Hiki i kou maka ke loaʻa i ka 'stroke'? (Eye Stroke / Retinal Artery Occlusion) E ʻike pono kākou e pili ana i kēia!

Ua ʻike anei ʻoe i ka nalowale koke ʻana o ka ʻike ma kekahi maka, e like me ka pohō ʻana o ka ʻike? A i ʻole ua loaʻa iā ʻoe nā mea liʻiliʻi e lana ana i mua o kou mau maka, a i ʻole ʻike i nā kukui? ʻAʻole paha ʻoe i nānā nui iā ia. Eia nō naʻe, he hōʻailona paha ia o ka hahau maka . He ʻano koʻikoʻi kēia e pono ai ke kōkua lapaʻau koke. E kamaʻilio kākou e pili ana i kēia i kēia lā, no ka mea, he mea nui loa ka makaʻala iā ia.

He aha maoli ka 'maka hahau'?

I ka ʻōlelo maʻalahi, ʻo ka 'stroke in the eye' he pani koke ʻana o kahi aʻa, kahi kīʻaha koko e hoʻolako ana i ke koko i ka retina i loko o ko kākou maka. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻo 'Retinal Artery Occlusion' . ʻO ke ʻano o 'Occlusion' he pani. E like me ka wā e pani ʻia ai kahi paipu wai, e pau ke kahe ʻana o ka wai, i ka wā e pani ʻia ai kēia aʻa liʻiliʻi e lawe ana i ke koko i ka maka, ʻaʻole i loaʻa i ka maka ka oxygen a me ka meaʻai e pono ai. Hoʻokumu pinepine ʻia kēia pani ʻana e kahi ʻūpā koko .

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia retina. Ua like ka retina me ke kiʻiʻoniʻoni i loko o kahi kāmela. Ke pā ka mālamalama i ka maka, hana ia i kiʻi a hoʻouna i kahi leka i ka lolo. No laila, inā pau ke kahe koko i kēia wahi, ʻo ia hoʻi, hoʻomaka nā cell i loko o ka retina e hōʻino ʻia, a ua hoʻopilikia koke ʻia kā mākou ʻike.

Pēlā nō, hiki ke ālai ʻia kahi aʻa koko e hoʻolako ana i ke koko i ka retina. Ua kapa ʻia kēia ʻo 'Retinal Vein Occlusion' . He ʻano maʻi nō hoʻi kēia e hoʻopilikia ai i ka ʻike.

ʻO ka mea nui loa, ʻo kēia 'haʻi maka' (Retinal Artery Occlusion) he pilikia olakino ia. No laila, he mea nui e ʻimi i ka lāʻau lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.

Aia kekahi ʻano o kēia? Pehea ʻoe e hoʻokaʻawale ai iā lākou?

ʻAe, aia kekahi mau ʻano o kēia hahau e hoʻopilikia ai i ka maka, ʻo ia hoʻi, ka retinal artery occlusion, ma muli o kahi i loaʻa ai ka blockage. Ua like ia me kahi lāʻau me nā nicks liʻiliʻi ma kona kumu, nā lālā, a me nā lālā.

• ʻO ka Central Retinal Artery Occlusion (CRAO): ʻO kēia ke ʻano maʻamau. E like me ke kumu lāʻau, pili ia i kahi ālai ʻana o ke aʻa nui e hoʻolako ana i ke koko i ka maka. Hiki i kēia ke hoʻopilikia i ka maka holoʻokoʻa, ʻo ia hoʻi, e nalowale loa paha kou ʻike.
• ʻO ka Paʻa ʻana o ke Arteri Retinal Lālā (BRAO): Hana ʻia kēia i ka wā e ālai ʻia ai kahi aʻa liʻiliʻi, e like me ka lālā e lālā ana mai ke aʻa nui. Ua like ia me kahi lālā ma luna o kahi lāʻau. ʻO kahi hapa wale nō o ka maka i hoʻopilikia ʻia. ʻO kahi hapa wale nō o ka ʻike e nalowale paha.
• ʻO ka Paʻa ʻana o ke Artery Retinal Twig: He kīʻaha koko liʻiliʻi kēia e like me ka lālā i ālai ʻia. Ua kaupalena ʻia ka hopena i kahi wahi liʻiliʻi.

