Ke hoʻopilikia nei kēia haʻiki i kou mau maka pū kekahi? E aʻo kākou e pili ana i (Presumed Ocular Histoplasmosis Syndrome - POHS) !

Ua manaʻo paha ʻoe e hiki i kahi fungus liʻiliʻi i loko o ka lepo ke hoʻopilikia i kou ʻike maka? I kēia lā e kamaʻilio mākou e pili ana i kahi mea i lohe pinepine ʻole ʻia, akā he mea nui loa ia e ʻike. Ua kapa ʻia kēia ʻo Presumed Ocular Histoplasmosis Syndrome , a i ʻole POHS no ka pōkole. ʻOiai he inoa lōʻihi iki ia, e mālama kākou i ka maʻalahi.

ʻO ka mea mua, he aha ka Histoplasmosis?

I ka ʻōlelo maʻalahi, ʻo ka histoplasmosis kahi maʻi o nā māmā i hoʻokumu ʻia e kahi fungus i kapa ʻia ʻo Histoplasma capsulatum . Loaʻa pinepine kēia fungus i ka lepo. ʻO ia ka mea maʻamau i ka lepo i loaʻa ka nui o nā ʻōpala manu a i ʻole nā ​​​​​​ʻōpala (ʻo ia hoʻi nā ʻōpala). ʻO ia ka mea maʻamau ma nā ʻāpana o ʻAmelika Hui Pū ʻIa, e like me nā awāwa ʻo Ohio a me Mississippi River. Eia nō naʻe, hiki ke loaʻa kēia fungus ma nā wahi ʻē aʻe o ka honua, ʻoi aku hoʻi ma nā wahi i nui ai nā ʻōpala manu a i ʻole nā ​​​​​​ʻōpala.

No laila, he aha ka ocular histoplasmosis syndrome (POHS)?

ʻO kēia kūlana i kapa ʻia ʻo POHS e hoʻopilikia i nā maka ma ke ʻano he hoʻonui, a i ʻole ka pilikia, o ka histoplasmosis like e hoʻopilikia ai i nā māmā. ʻO ka mea e hana ʻia, ʻo ia ka hele ʻana o ka fungus ma ke koko a hiki i ke kua o nā maka. ʻO ia ka manawa e hoʻomaka ai ka pilikia.

Pehea ka hopena o ka ocular histoplasmosis i nā maka?

ʻO ka hapa nui o ka manawa, ʻaʻole e hoʻomaʻi ka haʻiki (Histoplasma capsulatum) i nā kānaka a pau ke hanu lākou iā ia. No kekahi poʻe, komo ia i loko o ke kino a nalowale me ka ʻole o nā hōʻailona. Eia naʻe, minamina, inā komo kēia haʻiki i loko o nā maka, hiki ke loaʻa ʻelua mau pilikia:

• ʻO ka Choroidal Neovascularization kahi ulu ʻano ʻē o nā kīʻaha koko e hiki ke hoʻopilikia i ka hana o ka maka. ʻOiai paha he mea paʻakikī iki kēia, i nā huaʻōlelo maʻalahi, ʻo ia ka hoʻokumu ʻia ʻana o nā kīʻaha koko hou i loko o ka maka ʻaʻole pono.
• Hiki ke hana ʻia nā ʻōpala i loko o ka maka.

Hiki i kēia mau mea ʻelua ke hoʻopilikia nui i kou ʻike.

ʻO wai ka mea i ʻoi aku ka pilikia o ka hoʻomohala ʻana i ka POHS?

E nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi:

• E like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ka nui o ka pilikia o ka poʻe e noho ana ma nā awāwa ʻo Ohio a i ʻole Mississippi River ma ʻAmelika Hui Pū ʻIa . Eia nō naʻe, ma Sri Lanka, he mea maikaʻi ke ʻike i kēia no ka poʻe e noho ana ma nā wahi me nā pae kiʻekiʻe o nā ʻōpala manu a me nā ʻōpala.
• No ka poʻe hopu manu e like me ka moa, no ka poʻe e hana a puni nā hale moa. Ua hānai ʻia nā moa ma nā hale he nui ma Sri Lanka.
• ʻO ka poʻe e hana ana me ka lepo, e like me nā wahi lepo ma nā mahiʻai a me nā kahua kūkulu , loaʻa paha iā lākou nā fungi e like me ia.
• ʻO ka poʻe hoʻohana i ka paka a i ʻole he mōʻaukala o ka hoʻohana ʻana iā ia, ʻoi aku ka nui o ka pilikia.

ʻO kekahi kumu pilikia ka nāwaliwali o ka ʻōnaehana pale. Hiki ke hana ʻia e:

• Ma muli o kekahi mau maʻi, e like me ka arthritis ,No nā poʻe me nā maʻi e like me ka sclerosis maha.
• No nā wahine hāpai.
• No ka poʻe ʻelemākule a me nā kamaliʻi ʻōpio.
• I ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau, ʻoi aku hoʻi ka poʻe e lawe ana i nā immunosuppressants.

No ke aha e ulu ai ka histoplasmosis ma kēia mau maka?

Ua ʻōlelo mākou ma mua, hoʻomaka ia ma ka lepo kahi i loaʻa ai ka haʻihaʻi (Histoplasma capsulatum). E noʻonoʻo e pili ana i ia mea, ke ʻeli ʻoe i kahi mahinaʻai, ʻeli i kahi lua, a hoʻomaʻemaʻe paha i kahi hale moa, hoʻoulu ʻia ka haʻihaʻi i loko o kēlā lepo a hoʻohui ʻia i ka ea. A laila hiki iā mākou ke hanu iā ia. Pēlā e loaʻa ai ka maʻi i nā māmā. Akā, ʻaʻole i ʻike pono nā kānaka noiʻi pehea e hele ai mai nā māmā a i ke kua o nā maka.

He aha nā hōʻailona o ka POHS?

I nā pae mua o kēia maʻi, ʻaʻohe hōʻailona. ʻO ia ka mea weliweli loa. Eia naʻe, i ka wā e hoʻopilikia ai ka fungus (Histoplasma capsulatum) i nā maka a hoʻomaka e hana i nā kīʻaha koko hou i kapa ʻia ʻo (Choroidal Neovascularization), hoʻomaka ka pilikia o kou ʻike.

Hiki iā ʻoe ke manaʻo i nā mea e like me kēia:

• ʻO ka ʻokoʻa o ka nui o ka mea like i ʻike ʻia e nā maka ʻelua. Me he mea lā e ʻike ana kekahi maka he mea liʻiliʻi a ʻo kekahi he mea nui aʻe.
• Nā wahi makapō ma ka ʻike.
• ʻIke pōwehiwehi a nalowale paha ka ʻike me ka ʻeha ʻole.
• ʻAʻole paha e ʻike ʻia nā kala e like me ka mea e pono ai (ua mae paha ke ʻano o nā kala).
• ʻĀlohilohi a ʻālohilohi paha i mua o nā maka.
• ʻO nā laina pololei, e like me nā māka alanui, nā kaola puka makani, a me nā laina i loko o kahi puke, ke ʻike ʻia he kīkoʻo a piʻoloke.

Inā loaʻa iā ʻoe kekahi mea e like me kēia, pono ʻoe e ʻike i kahi ophthalmologist i ka wā hikiwawe loa .

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka POHS?

