Ke ʻike nei ʻoe i kahi ʻokoʻa i kou ʻike maka? E aʻo kākou e pili ana i ka hoʻāʻo Amsler Grid!

Ua lohe paha ʻoe i ka Amsler Grid? Ua haʻi aku paha kāu kauka maka iā ʻoe e pili ana i ia mea. He hoʻāʻo maʻalahi loa ia, akā he mea nui loa. Kōkua ia i ka ʻike koke ʻana i nā loli i ka ʻike i hoʻokumu ʻia e kekahi mau maʻi, ʻoi aku hoʻi ma ka retina o ko kākou mau maka.

He aha ka Amsler Grid?

ʻAe, e nānā kākou i ke ʻano o kēia Amsler Grid. I ka ʻōlelo maʻalahi, he lula huinaha ia i paʻi ʻia ma kahi ʻāpana pepa liʻiliʻi. He huinaha ia he 10 kenimika ka lōʻihi a he 10 kenimika ka laulā, e pololei. He 20 mau huinaha liʻiliʻi ma kekahi ʻaoʻao, no laila he nui nā huinaha liʻiliʻi ma ka grid holoʻokoʻa. Ma waenakonu o kēia lula huinaha, aia kahi kiko liʻiliʻi i hōʻailona ʻia no ʻoe e kālele ai. Ua kapa pū kekahi poʻe iā ia he 'Amsler eye chart.'

ʻO ke kumu nui o kēia hoʻāʻo grid Amsler ʻo ia ke ʻike inā he mau loli kou ʻike maka, e like me ka ʻike ʻino (i kapa ʻia ʻo metamorphopsia ma nā huaʻōlelo lapaʻau), ma muli o kahi maʻi e pili ana i ka macula . Kōkua pū ia iā ʻoe e hōʻike i kāu ophthalmologist i kahi o kēia mau ʻino i loko o kou ʻike. A laila hiki i ke kauka ke hoʻomaopopo i kahi o ka pilikia i loko o kāu macula.

ʻO ka maʻamau, ʻōlelo nā kauka i ka poʻe me kekahi mau maʻi o ka retina e hoʻohana i kēia Amsler grid ma ka home i kēlā me kēia lā . No ka mea, inā ʻoe e hana i kēlā, hiki iā ʻoe ke ʻike koke i nā loli liʻiliʻi i kou ʻike. Inā ʻike mua ʻoe, hiki iā ʻoe ke hōʻemi i ka pilikia o ka nalowale mau loa o ka ʻike.

I nā kūlana hea e hoʻohana ʻia ai ka hoʻāʻo Amsler Grid?

I kēia manawa ke noʻonoʻo nei paha ʻoe, 'ʻAe, hiki i kēia ke ʻike i nā loli i ka ʻike. Akā he aha ka mea e hoʻohana ʻia ai?' ʻOiaʻiʻo, hoʻohana ʻia ka Amsler grid e ʻike a nānā i kekahi kūlana e hiki ke hoʻopilikia i ka ʻili o ka macula. Eia kekahi mau laʻana:

• ʻO ka Macular Degeneration : He mea nui kēia no nā ʻano maloʻo a pulu o kēia maʻi.
• ʻO ka Retinopathy Serous Waena .
• ʻO ka Neovascularization kahi kūlana e hoʻokumu ʻia ai nā kīʻaha koko hou ma kekahi mau ʻāpana o ka maka.
• Nā wahi ʻeleʻele i ka ʻike (Scotomas) .
• ʻŌpū Macular/ʻIli Epiretinal .
• ʻEdema Macular Cystoid .
• ʻO ka edema macular e pili ana i ka maʻi diabetes .
• Nā ʻŌpū Pituitary Gland : Hiki i kēia ke lilo i kou ʻike ma ka ʻaoʻao hema o kou maka hema a me ka ʻaoʻao ʻākau o kou maka ʻākau. Ua kapa ʻia kēia ʻo "Bilateral Hemianopia".
• Ka pōʻino macula i hana ʻia e kahi ulia.
• ʻO nā maʻi retinal ʻē aʻe a i ʻole nā ​​​​kumu e pili ana i ka retinal e hiki ai ke nalowale koke ka ʻike.

ʻO ka mea nui loa, ʻo ka ʻike ʻana i kēia mau hōʻailona i ka wā mua, a he kōkua nui kēia hoʻāʻo maʻalahi i kēlā.

ʻAʻole wale ia, inā ʻoe e hoʻomākaukau ana no ke ʻoki cataract, aia kekahi mau manawa e hoʻohana ai nā ophthalmologists i kēia Amsler grid e nānā i kekahi pilikia me kāu macula ma mua.

Pehea ʻoe e hoʻāʻo ai i kou mau maka me ka Amsler Grid?

ʻAe, e nānā kākou pehea e hoʻohana pono ai i kēia Amsler grid. He maʻalahi loa ia.

