He mea kupaianaha ko kākou mau maka, ʻeā? ʻIke a ʻike kākou i ke ao nei ma o kēia mau ʻōkana liʻiliʻi ʻelua. Akā, pehea ka nui o ko kākou ʻike e pili ana i nā ʻāpana liʻiliʻi i loko o ka maka i hiki ʻole iā kākou ke ʻike mai waho mai, akā he nui nā hana koʻikoʻi e hana nei? ʻO ka maka, he hōʻiliʻili ia o nā ʻāpana liʻiliʻi he nui e hana pū ana. I kēia lā, e kamaʻilio kākou e pili ana i kahi koa leo ʻole koʻikoʻi i loko o ka maka, akā ʻaʻole i lohe ʻia. ʻO ia ke kino ciliary.
He aha ke kino Ciliary?
ʻAe, e hoʻomaka kākou me ka maʻalahi. Ke nānā ʻoe i kou maka i loko o ke aniani, ʻike ʻoe i kahi ʻāpana kala, ʻeā? He ʻeleʻele ko kekahi poʻe, he ʻeleʻele ko kekahi poʻe. Kāhea mākou i kēia ʻo ka iris. Aia kēia kino ciliary ma hope o ka iris. ʻO ia hoʻi, ʻaʻole hiki iā mākou ke ʻike pololei.
I mea e hoʻomaopopo maikaʻi ai i kēia, e noʻonoʻo i kēia ʻano. I loko o ko kākou mau maka, aia kahi membrane kūikawā i kapa ʻia ʻo ka uvea . He hōʻiliʻili kēia o ʻekolu ʻāpana. Ua like ia me ka loaʻa ʻana o ʻekolu inoa no ʻekolu mau wahi ma ke alanui hoʻokahi.
1. Iris: ʻO kēia ka ʻāpana kala o ka maka. Hoʻomalu ia i ka nui o ka mālamalama e komo ana i loko o ka maka.
2. Kino Ciliary: ʻO kēia ka ʻāpana aʻe e pili ana i ka iris.
3. Choroid: He pūnaewele kēia o nā kīʻaha koko i loko o ke kua o ka maka. ʻO ia ke kumu nui o ka meaʻai no ka maka.
Hoʻohui pū nā ʻāpana ʻekolu e hana i ka uvea. No laila, he ʻāpana koʻikoʻi loa ke kino ciliary o ka uvea.
He aha ka lawelawe i ʻike ʻia ma kēia ʻāpana liʻiliʻi?
ʻOiai he mea liʻiliʻi kēia, ʻaʻole liʻiliʻi ka hana āna e hana ai. ʻElua mau hana nui o ke kino ciliary.
1. Hoʻopuka i kahi wai e pono ai ka maka
Aia i loko o ko kākou mau maka kahi wai moakaka i kapa ʻia ʻo aqueous humor . Ua like ia me kahi pōpō i piha i ka ea. Hāʻawi kēia wai i ka maka i ke kaomi e pono ai a mālama iā ia i ke ʻano. Ua like ia me ka hoʻopiha ʻana i ka huila kaʻa. Inā emi ke kaomi, hiki i ka maka ke emi iho, a inā piʻi aʻe, hiki ke hōʻino ʻia ka maka.
Hoʻopuka ʻia kēia wai koʻikoʻi e ke kino ciliary. ʻAʻole wale ia, akā ʻo kēia wai hoʻi e hāʻawi i ka meaʻai e pono ai i ka lens a me ka cornea, ka membrane moakaka ma ke alo o ka maka. No laila, me ka ʻole o kēia wai, ʻaʻole hiki i ka maka ke noho olakino.
2. Ke kōkua nei iā ʻoe e ʻike maopopo i nā mea (Kūpono ʻana)
ʻO kēia ka hiki kupaianaha loa o ke kino ciliary. E noʻonoʻo ʻoe e heluhelu ana i kahi puke. A laila nānā koke ʻoe i luna a ʻike i kahi ʻiole liʻiliʻi ma ka pā hale. A laila nānā hou ʻoe i ka puke. I kēlā me kēia manawa āu e ʻike maopopo ai, me ka ʻole o ka blurring, ʻeā?
