Ua pehu koke kou mau maka a ua pohihihi kou ʻike? E aʻo kākou e pili ana i kēia (Corneal Hydrops)?

E noʻonoʻo e ala ana i ke kakahiaka a ʻulaʻula koke kekahi o kou mau maka, pehu, a ʻaʻole hiki iā ʻoe ke ʻike pono. A i ʻole, pehea inā e ʻike koke ʻia kahi mea e like me kahi kiko keʻokeʻo i loko o kou maka? ʻAe, inā hana ʻia kekahi mea e like me kēia, he mea weliweli loa ia a hopohopo hoʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke hoʻopilikia i nā maka. ʻO ia ke ʻano i kapa ʻia ʻo `(Corneal Hydrops)`. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka `(Corneal Hydrops)`? No ke aha e hana ʻia ai kēia?

I ka ʻōlelo maʻalahi, ʻo `(Corneal Hydrops)` ka ʻāpana moakaka, e like me ke aniani uaki o ko kākou maka ma luna o ke apo ʻeleʻele (ʻo ia hoʻi ka ʻāpana kala o ka maka), a mākou e kapa nei ma ke ʻano lapaʻau he `(cornea)`, no ka mea, ʻo ia `(cornea)` e pehu ana. Pehu ia e like me ke aniani i piha i ka wai. I kēia manawa, e nānā kākou i ke kumu o kēia. He mau papa ko kā kākou `(cornea)`. Aia kahi membrane palupalu a palupalu loa i kokoke i loko o kēia, i kapa ʻia ʻo `(Descemet's membrane)`. Inā no kekahi kumu he māwae liʻiliʻi i loko o kēia `(Descemet's membrane)`, e like me ka haehae liʻiliʻi i loko o ka lole, e kahe ana ka wai i loko o ko kākou maka (aqueous humor) ma o kēia māwae i loko o ka `(stroma)`, ʻo ia ka papa waena o ka `(cornea)`. E noʻonoʻo e like me ka huʻa e omo ana i ka wai. ʻO ia ka manawa e piha ai ka ʻāpana `(stroma)` me ke wai a pehu. ʻO kēia ka mea a mākou e kapa nei he `(Corneal Hydrops)`. Ma waho aʻe o kēia pehu ʻana, aia paha kekahi mumū i loko o ka maka, e like me ka ʻulaʻula a me ka ʻeha. A laila, hiki ke ʻike ʻia kekahi mea e like me kahi kiko keʻokeʻo, waiū ma kāu `(cornea)`. Hiki i kēia ke hoʻolilo i kou ʻike maopopo e lilo i mea pōuliuli . Hiki pinepine kēia ʻano `(Corneal Hydrops)` i ka manawa koke, me ka manawa ʻole. Hiki ke maikaʻi ʻoe i kēia lā a ke nānā ʻoe iā ia i ke kakahiaka aʻe, hiki ke pehu kou maka a hiki ke loli kou ʻike. ʻO ia ke kumu e hoʻohana ai nā kauka i ka huaʻōlelo `(acute)` e manaʻo 'me ka manawa koke'. ʻO ia ke kumu e lohe ai paha ʻoe i `(Acute Corneal Hydrops)` e pili ana i ia mea. ʻO ia hoʻi ke ʻano like, ua hiki koke mai. Hiki ke hana ʻia kēia ʻano ma ke ʻano he pilikia i nā poʻe me nā maʻi e hoʻololi i ke ʻano o ka cornea, e like me `(Keratoconus)`. Kāhea mākou i kēia hui o nā maʻi e hoʻololi i ke ʻano o ka cornea `(cornea)` `(corneal ectasias)`. I kekahi manawa hiki i ka `(Corneal Hydrops)` ke hoʻomaikaʻi me ka ʻole o kekahi lāʻau lapaʻau. Eia naʻe, mai ho'āʻo e hoʻoholo i kāu iho . Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike pono i kāu kauka maka, he loea maka. Hiki iā ia ke ʻike inā he `(Corneal Hydrops)` kēia a i ʻole kekahi mea ʻē aʻe, a hiki iā ia ke hoʻoholo i ka lāʻau kūpono loa nāu.

