Ola Palekana3 Ianuali 2026🔄 Updated: 14 Iul. 2026⏱ 21 min

E aʻo kākou e pili ana i ka glaucoma, ka mea hiki ke hoʻopau malū i kou ʻike maka.

Creator: Dr. Priya Sammani
Published: 2026-01-03T22:06:57.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Ua noʻonoʻo paha ʻoe i ke ʻano waiwai o ko kākou mau maka? Aia kekahi mau maʻi e hiki ke hōʻino malū i kēia mau maka ʻelua e kōkua iā kākou e ʻike i ke ao nei. ʻO kekahi maʻi like ʻo ia ka glaucoma. ʻOiai ke kani nei kēia he mea koʻikoʻi iki, inā ʻike mua kākou iā ia, hiki iā kākou ke kāohi i ka pōʻino e hiki ai ke hana i kahi nui. I ka ʻōlelo maʻalahi, ʻo ka glaucoma kahi inoa maʻamau no kahi hui o nā maʻi maka e hoʻonui mālie i ke kaomi i loko o kou maka, e hōʻino ana i nā ʻāpana koʻikoʻi a palupalu ma hope o ka maka. E like me ka wā e hoʻopiha nui ʻia ai kahi huila, lilo ka huila i pilikia, i ka wā e piʻi ai ke kaomi i loko o ka maka, hiki ke hōʻino ʻia ka maka. ʻO ka hapa nui o kēia mau maʻi e ulu mālie, ʻo ia hoʻi, e ʻoi aku ka ʻino . I ka hala ʻana o ka manawa, hiki i kēia kūlana ke alakaʻi i ka nalowale mau o ka ʻike a me ka makapō. ʻO ka ʻoiaʻiʻo, ʻo ka glaucoma ke kumu nui ʻelua o ka makapō ma ka honua. ʻO ka ʻike ʻana he glaucoma kou a i ʻole aia paha i ka pilikia no ka ulu ʻana hiki ke lilo i mea kaumaha. Hilinaʻi ka hapa nui o mākou i ko mākou ʻike no ka hapa nui o kā mākou mau hana o kēlā me kēia lā. No laila he mea maʻamau ke manaʻo makaʻu e pili ana i ke ʻano o ke ola ma hope o ka nalowale ʻana o ka nui o kāu ʻike. Akā ʻo ka nūhou maikaʻi, aia nā lāʻau lapaʻau no ka hapa nui o nā ʻano glaucoma, ʻoiai inā ʻike mua ʻia ke ʻano . Me ka mālama lapaʻau kūpono a me ka mālama ʻana, hiki ke hoʻopaneʻe ʻia ka nalowale mau o ka ʻike maka mai kēia maʻi, a i kekahi manawa pale ʻia loa.

He aha nā hōʻailona o ka glaucoma? Pehea e ʻike ai?

I ka manawa pinepine, ʻaʻole hōʻike ka glaucoma i kekahi mau hōʻailona i nā pae mua . Komo malū ia e like me ka ʻenemi malū. ʻO ia ke kumu i ʻike ʻole ai ka poʻe he nui ma Sri Lanka he glaucoma ko lākou. I kekahi manawa, hoʻomaka wale nā hōʻailona e ʻike ʻia ma hope o ka hōʻino ʻia ʻana o ka maka.

Nā hōʻailona i ʻike pinepine ʻia:

Eia kekahi o nā hōʻailona maʻamau:

Ke manaʻo nei i ka ʻeha a i ʻole ke kaomi i loko o nā maka
ʻEha poʻo
ʻUlaʻula a i ʻole nā maka koko
ʻO ka ʻike ʻana i hoʻokahi kiʻi he ʻelua, he kūlana i kapa ʻia ʻo "diplopia"
ʻIke pōwehiwehi
Ka nāwaliwali mālie o ka ʻike maka
Ka ulu mālie ʻana o nā kiko ʻeleʻele i ka ʻike (scotomas) a i ʻole ka emi ʻana o ke kahua o ka ʻike, me he mea lā e nānā ana ma o kahi paipu (ʻike tunnel). E noʻonoʻo i ka wā e heluhelu ai ʻoe i kahi nūpepa, me he mea lā ua pōwehiwehi nā leka ma kekahi ʻaoʻao, a i ʻole i kou hele ʻana ma ke alanui, manaʻo ʻoe ʻaʻole maopopo nā ʻaoʻao ʻelua.

Nā hōʻailona e pono ai ka mālama koke!

Hiki i kekahi ʻano glaucoma, ʻoi aku ka glaucoma angle-closure, ke hana koke i nā hōʻailona koʻikoʻi.I ia mau hihia, pono ke kōkua koke ʻia e ke kauka, a i ʻole e nalowale mau ka ʻike maka. Eia nā hōʻailona o kēia pilikia:
He hōʻiliʻili koko i mua o kou maka ʻeleʻele (hyphema)
Nā maka ʻōhū a hoʻonui ʻia paha (buphthalmos) (hoʻopilikia nui kēia i nā keiki ʻōpio)
Ka luaʻi a me ka ʻeha maka / kaomi
Ke nānā ʻoe i nā kukui, ʻike ʻoe i nā apo kala ʻānuenue a puni lākou. E like me kāu e hoʻokele ai i ka pō, ʻike ʻoe i nā pōʻai kala a puni nā kukui alanui.
ʻO ka ʻike koke ʻana a i ʻole ka hoʻonui ʻia ʻana o nā mea lana (myodesopsias) (nā kiko ʻeleʻele liʻiliʻi, nā ʻili, a pēlā aku) i mua o nā maka
Ka nalowale koke ʻana o ka ʻike ma kekahi ʻano
Nā ʻālohilohi koke o ke kukui i mua o nā maka ( photopsias )
No ke aha e ulu ai ka glaucoma? He aha ke kumu?
ʻO ke kumu nui o ka glaucoma ka hōʻino ʻia ʻana o ke aʻalolo optic i loko o kou maka . Ua like kēia me ke kaula e lawe ana i nā mea a mākou e ʻike ai i ka lolo. Hiki ke hana me ke kumu ʻole, akā he nui nā mea e kōkua ai i kēia kūlana. ʻO kekahi o nā mea nui o kēia mau mea pilikia, ʻo ia ke kaomi i loko o ka maka (kaomi maka intraocular) . E noʻonoʻo i kēia ʻano, he wai i kapa ʻia he aqueous humor e hana mau ʻia i loko o ko mākou mau maka e hānai i ka maka. Ke kahe nei kēia wai ma o ka maka ʻeleʻele i mua o ka maka. I loko o ka maka olakino, kahe kēia wai mai loko mai o ka maka ma o kahi pūnaewele o nā ʻōnaehana hoʻokahe wai i kapa ʻia ʻo ka trabecular meshwork, kahi e hui ai ka maka keʻokeʻo me ka maka kala (ka ʻāpana kala a puni ka maka ʻeleʻele). Ua like ia me kahi pahu wai me kahi paipu i hoʻopili ʻia iā ia e hoʻokahe i ka wai. I ka glaucoma, ua ālai ʻia ka ʻōnaehana hoʻokahe wai a kūʻē paha i ke kahe o ka wai. ʻAʻohe wahi e hele ai kēia wai a kūkulu ʻia i loko o ka maka. Kūkulu ʻia kēia wai keu, e hoʻonui ana i ke kaomi i loko o ka maka. I ka hopena, hiki i kēia kaomi i hoʻonui ʻia ke hōʻino i kou aʻalolo optic, e alakaʻi ana i ka glaucoma. Hiki ke ʻokoʻa ke kumu o kēia hōʻiliʻili ʻana o ka wai i loko o ka maka ma muli o ke ʻano o ka glaucoma āu e loaʻa ai.
