Ke pohihihi nei anei nā maka ma hope o ke ʻoki ʻana i ke cataract? E kamaʻilio kākou e pili ana i ka Posterior Capsular Opacification!

Ua hana ʻia anei ʻoe i ke ʻoki cataract i hala koke aku nei? Ua hauʻoli paha ʻoe i kou ʻike ma hope o ke ʻoki ʻana, ʻeā? Akā i kekahi manawa, ma hope o kekahi manawa, hiki i kou ʻike ke hoʻomaka e lilo i mea pōwehiwehi hou, e like me ka noe. ʻO kēia ka mea a mākou e kamaʻilio nei i kēia lā, i kapa ʻia ʻo 'Posterior Capsular Opacification'. Mai hopohopo, he mea maʻamau kēia a hiki ke mālama maʻalahi ʻia.

I ka ʻōlelo maʻalahi, he aha kēia 'posterior capsular opacification'?

E noʻonoʻo, ua loaʻa hou anei iā ʻoe kahi cataract? ʻAʻole, ʻaʻole hiki kēlā. Ua ʻike anei ʻoe i ke aha? ʻO kēlā blurring a nā kauka i kapa ai ʻo 'cataract' e hana wale ʻia ma ka lens maoli i loko o ko mākou mau maka. ʻO ia hoʻi, ma ka lens a mākou e loaʻa ai i ka wā e hānau ʻia ai mākou. ʻO ka lens artificial (Intraocular Lens - IOL) i hoʻokomo ʻia ma hope o ke ʻoki ʻana ʻaʻole ia e hoʻoulu hou i nā cataracts.

No laila he aha ka 'posterior lenticular opacification' (PCO)? ʻO ka mea e hana ʻia ma kēia , ʻo ka membrane lahilahi i kapa ʻia ʻo 'lens capsule' e paʻa ana i ka lens artificial (IOL) ma kahi e lilo i ao. I mea pololei, aia ka lens o kou maka i loko o kēia capsule. I ka wā o ke ʻoki ʻana, ua wehe ʻia ka lens kūlohelohe kahiko, ao a ua hoʻokomo ʻia kahi lens artificial hou, moakaka (IOL) i loko o kēlā capsule. No laila, aia nō ka capsule lens i loko o ka maka.

E noʻonoʻo i kāu capsule lens e like me kahi lumi liʻiliʻi. Ke wehe ʻia kāu lens kahiko, kūlohelohe, hoʻokomo ʻia kahi lens hana hou (IOL). Akā, ʻo nā paia o ka lumi (ka capsule lens) e mau ana ia. Hana ʻia kēia capsule lens me nā mea kūlohelohe e like me nā cell. He moakāka loa ia ma ke ʻano maʻamau. Eia naʻe, e like me ka lilo ʻana o ko kākou lens kūlohelohe i ao, i ka hala ʻana o ka manawa, hiki i kēia capsule lens ke lilo i ao a ao paha. ʻO kēia ka mea a mākou e kapa nei he 'cataract secondary'.

ʻO kēia ʻōuli o ke capsule lens e hana ʻia ma ke ʻano he ʻāpana o ke kaʻina hana ho'ōla o ka maka ma hope o ke ʻoki ʻana. Inā hana kēia iā ʻoe, ʻaʻohe pono e hopohopo. Hiki i ke kauka ke wehe i kēia 'cataract secondary' me kahi lāʻau laser wikiwiki loa, outpatient.

Pehea ka lōʻihi ma hope o ke ʻoki ʻana i ka cataract e hiki ai ke hana i kēia ʻano? A pehea ka maʻamau?

ʻO kaʻoiaʻiʻo, hiki i kēia 'posterior lenticular opacification' (PCO) ke hana i kekahi mau mahina a i ʻole nā ​​​​makahiki ma hope o kāu ʻoki cataract.

ʻO kēia ka pilikia maʻamau ma hope o ke ʻoki cataract.

Ua hōʻike kekahi mau noiʻi a hiki i ka 50% o ka poʻe i hana ʻia ke ʻoki cataract e loaʻa paha kēia maʻi i loko o ʻelima mau makahiki o ke ʻoki ʻana. No laila, e like me kāu e ʻike ai, ʻaʻole kēia he mea maʻamau.

