Iridectomy Laser: chii, pambiru-kushanda nguva, mutengo uye wongororo

Ophthalmological zvirwere zvakapararira. Kakawanda zvinowanika mune vakwegura. Serious zvokurwara zvingakonzera zvachose upofu ndiyo yemaziso. chirwere ichi kunoratidzwa yakawedzera kuomesa mukati yeziso. Imwe nzira kwokubata yemaziso anonzi Laser iridectomy. Voitakura ari kushandiswa ophthalmologic kiriniki uye ane vanoverengeka zvakanakira zvichienzaniswa rakashama kuvhiyiwa.

Chii Laser iridectomy

Iridectomy Laser - nayo ophthalmic nzira kuti rinoitwa kuderedza intraocular kumanikidzwa. Chinangwa chikuru chemusha kupindira - ndiko kuvandudza water drainage kuti mvura iri nhengo wezvakaonekwa. The oparesheni ine pakugadzirwa mumakomba duku mune maziso ziso. Kune nzira dzakawanda Laser iridectomy. Idzi dzinosanganisira:

1. Mawa oparesheni.
2. Chinhu chinokosha iridectomy.
3. Layering oparesheni.

Mawa iridectomy chinoitwa achishandisa pulsed Laser. Simba mudziyo uyu kubva 5 kusvika 15 MJ. Laser zvikumbiro anoteererwa 1-3 nguva. Somugumisiro, zvinobvira kuti aumbe kuburikidza buri iri Iris. Kunakisa nzira iri kumhanya vayo Implementation. Kuita chimwe-Danho varwere iridectomy anogona kuva chero ziso ruvara.

Phased oparesheni rinoitwa Muzvirongwa zvizhinji. Zvakare, chinguva pakati Laser nezvemidzimu ziso vhiki 2-3. Somugumisiro, nokuumbwa mumakomba Iris rwanonoka kwemwedzi inoverengeka. A yakafanana oparesheni rinoitwa kuti vanhu vane chiedza ziso ruvara. Kufanorongwa kuuraya iridectomy kunokosha kuti tisakuvara dzakaonda Iris nedzimwe nhengo dzose nhengo wezvakaonekwa. Power Laser chikwata kubva 600 kusvika 1000 MW, uye kuona nguva - 0.5 seconds.

Layered iridectomy rinoitwa kuti vanhu vane rima Iris. The Laser simba hazvisi 1500 MW, uye nguva dzokuteerera - 0.2 seconds. The buri Iris zvishoma nezvishoma inoumbwa lamellar ruvara tishu kuparadzwa. Kushandisa pfupi-kupomba oparesheni yakadaro kana Argon Laser.

Zvairatidza kunorapwa

Kuchinja water drainage pamusoro intraocular fluid akabata iridectomy. Laser kurapwa kunotibvumira yekuzvidzivirira kukuvara nhengo kushoma. Zvairatidza kuti oparesheni iyi zvinhu aine kurega kunotanga pane mvura uye kuwedzera kuita mukati yeziso. Idzi dzinosanganisira:

1. Kana yakavhenganiswa kuvhara yemaziso.
2. Yakawandisa ruvara.
3. Anomalies of Anterior kamuri.
4. Pupillary nechigumbuso.

Laser ziso iridectomy rinoitwa sezvo kudzivirira chakasimba yokurwiswa yemaziso. BP inotungamirira kurasikirwa kuona munda uye kuderedza kukuvadza kwayo. Long huripo yemaziso ngozi kukura zvakakwana upofu. The chirwere kunoitika nokuda mvura chengetedzo pakati mukamuri ziso. Zvinogona vachiberekwa kana vawana. Muchiitiko chokutanga, yemaziso ndiyo nemhaka zvemamiriro kukura mumuviri. Vawana yakawedzera intraocular kumanikidzwa kunoitika pamwe idzokororo anogumbura chirwere uye zvinetso ropa wedzerai ziso. Iridectomy Laser zvikuru kubudirira angled-kuvhara yemaziso. Excision ruvara goko kunotungamirira nani mvura water drainage kubva Anterior yepamusoro uye kuderedza kuvafurira.

