Corneas te huaranga: whakaahuatanga, tohu, arotake utu. kanohi Microsurgery

I roto i te ao i teie mahana i reira ko te whanaketanga tere o te rongoā. E kitea whakatutukitanga i roto i ngā wāhi katoa. E pā ana tēnei ki ngā tikanga hāparapara, me te whakaora o te maimoatanga, te tātaritanga, ngā āhuatanga pūtaiao. No okotahi, me Ophthalmology. Ki te haerenga mai o microsurgical tikanga pokanga kanohi hei kua nui haumaru me te ake whai hua. Painga o Ophthalmology hou - he ora tere, me te ongonoa o kite. Transplantation o te taupoki io, i mua whakaaro taea, kei te inaianei kawea atu i roto i nga pokapū motuhake katoa. Ka rite ki te hua, whakahokia mai e rave rahi mau taata keratoplasty te kaha ki te kite i te ao huri noa ia tatou.

Transplantation o te taupoki io - he aha te mea tenei?

kua he ingoa pūtaiao tenei mahi - keratoplasty. Ano, huaina ai ko te transplantation o te taupoki io. Mai tenei okana o aroaro e kore supply toto, i roto i te nuinga o te wā, te ora ia, a ko angitu te mahi. I muri te nui kitenga keratoplasty ake ranei kua ora. Te nuinga corneas transplant kaituku lahi. Whakakapinga o ngā wāhanga pakaru te tinana kia rite ki te katoa ranei. I roto i ētahi wā, te whakaputa i te rauemi transplant tāwhaiwhai. I roto i te nuinga o te wā, e tenei mahi wahi i raro i rehunga whānui. Heoi, tūtohu mana keratoplasty mahi te whakamahi i rehunga rohe. Ko tino onge te tōtika o te mahi i reira he tata tonu te pōauautanga o te transplantation Corneal. Hoki enei take, keratoplasty ko te tikanga rongonui o te maimoatanga te ao.

I roto i ētahi wā, e mahi transplant Corneal?

whakahaere te mahi ki te transplant te taupoki io te anake i raro i tohu tino. I roto i te nuinga o te wā, te take o te kino okana he ngaukino me te mate inflammatory. I roto i te wā e rua i reira ko te ino nui o kite oti mate o aritanga (iti iho maha) ranei. I te tahi taime te whakamana keratoplasty mō ngā take Paku. He nga take e whai ake nei mō te mahi i te mahi:

1. Te papakāinga,. pea te take e rua mate degenerative, me okana whara o te tirohanga.
2. Retinopathy. E pā ana tēnei ki te hunga puka, e kore e tuku moni ratou ki te maimoatanga whakaora. Ko ētahi o ēnei dystrophic, retinopathy bullous.
3. whara Corneal. He pea i roto i te whakapā ki ngā tinana ke ki te kanohi.
4. weranga Chemical.
5. Thinning o te papanga o te taupoki io. kite te reira i roto i tenei mate, ka rite ki keratoconus.
6. Whewhe me hē erosive.
7. Pokapoka.
8. Āheiō Corneal. Ko te tikanga te hua o maimoatanga taiaho.
9. hē Paku.

Contraindications ki keratoplasty

I roto i te nuinga o te wā, microsurgery o te kanohi - he wāhi o te rongoā e ko whānui wātea. He onge Contraindications ki te whakahaere ngā mahi i runga i nga whekau o kite. Kei te whakamana Keratoplasty mo te katoa, he mea kohakore whakarārangitia. e kore e tepe Age mo tenei mahi te tīariari. Otiia tohatoha 3 āhua i nei rāhuitia keratoplasty te. Ko ētahi o ēnei:

1. Eyesores e whai rere te toto. Ko te aroaro o nga oko hanga te mahi o te transplant Corneal hua.
2. leukomas Pahekotanga me te pēhanga intraocular teitei (papahewa).
3. mate te rere i roto i nei te tūponotanga tiketike o te pato'iraa o te uhi. Ēnei ngā mate immunological, mate huka decompensated.

