Ua nalowale koke anei kou ʻike a loaʻa hou iā ʻoe? E aʻo kākou e pili ana iā (Amaurosis Fugax)?

Ua nalowale koke anei kou ʻike ma kekahi maka, a i ʻole nā ​​maka ʻelua paha, no kekahi manawa pōkole, a laila loaʻa hou i loko o kekahi mau minuke? Hiki ke lilo i mea weliweli, me he mea lā ua hāʻule kahi pale ʻeleʻele i mua o kou mau maka, a i ʻole e huki ana kekahi i kahi pale mai ka ʻaoʻao. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano nalowale ʻike no ka manawa pōkole.

He aha ka Amaurosis Fugax?

I ka ʻōlelo maʻalahi, ʻo kēia `(Amaurosis Fugax)` ʻo ia hoʻi ka nalowale ʻana o kou ʻike ma kekahi maka, a i ʻole i kekahi manawa nā maka ʻelua, no kekahi manawa pōkole, ʻo ia hoʻi, no ka manawa pōkole. Akā, ʻaʻole ʻoe e ʻeha iki i kēia. ʻO ke kumu o kēia, ʻo ke kahe ʻana o ke koko i ka retina , ʻo ia ka papa o nā cell ma ke kua o ka maka e hoʻouna ana i nā hōʻailona i ka lolo e pili ana i kā mākou e ʻike nei, ua pau no kekahi manawa a ua hoʻōki ʻia. E noʻonoʻo ua like ko kākou maka me kahi kāmela, a hana kēia retina e like me kāna kiʻiʻoniʻoni. A laila, inā ʻaʻole kahe pono ke koko iā ia, ua pau ka ʻike ʻia ʻana o nā kiʻi no kekahi manawa.

Ua loaʻa ka inoa ʻo "Amaurosis Fugax" mai ka huaʻōlelo Helene ʻo "amaurosis" ʻo ia hoʻi "pōʻeleʻele" a me ka huaʻōlelo Latina ʻo "fugax" ʻo ia hoʻi "manawa pōkole" a i ʻole "no kekahi manawa". E like me ka inoa e hōʻike nei, ʻo kēia nalowale o ka ʻike maʻamau e mau ana mai kekahi mau kekona a i kekahi mau minuke . I kekahi manawa hiki ke nalowale loa ka ʻike, a i ʻole he hapa wale nō paha e pohihihi.

I kekahi manawa, kapa nā kauka i kēia kūlana ʻo 'transient monocular blindness', 'transient monocular visual loss', a i ʻole 'transient binocular visual loss'. ʻO ia hoʻi, 'ka nalowale ʻana o ka ʻike maka i kekahi maka' a i ʻole 'ka nalowale ʻana o ka ʻike maka i nā maka ʻelua'.

ʻOiai paha he mea liʻiliʻi kekahi o nā kumu o kēia ʻano pohō ʻike, ʻo kekahi paha he mau kūlana koʻikoʻi e pono ai ka nānā nui . E kōkua kāu kauka maka iā ʻoe e ʻike i ke kumu pololei. A laila wale nō hiki iā ʻoe ke hoʻomaka i ka lāʻau kūpono.

ʻO ka mea nui e hoʻomanaʻo ai inā nalowale koke kou ʻike no kekahi kumu, he pilikia ia a pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

He aha nā hōʻailona o kēia?

Inā loaʻa iā ʻoe ʻo `(Amaurosis Fugax)`, ʻo ka hōʻailona nui ka pouli koke ʻana, ka palalulu ʻana, a i ʻole ka nalowale loa ʻana o ka ʻike ma kekahi ʻāpana o kou ʻike. No kekahi poʻe, ua like kēia me ka hāʻule ʻana o ka pale mai luna mai a i ʻole ka huki ʻana i kahi pale i mua o ka maka. Hiki ke lilo i ʻike like me ka pani ʻana o ka pale i loko o kahi pāʻani.

