El Isibhedlela i-Virgen del Castillo e-Yecla Sekungenye yezikhungo ezihamba phambili eSifundeni saseMurcia zokulawula i-retinopathy yesifo sikashukela ngenxa yokuqaliswa kohlelo oluthile lokuhlola. Ezinyangeni ezimbalwa nje, lolu hlelo luvumele ukuqapha okuhlelekile kwe amakhulu abantu abanesifo sikashukela kanye nokubona ukulimala kwamehlo kusenesikhathi okungaholela ekulahlekelweni umbono.
Le phrojekthi iyingxenye yesu lokunakekelwa kwempilo Indawo Yezempilo Vokuyinto eqhosha ngezikhathi zokulinda ezingcono kakhulu kunesilinganiso sesifunda ezindaweni ezahlukene zochwepheshe, ikakhulukazi kwezokwelapha amehlo. UMnyango Wezempilo Wesifunda kanye noMkhandlu Wedolobha laseYecla bagcizelela ukuthi lesi sikhungo esisha asigcini nje ngokuthuthukisa ikhwalithi yokunakekelwa kodwa futhi sisiza ekusebenziseni kangcono izinsiza ezitholakalayo futhi sisondeza ukunakekelwa okukhethekile ezigulini.
Ithuluzi elisha lokunakekelwa kwempilo le-retinopathy yesifo sikashukela
I-Virgen del Castillo ihlanganise i-a isevisi yokuhlola i-retinopathy yesifo sikashukela Ihloselwe abantu abanesifo sikashukela, iningi labo elingakabi nazo izimpawu ezibonakalayo. Umgomo ulula kodwa ubalulekile: ukuthola izimpawu zokuqala zomonakalo we-retina kusenesikhathi ukuze kuthathwe isinyathelo ngaphambi kokuba kwenzeke ukuwohloka okungenakuguqulwa.
Ezinyangeni eziyisithupha nje zokusebenza, isibhedlela sesibhalisile Ukuhlolwa okungu-363 kweziguli ezinesifo sikashukelaLesi sibalo sibonisa ukuhlanganiswa okusheshayo kwalesi sitshalo sezempilo endleleni ejwayelekile yokunakekelwa kwesifo sikashukela. Inhloso ukuqinisekisa ukuthi asikho isiguli esihamba singaqashwa njalo, ngaleyo ndlela kuncishiswe ingozi yokuthi lesi sifo siqhubeke buthule.
La isifo sikashukela sikashukela Kuyinkinga evamile kubantu abanesifo sikashukela, ebonakala ngokulimala kwemithambo yegazi ye-retina. Ngokuvamile iqhubeka kancane futhi, ezimweni eziningi, ayibonakali kuze kube yizigaba ezithuthukile kakhulu, lapho umonakalo omkhulu wokubona usuvele uvele khona. Ngenxa yalesi sizathu, izikhulu zezempilo zigcizelela ukubaluleka kwalokhu kuqapha okuhleliwe.
Njengoba uNgqongqoshe Wezempilo echazile, UJuan José Pedreño"Kuphela ngokuthola i-retinopathy ezigabeni zayo zokuqala lapho kungenzeka khona ukuhlonza izilonda zokuqala bese usebenzisa ukwelashwa kwasekuqaleni okubambezela ukuqhubeka kwayo." Le ndlela isekelwa ubufakazi besayensi obutholakalayo, obusekela usizo lokuhlolwa ekuthuthukiseni imiphumela yezempilo yabantu abanesifo sikashukela.
Indlela ukuhlolwa kwe-retinopathy yesifo sikashukela okusebenza ngayo
Ukuhlola kusekelwe kakhulu ku- i-retinography yedijithaliLe ndlela ivumela ukuthola izithombe ze-fundus zeso ezicacile. Kwezinye izimo, kuyadingeka ukusebenzisa [ukwelashwa/ukwelashwa kwangaphambilini]. amaconsi eso ukuze avule umfundi kanye nokwenza kube lula ukubona kahle i-retina. Lezi zithombe zisetshenziselwa ukubheka noma yiziphi izimpawu ezingase zibonise ukuqala kwe-retinopathy.
Phakathi nenqubo, kwenziwa izivivinyo ezahlukahlukene ezihambisanayo ukusiza ukuthuthukisa ukuxilongwa. Lokhu kufaka phakathi izivivinyo ezifana ukubona kahle, ukulinganiswa kwe Ingcindezi ye-intraocular futhi i i-tomography yokubumbana kokukhanya, inqubo yokuthwebula izithombe ethuthukisiwe enikeza izingxenye eziningiliziwe zezakhiwo zangaphakathi zeso.
Lezi zithombe nemiphumela zithunyelwa ku- isikhungo sokufundalapho udokotela wamehlo ehlola khona icala ngalinye futhi enquma ukuthi kukhona yini izimpawu eziyisixwayiso. Kuphela uma idatha ehambisana ne-retinopathy noma enye i-pathology efanele ibonwa, lapho kuhlelwa khona i-aphoyintimenti. ukubonisana ubuso nobuso nochwepheshe we-Ophthalmologyukuqedela ukuhlolwa, futhi uma kufaneleka, baqale ukwelashwa okufanele kakhulu.