ʻO ke kumu nui o kēia, ʻo ia ke kino ciliary. Penei kāna hana:
- Ma ka nānā pono ʻana:Ke nānā ʻoe i kahi mea kokoke, e like me ka puke, ʻūmiʻi nā ʻiʻo o ke kino ciliary (ʻaelike). ʻO kēia ke kumu o ka lilo ʻana o ke aniani o ka maka i convex, ʻo ia hoʻi, e mānoanoa iki aʻe.
- Ke nānā aku i kahi mea mamao: Ke nānā aku ʻoe i kahi mea mamao, hoʻomaha kēlā mau ʻiʻo, a palahalaha ka aniani o ka maka.
ʻO kekahi hana nui o ke kino ciliary, ʻo ia ke kōkua i ka hoʻopili ʻana i ka mālamalama e puka mai ana mai ka mea a mākou e nānā nei ma ka hoʻololi ʻana i ke ʻano o ka lens. Kōkua pū nā ʻano kaula liʻiliʻi i kapa ʻia ʻo zonular fibers i kēia hana.
ʻO ka hapa nui o ka manawa, ma hope o ka makahiki 40-45, lilo ko kākou ʻike kokoke i mea pōwehiwehi iki, ʻeā? Lilo ia i mea paʻakikī iki ke heluhelu i kahi nūpepa a nānā paha i ke kelepona. Kāhea mākou i kēia he presbyopia . ʻO kekahi kumu no kēia, ʻo ia ka nāwaliwali iki ʻana o ka hana o nā ʻiʻo i loko o ke kino ciliary i ko kākou ʻelemakule ʻana.
Pehea ke ʻano o kēia kino ciliary?
E like me kā mākou i ʻōlelo ai ma mua, aia kēia ma hope o ka iris, no laila ʻaʻole hiki iā mākou ke ʻike mai waho. Akā ke nānā ʻoe iā ia me nā lako kūikawā, ua like ia me ke apo. Loaʻa iā ia nā ʻāpana piʻo a ʻāwili. Kāhea mākou iā lākou he mau kaʻina hana ciliary . ʻO ka wai humor a mākou i ʻōlelo ai ma mua ua huna ʻia e kēlā mau ʻāpana ʻāwili.
Ma ke ʻano o ke kala, he ʻeleʻele ke kala o ka ʻaoʻao waho o ke kino ciliary, ʻoiai he moakāka a ʻaʻohe kala o ka ʻaoʻao o loko.
He aha nā maʻi e hoʻopilikia ai i ke kino ciliary?
E like me nā ʻāpana ʻē aʻe o ko mākou kino, hiki ke hoʻopilikia ʻia ke kino ciliary e nā ʻano maʻi like ʻole. Eia kekahi o lākou.
Ka mumū a me nā maʻi ʻaʻai
ʻO ka mumū o ka uvea i kapa pinepine ʻia ʻo uveitis . ʻOiai ʻo ke kino ciliary kekahi ʻāpana o ka uvea, hiki i ka uveitis ke hoʻopilikia i ke kino ciliary. Inā ʻaʻole mālama ʻia, hiki i kekahi manawa ke alakaʻi i ka nalowale o ka ʻike.
Aia kekahi maʻi mumū e hoʻopilikia ai i ka iris a me ke kino ciliary, i kapa ʻia ʻo iridocyclitis . Hiki ke hana ʻia kēia e nā maʻi like ʻole, nā kūlana olakino ʻē aʻe e like me ka arthritis, a i kekahi manawa me ke kumu ʻole.
Nā puʻupuʻu a me nā nui
Hiki i nā puʻupuʻu ʻaʻole hiki ke loaʻa i ka maʻi kanesa a me ka maʻi kanesa ke ulu i loko o ka maka. He mau puʻupuʻu liʻiliʻi nā adenomas , ʻaʻole hiki ke loaʻa i ka maʻi kanesa. Eia nō naʻe, hiki iā lākou ke lilo i maʻi kanesa i kekahi manawa.
Melanoma IntraocularʻO ia ke ʻano maʻamau o ka maʻi ʻaʻai maka i nā pākeke. Akā, he mea kākaʻikahi loa nō hoʻi. Hoʻomaka pinepine ia ma ka choroid, akā hiki nō hoʻi ke laha i ke kino ciliary.