Hiki ke pili kēia hoʻokaʻawale ʻana i nā pani ʻana o nā aʻa.

Pehea ka maʻamau o kēia ʻano?

He ʻano maʻi laha ʻole ka Retinal Artery Occlusion. Ma ke ʻano helu, ua manaʻo ʻia e loaʻa kēia ʻano ma hoʻokahi a ʻelua paha kānaka i kēlā me kēia 100,000 kānaka i kēlā me kēia makahiki. Eia nō naʻe, hiki ke hiki i kekahi, no laila he mea nui e makaʻala i kēia.

He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?

ʻO ka hapa nui o ka manawa, ʻaʻohe ʻeha maka ma kēia ʻano. ʻO kēia ka mea e alakaʻi hewa ai i nā poʻe he nui. ʻO ka hōʻailona nui a mua hoʻi, ʻo ia ka nalowale koke ʻana a i ʻole ka loli ʻana o ka ʻike ma kekahi maka . Hiki ke hana ʻia kēia mau loli pākahi:

• Nā mea lana, nā kiko ʻeleʻele liʻiliʻi, a me nā mea like me ka ʻupena e lana ana i mua o nā maka, a me nā ʻālohilohi koke o ke kukui.
• ʻIke Pōwehiwehi.
• Nā kiko makapō a i ʻole ka pouli piha i mua o nā maka.
• Hoʻomaka iki nā loli i ka ʻike i ka wā mua a piʻi mālie i ka hala ʻana o ka manawa.

Hoʻopilikia pinepine kēia mau hōʻailona i hoʻokahi maka wale nō. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka.

No ke aha lā kēia e hana nei iā kākou? He aha nā kumu o kēia?

ʻO ke kumu nui o ka 'hahau maka' ʻo ia ka paʻa ʻana o ke koko i ka retina. Aia kekahi mau ala e hiki ai ke paʻa kēia:

1. Embolism: Hana ʻia kēia i ka wā e haki ai kahi ʻūpā koko, plaque, a i ʻole kahi ʻāpana o ka ʻiʻo mai kahi ʻāpana ʻē aʻe o ke kino (no ka laʻana, ka paia o ka puʻuwai a i ʻole kekahi aʻa nui ʻē aʻe) a hele i loko o ke kahe koko e hoʻopaʻa ʻia i loko o kahi aʻa liʻiliʻi e hoʻolako ana i ke koko i ka maka.

2. Thrombosis: ʻO kēia ka wā e mānoanoa ai ke koko a hana ʻia kahi ʻūpā koko i loko o ke aʻa e hoʻolako ana i ke koko i ka maka.

Ke ālai ʻia kahi kīʻaha koko ma kēia ʻano, hiki i ke koko ke kahe ma loko a hoʻonui i ke kaomi i loko o ka maka (kaomi maka). Hiki i kēia kaomi i hoʻonui ʻia ke hōʻino i ke aʻalolo optic. ʻIke ʻia kēia i loko o kahi maʻi i kapa ʻia ʻo glaucoma .

ʻO wai ka mea i ʻoi aku ka pilikia no kēia 'hahau lohe'?

