Kua hoha koe ki te rapu i ō mōhiti, i ō karāhe whakapā rānei i ia ata i muri i te oho ake? Kua hoha koe ki te mākū o ō mōhiti i te ua, te kohu, me te horoi tonu i aua mōhiti? He tangata hākinakina pea koe, ā, he raruraru nui ēnei mōhiti . He tokomaha te hunga e whakaaro ana kāore he otinga mō tēnei, me noho pēnei tonu koe mō te toenga o tō oranga. Engari, kei reira ngā tikanga hauora hou hei poroporoaki i ēnei mōhiti , hei whakamārama i tō tirohanga . I tēnei rā kei te kōrero tātou mō tētahi o aua momo pokanga motuhake.
He aha rawa te Whakawhitinga Karaehe Whakaata (RLE)?
He mahi pokanga kanohi anō hoki tēnei. Heoi, ko te tango katoa i te karāhe tūturu i roto i tō kanohi, me te whakatō tonu i tētahi karāhe horihori (Intraocular Lens - IOL ) kua hangaia kia rite ki tō ake ngoikoretanga tirohanga.
Whakaarohia he rite ki te whai i tētahi karāhe iti he rite te kaha ki ō karāhe kanohi, ki ō karāhe whakapā rānei, kua whakaurua ki roto i tō kanohi. Kia whakauruhia te karāhe kanohi horihori, ka mahi rite tonu ki tō karāhe kanohi tūturu. Ka arotahi te mārama e tomo ana ki tō kanohi, ā, ka arotahi tika ki te retina . Mā tēnei ka taea e koe te kite mārama me te kore e pōuri. He maha ngā tāngata kāore e hiahia ki te mau anō i ngā karāhe kanohi i muri i tēnei pokanga. Ko ētahi tāngata ka hiahia noa ki ngā karāhe kanohi mō ngā mahi tata, pērā i te pānui pukapuka, i te nūpepa rānei.
Kua rongo pea koe i ngā pokanga rēseri, pērā i te `(LASIK)` me te `(PRK)`. Ka whakarerekē ēnei pokanga i te āhua o te kornea o te kanohi hei whakapai ake i te tirohanga. Engari ko ētahi tāngata, inā koa ko te hunga he nui ngā raruraru tirohanga (tiro tata, tiro tawhiti rānei), kāore e taea te mahi i ēnei pokanga rēseri. Koinei te wā e tūtohu ai ngā tākuta i te pokanga `(Refractive Lens Exchange)`.
Mā wai tēnei pokanga e pai ai? (Ā, mā wai hoki kāore e pai ai?)
Ehara tēnei pokanga i te mea mā te katoa. Ka tirohia ō kanohi e tō taote kanohi, ā, ka whakatau mēnā he tika tēnei māu. Mā te ripanga i raro nei koe e āwhina ki te mārama ki tēnei.
| Ko wai te tangata e tika ana mō tēnei pokanga? | Ngā tāngata kāore pea e tika mō tēnei pokanga |
|---|---|
| Ko te hunga he nui te kino o te myopia , te hyperopia rānei, ā, kāore e taea te mahi pokanga laser. | Ngā tāngata whai mate e pā ana ki te kornea o te kanohi. |
| Ko te hunga e hiahia ana ki te whakaiti i tō rātou whakawhirinaki ki ngā mōhiti nā te presbyopia, he āhuatanga e puta ana i te koroheketanga. | Ngā tāngata e pāngia ana e te pirau kanohi e pā ana ki te koroheketanga . |
| Ngā tāngata e pāngia ana e te astigmatism. | Ngā tāngata e pāngia ana e te retinopathy e pā ana ki te mate huka . |
| Te hunga e hiahia ana ki te karo i te mōrearea o te katarata ā muri ake nei. | Ngā tāngata whai take mōrearea mō te wetewete o te retina . |
| Ngā tāngata e pāngia ana e te uveitis, he mate mumura e puta ana i roto i te kanohi. |
He mea nui te pakeke?
