Ke pehu nei kou maka e like me ka pehu wai? E aʻo kākou e pili ana i ka Cystoid Macular Edema!

Ua noʻonoʻo paha ʻoe i ke ʻano kupaianaha o ko kākou mau maka? ʻOiai he mea liʻiliʻi, ke ʻike kākou i ke ao nei ma o ia mea, hiki ke loaʻa ka hopena nui i ko kākou mau maka? I kēia lā, e kamaʻilio kākou e pili ana i kekahi ʻano maʻi e hiki ke hoʻopilikia i nā maka. ʻO ia hoʻi ʻo Cystoid Macular Edema . ʻOiai paha he mea paʻakikī iki ka inoa, e hoʻomaopopo maʻalahi kākou.

He aha ke ʻano o ka Cystoid Macular Edema?

I ka ʻōlelo maʻalahi, he pehu kēia e kū mai ana ma ka ʻāpana o kou maka i kapa ʻia ʻo ka macula . I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ka macula. E noʻonoʻo ʻoe ua like kou maka me ke kāmela, a ʻo ka retina ka membrane ma ke kua o ka maka. Ua like ia me ke kiʻiʻoniʻoni i loko o ke kāmela. ʻO ka macula ka ʻāpana liʻiliʻi loa o ka retina, ma waenakonu o ka retina.

ʻO kēia macula ka mea e kōkua iā mākou e ʻike maopopo a ʻoi i nā mea (ʻike waena) . Ke heluhelu ʻoe i kahi puke, hiki iā ʻoe ke ʻike maopopo i nā leka, hiki iā ʻoe ke hoʻomaopopo i ka helehelena o kekahi ma kahi mamao, a hiki iā ʻoe ke hoʻokaʻawale pololei i nā kala, ma muli o kēia macula liʻiliʻi. E noʻonoʻo, no kēia mea hiki iā mākou ke ʻike i nā mea maikaʻi e like me nā piliki pākahi i loko o kahi hale a me nā lau pākahi ma luna o kahi lāʻau.

No laila, no kekahi kumu, hōʻiliʻili ka wai i loko o ka macula a pehu. Hoʻokumu ʻia kēia pehu (edema) ma ke ʻano cystoid, e like me nā pehu wai liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he cystoid macular edema.

He aha nā hōʻailona o kēia maʻi? Pehea lā e hiki ai iā kākou ke hoʻomaopopo iā ia?

ʻO ka nūhou maikaʻi, i kekahi manawa ʻaʻole paha ʻoe e loaʻa i kekahi mau hōʻailona. Eia naʻe, inā loaʻa iā ʻoe, e hoʻomaka paha ʻoe e ʻike i kekahi mau loli i kou ʻike. Eia kekahi laʻana:

• ʻIke pōwehiwehi a ʻike ʻole ʻia paha ke kikowaena o ka mea āu e nānā nei, e like me ka nānā ʻana ma o ke aniani wai.
• ʻOkoʻa ke ʻano o nā kala: Hiki ke ʻano he poni kekahi mau mea, ʻoiai ʻaʻole lākou he kala maoli.
• E lilo ana nā mea i pouli, e loli ana ke ʻano: ʻO nā mea āu e ʻike ai e ʻike ʻia aku paha he pouli, ʻaʻole maopopo, a malia paha ua loli ke ʻano.

Eia kekahi laʻana, inā hoʻāʻo ʻoe e heluhelu i kahi nūpepa a ʻaʻole maopopo nā leka waena, a inā ʻoe e nānā i ke TV a ʻike koke ʻia ka waenakonu o ka maka o ka mea hana keaka ua blurred, he hōʻailona paha ia o kēia maʻi.

No ke aha lā kēia e hana nei? He aha nā kumu o kēia?