Aia kekahi mau ʻano o ka glaucoma?
ʻAe, aia nā ʻano like ʻole o ka glaucoma, akā hiki ke hoʻokaʻawale nui ʻia i nā ʻano like ʻole:
ʻO ka glaucoma kihi hāmama mua: ʻO ka glaucoma kihi hāmama kahi kūlana kahi e wehe ʻia ai nā kahawai hoʻokahe wai, ʻo ia nā wahi e hui ai ke keʻokeʻo o ka maka me ka lihi o waho o ka ʻāpana kala o ka maka. Kahe ka wai momona i loko o kēia mau kahawai a kahe mai ke keʻena mua o ka maka. ʻO kēia ke ʻano glaucoma maʻamau.ʻO ka mea e hana ʻia ana, ʻo ia ka paʻa mālie ʻana o nā ʻauwai, e like me ka ʻauwai poho e hoʻopiha mālie ana me ka lepo. Hana mālie kēia a ʻaʻohe paha he mau hōʻailona i ka wā mua.
ʻO ka glaucoma kihi pani mua: ʻO ka maʻamau, pono e kahe ka wai wai mai ke keʻena hope o ka maka, ma o ka sclera, a i ke keʻena mua. Akā i kekahi manawa, ʻo ka lens o kou maka e puʻupuʻu loa i mua, e ālai ana i ke kahe ʻana o ka wai ma o ka sclera. Hiki i ka wai keu i loko o ke keʻena hope ke hoʻokuke i ka sclera i mua, e hoʻohaiki ana a pani loa paha i ke kihi e kahe ai ka wai. Hiki i kēia ke lilo i kūlana koke, koke. Hiki i ka maka ke lilo i ʻulaʻula a ʻeha.
ʻO ka glaucoma lua: Hana ʻia kēia ke piʻi aʻe ke kaomi i loko o ka maka ma muli o kekahi kūlana a hanana paha. No ka laʻana, hiki ke hana ʻia e nā ʻeha maka (e noʻonoʻo i kahi pōpō cricket e paʻi ana i ka maka), ka pigmentary dispersion syndrome (nā ʻāpana liʻiliʻi o ka pigment i loko o ka maka e haki a ālai i ke kahawai kahe), uveitis (ka mumū o loko o ka maka), kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā corticosteroids a me nā cycloplegics), a me ke ʻoki maka.
ʻO ka glaucoma hānau: ʻO kēia ka glaucoma e ulu ana i ka wā fetal, ʻo ia hoʻi, i ka wā e noho ana ka pēpē i loko o ka ʻōpū. No ka laʻana, hiki i nā kūlana e like me ka aniridia (ʻaʻole i hana pono ʻia ka iris o ka maka), Axenfeld-Rieger syndrome, Marfan syndrome, congenital rubella syndrome, a me ka neurofibromatosis type 1 ke hana i kēia. He kūlana kēia i loaʻa i ka wā hānau, a inā he nui nā maka o ka pēpē, waimaka, a ʻike paha i ka mālamalama, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
He aha nā mea pilikia no ka hoʻomohala ʻana i ka glaucoma?
Aia kekahi mau mea pilikia e hiki ke hoʻopilikia i ka ulu ʻana o ka glaucoma. E nānā kākou i ko lākou ʻano:
Makahiki: Hoʻopilikia ka hapa nui o nā ʻano glaucoma i ka poʻe ma luna o 40 mau makahiki. (ʻO ka glaucoma hānau ka ʻokoʻa nui i kēia.) Manaʻo nā loea he 10% o ka poʻe ma luna o 75 mau makahiki he glaucoma. ʻO ia hoʻi, he mea nui e mālama iā ia i kou wā ʻelemakule.
Lāhui/Kumukūʻauhau: ʻO ka poʻe o ka ʻohana ʻApelika, ʻoi aku hoʻi ka poʻe o ka ʻohana Afro-Caribbean, aia i kahi pilikia nui o ka loaʻa ʻana o ka glaucoma kihi wehe mua. ʻO ka poʻe o ka ʻohana ʻĀkia (me mākou pū kekahi) a me ka ʻohana Inuit aia i kahi pilikia nui o ka loaʻa ʻana o ka glaucoma pani kihi.
Kāne/Wahine:ʻOi aku ka nui o ka pilikia o nā wāhine i ka loaʻa ʻana o ka glaucoma angle-closure. Manaʻo nā loea he kumu nui kēia o ka ʻokoʻa o ke ʻano o ka maka ma waena o nā kāne a me nā wāhine.
Nā hewa refractive: ʻO ka poʻe ʻike kokoke, a i ʻole myopia, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka glaucoma kihi hāmama. Pēlā nō, ʻoi aku ka nui o ka pilikia o ka poʻe ʻike kokoke, a i ʻole hyperopia, i ka loaʻa ʻana o ka glaucoma pani kihi.
Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana, ʻoiai kou makuahine, makuakāne, keiki, a kaikaina paha, ka glaucoma, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana. Ua like kēia me ke ʻano o nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe e holo nei i loko o ko kākou mau ʻohana. ʻO kekahi mau kūlana e hoʻoulu ai i ka glaucoma lua he mau mea hoʻoilina nō hoʻi.
Nā maʻi mau: Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi mau, e like me ke koko kiʻekiʻe a me ka maʻi diabetes, i ka loaʻa ʻana o ka glaucoma. No laila, inā loaʻa iā ʻoe kēia mau maʻi, he mea maikaʻi no kou mau maka ke kāohi pono iā lākou.
He aha nā pilikia e hiki ke loaʻa mai ka glaucoma?
E noʻonoʻo i ka mea e hiki mai ana inā ʻaʻole ʻoe i loaʻa i ka lāʻau lapaʻau e kāohi i ke kaomi i loko o kou maka. Inā hana ʻia kēlā, hiki i ka glaucoma ke hōʻino i kou retina a me ke aʻalolo optic, a laila e hoʻōki ai lākou i ka hana. ʻO kēia ke kumu o ka pilikia nui o ka glaucoma, ʻo ia ka nalowale o ka ʻike a me ka makapō piha. ʻO ka hopena hope loa ka mea a nā loea i kapa ai he glaucoma piha. ʻO ke ʻano kēia, lilo ka maka i makapō loa. Hiki iā ia ke paʻakikī, e like me ka pōhaku, ke hoʻopā ʻoe iā ia, a hiki ke ʻeha.
Pehea e ʻike ʻia ai ka glaucoma?
