Hoʻonā i ke kaomi maka: E aʻo e pili ana i ke ʻoki kino goniotomy

Ua lohe paha ʻoe i nā huaʻōlelo 'high eye pressure' a i ʻole 'glaucoma'? Malia paha he maʻi kēia i loaʻa i kekahi o kou ʻohana. He mea hopohopo iki ia, no ka mea, hiki i ke kaomi maka kiʻekiʻe ke hōʻino mau loa i ko kākou ʻike. Akā, mai hopohopo, ua holomua loa ka lāʻau lapaʻau o kēia wā. ʻO kekahi o nā lāʻau lapaʻau kūpono a palekana loa no kēia, ʻo ia ke ʻoki kino i kapa ʻia ʻo goniotomy. E nānā kākou i ke ʻano o ia mea, pehea e hana ʻia ai, a he aha nā pono o ia mea .

I ka ʻōlelo maʻalahi, he aha ka goniotomy?

He ʻoki kūikawā ʻo Goniotomy i hana ʻia e hōʻemi i ke kaomi intraocular . No loko ia o kahi māhele i kapa ʻia ʻo Microinvasive Glaucoma Surgery (MIGS) . ʻO "Microinvasive" ke ʻano o ke ʻoki ʻana i hana ʻia me ka hoʻohana ʻana i nā mea hana liʻiliʻi a palupalu hoʻi me ka ʻole o ka hōʻino nui ʻana i ka maka.

Hoʻopuka mau ʻia a hoʻokahe ʻia ka wai wai mai ko mākou mau maka. Inā ʻaʻole i hoʻokahe pono ʻia kēia wai, piʻi ke kaomi i loko o ka maka. ʻO kēia ka mea a mākou e kapa nei he glaucoma. ʻO ke ʻoki ʻana o Goniotomy e wehe i ke ala e kahe ai kēlā wai a hoʻemi i ke kaomi. Pale kēia i ka hōʻino ʻana i ke aʻalolo optic i hoʻokumu ʻia e ka glaucoma a pale i ko mākou ʻike.

ʻO wai ka mea kūpono loa e hana ʻia kēia ʻoki kino?

I ka wā ma mua, ua hana nui ʻia ke ʻoki goniotomy ma nā keiki ʻōpio me ka glaucoma hānau . Eia nō naʻe, me ka holomua o ka ʻenehana, ke hoʻohana ʻia nei me ka holomua nui no nā ʻano maʻi glaucoma like ʻole i nā pākeke.

E nānā kāu kauka maka iā ʻoe a hoʻoholo inā kūpono kēia ʻoki no kou ʻano a me ke kūlana o ka glaucoma.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

E wehewehe kāu kauka maka i nā mea āpau iā ʻoe ma mua o ke ʻoki ʻana. E kamaʻilio pinepine lākou e pili ana i kēia mau mea:

• Nā lāʻau lapaʻau āu e lawe ai: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā lāʻau lapaʻau lāʻau). Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau (ʻoi aku ka lāʻau hoʻokahe koko) i kekahi mau lā ma mua o ke ʻoki ʻana.
• Anesthesia: Hoʻohana ʻia ka anesthesia e pale aku i ka ʻeha i ka wā o ke ʻoki ʻana. Hiki ke mae wale kou maka, a i ʻole hiki ke hoʻomaʻemaʻe loa ʻia ʻoe. Na ke kauka anesthesiology e wehewehe i kēia iā ʻoe.
• Hoʻokē ʻai:E noi ʻia ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 8 mau hola ma mua o ke ʻoki kino. Pono nō hoʻi ʻoe e hoʻōki i ka inu ʻana i nā wai e like me ka wai i 2 mau hola ma mua. E hahai pono i nā ʻōlelo a ke kauka.

Pehea e hana ʻia ai ke ʻoki kino

ʻAʻole nui kēia ʻoki kino e like me kou manaʻo. ʻO ka maʻamau, he 15 mau minuke ka lōʻihi e hoʻopau ai.

