Lawe ka cataract

ʻO ka hemo ʻana o Cataract i kahi ʻoki e wehe i kahi aniani ʻaka (cataract) mai ka maka. Lawe ʻia nā cataract e kōkua iā ʻoe e ʻike maikaʻi. ʻO ke kaʻina hana ʻaneʻane e hoʻopili mau i ke kau ʻana i kahi aniani kuʻina (IOL) i ka maka.

ʻO ke kahakaha cataract kahi hana o waho. ʻO kēia ʻaʻole ʻoe e noho pō i ka haukapila. Hana ʻia ke ʻoki e kahi ophthalmologist. He kauka lapaʻau kēia i loea i ka maʻi o ka maka a me ka ʻoki ʻana o ka maka.

Ala nā mākua no ke kaʻina hana. Hāʻawi ʻia ka lāʻau numbing (anesthesia kūloko) me ka hoʻohana ʻana i nā eyedrops a i ʻole ke kī ʻana. Paʻa kēia i ka ʻeha. E loaʻa iā ʻoe ka lāʻau e kōkua ai iā ʻoe e hoʻomaha. Loaʻa nā kamaliʻi i nā anesthesia āpau. ʻO kēia ka lāʻau e hoʻomoe iā lākou i ka hiamoe nui i hiki ʻole ai iā lākou ke ʻeha.

Hoʻohana ke kauka i kahi microscope kūikawā e ʻike i ka maka. Hana ʻia kahi ʻoki liʻiliʻi (incision) i ka maka.

Lawe ʻia ka aniani i kekahi o nā ala aʻe, kaukaʻi ʻia i ke ʻano o ka cataract:

• Phacoemulsification: Me kēia kaʻina hana, hoʻohana ka kauka i kahi mea hana e hana i nā nalu kani e haki i ka cataract i mau ʻāpana liʻiliʻi. Lawe ʻia nā ʻāpana. Hoʻohana kēia kaʻina hana i kahi ʻoki liʻiliʻi loa.
• Extracapsular extraction: hoʻohana ke kauka i kahi mea hana liʻiliʻi e hemo i ka cataract i ka hapa nui o hoʻokahi ʻāpana. Hoʻohana kēia kaʻina hana i kahi ʻokiʻoki nui aʻe.
• Pākuʻi laser: Alakaʻi ke kauka i kahi mīkini e hoʻohana i ka ikehu laser e hana i nā ʻoki a palupalu i ka cataract. ʻO ke koena o ke ʻoki e like me phacoemulsification. Ke hoʻohana nei i ka kukuna ma kahi o kahi pahi (scalpel) e wikiwiki ai i ka hoʻihoʻi a ʻoi aku ka pololei.

Ma hope o ka hemo ʻana o ka cataract, kahi maka aniani, i kapa ʻia he aniani intraocular (IOL), hoʻokomo mau ʻia i ka maka e hoʻihoʻi i ka mana nui o nā aniani kahiko (cataract). Kōkua ia i ka hoʻomaikaʻi ʻana i kāu ʻike.

Hiki i ke kauka ke pani i ka ʻokiʻoki me nā humuhumu liʻiliʻi loa. ʻO ka maʻamau, hoʻohana ʻia kahi ʻano pilikino (sutureless). Inā he mau humuhumu kāu, pono paha lākou e hemo ma hope.

ʻOi aku ka lōʻihi o ke kaha ʻana ma mua o ka hapalua hola. ʻO ka hapanui o nā manawa, hana wale ʻia ka maka. Inā loaʻa ʻoe i ka cataract i kou mau maka ʻelua, e ʻōlelo paha kāu kauka e kali ana ma kahi o 1 a 2 mau pule ma waena o kēlā me kēia ʻoki.

Maopopo ke aniani o ka maka (aniani). Ke ulu nei kahi cataract, lilo ke aniani i ao. Paʻa kēia i ke kukui mai ke komo ʻana i kou maka. Me ka ʻole o ke kukui, ʻaʻole hiki iā ʻoe ke ʻike me ke akāka.

ʻAʻole ʻeha nā cataract. ʻIke pinepine ʻia lākou i nā mākua makua. I kekahi manawa, hānau ʻia nā keiki me lākou. Hana pinepine ʻia ke kāpili cataract inā ʻaʻole hiki iā ʻoe ke ʻike maikaʻi no ka cataract. ʻAʻole hiki i nā cataract ke hōʻino mau i kou maka, no laila hiki iā ʻoe a me kāu kauka maka ke hoʻoholo ke kūpono ke kahakaha iā ʻoe.

I nā hihia maʻamau, ʻaʻole hiki ke hemo i nā aniani āpau. Inā kū kēia, kahi kaʻina e wehe i nā ʻāpana aniani āpau e hana ʻia i kahi manawa hope. Ma hope, hiki ke hoʻomaikaʻi hou ʻia ka ʻike.

Hiki i nā pilikia paʻakikī loa ke hoʻopili i ka maʻi a me ke kahe ʻana o ke koko. Hiki i kēia ke alakaʻi i nā pilikia ʻike mau.

