Retinopathy of prematurity - sisifo mihla siphila kuyo.

Retinopathy of prematurity - kunobuzaza kakhulu, phantse isifo esinganyangekiyo ochaphazela retina kweentsana ngaphambi kwexesha. Esi sifo linxulunyaniswa kukuba inkathalelo kweentsana njengokuzalwa amayeza, ingakumbi neonatology, waba esisetyenziswa ngokubanzi ngokuthi zoqhaphelo olukhulu kwimixube igesi ioksijini, ukuba bevuna retina nje yintlekele. Oku ophthalmologists ezintsha sifo ihlabathi kudala ngokungekho ngelika "ukuhlaselwa sisifo" yoluntu kunye nenzululwazi yeenkqubo zendalo. Kwixesha elidlulileyo kude kangaka, abantwana abazalwa ngaphambi kwexesha, wafa. Ngoku iinkqubo ezisanda kuzalwa ubomi inkxaso advanced lokunyamekela kwaye ungagcina ubomi iziqhamo abazalelwe kwiinyanga 3-4 phambi kokuzalwa kunye nobunzima 500 grams elindelweyo. Iimeko yophuhliso umoya oluqhelekileyo okukufutshane kunye neemeko emini zahlukile kakhulu kwiimeko ukuba abe ngumntwana esibelekweni. Apho oxygen engena emzimbeni umntwana igazi flow koomama ngeedosi ezithile ebumnyameni zizonke, nto leyo ibaluleke kakhulu ukubunjwa eqhelekileyo semehlo. Kwimeko ngumntu ezinjalo iimeko akunakwenzeka ukuba athobele ngelixa. Ngoko ke, iintsana ngaphambi kwenzeka unzima ocular ngezifo - retinopathy of prematurity.

Retinopathy of prematurity lwahlulwe ngezigaba ezintlanu okuluphawu ubungqongqo inkqubo yezifo. Ukuqhubela phambili kwesifo ocular ukuya kwinqanaba lokugqibela kungakhokelela ekubeni kusekwe lakho kukuqulungana izitho kwiretina kunye nomzimba vitreous, nto leyo kukhokelela kukuvela iingxaki kakhulu - Nefaneli kwecala semehlo , kunye legazi vitreous. Zonke ezi nkqubo izaliswe kuphuhliso amblyopia, strabismus, ukubona, okanye abe ziimfama.

Retinopathy of abantwana ngaphambi kunzima une abantwana abangaphantsi kweminyaka emibini ubudala akanako akhalaze kukunqongophala kwemisebenzi ezibonwayo. Ngoko ke, abazali kufuneka kusoloko balumke kule nkalo. Omama kunye abazali kufuneka bafunde ukuba baphawule iimpawu yokuqala, leyo luphawulwa retinopathy of prematurity:

• Umntwana ugcina zokudlala yakhe kakhulu emehlweni;
• Yena akayi kubona izinto ezikude;
• Ukhetha ukuba bajonge izinto iliso enye kuphela;
• Ukuzama blink iliso enye kuphela;
• Akafuni ukuba zisetyenziswe ukwenzela ukuba ziphicothwe elinye iliso;
• Ukubonakala strabismus;
• ukonakala ezibukhali okanye ukulahleka umbono.

Kids nokonyuka umngcipheko retinopathy yokuba prematurity kufuneka bangenele iimviwo ophthalmologic kwi kwiiveki 4-6 yobomi bakhe. Emva mydriasis iziyobisi, ngamanye abafundi inimba kunye wamehlo ezikhethekileyo, ugqirha ngokucokisekileyo ihlola fundus umntwana encediswa ophthalmoscope ngqo okanye binocular. Nokuba unyango ayikho kuyimfuneko, usana kufuneka uvavanyo rhoqo ngenyanga, ngelixa ugqirha wanelisekile ukuba inkqubo inkqubo sifo uyekile.

Unyango retinopathy of prematurity.

Kubantwana abane kwisigaba sokuqala nesesibini kunokwenzeka kumiwe yezizwe iimpawu zesi sifo, kwaye retina ziqala ukukhula njengoko bekumele ukuba. Noko ke, xa inqanaba threshold elithile (Isigaba sesithathu) kuyimfuneko ukuba athathe amanyathelo kakhulu ukuthintela kuphuhliso kwecala. Ngelo langoku nqanaba iindlela olukhulu kunyango lwe retinopathy ye prematurity ayikho. Ukusuka ukuvimbela abantwana tirhisa laser coagulation retina okanye cryocautery. Kuba iindlela ezilukhuni zonyango ziquka unyango zotyando: ukugcwaliswa elijekelezayo lwe sclera (wona libutho kwenxenye retina), vitrectomy (nokususwa ngokupheleleyo emzimbeni vitreous).