Kodi pali kusiyana kotani pakati pa PRK ndi LASIK?
Zamkati
- Kodi njirazi zimagwira ntchito bwanji?
- Kodi chimachitika ndi chiyani pa PRK?
- Chimachitika ndi chiani pa LASIK?
- Kodi kuchira kuli bwanji?
- Kuchira kwa PRK
- LASIK kuchira
- Kodi njira imodzi ndi yothandiza kuposa ina?
- Zowopsa zake ndi ziti?
- Ndani amasankhidwa panjira iliyonse?
- Mtengo wake ndi wotani?
- Kodi zabwino ndi zoyipa zake ndi ziti?
- Kodi ndingapeze bwanji wothandizira?
- Mfundo yofunika
PRK vs. LASIK
Photorefractive keratectomy (PRK) ndi laser-assisted in situ keratomileusis (LASIK) ndi njira zonse zopangira ma laser zomwe zimagwiritsidwa ntchito kuthandiza kuwongolera kuwona. PRK yakhala ikuzungulira kwakanthawi, koma onse akugwiritsidwabe ntchito masiku ano.
PRK ndi LASIK onse amagwiritsidwa ntchito kusintha khungu la diso lako. Kornea ili ndi zigawo zisanu zopyapyala, zowoneka bwino kutsogolo kwa diso lanu zomwe zimapindika (kapena kutulutsa) ndikuwunika kuwala kuti zikuthandizeni kuwona.
PRK ndi LASIK aliyense amagwiritsa ntchito njira zosiyanasiyana kuti akonze masomphenya anu pokonzanso minofu ya diso.
Ndi PRK, dotolo wanu wamaso amachotsa pamwamba pake pa cornea, yotchedwa epithelium. Dokotala wanu amagwiritsa ntchito lasers kuti akonzenso zigawo zina za cornea ndikukonzekera kupindika kulikonse m'diso lanu.
Ndi LASIK, dotolo wanu wamaso amagwiritsa ntchito lasers kapena tsamba laling'ono kuti apange kachingwe kakang'ono mu cornea yanu. Chophimbachi chimakwezedwa, ndipo dotolo wanu ndiye amagwiritsa ntchito ma lasers kuti apange khungu. Chotupacho chimatsitsidwa pambuyo poti opareshoniyo yatha, ndipo cornea imadzikonza yokha miyezi ingapo yotsatira.
Njira iliyonse itha kugwiritsidwa ntchito kuthandizira kuthetsa mavuto amaso okhudzana ndi:
- nearsightedness (myopia): kulephera kuwona zinthu zakutali bwino
- kuona patali (hyperopia): kulephera kuwona zinthu zoyandikira bwino
- astigmatism: mawonekedwe osawoneka bwino amaso omwe amawonetsa mawonekedwe
Werengani kuti mudziwe zambiri za kufanana ndi kusiyana kwa njirazi, ndipo ndi iti yomwe ingakhale yoyenera kwa inu.
Kodi njirazi zimagwira ntchito bwanji?
Njira ziwirizi ndizofanana chifukwa zonse zimapangitsanso minyewa yosakanikirana pogwiritsa ntchito lasers kapena timasamba tating'onoting'ono.
Koma amasiyana m'njira zina zofunika kwambiri:
- Mu PRK, gawo limodzi mwazinyalala zam'mimba zimachotsedwa.
- Ku LASIK, chikwapu chimapangidwa kuti chilole kutseguka kumatenda omwe ali pansipa, ndipo chipikacho chimatsekedwanso kamodzi ndondomeko ikatha.
Kodi chimachitika ndi chiyani pa PRK?
- Mumapatsidwa madontho ofooka kuti musamve kuwawa panthawi yopanga. Muthanso kulandira mankhwala kuti akuthandizeni kupumula.
- Mbali yayikulu ya mnofu, epithelium, imachotsedwa kwathunthu. Izi zimatenga pafupifupi masekondi 30.
- Chida cholondola kwambiri cha opaleshoni, chotchedwa excimer laser, chimagwiritsidwa ntchito kukonza zolakwika zilizonse m'matumba akuya kwambiri. Izi zimatenganso pafupifupi masekondi 30-60.
- Bandeji yapadera yomwe imafanana ndi lens yolumikizirana imayikidwa pamwamba pa cornea kuti athandize minofu yomwe ili pansi kuti ichiritse.
Chimachitika ndi chiani pa LASIK?
