He aha ke ʻoki ʻana i ka maʻi pōpō? Ke Kumu, ke Kaʻina Hana & ka Ola Hou

He hana maʻamau a palekana ka ʻoki ʻana i ka maʻi pōpō e wehe ai i ka maka aniani mai kou maka a pani me kahi maka aniani maʻemaʻe. He 15-30 mau minuke ka lōʻihi o kēia ʻoki ʻana i waho a hiki ke hoʻomaikaʻi nui i kou ʻike ke hoʻomaka ka maʻi pōpō e pili i kou ola i kēlā me kēia lā.

Inā ʻoe e noʻonoʻo ana i ka ʻoki ʻana i ka maʻi pōpō a i ʻole ua haʻi ʻia iā ʻoe e pono ana, e manaʻo ana paha ʻoe i ka hui pū ʻana o ka manaʻolana a me ka hopohopo. He mea maʻamau loa kēlā. E hele kākou i nā mea a pau e pono ai ʻoe e ʻike e pili ana i kēia hana e hoʻololi ai i ke ola.

He aha ke ʻoki ʻana i ka maʻi pōpō?

Wehe ka ʻoki ʻana i ka maʻi pōpō i ka maka aniani maoli o kou maka a pani me kahi maka aniani maʻemaʻe i kapa ʻia he intraocular lens (IOL). E noʻonoʻo e like me ka hoʻololi ʻana i kahi puka makani noe me kahi mea maʻemaʻe.

Hana ʻia ka ʻoki ʻana e ka ophthalmologist me ka hoʻohana ʻana i kahi ʻenehana i kapa ʻia ʻo phacoemulsification. I loko o kēia kaʻina hana, hana kāu kauka lapaʻau i kahi ʻoki liʻiliʻi i kou maka a hoʻohana i nā hawewe ultrasound e wāwahi i ka maka aniani noe i nā ʻāpana liʻiliʻi. A laila, e omo mālie ʻia kēia mau ʻāpana, a hoʻokomo ʻia ka maka aniani hou ma kona wahi.

Pīhoihoi ka hapa nui o nā kānaka i ka wikiwiki a me ka ʻoluʻolu o ke kaʻina hana. E ala ana ʻoe i ka wā o ka ʻoki ʻana, akā e ʻeha ʻole kou maka mai nā kulu anesthetic. Nui nā maʻi e hōʻike ana i ka liʻiliʻi a i ʻole ka ʻoluʻolu ʻole i ka wā o ke kaʻina hana.

No ke aha e hana ʻia ai ka ʻoki ʻana i ka maʻi pōpō?

Paipai ʻia ka ʻoki ʻana i ka maʻi pōpō ke keakea ka maʻi pōpō i kāu mau hana i kēlā me kēia lā a me ka maikaʻi o ke ola. ʻAʻole i hoʻokumu ʻia ka hoʻoholo ʻana i ka

• He paʻakikī ka heluhelu ʻana, me nā aniani nō hoʻi
• He pilikia ka ʻike ʻana i ka pō a i ʻole i ka mālamalama nāwaliwali
• He ʻike nui i nā kukui ʻālohilohi a i ʻole ka ʻālohilohi
• Me he mea lā ua mae a melemele nā kala
• ʻIke pālua i kekahi maka
• Nā loli pinepine i kāu kauoha aniani

ʻO ka pahuhopu e kōkua iā ʻoe e ʻike maopopo hou i hiki iā ʻoe ke hoʻomau i ka hana ʻana i nā mea āu e aloha ai. Inā he heluhelu, hoʻokele, kuke, a i ʻole ka manawa me ka ʻohana, hiki i ke ʻoki ʻana i ka cataract ke hāʻawi iā ʻoe i kou kūʻokoʻa a me ka hilinaʻi.

I nā hihia kakaʻikahi, hiki ke ʻōlelo ʻia ke ʻoki ʻana inā ʻaʻole i hoʻopilikia nui ʻia kou ʻike. Hana ʻia kēia ke paʻa loa nā cataracts i hiki ʻole i kāu kauka ke ʻike i ka hope o kou maka e nānā i nā kūlana ʻē aʻe e like me ka glaucoma a i ʻole ka degeneration macular.

