Kei te ahua pōuriuri koe i ētahi wā? Kei te ahua ngoikore haere tō tirohanga me te mamae me te mākūkū o ō kanohi? He mea noa te mataku nui ina pāngia koe e tēnei āhuatanga. I te nuinga o te wā, ko te take o tēnei he kino ki tō kornea. Engari kaua e manukanuka, me te pūtaiao hauora matatau o ēnei rā, he tino whai hua ngā otinga mō tēnei. I tēnei rā, ka kōrero tātou mō tētahi otinga pēnei, arā, ko te pokanga whakato kornea.
He aha te whakatōnga kiriuhi kanohi?
He pokanga te whakawhitinga kornea e tango ana i te kornea kua pakaru o tō kanohi, ka whakakapia ki tētahi kornea hauora. Ka kiia hoki tēnei ko te 'Corneal grafting', ko te 'Keratoplasty' rānei.
Whakaarohia he rite ki te kāmera. Ko te kornea te karāhe o te kāmera. Ko te kiriuhi mārama kei mua o te kanohi. Kia mārama ai tā tātou titiro ki te ao, me tika te mārama mā roto i te kornea. Mena ka pakaru te kornea i tētahi ara, pērā i te rakuraku, te mate, te mate rānei, ka pōuriuri te tirohanga.
Ko te whakawhitinga kornea he tango i tēnei "arotahi" kua pakaru, ka whakakapia ki tētahi kornea hauora i kohaina mai e tētahi tangata kua mate. He pokanga whakarerekē ora tēnei kua whakaora i te tirohanga a te tini tāngata.
I roto i ēhea āhuatanga e hiahiatia ana te whakawhitinga kornea?
He maha ngā āhuatanga ka tūtohu pea tō tākuta kanohi i tēnei pokanga. Ko ngā āhuatanga matua ko:
- Te mate Fuchs' dystrophy: He mate ira tēnei. I roto i tēnei mate, ka whakangaromia haeretia ngā pūtau i te paparanga o roto o te cornea, ka pupuhi te cornea, ka pōuri te tirohanga.
- Keratoconus: He āhuatanga tēnei e huri ai te āhua o te cornea, ka pupuhi whakamua hei āhua kōne. Ka puta he hē o te tirohanga.
- Ngā mate pukupuku o te kornea: Ka taea e te mate, inā koa he mate huakita, he mate huaketo rānei, te whakaputa mate pukupuku ki te kornea, ā, ka waiho he koha.
- Ngā Aituā: Mā te pā ki te kanohi, te werohia ki te mea koi, te maringi rānei o te matū ka kino rawa atu te kornea.
- Ngā kino i puta mai i ngā pokanga kanohi o mua: I ētahi wā, ka pakaru te kornea hei pānga taha o ētahi atu pokanga kanohi.
- Bullous keratopathy: He āhua e puta ai ngā pupuhi rite ki te mirumiru ki te kornea.
I tēnei āhuatanga, ki te pāngia koe e ngā tohu pēnei i te tirohanga pōuri, te mamae o ngā kanohi, me te kore e taea te titiro ki te mārama, he mea tino nui kia toro atu koe ki tō tākuta tonu mō ētahi tohutohu.
He aha ngā momo matua o ngā whakawhitinga kornea?
I runga i te paparanga o te kornea kua pakaru, ka whakatauhia e tō tākuta te momo pokanga e tika ana māu. E toru ngā momo pokanga matua.
| Momo pokanga | He whakamārama ngāwari noa iho |
|---|---|
| Te Whakatōnga Katoa o te Kornea (Te Keratoplasty Whakauru) | Koinei te tikanga tuku iho. I konei, ka tapahia te matotoru katoa o te kornea kua pakaru, arā, ngā paparanga o waho, o waenganui, me o roto, kia porowhita te āhua, kātahi ka tangohia, ā, ka whakatōkia he kornea hauora he rite te rahi, ka tuituia. |
| Te Keratoplasty Lamellar o mua hohonu (DALK) | Mena kei ngā paparanga o waho me waenganui anake te kino o tō kornea, ā, kei te ora te paparanga o roto rawa (endothelium), ka mahia tēnei pokanga. Ko te tikanga o tēnei ko te tango i ngā paparanga e rua kua pakaru anake, ka whakakapia ki ngā kiko hauora. |
| Te Keratoplasty Endothelial (DMEK/DSAEK) | Mena ko te paparanga o roto rawa o te kornea anake te mea i pakaru (hei tauira, te mate a Fuchs' dystrophy), ka whakamahia tēnei tikanga. I konei, ka tangohia te paparanga o roto kua pakaru anake, ā, ka whakatōkia he paparanga hauora tino angiangi ki tōna wāhi. He iti noa ngā tuitui. Ka whakaurua he mirumiru hau ki roto i te kanohi hei pupuri i te kiriuhi kua whakatōkia ki tōna wāhi. |
He mea motuhake mō te pokanga Endothelial Keratoplasty
Mena ka pokangahia koe pērā i te `DMEK`, te `DSAEK` rānei, ka tukuna atu he tohutohu motuhake ki a koe mō ngā rā tuatahi. Arā, me takoto kanohi ki runga i a koe e moe ana, e okioki ana hoki. Ina mahi koe i tēnei, ka āwhina te mirumiru hau i whakaurua ki roto i te kanohi ki te pupuri i te kornea hou kua whakatōkia ki tōna tūranga, kia mau tonu ai. He mea tino nui tēnei mō te angitu o te pokanga.