Nā Kūlana ʻē aʻe
Ma waho aʻe o kēia, hiki ke hōʻino ʻia ke kino ciliary no nā kumu ʻē aʻe he nui.
- Glaucoma: Ua ʻike mākou ʻo ke kino ciliary ke kuleana no ka hana ʻana i ka wai hoʻoluʻu i loko o ka maka. Inā no kekahi kumu ua ālai ʻia kēia wai hoʻoluʻu mai ke kahe ʻana i waho o ka maka, e piʻi nui ke kaomi i loko o ka maka. ʻO kēia ka mea a mākou e kapa nei he glaucoma.
- Nā ʻeha maka: Hiki ke hōʻino ʻia ke kino ciliary a hoʻokaʻawale ʻia paha mai kona wahi (detachment) e kahi mea e like me kahi ulia kaʻa a i ʻole kahi mea kemika e komo ana i loko o ka maka.
- Coloboma: He ʻano hānau kēia kahi i nalowale ai kahi ʻāpana o ka ʻiʻo maka. Hiki i kēia ʻano ke hoʻopilikia i ke kino ciliary.
- ʻO ka Optic Atrophy: He kūlana kēia i hana ʻia e ka hōʻino ʻana i ke aʻalolo optic. I kekahi manawa hiki ke lilo i hōʻailona o kahi pilikia ʻē aʻe i loko o ka maka.
He aha nā hōʻailona inā loaʻa iā ʻoe kēia ʻano pilikia?
Inā loaʻa iā ʻoe kahi maʻi e pili ana i ke kino ciliary, hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka .
| Hōʻailona | Ka wehewehe maʻalahi |
|---|---|
| ʻIke pōwehiwehi | Manaʻo e like me ka ʻike pono ʻole ʻana o nā mea. |
| ʻUlaʻula o nā maka | ʻUlaʻula o ka ʻāpana keʻokeʻo o ka maka. |
| Nā maka pehu | Ka pehu ʻana o ka lihilihi a puni ka maka. |
| Ke kahe nei nā waimaka mai nā maka mai | Nā maka waimaka no ke kumu ʻole. |
| Ka nalowale o ka ʻike | Ka emi mālie a i ʻole ka nalowale koke o ka ʻike. |
| ʻEha maka | ʻO ka ʻeha e hele mai ana mai loko mai a puni paha o ka maka. |
| ʻEha poʻo | ʻO ke poʻo ʻeha e pili ana i ka pilikia maka. |
| Hyphema | Ke ʻano o ke koko e hōʻiliʻili ana ma ka ʻaoʻao mua o ka maka. |
Pehea e ʻike ai ke kauka i kēia mau kūlana?
Ke ʻike ʻoe i kahi loea maka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolokolo maka. Inā kānalua ʻia kahi pilikia me ke kino ciliary, hiki ke kauoha ʻia kekahi a ʻoi aku paha o kēia mau hoʻokolohua:
| Hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka Biomicroscopy Ultrasound | He kiʻi ultrasound wehewehe kiʻekiʻe kēia e hoʻohana ana i nā nalu kani e hana i kahi kiʻi maopopo o loko o ka maka. |
| ʻO ka Tomography Hoʻohui Optical (OCT) | He hoʻāʻo ʻaʻole invasive e hoʻohana ana i nā kukuna kukui e hana i nā kiʻi ʻokiʻoki o ke kua o ka maka (ʻoi aku ka retina). |
| ʻAngiography | He hoʻāʻo e hoʻohana ana i kahi waihoʻoluʻu kūikawā e hoʻokomo i loko o ke kino e loaʻa ai kahi kiʻi maopopo o nā kīʻaha koko i loko o ka maka. |
| Biopsy | Inā kānalua ʻia he maʻi ʻaʻai, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka maka a nānā ʻia ma lalo o kahi microscope. |
He aha nā lāʻau lapaʻau no kēia mau maʻi?
Aia nā koho lapaʻau i ke ʻano o kou kūlana, a aia nā koho lapaʻau like ʻole i loaʻa.
- Nā lāʻau lapaʻau: Hiki ke hāʻawi ʻia kēia mau mea ma ke ʻano he kulu maka, ʻaila poni, pila, a i ʻole nā inikini.