He aha ke kaʻina hana no ke ʻoki ʻana i ka cataract?

Hahai ka ʻoki maoli i kahi kaʻina hana pololei a maikaʻi i lawe maʻamau i 15-30 mau minuke. E hōʻea ʻoe i ke kikowaena ʻoki ma kahi o hoʻokahi hola ma mua o kāu kaʻina hana no ka hoʻomākaukau.

Eia ka mea e hana ʻia i ka wā o kāu ʻoki ʻana:

1. Hoʻomaʻemaʻe ʻia kou wahi maka a hoʻopā ʻia me nā kulu anesthetic
2. Hana ʻia kahi ʻoki liʻiliʻi (ma kahi o 2-3 millimeters) i loko o ka cornea
3. Wehe ʻia ka ʻāpana mua o ka capsule lens
4. Hoʻokaʻawale ka ikehu ultrasound i ka lens ao i nā ʻāpana liʻiliʻi
5. Hoʻopili mālie ʻia nā ʻāpana lens
6. Hoʻokomo ʻia a hoʻonoho ʻia ka lens artificial hou
7. Hoʻopaʻa maʻamau ka ʻoki ʻana iā ia iho me ka ʻole o nā humuhumu

E hāʻawi ʻia ʻoe i kahi sedative māmā e kōkua iā ʻoe e hoʻomaha, akā e noho ala ʻoe i ka wā o ke kaʻina hana. ʻIke ka hapa nui o nā mea maʻi i ka ʻike ʻoi aku ka maʻalahi ma mua o kā lākou i manaʻo ai. Hiki iā ʻoe ke ʻike i kekahi mau kukui a me ka neʻe ʻana, akā ʻaʻole ʻoe e ʻike i ka ʻeha.

Ma hope o ke ʻoki ʻana, e hoʻomaha ʻoe no kahi o 30 mau minuke ma mua o ka hele ʻana i ka home. Pono ʻoe i kekahi e hoʻokele iā ʻoe, no ka mea, e ʻike ʻoe i ka pōʻeleʻele i ka wā mua a hiki iā ʻoe ke manaʻo iki i ka hiamoe mai ka sedative.

Pehea e hoʻomākaukau ai no kāu ʻoki ʻana i ka cataract?

ʻO ka hoʻomākaukau ʻana no ka ʻoki ʻana i ka cataract e pili ana i kekahi mau ʻanuʻu maʻalahi e kōkua i ka hōʻoia ʻana i ka hopena maikaʻi loa. E alakaʻi kāu hui ʻoki iā ʻoe ma kēlā me kēia koi, no laila e manaʻo ʻoe he hilinaʻi a mākaukau.

I nā pule ma mua o ke ʻoki ʻana, pono ʻoe e:

• E hoʻopau i nā ana mua o kou maka
• E kūkākūkā i kāu mau koho lens me kāu kauka lapaʻau
• E nānā i kāu mau lāʻau lapaʻau i kēia manawa me kāu kauka
• E hoʻonohonoho i ka lawe ʻana i a mai ke kikowaena ʻoki
• E hoʻolālā e lawe i 1-2 mau lā mai ka hana a i ʻole nā hana maʻamau

E ana kāu kauka i kou maka e hoʻoholo i ka mana kūpono no kāu lens hou. He mea nui kēia ʻanuʻu no ka loaʻa ʻana o ka ʻike maikaʻi loa ma hope o ke ʻoki ʻana. E kūkākūkā pū ʻoe i nā ʻano lens artificial like ʻole a koho i ka mea e kūpono i kou ola a me nā pahuhopu ʻike.

I ka lā ma mua o ke ʻoki ʻana, e hoʻomaka ʻoe e hoʻohana i nā kulu maka antibiotic e pale ai i ka maʻi. I ka lā ʻoki, mai ʻai a inu i kekahi mea ma hope o ke aumoe ke ʻole e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kuhikuhi like ʻole. E ʻaʻahu i nā lole ʻoluʻolu a pale i ka ʻaʻahu ʻana i ka mea hoʻonani, nā mea nani, a i ʻole nā lens pili.

