E aʻo kākou e pili ana i kēia mau wai makamae ʻelua (Humor) i loko o kou mau maka? (Aqueous Humor & Vitreous Humor)

Aloha! Pehea ʻoe? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi mea nui loa no ko mākou mau maka. ʻAʻole paha ʻoe i lohe i ia mea, akā aia ʻelua mau wai kūikawā i loko o ko mākou mau maka. ʻO kēia nā mea e kōkua iā mākou e mālama i ko mākou ʻike maikaʻi a me ke olakino o ko mākou mau maka. Ua kapa ʻia kēia mau wai ʻelua ʻo Aqueous Humor a me Vitreous Humor . ʻO kekahi o nā manaʻo o ka huaʻōlelo "Humor" ʻo ia ka "wai i loko o ke kino." No laila, pili kēia mau inoa ʻelua i kēia wai i loko o ka maka.

No ke aha he mea nui kēia mau wai ʻelua no ko kākou mau maka?

I ka ʻōlelo maʻalahi, ʻaʻole hiki i ko kākou mau maka ke hana pono me ka ʻole o kēia mau wai ʻelua. E lawe kākou i kēlā me kēia a ʻike i kā lākou hana.

He aha ka mea e hana ʻia ana i ka wai hoʻomākeʻaka?

E noʻonoʻo, ua like kou maka me kahi pōpō liʻiliʻi, ʻeā? ʻO ka wai e kōkua ai e mālama i kēia pōpō i ke ʻano a me ka pehu ʻana ua kapa ʻia ʻo ka aqueous humor. He wai moakaka ia e like me ka wai . Ke hana mau ʻia nei kēia wai i loko o ko kākou mau maka, a ke wehe ʻia nei ka wai kahiko. Ua like ia me ka hoʻopiha ʻana i kahi pahu wai i loko o kahi hale, a ke hoʻokahe ʻia nei ka wai keu mai loko mai.

ʻO ke kumu nui o kēia, ʻo ia ke kāohi ʻana i ke kaomi i loko o ka maka (Ocular Pressure) . Mālama ʻia kēia kaomi ke like ka nui o ke wai e komo ana i ka maka me ka nui o ke wai e puka ana mai waho. Hāʻawi pū kēia wai i ka maka i nā meaʻai e pono ai. ʻO ia hoʻi, loaʻa i ka maka nā mea e pono ai e mālama i kona olakino ma o kēia wai.

He aha ka mea e hana ʻia ana i ka vitreous humor?

ʻO Vitreous Humor kekahi wai koʻikoʻi i loko o ka maka. Eia naʻe, ʻaʻole ia he wai wale nō e like me ka aqueous humor, akā he ʻano mānoanoa iki a like me ka jelly . Aia ia i loko o ka maka, e hoʻopiha ana i kahi ākea nui ma hope o ke aniani a ma mua o ka retina. Ua kapa ʻia kēia hakahaka ʻo ka lua vitreous.

Hoʻoulu pū kēia vitreous humor i ka maka. Kōkua pū ia i ka mālama ʻana i ke ʻano maoli o ka maka . E like me ka pehu ʻana o ka baluna ke puhi ʻoe i ka ea i loko, kōkua kēia jelly i ka mālama ʻana i ke ʻano o loko o ka maka. Hoʻopili ʻia ia i ka retina, ka ʻāpana o ka maka e hoʻouna i nā mea a mākou e ʻike ai i ka lolo. Kōkua pū ia i ka mālamalama e komo i ka maka.

ʻIke ʻoe, i kekahi manawa hoʻohana nā kānaka ʻepekema forensic i kēia vitreous humor e ʻimi i nā mea i loaʻa ʻole i ke kino o ke kanaka i make.

Aia ma hea kēia mau wai ʻelua i loko o ka maka?

E nānā kākou i kahi o ka aqueous humor a me ka vitreous humor i loko o ka maka.

Kahi o ka Wai Humor

Aia i loko o kou maka kahi ʻāpana i kapa ʻia ʻo ke keʻena mua . Aia kēia ma waena o ka lens a me ka cornea (ka ʻāpana moakaka ma ke alo o ka maka). Eia kekahiAia kekahi ʻāpana i kapa ʻia ʻo ke keʻena hope. Aia kēia ma waena o ka lens a me ka iris (ka ʻāpana kala o ka maka).

