Ua pehu kou mau maka? E kamaʻilio kākou e pili ana i ka Corneal Edema!

Ua ala aʻe ʻoe i ke kakahiaka a manaʻo ua pōwehiwehi kou mau maka a ua manaʻo ʻoe he mea i loko? A i ʻole ʻike ʻoe i nā apo a puni kou mau maka ke nānā ʻoe i nā kukui? Malia paha ua ʻeha kou mau maka a ua paʻakikī iā ʻoe ke nānā aku i ke kukui. ʻAʻole kēia he mau hōʻailona wale nō, he mau hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo Corneal Edema , ʻo ia hoʻi ka pehu ʻana o ka cornea o kou maka. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī .

He aha ka Edema Corneal?

I ka ʻōlelo maʻalahi, ʻo ka edema corneal ka pehu ʻana o ka cornea o kou maka. ʻO ka cornea ka ʻāpana poepoe, aniani, a moakaka o ka maka ma ke alo. Ua like ia me ke aniani o ke kāmela. He mea nui i kēia cornea e olakino i hiki iā mākou ke ʻike maopopo.

No laila, pehu ka pehu ʻana ke hōʻiliʻili kahi wai i loko o kēia ʻeke. Nui nā kumu no kēia. Hiki ke hana inā ua ʻeha a maʻi paha ka maka. Hiki nō hoʻi ke hana ma hope o ke ʻoki maka, e like me ke ʻoki cataract . I kekahi manawa, hiki ke hana ʻia ka edema corneal ma muli o nā kūlana genetic.

Pehea ka hopena o kēia i nā maka?

ʻO ka uhi o loko o ko kākou mau maka he papa o nā pūnaewele i kapa ʻia ʻo ka endothelium . ʻO ka hana nui o kēia mau pūnaewele endothelial ka wehe ʻana i ka wai keu mai ka maka a mālama i kona pae makū. Hana kēia mau pūnaewele e like me ka pamu liʻiliʻi.

No laila, inā he pōʻino i kēia mau pūnaewele endothelial , ʻaʻole e hana pono kēlā kaʻina hana pumping. A laila paʻa ka wai e pono ai e puka i waho o ka moku ma laila, a hoʻomaka ka moku e pehu.

Inā loaʻa iā ʻoe ka edema corneal, hiki iā ʻoe ke loaʻa nā pelu a i ʻole nā ​​​​​​nahā i loko o ka ʻiʻo i loko o kou maka i kapa ʻia ʻo ka membrane Descemet . He ʻāpana koʻikoʻi loa kēia membrane o ke ʻano o kou maka e kōkua ai e mālama iā ia i maopopo.

He aha nā hōʻailona o kēia?

Inā loaʻa iā ʻoe ka edema corneal, kahi pehu o ka cornea, hiki ke ʻoi aku ka ʻino o kekahi o nā hōʻailona i ke kakahiaka. ʻO kēia no ka mea i ka wā e hiamoe ai mākou, ua pani ʻia ko mākou mau maka, no laila e hōʻiliʻili ka wai i loko o ka maka ma kahi o ka kahe ʻana i waho. E nānā e ʻike inā loaʻa iā ʻoe kēia mau hōʻailona:

• ka manaʻo o ka ʻeha a i ʻole ka ʻoluʻolu ʻole ma ka maka , me he mea lā ua paʻa kekahi mea liʻiliʻi i loko o ka maka.
• ʻIke pōwehiwehi.
• Paʻakikī ke nānā aku i ka mālamalama (Photophobia). Manaʻo nui kekahi poʻe i kēia, me he mea lā e ʻālohilohi ana ka mālamalama i loko o ko lākou mau maka.
• Ke ʻike nei i nā halo a puni nā kukui.
• I ka manawa pinepine ʻole , hiki ke loaʻa nā blisters .
• ʻO ka edema microcystic corneal kahi ʻano e hele pū ai ka pehu ʻana me ke kūkulu ʻia ʻana o nā blisters liʻiliʻi loa.

ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​mai hoʻowahāwahā iā lākou a e ʻike koke aku i kahi kauka maka.

No ke aha e kū mai ai ka edema corneal?

ʻO nā kumu nui o ka edema corneal ka hōʻino ʻia ʻana o nā cell endothelial a mākou i kamaʻilio ai ma mua, nā ʻeha maka, a me nā kūlana mumū. Eia nō naʻe, i kekahi manawa ʻaʻole hiki i nā kauka ke loaʻa ke kumu pololei. I ia mau hihia, ua kapa ʻia ʻo ia he idiopathic corneal edema .

