Ke hana nei kēia i kou mau maka pū kekahi? E aʻo kākou e pili ana i ka Angle-Closure Glaucoma!

Ua noʻonoʻo paha ʻoe i ke ʻano o nā pilikia e kū mai ana inā piʻi ke kaomi i loko o kou mau maka? Ua ʻike paha ʻoe i nā mea e like me ka ʻeha koke o ka maka a me ka ʻike pohihihi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi maka e pono ai ka nānā iki ʻana, akā hiki ke kāohi ʻia inā ʻike pono ʻia ʻoe. ʻO ia ka glaucoma pani-angle, a i ʻole `(Angle-Closure Glaucoma)`.

He aha ka Angle-Closure Glaucoma?

I ka ʻōlelo maʻalahi, ʻo ka glaucoma pani-kihi kekahi o nā ʻano nui ʻelua o ka glaucoma. ʻO ka Glaucoma kahi kūlana e piʻi ai ke kaomi i loko o kou maka, i ʻike ʻia ma ke ʻano lapaʻau ʻo Intraocular Pressure (IOP) , ma luna o nā pae maʻamau.

E noʻonoʻo, aia i loko o ko kākou mau maka kahi wai kūikawā i kapa ʻia ʻo Aqueous Humor . Ke hana mau ʻia nei kēia wai i loko o ka maka, a ke hoʻokahe ʻia nei ka wai kahiko mai loko mai o ka maka. Hana ʻia kēia ma o kahi ʻōnaehana e like me kahi kahawai liʻiliʻi. I kēia manawa, he aha ka mea e hana ai inā no kekahi kumu ua ālai ʻia ke ala e hele ai kēia wai? ʻO ia ka manawa e piʻi ai ke kaomi i loko o ka maka.

I loko o ka glaucoma pani-kihi, ʻo ka ʻāpana kala o kou maka, ʻo ka iris, e pehu a i ʻole e ʻōpuʻu i mua, e ālai ana i ke kihi kahe wai. Hiki ke hana koke ʻia kēia a i ʻole i ka hala ʻana o ka manawa. Ua kapa pū kekahi poʻe i kēia glaucoma pani-kihi.

Aia kekahi mau ʻano like ʻole o ka glaucoma pani-angle?

ʻAe, aia kekahi mau ʻano nui o kēia. E nānā kākou i ke ʻano o lākou.

1. ʻO ka Glaucoma Pani-Angle Mua

ʻEkolu ala e hana ai i kēia:

• ʻO ka Glaucoma Pani-ʻĀkiu: He pilikia olakino koʻikoʻi loa kēia. No ka mea, hiki koke mai ia, inā ʻaʻole mālama pono ʻia , hiki ke alakaʻi koke i ka nalowale mau o ka ʻike. ʻO nā hōʻailona e komo pū me ka ʻeha nui o ka maka, ka ʻike maka pōwehiwehi, ka ʻike ʻana i nā apo kala (halos) i ka nānā ʻana i ke kukui, ka nausea, ka luaʻi ʻana, a me ka ʻulaʻula o ka maka. He kūlana koʻikoʻi loa kēia. E noʻonoʻo, ua hoʻi mai ʻo Nilanthi Akka mai ka hana i kekahi lā a ua manaʻo koke ʻo ia i ka ʻeha nui ma kekahi o kona mau maka, ʻike i nā apo kala i ka nānā ʻana i ke kukui , a me ka manaʻo e pahū ana kona poʻo. No ka mea, ua hele koke ʻo ia i ka haukapila i hoʻōla ʻia ai kona ʻike.
• ʻO ka Glaucoma Pani-Angle Intermittent: ʻO kēia ka wā e wehe ai a pani ʻia ai ke ala wai i kekahi manawa. Loaʻa paha i kekahi poʻe nā hōʻailona e hele mai a hele aku.
• ʻO ka Glaucoma Pani-Angle Mau:ʻAʻole paha kēia e hōʻike i kekahi mau hōʻailona i ka wā mua. Eia nō naʻe, hiki ke ʻike mālie ʻia nā hōʻailona i ka hala ʻana o ka manawa. Ma hope mai, hiki ke lilo i mea koʻikoʻi, a i ʻole e piʻi mālie ke kaomi i loko o ka maka a hōʻino i kou aʻalolo optic .