Hoʻopuka ʻia ka wai hoʻoluʻu e ke kino ciliary ma ke keʻena hope. A laila kahe ke wai ma o ka pupil a i mua o ka maka. Mai laila mai, puka ia mai ka maka a hui pū me ke koko. Puka ia ma kahi i kapa ʻia ʻo ka scleral venous sinus.

Kahi o ka Vitreous Humor

Aia ka Vitreous Humor ma kahi ʻāpana o ka maka i kapa ʻia ʻo ke Kino Vitreous . Aia ia ma ka Vitreous Cavity ma waena o ka Lens a me ka Retina. Uhi ʻia kēia Vitreous Humor e kahi membrane pale i kapa ʻia ʻo ka Vitreous Membrane. ʻOiai he mānoanoa iki ia ma mua o ka wai, akā, he moakāka loa ia i ka mālamalama. Ua ʻike anei ʻoe he 80% o ka nui o ko kākou maka kēia vitreous humor?

He aha ka mea i hana ʻia ai kēia mau wai ʻelua?

He wai ka hapa nui o kēia mau wai ʻelua. I ka pololei, he 98% a 99% wai lāua.

• Ma waho aʻe o ka wai , aia i loko o ka vitreous humor nā paʻakai, nā kō, nā protein, a me ke collagen. Loaʻa pū kekahi iā ia nā phagocytes, kahi ʻano cell e kōkua ai i ka mālama ʻana i ka maka i ka maʻemaʻe.
• Loaʻa i loko o ka Aqueous Humor ka wai, nā waikawa amino, nā electrolytes e like me ka sodium a me ka potassium, ka waikawa ascorbic, glutathione, a me nā immunoglobulins.

He aha nā kūlana olakino maʻamau e hoʻopilikia ai i kēia mau wai?

He mea nui loa ka hoʻokolokolo maka maʻamau. No ka mea, hiki ke mālama ʻia kekahi ʻano a loaʻa nā hopena maikaʻi inā ʻike mua ʻia . Aia kekahi mau ʻano e pili ana i ka wai aqueous a me ka vitreous humor:

• Glaucoma: He kūlana kēia kahi e hōʻiliʻili ai ka wai o ka maka a piʻi ke kaomi i loko o ka maka, e hōʻino ana i ke aʻalolo optic. ʻO Glaucoma ke kumu lua o ka makapō ma ka honua .
• Ka Wehe ʻana o ka Vitreous Posterior: I kou wā ʻelemakule, e lahilahi ana ka vitreous humor a hoʻomaka mālie e hoʻokaʻawale mai ka retina. Ke hana ʻia kēia, e ʻike paha ʻoe i nā kiko ʻeleʻele liʻiliʻi (floaters) a i ʻole nā ​​kukui uila e ʻike ʻia ana e ʻālohilohi ana i mua o kou mau maka. I kekahi poʻe, hiki i kēia ke alakaʻi i ka haehae retinal a i ʻole ka hemo ʻana. No laila, inā hoʻomaka ʻoe e ʻike i nā mea lana a i ʻole nā ​​kukui uila, pono ʻoe e nānā i kou mau maka.
• ʻO ka maʻi ʻūpā:He hui maoli kēia o nā maʻi. Hiki iā ia ke hana i ka ʻulaʻula, ka ʻeha, a me ka mumū i loko o nā maka. Hiki iā ia ke hoʻopilikia i ka retina, ka uvea (nona ke kino ciliary e hana ana i ka aqueous humor), a me ka sclera (ka ʻāpana keʻokeʻo o ka maka).
• ʻO ka Age-related Macular Degeneration (AMD): ʻO nā loli i loko o ka vitreous humor i ko kākou ʻelemakule ʻana hiki ke lilo i kumu o AMD. ʻO AMD ke kumu nui o ka nalowale ʻana o ka ʻike i ka poʻe ma luna o 50 mau makahiki. Hoʻopilikia ia i ka macula, ka ʻāpana o ka retina nāna e kuleana no kā mākou ʻike mua (ma nā huaʻōlelo maʻalahi, ka mea a mākou e ʻike ai ke nānā pololei mākou i mua).
• Lua Macular: Hiki ke loaʻa kahi lua i loko o ka macula ma muli o kahi ulia a i ʻole kekahi kūlana olakino ʻē aʻe. Hoʻopilikia pinepine ia i hoʻokahi maka wale nō. ʻO kekahi lāʻau lapaʻau he vitrectomy, kahi e wehe ʻia ai ka vitreous humor a pani ʻia me kahi mea e like me ke kinoea.