Ke ʻike ʻoe i kahi kauka maka, ʻo ka mea mua a lākou e hana ai, ʻo ia ke nānā pono i kou mau maka, ʻoiai ke kua o ka maka, e ʻike inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻIʻo palapū
• Pehu ʻana

He aha ka mea e hana ai inā he mau hōʻailona o ka histoplasmosis syndrome i nā maka?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​pono paha ʻoe e hana i kahi hoʻokolokolo maka ākea, ʻo ia hoʻi ka hoʻonui ʻana i kou mau maka me ka lāʻau lapaʻau . ʻAe kēia iā ʻoe e ʻike maopopo i ka mea i loko o kou maka. A laila hiki i ke kauka ke nānā i:

• Nā kīʻaha koko ʻē
• Ua hōʻiliʻili ʻia ka wai?
• Ka mumū
• Nā kiko keʻokeʻo liʻiliʻi

Eia kekahi, e loaʻa iā ʻoe ka fluorescein angiography.Pono paha ʻoe e loaʻa i kahi hoʻokolohua i kapa ʻia ʻo Fluorescein Angiography. ʻO kēia ka hoʻokomo ʻana i kahi kala kūikawā i loko o kahi aa koko ma kou lima. Hele kēia kala me kou koko i nā kīʻaha koko i loko o kou maka. A laila lawe kahi kāmela kūikawā i nā kiʻi. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he mau kīʻaha koko hou ʻē aʻe kou (Choroidal Neovascularization).

Pono anei nā kānaka a pau i ka mālama ʻia no ka POHS?

ʻAʻole, ʻaʻole pono nā kānaka a pau i ka lāʻau lapaʻau. Inā ʻaʻole i hoʻopilikia ka fungus Histoplasma capsulatum i kou ʻike ma kekahi ʻano, pono paha ʻoe e nānā mau.

Pehea e mālama ʻia ai ka histoplasmosis o nā maka?

He mea kūikawā iki kēia. ʻAʻole hāʻawi pinepine ʻia nā lāʻau antifungal no kēia. No ka mea, ʻoiai ua hoʻokumu ʻia e kahi fungus, ʻaʻole ia he maʻi fungal i loko o ka maka, akā he hopena ia.

Akā, ʻo ka lāʻau lapaʻau ka hoʻōki ʻana i ke kūkulu ʻia ʻana o nā kīʻaha koko hou (Choroidal Neovascularization). ʻElua mau ala nui e hana ai i kēia:

1. Lapaʻau anti-vascular endothelial growth factor (anti-VEGF): ʻO kēia ke komo ʻana i kahi mea i kapa ʻia ʻo anti-VEGF pololei i loko o ka maka i hoʻopilikia ʻia. Hoʻōki kēia lāʻau lapaʻau i ka ulu ʻana o nā kīʻaha koko ʻē. Hiki i kēia ke kōkua i ka hōʻemi ʻana i nā hōʻailona. Eia nō naʻe, pono paha i kekahi mau inikini e ʻike i nā hopena.

2. Lapaʻau Photodynamic: Ma kēia, ua hoʻokomo ʻia kahi lāʻau lapaʻau i kapa ʻia ʻo verteporfin i loko o kahi aa koko ma kou lima. Hoʻopaʻa ka lāʻau i nā kīʻaha koko ʻē i loko o ka maka. A laila, hoʻohana ʻia nā kukuna laser mana haʻahaʻa e hoʻāla i ka lāʻau. Ua luku ʻia nā kīʻaha koko ʻē.

ʻO ka mea nui loa, pono e hana ʻia kēia mau lāʻau ʻelua ma lalo o ka nānā ʻana a kekahi kauka maka loea.

He aha ka mea e hiki mai ana no ka poʻe me POHS? (Nā hopena)

ʻO ka mālama ʻana no ka histoplasmosis o nā maka hiki ke pale i ka nalowale hou ʻana o ka ʻike. He mea maikaʻi kēlā. Eia nō naʻe, ʻaʻole hiki i kekahi poʻe ke loaʻa hou i ko lākou ʻike mua.

Hiki i ka POHS ke hoʻopilikia i ke olakino i ka wā e hiki mai ana?

