Ua loaʻa anei iā ʻoe kahi hoʻokolohua maka a nānā ke kauka i loko o kou maka a ʻōlelo mai, "Ke ʻike nei au i kekahi mau kiko keʻokeʻo e like me ka pulupulu i loko o koʻu maka"? Ua makaʻu iki paha ʻoe i kou lohe ʻana i kēlā? Ua manaʻo paha ʻoe, "Auē, he aha ka mea i hana ʻia i koʻu maka?" Akā, mai hopohopo. ʻO kēia ka mea a mākou e kapa nei he 'Cotton Wool Spots' i ka lāʻau lapaʻau. ʻO ka mea nui, ʻaʻole kēia he maʻi maoli. Eia naʻe, hiki ke lilo i hōʻailona koʻikoʻi o kekahi pilikia olakino ʻē aʻe i loko o ko mākou kino. No laila e kamaʻilio pololei kākou e pili ana i kēia, me ka maʻalahi.
He aha maoli kēia mau kiko huluhulu pulupulu?
I ka ʻōlelo maʻalahi, he mau kiko keʻokeʻo kēia, e like me ka pulupulu, e kū mai ana ma ka ʻili o ka retina, kahi membrane koʻikoʻi loa ma ke kua o ko kākou mau maka. Loaʻa ka inoa mai kēlā ʻano like me ka pulupulu.
ʻO ka mea nui, ʻaʻole hiki iā ʻoe ke ʻike i kēia mau kiko i loko o ke aniani. A ʻaʻole lākou e hōʻeha pinepine. Akā i kekahi manawa, hiki ke loaʻa kahi ʻike pohihihi (scotoma) no ka manawa pōkole ma kahi o ka kiko. ʻO kāu kauka wale nō ke ʻike pololei i kēia mau mea. E hoʻohana ʻo ia i kahi hoʻāʻo kūikawā i kapa ʻia he ophthalmoscope a i ʻole kahi hoʻokolokolo kukui slit i ka wā o ka hoʻokolokolo maka.
ʻAʻole maʻi maoli nā kiko huluhulu pulupulu, akā he hōʻailona ia e hōʻike ana i kahi maʻi ʻē aʻe i loko o ko mākou kino.
No ke aha e ʻike ʻia ai kēia mau kiko? He aha nā kumu nui?
Hoʻokumu ʻia kēia mau kiko e ka hōʻino, ka pehu ʻana, a i ʻole nā loli i ka papa o ke aʻalolo o ko kākou retina. ʻO ke kumu nui o kēia, ʻo ia ka nele o ke koko i kēlā wahi (ischemia) . E noʻonoʻo, inā ua ālai ʻia kahi kīʻaha koko liʻiliʻi i loko o ko kākou maka no kekahi kumu, ua hōʻino ʻia ka ʻāpana o ka retina i hānai ʻia e kēlā kīʻaha koko. ʻO ia kahi e hana ʻia ai ka hōʻino a ʻike mākou i kahi ʻāpana keʻokeʻo o ka pulupulu.
Nui nā kumu e hiki ai ke ālai ʻia nā kīʻaha koko a i ʻole e hōʻino ʻia ka retina ma kēia ʻano. E nānā kākou i kēia mau kumu ma nā hui.
| Māhele Kumu | Wehewehena a me nā Laʻana |
|---|---|
| Nā pilikia kaapuni | ʻO kēia nō ia.ʻO ke kumu maʻamau. Hiki ke hana ʻia kēia ʻano ma muli o ka hōʻino ʻia ʻana o nā kīʻaha koko liʻiliʻi i loko o ka maka, ʻoiai ma muli o ka maʻi diabetes i kāohi ʻole ʻia (Type 2 Diabetes) a me ke koko kiʻekiʻe (Hypertension) . Hiki nō hoʻi ke hana ʻia e kahi clot koko (embolism). |
| Nā pilikia pale a me ka mumū | Hiki ke hana ʻia kēia mau kiko e nā maʻi autoimmune, kahi e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino i kā mākou mau hunaola ponoʻī. |
| Nā maʻi | Hiki ke hana ʻia kēia mau mea e kekahi mau maʻi bacteria a viral paha, ʻoiai nā maʻi e hoʻopilikia ana i ka retina. Eia kekahi laʻana, ka maʻi HIV . |
| Ka maʻi ʻaʻai | Hiki ke ʻike ʻia kēia mau kiko i nā maʻi ʻaʻai pili i ke koko e like me ka leukemia a me ka lymphoma . |
| Nā maʻi koko | Hiki i kēia mau mea ke hana i nā kūlana e like me ka hemoglobin haʻahaʻa (anemia) a i ʻole nā platelets haʻahaʻa (thrombocytopenia). |
| Hoʻonui ʻia ke kaomi intracranial (Intracranial Hypertension) | ʻO ke kaomi ma luna o ka lolo ma muli o ka hoʻonui ʻia o ka wai cerebrospinal (CSF) e hoʻopuni ana i ka lolo hiki ke hoʻopilikia i nā maka. |
| Nā kumu ʻē aʻe | Hiki ke hana ʻia kēia mau kiko e kekahi mau lāʻau lapaʻau (e like me Interferon), nā ʻeha poʻo nui, a me ka hele ʻana i nā wahi kiʻekiʻe. |
I kekahi manawa ʻaʻole hiki ke loaʻa ke kumu. I kēlā hihia, kapa mākou ia he 'idiopathic' (ʻaʻohe kumu i ʻike ʻia).
