Ke wehe ʻana i ke apo ʻeleʻele i loko o ka maka: E aʻo hou kākou e pili ana i ka (Iridodialysis)?

Ua ʻike anei ʻoe he ʻelua mau apo ʻeleʻele ko kekahi poʻe i ko lākou mau maka? A i ʻole ua ʻike koke ʻoe ma hope o kahi ʻeha maka koʻikoʻi, ua loli koke kou ʻike a ʻaʻole hiki iā ʻoe ke nānā aku i ke kukui? ʻO kekahi kumu e hiki ai kēia ke hana ʻia he ʻano i kapa ʻia ʻo `(Iridodialysis)` a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia "(Iridodialysis)"?

I ka ʻōlelo maʻalahi, ʻo `(Iridodialysis)` ka ʻāpana kala i loko o ko kākou maka, ʻo ia hoʻi , ka iris - ʻae, ʻo ka mea a kekahi o ʻoukou i loaʻa ai he uliuli, ʻeleʻele, hina - ʻo ia hoʻi, ka ʻāpana i hoʻopili ʻia i ka maka, i hoʻokaʻawale ʻia mai ke kumu. Ua like ia me ke kiʻi i hoʻopili ʻia i kahi paia i hemo ma kekahi ʻaoʻao.

Ua pili ke kumu o ka iris i ke kino ciliary . Ua like ke kino ciliary me kahi hale hana liʻiliʻi i loko o ka maka . ʻO ia ka mea e hana ai i ka aqueous humor , kahi wai kūikawā e hānai i ka maka a mālama i kona ʻano. ʻAʻole wale ia, akā ʻo ka ʻiʻo ciliary e kōkua ana i ka lens o ko mākou mau maka e kālele i ka wā e nānā kokoke ai a mamao paha aia nō hoʻi i loko o ke kino ciliary. No laila, i ka wā e hoʻokaʻawale ʻia ai ka iris mai ke kumu o ka iris, e kū mai ana kahi kūlana i kapa ʻia ʻo `(Iridodialysis)`. I kekahi manawa ua kapa ʻia kēia ʻo `(coredialysis)`, akā aia kekahi mau hihia kahi i hana ʻia ai e kahi haehae ʻokoʻa i ka wā o ke ʻoki kino.

ʻO wai ka mea hiki ke hoʻomohala i kēia `(Iridodialysis)`?

ʻOiaʻiʻo, hiki ke loaʻa kēia ʻano i kapa ʻia ʻo "Iridodialysis" i kekahi kanaka, no ka mea, ʻo ke kumu nui ia o ka ʻeha o ka maka .

E noʻonoʻo e pili ana i ia mea:

• Inā ʻoe e pāʻani ana i ka cricket a paʻi kahi pōpō wikiwiki i kou maka .
• He aha inā e hoʻolei ʻia kekahi mea - he ʻāpana metala, he ʻiliʻili - i loko o kou maka ma ka hana a hiki i kahi ulia?
• Inā e pāʻani ana kekahi keiki liʻiliʻi a pā ʻia kona maka e kahi mea e like me ka wāwae papaʻaina.
• He aha inā e kuʻi ke kuʻekuʻe o kou hoaaloha i kou maka i kou wā e pāʻani ana ma ke kula?

Hiki ke hana ʻia kēia. I kekahi manawa, hiki ke hana ʻia kēia ʻano me nā ʻeha i ka maka i ka wā o nā haʻuki, nā ulia kaʻa, nā hāʻule ʻana, ʻoiai hoʻi i ka poʻe ʻelemakule. Hiki nō hoʻi ke hana ʻia, ʻoiai he mea kākaʻikahi loa, i ka wā o ke ʻoki maka , e like me ke ʻoki cataract .

He aha nā ʻano o ka `(Iridodialysis)`?

I kēia manawa, e nānā kākou i nā hōʻailona e hiki ai i ke kanaka me ka "(Iridodialysis)" ke hōʻike. ʻAʻole e ʻike nā kānaka a pau i kēia mau hōʻailona a pau, akā aia paha kekahi o lākou:

• ʻIke pālua (diplopia) : ʻOi loa aku i ka nānā ʻana me ka maka hoʻokahi. E like me ka wā i hewa ai ke antenna TV.
• ʻEha nui o ka maka : I kekahi manawa hiki ʻole ke hoʻomanawanui i ka ʻeha.
• Ke kahe ʻana o ke koko i loko o ka maka (hyphema) : Hiki i kēia ke hanaMe he mea lā ua piha ka ʻāpana kala i ke koko mai ke alo mai.
• Ka loli ʻana o ka nui o ka haumāna : I kekahi manawa, aia paha kekahi haumāna ʻē aʻe i ʻike ʻia ua kaʻawale. E like me ka lua o ka haumāna . He hōʻailona nui kēia o ka `(Iridodialysis)`.
• ʻO ka cataract traumatic: Hoʻomaka ka ʻike e lilo i mea pohihihi ma muli o ka hōʻino ʻia ʻana o ka lens o ka maka ma muli o kahi ulia.
• ʻAlohilohi : ʻO ke ʻano kēia, ke nānā ʻoe i nā kukui a i ʻole ka lā, e lilo kou mau maka i polū a paʻakikī ke nānā aku.
• Photophobia : ʻO ke ʻano kēia, ʻoiai he liʻiliʻi iki ka mālamalama he paʻakikī i nā maka ke ʻae a ke kumu ia e pani ai.