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona o ka Posterior Capsular Opacification ua like loa ia me nā hōʻailona o ka cataracts i loaʻa iā ʻoe ma mua o ke ʻoki ʻana. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻIke pōwehiwehi, maopopo ʻole, a noe paha. Me he mea lā e nānā ana ma o ke aniani hau.
• ʻAlohilohi a i ʻole nā ​​​​halo a puni nā kukui i ka nānā ʻana i ka mālamalama.
• ʻIke i ka mālamalama.
• Ka paʻakikī o ka heluhelu ʻana i nā puke.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea nui, ʻaʻole ia e hopohopo a ʻimi i ke kōkua lapaʻau.

No ke aha lā kēia e hana maoli nei?

Ma hope o ka wehe ʻana o kāu kauka maka i ka lens maoli mai kou maka i ka wā o ke ʻoki cataract, hiki ke koe kekahi o nā cell epithelial lens. A laila neʻe kēia mau cell i ka ʻili o ka capsule lens kahi i kau ʻia ai ka lens artificial. Kāhea nā kauka i kēia ʻo 'cell migration'. He ʻāpana maoli ia o ke kaʻina hana ho'ōla maʻamau o ke kino.

I ka hōʻiliʻili ʻana o nā pūnaewele, ʻo kāu capsule lens, ka mea i maʻa mau i ka moakāka, hoʻomaka mālie e lilo i ao a me nā ʻeha.

E like me ka mea i ʻōlelo ʻia ma mua, inā he lumi kāu capsule lens, ua like ia me ka lepo e hōʻiliʻili ana ma ka puka makani o kēlā lumi. No laila, hōʻemi kēia blurring i kou hiki ke ʻike maopopo i ke ao ma waho o ka puka makani (ʻo ia hoʻi kou maka). ʻO ia ka manawa e hoʻomaka hou ai nā hōʻailona like i hoʻokumu iā ʻoe i ke ʻoki cataract ma kahi mua.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka 'secondary cataract'?

ʻO kēlā me kēia mea i hana ʻia i ke ʻoki cataract, aia i ka pilikia o ka loaʻa ʻana o kēia 'cataract secondary'. Eia nō naʻe, inā loaʻa iā ʻoe kekahi o kēia mau kūlana, hiki ke kiʻekiʻe iki aʻe kou pilikia:

• Nā maʻi maka i hoʻokumu ʻia e ka maʻi diabetes (Diabetes-related retinopathy)
• ʻO ka glaucoma
• ʻO ka maʻi retinitis pigmentosa
• Ke kiʻekiʻe o ka myopia
• Ka mumū ʻana o ka membrane uveal o ka maka (Uveitis)

Eia kekahi, inā loaʻa iā ʻoe kekahi mau pilikia (e like me ka pehu ʻana o ka maka) i ka wā a ma hope koke iho paha o kāu ʻoki ʻana i ka cataract, hiki iā ia ke hoʻonui i kēia pilikia.

Pehea e ʻike ai nā kauka i kēia?

Hoʻomaopopo nā kauka maka i kēia kūlana, i kapa ʻia ʻo Posterior Capsular Opacification , ma ka nānā pono ʻana i kou mau maka. Hana ʻia kēia me ka hoʻohana ʻana i kahi hoʻāʻo ʻeha ʻole i kapa ʻia he slit lamp exam. Hiki i ke kauka ke nānā pono i loko o kou maka. E nīnau pū ke kauka e pili ana i kou mōʻaukala olakino a me nā ʻoki maka āu i hana ai.

No laila he aha nā lāʻau lapaʻau no kēia?

Hoʻōla nā kauka i kēia 'cataract secondary' me ka 'YAG laser capsulotomy'.I kekahi manawa ua kapa ʻia kēia he 'posterior capsulotomy'. Hiki ke hana ʻia kēia ma ke keʻena o ke kauka a he ʻelima mau minuke ka lōʻihi. ʻO 'YAG' ka inoa o ke ʻano laser kūikawā i hoʻohana ʻia no kēia.

Eia ka mea e hana ʻia ma kēia lāʻau lapaʻau:

1. ʻO ka mea mua, e hoʻomānoʻino ʻia kou maka me nā kulu maka kūikawā , no laila ʻaʻole ʻoe e ʻeha.

2. A laila, hoʻohana ke kauka i kahi kukuna laser e hana i kahi puka liʻiliʻi loa i loko o ke capsule lens ao.

3. ʻAe kēia lua i ka mālamalama e hele ma o kāu lens intraocular (IOL) me ke keʻakeʻa ʻole, e hāʻawi hou iā ʻoe i ka ʻike maopopo.

Maʻalahi, ʻeā?

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka lāʻau lapaʻau?

