Transplanting corneas: hōʻike, nāʻikepili, kāki nāʻana. maka Microsurgery

I keia la ka honua, he mea he kokololio ulu o ka laau lapaau. E piʻi like i malama i loko o nā wahi. Ua pili iʻoki lāʻau lapaʻau a me ka pākōlea ano o ka lapaʻau,ʻike,ʻepekema discoveries. No koe, a me ka ophthalmology. Me ka Hekikai o microsurgical i kūpono makaʻoki kino ua lilo nui lua pele hou pono a me ka. Pono o kēia ophthalmology - i ka poe ola, a me ka painless ke ola o ka hihiʻo. Transplantation o ka cornea, i mua ua hiki ole, ua manawa lawe mai i nā mea a pau o ka hana kūikawā-oaio? A. E like me ka hopena, keratoplasty na kanaka • loaʻa hou i ka hiki i ka ike i ke ao nei a puni mākou.

Transplantation o ka cornea - He aha ka keia?

Kēia hana i ka 'epekema inoa - keratoplasty. No hoi, ka mea, ua kapaia ka transplantation o ka cornea. Mai keia hui, o ka ike mai i ke koko lako, ma ka hapanui o na hihia, oia ola mai a me ka hana ka holomua. Ma hope o keratoplasty hihiʻo ua hou nui a pau hoihoi hou ia. ʻano nui prevalent mau pou transplant corneas. Hope o ka poino māhele a me ke kino e like me ke okoa. Ma kekahi mau hihia, paka iʻimi hoʻopunipuni transplant mea. Ma ka hapanui o hoopii, i kēia hana i wahi ma lalo mau anesthesia. Eia naʻe, Aupuni Meu keratoplasty hana ka hoʻohana 'ana kūloko anesthesia. Ke ka hoʻokōʻana o ka hana, he mea aneane mau ka complication o corneal transplantation ka'āina pohihihi keia. No kēia mau kumu, keratoplasty mea he kaulana iaoia o ka lapaau nā hualoaʻa a.

Ma kekahi hoopii, hana corneal transplant?

Ka hana e transplant i ka cornea ua lawelawe 'ia wale nō ma lalo o ke kanana' nāʻikepili. Ma ka hapanui o na hihia, ke kumu o ka hui, poino i trauma a me ka hoʻoʻino maʻi. Ma nā hihia, aia mea he nui mea hōʻemi o ka hihiʻo a piha lilo o kaʻike pono (emi pinepine). I kekahi manawa, keratoplasty ua hana no ka mea hoʻonani mau hana. Aia nō i ke kēia mau kumu no ka hana ana i ka hana:

1. Eyesore. Nā kumu i e degenerative maʻi a elua, a me ka hui, poino o ka nānaina.
2. Retinopathy. Ua pili ia mau ano, a e ole haawi lilo ole ia lakou iho i ka pākōlea lapaau. O nā dystrophic, bullous retinopathy.
3. corneal eha. Aia paha ia ma ka hui 'ana me nā haole kino i loko o ka maka.
4. Nine'ā.
5. Thinning o ke ahu iho o ka cornea. Ua malama i loko o kēia maʻi, me keratoconus.
6. Ulcer a erosive mā.
7. Scars.
8. Corneal opacity. I hookuu i ka hopena o ke kukuna kūlana kanaka.
9. Mea hoʻonani mā.

Contraindications e keratoplasty

Ma ka hapanui o hoopii, microsurgery o ka maka - he wahi o ka lapaau i mea kaiāulu i loaʻa. Contraindications e hoʻomaka ana ma na nā loko o ka hihio, ua pohihihi keia. Keratoplasty ua hana no ka kela mea keia mea, ua helu mā. Makahiki kali no keia hana, aole ia i nei. Aka hoi līkaia 3 Hawaii ma i keratoplasty ua pāpā. Mau nā:

1. Eyesores i i ke koko pele. Ke alo aku o ka moku i ka hana o corneal transplant ineffective.
2. Me ka hui pu leukomas a me ke kiekie intraocular puʻe (glaucoma).
3. Concomitant maʻi ma i ke kiʻekiʻe pahiki o rejection o ka pakuiia auanei lakou. Mau nā immunological maʻi, decompensated mimikō.

