He ʻili keʻokeʻo paha kou mau maka? He ʻano ʻiliʻili paha ia!

Ua ʻike anei ʻoe aia kahi ʻāpana keʻokeʻo a i ʻole kahi ʻili keʻokeʻo e hana ana i mua o kou maka, ma luna o ka cornea? I kekahi manawa hiki ke hele pū me ka ʻoluʻolu ʻole i ka maka, kahi manaʻo o ka maneʻo, a pēlā aku. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Kāhea nā kauka i kēia ʻo `(Band Keratopathy)`. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka Band Keratopathy?

I ka ʻōlelo maʻalahi, ʻo `(Band Keratopathy)` he maʻi ia o ka `(Cornea)`, ka membrane maopopo ma ke alo o kou maka. Ua ʻike ʻoe, ua like kēia membrane maopopo me ka puka makani e komo ai ka mālamalama i loko o ko kākou mau maka. Ma ke ʻano maʻamau, ua maopopo loa ia, ʻo ia ke kumu e ʻike maopopo ai kākou i ke ao nei.

Akā i ke ʻano o ka `(Band Keratopathy)`, ua waiho ʻia nā paʻakai calcium `(Calcium salts)` i loko o kekahi mau papa o kou cornea. E noʻonoʻo e like me ka limescale e hana ana i loko o kahi paipu wai i ka hala ʻana o ka manawa. Hoʻokumu kēia mau waihona calcium i kahi hui (no laila ka huaʻōlelo `Band`). ʻO ka hapa nui o ka manawa, hoʻomaka ia ma ka lihi o waho o ka cornea `(peripheral)` a pālahalaha i ka `(center)`.

Hiki mai kēia waihona kalipuna ke hōʻino ʻia a nāwaliwali paha ka retina. Hiki ke hana ʻia kēia e kahi maʻi i loko o ka maka ponoʻī, a i ʻole e kekahi kūlana ʻē aʻe e hoʻopilikia i kou kino holoʻokoʻa, e like me ka pilikia me kāu ʻōnaehana pale.

Ua kapa ʻia hoʻi kēia ʻo `(Band-Shaped Keratopathy - BSK)`, `(Corneal Band Keratopathy)` a me `(Calcific Band Keratopathy)`.

He aha ka hana o kēia i ka maka?

ʻO ka maʻamau, ua moakāka ka cornea, no laila hiki iā mākou ke ʻike maopopo. Akā i ka wā e hōʻiliʻili ai kēia calcium, nalowale kēlā moakāka, a lilo nā maka i mea pōuliuli a ʻike ʻia he pouli .

Ke mānoanoa kēia waihona kalipuna, hiki iā ia ke hoʻolilo i kou mau maka i ao. Hiki paha iā ʻoe ke hoʻomaka e ʻike iā ia i loko o kou mau maka ma mua o kou ʻike ʻana. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka ʻike haʻahaʻa .

ʻO ka hapa nui o ka manawa, waiho ʻia kēia calcium ma nā wahi e ʻike ai kekahi poʻe ke wehe ʻia kou mau maka.

He aha nā hōʻailona o kēia?

Inā loaʻa iā ʻoe ka `(Band Keratopathy)`, loaʻa paha iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona:

• ʻIke pōwehiwehi: ʻAʻole ʻike pono e like me ma mua.
• ʻEha maka: Hiki ke loaʻa ka ʻeha, ʻoiai ke haki nā ʻāpana liʻiliʻi o nā waihona calcium a hoʻonāukiuki i ka maka.
• ʻO ka huhū o ka maka a i ʻole ka manaʻo e like me ke one i loko o ka maka: Ua kapa ʻia kēia he "manaʻo kino haole" ma nā ʻōlelo lapaʻau. He manaʻo wale nō ia e like me kahi mea i paʻa i loko.
• Photophobia: Manaʻo e like me ka paʻakikī o ka nānā ʻana i ka mālamalama ma mua o ka maʻamau, me he mea lā e polū ana kou mau maka.
• ʻUlaʻula o nā maka.
• Ka loli ʻana o ke ʻano o ka maka:Hiki paha iā ʻoe ke ʻike iā ʻoe iho ke nānā ʻoe i loko o ke aniani, a i ʻole ke nānā ke kauka i kou mau maka me kahi hoʻokolohua maka kukui ʻoki, a ʻike paha ʻoe i kahi kāʻei keʻokeʻo-hina, malia paha me nā wahi e like me nā puʻu.

