Ke mau nei anei ka pōwehiwehi o ka ʻike ma hope o ke ʻoki ʻana i ka cataract? E kamaʻilio kākou e pili ana i ka YAG Laser Capsulotomy!

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.

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.