Ko te tikanga, he pai rawa atu tēnei pokanga mō te hunga neke atu i te 40 tau te pakeke. He maha ngā take mō tēnei. Ko tētahi he iti ake te tūponotanga o ngā kaumātua ki te pāngia e ngā raruraru i muri i te pokanga. Ko tētahi atu he maha ngā tāngata neke atu i te 40 tau te pakeke kua pāngia e te tirohanga tata (presbyopia). Nō reira, ka taea e tēnei pokanga te whakaoti i taua raruraru i te wā kotahi.
He aha te rerekētanga i waenga i te pokanga katarata me tēnei?
He mea tēnei e pōhēhē ana te tini tāngata. Ko ēnei pokanga e rua he tango i te karāhe tūturu o te kanohi, ā, he whakakapinga ki tētahi karāhe horihori (IOL). Heoi, he rerekē rawa te take o te pokanga.
- Pokanga katarata : Ka mahia tēnei nā te mea kua pōuri te karāhe tūturu o tō kanohi (pērā i te karāhe kohu). Kei te whakararuraru tēnei pōuri i tō tirohanga. Nō reira ka tangohia te karāhe pōuri, ā, ka whakaurua he karāhe horihori mārama hei whakahoki mai i te tirohanga mārama. He mea nui tēnei ki te hauora.
- Pokanga Whakawhiti Karaehe Whakaata (RLE): Ka mahia tēnei hei whakatika i ngā raruraru tirohanga (pēnei i te tirohanga tata, te tirohanga tawhiti rānei) e puta ana ina mārama tō karaehe tūturu, engari kāore e taea te arotahi tika i te mārama. Ehara te raruraru i konei i te kapua o te karaehe, engari he raruraru arotahi . Ka mahia tēnei hei whakaiti i tō whakawhirinaki ki ngā mōhiti, ki ngā karaehe whakapā rānei, hei whakangawari ake i te oranga o ia rā. Nō reira, he pokanga whiriwhiri tēnei, ehara i te mea he matea hauora.
Me pēhea te whakarite i mua i te pokanga?
Ka tirotirohia e tō taote kanohi ō kanohi i mua i te pokanga, ā, ka kōrero tahi me koe mō ngā momo karaihe kanohi (IOL) ka taea te whakauru. He mea nui kia pātaihia ō pātai i tēnei wā.
Kia mōhio koe ki te whiriwhiri i te karāhe kanohi tika (IOL) māu. Pātai atu ki tō tākuta mō ngā painga me ngā ngoikoretanga o ia momo karāhe kanohi, me tōna pānga ki tō oranga o ia rā.
He maha ngā momo matua o ngā IOL:
- Ngā IOL Monofocal: Ka taea e ēnei karāhe arotahi te whakarato tirohanga mārama mai i tawhiti , mai i tawhiti rānei . Kāore e taea e rātou te whakarato i ngā mea e rua. Hei tauira, ki te mau koe i ēnei karāhe arotahi mō te tirohanga tawhiti, me tino hiahia koe ki ngā mōhiti mō ngā mahi tata pēnei i te pānui pukapuka, te tirotiro rānei i tō waea.
- Ngā IOL maha-arotahi (ngā karāhe e whakarato ana i te tirohanga tawhiti me te tirohanga tata): Mā ēnei karāhe ka taea e koe te kite i ngā mea tawhiti me ngā mea tata me te kore he mōhiti. Heoi, he ngoikoretanga anō ō rātou. Tērā pea ka pāngia ētahi tāngata e te kanapa me te maramara i te wā e taraiwa ana i te pō. I te nuinga o te wā ka ngaro atu ēnei i roto i te wā.
- Tikanga Monovision: He tikanga tino whakamere tēnei. Ko tāu mahi i konei ko te whakatakoto i tētahi karāhe "monofocal" mō te tirohanga tawhiti ki tētahi kanohi, me tētahi karāhe "monofocal" mō te tirohanga tata ki tētahi atu kanohi. Ahakoa he ahua rerekē i te tīmatanga, i muri i tētahi wā ka taunga tō roro ki tēnei, ā, ka tīmata koe ki te kite i te tawhiti me te tata, me te kore e mōhio.