Pehea e heluhelu ai i kāu mau hopena ʻoki ʻana i ka cataract?

Hiki mai ka hoʻomaikaʻi ʻana o kāu ʻike ma hope o ke ʻoki ʻana i ka cataract, a ʻo ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e nānā i kāu holomua. ʻO ka hapa nui o nā kānaka e ʻike i ka ʻike maopopo i loko o kekahi mau lā, me ka hoʻomaikaʻi mau ʻana i nā pule he nui.

Eia ke ʻano o kāu manawa hoʻōla:

• Lā 1: Ua pohihihi ka ʻike akā hiki iā ʻoe ke ʻike i ke kukui a me nā ʻano
• Pule 1: ʻIke ʻia nā kala a hoʻomaka ka ʻike e maopopo
• Pule 2-4: Hoʻomau ka ʻike e hoʻomaikaʻi a paʻa
• Mahina 1-3: Hōʻike ʻia nā hopena ʻike hope loa

E nānā kāu kauka i kou ʻike i nā manawa hālāwai ma hope e hōʻoia i ka hoʻōla pono ʻana. Loaʻa ka ʻike 20/20 a i ʻole 20/25 i ka hapa nui o nā kānaka ma hope o ke ʻoki ʻana, akā, pili nō kou ʻike hope loa i ke olakino o kou maka a me ke ʻano o ka maka aniani āu i koho ai.

He mea nui e ʻike paha ʻoe e pono ana ʻoe i nā maka aniani no kekahi mau hana, ʻo ka heluhelu ʻana, ma hope o ka holomua ʻana o ke ʻoki ʻana. He mea maʻamau kēia a ʻaʻole ia he manaʻo ʻaʻole i hana ke ʻoki ʻana. Hoʻonohonoho ʻia kāu maka aniani hana hou no ka ʻike mamao, no laila, pono paha nā maka aniani heluhelu no ka hana kokoke.

Pehea e mālama ai i kou maka ma hope o ke ʻoki ʻana i ka cataract?

Hoʻomaopopo ka mālama pono ma hope o ke ʻoki ʻana i ka hoʻōla maikaʻi ʻana o kou maka a loaʻa iā ʻoe nā hopena ʻike maikaʻi loa. ʻO ka nūhou maikaʻi, he maʻalahi ka mālama ʻana i kou maka ma hope o ke ʻoki ʻana i ka cataract, a ʻike ka hapa nui o nā kānaka he maʻalahi ia ma mua o kā lākou i manaʻo ai.

Aia nā ʻanuʻu nui i kāu mālama hoʻōla:

• E hoʻohana i nā kulu maka i kauoha ʻia e like me ke kuhikuhi ʻia
• E ʻaʻahu i ka pale maka pale i ka wā e hiamoe ana no hoʻokahi pule
• E pale i ka hamo ʻana a i ʻole ke kaomi ʻana i kou maka
• E mālama i ka wai mai kou maka no hoʻokahi pule
• E pale i ka hāpai kaumaha a i ʻole nā hana ikaika no ʻelua pule
• E hele i nā manawa hālāwai ma hope a pau me kāu kauka

E hoʻohana ʻoe i nā kulu maka antibiotic a me anti-inflammatory no kekahi mau pule ma hope o ke ʻoki ʻana. Pale kēia mau kulu i ka maʻi a hoʻemi i ka mumū i ka wā e hoʻōla ai kou maka. E hāʻawi kāu kauka iā ʻoe i kahi papa manawa kikoʻī e hahai ai.

Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau i loko o kekahi mau lā, akā, pono ʻoe e pale i ka ʻauʻau ʻana, nā pahu wai wela, a me ka loaʻa ʻana o ke kopa a i ʻole ka shampoo i kou maka no hoʻokahi pule. Maʻamau ka hoʻokele ʻana i ke kaʻa ke lawa ka maopopo o kou ʻike e ʻike palekana ai, maʻamau i loko o kekahi mau lā.