Hiki i ke kauka maka ke ʻike i ka glaucoma me ka hoʻokolokolo maka. ʻOiaʻiʻo, hiki i kēia mau hoʻokolokolo maka ke ʻike i ka glaucoma ma mua o kou loaʻa ʻana o nā hōʻailona a i ʻole ka hōʻino ʻana i kou mau maka. I loko o kēia mau hoʻokolokolo, ua hoʻonui ʻia kāu pupil (mydriasis), kahi e hiki ai i ke kauka ke ʻike i loko o kou maka. Eia kekahi o nā hoʻokolohua nui e hiki ke kōkua i ka ʻike ʻana i ka glaucoma:
Hoʻāʻo ʻana i ka ʻike maka - ke hoʻāʻo ʻana i ka maikaʻi o kou ʻike ʻana (ma ke noi ʻana iā ʻoe e heluhelu i kahi laina o nā leka).
Hoʻāʻo ʻana i ke kahua ʻike - Ke nānā nei i ka laulā o kāu ʻike a inā hiki iā ʻoe ke ʻike i nā ʻaoʻao ʻelua.
Hoʻāʻo ʻike hohonu
Tonometry - Ke ana ʻana o ke kaomi i loko o ka maka. Hana ʻia kēia ma ka hoʻohana ʻana i kahi mea e puhi ai i ka ea i loko o ka maka a i ʻole ma ka hoʻopā ʻana i ka maka.
Pachymetry - Ana o ka mānoanoa o ka cornea, ka ʻāpana moakaka ma ke alo o ka maka.
Hoʻokolokolo kukui ʻoki - He hoʻokolokolo i hoʻonui ʻia o nā ʻāpana like ʻole o ka maka me ka hoʻohana ʻana i kahi microscope kūikawā.
Gonioscopy - Hoʻokomo ʻia kahi aniani kūikawā ma ka maka e nānā i ke kihi e kahe ai ke wai.
Inā kānalua kāu loea maka ua hōʻino ʻia kou retina a i ʻole ke aʻalolo optic, hiki iā ia ke hana i nā hoʻokolohua kiʻi maka hou aʻe. Eia kekahi laʻana:
ʻO ke ʻano o ka optical coherence tomography (OCT) - Ke nānā nei kēia i nā papa palupalu i loko o ka maka, ʻoiai ka mānoanoa o nā olonā o ke aʻalolo optic.
ʻO ka fluorescein angiography - kahi hoʻāʻo e nānā i nā kīʻaha koko i loko o ka maka.
Hoʻokolokolo Ultrasound `(Ultrasound)`
I ka manawa pinepine ʻole, hana ʻia kahi scan computed tomography (CT) a i ʻole ka magnetic resonance imaging (MRI).
He aha nā lāʻau lapaʻau no ka glaucoma?
ʻO ka pahuhopu nui o ka mālama ʻana i ka glaucoma, ʻo ia ka hoʻēmi ʻana i ke kaomi i loko o ka maka (kaomi intraocular) a me ka pale ʻana i ka maʻi mai ka ʻino ʻana . Aia kekahi mau lāʻau lapaʻau nui e hiki ke kōkua i kēia:
Nā lāʻau lapaʻau: ʻO kēia nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kaomi i loko o kou maka. Inā ʻoi aku ke kiʻekiʻe o ke kaomi o kou maka ma mua o ka maʻamau (kahi kūlana i kapa ʻia ʻo 'ocular hypertension'), hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka glaucoma mai ka ulu ʻana a i ʻole ka pale ʻana i ka hōʻino ʻana mai ke kumu ʻana o nā hōʻailona. Hiki ke hele mai kēia mau mea ma ke ʻano he kulu maka a i ʻole nā pila. He mea nui e lawe i kēia mau lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
ʻO nā ʻoki Glaucoma: Ua hoʻolālā ʻia kēia mau ʻoki e kōkua i ka hoʻokahe maʻalahi ʻana o ka wai aqueous a hōʻemi i ke kaomi i loko o ka maka. ʻO kēia mau ʻoki e komo pū me ka trabeculectomy (ka hana ʻana i kahi ala hou no ka wai e hoʻokahe ai), nā tube shunt (ke hoʻokomo ʻana i kahi paipu liʻiliʻi i loko o ka maka e hoʻokahe i ka wai), ka laser therapy (me ka hoʻohana ʻana i ka laser e wehe i ka ʻōnaehana hoʻokahe), a me nā ʻoki glaucoma minimally invasive (MIGS).
Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe i loaʻa ma muli o ke ʻano o ka glaucoma āu i loaʻa ai, pehea kona hopena i kou mau maka, a me nā kumu ʻē aʻe. Hiki i kāu kauka maka ke haʻi hou aku iā ʻoe e pili ana i nā koho lapaʻau i loaʻa iā ʻoe a kōkua iā ʻoe e koho i ka mea kūpono loa i kou mau pono.
He aha ka manaʻolana no ka glaucoma?
ʻOiaʻiʻo, inā ʻaʻole mālama ʻia, hiki i ka glaucoma ke alakaʻi i ka nalowale mau o ka ʻike a me ka makapō. Akā me ka mālama ʻana, hiki ke kāohi ʻia ka maʻi a i ʻole ke kāohi ʻia mai ka ʻino ʻana . Akā no ka mea hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka, ʻo ke kanaka maikaʻi loa e kamaʻilio e pili ana i kēia ʻo ia kāu kauka maka. Hiki iā ia ke haʻi iā ʻoe i ke ʻano o kou kūlana a me kāu mea hiki ke hana e hoʻololi iā ia.
Hiki ke pale ʻia ka glaucoma?
ʻO ka mea pōʻino, ʻaʻole hiki ke pale loa ʻia ka glaucoma. AkāHiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka kaohi ʻana i ke kaomi intraocular a pale a hoʻopaneʻe paha i ka nalowale o ka ʻike. Aia kekahi mau mea nui hiki iā ʻoe ke hana e kōkua:
E hoʻāʻo maka maʻamau : Hiki iā ʻoe ke ʻike i ke kaomi kiʻekiʻe i loko o kou mau maka ma mua o ka puka ʻana o nā hōʻailona glaucoma. Hiki i ka ʻike mua ʻana ke kōkua iā ʻoe a me kāu kauka maka e pale i ka glaucoma mai ka ʻino ʻana, a i ʻole e hoʻolohi iā ia. He manaʻo maikaʻi e nānā ʻia kou mau maka ma ka liʻiliʻi hoʻokahi i ka makahiki ma hope o 40 mau makahiki, ʻoiai inā he mōʻaukala ʻohana kou no ka glaucoma.
Ke kāohi ʻana i ke koko kiʻekiʻe o ka maka: Inā ʻoi aku ke kiʻekiʻe o ke kaomi i loko o kou mau maka ma mua o ka maʻamau, e kuhikuhi kāu kauka maka i nā koho lapaʻau. He mea nui loa ia e hahai i kā lākou ʻōlelo aʻoaʻo. Hiki i kēia ke kōkua iā ʻoe e pale a i ʻole e hoʻopaneʻe i ka nalowale o ka ʻike.
