Transplanting corneas: nkọwa, na-egosi, na-eri reviews. anya Microsurgery

N'ụwa taa na e nwere a ngwa mmepe nke na nkà mmụta ọgwụ. Rụzuru na-hụrụ na ebe niile. Nke a na-emetụta nke ogwugwo na ọgwụgwọ ụzọ nke ọgwụgwọ, nchoputa, sayensị. Ọ dịghị ma e wezụga, na ophthalmology. Na biakwa obibia nke microsurgical usoro anya ịwa ahụ aghọwo ukwuu odi mfe na ndị ọzọ dị irè. Uru nke oge a ophthalmology - a ngwa ngwa na enweghi mgbu mgbake nke ọhụụ. Transplantation nke cornea, nke na mbụ yiri agaghị ekwe omume, na-now-rụrụ niile pụrụ iche emmepe. N'ihi ya, keratoplasty ọtụtụ ndị enwetaghachi ike ịhụ ụwa gbara anyị gburugburu.

Transplantation nke cornea - ihe bụ nke a?

Nke a na ime ihe nwere a na nkà mmụta sayensị aha - keratoplasty. Ọzọkwa, ọ na-akpọ transplantation nke cornea. Ebe ọ bụ na a ngwa nke n'anya nwere dịghị ọbara esenyịn, ọtụtụ mgbe, ọ na-adịgide ndụ na-arụ ọrụ bụ nke ọma. Mgbe keratoplasty ọhụụ na-ukwuu mma ma ọ bụ kpam kpam weghachiri eweghachi. Tumadi juru onyinye transplant corneas. Nnọchi nke mebiri emebi akụkụ ma ọ bụ ahụ ka a dum. Mgbe ụfọdụ, emepụta ihe na wuru transplant ihe onwunwe. N'ọnọdụ ka ukwuu, a na ime-ewe ebe n'okpuru general ná Nkụnwụ. Otú ọ dị, ndị ọchịchị nwere ike ikwu keratoplasty mere iji obodo Nkụnwụ. The arụmọrụ nke ọrụ e fọrọ nke nta mgbe a sikwuoro nke corneal transplantation bụ nnọọ obere. N'ihi nke a, keratoplasty bụ a na-ewu ewu na usoro ọgwụgwọ n'ụwa nile.

Mgbe ụfọdụ, na-eme corneal transplant?

The ọrụ iji bufee na cornea Ẹnịm naanị n'okpuru ike na-egosi. N'ọnọdụ ka ukwuu, ihe na-akpata ngwa mmebi bụ trauma na mkpali ọrịa. N'ọnọdụ abụọ e nwere a ịrịba arịa ọrịa nke ọhụụ ma ọ bụ zuru ezu na ọnwụ nke nọchiri ihu (obere mgbe). Mgbe ụfọdụ keratoplasty a rụrụ n'ihi ịchọ mma nzube. E nwere ndị na-esonụ na-eme na-arụ ọrụ:

1. Eyesore. Ihe mere nwere ike ịbụ ma degenerative ọrịa, na ngwa mmerụ nke ele.
2. Retinopathy. Nke a na-ezo aka ndị iche-iche, nke na-adịghị ibinye onwe ha ka gwọọ ya ọrịa. Ndị a gụnyere dystrophic, bullous retinopathy.
3. corneal mmerụ. E nwere ike ịbụ na kọntaktị na dị iche iche na mba ozu n'ime anya.
4. Chemical Burns.
5. Thinning nke oyi akwa nke cornea. Ọ hụrụ na a na ọrịa, dị ka keratoconus.
6. Ọnyá afọ na erosive ntụpọ.
7. Scars.
8. Corneal opacity. Abụkarị n'ihi laser agwọ ọrịa.
9. Ịchọ mma ntụpọ.

Contraindications keratoplasty

N'ọnọdụ ka ukwuu, microsurgery anya - otu ebe na nkà mmụta ọgwụ na bụ dị ọtụtụ ebe. Contraindications kụziere arụmọrụ na akụkụ nke ọhụụ dị ụkọ. Keratoplasty a rụrụ maka onye ọ bụla, na-enwe depụtara ntụpọ. Age anọru a na ime adịghị adị. Otú o sina igbunye 3 kwuru na nke keratoplasty ajuru aju. Ndị a gụnyere:

1. Eyesores nwere ọbara. Ọnụnọ nke arịa na-eme ka ọrụ nke corneal transplant adighi ike.
2. Nchikota leukomas na elu intraocular nsogbu (glaucoma).
3. Concomitant ọrịa nke na-elu puru nke ojuju nke aka. Ndị a gụnyere immunological ọrịa, decompensated arịa ọrịa shuga.

