Ke kuʻi ʻana o Corneal

ʻO ke kihi ke aniani mālamalama waho i mua o ka maka. ʻO kahi transplant corneal kahi ʻoki e hoʻololi i ke kihi me nā aʻa mai kahi mea hāʻawi. ʻO kekahi o nā transplants maʻamau i hana ʻia.

E ala paha ʻoe i ka wā o ke transplant. E loaʻa iā ʻoe ka lāʻau e hoʻomaha ai ʻoe. E hoʻopili ʻia ka anesthesia kūloko (ka lāʻau numbing) a puni kou maka e pale ai i ka ʻeha a pale i ka neʻe ʻana o ka maka i ka wā o ke ʻoki.

ʻO kaʻiʻo no kāu transplant corneal e hele mai mai kahi kanaka (donor) i make iho nei. Hoʻomaʻamaʻa ʻia ka cornea i hāʻawi ʻia e kahi peʻa maka kūloko e hōʻoia i ka palekana no ka hoʻohana ʻana i kāu ʻoki kino.

No nā makahiki, ua kapa ʻia ka ʻano maʻamau o ke kanu ʻana o ke kole ma ke keratoplasty komo.

• He hana pinepine nō ia.
• I loko o kēia kaʻina hana, e hoʻoneʻe kāu mea lapaʻau i kahi ʻāpana puni o kāu kōlea.
• E humu ʻia kaʻiʻo i hāʻawi ʻia i ka wehe o kāu kōlea.

Kapa ʻia kahi ʻenehana hou he keratoplasty lamellar.

• I kēia kaʻina hana, ua hoʻololi wale ʻia nā papa o loko a i waho paha o ke kole, ma mua o nā papa āpau, e like me ke keratoplasty komo.
• Aia kekahi mau ʻano lamellar ʻokoʻa. ʻOkoʻa ka hapa nui o ka papa kahi i pani a pehea e hoʻomākaukau ai ka mea hāʻawi.
• ʻO nā kaʻina hana lamellar āpau e alakaʻi i ka wikiwiki wikiwiki a me ka liʻiliʻi o nā pilikia.

Paipai ʻia kahi transplant no nā poʻe i loaʻa:

• ʻO nā pilikia o ka hihiʻo i hoʻokumu ʻia e ka lahilahi o ke kō, ma muli o ka keratoconus. (E noʻonoʻo ʻia kahi transplant inā ʻaʻole koho ʻia nā mea hōʻemi i nā hana hoʻōla.)
• ʻO ka scarring o ke kola mai nā maʻi ʻeha a ʻeha paha
• ʻO ka nalowale ʻana o ka hihiʻo e ke ao o ke kornea, pinepine ma muli o ka Fuchs dystrophy

Hiki i ke kino ke hōʻole i ka mea i hoʻoili ʻia. Loaʻa kēia ma kahi o 1 o 3 mau maʻi i nā makahiki 5 mua. Hiki ke kāohi ʻia ka hōʻole ʻana i kekahi manawa me nā kulu maka steroid.

ʻO nā mea ʻino ʻē aʻe no ke kanu ʻana i nā kole:

• Kahena
• Kālepaʻa
• ʻO ka maʻi o ka maka
• Glaucoma (ke kiʻekiʻe o ka maka e hiki ai ke lilo i ka hihiʻo)
• Lilo o ka hihiʻo
• ʻArrkala maka o ka maka
• ʻO ka pehu ʻana o ke kōkea

E haʻi i kāu mea mālama ola e pili ana i nā kūlana olakino āu, loaʻa pū me nā maʻi ʻaʻai. E haʻi aku i kāu mea hoʻolako i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopiha, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

Pono paha ʻoe e kaupalena i nā lāʻau e paʻakikī ai i kou koko ke kāpili (nā mea lahilahi o ke koko) no 10 mau lā ma mua o ke ʻoki. ʻO kekahi o kēia mau aspirin, ibuprofen (Advil, Motrin), a me warfarin (Coumadin).