No ke aha lā mākou e loaʻa ai kēia ʻano mea?

ʻO ke kumu nui o ka `(Band Keratopathy)` ʻo ia ka nele o ka calcium i loko o ke kino. Nui nā kumu no ia mea. ʻO kekahi he mau maʻi e hoʻopilikia wale i nā maka, aʻo kekahi he mau maʻi e hoʻopilikia i ke kino holoʻokoʻa.

Hiki i nā maʻi maka ke hana i ka "Band Keratopathy"

Hiki ke hana ʻia kēia maʻi e nā maʻi maka e like me:

• Glaucoma: He maʻi kēia kahi e hōʻino ʻia ai ke aʻalolo optic, ka mea e kōkua iā mākou e ʻike, ma muli o ka hoʻonui ʻia o ke kaomi i loko o ka maka. Inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i ka makapō.
• Keratoconjunctivitis: ʻO kēia ka wā e mumū ai nā ʻāpana ʻelua o kou maka, ka cornea a me ka conjunctiva.
• Uveitis: He hui kēia o nā maʻi e hoʻoulu ai i nā maka e ʻulaʻula, pehu, a ʻeha. Hiki i kēia ke alakaʻi i ka makapō inā ʻaʻole mālama pono ʻia.
• ʻO ka Phthisis bulbi: He ʻano kēia i hōʻino nui ʻia ai ka maka a emi iho. I kekahi manawa ua kapa ʻia ʻo ia he "maka hope loa".
• ʻEha maka: Ka pōʻino o ka maka, inā paha mai kahi ulia a i ʻole ka hāʻule ʻana.

ʻO ke Band Keratopathy ma muli o nā maʻi ʻōnaehana pale

Hiki nō hoʻi ke hiki mai kēia kūlana ma muli o kekahi mau haunaele i loko o ka ʻōnaehana pale o ko kākou kino, ʻo ia hoʻi, ka ʻōnaehana pale kino.

• ʻO ka ʻōʻō idiopathic ʻōpio: He maʻi autoimmune kēia. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale i kona mau hunaola ponoʻī. Hiki iā ia ke hoʻopilikia i kekahi hui o ke kino.
• ʻO Sarcoidosis: He maʻi mumū nō hoʻi kēia. ʻOiai ʻo ia ka mea maʻamau e hoʻopilikia i nā māmā, hiki iā ia ke hoʻopilikia i nā ʻōpū ʻē aʻe.
• Discoid lupus: ʻO ka poʻe me kēia maʻi, he ʻili mānoanoa a pehu paha ko lākou, e like me nā ʻāpana poepoe ma ka maka a i ʻole nā ​​pepeiao.

Ma muli o ka hoʻonui ʻia o ka calcium i loko o ke koko (Hypercalcemia)

Inā piʻi nui ka nui o ka calcium i loko o kou koko, ʻo ia hoʻi, inā loaʻa iā ʻoe kahi maʻi i kapa ʻia ʻo `(Hypercalcemia),' he kumu nō hoʻi ia. Aia kekahi mau kumu e hiki ai ke hana ʻia ʻo `(Hypercalcemia)`:

• Hyperparathyroidism: Hiki ke hana kēia i ka wā e hoʻokuʻu ai kekahi a ʻoi aku paha o nā kelepa parathyroid ʻehā i loko o ko mākou ʻāʻī i ka nui o ka hormone parathyroid.
• Ka ʻawahia o ka wikamina D: Ka lawe nui ʻana i ka wikamina D.
• ʻO ka maʻi o Paget: Hoʻopilikia kēia maʻi i nā iwi a piʻi ka wikiwiki a me ke alapine o ka hoʻokumu ʻana o nā iwi hou.

