No laila, i ko kākou ʻelemakule ʻana, hoʻomaka ko kākou kino e loli, ʻeā? I kekahi manawa, ʻike pū ko kākou mau maka i kēia. Manaʻo ʻoe ʻaʻole hiki iā ʻoe ke ʻike maopopo e like me ka wā ma mua? He paʻakikī anei ka heluhelu ʻana i nā paʻi liʻiliʻi a i ʻole ka heluhelu ʻana i nā nūpepa? Mai hopohopo, he nui o kēia mau mea he mau kūlana maʻamau e hele mai me ka ʻelemakule. Akā, ʻo ka ʻike ʻana i kēia mau mea a me ka lawe ʻana i nā hana kūpono e hiki ke kōkua i ka mālama ʻana i kou mau maka i ke olakino no ka manawa lōʻihi.
He aha kēia mau pilikia maka maʻamau e kū mai ana i ko kākou wā ʻelemakule?
ʻAe, e nānā kākou i nā pilikia e hoʻopilikia nui ana i ko kākou mau maka i ko kākou ʻelemakule ʻana. Ua lohe paha ʻoe i kekahi o lākou.
Eia nā kūlana nui i ʻike ʻia:
- ʻO ka Degeneration Macular pili i ka Makahiki (AMD): ʻO kēia ka wā e hōʻino ʻia ai ka macula, kahi ʻāpana koʻikoʻi o ka maka e hāʻawi ana i ka ʻike maopopo. I ka ʻōlelo maʻalahi, lilo ke kikowaena o ka mea āu e ʻike ai i mea pōuliuli a maopopo ʻole. Hiki ke paʻakikī ke ʻike i nā helehelena a i ʻole ka heluhelu ʻana i kahi puke.
- ʻO ke Cataracts: He mea kēia i kamaʻāina i nā poʻe he nui. ʻO kēia ka manawa e lilo ai ke aniani o ka maka i ao a noe paha. A laila hiki ke ʻike ʻia nā mea he blurry a me ke kala ʻole. Ua like ia me ka nānā ʻana ma o ke aniani lepo.
- ʻO ka Retinopathy e pili ana i ka maʻi diabetes: He mea nui loa kēia inā loaʻa iā ʻoe ka maʻi diabetes. Hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko palupalu i loko o ka maka, e hoʻopilikia ana i kou ʻike.
- Glaucoma: He maʻi ʻino iki kēia. Hoʻokumu ʻia kēia e ka hoʻonui ʻia o ke kaomi i loko o ka maka, ka mea e hōʻino ai i ke aʻalolo optic, he mea nui ia no ko kākou ʻike. ʻOiai ʻaʻohe paha he mau hōʻailona nui i nā pae mua, hiki ke lilo mālie ka ʻike i mea pōuliuli.
Ma waho aʻe o kēia mau mea nui, aia kekahi mau ʻano pilikia maka e hiki ke kū mai i kou wā ʻelemakule. Eia kekahi mau laʻana:
- Presbyopia: He mea kēia e hana ʻia i ka hapa nui o ka poʻe ma hope o 40 mau makahiki. ʻO ia hoʻi, ʻaʻole maopopo loa nā mea kokoke, e like me nā leka liʻiliʻi. E hoʻopaʻa i ka nūpepa i kahi mamao iki aku, a lilo ia i mea paʻakikī ke hoʻopili i ka nila, ʻeā? ʻO ia ke ʻano.
- Astigmatism: Ke hoʻokū pono ʻole ka maka i ka mālamalama, ʻike ʻia nā mea i kīkoʻo iki ʻia a pohihihi.
- Nā maka maloʻo: Ke emi ka hana ʻana o ka waimaka, hiki i nā maka ke maloʻo, huhū, a manaʻo e like me ke one i loko o nā maka.
- Nā mea lana maka: Ke ʻike nei ʻoe i kekahi manawa i nā kiko ʻeleʻele liʻiliʻi a i ʻole nā wili e lana ana i mua o kou mau maka ? Eia lākou. ʻOiai ʻaʻole lākou he mea weliweli, inā e piʻi koke ka nui o lākou, he manaʻo maikaʻi ke ʻike i ke kauka.