Ma muli o nā ʻeha maka a me nā ʻoki kino

• Nā ʻeha maka: E noʻonoʻo inā pā ʻia kou maka e ka pōpō i ka wā e pāʻani ana i ka cricket, a inā pā ʻia kou maka i kahi ulia kaʻa i ka wā e hele ana, i ka wā o ka hakakā, a inā paha e komo kahi kemika i kou maka i ka wā e hana ana ma kahi hale hana. Hiki i kēia mau ʻeha ke ʻano o nā ʻōpala, ke komo ʻana o kahi mea i loko o kou maka, a i ʻole nā ​​​​wela.
• ʻO ke ʻoki maka: He mea maʻamau ke ʻike ʻia kekahi pehu ma hope o ka hapa nui o nā ʻoki maka. Nalo pinepine kēia pehu i loko o kekahi mau pule. Eia nō naʻe, no kekahi poʻe, ʻoi aku ka poʻe me nā maʻi maka mua, hiki ke mau loa kēia pehu.

Ma muli o nā maʻi maka

Hiki i kekahi mau maʻi maka ke hoʻoulu i ka wai e hōʻiliʻili i loko o ka cornea, e hana ana i ka edema corneal.

• ʻIritis: ʻO kēia ka mumū o ka iris o ka maka.
• Keratitis: ʻO kēia kahi mumū e kū mai ana i loko o ka cornea.
• ʻO ka dystrophy a Fuchs: He kūlana hoʻoilina kēia. Ma kēia kūlana, ʻaʻole hiki i nā cell endothelial i loko o ka maka ke wehe i ka wai mai ka maka. Hiki i kēia ke hana i ka pehu a me ka pehu.
• Glaucoma: Hoʻopōʻino kēia ʻano i ke aʻalolo optic i loko o ka maka. Hiki i kēia ke hoʻonui i ke kaomi i loko o ka maka, e hoʻoulu ai i ka pehu.

He aha nā kumu ʻē aʻe?

Aia kekahi mau kumu ʻē aʻe e hoʻopilikia ai i kēia kūlana.

• Ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau.
• Ke komo ʻana i nā aniani hoʻopili pili paʻa loa ma ka maka. He mea nui loa ka hoʻohana ʻana i nā aniani hoʻopili pili e kūpono pono i kou mau maka, e hoʻomaʻemaʻe iā lākou a hoʻohana iā lākou no ka manawa i kuhikuhi ʻia.
• Nā maʻi.

Pehea ʻoe e ʻike ai i kēia?

I mea e ʻike pono ai inā he maka pehu kou, pono ʻoe e ʻike 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 piha a nānā pono i kou maka me ka hoʻohana ʻana i nā lako kūikawā.

Hiki i ke kauka ke hana i kahi hoʻāʻo e ana i ka mānoanoa o kou cornea, i kapa ʻia ʻo pachymetry . Hiki iā ia ke hana i kahi ultrasound e nānā i kou mau maka.

ʻO kekahi hoʻāʻo ʻē aʻe hiki ke hana ʻiaʻO ka Optical Coherence Tomography o ka ʻāpana mua. He hoʻāʻo ʻeha ʻole kēia, ʻaʻohe invasive e hoʻohana ana i ka mālamalama e nānā i ke olakino o kou maka.

He aha nā lāʻau lapaʻau?

E mālama ke kauka i ka edema corneal a me nā kūlana olakino ma lalo e hiki ke hoʻokumu a kōkua paha i ia mea. I kekahi mau hihia akahai, hiki i ka edema corneal ke hoʻopau iā ia iho.

Lapaʻau ʻoki ʻole

Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe, e like me nā mea topical a i ʻole nā ​​​​​​pile a i ʻole nā ​​​​​​ini.

• Nā lāʻau antibiotic no nā maʻi.
• Nā Corticosteroids no ka mumū.
• Nā hopena hypertonic e hōʻemi i ka nui o ka wai o ka maka. Hiki ke loaʻa kēia mau mea ma ke ʻano he kulu maka.
• Inā kiʻekiʻe ke kaomi i loko o ka maka ma muli o ka glaucoma, hāʻawi ʻia ka lāʻau lapaʻau e hoʻēmi iā ia.
• Inā he mau pehu, hiki ke hoʻokomo ʻia nā aniani hoʻopili bandage kūikawā e hōʻemi i ka ʻoluʻolu ʻole i hoʻokumu ʻia e lākou.