Gịnị bụ iche keratoplasty

Dị ka ọtụtụ arụmọrụ keratoplasty nwere ike rụrụ ke ụzọ dị iche iche. Ọ na-adabere ụdị transplant (na-enye onyinye ma ọ bụ aka wuru cornea), ịdị ukwuu na ịdị omimi nke ntụpọ. Keratoplasty nwere ike ịbụ mkpokọta ma ọ bụ ele mmadụ anya n'ihu. Ke akpa idaha, ọ na-anọchi dum cornea. Na a abụọ - akụkụ nke ngwa, nke na-aka size bụ 4 6 mm. Ke adianade do, mgbe ụfọdụ rụrụ subtotal retinoplastika. N'okpuru ebe ọ na ọwọrọ nnọchi nke cornea nta n'elu dum ebe, ma e wezụga n'ihi a rim (1-2 mm), emi odude gburugburu N'ịdị. Dabere na omimi nke mbibi na secrete a site lamellar transplant. Ke akpa idaha, ntụpọ enyene dum ọkpụrụkpụ nke ahu. Layered retinoplastika nwere ike n'ihu ma n'azụ (ma ọ bụ elu gburu n'ime mgbidi nke cornea). Mee cadaveric ngwa na-enye onyinye ihe onwunwe gụnyere neonates. Ru aka mere pụrụ iche laboratories.

Olee otú iji kwadebe maka keratoplasty?

Eye Microsurgery, nakwa dị ka ndị ọzọ na ụdị nke usoro ịwa ahụ, na-agụnye njikere tutu ime na usoro. Nzọụkwụ mbụ bụ na-ebu ọgwụgwọ ọgwụgwọ nke mkpali Filiks. Nke a na-emetụta ọ bụla ọrịa anya na mbubere (conjunctivitis, iridocyclitis). Mgbe ọgwụgwọ, na ọrịa na-rụrụ zuru nchọpụta nsogbu nke akụkụ nke ọhụụ. Rụrụ ophthalmologic nnyocha, laabu ule (KLA OAM ọbara n'ihi mmiri ọgwụ). Ọ dịkwa mkpa iji chọpụta ihe bụ daa ọrịa nke onye ọrịa. Nke a bụ nnọọ mkpa n'ihi na ụfọdụ ọrịa nwere ike a contraindication maka ịwa ahụ. "Agụụ mode" ka ga-hụrụ na eve nke retinoplastiki.

Usoro nke corneal transplants

Corneal transplantation ịwa ahụ a rụrụ iji a pụrụ iche microsurgical akụrụngwa. Iji mee ka retinoplastiku ịrụ ma ọdịnala ịwa ahụ na laser usoro. Na-adịbeghị anya, nke abụọ usoro a na-ewere mma ebe ọ bụ na-ebelata postoperative oge na-ebelata ihe ize ndụ nke nsogbu. Transplant corneas nwere a kpọmkwem, mmejuputa iwu Usoro. First, onye ọrịa na-tọrọ na n'ihe ndina ma na-emepụta analgesia. Mgbe na idozi mbubere na anya (sclera na onu). The ọzọ ogbo - mwepụ nke mebiri emebi ngwa ma ọ bụ akụkụ (a na-eme site na laser ma ọ bụ ịwa ahụ ngwá). Ọzọkwa rụrụ a corneal transplant. Ikpeazụ ogbo agụnye nnyocha welds, nnyocha n'ihi na ọnụnọ nke nsogbu.

The postoperative oge mgbe keratoplasty

Mgbe transplant, na cornea ndidi kwesịrị dịkarịa ala ọtụtụ awa n'okpuru nlekọta nke ndị ọrụ. N'agbanyeghị eziokwu na onye ọrịa na-aga n'ụlọ, ọ kwesịrị ka a ekpuchi ihe ophthalmologist. Ọ na-atụ aro mgbe ịwa ahụ bụ nwayọọ na anya (kacha nta ibu na ngwa nke ọhụụ). Ọ bụrụ na-awa ahụ mgbazi isi agịga Ma do na-ewepụ mgbe a ọnwa ole na ole (otu afọ). Ekwe Omume nsogbu keratoplasty - na-agba ọbara, mbufụt, transplant jụrụ. Na ndị a na e nwere ahụ erughị ala, photophobia, itching na na. D. bụla mgbaàmà ndị akpata ngwa ngwa Ntuziaka na ophthalmologist.

corneal transplant anya: reviews ọkachamara

Dị ka dọkịta retinoplastika bụ a mma ma dị irè usoro mgbake. Ọ na-atụ aro maka mmadụ nile na-enweghị contraindications. Ọrịa nwere afọ ojuju na-arụ ọrụ. Vision adịgide ruo ọtụtụ afọ mgbe transplantation, na nsogbu dị nnọọ obere. N'oge, na-họọrọ laser a na-ewere iji bufee na cornea. Na-eri nke ọrụ na-adabere na oke nke clinics. The nkezi price bụ 50-70 puku rubles maka onye anya. Mgbe ị na-ahọrọ keakamere transplant eri na-okpukpu abụọ.