I kekahi manawa, makaʻu iki mākou ke ʻike mākou i nā loli liʻiliʻi i ko mākou mau maka, ʻeā? ʻOi loa aku hoʻi i ka wā e hoʻomaka ai nā mea e ʻano ʻokoʻa iki. ʻO kekahi o ia ʻano maʻi ua kapa ʻia ʻo
macular pucker . Akā, mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana.
He aha maoli kēia (Macular Pucker)?
E noʻonoʻo i kou maka e like me ke kāmela. Aia kahi pā ma hope o kēia kāmela, a mākou e kapa nei
ʻo ka retina . Hoʻopaʻa ʻia kēlā me kēia kiʻi āu e ʻike ai ma kēia retina, e like me kahi kiʻiʻoniʻoni. Ma waenakonu o kēia retina, aia kahi wahi liʻiliʻi koʻikoʻi i kapa ʻia
ʻo ka macula . ʻIke maopopo mākou i nā mea, ʻoi aku ka ʻoi, heluhelu i kahi puke, ʻike i nā leka, ma muli o kēia macula. I kēia manawa, ma kēia kūlana i kapa ʻia ʻo "Macular Pucker", ʻo ka mea e hana ʻia ana ma luna o ka macula, aia kahi papa o ka cellophane, a i ʻole kahi membrane lahilahi loa, a i ʻole
ka ʻiʻo ʻeha . Kāhea pū nā kauka i kēia he
"Epiretinal Membrane (ERM)" , a kapa pū kekahi poʻe iā ia
he "Cellophane Maculopathy" . I ka emi mālie ʻana o kēia membrane, e kīkoʻo pū ka macula ma lalo a me nā wrinkles, e like me kahi ʻāpana lole. ʻO ia ka mea i kapa ʻia ʻo "Macular Pucker" a i ʻole "macular puckering." ʻAʻole kēia e hoʻoulu i nā pilikia ʻike nui no nā mea āpau, akā i kekahi manawa hiki iā ia ke hoʻololi i ke ʻano o kou ʻike ʻana i nā mea, e hoʻolilo iā lākou i mea ʻino.
Pehea ka maʻamau o kēia ʻano?
ʻOi aku ka maʻamau o kēia ʻano i kapa ʻia ʻo `(Macular Pucker)` ma mua o kou manaʻo. Ua ʻike ʻia nā noiʻi hou he hapa nui o ka heluna kanaka ma kekahi mau ʻāina e loaʻa paha kēia ʻano.
Piʻi ka pilikia o kēia ʻano me ka ʻelemakule. Akā ʻo ka nūhou maikaʻi, ʻaʻole nā mea a pau i loaʻa iā `(Macular Pucker)` e nalowale ka ʻike.
He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe?
ʻO ka hōʻailona nui o kēia, ʻo ia
ka lilo ʻana o kou ʻike waena i mea ʻino. ʻO ke ʻano kikoʻī,
ʻike ʻia nā laina pololei, e like me nā mōlina puka makani, nā mōlina puka, a me nā laina i loko o kahi puke, ua kīkoʻo ʻia a ʻāwili ʻia paha. Ua kapa pū nā kauka i kēia
he "metamorphopsia." E noʻonoʻo ʻoe e nānā ana i kahi papahele tile, a ʻike ʻia nā laina pololei ma waena o nā tile ua ʻāwili ʻia. ʻOiai hiki i kēia ke hoʻopilikia i nā maka ʻelua, hoʻokahi wale nō maka e hoʻopilikia ai. ʻOiai inā aia ma nā maka ʻelua, ʻoi aku ka ʻino o kekahi maka ma mua o kekahi. Ma waho aʻe o ke ʻano ʻāwili, hiki iā ʻoe ke ʻike pū:
- ʻAʻole i maopopo e like me ka wā ma mua, ʻaʻole pili i ka kokoke ʻana o kou hiki ʻana i ka mea āu e nānā nei.
- I kekahi manawa hiki ke ʻike ʻia kahi kiʻi hoʻokahi ma ke ʻano he ʻelua (kiʻi pālua).
