He pōwehiwehi kou ʻike ma waenakonu? He lua maka paha kēia!

Ua noʻonoʻo paha ʻoe i ka mea e hana ʻia inā e hana ʻia kahi lua liʻiliʻi i loko o ka maka, ma kahi a mākou e ʻike maopopo ai? ʻO ia ke kūlana a mākou e kamaʻilio ai i kēia lā, i kapa ʻia he lua macular . ʻOiai he huaʻōlelo weliweli kēia e lohe ai, ke ʻike hou ʻoe e pili ana i ia mea, e maopopo nā mea he nui iā ʻoe. E nānā kākou i ke ʻano o ia mea, no ke aha e hana ʻia ai, pehea e ʻike ai, a he aha nā lāʻau lapaʻau.

He aha maoli ka puka macular?

I ka ʻōlelo maʻalahi, he lua macular kahi lua ma ka ʻāpana ʻike waena (Macula) o kou maka. E noʻonoʻo i kou maka e like me ke kāmela. Ua like ka retina me ke kiʻiʻoniʻoni i loko o ke kāmela, kahi e hopu ʻia ai ka mālamalama. Ma waenakonu o ka retina, kahi a mākou e kālele ai i kekahi mea, aia kahi ʻāpana liʻiliʻi a koʻikoʻi loa. ʻO ia ke ʻano o ka macula. Ke heluhelu mākou i kahi puke, nānā i ke TV, a nānā paha i ka maka o kekahi, kōkua ia iā mākou e ʻike maopopo i nā mea.

No laila, ke hana ʻia kahi lua ma kēia (Macula), ʻo kāu ʻike waena , ʻo ia ke ʻano o kou ʻike pololei ʻana i nā mea i mua, ka mea nui e hoʻopilikia ʻia. Hiki i kēia ke hoʻopilikia i nā mea e like me ka hoʻokele kaʻa a me ka heluhelu ʻana i nā puke. ʻO ka hapa nui o ka manawa, hana ʻia kēia ma ka maka hoʻokahi, akā i kekahi manawa aia kahi manawa liʻiliʻi e hiki ke hana ʻia ma nā maka ʻelua.

Aia i loko o ka maka kahi mea e like me ka jelly i kapa ʻia ʻo vitreous humor . I kekahi manawa, ke hoʻololi kēia jelly i kona ʻano, a i kona wā e ʻaelike ai, hiki iā ia ke huki i ka macula, e hana ana i kahi lua e like me kēia.

Pehea ka maʻamau o kēia ʻano?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Auē, hana ʻia kēia i nā kānaka he nui?' ʻOiaʻiʻo, ua ʻōlelo ʻia kahi noiʻi i hana ʻia ma ʻAmelika Hui Pū ʻIa ma kahi o 7-8 mau hihia hou o ka lua macular e kū mai ana i kēlā me kēia 100,000 poʻe i kēlā me kēia makahiki. ʻOi aku ka maʻamau i nā wahine . Eia kekahi, ʻoiai ʻoi aku ka maʻamau i nā poʻe ma luna o 55 mau makahiki, hiki ke hana maoli i kekahi.

Aia kekahi mau ʻano o nā lua macular?

ʻAe, ʻelua ʻano nui.

1. Mua (Macular Hole): Hana koke kēia, me ka ʻole o ka pōʻino i ka maka a i ʻole kekahi maʻi ʻē aʻe.

2. Lua (Macular Hole): Hana ʻia kēia ma muli o kahi ʻeha maka a i ʻole kekahi ʻano olakino ʻē aʻe e like me ka mumū i loko o ka maka (( Uveitis )).

Aia kekahi mau ala ʻē aʻe e hoʻokaʻawale ai nā ophthalmologists i nā lua macular, i kapa ʻia he ʻōnaehana staging.ʻEhā pae o kekahi ʻōnaehana, ʻo ke pae ʻekahi ka mea ʻoi loa ka ʻino, a ʻo ke pae ʻehā ka mea ʻoi loa ka ʻino. ʻEkolu pae o kahi ʻōnaehana hou, i hoʻoholo ʻia e nā hopena hoʻāʻo. E haʻi aku kāu kauka maka iā ʻoe i ke koʻikoʻi o kou lua macular.

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona mua o kahi lua macular e hiki ke komo pū me:

• ʻIke pōwehiwehi : He kūlana i hiki ʻole ai iā ʻoe ke ʻike maopopo.
• ʻIke hewa : Hiki ke ʻike ʻia nā laina pololei he piʻo a ʻaleʻale, e like me ka nānā ʻana i kahi mea ma kēlā ʻaoʻao o ke aniani wai.
• Ka paʻakikī i ka heluhelu ʻana i nā paʻi liʻiliʻi.

I ka hala ʻana o ka manawa, ʻo ka hōʻailona nui ka ʻike ʻia ʻana o kahi kiko ʻeleʻele a ʻeleʻele paha i waenakonu o kou ʻike .

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike i kahi ophthalmologist i ka wā hikiwawe loa .

No ke aha e hana ʻia ai kēia (lua macular)? He aha nā kumu?

