Ke ʻike nei ʻoe i nā kiko ʻeleʻele a i ʻole nā ​​ʻupena e lana ana i mua o kou mau maka? Ke ʻike nei ʻoe i ka mālamalama? E aʻo kākou e pili ana i ka Posterior Vitreous Detachment!

Aloha! Ua ʻike anei ʻoe i nā kiko ʻeleʻele liʻiliʻi, nā mea e like me ka pūnaewele nananana , a i ʻole nā ​​mea liʻiliʻi e like me ka lauoho e lana ana i mua o kou mau maka? I kekahi manawa hiki iā ʻoe ke ʻike i kahi kukui uila mai ke kihi o kou maka, ʻeā? Hiki i kēia mau mea ke hoʻopilikia loa. Nui ka poʻe e makaʻu nei i kēia. No laila, inā ua loaʻa iā ʻoe kēia ʻike, e kamaʻilio kākou i kēia lā e pili ana i ke kumu, he mea weliweli paha, a me nā mea hiki ke hana ʻia. ʻO ke kūlana a mākou e kamaʻilio ai ʻo ia ka Posterior Vitreous Detachment , a i ʻole PVD no ka pōkole.

He aha kēia 'Posterior Vitreous Detachment'?

I ka ʻōlelo maʻalahi, ua like ko kākou maka me kahi pōpō liʻiliʻi. I loko o kēia pōpō ua piha i kahi mea e like me ka gel . Kāhea mākou i kēia he gel vitreous . ʻO kēia gel ka mea e hāʻawi i ka maka i kona ʻano poepoe a pale i nā mea palupalu i loko o ka maka. Ma ke kua o ka maka he papa nerve lahilahi a koʻikoʻi. Ua kapa ʻia ʻo retina . Hana ia e like me ke kiʻiʻoniʻoni i loko o kahi kāmela. Hoʻokumu ʻia nā kiʻi a mākou e ʻike ai ke hāʻule ka mālamalama ma luna o kēia retina.

I kēia manawa, ʻo ka PVD ka wā e lahilahi mālie ai ka gel vitreous i loko o ka maka, e emi ana , a e hoʻokaʻawale ana mai ka retina ma hope ona. E noʻonoʻo iā ia e like me kahi mea e like me ka jelly e lahilahi ana a hoʻokaʻawale mālie ana mai kahi paia. He hana kūlohelohe kēia e hana pinepine ʻia i ko kākou ʻelemakule ʻana.

Ke hoʻokaʻawale ʻia kēia gel mai ka retina, e like me kaʻu i ʻōlelo ai ma mua, hoʻomaka nā aka ʻeleʻele, hina hina, nā kiko liʻiliʻi, a me nā mea like me nā ilo e lana ana i mua o nā maka. Hiki i kekahi poʻe ke ʻike i ka mālamalama mai ke kihi o ko lākou maka. Hiki ke hala ma kahi o ʻehā a ʻeono pule no kēia gel e hoʻokaʻawale loa ai mai ka retina. Inā hoʻomaka ʻoe e ʻike i nā kiko e like me kēia no ka manawa mua, he mea nui loa ia e ʻike i kahi kauka maka.

He aha nā pae o ka PVD?

ʻAʻole hiki koke mai kēia kūlana i kapa ʻia ʻo ``(PVD)``. Hoʻokahe mālie ʻia ka gel i kekahi mau pae. He hana kūlohelohe kēia e hana ʻia me ka ʻelemakule.

ʻEhā mau pae nui:

• Pae 1: Hoʻomaka ka gel i loko o kou maka e wehe iki mai ka macula (ka ʻāpana o ka retina e kōkua iā mākou e ʻike maopopo a ʻoi), ʻo ia ka ʻāpana nui o ka maka. Akā ua hoʻopili ʻia nō ia i kahi lua liʻiliʻi ma waenakonu o ka macula i kapa ʻia ʻo fovea , ka mea e hāʻawi i ka ʻike ʻoi loa.
• Pae 2:I kēia manawa, ke hemo iki nei ka gel mai waenakonu o ka fovea, akā e pili mau ana paha i kahi wahi liʻiliʻi loa i kapa ʻia ʻo foveola (aia nō hoʻi ma waenakonu o ka fovea).
• Pae 3: I kēia pae, ua hemo loa ka gel mai ka macula, akā ua pili mau ke aʻalolo optic, ka mea e lawe ana i ka ʻike mālamalama a me ke kiʻi mai ka maka a i ka lolo.
• Pae 4: ʻO kēia ka manawa e wehe loa ʻia ai ka gel mai ka macula a me ke aʻalolo optic. ʻO kēia ka mea a mākou e kapa nei he PVD piha .

