Kuwongolera masomphenya a laser - anesthesia. Kodi wodwalayo angagonjetsedwe?

Mogwirizana ndi cholinga chake, Board of Editorial Board ya MedTvoiLokony imayesetsa kupereka zodalirika zachipatala mothandizidwa ndi chidziwitso chaposachedwa cha sayansi. Mbendera yowonjezerapo "Zofufuza Zomwe Zili" zikuwonetsa kuti nkhaniyi idawunikidwa kapena kulembedwa ndi dokotala mwachindunji. Kutsimikiza kwa magawo awiri awa: mtolankhani wazachipatala komanso dokotala amatilola kuti tipereke zomwe zili zapamwamba kwambiri mogwirizana ndi chidziwitso chamankhwala chamakono.

Kudzipereka kwathu m'derali kwayamikiridwa, pakati pa ena, ndi Association of Journalists for Health, yomwe inapatsa Bungwe la Editorial la MedTvoiLokony ndi mutu waulemu wa Mphunzitsi Wamkulu.

Opaleshoni yokonza masomphenya a laser ndi njira yofulumira yomwe imachitika pansi pa anesthesia wamba. Palibe chifukwa cha opaleshoni, yomwe ingakhale yolemetsa kwambiri pa thupi kuposa opaleshoni yokha. Madontho ochititsa dzanzi kutumikiridwa mu diso kuthetsa ululu kumverera pa laser mankhwala ndi ntchito mosasamala kanthu osankhidwa njira masomphenya kudzudzulidwa.

Chifukwa chiyani anesthesia sagwiritsidwa ntchito pakuwongolera masomphenya a laser?

Narcosis, mwachitsanzo, anesthesia, imachititsa kuti wodwalayo agone ndikuchotsa ululu wokhudzana ndi opaleshoniyo. Ngakhale kuti n'zothandiza, zimabwera ndi chiopsezo cha zotsatirapo. Mutu, nseru, kusanza, kugona komanso kusapeza bwino zitha kuchitika pambuyo pa opaleshoniyo.

Nthawi zina, palinso mavuto pambuyo opaleshoni. Izi zikutanthauza kuti kuwonjezera contraindications ambiri kuwongolera thanzi laser, zoletsa zina ayenera kuganiziridwa popereka opaleshoni. Zovuta pambuyo opaleshoni ambiri ndi zofala pakati pa anthu odwala khunyu, kupuma movutikira, kuthamanga kwa magazi, kunenepa kwambiri, matenda a shuga ndi kwa anthu osuta fodya. Kuonjezera apo, nthawi yowonjezereka iyenera kuperekedwa kwa kulowetsedwa kwa anesthesia ndi kuchira pambuyo pa ndondomekoyi, yomwe ingatalikitse ndondomeko yokonza masomphenya a laser.

Kuwongolera masomphenya a laser kumaphatikizapo kusokoneza mapangidwe a cornea - epithelium imagwedezeka (pankhani ya ReLEx Smile njira yokhayokha) ndiyeno cornea imatsatiridwa. Kupanga kwenikweni kwa gawo ili la chiwalo cha masomphenya sikudutsa masekondi khumi ndi awiri, ndipo ndondomeko yonseyo nthawi zambiri imatenga theka la ola mpaka ola. Pazifukwa zonsezi, anesthesia ndiyosavomerezeka, ndipo opaleshoni yam'deralo yokhala ndi madontho ndiyokwanira.

Werenganinso: Kuwongolera masomphenya a laser - mafunso omwe amafunsidwa kawirikawiri

Contraindications m`deralo opaleshoni

Kumbukirani kuti ngakhale kuti anesthesia ya m'deralo ndi yotetezeka kusiyana ndi anesthesia, sikutheka kuperekedwa nthawi zonse. Izi zikugwiranso ntchito kwa anthu omwe ali ndi ziwengo kuzinthu zilizonse zomwe zilimo mankhwala oletsa ululu. Dokotala ayenera kudziwitsidwa za ziwengo zomwe zingatheke kuti asakumane ndi anaphylactic shock.

Kodi opaleshoni yam'deralo imaperekedwa bwanji?

Opaleshoni ya m'deralo yomwe imagwiritsidwa ntchito musanayambe kukonza masomphenya a laser imakhala ndi kuyika madontho ochititsa dzanzi mu thumba la conjunctival. Amaperekedwa kwa wodwalayo akagona pamalo osankhidwa m'chipinda cha opaleshoni. Kenako dikirani kuti mankhwala oletsa ululu ayambe kugwira ntchito. Ndiye dokotala immobilizes maso ndi kukhala ndi kupita ku chithandizo choyenera.

W njira ya opaleshoni laser palibe ululu. Kukhudza kokha kumamveka, ndipo gwero lalikulu la kusapeza bwino lingakhale kungosokoneza kwa diso. Kuphethira kumalepheretsedwa ndi kukhala ndi maso komwe kumasunga zikope m'malo mwake ndikulola dokotala kuti agwire ntchito.

Dokotala wa opaleshoni amapeza mwayi wopita ku cornea mwa kulekanitsa chiphuphu cha epithelial kapena kuchidula. Mu gawo lachiwiri la opaleshoniyo, laser yokonzedweratu imapanga cornea ndipo wodwalayo amayang'ana pa mfundo yomwe yasonyezedwa. Chifukwa chakuti sali pansi pa opaleshoni, akhoza kutsatira malangizo a dokotala. Pambuyo pa kukonzedwa kwa chilemacho, zotsatira za anesthetic zidzatha pang'onopang'ono.

Yang'anani kuti zotsatira za kuwongolera masomphenya a laser zimatha nthawi yayitali bwanji.

Kuwongolera masomphenya a laser - chimachitika ndi chiyani pambuyo pa njirayi?

Kwa 2-3 masiku pambuyo opaleshoni laser masomphenya kudzudzulidwa, pangakhale ululu, amene anamasulidwa ndi muyezo mankhwala mankhwala. Pankhani ya mankhwala ochititsa dzanzi, kupatulapo matenda omwe amabwera pambuyo pa opaleshoni (photophobia, kumva kwa mchenga pansi pa zikope, kutopa kwachangu, kusinthasintha kwamphamvu), kuthekera kwa zotsatira zina ziyenera kuganiziridwa.

Dziwani zovuta za kuwongolera masomphenya a laser.

Siyani Mumakonda