Ambiri aife tikuganiza zowongolera masomphenya a laser. Nzosadabwitsa, chifukwa nthawi zambiri sitimakonda kuvala magalasi, amakhala osagwira ntchito kwa ife kapena timafuna kuthetsa mavuto a maso.
Zina mwa zolakwika za masomphenya zomwe zingatheke ndi opaleshoni yamtunduwu ndi myopia mumtundu wa -0.75 mpaka -10,0D, hyperopia kuchokera +0.75 mpaka +6,0D ndi astigmatism mpaka 5,0D.
mayeso oyenerera
Asanakhazikitse munthu wazaka zapakati pa 18 ndi 65 kuti awongolere masomphenya a laser, adotolo amawunika kuchuluka kwa mawonedwe, kuyesa masomphenya a pakompyuta, kuyezetsa koyenera, kuwunika gawo lakunja la diso ndi fundus, kuwunika kupanikizika kwa intraocular, komanso imayang'ana makulidwe a cornea ndi mawonekedwe ake. Chifukwa madontho diso dilating wophunzira, tiyenera kupewa galimoto kwa maola angapo pambuyo ndondomeko. Kugawa kungatenge pafupifupi mphindi 90. Pambuyo pa nthawiyi, dokotala adzasankha ngati angalole njirayi, afotokoze njirayo ndikuyankha mafunso a wodwalayo okhudza kuwongolera.
Njira zowongolera laser
- Chithunzi cha PRK - epithelium ya cornea imachotsedwa kwamuyaya, ndiyeno zigawo zake zakuya zimapangidwira pogwiritsa ntchito laser. Nthawi yochira imakulitsa kukula kwa epithelium.
- Mtengo wa LASEK - ndi njira yosinthidwa ya PRK. Epithelium imachotsedwa pogwiritsa ntchito njira ya mowa.
- Mtengo wa SFBC - zomwe zimatchedwa EpiClear zimakulolani kuchotsa epithelium ya cornea mwa "kusesa" pang'onopang'ono muzitsulo zooneka ngati mbale za chipangizocho. Njira ya pamwambayi imafulumizitsa chithandizo pambuyo pa opaleshoni ndikuchepetsa ululu panthawi yokonzanso.
- LASIK - microkeratome ndi chipangizo chomwe chimakonzekera mwadongosolo cornea flap kuti ibwerere m'malo mwake pambuyo pa kulowererapo kwa laser pazigawo zakuya za cornea. Convalescence ndi yachangu. Malingana ngati cornea ili ndi makulidwe oyenera, chizindikiro cha njirayi ndi zolakwika zazikulu za masomphenya.
- EPI-LASIK – njira ina pamwamba. Epithelium imalekanitsidwa pogwiritsa ntchito epiceratome, ndiyeno laser imayikidwa pamwamba pa cornea. Pambuyo pa ndondomekoyi, dokotalayo amasiya lens yovala. Popeza maselo a epithelial amapangidwanso mofulumira, diso limapeza bwino tsiku lomwelo.
- SBK-LASIK - njira yapamtunda, yomwe corneal epithelium imasiyanitsidwa ndi laser femtosecond kapena olekanitsa, ndikubwezeretsanso m'malo pambuyo pa laser ikugwiritsidwa ntchito pamwamba pa cornea. Convalescence ndi yachangu.
Kodi kukonzekera ndondomeko?
Ponena za kukonzekera ndondomekoyi, pali zizindikiro zenizeni:
- mpaka masiku 7 tisanayambe kukonza, tiyenera kusiya maso athu kuti apumule ku magalasi ofewa,
- mpaka masiku 21 kuchokera ku ma lens olimba,
- osachepera maola 48 isanayambe ndondomekoyi, tiyenera kupewa kumwa mowa,
- kusiya kugwiritsa ntchito zodzoladzola, nkhope ndi thupi, maola 24 tsiku lisanafike,
- pa tsiku lomwe tapangana, siyani zakumwa zomwe zili ndi caffeine, monga khofi kapena kola,
- musagwiritse ntchito zonunkhiritsa, ngakhale zonunkhiritsa;
- Sambani mutu ndi nkhope yanu bwino, makamaka kuzungulira maso;
- tiyeni tivale bwino,
- tiyeni tibwere mopumula komanso omasuka.
Contraindications
The anatomical dongosolo la diso zimakhudza kwambiri kupambana kwa laser masomphenya kukonza. Ngakhale amaonedwa kuti ndi othandiza kwambiri, pali contraindications.
- Zaka - anthu osakwana zaka 20 sayenera kutsata ndondomekoyi, chifukwa vuto la masomphenya silinakhazikike. Komano, mwa anthu oposa zaka 65, kudzudzulidwa si ikuchitika, chifukwa sikuthetsa presbyopia, mwachitsanzo, kuchepa kwachibadwa kwa elasticity wa mandala, amene amazama ndi zaka.
- Mimba, komanso nthawi yoyamwitsa.
- Matenda ndi kusintha kwa maso - monga ng'ala, glaucoma, retinal detachment, kusintha kwa cornea, keratoconus, matenda a maso owuma ndi kutupa kwa maso.
- Matenda ena - hypothyroidism ndi hyperthyroidism, shuga, matenda opatsirana, matenda opatsirana.