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 tiyata a kowane fanni na aikin tiyata da kuma ba da taimako mai mahimmanci ga aikin tiyata.
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 na ido.Abin da kawai ake ganin ya wanzu a aikin tiyatar ido shine canji, yayin da dabarunmu da dabarunmu ke ci gaba da haɓakawa kowace shekara.
Phaco inji sun yi babban ci gaba a cikin jet da ultrasonic makamashi delivery.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 tilasta infusions, aiki matsa lamba monitoring, da kuma ci-gaba ikon daidaitawa ga mafi barga na baya chambers.Ten shekaru da suka wuce, mu dabbled a dual-hannun jiko da aka yi amfani da dual-hannu jiko, ba tare da bukatar da aka yi amfani da phacole jiko. silicone cannula.Yayin da wannan ya ba da damar yin amfani da yanke guda biyu, kowane kasa da 2mm fadi, ba a ko'ina a cikin Amurka. Yanzu mun koma zuwa coaxial ultrasonography, albeit tare da karami incision, a cikin tsakiyar 2mm range.Our duban dan tayi tsarin yanzu samar da unprecedented aminci da daidaito ga cataract tiyata.
Akwai wasu watanni 200 da suka gabata, amma ƙirarsu sun kasance masu murfi fiye da abin da muke da shi a yau, wato Toric Ilaol-Tors a cikin digiri daban-daban a cikin digiri daban-daban kuma a cikin iri-iri daban-daban IOL designs. Mun zo ga ƙarshe cewa karami ne ba ko da yaushe mafi alhẽri, kuma za mu so a samu mai girma IOL cewa bukatar 2.5mm cutout fiye da wani karami model cewa bukatar shiga ta hanyar 1.5mm cutout. Extended mai da hankali tsawon ruwan tabarau ci gaba da juyin halitta, da kuma sabon kayayyaki zuwa saukar da IOLs ne a cikin bututun iya daidaita da gaske (Figure 1). hangen nesa na matasa ga marasa lafiyar mu.
Yin amfani da ruwan tabarau na intraocular ya inganta daidaito mai mahimmanci, wanda ya kawo aikin tiyata a gaban gaba. Better biometrics, duka a cikin axial tsawon ma'auni da corneal refraction ma'auni, sun inganta ingantaccen daidaito kuma suna ci gaba da ci gaba tare da mafi kyawun tsari. Intelligence.Tare da na'urar biometer na ido na gaba, marasa lafiya na iya ɗaukar ma'auni akan na'ura guda kafin da kuma bayan tiyatar cataract don tattara bayanai don ci gaba da haɓakawa a cikin sakamakon da aka samu.
Hanyoyin aikin mu na aikin tiyata sun yi nisa a cikin watanni 200 da suka wuce. Yayin da har yanzu abubuwan da ake amfani da su na tiyata na intraocular suna wanzu, mun gina shi don cimma sakamako mafi kyau ga marasa lafiya. Dukan likitocin ya kamata su dubi fasahar su na yanzu kuma su gane cewa hanyar da suke aiki a yau ya fi yadda yake da shekaru 10 da suka wuce. Femtosecond Laser, intraoperative aberrometers, dijital na'ura mai ba da hanya tsakanin hanyoyin sadarwa, da kuma na'ura mai ba da hanya tsakanin hanyoyin sadarwa na zamani, ana samun su a cikin tsarin aberrometers na dijital, da na'ura mai kwakwalwa 3. dakunan aikin mu.Amfani na gaban ɗakin IOLs yana raguwa tare da hanyoyi daban-daban na amintar da IOL zuwa sclera.A cikin abubuwan da suka dace, an ɓullo da sababbin nau'ikan tiyata gaba ɗaya, irin su aikin tiyata na glaucoma kaɗan da keratoplasty. (ana buƙatar sutures da yawa don rufe wani yanki da aka yi da almakashi) zuwa dabarun aikin tiyata na ƙananan ƙaho, wanda ke da alaƙa da yanke don mafi kyawun rufewa cikin ɗan lokaci, da sutures, idan akwai.
Har yanzu ina son samun sigar buga labaran Healio/Ocular Surgery News a tebur na sau biyu a wata, amma kuma ina samun kaina ina karanta wasikun imel na Healio kusan kullun kuma ina yawan yin bincike akan nau'ikan littattafan da na fi so.Mafi girman ci gaba a cikin koyon tiyata dole ne ya zama babban amfani da bidiyo, wanda yanzu zamu iya morewa akan wayoyinmu da allunan a cikin babban ma'anar shekaru 4 da suka wuce, na ƙirƙiri shafin koyarwa na kyauta. yana buga sabon bidiyon da aka gyara, wanda aka ba da labari a kowace rana (Hoto 2) .Ya zuwa wannan rubuce-rubucen, akwai bidiyon 1,500 da ke rufe dukkan batutuwa a cikin tiyata na cataract. Idan zan iya kiyaye watanni 200, wannan zai zama kusan bidiyon 6,000. Zan iya tunanin yadda ban mamaki makomar aikin tiyata zai kasance.