Ke ʻimi nei i nā aniani ʻelua ma ka ʻaoʻao o ka moena i kēlā me kēia kakahiaka ke ala ʻoe, ke noe nei kāu mau aniani i nā lā ua, ke ʻulaʻula a huhū kou mau maka ke kau ʻoe i nā aniani hoʻopili ... Ua kamaʻāina anei kēia mau mea iā ʻoe? ʻOiai he mea maʻalahi nā aniani a me nā aniani hoʻopili, hiki iā lākou ke lilo i mea hoʻopilikia nui i kekahi manawa. No laila pehea inā he ala e hoʻopau ai i kēia mau aniani no ka wā pau ʻole a ʻike maopopo i ke ao nei? ʻO ia ke kumu o ka ʻenehana hou loa a mākou e kamaʻilio nei i kēia lā, i kapa ʻia ʻo SMILE.
He aha ke ʻano o ke ʻoki maka SMILE?
ʻO SMILE kahi huaʻōlelo pōkole no kekahi mau huaʻōlelo Pelekania: Small Incision Lenticule Extraction. He kani weliweli ka inoa, ʻeā? Akā, he maʻalahi loa ke kaʻina hana a palekana loa.
I ka ʻōlelo maʻalahi, he ʻoki laser kēia e hoʻomaikaʻi i kou ʻike. Hoʻōla kūikawā ia i ʻelua mau kūlana : ka ʻike kokoke a me ka astigmatism .
E noʻonoʻo i ka cornea , ka ʻāpana moakaka o kou maka, e like me ka lens kāmela. Ke loaʻa iā ʻoe nā pilikia ʻike, ua hoʻopilikia iki ʻia ke ʻano o kēia lens. Hoʻohana ke ʻoki SMILE i kahi laser holomua loa e hoʻoponopono hou i ka cornea.
Eia ka mea e hana ʻia:
1. Hoʻokumu ka laser i kahi ʻāpana ʻiʻo lahilahi loa e like me ke kālā (kapa mākou i kēia he lenticule ) i loko o kou cornea.
2. A laila, hana ʻia kahi ʻoki liʻiliʻi loa, ʻaʻole i emi iho ma mua o 4 millimeters, ma ka maka me ka hoʻohana ʻana i ka laser.
3. Wehe pono ke kauka ʻoki maka i ka ʻāpana ʻiʻo i hoʻomākaukau mua ʻia (lenticule) ma o kēia ʻoki liʻiliʻi.
ʻO ia wale nō. Ke wehe ʻia kēlā ʻāpana liʻiliʻi o ka ʻiʻo, loli ke ʻano o ka cornea, a ʻoi aku ka maopopo o kou ʻike. Ua like ia me ke aniani i hoʻokomo ʻia i loko o kou maka.
ʻO wai ka mea kūpono no kēia ʻoki kino?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻĀ... no laila hiki iaʻu ke hana i kēia?" ʻAʻole hiki i nā kānaka a pau ke hana i ke ʻoki SMILE. Aia kekahi mau hōʻoia e pono e hoʻokō ʻia. ʻO kāu kauka maka ke kanaka maikaʻi loa e hoʻoholo inā kūpono ʻoe no kēia. Hoʻomaopopo pinepine ʻia kēia mau hōʻoia.
| Manaʻo | Wehewehena |
|---|---|
| Makahiki | Pono ʻoe ma ka liʻiliʻi he 22 mau makahiki, no ka mea, e loli paha kāu palapala kauoha ma mua o kēlā manawa. |
| Paʻa o ka ʻike | ʻAʻole paha he loli nui i ka nui o kou mau makaaniani i ka makahiki i hala. |
| Ka pae o ka hemahema o ka ʻike maka | Pono kou ʻike kokoke ma waena o -1 a me -10 (diopters) a ʻo kou astigmatism a hiki i ka 3 (diopters). |
| Ola kino o ka cornea | Pono kou cornea e olakino a mānoanoa hoʻi. |
| Hoʻomaopopo ʻana | Pono ʻoe e hoʻomaopopo pono i nā pono, nā pilikia, a me nā palena o ke ʻoki kino. |
ʻO wai ka mea pono ʻole e hana i ke ʻoki SMILE?
Eia kekahi, ʻaʻole ʻōlelo ʻia kēia ʻoki kino no ka poʻe me kekahi mau kūlana olakino, no ka mea, ʻoi aku ka nui o nā pilikia.