- Mumapatsidwa madontho kuti muziziritsa minofu yanu yamaso.
- Chingwe chaching'ono chimadulidwa mu epithelium pogwiritsa ntchito chida chotchedwa femtosecond laser. Izi zimalola dokotalayo kuti asunthire mbali iyi pambali pomwe magawo ena amasinthidwa ndi ma lasers. Chifukwa imakhalabe yolumikizidwa, epithelium imatha kuyikidwanso m'malo mwake opareshoniyo itatha, m'malo mochotsedwa kwathunthu monga zilili mu PRK.
- Laser ya excimer imagwiritsidwanso ntchito kukonzanso minofu yam'maso ndikukonzekera vuto lililonse kupindika kwamaso.
- Chipsinjo mu epithelium chimayikidwanso m'malo mwake pamwamba pa minofu yonse ya cornea kuti ichiritse ndi minofu yonseyo.
Kodi kuchira kuli bwanji?
Pa opaleshoni iliyonse, mumamva kupsinjika pang'ono kapena kusapeza bwino. Muthanso kuwona zosintha m'masomphenya anu pomwe dotolo wanu amasintha minofu ya diso. Koma simudzamva kuwawa kulikonse.
Kuchira kwathunthu ndi PRK nthawi zambiri kumatenga pafupifupi mwezi kapena kupitilira apo. Kuchira kuchokera ku LASIK kumathamanga, ndipo kumangotenga masiku ochepa kuti muwone bwino, ngakhale kuchira kwathunthu kumatenga miyezi ingapo.
Kuchira kwa PRK
Kutsatira PRK, mudzakhala ndi bandeji yaying'ono, yolumikizana ndi diso lanu yomwe ingayambitse kukwiya komanso chidwi chanu kwa kuwala kwamasiku ochepa epithelium yanu ikamachira. Masomphenya anu adzasokonekera pang'ono mpaka bandejiyo itachotsedwa patatha pafupifupi sabata.
Dokotala wanu adzakupatsani mafuta odzola kapena opaka mankhwala kuti athandize diso lanu kukhala lonyowa pamene likuchira. Muthanso kupeza mankhwala othandizira kuthana ndi mavuto.
Masomphenya anu azikhala bwino atangochitidwa opaleshoni, koma atha kumangoipirako pang'ono mpaka diso lanu litachira. Dokotala wanu akhoza kukuphunzitsani kuti musayendetse galimoto mpaka masomphenya anu atakhazikika.
Kuchira kwathunthu kumatenga pafupifupi mwezi. Masomphenya anu adzakhala bwino tsiku lililonse, ndipo mudzawona dokotala wanu pafupipafupi kuti akakuyeseni mpaka diso lanu litachira.
LASIK kuchira
Mudzawona bwino kwambiri pambuyo pa LASIK kuposa kale, ngakhale opanda magalasi kapena olumikizana nawo. Mutha kukhala ndi masomphenya abwino tsiku lotsatira opaleshoni yanu.
Simudzamva kuwawa kapena kupweteka pamene diso lanu lidzachira. Nthawi zina, mungamve kutentha m'maso mwanu kwa maola angapo pambuyo pa opareshoni, koma sikuyenera kukhala kwakanthawi.
Dokotala wanu adzakupatsani mafuta othira m'maso kapena othandizira kuti asamalire kukwiya kulikonse, komwe kumatha masiku ochepa.
Muyenera kuchira kwathunthu patangotha masiku ochepa mutachita izi.
Kodi njira imodzi ndi yothandiza kuposa ina?
Njira ziwirizi ndizothandizanso pakukonza masomphenya anu. Kusiyanitsa kwakukulu ndi nthawi yochira.
LASIK imatenga masiku ochepa kapena ochepera kuti muwone bwino pomwe PRK imatenga pafupifupi mwezi umodzi. Zotsatira zomaliza sizingasiyane pakati pa ziwirizi ngati njirayi ichitike moyenera ndi dokotala wololeza, waluso.
Ponseponse, PRK imawerengedwa kuti ndi yotetezeka komanso yothandiza pakapita nthawi chifukwa siyimasiya kakhosi kanu. Chingwe chomwe chatsalira ndi LASIK chitha kuwonongeka kwambiri kapena zovuta ngati diso lanu lavulala.
Zowopsa zake ndi ziti?
Njira zonsezi zili ndi zoopsa zina.
