Ke ʻike nei ʻoe i nā kaha e like me kēia i loko o kou mau maka? E kamaʻilio kākou e pili ana i nā kaha Angioid!

Ua hele anei ʻoe i ke kauka maka a lohe i kahi mea e like me, "Hiki iā ʻoe ke ʻike i kēia mau laina liʻiliʻi i loko o kou maka, kapa mākou iā lākou he Angioid Streaks"? A i ʻole ua lohe wale ʻoe i kēia inoa? Malia paha e makaʻu iki ʻoe i ka lohe ʻana i kēia. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo Angioid Streaks ma ke ʻano maʻalahi a maopopo hoʻi.

Ua ʻike anei ʻoe i ke ʻano o nā Angioid Streaks?

I ka ʻōlelo maʻalahi, ʻo nā Angioid Streaks he mau laina liʻiliʻi a ʻāʻī e kū mai ana ma lalo o ka retina o kou maka. Ua like lākou me nā kīʻaha koko, akā ʻaʻole lākou he mau kīʻaha koko maoli. ʻIke pinepine ʻia lākou i ka wā e nānā ai kāu kauka maka i kou mau maka. Hiki ke ʻike pinepine ʻia lākou ma nā maka ʻelua. Kapa pū kekahi poʻe iā lākou he mau kaha Knapp a i ʻole Knapp striae.

E noʻonoʻo, aia i loko o kou maka kahi 'Optic Disc' (ʻo ia hoʻi, ka ʻāpana hope loa o ke aʻalolo optic ma mua o kona pili ʻana i ka lolo), a ʻike ʻia kēia mau kaha e hoʻolōʻihi i waho mai laila mai. Hoʻokumu ʻia lākou i ka wā e ulu ai kahi ʻiʻo i kapa ʻia ʻo 'Bruch's membrane' i loko o ka maka. ʻO kēia 'Bruch's membrane' ka uhi o loko o ka 'Choroid' (ʻo ia kahi e waiho ai nā kīʻaha koko e lawe mai i ke koko a me nā meaʻai i ka maka). Aia ia ma waena o ka 'Retina' a me ka 'Sclera'.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o nā kaha angioid. ʻO ke ʻano kēia, ʻaʻole paha ʻoe e ʻike i kekahi mau loli a ʻoluʻolu ʻole paha. Eia nō naʻe, hiki i kekahi mau pilikia e pili ana i kēia mau kaha angioid ke alakaʻi i ka nalowale o ka ʻike. ʻO ia ke kumu e hopohopo nei nā kauka no kēia.

No ke aha i hoʻokumu ʻia ai kēia mau kaha angioid?

ʻO ke kumu nui, ʻo ia ka hoʻokumu ʻia ʻana o nā māwae i loko o ka 'membrane o Bruch' a mākou i kamaʻilio ai ma mua. I loko o kekahi poʻe, mānoanoa kēia membrane i ka hala ʻana o ka manawa, waiho i nā mea e like me ka calcium, a lilo i mea palupalu maʻalahi. ʻO ia ka manawa e hoʻokumu ʻia ai kēia mau māwae e like me ke kaha.

I kekahi manawa, hiki ke hana ʻia kēia mau mea e nā ʻeha maka.

He aha nā kumu pilikia?

Aia kekahi mau kūlana olakino e hiki ai ke hana i nā Angioid Streaks. No ka hoʻomanaʻo ʻana i kēia mau mea, hoʻohana pinepine nā kauka i ka acronym PEPSI . E nānā kākou i ke ʻano o lākou:

• P - Pseudoxanthoma elasticum: He maʻi hoʻoilina kēia. Hoʻokumu ʻia ia e ka waiho ʻana o nā minelala i loko o nā olonā elastic o ke kino. ʻO kēia maʻi ka mea maʻamau e pili pū me nā Angioid Streaks.
• E - Ehlers-Danlos syndrome: He ʻano genetic kēia e hoʻopilikia ai i nā ʻiʻo pili o ke kino.
• P - ʻO ka maʻi o Paget o ka iwi: He maʻi kēia e hoʻopilikia ai i nā iwi. Hoʻopilikia ia i ke ʻano o ka hoʻokumu ʻana a me ka haki ʻana o nā iwi hou.
• S - Maʻi ʻeha koko: He maʻi hoʻoilina kēia e hoʻopilikia ai i nā hunaola koko ʻulaʻula. Lilo nā hunaola koko ʻulaʻula i mea ʻino a hiki ke paʻa i loko o nā kīʻaha koko.
• I - Nā kūlana idiopathic : ʻO kēia nā kūlana i hiki ʻole ke loaʻa ke kumu kikoʻī . Hiki i kēia ke hoʻopilikia i ka hemoglobin (ʻāpana o kou mau keʻena koko ʻulaʻula) a i ʻole collagen (kahi ʻāpana koʻikoʻi o ka ʻiʻo hoʻohui) i loko o kou koko.

