Ua noʻonoʻo paha ʻoe pehea e hana ai ko kākou mau maka e like me kahi kāmela super? ʻO nā mea a pau a kākou e ʻike ai, ʻo ia hoʻi, nā kala, ke kukui, nā ʻano, hoʻouna ʻia kēia mau mea a pau i ka lolo i loko o kekahi mau kekona, e ʻae ana iā kākou e ʻike i kēia ao. I loko o kēia maka liʻiliʻi, aia kahi koa i ʻike ʻole ʻia he mea nui loa ia no kā kākou ʻike, akā ʻaʻole mākou e kamaʻilio nui e pili ana. ʻO ia ka mea a mākou e kapa nei ʻo 'Choroid'. ʻOiai he mea ʻē iki ka inoa, he mea nui loa kāna hana. No laila e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke aloha i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia choroid?
E noʻonoʻo i ko kākou maka he pōpō i hana ʻia me ʻekolu papa. ʻO ka papa waena ka uvea. He ʻāpana koʻikoʻi loa ka choroid o kēlā papa waena. ʻO kāna hana nui ka hāʻawi ʻana i ke koko, ʻo ia ka meaʻai e pono ai nā ʻāpana koʻikoʻi ʻē aʻe o ka maka e pono ai no ko kākou ʻike. Eia kekahi, kōkua pū ia i ka hoʻomalu ʻana i ka nui o ka mālamalama e komo ana i ka maka a hāʻawi iā kākou i ka ʻike maopopo.
He aha nā hana nui ʻelua o ke choroid?
Hiki ke puʻunaue ʻia ka lawelawe a ka choroid i ko kākou mau maka i ʻelua ʻāpana nui.
1. Hoʻolako Koko
ʻO kēia ka hana nui a koʻikoʻi o ka choroid. Ua like ia me kahi hale hana mana nui e hoʻolako ana i ka wai a me ka uila i ke kūlanakauhale. ʻO ka retina a me ke aʻalolo optic i loko o ko kākou maka ua like ia me nā hale hana ʻelua e hana mau ana. No ka mea ke hoʻouna mau nei lākou i nā hōʻailona i ka lolo, pono lākou i ke koko a me ka meaʻai ma mua o nā ʻiʻo ʻē aʻe.
No laila, i loko o kēia choroid he pūnaewele o nā kīʻaha koko maikaʻi, i hoʻopaʻa ʻia ma luna o kekahi. Ma o kēia ʻōnaehana kīʻaha koko e loaʻa ai i ka retina a me ke aʻalolo optic kahi lako mau o ka oxygen a me nā meaʻai. Inā emi iki kēia lako, hiki ke hōʻino nui ʻia ko kākou ʻike.
2. Ka Hoʻopili ʻana o ka Mālamalama
He hana kēia i ʻike iki ʻia, akā he mea nui loa. Ua ʻike anei ʻoe i ka huʻa ʻeleʻele porous i hoʻopili ʻia i nā paia o nā keʻena hoʻopaʻa leo e pale aku i ke kani ʻana? ʻO ia ka mea a ka choroid e hana ai i loko o ka maka.
Ua lohe paha ʻoe i ka melanin , ka pigment e hāʻawi ana i ko mākou ʻili i kona kala ʻeleʻele. Loaʻa pū kēia melanin i nā nui he nui i loko o ka choroid. Hoʻohana ʻia ka Melanin i loko o ka ʻili e pale aku i nā kukuna ultraviolet ʻino mai ka lā.Mālama ia i ka ʻili ma o ka omo ʻana i nā kukuna UV. I loko o ka maka, pale kēia melanin i ka mālamalama e komo mai ana mai ka hoʻopuehu pono ʻole ʻia i loko o ka maka.
I mea e pololei ai, e like me ka ʻeleʻele o loko o ke kāmela, kōkua kēia melanin i loko o ka choroid i ka nānā ʻana o ka mālamalama, e kōkua ana i nā cell photoreceptor i loko o ka retina e hana i kahi kiʻi maopopo. A i ʻole, hiki ke hoʻopuehu ʻia ka mālamalama i loko o ka maka i nā wahi āpau, e hoʻolilo ana i ka mea a mākou e ʻike ai i mea blurry.
