Labarai

Wannan fitowar ita ce ta 200th na Uday Devgan, shafi na "Back to Basics" na MD don Labaran tiyatar Ido. Waɗannan ginshiƙan sun kasance suna koyar da novice da ƙwararrun likitocin fiɗa iri ɗaya a kowane fanni na tiyata na cataract kuma suna ba da taimako mai mahimmanci ga aikin tiyata. Ina so. don godewa da taya Uday murna bisa gudummawar da ya bayar wajen wallafawa da kuma gudunmawar da ya bayar wajen kammala fasahar tiyatar ido.
A cikin faɗuwar shekara ta 2005, na fara wannan shafi na "komawa ga abubuwan yau da kullun" tare da haɗin gwiwar editoci na Healio/Ocular Surgery News, yin bitar mahimman abubuwan cataract da tiyata.
Yanzu, kusan shekaru 17 bayan haka, kuma a lamba 200 a cikin mujallarmu ta wata-wata, aikin tiyatar ido ya canza sosai, musamman aikin tiyatar ido. kowace shekara.
Phaco inji sun yi babban ci gaba a cikin jet da ultrasonic makamashi bayarwa.Previous dabaru kasance incisions 3 mm fadi ko ya fi girma, ta yin amfani da nauyi jiko da kuma iyaka duban dan tayi ikon modulation.Modern inji yanzu bayar da tilasta infusions, aiki matsa lamba saka idanu, da kuma ci-gaba ikon daidaitawa ga mafi barga. anterior chambers.Shekaru goma da suka wuce, mun dabbled a cikin biyu-hannu phaco don raba jiko daga phaco allura, wanda aka yi amfani da ba tare da silicone cannula.Yayin da wannan ya ba da damar yin amfani da biyu yanke, kowane kasa da 2mm fadi, shi ba yadu. An karɓa a Amurka. Yanzu muna komawa zuwa coaxial ultrasonography, ko da yake tare da ƙarami, a cikin tsaka-tsaki na 2mm. Tsarin duban dan tayi yanzu yana ba da aminci da daidaito don aikin tiyata na cataract.
Akwai multifocal IOLs 200 watanni da suka wuce, amma su kayayyaki sun kasance ko da cruder fiye da abin da muke da a yau.Newer trifocal da bifocal diffractive IOL kayayyaki samar da fadi da kewayon mai kyau hangen nesa ba tare da glasses.In da, toric IOLs aka farko tsara tare da silicone takardar haptics. , Wanda ba shi da kwanciyar hankali na hydrophobic acrylic IOLs da muke amfani da su a yau. Har ila yau, muna ba da toric IOLs a cikin digiri daban-daban kuma a cikin nau'i-nau'i daban-daban na IOL. Mun zo ga ƙarshe cewa ƙananan ba koyaushe mafi kyau ba, kuma muna' d maimakon samun IOL mai girma wanda ke buƙatar yankewa na 2.5mm fiye da ƙaramin samfurin da ke buƙatar wucewa ta hanyar yankewa na 1.5mm. Tsawon ruwan tabarau mai tsayi yana ci gaba da haɓakawa, kuma sababbin kayayyaki don karɓar IOLs suna cikin bututun (Figure 1) . nan gaba, daidaita ruwan tabarau na intraocular zai iya dawo da hangen nesa na matasa na gaske ga majiyyatan mu.
Yin amfani da ruwan tabarau na intraocular ya inganta ingantaccen daidaito mai mahimmanci, wanda ya kawo aikin tiyata na cataract a gaba. Mafi kyawun biometrics, duka a cikin ma'auni na tsayin axial da ma'aunin refraction na corneal, sun inganta daidaito sosai kuma suna ci gaba tare da mafi kyawun tsari. a wani batu inda za a maye gurbin ra'ayin daya a tsaye dabara nan da nan za a maye gurbinsu da tsauri da kuma ci gaba harbi hanyoyin lissafin amfani da crowdsourcing da wucin gadi hankali.Tare da a nan gaba kai calibrating ido biometer, marasa lafiya na iya daukar ma'auni a kan wannan inji kafin da kuma bayan. tiyatar cataract don tattara bayanai don ci gaba da ingantawa a cikin sakamakon da aka samu.
Hanyoyin mu na aikin tiyata sun yi nisa a cikin watanni 200 da suka wuce. Duk da yake har yanzu abubuwan da ake amfani da su na tiyata na intraocular suna wanzu, mun gina shi don samun sakamako mafi kyau ga marasa lafiya. Yin aiki a yau ya fi yadda yake da shekaru 10 da suka wuce. Laser na biyu na biyu, aberrometers intraoperative, tsarin jagora na dijital, da nunin 3D na kai yanzu suna samuwa a cikin ɗakunan aikinmu. da IOL zuwa sclera.A cikin subspecialties, gaba ɗaya sabon tiyata Categories an ɓullo da, kamar minimally invasive glaucoma tiyata da kuma lamellar keratoplasty.Ko da intraocular ruwan tabarau extractions, sau da yawa amfani da densest cataracts, sun samo asali daga daidaitattun extracapsular extractions (bukatar mahara sutures zuwa mahara sutures zuwa mahara sutures zuwa mahara sutures. Rufe wani yanki da aka yi da almakashi) zuwa dabarun aikin tiyata na ƙananan cataract, wanda ke da fasalin ƙulle-ƙulle don mafi kyawun rufewa cikin ɗan lokaci, da sutures, idan akwai.
Har yanzu ina son samun nau'in labaran Healio/Ocular Surgery News a tebur na sau biyu a wata, amma kuma ina samun kaina ina karanta wasikun imel na Healio kusan kowace rana kuma a kai a kai ina bincika nau'ikan littattafan da na fi so a kan layi. Babban ci gaba a cikin koyon aikin tiyata dole ne. zama masu amfani da bidiyo da ya yadu, wanda a yanzu za mu iya morewa a wayoyinmu da kwamfutar hannu a ma’ana mai girma. A kan haka, shekaru 4 da suka gabata na kirkiro shafin koyarwa kyauta mai suna CataractCoach.com wanda ke fitar da sabon bidiyo, gyara, ba da labari kowace rana. (Hoto 2) .Ya zuwa wannan rubuce-rubucen, akwai bidiyon 1,500 da ke rufe dukkan batutuwa a cikin aikin tiyata na cataract. Idan zan iya kiyaye watanni 200, wannan zai zama kusan bidiyon 6,000. Zan iya tunanin yadda abin mamaki na gaba na aikin tiyata zai kasance.