E noʻonoʻo, ʻoiai ʻo Nilanthi e inu ana i kāna kī kakahiaka, ua hāʻule koke kahi pale ʻeleʻele i mua o kona maka ʻākau. ʻAʻole hiki iā ia ke ʻike i kekahi mea no hoʻokahi minute. Ua makaʻu loa ʻo ia. Akā ma hope o kekahi manawa, ua hiki iā ia ke ʻike hou. ʻO kēia ke ʻano o `(Amaurosis Fugax)`.

E like me ka inoa e hōʻike nei, he manawa pōkole kēia.ʻO ia hoʻi, e hoʻomaikaʻi ia iā ia iho ma hope o kekahi manawa, a e hoʻi hou mai kou ʻike. Eia nō naʻe, hiki ke hana ʻia kēia ma mua o hoʻokahi manawa. No laila, e hoʻomanaʻo, ʻo ka nalowale koke ʻana o ka ʻike, inā he ʻeha a ʻaʻole paha, he mea ia e pono ai ʻoe e ʻimi koke i ke kōkua lapaʻau. No ka mea, aia paha he kumu koʻikoʻi ma hope o kēia.

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

ʻO ke kumu nui o `(Amaurosis Fugax)`, e like me kā mākou i kūkākūkā ai, ua ālai ʻia kahi kīʻaha koko e hoʻolako ana i ke koko i ka retina i loko o ka maka no kekahi kumu. ʻO ka mea nui loa, ʻo ia ka ʻike ʻana i ke kumu pololei o kēia ālai ʻana. A laila wale nō e hiki ai i kāu kauka ke hoʻoholo i ka lāʻau kūpono.

Aia kekahi mau kumu e hiki ai ke alakaʻi i ka pani ʻana o nā aʻa retinal:

• Nā ʻūpā koko: Hiki i kahi ʻūpā koko e hana ʻia ma kahi ʻē aʻe o ke kino ke haki a hoʻopaʻa ʻia i loko o kahi kīʻaha koko liʻiliʻi e hoʻolako ana i ke koko i ka maka.
• ʻO ka palaki mai ka Atherosclerosis: I kekahi manawa, mānoanoa nā paia o ko mākou mau kīʻaha koko nui me nā waihona momona (kahi ʻano i kapa ʻia ʻo atherosclerosis). Hiki i kahi ʻāpana liʻiliʻi o kēia palaki ke haki a paʻa i loko o kahi kīʻaha koko, e like me kahi ʻāpana lepo e paʻa ana i loko o kahi paipu.
• ʻO ka mumū o kou aʻalolo optic: ʻO kahi maʻi a i ʻole ka mumū o ke aʻalolo optic, ka mea e lawe i nā leka mai ka maka i ka lolo (e like me ka optic neuritis), hiki ke hana i ka nalowale ʻana o ka ʻike no ka manawa pōkole.

Eia kekahi, e nānā pū kāu kauka inā he mau kūlana ʻē aʻe kāu e hiki ke lilo i hōʻailona o "Amaurosis Fugax." ʻO nā mea nui:

• Hoʻouka Ischemic Kuikilana (TIA): Ua like kēia me ka hahau liʻiliʻi. Hoʻōki ke kahe o ke koko i ka lolo no kekahi manawa pōkole a laila hoʻi i ka maʻamau. Hiki i kēia ke lilo i hōʻailona hōʻailona o kahi hahau nui e hiki mai ana.
• Hahau: He maʻi koʻikoʻi e kū mai ana i ka wā e ʻoki loa ʻia ai ke kahe koko i kahi ʻāpana o ka lolo.
• ʻO ka Giant Cell Arteritis: Ua kapa ʻia hoʻi ʻo Temporal Arteritis, he maʻi kēia e hoʻoulu ai i nā aʻa nui a me waena i ke poʻo a me ka ʻāʻī e pehu a lilo i mumū. Hiki iā ia ke hoʻopilikia i nā aʻa e hoʻolako koko i nā maka.
• ʻO ka neuritis optic: Ka pehu ʻana a i ʻole ka mumū o ke aʻalolo optic.
• Sclerosis lehulehu (MS): He maʻi kēia e hoʻopilikia ai i ka ʻōnaehana nerve.
• Nā ʻeha poʻo (Traumatic Brain Injury - TBI): Hiki i kēia ʻano pilikia ʻike ke hana ʻia ma hope o kahi ʻeha poʻo.

