Ua haʻi aku anei kāu kauka iā ʻoe ua kiʻekiʻe ke kaomi o kou maka, ua loaʻa iā ʻoe ka glaucoma, a pono paha ʻoe i ke ʻoki kino? He mea maʻamau ka manaʻo makaʻu a me ka hopohopo ke lohe ʻoe i kēia mau ʻōlelo. Ua lilo mākou a pau i mea ʻoi aku ka naʻau i ka wā e pili ana i ko mākou mau maka. Akā, mai makaʻu. Ua holomua loa ka ʻepekema lapaʻau i kēia mau lā. I kēia lā, e kamaʻilio mākou e pili ana i ke ʻano o nā ʻoki kino glaucoma, pehea lākou e hana ʻia ai, a inā paha e makaʻu ʻoe iā lākou.
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He aha ka glaucoma? He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
I ka ʻōlelo maʻalahi, ʻo ka glaucoma kahi maʻi e hōʻino ai i ke aʻalolo optic, ka mea e hoʻopili ai i ko kākou mau maka i ko kākou lolo. ʻO ke kumu nui o kēia, ʻo ia ka hoʻonui ʻia o ke kaomi i loko o ka maka.
E noʻonoʻo, he wai i kapa ʻia ʻo 'Aqueous humor' e hana mau ʻia ana i loko o ko kākou mau maka, a kahe pū ia i waho o ka maka. Ua like kēia me kahi pahu wai e piha ana i ka wai, akā kahe ka wai i waho ma kēlā ʻaoʻao. Inā he mea keʻakeʻa i ke kahe ʻana o kēia wai, hōʻiliʻili ka wai i loko o ka maka a piʻi ke kaomi. ʻO kēia kaomi i hoʻonui ʻia ka mea e hōʻino ai i ke aʻalolo optic palupalu.
ʻElua mau pahuhopu nui o ke ʻoki ʻana i ka glaucoma:
1. Ke hana nei i ala hou no ka wai e hōʻiliʻili ana i loko o ka maka e kahe maʻalahi.
2. A i ʻole, e hōʻemi ana i ka nui o ka wai i hana ʻia i loko o ka maka.
ʻO ka pahuhopu o ke ʻoki kino, me ka hoʻohana ʻana i kekahi o kēia mau ʻano ʻelua, ʻo ia ka hoʻemi ʻana i ke kaomi o ka maka a pale i ka hōʻino hou ʻana i ke aʻalolo optic.
He aha nā ʻano nui o ke ʻoki kino glaucoma?
Hiki ke hoʻokaʻawale ʻia ke ʻoki ʻana o ka glaucoma i ʻelua mau māhele nui: ke ʻoki laser a me ke ʻoki ʻoki. Na kāu kauka maka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe, ma muli o kou kūlana.
| ʻAno o ke ʻoki kino | He wehewehe pōkole |
|---|---|
| 1. Nā ʻokiʻoki Laser - Hana pinepine ʻia ma ke keʻena o ke kauka | |
| ʻO ka Trabeculoplasty Laser | He hana maʻamau. Kuhikuhi ʻia ke kukui laser i ka trabecular meshwork, ka mea e kānana ai i ka wai i loko o ka maka, e wehe ana i nā mea ālai a hoʻomaʻamaʻa i ke kahe ʻana o ka wai. |
| ʻO ka Iridotomy Peripheral Laser (LPI) | Hana ka laser i kahi lua liʻiliʻi loa i loko o ka iris, ka ʻāpana kala o ka maka, e hoʻomaʻamaʻa i ka neʻe ʻana o ka wai. |
| ʻO ke kāpili ʻana o ka Cyclophotocoagulation (CPC) | Hoʻokomo ʻia ka laser i ka ʻāpana o ka maka e hana ana i ka wai (kino ciliary), e hōʻemi ana i ka hana wai. |
| 2. Nā ʻokiʻoki ʻoki - Hana pinepine ʻia i loko o kahi lumi hana | |
| Hoʻopaʻa ʻana i ka trabeculectomy | He hana kuʻuna. Hana ʻia kahi puka liʻiliʻi ma ka ʻāpana keʻokeʻo o ka maka (sclera) e hana i ala hou no ka hoʻokahe ʻana o ka wai. |
| ʻŌmole Paipu | Hoʻokomo ʻia kahi ʻōmole liʻiliʻi a palupalu (shunt) i loko o ka maka e hoʻokahe i ke wai. |
| MIGS (ʻoki kino Glaucoma liʻiliʻi loa) | ʻO ka ʻenehana hou loa. Hana ʻia nā ʻoki me ka hoʻohana ʻana i nā mea hana liʻiliʻi loa a ma o nā ʻoki liʻiliʻi loa. Hoʻōla wikiwiki. |
He mea hou aʻe e pili ana i ke ʻoki laser
He hana ʻeha ʻole ka ʻoki laser i hiki ke hoʻopau pinepine ʻia i loko o kekahi mau minuke. ʻO ke ʻano hou loa o ka laser trabeculoplasty ʻo SLT (Selective Laser Trabeculoplasty). Hiki ke hana hou ʻia kēia inā pono. I kekahi manawa ua ʻōlelo ʻia ʻo ia ka lāʻau mua no ka glaucoma. Hoʻohana kūikawā ʻia ke kaʻina hana LPI no ka glaucoma kihi pani.
