Transplanting corneas: tsananguro, zviratidzo, mutengo wongororo. ziso Microsurgery

Munyika yanhasi pane nokukurumidza kukura zvokurapa. Kubudirira dziri kuchengetwa zvose munzvimbo. Izvi zvinoshanda zvomusejari uye dzokurapwa nzira kurapwa, nechirwere, zvinowanikwa nesayenzi. No kunze, uye ophthalmology. With veMubatanidzwa microsurgical nzira Kuvhiya ziso zvava njodzi zvikuru uye tibudirire. Zvakanakira ophthalmology ano - kukurumidza uye nyarara kupora wezvakaonekwa. Transplantation of cornea, izvo kare hazvaigona, zvino kuitwa ose unyanzvi nzvimbo. Somugumisiro, keratoplasty vanhu vakawanda vavezve kukwanisa kuona nyika yakatipoteredza.

Transplantation of cornea - chii ichi?

oparesheni ichi ane yesayenzi zita - keratoplasty. Uyewo, zviri kunzi transplantation yacho cornea. Sezvo iyi nhengo kuona asina ropa wedzerai, kazhinji, akararama uye nokushanda riri kubudirira. Pashure keratoplasty chiratidzo akavandudzika zvikuru kana rukaporeswa. Kunyanya kupararira anyatsoronga nokuisazve corneas. Yaitsiva zvaparadzwa zvikamu kana seboka. Mune zvimwe zviitiko, kubereka rakagadzirwa nevanhu nokuisazve zvinhu. Kazhinji, kuvhiyiwa uku kunoitika pasi zvavo yokutindivadza. Zvisinei, zviremera vanokurudzira keratoplasty kuitwa pachishandiswa vemo yokutindivadza. The kunyatsoshanda hwokushanda pane inenge nguva imwe kuomesa kwakaita corneal transplantation iri apo neapo. Nezvikonzero izvi, keratoplasty inzira inonyanyoshandiswa dzokurapwa pose.

Mune zvimwe zviitiko, achiita corneal nokuisazve?

The oparesheni ndinobvisa kuti cornea nevamwe chete pasi oma zvairatidza. Kazhinji, chinokonzera kukuvara nhengo dziri kunotevera uye anogumbura chirwere. Vacho pane chinokosha Kuipa chiratidzo kana kurasikirwa zvakakwana maonero (nezvahwo). Dzimwe nguva keratoplasty rinoitwa zvinangwa zvizorwa. Pane zvinotevera zvikonzero kuita oparesheni:

1. Haichatarisiki. Zvikonzero zvingava vaviri chinopedza zvirwere, uye nhengo zvakuvadza maonero.
2. Retinopathy. Izvi zvinoreva siyana avo, izvo regai vanokweretesa pachavo kuti yokurapwa. Izvi zvinosanganisira dystrophic, bullous retinopathy.
3. corneal kukuvara. Pangave uchikurukura siyana dzimwe miviri kupinda ziso.
4. Chemical kutsva.
5. Rive dete pamusoro zvakaturikidzaniswa yacho cornea. It akacherechedza nezvirwere ichi, sezvo keratoconus.
6. Urikanwi uye erosive kuremara.
7. Mavanga.
8. Corneal opacity. Kazhinji pamusana Laser mishonga.
9. Zvizorwa kuremara.

Contraindications kuti keratoplasty

Kazhinji, microsurgery ziso - imwe nzvimbo mushonga kuti zvikuru iripo. Contraindications kuita mabasa ari nhengo zvaakaratidzwa hadziwanzowaniki. Keratoplasty rinoitwa vose, vane dzakanyorwa kuremara. Age muganhu nokuti oparesheni ichi haako. Asi govera 3 inoti umo keratoplasty hakubvumidzwi. Idzi dzinosanganisira:

1. Eyesores kuti ropa riyerere. Kuvapo nhumbi kunoita kushanda corneal nokuisazve isashande.
2. Combination leukomas uye yakakwirira intraocular kumanikidzwa (yemaziso).
3. Concomitant zvirwere umo yakakwirira ndingangokuvara kuramba batanidza. Izvi zvinosanganisira immunological zvirwere, decompensated cheshuga.

