E aʻo kākou e pili ana i ka waihoʻoluʻu polū (Brilliant Blue G) i hoʻohana ʻia i ke ʻoki maka.

He mea maʻamau ka makaʻu iki i ka wā e haʻi aku ai kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai e pono ʻoe e hana i ke ʻoki maka . He ikaika loa kēia manaʻo i ka wā e kamaʻilio ai e pili ana i kahi ʻāpana koʻikoʻi e like me ka maka. I ke kamaʻilio ʻana e pili ana i ia mau ʻoki ʻana, ua lohe paha ʻoe ua hoʻokomo ʻia kahi kala kūikawā i loko o ka maka. He aha maoli kēia kala? He aha kāna hana? He mea weliweli anei? I kēia lā, e kamaʻilio mākou e pili ana iā Brilliant Blue G, kahi hopena kūikawā i hoʻohana ʻia i nā ʻoki maka, e pane i nā nīnau he nui e like me kēia.

I ka ʻōlelo maʻalahi, he aha kēia Brilliant Blue G?

E noʻonoʻo ʻoe e ʻimi nei ʻoe i kahi māwae liʻiliʻi a moakāka hoʻi i loko o kahi paia keʻokeʻo loa. He mea paʻakikī ke loaʻa me ka maka ʻōlohelohe, ʻeā? Akā inā ʻoe e ninini i kahi wai polū ma luna o kēlā paia a holoi iā ia, e komo ke kala polū i loko o ka māwae a e ʻike maopopo ʻoe. ʻO ia ka manaʻo maʻalahi ma hope o kēia.

ʻAʻole ʻo Brilliant Blue G (inoa inoa: TissueBlue) he lāʻau lapaʻau e hoʻōla i kahi maʻi e like me kā mākou e lawe nei. He kala kūikawā ia i hoʻohana ʻia i ka wā o ke ʻoki kino. ʻO kāna hana nui ke kōkua i ke kauka ʻoki kino e hoʻokaʻawale a ʻike maopopo i nā membrane lahilahi a moakaka (membranes) i loko o ka maka, ʻaʻole wale ka maka maʻamau, akā ʻo nā mea lahilahi loa hoʻi e ʻike ʻia ma lalo o ka microscope. Hoʻopili wale kēia kala polū i kēlā mau membrane lahilahi, e hoʻolilo ana iā lākou i polū. A laila hiki i ke kauka ke wehe wale i ka membrane e pono e wehe ʻia me ka pololei loa, me ka ʻole o ka hōʻino ʻana i nā ʻāpana ʻē aʻe.

No ke aha mākou e pono ai i kēia kala? He aha kēlā mau ʻoki kino?

Hoʻohana nui ʻia kēia kala i nā ʻoki kino e pili ana i ka retina, ka ʻāpana koʻikoʻi loa o ke kua o ka maka. Ua like ka retina me ke kiʻiʻoniʻoni i loko o kahi kāmela, kahi e hoʻouna ʻia ai nā kiʻi a mākou e ʻike ai i ka lolo. ʻO kēia kahi e pono ai ʻo Brilliant Blue G i ka mālama ʻana i kekahi mau kūlana e kū mai ana i loko o ka retina.

E noʻonoʻo i kekahi mau kūlana e like me kēia:

• Lua Macular: ʻO ka macula ka wahi nui o ka retina e hāʻawi mai iā mākou i ka ʻike maopopo a ʻoi. I kekahi manawa hiki ke ulu kahi lua liʻiliʻi i loko o kēia macula. A laila, lilo nā mea a mākou e ʻike ai i mea palalulu a kīkoʻo. I ka wā o ke ʻoki ʻana e pani i kēia lua, pono e wehe ʻia kahi membrane lahilahi loa ('internal limiting membrane' - ILM) e hoʻopuni ana iā ia. No ka mea he moakāka kēia membrane, ke kau ʻia kahi Brilliant Blue G liʻiliʻi iā ia, lilo ia i polū, e maʻalahi ai i ke kauka ke wehe.
• ʻO ka membrane Epiretinal:I kekahi manawa, hiki i kahi ʻili i makemake ʻole ʻia, e like me kahi ʻāpana cellophane, ke ulu ma luna o ka retina. ʻO kēia ke kumu o ka retina e huki iā ia iho a hoʻopilikia i ka ʻike. Hoʻohana ʻia kēia kala i loko o kēia ʻoki kino e ʻike a wehe i kēlā ʻili i makemake ʻole ʻia.

