Ka kite ohorere koe i ngā mea pango ririki, pērā i te tukutuku pungawerewere , e rere ana i mua i ō kanohi? Kāore rānei koe e kite ohorere ana i ngā hihi mārama? Tērā pea kei te ahua koe kua taka mai he ārai pango ki mua i ō kanohi? Ehara ēnei i te tohu e tika ana kia warewarehia e koe. Tērā pea he tohu tēnei o te wehenga o te retina. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia . Ki te kore e rongoatia, ka ngaro katoa tō tirohanga . I tēnei rā kei te kōrero tātou mō tētahi tikanga tino angitu e kiia nei ko te 'Scleral Buckle', e rongoā ana i tēnei āhuatanga morearea.
He aha te tikanga o te pokanga Scleral Buckle?
Hei mārama ki tēnei, me mārama tuatahi tātou ki te mahi a ō tātou kanohi. Whakaarohia he rite ō tātou kanohi ki tētahi pōro iti. Kei te pakitara o roto o tēnei pōro tētahi kiriuhi tino nui, e aro ana ki te mārama, e kiia nei ko te retina . He rite ki te pepapātū i runga i te pakitara. Ka hangaia te ahua o ngā mea e kitea ana e tātou ki runga i tēnei retina. Kātahi, mā te tuku i aua mōhiohio ki te roro, ka whiwhi tātou i te tirohanga .
Ko te wehenga o te retina ko te wā e wehe ai te retina mai i ngā kiko o roto i te kanohi, pērā i te pepapātū e tihore ana i te pakitara. Ina tupu tēnei, kāore taua wāhanga e whiwhi toto nui, ā, ka ngaro tana mahi.
Nā, me titiro tātou ki te pokanga. I roto i te pokanga whakapūmau scleral, ka whakatakotoria he whitiki silicone iti, he hautai rānei (e kiia ana tēnei he whakapūmau) ki te taha mā o te kanohi, arā, te sclera, ā, ka whakakīia. Ina panaia te kanohi ki roto mā te whakamahi i tēnei whakapūmau, ka hoki te retina kua tangohia ki roto i te kanohi, ka piri ki te pakitara i roto i te kanohi. He rite ki te whakapiri i te pepapātū kua tangohia ki te pakitara. Mā tēnei, ka tīmata te retina ki te ora ake.
I roto i ēhea āhuatanga ka tūtohutia tēnei pokanga?
Ko te tikanga, ka tūtohu tō taote pokanga kanohi i tēnei pokanga mēnā he momo wehenga retina tōu e kiia nei ko te wehenga retina rhegmatogenous . Koinei te momo wehenga retina tino noa. Ka puta mai ina puta he kōhao iti, he haehae rānei i roto i te retina, ka tukuna te wai i roto i te kanohi (vitreous humor) kia turuturu mai i raro i te retina ka kumea atu.
He maha ngā āhuatanga mōrearea e pā ana ki tēnei āhuatanga:
- Te koroheketanga : I a tātou e pakeke haere ana, ka mimiti te matū rite ki te tiēre i roto i te kanohi (vitreous) ka huri hei wai, ka taea ai te wetewete i te retina.
- Ngā whara ki te kanohi: Pēnei i te whiunga kaha.
- Ngā pokanga kanohi o mua: Hei tauira, te pokanga katarata.
- Te Matapouri Nui: Nā te mea ka roa te āhua o te kanohi, ka angiangi te retina, ā, ka ngawari te haehae.
Hei tāpiri, mēnā kua rongoatia te wehenga o te retina i mua, ā, ka hoki mai anō te mate, ka tūtohu pea tō tākuta kia pokangahia te scleral buckle.
He aha i whiriwhiria ai te Scleral Buckle i te Vitrectomy?
Ko te Vitrectomy tētahi atu pokanga nui e mahia ana i tēnei wā hei tango i te retina kua motuhia. I roto i ngā wā, kua piki ake te rongonui o te vitrectomy i te pokanga scleral buckle. Tērā pea nā te mea he uaua ake te wā whakaora i muri i te pokanga scleral buckle.
Heoi, i ētahi wā, ko te maimoatanga pai rawa atu, me te maimoatanga tino tika mō tō āhua ko te pokanga Scleral Buckle anake. I ētahi wā, ka taea te mahi tahi i ngā pokanga e rua.