Kōrero ki tō tākuta kia whakatau ko tēhea o ēnei kōwhiringa e pai ana mō tō āhua noho, tō mahi, me ō hiahia.
Me pēhea te mahi i te pokanga?
Kāore he take e wehi ai koe i tēnei pokanga. E 15-30 meneti te roa hei whakaoti. Ko ngā mahi e whai wāhi ana ki te pokanga koia ēnei:
1. Tuatahi , ka tāpirihia he pata kanohi ki roto i tō kanohi hei whakangāwari . Kia kore ai koe e mamae. Ki te tika, ka hoatu pea he rongoā whakamoe hei pupuri i a koe kia marino. Ka mōhio koe, engari ka pōuriuri tō tirohanga. Ko te mārama me ētahi nekehanga anake ka kitea e koe.
2. Muri iho, ka whakamahia e te taote pokanga he hihi laser, he mata tino angiangi rānei hei tapahi i tētahi tapahi iti rawa ki te wāhi e tūtaki ai te mā o te kanohi (sclera) me te cornea.
3. Kātahi ka wahia tō karāhe māori mā te whakamahi i tētahi taputapu āhua pene (phacoemulsification) kia ririki, kātahi ka tangohia marietia.
4. Inaianei, ka whakauruhia te karāhe arotahi horihori (IOL) kua tīpakohia i mua ki roto i te wāhi kua hangaia mā taua tapahi iti, ā, ka whakanohoia tika ki roto i te kāpū karāhe arotahi ngawari e pupuri ana i te karāhe arotahi.
5. He iti rawa tēnei motu, kāore e hiahiatia he tuitui . Ka kati, ka ora anō hoki.
6. Hei whakamutunga, ka whakawhitia koe ki te wāhanga hōhipera me tētahi pare kanohi iti e piri ana.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka tirotirohia koe mō te 30 meneti pea, kātahi ka tukuna kia hoki ki te kāinga. He mea nui kia haere mai tētahi ki te kawe i a koe ki te kāinga. Me whai tētahi anō hoki hei kawe i a koe ki tō wā tuatahi ki te whare hauora i muri i te pokanga. Mā te tākuta koe e kī atu āhea koe ka taea ai te taraiwa anō.
He mea noa te pāngia e te mamae i ngā rā tuatahi i muri i te pokanga. He wā poto noa iho ēnei.
- Te pōuriuri o te tirohanga
- Tirohanga takirua
- Te mākūkū o ngā kanohi, me te mea he onepu kei roto.
- Te whero o ngā kanohi
- Ngā roimata e rere ana i ngā kanohi
Ka ngaro katoa ēnei i roto i te wā. Tērā pea ka pāngia ētahi tāngata e ngā pānga taha tirohanga mai i te arotahi kanohi-roto (IOL).
