He mea whakamataku, he mea ohorere, he mea pouri hoki te rongonga mō te tango i tō kanohi katoa mā te pokanga. He kaupapa tino tairongo tēnei. Tērā pea kua kōrero tō tākuta ki a koe, ki tētahi mema rānei o te whānau mō tēnei momo pokanga. I taua wā, he maha āu pātai. He mea noa te whakaaro ki ngā mea pēnei i te, "He aha ahau me mahi ai i tēnei?", "He aha ka tupu i muri i tēnei?", "Me pēhea taku aro atu ki te ao?" Nō reira kaua e mataku. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe, me te mea kei te kōrero koe ki tētahi hoa tata.
He aha te "enucleation"?
He kupu uaua tēnei, engari he tino māmā noa iho tōna tikanga. Ko te "Enucleation" e pā ana ki te tango pokanga i te porowhita katoa o tō kanohi, te wāhanga o te kanohi e kitea ana e tātou, me tētahi wāhanga iti o te io whatu e hono ana i a ia, e kawe ana i ngā karere ki te roro.
Engari ko te mea tino nui, tino whakamarie hoki i konei, ko ngā uaua e karapoti ana i tō kanohi e āwhina ana i a koe ki te neke i tō kanohi ki mua, ki muri (ngā uaua kanohi) kāore e tangohia . Ka waiho e te taote pokanga aua uaua kia ora tonu. He mea tino nui tēnei. Nā te mea, ina whiwhi koe i tētahi kanohi hangai ā muri ake nei, ka taea te hono atu i aua uaua ki te kanohi hou. Kātahi ka neke te kanohi hangai me te kanohi kē atu ki tētahi taumata. Ka puta he āhua tino tūturu.
He aha i tika ai kia mahia tēnei momo pokanga?
Ehara i te mea ngāwari mā te tākuta te whakatau i tētahi whakatau nui pēnei. Ina kua whakamātauria ngā maimoatanga katoa, ā, kāore i puta he hua angitu, ka tūtohutia tēnei pokanga hei huarahi whakamutunga. Whakaarohia, i ētahi wā ka taea e tēnei pokanga te whakaora i te ora o te tangata.
He maha ngā take matua mō te mahi i tēnei pokanga. Me titiro tātou ki ērā.
| Take matua | He whakamārama māmā |
|---|---|
| Ngā whara kanohi whara | Mēnā kua tino pakaru te kanohi, ka ngaro katoa te tirohanga, ā, kāore he huarahi hei whakaora, ka taea tonu e ia te mamae me te mate. |
| Ngā mate pukupuku kanohi | Ina koa i ngā take mate pukupuku pērā i te melanoma intraocular i roto i ngā pakeke me te retinoblastoma i roto i ngā tamariki nohinohi (kei raro iho i te 3 tau te pakeke), he mea nui te tango i te kanohi hei aukati i te horapa o te mate pukupuku ki ētahi atu wāhanga o te tinana. |
| Ngā mate urutā kino | Ngā mate kino kāore e taea te whakahaere mā te rongoā, ā, ka whakangaro i te kanohi. Hei tauira, ko ngā mate pēnei i te Acanthamoeba Keratitis me te Endophthalmitis . Ka taea e ēnei mate te whakararu i te ora mēnā ka horapa ki te roro. |
| Kanohi matapo mamae | Ka ngaro katoa te tirohanga a ētahi tāngata engari ka mau tonu te mamae e kore e taea te whakamanawanui i taua kanohi. Mēnā rānei kua rerekē te āhua o te kanohi (hei tauira, he āhuatanga e mimiti ai te kanohi (Phthisis Bulbi) ) ā, ka puta he mamae nui ki te hinengaro, ka mahia tēnei pokanga hei whakamama i te mamae me te mamae hinengaro. |
| Ētahi atu take motuhake | Ngā mate onge pērā i te Sympathetic Ophthalmia . I roto i tēnei, ina pakaru tetahi kanohi, ka tīmata te pūnaha ārai mate o te tinana ki te whakaeke i te kanohi hauora. Me tango te kanohi kua pakaru hei whakaora i te kanohi hauora. Ka mahia hoki tēnei pokanga mēnā ka whānau mai ngā kanohi he tino iti (Microphthalmia) . |
Ko te mea nui ko te mahi o tēnei pokanga hei whakamamae i tō mamae, hei whakaora i a koe i tētahi mate morearea, ā, hei tuku i a koe kia ora anō i te ao noa.