He aha ka hopena maikaʻi loa ma hope o ke ʻoki ʻana i ka cataract?

ʻO ka hopena maikaʻi loa ma hope o ke ʻoki ʻana i ka maʻi cataracts, ʻo ia ka loaʻa ʻana o ka ʻike maopopo a me ka ʻoluʻolu e hiki ai iā ʻoe ke hana i nā hana āu e leʻaleʻa ai. No ka hapa nui o nā kānaka, ʻo ia hoʻi ka hoʻomaikaʻi nui ʻana i ko lākou ola a me ke kūʻokoʻa.

Hāʻawi maʻamau ka ʻoki ʻana i ka maʻi cataracts i ka holomua:

• ʻOi aku ka maopopo a me ka ʻoi o ka ʻike no nā hana mamao
• Hoʻomaikaʻi i ka ʻike kala a me ka ʻokoʻa
• Hoʻemi i ka ʻālohilohi a me ka ʻike i ka mālamalama
• ʻOi aku ka maikaʻi o ka ʻike i ka pō
• Hoʻonui i ka hilinaʻi i nā hana i kēlā me kēia lā

Ma kahi o 95% o nā kānaka i loaʻa i ka ʻoki ʻana i ka maʻi cataracts e ʻike i ka hoʻomaikaʻi ʻana i ka ʻike. Loaʻa ka hapa nui i ka ʻike 20/20 a i ka 20/40, lawa ia no ka hapa nui o nā hana i kēlā me kēia lā me ke kalaiwa. Aia ka hopena pololei i ke olakino o kou maka a me ke ʻano o ka lens hana āu e koho ai.

Koho kekahi poʻe i nā lens premium e hiki ke hōʻemi i ka hilinaʻi ʻana i nā aniani no ka mamao a me ka heluhelu. Makemake kekahi poʻe i nā lens maʻamau me nā aniani no ka heluhelu. E kōkua kāu kauka lapaʻau iā ʻoe e koho i ke koho e kūpono i kou ola a me nā manaʻolana.

He aha nā mea pilikia no nā pilikia o ke ʻoki ʻana i ka maʻi cataracts?

ʻOiai ʻo ka ʻoki ʻana i ka maʻi cataracts kekahi o nā kaʻina hana palekana loa i hana ʻia i kēia lā, hiki i kekahi mau mea ke hoʻonui iki i kou pilikia o nā pilikia. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua iā ʻoe a me kāu kauka lapaʻau e mālama i nā hana kūpono.

ʻO nā mea maʻamau e hiki ke hoʻonui i nā pilikia o ke ʻoki ʻana, ʻo ia:

• Nā maʻi cataracts holomua a paʻa loa
• Nā ʻeha maka a i ʻole nā ʻoki ma mua
• Nā maʻi maka ʻē aʻe e like me ka glaucoma a i ʻole ka degeneration macular
• Diabetes a i ʻole nā maʻi olakino ʻōnaehana ʻē aʻe
• Ke lawe nei i kekahi mau lāʻau lapaʻau e like me nā alpha-blockers
• ʻO ka myopia kiʻekiʻe loa

ʻO ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke loaʻa i ke ʻoki kūleʻa. ʻO ia wale nō ka manaʻo e mālama kāu kauka lapaʻau i nā hana hou aʻe a hiki ke hoʻololi i ke ala o ke ʻoki ʻana. E kūkākūkā kāu kauka i kou kūlana kikoʻī a wehewehe i nā mea e pono ai.

ʻO nā pilikia laha ʻole e nānā ai nā kauka lapaʻau, ʻo ia ka maʻi, ke kahe ʻana o ke koko, a i ʻole nā pilikia me ke kūlana o ka lens hana. Hiki kēia mau mea i lalo o 1% o nā ʻoki, a hiki ke mālama maikaʻi ʻia ka hapa nui inā loaʻa lākou.