- Hyperopia: ʻIke mamao: ʻIke maopopo i nā mea mamao, akā ʻike i nā mea kokoke me ka palalulu.
- Nā ʻālohilohi o ke kukui: Nā ʻālohilohi koke o ke kukui i mua o nā maka.
- ʻIke haʻahaʻa:Aia kekahi mau hihia kahi hiki ʻole ke hoʻihoʻi piha ʻia ka ʻike me nā aniani a i ʻole nā lāʻau ʻē aʻe.
- Myopia: ʻIke kokoke: ʻIke maopopo i nā mea ma kahi kokoke, akā ʻike i nā mea mamao me he mea lā pōwehiwehi.
- Ka Wehe ʻana o ka Retinal: He pilikia kēia. Wehe ʻia ka retina, ka papa i ʻike ʻia e ka mālamalama i loko o ka maka. Hiki iā ia ke lilo koke ka ʻike.
- Nā maka waimaka: Ka nui o ka waimaka.
Akā e hoʻomanaʻo, ʻaʻohe pono e makaʻu i kēia mau mea a pau. Hiki i nā loea maka ke mālama i nā pilikia he nui. Hiki ke ho'ōla loa ʻia kekahi, aʻo kekahi e hiki ke hōʻemi i nā hōʻailona a mālama i kou ʻike i ka maikaʻi e like me ka hiki no ka lōʻihi. I kekahi manawa, he koʻikoʻi nā kūlana e hiki ai ke nalowale loa ka ʻike.
ʻO ka mea nui loa, ʻo ia ke nānā ʻia kou mau maka i nā manawa maʻamau. A laila, inā he pilikia, hiki ke ʻike mua ʻia a hiki ke hoʻomaka ka lāʻau lapaʻau.
He aha nā hōʻailona o kēia mau pilikia maka?
ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau maʻi maka e pili ana i ka ʻelemakule e hōʻike i nā hōʻailona nui i nā pae mua. ʻO ia ke kumu he mea weliweli iki lākou. Eia nō naʻe, ma muli o ke kūlana, hiki ke ʻike ʻia nā hōʻailona like ʻole. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea:
- He ao a he pōwehiwehi ka ʻike.
- ʻO ka ʻeha o nā maka, ka wela, a me ke kuni.
- Ka nui o ka waimaka a maloʻo paha o nā maka.
- Ke ʻike ʻana i nā kiko ʻeleʻele a i ʻole nā wili e lana ana i mua o kou mau maka, a i ʻole ka ʻike koke ʻana i nā kukui.
- ʻIke i ka mālamalama ʻōlinolino, paʻakikī ke nānā aku i ka lā.
- Ka paʻakikī ke hoʻokaʻawale a me ka ʻike ʻana i nā kala (no ka laʻana, me he mea lā ua huikau ka uliuli ʻeleʻele a me ka ʻeleʻele).
- Lilo ka ʻike maka i haiki, me he mea lā e nānā ana ma o kahi ʻōmole (pohō ka ʻike maka peripheral).
Hiki i kēia mau hōʻailona ke hoʻolilo iā ia i mea paʻakikī ke hoʻokō i kāu mau hana o kēlā me kēia lā. E noʻonoʻo:
- Paʻi liʻiliʻi, ʻaʻole hiki ke heluhelu i nā kikoʻī o ka nūpepa.
- Ke loaʻa nei ka ʻeha poʻo.
- ʻAʻole hiki ke hoʻoholo pololei i nā mamao (e like me ke iho ʻana i lalo o ke alapiʻi).
- He paʻakikī ke kālele i ka nānā ʻana i kahi mea kokoke a laila nānā koke i kahi mea mamao.
- Ua emi ka ʻike ʻia i ka pō, e paʻakikī ai ke kalaiwa i ka pō.
- Nā maka e manaʻo nei i ka luhi.
Inā ʻike ʻoe i kahi mea e like me kēia, e ʻike pono i kahi ophthalmologist.
No ke aha e hana ai nā maka i kēia i ko kākou wā ʻelemakule?
Ke noʻonoʻo nei paha ʻoe no ke aha e hopohopo nui ai kou mau maka i kēia makahiki. E like me nā ʻāpana ʻē aʻe o ko mākou kino, e loli pū ana ko mākou mau maka i ko mākou ʻelemakule ʻana. He mea maoli ia.