Lapaʻau ma ke ʻoki kino

I kekahi mau hihia koʻikoʻi, ʻoiai inā he mau ʻeha koʻikoʻi, pono paha ke ʻoki kino.

• ʻO ke kāpili corneal kahi hana ʻoki e hoʻoili i kahi cornea hou. Hiki i kēia ke lilo i ka cornea holoʻokoʻa a i ʻole kekahi hapa o ia mea.
• Inā kiʻekiʻe ke kaomi i loko o ka maka ma muli o ka glaucoma, hana ʻia ke ʻoki kino e hōʻemi iā ia.

He aha ka mea e hiki mai ana ma kēia kūlana?

I ka hapanui o nā hihia, inā mālama pono ʻia ke ʻano o ka edema corneal a me nā kūlana olakino kumu e hoʻokumu ai, maikaʻi ka prognosis . ʻO ke ʻano kēia he manawa kūpono e hoʻōla ai.

Pehea ʻoe e pale ai iā ʻoe iho mai kēia?

Aia kekahi mau mea hiki iā ʻoe ke hana e pale iā ʻoe iho mai ka edema corneal.

• E mālama i kou mau maka. E ʻaʻahu i nā maka aniani pale i ka wā e hana ana a i ʻole e pāʻani ana i nā haʻuki. Eia kekahi laʻana, e ʻaʻahu i ka mahiole i ka wā e holo ana i ka mokokaikala a i ʻole ke kaʻa paikikala, a e ʻaʻahu i nā maka aniani palekana i ka wā e hana ana i ka hana e like me ka wili ʻana.
• E hana i nā hoʻokolohua maka maʻamau e like me ka ʻōlelo a kāu kauka. Ma kēlā ala, inā he pilikia, hiki ke ʻike mua ʻia.
• E kāohi i nā kūlana olakino ʻē aʻe, ʻoiai inā he mau kūlana kou e hiki ai ke hoʻoulu i ka edema corneal (e like me ka maʻi diabetes, ke koko kiʻekiʻe).
• Inā ʻoe e hoʻokomo i nā aniani hoʻopili, e hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka hoʻomaʻemaʻe ʻana iā lākou a me ka lōʻihi e hoʻokomo ai iā lākou.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona e hoʻopilikia i kou ʻike, a i ʻole e hōʻeha a ʻoluʻolu ʻole paha i kou mau maka, e ʻike pono i ke kauka.

Inā loaʻa iā ʻoe kahi maʻi maka, e hahai pono i nā ʻōlelo a kāu kauka e pili ana i ka pinepine o kou ʻike ʻana i kāu kauka a pehea e hoʻohana ai i kāu lāʻau lapaʻau.

E hoʻomanaʻo, he maʻi maka koʻikoʻi loa ka Corneal Edema. Inā ʻeha kou mau maka, a inā ua hana ʻia ke ʻoki maka, e ʻike koke i kāu kauka maka. Loaʻa paha iā ʻoe kekahi maʻi ʻē aʻe e pono ai ka mālama ʻana. ʻO ka ʻimi mua ʻana i ke kōkua lapaʻau ke ala maikaʻi loa e loaʻa ai nā hopena maikaʻi loa. He mea nui loa kou ʻike iā ʻoe a me ka hui lapaʻau e mālama nei iā ʻoe.

E lawe i ka leka i ka home

ʻO ka Corneal Edema kahi pehu o ka cornea o ka maka. Hiki iā ia ke hōʻeha i ka maka, ka ʻoluʻolu ʻole, a me nā pilikia ʻike. Hiki ke hana ʻia e nā ʻeha maka, nā maʻi, nā ʻoki kino, kekahi mau maʻi maka, a me nā kūlana hoʻoilina. Inā loaʻa iā ʻoe nā hōʻailona, ​​ʻoiai inā he pōwehiwehi kou ʻike i ke kakahiaka a paʻakikī iā ʻoe ke ʻike i ka mālamalama, e ʻike koke i kahi ophthalmologist. Hiki ke hoʻomalu nui ʻia kēia kūlana me ka mālama kūpono. No laila, mai makaʻu a mai hoʻokaʻulua i ka ʻimi ʻana i ke aʻo lapaʻau. ʻO kou kuleana ke pale i kou mau maka!

ʻEha corneal, edema corneal, nā maʻi maka, ʻike pōwehiwehi, olakino maka, endothelium, Fuchs' dystrophy