Me ako ngāwari tātou mō te pokanga trabeculectomy mō te glaucoma.

E mōhio ana pea koe , ko te karuāra he āhuatanga e piki haere ana te pēhanga i roto i te kanohi, ka taea e tēnei te kino haere i tō tātou tirohanga. I te nuinga o te wā, ka taea te whakahaere i tēnei pēhanga mā te whakamahi i ngā pata kanohi . Heoi, i ētahi wā, kāore e taea e ngā pata kanohi anake te whakahaere i te pēhanga i roto i te kanohi . I ēnei wā, kei te kōrero tātou i tēnei rā mō tētahi pokanga motuhake ka tūtohu pea tō tākuta.

He aha te Trabeculectomy?

He pokanga te trabeculectomy hei whakaiti i te pēhanga i roto i te kanohi i puta mai i te glaucoma. Ehara i te mea he maimoatanga tuatahi mō te glaucoma. Ko te tikanga tēnei kāore ngā tākuta e taunaki ana i tēnei pokanga hei kōwhiringa tuatahi. Ka whakaarohia anake mēnā kāore ētahi atu maimoatanga, pērā i ngā pata kanohi, i kaha ki te whakahaere i te pēhanga i roto i te kanohi.

He rite ki te hanga i tētahi paipa hou hei tango i te wai nui mai i te kanohi. Ehara tēnei i te pokanga nui, arā, ka taea e koe te hoki ki te kāinga i taua rā anō.

He aha te mea e tupu ana me tēnei pokanga?

Kei roto i ō tātou kanohi he wai motuhake e whāngai ana i te kanohi, e pupuri ana hoki i tōna āhua tika. Ka kiia tēnei he 'wai wai'. Kei te whakaputa tonutia tēnei wai i roto i te kanohi, ā, e rere ana i waho o te kanohi. Ka rite ki te huringa.

Heoi, i roto i te glaucoma, ka āraia tēnei wai kei puta i te kanohi. Kātahi ka kohikohi tēnei wai i roto i te kanohi, ka piki ake te pēhanga. Ka pakaru te io whatu i tēnei pēhanga teitei, e hono ana i ō tātou kanohi ki te roro. Mā tēnei kino ka ngaro haere te tirohanga .

Mā te pokanga trabeculectomy ka hangaia he ara hou mō te wai nui (te wai whakapūmau) kia puta ai i te kanohi, ā, ka whakaitihia te pēhanga i roto i te kanohi.

Ko te mea nui me mārama koe ki konei , kāore e taea e tēnei pokanga te whakaora i te tirohanga kua ngaro kē. Heoi, ka taea e ia te āwhina ki te aukati, ki te whakaroa rānei i te ngaronga atu o te tirohanga.

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Me pēhea te whakarite i mua i te pokanga?

Ka hoatu e tō taote kanohi ngā tohutohu katoa e hiahiatia ana e koe i mua i te pokanga. I tēnei wā, ka tirotirohia ō kanohi, ā, ka whakatauhia mēnā he pai koe mō te pokanga. I mua i te pokanga, ka kōrero te tākuta ki a koe mō ēnei mea e whai ake nei:

• Whakamoemiti : Ahakoa ka whakahaerehia te pokanga i raro i te whakamoemiti ā-rohe, i te whakamoemiti whānui rānei.
• Ngā rongoā e tangohia ana e koe: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe i tēnei wā, tae atu ki ngā huaora me ngā rongoā otaota. Me mutu pea te tango i ētahi rongoā i mua i te pokanga.
• Nohopuku : Ka whakamōhiotia koe kia hia ngā hāora me karo koe i te kai, i te inu rānei i mua i te pokanga.
• He tangata hei āwhina: He mea nui kia whai tangata hei kawe i a koe ki te kāinga i muri i te pokanga, hei āwhina hoki i a koe ki te kāinga.

He aha ngā mea ka tupu i te wā o te pokanga?

I te wā o te pokanga, ka takoto koe ki runga i tētahi tēpu pokanga. Mēnā e tika ana, ka honoa pea he ngongo iti (raina IV) ki tētahi uaua i tō ringa hei hoatu rongoā ki a koe. Kātahi ka whakamahia he taputapu iti rite ki te topenga hei pupuri i ō kamo kia tuwhera.

Muri iho, ka whakamoea te kanohi. I te nuinga o te wā, ko te kanohi anake ka whakangā (whakamoea ā-rohe). Kātahi ka mōhio koe, engari kāore koe e mamae. Ahakoa ka pēhia pea koe, kāore he mamae. Ki te āwangawanga koe mō tēnā, kōrero ki te tākuta i mua.

