Iridectomy laser: icho chiri, pambuyo ntchito nthawi, mtengo ndi ndemanga

matenda Ophthalmological zili ponseponse. Nthawi zambiri amapezeka okalamba. pathologies aakulu zimene zingachititse kuti khungu ndi khungu. matenda yodziwika ndi kuthamanga kuchuluka mwa mwana wa m'diso la. Njira imodzi amachitira khungu imatengedwa laser iridectomy. Iwo ikuchitika chipatala apadera ophthalmologic ndi angapo ubwino poyerekeza kutsegula opaleshoni.

ndi laser iridectomy Kodi

Iridectomy laser - izo ophthalmic ndondomeko imene imagwiridwa kuchepetsa kuthamanga intraocular. Cholinga chachikulu cha phukusi la - ndi kusintha outflow wa madzimadzi mu limba la masomphenya. ntchito ndi kupanga timabowo ting'onoting'ono Iris wa diso. Pali njira zosiyanasiyana laser iridectomy. Njirazi ndi monga:

1. Munthawi yomweyo ntchito.
2. Chinthu iridectomy.
3. Layering ntchito.

Munthawi yomweyo iridectomy wopangidwa mwa laser pulsed. Mphamvu ya chipangizo izi 5 mpaka 15 MJ. Laser ntchito zimagwiridwa nthawi 1-3. Chifukwa cha zimenezi, n'zotheka kupanga dzenje kupyolera mu Iris lapansi. The ntchito njira imeneyi ndi liwiro kukhazikitsa. Kuchita odwala wina gawo ndi iridectomy akhoza kukhala mtundu diso.

ntchito Phased imagwiridwa mu magawo angapo. Komanso imeneyi pakati pa laser kukhudzana ndi diso masabata 2-3. Chifukwa, mapangidwe mabowo Iris akuchedwa kwa miyezi ingapo. A ntchito zofanana ikuchitika kwa anthu ndi kuwala diso mtundu. Ankachitika kuphedwa iridectomy m'pofunika kuti tipewe kuwononga Iris woonda ndi nyumba zina za limba la masomphenya. Mphamvu laser unit ku 600 kwa 1000 MW, ndipo nthawi kukhudzana - masekondi 0.5.

Magawo iridectomy imagwiridwa kwa anthu ndi yodera. Mphamvu laser mu nkhani iyi ndi 1500 MW, ndi nthawi yopeza - masekondi 0.2. Una mu Iris pang'onopang'ono popangidwa ndi lamellar pigment minofu chiwonongeko. Kutsatira chotero yochepa zimachitika ntchito kapena Argon laser.

Zikuonetsa kwa opaleshoni

Kusintha outflow wa madzimadzi intraocular unachitika iridectomy. Laser mankhwala amatilola kuchepetsa chiopsezo cha kuwonongeka limba yochepa. Zikuonetsa ntchito imeneyi ndi zinthu limodzi ndi stagnation wa madzimadzi ndi kuonjezera kuthamanga mkati mwana wa m'diso la. Njirazi ndi monga:

1. Kapena wosanganiza kutsekedwa khungu.
2. yambiri pigment.
3. Anomalies za chipinda zapambuyo.
4. Pupillary chipika.

Laser diso iridectomy anachita monga kupewa a chloroquine khungu. Kuthamanga magazi kumabweretsa imfa ya m'munda zithunzi ndi kuchepetsa ukulu wake. Long alipo khungu oopsa chitukuko wathunthu khungu. Matendawa amapezeka chifukwa posungira madzimadzi pakati pa chipinda cha diso. Zimakhala kobadwa nako kapena kugula. Mbali yoyamba, khungu chifukwa cha nthenda chitukuko cha thupi. Kuthi kuchuluka intraocular kuthamanga amapezeka ndi kobwereza yotupa matenda ndi matenda a kusowa magazi kwa diso. laser Iridectomy ndi aluso mu ngodya-kutsekedwa khungu. Excision pigment chipolopolo kumabweretsa bwino madzimadzi outflow ku chipinda zapambuyo ndi kuchepetsa kuthamanga.