Ma mua o ke kāpili ʻana, loaʻa iā ʻoe kahi hōʻike maka piha a me nā hoʻāʻo ʻana o ka maka e ka ophthalmologist.

E hoʻohana ke kauka i ka ultrasound a i ʻole ka mīkini ʻoki ʻana i ka laser e ana i kou maka. Kōkua kēia mau hoʻāʻo e hoʻoholo i ka IOL maikaʻi loa nāu. ʻO ka maʻamau, e hoʻāʻo ke kauka e koho i kahi IOL i hiki ke ʻae iā ʻoe e ʻike me ka ʻole o nā aniani a i ʻole nā ​​aniani kelepona ma hope o ke kahakaha ʻana. Hāʻawi kekahi mau IOL iā ʻoe i kahi mamao a kokoke i ka hihiʻo, akā ʻaʻole ia na ka poʻe āpau. E nīnau i kāu kauka i ka mea kūpono iā ʻoe. E hoʻomaopopo pono i ke ʻano o kāu ʻike ma hope o ka hoʻokomo ʻia ʻana o ka IOL. Eia nō hoʻi, e nīnau i nā nīnau i ʻike ʻoe i ka mea e kali ai i ke ʻoki.

Kau kauka paha i kau kauka i mua o ke ʻoki. E hāhai pono i nā ʻōkuhi pehea e hoʻohana ai i nā kulu.

Ma mua o kou hoʻi ʻana i ka home, loaʻa iā ʻoe kēia mau mea:

• Pākuʻi e kau ma luna o kou maka a hiki i ka hōʻike hope
• Nā pale maka e pale ai i ka maʻi, mālama i ka mumū, a kōkua me ka hoʻōla

Pono ʻoe e hoʻokele iā haʻi ma hope o kou ʻoki kino ʻana.

E loaʻa iā ʻoe ma kahi maʻamau kahi hōʻike hope me kāu kauka i ka lā aʻe. Inā he humuhumu ʻoe, pono ʻoe e hana i kahi manawa e wehe iā lākou.

Nā ʻōlelo aʻoaʻo no ka hoʻōla hou ʻana ma hope o ke kaha ʻana o ka cataract:

• E komo i nā aniani ʻeleʻele i waho ma hope o kou wehe ʻana i ka pā.
• E holoi maikaʻi i kou mau lima ma mua a ma hope o ka hoʻohana ʻana i nā maka maka a hoʻopā i kou maka. E hoʻāʻo e kiʻi ʻole i ke kopa a me ka wai i kou maka ke ʻauʻau ʻoe a ʻauʻau paha no nā lā mua.
• ʻOi aku ka maikaʻi o nā hana māmā ke ola hou ʻoe. E nīnau me kāu kauka ma mua o ka hana ʻana i kekahi hana ikaika, ka hoʻi hou ʻana i ka moekolohe, a me ka hoʻokele ʻana.

Loaʻa ma kahi o 2 mau pule. Inā makemake ʻoe i nā aniani hou a i ʻole nā ​​aniani kelepona, hiki iā ʻoe ke hoʻokau iā lākou i kēlā manawa. E hoʻomau i kāu kipa ʻana me kāu kauka.

Hana maikaʻi ka hapa nui o ka poʻe a ola koke ma hope o ke kaha ʻana o ka cataract.

Inā loaʻa i kekahi kanaka nā pilikia maka, e like me glaucoma a i ʻole macular degeneration, ʻoi aku ka paʻakikī o ke kaha ʻana a maikaʻi ʻole paha ka hopena.

Lawe ʻia ka cataract; ʻOki kino cataract

• Ka palekana i ka lumipaku no nā mākua
• Cataract - he aha e nīnau aku ai i kāu kauka
• Pāleʻa ka pale ʻana
• Ke pale nei i ka hāʻule - he aha e nīnau aku ai i kāu kauka

• Maka
• Hōʻike kukui kukui
• Cataract - pili loa o ka maka
• Kāleka
• ʻOki kino cataract - series
• Pale kaua maka

Pūnaewele ʻAmelika Hui Pū ʻIa Ophthalmology. ʻO nā hiʻohiʻona hana i makemake ʻia ʻo Cataract a me ka Panment Segment Anterior, Hoskins Center no ka mālama maka maka. Cataract i ka maka makua PPP - 2016. www.aao.org/preferred-practice-pattern/cataract-in-adult-eye-ppp-2016. Hoʻohou ʻia ʻOkakopa 2016. Loaʻa iā Kepakemapa 4, 2019.

Pūnaewele ʻo National Eye Institute. ʻO nā mea e pili ana i nā cataract. www.nei.nih.gov/health/cataract/cataract_fact. Hoʻohou i ʻAukake 3, 2019. Loaʻa iā Kepakemapa 4, 2019.

Salemona JF. Lens. I: Salmon JF, ed. ʻO Ophthalmology Clinical Clinical. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 10.

ʻO Tipperman R. Cataract. I: Gault JA, Vander JF, nā hua. ʻO nā huna huna ʻōphthalmology i ke kala. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 21.