Ndezvipi akasiyana keratoplasty

Kufanana akavhiyiwa vakawanda keratoplasty kunogona kuitwa nenzira dzakasiyana. It kunobva mhando nokuisazve (anyatsoronga kana chakagadzirwa cornea), kwakakura uye kudzama kuremara. Keratoplasty inogona zvachose kana kukwana. Muchiitiko chokutanga, izvozvo unotsiva yose cornea. In wechipiri - chikamu nhengo, sezvamakaropafadzwa batanidza saizi iri 4 kusvika 6 mm. Uyezve, dzimwe nguva akaita subtotal retinoplastika. Below iri raireva pakutsiva yacho cornea anenge pamusoro nharaunda yose, kunze kwenguva nomukombero (1-2 mm), iri kumativi richiripo. Zvichienderana kudzika kuparadzwa uye secrete munhu kuburikidza lamellar nokuisazve. Muchiitiko chokutanga, ndiko kuremara inoremekedzwa rose ukobvu muviri. Layered retinoplastika kungava kumberi uye shure (kana dzokunze akarova rusvingo cornea yomukati). Rakashandiswa cadaveric nhengo anyatsoronga zvinhu kusanganisira neonates. Chakagadzirwa batanidza akaita chaidzo mumarabhoritari.

How kugadzirira keratoplasty?

Eye Microsurgery, uyewo dzimwe mhando maoparesheni, kunosanganisira kugadzirira asati kuita muitiro. Danho rokutanga kuita yokurapwa kuti anogumbura kwendangariro. Izvi zvinoshandawo chero chirwere ziso uye mafungiro ameso (conjunctivitis, iridocyclitis). Mushure kurapwa, utachiona rinoitwa Diagnostics zvakakwana nhengo wezvakaonekwa. Akaita ophthalmologic kuongororwa, rabhoritari nemiedzo (KLA OAM ropa nemakemikari omuviri). Zvinokoshawo kuziva chii vari zvokurwara murwere. Izvi zvinokosha zvikuru nokuti zvimwe zvirwere kungava contraindication kunorapwa. "Kuziya muoti" kuchengetwa pamusoro avaida retinoplastiki.

Chidobi pamusoro corneal kuisirwa

Corneal Kuvhiya transplantation rinoitwa kushandisa microsurgical michina chaiyo. Kuti retinoplastiku kuita zvetsika oparesheni uye Laser kurapa vose. Mumakore achangopfuura, nzira yechipiri anonzi nani sezvo kunoderedza postoperative nguva uye kunoderedza ngozi yematambudziko. Nokuisazve corneas ane chaizvo Implementation nzira. Chokutanga, murwere inochengeterwa pamubhedha uye kubereka analgesia. Pashure kugadzirisa namafungiro uye ziso (sclera pamusoro mucheto). The rakatevera Danho - kubviswa hunenge nhengo kana chikamu (izvi zvinoitwa Laser kana kuvhiya instrument). Uyezve vakaita corneal nokuisazve. The mukunopera kunosanganisira vakaongorora welds, rokuongorora kuvapo yematambudziko.

The postoperative nguva munguva keratoplasty

Mushure nokuisazve, iyo cornea murwere anofanira kanenge akawanda maawa pasi zvokurapa achitarisirwa. Pasinei chokwadi kuti murwere endai kumba, rinoda firimu nemunhu ophthalmologist. Zvinonzi Dzakamukurudzirawo pashure pokuvhiyiwa zvinyoronyoro pamusoro ziso (shoma mutoro pamusoro nhengo zvaakaratidzwa). Kana kuvhiya sutures vanobviswa pashure pemwedzi mishomanana (rimwe gore). Possible yematambudziko keratoplasty - iri ropa, kuzvimba, ndinobvisa kurambwa. In izvi zvinoitika ipapo kusanzwa, photophobia, kuvaviwa uye zvichingodaro. D. wose zviratidzo zviri chikonzero rokukurumidzira zvivabatsire kuti ophthalmologist.

corneal nokuisazve ziso: wongororo unyanzvi

Maererano vanachiremba retinoplastika inzira yakachengeteka uye inobudirira kupora. Zvinokurudzirwa kuti varwere vose pasina contraindications. Varwere vanogutsikana oparesheni. Vision zvikaramba kwemakore akawanda pashure transplantation, uye zvakaoma kunzwisisa zviri mashoma chaizvo. Panguva iyoyo, mashoko vaifarira Laser ichaongororwa ndinobvisa yacho cornea. Cost kushanda kunoenderana sarudzo kumakiriniki. Avhareji yemari ndiyo 50-70 zviuru rubles neziso rimwe. Pakusarudza rakagadzirwa nevanhu nokuisazve mutengo kaviri.