ʻO ka ʻike pololei ʻana i kēia mau pae ʻaʻole paha he mea nui iā ʻoe, akā e kōkua ia i ke kauka e hoʻomaopopo i kou kūlana.

Pehea ka maʻamau o kēia kūlana i kapa ʻia ʻo PVD?

ʻOi aku ka maʻamau o kēia ma mua o kou manaʻo. He ʻano maʻamau kēia e hoʻopilikia ai i nā poʻe he nui, a hana ʻia ia i ko lākou wā ʻelemakule. Hōʻike nā helu helu ma kahi o 66 o 100 mau kānaka ma waena o 66 a me 86 mau makahiki e loaʻa ai kēia ʻano. No laila, mai hopohopo he maʻi koʻikoʻi kēia e hoʻopilikia wale iā ʻoe.

He aha nā hōʻailona o ka PVD?

E like me kā mākou i kamaʻilio ai ma mua iki, aia kekahi mau hōʻailona nui o ka PVD:

• ʻIke ʻana i nā mea e lana ana i mua o nā maka (`(Floaters)`): ʻO kēia ka hōʻailona nui a ka poʻe he nui e hōʻike nei. Wahi a kekahi ua like kēia me nā pepeke liʻiliʻi, nā ʻupena nananana, nā lauoho, a i ʻole ka lepo. I kekahi manawa hiki ke ʻike ʻia lākou i ke ʻano poepoe a i ʻole ka oval. I kekahi manawa kapa nā kauka i kēia mau ``(Weiss rings)`` . He mea hoʻonāukiuki loa kēia i ka wā e neʻe ai lākou, ʻeā?
• Nā kukuna o ke kukui : Hiki i kekahi poʻe ke ʻike koke i nā kukuna o ke kukui mai ke kihi o ko lākou maka, e like me ka kukuna mai ke kāmela. ʻIke pinepine ʻia kēia mau mea mai ke kihi o ko lākou maka. ʻOi aku ka nui o ka hiki ke hana ʻia ma nā wahi pouli. Hoʻokumu ʻia kēia mau kukuna e ka gel e huki ana mai ka retina i kona wā e kaʻawale ai.

ʻO ka mea nui loa, ʻo ia ke ʻike koke aku i kahi loea maka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​inā paha he mea hou a i ʻole e ʻoi aku ka ʻino, no ka mea, i kekahi manawa he mau hōʻailona ia o kahi maʻi ʻoi aku ka koʻikoʻi.

ʻO ka maʻamau, e emi mālie ana kēia mau hōʻailona a ma hope o kekahi mau mahina, e maʻa kou lolo iā ia a ʻaʻole ia e hoʻopilikia nui iā ʻoe.

He aha ke kumu o ka PVD?

I ko kākou wā ʻōpiopio, e like me ko kākou mau makahiki he 20, he gel mānoanoa a moakaka ko loko o ko kākou mau maka. Ua kapa ʻia kēia ʻo ka vitreous humor.ʻO ia hoʻi. I ka pololei, 99% o ia mea he wai, ʻo ke koena he mau mea e like me `(collagen)` a me `(hyaluronic acid)`. I ko kākou ʻelemakule ʻana, piʻi ka nui o ka wai i loko o kēia gel, a haki kēlā mau olonā `(collagen)`, a hoʻomaka ka gel e lilo i wai. A laila, no ka mea, ʻaʻohe ona mānoanoa, emi koke ka gel a hoʻokaʻawale ʻia mai ka `(retina)`. Ua like kēia me kahi pōpō kahiko e emi ana i ka wā e hoʻokuʻu ʻia ai ka ea.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka PVD?

ʻOiai he ʻāpana kūlohelohe kēia o ka ʻelemakule, he mea kakaikahi loa ia no ka poʻe ma lalo o 40 makahiki ke loaʻa iā ia. ʻIke pinepine ʻia ma hope o 50 makahiki. Piʻi ka manawa kūpono e loaʻa ai kēia me ka ʻelemakule.