ʻO nā kumu pilikia no ka hahau ʻana i ka maka ua like like me nā mea no ka hahau ʻana i ka lolo. ʻO kēia mau mea:

• No ka poʻe me ke koko kiʻekiʻe (Hypertension). He pilikia kēia i loaʻa i nā kānaka he nui ma ko kākou ʻāina.
• No nā poʻe me ke kiʻekiʻe o ka cholesterol koko (Hyperlipidemia).
• No ka poʻe i loaʻa nā waihona momona i loko o ko lākou mau kīʻaha koko, e hoʻolilo ana iā lākou i lahilahi (atherosclerosis).
• No nā poʻe me ka maʻi ʻaʻa coronary.
• No ka poʻe i loaʻa i ka hahau mua.
• No nā kānaka ma luna o 60 mau makahiki. Piʻi kēia pilikia me ka makahiki.
• No nā kāne.Ua hōʻike ʻia e ka noiʻi he ʻoi aku ka nui o ka pilikia o nā kāne. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole hiki i nā wahine ke loaʻa i kēia maʻi. Hiki i nā wahine ke loaʻa i kēia maʻi.
• ʻOi aku ke kiʻekiʻe o kēia pilikia no ka poʻe me ka maʻi diabetes mellitus , no ka mea, hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko.
• He kiʻekiʻe nō hoʻi ka pilikia no ka poʻe puhi paka .

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia, he mea maikaʻi ke akahele iki.

Pehea e ʻike ai ke kauka inā he 'hahau pepeiao' maoli kēia?

E like me kaʻu i ʻōlelo ai ma mua, inā nalowale koke ʻoe i kou ʻike a pau a i ʻole kekahi hapa ma kekahi maka, he pilikia olakino ia. Ke ʻike ʻoe i ke kauka, e hana paha lākou i kēia mau mea:

• E nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino.
• E hana ʻia kahi hoʻokolohua maka piha. Hoʻokomo pū ʻia kēia me kahi fundoscopy , a i ʻole ophthalmoscopy , kahi e hoʻohana ai ke kauka i kahi mea hana kūikawā (ophthalmoscope) a me kahi kukui ʻālohilohi e nānā i loko o kou maka, ʻoiai ka retina a me nā kīʻaha koko.
• E noi ʻia paha ʻoe e hana i kahi hoʻāʻo fluorescein angiography. ʻO kēia ka hoʻokomo ʻana i kahi kala kūikawā i loko o kahi aa koko ma kou lima a me ka hoʻohana ʻana i kahi kāmela e kiʻi i nā kiʻi o ia mea i kona hele ʻana ma o nā kīʻaha koko i loko o kou maka. Hiki i kēia ke hōʻike maopopo i nā mea āpau i pale ʻia a i ʻole nā ​​pilikia me ke kahe koko.
• ʻO ke Kiʻi ʻana o ke Kala Fundus Photography kahi hoʻokolohua e lawe i nā kiʻi maopopo o loko o ka maka (fundus), ʻo ia hoʻi ka retina.
• He hoʻokolohua holomua loa ka Optical Coherence Tomography (OCT) e hāʻawi ana i nā kiʻi kikoʻī kikoʻī o nā kīʻaha koko a me nā papa o ka retina.

I kekahi manawa, inā kānalua ke kauka i kahi maʻi ʻē aʻe, e like me Giant Cell Arteritis a i ʻole Temporal Arteritis, hiki iā lākou ke ʻōlelo aku i kahi ultrasound , kahi echocardiogram (kahi scan o ka puʻuwai), a me kekahi mau hoʻāʻo koko e nānā i nā māka mumū i loko o ke koko.

Aia kekahi lāʻau lapaʻau no kēia? He aha ka mea e hana ʻia nei?

ʻO ka pahuhopu nui o ka mālama ʻana i kahi 'hahau maka' ʻo ia ka hoʻihoʻi ʻana i ke kahe koko i ka retina i ka hikiwawe loa, e hōʻemi ana i ka nalowale o ka ʻike. Aia nā koho lapaʻau i ka lōʻihi o ka manawa mai ka wā i ʻike mua ʻia ai nā hōʻailona a me ke ʻano o ka paʻa ʻana. ʻO kekahi mau koho lapaʻau:

• Nā lāʻau lapaʻau e hoʻēmi i ke kaomi i loko o ka maka a i ʻole e hoʻoheheʻe i nā ʻōpū koko.
• ʻO ka mālama ʻana i ka laser e pani ai i nā kīʻaha koko e liki ana.
• E lomilomi mālie i ka lihilihi me ka maka i pani ʻia. Hiki paha i kēia ke kōkua i ka hoʻoneʻe ʻana i ke koko a hoʻomaʻemaʻe i ka mea i paʻa.
• Paracentesis: Ma kēia kaʻina hana, hoʻohana ke kauka i kahi nila lahilahi loa e wehe i kahi wai liʻiliʻi mai loko mai o ka maka. Hiki i kēia ke kōkua i ka hoʻēmi koke ʻana i ke kaomi i loko o ka maka.
• Lapaʻau Oxygen Hyperbaric: Ma kēia, hoʻokomo ʻia ka mea maʻi i loko o kahi keʻena kūikawā a hana ʻia e hanu i ka oxygen maʻemaʻe ma lalo o ke kaomi kiʻekiʻe. Hana ʻia kēia e hoʻonui i ka lako o ka oxygen i ka retina.

Akā, e hoʻomanaʻo, no ka loaʻa ʻana o ka pono nui mai kēia mau lāʻau lapaʻau, pono ʻoe e hoʻomaka i ka lāʻau lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona, ​​i loko o kekahi mau hola. He mea nui ka manawa ma ʻaneʻi.

Hiki iā kākou ke hana i kekahi mea e hōʻemi ai i kēia pilikia?

ʻOiai ʻaʻole hiki ke pale loa iā ia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia o ka 'hahau lohe'. He mea maikaʻi kēia no ko mākou olakino holoʻokoʻa:

• ʻO ka ʻai ʻana i ka meaʻai olakino a me ka hoʻoikaika kino lawa. He mea maikaʻi loa ka ʻai ʻana i nā mea kanu, nā huaʻai, a me nā greens, a me ka hōʻemi ʻana i ka ʻaila, ke kō, a me ka paʻakai.
• Inā loaʻa iā ʻoe ka maʻi diabetes, he mea nui e kaohi maikaʻi i kou pae kō koko.
• E mālama i ke koko, ka cholesterol koko, a me ke kaomi o nā maka i nā pae kūpono. E hoʻohana i nā lāʻau lapaʻau i kauoha ʻia e kāu kauka.
• E kipa aku i ke kauka maka i nā manawa maʻamau e nānā i kou mau maka, ʻoiai inā he mau kumu pilikia kou.
• Inā ʻoe e puhipaka, e haʻalele. ʻOi aku ke kiʻekiʻe o kēia pilikia ma muli o ka pōʻino o ka puhipaka i nā kīʻaha koko.

ʻO ka hahai ʻana i kēia mau mea, ʻaʻole ia e kōkua wale i ka pale ʻana iā ʻoe mai ka 'hahau lohe', akā e kōkua pū kekahi iā ʻoe mai nā maʻi ʻē aʻe he nui, e like me ka maʻi puʻuwai a me ka hahau.

He aha ka mea e hana ʻia ma hope o kēia kūlana? He aha kā mākou e manaʻo ai?

Hiki ke ʻokoʻa ka pōʻino i hana ʻia e ka 'hahau pepeiao' mai kēlā kanaka a kēia kanaka. Aia ia ma kahi i kū ai ke ālai ʻia, pehea ka lōʻihi o ka ʻoki ʻia ʻana o ke kahe koko, a me ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau.

Inā he lālā (BRAO) a i ʻole twig (Twig) retinal artery occlusion, ʻo ia hoʻi ka paʻa ʻana o kahi aa liʻiliʻi, he liʻiliʻi paha ka pōʻino. Eia nō naʻe, inā he kikowaena (CRAO) , ʻo ia hoʻi ka paʻa ʻana o ke aʻa nui, ʻoi aku ka nui o ka pōʻino.