Pehea e mālama ʻia ai kēia?
ʻO ka mea nui loa ma ʻaneʻi, ʻo ia kēia. ʻAʻohe lāʻau lapaʻau pololei no nā kiko huluhulu pulupulu. No ka mea, ʻaʻole ia he maʻi, he hōʻailona wale nō ia o kahi maʻi.
No laila, ke kuhikuhi nei ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai i kēia mau kiko.
- Inā he maʻi diabetes ke kumu, a laila pono e kaohi maikaʻi ʻia ka maʻi diabetes.
- Inā he koko kiʻekiʻe ke kumu, pono e kaohi ʻia me nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona.
- Inā he maʻi ke kumu, pono e mālama ʻia kēlā maʻi.
ʻO ka mea maikaʻi loa, ke mālama pono ʻia ke kumu kumu, e nalo mālie kēia mau kiko. E mae loa lākou i loko o 6 a 12 mau pule . No laila, he mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka.
He aha ka mea e hana ai inā ʻaʻole ʻoe e mālama i kēia mau wahi?
He hōʻailona hōʻike nā kiko huluhulu pulupulu, a inā hoʻowahāwahā ʻia, hiki iā lākou ke hoʻonui i ke kūlana kumu. No ka laʻana, hiki i ka maʻi diabetes i kāohi ʻole ʻia a i ʻole ke koko kiʻekiʻe ke hōʻino hou aku i ka retina, a i ka hopena e alakaʻi ai i ka nalowale mau loa o ka ʻike a i ʻole ka makapō.
Eia kekahi, ʻaʻole wale nā maka e hoʻopilikia ai kēia mau maʻi, akā, i ke kino holoʻokoʻa hoʻi, e like me ko kākou puʻuwai, nā puʻupaʻa, a me ka lolo. No laila, inā ʻike ke kauka i kahi kiko e like me kēia, pono e manaʻo ʻia he ʻōlelo aʻo koʻikoʻi. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke hana i nā hoʻokolohua e pono ai, e ʻimi i ke kumu, a hoʻomaka i ka lāʻau i ka hikiwawe loa.
Hiki ke pale ʻia nā kiko o ka pulupulu?
ʻAe, hiki nō. ʻO nā kumu nui o kēia mau kiko, ʻo ia nā maʻi e pili ana i ke ʻano o ka nohona e like me ka maʻi diabetes a me ke koko kiʻekiʻe, a ʻo ka pale ʻana a i ʻole ka kaohi ʻana iā lākou hiki ke hōʻemi i kēia pilikia.
- E hana i nā hoʻokolohua lapaʻau maʻamau: E hana i kahi hoʻokolohua lapaʻau piha ma ka liʻiliʻi i hoʻokahi manawa i ka makahiki. Kōkua kēia i ka ʻike ʻana i nā pilikia ma mua o ka puka ʻana o nā hōʻailona.
- E mālama i nā maʻi mau loa: Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e lawe i kāu mau lāʻau lapaʻau e like me ka ʻōlelo a kāu kauka a mālama pono iā lākou.
- ʻAi olakino: E ʻai i ka ʻai momona a kaulike hoʻi.
- E mālama i ke kaumaha olakino: He mea nui loa ia e mālama i ke kaumaha olakino no kou kiʻekiʻe.
- Hoʻoikaika Kino: E noho ikaika a hoʻoikaika kino i kēlā me kēia lā.
- E komo i nā lako palekana: E pale i kou poʻo a me kou mau maka i ka wā e pāʻani ana i nā haʻuki a i ʻole e hana ana i nā hana weliweli.