- Nā makuahine hāpai a hānai waiū paha
- ʻO ka poʻe e hoʻololi pinepine i kā lākou mau aniani
- ʻO nā kānaka me ka maʻi diabetes i kāohi ʻole ʻia
- Nā kānaka me ka glaucoma koʻikoʻi
- Nā kānaka me nā ʻeha corneal
- ʻO nā kānaka me nā maʻi corneal e like me keratoconus
- ʻO nā kānaka me nā cataracts e hoʻopilikia ana i ka ʻike
- ʻO ka poʻe i loaʻa i ke ʻoki maka ma mua, nā maʻi, a i ʻole nā ʻeha
- Nā kānaka me kekahi mau maʻi ʻili
ʻO ka mea nui loa, ʻo ia ke kūkākūkā ākea i kēia mau mea a pau me kāu kauka. E nānā pono ʻo ia i kou mau maka a haʻi iā ʻoe i ka mea maikaʻi loa iā ʻoe.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
ʻAe, e ʻōlelo kākou ua hoʻoholo ke kauka he moho kūpono ʻoe no ke ʻoki kino. He aha ka mea e hiki mai ana? Ma mua o ke ʻoki kino, e loaʻa iā ʻoe kekahi mau hoʻokolohua hou aʻe. Ua kapa ʻia kēia he manawa ma mua o ke ʻoki kino.
I kēia manawa, ua ana pololei ʻia ke kūlou a me ka mānoanoa o kou cornea, a ua hana ʻia ka hoʻolālā no ke ʻoki ʻana i ka laser. Ua like ia me ka palapala ʻāina i hana ʻia no kou maka.
Eia kekahi, hāʻawi ia iā ʻoe i kekahi mau ʻōlelo aʻoaʻo e like me kēia:
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (ʻoiai nā huaora). E noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau ma mua o ke ʻoki ʻana.
- E aʻo lākou iā ʻoe inā pono ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana i ka lā ma mua o ke ʻoki ʻana.
- ʻO ka mea nui loa: Pono ʻoe e loaʻa i kahi lālā o ka ʻohana a i ʻole hoaaloha e hoʻokele iā ʻoe i ka home i ka lā o ke ʻoki kino, no ka mea, ʻaʻole hiki iā ʻoe ke hoʻokele i kēlā lā.
He mea kupaianaha ke ʻano o ka hana ʻana o ke ʻoki kino!
E makaʻu paha ʻoe i ka lā o kou ʻoki ʻana, akā he hana wikiwiki loa ia a ʻaʻohe ʻeha.
ʻO ka mea mua, hoʻomāʻū lākou i kou maka me nā kulu maka. ʻAʻole lākou e hāʻawi iā ʻoe i kekahi inikini. A laila lawe lākou iā ʻoe i ka mīkini laser. ʻO kāu wale nō e hana ai, ʻo ka nānā ʻana i ke kukui e like me ka ʻōlelo a ke kauka iā ʻoe.
A laila hoʻāla ʻia ka laser femtosecond . ʻAʻole ʻoe e manaʻo i ka laser e pā ana i kou maka. Hana ʻia ka hana a ka laser ma kahi o 30 kekona . I loko o ia manawa, hana ʻia ka lenticule a me ka ʻoki liʻiliʻi a mākou i ʻōlelo ai ma mua.
A laila lawe ke kauka i ka lenticule ma o kēlā ʻoki liʻiliʻi. ʻO ia wale nō. ʻAʻole ia e ʻoi aku ma mua o kekahi mau minuke no kēlā me kēia maka. ʻAʻohe humuhumu. Hoʻōla ka maka iā ia iho i hoʻokahi a ʻelua paha lā.
Nā Pōmaikaʻi o ke ʻoki ʻana o SMILE a me kona ʻokoʻa mai LASIK
I ke kamaʻilio ʻana e pili ana i ke ʻoki ʻana o SMILE, ʻo kekahi o nā nīnau a ka poʻe he nui e nīnau ai inā ʻoi aku ka maikaʻi ma mua o ke ʻoki ʻana o LASIK. He palekana loa a holomua nā ʻoki ʻelua. Eia nō naʻe, aia kekahi mau kumu e kūpono ai ke ʻoki ʻana o SMILE no kekahi poʻe.
| ʻAno | ʻO ke ʻoki ʻana o ka minoʻaka | ʻO ke ʻoki LASIK |
|---|---|---|
| ʻOki a me ka Flap | ʻAʻohe ʻoki ʻia o ka ʻili ma ka cornea. He ʻoki liʻiliʻi wale nō. | Ua ʻoki ʻia kahi ʻāpana o ka cornea a waiho ʻia no ka mālama ʻana me ka laser. |
| Nā Maka Maloʻo | Ma muli o ka liʻiliʻi loa o ka hōʻino ʻana i nā aʻalolo i loko o ka cornea, haʻahaʻa ka manawa e maloʻo ai nā maka ma hope o ke ʻoki ʻana. | ʻO ka ʻoki ʻana i ka membrane hiki ke hōʻino hou aku i nā aʻalolo, a he mea maʻamau nā maka maloʻo. |
| ʻAno nohona hana | He kūpono ia no ka poʻe e pāʻani haʻuki a hana nui. No ka mea, ʻaʻohe ʻaoʻao, ʻaʻohe makaʻu o ka haehae ʻia. | Ma muli o ka liʻiliʻi loa o ka pilikia o ka haehae ʻana o ka ʻūpā, pono e mālama nui ʻia i kekahi mau hana. |
| Ka manawa ho'ōla | He wikiwiki loa ka ho'ōla ʻana. Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha lā. | ʻOiai he wikiwiki ka ho'ōla ʻana, pono ʻoe e makaʻala loa i nā lā mua ma muli o ka ʻōpala. |
Nā pono ʻē aʻe o ke ʻoki ʻana o SMILE
- ʻAʻohe ʻeha: ʻAʻohe ʻeha nui i ka wā a ma hope paha o ke ʻoki ʻana.