ʻOiai ma hope o ka lāʻau lapaʻau, hiki i kekahi poʻe ke loaʻa i kekahi kekelē o ka nalowale ʻana o ka ʻike. I kekahi manawa, ʻaʻole paha e hoʻōla piha ʻia ka ʻike. ʻO ia ke kumu e lawe koʻikoʻi ʻia ai.

ʻO kekahi mea nui, ʻo ka 'hahau lohe' ʻo ia hoʻi ke loaʻa nei iā ʻoe kahi hahau lolo.Hiki iā ia ke lilo i hōʻailona e pilikia ana ʻoe i ka loaʻa ʻana o hoʻokahi. No ka mea ua like loa nā kumu pilikia no nā kūlana ʻelua, he mea nui e kamaʻilio me kāu kauka e pili ana i ia mea inā loaʻa iā ʻoe kahi 'hahau lohe' a hana i nā hana e pale aku ai i ka hahau.

Āhea mākou e ʻimi pono ai i ke aʻo lapaʻau?

Ua maopopo kēia: Inā ʻike ʻoe i ka nalowale koke ʻana o ka ʻike, ka pouli, a i ʻole ka pōʻeleʻele o ka ʻike ma kekahi maka, e ʻimi koke i ke kōkua lapaʻau. ʻO ka 'ocular strokes' kokoke i ka hoʻopilikia ʻana i hoʻokahi maka wale nō.

I kekahi manawa hiki ke nalowale ka ʻike no kekahi manawa a laila hoʻihoʻi ʻia. Ua kapa ʻia kēia he 'mini-stroke in the eye' . ʻOiai inā loaʻa iā ʻoe ka nalowale ʻana o ka ʻike no kekahi manawa, mai hoʻowahāwahā iā ia. E mālama iā ia me he pilikia lā a e ʻike i ke kauka.

ʻO ka nalowale ʻana o kou ʻike, inā he manawa pōkole a mau loa paha, hiki ke lilo i mea weliweli. Eia nō naʻe, he mea nui e ʻimi koke i ke kōkua lapaʻau, ʻoiai inā he loli kou ʻike ma ka maka hoʻokahi wale nō. E like me ka hahau ʻana i ka lolo, ʻo ka mālama mua ʻana ke ala maikaʻi loa e loaʻa ai nā hopena maikaʻi aʻe mai ka hahau ʻana i ka maka.

I ka hōʻuluʻulu manaʻo, eia nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home):

ʻAe, e hōʻuluʻulu kākou i nā manaʻo koʻikoʻi a mākou i kūkākūkā ai i kēia lā e pili ana i ka 'Eye Stroke / Retinal Artery Occlusion':

• He pilikia olakino kēia. E ʻike i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona.
• ʻO ka hōʻailona nui ka nalowale koke ʻana o ka ʻike, ka pohihihi ʻana, a i ʻole ka nalowale ʻana o ka ʻike ma kekahi maka. ʻAʻohe pinepine ka ʻeha.
• ʻO nā mea e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol, ka maʻi puʻuwai, a me ka puhipaka e hoʻonui i ka pilikia.
• Hiki i ka mālama koke ʻana ke hōʻemi i ka pōʻino o ka hihiʻo.
• Hiki ke hoʻēmi ʻia ka pilikia o kēia maʻi ma ka mālama ʻana i kahi nohona olakino a me ka kaohi ʻana i nā kumu pilikia.

He waiwai nui kou mau maka. No laila e mālama pono iā lākou. Lana koʻu manaʻo he mea pono kēia ʻike iā ʻoe. Ke makemake nei au iā ʻoe a me kou poʻe aloha i ke olakino maikaʻi!

ʻO ka hahau maka, ka paʻa ʻana o ke aʻa Retinal, ka paʻa ʻana o nā kīʻaha koko i loko o ka maka, ka nalowale o ka ʻike, nā maʻi maka, Retina, ka hahau maka, ka paʻa ʻana o ke aʻa Retinal