- Mai hoʻowahāwahā i nā maʻi: E ʻimi koke i ke kōkua lapaʻau no kekahi maʻi.
He mea maʻamau ke makaʻu iki i ka wā e haʻi aku ai ke kauka iā ʻoe he mau kiko pulupulu i loko o kou maka. Akā, mai hopohopo, e noʻonoʻo he hōʻailona ia no ka wā mua. Hāʻawi ia iā ʻoe i ka manawa kūpono e ʻike ai i kahi pilikia olakino, e hoʻomaka i ka lāʻau lapaʻau i ka wā mua, a pale i ke olakino o kou mau maka a me kou kino holoʻokoʻa.
Leka Lawe-Home
- ʻAʻole he maʻi nā kiko huluhulu pulupulu, akā he hōʻailona ia o kahi maʻi ʻē aʻe i loko o kou kino (pinepine ka maʻi diabetes a i ʻole ke koko kiʻekiʻe).
- ʻAʻole hiki iā ʻoe ke ʻike i kēia mau kiko i loko o ke aniani. Hiki i ke kauka ke ʻike iā lākou i ka wā o ka hoʻokolokolo maka.
- ʻAʻohe lāʻau lapaʻau pololei no kēia mau kiko. Kuhikuhi ʻia ka lāʻau lapaʻau i ke kūlana kumu i hoʻokumu ai iā lākou.
- Ke mālama pono ʻia ke kumu o ka maʻi, e nalowale pinepine kēia mau kiko iā lākou iho i loko o kekahi mau pule a i ʻole mau mahina.
- Inā ʻike kāu kauka i kahi kiko e like me kēia, he mea nui loa ia ʻaʻole e hoʻowahāwahā iā ia, akā e hana i nā hoʻokolohua e pono ai e hoʻoholo i ke kumu a ʻimi i ka lāʻau kūpono.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka pehu ʻana o ka maka / ka edema periorbital?
ʻAʻole kēia he pehu liʻiliʻi wale nō e kū pinepine ana i ka wā e ala ai ʻoe mai kahi hiamoe! ʻO ka 'Pehu Maka' ʻo ia ka wā e lilo ai ka lihilihi o luna/lalo a i ʻole ka ʻili a puni ka maka i mea nui loa (wai kūpilikiʻi) a ʻeha. I kekahi manawa lilo ka ʻaoʻao o loko o ka maka i ʻulaʻula ʻeleʻele a hele pū mai nā waimaka me kēia. He hōʻailona nui kēia o kahi ʻeha maka koʻikoʻi a i ʻole kahi maʻi weliweli i loko o ke kino!
💬 He aha nā kumu nui o ka pehu koke ʻana i loko a i ʻole a puni ka maka (Pehu Maka)?
Aia kekahi mau kumu nui no kēia: 1) 'Allergies' - Ke komo ka lepo/pollen i loko o nā maka, pehu nā maka a ʻānai i loko o nā minuke (hoʻokuʻu ʻia ʻana o ka Histamine). 2) 'Nā maʻi maka / nā maʻi bacteria (Pink Eye / Conjunctivitis)'. 3) He puʻupuʻu pehu i ka maka (Stye/Chalazion - e like me ka pimple). 4) ʻO ke kumu weliweli loa ka hemahema o ka puʻuwai, ke akepaʻa a i ʻole ka puʻupaʻa (Organ failure)! Ma muli o kēia mau mea, ua pau ke kino i ka kānana ʻana i ka wai a hele mai kēlā wai a hoʻopiha i ka maka/maka.
💬 He aha nā 'kūlana hoʻoweliweli ola/pilikia' kahi e pono ai ʻoe e holo koke i ke kauka maka (a i ʻole ke keʻena pilikia) ke pehu kou maka?
Hiki iā ʻoe ke kau i ka hau i kahi pehu maʻamau (Cold compress). Akā ʻo ka pōʻino nui loa! 1) Inā hele pū ka pehu me ka ʻike maka ʻole (Vision loss), 2) Inā ʻeha ka maka me he mea lā e pohā ana, ʻaʻole hiki ke nānā aku i ka mālamalama (Severe pain / Ulcer), 3) Inā he pus ʻōmaʻomaʻo/melemele (Pus discharge) mai ka maka, ʻo ia hoʻi ke pala nei, 4) Inā he kuni kiʻekiʻe (Fever) me ka pehu (Cellulitis - hiki i nā germs ke hele i ka lolo), pono ʻoe e lawe koke ʻia i ka haukapila!
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