Laser photocoagulation - maka

ʻO ka laser photocoagulation ka ʻoki ʻana i ka maka me ka hoʻohana ʻana i kahi laser e hoʻemi a hōʻino paha i nā hanana kūpono ʻole i ka retina, a i ʻole me ka hana ʻana i ka scarring.

E hana kāu kauka i kēia ʻoki kino ma kahi outpatient a i ʻole hoʻonohonoho keʻena.

Hana ʻia ʻo Photocoagulation ma o ka hoʻohana ʻana i ka laser e hana ai i kahi microscopic burn i loko o ka mākia pahuhopu. Hoʻohana pinepine ʻia nā kiko kukuna i 1 o 3 mau lauana.

Ma mua o ke kaʻina hana, hāʻawi ʻia iā ʻoe nā kulu maka e hoʻonui ai i kāu poʻe haumāna. Kākaʻikahi wale ʻoe, e kiʻi ʻoe i kahi pana o kahi anesthetic kūloko. ʻOluʻolu ʻole paha ke kī ʻana. E ala ana ʻoe a ʻaʻohe ʻeha ma ke kaʻina hana.

• Noho ʻoe me kou auwae i kahi hoʻomaha chin. E kau ʻia kahi aniani kūikawā i kou maka. Loaʻa nā aniani i nā aniani e kōkua i ke kauka e kuhikuhi i ka laser. E aʻo ʻia ʻoe e nānā pololei i mua a i kahi kukui māka me kou maka ʻē aʻe.
• E kuhikuhi ke kauka i ka kukuna ma kahi o ka retina e pono ai ka lāʻau. Me kēlā me kēia pulse o ka laser, ʻike ʻoe i ke kukui uila. Kaukaʻi ʻia i ke ʻano o ka mālama ʻana, aia paha he mau puʻukū wale nō, a i ʻole he 500.

Hiki i ka maʻi diabetes ke hōʻeha i nā maka ma o ka hoʻopiʻi ʻana i ka retinopathy diabetic. ʻO ia kekahi o nā maʻi maka maʻamau e pono ai ka laser photocoagulation. Hiki iā ia ke hōʻino i ka retina, ka ʻaoʻao hope o kou maka. ʻO ka mea ʻoi loa ke koʻikoʻi o ka retinopathy diabetic proliferative, kahi e ulu ai nā moku ʻokoʻa ma ka retina. I ka hala ʻana o ka manawa, hiki i kēia mau moku ke hoʻokahe i ke koko a i ʻole ke kumu o ka scarring o ka retina.

I ka photocoagulation kukuna no retinopathy diabetic, pili ka ikehu kukuna i kekahi mau wahi o ka retina e pale ai i nā moku kūpono mai ka ulu ʻana a hōʻemi paha i nā mea ma laila. I kekahi manawa hana ʻia e hana i ka wai edema i waenakonu o ka retina (macula) e hele.

Hiki ke hoʻohana ʻia kēia ʻoki e mālama ai i nā pilikia o ka maka ma hope:

• Tumo retina
• Ka hoʻohaʻahaʻa makika, kahi maʻi o ka maka e lohi mālie i ka ʻike maka, waena
• He waimaka i ka retina
• Kahi paʻa o nā veins liʻiliʻi e lawe i ke koko mai ka retina
• Hoʻokaʻawale retina, ke hoʻokaʻawale ka retina i ka hope o ka maka mai nā papa o lalo

Ma muli o ke kumu o kēlā me kēia pulse o ka laser e wela ai ka microscopic i ka retina, hiki iā ʻoe ke hoʻomohala:

• Mild nalowale o ka hihiʻo
• ʻImi i ka pō ʻike
• Nā wahi makapō
• ʻImi i ka ʻaoʻao ʻike
• Ka nānā ʻana i ka paʻakikī
• ʻIke makapō
• ʻImi ʻike kala

Inā mālama ʻole ʻia, hiki i ka retinopathy diabetic ke kumu i ka makapō mau.

ʻAʻole makemake nui ʻia nā hoʻomākaukau kūikawā ma mua o ka photocoagulation laser. ʻO ka maʻamau, e hoʻolaha ʻia nā maka ʻelua no ke kaʻina hana.

Hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke kaʻina hana.

E hūpō kāu hihi no nā hola 24 mua. ʻIke paha ʻoe i nā floats, akā e emi ana kēia i ka manawa. Inā ʻo kāu lāʻau lapaʻau no ka edema macular, e ʻoi aku paha ka maikaʻi o kāu ʻike i kekahi mau lā.

Hana maikaʻi ke kahakaha laser i nā wā mua o ka nalo ʻana o ka hihi. ʻAʻole hiki iā ia ke hoʻihoʻi i ka hihiʻo i nalowale. Eia nō naʻe, hiki ke hoʻoliʻiliʻi nui i ka makaʻu o ka nalo ʻana o ka ʻike mau.

Hiki ke kōkua i ka mālama ʻana i kāu maʻi diabetes ke pale aku i ka retinopathy diabetic. E hāhai i ka ʻōlelo aʻoaʻo a kou kauka maka e pili ana i ka pale ʻana i kāu ʻike. E nānā i nā hoʻokolohua maka e like me ka manawa i paipai pinepine ʻia, hoʻokahi manawa i kēlā me kēia 1 a 2 mau makahiki.

Hoʻomaʻamaʻa kukuna; ʻOki kino maka kukuna; Photocoagulation; Laser photocoagulation - maʻi maʻi diabetic; Laser photocoagulation - retinopathy diabetic; Photocoagulation kālele; Pālahalaha (a i ʻole pan retinal) photocoagulation; Proliferative retinopathy - kukuna; PRP - kukuna; Grid pattern patterncoagulation - kukuna

Brownlee M, Aiello LP, Sun JK, et al. Nā pilikia o ka maʻi diabetes. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 37.

Flaxel CJ, Adelman RA, Bailey ST, et al. ʻO ka retinopathy diabetic makemake i ke ʻano hana. Ophthalmology. 2020; 127 (1): P66-P145. PMID: 31757498 pubmed.ncbi.nlm.nih.gov/31757498/.

Lim JI. Retinopathy diabetic. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 6.22.

Mathew C, Yunirakasiwi A, Sanjay S. Hoʻohou i ka mālama ʻana i ka edema macular edema. ʻO J Diabetes Res. 2015; 2015: 794036. PMID: 25984537 pubmed.ncbi.nlm.nih.gov/25984537/.

ʻO Wiley HE, ʻo Chew EY, Ferris FL. ʻO ka retinopathy diabetic nonproliferative a me ka edema macular diabetic. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 50.