Ngā mea me mōhio tātou i mua me muri i te pokanga
Te whakarite i mua i te pokanga
Ka arotakehia e tō tākuta me tō kaiwhakamoe tō hītori hauora, ā, ka whakautua e rātou ō pātai katoa mō te pokanga.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe. Tērā pea ka hiahiatia kia mutu te tango i ētahi rongoā i mua i te pokanga.
- Mā rātou koe e tohutohu mō te wā e mutu ai te kai me te inu i mua i te pokanga.
- Nā te mea kāore e taea e koe te taraiwa i muri i te pokanga, me whakarite i mua i te wā kia haria koe e tetahi ki te kāinga.
Ngā mea hei tiaki i muri i te pokanga
Ko te tikanga, kāore e neke atu i te rua hāora te roa o te pokanga, ā, muri iho ka taea e koe te hoki ki te kāinga.
- Tiaki kanohi: Tērā pea ka whero te kanohi, ka paku mamae, ka ngawari hoki mō ngā rā tuatahi. Whakamahia te pākete kanohi kia rite ki ngā tohutohu a tō tākuta. Kaua rawa e mirimiri, e pēhi rānei i tō kanohi.
- Ngā Rongoā: Ka hoatu ngā pata kanohi hei ārai i te mate, hei whakaiti i te pupuhi, hei ārai hoki i te tinana kei paopao i te kornea kua whakatōkia. Me whakamahi pea ēnei rongoā mō te tau, neke atu rānei.
- Ngā Mahi: Me mutu pea ngā mahi ka tūpono pea te mōrearea o ō kanohi mō tētahi wā, pērā i te hiki taumaha me te oma, te pekepeke rānei. Mā tō tākuta koe e tohutohu mō tēnei.
- Ngā Tirotiro Hauora: Ka whakaritea e te tākuta he wā tirotiro i roto i ngā haora 24-48 i muri i te pokanga. Kia mahara ki te haere ki ngā wāhi hauora i ngā rā kua whakaritea.
He aha ngā painga me ngā raruraru pea o tēnei pokanga?
Ko te painga matua ko te kite mārama anō i te ao, i pōuriuri i mua. He mea utu nui te harikoa e puta mai ana i tēnei. He pokanga tino haumaru tēnei i te nuinga o te wā.
Heoi, pērā i ngā mahi pokanga katoa, ka puta pea ngā raruraru.
Ko te mōrearea matua ko te whakakorenga o ngā okana/koronea. Ko te tikanga o tēnei ka mōhio te pūnaha ārai mate o te tinana ki te koronea hou he 'tauhou', ā, ka whawhai ki a ia. Ko te whāinga o te whakamahi tonu i ngā pata kanohi he whakaiti i tēnei mōrearea.
Ētahi atu raruraru:
- Ngā mate kanohi.
- Te toto.
- Te pikinga o te pēhanga i roto i te kanohi (Glaucoma).
- Te retina kua wehea.
- Ka puta te astigmatism nā te āhua koretake o te cornea i whakatōkia.
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
He mea tino nui kia tiakina pai tō kanohi i muri i te pokanga. Mēnā ka pāngia koe e tētahi o ngā tohu whakakorenga e whai ake nei, waea atu ki tō tākuta tonu.
- Mamae kanohi (mamae)
- Te whero o te kanohi
- Te aro ki te mārama
- Tirohanga Pōuriuri
Ki te kitea wawetia ēnei tohu, ā, ka rongoātia hoki, ka taea te whakahaere i te whakakorenga.
Kia pēhea te roa o te wā e ora ai?
Ka rerekē tēnei i runga i te momo pokanga i mahia ki a koe.
- Mena ka whakahaerehia he whakawhitinga katoa o te kornea (Penetating Keratoplasty) , ka roa pea te 12 marama ka hoki mai te tirohanga katoa.
- Mena kua oti koe te pokanga Endothelial Keratoplasty (DMEK/DSAEK) , ka taea e koe te kite pai i roto i te 3 marama noa iho.
Karere Tangohia ki te Kāinga
- He pokanga te whakawhitinga kōnea e whakakapi ana i te kōnea kua pakaru ki tētahi kōnea hauora, ā, he tino angitu ngā hua ka puta.
- I runga i tō āhua, mā tō tākuta e whakatau te momo pokanga (paparanga katoa, paparanga wāhanga, paparanga o roto anake rānei) e tika ana māu.
- Kia ata whai i ngā tohutohu a tō tākuta i muri i te pokanga, inā koa mō te whakamahinga o ngā pata kanohi me ngā tiaki kanohi.
- Kia mataara ki ngā tohu o te whakakorenga, pērā i te mamae, te whero, te aro ki te mārama, te tirohanga pōuri rānei. Mēnā ka puta tēnei, rapua tonutia he tohutohu hauora.
- He roa te wā e ora ai koe, nō reira kia manawanui, kia pai hoki te āhua. Me whakapā atu ki tō tākuta i ia wā, me te kōrero i ō āwangawanga.
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