Ua hana ʻia anei ʻoe i ke ʻoki cataract a ua lilo hou kou ʻike i mea pōuliuli, me he mea lā aia ʻoe i loko o ka noe? Nui ka poʻe e hopohopo nei i kēia manawa a noʻonoʻo, "Auē, ke hoʻi mai nei koʻu cataract?" Akā, ʻaʻole kēia he hoʻi hou ʻana o ka cataract. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia kūlana ʻo 'Posterior Capsule Opacification' a i ʻole PCO. ʻAʻohe mea e hopohopo ai, no ka mea, ʻo ka hopena maʻalahi loa, ʻeha ʻole a wikiwiki hoʻi, ʻo ia ka mālama ʻana i ka laser YAG.
He aha ka YAG Laser Capsulotomy?
I ka ʻōlelo maʻalahi, he hana laser wikiwiki a maʻalahi hoʻi kēia no ka ʻike maka pōwehiwehi e hana ʻia ma hope o ke ʻoki ʻana i ka cataract.
E noʻonoʻo, i ka wā o ke ʻoki ʻana i ke cataract, wehe mākou i ka lens maoli i loko o kou maka, ka mea i lilo i ao me ka ʻelemakule, a hoʻololi iā ia me kahi lens hana (Intraocular Lens - IOL). ʻAʻole hiki i kēia lens hana hou ke lana wale i loko o kou maka. Hoʻopaʻa ʻia ia e kahi 'uhi' lahilahi loa, e like me ka membrane (lens capsule) i hoʻopaʻa i kāu lens maoli kahiko.
I kekahi mau mahina a i ʻole mau makahiki ma hope o ke ʻoki kino, i kekahi poʻe , ulu kekahi o nā keena i koe ma ke kua o kēia capsule a hoʻomaka ia e lilo i ao, e like me ke aniani lepo. ʻO ia ka mea a mākou e kapa nei he PCO (Posterior Capsule Opacification).
Hoʻohana ka lāʻau lapaʻau laser YAG i kahi kukuna laser kūikawā e hana i kahi lua liʻiliʻi ma waenakonu o ka papa lahilahi o ke kino, me ka ʻole o ka hōʻino ʻana i ka maka. ʻAe kēia i ka mālamalama e hele ma o ka maka me ka ʻole o ke keʻakeʻa, a hoʻihoʻi ʻia kou ʻike. ʻO ka laser i hoʻohana ʻia no kēia ua kapa ʻia ʻo 'YAG' (yttrium aluminum garnet) ma muli o ke ʻano kūikawā o ka pōhaku makamae i hana ʻia ai.
Pehea e hoʻomākaukau ai no kēia lāʻau lapaʻau?
ʻAʻole pono kēia i kekahi hoʻomākaukau kūikawā. ʻAʻole kēia he hana hoʻokipa ma loko o ka haukapila, akā he hana ma waho o ka haukapila e hiki ke hana ʻia ma ke keʻena o kāu kauka maka.
Ke hele ʻoe i ke keʻena lapaʻau i kou lā i hoʻonohonoho ʻia, he mau minuke ma mua o ka mālama ʻana, e hele mai kahi kahu maʻi a kau i ʻelua ʻano kulu maka i loko o kou mau maka.
1. Lāʻau hoʻomāʻū maka: ʻO ke ʻano kēia, ʻaʻole ʻoe e ʻeha i ka wā o ka mālama ʻana.
2. Nā kulu hoʻonui: ʻOi aku ka maʻalahi o ke kauka ke ʻike maopopo i ka lens i loko o ka maka.
Ke hoʻomaka ka hopena o kēia mau kulu, ua mākaukau loa ʻoe no ka mālama ʻana.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Noho ʻoe ma luna o kahi noho, e like me ka mīkini hoʻāʻo maka, a pono ʻoe e kau i kou ʻauwae a me kou lae ma luna o laila a nānā pololei i mua.
- Ke hoʻohana nei i kahi aniani (hiki paha):I kekahi manawa e kau paha ke kauka i kahi aniani kūikawā ma luna o ka ʻili o kou maka a hoʻopaʻa iā ia ma kahi. Ua uhi ʻia me ka gel, no laila ʻaʻole ʻoe e ʻike i kekahi ʻoluʻolu ʻole. E mae kou maka, no laila ʻaʻohe ʻeha iki. Manaʻo paha ʻoe i kahi kaomi iki.
- Hoʻāla ʻana o ka laser: A laila e hoʻāla ke kauka i ka laser. ʻAʻole ʻoe e ʻike i ke kukuna laser a ʻaʻole hoʻi e ʻeha. Eia nō naʻe, lohe paha ʻoe i kahi leo liʻiliʻi e like me ke kani ʻana o ka laser 'tick, tick, tick' . Hiki i kekahi poʻe ke manaʻo i kahi ʻālohilohi koke o nā kala like ʻole ke pā ka laser iā lākou. He mea maʻamau kēia a e nalo aku i loko o kekahi mau minuke.
