Pokanga mō te karuā? Kaua e mataku, me kōrero tāua! (Pokanga Karuā)

Ina kī mai tō tākuta kei a koe te mate karuā, tērā pea ka kī atu ia me pokanga koe. He mea noa te mataku me te manukanuka ina rongo koe i aua kupu. "Ka ahatia ōku kanohi?", "He pokanga nui tēnei?", "Ka mamae?", koinei ngā pātai katoa e puta ake ana i roto i tō hinengaro. Kaua e manukanuka. I tēnei rā, ka kōrerohia e tātou tēnei mea me te tino māmā, i roto i te huarahi e mārama ai koe. Pērā i tāu kōrero ki tētahi hoa.

He aha tonu te pokanga mō te karuāra?

Āe, me mārama tātou ki te tikanga o te karuā. He kupu ngāwari noa iho, ko te karuā he ingoa whānui mō tētahi rōpū mate e kino ai te io whatu , te io matua e kawe ana i ngā karere mai i ō tātou kanohi ki te roro. Ko te tino take o tēnei ko te pikinga o te pēhanga i roto i te kanohi (te pēhanga kanohi).

Whakaarohia tō tātou kanohi he rite ki te pōro kī tonu i te wai. Kei te whakaputa tonutia, kei te tukuna hoki ki roto i te kanohi tētahi wai motuhake e kiia nei ko te 'Aqueous Humor'. Koinei te mea e ora ai te kanohi. Heoi, i roto i te glaucoma, ka āraia ngā awa e rere ai tēnei wai, ka kohia te wai ki roto i te kanohi, ka piki ake te pēhanga. Nā te pikinga o tēnei pēhanga, ka pēhia te io whatu i kōrerotia e tātou, ā, ka tīmata te pakaru haere.

Nō reira, e rua ngā whāinga matua o te pokanga glaucoma:

1. Te whakahaere i te rerenga wai: Ko te tikanga tēnei ko te horoi i te pūnaha rerenga wai kua āraia (te whatunga trabecular) me te waihanga rānei i tētahi ara hou kia ngāwari ake ai te rere o te wai.

2. Te whakaiti i te whakaputanga wai: Te whakaiti i te nui o te wai e whakaputaina ana i roto i te kanohi.

Mā tētahi o ēnei tikanga e rua, ko te tumanako a te pokanga ka taea te whakahaere i te pēhanga i roto i te kanohi, me te ārai i ngā kino atu ki te io whatu.

He aha ngā momo pokanga mō te glaucoma?

E rua ngā momo pokanga glaucoma. Ko tētahi ko ngā pokanga laser , e mahia ana i te nuinga o te wā i roto i te tari o te tākuta (tikanga tari). Ko tētahi ko ngā pokanga tapahi, e mahia ana i roto i te rūma pokanga. Mā tō tākuta e whakatau ko tēhea momo pokanga te mea pai mōu i runga i ngā āhuatanga maha, pērā i te momo glaucoma kei a koe, te kaha o te mate, me te āhua o tō kanohi.

Kia tirohia takitahitia ia momo.

1. Ngā Pokanga Taiaho - Kāore he mea e wehi ai, he tikanga māmā noa iho

Koinei ngā pokanga tuatahi e taunakitia ana, he tino māmā noa iho, ā, ka taea te whakaoti i roto i ētahi meneti torutoru.

• Te Trabeculoplasty Taiaho: Koinei te pokanga taiaho tino noa mō te glaucoma. Ka whakamahia te mārama taiaho hei tango i ngā aukati i roto i te pūnaha rerenga wai o te kanohi. E rua ngā momo.
• ALT (Argon Laser Trabeculoplasty): He tikanga tawhito ake tēnei.
• SLT (Selective Laser Trabeculoplasty): Koinei te tikanga hou, ā, ko te tikanga e whakamahia whānuitia ana. I roto i tēnei, ka aro nui ake te hihi laser, nō reira he iti ake te kino ki te kanohi. Waihoki, ka taea te mahi anō i tēnei pokanga mēnā e tika ana. He maimoatanga tino whai hua tēnei mō te maha o ngā take o te 'open-angle glaucoma' .

• Te Iridotomy Peripheral Laser (LPI): Ka mahia tēnei mō te hunga e pāngia ana e te glaucoma koki-katia . Ka hangaia e te laser he kōhao iti rawa ki te wāhanga tae o te kanohi, arā, te iris. Mā tēnei ka taea te rere noa o te wai i roto i te kanohi, kaua e noho ki te taha kotahi. I ētahi wā, ka mahia hoki tēnei pokanga hei ārai i te glaucoma i roto i te hunga e mōrearea ana ki te pāngia e te glaucoma.

• Cyclophotocoagulation (CPC): Kei roto i tēnei ko te arotahi ki te tinana ciliary, e whakaputa ana i te wai o te kiri, me te hihi laser hei whakaiti i te whakaputanga o te wai. He tikanga tēnei mā te hunga he nui ake te kino o te glaucoma kāore anō kia aro ki ētahi atu maimoatanga.

2. Ngā Pokanga Tātari - Ngā tikanga e mahia ana i roto i te rūma pokanga

Ki te kore e taea e ngā maimoatanga taiaho te whakahaere i te āhua, ka tūtohu pea tō tākuta kia whakamahia he pokanga pēnei. Ka mahia ēnei i roto i te rūma pokanga.

