He pōwehiwehi kou ʻike ma waenakonu? E aʻo kākou e pili ana i ka Central Serous Retinopathy!

Ua manaʻo paha ʻoe ua loli koke kou ʻike ? Malia paha ua pōwehiwehi kou ʻike ma kekahi maka ma waenakonu, a i ʻole ʻike ʻoe i kahi kiko ʻeleʻele. ʻAʻole pono ʻoe e hoʻowahāwahā i nā mea e like me kēia. I kēia lā, e kamaʻilio kākou e pili ana i hoʻokahi kumu kūpono o kēia mau hōʻailona.

He aha ka Central Serous Retinopathy?

I ka ʻōlelo maʻalahi, he kūlana kēia kahi e hōʻiliʻili ai kahi wai ma hope o ka retina, kahi ʻāpana o ka maka he mea nui loa ia no ko kākou ʻike. E noʻonoʻo i ko kākou maka e like me ke kāmela. He papa lahilahi ka retina e like me ke kiʻiʻoniʻoni i loko o ke kāmela, e hopu ana i ka mālamalama a kōkua i ka lolo e wehewehe i nā kiʻi. Ma lalo o ka retina he papa piha i nā kīʻaha koko i kapa ʻia ʻo choroid . I kekahi manawa, kahe ka wai mai kēia choroid a hōʻiliʻili ma hope o ka retina. ʻO ia ka manawa e kū mai ai kēia kūlana i kapa ʻia ʻo 'Central Serous Retinopathy'. Hiki i kēia wai ke hoʻolilo i ka retina e lilo i mea palupalu a hemo. Inā hana ʻia kēlā, hoʻomaka nā pilikia like ʻole me kā mākou ʻike.

Ua kapa ʻia kēia ʻo 'Central Serous Chorioretinopathy', no ka laʻana.

ʻAʻole maʻamau loa kēia ʻano, akā hiki ke hiki i kekahi. Ma ka awelika, hoʻopilikia ia ma kahi o 10 mau kānaka i kēlā me kēia 100,000. Eia nō naʻe, hiki ke loli kēia helu ma muli o ke kāne a me nā kumu pilikia ʻē aʻe.

He aha nā hōʻailona o kēia?

Loaʻa paha i kekahi poʻe ka Central Serous Retinopathy me ka ʻole o nā hōʻailona. ʻO ia hoʻi, hiki ke loaʻa ke ʻano i loko o ka maka me ka ʻole o nā loli i ka ʻike. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke loaʻa i hoʻokahi maka a i ʻole nā ​​​​maka ʻelua i ka manawa hoʻokahi. E nānā e ʻike inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻIke pōwehiwehi : Me he mea lā ua hala ka uahi ma waena o ka mea āu e nānā nei, a i ʻole me he mea lā ua hāʻule kahi wahi pena.
• He wahi ʻeleʻele i waenakonu o kou ʻike : E ʻike paha ʻoe i kahi wahi ʻeleʻele, a i ʻole he aka ʻeleʻele, i waenakonu o ka mea āu e nānā nei.
• ʻIke pōwehiwehi: Me he mea lā ua ʻeleʻele nā ​​​​mea a pau ma mua o ka maʻamau, me ka mālamalama emi.
• ʻOkoʻa ke kala o nā mea keʻokeʻo: ʻAʻole paha e keʻokeʻo loa nā mea keʻokeʻo, akā, e ʻeleʻele iki paha, a malia paha he ʻeleʻele iki.
• ʻIke ʻia nā mea he liʻiliʻi a mamao aku paha: Hiki ke ʻike ʻia nā mea he liʻiliʻi ma mua o ko lākou ʻano maʻamau a i ʻole e ʻike ʻia he mamao aku ma mua o ko lākou ʻano maoli.
• ʻIke ʻia nā laina pololei i kīkoʻo ʻia: ʻO nā laina pololei, e like me nā mōlina puka a me nā puka makani a me nā laina tile, hiki ke ʻike ʻia he kīkoʻo a piʻo paha.

No ke aha lā kēia e hana nei?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā kānaka ʻepekema i ke kumu o ka Central Serous Retinopathy. Akā hoʻokahi mea i maopopo.Me he mea lā he hopena nui ko ke kaumaha ma kēia. E noʻonoʻo, ke kaumaha nui mākou, hana ko mākou kino i kahi hormone i kapa ʻia ʻo cortisol . Hiki i kēia cortisol ke hoʻoulu i ka mumū ma nā wahi like ʻole o ke kino, a e like me ka mea i ʻōlelo ʻia ma mua, hiki i ka wai ke kahe i waho. No laila, ʻo ka poʻe i pilikia nui a paʻakikī i ka kaohi ʻana i kēlā kaumaha, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi.

