Ke loaʻa nei iā ʻoe kēia ʻano pilikia maka? E kamaʻilio kākou e pili ana i ka Chorioretinitis!

Ua ʻike anei ʻoe ua lilo koke kou mau maka i ʻulaʻula, lilo kou ʻike i mea pōwehiwehi iki, a i kekahi manawa ʻike ʻoe i nā kiko ʻeleʻele liʻiliʻi e lana ana i loko o kou mau maka? He mea paʻakikī iā ʻoe ke nānā aku i ke kukui? ʻAʻole hiki wale mai kēia mau mea. Hiki ke hana ʻia kēia mau mea e ka mumū, a i ʻole ka pehu ʻana, o ʻelua mau ʻāpana koʻikoʻi o kou maka, ʻo ka choroid a me ka retina . I ka lāʻau lapaʻau, kapa mākou i kēia ʻano he chorioretinitis . Hiki i kēia ke lilo i ʻano koʻikoʻi, no laila he mea nui e makaʻala.

He aha ka Chorioretinitis?

I ka ʻōlelo maʻalahi, ʻo ka chorioretinitis kahi mumū o ke kua o kou maka, ka choroid a me ka retina . ʻO ia kekahi o kahi hui nui o nā kūlana i kapa ʻia ʻo uveitis , ʻo ia hoʻi nā mumū o loko o ka maka.

E noʻonoʻo i kou maka me he kāmela liʻiliʻi lā. He ʻāpana like ʻole kēia kāmela.

• He membrane ka choroid i loko o ka maka. Aia i loko nā kīʻaha koko e hoʻolako i ke koko i ka maka. Aia ia ma waena o ka retina a me ka ʻāpana keʻokeʻo o ka maka (sclera). E like me ka lepo e hāʻawi ana i ka wai a me ka meaʻai i kahi lāʻau, ʻo ka choroid ka mea e hānai ana i ka retina. No laila, inā he pilikia me ia, hiki ke hōʻino ʻia ka ʻike.
• He membrane koʻikoʻi loa ka retina ma ke kua o ka maka. Hoʻokumu ʻia nā kiʻi a mākou e ʻike ai ma ʻaneʻi. Ua like ia me ke kiʻiʻoniʻoni i loko o ke kāmela. ʻO ia ka mea e hoʻouna i nā hōʻailona kukui i ka lolo, no laila ʻike mākou i nā mea.

No laila, i ka wā e mumū ai ka choroid a me ka retina i ka manawa like, kapa mākou i kēlā ʻano he chorioretinitis. Ke hoʻomaka kēia mumū e hōʻino i ka maka, ua kapa ʻia hoʻi ʻo chorioretinopathy . ʻO ka ʻāpana '-pathy' ʻo ia hoʻi ka hōʻino. Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻike maka ʻole, ka ʻeha o ka maka, a me ka ʻike i ka mālamalama, pono ʻoe e ʻike koke i kahi ophthalmologist.

He aha nā hōʻailona o ka Chorioretinitis?

Hiki ke ʻokoʻa kēia mau hōʻailona mai kēlā kanaka a kēia kanaka. Loaʻa paha i kekahi poʻe kekahi a ʻoi aku paha o kēia mau hōʻailona.

• ʻIke ʻana i nā kiko ʻeleʻele, nā mea lana, a i ʻole nā ​​kukui uila i mua o kou mau maka: E noʻonoʻo ʻoe e noho mālie ana a ʻike koke i nā ʻupena nananana liʻiliʻi a i ʻole nā ​​​​kiko ʻeleʻele e neʻe ana ma ʻō a ma ʻaneʻi i mua o kou mau maka. I kekahi manawa ʻike paha ʻoe i nā kukui uila e like me ka uila.
• ʻUlaʻula o nā maka: Hiki ke ʻulaʻula ka ʻāpana keʻokeʻo o ka maka.
• ʻIke pōwehiwehi: ʻAʻole paha ʻoe e ʻike maopopo i nā mea, me he mea lā e nānā ana ʻoe ma waena o ka noe. Hiki paha iā ʻoe ke manaʻo ua huikau nā leka ke heluhelu ʻoe.
• ʻEha maka: Hiki mai ka ʻeha mai loko mai a puni paha o ka maka.
• Photophobia: Paʻakikī ke ʻike ʻana i ka wā e pio ai ka lā a i ʻole nā ​​​​kukui, a manaʻo paha nā maka me he mea lā e lilo ana i polū.
• Ka haehae nui ʻana: Hiki ke kahe wale nā ​​​​waimaka mai nā maka e like me ka wai.
• Ka paʻakikī i ka ʻike ʻana i nā kala: Hiki ke ʻokoʻa kekahi mau kala ma mua o nā mea ʻē aʻe, a i ʻole he paʻakikī paha ke ʻike i nā kala.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka maka.