ʻO ka mea mua, pono ʻoe e paʻa i ka Amsler grid i mua ou ma kahi mamao āu e heluhelu ai i kahi puke a nūpepa paha, ʻo ia hoʻi ma kahi o 12 a 15 ʻīniha (30 a 38 kenimika ). ʻO ka mea nui loa, inā ʻoe e komo i nā aniani a i ʻole nā ​​​​aniani hoʻopili, e hōʻoia i ke komo pono ʻia ʻana i kēia hoʻāʻo.

ʻO ka mea aʻe, pono ʻoe e hoʻāʻo me hoʻokahi maka i ka manawa. ʻOiai ʻoe e nānā ana me hoʻokahi maka, e uhi i kekahi maka me kou lima. I kēia manawa, me ka maka āu e hoʻāʻo nei, e nānā pono (e kālele) i ke kiko liʻiliʻi ma ke kikowaena pololei o ka grid. E hoʻomanaʻo e mālama i ka grid ma ka mamao like i kēlā me kēia manawa.

ʻOiai ʻoe e haka pono ana i kēlā kiko ma waenakonu - me ka neʻe ʻole ʻana o kou mau maka i mua a i mua - e nānā pono i ka pololei o nā mea a pau:

• Hiki iā ʻoe ke ʻike maopopo i nā kihi ʻehā o ka grid?
• Hiki iā ʻoe ke ʻike i nā laina a pau ma ka pakuhi? Pololei loa anei lākou a pau? (ʻAʻole i kaha ʻia, kūlou, a haki paha).
• Ke ʻike nei ʻoe i kekahi mau wahi ʻeleʻele a hakahaka paha ma kekahi wahi o ka grid?
• Ua maopopo a like anei nā laina a pau ma ka pakuhi (ʻaʻole i haki a pōwehiwehi paha)?

Ke hele ʻoe i ke keʻena maka, e hoʻāʻo paha kāu kauka maka i kou ʻike me kēia ʻāpana Amsler. Inā pilikia ʻoe i nā maʻi retinal, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi ʻāpana Amsler i paʻi ʻia e hoʻohana ma ka home.

He mea nui: Inā hāʻawi kāu kauka iā ʻoe i kahi ʻāpana Amsler e hoʻohana ai ma ka home, pono ʻoe e hoʻohana pono e like me ke kuhikuhi ʻana (ʻo ia hoʻi i kēlā me kēia lā). Inā ʻike ʻoe i kekahi o nā mea ʻehā i ʻōlelo ʻia ma luna e loli ana i kou wā e hana ana i kāu mau hoʻokolohua home, e kelepona koke aku i kāu kauka maka.

Aia kekahi mau ʻano ʻē aʻe o Amsler Grid?

Ua hana ʻia ka hoʻāʻo ʻana o ka ʻaoʻao Amsler e ke kauka maka o Kuikilana ʻo Marc Amsler. Ua wehewehe ʻo ia i ʻehiku mau ʻano like ʻole o kēia hoʻāʻo ʻaoʻao. Eia naʻe, ke kamaʻilio pinepine mākou e pili ana i ka 'ʻaoʻao Amsler', ke manaʻo nei mākou i ke ʻano mua (Pakuhi 1).

E aʻo iki kākou e pili ana i kēlā mau ʻano 7?

• ʻAno 1 (Pakuhi 1):ʻO kēia ke ʻano nui a hoʻohana pinepine ʻia. He mau kaha ʻeleʻele kona ma ke kua keʻokeʻo. No ka mea he 20 mau huinahā ma kekahi ʻaoʻao, he 0.5 kenimika ka laulā o kēlā me kēia huinahā. Ma waenakonu aia kahi pōʻai liʻiliʻi nou e kālele ai.
• ʻAno 2 (Pakuhi 2): Ua like kēia me ka mea mua, akā eia kekahi, ua kaha ʻia nā laina diagonal mai nā kihi ʻehā a i ke kiko waena. He mea pono kēia no ka poʻe i loaʻa nā kiko ʻeleʻele (Scotomas) ma ke kikowaena o ko lākou ʻike, akā hoʻohana lākou i ka grid e nānā i nā loli o ka ʻike.
• ʻAno 3 (Pakuhi 3): Loaʻa i kēia ke ʻano like me ka mea mua, akā me nā kaha ʻulaʻula ma kahi ʻeleʻele. Kōkua kēia i ka ʻike ʻana i nā ʻano hoʻopilikia akaka a me nā ʻokoʻa e pili ana i ke kala.
• Pakuhi 4: Ma kahi o kahi grid, loaʻa i kēia nā kiko keʻokeʻo i hoʻopuehu ʻia ma kahi ʻeleʻele i loko o kahi grid 10x10 cm. ʻO ka hoʻohana ʻana i nā kiko ma kahi o nā laina e maʻalahi ai i ka mea nānā ke hoʻokaʻawale ma waena o nā ʻano ʻino a me nā kiko ʻeleʻele (scotomas).
• ʻAno 5 (Pakuhikuhi 5): He mau kaha moe wale nō kēia. He keʻokeʻo nā kaha ma kahi ʻeleʻele. Aia nā kaha kū pololei wale nō ma nā ʻaoʻao hema a me ka ʻākau o waho o ka pahu.
• Pakuhi 6: Ua like kēia me Pakuhi 5, akā me nā laina ʻeleʻele ma kahi hope keʻokeʻo. Eia kekahi, ʻo ka laina waena, a me nā laina ʻelua ma luna a ma lalo, ua huki ʻia a kokoke aku i kekahi i kekahi ma mua o nā laina ʻē aʻe ma ka grid. Ke huki ʻia nā laina a kokoke aku, hiki iā ʻoe ke ʻike i nā ʻano hoʻopilikia a me nā ʻokoʻa ʻē aʻe.
• Pakuhi 7: He mau laina keʻokeʻo kēia ma kahi kua ʻeleʻele. Ua like ia me ka mea mua, akā ʻo nā huinahā ma ka ʻāpana waena 5x5 cm he hapalua ka nui o nā huinahā ma nā ʻaoʻao waho o ka grid. ʻO kēia mau huinahā liʻiliʻi, e like me nā laina i kaha ʻia ma ke ʻano 6, kōkua i ka ʻike ʻana i nā ʻokoʻa liʻiliʻi a i ʻole nā ​​​​​​hewa.