Eia kekahi, hiki ke loaʻa kēia ʻano maʻi i nā poʻe e hoʻohana ana i nā lāʻau lapaʻau i loaʻa nā corticosteroids . Hāʻawi pinepine ʻia kēia mau corticosteroids e mālama i ka pehu a me nā maʻi allergies. No ka laʻana, hāʻawi ʻia kekahi mau maʻi hānō i kēia no ka ʻeha o nā hono. No laila, inā ʻoe e hoʻohana ana i ia mau lāʻau lapaʻau, pono ʻoe e makaʻala e pili ana i kēlā.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

ʻOiai hiki i kekahi ke loaʻa i ka `Central Serous Retinopathy`, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki. Eia lākou:

• Nā kāne ma waena o 30 a me 50 mau makahiki: ʻIke pinepine ʻia i nā kāne o kēia hui makahiki.
• ʻO ka poʻe me ka ʻike haʻahaʻa (`Myopia` / `nearsightedness`): ʻO ke ʻano kēia, ʻoiai hiki ke ʻike maopopo ʻia nā mea kokoke, ua pōwehiwehi nā mea mamao.
• ʻO ka poʻe e hoʻohana ana i kekahi mau lāʻau lapaʻau: ʻoi aku hoʻi nā corticosteroids i ʻōlelo ʻia ma luna.

Ma waho aʻe o kēia, aia kekahi mau kumu pilikia ʻē aʻe:

• Nā maʻi Autoimmune : No ka laʻana, nā poʻe me nā maʻi e like me ka lupus a me ka rheumatoid arthritis.
• Maʻi puʻuwai a i ʻole ke koko kiʻekiʻe : ʻOi aku ka nui o ka pilikia o ka poʻe me kēia.
• ʻO ka maʻi bacteria Helicobacter pylori: He bacteria kēia e pili pinepine ana me ka gastritis.
• Nā maʻi puʻupaʻa : No ka laʻana, nā kūlana e like me ka glomerulonephritis.
• Hāpai keiki : Hiki i kekahi mau wahine ke loaʻa i kēia ʻano i ka wā hāpai.
• Nā pilikia hiamoe: Nā kūlana e like me ka insomnia a me ka apnea hiamoe.
• ʻO kekahi mau lāʻau lapaʻau ʻē aʻe: ʻO kekahi mau lāʻau lapaʻau no ka ʻūlū ʻana o ka ihu a me nā lāʻau lapaʻau i hoʻohana ʻia no ka hana moekolohe hiki ke hoʻopilikia i kēia.

Pehea e ʻike ai nā kauka i kēia?

Inā ʻike ʻoe i kekahi mau loli i kou ʻike, ʻo ia hoʻi, inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona i ʻōlelo ʻia ma luna, e ʻike koke i kāu kauka ʻohana a i ʻole he kauka maka.Pono ʻoe e ʻike i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā i kou mau maka. Eia kekahi, e hana paha lākou i kekahi mau hoʻokolohua kūikawā e nānā i kou retina:

• ʻO ka Fluorescein Angiography (IVFA): ʻO kēia ke komo ʻana i kahi waihoʻoluʻu kūikawā i loko o kahi aa koko i kou lima. Hele kēia waihoʻoluʻu ma o nā kīʻaha koko i loko o ka maka a i loko o ka retina. A laila lawe kahi kāmela kūikawā i nā kiʻi o loko o ka maka. Hiki iā ʻoe ke ʻike i kahi e kahe ana ke wai me ka maopopo.
• ʻO ka Optical Coherence Tomography (OCT): Ua like kēia me kahi scan 3D o loko o ka maka. Hiki iā ia ke ana i ka mānoanoa o ka retina, ʻike inā he pehu, a nānā no ka serous retinal detachment.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi kēia kūlana i kapa ʻia ʻo 'Central Serous Retinopathy' me ka ʻole o ka lāʻau lapaʻau i loko o kekahi mau pule a i ʻole mau mahina. ʻO ke ʻano kēia e nalowale ana ka wai i hōʻiliʻili ʻia ma kāna iho. No laila, e ʻōlelo paha kāu kauka iā ʻoe e "nānā a kali". I loko o ia manawa, e hana hou lākou i nā hoʻokolohua (e like me "OCT") e ʻike inā ua emi ka wai.

Eia kekahi, inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau āu e manaʻo nei he mea kōkua paha i kēia maʻi, e aʻo aku kāu kauka iā ʻoe e hoʻōki i ka lawe ʻana iā lākou. He mea nui loa ka hōʻemi ʻana i ke kaumaha. E aʻo aku nō hoʻi kāu kauka iā ʻoe ma ia mea.

Eia nō naʻe, inā ʻaʻole i emi ka wai ma hope o kekahi mau mahina, a laila e hoʻoholo paha ke kauka e hoʻomaka i ka lāʻau lapaʻau. Eia nā ʻano lāʻau lapaʻau:

• Nā lāʻau lapaʻau: Aia kekahi mau lāʻau lapaʻau, no ka laʻana, nā inikini i kapa ʻia ʻo Anti-Vascular Endothelial Growth Factor (Anti-VEGF). Hiki i kēia ke hoʻōki i ka ulu ʻana o nā kīʻaha koko hou i makemake ʻole ʻia i loko o ka maka. Eia kekahi, hiki ke hāʻawi ʻia kekahi mau diuretics (e kōkua ana i ka hōʻemi ʻana i ka paʻa ʻana o ka wai).
• ʻO ka Photodynamic Therapy (PDT): Pili kēia i ka hoʻokomo ʻana i kahi lāʻau i kapa ʻia ʻo Verteporfin i loko o kahi aa koko ma kou lima. Ke komo ka lāʻau i loko o kou maka, hoʻohana ʻia kahi laser anu kūikawā e sila i kahi e kahe ana ka wai.
• Nā Lapaʻau Laser ʻē aʻe: Hiki ke hoʻohana ʻia ka lāʻau hoʻomānoino maka a i kekahi manawa he laser wela e hoʻōki i ka leaka. ʻO ka laser Micropulse kekahi ʻano laser. Hoʻohana kēia i nā pulse laser pōkole a liʻiliʻi loa.

Inā loaʻa iaʻu kēia maʻi, pehea e hiki ai iaʻu ke mālama iaʻu iho?

ʻO ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona e hiki ke kōkua iā ʻoe e mālama i ka Central Serous Retinopathy:

• E hiamoe maikaʻi ma ka liʻiliʻi he ʻehiku hola i kēlā me kēia pō.
• E kaupalena i ka hoʻohana ʻana i ka caffeine (kī, kofe), ka waiʻona, a me nā corticosteroids. E pale i ka hoʻohana ʻana i nā corticosteroids me ka ʻole o ke aʻo ʻana a ke kauka.
• E hoʻokele a hōʻemi i ke kaumaha. Hiki ke hana i kēia ma ka hoʻoikaika kino, ka noʻonoʻo ʻana, ka hoʻolilo ʻana i ka manawa me nā poʻe aloha, a i ʻole ke ʻimi ʻana i ke aʻo ʻana.

Inā he pilikia kou ʻike maka, e hoʻāʻo i kēia mau mea e hoʻoponopono ai:

• E hui pū me kahi hui kākoʻo. Ma kēia ala hiki iā ʻoe ke hālāwai me nā poʻe e like me ʻoe i ke kūlana, e kaʻana like i ko lākou ʻike, a e hoʻomaopopo kekahi i kekahi.
• E kamaʻilio me kāu poʻe aloha a i ʻole kekahi kākāʻōlelo e pili ana i kou mau manaʻo a me ke ʻano o kou hoʻoponopono ʻana.
• E hoʻohana i nā mea kōkua e kōkua iā ʻoe e hana i nā hana o kēlā me kēia lā me ka palekana.

Āhea wau e ʻike ai i ke kauka inā ʻike wau i kahi loli i koʻu ʻike?

Inā ʻike ʻoe i kekahi mau loli i kou ʻike, mai hoʻowahāwahā iā ia. E ʻike koke i kāu kauka ʻohana a i ʻole he loea maka. ʻO kēia ʻano, i kapa ʻia ʻo Central Serous Retinopathy, i kekahi manawa e hoʻomaikaʻi iā ia iho, akā i kekahi manawa hiki ke ʻoi aku ka ʻino a hiki ke lilo i mea ʻino a hiki ke lilo mau ka ʻike a i ʻole ka makapō. Eia kekahi, i kekahi manawa hiki i nā pilikia ʻike ke lilo i hōʻailona o kekahi ʻano maʻi ʻē aʻe. ʻO ia ke kumu he mea nui e ʻimi koke i ke kōkua lapaʻau.

He aha kaʻu e manaʻo ai inā ʻo kēia ke ʻano?

I ka hapanui o nā hihia, hoʻomaikaʻi ka Central Serous Retinopathy ke noho ka wai ma kāna iho. Hoʻi ka ʻike i ka maʻamau, a i kekahi manawa he maʻamau loa. Eia nō naʻe, i kekahi manawa he mau loa ka hōʻino, a hiki ke hoʻomau nā loli o ka ʻike.

ʻO ka mea nui, ʻoiai inā ua mālama pono ʻia kēia maʻi a hoʻomaikaʻi, hiki iā ia ke hoʻi hou mai. Hiki iā ia ke hoʻi mai i ka maka hoʻokahi a i ʻole ka maka ʻē aʻe. No laila, pono ʻoe e hoʻomau i nā manawa hoʻokolokolo maʻamau me kahi loea maka.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

Inā he mau pilikia ʻike kou, mai hoʻowahāwahā iā lākou. ʻOi aku ka maikaʻi o ka ʻike ʻana i kāu kauka ʻohana a i ʻole ke kauka maka. ʻAʻole maʻamau ka maʻi ʻo 'Central Serous Retinopathy', akā he maʻi maka ia e hiki ai ke alakaʻi i ka nalowale mau o ka ʻike a me nā hopena ʻē aʻe. Inā ʻike ʻoe iā ia i ka wā mua a hoʻomaka i ka mālama ʻana, hiki iā ʻoe ke hoʻēmi i ka hōʻino ʻana i kou ʻike. No laila, he mea nui loa ka mālama ʻana i kou mau maka a ʻimi i ke aʻo lapaʻau inā ʻike ʻoe i kekahi mau loli, ua maopopo iā ʻoe?