Ka whakaarohia e tō tākuta ngā āhuatanga pēnei i:
- Te āhua o te karaihe wai i roto i tō kanohi.
- He karāhe arotahi tūturu tāu, i pokangahia rānei tō katarata me te tāpiringa karāhe arotahi?
- Mehemea rānei ka taea e koe te pupuri i tōu mahunga i tētahi tūranga i muri i te pokanga.
Me pēhea taku whakarite i mua i te pokanga?
Āe, me kī atu kua whakatau te tākuta kia mahia tēnei pokanga. Mā te tākuta koe e hoatu he tohutohu mārama mō te whakarite i mua.
- Hītori hauora: Kōrero ki tō tākuta mō tō hītori hauora katoa me ngā tohumate o nāianei.
- Ngā Rongoā: Kia tino kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora, ngā tāpiringa, me ngā whakamamae mamae). Me mutu pea te tango i ētahi rongoā, inā koa ngā rongoā whakaiti toto, i ētahi rā i mua i te pokanga.
- Kai me te Inu: Mā tō tākuta koe e whakamōhio mō te wā me mutu te kai me te inu i te pō i mua i te pokanga.
- Taraiwa: Ko te tikanga ka mahia tēnei pokanga hei mahi ā-waho, nō reira me kawe mai e koe tētahi tangata hei kawe i a koe ki te kāinga i muri i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
He mea whakamarie tēnei mōu ki te whai whakaaro koe ki ngā mea ka puta i te wā o te pokanga.
1.Whakamamae: Ka tukuna tuatahitia he rongoā iti mā roto i tētahi uaua hei āwhina i a koe kia marino. Kātahi ka tukuna atu tētahi o ngā momo whakamamae e toru ki a koe: te whakamamae ā-rohe , te whakamamae ā-rohe , te whakamamae whānui rānei. He mea tino nui kia noho puku koe i te wā e pokangahia ana.
2. Te whakarite kanohi: Ka tāpirihia e te tākuta he pata kanohi hei whakanui i te kamo o tō kanohi kia pai ake ai tana kite i roto i tō kanohi. Kātahi ka whakatuwheratia tō kanohi ki tētahi taputapu e kiia nei ko te speculum .
3. Pokanga: Ka tapahia e te tākuta he kōhao iti ki te kiriuhi kanohi , te kiriuhi mārama e kapi ana i te mā o te kanohi (sclera). Kātahi, ina kitea te sclera, ka whakanohoia te whitiki, he whitiki silicone, he hautai rānei, ki te taha o te kanohi, ā, ka mau. I ētahi wā, ka taea tēnei te noho hei whitiki katoa, ka taea rānei te noho hei wahi hautai i ia taha o te retina i te wāhi i wehea ai.
4. Ngā maimoatanga tāpiri: Hei whakarite kia mau tonu te piri o te retina, ka whakahaerehia pea e tō tākuta he maimoatanga taiaho, he maimoatanga tio rānei. Ka puta he koha iti i te taha o te pakaru o te retina, ā, ka ārai i te wehenga anō.
5. Te tango wai: I ētahi wā he mea tika kia tangohia te wai kua kohia i raro i te retina.
I te nuinga o te wā, ka roa te mahi i tēnei pokanga katoa mō te haora, te haora me te hawhe rānei.
He aha ngā mea hei tumanakohia i muri i te pokanga?
Kia oti pai te pokanga, ka tīmata tō wā whakaora.
- Ka hoatu he rongoā paturopi ki a koe hei ārai i te mate.
- Ka hoatu he taupoki kanohi ki a koe hei mau i taua rā, me te rā pea e whai ake nei.
- Ka noho koe i te rūma pokanga kia oho rawa koe i te rongoā whakamoe, kātahi ka taea e koe te hoki ki te kāinga me te tangata i haere mai ki te kawe i a koe ki te kāinga.
- E mea ana te tākuta kia haere atu ahau mō tētahi wā tirotiro ā te rā i muri mai.
- Me whakawhāiti e koe ō mahi mō ētahi rā. Kaua e hiki taumaha, e piko rānei.
- Mena ka pāngia koe e te mamae o ngā kanohi, ka taea e koe te tango i ngā rongoā whakamamae mamae i tūtohutia e tō tākuta.
He aha ngā painga me ngā ōrau angitu o tēnei pokanga?
