Ke nānā ʻoe i loko o ke aniani, ua ʻike anei ʻoe i kahi apo keʻokeʻo, hina, a polū paha a puni kou maka ʻeleʻele? Ua ʻike paha ʻoe i kēia ma nā maka o kou mau mākua, kūpuna, a i ʻole nā mākua ʻelemakule. He nui ka poʻe e makaʻu iki ana i ka ʻike ʻana i kēia, me ka noʻonoʻo inā he maʻi hoʻoweliweli i ka ʻike e like me ke cataracts. Akā he aha kēia? He mea anei e makaʻu ai? E kamaʻilio kākou e pili ana i kēia lā.
He aha maoli ʻo Arcus Senilis?
I ka ʻōlelo maʻalahi, he apo keʻokeʻo, hina, a polū paha kēia o ka momona, a lipid paha, e hana ana a puni ka cornea o kou maka.
E hoʻomaopopo iki kākou e pili ana i ko kākou mau maka.
- Cornea: ʻO kēia ka ʻāpana moakaka a piʻo o ko kākou maka e uhi ana i ka iris a me ka pupil ma waenakonu o ka maka. Ua like ia me ka puka makani i loko o ko kākou hale. Hoʻopili ia i ka mālamalama e komo ana i ka maka a kōkua iā kākou e ʻike.
- ʻIris: ʻO kēia ka ʻāpana e hāʻawi i ka maka i kona kala. He mau maka ʻeleʻele ko kekahi poʻe, he mau maka ʻeleʻele ko kekahi.
- Sclera: ʻO kēia ka ʻāpana keʻokeʻo o ka maka.
No laila, ʻo nā waihona momona a mākou i kamaʻilio ai e kū mai ana a puni ka lihi o waho o ka cornea, ka ʻāpana moakaka o ka maka. I ka wā mua, hoʻomaka kēia ma ke ʻano he ʻelua mau piʻo ma luna a ma lalo, a laila i ka hala ʻana o ka manawa, hiki iā ia ke ulu a lilo i apo piha.
Hoʻololi ka inoa no kēia ʻano me kou mau makahiki.
- ʻO Arcus Senilis: Inā he 50-60 ou mau makahiki a ʻoi paha, ua kapa ʻia kēia apo ʻo `Arcus Senilis`. ʻO "Senilis" ke ʻano he "ʻelemakule" ma ka ʻōlelo Latina. Hiki i ka poʻe āpau ma kahi o 80 mau makahiki ke ʻike i kēia ʻano. He ʻāpana maʻamau ia o ke kaʻina hana ʻelemakule. No laila, inā loaʻa i kahi ʻelemakule kēia, ʻaʻohe mea e hopohopo ai.
- ʻO Arcus Juvenilis: Akā inā ʻoi aku kou ʻōpio ma mua o 40, a loaʻa iā ʻoe kēia apo, ua kapa ʻia ʻo 'Arcus Juvenilis'. ʻO "Juvenilis" ke ʻano he "ʻōpio". I kekahi manawa hiki i kēia ke hōʻailona o kahi maʻi lapaʻau ʻē aʻe i loko o kahi kanaka ʻōpio. No laila he mea ia e hopohopo ai.
Mai huikau i kēia me nā cataracts!
ʻO kahi nīnau a ka poʻe he nui, inā he cataract kēia. ʻOiai he mea maʻamau nā mea ʻelua me ka ʻelemakule, he mau maʻi ʻokoʻa loa kēia.
ʻO ka mea nui, ʻaʻole e hōʻeha kēia apo keʻokeʻo i kapa ʻia ʻo 'Arcus Senilis' i kou ʻike. Eia nō naʻe, ʻo ke cataracts ka uhi ʻana o ka lens o ka maka. Hoʻopilikia mālie kēia i ka ʻike a ma hope e pono ai ke ʻoki ʻana e wehe.
ʻAʻole pono ka lāʻau lapaʻau no ka `Arcus Senilis`, no ka mea, ʻaʻole ia e hōʻeha i ka ʻike. ʻAʻole pono ke ʻoki kino.
No ke aha i hana ʻia ai ke apo a puni ka maka penei?
Hoʻokumu ʻia kēia apo, e like me kā mākou i kūkākūkā ai ma mua, ma o ka waiho ʻana o nā lipids, a i ʻole nā momona, a puni ka cornea o ka maka. He ʻano lipid nō hoʻi ka Cholesterol. ʻO ka ʻoiaʻiʻo, ua hana nui ʻia kēia apo me ka cholesterol.
Akā ʻo ka ʻike wale ʻana i kēia ʻaʻole ia he manaʻo he kiʻekiʻe kou cholesterol i loko o kou koko.
- Inā ʻoe ma luna o 50-60 mau makahiki: He hopena maʻamau kēia o ka ʻelemakule. Hiki ke hōʻiliʻili ka momona ma kēia ʻano ke loli ke kino i ko kākou ʻelemakule ʻana. He mea maʻamau ia.
- Inā he ʻōpio ʻoe, ma lalo o 40 mau makahiki: ʻOi aku ka nui o kēia he hōʻailona o kahi maʻi maʻi. Hiki i kāu kauka ke kānalua a hana i kekahi mau hoʻokolohua. Hiki paha kēia ma muli o:
- Ka pae cholesterol kiʻekiʻe i loko o ke koko
- Nā pae triglyceride kiʻekiʻe i loko o ke koko
- Ua ʻike pū kekahi mau noiʻi i kahi pilina ma waena o ka maʻi hoʻohana ʻona a me kēia ʻano.