- ʻO ke kiʻi i ʻike ʻia ma kekahi maka e ʻoi aku ka nui ma mua o kekahi maka.
ʻO ka mea nui loa, ʻo ka nalowale o ka ʻike i hoʻokumu ʻia e kēia "Macular Pucker"
ʻaʻole i hoʻoponopono ʻia e ke kau ʻana i nā aniani. No ke aha lā kēia e hana nei? He aha nā kumu?
I ka ʻōlelo maʻalahi, aia kekahi mau kumu e hiki ke kōkua i ka hoʻokumu ʻia ʻana o kahi ʻili ma ka macula. Eia kekahi o nā kumu nui:
- Nā lua a i ʻole nā waimaka ma ka retina.
- Loaʻa kahi moʻolelo o ka retinal detachment i ka wā ma mua.
- ʻO ke ʻoki maka ma mua (no ka laʻana, ke ʻoki cataract).
- Ka ʻeha maka.
- Nā maʻi e kū mai ana i loko o ka maka.
- Nā maʻi maka i hoʻokumu ʻia e ka maʻi diabetes (Diabetes-related retina disease / Diabetic Retinopathy)
- Nā kūlana mumū e kū mai ana i loko o ka maka (Mū maka / Uveitis )
ʻO kekahi mea ʻē aʻe, i kekahi manawa hiki ke hana ʻia kēia `(Macular Pucker)` me ke kumu ʻole. Ua kapa ʻia ʻo `(Idiopathic Macular Pucker)`, ʻo ia hoʻi, ʻaʻole hiki ke loaʻa ke kumu.
He maʻi lele anei kēia?
ʻAʻole, ʻaʻole loa. ʻAʻole he maʻi lele ka `(Macular Pucker)`. ʻAʻole hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe, ʻaʻole hoʻi hiki iā ʻoe ke loaʻa mai kekahi mea ʻē aʻe.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?
Ua ʻōlelo mua mākou he kumu pilikia nui ka ʻelemakule. Eia kekahi, hiki ke piʻi aʻe kou pilikia o ka loaʻa ʻana o ka macular pucker inā ʻoe:
- Inā loaʻa iā ʻoe kahi "Posterior Vitreous Detachment (PVD)", kahi e hoʻokaʻawale ai ka vitreous humor ( ka mea like me ka jelly i loko o kou maka) mai ka retina. He mea maʻamau kēia i kou wā ʻelemakule.
- Inā ua loaʻa mua iā ʻoe ka lāʻau lapaʻau maka laser , a i ʻole kekahi ʻoki maka ʻē aʻe, e like me ke ʻoki cataract.
- Inā ua loaʻa iā ʻoe kahi haehae retinal a hemo paha ma mua.
- Inā loaʻa iā ʻoe kahi maʻi mumū o ka maka e like me ka uveitis .
- Inā loaʻa iā ʻoe ka retinopathy maʻi diabetes .
- Inā ua loaʻa kahi ʻeha nui o ka maka .
He aha nā pilikia e hiki ai i kēia ke hana?
Hiki i ka `(Macular Pucker)` ke
hōʻeha i ka ʻike . ʻO ia hoʻi, hiki i kou ʻike ke lilo i mea pōwehiwehi a palalulu paha. Akā
He liʻiliʻi loa ka manawa e makapō loa ai mai kēia. No laila, ʻaʻohe mea e hopohopo ai. Akā inā ʻike ʻoe i kahi loli i kou ʻike, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka. Pehea e ʻike ai ke kauka i kēia?
Ke kipa aku ʻoe i kahi kauka maka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e kau ʻo ia i nā kulu maka e hoʻonui ana i kou mau maka a nānā i loko o kou maka. Hoʻohana ʻia kēia mau kulu e ʻae i ke kauka e ʻike maopopo i kou retina a me ka macula. He aha nā hoʻokolohua e hana ʻia nei?
