Zvese zvaunoda Kuti Uzive Nezve LASIK Yemaziso Kuvhiya

Zvemukati

• Chii chinonzi LASIK kuvhiyiwa kweziso?
• Ndeipi nhoroondo yekuvhiyiwa kweziso kweLASIK?
• Unogadzirira sei LASIK?
• Ndiani anokodzera LASIK (uye ndiani asingadaro)?
• Chii chinonzi kupora mushure mekuvhiyiwa kweziso reLASIK?
• Ongororo ye

Pave nemakore anoda kusvika makumi maviri kubva Food and Drug Administration (FDA) yakabvumidza LASIK kuvhiyiwa kweziso. Kubva ipapo, vangangoita mamirioni gumi vanhu vakatora mukana weichi chiratidzo-chinosimbisa kuvhiya. Zvakadaro, vamwe vazhinji vanotya kuenda pasi pebanga-uye zvingangoitika mhedzisiro yekurapwa kunze.

"LASIK kuvhiyiwa kwakanyatsojeka. Ndakazviita ini pachangu makore anenge 20 apfuura, uye ndakavhiya nhengo dzemhuri dzakawanda, kusanganisira mukoma wangu, "anodaro Karl Stonecipher, MD, kliniki associate of ophthalmology paYunivhesiti yeNorth Carolina uye yezvokurapa. mutungamiriri weTLC Laser Eye Centers muGreensboro, NC.

Zvinogona kuita kunge godend, asi usati waisa vezera rako kuburikidza neichi chiitiko, dzidza iri gwara rekuvhura ziso kuLASIK.

Chii chinonzi LASIK kuvhiyiwa kweziso?

Wakaneta nekuvimba nemagirazi kana mabatiki kuti uone zvakanyanya? (Kana kuti haudi kunetseka nezvekuti kubata kunamatire muziso rako kwemakore makumi maviri nemasere?)

"LASIK, kana 'laser-assisted in situ keratomileusis,' ndiyo inowanzoitwa oparesheni yeziso remaziso kurapa kuona, kuona, uye astigmatism," anodaro Samuel D. Pierce, OD, purezidhendi wazvino weAmerican Optometric Association (AOA) uye chiremba anoshanda weOptometry muTrussville, AL. Mushure mekuvhiyiwa, ruzhinji rwevanhu vakagamuchira kuvhiyiwa kwemaziso kweLASIK vanogara mukati me20 / 40 chiratidzo (iyo mwero inodiwa nenyika zhinji yekutyaira pasina malenzi ekugadzirisa) kana zvirinani, anodaro.

LASIK kuvhiyiwa kwemaziso inzira yezvikamu zviviri, Dr. Stonecipher anotsanangura.

1. Chiremba anovhiya chidimbu chiduku kubva pamusoro pecornea (kuvhara kwakajeka kumberi kweziso iro rinokombama kupenya sezvarinopinda muziso).

2. Chiremba anovhiya anogadziridza iyo cornea ne laser (kuitira kuti mwenje unopinda muziso unyatsotarisana neziso reziso kunyatsoona).

   
   

Nepo iwe ungave uri panzvimbo yekushanda kweawa imwe chete kana kupfuura, unenge uchingova patafura yekushandisa kwemaminetsi gumi nemashanu, anodaro Dr. Pierce. "LASIK inoitwa nemusoro weanesthetic uye vazhinji vanovhiya vanozopa mumiriri wemukanwa kuzorodza murwere zvakare." (Zvinoreva, hongu, wakamuka, asi hauzonzwa chero yeiyi kucheka uye kupenya.)

Iwo lasers anoshandiswa muLASIK akaomesesa zvinoshamisa, uye anoshandisa iyo imwecheteyo tekinoroji yekutevera iyo NASA inoshandisa kumisikidza shuttle kuInternational Space Station, anodaro Eric Donnenfeld, MD, purofesa wezvekurapa wezvemeso kuNew York University uye wekutanga shamwari yeOphthalmic Consultants yeLong Island mu Bindu Guta, NY.

"Tekinoroji yepamusoro inodzivirira varwere kubva mukukuvadzwa uye inoita kuti nzira yacho iende sekuronga," anodaro Dr. Donnenfeld. Hapana kuvhiya kunoshanda zana muzana, asi fungidziro inoratidza kuti 95 muzana kusvika 98.8 muzana yevarwere vanofara nezvakabuda.

"Zvitanhatu kusvika ku10 muzana yevarwere vangada imwe nzira, inowanzonzi kuwedzera. Varwere vanotarisira kuona zvakakwana pasina magirazi kana kushamwaridzana vanogona kuodzwa mwoyo, "anodaro Dr. Pierce. (PS Waiziva here kuti iwe unogona zvakare kudya kune hutano hwemaziso?)