Inā ʻike ʻoe i kahi hōʻailona e like me kēia, pono ʻoe e ʻike i ke kauka.

No ke aha e hana ʻia ai kēia `(Iridodialysis)`?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o ka `(Iridodialysis)` ʻo ia ka hōʻeha maka . ʻElua ʻano o kēia:

1. ʻEha maka ʻōniʻoniʻo : ʻO ke ʻano kēia ua paʻi ikaika kekahi mea i ka maka, akā ʻaʻole i hou ʻia ka maka. Eia kekahi laʻana, he kuʻi, he pōpō, a i ʻole he hāʻule ʻana i paʻi i ka maka ma kekahi wahi.

2. ʻEha maka komo : Pili kēia i kahi lua i loko o ka maka. No ka laʻana, kahi hou ʻana o ka pahi, kahi hou ʻana o ka uea, a i ʻole kahi ʻāpana metala ma kahi hana e komo koke ana i loko o ka maka.

Eia kekahi laʻana, inā paʻi ʻoe i kou maka ma ka noho mua a i ʻole ka huila hoʻokele i loko o kahi ulia kaʻa, a inā paha e loaʻa kahi mea i loko o kou maka i ka wā e hana ana me ka ʻole o nā aniani palekana (e.g., ma kahi hale hana lāʻau a hale hana hao paha), aia kahi manawa kūpono e loaʻa iā ʻoe ka `(iridodialysis)` me ia mau ʻeha koʻikoʻi. Kāhea mākou iā `(iridodialysis)` i hoʻokumu ʻia e kahi ulia e like me kēia iridodialysis traumatic .

I kekahi manawa, he mea kākaʻikahi loa, hiki i kēia ke hana ma ke ʻano he pilikia o ke ʻoki maka.

Pehea e ʻike ai ke kauka i kēia?

Inā ua loaʻa iā ʻoe kahi ʻeha maka a loaʻa iā ʻoe nā hōʻailona aʻu i ʻōlelo ai ma mua, pono ʻoe e ʻike koke i kahi mea mālama maka/ophthalmologist . Ke nānā ke kauka i kou maka, hiki iā lākou ke nānā inā ua hemo ka iris. Hoʻohana lākou i nā lako kūikawā e hana i kēia.

Eia kekahi, hiki ke hana ʻia nā hoʻokolohua aʻe e nānā i nā pōʻino ʻē aʻe i ka maka a i ʻole nā ​​​​kino haole:

• ʻO ke ultrasound o kou maka : ʻAe kēia iā ʻoe e ʻike i nā ʻāpana palupalu i loko o kou maka.
• CT scan (computed tomography scan) : Hiki ke hoʻohana ʻia kēia e ʻike inā he pōʻino i nā iwi a puni ka maka a inā paha he mau ʻāpana liʻiliʻi i loko o ka maka.

E hana pū ke kauka i kahi hoʻokolohua i kapa ʻia ʻo gonioscopy . He hoʻokolohua ʻeha ʻole kēia. Nānā ia inā e kahe pono ana ka wai o ka maka.Aia kekahi hiki ke loaʻa kahi maʻi e like me ka glaucoma ?

He aha nā lāʻau lapaʻau no ka `(Iridodialysis)`?

ʻO ka mea maikaʻi loa, ʻaʻole pono nā hihia iridodialysis āpau i ka mālama ʻana. I kekahi manawa, inā liʻiliʻi ka hemo ʻana o ka iris a ʻaʻohe hōʻailona nui (e.g., maikaʻi ka ʻike, ʻaʻohe ʻeha), e ʻōlelo paha kāu kauka iā ʻoe e kali. Hiki i kou maka ke hoʻomaʻamaʻa iā ia i ka hala ʻana o ka manawa.

I kekahi mau hihia, hiki ke hoʻohana ʻia nā aniani hoʻopili kūikawā e hōʻemi i ke ʻano o kahi apo ʻeleʻele ʻelua a hōʻemi i ka ʻike i ka mālamalama. Hiki ke hoʻoluʻu ʻia kēia mau aniani e kūlike i ke kala o ka iris a uhi i ka wahi i nalowale.

