Kua rongo koe i ngā kupu 'te pēhanga kanohi teitei' me te 'glaucoma'? Tērā pea kei te pāngia koe, kei te pāngia rānei koe e tēnei mate. He tino taumaha te āhua, ina koa ka taea e te pēhanga kanohi teitei te whakararu i tō tirohanga. Engari kaua e manukanuka—kua tino whanake te rongoā hou. Ko tētahi maimoatanga tino angitu me te haumaru e wātea ana i ēnei rā ko te tikanga e kiia nei ko te goniotomy. Me tūhura tātou he aha tēnei pokanga, me pēhea te mahi, me pēhea hoki e āwhina ai ki te tiaki i tō tirohanga.
He Kupu Māmā: He aha te Goniotomy?
He tikanga motuhake te goniotomy mō te kanohi, i hangaia hei whakaiti i te pēhanga o roto o te kanohi (IOP) . Kei roto i te wāhanga o te Pokanga Matakuta Miihini (MIGS) . Ko te tikanga o te "Miihini Miihini" ka whakamahia e te taote pokanga ngā taputapu tino tika, miikoroiti hei mahi i te tikanga, hei whakaiti i te whara ki te kanohi, hei whakatairanga hoki i te whakaora tere.
I roto i tō kanohi, kei te whakaputa tonutia, kei te tangohia hoki he wai e kiia nei ko te wai kohuke. Mēnā ka āraia, ka kore rānei e whai hua tēnei pūnaha rerenga wai, ka nui haere te wai, ka piki ake te pēhanga i roto i tō kanohi. Ka taea e tēnei pēhanga teitei te arahi ki te glaucoma. Mā te goniotomy ka mahi mā te whakakore i te aukati i te ara rerenga wai tūturu o te kanohi, ka taea ai te rere noa o te wai, ka whakaiti i te pēhanga o roto o te kanohi. Mā te mahi pera, ka tiakina tō io whatu mai i te kino kore e taea te whakatika, ā, ka tiakina hoki tō tirohanga utu nui.
He mea nui kia mārama ahakoa he tino whai hua tēnei pokanga ki te ārai i te ngaronga atu o te tirohanga , kāore e taea te whakakore i ngā kino kua pā mai. Koia te take he mea tino nui te kitenga wawe me te rongoā wā tika i te karuāra.
Mā wai tēnei Tukanga?
I ngā wā o mua, ko te goniotomy te mahi matua i runga i ngā pēpi me ngā tamariki nohinohi kua kitea he glaucoma whānau (congenital glaucoma) . Heoi, nā ngā whanaketanga whakamiharo o te hangarau ophthalmologic me ngā tikanga pokanga, kua whakamahia whānuitia, kua angitu hoki hei rongoā i ngā momo glaucoma i roto i ngā pakeke.
Ka whakahaerehia e tō tākuta kanohi he whakamātautau kanohi hōhonu hei whakatau mēnā ko te goniotomy te kōwhiringa maimoatanga tino tika mō tō momo me te wāhanga o te glaucoma.
Me pēhea te whakarite mō te pokanga
Mā tō taote kanohi koe e ārahi i roto i te tukanga whakarite, ā, māna anō hoki koe e whakautu i ō pātai katoa. Ko te tikanga, ko ngā whakaritenga i mua i te pokanga ka uru atu ki:
- Te Arotake i ō Rongoā: He mea nui kia whakamōhio atu koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe i tēnei wā, tae atu ki ngā rongoā kua tohua, ngā rongoā kāore e hiahiatia he rongoā, ngā huaora, me ngā tāpiringa otaota. Tērā pea ka tohutohuhia koe kia mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te tikanga.
- Te Mārama ki te Whakamamae: Kia noho humarie ai koe, kia kore ai hoki e mamae i te wā e mahia ana, ka tukuna he whakamamae. Tērā pea ka uru atu he whakamamae ā-rohe (he pata whakangote, he werohanga rānei ki te kanohi hei whakangote i te wāhi i a koe e ara ana) he whakamamae whānui rānei, i runga i tō hauora me tō taumata whakamarie. Ka kōrerohia e tō tākuta whakamamae te kōwhiringa pai rawa atu ki a koe.
- Tohutohu Nohopuku: Tērā pea ka tonoa koe kia kaua e kai i tētahi kai mārō mō te 8 hāora i mua i tō pokanga. Ko ngā wai mārama (pēnei i te wai) e whakaaetia ana tae atu ki te 2 hāora i mua i te pokanga. Me whai i ngā aratohu nohopuku a tō tīma hauora.
Te Whakahaeretanga o te Pokanga
Ahakoa te ahua whakamataku o te pokanga kanohi, he tino whai hua te goniotomy i waho o te hōhipera. E 15 ki te 30 meneti noa iho te roa o te mahi.
1. Whakamoemiti: Tuatahi, ka tukuna he pata whakangote ā-rohe, he rongoā whakamoe rānei kia kore ai koe e mamae i te wā e mahia ana.
2. Tapahi Makaro: Ka tapahia e tō taote pokanga he tapahi makaro (tata ki te 1 ki te 2 mirimita) ki te kornea (te matapihi mārama o mua o tō kanohi).
3. Te Whakauru i ngā Taputapu Motuhake: Mā roto i tēnei tapahi iti, ka whakaurua marietia he taputapu moroiti motuhake. Ka whakatakotoria he karāhe tirotiro motuhake e kiia nei ko te karāhe gonioscopic ki te mata o tō kanohi, kia taea ai e te taote pokanga te kite mārama me te whakanui i te pūnaha rerenga wai o roto o te kanohi.
4. Te Whakatuwheratanga o te Ara Wai: Kei roto i te kanohi, he paparanga kiko hautai e mahi ana ki te tātari wai, e mōhiotia ana ko te whatunga trabecular . I roto i ngā kanohi e pāngia ana e te glaucoma, kua āraihia, kua ātete rānei tēnei whatunga ki te rere. Ka whakamahia e tō taote pokanga te taputapu moroiti hei hanga i tētahi whakatuwheratanga tika i roto i tēnei kiko, hei karo i te aukati me te hanga i tētahi awa tika mō te wai kia ngāwari te mimiti, ka angitu ai te whakaheke i te pēhanga o tō kanohi.
5. Te Whakamutunga o te Tukanga: Kia tuwhera te awa, ka tangohia mārire te taputapu, ā, ka whakatakotoria he ārai kanohi ki runga i tō kanohi hei tiaki i a ia i te wā e ora tuatahi ana.
Te Tiaki me te Whakaora i Muri i te Pokanga
I muri i te tikanga, ka okioki koe i te wāhi whakaora mō te wā poto i te wā e tirotirohia ana koe e tō tīma hauora. Kia whakaaetia koe, ka whakaaetia kia hoki ki te kāinga. Nā te mea ka pōuriuri tō tirohanga mō te wā poto, ā, tera pea kua whiwhi koe i te rongoā whakamoe ngawari, me whakarite e koe he tangata hei kawe i a koe ki te kāinga me te haumaru.
Ka tohua e tō tākuta he pata kanohi rongoā motuhake hei āwhina i te whakaora. Kei roto i tēnei ko ngā pata kanohi paturopi mō ētahi rā hei ārai i te mate, me ngā pata ārai-mumura (steroid) mō ētahi wiki hei whakaiti i te pupuhi me te whakarite kia tuwhera tonu te ara rerenga wai hou.
I ngā rā tuatahi, he mea noa te wheako i te roimata ngawari, te tirohanga pōuri, te ahua kirikiri rānei o te kanohi (me te mea he onepu kei roto). He wā poto noa iho ēnei tohu, ā, me pai ake i roto i ētahi rā.