ʻO ka mea nui, ʻaʻole pono ʻoe e loaʻa i nā maʻi āpau a PEPSI e ʻōlelo ai e loaʻa ai nā Angioid Streaks. ʻO kēia nā maʻi nui e hiki ke pili.

Nā kumu pilikia ʻē aʻe

Ma waho aʻe o kēia mau kūlana olakino nui, hiki i kekahi mau kumu ʻē aʻe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i nā Angioid Streaks:

• Ka ʻelemakule: Hiki ke loli i ka membrane o Bruch me ka makahiki.
• Nā ʻeha maka: E like me kā mākou i ʻōlelo ai ma mua, hiki ke hana ʻia kēia mau mea e nā mea e like me nā hahau nui i nā maka.

He aha nā pilikia e hiki mai ana o nā Angioid Streaks?

ʻOiai ʻaʻole maʻamau nā kaha angioid i mea ʻino ʻole, i kekahi manawa hiki iā lākou ke hana i nā pilikia e hoʻopilikia ai i kou ʻike. ʻO kēia nā mea weliweli.

ʻElua mau pilikia nui:

1. Choroidal neovascularization: ʻO kēia ka wā e ulu ai nā kīʻaha koko hou a maikaʻi ʻole i loko o ka retina. Ua like kēia me nā nāhelehele, a ʻaʻole maikaʻi lākou no ka maka. Hiki iā lākou ke kahe ke koko a hoʻokahe paha i ka wai, e hoʻoulu ai i ka ʻike maka pōwehiwehi a me ka hoʻopilikia ʻia.

2. Ke kahe koko ma lalo o ka retina: Hiki i kēia mau kīʻaha koko nāwaliwali i hana hou ʻia ke haki a kahe ke koko ma lalo o ka retina. Hiki i kēia ke hōʻino i ka ʻike.

ʻO ka wā wale nō e kū mai ai nā pilikia e like me kēia e hoʻomaka ai kou ʻike e kuhihewa a emi iho paha.

Pehea e ʻike ʻia ai kēia? He aha nā hoʻokolohua e hana ʻia ai?

ʻO ka hapa nui o ka manawa, hiki i kāu kauka maka ke ʻike i kēia mau kaha angioid i ka wā o ka hoʻokolokolo maka maʻamau. Eia nō naʻe, no ka hōʻoia ʻana i ke kūlana, ka hoʻopau ʻana i nā kūlana ʻē aʻe, a me ka hoʻoholo ʻana inā he mau pilikia, makemake paha kāu kauka iā ʻoe e loaʻa hou aku nā hoʻokolohua. I kekahi manawa, noi paha lākou iā ʻoe e hana hou ʻia kēia mau hoʻokolohua i kēlā me kēia manawa e ʻike ai pehea e loli nei kou kūlana.

Nā ʻano hoʻokolohua i hana ʻia

ʻO nā hoʻokolohua kiʻi nui i hana ʻia:

• ʻO ka angiography Fluorescein:ʻO kēia ke komo ʻana i kahi kala kūikawā i loko o kahi aa koko ma kou lima. A laila, lawe kahi kāmela kūikawā i nā kiʻi i ka wā e hele ai ka kala ma o nā kīʻaha koko i loko o kou maka. Hiki iā ʻoe ke ʻike maopopo i nā pilikia me kou mau kīʻaha koko, e like me nā kīʻaha koko hou.
• ʻO ka tomography coherence optical (OCT): Ua like kēia me ke scan o loko o ka maka. Hoʻohana ia i nā kukuna kukui e lawe i nā kiʻi ʻokiʻoki o loko o ka maka. Hiki iā ia ke nānā i nā mea e like me ka mānoanoa o nā papa o ka retina, ka hōʻiliʻili ʻana o ke wai, a me nā kīʻaha koko hou.
• ʻO ka autofluorescence fundus: Hoʻohana kēia hoʻāʻo i kahi mea kūlohelohe i kapa ʻia ʻo lipofuscin i loaʻa i loko o ka maka e ʻike i nā loli a me nā hōʻino i nā cell i loko o ka maka.

Na ke kauka e hoʻoholo i ka lāʻau lapaʻau āu e pono ai ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua.

Aia kekahi lāʻau lapaʻau no nā Angioid Streaks?

ʻAʻohe lāʻau lapaʻau kūikawā no nā Angioid Streaks. ʻO ia hoʻi, ʻaʻohe lāʻau lapaʻau no nā streaks i kēia manawa. Eia naʻe, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i nā pilikia e kū mai ana mai ia mau mea, a me ka mālama ʻana i nā kūlana kumu e pili ana paha me ia mau mea (e like me nā mea ma ka papa inoa PEPSI).

Nā lāʻau lapaʻau kūikawā no nā pilikia

Inā loaʻa iā ʻoe kahi maʻi e like me ka mea a mākou i kamaʻilio ai i kapa ʻia ʻo "choroidal neovascularization" (ʻo ia hoʻi ke kūkulu ʻia ʻana o nā kīʻaha koko hou i makemake ʻole ʻia), hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia:

• Photocoagulation: Hoʻohana kēia i ka laser e luku i nā kīʻaha koko i makemake ʻole ʻia.
• ʻO ka lāʻau lapaʻau Photodynamic (PDT): Pili kēia i ka lawelawe ʻana i kahi lāʻau lapaʻau kūikawā i kou kino, a laila e kuhikuhi ana i kahi kukuna kukui kūikawā i loko o kou maka e luku i nā kīʻaha koko i makemake ʻole ʻia.
• Nā lāʻau anti-vascular endothelial growth factor (anti-VEGF): ʻO kēia nā lāʻau lapaʻau i hoʻohana pinepine ʻia. Pili lākou i ka hoʻokomo ʻana i kahi lāʻau kūikawā i loko o ka wai e like me ka jelly i loko o ka maka i kapa ʻia ʻo vitreous humor. Hoʻomalu kēia mau lāʻau i ka ulu ʻana o nā kīʻaha koko hou. Ua kapa ʻia hoʻi lākou he mau mea hoʻopaʻa VEGF. Pono paha e hana hou ʻia kēia mau inikini i kēlā me kēia mahina a i ʻole e like me ka mea e pono ai.
• Ke hoʻohana pū ʻana i nā lāʻau PDT a me nā anti-VEGF: I kekahi manawa hiki ke hoʻohana pū ʻia kēia mau lāʻau ʻelua.

Aia kekahi mau hopena ʻaoʻao/pilikia o ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i kēia mau lāʻau ke loaʻa kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia. He mea maikaʻi ke ʻike i kēlā.

• Hoʻopili kiʻi laser:ʻOiai hiki i kēia ke hoʻomaʻemaʻe i ka ʻike i ka wā pōkole, hiki i kekahi manawa ke hōʻino i nā ʻiʻo olakino, e hana ana i nā kahe koko retinal a me ka nalowale o ka ʻike waena.
• Nā lāʻau anti-VEGF: ʻO nā hopena ʻaoʻao mai kēia mau inikini he manawa pōkole wale nō. Hiki iā lākou ke komo pū me ka ʻeha o ka maka, ka ʻulaʻula, ka haehae, a me nā lana. He liʻiliʻi loa ka pilikia o ka maʻi maka koʻikoʻi me kēlā me kēia inikini.
• Lapaʻau PDT: Aia paha he piʻi iki o ka ʻā ʻana o ka lā ma hope o kēia. Aia paha he wahi makapō i ka ʻike. Aia paha he mau hopena maʻi i nā lāʻau hoʻomālamalama, a he kakaikahi loa, e hana ʻia nā kīʻaha koko hou i makemake ʻole ʻia.

Inā manaʻo ʻia kahi lāʻau lapaʻau iā ʻoe, he mea nui loa e kūkākūkā pono i nā pono, nā pōʻino, a me nā hopena ʻaoʻao me kāu kauka.

He aha ka mea e hana ai inā loaʻa iaʻu nā Angioid Streaks?

Inā he mau kaha angioid wale nō kou, ʻo ia hoʻi, inā ʻaʻohe pilikia ʻē aʻe, ʻaʻole ia he mea weliweli loa. Eia nō naʻe, inā he ʻeha kou maka, pono ʻoe e ʻike i kahi kauka maka a loaʻa ka lāʻau lapaʻau.

Inā he maʻi ʻōnaehana koʻikoʻi kou e hoʻoulu ai i kāu mau angioid streaks, he mea nui loa ia e hahai i ka hoʻolālā lapaʻau a kāu kauka a loaʻa ka mālama maka e pono ai.

Hiki ke pale ʻia kēia? Pehea e hiki ai ke hoʻēmi ʻia ka pilikia?

ʻAʻohe ala e pale aku ai i nā kaha angioid i hoʻokumu ʻia e nā kūlana olakino. Eia nō naʻe, hiki iā ʻoe ke pale aku i kēlā mau mea i hoʻokumu ʻia e nā ʻeha maka.