He mea hou aʻe e pili ana i nā ʻoki ʻoki
Hana pinepine ʻia kēia mau mea ke hiki ʻole ke kāohi ʻia ka glaucoma me ka mālama laser a i ʻole ka lāʻau lapaʻau. Akā me ke ʻano hana hou loa, ʻo MIGS (Minimally Invasive Glaucoma Surgery), ua loli nā mea he nui. Ma kēia, ua liʻiliʻi loa nā ʻoki, ua pōkole ka manawa ho'ōla, a ua haʻahaʻa nā pilikia. I nā hihia he nui, hiki ke hana ʻia ke ʻoki ʻana MIGS i ka manawa like me ke ʻoki ʻana i ka cataract.
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Check Availability →Pehea ʻoe e hoʻomākaukau ai no ke ʻoki kino?
Ma mua o ke ʻoki ʻana, e hālāwai ke kauka me ʻoe a wehewehe i nā mea āpau. I kēlā manawa:
- E nānā pono ʻia kou mau maka a e hana ʻia nā hoʻokolohua e pono ai.
- E kamaʻilio lākou e pili ana i nā mea hiki iā ʻoe ke manaʻo mai ke ʻoki kino.
- E nīnau lākou e pili ana i kou mōʻaukala olakino a me nā lāʻau lapaʻau āu e lawe nei (ʻoiai nā lāʻau hoʻokahe koko).
E hāʻawi pinepine ʻia ʻoe i kekahi mau ʻōlelo aʻoaʻo ma mua o ke ʻoki ʻana, e like me:
- E noi ʻia ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻomāmā koko (e like me ka aspirin, NSAID) no kekahi mau lā.
- Inā ʻoe e hoʻomoe ʻia ana, e noi ʻia ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe no ka mea ʻaʻole hiki iā ʻoe ke hoʻokele i kahi kaʻa .
- E haʻi pololei lākou iā ʻoe i ka lōʻihi o kou pono e hoʻokē ʻai ma mua o ke ʻoki ʻana.
- Ua hāʻawi ʻia nā ʻōlelo aʻoaʻo maopopo e pili ana i nā lāʻau lapaʻau e lawe ai a me nā mea e lawe ʻole ai i ka lā ma mua o ke ʻoki kino.
Mai makaʻu e nīnau i ke kauka i kāu mau nīnau. He kōkua nui ia iā ʻoe ke ʻike maopopo i nā mea āpau.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? E ʻeha anei au?
ʻAʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ke ʻoki ʻana no ka mea e mae wale kou maka. Ma hope o ke ʻoki ʻana, hiki iā ʻoe ke ʻike i kahi ʻeha iki a i ʻole ka ʻoluʻolu ʻole i kou maka. E hāʻawi ke kauka iā ʻoe i nā mea hoʻomaha ʻeha a me nā kulu maka e kōkua i kēia.
ʻOkoʻa ka manawa hoʻōla ma muli o ke ʻano o ke ʻoki kino āu i hana ai.
- Ma hope o ke ʻoki ʻana i ka laser, hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o hoʻokahi a ʻelua paha lā.
- Ma hope o ke ʻoki ʻana me kahi ʻoki, pono ʻoe e makaʻala no kekahi manawa. Pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha, ke kau ʻana i ka wai i loko o kou mau maka, a i ʻole ka hamo ʻana i kou mau maka no hoʻokahi a ʻelua paha pule, a i ʻole hoʻokahi mahina paha.
E haʻi aku ke kauka iā ʻoe i ka wā e pono ai ʻoe e hoʻi mai no nā manawa hoʻopaʻa. E hōʻoia e hele i kēlā mau manawa. ʻO ia ka manawa e nānā ʻia ai nā mea e like me ke kaomi o ka maka a me ka ho'ōla ʻana.
Āhea wau e kāhea aku ai i ke kauka?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, he mea nui e hoʻomaopopo koke i kāu kauka inā manaʻo ʻoe i kekahi mea ʻē. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻokaʻulua.
- Inā ʻoe e loaʻa i ka ʻeha nui a hiki ʻole ke hoʻomanawanui .
- Inā manaʻo ʻoe e nalowale koke ana kou ʻike a i ʻole e palalulu ana.
- Inā ʻulaʻula loa ka maka, kahe nā waimaka a piʻi aʻe paha ka huʻa .
Inā hana kēia, e kāhea koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻO ka pahuhopu nui o ke ʻoki ʻana i ka glaucoma ka hoʻemi ʻana i ke kaomi o nā maka a pale i kou ʻike mai ka hōʻino hou aʻe.
- Aia nā ʻano hana like ʻole, e like me ka laser, ke ʻoki ʻoki, a me MIGS. Na kāu kauka e koho i ke ʻano hana kūpono loa iā ʻoe.
- He mau hana ʻoki palekana kēia, a i ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
- He mea nui ka hahai pono ʻana i nā ʻōlelo lapaʻau ma mua a ma hope o ke ʻoki ʻana no ka hoʻōla koke ʻana.
- E ʻoluʻolu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai e pili ana i kāu ʻoki kino a i ʻole ke kūlana. ʻO ka hoʻomaopopo maopopo ka lāʻau lapaʻau maikaʻi loa.
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