ʻO ka maʻamau, e hoʻomaka ana kou ʻike e hoʻomālamalama i loko o hoʻokahi lā a i ʻole ma hope o ka YAG laser capsulotomy. Eia nō naʻe, hiki iā ʻoe ke manaʻo i nā mea lana i loko o kou mau maka no kahi o ʻelua pule. He mau ʻāpana liʻiliʻi kēia o nā ʻōpala i wehe ʻia i ka wā o ka mālama ʻana i ka laser. E hoʻoheheʻe lākou iā lākou iho i ka hala ʻana o ka manawa.

Aia kekahi mau pilikia me kēia lāʻau laser?

He kaʻina hana ka YAG laser capsulotomy me ka haʻahaʻa loa o ka pilikia o nā pilikia koʻikoʻi . Eia nō naʻe, aia kekahi mau pilikia kakaikahi e hiki ke hana:

• Ka hemo ʻana o ka retina. Hiki ke hoʻonui iki ʻia kēia pilikia inā he kiʻekiʻe kou ʻike maka kokoke.
• Hoʻonui ʻia ke kaomi i loko o kou maka. ʻOi aku ke kiʻekiʻe o kēia pilikia i ka poʻe me ka glaucoma.
• Ka neʻe ʻana o ka IOL.

ʻOiai he mea kakaikahi loa kēia, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kēia.

He mau nīnau koʻikoʻi hou aʻe...

E hoʻomaikaʻi koke anei kēia 'opacity o ka membrane lens hope'?

ʻAʻole. Pono ʻoe i ka lāʻau lapaʻau e loaʻa hou ai kou ʻike maopopo. Inā ʻike ʻoe i nā hōʻailona, ​​​​mai hoʻokaʻulua e ʻike i ke kauka.

Aia kekahi ala e pale aku ai i ke kūkulu ʻia ʻana o nā 'cataracts secondary'?

ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i kēia mai ka hana ʻana. Eia nō naʻe, ke hoʻāʻo mau nei nā kānaka noiʻi e hoʻomohala i nā ʻano hana ʻoki kino hou a me nā ʻenehana lens intraocular (IOL) e hiki ke hōʻemi i kēia pilikia. Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia mau hoʻomohala hou loa e aʻo hou aku.

E ho'ōla loa ʻia anei kēia maʻi inā e mālama ʻia?

ʻAe, ʻoiaʻiʻo nō! Me ka mālama ʻana, hoʻōla koke nā 'cataracts lua'. Pono ʻoe e ʻoluʻolu a maopopo kou ʻike i loko o 24 mau hola o ke ʻoki ʻana i ka laser.

Ke ʻoi aku nei ka ʻino o kēia 'posterior lens opacity' i ka hala ʻana o ka manawa?

ʻAe, i ka wā e lilo mālie ai kāu capsule lens i mea ao, e ʻoi aku ka ʻino o kāu mau hōʻailona. ʻO ia ke kumu he mea nui e ʻike i ke kauka i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona hou, e loaʻa kahi hōʻailona kūpono, a loaʻa ka lāʻau lapaʻau.

He aha ka mea e hiki mai ana ma hope o ka mālama ʻia ʻana o kēia maʻi?

He nui ka poʻe i loaʻa nā hopena maikaʻi loa ma hope o ka mālama ʻana no nā 'cataracts secondary'. He mea kākaʻikahi loa, hiki i kāu capsule lens ke lilo hou i ao. Inā hana ʻia kēia, hiki i kāu kauka ke mālama iā ia me ka mālama laser, e like me kā lākou i hana ai ma mua.

Āhea wau e ʻike ai i ke kauka? Pehea inā he pilikia ia?

Inā loaʻa iā ʻoe nā hōʻailona o ke ʻano 'secondary cataract', e ʻike koke i ke kauka. ʻAʻole ia he manaʻo maikaʻi e hoʻopaneʻe i ka mālama ʻana. ʻO kēia no ka mea hiki i kēia mau hōʻailona (no ka laʻana, nā loli i ka ʻike) ke lilo i mau hōʻailona o kekahi mau ʻano maʻi maka ʻē aʻe, ʻaʻole wale nā ​​'secondary cataracts'. E nānā kāu kauka iā ʻoe, e ʻike i ka mea e hana nei, a hāʻawi i ka lāʻau kūpono.