Eia kekahi, inā loaʻa i kekahi maka ka PVD, nui ka manawa kūpono e loaʻa pū i kekahi maka i loko o hoʻokahi a ʻelua paha mau makahiki e hiki mai ana.

Eia kekahi, hiki i kekahi mau kumu ʻē aʻe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka PVD:

• No ka poʻe me ka ʻike kokoke (Myopia) . ʻO ia hoʻi, ʻo ka poʻe hiki ke ʻike kokoke akā ʻaʻole mamao loa.
• No nā kānaka me ka maʻi kō (`( Diabetes Mellitus)`) .
• No ka poʻe i loaʻa mua i nā ʻeha maka koʻikoʻi .
• No ka poʻe i hana ʻia i ke ʻoki maka (no ka laʻana, ke ʻoki cataract ).

Hiki i ka PVD ke hoʻopilikia i ka nalowale o ka ʻike?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻohe ʻeha o ka PVD. Eia kekahi, ʻaʻole ʻo PVD wale nō ke kumu o ka nalowale ʻana o ka ʻike.

Eia nō naʻe, i kekahi manawa, ke puka mai kēlā gel mai ka retina mai, hiki ke huki iki ʻia a hiki ke loaʻa nā pilikia . ʻO kēia ka manawa e hiki ai ke hoʻopilikia ʻia ka ʻike.

ʻO ka mea pōmaikaʻi, ʻike ʻia kēia mau pilikia ma lalo o 15 o 100 mau kānaka me PVD. ʻO ke ʻano kēia he nui ka poʻe i loaʻa wale ka PVD me ka ʻole o nā pilikia, a emi nā hōʻailona i ka hala ʻana o ka manawa.

ʻO nā pilikia nui e hiki ke hana:

• Ka haehae ʻana o ka retina : Ke hemo ka gel, hiki i ka retina ke kīkoʻo a haehae.
• Ka hemo ʻana o ka retina : He haehae ma ka retina, e ʻae ana i ke kahe ʻana o ke wai ma o ka haehae, a hiki i ka retina ke hoʻokaʻawale loa mai ke kino ma lalo. He pilikia kēia a pono e mālama koke ʻia.
• He lua i loko o ka macula (`(Macular hole)`) : E like me kā mākou i ʻōlelo ai, hiki ke hana ʻia kahi lua i loko o ka `(macula)`, ka ʻāpana ʻoi loa o ka ʻike.
• ʻO ka pucker Macular (a i ʻole ka membrane epiretinal) : Hoʻokumu ʻia kahi membrane lahilahi ma luna o ka macula, e hoʻemi ana iā ia a e hana ana i ka ʻike hewa.

ʻO ia ke kumu a mākou e ʻōlelo nei e ʻike i ke kauka i ka wā e hoʻomaka ai ʻoe e ʻike i nā hōʻailona o PVD. A laila hiki iā mākou ke nānā i nā pilikia e like me kēia.

Pehea e ʻike ai ke kauka i ka PVD?

Inā loaʻa iā ʻoe nā hōʻailona o PVD, pono ʻoe e ʻike koke i kahi loea maka (ophthalmologist a optometrist paha) . E nānā pono ʻo ia i kou mau maka.

ʻO ka hoʻāʻo nui ka hoʻokolokolo maka ākea . Ma kēia hoʻāʻo, hoʻokomo ke kauka i kekahi mau kulu i loko o kou maka a hoʻonui i ka pupil. ʻAe kēia iā ia e ʻike i ka retina, ke aʻalolo optic, a me ka gel vitreous i loko o kou maka . Hoʻohana ʻo ia i kahi kukui kūikawā a me nā aniani e hana i kēia. ʻAʻole ʻeha loa kēia hoʻāʻo, akā hiki iā ʻoe ke manaʻo i kahi ʻeha iki ma hope o ke kau ʻia ʻana o nā kulu, a hiki ke lilo iki kou ʻike i mea pōuliuli no kekahi mau hola.

Kākaʻikahi loa, e like me ka wā he koko liʻiliʻi i loko o ka maka, a inā ʻaʻole hiki i ke kauka ke ʻike pono i loko o ka maka, hiki iā lākou ke hana i kahi ultrasound ocular . ʻAʻohe ʻeha hoʻi kēia. Hoʻohana ia i nā nalu kani alapine kiʻekiʻe e nānā i loko o ka maka.

He aha nā lāʻau lapaʻau no ka PVD?