E ʻike a kāohi i kāu mau kumu pilikia: Hiki iā ʻoe ke hoʻāʻo e kāohi a pale paha i kekahi mau kūlana, e like me ke koko kiʻekiʻe a me ka maʻi diabetes. Eia kekahi, ʻo ka hoʻohana ʻana i nā mea e like me nā aniani palekana e hiki ke kōkua i ka pale ʻana i nā ʻeha maka.
Inā loaʻa iaʻu ka glaucoma, he aha kaʻu e hana ai e kōkua iaʻu iho?
Inā loaʻa iā ʻoe ka glaucoma, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hahai i nā ʻōlelo a kāu kauka maka no ka mālama ʻana a me ka hoʻokele ʻana i ke kūlana . Hiki iā ia ke ʻōlelo aku i kekahi mau hoʻololi i kou nohona a me nā ʻano maʻamau. Hiki i kēia mau mea ke komo pū me:
Mai hoʻowahāwahā i nā hōʻailona hou a i ʻole nā loli i ka ʻike.
Ka mālama ʻana i ke kaumaha olakino nou.
E noho kino ikaika (akā e nīnau i kāu kauka e pili ana i nā hoʻomaʻamaʻa āu e pale aku ai, ʻoiai kekahi mau hoʻomaʻamaʻa, e like me ka yoga me kou poʻo i lalo, hiki ke hoʻonui i ke kaomi o ka maka).
E hele ana e ʻike iā ia e like me ka ʻōlelo a ke kauka.
Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona hou, inā ʻaʻole like ka hana ʻana o ka lāʻau lapaʻau, a inā paha e hoʻopilikia ana nā hopena ʻaoʻao mai ka lāʻau lapaʻau i kou ola o kēlā me kēia lā, e ʻike pono i kāu kauka.
Āhea wau e ʻimi ai i ke aʻo lapaʻau?
Hiki i kekahi mau ʻano glaucoma, e like me ka glaucoma pani kihi, ke ulu koke. No laila, pono ke kōkua lapaʻau koke e pale aku i ka hōʻino mau loa a me ka nalowale o ka ʻike. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, inā paha e hoʻomaka koke a i ʻole e ʻoi aku ka ʻino, e nānā koke iā lākou:
ʻEha nui a kaomi paha o ka maka
ʻEha poʻo
ʻIke pālua (diplopia) a i ʻole ka ʻike pōwehiwehi
Ka luaʻi a me ka ʻeha maka/kaomi
Ke ʻike nei i nā apo kala ʻānuenue a puni nā kukui
Ka nalowale koke ʻana o ka ʻike ma kekahi ʻano
Hoʻomaka nā kukuna o ke kukui e ʻike ʻia i mua o nā maka.
Hoʻomaka koke a hoʻonui paha i ke ʻano o nā mea lana i mua o nā maka (myodesopsias)
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka maka?
He manaʻo maikaʻi e nīnau i kāu loea maka i nā nīnau e like me kēia:
He aha ke ʻano o ka glaucoma i loaʻa iaʻu?
He aha ke kumu o koʻu glaucoma?
He aha nā koho lapaʻau e loaʻa iaʻu, a he aha kāu e ʻōlelo mai ai?
He aha nā hopena ʻaoʻao a i ʻole nā pilikia e hiki mai ana o ka (nā) lāʻau lapaʻau?
He aha nā hōʻailona a i ʻole nā loli e pono ai iaʻu e kāhea aku i kou keʻena a i ʻole e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau?
Mai makaʻu e nīnau i kēia mau nīnau. ʻO ka maikaʻi o kou hoʻomaopopo ʻana i kou kūlana, ʻo ka nui o kou hiki ke kākoʻo i ka lāʻau lapaʻau a pale i kou ʻike.
No ka hapa nui o kākou, he mea nui maoli ko kākou ʻike maka, ʻo ia paha ka mea nui loa, i ke ola. No laila, he mea maʻamau ka makaʻu a me ka hopohopo e pili ana i ka nalowale ʻana o kou ʻike maka ma muli o kahi maʻi e like me ka glaucoma. Akā, ʻo ka nūhou maikaʻi, ʻo ka glaucoma kahi maʻi hiki ke ʻike ʻia a mālama ʻia i ka wā mua. ʻO ka wikiwiki o kou ʻike ʻana i ka maʻi a hoʻomaka i ka mālama ʻana, ʻoi aku ka maikaʻi o kou manawa e pale aku ai i ka ʻino. ʻOiai ʻaʻole hiki ke hoʻōki loa ʻia, hiki iā ia ke hoʻopaneʻe pinepine i ka hoʻomaka ʻana o nā hopena koʻikoʻi no nā makahiki, a hiki i nā makahiki he ʻumi.
ʻO nā mea nui e pono ai mākou e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)
ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai e pili ana i ka glaucoma:
Hiki i ka Glaucoma ke lilo i maʻi leo ʻole: ʻaʻole paha e hōʻike i kekahi mau hōʻailona i nā pae mua. ʻO ia ke kumu he mea nui ka hoʻokolokolo maka mau, ʻoiai inā he mau kumu pilikia kou.
ʻO ka ʻike mua ʻana ka pale maikaʻi loa: Inā ʻike mua ʻia, hiki i ka lāʻau lapaʻau ke pale nui i ka nalowale hou ʻana o ka ʻike.
E makaʻala i nā kumu pilikia: Inā he moʻolelo ʻohana kou no ke ʻano, ʻoi aku ma mua o 40 mau makahiki, a i ʻole he mau maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, pono ʻoe e akahele iki aʻe.
E hahai pono i nā ʻōlelo a kāu kauka: Inā ua ʻike ʻia ʻoe me ka glaucoma, he mea nui e hahai pono i ka lāʻau a me nā ʻōlelo aʻoaʻo i hāʻawi ʻia e kāu kauka.
Mai hoʻowahāwahā i nā hōʻailona ulia pōpilikia: Inā loaʻa iā ʻoe ka ʻeha maka koke, ka ʻike pohihihi, a i ʻole ka ʻike ʻana i nā apo a puni nā kukui, e ʻike koke i ke kauka.
E hoʻomanaʻo, he mea waiwai nui kou mau maka iā ʻoe. No laila, ʻo kou kuleana ke mālama iā lākou. Mai makaʻu, inā ʻoe e ʻike a hana i nā hana e pono ai, hiki iā ʻoe ke ola maikaʻi me ka glaucoma.
ʻO Glaucoma, kaomi maka, maʻi maka, nalowale o ka ʻike, makapō, aʻalolo optic, hoʻokolokolo maka

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ola Palekana3 Ianuali 2026
E aʻo kākou e pili ana i ka glaucoma, ka mea hiki ke hoʻopau malū i kou ʻike maka.
Dr. Priya SammaniMedical Verification
⏱ 21 min read
📋Table of Contents
1. He aha nā hōʻailona o ka glaucoma? Pehea e ʻike ai?
2. Nā hōʻailona i ʻike pinepine ʻia:
3. Nā hōʻailona e pono ai ka mālama koke!
4. No ke aha e ulu ai ka glaucoma? He aha ke kumu?
5. Aia kekahi mau ʻano o ka glaucoma?
6. He aha nā mea pilikia no ka hoʻomohala ʻana i ka glaucoma?
7. He aha nā pilikia e hiki ke loaʻa mai ka glaucoma?
8. Pehea e ʻike ʻia ai ka glaucoma?
9. He aha nā lāʻau lapaʻau no ka glaucoma?
10. He aha ka manaʻolana no ka glaucoma?
11. Hiki ke pale ʻia ka glaucoma?
12. Inā loaʻa iaʻu ka glaucoma, he aha kaʻu e hana ai e kōkua iaʻu iho?
13. Āhea wau e ʻimi ai i ke aʻo lapaʻau?