Aia kekahi mau kumu o ka cystoid macular edema. ʻO nā mea nui:

• Ka mumū ma hope o ke ʻoki maka:Hiki ke loaʻa kēia ʻano maʻi, ʻoiai ma hope o ke ʻoki ʻana i ka cataract a i ʻole ke ʻoki ʻana i ka retinal detachment . Hoʻokumu ʻia ia e kahi pehu liʻiliʻi a i ʻole kahi ʻeha e kū mai ana i loko o ka maka ma hope o ke ʻoki ʻana.
• ʻO ka maʻi diabetes mellitus : ʻOi aku ka nui o ka poʻe me ka maʻi diabetes e loaʻa i nā pilikia maka. ʻO kēia kekahi o lākou.
• Ka Paʻa ʻana o ka Retinal Vein: Inā paʻa kahi kīʻaha koko i loko o ka maka, hiki nō hoʻi ke hana ʻia kēia pehu ʻana.
• ʻO ka mumū o kou maka: Hiki ke hana ʻia kēia e nā kumu ʻē aʻe o ka mumū i loko o ka maka, e like me ka uveitis .
• ʻEha i kou maka: Inā paʻi kekahi mea i kou maka a hōʻeha, hiki i kēlā ke lilo i kumu.
• Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau: ʻO kekahi mau lāʻau lapaʻau, no ka laʻana, ka huaora B3 (Niacin), a me kekahi mau lāʻau lapaʻau no ka maʻi diabetes e hoʻonui paha i kēia pilikia.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻIke pinepine ʻia kēia ʻano ma hope o ke ʻoki ʻana i ka cataract. Eia kekahi, inā loaʻa iā ʻoe nā kūlana aʻe, ʻoi aku ka nui o kou loaʻa ʻana o ka cystoid macular edema ma hope o ke ʻoki ʻana:

• Ka Pale ʻana o nā ʻaʻa Retinal (RVO)
• Uveitis ( ka mumū o loko o ka maka)
• ʻO ka membrane epiretinal (pucker macular )
• Lua macular
• Maʻi diabetes
• ʻO Retinitis pigmentosa (kahi maʻi degenerative o ka retina)

Eia kekahi, e like me ka mea i ʻōlelo ʻia ma mua, hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i kēia. ʻO kekahi mea ʻē aʻe, inā loaʻa iā ʻoe kēia maʻi ma kekahi maka, aia kahi manawa e hoʻopilikia ai i kekahi maka.

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

ʻO kēia ka mea nui loa. Inā ʻaʻole mālama pono ʻia ka cystoid macular edema, hiki ke hōʻino mālie ka ʻike, a laila e alakaʻi ai i ka nalowale mau loa o ka ʻike a i ʻole ka ʻike haʻahaʻa loa. No laila, he mea nui loa e ʻike koke i ke kauka inā loaʻa iā ʻoe nā hōʻailona.

Pehea e ʻike ai nā kauka i kēia? (Diagnosis)

Hiki i kāu kauka maka ke hana i hoʻokahi a ʻoi aku paha mau hoʻokolohua e ʻike ai inā loaʻa iā ʻoe kēia ʻano:

• Hoʻokolokolo retinal dilated: Hoʻonui ʻia kou maka me nā kulu maka, hoʻonui ʻia ke apo ʻeleʻele o kou maka, a nānā ʻia ka macula me kahi aniani kūikawā. A laila hiki ke hoʻohana ʻia kēia e ʻike inā hiki iā ʻoe ke ʻike i kekahi mau puʻupuʻu a i ʻole nā ​​​​pehu.
• ʻO ka angiography Fluorescein: Pili kēia i ka hoʻokomo ʻana i kahi kala kūikawā i loko o kahi aa koko i kou lima a me ka hoʻohana ʻana i kahi kāmela kūikawā e kiʻi i nā kiʻi o nā kīʻaha koko i loko o kou maka. Inā he leakage mai nā kīʻaha koko, hiki i kēia ke kōkua i ka ʻike ʻana i nā wahi o ka pehu ʻana.
• ʻO ka tomography coherence optical (OCT): ʻO kēia ke ʻano hana maikaʻi loa a hoʻohana nui ʻia no ka ʻike ʻana i kēia maʻi. Hoʻohana ia i kahi kukuna kukui kūikawā e lawe i kahi kiʻi kiʻekiʻe o ka ʻiʻo i loko o kou maka, me kou retina, me ka ʻole o nā ʻoki. Ua like ia me ka lawe ʻana i kahi 'scan' o loko o kou maka.

He aha nā lāʻau lapaʻau no kēia?

Aia ka lāʻau lapaʻau i ke kumu o kou cystoid macular edema. No laila, he mea nui e ʻōlelo aku kahi kauka maka i ka lāʻau kūpono nou. Hiki ke kuhikuhi ʻia ʻoe i kahi loea retina. Me ka lāʻau lapaʻau, hiki ke hoʻihoʻi pinepine ʻia kou ʻike.

Aia kekahi mau ʻano lapaʻau:

• Nā kulu maka anti-inflammatory steroidal a nonsteroidal paha: ʻO kēia nā kulu maka i hoʻohana ʻia e hōʻemi i ka pehu.
• Nā inikini intraocular: Hoʻokomo ʻia ka lāʻau lapaʻau i loko o ka mea like me ka jelly i loko o ka maka (vitreous). Ke kāohi nei kēia mau lāʻau lapaʻau i nā kīʻaha koko hou mai ka hoʻokumu ʻana a me ka liki ʻana.
• Lāʻau lapaʻau e hōʻemi i ke kaomi maka: I kekahi manawa, hiki i ka lāʻau lapaʻau e hōʻemi i ke kaomi maka ke kōkua i ka hōʻemi ʻana i ka pehu.
• Lapaʻau Laser (photocoagulation): Hoʻohana ʻia nā kukuna Laser e pale i ke kahe ʻana o ke koko mai nā aa koko.
• Vitrectomy: Wehe ʻoki ʻana i ka mea like me ka jelly i loko o ka maka (vitreous). Hana ʻia kēia i nā hihia koʻikoʻi.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau a pau, aia kekahi mau pilikia a i ʻole nā ​​hopena ʻaoʻao e hiki ke loaʻa. Eia naʻe, haʻahaʻa loa nā manawa kūpono. Eia kekahi laʻana:

• Aia kahi pilikia liʻiliʻi o ke kahe ʻana o ke koko a me ka maʻi i ka wā e hoʻokomo ai i ka lāʻau.
• Eia kekahi, i ka wā e hoʻokomo ai i ka lāʻau lapaʻau, hiki i ka maka ke lilo i ʻulaʻula, maneʻo, a pehu paha. Hiki paha kēia ma muli o ka lāʻau lapaʻau ponoʻī a i ʻole ka mea holoi maka i hoʻohana ʻia ma mua o ke komo ʻana i ka lāʻau lapaʻau.

ʻEhia ka manawa e hiki ai iaʻu ke hoʻi i ka hana ma hope o ka lāʻau lapaʻau?

ʻO ka maʻamau, ma hope o nā lāʻau lapaʻau ʻē aʻe, ʻaʻohe ou kapu nui. Hiki iā ʻoe ke hele i ka hana a me ke kula e like me ka mea maʻamau. Eia naʻe, ʻo ʻoeInā loaʻa iā ʻoe kahi vitrectomy, e lōʻihi ka manawa e hoʻōla ai. ʻAʻole paha ʻoe e hiki ke hele i ka hana no hoʻokahi pule a ʻekolu paha pule.

He aha kā mākou e hana ai e hōʻemi i ka pilikia o kēia kūlana?