He aha nā kumu o ka chorioretinitis?

ʻElua mau ʻano nui o nā kumu no kēia maʻi: nā kumu maʻi a me nā kumu maʻi ʻole.

ʻO Chorioretinitis i hoʻokumu ʻia e nā maʻi (Nā kumu hoʻopili)

Hiki i kekahi o kēia mau maʻi ke loaʻa i ka wā hānau (congenital) a i loaʻa paha i ka wā o ke ola.

• Toxoplasmosis: ʻO kēia ke kumu maʻamau o ka chorioretinitis. He maʻi ia i hoʻokumu ʻia e kahi parasite. Hiki ke laha ma o nā ʻōpala pōpoki a me ka ʻiʻo a me ka iʻa i moʻa ʻole ʻia.
• ʻO ka maʻi puʻupuʻu: ʻAe, hiki i ka maʻi puʻupuʻu a mākou e ʻike nei ke hoʻopilikia i nā maka ma kēia ʻano.
• Cytomegalovirus (CMV): He maʻi viral kēia e hiki ke hoʻopilikia i nā poʻe me nā ʻōnaehana pale i nāwaliwali.
• Syphilis: He maʻi laha kēia i lawe ʻia ma ke ʻano moekolohe e hiki ai ke hōʻino i nā maka.

Eia kekahi, ʻo nā maʻi e like me ka maʻi Zika, ka maʻi rubella, ka maʻi varicella-zoster, ka mea e hoʻoulu ai i ka moa , a me kekahi mau maʻi fungal hiki ke hana i kēia.

Nā kumu ʻaʻole i hoʻopili ʻia

I kekahi manawa hiki ke hana i ka chorioretinitis me ka ʻole o kahi maʻi.

• Nā ʻeha maka: Inā paʻi kekahi mea i ka maka a hōʻeha iā ia, hiki ke loaʻa kēia ʻano mumū.
• Nā maʻi autoimmune a me ka mumū: ʻO kēia nā maʻi kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau cell ponoʻī. ʻO nā hiʻohiʻona e komo pū me nā kūlana e like me ka rheumatoid arthritis , sarcoidosis , a me ka maʻi ʻo Behçet .
• Kekahi ʻano maʻi kanesa: Hiki ke hana ʻia kēia ʻano e nā maʻi kanesa e like me ka lymphoma , a i ʻole e ka maʻi kanesa i laha i nā maka mai kahi ʻē aʻe o ke kino (maʻi metastatic) .
• Kekahi mau kūlana hoʻoilina: I kekahi manawa kākaʻikahi, hiki ke hana ʻia kēia maʻi e kekahi mau kūlana hoʻoilina i hoʻoili ʻia ma o nā hanauna.

He aha nā pilikia e hiki ke loaʻa mai ka Chorioretinitis?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki ke hoʻemi ʻia ka ʻike a hiki ke loaʻa ka makapō mau loa.No laila, he mea nui loa e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.

Pehea e ʻike ʻia ai ka Chorioretinitis?

Ke ʻike ʻoe i ke kauka maka, e nānā ʻo ia i kou mau maka. ʻO ka maʻamau, pili kēia i ka hoʻonui ʻana i kou mau maka me nā kulu maka, a me ka nānā pono ʻana i ke kua o kou maka. A laila hiki i ke kauka ke nānā i ke kūlana o kou retina a me kou choroid. I kekahi manawa, hiki iā lākou ke ʻike i nā mea e like me nā ʻeha kahiko (nā ʻeha chorioretinal).

