E like me kou ʻike paha , ʻo ka glaucoma kahi maʻi e piʻi ai ke kaomi i loko o ka maka, hiki ke hōʻino mālie i ko kākou ʻike. I ka hapa nui o nā hihia, hiki ke hoʻomalu ʻia kēia kaomi me nā kulu maka . Eia nō naʻe, i kekahi manawa, ʻaʻole hiki i nā kulu maka wale nō ke hoʻomalu i ke kaomi i loko o ka maka . I ia mau hihia, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā a kāu kauka e ʻōlelo ai.
He aha ka Trabeculectomy?
He hana ʻoki kino ka Trabeculectomy e hana ʻia e hōʻemi i ke kaomi i loko o ka maka i hoʻokumu ʻia e ka glaucoma. ʻAʻole ia he lāʻau lapaʻau mua no ka glaucoma. ʻO ke ʻano kēia, ʻaʻole ʻōlelo nā kauka i kēia ʻoki kino ma ke ʻano he koho mua. Manaʻo ʻia inā ʻaʻole i hiki i nā lāʻau lapaʻau ʻē aʻe, e like me nā kulu maka, ke kaohi i ke kaomi i loko o ka maka.
I ka ʻōlelo maʻalahi, ua like ia me ka hana ʻana i kahi kahawai hou e hoʻokahe i ka wai keu mai ka maka. ʻAʻole kēia he hana ʻoki kino nui, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
He aha ka mea e hana maoli ʻia me kēia ʻoki kino?
I loko o ko kākou mau maka, aia kahi wai kūikawā e hānai ana i ka maka a mālama iā ia i kona ʻano kūpono. Kāhea mākou i kēia he 'aqueous humor'. Ke hana mau ʻia nei kēia wai i loko o ka maka a kahe ana i waho o ka maka. Hana ʻia ia e like me ke kaʻapuni.
Eia nō naʻe, i loko o ka glaucoma, ua ālai ʻia kēia wai mai ke kahe ʻana i waho o ka maka. A laila hōʻiliʻili kēia wai i loko o ka maka, e hoʻonui ana i ke kaomi. Hoʻopōʻino kēia kaomi kiʻekiʻe i ke aʻalolo optic, ka mea e hoʻopili ai i ko kākou mau maka i ka lolo. Hoʻopōʻino mālie kēia pōʻino i ka nalowale o ka ʻike .
Hoʻokumu ke ʻoki trabeculectomy i kahi ala hou no ka wai keu (aqueous humor) e kahe i waho o ka maka, a laila e hoʻemi ana i ke kaomi i loko o ka maka.
ʻO ka mea nui e pono ai ʻoe e hoʻomaopopo ma ʻaneʻi, ʻaʻole hiki i kēia ʻoki kino ke hoʻihoʻi i ka ʻike i nalowale mua. Eia nō naʻe, hiki iā ia ke kōkua i ka hoʻōki a hoʻolohi paha i ka nalowale hou ʻana o ka ʻike.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E hāʻawi aku kāu kauka maka iā ʻoe i nā ʻōlelo aʻoaʻo a pau āu e pono ai ma mua o ke ʻoki kino. I loko o kēia manawa, e nānā ʻia kou mau maka a e hoʻoholo ʻia ʻoe he kūpono no ke ʻoki kino. Ma mua o ke ʻoki kino, e kūkākūkā ke kauka me ʻoe i kēia mau mea:
- Anesthesia : Inā paha e hana ʻia ke ʻoki ma lalo o ka anesthesia kūloko a i ʻole ka anesthesia laulā.
- Nā lāʻau lapaʻau āu e lawe nei: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā lāʻau lapaʻau lāʻau. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau ma mua o ke ʻoki ʻana.
- Ka hoʻokē ʻai ʻana : E aʻo ʻia ʻoe i ka nui o nā hola e pono ai ʻoe e hōʻole i ka ʻai ʻana a i ʻole ka inu ʻana ma mua o ke ʻoki ʻana.
- Kekahi e kōkua: He mea nui e loaʻa kekahi e hoʻokele iā ʻoe i ka home ma hope o ke ʻoki ʻana a e kōkua iā ʻoe ma ka home.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
I ka wā o ke ʻoki ʻana, e moe ʻoe ma luna o kahi papa hana. Inā pono, hiki ke hoʻopili ʻia kahi ʻōmole liʻiliʻi (laina IV) i kahi aʻa koko ma kou lima e hāʻawi iā ʻoe i ka lāʻau lapaʻau. A laila, e hoʻohana ʻia kahi mea liʻiliʻi e like me ke clip e paʻa ai kou mau lihilihi maka.