- Lapaʻau laser: Lapaʻau me ka hoʻohana ʻana i nā kukuna laser.
- Cryotherapy: He lāʻau lapaʻau e hoʻohana ana i ke anu nui loa.
- ʻO ke ʻoki kino: I kekahi mau hihia, pono paha ke ʻoki kino e wehe i nā ʻāpana o ka maka a i ʻole e hoʻokomo i kahi lens, e like me ka wehe ʻana i ka cataract.
Pehea lā e mālama ai i ko kākou mau maka, ʻo ia hoʻi, ke kino ciliary, i ke olakino?
ʻAʻole hiki iā mākou ke pale aku i nā maʻi a pau, akā, ʻo ka hahai ʻana i kahi nohona olakino hiki ke lilo i mea maikaʻi loa no kou mau maka a me kou kino holoʻokoʻa.
- E hoʻokolokolo maka maʻamau: ʻOiai inā ʻaʻohe pilikia, e ʻike i kahi ophthalmologist ma ka liʻiliʻi hoʻokahi manawa i ka makahiki e nānā i kou mau maka.
- E hoʻolohe i nā hōʻailona: Inā ʻike ʻoe i kekahi mau loli, ʻeha, a i ʻole ka pohihihi o kou mau maka, mai hoʻowahāwahā iā ia a e ʻike koke i ke kauka.
- E kiʻi i ka meaʻai maikaʻi: ʻO nā meaʻai waiwai i nā wikamina A, C, a me E (e like me ke kāloti, ka ʻuala, nā greens, nā ʻalani, a me ka iʻa) he mea maikaʻi loa ia no nā maka. Inā he mau hopohopo kāu e pili ana i kāu ʻai, e nīnau i kāu kauka e pili ana i ka lawe ʻana i nā mea hoʻohui wikamina.
- E hoʻohana i ke kukui kūpono: E hoʻomālamalama maikaʻi i ʻole e luhi kou mau maka i ka heluhelu ʻana a i ʻole ka hana ʻana.
- Hoʻoikaika Kino: Hoʻomaikaʻi ka hoʻoikaika kino mau i ke kahe koko i loko o ke kino. He mea maikaʻi nō hoʻi ia no nā maka.
- E inu i ka wai he nui: E pale i ke kino mai ka maloʻo ʻana.
- Mai puhipaka: He mea ʻino loa ka puhipaka i nā maka.
- E ʻaʻahu i nā aniani maka: E ʻaʻahu i nā aniani maka maikaʻi e pale iā ʻoe iho mai nā kukuna UV i ka wā e hele ai i waho i ka lā.
- E ʻaʻahu i nā aniani palekana: Inā ʻoe e hana ana i kekahi mau hana (e like me ka wili ʻana) a i ʻole e pāʻani ana i nā haʻuki e hiki ai ke hoʻoweliweli i kou mau maka, e ʻaʻahu i nā aniani palekana i hana ʻia no ia kumu.
He ʻōkana paʻakikī loa ko kākou mau maka. He kuleana koʻikoʻi ko kēlā me kēia ʻāpana liʻiliʻi. ʻO ke kino ciliary kekahi koa leo ʻole e hana ana i kahi lawelawe nui. No laila, e mālama kākou i ko kākou mau maka a mālama pū i ke olakino o ko kākou kino holoʻokoʻa.
Leka Lawe-Home
- He ʻāpana ʻike ʻole ʻia ke kino ciliary o ka maka, akā he mea nui loa ia.
- ʻO kāna mau hana nui ka hana ʻana i ka wai e pono ai ka maka a e kōkua i ka hāʻawi ʻana i ka ʻike maopopo (kikowaena) i ka nānā ʻana i kahi kokoke a mamao.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻike maka pōwehiwehi, nā maka ʻulaʻula, a i ʻole ka ʻeha o ka maka.
- No kekahi mau pilikia e pili ana i kou mau maka, e ʻimi koke i ka ʻōlelo aʻo a ke kauka kūpono.
- ʻO nā ʻano maikaʻi e like me ka ʻai ʻana i ka meaʻai momona, ka pale ʻana i ka puhipaka, a me ka hoʻokolokolo maka maʻamau e kōkua i ka mālama ʻana i kou mau maka i ke olakino no ka manawa lōʻihi.
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