Aia kekahi mau mea, inā mākou e mālama iā lākou, hiki iā mākou ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka cystoid macular edema:

• E mālama i nā maʻi maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe: Inā loaʻa iā ʻoe kēia mau maʻi, he mea nui loa ia e hahai i nā ʻōlelo a kāu kauka, e lawe pono i kāu mau lāʻau lapaʻau, a mālama iā lākou.
• E nānā pinepine i kou mau maka: E ʻike i ke kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā i kou mau maka. Ma kēia ʻano, hiki ke ʻike mua ʻia nā pilikia.
• E hoʻōki i ka puhipaka: ʻAʻole wale ka puhipaka he mea ʻino no kou mau maka, akā no kou kino holoʻokoʻa.
• E ʻai i ka meaʻai momona: ʻO ka ʻai ʻana i nā mea kanu, nā huaʻai, a me nā greens he mea maikaʻi loa ia no kou mau maka.
• E hoʻoikaika kino mau: He mea maikaʻi ka hoʻoikaika kino no kou olakino holoʻokoʻa, a he hopena kūpono ʻole ia i kou mau maka.
• E pale i kou mau maka: E ʻaʻahu i nā aniani palekana inā ʻoe e hana ana a pāʻani paha ma ke ʻano e hiki ai ke hoʻoweliweli i kou mau maka. Hiki i kēia ke kōkua i ka pale ʻana i nā ʻeha maka a me nā maʻi, hiki ke alakaʻi i nā kūlana e like me kēia.

Inā loaʻa iaʻu ka cystoid macular edema, he aha kaʻu e manaʻo ai i ka wā e hiki mai ana?

Inā ua ʻike ʻia ʻoe me ka cystoid macular edema a ua mālama pono ʻia, hiki paha iā ʻoe ke hoʻopaʻa i kou ʻike a hoʻohuli i kekahi o nā pōʻino i hana ʻia. Eia nō naʻe, pono ʻoe e ʻike pinepine i kāu kauka maka no nā nānā ʻana e like me ke kuhikuhi ʻana.

Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka ʻike ke hōʻino mālie a hiki i ka nalowale nui o ka ʻike. ʻO ia ke kumu he mea nui ka mālama mua ʻana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi maʻi e hoʻopilikia ai i kou ʻike, me ka cystoid macular edema, he mea nui e hahai pono i nā ʻōlelo a kāu kauka maka. Ma ka hele ʻana no nā hoʻokolohua maka maʻamau, hiki iā ʻoe a me kāu kauka ke ʻike i nā pilikia i ka wā mua.

Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e like me ka ʻike pōwehiwehi a i ʻole ka ʻike pōwehiwehi, e ʻike koke i ke kauka.

ʻO ka mea nui loa: Inā nalowale koke kou ʻike, a inā paha e paʻa kekahi mea i kou maka a hōʻeha iā ia, e hele koke i ka keʻena pilikia o ka haukapila kokoke loa. I ia mau hihia, he mea nui ka mālama koke ʻana i ke kauka!

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka e pili ana i kēia?

Ke ʻike ʻoe i kāu kauka, he manaʻo maikaʻi e nīnau iā lākou i nā nīnau āu e pili ana i ka cystoid macular edema. Eia kekahi laʻana:

• He aha kaʻu e pono ai e ʻike e pili ana i ka cystoid macular edema?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao o kēlā lāʻau lapaʻau?
• He aha kaʻu e manaʻo ai i ka wā e hiki mai ana?
• He aha nā hōʻailona hōʻike e pono iaʻu e makaʻala?
• He aha ka papa hana e pono iaʻu e hahai ai e ʻike i ke kauka?
• Ke paipai mai nei ʻoe iaʻu e hana i nā hoʻololi i koʻu nohona?
• He manaʻo maikaʻi anei e hoʻāʻo ʻia nā lālā ʻē aʻe o koʻu ʻohana no kēia?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea weliweli nā maʻi maka. Eia naʻe, ʻo ka mea nui loa, ʻo ia ke nānā mau ʻia kou mau maka a ʻike i ke kauka maka i ka wā e ʻike ai ʻoe i kekahi mau loli i kou ʻike.

ʻO ka ʻike mua ʻana a me ka mālama mua ʻana nā ala maikaʻi loa e hoʻokō ai i nā hopena maikaʻi loa!

No laila, e mālama pono i kou mau maka, no ka mea, ʻo ia kekahi o nā waiwai waiwai nui loa a kākou e ʻike ai i kēia ao nani.