Me aha koe i mua i te pokanga?
Ka kōrero tō taote pokanga me tō kaiwhakamoe ki a koe i mua i te pokanga, ā, ka whakamārama i ngā mea katoa. Kaua e wehi ki te pātai i ō pātai i taua wā.
- Kai me te Inu: He maha ngā wā ka tonoa koe kia mutu te kai me te inu i muri i te waenganui pō o te pō i mua i te pokanga.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā rongoā otaota. Ina koa mēnā kei te tango koe i ngā rongoā whakaiti toto.Mena kei te tango koe i ngā rongoā whakangawari toto (pēnei i ngā rongoā ārai toto), ka tonoa pea koe kia mutu te tango i aua rongoā i ētahi rā i mua i te pokanga.
- Kōrerohia te kanohi hangai: Mena ka whiwhi koe i te kanohi hangai i muri i te pokanga, kōrero ki tō tākuta i mua i te mahi me pēhea te tiaki i a ia.
- He tangata hei tautoko i a koe: Me whai tangata hei kawe i a koe ki te kāinga i muri i te pokanga. He mea pai mēnā kei a koe tētahi hei hoa mōu i te pō tuatahi.
Me pēhea te mahi i te pokanga?
Ehara tēnei pokanga i te tino uaua, ā, e rua hāora pea te roa.
1. Whakamoemiti: I te nuinga o te wā, ka mahia tēnei mā te tuku i a koe ki raro i te whakamoemiti whānui. Ko te tikanga kei te moe katoa koe, ā, kāore koe e rongo i tetahi mea. I ētahi wā motuhake, ka taea tēnei mā te whakangāwari i te wāhi anake (whakamoemiti ā-rohe) me te hoatu rongoā hei āwhina i a koe kia moe mārire.
2. Te tango i te kanohi: Ka wehea marietia e te tākuta te karu kanohi mai i ngā kiko me ngā uaua e karapoti ana, kātahi ka tangohia.
3. Te whakatakotoranga o te whakatō: Ka whakauruhia he whakatō porowhita, he rite ki te māpere, ki roto i te wāhi takoto kau i tangohia ai te kanohi. Mā tēnei ka whakakīia te wāhi i roto, ā, ka āwhina ki te hoatu i tētahi āhua tūturu ki te wāhi i noho ai te kanohi i mua.
4. Te piri o ngā uaua: Muri iho, ka piri ngā uaua kanohi kua tiakina i mua ki te whakatō hou, kātahi ka tuia ki roto. Ka hipokina tēnei whakatō ki te kiko e rite ana ki te wāhanga mā o te kanohi (te 'sclera').
5. Te whakatakoto i tētahi uhi rangitahi: Muri iho, ka whakatakotoria he uhi kirihou angiangi e kiia nei ko te "conformer" ki runga i te mea i whakatōkia. Hei tiaki i te wāhi e hiahiatia ana hei whakauru i te kanohi horihori i muri mai.
6. He takai hei tiaki: Hei whakamutunga, ka whakatakotoria he takai pēhanga nui ki runga i te patunga hei tiaki i a ia, hei whakahaere hoki i te pupuhi me te toto. I ētahi wā ka tuia pea te kamo mō te wā poto kia ora rā anō te patunga.
Me pēhea taku tiaki i ahau anō i muri i te pokanga?
I muri i te pokanga, ka puritia koe i roto i te rūma whakaora mō tētahi wā, kātahi ka tukuna kia hoki ki te kāinga ina whakaūtia kei te pai ngā mea katoa.