Pehea ka maʻamau o ka Corneal Hydrops?

Wahi a nā noiʻi, ma waena o 0.2% a me 2.8% o ka poʻe me Keratoconus e loaʻa i ka Corneal Hydrops. Ma ʻAmelika Hui Pū ʻIa, ua manaʻo ʻia ka nui o ka poʻe he 55 mai loko mai o 100,000. ʻO ke ʻano kēia, ʻaʻole ia he mea maʻamau ʻole ka Corneal Hydrops, akā he mea nui i ka poʻe me Keratoconus ke makaʻala iā ia. ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine . Hoʻopilikia pinepine ia i nā poʻe ʻōpio i ko lākou mau makahiki 20 a me 30.

He aha nā hōʻailona o ka `(Corneal Hydrops)`?

ʻAʻole paha e hōʻike kekahi poʻe i kekahi mau hōʻailona ʻoiai inā loaʻa iā lākou ka `(Corneal Hydrops)`. Eia naʻe, nui ka poʻe e loaʻa nā hōʻailona. Eia lākou:

• Ka nalowale koke ʻana o ka ʻike : ʻO ka maka i ʻike maikaʻi ma mua, ua lilo koke ia i mea pōwehiwehi a hiki ʻole ke ʻike pono.
• He wahi keʻokeʻo a waiū i loko o ka maka: Lilo keʻokeʻo kahi e hōʻiliʻili ai ke wai i loko o ka cornea.
• ʻEha maka : Hiki i kekahi poʻe ke ʻeha nui.
• Photophobia: Lilo nā maka i polū loa a hiki ʻole ke nānā aku i ka mālamalama, a ua ʻeha lākou.
• ʻUlaʻula o nā maka: Hiki ke lilo nā maka i ʻulaʻula.
• Nā maka waimaka: Manaʻo paha ia e hele mai ana nā waimaka .
• Paʻakikī ke kau ʻana i nā aniani hoʻopili: Inā ʻoe e kau i nā aniani hoʻopili, paʻakikī paha ke kau ʻana iā lākou, a i ʻole ʻoluʻolu ʻole paha ʻoe i ke kau ʻana iā lākou.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻo ka ʻōlelo aʻoaʻo maikaʻi loa hiki iaʻu ke hāʻawi aku iā ʻoe, ʻo ia ke ʻike i kahi kauka maka me ka hoʻonele ʻole i ka manawa .

No ke aha e hana ʻia ai kēia `(Corneal Hydrops)`? He aha nā kumu?

ʻAʻole hiki ke laha aku ka Corneal Hydrops mai ke kanaka a i ke kanaka e like me ke anu. Manaʻo nā kauka he nui nā kumu nui o ia mea:

• Ka lahilahi ʻana o kāu cornea: Ke lahilahi a nāwaliwali ka cornea, ʻoi aku ka nui o ka manawa e hana ʻia ai kahi waimaka ma ka membrane Descemet.
• ʻEctasia Corneal : ʻO nā maʻi e like me Keratoconus ke kumu o ka nalowale ʻana o ke cornea i kona ʻano poepoe maʻamau a lilo i conical. Hiki i kēia deformation ke hōʻino i ka membrane Descemet.
• Ka hamo pinepine ʻana i nā maka:Hoʻomaʻū a ʻūmiʻi paha kekahi poʻe i ko lākou mau maka. He mea ʻino loa kēia i nā maka. Hiki i ka hana ʻana i kēia ke kau i ke kaomi ma luna o ka `(cornea)` a me ke kumu o ka haehae ʻana i ka `(Descemet's membrane)`.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o ka `(Corneal Hydrops)`?