ʻO ke kaʻina hana holoʻokoʻa ma lalo o 5-10 mau minuke, a hiki iā ʻoe ke hoʻi i ka home ke pau.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
Aia kekahi mau kumu e koho ai ka poʻe he nui i ka mālama ʻana me ka laser YAG.
| Pōmaikaʻi | He wehewehe maʻalahi |
|---|---|
| Palekana loa | He haʻahaʻa loa ka pilikia o nā pilikia. ʻOiai inā loaʻa lākou, he mea liʻiliʻi pinepine lākou a maʻalahi hoʻi e mālama ʻia. |
| Holomua loa | Ua hōʻike ʻia e ka noiʻi ʻana he ʻoi aku ma mua o 95 o 100 mau kānaka e hana ʻia ana i kēia lāʻau lapaʻau he ʻike maopopo loa ko lākou. |
| ʻAʻohe pono e noho i loko o ka haukapila. | He lāʻau lapaʻau ma waho kēia. Hiki iā ʻoe ke hoʻi i ka home ma hope o ka lāʻau lapaʻau. |
| ʻAʻohe ʻeha/ʻoluʻolu ʻole | Ma muli o ka maneʻo o ka maka, ʻaʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha i ka wā o ka mālama ʻana. |
| ʻAʻole ikaika loa | He ʻano maʻalahi loa kēia ma mua o ke ʻoki kino maoli no ka mea hana wale ʻia me nā kukuna laser, me ka ʻole o ka hana ʻana i kahi ʻoki ma ka maka. |
Aia kekahi mau pilikia e hiki mai ana?
He mea kākaʻikahi nā pilikia koʻikoʻi ma hope o ka mālama ʻana me ka laser YAG. Inā loaʻa lākou, he mea liʻiliʻi wale nō ia a hiki ke mālama ʻia.
- Nā mea lana: He mea maʻamau ka ʻike ʻana i nā kiko ʻeleʻele liʻiliʻi a i ʻole nā wili e neʻe ana i mua o kou mau maka (myodesopsias) no kekahi mau lā ma hope o ka mālama ʻana. He mau ʻāpana liʻiliʻi kēia o ka pūpū lens i haki ʻia e ka laser. E nalo wale kēia mau mea i loko o kekahi mau lā a i ʻole mau pule.
Ma waho aʻe o kēia, aia kekahi mau pilikia ʻē aʻe i hiki ke hana pinepine ʻole ʻia.
- Ka mumū i loko o ka maka (`Uveitis`)
- Ka pehu ʻana o ka retina ('Cystoid macular edema')
- Ka wehe ʻana o ka retina
- Ka haehae ʻana o ka retina
E hoʻomanaʻo he mau kūlana kakaikahi loa kēia.
I ka manawa hea e pono ai iaʻu e ʻike koke i ke kauka?
ʻO ka maʻamau, ʻaʻohe pono o ka nānā kūikawā ma hope o ka mālama ʻana i ka laser YAG. Ua lawa kāu hoʻokolohua maka makahiki maʻamau. Eia nō naʻe, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, he kūlana paha ia e pono ai ka mālama koke ʻana i ke kauka.
He mea nui loa: Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, hiki ke lilo i pilikia. No laila e hele koke i ka ʻOihana Pilikia o ka haukapila (ETU) a i ʻole e hoʻomaopopo i kāu kauka maka i ka hikiwawe loa.
- Nā ʻālohilohi koke o ke kukui i loko o ka maka (photopsias).
- ʻIke koke ʻia ka nui o nā 'lanakila' (nā kiko ʻeleʻele/nā kaula). (He mea maʻamau ka ʻike ʻana i kekahi mau mea, akā e hopohopo inā ʻike ʻoe i nā mea he nui i ka manawa hoʻokahi.)
- Me he mea lā ua uhi ʻia kekahi ʻaoʻao o ka hihiʻo e kahi pale ʻeleʻele.
- Ka nalowale koke ʻana o ka ʻike.
Hiki ke hoʻokumu ʻia kēia mau hōʻailona e kahi maʻi koʻikoʻi i kapa ʻia ʻo ka retinal detachment. Inā ʻaʻole e mālama koke ʻia, hiki ke nalowale mau ka ʻike ma kēlā maka. No laila, he mea nui loa ka makaʻala i kēia mau hōʻailona.
Leka Lawe-Home
- He kūlana maʻamau ka post-cataract opacification (PCO) e hiki ke hana i ka hala ʻana o ka manawa ma hope o ke ʻoki ʻana i ka cataract. ʻAʻole kēia he hoʻi hou ʻana o ka cataract.
- He ala wikiwiki loa, ʻeha ʻole, a palekana hoʻi ka mālama ʻana me ka laser YAG e hoʻopau ai i kēia ʻike maka pōwehiwehi.
- ʻAʻole ma mua o 10 mau minuke ka lōʻihi o kēia hana holoʻokoʻa, a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
- He mea kākaʻikahi nā pilikia koʻikoʻi, akā e makaʻala i nā hōʻailona ulia pōpilikia e like me nā ʻālohilohi o ka uila a me nā pohō ʻana o ke kino.
- Inā he mau hopohopo a makaʻu paha kāu e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka maka me ka kānalua ʻole.
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