I kou wā e nānā ai i kou maka, e hoʻohana kāu kauka i kahi kukui kūikawā a me kahi aniani hoʻonui e nānā i kou mau maka. Eia kekahi, hiki iā lākou ke hana i nā hoʻokolohua e like me kēia e kōkua ai i ka hoʻoholo ʻana inā he pucker macular kou:- Hoʻāʻo Maka ʻo Amsler Grid: Ma kēia hoʻāʻo, hāʻawi ʻia ʻoe i kahi ʻāpana pepa liʻiliʻi me nā huinahā i kaha ʻia ma luna. Loaʻa iā ia nā laina moe a me nā laina kū. Ke nānā ʻoe i kēia mau laina, inā ʻike ʻia lākou ua kīkoʻo ʻia, ʻāwili ʻia, a inā paha ua nalowale kekahi mau huinahā, hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he mau pilikia ʻike kou.
- ʻO ke scan Optical Coherence Tomography (OCT): He scan kēia i hana ʻia me kahi kāmela kūikawā. Lawe ia i nā kiʻi maopopo loa o kou retina a me ka macula, e like me ka ʻoki ʻana o kahi keke. Ua like ia me ka nānā ʻana i loko o kahi ʻāpana keke. Hiki i kēia scan OCT ke haʻi iā ʻoe inā he ʻūlū o ka macula, a i ʻole ka pucker macular, a pehea kona koʻikoʻi.
Pehea e mālama ʻia ai? He aha kā mākou e hiki ai ke hana?
ʻAʻole pono nā ʻūpā maka āpau i ka mālama ʻana. Inā ʻaʻole koʻikoʻi kou mau hōʻailona a ʻaʻole i hoʻopilikia nui ʻia kou ʻike, e haʻi aku paha kāu kauka iā ʻoe e nānā i ke kūlana no kekahi manawa . ʻO ia hoʻi ke hele ʻana mai no nā hoʻokolohua maka maʻamau. Eia nō naʻe, inā pono ka mālama ʻana, aia nā koho ʻoki ʻole a me nā koho ʻoki. Lapaʻau me ke ʻoki ʻole ʻana (lāʻau lapaʻau ʻaʻole invasive)
No kahi pucker macular ʻaʻole pono ke ʻoki ʻana, hiki iā ʻoe ke hana i kēia mau mea e maʻalahi ai kou ola o kēlā me kēia lā:- Nā aniani maka hou: ʻOiai ʻaʻole hiki i nā aniani ke hoʻoponopono piha i nā hewa o ka hihiʻo i hoʻokumu ʻia e ka pucker macular, hiki i kahi lāʻau lapaʻau hou ke kōkua i ka hoʻomaikaʻi ʻana i kāu ʻike holoʻokoʻa.
- Kukui maikaʻi: I ka heluhelu ʻana i nā puke a i ʻole e hana ana i nā hana palupalu, ʻo ka hana ʻana pēlā ma kahi i hoʻomālamalama maikaʻi ʻia, a me ka hoʻohana ʻana i nā kukui heluhelu e hiki ke kōkua i ka hōʻemi ʻana i ka luhi o nā maka.
- Nā mea hoʻonui:Inā pilikia ʻoe i ka heluhelu ʻana i nā paʻi liʻiliʻi, hiki iā ʻoe ke hoʻohana i nā aniani hoʻonui a i ʻole nā mea hana ʻē aʻe.
Lapaʻau ʻoki kino
Inā pilikia nui kou ʻike e ka pucker macular, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino. Ua kapa ʻia kēia ʻoki kino he vitrectomy me ka wehe ʻana i ka membrane .- He hana outpatient kēia, ʻo ia hoʻi, ʻaʻole pono ʻoe e noho i ka haukapila, a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ke ʻoki ʻana.
- ʻO kēia ʻoki kino e pili ana i ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa i loko o ka maka, e wehe ana i kahi liʻiliʻi o ka mea like me ka jelly i loko o ka maka (vitreous humor), a me ka wehe pono ʻana i ka ʻiʻo ʻeha a i ʻole ka membrane i hana ʻia ma luna o ka macula. He ʻoki kino akahele loa kēia.
