Kukhazikitsa Zowonjezereka Kwambiri Zokhudza Matenda Opatsirana
Capsulotomy ndi njira yomwe mbali ya "capsule" ya minofu yomwe ili pafupi ndi chifuwa cha m'mawere imachotsedwa.
Njirayi imagwiritsidwa ntchito ngati njira yothetsera vuto lodziwika bwino la opaleshoni yowonjezera mawere - mgwirizano waukulu .
Kugonjetsedwa kwachisawawa
Mgwirizano wamtunduwu umachitika pamene minofu yambiri imayandikira ma implants. Kusokonezeka uku kumapezeka pafupifupi 10 peresenti ya anthu ndipo nthawi zambiri zimachitika mkati mwa miyezi khumi ndi iwiri yoyamba pambuyo pa opaleshoni.
Nkhani yabwino ndi yakuti chizoloŵezi cha mgwirizano wamakono ndi wotsika ndi kugwiritsa ntchito mapangidwe opangidwa ndi matayala, malo opatsirana, komanso kugwiritsa ntchito mapiritsi ophimbidwa ndi polyurethane.
Pa mgwirizano wa capsular, m'mawere amatha kuumitsa, kuyang'ana ndi kumverera mosiyana, komanso kusokoneza, ngati minofu imamangirira.
Ngakhale deta inayake imathandiza kuti chitetezo cha chitetezo cha mthupi chikhale chothandiza chifukwa cha vutoli (kutanthauza kuti chitetezo cha mthupi chimagwira ntchito motsutsana ndi zomwe zimayambitsa kupweteka kwakukulu), kachilombo ka mabakiteriya angapo kamathandizanso.
Njira yopaleshoni (kapsulotomy ya m'mawere) imafunika ngati pali mgwirizano wolimba komanso wolimba mtima wodwalayo-mikangano ya capsuleyi imadziwika kuti ndi Bakes III ndi Baker IV capsules.
Pali njira ziwiri zomwe capsulotomy ikhoza kuchitidwa:
- Tsegulani Capsulotomy: Minofu yambiri (capsule) imatulutsidwa ndi / kapena kuchotsedwa pang'ono pang'onopang'ono pamtunda.
Capsulotomy Yotsekedwa: Kulimbikitsidwa kwakukulu kwa buku kumagwiritsidwa ntchito kuchokera kunja kwa bere (palibe zopangidwe zopangidwa) pofuna kuyesa minofu yowopsya ndikumasula mgwirizano wa capsule.
Madokotala ambiri amatetezedwa ndi madokotala ambiri ndipo amalangizidwa kwambiri ndi opanga ma implants, chifukwa ali ndi chiopsezo chotuluka ndi hematoma mapangidwe-hematoma ndi mndandanda wa magazi.
Ndipotu, kugwiritsa ntchito njirayi kumapangitsa kuti chitsimikizocho chikhale choyipa kwambiri.
Capsulotomy v. Capsulectomy
Nthawi zina makina a capsulotomy amasokonezeka ndi capsulectomy , njira ina yopaleshoni yomwe yapangidwa kuti ikwaniritse mgwirizano wa capsular.
Njira ziwirizi sizikhala ndi mayina ofanana koma zimakhala ndi vuto lomwe limaphatikizapo mawere. Kotero kusiyana kwake ndi kotani? Capsulectomy ndikutsegulira kuchotsa envelopu yomwe inakuzungulira. Capsulotomy ndikutsegula derali kotero kuti malo ambiri ali ndi malo ambiri.
Kubwezeretsa Atatha Opaleshoni
Kutupa kwa postoperative, makamaka pambuyo pa njira ya capsule, ikhoza kuthera masabata angapo. Ngati mukumana ndi mtanda wa mtundu uliwonse panthawiyi, pitani kuchipatala mwamsanga, makamaka ngati ikukula kukula msanga. Mphunoyo ukhoza kusonkhanitsa magazi kapena madzi kapena ngakhale maselo othandizira. Mwanjira iliyonse, funsani kuchipatala.
Kuteteza Kugonjetsedwa kwa Capsular
Pakhoza kukhala njira zina zothandizira kuti mgwirizanowo usagwire ntchito yoyamba ngati kupopera minofu mwamphamvu komanso kuyendetsa malo osamukasamuka. Onetsetsani kuti mukutsatira mwatsatanetsatane ndi dokotala wanu opaleshoni, ndipo pempherani nkhawa iliyonse mwamsanga.
> Zotsatira:
> Adams WP Jr, mgwirizano wa Capsular: ndi chiyani? Nchiyani chimayambitsa izo? Kodi zingalephereke bwanji kuti zitheke? Opaleshoni ya Chipatala . 2009 Jan; 36 (1): 119-26,
> Mutu wa H, Kasem A, Mokbel K. Kuphatikizana kwapadera pambuyo pa kuwonjezereka kwa ubereki: Chotsitsimutso cha zochitika zachipatala. Kutentha Kwambiri Kwambiri . 2015 Sep; 42 (5): 532-43.
> Nahabedian, M. (July 2016). Zovuta zobwezeretsanso ndi opaleshoni ya m'mawere. Mu: UpToDate, Butler CE (Ed), UpToDate, Waltham, MA.