LASIK ingawonedwe ngati yowopsa pang'ono chifukwa cha njira yowonjezerapo yomwe ikufunika kuti ipangitse chiphuphu mu diso.
Zowopsa za njirazi ndi monga:
- Kuuma kwa diso. LASIK, makamaka, imatha kukupangitsani kuti muzigwetsa misozi yochepa kwa miyezi isanu ndi umodzi mutachitidwa opaleshoni. Kuuma kumeneku nthawi zina kumatha.
- Zosintha zowoneka kapena zosokoneza, kuphatikiza kunyezimira kwa magetsi owala kapena kuwunikira pazinthu, ma halos mozungulira magetsi, kapena kuwona kawiri. Mwinanso simungathe kuwona bwino usiku. Izi zimatha pambuyo pa milungu ingapo, koma zimatha kukhazikika. Lankhulani ndi dokotala ngati zizindikirozi sizizimiririka patatha pafupifupi mwezi umodzi.
- Kudzudzula. Masomphenya anu sangawoneke ngati owoneka bwino kwambiri ngati dotolo wanu sanachotse minyewa yokwanira, makamaka ngati opaleshoniyi idachitidwa kuti ayambitse kuyandikira. Ngati simukukhutira ndi zotsatira zanu, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti mupeze zotsatira zomwe mukufuna.
- Kuwonongeka kowoneka bwino. Dokotala wanu amatha kuchotsa minofu yambiri kuposa momwe ingafunikire, zomwe zimatha kuyipitsa mawonekedwe anu otchedwa ectasia. Izi zitha kupangitsa diso lanu kukhala lofooka kwambiri ndikupangitsa diso lanu kutuluka kuchokera kupsinjika mkati mwa diso. Ectasia iyenera kuthetsedwa kuti iteteze kutayika kwamaso.
- Astigmatism. Kupindika kwa diso lanu kumatha kusintha ngati minyewa yam'matumbo sinachotsedwe mofanana. Izi zikachitika, mungafunike kuchitidwa opaleshoni yotsatira, kapena muyenera kuvala magalasi kapena olumikizana nawo kuti muwongolere bwino masomphenya anu.
- Mavuto a LASIK. Nkhani zokhala ndi chiphuphu chomwe chimapangidwa nthawi ya LASIK zitha kubweretsa matenda kapena kutulutsa misozi yambiri. Epithelium yanu imathanso kuchiritsa mosasinthasintha pansi pa chiphuphu, zomwe zimabweretsa kusokonekera kwamaso kapena kusapeza bwino.
- Kutaya masomphenya kwamuyaya. Monga opaleshoni yamaso iliyonse, pamakhala chiopsezo chochepa chakuwonongeka kapena zovuta zomwe zimapangitsa kuti muwonongeke pang'ono kapena kwathunthu. Masomphenya anu atha kuwoneka akutambalala pang'ono kapena opanda pake kuposa kale, ngakhale mutha kuwona bwino.
Ndani amasankhidwa panjira iliyonse?
Izi ndizofunikira zofunikira pakuchitidwa maopaleshoni awa:
- muli ndi zaka zopitilira 18
- masomphenya anu sanasinthe kwambiri chaka chatha
- masomphenya anu atha kukhala osachepera 20/40
- ngati mukuyandikira pafupi, mankhwala anu ali pakati pa -1.00 ndi -12.00 diopter, muyeso wa mphamvu ya mandala
- simuli ndi pakati kapena mukuyamwitsa mukamachita opaleshoni
- msinkhu wanu wamkulu ndi pafupifupi mamilimita 6 (mm) chipinda chikakhala mdima
Sikuti aliyense ali woyenera kuchitidwa maopareshoni onse awiri.
Nazi zina mwazomwe zingakupangitseni kukhala osayenerera chimodzi kapena chimzake:
- Muli ndi chifuwa chachikulu chomwe chingakhudze zikope zanu ndi machiritso amaso.
- Muli ndi vuto lalikulu lomwe limakhudza diso, monga glaucoma kapena matenda ashuga.
- Muli ndi vuto lokhazikika lomwe lingakhudze machiritso anu, monga nyamakazi kapena lupus.
- Muli ndi ziphuphu zoonda zomwe sizingakhale zolimba kuthana ndi njirayi. Izi nthawi zambiri zimakupangitsani kukhala osayenerera LASIK.