- Ma hope o 40 mau makahiki: He nui ka poʻe e hana i nā waimaka emi. Kōkua nā waimaka i ka mālama ʻana i nā maka i pulu, maʻemaʻe, a pale iā lākou mai ka maʻi. No laila, ke emi nā waimaka, maloʻo nā maka, ʻeha, a huhū.
- Nā protein i loko o ke aniani o ka maka: I ko kākou ʻelemakule ʻana, hoʻomaka nā protein i loko o ke aniani o ka maka e haki. ʻO kēia ke kumu nui o nā cataracts. Mānoanoa mālie ka aniani a lilo i ao.
- ʻO ka mea i waenakonu o ka maka: Aia kahi mea e like me ka jelly i kapa ʻia ʻo `(Vitreous)` i loko o ko kākou mau maka. I ko kākou ʻelemakule ʻana, hoʻomaka kēia e emi iki. ʻO ia ka manawa e hoʻomaka ai kēlā mau `floaters` e ʻike ʻia i mua o nā maka. I kekahi manawa hiki i kēia ke hana i kahi `Retinal Detachment`.
- Ka maʻalahi o ke aniani: He maʻalahi loa ke aniani o ka maka i kou wā ʻōpiopio. ʻO ia hoʻi, hiki iā ia ke hoʻololi i ka ʻike kokoke a me ka ʻike mamao. Eia naʻe, i kou wā ʻelemakule, emi iho kēia maʻalahi. ʻO ia ka manawa e kū mai ai kahi kūlana i kapa ʻia ʻo "Presbyopia", kahi hiki ʻole iā ʻoe ke ʻike i nā mea kokoke.
Hiki i nā pilikia maka e pili ana i ka makahiki ke hana i nā pilikia ʻē aʻe?
ʻAe, hiki i nā pilikia maka ke alakaʻi i nā pilikia ʻē aʻe i kekahi manawa. Eia kekahi laʻana, ke pilikia kou ʻike, ʻoi aku ka nui o kou hāʻule ʻana a loaʻa nā ulia.
Eia kekahi, ke nānā aku kāu kauka maka i kou mau maka, hiki iā lākou ke ʻimi i nā hōʻailona e pili ana i nā maʻi ʻē aʻe i pili ʻole i nā maka. ʻAʻole anei he mea kupaianaha? Hiki i kou mau maka ke haʻi iā ʻoe i nā mea he nui e pili ana i kou olakino holoʻokoʻa.
I kekahi manawa hiki i nā pilikia maka ke hōʻailona o nā kūlana ʻē aʻe, e like me:
- He kūlana like me ka pahū ʻana o ke kīʻaha koko (`Aneurysm`)
- Ka maʻi ʻaʻai
- Maʻi diabetes
- Maʻi puʻuwai
- Ke koko kiʻekiʻe (Hypertension)
- Sclerosis lehulehu (MS)
- ʻO ka maʻi Sjögren (kahi maʻi e hoʻomaloʻo ai i nā maka a me ka waha)
- Ka nele o ka wikamina A
- Hahau
- Nā puʻupuʻu
ʻO ia ke kumu i ʻōlelo ʻia ai ʻaʻole wale nā hoʻokolohua maka e pili ana i ka loaʻa ʻana o nā aniani, he mea nui ia no ke olakino holoʻokoʻa.
Pehea ʻoe e ʻike ai i kēia mau pilikia maka e pili ana i ka makahiki?
Hoʻohana nā kauka maka i nā ʻano hoʻokolohua like ʻole e ʻike a mālama i nā pilikia maka. ʻO kekahi o nā ʻāpana koʻikoʻi o ka hoʻokolokolo maka piha ʻana , ʻo ia ka nānā ʻana i ka lua ʻeleʻele o ka maka (ʻOphthalmoscopy a i ʻole Fundoscopy). Ua kapa ʻia kēia ʻo 'eye dilation'.
Eia ka mea e hana ʻia:
1. Hoʻokomo ke kauka i nā kulu i loko o kou mau maka.
2. A laila pono ʻoe e kali ma kahi o 15 a 20 mau minuke a hiki i ka wā e hoʻonui piha ʻia ai kāu haumāna.
3. A laila e hoʻohana ke kauka i kahi kukui kūikawā e nānā i loko o kou maka, ʻoi aku hoʻi ka retina. E kōkua kēia i ka nānā ʻana i kekahi maʻi maka a i ʻole nā pilikia ʻē aʻe.
Ke hoʻonui ʻia ka cornea ma hope o ka hoʻohana ʻana i kēia lāʻau lapaʻau, hiki i nā maka ke lilo i mea ʻike iki i ka mālamalama no kekahi mau hola, ʻo ia hoʻi he mea paʻakikī ke nānā aku i ka lā a i ʻole nā kukui ʻālohilohi. ʻO ia ke kumu e ʻōlelo ai nā kauka e komo i nā aniani maka. He mea paʻakikī ke hoʻokele kaʻa i kēia manawa, no laila ʻoi aku ka maikaʻi o ka lawe ʻana o kekahi iā ʻoe me ʻoe.
He aha nā lāʻau lapaʻau no kēia?
Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o ka pilikia maka a me ka ʻike āu e ʻike nei.
I kekahi manawa, inā maikaʻi ʻole kou ʻike maka, pono paha ʻoe e hoʻohana i nā kukui ʻoi aku ka mālamalama no nā hana o ka hale, ka heluhelu ʻana, a i ʻoleHiki ke kōkua ka hoʻohana ʻana i kahi mea hoʻonui. Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e hana i nā hoʻokolohua maka maʻamau e nānā i kou kūlana.
Hiki i nā maka aniani, nā pilina maka, nā mea hoʻomaikaʻi ʻike ʻē aʻe , a i ʻole ke ʻoki hoʻoponopono ʻike ke kōkua iā ʻoe e ʻike maikaʻi. Hiki i kēia ke hoʻomaikaʻi i kou ola a me kou kūʻokoʻa.
Hiki ke hōʻoluʻolu ʻia kekahi mau hōʻailona liʻiliʻi me nā kulu maka a me nā waimaka hana .
Lapaʻau no nā pilikia maka koʻikoʻi
No nā kūlana maka koʻikoʻi e pili ana i ka makahiki, hiki i kāu loea maka ke ʻōlelo i nā mea e like me:
- Nā mea kōkua no ka ʻike haʻahaʻa a i ʻole ka lāʻau lapaʻau hoʻoponopono hou.
- Lāʻau lapaʻau (waha a i ʻole injectable).
- Nā mea hoʻohui meaʻai: No ka laʻana, he mea hoʻohui meaʻai kūikawā i kapa ʻia ʻo AREDS2 e kōkua i ka kaohi ʻana i ka nalowale o ka ʻike i nā poʻe me ka Age-related Macular Degeneration (AMD).
- ʻO ke ʻoki maka: Hiki ke hana ʻia ke ʻoki no nā kūlana e like me Glaucoma, Cataracts, a i ʻole Retinal Detachment.
He aha ka mea e hana ai inā loaʻa iaʻu kahi pilikia maka e pili ana i ka ʻelemakule?
I nā hihia he nui, hiki i kāu kauka maka ke kōkua iā ʻoe e mālama a hoʻomaikaʻi paha i kou ʻike. Eia nō naʻe, ʻaʻole hiki i kekahi mau kūlana, e like me ka glaucoma, ke hoʻohuli i ka pōʻino a lākou e hana ai. No laila e kamaʻilio me kāu kauka e pili ana i nā ala e hoʻokele ai i kāu mau hōʻailona a hoʻololi i kou nalowale o ka ʻike. Hiki iā lākou ke kuhikuhi iā ʻoe i nā kumuwaiwai a me ke kākoʻo.
Pehea e pale ai i nā pilikia maka e pili ana i ka makahiki?
ʻO ka mea nui e hana ai e pale aku i nā pilikia maka a pale i kou mau maka a me ka ʻike, ʻo ia ka nānā pono ʻana i nā maka i nā manawa maʻamau. He mea nui loa kēia inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka maʻi diabetes. ʻOiai inā ʻaʻole ʻoe e ʻike i kahi loli nui i kou ʻike a ʻaʻohe hōʻailona, e ʻike pinepine i ke kauka maka.