A laila, hoʻomaʻemaʻe ʻia ka maka. ʻO ka hapa nui, ʻo ka maka wale nō ka mea i hoʻomāʻeʻe ʻia (local anesthesia). A laila ua ʻike ʻoe, akā ʻaʻole ʻoe e ʻeha. ʻOiai paha e ʻike ʻoe i kekahi kaomi, ʻaʻohe ʻeha. Inā hopohopo ʻoe no ia mea, e kamaʻilio mua me ke kauka.
I kekahi mau hihia kūikawā, hana ʻia ke ʻoki ma lalo o ka anesthesia laulā, e hoʻomoe loa ana i ka mea maʻi.
A laila, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa ma ka ʻāpana keʻokeʻo o ka maka (ka conjunctiva a me ka sclera), e hana ana i kahi ala liʻiliʻi no ka wai a mākou i kamaʻilio ai ma mua e puka aku ai. ʻO ka wai e puka mai ana mai kēia ala e hōʻiliʻili i loko o kahi membrane ma lalo o ka lihilihi o luna, e hana ana i kahi ʻano pehu liʻiliʻi. Ua kapa ʻia kēia he 'bleb' . Mai hopohopo, ʻaʻole ʻike ʻia kēia pehu mai waho mai. ʻO ka wai e hōʻiliʻili ana ma ʻaneʻi e hoʻihoʻi ʻia i loko o ke kino.
I kekahi manawa, hoʻokomo ʻia kahi lāʻau lapaʻau kūikawā e pale aku i ka ʻoki ʻana mai ka ʻōpala a me ka pani ʻana. ʻO ka hope loa, kau ʻia kekahi mau humuhumu e hiki ke wehe ʻia ma hope inā pono, a pani ʻia ka maka me kahi bandage/patch. Eia kekahi, e noi ʻia ʻoe e ʻaʻahu i kahi pale maka e pale aku i kekahi mea mai ke komo ʻana i loko o kou maka. ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ke ʻoki ʻana.
He aha kā mākou e hana ai ma hope o ke ʻoki kino?
He mea nui loa ka manawa hoʻōla ma hope o ke ʻoki ʻana. ʻO ka maʻamau, ma kahi o 4 a 6 mau pule no ka ho'ōla piha ʻana o ka maka. Aia kekahi mau mea āu e pono ai e hahai i kēia manawa.
| Nā mea e hana ai (Do's) | Nā mea ʻaʻole e hana ʻia |
|---|---|
| E hoʻohana i nā kulu maka a kāu kauka e hāʻawi ai iā ʻoe i ka manawa kūpono a ma ke ʻano kūpono. He mea nui kēia mau mea e pale aku ai i ka maʻi a hōʻemi i ka pehu. | Mai hoʻopā, ʻomi, a hamo paha i ka maka i ʻoki ʻia no kekahi kumu. Hiki i kēia ke hoʻopilikia i ka ho'ōla ʻana. |
| E hōʻoia e hele i nā keʻena lapaʻau ma nā lā i hoʻonohonoho ʻia. ʻO ka holomua o ke ʻoki kino e hoʻoholo ʻia e kēia mau hoʻokolohua. | E pale i ka hāpai ʻana, kūlou ʻana, ka ʻūlū ʻana, a me ke kaumaha i ka wā e neʻe ai ka ʻōpū. Hiki i kēia mau mea ke hoʻonui i ke kaomi o nā maka. |
| E hōʻoia e komo i ka pale maka i hāʻawi ʻia i ka wā e hiamoe ana. E pale aku kēia iā ʻoe mai nā ʻeha maka i manaʻo ʻole ʻia i ka wā e hiamoe ana. | E pale i ka hoʻokomo ʻana o ka wai, ke kopa, a i ʻole ka lepo i loko o kou mau maka. E akahele hoʻi i ka ʻauʻau ʻana. |
Nā keʻena hoʻoponopono ma hope o ke ʻoki kino
Pono ʻoe e ʻike i ke kauka i ka lā ma hope o ke ʻoki kino. E wehe ʻia ke kāʻei a e nānā ʻia kou mau maka. Ma hope o kēlā, e noi ʻia ʻoe e hele mai i ke keʻena lapaʻau i hoʻokahi a ʻelua paha i ka pule no nā pule ʻelua a ʻekolu mua. E ana ʻia ke kaomi i loko o kou maka a, inā pono, hiki ke ʻoki ʻia hoʻokahi a ʻelua paha mau humuhumu me ka laser e hōʻemi hou aku i ke kaomi. No laila, mai poina e hele i kēia mau keʻena lapaʻau.
