Te Mārama ki te Trabeculectomy: He Aratohu Māmā mō te Pokanga Glaucoma

Te Mārama ki te Trabeculectomy: He Aratohu Māmā mō te Pokanga Glaucoma

Physician Reviewed — Not Medical Advice

Tērā pea kua mōhio kē koe ko te glaucoma he āhuatanga e kino haere ai te tirohanga nā te pikinga o te pēhanga i roto i te kanohi. He maha ngā wā, ka taea te whakahaere i tēnei pēhanga mā te whakamahi i ngā pata kanohi . Heoi, tera ētahi wā kāore e ranea te rongoā anake hei whakahaere i te pēhanga o roto o te kanohi . I tēnei rā, ka matapakihia e tātou tētahi pokanga motuhake ka tūtohu pea tō tākuta i roto i ēnei āhuatanga.

He aha te Trabeculectomy?

He pokanga te trabeculectomy hei whakaiti i te pēhanga i roto i tō kanohi i puta mai i te glaucoma. Ehara i te mea koinei te rongoā tuatahi. Ko te tikanga ka whakaarohia tēnei e ngā tākuta ina kore e taea e ētahi atu maimoatanga, pērā i ngā pata kanohi rongoā, te pupuri i te pēhanga o tō kanohi ki roto i te awhe hauora.

He whakarāpopototanga noa iho, ko te pokanga he waihanga i tētahi awa wai hou hei tuku i te wai nui i roto i tō kanohi kia puta. He tikanga iti noa iho tēnei, ā, i te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua rā anō.

He aha te mea e tupu ana i tēnei tikanga?

Kei roto i tō kanohi he wai mārama e mōhiotia ana ko te 'waikawa wai' e whakarato ana i te kai me te pupuri i te āhua o te kanohi. Ka whakaputaina tonutia tēnei wai, ka ringihia hoki i roto i tētahi huringa taurite.

I roto i te glaucoma, ka aukatia tēnei tukanga rerenga wai. Ko te hua o te kohikohinga wai ka whakanui ake i te pēhanga, ka kino pea te io whatu — te hononga nui i waenga i tō kanohi me tō roro. Ko tēnei kino te mea e arahi ana ki te ngaro haere o te tirohanga .

I te wā e tangohia ana te kiriuhi kanohi, ka hangaia e te taote pokanga he ara hou hei putanga mai i te wai i te kanohi, kia heke ai te pēhanga.

He mea nui kia mārama kāore e taea e tēnei pokanga te whakaora i te tirohanga kua ngaro kē. Heoi, he tino whai hua ki te aukati i te ngaronga atu o te tirohanga, ki te whakaroa rānei i tōna whanaketanga.

Te whakarite mō tō pokanga

Mā tō taote kanohi koe e hoatu ki te taote he tohutohu taipitopito. Ka arotakehia e rātou ō kanohi kia mōhio ai mēnā he pai koe mō te mahi. I mua i te pokanga, ka matapakihia e tō tākuta ngā mea e whai ake nei:

  • Whakamoemiti : Ahakoa ka mahia te tikanga i raro i te whakamoemiti ā-rohe (te whakangote i te kanohi anake) te whakamoemiti whānui rānei (i te wā e moe ana koe).
  • Ō Rongoā: Me whakamōhio atu ki tō tākuta mō ngā rongoā katoa o nāianei, tae atu ki ngā huaora me ngā tāpiringa otaota. Tērā pea ka tonoa koe kia whakamutu i ētahi rongoā i mua i te pokanga.
  • Nohopuku : Whāia ngā tohutohu mō te maha o ngā hāora me karo koe i te kai me te inu i mua i te pokanga.
  • Tautoko: Me whai tangata koe hei kawe i a koe ki te kāinga i muri i te pokanga, hei āwhina hoki i a koe i tō wā whakaora tuatahi.

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

Ka takoto koe i runga i te tēpu pokanga, ā, ka tīmata pea te werohanga i te aho IV hei hoatu i ngā rongoā e tika ana. Ka whakamahia he topenga iti hei pupuri i tō kamo kia tuwhera tonu.

Ka ngenge tō kanohi. Ko te nuinga o ngā mahi ka mahia i raro i te mate whakamoe ā-rohe, arā, ka ara ake koe engari kāore he mamae. Tērā pea ka rongo koe i te pēhanga, engari kāore he mamae. Ki te mea kei te manukanuka koe, kōrerohia tēnei ki tō tākuta i mua.

Ka hangaia e te taote pokanga he kōhao iti ki te wāhanga mā o tō kanohi (te conjunctiva me te sclera) hei hanga i te awa wai hou. Ko te wai e rere ana i tēnei ara ka hanga he pupuhi iti, huna i raro i tō kamo e kiia nei ko te 'bleb' . Ka mimitihia tēnei wai e te tinana i te mutunga.

I ētahi wā, ka werohia he rongoā hei ārai i te kiri i te wāhi e mimiti ana te wai. Hei whakamutunga, ka whakatakotoria pea e te taote pokanga he tuitui ka taea te rewa, ā, ka hipokina tō kanohi ki te pātaki, ki te takai rānei. Ka hoatu hoki he pare kanohi hei ārai i ngā whara tūpono. Ko te tikanga ka roa te tukanga katoa mō te haora.