He aha nā hoʻokolohua diagnostics?

Ma waho aʻe o ka hoʻokolokolo maka, hiki i ke kauka ke hana i nā hoʻokolohua e like me:

• Nā hoʻāʻo lab ma nā mea i ʻānai ʻia mai kou maka: Hiki ke hoʻouna ʻia kahi hāpana liʻiliʻi i lawe ʻia mai loko mai o kou maka i kahi lab e ʻike ai inā he maʻi a, inā pēlā, he aha ke ʻano.
• ʻO ka Optical Coherence Tomography (OCT): Ua like kēia me kahi scan 3D o loko o ka maka. Hoʻohana ia i ka mālamalama e kiʻi i nā kiʻi ʻokiʻoki o nā papa ma ke kua o ka maka. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ka nui o ka mumū a me ke kū ʻana o ka wai i hōʻiliʻili ʻia.
• ʻO ka angiography Fluorescein: ʻO kēia ke komo ʻana i kahi kala kūikawā i loko o kahi aa koko i kou lima a me ka lawe ʻana i nā kiʻi o nā kīʻaha koko i loko o kou maka. Hiki i kēia ke kōkua i ka nānā ʻana i nā pilikia me kou mau kīʻaha koko.
• ʻO ka angiography Indocyanine green (ICG): He hoʻāʻo kēia e hoʻohana ana i ka dye like me ka mea ma mua, akā nānā nui ia i nā kīʻaha koko i loko o ka choroid, aia ma lalo o ka retina.

Inā hana ʻia ka chorioretinitis e kekahi maʻi ʻē aʻe, pono paha ke kauka e hana i nā hoʻokolohua hou aʻe e ʻike i kēlā ʻano.

Pehea e mālama ʻia ai ka Chorioretinitis?

Hoʻōla pinepine nā kauka maka i kēia kūlana ma ka hāʻawi ʻana i nā steroids e hōʻemi i ka mumū . Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he kulu maka, nā pila, a i ʻole i kekahi manawa nā inikini. Eia nō naʻe, ʻaʻole pono e hoʻohana ʻia nā steroids no ka manawa lōʻihi, no ka mea hiki iā lākou ke hana i nā hopena ʻaoʻao.

No laila, hiki i kāu kauka maka ke hana pū me kahi rheumatologist, he kauka i loea i ka ʻeha hui a me nā maʻi autoimmune, e kuhikuhi i nā lāʻau lapaʻau steroid-sparing e kaohi ana i kāu ʻōnaehana pale.

Inā loaʻa ka chorioretinitis e kahi maʻi, hana ʻia ka lāʻau lapaʻau ma luna o ka germ nāna i hoʻoulu i ka maʻi.

• ʻO nā lāʻau antibiotic inā he maʻi bacteria
• Nā lāʻau antifungal inā he maʻi fungal ia
• ʻO nā lāʻau antiparasitic inā he maʻi parasitic
• Inā he maʻi viralNā lāʻau antiviral

He mea nui loa ka lawe ʻana i kēia mau lāʻau lapaʻau e like me ke kauoha a kāu kauka, no ka manawa piha o ka manawa i kauoha ʻia. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua maikaʻi kou manaʻo.

I ka manawa kākaʻikahi loa, pono paha ke ʻoki kino i kapa ʻia ʻo vitrectomy e wehe i ka wai a me nā ʻōpala mai loko mai o ka maka.

He aha ke ʻano o ka manaʻolana e hiki ai i kekahi me ka chorioretinitis ke loaʻa?

Inā loaʻa iā ʻoe ka chorioretinitis, a mālama pono ʻoe iā ia, a me ke kumu kumu, maikaʻi ka hopena . Eia nō naʻe, pono ʻoe e ʻike pinepine i ke kauka maka e nānā i kou mau maka.

