Ka wiri koe i te whakaaro ka tangohia katoatia tō kanohi, kāore? He uaua ki te whakaaro. Engari i ētahi wā, nā te mamae nui, te mate kino, te aituā nui rānei, ka taea te whakaora i tō kanohi. Koinei te wā e kōrero ai ngā tākuta mō te pokanga e kiia nei ko te 'Evisceration'. Ahakoa te ahua whakamataku o te ingoa, ina mōhio koe he aha te mea me te take e mahia ana, ka ngaro tō wehi. Nō reira, me kōrero taipitopito tātou mō tēnei mea.
He aha te Whakakorenga Ngākonga?
Ehara te tango i ngā whekau i te mahi pokanga e tango katoa ai i te kanohi. Ko te tango noa i ngā mea o roto o tō kanohi he pokanga. Heoi, ko te wāhanga mā o te kanohi, te sclera , me ngā uaua e neke ana i te kanohi ka waiho kia ora tonu.
Whakaarohia he kokonati. Ina waruhia he kokonati, ko te pūtake anake ka tangohia, ā, ko te anga kokonati ka mahue, tika? Koinā anō hoki te mea e tupu ana i konei. Ka tangohia ngā wāhanga o roto o te pūtake, ka mahue te "anga" o waho o te pūtake.
I muri i te tango i te taha o roto o te kanohi i tēnei ara, ka whakaurua e te tākuta he mea tāpiri motuhake, he rite ki te pōro, ki roto i te wāhi takoto kau. Mā tēnei ka āwhina ki te pupuri i te āhua tūturu o te kanohi. Kātahi, ina ora pai koe, ka taea e koe te whai kanohi hangarua e āhua tūturu ana mēnā e hiahia ana koe. He kanohi tino ātaahua tēnei, he tae, ā, he rite tonu te āhua ki tō kanohi kē atu.
He aha koe i hiahia ai ki tēnei momo pokanga?
Ka tūtohu noa te tākuta i tēnei momo pokanga ina kāore he huarahi kē atu, ā, he mea tino tika. Ko te tikanga o tēnei ko ngā take e whai ake nei:
- Ngā mate kino o te kanohi (endophthalmitis): I ētahi wā, ka puta he mate kino rawa atu i roto i te kanohi. Mēnā kāore e taea te whakahaere i ēnei mā te whakamahi i ngā paturopi noa, ka horapa te mate puta noa i te kanohi, tae atu ki te roro. Mēnā he pēnei, ka mahia tēnei pokanga hei tango i ngā wāhanga kua pangia.
- Ngā whara kino o te kanohi: Ina uru tetahi mea koi ki roto i te kanohi, ā, ka kino rawa atu, tērā pea e kore e taea te whakaora i te kanohi.
- He kanohi matapo , mamae hoki: Ka taea e ētahi āhuatanga hauora te ngaro rawa te tirohanga. Heoi, ki te mea he mamae tonu, he mamae tonu, ko tēnei pokanga te otinga pai hei whakakore i taua mamae.
- Te mimiti o te kanohi ( Phthisis bulbi)): E mōhiotia ana hoki tēnei ko te 'kanohi wāhanga mutunga'. Koinei te wāhi e mimiti haere ai te kanohi, ka kore e mahi, ka huri te āhua. Ka whakamahia tēnei pokanga hei karo i te mamae me ngā huringa āhua e puta ana i tēnei āhuatanga.
Me pēhea te whakarite i mua i te pokanga?
He mea tino nui kia pai te whakarite i a koe i mua i tētahi pokanga pēnei.
1. Te Hui ki te Tākuta Tirotiro: I mua i te pokanga, he mea pai kia hui ki te tākuta tirotiro, māna e hanga tō kanohi horihori (Ocularist). Mā tēnei, ka taea e ia te tirotiro marie i ngā mea pēnei i te tae me te āhua o tō kanohi kē atu, ā, ka tangohia ngā inenga e tika ana mō te kanohi horihori ka mahia i muri mai.