1. Anesthesia: ʻO ka mea mua, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e ʻole ai ʻoe e ʻeha.

2. He ʻoki liʻiliʻi: A laila hana ke kauka maka i kahi ʻoki liʻiliʻi loa, ma kahi o hoʻokahi milimita ka lōʻihi, ma ka cornea o kou maka.

3. Nā mea hana kūikawā: Hoʻokomo ʻia kahi mea hana maikaʻi loa i loko o ka maka ma o ka ʻoki ʻana. Me kēia, kau ʻia kahi aniani kūikawā (Gonioscopic lens) ma luna o ka maka. ʻAe kēia aniani i ke kauka e ʻike maopopo i nā ʻano maikaʻi i loko o ka maka a hoʻonui ʻia.

4. Ka hana nui: ʻO ka mea nui loa i kēia manawa. Aia kahi ʻāpana e like me ka mesh i loko o ka maka e kānana ana i ka wai, i kapa ʻia ʻo ka trabecular meshwork . Ke loaʻa iā ʻoe ka glaucoma, ʻaʻole hana pono kēia mesh. ʻO ka mea a ke kauka e hana ai, ʻo ia ka hoʻohana ʻana i kahi mea hana palupalu e hana i kekahi mau ʻoki liʻiliʻi i loko o kēia mesh. Hoʻokumu kēia i kahi ala hou no ke kahe ʻana o ka wai, a emi iho ke kaomi i loko o ka maka.

5. Pau: Ke pau ka hana, wehe ʻia nā lako a kau ʻia kahi pale maka liʻiliʻi e pale i nā maka.

Ka wā ma hope o ke ʻoki kino a me ka wā hoʻōla

Ma hope o ke ʻoki kino, e nānā ʻia ʻoe no kekahi manawa a laila e ʻae ʻia e hoʻi i ka home. No ka mea ʻaʻole hiki iā ʻoe ke hoʻokele, pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home.

E kuhikuhi ke kauka i kekahi mau kulu maka e kau i loko o kou mau maka. Pono ʻoe e hoʻohana i nā lāʻau antibiotic no kekahi mau lā a me nā lāʻau anti-inflammatory no kekahi mau pule.

He mea maʻamau ka ʻike ʻana i kekahi mau waimaka, ka ʻike maka pohihihi, a me kahi manaʻo ʻōniʻoniʻo i loko o nā maka i nā lā mua. E nalo aku kēia mau mea i loko o kekahi mau lā.

E hoʻomanaʻo i kēia mau mea i ka wā e hoʻōla ai

Aia kekahi mau pilikia a me nā pilikia?

He mea kākaʻikahi nā pilikia koʻikoʻi mai ka goniotomy. E like me nā ʻoki maka āpau, aia kahi pilikia liʻiliʻi o ka maʻi a i ʻole ka ʻeha.

ʻO nā pilikia kikoʻī ʻē aʻe, akā liʻiliʻi paha, e komo pū ana:

• Ke kahe koko iki i loko o ka maka (ho'ōla pinepine kēia ma kona iho i hoʻokahi a ʻelua paha pule).
• Ka piʻi ʻana o ke kaomi o nā maka no kekahi manawa.
• Nā loli liʻiliʻi i ka ʻike, no ka laʻana , ka astigmatism .
• I ka liʻiliʻi loa, hiki ke loaʻa nā kūlana e like me ke kaomi maka haʻahaʻa loa (hypotony) a i ʻole ka retinal detachment.

E wehewehe kāu kauka i kēia mau pilikia iā ʻoe me nā kikoʻī hou aku.

I ka manawa hea ʻoe e pono ai e ʻimi i ke kōkua lapaʻau no ka pilikia?

Ma hope o ke ʻoki ʻana, inā ʻike ʻoe i nā hōʻailona e hiki mai ana, e kāhea koke aku i kāu kauka maka:

• ʻEha maka hiki ʻole ke hoʻomanawanui.
• Ka nalowale koke ʻana o ka ʻike a i ʻole ka ʻike pōwehiwehi loa.
• Ke ʻike nei i nā halo a puni nā kukui.
• Nā maka ʻulaʻula loa a i ʻole ke kahe ʻana o ka wai e like me ka nahu mai nā maka mai.

I ke kūlana pilikia e like me kēia, e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.