Ndeipi nhoroondo yekuvhiyiwa kweziso kweLASIK?

"Radial keratotomy, maitiro anosanganisira kugadzira diki diki mucornea, yakave yakakurumbira muma1980 senzira yekugadzirisa kusaona," anodaro Inna Ozerov, M.D., chiremba wemaziso paMiami Eye Institute muHollywood, FL.

Kamwe Kremer Excimer Laser yakaunzwa muna 1988 sechishandiso chezvinangwa zvipenyu (kwete chete makomputa), kuvhiyiwa kwemaziso kwakakura nekukurumidza. Yekutanga LASIK patent yakapihwa muna 1989. Uye na1994, vazhinji vanovhiya vanga vachiita LASIK se "off-label maitiro," sekureva kwaDr. Stonecipher, kana kuita maitiro vasati vabvumidzwa zviri pamutemo.

"Muna 2001, 'bladeless' LASIK kana IntraLase yakagamuchirwa. Mune nzira iyi, laser-inokurumidza laser inoshandiswa panzvimbo ye microblade kuti igadzire kurova," anodaro Dr. Ozerov. Ipo tsika LASIK ichikurumidza, isina LASIK isina blade inowanzo gadzira yakaenzana machira emakona. Kune zvakanakira uye zvakaipira kune vese, uye vanachiremba vanosarudza yakanakisa sarudzo pane murwere-ne-murwere hwaro.

Unogadzirira sei LASIK?

Kutanga, gadzirira chikwama chako: Avhareji mutengo weLASIK muUS muna 2017 yaive $2,088. neziso rimwe, maererano nemushumo weAll About Vision. Zvadaro, sangana nevanhu uye woongororwa.

"Taura nachiremba wako weziso uye utaure neshamwari dzako. Mamirioni avanhu vakave neLASIK, saka unogona kunzwa zvavakasangana nazvo," anodaro Louis Probst, M.D., mutungamiri wezvekurapa wenyika uye chiremba wechiremba weTLC Laser Eye Centres mhiri kweMidwest. "Usangoenda kunochipa laser center. Unongova neso rimwe chete, saka ita tsvakiridzo yako nezvenzvimbo dzakanakisa dzine vana chiremba vepamusoro."

Dr. Pierce vanodzokorodza aya manzwiro: "Varwere vanofanira kungwarira avo vanovimbisa kana kuvimbisa mhedzisiro yakakwana kana vanopa mitengo yekutenga pasina kukurukurirana kushoma kana kusava nehanya nekutarisira kwekutevera kana mhedzisiro inogona kuitika."

Kana iwe ukamhara pachiremba uye ukasarudza kuenda kumberi, kuongororwa kwakakosha kuti uone kana uine chero chikonzero chekurapa chekusvetuka LASIK, anodaro Dr. Stonecipher.

"Isu tave kushandisa tekinoroji yekudzidza yakadzama uye hungwaru hwekunyepedzera muophthalmology kuti titarise zviri nani nyaya dzemaziso izvo zvinogona kuburitsa mhedzisiro yemhando yakashata nekugadziriswa kwelaser-uye vaona mhedzisiro inoshamisa," anoenderera mberi.

Manheru asati avhiyiwa, tarisa kuwana husiku hwakanaka hwekurara uye kudzivirira doro kana chero mishonga inogona kuomesa maziso ako. Chiremba wako anofanirwa kutsanangura kana uye sei iwe uchifanira kushandura chero mishonga uye yekubata lens kushandisa kunotungamira kune LASIK. (Yakabatana: Izvo Zvaunofanira Kuziva Nezve Dhijitari Ziso Kutambudzika)

Ndiani anokodzera LASIK (uye ndiani asingadaro)?

"Vanokwikwidza veLASIK vanofanirwa kuve neziso rine hutano uye zvakajairika ukobvu nemakona," anodaro Dr. Probst. Kuvhiya inzira huru kune vazhinji vane myopia [kuona pedyo], astigmatism [kamu isina kujairika muziso], uye hyperopia [kuona zviri kure], anodaro. "Vanosvika zvikamu makumi masere kubva muzana zvevanhu vakanaka."

Kana waifanirwa kuwana mazita akasimba kana magirazi gore rega rega, ungangofanira kumirira: Tsamba yako yekurapa inoda kugara yakasimba kweinenge makore maviri LASIK isati yasvika, anowedzera Dr. Donnenfeld.