14. He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka maka?
15. ʻO nā mea nui e pono ai mākou e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)
Ua noʻonoʻo paha ʻoe i ke ʻano waiwai o ko kākou mau maka? Aia kekahi mau maʻi e hiki ke hōʻino malū i kēia mau maka ʻelua e kōkua iā kākou e ʻike i ke ao nei. ʻO kekahi maʻi like ʻo ia ka glaucoma. ʻOiai ke kani nei kēia he mea koʻikoʻi iki, inā ʻike mua kākou iā ia, hiki iā kākou ke kāohi i ka pōʻino e hiki ai ke hana i kahi nui. I ka ʻōlelo maʻalahi, ʻo ka glaucoma kahi inoa maʻamau no kahi hui o nā maʻi maka e hoʻonui mālie i ke kaomi i loko o kou maka, e hōʻino ana i nā ʻāpana koʻikoʻi a palupalu ma hope o ka maka. E like me ka wā e hoʻopiha nui ʻia ai kahi huila, lilo ka huila i pilikia, i ka wā e piʻi ai ke kaomi i loko o ka maka, hiki ke hōʻino ʻia ka maka. ʻO ka hapa nui o kēia mau maʻi e ulu mālie, ʻo ia hoʻi, e ʻoi aku ka ʻino . I ka hala ʻana o ka manawa, hiki i kēia kūlana ke alakaʻi i ka nalowale mau o ka ʻike a me ka makapō. ʻO ka ʻoiaʻiʻo, ʻo ka glaucoma ke kumu nui ʻelua o ka makapō ma ka honua. ʻO ka ʻike ʻana he glaucoma kou a i ʻole aia paha i ka pilikia no ka ulu ʻana hiki ke lilo i mea kaumaha. Hilinaʻi ka hapa nui o mākou i ko mākou ʻike no ka hapa nui o kā mākou mau hana o kēlā me kēia lā. No laila he mea maʻamau ke manaʻo makaʻu e pili ana i ke ʻano o ke ola ma hope o ka nalowale ʻana o ka nui o kāu ʻike. Akā ʻo ka nūhou maikaʻi, aia nā lāʻau lapaʻau no ka hapa nui o nā ʻano glaucoma, ʻoiai inā ʻike mua ʻia ke ʻano . Me ka mālama lapaʻau kūpono a me ka mālama ʻana, hiki ke hoʻopaneʻe ʻia ka nalowale mau o ka ʻike maka mai kēia maʻi, a i kekahi manawa pale ʻia loa.
He aha nā hōʻailona o ka glaucoma? Pehea e ʻike ai?
I ka manawa pinepine, ʻaʻole hōʻike ka glaucoma i kekahi mau hōʻailona i nā pae mua . Komo malū ia e like me ka ʻenemi malū. ʻO ia ke kumu i ʻike ʻole ai ka poʻe he nui ma Sri Lanka he glaucoma ko lākou. I kekahi manawa, hoʻomaka wale nā hōʻailona e ʻike ʻia ma hope o ka hōʻino ʻia ʻana o ka maka.
Nā hōʻailona i ʻike pinepine ʻia:
Eia kekahi o nā hōʻailona maʻamau:
Ke manaʻo nei i ka ʻeha a i ʻole ke kaomi i loko o nā maka
ʻEha poʻo
ʻUlaʻula a i ʻole nā maka koko
ʻO ka ʻike ʻana i hoʻokahi kiʻi he ʻelua, he kūlana i kapa ʻia ʻo "diplopia"
ʻIke pōwehiwehi
Ka nāwaliwali mālie o ka ʻike maka
Ka ulu mālie ʻana o nā kiko ʻeleʻele i ka ʻike (scotomas) a i ʻole ka emi ʻana o ke kahua o ka ʻike, me he mea lā e nānā ana ma o kahi paipu (ʻike tunnel). E noʻonoʻo i ka wā e heluhelu ai ʻoe i kahi nūpepa, me he mea lā ua pōwehiwehi nā leka ma kekahi ʻaoʻao, a i ʻole i kou hele ʻana ma ke alanui, manaʻo ʻoe ʻaʻole maopopo nā ʻaoʻao ʻelua.
Nā hōʻailona e pono ai ka mālama koke!
Hiki i kekahi ʻano glaucoma, ʻoi aku ka glaucoma angle-closure, ke hana koke i nā hōʻailona koʻikoʻi.I ia mau hihia, pono ke kōkua koke ʻia e ke kauka, a i ʻole e nalowale mau ka ʻike maka. Eia nā hōʻailona o kēia pilikia:
He hōʻiliʻili koko i mua o kou maka ʻeleʻele (hyphema)
Nā maka ʻōhū a hoʻonui ʻia paha (buphthalmos) (hoʻopilikia nui kēia i nā keiki ʻōpio)
Ka luaʻi a me ka ʻeha maka / kaomi
Ke nānā ʻoe i nā kukui, ʻike ʻoe i nā apo kala ʻānuenue a puni lākou. E like me kāu e hoʻokele ai i ka pō, ʻike ʻoe i nā pōʻai kala a puni nā kukui alanui.
ʻO ka ʻike koke ʻana a i ʻole ka hoʻonui ʻia ʻana o nā mea lana (myodesopsias) (nā kiko ʻeleʻele liʻiliʻi, nā ʻili, a pēlā aku) i mua o nā maka
Ka nalowale koke ʻana o ka ʻike ma kekahi ʻano
Nā ʻālohilohi koke o ke kukui i mua o nā maka ( photopsias )
No ke aha e ulu ai ka glaucoma? He aha ke kumu?
ʻO ke kumu nui o ka glaucoma ka hōʻino ʻia ʻana o ke aʻalolo optic i loko o kou maka . Ua like kēia me ke kaula e lawe ana i nā mea a mākou e ʻike ai i ka lolo. Hiki ke hana me ke kumu ʻole, akā he nui nā mea e kōkua ai i kēia kūlana. ʻO kekahi o nā mea nui o kēia mau mea pilikia, ʻo ia ke kaomi i loko o ka maka (kaomi maka intraocular) . E noʻonoʻo i kēia ʻano, he wai i kapa ʻia he aqueous humor e hana mau ʻia i loko o ko mākou mau maka e hānai i ka maka. Ke kahe nei kēia wai ma o ka maka ʻeleʻele i mua o ka maka. I loko o ka maka olakino, kahe kēia wai mai loko mai o ka maka ma o kahi pūnaewele o nā ʻōnaehana hoʻokahe wai i kapa ʻia ʻo ka trabecular meshwork, kahi e hui ai ka maka keʻokeʻo me ka maka kala (ka ʻāpana kala a puni ka maka ʻeleʻele). Ua like ia me kahi pahu wai me kahi paipu i hoʻopili ʻia iā ia e hoʻokahe i ka wai. I ka glaucoma, ua ālai ʻia ka ʻōnaehana hoʻokahe wai a kūʻē paha i ke kahe o ka wai. ʻAʻohe wahi e hele ai kēia wai a kūkulu ʻia i loko o ka maka. Kūkulu ʻia kēia wai keu, e hoʻonui ana i ke kaomi i loko o ka maka. I ka hopena, hiki i kēia kaomi i hoʻonui ʻia ke hōʻino i kou aʻalolo optic, e alakaʻi ana i ka glaucoma. Hiki ke ʻokoʻa ke kumu o kēia hōʻiliʻili ʻana o ka wai i loko o ka maka ma muli o ke ʻano o ka glaucoma āu e loaʻa ai.