2. Te kōrero ki tō tākuta: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora. Ina koa mēnā kei te tango koe i ngā rongoā ārai toto , ka tohutohu tō tākuta i a koe kia hia ngā rā me mutu te tango i aua rongoā i mua i te pokanga. Kaua rawa e mutu te tango i tētahi rongoā me te kore e pātai ki tō tākuta.
3. Nohopuku: Ko te rā i mua i te pokanga, me mutu te kai me te inu mō te roa e tohutohuhia ana e tō tākuta. Ko te tikanga he 6-8 hāora i mua i te pokanga.
4. He tangata hei kawe i a koe ki te kāinga: He tikanga tēnei pokanga ā-waho, nō reira ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, nā te mea kei raro koe i te rongoā whakamoe , kāore e taea e koe te taraiwa, te hoki rānei ki te kāinga ko koe anake. Me tino hiahia koe ki tētahi mema o te whānau, ki tētahi hoa rānei hei kawe i a koe ki te kāinga.
Te āhua o te mahi pokanga
E rua, e toru rānei ngā haora te roa o tēnei pokanga. Whai muri i tō haria ki te rūma pokanga, ka hoatu he rongoā whakamoe whānui, he rongoā whakamoe ā-rohe rānei, me te rongoā hei āwhina i a koe kia marino.
Ka āta tangohia e te tākuta te taha o roto o te kanohi, ka waiho ko te paparanga mā o waho (sclera) me te uaua kia mau tonu. Kātahi ka whakauruhia te mea tāpiri poroporo hei pupuri i te āhua o te kanohi.
I muri i te pokanga, ka whakatakotoria he taupoki kirihou rangitahi e kiia nei ko te conformer hei pupuri i te āputa i waenganui i ngā kamo kia mau tonu, kia pai ake ai te uru ki te kanohi horihori ka whakaurua ā muri ake nei. I ētahi wā, ka kati pea te tākuta i ngā kamo mō te wā poto ki ngā tuitui. Hei whakamutunga, ka pania he takai pēhanga ki te kanohi hei aukati i te toto me te whakaiti i te pupuhi.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka tukuna he wā ki a koe hei okioki, kātahi ka tukuna koe kia hoki ki te kāinga i muri i tō oho ake i te rongoā whakamoe. Anei ētahi mea hei maumahara māu i muri i tō hokinga ki te kāinga:
- Ngā rongoā mamae me ngā paturopi: Ka tohua e tō tākuta he rongoā mamae me ngā paturopi, ngā steroid rānei hei ārai i te mate. Tangohia ēnei rongoā kia rite ki te mea i tohua.
- Takai: Kaua e tangohia te takai kia tohutohu rā anō tō tākuta. Kia tūpato kei mākū. Ko te tikanga ka tangohia i roto i te rā kotahi, i te wā rānei e whai ake nei i te wā tirotiro hauora (wā tirotiro whai muri).
- Ngā here mahi:
- Āta karohia ngā mahi taumaha pēnei i te kauhoe, te oma, te pekepeke, te tākaro hākinakina rānei mō te rua wiki te roa, neke atu rānei, mō ngā wiki e whā pea.
- Kaua e piko mai i te hope ki raro, me te hiki i ngā taumaha neke atu i te 5-10 kg mō ngā wiki e whā .
- Arotakenga Anō: I te nuinga o te wā ka tonoa koe kia hoki mai i roto i te wiki. I taua wā, ka tangohia te takai, ā, ka tirotirohia tō kanohi.
- Te whakaurunga o te kanohi horihori: Kia ora pai ngā kiko o roto i te kanohi, arā, i muri i ngā wiki 6-8 , ka taea te whakauru i te kanohi horihori. Mā tō tākuta koe e whakamōhio atu kia whakaritea he wā mō tēnei.