He pilikia nō hoʻi kēia i loaʻa i nā poʻe he nui. Inā ʻaʻohe pilikia, ʻaʻole pono ka PVD i kekahi lāʻau kūikawā. No ka mea, he mea kūlohelohe ia.

Eia nō naʻe, i mea e pale aku ai i nā pilikia mai ka PVD, ʻoi aku ka maikaʻi o ka hoʻokolokolo maka ʻana i ka wā e hoʻomaka mua ai ʻoe e ʻike i nā hōʻailona a, inā ʻōlelo kāu kauka, e hana hou i kahi hoʻokolokolo ma kahi o ʻehā a ʻeono pule. Ua kapa ʻia kēia he follow-up .

I loko o kēia hoʻokolokolo ʻelua, nānā ke kauka i kekahi mau mea. ʻO kekahi e ʻike inā ua hala kekahi mea i ka wā i hana ʻia ai ka hōʻailona mua o PVD. ʻO ka lua, ʻo ia ke ʻike inā ua ulu aʻe kekahi mau pilikia hou. No ka laʻana, ʻaʻole paha i loaʻa kahi haehae retinal i ka wā o ka hoʻokolokolo mua ʻana, akā hiki ke ulu aʻe ma hope. Inā he hoʻokahi, hiki ke mālama koke ʻia.

ʻAʻole hana pinepine ʻia ke ʻoki ʻana no nā mea lana, no ka mea, aia nā pilikia e pili ana (e laʻa me ka maʻi, cataracts, retinal detachment). Eia nō naʻe, no kekahi poʻe, inā hoʻopilikia loa nā mea lana a hiki ʻole iā lākou ke hana i kēlā me kēia lā, hiki ke hana ʻia kahi hana i kapa ʻia he vitrectomy e wehe i ka gel. Eia nō naʻe, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me kahi kauka vitreoretinal , he kauka lapaʻau loea i ka retina a me ka maka, ma mua o ka hana ʻana pēlā.

ʻAʻohe ala e pale aku ai i ka ulu ʻana o ka PVD?

ʻO ka mea pōʻino, ʻaʻohe ala e pale aku ai i ka PVD. He ʻāpana kūlohelohe ia o ka ʻelemakule, e like me ko mākou lauoho e hina hina a i ʻole ko mākou ʻili e ʻāwili.

Akā, ʻo ka mea nui loa hiki iā ʻoe ke hana, inā ʻike ʻoe i kekahi mau loli hou i kāu ʻike,(Eia kekahi laʻana: Ke ʻike koke nei i ka nui o nā mea lana, ke ʻike nei i ka nui o ka mālamalama, ke manaʻo nei ua uhi ʻia kekahi hapa o kou ʻike e kahi pale ʻeleʻele) He mea nui e hoʻomaopopo koke i kahi kauka maka. E kōkua kēia i ka hoʻoholo ʻana inā he mau maʻi maka ʻē aʻe a, inā ua loaʻa nā pilikia, hiki ke hoʻomaka koke ʻia ka lāʻau.

He aha ka mea e hiki mai ana no kekahi me PVD?

Hiki i ka poʻe me PVD ke hana i kā lākou mau hana maʻamau me ka ʻole o nā pilikia. ʻAʻohe pilikia me nā mea e like me ka hoʻokele kaʻa ʻana, ka heluhelu ʻana, a i ʻole ka hana ʻana ma kahi kamepiula.

ʻOiai ʻaʻole e nalowale kēia ʻano, hiki i nā mea lana a me nā ʻālohilohi ke emi mālie i ka hala ʻana o ka manawa, a lilo i mea ʻike ʻole ʻia. ʻO kēia no ka mea e maʻa mālie ana kou lolo i nā mea lana a aʻo e hoʻowahāwahā iā lākou.

He mea hiki loa ke ulu aʻe ka PVD ma ka maka ʻē aʻe i loko o hoʻokahi a ʻelua paha makahiki o ka PVD mua. Inā ulu nā hōʻailona ma ka maka ʻē aʻe, pono e nānā ʻia kēlā maka e hōʻoia ʻaʻohe haehae retinal.

ʻAʻole loaʻa i ka hapa nui o ka poʻe nā pilikia e like me ka haehae retinal. Eia nō naʻe, he mea nui e hoʻokolokolo i ka maka e hōʻoia ʻaʻole ʻoe i loaʻa i kahi maʻi koʻikoʻi.