ʻAe, ʻoiai ma hope o ka mālama ʻana i ka holomua, hiki i nā hōʻailona POHS ke hoʻi hou mai. Eia nō naʻe, inā hoʻi hou mai lākou, ʻaʻole paha lākou e like me ka wā ma mua. ʻO ka poʻe me nā ʻōnaehana pale nāwaliwali ka mea nui i ka pilikia o kēia ʻano hoʻi hou ʻana.

Pehea e pale ai iā ʻoe iho mai ka POHS?

ʻAʻole hiki iā mākou ke ʻike i ka haʻiki (Histoplasma capsulatum) ke lele ia i ka lewa. No laila, he mea paʻakikī loa ke pale aku i ka hanu ʻana iā ia. Eia nō naʻe, inā nui kou pilikia no ka histoplasmosis, ʻoi aku ka maikaʻi o ka noho mamao aku mai kekahi mau mea.

E pale i kēia mau mea:

• E hele wāwae ana ma nā wahi e like me nā ana.No ka mea, aia paha he mau ʻōpeʻapeʻa i loko, a ʻaʻole nui ka ea ea.
• Ke komo nei i loko o ka hale moa a kau a puni ia.
• Ke hana ʻana me ka lepo i loaʻa paha nā ʻōpala a me nā lepo manu.

He aha hou aʻe kaʻu e hana ai e noho palekana ai?

Inā komo ka haʻiki (Histoplasma capsulatum) i loko o kou mau māmā, hiki ke paʻakikī ke pale aku i kona laha ʻana i kou mau maka. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke nānā pinepine ʻia kou mau maka. Ma kēlā ʻano, inā he pilikia me kou mau maka, hiki iā ʻoe ke ʻike iā ia i ka wā mua.

He aha ke ʻano o ka noho ʻana me ka POHS?

Inā loaʻa iā ʻoe nā pilikia maka e hoʻomau nei, hiki paha iā ʻoe ke loaʻa ke kōkua mai kahi lawelawe i kapa ʻia ʻo low vision rehabilitation . E aʻo aku kahi mea lapaʻau iā ʻoe i nā ala e hana ai i nā hana o kēlā me kēia lā me ka palekana. No ka laʻana, hiki iā lākou ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no ka hōʻemi ʻana i ka pilikia o ka hele wāwae ʻana a i ʻole ka paheʻe ʻana ma ka home.

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻAe, no laila ke lana nei koʻu manaʻo e hiki iā ʻoe ke hoʻomanaʻo i kekahi mau mea koʻikoʻi mai nā mea a kākou i kamaʻilio ai.

• ʻO ka POHS kahi maʻi i hoʻokumu ʻia e kahi fungus i kapa ʻia ʻo (Histoplasma capsulatum) e hoʻopilikia ana i nā maka.
• ʻOi aku ka nui o kēia haʻalulu i ka lepo me ka nui o nā ʻōpala a me nā manu .
• Ua ʻoi aku kou pilikia inā ʻoe e hana a puni nā hale moa, hana me ka lepo, hoʻohana i ka paka, a i ʻole he nāwaliwali kou ʻōnaehana pale maʻi .
• Inā ʻike ʻoe i nā hōʻailona e like me ka ʻike maka pōwehiwehi, ka ʻike ʻana i nā kiko ʻeleʻele, a i ʻole ka ʻike ʻana i nā laina pololei , e ʻike koke aku i kahi kauka maka.
• Inā mālama ʻia i ka manawa kūpono, hiki ke pale ʻia ka ʻino ʻana o ka ʻike.
• ʻOiai he paʻakikī ke pale piha iā ʻoe iho mai ka POHS, he mea nui loa ia e pale i nā kūlana pilikia a e nānā pinepine ʻia kou mau maka.

No laila, e mālama pono i kou mau maka. No ka mea, ʻo nā maka ka waiwai makamae loa a kākou!

ʻo ka histoplasmosis, POHS, nā maʻi maka, nā maʻi fungal, ka hemahema o ka ʻike maka, ka choroidal neovascularization, ke olakino maka