He aha nā pōmaikaʻi a me nā pilikia e hiki mai ana o kēia ʻoki kino?
He lāʻau lapaʻau holomua loa ke ʻoki ʻana i ka trabeculectomy. Eia nō naʻe, e like me nā ʻoki ʻana a pau, aia kekahi mau pilikia e pili ana.
- Nā Pōmaikaʻi:
- Aia kahi pae holomua kiʻekiʻe o 60% - 80% 5 mau makahiki ma hope o ke ʻoki ʻana.
- He koho maikaʻi kēia no ka poʻe i hāʻule ʻole i nā lāʻau lapaʻau ʻē aʻe.
- He hana ʻoki kino palekana pinepine.
- Nā Pōʻino a me nā Pilikia:
- Nā Cataracts:Hiki ke piʻi aʻe ka nui o ka hoʻokumu ʻia ʻana o ka cataract ma hope o kēia ʻoki kino. Akā, he mea kēia a nā kauka e manaʻo nei. Eia kekahi, hiki i ke ʻoki kino cataract ke ho'ōla loa iā ia.
- Maʻi : Aia kahi pilikia liʻiliʻi o ka loaʻa ʻana o kahi maʻi maka.
- Ke kahe ʻana o ke koko: Hiki ke kahe ke koko i loko o ka maka.
- ʻIke pōwehiwehi: I kekahi manawa e lilo paha ka ʻike i mea pōwehiwehi no kekahi manawa.
- Nā pilikia me ka bleb: ʻO ka hoʻonui ʻia a i ʻole nā loli ʻana o ka bleb hiki ke hana i nā kūlana e like me ke kuʻi ʻana o nā maka (ptosis).
Āhea wau e ʻike koke ai i ke kauka?
He mea maʻamau ka loaʻa ʻana o kekahi ʻoluʻolu ʻole a me ka ʻulaʻula ma hope o ke ʻoki ʻana. Eia naʻe, ʻaʻole maʻamau ka loaʻa ʻana o ka ʻeha nui . Eia kekahi, hiki i ka pilikia o ka maʻi ke hoʻomau no nā mahina, a hiki i nā makahiki, ma hope o ke ʻoki ʻana. No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hele koke i ke kauka nāna i hana i kāu ʻoki ʻana a i ʻole i ka Emergency Department (ETU) o ka haukapila.
- ʻEha nui o ka maka
- kuni
- Ka haehae nui ʻana (epiphora) a i ʻole ka hoʻokuʻu ʻana o ka pus mai ka maka
- Ka nalowale koke a i ʻole ka emi ʻana o ka ʻike maka
Inā ʻaʻole holomua ke ʻoki ʻana, ʻo ia hoʻi, ʻaʻole i emi ke kaomi o ka maka e like me ka mea i manaʻo ʻia, mai hopohopo. Aia kekahi mau koho lapaʻau ʻē aʻe. E wehewehe kāu kauka iā ʻoe i nā mea e like me ke kau ʻana i kahi ʻōmole liʻiliʻi (ʻōmole hoʻokahe) e hoʻokahe i ka wai i loko o ka maka a i ʻole ka mālama ʻana i ka laser (kaʻina hana cyclodestructive).
Leka Lawe-Home
- He ʻoki kūikawā ka Trabeculectomy i hana ʻia ke hiki ʻole ke kaohi ʻia ka glaucoma me nā lāʻau lapaʻau e like me nā kulu maka.
- ʻO ka pahuhopu nui o kēia ʻoki kino , ʻo ia ke pale aku i ka nalowale hou ʻana o ka ʻike. ʻAʻole hiki ke hoʻihoʻi ʻia ka ʻike i nalowale mua.
- No ka holomua o ke ʻoki kino, he mea nui loa ia e hoʻohana pono i nā kulu maka i kuhikuhi ʻia e ke kauka a e hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia.
- E pale i ka nānā ʻana aku i ka maka, ka hāpai ʻana i nā mea kaumaha, a me ka hoʻopā ʻana i ka wā e ho'ōla ʻia ai.
- Inā loaʻa iā ʻoe ka ʻeha nui, ka hoʻokuʻu ʻana mai ka maka, a i ʻole nā loli koke o ka ʻike ma hope o ke ʻoki ʻana, e kelepona koke aku i kāu kauka.
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