Eia nō naʻe, inā nui loa ka iris, hiki iā ʻoe ke:

• Inā ʻike ʻoe i ʻelua mau mea me ka maka hoʻokahi, loaʻa iā ʻoe ka "ʻike pālua ma ka maka hoʻokahi" .
• Inā ʻaʻole hiki iā ʻoe ke kū i ka ʻālohilohi .
• Inā he maʻalahi loa ʻoe i waho (photophobia) .
• Inā ʻoluʻolu ʻole ʻoe i kou helehelena (ma muli o ka ʻokoʻa o nā maka , ʻike kekahi poʻe he mea ʻoluʻolu ʻole kēia).

...I nā hihia e like me kēia , pono paha ke ʻoki kino .

ʻO ke ʻoki kino no ka `(Iridodialysis)`

Aia kekahi mau ʻano hana ʻoki kino e hoʻopili hou ai i ka iris. Hoʻāʻo nā kauka e mālama i ke ʻano maoli a me ka hana o ka maka i ka hiki.

• I kekahi manawa, hoʻopili hou ʻia ka iris i hoʻokaʻawale ʻia i ke aʻa me ka hoʻohana ʻana i nā humuhumu kūikawā maikaʻi loa (sutures) .
• I kekahi mau hihia, hoʻāʻo ʻia e hoʻoponopono i kēia me ka hoʻohana ʻana i ka ʻenehana laser .
• ʻO ke kaʻina hana hou ka hoʻokomo ʻana o kahi iris hana me kahi lens intraocular (IOL ) . Hana ʻia kēia ke hōʻino nui ʻia ka iris.

Eia nō naʻe, i ka hapa nui o ka manawa, ma hope o kahi ulia maka, hana ʻia kēia lāʻau `(Iridodialysis)` a hiki i ka wā e ola iki ai ka maka a emi iho ka pehu. No ka mea, ʻaʻole maikaʻi mau ka hana ʻoki kino ma hope koke o ka ʻeha.

He aniani hana maopopo kēia aniani intraocular e hana ana e like me ke aniani maoli i loko o ko kākou maka . Ke komo ka mālamalama i loko o ka maka, hele ia ma o kēia aniani a paʻi i ka retina . Hoʻohana ʻia kēia mau aniani hana e wehe i nā cataract a hoʻokomo iā lākou, a me kekahi mau ʻokiʻoki iridodialysis.

ʻAʻole hiki iā ʻoe ke ola i ka `(Iridodialysis)`?

ʻAʻole hiki ke pale loa i ka `(Iridodialysis)`. No ka mea, ʻaʻole like nā pilikia me kā mākou e manaʻo ai. Eia nō naʻe, ma ka pale ʻana i kou mau maka, hiki ke hoʻemi nui ʻia kēia pilikia. Wahi a ka ʻikepili i loaʻa iā mākou, ma kahi o 90% o nā ʻeha maka hiki ke pale ʻia . Eia kekahi mau mea hiki iā ʻoe ke hana:

• E ʻaʻahu mau i nā maka aniani pale i ka wā e hana ai, ʻoiai i ka wā e ʻoki ai, wili ai, kuʻihao ai, a i ʻole e hana pū ana me nā kemika. Mai kali a hiki i ka wā ma hope e "kau ai."
• I ka wā e pāʻani ana i nā haʻuki wikiwiki, e like me ka cricket (ʻoi aku hoʻi i ka wā e kahua ana a me ka batting), squash, a i ʻole ke kaʻa paikikala, e hōʻoia e komo i nā aniani palekana a i ʻole ka mahiole kūpono no kēlā haʻuki.
• E kau mau i kou kāʻei noho i ka wā e hoʻokele ana. E hōʻemi nui kēia i ka pilikia o nā ʻeha ma kou poʻo a me kou maka.
• E akahele i ka hana ʻana i nā hana o ka hale. Eia kekahi laʻana, e noʻonoʻo i kou mau maka i ka wā e ʻokiʻoki ai i nā lālā i loko o ka māla a i ʻole e ʻoki ana i kahi kui.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi ʻano ʻeha a ʻeha paha o ka maka , mai noho wale ma laila e noʻonoʻo ana, "He mea liʻiliʻi wale nō kēia." I kekahi manawa, ʻoiai inā he liʻiliʻi ka pōʻino āu e ʻike ai ma waho, aia paha he pōʻino nui i loko o ka maka. No laila, e ʻike pono i ke kauka, ʻoi aku ka maikaʻi o kahi kauka maka.

A laila hiki iā ʻoe ke nīnau i ke kauka i nā nīnau e like me:

• "E ke kauka, pehea ka lōʻihi e pono ai iaʻu e hoʻomaikaʻi?"
• "Āhea e hiki ai iaʻu ke hoʻomaka hou i kaʻu mau hana maