ʻAʻohe ou aniani i loko o kou maka? E kamaʻilio kākou e pili ana iā Aphakia!

Ua loaʻa paha iā ʻoe ka ʻike maka pōwehiwehi, e like me ka aniani o ke kāmela e hele hewa ana? I kekahi manawa, ʻaʻole hiki iā mākou ke ʻike maopopo i nā mea, inā kokoke a mamao paha. ʻO kahi ʻaoʻao koʻikoʻi o kēia pilikia he ʻano i kapa ʻia ʻo aphakia. I ka ʻōlelo maʻalahi, ʻo ia ka manawa e nalowale loa ai ka aniani i loko o kou maka. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku .

He aha maoli ʻo ʻAphakia?

ʻAe, e nānā mua kākou i ke ʻano o ka huaʻōlelo ʻo 'Aphakia'. ʻO ke ʻano maʻalahi loa o kēia, ʻo ia ka nele o ka lens maoli i loko o kou maka. ʻIke ʻoe, i loko o ko kākou maka, aia kēlā ʻāpana kala, ʻo ia ka 'Iris', a me kahi ʻeleʻele ma waena, ʻo ia ka 'Pupil', a ma hope o ia mea kēia lens. Hana kēia lens e like me ke lens o kahi kāmela. ʻO ka hana nui o kēia lens, ʻo ia ka hōʻiliʻili ʻana i nā kukuna mālamalama e hele mai ana mai waho, e hoʻopili iā lākou, a hoʻouna iā lākou ma ke ʻano he kiʻi maopopo ma luna o ka 'Retina' ma ke kua o ka maka. No laila e noʻonoʻo, he aha ka mea e hana inā e nalowale kēia lens? ʻO ia ka manawa e hoʻomaka ai nā mea āpau e nānā blurry a maopopo ʻole.

Inā loaʻa kēia ʻano aphakia i hoʻokahi maka wale nō, kapa mākou ia he aphakia unilateral a i ʻole aphakia monocular. A i ʻole, inā ʻaʻohe aniani o nā maka ʻelua, kapa ʻia ia he aphakia bilateral.

He aha ka ʻokoʻa ma waena o Aphakia a me Pseudophakia?

I kēia manawa e lohe paha ʻoe i kekahi huaʻōlelo ʻē aʻe, ʻo ia hoʻi ka pseudophakia. Mai huikau i nā mea ʻelua.

• ʻO Aphakia ka nele o ka lens maoli o ka maka.
• ʻO Pseudophakia ka hoʻokomo ʻana o kahi lens hana (Intraocular Lens - IOL) i loko o ka maka. I ka manawa pinepine, ulu ka cataracts, a wehe ʻia ka lens cataractous ma ke ʻoki ʻana a hoʻololi ʻia me kēia lens hana.

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ka aphakia ʻaʻohe lens iki. ʻO ke ʻano o ka Pseudophakia he mea kope, ʻo ia hoʻi, he mea hana, ma kahi o ke kumu. Ua maopopo iaʻu?

ʻO wai ka mea hiki ke hoʻomohala i ka aphakia?

Hiki i kēia ʻano ke hiki i kekahi. Eia nō naʻe, ʻike pinepine ʻia i nā poʻe i hana ʻia i ke ʻoki cataract, e like me kaʻu i ʻōlelo ai ma mua. ʻO kēia no ka mea ua wehe ʻia ka lens maoli i ka wā o ke ʻoki ʻana. ʻO ka maʻamau, ua wehe ʻia a hoʻokomo ʻia kahi lens artificial (IOL). Eia nō naʻe, i kekahi mau hihia, ʻoiai ke hana ʻana i ke ʻoki ʻana i nā pēpē a i ʻole nā ​​​​keiki liʻiliʻi, hiki i nā kauka ke hoʻoholo ʻaʻole e hoʻokomo koke i kahi lens artificial.

He aha nā hōʻailona o ka aphakia?

