Kua kōrerotia atu rānei e tō tākuta he teitei te pēhanga o tō kanohi, he karuārai tōu, ā, me pokanga pea koe? He mea noa te mataku me te manukanuka ina rongo koe i ēnei kupu. Ka paku pāngia tātou katoa e te tairongo ina tae mai ki ō tātou kanohi. Engari kaua e mataku. He tino matatau te pūtaiao hauora i ēnei rā. I tēnei rā ka kōrero tātou mō ngā pokanga karuārai, me pēhea te mahi, me te mea me wehi koe i a rātou.
He aha te karuāra? He aha ngā mea ka tupu i muri i te pokanga?
Ki te kī māmā noa, he mate te karuārai e kino ai te io whatu, e hono ana i ō tātou kanohi ki tō tātou roro. Ko te tino take o tēnei ko te pikinga o te pēhanga i roto i te kanohi.
Whakaarohia, kei roto tonu i ō tātou kanohi te wai e kiia nei ko te 'Aqueous humor', ā, ka rere atu hoki i te kanohi. He rite tēnei ki te tāke wai e kī ana i te wai, engari ka rere te wai i tērā taha. Mēnā he ārai i te rere o tēnei wai, ka kohia te wai ki roto i te kanohi, ā, ka piki ake te pēhanga. Ko tēnei pēhanga kua piki ake te kino o te io whatu ngawari.
E rua ngā whāinga matua o te pokanga glaucoma:
1. Te waihanga i tētahi ara hou kia ngāwari ai te mimiti o te wai e kohia ana i roto i te kanohi.
2. Ki te kore, ka whakaitihia te nui o te wai e puta ana i roto i te kanohi.
Ko te whāinga o te pokanga, mā te whakamahi i tētahi o ēnei tikanga e rua, he whakaiti i te pēhanga kanohi me te ārai i ngā kino atu ki te io whatu.
He aha ngā momo pokanga matua mō te glaucoma?
E rua ngā wāhanga matua o te pokanga glaucoma: te pokanga laser me te pokanga tapahi. Mā tō taote kanohi e whakatau ko tēhea te tikanga pai mōu, i runga i tō āhua.
| Momo pokanga | He whakaahuatanga poto |
|---|---|
| 1. Ngā Pokanga Reera - I te nuinga o te wā ka mahia i te tari o te tākuta | |
| Te Trabeculoplasty Laser | He tikanga noa ake. Ka anga te mārama taiaho ki te whatunga trabecular, e tātari ana i te wai i roto i te kanohi, e tango ana i ngā aukati me te whakahaere i te rere o te wai. |
| Te Iridotomy ā-Rēhia (LPI) | Ka hangaia e te taiaho he kōhao iti rawa ki te iris, te wāhanga tae o te kanohi, hei whakahaere i te nekehanga o te wai. |
| Te whakapūngao-hauora (CPC) | Ka anga te taiaho ki te wāhanga o te kanohi e whakaputa ana i te wai (te tinana siliary), ka whakaiti i te whakaputanga wai. |
| 2. Ngā Pokanga Tātari - I te nuinga o te wā ka mahia i roto i te rūma pokanga | |
| Te tango i te trabeculosis | He tikanga tuku iho. Ka hangaia he kōhao iti ki te wāhanga mā o te kanohi (sclera) hei waihanga i tētahi ara hou mō te wai e rere ana. |
| Te Hurihanga Ngongo | Ka whakauruhia he ngongo iti, ngāwari (shunt) ki roto i te kanohi hei tango i te wai. |
| MIGS (Pokanga Glaucoma Whakararu Iti) | Ngā hangarau hou. I mahia ngā pokanga mā te whakamahi i ngā taputapu tino iti, me ngā tapahi tino iti. He tere te ora. |
He iti ake anō mō te pokanga laser
He tikanga kore mamae te pokanga taiaho, ā, he maha ngā wā ka taea te whakaoti i roto i ētahi meneti torutoru. Ko te momo hou o te trabeculoplasty taiaho ko te SLT (Selective Laser Trabeculoplasty). Ka taea tēnei te mahi anō mēnā e tika ana. I ētahi wā ka tūtohutia hei maimoatanga tuatahi mō te glaucoma. Ko te tikanga LPI he mea motuhake mō te glaucoma koki-katia.