Contraindications kuchita iridectomy

Nthawi zina, akuchita opaleshoni ntchito laser zosavomerezeka. Contraindications iridectomy monga zinthu zotsatirazi:

1. Clouding wa diso kapena crystalline mandala (mathithi).
2. Osakwanira akuya Iris lapansi.
3. Corneal edema akuwuka chifukwa njira yotupa.
4. Detachment kwa diso.
5. Pakalibe diso limodzi.
6. Anatumbula ngati kamera kutsogolo.
7. Ziwalo za sphincter wa mwana wa.
8. Progressive kuchepa kwa acuity zithunzi.
9. Immunodeficiency limati.

Popeza contraindications laser iridectomy kangapo angathe kuchitidwa. Kufunika kwa opaleshoni Mzimuyo maso pambuyo kuchita mayesero matenda.

Njira ya iridectomy ndi

Laser woyambira iridectomy ndi mapangidwe otsegula yokumba mu ngodya lamkati la diso la. Timatha kukhazikitsa outflow madzimadzi m'maso zapambuyo m'chipinda kumbuyo. Ndondomeko anachita pansi mankhwala oletsa ululu pamalopo. Kuwonjezera pa analgesic mankhwala adzachucha 1% njira "pilocarpine". M'pofunika Ndikuchepetsa mwana pa phukusi laser.

Kugwiritsa ntchito diso mandala, zomwe zimathandiza kuti azipeza ndi ndemanga za kuthengo opaleshoni. Ndiye, kusankha malo n'kupanga dzenje. Iwo akhoza ili mu gawo lirilonse la Iris lapansi. Osavomerezeka puncture maola 12, kuyambira mu zone izi thovu mpweya kudziunjikira. Ophthalmologists amakonda kupanga dzenje lalikulu crypt zone kapena kupatulira wa Iris gawo.

The laser mtengo likulowerera nsalu mwa maso a. Chimakhudza malo enieni. Mu anasankha dera laser ukugwira masekondi 0.2-0.5. Chifukwa cha zimenezi, anapanga dzenje kuya chofunika. Kufalitsidwa kwa madzi amadzimadzi kusintha, potero kuchepetsa kuthamanga intraocular.

Laser iridectomy: pambuyo ntchito nthawi, chiletso

Pofuna kupewa mavuto oopsa kwa opareshoni, m'pofunika kutsatira malangizo a maso ndi. Only mu nkhani iyi adzakhala ogwira laser iridectomy. Postoperative nthawi kumatenga masabata 2-3. Panthawi imeneyi, wodwala ayenera kutsatira chitonthozo zithunzi, komanso kupewa galimoto. Pasanathe sabata 1 chofunika kutenga wothandizila odana ndi yotupa ndi carbonic zoletsa anhydrase. Zikuphatikizapo m'maso "Dorzolamide", "Azopt."

Pa nthawi postoperative Ndi bwino kugona pa nsana wake, ndi kupewa chinyezi mkulu (osati kudzacheza osambira ndi saunas). Madzi sayenera kugwa mu diso kwa sabata 1.

Ubwino ndi kuipa kwa njira

Ubwino wa njira ya mankhwala monga: mofulumira kupindula kwenikweni ndi kulenga ngalande zachilengedwe nthabwala amadzimadzi pakati makamera diso. Komanso, laser iridectomy - ndi sabweretsa chisoni ndipo mwamsanga ndondomeko. Kutenga magazi ndiponso kuwonongeka kwa ozungulira minofu ndi chabe.

sangathe The imatengedwa odwala ena amakakamizidwa opaleshoni kachiwiri chifukwa zosayembekezereka wa adhesions - adhesions wa Iris pa malo a dzenje anapanga.

Laser iridectomy: ndemanga za Ophthalmologists

Ophthalmologists zabwino za njira ya chithandizo, makamaka pankhani wopepuka khungu. Pamene anafotokoza ndi kusalankhula kuenjezera kuthamanga m'diso mwake ndi bwino laser trabeculoplasty, kapena opaleshoni lotseguka.