- He rite ki te atarangi ina tirohia mai i te taha
- Te kite i tētahi rārangi mārama e tiaho ana ina tirohia mai i te taha
- Te kite i ngā āmiomio, i te kanapa rānei i te taha o ngā rama, inā koa i te pō
He mea noa ake ēnei i roto i te hunga he maha ngā IOL arotahi tō rātou, ā, he maha ngā wā ka heke iho i te wā e taunga ana te roro ki ēnei.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea hoki tō tēnei pokanga. Mā te pokanga kanohi mātau, pūkenga hoki e whakahaere ka tino whakaiti i ngā mōrearea.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| Ka taea te whakatika i ngā momo hapa tirohanga katoa (tirohanga tawhiti, tirohanga tata, tirohanga tata). | Te wetewete o te retina: Koinei te raruraru tino kino ka pā mai. He paku teitei ake te mōrearea i roto i te hunga he tino pōuri te tirohanga me te hunga kei raro iho i te 50 tau te pakeke. |
| Ka taea e koe te kore rawa e mau mōhiti, te tata rānei ki te kore rawa e mau mōhiti (4 o roto i te 5 o ngā tāngata e pokangahia ana kāore e hiahia ki ngā mōhiti). | Te ngaronga o te tirohanga: Tērā pea ka ngaro te tirohanga i ētahi take tino onge, pērā i te kino o te retina. |
| Kāore he take e manukanuka ai kei puta te katarata ā muri ake nei (ka puta noa ngā katarata i roto i te karu mata tūturu). | Te pakaru o te kapu o muri: Ka pakaru pea te kiriuhi angiangi e pupuri ana i te karu i te wā e pokanga ana. He maha ngā wā ka taea e te taote pokanga te whakahaere i tēnei i taua wā tonu. |
| Te whakapōuri i te karu o muri: Ehara tēnei i te katarata. He pōuri tēnei o te karu e pupuri ana i te karu horihori i roto i ngā marama, i ngā tau rānei i muri i te pokanga. Ka taea te whakakore anō i tēnei i roto i ētahi meneti mā te maimoatanga taiaho tino māmā. |
Āhea koe me toro atu ki te tākuta?
He mea noa ki te kanohi te pāngia e ētahi huringa i te wā e ora ana i muri i te pokanga, engari he tohu anō kei reira me tino tūpato tātou ki ēnei.
| Ki te kore ēnei tohu e pai ake, engari e kino haere ana i ia rā, i ia rā, me whakapā atu ki tō tākuta tonu atu. | |
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| He āhuatanga ohorere ēnei! Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. | |
He tohu pea ēnei o te wehenga o te retina. Mā te maimoatanga wawe ka taea te whakaora i tō tirohanga.
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He aha atu ngā kōwhiringa kei tua atu i tēnei pokanga?
Ehara te Refractive Lens Exchange i te mea mā te katoa. Tērā pea ētahi atu kōwhiringa e tika ana māu.
- Mōhiti, Karaehe Whakapā rānei: Koinei te kōwhiringa māmā rawa atu, kāore hoki e pokanoa.
- Pokanga taiaho (LASIK, PRK): Tērā pea he pai ēnei mō te hunga he iti noa te raruraru tirohanga ki te āhua pai.
- Te Whakatōnga o te Arotahi Mata Phakic (PIOL): Ko te whakauru i tētahi arotahi hou ki mua i tō arotahi tūturu, me te kore e tangohia. He rite ki te whakauru i tētahi arotahi whakapā ki roto i tō kanohi. He kōwhiringa pai tēnei, inā koa mō te hunga kei raro iho i te 40 tau te pakeke e tino pāngia ana e te tirohanga tata engari kāore anō kia tīmata te pāngia e te tirohanga tata.
Ko te mea nui ko te kōrero ki tō tākuta kanohi mō ia o ēnei kōwhiringa, ō rātou painga me ō rātou huakore, kātahi ka whiriwhiri i te mea e pai ana mōu.
Karere Tangohia ki te Kāinga
- Ko te Refractive Lens Exchange (RLE) he otinga tuturu hei whakakore i ngā mōhiti me ngā karaihe whakapā.
- He rerekē tēnei i te pokanga katarata. Ka mahia tēnei hei whakatika i ngā hapa arotahi tirohanga.
- He mea tino nui te whiriwhiri i te karaihe kanohi tika (IOL) e tika ana mō tō momo noho. Kōrero ki tō tākuta mō tēnei.
- He tino teitei te angitu o tēnei pokanga. Heoi, pērā i ngā pokanga katoa, he iti noa te mōrearea. Mā te whiriwhiri i tētahi taote pokanga mātau ka taea te whakaiti i tēnei mōrearea.
- Ki te pā mai ētahi tohu rerekē i muri i te pokanga (ina koa ko ngā ira pango ohorere, ngā uira e mura ana), rapua tonutia he tohutohu hauora.
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