Ua pōwehiwehi kou ʻike? E aʻo kākou e pili ana i ka Cystoid Macular Edema

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki iā ʻoe ke ʻike maopopo i nā mea? A i ʻole he ʻokoʻa ke kala o kekahi mau mea, e like me he poni lā? Hiki i nā laina pololei ke nānā aku i kahi kikoo iki. Inā ua ʻike ʻoe i kēia, mai hoʻokuke aku iā ia he mea maʻamau. Hiki paha kēia ma muli o ka pehu ʻana ma kahi wahi liʻiliʻi akā koʻikoʻi loa i loko o kou maka. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Cystoid Macular Edema?

ʻOiai paha he mea paʻakikī iki kēia inoa, he maʻalahi loa ka moʻolelo. E wehewehe kākou i kēlā me kēia huaʻōlelo.

• ʻEdema: ʻO ke ʻano maʻalahi loa o kēia, ʻo ia ka pehu ʻana . ʻO kēia ka inoa a mākou e hāʻawi ai i ka hōʻiliʻili ʻana o nā wai ma nā wahi āpau o ko mākou kino, e hoʻoulu ai i ka pehu.
• Macular: Pili kēia i ka ʻāpana o ko mākou maka i kapa ʻia ʻo macula .
• Cystoid: ʻO ke ʻano kēia "me nā lua liʻiliʻi e like me nā pehu wai."

I kēia manawa, e hoʻohui kākou i nā mea a pau. ʻO ka Cystoid Macular Edema kahi kūlana kahi e hōʻiliʻili ai ka wai i loko o ka macula, kahi ʻāpana o ka maka e like me nā pehu wai liʻiliʻi a pehu.

E noʻonoʻo i kou maka e like me kahi kāmela kiʻekiʻe. ʻO ke kiʻiʻoniʻoni ma hope o kēlā kāmela ʻo ia ka retina . Hoʻokumu ʻia ke kiʻi o nā mea a pau a mākou e ʻike ai ma kēia retina. Aia kahi wahi kūikawā ma waenakonu o kēia retina e lawe ana i ke kiʻi ʻoi loa a maopopo loa. ʻO ia ka mea a mākou e kapa nei he macula . ʻO ia ka macula e kōkua iā ʻoe e heluhelu i kahi puke, ʻike i kahi helehelena, ʻike i kahi lau ma kahi lāʻau, a ʻike maopopo i nā kala.

No laila e noʻonoʻo, he aha ka mea e hana ai inā pehu kēia macula, ka mea e hana ana i kahi hana koʻikoʻi, me ka wai? ʻO ia ka manawa e hoʻopilikia ʻia ai kā mākou ʻike pololei, ʻo ia hoʻi, ka ʻike waena.

Inā loaʻa iā ʻoe kēia maʻi, he aha nā hōʻailona āu e ʻike ai?

I kekahi manawa ʻaʻole paha e ʻike mua ʻia nā hōʻailona, ​​akā i ka holomua ʻana o ke ʻano, hiki paha iā ʻoe ke ʻike i nā mea e like me:

• ʻIke pōwehiwehi: ʻIke pōwehiwehi, ʻoiai ma waenakonu o ka mea āu e nānā nei. Ua like ia me ka nānā ʻana ma o ke aniani wai.
• Ke nānā aku nei nā mea kekee: ʻO nā mea pololei e like me nā ʻaoʻao puka makani a me nā mōlina puka e ʻike ʻia paha he kekee a kekee.
• ʻOkoʻa ke ʻano o nā kala: I kekahi manawa, ʻoiai ke nānā aku ʻoe i kahi paia keʻokeʻo, hiki ke manaʻo ʻia he ʻulaʻula kona. Hiki ke ʻokoʻa ke ʻano o nā kala ma mua o ko lākou ʻano maoli.
• ʻIke ʻia nā mea i ka pouli: Hiki ke ʻike ʻia kekahi mau mea i ka pouli a ʻaʻole maopopo e like me ka mea maʻamau.

No ke aha i kū ai kēia kūlana? He aha nā kumu?

Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia. I waena o lākou, ʻo nā kumu nui a ʻike pinepine ʻia:

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻOi aku ke kiʻekiʻe o ka pilikia o ka loaʻa ʻana o kēia maʻi ma hope o ke ʻoki ʻana i ka cataract. He ʻoiaʻiʻo loa kēia inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes, retinal vein occlusion (RVO), a i ʻole uveitis. Eia kekahi, inā loaʻa kēia maʻi ma kekahi maka, aia kahi manawa e loaʻa pū kekahi ma kekahi maka.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka maka, hiki iā ia ke hana i kekahi mau hoʻokolohua e hōʻoia inā loaʻa iā ʻoe kēia maʻi.

1. Hoʻokolohua Retinal Dilated: Hoʻonui ʻia kou maka me nā kulu maka , a hoʻohana ʻia kahi aniani kūikawā e nānā i ka retina a me ka macula i loko o kou maka. ʻAe kēia i ke kauka e ʻike pololei i ka pehu.

2. Fluorescein Angiography: ʻO kēia ke komo ʻana i kahi kala kūikawā i loko o kahi aa koko ma kou lima a lawe i kekahi mau kiʻi o nā kīʻaha koko i loko o kou maka. Inā he wai e kahe ana mai nā kīʻaha koko i kēlā me kēia wahi, e ʻike maopopo ʻia kēia mau kiʻi.