2. ʻO ka Glaucoma Pani-Angle Lua

Loaʻa kēia ʻano me kekahi maʻi ʻē aʻe. Eia kekahi laʻana:

• ʻO ka maʻi diabetes i kāohi pono ʻole ʻia (Diabetes Mellitus): Hiki i kēia ke alakaʻi i nā kūlana e like me ka Proliferative Diabetes-Related Retinopathy.
• Nā kūlana e like me ka "Ischemic Central Vein Occlusion" ma muli o ke koko kiʻekiʻe i kāohi pono ʻole ʻia a i ʻole nā ​​​​maʻi ʻē aʻe o ke kīʻaha koko.
• Uveitis (ka mumū o loko o ka maka).
• Nā membrane a me nā ʻōpala i hana ʻia e nā ʻeha maka a i ʻole nā ​​​​​​kūlana mumū.

Pehea ka maʻamau o kēia maʻi?

Wahi a nā helu helu, ma kahi o hoʻokahi i kēlā me kēia 1,000 poʻe e loaʻa i ka glaucoma pani kihi. He kiʻekiʻe loa kēia pilikia ma hope o 40 mau makahiki .

Wahi a kekahi kuhi, ʻoi aku ma mua o 17 miliona mau kānaka ma luna o 40 mau makahiki ma ka honua holoʻokoʻa i loaʻa i ka glaucoma kihi-pani mua. ʻO ka nui o kēia poʻe, ma kahi o 12 miliona, e noho ana ma nā ʻāina ʻĀsia. No laila, he mea nui e makaʻala i kēia ma nā ʻāina e like me kā mākou.

He aha nā hōʻailona o ka glaucoma pani-angle?

E like me kā mākou i kūkākūkā ai ma mua, hiki i ka glaucoma angle-closure acute ke hana i nā hōʻailona e like me:

• ʻEha nui o ka maka (i kekahi manawa hiki ʻole ke hoʻomanawanui).
• ʻUlaʻula o nā maka.
• Poho a pohihihi paha ka ʻike.
• Ke ʻike ʻana i nā apo ʻōniʻoniʻo a puni ka mālamalama (Halos).
• ʻEha poʻo (i kekahi manawa ma ka ʻaoʻao like me ka maka).
• Ka luaʻi a me ka luaʻi.

Inā ʻike koke ʻia nā hōʻailona e like me kēia, he mea nui loa ia e mālama iā ia me he pilikia lā a e ʻimi koke i ke kōkua lapaʻau!

ʻAʻole paha e hōʻike mau ʻia nā hōʻailona o ka glaucoma angle-closure mau a me ka ʻole o ka acute, akā i kekahi manawa e ʻike paha ʻoe i nā mea e like me:

• ʻUlaʻula o nā maka.
• ʻIke pōwehiwehi.
• ʻO ka ʻeha o nā maka (e like me ka ʻeha, ke kaumaha).
• ʻEha poʻo a ʻeha paha ma kahi o ke kuʻemaka.

No ke aha e loaʻa ai ka glaucoma pani-angle?

ʻO kēia ka mea, e like me kā mākou i ʻōlelo ai ma mua, ʻaʻole hiki i ka wai i loko o ka maka i kapa ʻia ʻo "Aqueous Humor" ke komo a puka pono. Hoʻopuka mau ko mākou kino i kahi wai hou e pani i ka wai kahiko.

Ke hiki ʻole i ka wai kahiko ke kahe i waho o ka maka, hōʻiliʻili ia i loko o ka maka a hoʻonui i ke kaomi. ʻO kēia kaomi i hoʻonui ʻia ke kumu o ka hōʻino ʻana i ke aʻalolo optic, ke aʻalolo nui e hoʻopili ai i ko kākou mau maka i ka lolo.

Nui nā kumu e ulu ai ka glaucoma. Akā i loko o ka glaucoma pani-kihi, ʻo ke kumu nui , ʻo ia ka hala ʻana o ka manawa, e mānoanoa iki ana ka lens maoli i loko o ko kākou maka, e hoʻokuke ana iā ia i mua a ālai i ke ala o ke wai e kahe ana ma o ka iris.

He mea hoʻoilina anei kēia?

Ua hōʻike ʻia e ka noiʻi ua pili ka glaucoma kihi-pani i ka mōʻaukala ʻohana a he kuleana ko kekahi mau genes i loko . ʻO ke ʻano kēia inā loaʻa i kekahi o kou ʻohana ke kūlana, ʻoi aku kou pilikia o ka loaʻa ʻana iā ia. No laila, he mea nui e haʻi i kāu kauka e pili ana i kou mōʻaukala ʻohana.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka glaucoma pani-angle?