Ngā painga me ngā mōrearea pea o te pokanga
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki ōna, ā, he mea nui kia mōhiotia ēnei.
| Ngā Painga | Ngā Tūponotanga/Ngā Raruraru |
|---|---|
| Ka taea e koe te whakakore rawa i te mamae e kore e taea te pupuri. | Te toto. |
| Ka taea te whakahaere i ngā mate kino pēnei i te endophthalmitis. | Tērā pea ka pā mai ngā mate urutā. Tērā pea ka kitea te mea i whakaurua ki roto. |
| I muri i te whakaurunga o te kanohi horihori, ka taea te whakaora i te nuinga o te āhua. | Ophthalmia atawhai: He āhuatanga tino onge tēnei ina puta he mumura (uveitis) i roto i tētahi kanohi hauora kāore anō kia pokangahia. |
| Te piko o te kamo o runga, o raro rānei. | |
| Te hanganga o ngā puku iti pērā i te granuloma pyogenic. | |
| Tērā pea me mahi pokanga anō ngā panoni pēnei i ngā kita huri noa i ngā kanohi. |
Kia maumahara, he onge te nuinga o ēnei mōrearea. Ka mahi tō tākuta i ngā mahi katoa e tika ana hei whakaiti i ēnei mōrearea.
He aha te rerekētanga i waenga i te Evisceration me te Enucleation?
Kua rongo pea koe i tētahi atu pokanga e kiia nei ko te enucleation. Ahakoa he pokanga kanohi ēnei e rua, he rerekētanga nui kei waenganui i ngā mea e rua.
| Āhuatanga | Te tango i ngā whekau | Te whakakorenga o te ira |
|---|---|---|
| Te wāhanga hei tango | Ko ngā mea anake kei roto i te kanohi. | Ka tangohia te karu kanohi katoa (me tētahi wāhanga o te io whatu). |
| Ngā wāhanga e toe ana | Kei te toe tonu te anga ma o waho o te kanohi (sclera) me ngā uaua. | Ko ngā uaua anake e pā ana ki te kanohi ka toe, e hono ana ki te tāpiringa. |
| Ngā āhuatanga e whakamahia whānuitia ana | Mō ngā mate kino, ngā aituā, ngā kanohi matapo mamae. | He maha ngā wā ka whakamahia mō te mate pukupuku kanohi. |
Āhea te waea atu ki tō tākuta
Mena ka pāngia koe e tētahi o ēnei tohu i muri i te hokinga ki te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu :
- Mena he nui rawa te toto .
- Mena ka pāngia koe e te mamae e kore e taea te tohe i roto i ō kanohi, i tō mahunga rānei, ahakoa i muri i te tango i ngā rongoā whakamamae.
- Mena he wai rite ki te pūhā e puta mai ana i te kanohi, he kirika rānei tōu (he tohu pea ēnei o te mate urutā ).
- Ki te mamae te kanohi kē atu kāore i pokangatia .
E mārama ana ahau ki te mataku o te rongonga mō tēnei momo pokanga. Engari kia maumahara, ka tūtohu noa te tākuta i tētahi mea pēnei mēnā e whakaaro ana rātou koinei te otinga pai mō tētahi mate e morearea ana ki te ora, e tino mamae ana rānei. Kōrero ki tō tākuta mō ō āwangawanga me ō wehi katoa. Ka hoatu e rātou ki a koe ngā mōhiotanga me ngā tautoko katoa e hiahiatia ana e koe.
Karere Tangohia ki te Kāinga
- Ehara te tango katoa i ngā ngako i te tango i te kanohi, engari he pokanga e tango ana i ngā wāhanga anake o roto i te kanohi, kia waiho ko te anga o waho me ngā uaua o te kanohi.
- Ka mahia anake tēnei pokanga mēnā he nui ngā mate urutā, he aituā, he mamae nui rānei e kore e taea te whakaora i te kanohi.
- He mea nui kia tere ai te ora me whai i ngā tohutohu a te tākuta (te tango rongoā, te okioki, me te karo i ngā mahi taumaha) i muri i te pokanga.
- Ka taea te whakatō i tētahi kanohi horihori āhua tūturu i ngā wiki 6-8 i muri i te pokanga.
- Kōrerotia mārire ki tō tākuta mō ō pātai, ō wehi rānei. He mea tino nui hoki tēnei mō tō hauora hinengaro.
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