hanga i te poka i roto i roto i te iris. Ko te painga o tenei tikanga ko te tere o tona whakatinanatanga. Te mahi tūroro kotahi-atamira ki taea iridectomy hei tetahi tae kanohi.

whakamana mahi poua te i roto i te maha o ngā wā. Ano, ko te wā i waenganui i te puaretanga taiaho ki te kanohi ko te 2-3 wiki. Ka rite ki te hua, te hanganga o rua i roto i nga iris kua roa hoki te maha o nga marama. kawea te mahi rite i roto hoki te iwi ki te tae te marama kanohi. he tika iridectomy mahi tū i roto i te tikanga ki te karo hoko nga iris kikokore, me ētahi atu hanganga o te okana o kite. wae Power taiaho he i 600 ki te 1000 MW, me te wā te rongo - 0.5 hēkona.

Kei te whakamana iridectomy paparanga mō te iwi ki te iris pouri. Te mana taiaho i roto i tenei take, ko te 1500 MW, me te wa o te rongo - 0.2 hēkona. Ko te kohao i roto i te iris āta i hanga e lamellar whakangaromanga ngarahu kiko. Hei tono i te taua mahi poto-he pini hauhauhā taiaho ranei.

Tuhinga mō te pokanga

Hei whakatika i te matamua o te inu intraocular, puritia iridectomy. maimoatanga Taiaho taea ki tatou te whakaiti i te mōrea o te kino okana ki te iti. Tuhinga hoki tenei mahi he tikanga haere tahi e te stagnation o wai, me te whakapiki ake i te pēhanga i roto i te 'Afio. Ko ētahi o ēnei:

1. Ranei te whakauru papahewa katinga.
2. rahi o te ngarahu.
3. Kōhikohiko o te ruma mārōrō,.
4. poraka Pupillary.

whakamana iridectomy Taiaho kanohi rite te ārai o whakaeke whakapeka o papahewa. arata'i pēhanga toto tiketike ki te mate o te parae ataata, me te whakaiti i ona pakeke. Roa ngā matapo oti papahewa whanaketanga kino. Puta ana te mate e tika ana ki te pupuri wai i waenganui i te ruma o te kanohi. E nehenehe te reira congenital riro ranei. I roto i te take tuatahi, papahewa ko te hua o te whanaketanga rerekē o te tinana. puta riro pēhanga intraocular nui haere ki recurrent mate inflammatory me disorders o te supply toto ki te kanohi. Ko atu whai hua i roto i koki-katinga papahewa taiaho Iridectomy. arata'i anga excision ngarahu ki ake matamua inu i te ruma mārōrō me te pēhanga whakaiti.

Contraindications ki te mahi i iridectomy

I roto i ētahi wā, e mau ana i roto i pokanga te whakamahi i taiaho Kāore. Contraindications ki iridectomy ngā nga tikanga e whai ake nei:

1. Puputu'u 'o te taupoki io te arotahi tioata (pokonga) ranei.
2. hohonu iti o te iris.
3. edema Corneal puta tika ki ngā tukanga inflammatory.
4. Wehe o te etine.
5. Te ngaro tetahi kanohi o.
6. Wehia-rite kāmera mua.
7. Pāpāngia o te sphincter o te tauira.
8. heke whakamua o te acuity ataata.
9. āhua ārai.

I roto i te ngaro o contraindications taiaho iridectomy taea te whakamana e rave rahi taime. Ko te hiahia hoki tenei mahi whakatau ophthalmologist i muri i te raveraa i whakamātau tātaritanga.

Technique o te iridectomy

Taiaho iridectomy basal ko te hanganga o te kohao tāwhaiwhai i roto i te kokonga o roto o te taupoki io. āhei te reira ki te whakatū i matamua inu i te ruma mārōrō kanohi ki te muri. whakamana ana tēnei tukanga te i raro i rehunga rohe. I tua atu ki te tarukino analgesic me maturuturu 1% otinga "pilocarpine". He mea tika ki te whakawhāiti i te akonga i roto i te wawaotanga taiaho.

Hei tono i te tirohanga kanohi, e taea ai e koe te whakanui i te arotake o te mara hāparapara. Na, te whiriwhiri i te wahi hanga i te poka. Ka taea te kei reira i roto i tetahi wahi o nga iris. Ehara i poka tūtohutia 12 haora, i roto i tenei rohe i te mirumiru hau kohikohi mai. Ophthalmologists hiahia ki te hanga i te poka i roto i te rohe Crypt nui ranei thinning o te wahi iris.

Ko te kurupae taiaho ô te papanga i roto i te arotahi o te kanohi. arotahi te reira i runga i te wāhi motuhake. I roto i te taiaho rohe tīpakohia mahi i roto i 0.2-0.5 hēkona. Ka rite ki te hua, e hiahiatia ana te hōhonu rua i hanga. Kei te whakaritea tohanga o te wai wai, ai te whakaiti pēhanga intraocular.

Taiaho iridectomy: wā pou-operative, here

I roto i te tikanga ki te karo i te mau hopearaa kino o te mahi, he mea e tika ana ki te whai i nga tūtohutanga o te ophthalmologist. Anake i roto i tenei take, ka waiho whai hua iridectomy taiaho. pumau wā Postoperative mō te 2-3 wiki. I roto i tenei wa, me ū te manawanui ki te whakamarie ataata, me te ki te pehi i te peia. I roto i te 1 wiki e hiahiatia te ki te tango i āpiha anti-inflammatory me inhibitors anhydrase carbonic. Ko ētahi o ēnei makaka kanohi "Dorzolamide", "Azopt."

I roto i te wā postoperative e tūtohu ana ki te moe i runga i tona hoki, ka karo haumākū nui (e kore e ki te tirotiro i pati me saunas). kore me Water taka ki roto ki te kanohi mō te 1 wiki.

Huapai me ngā huakore o ngā tūāhua

Ko te painga o tenei tikanga o te maimoatanga ngā: pānga paetae tere, me te hanga i te pana tūturu o te waikaru i waenganui i te kāmera kanohi. I tua atu, taiaho iridectomy - he tukanga ongonoa, me te tere. whakamōkitohia te mōrea o te toto, me te kino ki a tawhio noa kiko te.

whakaaro te ngoikoretanga e e takoha etahi tūroro ki te whai ano tafa e tika ana ki te takanga o adhesions - adhesions o nga iris i runga i te pae o te poka i hanga.

Taiaho iridectomy: arotake o ophthalmologists

Ophthalmologists pai e pā ana ki tenei tikanga o te maimoatanga, tautautefito ki he taimi tae mai te reira papahewa ngāwari. A, no te whakahuatia a hua whakakeke o te pēhanga i roto i te 'Afio ko taiaho trabeculoplasty, tuwhera tafa ranei tūtohu.