Contraindications kuita iridectomy

Mune zvimwe zviitiko, kuita kuvhiya uchishandisa Laser isingagamuchiriki. Contraindications kuti iridectomy zvinosanganisira zvinotevera ezvinhu:

1. Dzisavhiringidza of cornea kana crystalline izvo (cataract).
2. Kushomeka kudzika Iris.
3. Corneal edema anomuka nokuda anogumbura kwendangariro.
4. Yokuzviparadzanisa of the retina.
5. Kusavapo ziso rimwe.
6. Kucheka-kufanana kamera mberi.
7. Kuoma sphincter ari mudzidzi.
8. Progressive kuderera Zvinhu acuity.
9. Immunodeficiency inoti.

Pasina contraindications Laser iridectomy kakawanda kunogona kuitwa. Kudiwa oparesheni ichi anosarudza ophthalmologist pashure kuita chirwere nemiedzo.

Chidobi of iridectomy

Laser basal iridectomy ndiyo paumbwe rakagadzirwa nevanhu yokutanga iri romukati pakona cornea. Kunoitawo kuti asimbise mvura water drainage kubva ziso Anterior mokuvata necheshure. nzira iyi rinoitwa pasi zvomunharaunda yokutindivadza. Kuwedzera marwadzo mushonga unofanira kuchadonha 1% mhinduro "pilocarpine". Zvakakodzera rakatetepa mboni munguva Laser kupindira.

Kushandisa ziso izvo, izvo zvinoita kuti maximize ari kudzokorora kuvhiya munda. Zvadaro sarudza nzvimbo inotungamirwa mumakomba. Inogona iri chero chikamu Iris. Hazvina ichikurudzirwa kuti ponji ari maawa 12 kubva muna mapazi uyu gasi matema -wedzera. Ophthalmologists vanosarudza kuumba buri guru crypt mapazi kana rive dete yacho Iris mugove.

The Laser danda chinopinda chinokosha kuburikidza izvo ziso. Kunoratidzwa imwe nzvimbo. Mune yasarudzwa nzvimbo Laser unoshanda mukati 0.2-0.5 seconds. Somugumisiro, kuumbwa buri udzamu kunodiwa. Kuparadzirwa aqueous emura iri kugadziridzwa, nokudaro achidzikisa intraocular kumanikidzwa.

Laser iridectomy: post-kushanda nguva, kurambidzwa

Kuitira kudzivisa migumisiro pokuvhiyiwa ngozi, zvinokosha kutevera kunenge ane ophthalmologist. Chete muchiitiko ichi tichabudirira Laser iridectomy. Postoperative kumwedzi kunogara kwevhiki 2-3. Panguva ino, murwere unofanira zvinoenderana kutarisana nenyaradzo, uyewo kurega kutyaira motokari. Mukati 1 vhiki kunodiwa kutora Anti-anogumbura yomuchipatara uye carbonic anhydrase FIs. Izvi zvinosanganisira ziso anodonhedza "Dorzolamide", "Azopt."

Munguva postoperative nguva Zvinokurudzirwa kuti avate musana wake, uye kudzivisa yakakwirira mwando (haana kushanyira dzokugezera uye saunas). Water haafaniri kuwira ziso 1 vhiki.

Zvakanakira nekuipira unyanzvi

Zvakanakira nzira iyi yokurapa dzinosanganisira: nokukurumidza budiriro zvazviri uye kuumba dzinongoitika abudise kuti aqueous zvinosetsa pakati ziso Camera. Uyezve, Laser iridectomy - munhu nyarara uye nokukurumidza muitiro. Mukana ropa uye kukuvara dzakapoteredza zvinyama iri kushoma.

Zvakaipira ichaongororwa kuti vamwe varwere vanomanikidzwa kuvhiyiwa zvakare nokuda panowanikwa adhesions - adhesions of Iris pamusoro nzvimbo mugomba aumba.

Laser iridectomy: wongororo kuti Ophthalmologists

Ophthalmologists zvakanaka pamusoro nzira iyi yokurapa, kunyanya kana totaura nyore yemaziso. Kana akaratidza uye kusingadzoreki zvibereko nevamwe yeziso inokurudzirwa Laser trabeculoplasty, kana rakavhurika kuvhiya.