Aia kekahi mau kumu pilikia nui e kōkua i kēia maʻi:

• Makahiki: Piʻi ka pilikia i kou wā ʻelemakule, ʻoiai hiki ke piʻi aʻe ke kaomi intraocular (IOP) a hiki ke hana i nā loli i ka maka.
• Kāne: ʻOi aku ka nui o ka pilikia o nā wahine i ka hoʻomohala ʻana i kēia maʻi.
• Lāhui: ʻOi aku ka nui o ka pilikia o ka poʻe o ka hanauna ʻAsia (e like me mākou).

He aha nā pilikia e hiki mai ana o kēia?

E like me nā ʻano glaucoma ʻē aʻe, hiki i ka glaucoma angle-closure ke hōʻino i kou aʻalolo optic a alakaʻi i ka nalowale mau loa o ka ʻike. ʻO ia ke kumu he mea nui loa ka ʻike mua ʻana a me ka mālama ʻana iā ia.

Pehea e ʻike ʻia ai kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​kou mōʻaukala olakino, a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like.

A laila e hana kāu kauka maka i kahi hoʻokolokolo maka piha .

He aha nā hoʻokolohua diagnostics?

Hoʻohana ke kauka i nā hoʻokolohua e like me kēia e ʻike ai i ka glaucoma pani-angle:

• Gonioscopy: Hiki i kēia ke nānā i ke kihi hoʻokahe o kou maka.
• Hoʻokolohua kukui ʻoki: He microscope kūikawā kēia e hiki ai i ke kauka ke ʻike i loko o kou maka.
• Nā hoʻāʻo e ana i ke kaomi intraocular (IOP).
• Nā Hoʻāʻo ʻIke Maka: Hoʻāʻo kēia i kāu ʻike peripheral.
• Nā hoʻāʻo kiʻi: No ka laʻana, nā hoʻokolohua e like me ka Optical Coherence Tomography (OCT) a i ʻole Ultrasound.

Inā manaʻo kāu kauka he glaucoma pani-angle kou, e pale aku ʻo ia i ka hoʻohana ʻana i nā lāʻau lapaʻau e hoʻonui i ka haumāna o kou maka, no ka mea, hiki i kēia mau lāʻau lapaʻau ke hoʻonui i ka kahe ʻana o ka wai.

Pehea e mālama ʻia ai ka glaucoma pani-angle?

ʻO kaʻoiaʻiʻo, ʻo ka glaucoma pani-kihiʻAʻole hiki ke ho'ōla loa ʻia, akā aia nā lāʻau lapaʻau e kāohi iā ia a hoʻēmi i ka hōʻino ʻana i ka ʻike.

Ka mālama ʻana i ka glaucoma pani ʻāʻī

Pono e mālama koke ʻia kēia maʻi i mea e pale ai i ka nalowale o ka ʻike. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā lāʻau lapaʻau: Hiki i kēia ke komo pū me nā kulu maka (e like me Timolol, Pilocarpine, a me Brimonidine) a me nā papa waha e like me Acetazolamide.
• ʻIridotomy Laser: He hana kēia e hoʻohana ana i kahi kukuna laser. Maanei, hana ʻia kahi lua liʻiliʻi i loko o kou iris e ʻae i ke kahe ʻana o ke wai. Inā loaʻa iā ʻoe ka glaucoma angle-closure acute ma kekahi maka, e hana pinepine kāu kauka i kēia iridotomy laser ma nā maka ʻelua. A i ʻole, aia kahi pilikia e loaʻa pū kekahi maʻi i kou maka ʻē aʻe.

Ka mālama ʻana i ka glaucoma pani kihi ʻole

Manaʻo pinepine ke kauka i ka iridotomy laser no nā hihia ʻoluʻolu o ka glaucoma angle-closure.

Hiki paha i ke kauka ke kuhikuhi i ke ʻoki ʻana i ka cataract , no ka mea hiki iā ia ke lohi i ka holomua o ka glaucoma angle-closure mau loa.

Nā pilikia a i ʻole nā ​​​​hopena ʻaoʻao o ka lāʻau lapaʻau

Ma hope o ka mālama ʻana i ka laser, hiki iā ʻoe ke ʻike i ka ʻike maka pohihihi a me ka ʻike ʻana i ka mālamalama no kekahi mau lā. Hiki iā ʻoe ke ʻike i kahi kaha o ke kukui mai kahi mālama laser. E noi pinepine ʻia ʻoe e kalaiwa me kekahi ma hope o kēia mālama ʻana. Eia nō naʻe, hiki iā ʻoe ke hoʻomaka hou i kāu mau hana maʻamau i ka lā aʻe.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka glaucoma pani-angle?