I ētahi wā motuhake, ka whakahaerehia te pokanga i raro i te mate whakamoe whānui, kia moe rawa ai te tūroro.

Kātahi ka tapahia e te taote pokanga he wāhanga mā o te kanohi (conjunctiva me te sclera), ka hangaia he ara iti hei puta mā te wai i kōrerotia i mua ake nei. Ka kohia te wai e puta mai ana i tēnei ara ki roto i tētahi kiriuhi i raro i te kamo o runga, ka hanga he hanganga iti rite ki te mirumiru. Ka kiia tēnei he 'bleb' . Kaua e manukanuka, kāore tēnei mirumiru e kitea mai i waho. Ka mimitihia te wai e kohia ana i konei ki roto i te tinana.

I ētahi wā, ka werohia he rongoā motuhake hei ārai i te koha me te kati o te motu. Hei whakamutunga, ka whakatakotoria ētahi tuitui ka taea te tango i muri mai mēnā e tika ana, ā, ka katihia te kanohi ki te takai/pāti. Hei tāpiri, ka tonoa koe kia mau i te pare kanohi hei ārai i tetahi mea kei uru ki roto i tō kanohi. Ko te tikanga ka roa te pokanga mō te haora pea.

Me aha mātou i muri i te pokanga?

He mea tino nui te wā whakaora i muri i te pokanga. E 4 ki te 6 wiki te roa kia tino ora ai te kanohi. He iti noa ngā mea me whai e koe i tēnei wā.

Ngā whare hauora whai muri i te pokanga

Me haere koe ki te tākuta i te rā i muri i te pokanga. Ka tangohia te takai, ā, ka tirohia ō kanohi. Whai muri i tēnā, ka tonoa koe kia haere mai ki te whare hauora kotahi, e rua rānei i te wiki mō ngā wiki tuatahi e rua, e toru rānei. Ka inehia te pēhanga o tō kanohi, ā, ki te tika, ka taea te tapahi i tētahi, i ētahi rānei tuitui ki te laser hei whakaiti ake i te pēhanga. Nō reira, kaua e mahue te haere ki ēnei whare hauora.

He aha ngā painga me ngā raruraru pea o tēnei pokanga?

He maimoatanga tino angitu te pokanga trabeculectomy. Heoi, pērā i ngā pokanga katoa, kei reira ētahi mōrearea.

• Ngā Painga:
• He teitei te ōrau angitu, arā, 60% - 80% i roto i ngā tau e 5 i muri i te pokanga.
• He kōwhiringa pai tēnei mō te hunga kua kore e angitu i ētahi atu maimoatanga.
• He pokanga haumaru i te nuinga o te wā.

• Ngā Tūponotanga me ngā Āhuatanga Whakararuraru:
• Ngā katarata:Tērā pea ka piki ake te tere o te hanganga o te katarata i muri i tēnei pokanga. Engari he mea tēnei e tumanakohia ana e ngā tākuta. Waihoki, ka taea e te pokanga katarata te whakaora katoa i tēnei.
• Mate urutā : He iti noa te mōrearea o te pangia o ngā kanohi.
• Te toto: Tērā pea ka puta te toto i roto i te kanohi.
• Te tirohanga pōuri: I ētahi wā ka pōuri te tirohanga mō te wā poto.
• Ngā raruraru o te bleb: Ka taea e te whakanui, te whakarerekē rānei i te bleb te whakaputa i ngā āhuatanga pēnei i te kamo e takoto kau ana (ptosis).

Āhea ahau me toro atu ki te tākuta tonu?

He mea noa te pāngia e te mamae me te whero i muri i te pokanga. Heoi, ehara i te mea noa te mamae nui . Waihoki, ka roa pea te tūponotanga o te mate pāwera mō ngā marama, tae noa ki ngā tau, i muri i te pokanga. Nō reira, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, haere tonu ki te tākuta nāna i mahi tō pokanga, ki te Tari Ohotata rānei o te hōhipera (ETU).

• Te mamae nui o te kanohi
• Kirika
• Te nui rawa o te roimata (epiphora) te rerenga rānei o te pūkahukahu mai i te kanohi
• Te ngaronga ohorere, te hekenga rānei o te tirohanga

Ki te kore te pokanga e angitu, arā, kāore te pēhanga o te kanohi e heke pērā i te mea e tumanakohia ana, kaua e manukanuka. Tērā atu anō ngā kōwhiringa maimoatanga. Mā tō tākuta koe e whakamārama ki te whakauru i tētahi ngongo iti (ngongo waikeri) hei tango i te wai i roto i te kanohi, i te maimoatanga taiaho rānei (tikanga cyclodestructive).