Te tiaki i muri i te pokanga

He mea nui te wā whakaora. E 4 ki te 6 wiki te roa kia ora rawa te kanohi. Me āta whai i ēnei aratohu:

Ngā Mea e Me Mahi Ngā mea kāore e tika ana
Whakamahia ō pata kanohi kua tohua kia rite ki ngā tohutohu. He mea nui ēnei hei ārai i te mate me te whakaiti i te pupuhi. Kaua rawa e pā atu, e mirimiri, e pēhi rānei i te kanohi kua tāia. Ka ārai pea tēnei i te tukanga whakaora.
Haere ki ngā wā tirotiro katoa. Ko te angitu o tō pokanga e whakawhirinaki ana ki ēnei tirotiro. Kaua e hiki taumaha, kaua e piko, kaua e mirimiri i ō kanohi, kaua hoki e whakauaua i te wā e neke ana te puku. Ka taea e ēnei mahi te whakanui ake i te pēhanga o ngā kanohi.
Mauria tō pare kanohi i a koe e moe ana. Mā tēnei ka ārai i a koe kei whara tō kanohi i te pō. Kia maroke tō kanohi. Āraia te wai, te hopi, te puehu rānei kia kore ai e uru ki roto i tō kanohi. Kia tūpato i te wā e kaukau ana.

Ngā Haerenga Whai Ake

Ko te tikanga ka kite koe i tō tākuta i te rā i muri i te pokanga. Ka tangohia e rātou te pātaki ka tirohia te kanohi. Mō ngā wiki tuatahi e rua ki te toru, me tatari kia tirohia ia wiki. Ka tirohia pea e tō tākuta tō pēhanga, ā, ki te tika, ka whakatikahia ngā tuitui mā te whakamahi i te laser hei whakapai ake i te pēhanga o tō kanohi.

Ngā Painga me ngā Āhuatanga Pōrearea Pea

He maimoatanga tino angitu te trabeculectomy, engari pērā i ngā pokanga katoa, he tūponotanga mōrearea kei roto.

  • Ngā Painga:
  • He teitei te angitu o te pokanga (60% – 80% i muri i te 5 tau).
  • He huarahi pai rawa atu tēnei mō te hunga kāore i te pai te urupare ki ētahi atu maimoatanga.
  • Ko te tikanga he tikanga haumaru.
  • Ngā Tūponotanga me ngā Āhuatanga Whakararuraru:
  • Ngā katarata: Tērā pea ka tere ake te whanaketanga o te katarata e tēnei pokanga, ā, e tika ana kia rongoatia i muri mai mā te pokanga katarata.
  • Mate urutā: He iti noa te mōrearea o te pangia e te mate urutā.
  • Te toto:Ka puta pea te toto iti i roto i te kanohi.
  • Te Pōuri o te Tirohanga: Tērā pea ka pōuri tō tirohanga mō tētahi wā.
  • Ngā raruraru o te pupuhi toto: Tērā pea ka puta ngā raruraru e pā ana ki te pupuhi toto tonu.

Āhea te rapu awhina hauora tere

He mea noa te mamae ngawari me te whero. Heoi, kāore te mamae nui e puta. Nā te mea ka roa te tūponotanga o te mate urutā i muri i te pokanga, me whakapā atu koe ki tō tākuta kanohi, me haere rānei ki te rūma whawhati tata tonu mēnā ka pāngia koe e:

  • Te mamae nui o te kanohi
  • Kirika
  • He nui rawa te roimata, te wai rānei (pupu) mai i te kanohi
  • Te ngaronga ohorere, te panoni nui rānei o tō tirohanga

Ki te kore e tutuki i te pokanga te whakahekenga pēhanga e hiahiatia ana, kaua e ngaro te tumanako. Tērā pea ka kōrerohia e tō tākuta ētahi atu huarahi kē atu, pērā i ngā ngongo waikeri, ngā tikanga taiaho rānei.

Karere Tangohia ki te Kāinga

  • He pokanga motuhake te trabeculectomy mō te glaucoma kāore e taea te whakahaere mā te whakamahi i ngā pata kanohi.
  • Ko te whāinga he ārai i te ngaronga atu o te tirohanga ; e kore e taea te whakahoki mai i ngā mea kua ngaro.
  • Ko te angitu e whakawhirinaki ana ki tō whakapau kaha ki te whakamahi i ngā pata kanohi kua tohua e te rata, me te haere ki ngā wā tirotiro katoa.
  • I te wā e ora ana koe, kaua e mirimiri i tō kanohi, kaua e hiki i ngā mea taumaha, me te whakauaua.
  • Rapua he awhina whawhati tata mēnā he mamae nui, he rerenga mai i te kanohi, he panoni ohorere rānei o te tirohanga.

tango i te kiri kanohi, karāhu, pokanga kanohi, pēhanga kanohi, waiora wai, totohu, karāhu