E noʻonoʻo wale, ua hoʻolālā ʻia kēlā me kēia ʻano e kōkua iā ʻoe e ʻike i nā pono like ʻole a me nā ʻokoʻa maalea i kou mau maka.

Pehea ke ʻano o ka Amsler Grid inā loaʻa iā ʻoe ka macular degeneration?

I kēia manawa, e nānā kākou i ke ʻano o kekahi kanaka me ke ʻano e like me ka macular degeneration ke nānā lākou i kēia Amsler grid. ʻO ka maʻamau, e ʻike ʻoe i kahi mea e like me kēia:

• Hiki ke ʻike ʻia nā laina ma ka ʻupena me he kīkoʻo a ʻāwili paha, e like me nā laina ma ka lau i pulu i ka wai.
• Hiki paha i kekahi mau wahi o ka grid ke ʻike ʻia he blurry a ʻeleʻele paha ma mua o nā mea ʻē aʻe.
• Hiki ke hakahaka kekahi mau ʻāpana o ka pakuhi, ʻo ia hoʻi, aia paha he mau wahi hakahaka kahi i ʻike ʻole ʻia ai kekahi mea.

Inā ʻike ʻoe i kekahi mau loli e like me kēia ke nānā ʻoe i kāu Amsler grid, mai hoʻowahāwahā iā ia. ʻO ia hoʻi, aia paha he pilikia me kāu macula. No laila, inā ʻike ʻoe i kahi mea e like me kēia, pono ʻoe e ʻike koke i ke kauka maka.

He aha kou manaʻo no ka polokalamu Amsler Grid ma kāu kelepona?

Ua ʻike paha ʻoe aia kekahi mau polokalamu Amsler Grid i loaʻa no nā kelepona akamai a me nā papa i kēia mau lā. Ke noʻonoʻo nei paha ʻoe, 'Auē... he maʻalahi kēia, hiki iaʻu ke hana pololei ma kaʻu kelepona.'

Inā makemake ʻoe e hoʻohana i ia ʻano polokalamu, e kamaʻilio mua me kāu loea maka. Hiki iā ia ke haʻi iā ʻoe inā kūpono kēia polokalamu i kāu mau pono.

Akā e hoʻomanaʻo i hoʻokahi mea: ʻAʻole loa he pani kahi polokalamu kelepona no ka mālama olakino. Inā he kānalua kāu, e kūkākūkā mau me ke kauka maka i aʻo ʻia a mākaukau hoʻi. ʻO ia ka koho palekana loa.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai.

He ala wikiwiki, maʻalahi, a ʻaʻole hoʻi e komo ka Amsler grid e nānā ai i nā loli a i ʻole nā ​​​​​​hewa i kou ʻike, ʻoi aku hoʻi i kou ʻike waena. Inā haʻi aku kāu kauka maka iā ʻoe e hoʻohana i kahi Amsler grid i paʻi ʻia ma ka home i kēlā me kēia lā, e hana pono pēlā.

ʻO ka hoʻohana ʻana i ka Amsler grid e like me ka mea i ʻōlelo ʻia ma kēia ʻano hiki ke kōkua i ka ʻike ʻana i nā loli i loko o ka retina i hoʻokumu ʻia e nā maʻi e like me ka macular degeneration i kahi wā mua loa. Inā hiki ke ʻike mua ʻia kēia mau loli, e hele nui ia i ka pale ʻana i kou ʻike, e pale ana i ka hōʻino hou aʻe, a e ʻae iā ʻoe e hoʻomau i ka hana me ka hilinaʻi i kou mau maka.

No laila, he mea waiwai nui kou mau maka. E mālama iā lākou. Inā ʻike ʻoe i kahi loli iki loa, mai hoʻokaʻulua i ka ʻimi ʻana i ke kōkua lapaʻau.

ʻAmsler Grid, Hoʻokolokolo Maka, ʻIke, Retina, Macula, Macular Degeneration, Metamorphopsia