La imvamisa yokuhlola Kuyenziwa ngendlela efanele uhlobo lwesifo sikashukela kanye nezinga lokulawulwa kwesifo. Ngokuvamile, ezigulini ezinesifo sikashukela Uhlobo 1 sikashukela Ukuhlolwa kwaminyaka yonke kuvame ukunconywa, kuyilapho kulezo ezinesifo Uhlobo 2 sikashukela kulawulwa kahle Kungahlukaniswa njalo eminyakeni emibili. Kodwa-ke, uma kutholakala ezinye izici eziyingozi noma ukuvela okungathandeki, ukuqapha kungaqiniswa futhi kwenziwe minyaka yonke noma ngisho nangezikhathi ezimfushane.
Le modeli ivumela iziguli eziningi ukuthi ziqedele ukuhlolwa kwazo ngaphandle kwesidingo sokuya ngqo kudokotela wamehlo, ibhuka lokho kuhlangana mathupha ezimweni ezikudinga ngempela. Lokhu kunciphisa ukugcwala kwenkonzo futhi kusheshise ukunakekelwa kwalabo abanezilonda ezithuthukile.
Izinkomba ezimbalwa kanye nohlu olufushane lokulinda
Omunye wemiphumela ebonakala kakhulu yalolu hlelo yi- ukuncishiswa kokudluliselwa okungadingekile kuchwepheshe wesibhedlela. Ngeziguli ezihlolwa kusengaphambili, labo abafika ekubonisaneni nodokotela wamehlo yilabo abadinga ukuhlolwa okuningiliziwe noma ukwelashwa okuthile.
Le ndlela ihumusha ibe ngcono ngqo ukuphela kwesikhathiNgokusho kwemeya yaseYecla, I-Remedios Lajara, uhlu lokulinda emtholampilo we-Ophthalmology wase Indawo Yezempilo V Okwamanje itholakala cishe cishe Izinsuku ze-35, ngaphansi kakhulu kwe Izinsuku ze-83 ngokwesilinganiso kulo lonke i-Murcian Health Service. Lo mehluko ubonisa umthelela wokuhlela kabusha ukunakekelwa kanye nokubeka phambili ukudluliselwa ngokusekelwe ezidingweni zangempela.
Le miphumela emihle ayigcini nje ngokuhlolwa kwamehlo. Umeya uphinde wagcizelela ukuthi indawo inesikhathi sokulinda esimaphakathi [solwazi olungekho - cishe inani elithile leminyaka noma izikhathi]. Izinsuku ze-58 ngaphambi kwe Izinsuku ze-96 zesifunda, nokuthi ku ukubonisana neziguli zangaphandle ukubambezeleka sekuseduze Izinsuku ze-37 ngaphakathi kwe-Area V. Le datha ikhomba ukusebenza okusheshayo kwesethi yezinsizakalo zezempilo endaweni.
Izakhamuzi ngokwazo zibonakala zisekela lo mbono: ku inhlolovo yakamuva yokwaneliseka Ngokuphathelene nekhwalithi yokunakekelwa, i-Area V ithole isilinganiso esilingana nesilinganiso esiphezulu. Nokho, lokhu kuhlolwa okuhle akuzange kuholele iziphathimandla zendawo ukuthi zinganaki. ULajara ugcizelele ukuthi ukuthuthukiswa, ikakhulukazi engqalasizinda, kumele kuqhubeke kudingeke.
Kulokhu, imeya ifune ukuthi inqubo isheshiswe. ithenda lomsebenzi wokwandisa nokuvuselela esikhungweni sezempilo UMariano Yago, iphrojekthi uNgqongqoshe Wezempilo athembise ukuyikhuthaza ezinyangeni zokuqala zika-2026. Inhloso ukuqinisa inethiwekhi Yokunakekelwa Okuyisisekelo, insika eyisisekelo yokulawula isifo sikashukela kanye nokufinyelela ekuhlolweni kwe-retinopathy.
Indima ebalulekile yokunakekelwa kwamehlo
Ukuqaliswa kokuhlolwa esibhedlela saseVirgen del Castillo bekungeke kuqondwe ngaphandle kokubandakanyeka kwe- ubuhlengikazi bamehloUMnyango Wezempilo ugcizelele ukuthi ukudalwa kokubonisana kwabahlengikazi okukhethekile kube yinto ebalulekile ekuqaliseni nasekuhlanganiseni lo mthombo wezempilo.
Abasebenzi bobuhlengikazi banesibopho sokwenza iningi lemisebenzi izivivinyo zobuchwepheshe ezidingekayo Ukuqedela ukuhlolwa: kusukela ekuhloleni ubukhali bokubona kuya ekulinganiseni ingcindezi yangaphakathi kwamehlo, okuhlanganisa nokuthatha izithombe kusetshenziswa i-digital retinography kanye, uma kubonisiwe, i-optical coherence tomography.
