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.
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 mea hei mahi (Me mahi) | Ngā mea kāore e tika ana |
|---|---|
| Whakamahia ngā pata kanohi e hoatu ana e tō tākuta ki a koe i te wā tika, i te huarahi tika hoki. He mea nui ēnei hei ārai i te mate me te whakaiti i te pupuhi. | Kaua e pā atu, e pēhi, e mirimiri rānei i te kanohi kua tāia mō tetahi take. Ka raru pea tēnei i te whakaora. |
| Kia mahara ki te haere ki ngā wāhi rongoā whai muri i ngā rā kua whakaritea. Ko te angitu o te pokanga ka whakatauhia e ēnei whakamātautau. | Kaua e hiki, e piko, e rakuraku, e whakauaua hoki i te wā e neke ana te puku. Ka taea e ēnei mea te whakanui ake i te pēhanga o ngā kanohi. |
| Kia mau ki te pare kanohi i te wā e moe ana. Mā tēnei koe e tiaki i a koe mai i ngā whara kanohi i te wā e moe ana. | Kaua e tukua te wai, te hopi, te puehu rānei kia uru ki roto i ō kanohi. Kia tūpato hoki i a koe e kaukau ana. |
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).
Karere Tangohia ki te Kāinga
- He pokanga motuhake te trabeculectomy ka mahia ina kore e taea te whakahaere i te glaucoma mā ngā maimoatanga pēnei i ngā pata kanohi.
- Ko te whāinga matua o tēnei pokanga he ārai i te ngaronga atu o te tirohanga. Kāore e taea te whakaora i te tirohanga kua ngaro kē.
- Kia angitu ai te pokanga, he mea tino nui kia whakamahia tika ngā pata kanohi i tohua e te tākuta, me te haere ki ngā wāhi mahi i ngā rā kua whakaritea.
- Āta karohia te pa ki ngā kanohi, te hiki i ngā mea taumaha, me te pā atu ki tētahi mea i te wā e ora ana koe.
- Mena ka pāngia koe e te mamae nui, te rere mai o te wai mai i te kanohi, te panoni ohorere rānei o te tirohanga i muri i te pokanga, whakapā atu ki tō tākuta tonu.
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