Ke paipai nei ka American Academy of Ophthalmology e nānā ʻia kou mau maka e kahi loea maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki ma hope o ka piha ʻana o 50 mau makahiki. E nīnau i kāu kauka i ka pinepine o ka nānā ʻana i kou mau maka.
Pehea e mālama ai i koʻu mau maka a me koʻu ʻike?
Aia kekahi mau mea hiki iā ʻoe ke hana e pale i kou mau maka a pale i ka nalowale o ka ʻike:
- ʻAi i nā meaʻai momona: ʻO ka ʻai ʻana i nā huaʻai a me nā mea kanu he nui i kēlā me kēia lā e hāʻawi i kou mau maka a me kou ʻike i nā meaola e pono ai. ʻO ka ʻai ʻana i nā iʻa (e like me ka sālemona, mackerel, a me ka herring) a me nā nati (e like me nā ʻalemona a me nā walnuts) i loaʻa i nā waikawa momona 'Omega-3' a me 'Omega-6' he mea maikaʻi loa ia no ke olakino maka.
- E makaʻala i ka mōʻaukala ʻohana o nā maʻi maka: Hiki i kekahi mau maʻi maka ke holo i loko o nā ʻohana, no laila inā loaʻa i kekahi o kou ʻohana nā pilikia maka, he mea nui e haʻi i kāu kauka e pili ana iā lākou.
- E kāohi i ka maʻi diabetes a me ke koko kiʻekiʻe: Inā ʻaʻole i kāohi ʻia kēia mau maʻi, hiki iā lākou ke hana i nā pilikia maka.
- E ʻaʻahu i nā aniani maka a me ka pāpale ākea: E pale i kou mau maka mai nā kukuna ultraviolet (UV) ʻino. Hoʻonui kēia mau kukuna i ka pilikia o nā maʻi maka.
- E haʻalele i ka puhipaka: Hoʻonui nui ka puhipaka i ka pilikia o nā pilikia maka e like me ke cataracts a me ka AMD. Hiki i ka haʻalele ʻana i ka puhipaka ke kōkua i ka hōʻemi ʻana i kēia pilikia. E noi i kāu kauka no ke kōkua me kēia.
Āhea wau e ʻimi ai i ka mālama ulia pōpilikia?
Inā ʻike koke ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka maka, a i ʻole e hele i kahi lumi pilikia o ka haukapila:
- ʻIke pōwehiwehi koke.
- Ke hoʻomaka nei e ʻike i nā ʻelua (ʻIke pālua).
- He ʻeha maka.
- ʻEha nui o ka maka.
- Ke hoʻomaka hou nei e ʻike i nā mea lana a i ʻole nā kukui o ke kukui i mua o kou mau maka.
- ʻUlaʻula o ka maka a i ʻole ka pehu ʻana o ka lihilihi.
- Ka nalowale koke ʻana o ka ʻike.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
He mea maʻamau ka loli ʻana o kou ʻike i kou wā ʻelemakule. Hiki paha iā ʻoe ke ʻike he mea paʻakikī ke kalaiwa i ka pō, a i ʻole e lōʻihi paha ka manawa e nānā ai i nā mea kokoke. Eia nō naʻe, ʻo ka loaʻa ʻana o nā hoʻokolohua maka maʻamau mai kahi loea maka hiki ke kōkua i ka mālama ʻana i kou ʻike a me ke olakino o ka maka i ke ʻano maikaʻi. He mea nui loa kēia inā ua loaʻa i kekahi o kou ʻohana nā maʻi maka. Inā ʻike mua ʻia nā pilikia maka e pili ana i ka ʻelemakule, hiki ke mālama ʻia me ka maikaʻi. A laila hiki iā ʻoe ke ʻike maopopo i kēia ao nani no ka manawa lōʻihi. Mai hopohopo, e makaʻala, a e hana i nā hana kūpono.
Nā pilikia maka e pili ana i ka makahiki , cataracts, glaucoma, macular degeneration, presbyopia, olakino maka, nalowale o ka ʻike











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