He aha nā pilikia e hiki mai ana o ke ʻoki kino? Pono anei au e makaʻu?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana i ka vitrectomy. Akā e hana kāu hui lapaʻau i nā mea āpau e hiki ai iā lākou ke hōʻemi i kēlā mau pilikia. Eia kekahi o nā pilikia e hiki mai ana:- Ke kahe ʻana o ke koko .
- Ka maʻi ʻana .
- Ka haehae a ka hemo ʻana paha o ka retina .
- Inā loaʻa iā ʻoe nā cataracts, e ʻoi aku ka ʻino.
- Aia kahi lua ma ka macula (lua macular) (he mea kākaʻikahi loa kēia).
- Hoʻonui ʻia ke kaomi i loko o ka maka, ʻo ia hoʻi ka ulu ʻana o ka glaucoma .
Akā e hoʻomanaʻo, he haʻahaʻa loa ka manawa e hiki ai kēia mau mea, a e hoʻomaopopo pono nā kauka iā ʻoe e pili ana i kēia. Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe ke ʻoki vitrectomy, hiki ke pohihihi iki kou ʻike no kekahi mau lā ma hope o ke ʻoki ʻana. Hiki ke ʻeha a ʻoluʻolu ʻole kou mau maka. He mea maʻamau kēia. ʻAʻole hiki iā ʻoe ke hele i ka hana a i ke kula paha no ʻelua a ʻehā pule ma hope o ke ʻoki ʻana. He mea nui e hoʻomaha i kou mau maka i kēia manawa. ʻAʻole hoʻi ʻoe e kalaiwa koke ma hope o ke ʻoki ʻana. Hiki ke hala a hiki i ʻekolu mahina no ka hoʻomaikaʻi piha ʻana o kou ʻike a no ʻoe e ʻike i nā pono piha o ke ʻoki ʻana. No laila e hoʻomanawanui. Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?
I kekahi manawa, ʻoiai hoʻi i nā hihia o ka idiopathic macular pucker, ʻaʻohe ala maopopo e pale aku ai. Eia nō naʻe, ʻo nā mea e like me ka pale ʻana i nā maʻi maka e pili ana i ka maʻi diabetes ( ʻo ia hoʻi, ka mālama ʻana i kāu maʻi diabetes ma lalo o ke kaohi) a me ka pale ʻana i ka trauma maka hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ke kūlana. He aha kaʻu e manaʻo ai inā wau i kēia kūlana?
Ua ʻōlelo mua mākou ʻaʻole pono ka hapa nui o nā hihia o `(Macular Pucker)` i ka mālama kūikawā. ʻO kāu wale nō e hana ai, ʻo ia ke nānā mau i nā maka e like me ka papa kuhikuhi i kuhikuhi ʻia e kāu kauka. A laila, hiki i kāu kauka ke ʻike inā he mau loli i kou ʻike a me ke olakino o ka maka. Loaʻa paha iā ʻoe kekahi mau pilikia ʻike ma muli o `(Macular Pucker)`, akā mai hopohopo e alakaʻi ia i ka makapō piha. He haʻahaʻa loa ka manawa kūpono. Inā loaʻa iaʻu kēia maʻi, pehea e hiki ai iaʻu ke mālama iaʻu iho?
Ke ʻike ʻoe he macular pucker kou, aia kekahi mau mea hiki iā ʻoe ke hana e pale i kou mau maka:- Mai poina i nā lā hoʻokolokolo maka i hāʻawi ʻia e ke kauka.
- E mālama i ke olakino maikaʻi. ʻO ia hoʻi ka ʻai ʻana i nā meaʻai momona a me ka hoʻoikaika kino mau.
- E hahai i nā ʻano olakino maka maikaʻi. No ka laʻana, e ʻaʻahu i nā aniani maka i ka wā e lā ai, e holoi pono i kou mau lima ma mua o ka hoʻopā ʻana i kou mau maka, a inā ʻoe e ʻaʻahu i nā aniani hoʻopili, e hoʻohana me ka palekana e like me ke kuhikuhi a kāu kauka.