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i kekahi poʻe ma mua o kekahi. E nānā kākou iā lākou:

• ʻO ka poʻe me nā maʻi i loko o ka māhele `(Corneal ectasia)`: ʻO ka poʻe me `(Keratoconus)` ka poʻe i loaʻa i ka pilikia nui loa.
• ʻO ka poʻe me ka atopic dermatitis: ʻO ka Atopy kahi kūlana kahi e pane nui ai ka ʻōnaehana pale , a i ʻole e maʻalahi i nā allergies. Hiki i ka poʻe me kēia kūlana ke piʻi aʻe ka pilikia no ka mea e hamo pinepine lākou i ko lākou mau maka ma muli o nā mea e like me nā maka ʻāʻī .
• ʻO ka poʻe me Down syndrome : Loaʻa i ka poʻe me Down syndrome ka pilikia o ka hoʻomohala ʻana i ka Corneal Hydrops me nā kūlana e like me Keratoconus.

He aha nā pilikia e hiki mai ana o ka `(Corneal Hydrops)`?

I ka wā o ka `(Corneal Hydrops)`, e pilikia maoli ana kou ʻike. Eia kekahi, inā lōʻihi kēia pehu (corneal edema), ʻo ia hoʻi, inā ʻaʻole mālama pono ʻia, hiki ke hana ʻia nā kīʻaha koko hou i loko o ka maka (neovascularization) . ʻAʻole like kēia mau kīʻaha koko me ka mea maʻamau i loko o ka `(cornea)`, a hiki iā lākou ke hoʻopilikia hou aku i ka ʻike. Eia kekahi, hiki ke hana ʻia kahi ʻeha ma ka `(cornea)`.

Pehea e ʻike ʻia ai ka Corneal Hydrops?

Ke kipa aku ʻoe i kahi kauka maka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. A laila, e hana ʻo ia i kahi hoʻokolokolo maka piha. I loko o kēia hoʻokolokolo, hiki pinepine i ke kauka ke ʻike i ka Corneal Hydrops.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

I kekahi manawa, inā pono ke kauka e ʻike i ka ʻike hou aku, hiki iā ia ke ʻōlelo i kekahi mau hoʻokolohua hou aʻe.

• ʻO ka tomography coherence optical segment anterior (AS-OCT): Ua like kēia me ke scan o loko o ka maka. Hiki iā ia ke ʻike pololei i nā hydrops corneal, loiloi i ka nui o ka pehu, a nānā i ka holomua o ka ho'ōla ʻana.
• ʻO ka biomicroscopy ultrasound (UBM): Ua like kēia me ka ultrasound scan. Kōkua ia i ka hoʻoholo ʻana inā he haehae ma ka membrane Descemet.
• Tomography: Hiki i kēia hoʻokolohua ke kiʻi i kahi kiʻi maopopo o ke ʻano a me ka mānoanoa o kou cornea.
• Hoʻāʻo Seidel: Nānā kēia hoʻāʻo inā e kahe ana ke wai wai i loko o ka maka mai ka cornea mai.

ʻAʻole ʻeha kēia mau hoʻāʻo a pau, no laila ʻaʻohe mea e makaʻu ai. E wehewehe ke kauka i nā mea āpau iā ʻoe.

He aha nā lāʻau lapaʻau no ka `(Corneal Hydrops)`?

Hoʻōla ʻia ʻo Corneal Hydrops me nā lāʻau lapaʻau a i kekahi manawa ke ʻoki kino. Pono paha e mālama i ke kūlana kumu i hoʻokumu ai i ka Corneal Hydrops (e like me Keratoconus).

Lapaʻau me ka lāʻau lapaʻau

Inā liʻiliʻi ka haehae ma ka membrane o Descemet a liʻiliʻi ka pehu ʻana, ʻōlelo pinepine nā kauka i nā lāʻau lapaʻau topical i kapa ʻia he mau kulu maka.

• ʻO ka wai saline hypertonic: He wai paʻakai loa kēia. Ke hoʻopili ʻia i ka maka, huki ia i waho o ka wai keu mai ka stroma a kōkua i ka hōʻemi ʻana i ka pehu.
• Nā kulu i loaʻa ka steroid: Hoʻemi kēia i ka mumū i loko o ka maka.
• Hoʻohaʻahaʻa i ke kaomi maka `(kulu)`: I kekahi manawa kiʻekiʻe paha ke kaomi maka. Inā hana ʻia kēlā, hāʻawi ʻia kēia mau `(kulu)` e kāohi iā ia.
• Nā lāʻau antibiotic (nā kulu): Hāʻawi ʻia kēia mau mea inā pono e pale aku i ka hiki ʻana o ka maʻi.
• Nā kulu maka e hoʻonui i ka maka ʻeleʻele: Kōkua kēia i ka hōʻemi ʻana i ka ʻeha.