Ngaphezu kwezici zobuchwepheshe, ubuhlengikazi budlala indima ebalulekile imfundo yezempilo kwabantu abanesifo sikashukela. Phakathi nalokhu kuhambela, ukubaluleka kokulawula i-glycemic, ukunamathela emithini, kanye khetha ukudla okunoshukela omncaneizici ezithinta ngqo ukubonakala kanye nokuqhubeka kwe-retinopathy yesifo sikashukela.
IKhansela uPedreño ugcizelele ukuthi ochwepheshe bobuhlengikazi “kubalulekile"ngaphakathi kwesekethe yokuhlola ngoba ivumela uhlelo ukuthi lusondele futhi lufinyeleleke kalula, kuyilapho ikhulula odokotela bamehlo emsebenzini, abangagxila ezimweni eziyinkimbinkimbi noma ekwenzeni ukwelashwa okuthile."
Imodeli esetshenziswe eYecla ihambisana nomkhuba owandayo eYurophu we- ukuqinisa indima yobuhlengikazi ekuphathweni kwezimo ezingamahlalakhona njengesifo sikashukela. Lokhu kunegalelo ekusetshenzisweni kahle kwezinsizakusebenza kanye nokuqapha okuqhubekayo kweziguli, okuwusizo kakhulu ezindaweni lapho isidingo sezempilo siphezulu khona.
Imodeli yokunakekelwa esebenza kahle futhi efinyeleleka kalula
Okuhlangenwe nakho eSibhedlela iVirgen del Castillo kuyingxenye yombono obanzi woMnyango Wezempilo Wesifunda wokuguqula indlela yokwelapha isifo sikashukela nezinkinga zaso. Njengoba uNgqongqoshe Wesifunda egcizelele, kukhona ubufakazi obanele besayensi ukuthi izinhlelo zokuhlola i-retinopathy zithuthukisa imiphumela yezempilo, zithuthukise izinsiza, futhi zikhuthaze imodeli yokunakekelwa efinyeleleka kalula yeziguli.
Iqiniso lokuthi ukuhlolwa kuhlanganiswe Inethiwekhi yezempilo ye-Area V Ivumela iziguli ukuthi zihlolwe eduze nendawo ezihlala kuyo, ngaphandle kokuya esibhedlela ngokuhlelekile ukuze zihlolwe okokuqala. Kuphela ezimweni lapho kutholakala khona ukukhubazeka lapho isiguli sithunyelwa kudokotela wamehlo, okusindisa isikhathi, kugweme ukuhamba okungadingekile, futhi kunciphisa izindleko ezingaqondile.
Ngale ndlela, kutholakala ibhalansi phakathi ukuvimbela nokwelashwaNgakolunye uhlangothi, impilo ye-retina yabantu abanesifo sikashukela iqashwa njalo; ngakolunye uhlangothi, izinsiza zesibhedlela ziyaqinisekiswa ukuthi zigxile kulabo abazidinga kakhulu. Umphumela uba uhlelo oluhlelekile, olunempendulo enkulu kanye nokuminyana okuncane.
Izikhulu zezempilo kanye nabamele izikhungo bayavuma ukuthi impumelelo yalolu hlelo ingenxa Ukuxhumana phakathi kokunakekelwa okuyisisekelo, ubuhlengikazi kanye ne-OphthalmologyUkudluliselwa kweziguli ezivela ezikhungweni zezempilo ziye esifundeni sokuhlola, kanye nokuhlaziywa okuhlanganisiwe kwezithombe, kwakha uchungechunge lokunakekelwa lapho isixhumanisi ngasinye sinomsebenzi ochazwe kahle.
Konke lokhu kunegalelo eqinisweni lokuthi, empeleni, abantu abaningi abanesifo sikashukela endaweni yaseYecla bangakwazi ukugcina Ukuhlolwa okubonakalayo njalo ngaphandle kokulinda ukuthi kuvele izimpawu. Lokhu kuqinisa umqondo wokuthi ukunakekelwa kwamehlo kufanele kube yingxenye yokuqapha izifo njalo, ngokuhambisana nezincomo ezisetshenziswa kwamanye amazwe aseYurophu anezinhlelo ezifanayo.
Ngokusebenzisa ukuhlolwa kwe-diabetesic retinopathy, izibalo ezinhle zohlu lokulinda Futhi ngokuqiniswa kwendima yokunakekela, iSibhedlela iVirgen del Castillo kanye neHealth Area V zibeka iYecla njengesibonelo sendlela yokuhlela ukunakekelwa kwesifo sikashukela ngenkathi kuvikelwa umbono weziguli. Ukuhlanganiswa kokutholakala kusenesikhathi, izikhathi zokusabela ezimfushane, kanye namaphrojekthi okuthuthukisa ingqalasizinda njengesikhungo sezempilo iMariano Yago kudweba isithombe lapho ukuvimbela kanye nokusebenza kahle kuhambisana khona ukuthuthukisa ikhwalithi yokunakekelwa.