Iwe ungada kudzivisa LASIK kuvhiyiwa kweziso kana iwe une nhoroondo yeimwe yeiyi mamiriro ezvinhu, maererano naDr. Ozerov naDonnenfeld:

• Corneal zvirwere
• Corneal mavanga
• Pakati nepakati kune yakaoma maziso akaoma
• Keratoconus (chirwere chekuzvarwa chinokonzera kufambira mberi kwekorneal thinning)
• Zvimwe zvirwere zvemuviri (zvakadai se lupus kana rheumatoid arthritis)

"AOA inokurudzira kuti vanoda kuLASIK vave nemakore gumi nemasere kana kupfuura, vane hutano hwakanaka, vane maonero akagadzikana, uye pasina kukanganisa kwekonea kana ziso rekunze," anodaro Dr. Pierce. "Varwere vanofarira chero kugadziridzwa kwemakona vanofanira kutanga vaongororwa zvizere nachiremba weOptometry kuti vaongorore hutano hwemaziso avo uye voona zvavanoda kuona." (Yo, waiziva here kuti iwe unofanirwa kushandisa maziso ako futi?)

Chii chinonzi kupora mushure mekuvhiyiwa kweziso reLASIK?

"LASIK kupora kunoshamisa nekukurumidza," anodaro Dr. Probst. "Wakagadzikana uye uchiona zvakanaka maawa mana chete mushure mekuitwa. Unofanirwa kungwarira nemaziso ako kwevhiki rimwe chete kuti vapore zvakanaka."

Kunyange zvazvo kumwe kusagadzikana kwakajairika mumaawa ekutanga e24 (kunyanya panguva yeshanu yekutanga post-LASIK), inogona kuwanzogadziriswa nepamusoro pe-counter pain-relievers, anodaro Dr. Donnenfeld. Uyezve, madonhwe emafuta ekuzora maziso anogona kubatsira kuchengetedza maziso ako akasununguka, kudzivirira kutapukirwa, uye kukurudzira kuporeswa. Ronga kubvisa zuva rekuvhiyiwa uye zuva rinotevera rekuzorora.

Kuvhiyiwa kunowanzoda kuteverwa nachiremba wako kwemaawa makumi maviri nemana mushure mekuita. Ipapo, iwe ungangowana iwo girini mwenje kuti udzokere kune zvakajairwa zvezuva nezuva zviitiko. Iye angango ronga kushanya kwekutevera-vhiki imwe, mwedzi mumwe, mwedzi mitatu, mwedzi mitanhatu, uye gore rimwe mushure mekuvhiyiwa.

"Mushure mezuva rokutanga kana zvakadaro, varwere vanogona kuva nemigumisiro yenguva pfupi sechikamu chekugadzirisa kuporesa, kusanganisira halos pameso ako usiku, maziso anobvarura, maziso anoputika, uye kunzwa kwechiedza. Izvi zvose zvinofanira kuderera mukati mevhiki, asi nguva yekupora inogona kutora mwedzi mitatu kusvika kumitanhatu, panguva iyo varwere vane mashoma ekuteedzera kuitira kuti chiremba wavo atarise mafambiro avo, "anodaro Dr. Donnenfeld.

Iwe unogona zvakare kunge wakanzwa nezve imwe isingawanzo uye inotyisa mhedzisiro yekuvhiyiwa kweziso kweLASIK, senge apo nyanzvi yezvemamiriro ekunze yeDetroit ane makore makumi matatu nemashanu Jessica Starr akafa nekuzviuraya achipora kubva pakurapwa. Akange ave neLASIK mwedzi mishoma yapfuura uye anga abvuma kuti a "kunetseka zvishoma" mushure. Kuzviuraya kwaStarr handiko kwega kwakabvunzwa semhedzisiro inogona kuitika yeLASIK; zvisinei, hazvinyatso kujeka kuti sei kana kana LASIK yakaita chinzvimbo mune chero eva kufa. Kurwira nemarwadzo kana matambudziko ekuona mushure mekuita (kana chero nzira inopinda, yechinhu ichocho) inogona kunge isinganetse. Vazhinji vanachiremba vanonongedzera kuhuwandu hukuru hwemaitiro akabudirira sechikonzero chekusazvidya mwoyo nezvechero yeizvi zviitiko zvakasarudzika uye zvisinganzwisisike.

"Kuzviuraya inyaya yakaoma yehutano hwepfungwa, uye kuti venhau venhau vabatanidze zvakananga LASIK nekuzviuraya hazvina basa, uye kutaura zvine ngozi," anodaro Dr. Ozerov. "Varwere vanofanirwa kunzwa vakasununguka kudzoka kuna chiremba wavo wekuvhiya kana vari kusangana nedambudziko nekupora kwavo. Nhau dzakanaka ndedzekuti varwere vazhinji vachapora uye vanozove nemhedzisiro inobudirira."

Ongororo ye