Aia ma hea kēia choroid?
Aia ka choroid ma nā hapakolu ʻelua hope o ko kākou maka. I ka ʻōlelo maʻalahi, aia ia ma waena o ka paia keʻokeʻo o waho loa o ko kākou maka (sclera) a me ka papa o loko loa o ka maka, ʻo ia hoʻi ka retina . Ua like ia me ka papa waena o kahi sandwich.
He membrane lahilahi loa kēia. ʻO ia hoʻi, ua like kona mānoanoa me kahi pepa A4 a mākou e paʻi mau ai. Akā, i loko o kēlā mānoanoa liʻiliʻi, aia ka pūnaewele nui o nā kīʻaha koko aʻu i ʻōlelo ai. I kekahi manawa, e like me ko mākou loaʻa ʻana o nā māka hānau ma ko mākou ʻili, hiki i kēia choroid ke loaʻa nā māka hānau (nevi). ʻAʻole hiki iā mākou ke ʻike i kēia mau mea mai waho mai. ʻIke wale ʻia kēia mau mea ke nānā aku kahi kauka maka i nā maka.
He aha nā kūlana e hiki ke hoʻopilikia i ka choroid?
He nui nā mea e hoʻopilikia ai i ke kahe koko i loko o ko mākou kino, e like me nā maʻi mumū, hiki ke hoʻopilikia i ka choroid. No ka mea, ua hana ʻia ia me nā kīʻaha koko. ʻO kekahi o nā kūlana nui e ʻike ʻia:
- ʻAlbinism: He ʻano hoʻoilina e hōʻemi ana i ka pigment melanin i loko o ka ʻili a me nā maka. ʻO kēia nele o ka melanin ke kumu o ka hiki ʻole i nā maka ke ʻae i ka mālamalama (photophobia) a hoʻopilikia i ka ʻike.
- Nā kūlana hānau: No ka laʻana, hiki i nā kūlana e like me choroideremia ke hōʻino i ka retina.
- ʻO ka retinopathy pili i ka maʻi diabetes: Hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko i loko o ka maka, hiki ke hoʻopilikia i ka choroid.
- ʻO ka macular degeneration: ʻOi loa aku i ke ʻano 'pulu', ulu nā kīʻaha koko hou a nāwaliwali i loko o ka choroid, hiki ke hōʻino i ka ʻike.
- Nā maʻi ʻaʻai maka: Hiki ke loaʻa nā maʻi ʻaʻai, ʻoiai ka melanoma intraocular, i loko o ka choroid.
- ʻO ka ischemia maka: Hoʻopilikia ʻia ke kahe koko i ka maka, e like me ka hahau maka.
- Glaucoma: Ke hōʻino ka piʻi ʻana o ke kaomi i loko o ka maka i ke aʻalolo optic a me ka retina, hiki ke hoʻopilikia ʻia ka choroid ma ke ʻano ʻole.
- Nā ʻeha maka.
- Nā kūlana mumū: Ka mumū a me ka maʻi o loko o ka maka, e like me ka uveitis a i ʻole chorioretinitis.
Pehea e hoʻomaopopo ai i kahi pilikia me ka choroid?
Ke loaʻa kahi pilikia me ka choroid, hoʻopilikia pololei ia i kā mākou ʻike. No laila, he mea nui loa ia e makaʻala i nā loli o ka ʻike.