ʻAe, e nānā kākou i nā hōʻailona āu a i ʻole kekahi āu i ʻike ai e ʻike ai inā loaʻa iā ʻoe ka aphakia. Loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau mea:

• ʻIke pōwehiwehi:ʻO kēia ka hiʻohiʻona nui. Ua pohihihi nā mea a pau, e like me ka noe.
• Paʻakikī i ka ʻike ʻana i nā mea kokoke a me nā mea mamao: Ma muli o ka nalowale ʻana o ka lens, ʻaʻole hiki ke hoʻopili pono ʻia ke kukui e komo ana i ka maka. No laila, ua pōwehiwehi ka ʻike kokoke a me ka ʻike mamao.
• Makapo kala: ʻIke ʻia nā kala he palalulu a nele i ka ʻōlinolino i loaʻa iā lākou ma mua. Akā, mai huikau i kēia me ka makapo kala. He kūlana ʻokoʻa kēlā.
• Ke lele ʻana o ka iris: Ua kapa ʻia kēia ma ke ʻano lapaʻau ʻo "Iridodonesis." Ke neʻe ʻoe i kou maka, ʻo ka ʻāpana kala i loko, ʻo ka iris, e like paha me ka neʻe ʻana a i ʻole ka haʻalulu. ʻO kēia no ka mea, ʻo ka iris, ka mea i kākoʻo mau ʻia e ka lens, e nalowale ana kona hiki ke kālele.
• Paʻakikī ke hoʻololi i ka mamao: Ke nānā koke ʻoe i luna a laila i lalo, a i ʻole e nānā i lalo a laila i luna, paʻakikī i nā maka ke hoʻololi i kēlā mau mamao.

No ke aha e kū mai ai kēia aphakia? He aha nā kumu?

Aia kekahi mau kumu nui o ka aphakia. E nānā kākou iā lākou pākahi.

1. Ma muli o ke ʻoki kino

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke ʻoki cataract ke kumu nui o kēia. I ka wā o ke ʻoki ʻana, wehe ʻia ka lens kūlohelohe noe. I ka hapa nui o nā hihia, hoʻokomo ʻia kahi lens hana (Intraocular Lens - IOL) i loko o ka maka. Eia nō naʻe, i kekahi mau hihia kūikawā, no ka laʻana, i ka wā e hana ai i ke ʻoki ʻana ma nā pēpē ʻōpiopio loa, hoʻoholo paha nā kauka ʻaʻole e hoʻokomo koke i kahi lens hana. I kēlā hihia, lilo ka maka i aphakic.

2. Ma muli o nā kūlana olakino hānau

ʻO ke ʻano kēia, ua hānau ʻia kahi pēpē me ka ʻole o kahi aniani. Ua kapa ʻia kēia he `(Congenital aphakia)`. He ʻano laha ʻole kēia. I kekahi manawa hiki ke hele pū me nā kīnā hānau ʻē aʻe o ka maka. Inā loaʻa i ka makuahine kahi maʻi e like me ka rubella i ka wā hāpai, hiki i ka pēpē ke loaʻa i kēia mau ʻano.

ʻElua ʻano o ka "Congenital aphakia":

• ʻAno mua: I kēia hihia, ʻaʻole ulu iki ka lens i ka wā embryonic.
• ʻAno lua: I kēia hihia, hoʻomaka ka lens e ulu, akā ʻaʻole i ulu piha. Aia paha he mau ʻāpana o ka lens i koe, akā ua nalowale kahi lens hana piha.

3. Ma muli o nā ʻeha o ka maka

ʻO kahi ulia koʻikoʻi i ka maka "(ʻeha maka)" a i ʻole kahi ʻeha e hōʻino i ka lens i loko o ka maka, e lilo ai i mea hemo a pono e wehe ʻia. ʻO ka nalowale ʻana o ka lens ma muli o kahi ulia e like me kēia ua kapa ʻia ʻo "Traumatic aphakia". E noʻonoʻo, inā paʻi kekahi mea ʻoi i ka maka, a inā paʻi ka pōpō i ka maka me ka ikaika, e like me ka wā o nā haʻuki, hiki ke hana ʻia nā mea e like me kēia.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka aphakia?

ʻO ke ala wale nō e ʻike pono ai inā he aphakia kou, ʻo ia ke nānā pono ʻana i ka maka e ke kauka maka. I loko o kēia hoʻokolokolo ʻana, hoʻohana ke kauka i kahi mea hana kūikawā i kapa ʻia he kukui slit. Ua like ia me ke kukui nui a me kahi microscope i hui pū ʻia. Hiki iā ia ke haʻi pololei iā ʻoe inā he lens kou i loko o kou maka a ʻaʻole paha.

I kekahi manawa, hiki i nā ultrasounds prenatal ke ʻike i ka aphakia congenital i loko o kahi pēpē.

He aha nā lāʻau lapaʻau no ka aphakia?

ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka aphakia. ʻEkolu mau koho lapaʻau nui:

1. ʻoki kino:

ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia. Maanei, ua hoʻokomo ʻia kahi aniani hana, i kapa ʻia ʻo Intraocular Lens (IOL), i loko o ka maka e pani i kāu aniani maoli i nalowale. He lāʻau lapaʻau holomua kēia.

