Retinopathy of prematurity - isifo ezikhathini zanamuhla.

Retinopathy of prematurity - kuyingozi kakhulu, cishe isifo esingalapheki esithinta retina ka ezizalwa ngaphambi kwesikhathi. Lesi sifo lihlotshaniswa yokuthi for ukunakekelwa preterm izingane imithi, ikakhulukazi neonatology, phathelana kabanzi lokuhlala ezinkulu i-oksijini igesi Izingxube, okufanele beya ngwengwzi nje enhlekeleleni. Lokhu bamehlo entsha isifo zomhlaba Sekuyisikhathi eside unofficially elika "isifo sokuhlasela" lwesintu futhi kwesayensi izinqubo zemvelo. Esikhathini esidlule hhayi ukude, izingane azalelwa kwesikhathi, wafa. Manje ukunakekelwa yesimanje sezihambile ezisanda kubelethwa yini nokusekela ukuphila kwakhe izinhlelo ungagcina izimpilo izithelo ozalwa ezinyangeni 3-4 ngaphambi kokuzalwa olulindelekile kanye Isisindo 500 grams. Imibandela yentuthuko emoyeni evamile ye-ambient futhi ezimweni ezijwayelekile emini zihluke ngokuphelele olimini izimo ukuba abe ingane esibelethweni. Kukhona umoya-mpilo ongena nomzimba wengane nge komama ukugeleza kwegazi ngemithamo ezithile futhi phelele cime, okuyinto ebaluleke for kumiswa evamile ngwengwzi. Endaweni yokufakelwa izimo ezinjalo akunakwenzeka ukuthobela isikhashana. Ngakho-ke, ezizalwa ngaphambi kwesikhathi kwenzeka owaba umqansa kunayo yonke ocular zokugula - retinopathy of prematurity.

Retinopathy of prematurity ihlukaniswe izigaba ezinhlanu agcwele kobukhulu inqubo sokugembula. Ukulandelana isifo ocular esigabeni sokugcina kungaholela ekwakhekeni engelapheki ka isibanda izicubu kwe-retina kanye umzimba Vitreous, elibuye kuholela okuvela yezinkinga ezinzima - the uphondo lamabutho ngwengwzi , futhi ukopha Vitreous. Zonke lezi zinqubo zigcwele ukuthuthukiswa amblyopia, strabismus, myopia, noma ukuba yimpumputhe.

Retinopathy ka izingane ngaphambi kwesikhathi is nzima okwatholakala izingane ezingaphansi kweminyaka emibili ubudala abakwazi esekhala ukuntuleka kwemisebenzi ezibukwayo. Ngakho-ke, abazali kufanele baqaphe kulokhu njalo. Omama kanye obaba kudingeka sifunde ukuqaphela izimpawu zokuqala, esibonakala by retinopathy of prematurity:

• Ingane kugcina amathoyizi akhe sisondele kakhulu emehlweni;
• Akaliboni izinto ezikude;
• Ethanda ukubheka izinto emhlabeni nelihlo elilodwa;
• Ukuzama blink nelihlo elilodwa;
• Akafuni ukuba usetshenziselwe kuhlolwa omunye neso;
• Ukubukeka strabismus;
• Cijela ukuwohloka noma ngisho nokulahlekelwa umbono.

Izingane nge kwengozi retinopathy of prematurity kufanele ibhekane luhlolo ophthalmologic at amasonto 4-6 zokuphila kwakhe. Ngemva izidakamizwa mydriasis, isb abafundi osuke usuvulekile nge iso amaconsi ekhethekile, udokotela kahle uhlola fundus wengane ngosizo ophthalmoscope ngqo noma Binocular. Ngisho noma ukwelashwa akudingekile, usana ludinga inhlolovo nyangazonke njalo, kanti udokotela yanelisekile ngokuthi ukuqhubeka inqubo isifo kumile.

Ukwelashwa nokuvikelwa retinopathy of prematurity.

Ngo izingane esigabeni sokuqala nesesibili kungenzeka ukumisa okuzenzakalelayo izimpawu zesifo, bese retina bacale kutfutfukisa njengoba kuthiwa. Nokho, lapho kombundu izinga elithile (esigabeni sesithathu) kubalulekile ukuthatha izinyathelo sina ukuvimbela ukuthuthukiswa lamabutho. Ngesikhathi sigaba samanje izindlela ezinkulu ekwelapheni retinopathy of prematurity akuyona. Kusukela lokuvikela izingane ukuchitha laser coagulation retina noma cryocautery. Ukuze izindlela more xaka yokwelashwa zihlanganisa ukwelashwa kuhlinzwa: ukugcwaliswa isiyingi we sclera (the ihlukane ngokwengxenye retina), vitrectomy (nokususwa ngokuphelele emzimbeni Vitreous).