Aia kekahi mau ʻano o ka glaucoma?
ʻAe, aia nā ʻano like ʻole o ka glaucoma, akā hiki ke hoʻokaʻawale nui ʻia i nā ʻano like ʻole:
ʻO ka glaucoma kihi hāmama mua: ʻO ka glaucoma kihi hāmama kahi kūlana kahi e wehe ʻia ai nā kahawai hoʻokahe wai, ʻo ia nā wahi e hui ai ke keʻokeʻo o ka maka me ka lihi o waho o ka ʻāpana kala o ka maka. Kahe ka wai momona i loko o kēia mau kahawai a kahe mai ke keʻena mua o ka maka. ʻO kēia ke ʻano glaucoma maʻamau.ʻO ka mea e hana ʻia ana, ʻo ia ka paʻa mālie ʻana o nā ʻauwai, e like me ka ʻauwai poho e hoʻopiha mālie ana me ka lepo. Hana mālie kēia a ʻaʻohe paha he mau hōʻailona i ka wā mua.
ʻO ka glaucoma kihi pani mua: ʻO ka maʻamau, pono e kahe ka wai wai mai ke keʻena hope o ka maka, ma o ka sclera, a i ke keʻena mua. Akā i kekahi manawa, ʻo ka lens o kou maka e puʻupuʻu loa i mua, e ālai ana i ke kahe ʻana o ka wai ma o ka sclera. Hiki i ka wai keu i loko o ke keʻena hope ke hoʻokuke i ka sclera i mua, e hoʻohaiki ana a pani loa paha i ke kihi e kahe ai ka wai. Hiki i kēia ke lilo i kūlana koke, koke. Hiki i ka maka ke lilo i ʻulaʻula a ʻeha.
ʻO ka glaucoma lua: Hana ʻia kēia ke piʻi aʻe ke kaomi i loko o ka maka ma muli o kekahi kūlana a hanana paha. No ka laʻana, hiki ke hana ʻia e nā ʻeha maka (e noʻonoʻo i kahi pōpō cricket e paʻi ana i ka maka), ka pigmentary dispersion syndrome (nā ʻāpana liʻiliʻi o ka pigment i loko o ka maka e haki a ālai i ke kahawai kahe), uveitis (ka mumū o loko o ka maka), kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā corticosteroids a me nā cycloplegics), a me ke ʻoki maka.
ʻO ka glaucoma hānau: ʻO kēia ka glaucoma e ulu ana i ka wā fetal, ʻo ia hoʻi, i ka wā e noho ana ka pēpē i loko o ka ʻōpū. No ka laʻana, hiki i nā kūlana e like me ka aniridia (ʻaʻole i hana pono ʻia ka iris o ka maka), Axenfeld-Rieger syndrome, Marfan syndrome, congenital rubella syndrome, a me ka neurofibromatosis type 1 ke hana i kēia. He kūlana kēia i loaʻa i ka wā hānau, a inā he nui nā maka o ka pēpē, waimaka, a ʻike paha i ka mālamalama, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
He aha nā mea pilikia no ka hoʻomohala ʻana i ka glaucoma?
Aia kekahi mau mea pilikia e hiki ke hoʻopilikia i ka ulu ʻana o ka glaucoma. E nānā kākou i ko lākou ʻano:
Makahiki: Hoʻopilikia ka hapa nui o nā ʻano glaucoma i ka poʻe ma luna o 40 mau makahiki. (ʻO ka glaucoma hānau ka ʻokoʻa nui i kēia.) Manaʻo nā loea he 10% o ka poʻe ma luna o 75 mau makahiki he glaucoma. ʻO ia hoʻi, he mea nui e mālama iā ia i kou wā ʻelemakule.
Lāhui/Kumukūʻauhau: ʻO ka poʻe o ka ʻohana ʻApelika, ʻoi aku hoʻi ka poʻe o ka ʻohana Afro-Caribbean, aia i kahi pilikia nui o ka loaʻa ʻana o ka glaucoma kihi wehe mua. ʻO ka poʻe o ka ʻohana ʻĀkia (me mākou pū kekahi) a me ka ʻohana Inuit aia i kahi pilikia nui o ka loaʻa ʻana o ka glaucoma pani kihi.
Kāne/Wahine:ʻOi aku ka nui o ka pilikia o nā wāhine i ka loaʻa ʻana o ka glaucoma angle-closure. Manaʻo nā loea he kumu nui kēia o ka ʻokoʻa o ke ʻano o ka maka ma waena o nā kāne a me nā wāhine.
Nā hewa refractive: ʻO ka poʻe ʻike kokoke, a i ʻole myopia, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka glaucoma kihi hāmama. Pēlā nō, ʻoi aku ka nui o ka pilikia o ka poʻe ʻike kokoke, a i ʻole hyperopia, i ka loaʻa ʻana o ka glaucoma pani kihi.
Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana, ʻoiai kou makuahine, makuakāne, keiki, a kaikaina paha, ka glaucoma, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana. Ua like kēia me ke ʻano o nā maʻi e like me ka maʻi diabetes a me ke koko kiʻekiʻe e holo nei i loko o ko kākou mau ʻohana. ʻO kekahi mau kūlana e hoʻoulu ai i ka glaucoma lua he mau mea hoʻoilina nō hoʻi.
Nā maʻi mau: Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka pilikia o ka poʻe me kekahi mau maʻi mau, e like me ke koko kiʻekiʻe a me ka maʻi diabetes, i ka loaʻa ʻana o ka glaucoma. No laila, inā loaʻa iā ʻoe kēia mau maʻi, he mea maikaʻi no kou mau maka ke kāohi pono iā lākou.
He aha nā pilikia e hiki ke loaʻa mai ka glaucoma?
E noʻonoʻo i ka mea e hiki mai ana inā ʻaʻole ʻoe i loaʻa i ka lāʻau lapaʻau e kāohi i ke kaomi i loko o kou maka. Inā hana ʻia kēlā, hiki i ka glaucoma ke hōʻino i kou retina a me ke aʻalolo optic, a laila e hoʻōki ai lākou i ka hana. ʻO kēia ke kumu o ka pilikia nui o ka glaucoma, ʻo ia ka nalowale o ka ʻike a me ka makapō piha. ʻO ka hopena hope loa ka mea a nā loea i kapa ai he glaucoma piha. ʻO ke ʻano kēia, lilo ka maka i makapō loa. Hiki iā ia ke paʻakikī, e like me ka pōhaku, ke hoʻopā ʻoe iā ia, a hiki ke ʻeha.
