Wani lokaci ya zama dole a cire ido saboda yana da rashin lafiya ko kuma ya lalace sosai yayin rauni. Ana kiran wannan hanya enucleation. A lokaci guda kuma, yana da alaƙa da sanyawa na sakawa, wanda a ƙarshe zai iya ɗaukar ƙwayar ido.

Enucleation ya haɗa da cire ido na tiyata, ko fiye da daidai ƙwallon ido. A matsayin tunatarwa, an yi shi da sassa daban-daban: sclera, ambulan mai wuyar gaske wanda ya dace da farin ido, cornea a gaba, ruwan tabarau, iris, sashin ido mai launi, kuma a tsakiyarsa almajiri. . Komai yana da kariya ta kyallen takarda daban-daban, conjunctiva da capsule na Tenon. Jijiya na gani yana ba da damar watsa hotuna zuwa kwakwalwa. Ƙwallon ido yana haɗe da ƙananan tsokoki a cikin kewayawa, wani ɓangaren kwarangwal na kwarangwal na fuska.

Lokacin da sclera ke cikin yanayi mai kyau kuma babu wani rauni na intraocular mai aiki, ana iya amfani da dabarar "tebur tare da evisceration". Kwallon ido kawai aka cire kuma a maye gurbinsa da ball hydroxyapatite. An kiyaye sclera, wato fararen ido.

Ana gudanar da aikin a karkashin maganin sa barci.

An cire ƙwallon ido, kuma an sanya maɗaurin intra-orbital don ɗaukar aikin gyaran ido daga baya. Ana yin wannan dasa ta ko dai daga ƙwanƙolin mai-fatty da aka ɗauka yayin aikin, ko kuma daga abin da ba a iya gani ba. Inda zai yiwu, tsokoki don motsin ido suna haɗe zuwa dasa, wani lokaci ana amfani da ƙwayar nama don rufe dasawa. Ana sanya wani mai siffa ko jig (kananan harsashi na filastik) yayin da ake jira na gaba prosthesis, sannan ana dinka kyallen da ke rufe ido (capsule na Tenon da conjunctiva) a gaban abin da aka shuka ta hanyar amfani da stitches masu ɗaukar hankali. 

Ana ba da ƙyalli a cikin yanayin ci gaba na ƙwayar ido wanda ba za a iya bi da shi ba, ko kuma lokacin da idon da ya yi rauni ya yi haɗari ga lafiyayyen ido ta hanyar ophthalmia mai tausayi. Wannan shi ne yanayin a cikin waɗannan yanayi daban-daban:

• rauni (hadarin mota, haɗari a rayuwar yau da kullun, faɗa, da sauransu) wanda ƙila an huda ido ko kone ta hanyar sinadari;
• glaucoma mai tsanani;
• retinoblastoma (ciwon daji wanda ya fi shafar yara);
• ophthalmic melanoma;
• kumburin ido na yau da kullun wanda ke da juriya ga magani.

A cikin makaho, za a iya ba da shawara a lokacin da ido ke cikin aikin atrophy, yana haifar da ciwo da gyare-gyare na kwaskwarima.

Suites masu aiki

Ana nuna su da edema da jin zafi na tsawon kwanaki 3 zuwa 4. Maganin analgesic yana ba da damar iyakance abubuwan mamaki masu raɗaɗi. Anti-mai kumburi da / ko maganin rigakafi ana ba da digon ido na ƴan makonni. Ana ba da shawarar hutun mako guda bayan aikin.

A jeri na prosthesis

Ana sanya prosthesis bayan waraka, watau makonni 2 zuwa 4 bayan tiyata. Shigarwa, mara zafi kuma baya buƙatar tiyata, ana iya yin shi a ofishin likitan ido ko a asibiti. Farkon prosthesis na ɗan lokaci ne; an tambayi na karshe bayan 'yan watanni.

Tsohon a cikin gilashin (sanannen "idon gilashi"), wannan prosthesis a yau a cikin guduro. An yi shi da hannu kuma an yi shi don aunawa, yana da kusanci sosai ga ido na halitta, musamman dangane da launi na iris. Abin takaici, baya bada izinin gani.

Yakamata a tsaftace farjin ido kullum, a goge sau biyu a shekara kuma a canza kowane shekaru 5 zuwa 6.

Ana tsara shawarwarin bin diddigin mako 1 bayan aikin, sannan a watanni 1, 3 da 6, sannan a kowace shekara don tabbatar da rashin rikitarwa.

matsalolin

Rikice-rikice ba kasafai ba ne. Matsalolin farko sun haɗa da zubar jini, hematoma, kamuwa da cuta, rushewar tabo, korar dasa. Wasu na iya faruwa daga baya - conjunctival dehiscence (yagaye) a gaban implant, atrophy na orbit kit tare da wani m bayyanar ido, babba ko kasa drop eyelid, cysts - da kuma bukatar sake tiyata.