- Nā hopena wikiwiki: E ʻike paha ʻoe i kahi ʻokoʻa koʻikoʻi i kou ʻike ma hope koke iho o ke ʻoki ʻana. E ʻoi aku ka maikaʻi o kou ʻike i nā lā e hiki mai ana.
- Ka nui o ka holomua: Ua hōʻike ʻia nā noiʻi ma luna o 99% o nā kānaka he 20/40 a ʻoi aku paha ka ʻike ma hope o 6 mau mahina ma hope o ke ʻoki ʻana.
ʻAʻole anei he mau pilikia a me nā pilikia?
E like me nā ʻoki kino āpau, hiki i ke ʻoki kino SMILE ke loaʻa nā pilikia liʻiliʻi loa. He mea kākaʻikahi loa kēia, akā he mea nui e makaʻala iā lākou.
- Nā kinipōpō a me ka ʻālohilohi: Ke nānā aku i nā kukui uila , ʻoiai i ka pō, ʻike ʻia paha he mau kinipōpō a puni lākou. Hoʻemi pinepine kēia i ka hala ʻana o ka manawa.
- Maka maloʻo: ʻOiai ʻaʻole i maʻamau ka SMILE, hiki i kekahi poʻe ke loaʻa nā maka maloʻo no kekahi manawa. Hiki ke hoʻohana ʻia nā kulu maka no kēia.
- He kauka akamai: ʻOiai he ʻenehana hou ʻo SMILE, ʻoi aku ka liʻiliʻi o nā kauka akamai ma Sri Lanka e hana ana i kēia ʻoki kino ma mua o LASIK. No laila, he mea nui e hana ʻia ke ʻoki kino ma kahi i ʻike nui ʻia a hilinaʻi ʻia.
- Poho ʻike: He pilikia kakaikahi loa kēia. ʻOi aku ka liʻiliʻi o ka manawa kūpono o ka hanana ma mua o hoʻokahi i loko o hoʻokahi tausani.
He aha kaʻu e hana ai ma hope o ke ʻoki kino?
I mea e mālama pono ai i kou ʻike ma hope o ke ʻoki ʻana, he mea nui e hahai pololei i nā ʻōlelo a kāu kauka.
- E ʻaʻahu i nā aniani palekana:I nā lā mua ma hope o ke ʻoki ʻana, e ʻaʻahu i nā aniani maka a i ʻole nā aniani palekana e pale iā ʻoe iho mai ka lepo a me nā mea pōʻino maka.
- E hoʻohana pololei i nā kulu maka: E kau i nā kulu maka i ka manawa kūpono e pale aku ai i nā maʻi a kōkua i kou mau maka e ho'ōla.
- E akahele me ka wai: Mai hoʻokuʻu i ka wai a i ʻole ke kopa e komo i loko o kou mau maka no ka pule mua a i ʻole. E akahele i ka ʻauʻau ʻana. E pale loa i nā loko ʻauʻau a me nā ʻauʻau wela.
- ʻAʻohe mea hoʻonani maka: Mai hoʻopili i ka mea hoʻonani maka a hiki i ka ʻae ʻana o kāu kauka.
- Mai hamo i kou mau maka: ʻOiai inā maneʻo kou mau maka, mai hamo iā lākou. Hiki i kēia ke hōʻino i ka cornea.
I ka manawa e ʻimi koke ai i ke aʻo lapaʻau
He mea maʻamau ka ʻike ʻana i kahi ʻoluʻolu iki ma hope o ke ʻoki ʻana. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) kokoke loa.
- Inā ʻoe e ʻeha nui i nā maka .
- Inā nalowale koke kou ʻike a i ʻole e lilo ia i mea pōwehiwehi.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi (pehu maka, ʻulaʻula, kuni, kahe ʻana o ka nahu mai ka maka).
Leka Lawe-Home
- He hana ʻoki maka laser palekana a holomua loa ka SMILE i hoʻohana ʻia no ka hoʻoponopono ʻana i ka ʻike maka kokoke a me ka astigmatism.
- Ma muli o ka hana ʻia ʻana o kēia ma o kahi ʻoki liʻiliʻi loa, ua wikiwiki loa ka manawa hoʻōla, a ua haʻahaʻa ka pilikia o nā hopena ʻaoʻao e like me nā maka maloʻo.
- He koho maikaʻi loa kēia no ka poʻe e pāʻani ana i nā haʻuki a alakaʻi paha i kahi nohona ola ikaika loa.
- ʻO ke kauka maka akamai wale nō ke hoʻoholo inā kūpono kēia ʻoki kino iā ʻoe. No laila, e kūkākūkā pono i nā mea āpau me kāu kauka ma mua o ka hoʻoholo ʻana i ke ʻoki kino.
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