He ʻoi aku ka maikaʻi o ka hana ʻana i ka ʻoki ʻana i ka cataract ma mua a ma hope paha?

Aia ka manawa o ka ʻoki ʻana i ka cataract i ka nui o nā pilikia o kou ʻike e pili ana i kou ola i kēlā me kēia lā, ʻaʻole i ka

E holomua ana kēia mau pilikia i loko o nā lā a i ʻole nā pule a ʻaʻole pinepine e hana i nā pilikia mau loa. Kōkua nā kulu maka i kauoha ʻia e hōʻemi i kēia mau hopena.

He mea maʻamau ʻole nā pilikia koʻikoʻi, akā hiki ke komo:

• Maʻi i loko o ka maka (endophthalmitis)
• Hoʻokaʻawale ʻia o ka retina
• Hoʻomau ka pehu ʻana o ka cornea
• Hoʻoneʻe ʻia o ka lens hana
• ʻO ka mumū nui a i ʻole ke kahe ʻana o ke koko

Hana ʻia kēia mau pilikia ma lalo o 1% o nā ʻoki a hiki ke mālama maikaʻi ʻia inā loaʻa. E nānā pono kāu kauka lapaʻau iā ʻoe i ka wā e ola ai e hopu i nā pilikia i ka wā mua.

I ka manawa hea e ʻike ai au i ke kauka e pili ana i nā cataracts?

Pono ʻoe e ʻike i ke kauka maka inā ʻoe e ʻike nei i nā loli ʻike e hoʻopilikia i kāu mau hana i kēlā me kēia lā. Kōkua ke kūkākūkā mua iā ʻoe e hoʻomaopopo i kāu mau koho a hoʻolālā no ka wā e hiki mai ana, ʻoiai inā ʻaʻole ʻoe mākaukau no ke ʻoki ʻana.

E hoʻonohonoho i kahi manawa inā ʻoe e ʻike:

• Piʻi ka paʻakikī me ka heluhelu a i ʻole ka hana kokoke
• Nā pilikia i ka hoʻokele, ʻoi aku hoʻi i ka pō
• Nā loli pinepine i kāu ʻōlelo kuhikuhi aniani
• ʻIke ʻia nā kala i mae a i ʻole ka liʻiliʻi o ka ʻālohilohi
• Piʻi ka ʻike i ka mālamalama a me ka ʻālohilohi
• ʻIke pālua i hoʻokahi maka

Hiki i kāu kauka maka ke ʻike i nā cataracts i ka wā o ka hoʻokolokolo maka piha a kōkua iā ʻoe e hoʻomaopopo i ke ʻano o kā lākou hopena i kāu ʻike. E nānā pū lākou i nā maʻi maka ʻē aʻe e hiki ke kōkua i kāu mau pilikia ʻike.

Ma hope o ke ʻoki ʻana i ka cataract, e hoʻokaʻaʻike koke i kāu kauka inā ʻoe e ʻike i ka ʻeha nui, ka nalowale koke o ka ʻike, nā kukui uila, a i ʻole nā hōʻailona o ka maʻi e like me ka ʻulaʻula a i ʻole ka hoʻokuʻu ʻana. Pono kēia mau hōʻailona i ka lāʻau lapaʻau wikiwiki.

Nā nīnau i nīnau pinepine ʻia e pili ana i ke ʻoki ʻana i ka cataract

Q.1 He maikaʻi anei ke ʻoki ʻana i ka cataract no nā maʻi glaucoma?

ʻAe, hiki ke hana palekana ʻia ke ʻoki ʻana i ka cataract i nā kānaka me ka glaucoma, a hiki nō paha ke kōkua i ka hoʻohaʻahaʻa ʻana i ke kaomi o ka maka i kekahi mau hihia. Eia naʻe, pono nā mea maʻi glaucoma i ka noʻonoʻo kūikawā a me ka nānā ʻana i ke kaʻina hana.