He mea nui loa: Inā loaʻa iā ʻoe kekahi mau loli a ʻoluʻolu ʻole paha i kou ʻike, e ʻike koke i kahi kauka maka . Mai hoʻokaʻulua.

He aha nā hōʻailona maʻamau o nā maʻi e pili ana i kēia mau wai?

Ke kipa aku ʻoe i ke kauka maka, e nīnau ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino, ka mōʻaukala olakino ʻohana, a me nā hōʻailona o kēia manawa. Hiki i kēia mau hōʻailona ke komo pū me:

• Nā kiko ʻeleʻele liʻiliʻi, nā mea e like me ka pūnaewele (nā lana) a me nā kukui ʻālohilohi (nā kukui ʻālohilohi) e neʻe ana i mua o nā maka.
• Ka ʻike maka i emi iho, ka ʻike maka pōwehiwehi , nā halo, a me nā pilikia me ka ʻike ʻaoʻao.
• ʻEha maka .
• ʻEha poʻo .

Nā hoʻokolohua maʻamau e nānā i ke olakino o ka wai hoʻomākeʻaka aqueous a me ka vitreous humor

E nānā pono kāu kauka maka i kou mau maka. Hiki iā ia ke hana i kekahi a i ʻole kēia mau hoʻokolohua a pau:

• Nā papa pīʻāpā a me nā hoʻāʻo kala: Ua ʻike paha ʻoe i ka papa me nā leka. E liʻiliʻi ana nā leka a liʻiliʻi lālani ma ka lālani. Hiki iā ʻoe ke hana i kahi hoʻāʻo me nā kiko kala e ʻike ai inā hiki iā ʻoe ke hoʻokaʻawale ma waena o nā kala.
• Nā Hoʻāʻo Makaʻala: Ke ana kēia mau hoʻāʻo i ka neʻe maikaʻi o kou mau maka a me ka mamao o kou ʻike ʻana i kēlā me kēia ʻaoʻao. Hoʻoneʻe ke kauka i kona manamana lima i mua o kou alo, e hoʻokokoke aku a mamao aku. ʻO kāu wale nō e hana ai, ʻo ia ke hoʻoneʻe i kou mau maka. Hiki nō hoʻi iā ʻoe ke hoʻohana i kahi kamepiula no kēia.
• Nā hoʻokolohua maka i hoʻonui ʻia: E kau ke kauka i ka lāʻau lapaʻau i loko o kou mau maka. E hoʻonui kēia i ka haumāna. E ʻae kēia iā ia e ʻike maikaʻi i nā mea āpau i loko o kou maka. E nānā ʻo ia i loko o kou maka me kahi mea hana lima i kapa ʻia he ophthalmoscope (fundoscopy).

Eia kekahi, hiki ke hoʻonui ʻia nā maka e kiʻi i nā kiʻi o ka retina a me ke aʻalolo optic, e like me ke kiʻi fundus a i ʻole ka optical coherence tomography (OCT) .

• Tonography: Hoʻāʻo kēia i ke kaomi i loko o ka maka. Hoʻohana ʻia kahi mea i kapa ʻia he tonometer e puhi i ka ea i loko o ka maka. I kekahi manawa, inā pā ka mea i ka maka, hiki ke hoʻohana ʻia nā kulu maka e hoʻomāʻū i ka maka. Aia kekahi ʻano hana ʻaʻole e pā ka mea i ka maka.

He aha nā lāʻau lapaʻau maʻamau no nā maʻi e pili ana i kēia mau wai?