2. Nā aniani hoʻopili:

No kekahi poʻe, ʻoi aku hoʻi nā kamaliʻi ʻōpio a i ʻole ka poʻe hiki ʻole ke hana ʻoki kino, hiki i kāu kauka ke ʻōlelo aku i kahi ʻano kūikawā o nā aniani hoʻopili i kapa ʻia ʻo nā aniani hoʻopili aphakic. ʻAʻole like kēia me nā aniani hoʻopili maʻamau, akā he ikaika loa. Hiki ke hoʻohana ʻia kekahi mau ʻano no nā kamaliʻi ʻōpio no kekahi mau lā i ka manawa, akā pono e hoʻololi ʻia kekahi i kēlā me kēia lā.

3. Nā aniani:

Inā loaʻa iā ʻoe ka aphakia bilateral, ʻo ia hoʻi, ʻaʻohe ou aniani ma nā maka ʻelua, hiki i kāu kauka ke ʻōlelo aku i nā aniani. Eia nō naʻe, aia kekahi mau pilikia kūpono me nā aniani no kēia ʻano:

• He mānoanoa loa ke aniani o kēlā mau aniani, a hiki iā ia ke hoʻolilo iā lākou i mea kaumaha.
• Ma muli o ka mana o ke aniani, hiki i nā mea e like me nā laina pololei ke ʻano e kūlou ana i loko. Ua kapa ʻia kēia ʻo ka "Pincushion effect".
• Hiki ke pilikia ka ʻike hohonu. He mea paʻakikī paha ke hoʻoholo i ka mamao, e like me ke iho ʻana i lalo o kahi alapiʻi.
• Loaʻa paha i kekahi poʻe nā pilikia hoʻonaninani .

No nā kumu e like me kēia, ʻoi aku ka makemake o nā kauka e ʻōlelo i nā aniani hoʻopili.

He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?

Hiki ke loaʻa kekahi mau pilikia i ka wā a i ʻole me ka mālama ʻana i ka aphakia.

• Ma hope o ke ʻoki ʻana i ka cataract a i nā keiki ʻōpio me ka aphakia, hiki ke ulu kahi ʻano glaucoma kūikawā, i kapa ʻia ʻo aphakic glaucoma , i hoʻoulu ʻia e ka hoʻonui ʻia o ke kaomi i loko o ka maka. Hiki ke hana ʻia kēia ma ke ʻano he glaucoma kihi hāmama a i ʻole glaucoma pani kihi.
• ʻO nā kamaliʻi ʻōpio i hana ʻia i ke ʻoki cataract, inā he lens intraocular (IOL) a i ʻole nā ​​​​​​lenses contact aphakic, pono lākou e komo i nā bifocals e pale aku i kahi maʻi i kapa ʻia ʻo amblyopia , a i ʻole "maka palaualelo."
• I ka ulu ʻana o nā keiki, loli ka nui o ko lākou mau maka. No laila, pono e hoʻoponopono mau ʻia kekahi ʻano lens hoʻoponopono a lākou e hoʻohana ai (nā aniani a i ʻole nā ​​​​lenses pili). Hana ʻia kēia e pale aku i ke kūlana i kapa ʻia ʻo "Amblyopia."
• Me ka aphakia, aia kahi pilikia o ka hoʻomohala ʻana i nā kūlana koʻikoʻi e like me ka waimaka retinal a me ka retinal detachment .

He mea nui: Inā loaʻa i kahi keiki ʻōpiopio ka aphakia, he mea nui loa ia e hahai i nā ʻōlelo a ke kauka a loaʻa nā nānā mau ʻana e hōʻoia i ka ulu pono ʻana o kā lākou ʻike. A i ʻole, hiki ke loaʻa nā hemahema mau loa o ka ʻike e like me ka "Amblyopia".

Pehea e hōʻemi ai i ka pilikia o ka aphakia?

ʻO kaʻoiaʻiʻo, ʻaʻohe ala kikoʻī e pale aku ai i ka aphakia mai ka hanana ʻana, no ka mea, hiki ke hopena ia o ke ʻoki ʻana, kahi kīnā hānau, a i ʻole kahi ulia.

Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e mālama ai i kou ʻike a me ke olakino o kou maka :

• E hoʻokolokolo maka i nā manawa maʻamau. He manaʻo maikaʻi e ʻike i ke kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā i kou mau maka.
• E komo i nā aniani pale i ka wā e hana ana, holo ana, lele ana, a pāʻani ana paha, a i ʻole i ka wā e hana ana i nā hana e hoʻoweliweli ai i kou mau maka.
• E ʻaʻahu i nā aniani maka maikaʻi i ka wā e hele ai i waho i ka lā. Hiki i kēia ke hōʻemi i ka hōʻino ʻia i kou mau maka.
• E ʻai i ka meaʻai olakino e komo pū ana me nā mea kanu ʻōmaʻomaʻo a me nā huaʻai.
• Inā ʻoe e puhipaka, e haʻalele. He mea ʻino loa hoʻi ka puhipaka i nā maka.
• E noho hana mau.

ʻOiai ʻaʻole hiki i kēia mau mea ke pale i ka aphakia, hiki iā lākou ke kōkua i ka mālama ʻana i ke olakino holoʻokoʻa o kou mau maka.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka aphakia?

He maʻi hiki ke mālama ʻia ʻo Aphakia. Ma hope o ka mālama ʻana, ʻaʻole paha ʻoe e loaʻa i ka ʻike maka 100 pakeneka e like me kekahi me ka ʻike maka maʻamau. Eia nō naʻe, me nā aniani kūpono (nā aniani maka, nā aniani hoʻopili, a i ʻole nā ​​​​​​aniani intraocular (IOL)), hiki iā ʻoe ke loaʻa ka ʻike maikaʻi .

Inā loaʻa i kāu pēpē ka aphakia, e kamaʻilio kāu kauka me ʻoe e pili ana i ka lāʻau lapaʻau maikaʻi loa nona. Eia kekahi laʻana, ʻoi aku ka palekana no nā pēpē ʻōpio loa ke komo i nā aniani hoʻopili ma mua o ka hana ʻana i kahi ʻoki lens intraocular (IOL) i ka manawa hoʻokahi.

Āhea wau e ʻike ai i ke kauka?

ʻAʻole hiki iā ʻoe ke ʻike maopopo inā he aphakia kou, ʻo ke kauka wale nō ke hiki ke haʻi pololei iā ʻoe. Eia nō naʻe, hiki iā ʻoe ke ʻike i nā hōʻailona e hoʻopilikia nei i kou ʻike.

• Inā ʻaʻole hiki iā ʻoe ke ʻike maopopo,
• Inā he kānalua kou e pili ana i ka ʻike o kāu keiki,

E ʻike pono i ke kauka, ʻoiai ke kauka maka.

He mea nui ka pale ʻana i kou ʻike maka nou a me kāu kauka. Inā he aphakia kou ma muli o kahi ulia, ʻoki kino, a i ʻole ua hānau ʻia kāu keiki me ka ʻole o ka lens, e hana pū me kāu kauka e hoʻoholo i ka lāʻau maikaʻi loa. Mai poina i kāu mau hoʻokolohua maka maʻamau.

ʻO ka mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo (Leka Lawe-Home)

ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka aphakia a mākou i kamaʻilio ai i kēia lā. Eia kekahi o nā mea nui e hoʻomanaʻo ai:

• ʻO Aphakia ka nele o ka lens kūlohelohe i loko o ka maka, e kumu ai ka ʻike maka pohihihi.
• ʻO nā kumu nui o kēia, ʻo ia ke ʻoki ʻana i ka cataract, nā maʻi hānau ʻia, a me nā ʻeha maka.
• ʻO ka mea pōmaikaʻi, aia nā lāʻau lapaʻau no kēia. ʻO nā lāʻau lapaʻau nui ka hoʻokomo ʻana i kahi lens intraocular (IOL), ke kau ʻana i nā aniani hoʻopili kūikawā (nā aniani hoʻopili aphakic), a i ʻole ke kau ʻana i nā aniani kūikawā.
• ʻOi loa aku no nā keiki ʻōpio me ka aphakia, he mea nui loa ia e hoʻomaka i ka lāʻau lapaʻau i ka wā mua a e noho ma lalo o ka nānā mau ʻana o ke kauka i hiki ai i ko lākou ʻike ke ulu pono. A i ʻole, hiki ke ulu nā kūlana e like me ka "maka palaualelo" (Amblyopia) a hiki ke hoʻopilikia mau ʻia ka ʻike.
• Inā ʻike ʻoe i kekahi mau loli a i ʻole ka pōwehiwehi o kou ʻike, e ʻike koke i kahi ophthalmologist.

ʻO ko kākou mau maka kekahi o nā makana makamae loa i loaʻa iā kākou. No laila, ʻo ko kākou kuleana ke mālama iā lākou.

ʻAphakia , aniani o ka maka, ʻike maka, nā aniani hana, ʻoki maka, maʻi ʻike maka, olakino maka