Nā kūlana olakino ʻē aʻe

Ma waho aʻe o nā mea i luna aʻe nei, hiki i kekahi mau maʻi ʻē aʻe ke hana i ka `(Band Keratopathy):`

• Gout: He ʻano maʻi ʻāʻī kēia i hoʻokumu ʻia e nā kristal uric acid.
• Multiple Myeloma: He ʻano maʻi koko laha ʻole kēia. ʻOiai hiki ke kāohi ʻia ka maʻi me ka lāʻau lapaʻau, he paʻakikī ke ho'ōla loa.
• ʻIchthyosis: He maʻi ʻili kēia, aia ma mua o 20 mau ʻano.
• Maʻi puʻupaʻa hope loa: ʻO kēia ka wā e hāʻule ai nā puʻupaʻa a hiki ʻole ke hoʻomaʻemaʻe i ke koko.
• Ka ʻike ʻana i kekahi mau kemika: Hiki i kekahi mau lāʻau lapaʻau ke hana i kēia.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi?

Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, hiki iā ʻoe ke ʻike i kahi kauka lapaʻau maʻamau, a i ʻole hiki iā ʻoe ke hele pololei i kahi loea mālama maka.

E nīnau mua ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino a me nā hōʻailona o kēia manawa e hoʻoholo ai i ke kumu o kēia kūlana (calcific band keratopathy) a kāpae i nā kūlana olakino ʻē aʻe.

Eia kekahi, hiki iā lākou ke kauoha i kekahi mau hoʻāʻo koko e nānā i nā pae o kēia mau mea i loko o kou koko:

• Kalipuna
• ʻO ka phosphorus
• Nā hormones
• ʻO ka naikokene urea koko (BUN) a me ka creatinine (ʻo kēia nā hoʻāʻo hana puʻupaʻa)

E nānā pono ke kauka maka i kou mau maka. ʻAneʻane pono e komo pū kēia me kahi hoʻokolokolo kukui slit .

He aha nā lāʻau lapaʻau i loaʻa no ka hoʻomaikaʻi ʻana?

ʻO Chelation ka lāʻau lapaʻau nui no ka Band Keratopathy. ʻO Chelation kahi hana wale nō e hoʻopaʻa ʻia ai nā mea e like me nā metala a i ʻole nā ​​​​minelala i loko o ke kino i kahi mea ʻē aʻe a laila lawe ʻia mai ke kino.

I kēia hihia, hoʻohana nā kauka i kahi hopena i kapa ʻia ʻo ethylene-diamine-tetra-acetic acid (EDTA) e wehe i nā waihona calcium mai kou maka. I kekahi manawa, hoʻohana paha ke kauka i kahi laser e wehe i nā waihona calcium i koe a hoʻomaʻemaʻe i ka ʻili o ka cornea i mālama ʻia. Ua kapa ʻia kēia he therapeutic keratectomy .

ʻO ka mea nui loa, ʻo ia ka hana pinepine ʻia ʻana o kēia lāʻau lapaʻau ma ke ʻano he kaʻina hana outpatient. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hana ʻia nō hoʻi ia ma lalo o ka anesthesia kūloko.

Pono kou mau maka i ka pale kūikawā no ʻelua pule ma hope o ka mālama ʻana. Hiki i kāu kauka ke ʻōlelo aku i kahi graft membrane amniotic a i ʻole kahi lens contact bandage pale kūikawā.Hiki iā ʻoe ke kau iā ia. Hāʻawi kēia mau mea ʻelua i ka palekana no ka maka i mālama ʻia.

He mea nui loa: Inā loaʻa iā ʻoe ka Band Keratopathy ma muli o kekahi maʻi ʻē aʻe, e mālama pū nā kauka i kēlā maʻi. A i ʻole, e ulu hou paha nā waihona calcium.

He aha kā mākou e hana ai e hōʻemi i ka hanana ʻana o kēia?