Inā mālama pono ʻoe i ka glaucoma angle-closure, pono e hoʻomaikaʻi kou kūlana. Inā he glaucoma angle-closure koʻikoʻi ia, he mea nui ka mālama koke ʻana e hoʻōla i kou ʻike.

He mea nui e nānā pinepine ʻia kou mau maka, e like me ka ʻōlelo a kāu kauka.

Hiki ke pale ʻia ka glaucoma pani-angle?

ʻAʻole, ʻaʻole hiki ke pale loa ʻia ka glaucoma kihi-pani. Eia nō naʻe, hiki i nā hoʻokolohua maka maʻamau e ke kauka maka ke kōkua iā ʻoe e hoʻoholo inā he pilikia ʻoe. Inā he pilikia ʻoe, hiki i kāu kauka ke aʻo iā ʻoe i nā lāʻau lapaʻau e pale aku ai a me nā lāʻau lapaʻau e lawe ai. Eia kekahi, inā he maʻi diabetes kou, he mea nui e kaohi i kou pae kō koko.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e ʻike pono i kahi kauka maka. Eia kekahi, e hele no nā hoʻokolohua e like me ka papa kuhikuhi āna i kuhikuhi ai nou.

Āhea wau e hele ai i ka lumi pilikia?

Pono ʻoe e ʻimi i ke kōkua lapaʻau ulia pōpilikia i kēia mau kūlana. Hiki i kēia ke komo pū me ke kāhea ʻana i kāu kauka maka a i ʻole ke hele ʻana i kahi lumi ulia pōpilikia:

• Inā hoʻomaka koke nā hōʻailona (e laʻa, ka nalowale ʻana o ka ʻike).
• Inā loaʻa iā ʻoe ka ʻeha nui o ka maka.
• Inā kū pū kekahi mau hōʻailona (e laʻa me ka ʻulaʻula o nā maka, ka nausea, a me ka ʻeha o nā maka).
• Inā he ʻeha ka maka.
• Inā ʻike ʻia nā hōʻailona ma hope o kekahi ʻano ʻoki maka.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka a kauka maka paha?

Hiki iā ʻoe ke nīnau i kāu hui lapaʻau i nā nīnau penei:

• He aha ke ʻano o ka glaucoma i loaʻa iaʻu?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• He ʻano hoʻoilina anei ke ʻano o ka glaucoma i loaʻa iaʻu?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• Pehea lā koʻu kūlana i ka wā pōkole a me ka wā lōʻihi?
• Aia kekahi mau hana e pono iaʻu ke pale aku?
• ʻEhia pinepine e pono ai iaʻu ke hana i nā manawa?
• Ua kūpono anei au e komo i kahi hoʻokolohua lapaʻau?
• Ua ʻike anei ʻoe i kekahi mau hui kākoʻo e hiki iaʻu ke komo?

He mea kōkua ke kākau i nā mea nui i ka wā o kāu hālāwai. He manaʻo maikaʻi nō hoʻi e lawe mai i kahi lālā o ka ʻohana a i ʻole hoaaloha me ʻoe e kōkua iā ʻoe e nīnau i nā nīnau a hoʻomanaʻo i nā pane.

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

He maʻi maʻamau ka Glaucoma, a he nui nā ʻano o ia mea. ʻO ka glaucoma angle-closure kekahi o ia mau ʻano. Inā loaʻa iā ʻoe ka glaucoma angle-closure acute, pono e mālama ʻia he pilikia olakino.

Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka maka, ka ʻeha poʻo, ka ʻulaʻula, a me ka nausea, e kāhea koke i kāu kauka a i ʻole e hele i ka lumi pilikia. Pono paha ʻoe i ke kōkua lapaʻau wikiwiki e hoʻōla i kou ʻike. Pono pū kekahi mau ʻano glaucoma pani kihi i ka mālama ʻana. E like me nā kūlana āpau, ʻo ka ʻike mua a me ka mālama ʻana nā ala maikaʻi loa e mālama ai. Mai hopohopo, ʻo ka ʻike ka ikaika nui loa!

Glaucoma Huina - Pani , Glaucoma, Kaomi Maka, Aʻalolo Optic, Poho ʻIke, ʻEha Maka, Lapaʻau Laser