| Nā hōʻailona o nā maʻi e pili ana i ka choroid | |
|---|---|
| Nā hōʻailona i ʻike pinepine ʻia | |
| Nā kiko ʻeleʻele a i ʻole nā ʻāpana o ka ʻike e nalowale ana | Ka loaʻa ʻana o nā wahi makapō (scotomas). |
| ʻIke pōwehiwehi | ʻIke pōwehiwehi. |
| ʻIke ʻelua ʻaoʻao | ʻIke pālua (diplopia). |
| ʻEha maka a me ke poʻo ʻeha | ʻEha maka a me ke poʻo ʻeha. |
| Ka paʻakikī ke nānā aku i ka mālamalama | ʻIke i ka mālamalama (photophobia). |
| Nā hōʻailona pilikia e pono ai ke kōkua koke ʻana o ke kauka | |
| Ka luaʻi a me ka ʻeha maka/kaomi | Ka luaʻi a me ka ʻeha o nā maka. |
| Ke ʻike nei i nā apo ānuenue a puni ka mālamalama | Ke ʻike nei i nā halo ʻōniʻoniʻo a puni nā kukui. |
| Ka nalowale koke a i ʻole ka emi ʻana o ka ʻike maka | He pilikia kēia e pono ai ka mālama koke ʻana. |
| Nā ʻālohilohi koke o ke kukui i mua o nā maka | ʻIke koke ʻana i nā kukui ʻālohilohi (photopsias). |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ulia pōpilikia, e hele koke i ka ʻOihana ulia pōpilikia (ETU) o ka haukapila a e ʻike i ke kauka. He mea nui ka manawa i nā ulia pōpilikia maka.
He aha nā hoʻokolohua e hana ʻia e ʻike ai i ia mau kūlana?
Ke ʻike ʻoe i kahi loea maka, e nīnau lākou e pili ana i kāu mau hōʻailona a nānā i kou mau maka. Inā manaʻo lākou he pilikia me ka choroid, hiki iā lākou ke hana i kēia mau hoʻokolohua:
- Hoʻāʻo ʻike maka: He hoʻāʻo laulā e ana i ka ʻoi o kou ʻike.
- Hoʻāʻo kahua ʻike: He hoʻāʻo e ʻike ai inā he hemahema i kāu kahua ʻike (pehea ka mamao e hiki ai iā ʻoe ke ʻike me ka ʻole o ka neʻe ʻana o kou poʻo).
- Hoʻokolokolo kukui ʻoki: Ma kēia, nānā pono ke kauka i loko o kou maka me kahi mea hana like me ka microscope kūikawā.
- Nā hoʻokolohua kiʻi Retinal: Ma muli o ka pilina ma waena o ka choroid a me ka retina, hiki i ka nānā ʻana i ka retina ke hāʻawi i ka ʻike e pili ana i ka choroid.
- ʻO ka angiography Fluorescein: Hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o kahi aʻa koko ma ka lima, a lawe ʻia nā kiʻi o nā kīʻaha koko i loko o ka maka.
- ʻO ka Optical Coherence Tomography (OCT): Ua like kēia me ka lawe ʻana i kahi scan ʻāpana kea o loko o ka maka. Hiki iā ia ke nānā i ka mānoanoa o nā papa o ka maka a inā he pehu.
He aha nā lāʻau lapaʻau no nā maʻi e pili ana i ka choroid?
I ka manawa pinepine, ma kahi o ka mālama pololei ʻana i ka choroid, ua mālama ʻia ke kūlana kumu e hoʻopilikia nei iā ia. ʻO ke ʻano kēia, ke mālama ʻia ke kumu, e hoʻomaikaʻi pū ʻia ke kūlana o ka choroid. Hiki ke ʻokoʻa loa nā ʻano lapaʻau ma muli o ka maʻi.
| ʻAno lapaʻau | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā lāʻau lapaʻau glaucoma | Nā lāʻau lapaʻau e hoʻemi ai i ke kaomi o nā maka a pale a hōʻemi paha i ka hōʻino ʻana i ke aʻalolo optic. |
| Nā lāʻau anti-inflammatory | Nā lāʻau lapaʻau e kāohi ai i ka pehu a me nā maʻi i loko o ka maka. |
| Nā lāʻau anti-VEGF | He lāʻau lapaʻau (i hoʻokomo pinepine ʻia i loko o ka maka) e hoʻōki ai i ka ulu ʻana o nā kīʻaha koko hou a nāwaliwali i loko o ka maka. |
| Ka lāʻau lapaʻau no ka maʻi kanesa | ʻO nā lāʻau lapaʻau no ka maʻi ʻaʻai maka e komo pū ana me ke ʻoki kino a me ka radiation. |
| Nā lāʻau lapaʻau e kōkua ai i ke kahe koko | Nā lāʻau lapaʻau e pale ai i ke kāpili ʻana o ke koko (anticoagulants), e like me nā lāʻau lapaʻau e kaohi ai i ke koko. |
| ʻO ke ʻoki maka | Nā ʻoki kino i hana ʻia e hoʻoponopono i kekahi mau kūlana hōʻino i ka maka. |
Ma muli o kou kūlana, pono paha ʻoe i nā lāʻau lapaʻau hou aʻe, a na kāu kauka e wehewehe pono iā ʻoe.