He aha e nga momo o keratoplasty

Ka rite ki te nuinga o ngā mahi e taea te whakamana keratoplasty i roto i ngā huarahi rerekē. Tei te reira i runga i te momo o te transplant (kaituku ranei taupoki io tāwhaiwhai), te rahi me te hohonu o te koha. Ka taea e Keratoplasty kia tapeke kanohi ranei. I roto i te take tuatahi, whakakapi reira te taupoki io katoa. I roto i te rua o - wāhanga o te okana, ai te rahi uhi ko 4 ki te 6 mm. I tua atu, i ētahi wā i mahi retinoplastika tapekeroto. Kei raro te auraa reira whakakapinga o te taupoki io tata i runga i te rohe katoa, ki te kahore hoki he awhi (1-2 mm), kei huri noa te e alangá. Tei runga i te hohonu o te whakangaromanga ka huna i te transplant lamellar roto. I roto i te take tuatahi, ni'ai te koha te matotoru katoa o te tinana. kia retinoplastika paparanga mua, me te (patua i waho ranei te taiepa i roto o te taupoki io) muri. Ka rite ki whakamahia rauemi okana kaituku cadaveric tae atu i te neonates. uhi horihori hanga i roto i te taiwhanga motuhake.

Nahea ia faaineine no te keratoplasty?

Eye Microsurgery, me ētahi atu momo o ngā tukanga hāparapara, tā te faaineineraa i mua i te raveraa i te tukanga. Ko te mahi tuatahi, ko te ki te kawe i roto i te maimoatanga whakaora o ngā tukanga inflammatory. E pā ana tēnei ki tetahi mate o te kanohi, me kamo (pīkaru, iridocyclitis). I muri i maimoatanga, kawea te mate i roto i te tātaritanga oti o whēkau o kite. Whakamana whakamātautau ophthalmologic, whakamātautau taiwhanga (KLA OAM toto matūora). Ko reira tika hoki ki te kitea i roto i te mea ko te māuiuitanga o te manawanui. Ko te tino nui tenei i te mea kia waiho te tahi mau mate he contraindication mo te pokanga. "Aratau hemokai" ki te hei maharatanga i runga i te mahana o te retinoplastiki.

Technique o huaranga Corneal

whakamana pokanga transplantation Corneal te whakamahi i te taputapu motuhake microsurgical. Hei hanga retinoplastiku mahi e rua ngā tukanga pokanga me taiaho tuku iho. I roto i nga tau tata nei, whakaaro tuarua te tikanga kei te pai mai te whakaiti reira te wā postoperative me te whakaiti i te mōrea o pōauautanga. Transplant corneas he tikanga whakatinanatanga motuhake. Tuatahi, whakatakotoria te manawanui kei i runga i te moenga, me te hua analgesia. I muri i taua whakatika nga kamo, me te kanohi (mā karu i runga i te mata). Ko te atamira i muri - te tango o te okana papaka wahi ranei (mahi tenei e taiaho ranei taputapu hāparapara). Atu kawea i roto i te transplant Corneal. Ko te atamira whakamutunga whai wāhi tirohanga o mekameka, tirohanga hoki te aroaro o pōauautanga.

Ko te wā postoperative i roto i keratoplasty

I muri i te transplant, kia waiho te manawanui kirimōwaho i te iti rawa te maha o ngā hāora i raro i te tirotiro hauora. Ahakoa te meka e haere i te manawanui kāinga, me te reira ki te kia āta e te ophthalmologist. Kei te tūtohu ana hoki te reira i muri i te pokanga he ngawari i runga i te kanohi (kawenga iti i runga i te okana o kite). Ki te nekehia atu sutures ako hāparapara i muri i te marama ruarua (kotahi tau). pōauautanga taea keratoplasty - kei te toto, mumura, transplant makanga. I roto i enei take ki reira hūhi, photophobia, minamina, me te pera i runga i. D. he take mō te tirohia akiaki ki te ophthalmologist Tetahi tohu.

kanohi transplant Corneal: arotake tohunga

E ai ki tākuta retinoplastika ko te tikanga haumaru, me te whai hua o te ora. e tūtohu ana hoki tūroro katoa ki kahore he contraindications. He makona ki te mahi tūroro. tonu kite hoki maha nga tau i muri i transplantation, a he tino onge ngā raruraru. I te kau, whakaaro te taiaho meinga te ki transplant te taupoki io. Utu o te mahi tei runga i te pai rawa o haumanu. Ko te utu toharite ko te 50-70 mano moni kotahi kanohi mo. A, no te kōwhiri rererua te utu transplant tāwhaiwhai te.