ʻO ka maʻamau, ua kapa ʻia kēia mau ʻoki ʻana he mau ʻoki vitrectomy . Hoʻōla lākou i ka retina ma ka wehe ʻana i ka mea like me ka jelly ('vitreous humor') i loko o ka maka.

Pehea ʻoe e hoʻohana ai i kēia lāʻau lapaʻau?

ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. He mea kēia e hoʻohana wale ʻia ana ma ka haukapila a i ʻole ke keʻena lapaʻau paha, ma kahi lumi hana, a na ke kauka lapaʻau wale nō .

I ka wā o ke ʻoki ʻana, hoʻohana ke kauka lapaʻau i kahi syringe liʻiliʻi loa e hoʻokomo i kahi liʻiliʻi o kēia wai i loko o ka maka, ma luna o ka membrane i makemake ʻia. I loko o kekona kekona, pili ka dye i ka membrane. A laila holoi ʻia ka dye keu me kahi wai e like me ka saline. I kēia manawa hiki i ke kauka lapaʻau ke wehe pono i ka membrane, ka mea i ʻike maopopo ʻia i ka uliuli.

Pono e mālama pono i ka wā e hoʻohana ai i kēia hopena i nā keiki. No laila, inā pono kāu keiki i kēia ʻano hana ʻoki kino, e kamaʻilio me kāu kauka keiki a me ke kauka ʻoki maka e pili ana i ia mea.

Nā mea e haʻi aku i kāu kauka ma mua o ke ʻoki ʻana

ʻOiai he mea kēia e hāʻawi ʻia i ka wā o ke ʻoki kino, he mea nui loa ia e haʻi i kāu kauka i kou mōʻaukala olakino piha ma mua o ke ʻoki kino. E hōʻoia e haʻi iā lākou e pili ana i kēia mau mea.

• Nā maʻi ʻaleka: E hōʻoia e haʻi i kāu kauka inā he maʻi ʻaleka kou i ka Brilliant Blue G a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, kala (e like me ka kala lauoho, kala lole), a i ʻole nā ​​mea hoʻomalu.
• Hāpai: Inā hāpai ʻoe a i ʻole e hoʻāʻo ana e hāpai, e hoʻomaopopo i kāu kauka ma mua o ke ʻoki ʻana.
• Inā he makuahine hānai ʻoe: Inā he makuahine hānai ʻoe, e haʻi pū i kēlā.
• Nā lāʻau lapaʻau ʻē aʻe: E hāʻawi i kāu kauka i kahi papa inoa piha o nā lāʻau lapaʻau, nā huaora, nā lāʻau lapaʻau lāʻau, a i ʻole nā ​​​​mea hoʻohui āu e lawe nei. Hiki i kekahi ke launa pū me kēia hopena.

Aia kekahi mau hopena ʻaoʻao?

E like me nā hana lapaʻau āpau, aia nā pilikia a me kahi manawa liʻiliʻi o nā hopena ʻaoʻao. Eia nō naʻe, no ka mea, hoʻohana ʻia ia ma nā ana i kāohi ʻia e nā kauka, he kakaikahi loa nā hopena ʻaoʻao koʻikoʻi.

Eia nō naʻe, he mea nui e ʻike ʻoe i nā hōʻailona ma lalo nei. Inā loaʻa kēia mau mea ma hope o ke ʻoki ʻana, e hoʻomaopopo koke i kāu kauka.

ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau. Inā loaʻa iā ʻoe kekahi mea ʻē a kānalua paha, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka e pili ana i ia mea.

He aha kāu e hana ai inā ʻoe e overdose ?

ʻOiai ke lawelawe ʻia nei kēia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ʻaneʻane ʻole ka nui o ka lāʻau lapaʻau. Eia nō naʻe, inā manaʻo ʻoe ua lawe nui ʻoe i kekahi lāʻau lapaʻau, e kelepona koke aku i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo , a i ʻole e hele i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.