ʻAʻole loaʻa i ka hapa nui o ka poʻe nā pilikia maka mau loa ma hope o ka mālama ʻana.

Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka chorioretinitis ke hoʻopilikia i kou ʻike. ʻO kekahi pilikia ka chorioretinal atrophy . ʻO ke ʻano kēia, ʻo nā ʻāpana i hoʻopilikia ʻia o ka maka - ka retina a me ka choroid - e emi a oki i ka hana pono. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i ka nalowale loa o ka ʻike (makapō) .

Hiki ke pale ʻia ka Chorioretinitis?

ʻOiai ʻaʻole hiki ke pale loa ʻia, hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kou pilikia:

• E pale iā ʻoe iho mai nā maʻi:
• E holoi mau i kou mau lima me ke kopa .
• E noho mamao aku mai ka poʻe maʻi.
• E hoʻomaʻamaʻa i ka moekolohe palekana .
• I mea e pale aku ai i ka toxoplasmosis, e ʻaʻahu i nā mīkina lima i ka wā e lawelawe ai i nā ʻōpala pōpoki, a e kuke pono i ka ʻiʻo a me ka iʻa.
• E ʻike i kāu kauka maka ma kahi papa hana maʻamau: Inā he mau pilikia ʻē aʻe kou, e like me ka maʻi diabetes, he mea nui e nānā i kou mau maka.
• Inā ʻike ʻoe i kekahi mau loli i kou ʻike, e ʻike koke i ke kauka maka: Mai kali no kāu manawa i hoʻonohonoho ʻia.
• E mālama i kou olakino holoʻokoʻa: e ʻai i ka meaʻai kaulike, e hoʻoikaika kino, a e mālama i nā maʻi maʻi āu e loaʻa nei.

Āhea wau e ʻike ai i kaʻu kauka?

Inā ua ʻike mua ʻia ʻoe me ka chorioretinitis, e haʻi aku kāu kauka iā ʻoe i nā pilikia maka āu e loaʻa ai. Inā ua hāʻawi ʻia iā ʻoe kahi hoʻolālā lapaʻau a ʻaʻole ia e hana ana, e kamaʻilio me kāu kauka e pili ana i ia mea.

I kēlā me kēia manawa, inā he maʻi maka kou i ʻike ʻia a i ʻole, inā ʻike ʻoe i kekahi o kēia mau mea, e ʻike koke i ke kauka maka a i ʻole e hele i kahi keʻena pilikia o ka haukapila:

• Inā loaʻa kekahi mea i ka maka.
• Inā nalowale koke kou ʻike a i ʻole e lilo kou ʻike i mea ʻino loa.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau e like me kēia e pili ana i ka chorioretinitis:

• No ke aha i loaʻa ai iaʻu kēia maʻi?
• He aha ka lāʻau lapaʻau āu e paipai nei?
• Aia kekahi mau hopena ʻaoʻao o kēia lāʻau lapaʻau?
• He aha nā pilikia e pono iaʻu e makaʻala?
• Hiki paha i kēia maʻi ke hoʻopilikia i kekahi o koʻu ʻohana? (ʻoi aku hoʻi inā he mau kumu hoʻoilina)

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mau kino waiwai nui ko kākou mau maka. He mea maʻamau i kou mau maka ke haehae a ʻeha iki i kekahi manawa. Eia nō naʻe, inā he pōwehiwehi kou ʻike, ʻeha kou mau maka, loli kou ʻike, a ʻike mau paha ʻoe i kahi mea e lana ana i mua o kou mau maka, mai hoʻowahāwahā iā ia. He mumū paha ia o loko o kou maka, e like me ke chorioretinitis.

ʻO ka wikiwiki o kou ʻike ʻana i ka maʻi a hoʻomaka i ka mālama ʻana, ʻo ka nui o kou manawa e mālama ai i kou ʻike maka makamae. No laila, mai makaʻu a e ʻimi koke i ke kōkua lapaʻau. ʻO kou kuleana ia e mālama i kou mau maka!

ʻO Chorioretinitis, mumū o ka maka, maʻi maka, hemahema o ka ʻike, retina, choroid