E nīnau i kāu mea hāʻawi i kāu lāʻau ʻē aʻe i kēlā me kēia lā, e like me ka wai wai, ka insulin a i ʻole nā ​​lāʻau no ka maʻi diabetes, pono ʻoe e ʻai i ke kakahiaka o kāu ʻoki.

Pono ʻoe e hōʻoki i ka ʻai ʻana a me ka inu ʻana i ka nui o nā wai ma hope o ke aumoe i ka pō ma mua o kou ʻoki kino. E hāʻawi ka hapa nui o nā mea hāʻawi iā ʻoe i ka wai, ka wai ʻāpala, a me ka kope maʻamau a i ʻole tī (me ka ʻole o ka waiūpaʻa a me ke kō) a i 2 mau hola ma mua o ke kaha ʻana Mai inu i ka waiʻona 24 mau hola ma mua a ma hope paha o ke kaha ʻana.

I ka lā o kou ʻoki kino, komo i nā lole leʻaleʻa a ʻoluʻolu. Mai hoʻokomo i nā mea kāhiko. MAI hoʻokomo i nā kalima, nā hamo, a me nā mea hoʻonani i kou maka a i ʻole kou mau maka.

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

Nānā: ʻO kēia nā kulekele laulā. Hāʻawi paha kāu kauka lapaʻau iā ʻoe i nā ʻōlelo ʻē aʻe.

E hoʻi ʻoe i ka hale i ka lā like me kou ʻoki kino. E hāʻawi kāu mea hāʻawi iā ʻoe i kahi pale maka e komo ai ma kahi o 1 a 4 mau lā.

E kauoha ana kāu mea hāʻawi i nā kulu maka e kōkua i kou maka e hoʻōla a pale i ka maʻi a me ka hōʻole ʻana.

E hoʻoneʻe kāu mea lawelawe i nā humuhumu ma kahi kipa hou aku. Noho mau paha kekahi mau humuhumu ma kahi o hoʻokahi makahiki e like me ka lōʻihi, a i ʻole ʻaʻole hemo iki lākou.

ʻO ka loaʻa hou ʻana o ka maka i kahi makahiki. ʻO kēia no ka mea he manawa no ka iho ʻana o ka ʻōhū. ʻO ka hapanui o ka poʻe i loaʻa kahi kōlea kōlea kūleʻa e ʻike maikaʻi no nā makahiki he nui. Inā loaʻa iā ʻoe nā pilikia maka ʻē aʻe, loaʻa paha iā ʻoe ka nalo ʻana o ka ʻike mai kēlā mau ʻano.

Pono ʻoe i nā aniani a i ʻole nā ​​aniani hoʻopili e loaʻa ai ka ʻike maikaʻi loa. He koho paha ka hoʻoponopono ʻana o ka hihi laser inā loaʻa iā ʻoe kahi maka mamao, ʻike maka, a astigmatism paha ma hope o ka hoʻōla piha ʻana o ka transplant.

Keratoplasty; Penetate keratoplasty; Keratoplasty Lamellar; Keratoconus - kope koli; ʻO ka Ftrs 'dystrophy - ke kope kope

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

• Ma mua a ma hope o ka ʻoki ʻana o ke kole
• Ke kuʻi ʻana o Corneal - moʻo

Gibbons A, Sayed-Ahmed IO, Mercado CL, Chang VS, Karp CL. ʻOki kino Corneal. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.27.

ʻO Shah KJ, ʻo Holland EJ, ʻo Mannis MJ. ʻO ke kanu ʻana o Corneal i ka maʻi o ka ocular. I: Mannis MJ, Hōlani EJ, eds. Kornea. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 160.

ʻO Yanoff M, Cameron JD. Nā maʻi o ka ʻōnaehana ʻike. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 423.