Nā hihia e pono ai ka mālama ʻana i ka pilikia

Inā loaʻa iā ʻoe nā hōʻailona o ka retinal detachment , e hele koke i ka keʻena pilikia o ka haukapila:

• I ka manawa koke, ʻike ʻia nā mea lana hou i mua o nā maka.
• Nā ʻālohilohi o ke kukui, me nā maka e hāmama ana a pani ʻia paha.
• ʻO ka manaʻo o kahi mea e like me ke aka e pālahalaha ana ma kou ʻike, a i ʻole e like me ka hāʻule ʻana o ka pale.

I kēia hihia, ʻo ka wikiwiki o kou ʻimi ʻana i ke kōkua lapaʻau, ʻoi aku ka maikaʻi o kou kūlana no ka holomua o ka mālama ʻana. ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana hiki ke alakaʻi i ka nalowale mau loa o ka ʻike.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Inā kokoke ʻoe e hana i ke ʻoki cataract, hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia mau mea:

• He aha koʻu pilikia o ka loaʻa ʻana o kahi 'cataract secondary'?
• He aha kāu e hana ai e hōʻemi i kēlā pilikia?
• I ka manawa hea e ulu ai ka cataract lua?
• He aha nā hōʻailona e pono iaʻu e makaʻala?

Inā ʻoe e noʻonoʻo ana i ka mālama ʻana i ka laser no ka cataract lua, e nīnau i kāu kauka e pili ana i:

• He aha kaʻu e manaʻo ai i ka wā o kēia ʻoki kino?
• Pehea ka manawa ho'ōla?
• Āhea e hoʻi hou ai koʻu ʻike i ke kūlana maʻamau?
• He aha nā pilikia e kū mai iaʻu mai kēia lāʻau lapaʻau?
• He aha kāu e hana ai e hōʻemi i koʻu pilikia o nā pilikia?
• He aha nā manawa kūpono e hoʻomohala hou ai i kahi cataract lua i ka wā e hiki mai ana?

ʻAʻohe mea makemake e loaʻa kahi pilikia ma hope o ke ʻoki ʻana. Inā hana ʻia kēlā, hiki iā ʻoe ke manaʻo i ka hoka a me ke kaumaha. Akā e hoʻomanaʻo, ʻo kēia 'cataract lua' kahi kūlana e kū mai ana ma hope o ke ʻoki ʻana i ka cataract.He mea maʻamau loa ia. Ua ʻike nā kauka pehea e mālama pono ai. A ua hilinaʻi lākou e loaʻa koke ana iā ʻoe ka ʻike maopopo a hiki iā ʻoe ke ola i kahi ola maʻamau.

Eia nō naʻe, ʻaʻohe mea he ʻoki kino āu e hana ai, inā he ʻoki cataract a i ʻole ke ʻoki laser no nā 'cataracts secondary,' he mea nui e kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki mai ana. Ma ka ʻike ʻana i nā pilikia, hiki iā ʻoe ke hōʻoluʻolu i kou mau makaʻu e pili ana i nā mea e hiki mai ana, a e mākaukau e hoʻoponopono i nā pilikia e kū mai ana ma ke ala.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo

ʻAe, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ka 'Posterior Capsular Opacification' a i ʻole 'Secondary Cataract' a mākou i kamaʻilio ai.

• ʻAʻole kēia he hoʻi hou ʻana o kou cataract kahiko. He ʻōuli kēia o ka capsule lens e paʻa ana i ka lens artificial (IOL).
• He pilikia maʻamau kēia e hiki ke hana ma hope o ke ʻoki ʻana i ka cataract. No laila, mai makaʻu.
• Ua like nā hōʻailona me nā hōʻailona o ka cataract ma mua: ʻike maka pōwehiwehi, ʻike i ka mālamalama, a pēlā aku.
• Hiki ke ho'ōla loa ʻia kēia me kahi lāʻau laser maʻalahi a wikiwiki hoʻi i kapa ʻia ʻo 'YAG laser capsulotomy'.
• E moakāka hou ana kou ʻike i loko o hoʻokahi a ʻelua paha lā ma hope o ka lāʻau lapaʻau.
• Inā ʻike ʻoe i kekahi mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau. ʻOi loa aku inā ʻike ʻoe i nā loli koke o ka ʻike, nā mea lana hou, a i ʻole ke poʻo māmā, e ʻike koke i ke kauka.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka maka. He waiwai nui nā maka olakino!

ʻOpacification Capsular Posterior , PCO, Cataract Lua, ʻOki Cataract, YAG Laser, Ola Kino Maka, ʻIke Pōwehiwehi