ʻO ka pale ʻana i kou mau maka ka mea nui loa ma ʻaneʻi. ʻO ke komo ʻana i nā mea pale maka hiki ke hōʻemi i ka pilikia i nā manawa e like me kēia:

• I ka wā e hana ana me nā mīkini a i ʻole nā ​​​​mea e hiki ke hōʻeha i ka maka (e like me ka kuʻihao, ka hoʻohana ʻana i ka wili, ka hana lāʻau).
• Ke holo ana i ka mokokaikala (me ka visor ma ka mahiole).
• I ka wā e komo ai i nā haʻuki paʻakikī iki (e like me ka pāʻani cricket, ʻoiai i ka wā e paʻi ai i ka ʻōpeʻapeʻa, ke kahua ʻana).
• I ka wā e hana ana i loko o ka māla, ʻoiai i ka wā e ʻoki ai i nā lālā a hoʻomaʻemaʻe i nā mea kanu.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

He manaʻo maikaʻi ke ʻike pinepine ʻana i kahi kauka maka e nānā i kou mau maka. Inā loaʻa iā ʻoe kahi maʻi maka a i ʻole kekahi maʻi ʻē aʻe e hiki ke hoʻopilikia i kou mau maka, pono paha ʻoe e ʻike pinepine i kāu kauka.

Inā loaʻa iā ʻoe kekahi o kēia mau pilikia maka, e ʻike koke aku i kahi ophthalmologist:

• Inā ʻeha kou maka.
• Inā ʻike ʻoe i kekahi mau loli i ka ʻike (e like me ka blurring, distortion, nā kiko ʻeleʻele).

I kēia hihia, e ʻike koke i ke kauka a i ʻole e hele i kahi lumi pilikia:

• Inā loaʻa iā ʻoe kahi ʻeha maka.
• Inā ʻike ʻoe i ka ʻeha nui a i ʻole ke kahe ʻana o ke koko i loko o ka maka.
• Inā nalowale koke kou ʻike a i ʻole lilo i mea pouli loa.

Nā nīnau e nīnau aku ai i ke kauka/kauka

Ke ʻike ʻoe he Angioid Streaks kou, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia:

• No ke aha i loaʻa ai iaʻu kēia mau kaha angioid?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• He aha nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau?
• ʻEhia pinepine e pono ai iaʻu ke ʻike iā ʻoe?
• He aha nā loea ʻē aʻe e pono iaʻu e ʻike (e laʻa me kahi maʻi kumu)?
• He aha nā hōʻailona hou a i ʻole nā ​​​​hōʻailona o ka maʻi e ʻoi aʻe ana e pono iaʻu e makaʻala?
• Pehea lā koʻu kūlana i ka wā e hiki mai ana (prognosis)?

He aha ka ʻokoʻa ma waena o nā `Lacquer cracks` a me nā `Angioid Streaks`?

He mau mea kēia ʻelua e like me nā kaha i loko o ka maka ke nānā ʻoe i nā maka. Eia naʻe, ʻokoʻa ko lākou helehelena a me nā kumu.

• Nā māwae Lacquer: ʻIke pinepine ʻia kēia mau mea i nā maka o ka poʻe myopic loa (nearsighted).
• Nā Kaha Angioid: Hiki ke hana ʻia kēia e kekahi o nā kūlana a mākou i kūkākūkā ai ma mua, a i ʻole e ka hōʻino ʻana i ka maka.

I kekahi manawa, inā ʻaʻole maopopo ke ʻano o kēia mau laina, pono paha ke kauka e hana i nā hoʻokolohua kiʻi e like me OCT e hoʻokaʻawale pololei ma waena o nā mea ʻelua.

ʻO ka mea hope loa, ka leka lawe home

Inā loaʻa iā ʻoe nā kaha angioid, ʻaʻole paha ʻoe e ʻike. ʻIke pinepine ʻia lākou e ke kauka i ka wā o ka hoʻokolokolo maka maʻamau. I ka hapanui o nā hihia, ʻaʻohe mea hiki iā ʻoe ke hana e pili ana iā lākou ma mua o ka nānā ʻana iā lākou. ʻO ia hoʻi, e kali wale a ʻike inā e loli lākou.

Eia nō naʻe, i kekahi manawa manaʻo paha kāu kauka he maʻi olakino kou e pili ana i kēia. Inā ʻo ia ke kumu, pono paha ʻoe e hana i nā hoʻokolohua hou aʻe.

ʻO ka mea nui loa, ʻaʻole ʻoe e makaʻu a e hoʻolohe pono i ka mea a kāu kauka e ʻōlelo ai. E hōʻoia e nīnau i nā nīnau e pili ana i nā hoʻokolohua āu e loaʻa ai a me nā hopena e haʻi aku iā ʻoe. Aia kāu hui lapaʻau ma laila e kākoʻo iā ʻoe a kōkua iā ʻoe e hana i nā hoʻoholo kūpono. E hana i nā hoʻokolohua maka maʻamau a pale i kou mau maka, a hiki iā ʻoe ke hōʻemi i ka pilikia o nā pilikia he nui.

Nā Kaha Angioid, Nā Kaha Angioid, Nā Maʻi Maka, Nā Kaha Maka, Retina, Membrane Bruch, Ola Kino o ka Maka