No nā kānaka he nui, ulu nā lua macular i ko lākou ʻelemakule ʻana ma muli o ke kaomi ʻana ma ka vitreous humor . ʻO ke ʻano kēia, e emi ana ka jelly i loko o ka maka me ka ʻelemakule a huki ʻia mai ka macula, ka ʻāpana waena o ka retina.

Ma waho aʻe o kēlā, i kekahi manawa hiki ke loaʻa kēia mau mea:

• Ma muli o ka ʻeha i ka maka.
• Ma muli o kekahi maʻi olakino ʻē aʻe e hoʻopilikia ana i ka maka. No ka laʻana, nā poʻe me ka mumū i loko o ka maka ((Uveitis)) a i ʻole ka ʻike kokoke ((Myopia)) .

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i nā puka macular?

Aia kekahi mau kumu pilikia e hiki ke kōkua i kēia ʻano:

• Ka ʻelemakule : ʻO ke kumu nui.
• ʻOiai ka ʻaoʻao wahine.
• Ma hope o ka loaʻa ʻana o kahi ʻeha maka ma mua.
• Loaʻa ka maka pōkole (myopia) .
• Ma hope o ka hana ʻoki maka mua ʻana a i ʻole ka loaʻa ʻana o nā maʻi maka mumū .

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?

Inā waiho ʻole ʻia kahi lua macular i ka mālama ʻole ʻia, nā pilikia e like me:

• Ka nalowale ʻana o ka ʻike , ʻoiai ka ʻike waena.
• Hiki i kahi puka macular ke hana i ka retinal detachment .
• Ke nui aʻe nei ka lua o ka maka.

Pehea ʻoe e ʻike pono ai i kēia?

Ke ʻike ʻoe i ke kauka maka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino ʻohana a me nā kūlana olakino ʻē aʻe āu e loaʻa ai. Pono nō hoʻi ʻoe e haʻi iā lākou e pili ana i nā lāʻau lapaʻau āu e lawe nei (ʻo ke kauka a me ke kauka kūʻai ma luna o ke kauka). A laila e hana ke kauka i kahi hoʻokolokolo maka piha, e komo pū ana me kahi hoʻokolokolo kukui slit . E hoʻonui ʻia kou mau maka, a e hoʻonui ʻia kāu mau haumāna , a e nānā pono ʻia kou retina.

He aha nā hoʻokolohua e hana ʻia nei?

E kauoha pinepine kāu kauka maka i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e nānā i kāu retina:

• ʻO ka Optical Coherence Tomography (OCT): ʻAe kēia iā ʻoe e lawe i nā kiʻi ʻokiʻoki o loko o ka maka a ʻike i ke kūlana o ka macula.
• ʻO ka Fundus Fluorescein Angiography: ʻO kēia ke komo ʻana i kahi wai kūikawā i loko o kahi aa koko ma kou lima a lawe i nā kiʻi o nā kīʻaha koko i loko o ka maka.
• Kiʻi ʻana o ka Fundus: Lawe kēia i nā kiʻi o ka retina.

He aha nā lāʻau lapaʻau?

ʻO ke ʻano lapaʻau nui a maʻamau no nā lua macular he ʻoki kino i kapa ʻia ʻo vitrectomy . Ma kēia, wehe kahi kauka maka i ka mea like me ka jelly i loko o kou maka (vitreous humor). I ka manawa like, hiki ke wehe ʻia kekahi ʻiʻo keu e hoʻoulu ai i ke kaomi nui ma ka macula.

A laila, e kau kāu kauka ʻoki kinoea i kahi pehu kinoea sterile i loko o kou maka. E kaomi kēia i kahi o ka lua macular a mālama iā ia a hiki i ka wā e ho'ōla ai. Pono paha ʻoe e moe i lalo no hoʻokahi a ʻehiku lā . ʻO kēia ka manawa e noho ai ka pehu kinoea i kona wahi a kōkua i ka pani ʻana o ka lua.

E noʻonoʻo iā ia e like me ke kau ʻana i kahi palaki ma kahi ʻeha, a ʻo kēia pehu kinoea ka mea e kōkua ai i ka lua e ho'ōla.

I kekahi manawa, inā liʻiliʻi loa ka lua macular, e ʻōlelo paha kāu kauka maka e kali no kekahi manawa ma kahi o ka mālama ʻana. ʻO kēia no ka mea i kekahi mau pae mua, hiki i kahi lua macular ke pani ma kāna iho .

He aha nā pilikia e hiki mai ana ma hope o ke ʻoki vitrectomy?

Aia kahi manawa liʻiliʻi o nā pilikia e like me kēia e hana nei ma hope o kahi vitrectomy:

• Ka hemo ʻana o ka retina.
• Ka maʻi ʻana.
• Glaucoma ( hoʻonui ʻia ke kaomi i loko o ka maka).
• Ke kahe ʻana o ke koko.
• Hiki ke wehe hou ʻia ka lua macular a ʻaʻole loa e pani.