Pehea e mālama ai i ke olakino o ka choroid a me nā maka?
He waiwai nui ko kākou mau maka. No laila, pono kākou a pau e hoʻāʻo e pale iā lākou. Aia kekahi mau mea hiki iā ʻoe ke hana e mālama i ke olakino o ka maka holoʻokoʻa, me ke choroid.
- E hoʻāʻo mau i nā maka: Inā ʻoe e kau ana i nā aniani a i ʻole, he mea nui e nānā ʻia kou mau maka e ke kauka maka ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Ma kēia ʻano, hiki ke ʻike ʻia nā pilikia ma mua o ka puka ʻana o nā hōʻailona.
- E pale i kou mau maka: Inā ʻoe e wili ana, e hana ana me nā kemika, a i ʻole e hana ana ma nā wahi lepo, e hōʻoia e kau i nā maka aniani palekana/goggles.
- E pale i ka puhipaka a me ka hoʻohana ʻana i ka paka: ʻO ka puhipaka a me ka nau ʻana i ka paka e hōʻino pololei i kā mākou ʻōnaehana kahe koko. ʻOiai ʻo ka choroid kahi papa o nā kīʻaha koko, hiki i ka puhipaka ke hōʻino pololei iā ia.
- E mālama i nā maʻi mau loa: Inā loaʻa iā ʻoe nā maʻi e like me ka Diabetes Mellitus a me ke koko kiʻekiʻe , e mālama pono iā lākou e like me nā kuhikuhi a kāu kauka. Inā ʻaʻole i kāohi ʻia kēia mau maʻi, hiki i ka hōʻino ʻana i nā maka ke koʻikoʻi loa.
- E mālama i kou olakino holoʻokoʻa: ʻO ka ʻai ʻana i ka meaʻai kaulike, ka mālama ʻana i ke kaumaha olakino, a me ka hoʻoikaika kino mau ʻana, ʻaʻole ia he mea maikaʻi wale no kou mau maka, akā no kou kino holoʻokoʻa.
He ʻāpana mālie ka choroid, akā he ʻāpana koʻikoʻi loa ia o ko kākou maka. Hāʻawi ia i ke ola i ko kākou ʻike a kōkua iā kākou e ʻike maopopo i ke ao nei. No laila, ʻo ko kākou kuleana ke makaʻala iā ia a mālama i ko kākou mau maka.
Leka Lawe-Home
- He ʻāpana koʻikoʻi ka choroid o ka papa waena i loko o ko kākou maka e hoʻolako ana i ke koko i ka maka a kaohi i ka mālamalama.
- ʻO ka nalowale koke ʻana o ka ʻike, ka ʻike ʻana i nā kukui uila i mua o nā maka, a me ka luaʻi ʻana me ka ʻeha o ka maka he mau hōʻailona koʻikoʻi ia e pono ai ke kōkua lapaʻau koke.
- ʻO ke ala maikaʻi loa e mālama ai i ke olakino o ka choroid, ʻo ia ke kāohi ʻana i nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe a me ka hoʻokolokolo mau ʻana i nā maka e ke kauka maka.
- Inā ʻike ʻoe i kekahi mau loli a ʻoluʻolu ʻole paha i kou ʻike, mai hoʻāʻo e hoʻoholo iā ʻoe iho a kamaʻilio me ke kauka i ka wā hikiwawe loa.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo