Vitreomy ndi njira yaying'ono yopangira opaleshoni yomwe imapezeka ndi katswiri wa retina kuchotsa vitreous gel kuchokera mkati mwa diso. Galasi ya vitreous imadzaza mkatikati mwa diso, kutenga pafupifupi magawo awiri pa atatu a mphamvu ya diso. Kawirikawiri, vitreous ndi zomveka ndipo zimachititsa kuti kuwala kufike kumbuyo kwa diso. Nthawi zina pamafunika vitreomy ngati magazi akutuluka mumtanda, kutseka masomphenya.
A vitrectomy amachitidwa mbali kuti athetse zotsatirazi:
- epiretinal membrane (pre-retinal macular fibrosis)
- macular dzenje
- maselo a retina
- matenda opatsirana kwambiri a shuga
- matenda opatsirana
- mkati mwa magazi
The Procedure
Vitrectomy imachitidwa kuchipatala cha opaleshoni yopita kuchipatala kapena chipatala cha opaleshoni ya chipatala ndipo kawirikawiri chimagwiritsidwa ntchito ndi anesthesia. Wodwala amapatsidwa kachilombo kameneka. Wodwala ali maso chifukwa cha ndondomekoyi koma samamva kupweteka komanso malingana ndi zomwe zidaperekedwa, samakumbukira njirayi.
Katswiri wa retina adzaika zida mwachindunji kupyolera mu sclera, kapena kuvala kunja kwa diso. Mauniko apadera ounikira mkati mwa diso, lasers ndi zipangizo zingathe kuikidwa m'matope awa. Pa vitrectomy, vitreous fluid ndi gel zimachotsedwa.
Malinga ndi vuto lachipatala, diso limadzaza mpweya ndi mpweya. Izi zikhoza kuchitidwa kuti zithandize kukonza mawotchi a retina kapena macular hole.
Pakapita nthawi, kawirikawiri milungu kapena miyezi yochepa, mpweya umabweretsanso. Pamene ikubwezeretsanso, masomphenya akhoza kukhala ophwanyika kapena osokonezeka chifukwa cha kuphulika kumene mpweya umapanga. Pamene ikuchepa, masomphenya angasinthe. Pamene ikubwezeretsanso, danga ladzaza ndi kuseketsa kosalala, madzi opangidwa ndi diso omwe nthawi zambiri amadzaza kutsogolo, chipinda chamkati cha diso.
Pambuyo pa vitelomyomy, odwala adzalankhulana ndi dokotala. Madontho osiyanasiyana a maso angagwiritsidwe ntchito kuti athetse ululu, kuteteza matenda ndi kuchepetsa kutupa ndi kutupa. Ngakhale masomphenya amakula mofulumira kwa anthu ambiri, mawonekedwe athunthu amawombola nthawi zina amatenga miyezi ingapo. Kuthamanga kumayenera kupewa ngati kusintha kwa mphamvu kungachititse mpweya kuwonjezeka kapena kukulirakulira ndikupangitsa kuti diso liwonjezeke pamagulu ovomerezeka. Ngakhale kuti masiku ano ndi osowa kwambiri, anthu ena omwe amatha kukhala ndi vitrectomy ayenera kupeŵa kuyang'ana mmwamba ayenera kusunga thupi lawo kuti likhale losakanikirana kuti phokoso likhoze kuthandizira kukonzanso retinal.
Nthaŵi zina, mafuta a silicone amagwiritsidwa ntchito m'malo mwa gasi. Ngakhale, pali ubwino wambiri monga machiritso ofulumira komanso maonekedwe, mafuta a silicone amafunika kuchotsedwa kuti apeze njira yachiwiri yopaleshoni.
Zovuta Zilipo
Pa manja a katswiri waluso wodziwa bwino retina, vitrectomy nthawi zambiri ndi njira yabwino. Komabe, mavuto monga retinal detachment, glaucoma, magazi ndi matenda amapezeka. Cataract imakhala nthawi zambiri imachitika pambuyo pa vitelomyomy ndi zotsatira zake, odwala nthawi zambiri amayenera kuchitidwa opaleshoni yodwala khansa mkati mwa miyezi kapena zaka zingapo pambuyo pa vitelomyomy.