I mea e hōʻemi ai i kou pilikia o ka loaʻa ʻana o ka `(Band Keratopathy)`, hiki iā ʻoe ke mālama i kou olakino holoʻokoʻa a me ke olakino o nā maka. ʻO ia hoʻi:

• Inā he koko kiʻekiʻe kou, kolesterol kiʻekiʻe, a i ʻole nā ​​​​maʻi mau e like me ka maʻi diabetes, e kaohi pono iā lākou.
• E ʻai i ka meaʻai olakino.
• E hoʻoikaika kino i nā manawa a pau.
• E mālama i kahi kaumaha olakino e kūpono iā ʻoe.
• E hana i nā hoʻokolohua lapaʻau maʻamau, a mai poina e ʻike i kahi kauka maka e nānā i kou mau maka.

He aha ka mea hiki i kekahi me `(Band Keratopathy)` ke manaʻo?

No ka hapa nui o nā kānaka, maikaʻi ka wānana (ka mea e hiki mai ana) no ka Band Keratopathy, akā inā wale nō e mālama pono ʻia ke kūlana kumu i hoʻokumu ai. ʻAʻole lawa ka wehe wale ʻana i nā waihona calcium i loko o ka maka. Inā ʻaʻole i hoʻoponopono ʻia ke kumu o ka pilikia calcium, hiki i kēia mau waihona ke hana hou.

Āhea wau e ʻike ai i ke kauka?

He mea nui e mālama i kou mau maka, a me kou kino holoʻokoʻa. Inā manaʻo ʻoe he mea hewa ʻole, e like me ka emi ʻana o ka ʻike a i ʻole ka ʻeha mau o ka maka, e ʻike koke i ke kauka maka. ʻO ka wikiwiki o kou loaʻa ʻana o ke kōkua, ʻoi aku ka maikaʻi o ka hopena.

Ua like ka hopohopo o nā kauka i ka pale ʻana i kou ʻike maka me ʻoe. ʻO ia ke kumu inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole nā ​​pilikia ʻike maka, pono ʻoe e ʻike koke i ke kauka.

Inā loaʻa iā ʻoe kekahi mau maʻi maka, nā maʻi ʻōnaehana pale, a i ʻole nā ​​​​maʻi kahi i kiʻekiʻe loa ai nā pae calcium i loko o ke koko (hypercalcemia), e nīnau i kāu kauka e pili ana i kou pilikia o ka loaʻa ʻana o ka Band Keratopathy. Hiki i nā hoʻokolohua maka maʻamau ke kōkua i ka mālama ʻana i kou mau maka i ke olakino.

No laila, he aha kā kākou e lawe ai i ka home mai kēia moʻolelo?

I ka pōkole, ʻo "Band Keratopathy" kahi waihona calcium ma ka membrane maopopo o ka maka "Cornea." Hiki i kēia ke hoʻopilikia i ka ʻike a me ka ʻeha o ka maka.

• Nui nā kumu: nā maʻi maka, nā maʻi ʻē aʻe i loko o ke kino (nā pilikia o ka ʻōnaehana pale, nā pae calcium kiʻekiʻe), a pēlā aku.
• E hoʻomaopopo i nā hōʻailona: ka ʻike maka pōwehiwehi, ka ʻeha o nā maka, ka manaʻo ʻeleʻele i nā maka, ka ʻike i ka mālamalama.
• Aia nā lāʻau lapaʻau: Hiki ke wehe ʻia ka kalipuna, akā pono e mālama ʻia ke kumu kumu.
• E ʻimi i ke kōkua lapaʻau: Inā ʻike ʻoe i kekahi mau loli i kou mau maka, e ʻike koke i ke kauka.

He waiwai nui kou mau maka. No laila e mālama pono iā lākou. Lana koʻu manaʻo he mea pono kēia ʻike iā ʻoe!

ʻO ke keratopathy band, vitreous humor, nā waihona calcium, nā maʻi maka, ka ʻike maka pōwehiwehi, ke olakino maka, chelation