Ngā Aratohu Hira i te Wā Whakaora
| NGĀ MEA HEI ĀRAI | ME AHA TE MAHI |
|---|---|
| Te mirimiri, te pā, te pēhi rānei i tō kanohi. | Horoia pai ō ringaringa ki te hopi me te wai i mua i te paninga o ngā pata kanohi. |
| Te pani i tētahi momo meika kanohi, kirīmi, hinu rānei huri noa i te kanohi. | Whakamahia ngā pata kanohi rongoā katoa kua tohua e te rata, kia rite ki te wā i whakaritea. |
| Te piko mai i te hope, te tuturi rānei me tō māhunga ki raro. | Mauria he mōhiti kanohi mēnā he tairongo tō kanohi ki te mārama kanapa, ki te kanapa rānei o waho. |
| Te hiki i ngā mea taumaha, te mahi rānei i ngā mahi uaua. | Haere ki ngā wā tirotiro katoa kua whakaritea hei aroturuki i te pēhanga o tō kanohi. |
| Te whakakori tinana kaha, te oma, te kaukau, te whakamahi rānei i ngā kaukau wera. | Kia tino tupato i te kaukau, i te horoi rānei i tō mata kia kore ai te wai me te hopi e uru ki tō kanohi e ora ana. |
He Tūponotanga, he Āhuatanga Whakararuraru rānei?
He tino onge ngā raruraru nui i muri i te pokanga pokanga. Pērā i ngā tikanga pokanga katoa, he iti noa te mōrearea o te mate, te mumura, te mamae rānei, engari ka taea te whakahaere i ēnei i te nuinga o te wā.
Ko ētahi o ngā raruraru motuhake, pea hei mōhio māu ko:
- He toto ngawari kei roto i te ruma o mua o te kanohi (e mōhiotia ana ko te hyphema, e memeha ana i roto i te 1 ki te 2 wiki).
- He pikinga wā poto o te pēhanga kanohi i muri tonu i te tikanga.
- Ngā panonitanga iti o tō tirohanga, pērā i te astigmatism rangitahi (Astigmatism) .
- He tino onge te iti rawa o te pēhanga kanohi (hypotony) me tētahi raruraru nui pērā i te wehenga o te retina (retinal detachment) .
Ka matapakihia e tō tākuta kanohi ēnei mōrearea pea i mua i tō pokanga kia mōhio ai koe, kia whakamarie ai hoki.
Āhea koe me rapu awhina hauora ohorere?
I a koe e ora ana, whakapā atu ki tō tohunga kanohi tonu mēnā ka pāngia koe e tētahi o ngā tohu whakatūpato e whai ake nei:
- Te mamae nui o ngā kanohi, te kino haere rānei, te mamae o te kanohi rānei, kāore e pai ki ngā rongoā whakamamae.
- Te ngaronga ohorere o te tirohanga , te pōuri tere rānei, te tino pōuri rānei.
- Te kite i ngā āniwaniwa, i ngā mowhiti tae rānei e karapoti ana i ngā rama.
- He whero nui, he pupuhi, he wai kōwhai/kakariki rānei e puta mai ana i te kanohi, he nui, he kino rānei.
Ki te pāngia koe e tētahi o ēnei tohu ohorere, whakapā atu ki te tari o tō tākuta kanohi tonu atu, haere rānei ki te wāhanga ohorere o te hōhipera tata tonu atu.
Ngā Kaupapa Matua (Karere hei Whakahoki ki te Kāinga)
- He tino haumaru, he whai hua, he iti hoki te whakaekenga o te goniotomy, i hangaia hei whakaheke i te pēhanga kanohi teitei e hua mai ana i te glaucoma.
- Mā te waihanga i tētahi ara mārama mō te rerenga o te wai o roto i te kanohi, ka whakaitihia te pehanga hei tiaki i tō io whatu me te tiaki i tō tirohanga e toe ana.
- He tere te tukanga (e kore e neke atu i te 30 meneti te roa) ā, he ngāwari, he ngāwari hoki te wā whakaora.
- He mea nui te whai i ngā tohutohu a tō taote pokanga i muri i te pokanga—ina koa mō ngā wātaka rongoā me ngā here mahi—kia angitu ai te putanga.
- He mea nui te haere ki ngā wā tirotiro katoa. Ki te kite koe i ētahi tohu whakatūpato mō ngā raruraru, rapua tonutia he awhina hauora.
Te rongoā mō te mate huka, te karuāra, te pēhanga kanohi, te pēhanga kanohi, te pokanga kanohi, te maimoatanga o te karuāra, Nirogi Lanka