- Mamae: Tērā pea ka pāngia koe e te mamae mō ngā rā tuatahi e 3-5. Whakamahia ngā rongoā whakamamae mamae kua tohua e tō tākuta kia rite ki ngā tohutohu. Ka taea e te nuinga o te tangata te whakahaere i tēnei mā te whakamahi i ngā rongoā whakamamae mamae ka taea te hoko kore utu.
- Te takai: Kaua e tangohia te takai taumaha kia whakahaua rā anō koe e tō tākuta. I te nuinga o te wā ka tangohia i tō haerenga tirotiro i muri i te wiki. Kia tae rā anō ki taua wā, me tūpato kei tukua kia mākū .
- Rongoā: Whakamahia ngā paturopi kia rite ki te whakahaunga hei ārai i te mate. Tērā pea ka hoatu he pata kanohi ki a koe.
- Okiokinga:Kaua e mahi i ngā mahi taumaha, kaua e hiki taumaha, kaua hoki e piko mō ngā wiki e 2-4. Hoatu he wā ki tō tinana kia ora ai.
- Kanohi horihori: Kia ora katoa te patunga, i roto i te 6-8 wiki pea, ka tukuna koe ki tētahi tohunga kanohi (tohunga kanohi). Māna e hanga he kanohi horihori āhua tūturu e ōrite ana ki te tae me te rahi o tō kanohi kē atu.
He tūponotanga kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, he iti noa iho ngā tūponotanga kei roto, engari he onge ēnei.
- Te toto
- Ngā mate urutā
- Te whara
- Ngā raruraru o te kamo (hei tauira, te kamo e takoto kau ana - 'ptosis')
- Te whakaputanga o te whakaurunga
Ki te puta he āhuatanga pēnei, ka taea te rongoā, nō reira kaua e manukanuka.
Ina hiahia koe ki te kōrero ki te tākuta!
He mea nui kia aro nui koe ki tō tinana i a koe e ora ana. Mēnā ka pāngia koe e tētahi o ngā tohu i raro nei, waea atu ki tō tākuta tonu.
| Ngā āhuatanga ohorere - tiakina ēnei | |
|---|---|
| Kirika | Ki te piki te pāmahana o tō tinana, he tohu pea tēnei nō te mate urutā. |
| Mamae nui | Mena he nui te mamae o tō mahunga, o tō kanohi rānei, kāore e memeha ahakoa kua tangohia he rongoā whakamamae. |
| Putanga o te waikura | Mena kei te turuturu mai te patunga i tētahi wai matotoru, kōwhai, kakariki rānei (pupu) he haunga kino rānei. |
| Te tango i te whakaurunga | Ki te puta mai te mea whakatō, te 'conformer' rānei i whakaurua. |
| Te ruaki me te whakapairuaki | Mena kei te ruaki tonu koe, kei te whakapairuaki rānei. |
Karere Tangohia ki te Kāinga
- He tino uaua, he tino mamae hoki te whakatau kia tangohia tō kanohi mōu me tō whānau. He mea noa te pā mai o aua kare ā-roto.
- He maha ngā wā ka mahia tēnei pokanga hei huarahi whakamutunga, ina kāore he huarahi kē atu. Ka taea e ia te whakamamae i te mamae mau tonu, te whakaora i ngā mate kino pēnei i te mate pukupuku, ā, ka taea hoki te whakaora i ngā oranga.
- Ki te hiahia koe ki te tautoko kare ā-roto i a koe e ora ana, kōrero ki tō tākuta, ki tētahi rānei o tō whānau mō tēnei mea. Ki te tika, ka taea e koe te rapu tohutohu, rapu rōpū tautoko rānei me te hunga kua pāngia e ngā wheako rite.
- I muri i te whakawhiwhinga kanohi horihori, he āhua tūturu te nuinga o te tangata, nō reira ka taea e koe te hoki anō ki tō oranga o ia rā me te māia.
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