He kōrero anō mō ngā pokanga tapahi
Ko te tikanga o ēnei mahi he mahi ina kore e taea te whakahaere i te karuārai mā te maimoatanga taiaho, mā te rongoā rānei. Engari nā te tikanga hou, arā, te `MIGS` (Pokanga Karuārai Whakararu iti), kua maha ngā mea kua rerekē. He iti rawa ngā tapahi, he poto te wā whakaora, ā, he iti ngā mōrearea. I roto i te nuinga o ngā wā, ka taea te mahi pokanga `MIGS` i te wā kotahi me te pokanga katarati.
Me pēhea te whakarite mō te pokanga?
I mua i te pokanga, ka tūtaki te tākuta ki a koe, ka whakamārama i ngā mea katoa. I taua wā:
- Ka tirotirohia ō kanohi, ā, ka whakahaerehia ngā whakamātautau e tika ana.
- Ka kōrero rātou mō ngā mea ka taea e koe te tumanako mai i te pokanga.
- Ka pātai atu rātou mō tō hītori hauora me ngā rongoā e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto).
I te nuinga o te wā ka tukuna atu ētahi tohutohu ki a koe i mua i te pokanga, pēnei i:
- Ka tonoa koe kia mutu te tango i ngā rongoā whakaiti toto (hei tauira, te aspirin, ngā NSAID) mō ētahi rā.
- Mena kei te whakamoea koe, ka tonoa koe kia whakaritea he tangata hei taraiwa i a koe nā te mea kāore e taea e koe te taraiwa i tētahi waka .
- Mā rātou koe e whakamōhio kia pēhea te roa e hiahia ana koe ki te nohopuku i mua i te pokanga.
- He mārama ngā tohutohu mō ngā rongoā hei tango me ngā mea kāore e tangohia i te rā i mua i te pokanga.
Kaua e wehi ki te pātai atu ki te tākuta i ō pātai. He āwhina nui tēnei ki a koe kia mārama ai koe ki ngā mea katoa.
Ka aha ahau i muri i te pokanga? Ka pāngia ahau e te mamae?
Kāore koe e mamae i te wā e pokangahia ana nā te mea ka ngoikore tō kanohi. I muri i te pokanga, tera pea ka pāngia koe e te mamae, e te koretake rānei o tō kanohi. Ka hoatu e te tākuta he rongoā whakamamae me ngā pata kanohi hei āwhina i tēnei.
Ka rerekē te roa o te whakaoranga i runga i te momo pokanga i mahia ki a koe.
- I muri i te pokanga taiaho, ka taea pea e koe te hoki anō ki ngā mahi o ia rā i roto i te rā, e rua rānei.
- I muri i te pokanga me te tapahi, me tūpato koe mō tētahi wā. Me karo koe i te hiki i ngā mea taumaha, te tuku wai ki roto i ō kanohi, te mirimiri rānei i ō kanohi mō te wiki, mō ngā wiki e rua rānei, mō te marama pea.
Mā te tākuta koe e kī atu āhea koe me hoki mai anō mō ngā wā tirotiro. Kia mahara ki te haere ki aua wā tirotiro. Koinā te wā e tirohia ai ngā mea pēnei i te pēhanga o ngā kanohi me te whakaora.
Āhea ahau me waea atu ki te tākuta?
Ina hoki koe ki te kāinga i muri i te pokanga, he mea nui kia whakamōhio tonu atu koe ki tō tākuta mēnā ka pāngia koe e tētahi mea rerekē. Mēnā kei a koe ētahi o ngā tohu e whai ake nei, kaua e whakaroa.
- Ki te pāngia koe e te mamae nui, e kore e taea te manawanui .
- Ki te mea kei te memeha haere tō tirohanga , kei te pōuri rānei.
- Ki te tino whero te kanohi, ka rere ngā roimata, ka nui ake rānei te hūpē .
Ki te puta tēnei, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- Ko te whāinga matua o te pokanga glaucoma he whakaiti i te pēhanga kanohi me te tiaki i tō tirohanga mai i ngā kino atu anō.
- He rerekē ngā tikanga, pērā i te laser, te pokanga tapahi, me te MIGS. Mā tō tākuta e whiriwhiri te tikanga e pai ana māu.
- He pokanga haumaru ēnei, ā, i te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua rā anō.
- He mea nui te whai i ngā tohutohu hauora i mua atu, i muri mai hoki i te pokanga, kia tere ai te ora.
- Kaua e mangere ki te pātai atu ki tō tākuta mō ngā pātai katoa e pā ana ki tō pokanga, ki tō āhua rānei. Ko te māramatanga mārama te rongoā pai rawa atu.
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