Aia kekahi mea hiki iaʻu ke hana e hōʻemi i ka ʻike ʻia ʻana o kēia mau mea lana ma ka home?

ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no PVD, hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka ʻoluʻolu ʻole o nā mea lana a me nā ʻālohilohi e hele pū me ia:

• E neʻe mālie i kou mau maka i luna, i lalo, mai kēlā ʻaoʻao a i kēia ʻaoʻao, a i loko o nā pōʻai. Malia paha e neʻe aku ka mea lana mai kahi āu e nānā pololei nei.
• E hōʻemi i ka ʻālohilohi o nā pale e like me nā kelepona akamai, nā kamepiula, a me nā TV. Hiki paha i kēia ke hōʻemi i ka ʻike ʻia ʻana o nā mea lana.
• E hoʻohana pono i nā maka aniani i kauoha ʻia e kāu kauka.
• E ʻaʻahu i nā aniani maka ma nā wahi i hoʻomālamalama maikaʻi ʻia, ʻoiai ke hele i waho i ka lā. Hiki paha i kēia ke hōʻemi i ka ʻike ʻia ʻana o nā mea lana.

ʻOiai ʻaʻole paha e hāʻawi kēia mau mea i ka nui o ka hōʻoluʻolu, hiki iā lākou ke kōkua i ka hoʻēmi iki ʻana i ka ʻeha.

He maʻi koʻikoʻi anei ka PVD?

Hiki ke hopohopo iki ka inoa ʻo "Posterior Vitreous Detachment". Akā, ʻo ka mea pōmaikaʻi, ʻaʻole kēia he maʻi maka koʻikoʻi ma kāna iho. He hana kūlohelohe ia e hana ʻia i ko kākou ʻelemakule ʻana. ʻOi aku ma mua o ka hapalua o ka poʻe ʻelemakule ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa e ʻike nei iā ia.

ʻOiai ʻaʻole koʻikoʻi kēia ʻano maʻi ponoʻī, hiki i nā pilikia ke hana ʻia ke koʻikoʻi. Inā loaʻa kekahi mea e like me ka haehae retinal a i ʻole ka hemo ʻana o ka retinal a mākou i kamaʻilio ai, pono ia e mālama koke ʻia, a i ʻole hiki iā ʻoe ke nalowale mau loa kou ʻike.

No laila, inā loaʻa iā ʻoe kekahi mau hōʻailona o ka PVD, he mea nui loa ia e ʻike i kahi loea maka e ʻike inā he mea ʻoi aku ka koʻikoʻi, a inā pono e mālama ʻia. Mai hopohopo, ʻo ka hapa nui o ka manawa he mea maʻalahi ia.

No laila he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia?

ʻAe, e hōʻuluʻulu kākou i nā mea āu e pono ai e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO (PVD) ka hoʻokaʻawale ʻana o ka gel i loko o ka maka mai ka retina i ko kākou ʻelemakule ʻana. He mea maʻamau loa kēia a ʻaʻohe mea e hopohopo ai.
• Inā ʻike ʻoe i nā mea lana, nā kiko ʻeleʻele, a i ʻole nā ​​​​​​kukui kukui i mua o kou mau maka, he mau hōʻailona paha kēia o ka PVD.
• Inā ʻike koke ʻia kēia mau hōʻailona, ​​​​he mea hou, a inā e hoʻonui ʻia, pono ʻoe e ʻike i kahi kauka maka. ʻOiai ʻaʻole weliweli ka PVD, hiki i kekahi manawa ke alakaʻi i nā pilikia koʻikoʻi, e like me ka haehae retinal.
• ʻO ka maʻamau, ʻaʻole koi ʻo PVD i kekahi lāʻau kūikawā. Eia nō naʻe, he mea nui e loaʻa nā hoʻokolohua hahai e like me ke kuhikuhi a kāu kauka e nānā i nā pilikia.
• E emi ana kēia mau hōʻailona i ka hala ʻana o ka manawa. E maʻa kou lolo iā lākou. No laila he mea nui e hoʻomanawanui a mai hopohopo.
• ʻO kou kuleana ka mālama ʻana i kou mau maka! E ʻimi i ke aʻo lapaʻau i ka manawa kūpono.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Inā he mau nīnau hou aku kāu, mai poina e kamaʻilio me kāu kauka.