3. Optical Coherence Tomography (OCT): ʻO kēia ke ala maikaʻi loa a pololei loa e ʻike ai i kēia kūlana i kēia lā. Ua like ia me kahi scan 3D o loko o ka maka. ʻAʻohe ʻeha. Hoʻohana ia i kahi kukuna kukui kūikawā e lawe i kahi kiʻi hoʻonā kiʻekiʻe o kahi ʻāpana kea o ka macula. Hiki iā ia ke ana i nā mea āpau mai ka nui o ka pehu a hiki i ke alo o nā pehu wai, a pau me ka maopopo loa.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka mea maikaʻi loa, aia ka lāʻau no kēia. Aia ka lāʻau i ke kumu o kou kūlana. No laila, e hoʻoholo kāu kauka maka i ka lāʻau maikaʻi loa nāu. Hiki iā lākou ke kuhikuhi iā ʻoe i kahi loea retina.

Me ka lāʻau lapaʻau, hiki ke hoʻihoʻi nui ʻia kou ʻike i ka maʻamau.

ʻO nā ʻano lapaʻau nui i hoʻohana ʻia:

• Nā kulu maka: Hiki ke kuhikuhi ʻia nā kulu maka , ʻo ia hoʻi ka steroidal a i ʻole ka nonsteroidal, e hōʻemi i ka pehu a me ka mumū.
• Nā inikini maka: Hoʻokomo pololei ʻia nā lāʻau lapaʻau i loko o ka mea like me ka jelly i loko o ka maka (vitreous). Hoʻōki kēia mau lāʻau lapaʻau i ke kūkulu ʻana o nā kīʻaha koko hou a me ke kahe ʻana o ka wai.
• Nā lāʻau lapaʻau e hoʻemi ai i ke kaomi maka: I kekahi manawa hiki i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kaomi maka ke kōkua i ka hōʻemi ʻana i ka pehu.
• Lapaʻau Laser: Hiki ke hoʻohana ʻia ka lāʻau laser (photocoagulation) e "sila" a pani paha i nā kīʻaha koko e liki ana.
• Vitrectomy: I kekahi mau hihia, pono e wehe ʻia ka mea like me ka jelly i loko o ka maka.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Ma hope o ka hapa nui o nā lāʻau lapaʻau, hiki iā ʻoe ke hoʻomau i kāu mau hana o kēlā me kēia lā e like me ka maʻamau. Ma hope o ka loaʻa ʻana o kahi drip a i ʻole kahi inikini, ʻaʻohe pilikia o ka hele ʻana i ka hana a i ke kula paha.

Eia nō naʻe, inā pono ʻoe e hana i kahi vitrectomy , e lōʻihi ka manawa e hoʻōla ai. Pono paha ʻoe e hoʻomaha i hoʻokahi pule a ʻekolu paha pule mai ka hana.

ʻO ka mea nui loa, ʻo ia ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā mua. Hiki i ka ʻike mua ʻana a me ka lāʻau lapaʻau ke kōkua i ka hoʻohuli ʻana i ka pōʻino o ka maka a pale i ka pōʻino hou aʻe. Inā ʻaʻole mālama ʻia, hiki ke nalowale mālie ka maka.

Pehea e hiki ai ke hoʻēmi ʻia ka pilikia o kēia maʻi?

ʻOiai ʻaʻole hiki ke pale loa ʻia, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia.

• E kāohi i ka maʻi diabetes a me ke koko kiʻekiʻe: Inā loaʻa iā ʻoe ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, e kāohi pono iā lākou. E hahai pono i nā ʻōlelo a kāu kauka.
• E hoʻāʻo i nā maka maʻamau: E nānā ʻia kou mau maka e ke kauka maka ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Ma kēia ala, hiki ke ʻike mua ʻia nā pilikia.
• E pale i ka puhipaka: Hoʻopōʻino pū ka puhipaka i nā kīʻaha koko i loko o nā maka. No laila, inā ʻoe e puhipaka, he ala maikaʻi loa ka haʻalele ʻana e kōkua i kou mau maka.
• He nohona olakino: E ʻai i ka meaʻai momona a hoʻoikaika kino mau.
• E pale i kou mau maka: E ʻaʻahu i nā maka aniani pale i ka wā e pāʻani ana i nā haʻuki a i ʻole e hana ana i nā hana weliweli.

Āhea ʻoe e ʻike ai i ke kauka?

Hiki i nā maʻi maka ke weliweli loa, no laila inā ʻike ʻoe i kahi loli iki i kou ʻike, mai hoʻowahāwahā iā ia.

Inā nalowale koke kou ʻike, a inā he ʻeha kou maka e hopena ai i ka puka ʻana o ka maka, e hele koke i ka haukapila kokoke loa ʻo Emergency Department (ETU). He mea nui ka mālama lapaʻau koke ʻana i ia mau hihia.

Ke hele ʻoe i kāu kauka, mai kānalua e nīnau i kēia mau nīnau:

• He aha nā mea nui e pono iaʻu e ʻike e pili ana i kēia kūlana?
• He aha ka lāʻau lapaʻau maikaʻi loa i ʻōlelo ʻia noʻu?
• Aia kekahi mau hopena ʻaoʻao i kēlā lāʻau lapaʻau?
• He aha kaʻu e manaʻo ai i ka wā e hiki mai ana?
• He aha nā hōʻailona e pono iaʻu e hopohopo nui ai?
• I ka manawa hea e pono ai iaʻu e hoʻi hou mai no kahi nānā hou?

He ʻōkana waiwai nui nā maka i loko o ko kākou kino. No laila, ʻo ka mālama ʻana iā lākou a me ka ʻimi ʻana i ke kōkua lapaʻau ʻoiai inā ʻike ʻoe i kahi loli iki e kōkua i ka pale ʻana i kou ʻike no ke ola.