- Inā ʻoe e puhipaka , e hoʻāʻo e haʻalele. ʻAʻole maikaʻi ka puhipaka no kou mau maka. Inā makemake ʻoe i ke kōkua e haʻalele, e nīnau i ke kauka.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau loli koke i kou ʻike , no ka laʻana, ka pohihihi koke ʻana o ka ʻike, ka hoʻonui ʻia ʻana o nā wrinkles, a i ʻole ke ʻano o nā mea lana e like me nā kiko ʻeleʻele, e ʻike koke i kāu kauka maka. Inā manaʻo koke ʻoe e nalowale ana kou ʻike, a inā ʻeha nui kou maka, e hele koke i kahi lumi pilikia, a i ʻole ma Sri Lanka, e kelepona i ka 1990 Rescue Ambulance Service.
Ua kapa ʻia kēia mau mea ʻelua ʻo (Macular Pucker) a me (Age-Related Macular Degeneration - AMD)?
ʻAe, he ʻelua mau kūlana like ʻole kēia. Akā hiki ke like nā hōʻailona i kekahi manawa. ʻO ka pucker macular a me ka macular degeneration e pili ana i ka makahiki (AMD) nā kūlana e hoʻopilikia ai i ka macula. I nā kūlana ʻelua, ʻaʻole i hoʻopilikia pinepine ʻia kāu ʻike peripheral, akā ua hoʻopilikia ʻia kāu ʻike waena. I ka AMD, nāwaliwali nā cell i loko o ka macula a ua luku ʻia me ka ʻelemakule. I ka pucker macular, hana ʻia kahi papa ma ka macula, e hoʻoulu ai i ka wrinkle. He ʻokoʻa nā lāʻau lapaʻau. No laila, ua like ka macular pucker a me ka macular hole?
ʻAʻole, he ʻelua mau mea like ʻole. ʻO ka "macular pucker" he ʻūlū ʻana o nā ʻiʻo i loko o ka retina. Akā, ʻo ka lua i loko o ka macula he "macular hole."ʻO ia hoʻi, e like me ka inoa e hōʻike nei, aia kekahi lua liʻiliʻi ma ka macula. I kekahi manawa, ʻo ka loaʻa ʻana o kahi `(Macular Pucker)` e hoʻonui i ka pilikia o ka loaʻa ʻana o kahi `(Macular Hole)` ma hope, akā ʻaʻole ia he hōʻoia. ʻOi aku ka ʻino o nā hōʻailona ʻike maka o kahi `(Macular Hole)` ma mua o nā `(Macular Pucker)`. Eia kekahi, pono pinepine ke ʻoki ʻana i kahi `(Macular Hole)`. ʻO ka mea hope loa, eia kekahi mau mea nui e hoʻomanaʻo:
He mea maʻamau ka manaʻo iki i ka makaʻu a me ka hopohopo ke lohe mua ʻoe he maʻi kou i kapa ʻia ʻo `(Macular Pucker)`, a hiki iā ia ke hoʻopilikia i kou ʻike. Akā e hoʻomanaʻo, ʻo ka hapa nui o nā maʻi `(Macular Pucker)` ʻaʻole pono ka mālama kūikawā. E kamaʻilio kāu kauka me ʻoe e pili ana i kāu mau koho a kōkua iā ʻoe e hoʻoholo i ka hana aʻe maikaʻi loa nāu. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o nā hoʻokolohua maka maʻamau. E haʻi aku kāu kauka maka iā ʻoe i ka pinepine o kou nānā ʻana i kou mau maka. Mai poina e hoʻomaopopo i kāu kauka e pili ana i nā loli i kou ʻike, ʻoiai nā mea liʻiliʻi loa. Ma kēlā ala, inā he mea e pono ai ke hana, hiki iā ʻoe ke mālama koke ʻia. No laila, ke manaʻolana nei au he kōkua kēia ʻike iā ʻoe. E mālama i kou mau maka!
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