Ko te painga nui rawa atu, ko te painga anake o tēnei pokanga , ko te whakakore i te mōrearea o te ngaronga o te tirohanga. He mate kino te wehenga o te retina, ā, ki te kore e rongoatia, ka taea te arahi ki te ngaronga tirohanga tuturu. Nō reira, he mea tino nui kia whiwhi maimoatanga i te wā e taea ai.
He tino teitei te ōrau angitu o te pokanga scleral buckle, tata ki te 80% - 90%. Ko te tikanga, ki te tekau ngā tāngata e pokangahia ana, e waru, e iwa rānei ka angitu te hono anō i ō rātou retina.
He aha ngā mōrearea o te pokanga?
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea me ngā raruraru ka pā mai. He onge ēnei, engari he mea nui kia mōhio.
| Ngā raruraru pea | He whakamārama māmā |
|---|---|
| Tirohanga takirua | Nā te pānga ki ngā uaua o te kanohi, ka puta te āhua o te mea kotahi he mea e rua, he mea mō te wā poto, he mea mō ake tonu atu rānei. |
| Te toto i roto i te kanohi | Tērā pea ka puta te toto ki roto i te kanohi i te wā o te pokanga, i muri rānei i te pokanga. |
| Mate pāwera | Pērā i ngā mahi pokanga katoa, he iti noa te mōrearea o te mate kanohi. |
| Te piki haere o te ngoikore o te tirohanga tawhiti | Tērā pea ka paku whakarerekē te whitiki i te āhua o tō kanohi, ka nui ake ai tō tirohanga tata. |
| Ngā katarata | Tērā pea ka tere ake te mahi pokanga i te whakapōuri i te karu o te kanohi (cataracts). |
| Te pikinga o te pēhanga kanohi | I muri i te pokanga, ka piki ake pea te pēhanga i roto i te kanohi. Ka taea te rongoā i tēnei. |
| Te wehenga o te retina | I ētahi wā onge, ka taea e te retina te wete anō ahakoa i muri i te pokanga. |
Kia pēhea te roa o te wā e ora ai?
Inaianei kei te pātai koe, "Āe, āhea ahau ka tīmata anō ki te mahi i te āhua noa?" E rua, e whā wiki rānei te roa, kia ora katoa ai. E maha hoki ngā marama ka tau ai tō tirohanga.
Pātai atu ki tō tākuta āhea tonu ka taea e koe te tīmata anō i ngā mahi e whai ake nei:
- Kaukau ana, kaukau ana.
- Te tīmatanga o te mahi, o te kura rānei.
- Kei te tīmata te taraiwa.
- Te mahi i ngā mahi uaua pēnei i te hiki i ngā taumaha, te tākaro hākinakina rānei.
- E kaukau ana.
Āhea koe me waea ohorere atu ki te tākuta?
Ina hoki koe ki te kāinga i muri i te pokanga, he mea tino nui kia rapu tohutohu hauora tonu atu mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei: Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata rawa atu.
- Mena ka kaha te mamae o te kanohi.
- Mena ka piki ake te pupuhi o te kanohi.
- Ki te kino haere tō tirohanga.
Ki te pāngia koe e ēnei tohu, kaua e whakaroa. He tohu pea tēnei nō te mate urutā, nō tētahi atu raruraru nui rānei.
Karere Tangohia ki te Kāinga
- He āhuatanga ohorere te wetewete o te retina e hiahia ana kia rongoatia tonutia. Kaua e warewarehia ngā tohu pēnei i te ira pango e rere ana i mua i ō kanohi, te kitenga i ngā uira, te ahua rānei kua taka te mata.
- He tino angitu te pokanga Scleral Buckle hei whakahoki i te hononga o te retina.
- I roto i tēnei pokanga, ka whakatakotoria he whitiki silicone ki te taha o te kanohi, ā, ka honoa anō te retina kua tangohia ki te pakitara mā te pana paku i te kanohi ki roto.
- Tērā pea ka roa pea ētahi wiki hei whakaora i muri i te pokanga, ā, he mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta (pēnei i te whakamahinga rongoā me ngā here mahi).
- Mena ka pāngia koe e ngā tohu pēnei i te nui haere o te mamae o ngā kanohi, te pupuhi, te ngaro haere rānei o te tirohanga i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.











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