Eia kekahi, ʻo kēlā me kēia mea i hana ʻia i ke ʻoki cataract e pilikia ana i ka hoʻomohala ʻana i nā cataracts.Ua manaʻo ʻia hoʻi he kiʻekiʻe ka manawa e ulu ai a i ʻole e hoʻonui ʻia ai ka cataracts.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

Inā loaʻa iā ʻoe kahi vitrectomy, pono ʻoe e hoʻopololei i kou poʻo i lalo no hoʻokahi pule e mālama i ka pehu kinoea ma kahi. Noho mau ka pehu kinoea i loko o kou maka no ʻekolu a ʻewalu pule . I loko o kēia manawa, e pōwehiwehi kou ʻike. Hiki ke hala i kekahi mau mahina no ka hoʻomaikaʻi ʻana a me ka paʻa ʻana o kou ʻike. ʻO ka mea nui loa, ʻo ia ke ahonui.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻAʻohe ala e pale loa ai i ka hoʻokumu ʻana o kahi lua macular. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• Ke hoʻohana nei i nā uhi maka pale i ka wā e hana ana a pāʻani paha i nā haʻuki pili.
• Ke hoʻokolokolo mau ʻana i nā maka . ʻOiai ʻaʻole hiki i kēia ke pale i nā lua macular, hiki iā ia ke kōkua i kāu kauka e ʻike koke iā lākou.
• Inā loaʻa iā ʻoe ka maʻi diabetes , e kaohi i kou pae kō koko, a inā loaʻa iā ʻoe ke koko kiʻekiʻe, e mālama i kou mau maka.

He aha kāu e manaʻo ai inā he lua macular kou?

ʻOi aku ka nui o ka holomua o ke ʻoki ʻana o Vitrectomy ma mua o 90% . Inā liʻiliʻi ka haehae a ʻike ʻia a mālama ʻia i ka wā mua, ʻoi aku ka holomua o ke ʻoki ʻana. Hiki paha iā ʻoe ke loaʻa hou ka hapa nui a i ʻole kekahi o kāu ʻike i nalowale.

Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula?

Pono ʻoe e hoʻomaha iki mai ka hana a i ʻole ke kula. Hiki ke loli kēia manawa ma muli o ke ʻano o ka hana āu e hana ai. E nīnau i kāu kauka ʻoki i ka mea āu e hana ai a me ka mea ʻaʻole pono e hana ma hope o ke ʻoki ʻana.

ʻAʻole paha ʻoe e hiki ke hoʻokele no ʻeono a ʻewalu pule , a ʻaʻole hoʻi ʻoe e hiki ke lele i loko o ia manawa . ʻO kēia no ka mea e lōʻihi ana kou kino e omo i ke kinoea. Hiki i nā loli o ke kaomi ea ke hoʻonui i ka pehu i loko o ka maka, a hiki i ke kaomi i loko o ka maka ke lilo i mea weliweli. No laila, e pale i nā hana e hoʻololi ai i ke kaomi ea i loko o ia manawa.

Āhea ʻoe e ʻike ai i ke kauka?

He mea nui i nā kānaka a pau ke hana i nā hoʻokolohua maka maʻamau. Eia kekahi, inā ʻike ʻoe i kekahi mau loli i kou ʻike, e ʻike koke i ke kauka maka . Inā ʻike ʻoe i ka ʻeha nui a i ʻole ka nalowale koke ʻana o ka ʻike, e hele koke i ka lumi pilikia o ka haukapila.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Inā he lua macular kou, makemake paha ʻoe e nīnau i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao a i ʻole nā ​​pilikia e pili ana i kēia lāʻau lapaʻau?
• Hiki paha i kēia (lua macular) ke hana hou?
• He aha kaʻu e hana ai e mālama i koʻu ʻike?
• E hiki anei iaʻu ke hoʻokele hou?

He palupalu loa nā maka a he mau ʻōkana koʻikoʻi loa. He mea maʻamau ka hopohopo ke lohe ʻoe he maʻi maka kou e like me ka lua macular. Eia nō naʻe, ʻo ke ʻoki ʻana no kēia mea he holomua pinepine. ʻOi aku ka maikaʻi o nā hopena inā he hou a liʻiliʻi ka lua. No laila he mea nui e ʻike pinepine i ke kauka maka.

ʻO ka mea hope loa, nā mea e pono ai ʻoe e hoʻomanaʻo

ʻAe, no laila, ke lana nei koʻu manaʻo he manaʻo maikaʻi kou e pili ana i nā lua macular mai nā mea a mākou i kūkākūkā ai.

ʻO ka mea nui loa, ʻo ia ke ʻike koke aku i ke kauka maka inā ʻike ʻoe i kekahi loli i kou ʻike, ʻoiai ke kikowaena pohihihi a i ʻole nā ​​​​laina pololei e ʻike ʻia he kekee.

Inā ʻike mua ʻia, ʻoi aku ka maikaʻi o ka holomua ʻana o ka lāʻau. ʻO kāu kuleana ke mālama i kou mau maka. Mai hopohopo, he mau lāʻau lapaʻau maikaʻi ko ka lāʻau lapaʻau hou no kēia mau kūlana.