Hiki ke hana ʻia kēia mau mea ma ke ʻano he lāʻau lapaʻau no nā kūlana e pili ana i ka aqueous humor a i ʻole ka vitreous humor:

• Nā lāʻau lapaʻau: Hiki i kēia ke lilo i mau kulu maka (e hōʻemi i ke kaomi i loko o ka maka) a i ʻole nā ​​​​lāʻau lapaʻau i hāʻawi ʻia i loko o ka maka e pale i ke kūkulu ʻia ʻana o nā kīʻaha koko hou.
• Lapaʻau Laser: Hiki ke hana i kēia e hoʻēmi i nā kīʻaha koko a hoʻoponopono paha i ka retina.
• ʻO ke ʻoki kino: Inā he mau haehae retinal a hemo paha, hiki i kāu kauka ke ʻōlelo i ke ʻoki kino. ʻO Vitrectomy kekahi o ia ʻano ʻoki kino.

He aha kā mākou e hana ai e mālama i ke olakino o kēia mau wai i loko o nā maka?

Aia kekahi mau mea hiki iā ʻoe ke hana e mālama a hoʻomaikaʻi i ke olakino o kou mau maka. Inā ʻoe e hana i kēia mau mea, e maikaʻi nō hoʻi ke olakino o kou waimaka a me kou waimaka vitreous. Eia nā ʻōlelo aʻoaʻo:

• E ʻai i ka meaʻai maikaʻi a momona hoʻi. E hoʻokomo i nā mea kanu ʻōmaʻomaʻo, nā huaʻai, a me nā iʻa e like me ka sālemona, ka tuna, a me ka halibut i kāu papaʻai.
• Inā ʻoe e puhipaka, e hoʻōki. ʻAʻole maikaʻi iki ia no kou mau maka.
• Hoʻoikaika kino. He mea maikaʻi ia no kou kino holoʻokoʻa. Kōkua nō hoʻi ia iā ʻoe e mālama i ke kaumaha olakino. Hoʻemi kēia i kou pilikia o ka loaʻa ʻana o nā maʻi ʻē aʻe e hiki ke hoʻopilikia i kou ʻike, e like me ka maʻi diabetes mellitus.
• E hoʻokolokolo mau i nā maka. Inā loaʻa iā ʻoe kekahi pilikia maka, e haʻi mau i kāu kauka.
• E pale i kou mau maka. E ʻaʻahu i kou mau maka aniani (inā pono), nā maka aniani, a me nā maka aniani palekana inā ʻoe e hana ana i kahi hana e hiki ai ke hōʻino i kou mau maka.
• Inā ʻoe e hoʻolilo i ka manawa nui e haka pono ana i kahi kamepiula, TV, a kelepona paha, e hahai i ke kānāwai 20/20/20. ʻO ia hoʻi, i kēlā me kēia 20 mau minuke, e nānā i kahi mea ma kahi o 20 kapuaʻi ka mamao no kahi o 20 kekona.

Nā mea nui loa āu e hoʻomanaʻo ai (Leka Lawe-Home)

He mea waiwai nui ka ʻike maka iā kākou a pau, ʻeā? Aia kekahi mau mea hiki iā ʻoe ke hana e mālama i ke olakino o kou mau maka. Inā ʻoe e hana i kēia mau mea, e ola mau nā wai ʻelua i loko o kou mau maka, i kapa ʻia ʻo ka wai hoʻoluʻu aqueous a me ka wai hoʻoluʻu vitreous.

ʻO ka mea nui loa, ʻo ia ka hoʻokolokolo maka maʻamau a me ka ʻike koke ʻana i ke kauka maka inā ʻike ʻoe i kekahi mau loli a i ʻole ka ʻoluʻolu ʻole i kou ʻike. E hoʻomanaʻo, e like me nā pilikia olakino āpau, ʻo ka ʻike mua ʻana ke ala maikaʻi loa e loaʻa ai nā hopena maikaʻi loa.

No laila, e mālama pono i kou mau maka. ʻO ia ka mea maikaʻi loa hiki iā ʻoe ke hana!

Nā Maka, ʻAqueous Humor, Vitreous Humor, Ola Kino o ka Maka, Glaucoma, ʻIke, Nā Maʻi Maka