ʻO wai ka mea i pilikia nui?

Aia kekahi mau kumu pilikia e hiki ke kōkua i ka ulu ʻana o `(Amaurosis Fugax)`. ʻO kekahi o kēia mau mea he mau kumu hiki ke hoʻololi ʻia, aʻo kekahi he mau kumu hiki ʻole ke hoʻololi ʻia. Eia kekahi o lākou:

• ʻO ka Stenosis o ke aʻa Carotid: Inā ua ālai ʻia ke kīʻaha koko nui (carotid artery) e lawe ana i ke koko mai nā ʻaoʻao ʻelua o ka ʻāʻī a i ka lolo e nā waihona momona.
• Ke koko kiʻekiʻe (Hypertension): ʻO kēia ke ʻano o ke koko kiʻekiʻe.
• Nā pae kolesterol koko kiʻekiʻe (Hypercholesterolemia): Hoʻonui ʻia nā pae o ka cholesterol ʻino i loko o ke koko.
• Puhipaka: He mea kēia e kōkua ai i nā maʻi he nui.
• Inā ua loaʻa iā ʻoe kahi `(TIA)` ma mua.
• Diabetes: Kāhea ʻia hoʻi he maʻi kō.
• Maʻi puʻuwai: ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe me ka maʻi puʻuwai.
• Ka hoʻohana ʻana i ka cocaine.
• ʻO ka inu nui ʻana (ʻO ka maʻi hoʻohana ʻona).
• He 50 makahiki a ʻoi paha: Piʻi ka pilikia o kekahi mau maʻi me ka makahiki.

E like me kāu e ʻike ai, pili pū kekahi o kēia mau mea pilikia i nā maʻi e like me ka maʻi puʻuwai a me ka hahau ʻana, no laila he mea nui e makaʻala i kēia mau mea.

Hiki ke lilo i mea weliweli kēia? He aha nā pilikia?

ʻAe, ma muli o ke kumu ma hope o ka nalowale ʻana o ka ʻike maka no ka manawa pōkole i kapa ʻia ʻo `(Amaurosis Fugax)` , hiki i nā pilikia e kū mai ana mai kēia ke koʻikoʻi loa. ʻOiai inā he mea ia e hoʻomaka ai i kahi `(Stroke)` a i ʻole kahi `(hanana puʻuwai`), hiki ke hoʻoweliweli i ke ola. ʻO ia ke kumu a mākou e ʻōlelo nei inā nalowale koke kou ʻike maka , mai hoʻowahāwahā iki, a e ʻike koke i ke kauka . Inā ʻike mua ʻia ke kumu, hiki ke pale ʻia nā pilikia koʻikoʻi i ka nui.

Pehea e ʻike ai nā kauka i kēia?

Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a me nā hōʻailona āu i ʻike ai. A laila, e hana lākou i kahi hoʻokolokolo maka piha. He mea nui hoʻi e ʻike inā he mau maʻi ʻē aʻe kāu, e like me ke koko kiʻekiʻe a i ʻole ka maʻi puʻuwai.

He aha nā hoʻokolohua?

Inā kānalua kāu kauka he `(Amaurosis Fugax)` kou, hiki iā ia ke kauoha i kekahi mau hoʻokolohua like ʻole. ʻO ka hapa nui o kēia mau mea he mau hoʻokolohua e pili ana i kou `ola kino koko`. Eia ke ʻano o lākou:

• Hoʻokolokolo kino: He hoʻokolokolo lapaʻau laulā.
• Nā hoʻāʻo koko:
• Helu Koko Piha (CBC)
• Ka pae kō koko ('hoʻāʻo kō koko')
• E nānā i nā mea e like me nā manawa hoʻopaʻa koko.
• Nā hoʻokolohua kiʻi o kāu ʻōnaehana vascular:
• Nā scan Ultrasound ('Ultrasounds'): Hoʻohana ʻia kēia mau mea e nānā i ke kūlana o nā aʻa carotid, ʻoi aku hoʻi ma ka ʻāʻī.
• ʻIke MRI (ʻIke Resonance Magnetic - MRI):Hiki ke kiʻi ʻia nā kiʻi kikoʻī o ka lolo a me nā kīʻaha koko.
• CT scan (`Computed Tomography - CT`): Hiki i kēia ke kiʻi i nā kiʻi o ka lolo a me nā kīʻaha koko.
• Hoʻāʻo ECG (ʻO kahi electrocardiogram): Nānā i ka hana o ka puʻuwai.
• Hoʻāʻo ʻana i ka monitor Holter: He mea hana e nānā ai i ka helu o ka puʻuwai no 24 mau hola a ʻoi aku paha.
• Hoʻāʻo ʻia ka protein C-reactive (CRP): Nānā i ka mumū i loko o ke kino.
• Ka hoʻāʻo ʻana o ka Erythrocyte sedimentation rate (ESR): Hiki i kēia ke hāʻawi i kahi manaʻo o nā kūlana mumū.

He aha ka lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka lāʻau no `(Amaurosis Fugax)` e pili ana i ke kumu. ʻO kekahi o nā kumu a mākou i kūkākūkā ai ma mua, e like me `(Stroke),` e pono ai ka lāʻau koke. Inā ua hoʻokumu ʻia e kekahi maʻi ʻē aʻe, e like me `(Giant Cell Arteritis), a laila aia nā lāʻau lapaʻau kūikawā no kēlā maʻi.

I ka ʻōlelo maʻalahi, he hōʻailona ka `(Amaurosis Fugax)`. No laila, ʻo ka lāʻau lapaʻau no ka maʻi kumu i hoʻokumu i kēlā hōʻailona. Eia kekahi laʻana:

• Inā he ʻūpā koko ke kumu, hiki ke hāʻawi ʻia nā lāʻau hoʻokahe koko (e like me ka aspirin).
• Inā ua haiki loa ke aʻa carotid (Carotid Artery Stenosis) , hiki i nā kauka ke ʻōlelo aku e wehe ʻia ma ke ʻoki kino (Carotid Endarterectomy) a i ʻole e hoʻokomo i kahi stent.
• Inā he maʻi mumū e like me 'Giant Cell Arteritis' , hiki ke hāʻawi ʻia nā lāʻau anti-inflammatory e like me 'steroids'.

No laila, ʻo ka mea nui loa, ʻo ia ka ʻike koke ʻana i ke kumu a hoʻomaka i ka lāʻau kūpono.

He aha kaʻu e manaʻo ai me kēia kūlana?

ʻO kou manaʻo no ka `(Amaurosis Fugax)` e pili ana hoʻi i ke kumu. Inā he maʻi koʻikoʻi e like me ka `(Stroke),` he mea nui loa ia e ʻimi koke i ke kōkua lapaʻau.

ʻO "(Amaurosis Fugax)", e like me ka inoa e hōʻike nei, he maʻi manawa pōkole. ʻO ke ʻano kēia e hoʻopau wale ʻia ka nalowale o ka ʻike ma hope o kekahi manawa. Eia nō naʻe, inā he mau maʻi olakino e hoʻokumu ana i ia mea, pono e mālama ʻia a mālama ʻia.

Eia kekahi laʻana, inā loaʻa iā ʻoe kahi maʻi e like me ka 'Giant Cell Arteritis' a i ʻole 'Multiple Sclerosis (MS)', pono ʻoe e hahai pono i ka lāʻau i ʻōlelo ʻia e kāu kauka no kēlā mau maʻi. Ke mālama ʻia ka maʻi kumu, e kāohi ʻia hoʻi ka hōʻailona '(Amaurosis Fugax)'.

Hiki ke pale ʻia ka Amaurosis Fugax?

ʻO ka mea pōʻino, ʻaʻohe ala e pale loa ai i ka `(Amaurosis Fugax)`. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana o kēia maʻi ma ka mālama pono ʻana i kou olakino holoʻokoʻa.

Pehea e hiki ai iaʻu ke hōʻemi i ka pilikia?

Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o ka `(Amaurosis Fugax):

• E mālama i nā maʻi maʻi mau: E mālama i nā maʻi e like me ke koko kiʻekiʻe, ka maʻi diabetes, a me ka cholesterol kiʻekiʻe. E lawe i kāu mau lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka.
• Ma hope o ka ʻai olakino: E ʻai i nā huaʻai, nā mea kanu, nā legumes, nā palaoa piha, nā ʻiʻo momona, a me ka iʻa. Loaʻa i kā mākou ʻai kūloko ka nui o kēia mau meaʻai olakino. (No ka laʻana, ua ʻōlelo ʻia he olakino ka ʻai Mediterranean.) E hōʻemi i nā meaʻai kiʻekiʻe i ka ʻaila, ke kō, a me ka paʻakai i ka hiki.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe: E ho'āʻo e mālama i kahi kaumaha kūpono no kou kiʻekiʻe.
• E hoʻomau i ka hana kino: E hana i kekahi mea e like me ka hele wāwae a i ʻole ka hoʻoikaika kino no 30 mau minuke i ka lā.
• E haʻalele i ka puhipaka: Inā ʻoe e puhipaka, e noi i ke kōkua e haʻalele.
• E kaupalena i ka inu ʻana i ka waiʻona: Inā ʻoe e inu i ka waiʻona, ʻoi aku ka maikaʻi o ka hōʻemi ʻana i ka nui i kaupalena ʻia, a i ʻole e hoʻōki loa.

Āhea wau e ʻike ai i ke kauka no nā pilikia ʻike?

He mea nui loa kēia. Inā nalowale koke kou ʻike, me ka ʻeha a i ʻole me ka ʻole o ka ʻeha, e ʻimi koke i ke kōkua lapaʻau. E mālama iā ia me he pilikia lā. Mai hoʻonele i ka manawa.

ʻOiai inā ʻaʻole ia he pilikia, e hele i nā hoʻokolohua maka maʻamau e like me ka ʻōlelo a kāu kauka. Hiki i kēia ke kōkua i ka ʻike ʻana i kekahi mau kūlana ma mua o ko lākou ulu ʻana.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka e pili ana iā Amaurosis Fugax?

Inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka. Hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• Ua pili anei kaʻu "Amaurosis Fugax" i kekahi maʻi olakino ʻē aʻe?
• I koʻu hihia, he aha ka manaʻo o ke kauka he pilikia? (ʻo ia hoʻi, he aha nā hōʻailona e pono iaʻu ke hōʻike koke inā loaʻa iaʻu?)
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• He aha nā hopena ʻaoʻao e hiki ke loaʻa mai i kēlā lāʻau lapaʻau?
• Ke paipai nei ʻoe e ʻike i kahi loea no ka mālama ʻana?
• He aha ka papa hana e pono iaʻu e hahai ai no nā hoʻokolohua maka?

No laila, he aha nā mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo?

ʻAe, eia kekahi o nā mea āu e pono ai e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai a hiki i kēia manawa.

Inā loaʻa iā ʻoe kahi nalowale ʻike no ka manawa pōkole - me he mea lā ua hāʻule kahi pale i mua o kou mau maka - hiki ke lilo i `(Amaurosis Fugax)`. Inā hana ʻia kēia, a inā nalowale koke kou ʻike i kēlā me kēia manawa, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. A laila e hana pū nā kauka me ʻoe e hoʻoholo i ke kumu o ke kūlana `(Amaurosis Fugax)`, a inā he mau kūlana pili ʻē aʻe kāu.

Ma keʻano laulā, ʻo ka wikiwiki o ka hana ʻana i ka hōʻailona, ​​ʻo ka wikiwiki hoʻi o ka hoʻomaka ʻana o ka lāʻau lapaʻau, a ʻoi aku ka maikaʻi o ka hopena.

No laila, inā ʻoe e ʻeha ana a ʻaʻole paha, mai kānalua e ʻimi i ke kōkua inā nalowale koke kou ʻike. Eia kekahi, mai kānalua e noi i kāu kauka no ka wehewehe ʻana i nā nīnau āu e pili ana i ka hōʻailona a me ka mālama ʻana. He mea nui loa kou olakino iā ʻoe.

ʻAmaurosis Fugax, nalowale o ka ʻike maka no ka manawa pōkole, ʻike maka, retina, paʻa ʻana o ke kīʻaha koko, TIA, Stroke, maʻi lolo