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai ʻo ka maʻi ʻino ʻole ʻo 'Arcus Senilis' no ka poʻe ʻelemakule, aia kekahi mau hihia kahi e pono ai ʻoe e ʻike koke i ke kauka ke ʻike ʻoe. E nānā pono kākou i kēlā mau hihia.
| Ka manawa hoihoi (kukui ʻulaʻula!) | Ke kumu hiki a me ka mea e hana ai |
|---|---|
| Inā ʻoe ma lalo o 40-50 mau makahiki (Arcus Juvenilis) | He hōʻailona paha kēia he kiʻekiʻe kou mau pae o ka cholesterol a i ʻole nā lipids ʻē aʻe i loko o kou koko. Hiki nō hoʻi kēia ma muli o kahi kūlana genetic e holo ana i loko o ka ʻohana (familial hypercholesterolemia). He mea nui e ʻike koke i kāu kauka a loaʻa i kahi hoʻāʻo koko. |
| Inā loaʻa ke apo i hoʻokahi maka wale nō (Unilateral Arcus Senilis) | He kūlana hopohopo loa kēia. Hiki ke lilo i hōʻailona o kahi paʻa a i ʻole ka maʻi carotid artery, kahi kīʻaha koko nui ma ka ʻāʻī e hoʻolako ana i ke koko i ka lolo. Hiki ke lilo kēia i hōʻailona o kahi kūlana koʻikoʻi, e like me ka hahau ʻana, no laila e ʻimi koke i ke kōkua lapaʻau. |
ʻOkoʻa ma waena o nā apo Arcus Senilis a me Kayser-Fleischer
ʻO kekahi kūlana e like me 'Arcus Senilis' ʻo ia nā 'Kayser-Fleischer rings'. Eia naʻe, he ʻokoʻa loa nā mea ʻelua.
- ʻO Arcus Senilis: Hoʻokumu ʻia e nā waihona momona (lipid) . He keʻokeʻo/hina/polū ke kala.
- Nā apo Kayser-Fleischer: Hoʻokumu ʻia e nā waihona keleawe . He ʻeleʻele/ʻōmaʻomaʻo ko lākou kala. ʻIke ʻia lākou i nā poʻe me kahi maʻi genetic laha ʻole i kapa ʻia ʻo 'Wilson disease'.
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻAʻole hiki iā mākou ke hoʻōki i ke kūlana ʻo 'Arcus Senilis' e kū mai ana me ka ʻelemakule. He hana kūlohelohe ia. Eia nō naʻe, hiki iā mākou ke pale aku i ke kūlana ʻo 'Arcus Juvenilis' e kū mai ana ma muli o ke kiʻekiʻe o ka cholesterol i nā poʻe ʻōpio a mālama i ke olakino puʻuwai maikaʻi. Eia kekahi mau mea hiki iā mākou ke hana:
- E pale loa i ka puhipaka. Inā ua puhipaka mua ʻoe, e hoʻolālā e haʻalele koke.
- E hana i ka hana kino i kēlā me kēia lā. E ho'āʻo e hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala no ka liʻiliʻi he 30 mau minuke i ka lā.
- E mālama i ke kaumaha olakino. He mea nui loa ka mālama ʻana i ke kaumaha kūpono no kou kiʻekiʻe.
- E hoʻohana i ka ʻai olakino no ka puʻuwai. E noho mamao mai nā meaʻai wikiwiki a me nā meaʻai i hana ʻia i kiʻekiʻe i ka ʻaila, ke kō, a me ka paʻakai. E hoʻokomo i nā meaʻai hou aʻe e like me nā mea kanu, nā huaʻai, nā legumes, nā nati, a me nā iʻa. ʻO nā ʻai e like me ka 'ʻai Mediterranean' he mau laʻana maikaʻi ia o kēia.
Inā ʻike ʻoe i kekahi mau loli i ke ʻano o kou mau maka, ʻoiai he apo e like me kēia, ʻoi aku ka maikaʻi o ka hopohopo ʻole a hoʻowahāwahā paha, akā e kamaʻilio me kāu kauka ʻohana a i ʻole ke kauka maka. E nānā lākou a hoʻoholo inā he ʻano ia i kapa ʻia ʻo 'Arcus Senilis' i hoʻokumu ʻia e ka ʻelemakule, a ʻaʻohe ou mea e hopohopo ai.
Leka Lawe-Home
- He mea maʻamau loa ke apo keʻokeʻo/hina a puni ka lihilihi maka (Arcus Senilis) i nā poʻe ma luna o 50-60 mau makahiki a he hōʻailona maʻamau a ʻino ʻole ia o ka ʻelemakule.
- ʻAʻole kēia apo e hōʻino i kou ʻike. ʻAʻole ia he cataract.
- Inā he ʻōpiopio ʻoe, ma lalo o 40 mau makahiki , a inā paha aia kēia apo i hoʻokahi maka wale nō,Ma muli paha he hōʻailona ia o kahi maʻi olakino, he mea nui e ʻike koke aku i ke kauka.
- ʻAʻohe lāʻau lapaʻau no kēia maʻi, akā he mea nui e mālama i nā kūlana e like me ka cholesterol e hiki ai ke kumu.
- He mea maikaʻi ke kaohi ʻana i ka cholesterol ma o ke ola kino olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka pale ʻana i ka puhipaka) no ke olakino holoʻokoʻa.











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