Pehea e ʻike ʻia ai ka glaucoma?
Hiki i ke kauka maka ke ʻike i ka glaucoma me ka hoʻokolokolo maka. ʻOiaʻiʻo, hiki i kēia mau hoʻokolokolo maka ke ʻike i ka glaucoma ma mua o kou loaʻa ʻana o nā hōʻailona a i ʻole ka hōʻino ʻana i kou mau maka. I loko o kēia mau hoʻokolokolo, ua hoʻonui ʻia kāu pupil (mydriasis), kahi e hiki ai i ke kauka ke ʻike i loko o kou maka. Eia kekahi o nā hoʻokolohua nui e hiki ke kōkua i ka ʻike ʻana i ka glaucoma:
Hoʻāʻo ʻana i ka ʻike maka - ke hoʻāʻo ʻana i ka maikaʻi o kou ʻike ʻana (ma ke noi ʻana iā ʻoe e heluhelu i kahi laina o nā leka).
Hoʻāʻo ʻana i ke kahua ʻike - Ke nānā nei i ka laulā o kāu ʻike a inā hiki iā ʻoe ke ʻike i nā ʻaoʻao ʻelua.
Hoʻāʻo ʻike hohonu
Tonometry - Ke ana ʻana o ke kaomi i loko o ka maka. Hana ʻia kēia ma ka hoʻohana ʻana i kahi mea e puhi ai i ka ea i loko o ka maka a i ʻole ma ka hoʻopā ʻana i ka maka.
Pachymetry - Ana o ka mānoanoa o ka cornea, ka ʻāpana moakaka ma ke alo o ka maka.
Hoʻokolokolo kukui ʻoki - He hoʻokolokolo i hoʻonui ʻia o nā ʻāpana like ʻole o ka maka me ka hoʻohana ʻana i kahi microscope kūikawā.
Gonioscopy - Hoʻokomo ʻia kahi aniani kūikawā ma ka maka e nānā i ke kihi e kahe ai ke wai.
Inā kānalua kāu loea maka ua hōʻino ʻia kou retina a i ʻole ke aʻalolo optic, hiki iā ia ke hana i nā hoʻokolohua kiʻi maka hou aʻe. Eia kekahi laʻana:
ʻO ke ʻano o ka optical coherence tomography (OCT) - Ke nānā nei kēia i nā papa palupalu i loko o ka maka, ʻoiai ka mānoanoa o nā olonā o ke aʻalolo optic.
ʻO ka fluorescein angiography - kahi hoʻāʻo e nānā i nā kīʻaha koko i loko o ka maka.
Hoʻokolokolo Ultrasound `(Ultrasound)`
I ka manawa pinepine ʻole, hana ʻia kahi scan computed tomography (CT) a i ʻole ka magnetic resonance imaging (MRI).
He aha nā lāʻau lapaʻau no ka glaucoma?
ʻO ka pahuhopu nui o ka mālama ʻana i ka glaucoma, ʻo ia ka hoʻēmi ʻana i ke kaomi i loko o ka maka (kaomi intraocular) a me ka pale ʻana i ka maʻi mai ka ʻino ʻana . Aia kekahi mau lāʻau lapaʻau nui e hiki ke kōkua i kēia:
Nā lāʻau lapaʻau: ʻO kēia nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kaomi i loko o kou maka. Inā ʻoi aku ke kiʻekiʻe o ke kaomi o kou maka ma mua o ka maʻamau (kahi kūlana i kapa ʻia ʻo 'ocular hypertension'), hiki i kēia mau lāʻau lapaʻau ke kōkua i ka pale ʻana i ka glaucoma mai ka ulu ʻana a i ʻole ka pale ʻana i ka hōʻino ʻana mai ke kumu ʻana o nā hōʻailona. Hiki ke hele mai kēia mau mea ma ke ʻano he kulu maka a i ʻole nā pila. He mea nui e lawe i kēia mau lāʻau lapaʻau e like me ka mea a kāu kauka e ʻōlelo ai iā ʻoe.
ʻO nā ʻoki Glaucoma: Ua hoʻolālā ʻia kēia mau ʻoki e kōkua i ka hoʻokahe maʻalahi ʻana o ka wai aqueous a hōʻemi i ke kaomi i loko o ka maka. ʻO kēia mau ʻoki e komo pū me ka trabeculectomy (ka hana ʻana i kahi ala hou no ka wai e hoʻokahe ai), nā tube shunt (ke hoʻokomo ʻana i kahi paipu liʻiliʻi i loko o ka maka e hoʻokahe i ka wai), ka laser therapy (me ka hoʻohana ʻana i ka laser e wehe i ka ʻōnaehana hoʻokahe), a me nā ʻoki glaucoma minimally invasive (MIGS).
Aia paha kekahi mau lāʻau lapaʻau ʻē aʻe i loaʻa ma muli o ke ʻano o ka glaucoma āu i loaʻa ai, pehea kona hopena i kou mau maka, a me nā kumu ʻē aʻe. Hiki i kāu kauka maka ke haʻi hou aku iā ʻoe e pili ana i nā koho lapaʻau i loaʻa iā ʻoe a kōkua iā ʻoe e koho i ka mea kūpono loa i kou mau pono.
He aha ka manaʻolana no ka glaucoma?
ʻOiaʻiʻo, inā ʻaʻole mālama ʻia, hiki i ka glaucoma ke alakaʻi i ka nalowale mau o ka ʻike a me ka makapō. Akā me ka mālama ʻana, hiki ke kāohi ʻia ka maʻi a i ʻole ke kāohi ʻia mai ka ʻino ʻana . Akā no ka mea hiki ke ʻokoʻa kēia mai kēlā kanaka a kēia kanaka, ʻo ke kanaka maikaʻi loa e kamaʻilio e pili ana i kēia ʻo ia kāu kauka maka. Hiki iā ia ke haʻi iā ʻoe i ke ʻano o kou kūlana a me kāu mea hiki ke hana e hoʻololi iā ia.
Hiki ke pale ʻia ka glaucoma?
ʻO ka mea pōʻino, ʻaʻole hiki ke pale loa ʻia ka glaucoma. AkāHiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka kaohi ʻana i ke kaomi intraocular a pale a hoʻopaneʻe paha i ka nalowale o ka ʻike. Aia kekahi mau mea nui hiki iā ʻoe ke hana e kōkua:
E hoʻāʻo maka maʻamau : Hiki iā ʻoe ke ʻike i ke kaomi kiʻekiʻe i loko o kou mau maka ma mua o ka puka ʻana o nā hōʻailona glaucoma. Hiki i ka ʻike mua ʻana ke kōkua iā ʻoe a me kāu kauka maka e pale i ka glaucoma mai ka ʻino ʻana, a i ʻole e hoʻolohi iā ia. He manaʻo maikaʻi e nānā ʻia kou mau maka ma ka liʻiliʻi hoʻokahi i ka makahiki ma hope o 40 mau makahiki, ʻoiai inā he mōʻaukala ʻohana kou no ka glaucoma.