E hana pū kāu kauka lapaʻau me kāu loea glaucoma e hōʻoia ʻaʻole e hoʻopilikia ke ʻoki i kāu mālama ʻana i ka glaucoma. I kekahi mau hihia, hiki ke hui pū ʻia ke ʻoki ʻana i ka cataract a me ka glaucoma i hoʻokahi kaʻina hana e hoʻoponopono i nā kūlana ʻelua i ka manawa like.

Q.2 Ua hana ʻia ke ʻoki ʻana i ka cataract i nā maka maloʻo?

Hiki i ke ʻoki ʻana i ka cataract ke hoʻonui i nā hōʻailona maka maloʻo, akā maʻa mau kēia i loko o kekahi mau pule a i ʻole mau mahina ma hope o ke ʻoki ʻana. Hiki i ka ʻoki ʻana i ka ʻoki ke hoʻopilikia i ka kiʻi waimaka maoli o ka maka, e alakaʻi ana i ka maloʻo manawa.

Inā loaʻa iā ʻoe nā maka maloʻo, e haʻi i kāu kauka lapaʻau ma mua o ke kaʻina hana. Hiki iā lākou ke paipai i ka hoʻomaka ʻana i ka mālama ʻana i nā maka maloʻo ma mua o ke ʻoki ʻana a i ʻole ka hoʻohana ʻana i nā ʻenehana kūikawā e hōʻemi i ka hopena i kāu kiʻi waimaka.

Q.3 Hiki ke hana ʻia nā maka ʻelua i ka manawa like?

Manaʻo ka hapa nui o nā kauka lapaʻau e hana i hoʻokahi maka i ka manawa, e hoʻokaʻawale ana i nā ʻokiʻoki 1-2 pule. ʻO kēia ala e hiki ai iā ʻoe ke mālama i kekahi ʻike hana i ka wā e ola hou ai a hoʻemi i ka pilikia o nā pilikia e pili ana i nā maka ʻelua.

Eia naʻe, i nā hihia kakaʻikahi kahi i loaʻa ʻole ai i kekahi ka ʻike hana i kekahi maka, hiki ke noʻonoʻo ʻia ke ʻoki ʻana i ka manawa like. E kūkākūkā kāu kauka lapaʻau i ke ala maikaʻi loa e pili ana i kāu kūlana a me nā pono.

Q.4 Pehea ka lōʻihi o nā lens artificial?

Ua hoʻolālā ʻia nā lens artificial e mau i ke ola a ʻaʻole pono e hoʻololi ʻia. ʻO nā mea i hoʻohana ʻia i nā lens intraocular hou he mea paʻa loa a paʻa i loko o ka maka.

I nā hihia kakaʻikahi, pono paha e hoʻonoho hou ʻia a i ʻole e hoʻololi ʻia kahi lens inā e neʻe mai kahi kūlana a i ʻole e hoʻomohala ʻoe i nā pilikia. Eia naʻe, hiki kēia i ka liʻiliʻi ma mua o 1% o nā hihia, a ʻaʻole pono ka hapa nui o nā kānaka i nā kaʻina hana e pili ana i ka lens.

Nīnau 5. E pono anei au i nā makaaniani ma hope o ke ʻoki ʻana i ka maʻi pōpō?

Pono ka hapa nui o nā kānaka i nā makaaniani no kekahi mau hana ma hope o ke ʻoki ʻana i ka maʻi pōpō, maʻamau no ka heluhelu ʻana a i ʻole ka hana kokoke. Hoʻonohonoho ʻia nā aniani hana maʻamau no ka ʻike mamao maopopo, no laila pono pinepine nā makaaniani heluhelu.

Hiki i nā aniani premium e like me nā aniani multifocal a i ʻole nā aniani hoʻokipa ke hōʻemi i ka hilinaʻi ʻana i nā makaaniani no ka ʻike mamao a me ka ʻike kokoke, ʻoiai ʻaʻole paha lākou e hoʻopau loa i ka pono no nā makaaniani. E kōkua kāu kauka lapaʻau iā ʻoe e koho i ke koho aniani e kūpono i kou ola a me nā pahuhopu ʻike.