• Trabeculectomy: Koinei te pokanga matua e mahia ana i ngā wā o mua. I konei, ka tapahia e te taote pokanga he wahi iti ki te wāhanga mā o te kanohi (sclera), ka tangohia tetahi wāhanga o te pūnaha rerenga wai, ka hangaia he ara hou hei rerenga wai. He tino whai hua tēnei ki te whakaiti i te pēhanga i roto i te kanohi.

• Te Huringa Tube: He tikanga anō tēnei. I konei, ka whakauruhia he ngongo iti, angiangi ki roto i te kanohi hei tango i te wai mai i roto i te kanohi. He tikanga angitu anō hoki tēnei e whakamahia ana mō te glaucoma kino.

• Pokanga Matapōkere iti rawa te whakaekenga (MIGS): Koinei te hangarau hou o tēnei mara. Ka mahia tēnei pokanga mā roto i tētahi tapahi iti rawa mā te whakamahi i ngā taputapu me ngā whakaurunga iti rawa. Ka hua ake tēnei he wā whakaora poto ake, ā, he iti ake ngā raruraru. He maha ngā wā, ka taea te mahi MIGS i te wā kotahi me te pokanga katarata. He pai ake tēnei mō te hunga kei ngā wāhanga tōmua o te mate.

Me pēhea te whakarite i mua i te pokanga?

Ina whakaritea he rā pokanga māu, ka tūtaki te tākuta ki a koe i mua i te pokanga. I tēnei wā, ka puta pea ēnei mea:

• Whakamātautau kanohi: Ka tirotirohia ō kanohi, ā, ka mahia ētahi whakamātautau e tika ana.
• Te kōrero mō ō tumanakohanga: Te whakamārama i ngā mea hei tumanakohanga me ngā mea hei mahi i muri i te pokanga.
• Hītori hauora: Pātai atu mō ētahi atu mate kei a koe me ngā rongoā e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto).

Hei tāpiritanga, ka hoatu e rātou he rārangi o ngā mea hei mahi māu i mua i te pokanga. Tērā pea ka rerekē tēnei i ia tangata, engari i te nuinga o te wā, koinei ngā mea hei mahi.

He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?

I te wā o te pokanga

Ka rerekē te mea ka tupu i runga i te momo pokanga e mahia ana e koe.

• Pokanga reera: He maha ngā wā ka mahia tēnei i te tari o te tākuta kanohi. Ka tonoa koe kia noho ki runga i tētahi tūru, ka pania he pata kanohi whakangoikore ki tō kanohi. Kātahi ka whakanohoia he karāhe motuhake ki roto i tō kanohi, ā, ka whakamahia te reera hei rongoā. He torutoru meneti noa iho tēnei. Kāore koe e rongo i te mamae.
• Ngā pokanga 'Tapahi' (Trabeculectomy, Tube Shunt, MIGS): Ka mahia ēnei i roto i te rūma pokanga. Tērā pea ka hoatu he whakamoe IV ki a koe, he rongoā whakamoe whānui rānei, kia kore ai koe e mamae. Ka roa pea ēnei pokanga mai i te 30 meneti ki te haora .

I muri i te pokanga

I muri i te pokanga, ka tirohia e te tākuta te pēhanga o tō kanohi.

• I muri i te pokanga laser, ka taea e koe te hoki ki te kāinga i roto i ētahi haora.
• I muri i te pokanga i roto i te rūma pokanga, me haere tahi koe me tetahi. Tērā pea ka hoatu he taupoki kanohi ki a koe.
• Ka rerekē te roa o te wā whakaora i runga i te momo pokanga. Whai muri i te pokanga taiaho, ka taea e koe te hoki anō ki ngā mahi o ia rā. Heoi, i muri i te pokanga 'tapahia', ka tonoa koe kia kaua e hiki taumaha me te piko mō ētahi wiki.
• Ka hoatu he pata kanohi ki a koe hei tāpiri ki ō kanohi. Hei ārai i te mate me te tere ake o te whakaora. He mea nui kia tāpirihia ēnei pata kanohi kia rite ki te tohutohu, i te wā tika tonu.
• Ka tonoa koe kia haere mai mō ngā wā whakarite i ngā rā me ngā wiki i muri i te pokanga. He mea nui kia mau tonu ēnei wā whakarite.

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.

Ina hoki koe ki te kāinga i muri i te pokanga, he mea nui kia mōhio wawe koe ki ngā āhuatanga mōrearea katoa. Mena ka pāngia koe e tētahi o ngā tohu i raro nei, me waea atu koe ki tō tākuta tonu atu .

• Ki te pāngia koe e te mamae kanohi nui, e kore e taea te manawanui .
• Mena ka heke whakarere tō tirohanga , ka pōuri rānei.
• Mena ka tino whero ngā kanohi, ka puta hoki ngā roimata.
• Mena ka pāngia koe e te whakapairuaki, te ruaki rānei.

Kāore tēnei e tupu pinepine ana, engari ki te puta, he tohu pea nō te mate urutā, nō tētahi atu raruraru rānei, ā, me tere tonu te rongoā.