Ke kāohi ʻana i ke koko kiʻekiʻe o ka maka: Inā ʻoi aku ke kiʻekiʻe o ke kaomi i loko o kou mau maka ma mua o ka maʻamau, e kuhikuhi kāu kauka maka i nā koho lapaʻau. He mea nui loa ia e hahai i kā lākou ʻōlelo aʻoaʻo. Hiki i kēia ke kōkua iā ʻoe e pale a i ʻole e hoʻopaneʻe i ka nalowale o ka ʻike.
E ʻike a kāohi i kāu mau kumu pilikia: Hiki iā ʻoe ke hoʻāʻo e kāohi a pale paha i kekahi mau kūlana, e like me ke koko kiʻekiʻe a me ka maʻi diabetes. Eia kekahi, ʻo ka hoʻohana ʻana i nā mea e like me nā aniani palekana e hiki ke kōkua i ka pale ʻana i nā ʻeha maka.
Inā loaʻa iaʻu ka glaucoma, he aha kaʻu e hana ai e kōkua iaʻu iho?
Inā loaʻa iā ʻoe ka glaucoma, ʻo ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hahai i nā ʻōlelo a kāu kauka maka no ka mālama ʻana a me ka hoʻokele ʻana i ke kūlana . Hiki iā ia ke ʻōlelo aku i kekahi mau hoʻololi i kou nohona a me nā ʻano maʻamau. Hiki i kēia mau mea ke komo pū me:
Mai hoʻowahāwahā i nā hōʻailona hou a i ʻole nā loli i ka ʻike.
Ka mālama ʻana i ke kaumaha olakino nou.
E noho kino ikaika (akā e nīnau i kāu kauka e pili ana i nā hoʻomaʻamaʻa āu e pale aku ai, ʻoiai kekahi mau hoʻomaʻamaʻa, e like me ka yoga me kou poʻo i lalo, hiki ke hoʻonui i ke kaomi o ka maka).
E hele ana e ʻike iā ia e like me ka ʻōlelo a ke kauka.
Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona hou, inā ʻaʻole like ka hana ʻana o ka lāʻau lapaʻau, a inā paha e hoʻopilikia ana nā hopena ʻaoʻao mai ka lāʻau lapaʻau i kou ola o kēlā me kēia lā, e ʻike pono i kāu kauka.
Āhea wau e ʻimi ai i ke aʻo lapaʻau?
Hiki i kekahi mau ʻano glaucoma, e like me ka glaucoma pani kihi, ke ulu koke. No laila, pono ke kōkua lapaʻau koke e pale aku i ka hōʻino mau loa a me ka nalowale o ka ʻike. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, inā paha e hoʻomaka koke a i ʻole e ʻoi aku ka ʻino, e nānā koke iā lākou:
ʻEha nui a kaomi paha o ka maka
ʻEha poʻo
ʻIke pālua (diplopia) a i ʻole ka ʻike pōwehiwehi
Ka luaʻi a me ka ʻeha maka/kaomi
Ke ʻike nei i nā apo kala ʻānuenue a puni nā kukui
Ka nalowale koke ʻana o ka ʻike ma kekahi ʻano
Hoʻomaka nā kukuna o ke kukui e ʻike ʻia i mua o nā maka.
Hoʻomaka koke a hoʻonui paha i ke ʻano o nā mea lana i mua o nā maka (myodesopsias)
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka maka?
He manaʻo maikaʻi e nīnau i kāu loea maka i nā nīnau e like me kēia:
He aha ke ʻano o ka glaucoma i loaʻa iaʻu?
He aha ke kumu o koʻu glaucoma?
He aha nā koho lapaʻau e loaʻa iaʻu, a he aha kāu e ʻōlelo mai ai?
He aha nā hopena ʻaoʻao a i ʻole nā pilikia e hiki mai ana o ka (nā) lāʻau lapaʻau?
He aha nā hōʻailona a i ʻole nā loli e pono ai iaʻu e kāhea aku i kou keʻena a i ʻole e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau?
Mai makaʻu e nīnau i kēia mau nīnau. ʻO ka maikaʻi o kou hoʻomaopopo ʻana i kou kūlana, ʻo ka nui o kou hiki ke kākoʻo i ka lāʻau lapaʻau a pale i kou ʻike.
No ka hapa nui o kākou, he mea nui maoli ko kākou ʻike maka, ʻo ia paha ka mea nui loa, i ke ola. No laila, he mea maʻamau ka makaʻu a me ka hopohopo e pili ana i ka nalowale ʻana o kou ʻike maka ma muli o kahi maʻi e like me ka glaucoma. Akā, ʻo ka nūhou maikaʻi, ʻo ka glaucoma kahi maʻi hiki ke ʻike ʻia a mālama ʻia i ka wā mua. ʻO ka wikiwiki o kou ʻike ʻana i ka maʻi a hoʻomaka i ka mālama ʻana, ʻoi aku ka maikaʻi o kou manawa e pale aku ai i ka ʻino. ʻOiai ʻaʻole hiki ke hoʻōki loa ʻia, hiki iā ia ke hoʻopaneʻe pinepine i ka hoʻomaka ʻana o nā hopena koʻikoʻi no nā makahiki, a hiki i nā makahiki he ʻumi.
ʻO nā mea nui e pono ai mākou e hoʻomanaʻo mai kēia ʻatikala (Leka Lawe-Home)
ʻAe, eia kekahi mau mea e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai e pili ana i ka glaucoma:
Hiki i ka Glaucoma ke lilo i maʻi leo ʻole: ʻaʻole paha e hōʻike i kekahi mau hōʻailona i nā pae mua. ʻO ia ke kumu he mea nui ka hoʻokolokolo maka mau, ʻoiai inā he mau kumu pilikia kou.
ʻO ka ʻike mua ʻana ka pale maikaʻi loa: Inā ʻike mua ʻia, hiki i ka lāʻau lapaʻau ke pale nui i ka nalowale hou ʻana o ka ʻike.
E makaʻala i nā kumu pilikia: Inā he moʻolelo ʻohana kou no ke ʻano, ʻoi aku ma mua o 40 mau makahiki, a i ʻole he mau maʻi e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, pono ʻoe e akahele iki aʻe.
E hahai pono i nā ʻōlelo a kāu kauka: Inā ua ʻike ʻia ʻoe me ka glaucoma, he mea nui e hahai pono i ka lāʻau a me nā ʻōlelo aʻoaʻo i hāʻawi ʻia e kāu kauka.
Mai hoʻowahāwahā i nā hōʻailona ulia pōpilikia: Inā loaʻa iā ʻoe ka ʻeha maka koke, ka ʻike pohihihi, a i ʻole ka ʻike ʻana i nā apo a puni nā kukui, e ʻike koke i ke kauka.
E hoʻomanaʻo, he mea waiwai nui kou mau maka iā ʻoe. No laila, ʻo kou kuleana ke mālama iā lākou. Mai makaʻu, inā ʻoe e ʻike a hana i nā hana e pono ai, hiki iā ʻoe ke ola maikaʻi me ka glaucoma.
ʻO Glaucoma, kaomi maka, maʻi maka, nalowale o ka ʻike, makapō, aʻalolo optic, hoʻokolokolo maka
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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