- Muli ndi ophunzira akulu omwe amachulukitsa chiopsezo chanu chosokonezeka pakuwona. Izi zitha kukupangitsani kukhala osayenerera LASIK.
- Mudachitidwapo opaleshoni yamaso m'mbuyomu (LASIK kapena PRK) ndipo wina akhoza kukulitsa chiopsezo chazovuta.
Mtengo wake ndi wotani?
Mwambiri, maopaleshoni onsewa amawononga $ 2,500- $ 5,000.
PRK itha kukhala yokwera mtengo kuposa LASIK chifukwa chofunikiranso kulowa-post-op kuti muchotse bandeji ndikuwunika machiritso a diso lanu kwa mwezi umodzi.
LASIK ndi PRK nthawi zambiri samaphimbidwa ndi mapulani a inshuwaransi yazaumoyo chifukwa amadziwika kuti amasankhidwa.
Ngati muli ndi akaunti yosunga zaumoyo (HSA) kapena akaunti yosinthira ndalama (FSA), mutha kugwiritsa ntchito imodzi mwanjira izi kuti muthandizire kulipira. Izi nthawi zina zimaperekedwa kudzera muubwino wothandizidwa ndi olemba anzawo ntchito.
Kodi zabwino ndi zoyipa zake ndi ziti?
Nazi zabwino ndi zoyipa za njira ziwirizi.
Ubwino | Kuipa | |
LASIK | • Kuchira msanga (<masiku 4 masomphenya) • Palibe zomata kapena mabandeji zofunika • Maulendo osankhidwa ochepa kapena mankhwala omwe amafunikira • Kuchita bwino kwambiri | • Kuopsa kwa zovuta kuchokera pachiphuphu • Osavomerezeka kwa anthu omwe ali ndi chiopsezo chachikulu chovulala m'maso • Mwayi wapamwamba wa diso louma • Chiwopsezo chachikulu cha kusawona bwino usiku |
PRK | • Mbiri yakale yazopambana • Palibe chiphuphu chomwe chimapangidwa panthawi ya opaleshoni • Mwayi wawung'ono wazovuta zazitali • Kuchita bwino kwambiri | • Kuchira kwanthawi yayitali (masiku 30) zomwe zitha kusokoneza moyo wanu • Amafuna mabandeji omwe amafunika kuchotsedwa • Kusapeza bwino kumatha milungu ingapo |
Kodi ndingapeze bwanji wothandizira?
Nawa maupangiri amomwe mungapezere omwe angakuthandizeni kuchita izi, komanso mafunso omwe mungafunse omwe angakupatseni:
- Onani operekera angapo pafupi nanu. Onani momwe zokumana nazo zawo, mtengo wake, kuwerengera kwa odwala, kugwiritsa ntchito ukadaulo, ndi ziwerengero zopambana zimalumikizana. Madokotala ena amachita zambiri kapena amaphunzitsidwa bwino munjira ina.
- Osakhazikika pazotsika mtengo kwambiri. Kusunga ndalama mwina sikungabweretse chiopsezo chowonjezeka komanso kuwonongeka kwa zovuta pamoyo wanu wonse.
- Musagwere pazotsatsa zotsatsa. Musakhulupirire madokotala ochita opaleshoni omwe amalonjeza zotsatira zenizeni kapena kukutsimikizirani, popeza njira iliyonse yochitira opareshoni siyitsimikiziridwa kuti ingakupatseni zotsatira zomwe mukufuna. Ndipo nthawi zonse pamakhala mwayi wochepa wamavuto kuposa omwe dokotala amachita pa opaleshoni iliyonse.
- Werengani buku lililonse kapena kuchotsera. Onetsetsani mosamala malangizo aliwonse omwe asanaperekedwe kapena mapepala omwe amakupatsani musanachite opaleshoni.
- Onetsetsani kuti inu ndi dokotala mukuyembekezera zenizeni. Simungakhale ndi masomphenya a 20/20 mukatha kuchitidwa opaleshoni, koma muyenera kufotokoza bwino zomwe zikuyembekezeka pakuwona kwanu ndi dotolo wanu musanachite ntchito iliyonse.
Mfundo yofunika
LASIK ndi PRK zonse ndi njira zabwino zochititsira opaleshoni yowonera.
Lankhulani ndi dokotala wanu kapena katswiri wamaso pazomwe mungachite zomwe zingakhale zabwino kwa inu kutengera ndi thanzi la diso lanu komanso thanzi lanu lonse.