He aha nō i nāʻano likeʻole o ka keratoplasty

Like ka hapanui ana keratoplasty hiki ke hana ia ma kekahi aoao. Ua hilinaʻi nui ma luna o ke 'ano o ka transplant (mau pou a me kaʻimi hoʻopunipuni cornea), ka nui a me ka hohonu o ke kina. Keratoplasty hiki e huina a me ka helehelena. Ma ka hihia mua, ka mea replaces ka cornea holoʻokoʻa. Ma o ka lua - hapa o ka hui, kēia, ai ka pakuiia auanei lakou nui, he 4 i 6 mm o. Eia hou, i kekahi manawa, hana subtotal retinoplastika. Aia ma lalo ka mea, ua manaoia hope o ka corneaʻaneʻane ma luna o ka wahi a pau, koe wale no ka Park (1-2 mm), aia puni ka lala. Ke kaumaha ma muli o ka hohonu o ka make a me ka pee no kekahi ma lamellar transplant. Ma ka hihia mua, ke kina ninoaaeyao ka holoʻokoʻa mānoanoa o ke kino. Pona retinoplastika paha e ke alo a me ka hope (a me ka pahale mawaho hahau aku i ka pahale paia o ka cornea). Penei ka hoʻohana 'cadaveric hui, kēia mau pou mea me na neonates. ʻimi hoʻopunipuni pakuiia auanei lakou i loko o kūikawā keʻena hoʻokolohua.

Pehea e hoomakaukau ai no keratoplasty?

Eye Microsurgery, e like me nā 'ano o ke kaʻina hanaʻoki lāʻau lapaʻau, komo ai i ka hoomakaukau mua lawelawe i ka hana. Ke anu u mua ka i lawe mai pākōlea lapaʻau o hoʻoʻino keʻano o ka hanaʻana. Ua pili i kekahi maʻiʻaʻai ana o ka maka a me ka lihilihi (conjunctivitis, iridocyclitis). Ma hope o lapaʻau, ka maʻiʻaʻai ua lawe mai piha lapaʻau 'o nā loko o ka hihiʻo. Hana ophthalmologic ninaninau, keʻena hoʻokolohua ho'āʻo ma (KLA OAM koko biochemistry). Ua mea i pono e loaʻa mai ka mea i ka pathology o ka hoʻomanawanui. He mea nui no ka poe mai, kekahi i e ka contraindication no kaʻoki kino. "Pololi aaeei" e e malama ma ka Ewa o ka retinoplastiki.

'Ana i kūpono a corneal transplants

Corneal transplantationʻoki kino ua hana ka hoʻohana 'ana i ka hana microsurgical lako a pan. E e retinoplastiku hana nā hana kuʻunaʻoki kino a me kukuna hana. Ma nā makahiki, i ka lua o ka iaoiaeii ua noʻonoʻo pono e ahoʻia mai ka mea ho'ēmi i kā ka postoperative wā, a ho'ēmi i kā ka pilikia o complications. Transplant corneas i kekahi mau 'manaʻo' ana i kūpono. Mua, i ka hoʻomanawanui ua kau ma luna o ka moe, a paka analgesia. A ma hope iho e koho i ka lihilihi, a me ka maka (sclera ma ka lihi). Na kekahi ke kahua - i ka wehe 'ana i ka pōʻino, ua make hui, a me ka hapa (keia ua hanaia ma ka kukuna a ʻoki lāʻau lapaʻau mea kani). No hoi ia i lawe mai i ka corneal transplant. Ka hope loa kahua komo ai nana o welds, nana no i ke alo o complications.

Ke postoperative manawa i keratoplasty

Ma hope o ka transplant, ke cornea ahonui e ia ma ka liʻiliʻi loa kekahi mau hola ma lalo o 'inikua hooponopono. I loko nō o ka mea i ke ahonui oe a kou wahi, ka mea pono, e kekahi mea loiloi e ka ophthalmologist. Ua Ua hoi pono ma hope oʻoki kino He akahai ma luna o ka maka (palena iki haawe ana ma luna o ka hui, o ka hihiʻo). Inā i wehe 'ia ma hope o kekahi mau mahina (hoʻokahi makahiki)ʻoki lāʻau lapaʻau? Iaea sutures. Hiki complications keratoplasty - ua kahe ana ke koko, li nui, transplant rejection. Ma kēia hihia malaila discomfort, photophobia, maneo, a no laila, ma luna o. D. kekahi symptoms i kumu no ka manaʻo kōkua i ka ophthalmologist.

corneal transplant maka: hōʻike manaʻo hoʻomalu

E like me ke kauka retinoplastika mea he palekana pono a me ka hana ana o ke ola. Ua ua pono no nā mea maʻi a pau me ka ole contraindications. Nā mea maʻi i maona i ka hana. Hihiʻo pilikia no na makahiki ma hope o transplantation, a me complications i loa pohihihi keia. Ma ka manawa, i ka makemake ko kukuna ua manaoia e transplant i ka cornea. Kāki o ka hana hilinaʻi nui ma luna o ka poʻe uʻi o nā keʻena lāʻau lapaʻau. Ka awelika kuai He 50-70 tausani rubles no kekahi maka. I ka koho iʻimi hoʻopunipuni transplant kāki ua pāpālua.