Dzimwe nguva zvakakosha kubvisa ziso nekuti rine hurwere kana kuti rakakuvara zvakanyanya panguva yekushungurudzika. Iyi nzira inonzi enucleation. Panguva imwecheteyo, inosanganiswa nekuiswa kwekuisa, iyo inozopedzisira yagadzirisa ocular prosthesis.

Enucleation inosanganisira kuvhiyiwa kubviswa kweziso, kana kunyanya mboni yeziso. Sechiyeuchidzo, inoumbwa nezvikamu zvakasiyana: sclera, envelopu yakaoma inoenderana nechena yeziso, cornea pamberi, lens, iris, chikamu chemavara cheziso, uye pakati payo mudzidzi. . Zvese zvinodzivirirwa nematishu akasiyana, iyo conjunctiva uye Tenon's capsule. Optic nerve inobvumira kutapurirana kwemifananidzo kuuropi. Ziso reziso rakanamirwa netunyama tudiki mukati me orbit, mhango yefacial skeleton.

Kana iyo sclera iri mumamiriro akanaka uye pasina inoshanda intraocular lesion, iyo "tafura enucleation ine evisceration" nzira inogona kushandiswa. Ziso reziso chete rinobviswa uye rinotsiviwa nebhora rehydroxyapatite. Iyo sclera, kureva kuchena kweziso, inochengetedzwa.

Kuvhiya kunoitika pasi peanesthesia.

Ziso reziso rinobviswa, uye intra-orbital implant inoiswa kuti igamuchire ocular prosthesis gare gare. Kudyara uku kunogadzirwa kubva kudermo-fatty graft yakatorwa panguva yekushanda, kana kubva inert biomaterial. Pazvinogoneka, tsandanyama dzekufamba kweziso dzakanamirwa pachiringirwa, dzimwe nguva pachishandiswa matishu anobatanidza kuvhara. A shaper kana jig (small plastic shell) inoiswa panzvimbo ichimirira prosthesis yeramangwana, ipapo matissue akavhara ziso (Tenon's capsule uye conjunctiva) anoiswa pamberi pekuisa achishandisa misono inonyura. 

Enucleation inopiwa muchiitiko chekubuda kwechironda cheziso chisingagoni kurapwa neimwe nzira, kana apo ziso rinoshungurudza rinoisa pangozi ziso rine utano kuburikidza netsitsi dze ophthalmia. Izvi ndizvo zvinoitika mumamiriro ezvinhu aya akasiyana:

• kushungurudzika (njodzi yemotokari, njodzi muhupenyu hwezuva nezuva, kurwisana, nezvimwewo) panguva iyo ziso rinogona kunge rakaputirwa kana kupiswa nemakemikari;
• glaucoma yakaoma;
• retinoblastoma (gomarara retinal rinonyanya kubata vana);
• ophthalmic melanoma;
• kusingaperi kuzvimba kweziso rinopesana nekurapa.

Mumunhu bofu, enucleation inogona kurongedzerwa kana ziso riri mukuita kweatrophy, zvichikonzera marwadzo uye kugadzirisa zvizoro.

Anoshanda masutu

Ivo vanoratidzwa ne edema uye kurwadziwa kunogara 3 kusvika 4 mazuva. Kurapa kweanalgesic kunoita kuti zvikwanise kudzikamisa zviitiko zvinorwadza. Anti-inflammatory uye / kana antibiotic madonhwe eziso anowanzo kunyorerwa kwemavhiki mashoma. Kuzorora kwevhiki kunokurudzirwa mushure mekuita.

Kuiswa kweprosthesis

Prosthesis inoiswa mushure mekupora, kureva mavhiki maviri kusvika mana mushure mekuvhiyiwa. Kuiswa, kusingarwadzi uye kusingadi kuvhiyiwa, kunogona kuitwa muhofisi ye ocularist kana muchipatara. Prosthesis yekutanga ndeyechinguva; wokupedzisira anobvunzwa mwedzi mishomanana gare gare.

Kare mugirazi (yakakurumbira "girazi ziso"), prosthesis iyi nhasi mune resin. Yakagadzirwa nemaoko uye yakaitwa kuyera, iri pedyo sezvinobvira kune ziso rechisikigo, kunyanya maererano nemuvara weiris. Zvinosuruvarisa, hazvibvumiri kuona.

Iyo ocular prosthesis inofanirwa kucheneswa zuva nezuva, kukwenenzverwa kaviri pagore uye kuchinjwa makore mashanu kusvika matanhatu.

Kubvunzana kwekutevera kunorongwa 1 vhiki mushure mekuvhiyiwa, ipapo pa1, 3 uye 6 mwedzi, ipapo gore rega rega kuve nechokwadi kusavapo kwematambudziko.

Matambudziko

Matambudziko haawanzoitiki. Matambudziko ekutanga anosanganisira kubuda ropa, hematoma, kutapukirwa, kukanganiswa kwevanga, kudzingwa kwekudyara. Zvimwe zvinogona kuitika gare gare - conjunctival dehiscence (kubvarura) pamberi pekuisa, atrophy yemafuta ekutenderera ane mhango yeziso, kudonha kwemaziso ekumusoro kana kuzasi, cysts - uye inoda kuvhiyiwa zvakare.