Wahi a ke kauka, he mea nui loa ka hoʻohana ʻana i kēia mau "(kulu)" i ka manawa kūpono.

Āhea e pono ai ke ʻoki kino?

Inā nui ka haehae ma ka membrane Descemet, koʻikoʻi ka pehu ʻana, a i ʻole aia kahi pilikia o ka perforation o ka cornea, hiki i nā kauka ke ʻōlelo aku i ke ʻoki kino. Pili kēia ʻoki kino i ka pani ʻana i ka haehae a me ka hoʻōki ʻana i ke kahe ʻana o ke wai. I kekahi manawa hoʻokomo ʻia kahi pehu kinoea i loko o ka cornea e hōʻemi koke i ka pehu ʻana. I nā hihia koʻikoʻi, inā ʻaʻole mālama pono ʻia, hiki i nā hydrops corneal ke hana i nā kīʻaha koko ʻē i loko o ka maka. Inā hana ʻia kēlā, pono nō hoʻi e mālama ʻia.

Hiki ke pale ʻia nā Corneal Hydrops?

Inā loaʻa iā ʻoe kahi maʻi e like me `(Keratoconus)`, e kamaʻilio me kāu kauka maka e pili ana i kahi lāʻau i kapa ʻia ʻo `(Crosslinking)`. Hiki i kēia lāʻau `(Crosslinking)` ke hoʻōki i ka maʻi `(Keratoconus)` mai ka ʻino ʻana, a hiki nō hoʻi ke hōʻemi i ka pilikia o nā pilikia e like me `(Corneal Hydrops)`. Eia nō naʻe, i kekahi mau hihia, ʻo `(Acute Corneal Hydrops`, ka mea e hele mai ana ma ke ʻano he pilikia o `(Keratoconus)` a me nā maʻi `(corneal)` ʻē aʻe, ʻaʻole paha e hiki ke pale loa ʻia. Inā loaʻa iā ʻoe nā maʻi allergies kau a i ʻole nā ​​​​maʻi ʻē aʻe e hoʻoulu ai i nā maka ʻāʻī, e hoʻāʻo e hōʻemi i ka hamo ʻana a me ke kahakaha ʻana i kou mau maka i ka hiki . E kōkua kēia i ka pale ʻana ʻaʻole wale i `(Corneal Hydrops)`, akā, i nā pilikia maka ʻē aʻe he nui.

Pehea ka lōʻihi e hoʻōla ai mai ka `(Corneal Hydrops)`? Pehea ka manaʻo?

Hiki i kāu kauka ke mālama i nā hydrops corneal acute. Eia nō naʻe, hiki i kēia ke waiho pinepine i kahi ʻeha ma ka cornea. Hiki i kēia ʻeha ke loaʻa nā hopena mau loa i kou ʻike. Inā hana ʻia kēia, pono paha ka ʻeha i ka mālama hou ʻana, a hiki paha i ke ʻoki kino (e like me ka hoʻoili ʻana o ka cornea). He mea nui e mālama i nā manawa hoʻopaʻa pinepine me kāu kauka i ka wā a ma hope o kou hoʻōla ʻana. ʻO kēia ka manawa e hiki ai i kāu kauka ke hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu. Hiki i ka manawa hoʻōla ke ʻano mai kekahi mau pule a i kekahi mau mahina. Aia kēia i ka nui o ka pehu ʻana, ke ʻano o ka haehae, a pehea e pane ai kou kino.

Pehea lā wau e mālama ai i koʻu mau maka?

• Mai hamo i kou mau maka i ka hiki. ʻO kēia ka mea nui loa. Inā he mau maka ʻāʻī kou, e hoʻohana i nā kulu maka e like me ke kuhikuhi a kāu kauka.
• Mai poina i nā lā hoʻokolokolo maka i hāʻawi ʻia e kāu kauka. E hele e nānā i kou mau maka i ka manawa kūpono.
• Inā loaʻa iā ʻoe kahi maʻi e like me `(Keratoconus)`, e hahai pololei i ka lāʻau i kuhikuhi ʻia.

Āhea wau e ʻike ai i ke kauka? Āhea ka manawa e pono ai ka mālama ʻana i ka pilikia?

E haʻi aku kāu kauka iā ʻoe i ka manawa e pono ai ʻoe e ʻike iā ia a i ʻole e hele i ka lumi pilikia. Ma ke ʻano laulā, e ʻimi koke i ke kōkua lapaʻau inā loaʻa kekahi o kēia mau mea:

• Inā nalowale koke kou ʻike a i ʻole e emi nui ana.
• Inā loaʻa koke iā ʻoe ka ʻeha maka hiki ʻole ke hoʻomanawanui.
• Inā ʻike ʻia nā hōʻailona o kahi maʻi e like me ke kuni.
• Inā he kahe ʻana i manaʻo ʻole ʻia mai ka maka mai.

I nā kūlana e like me kēia, ʻoi aku ka maikaʻi o ka hana koke me ka hoʻokaʻulua ʻole.

Hiki iaʻu ke hoʻohana i nā aniani hoʻopili inā loaʻa iaʻu ʻo Corneal Hydrops?

Ke loaʻa iā ʻoe ka `(Corneal Hydrops)`, hiki i ke kau ʻana i nā aniani hoʻopili ke lilo i mea ʻoluʻolu ʻole a ʻeha hoʻi . Ke ʻike ʻoe he maʻi kou, pono paha ʻoe e hoʻōki i ke kau ʻana i nā aniani hoʻopili. Ma hope o ka mālama ʻana, hiki paha iā ʻoe ke komo hou i nā aniani hoʻopili me ka ʻae ʻia e kāu kauka. E kamaʻilio me kāu kauka e pili ana i kēia a hoʻoholo.

He mea maʻamau i kekahi ke makaʻu i ka wā e emi koke ai ko lākou ʻike a ʻeha ko lākou mau maka. I kekahi manawa, hiki i kēia mau hōʻailona ke lilo i mau hōʻailona o kahi maʻi i kapa ʻia ʻo `(Corneal Hydrops)`. No laila, inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻike koke i kahi kauka maka. E hiki iā ia ke ʻike i ke kumu o kou pehu ʻana `(cornea)` a kuhikuhi i ka lāʻau lapaʻau e pono ai.

ʻO ka mea hope loa, leka lawe i ka home

ʻAe, ua kamaʻilio nui kākou e pili ana i ka `(Corneal Hydrops)` i kēia manawa, ʻeā? E hoʻomanaʻo i kēia mau manaʻo:

• ʻO ka Corneal Hydrops kahi pehu koke o ka cornea. ʻO ke kumu nui o kēia he haehae i loko o ka membrane palupalu o ka cornea (ka membrane ʻo Descemet) e hoʻoulu ai i ka wai e kahe i loko o ka maka.
• ʻO ka ʻike pohihihi koke, kahi kiko keʻokeʻo ma ke keʻokeʻo o ka maka, ka ʻeha o ka maka, a me ka ʻike i ka mālamalama nā hōʻailona nui.
• ʻO ka poʻe me nā maʻi e like me ke "Keratoconus" a me ka poʻe e hamo pinepine i ko lākou mau maka, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi.
• Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai hoʻoholo i kāu iho a e ʻike koke i kahi kauka maka.
• Hiki i ka lāʻau lapaʻau ke komo pū me nā kulu, a i kekahi manawa pono paha ke ʻoki ʻana.
• He mea nui loa ka pale ʻana i ka hamo ʻana i kou mau maka a me ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau no ka ho'ōla koke ʻana a me ka pale ʻana i nā kūlana like i ka wā e hiki mai ana.

E hoʻomanaʻo, he mea waiwai nui kou mau maka. No laila e mālama pono iā lākou. Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e nīnau i kāu kauka.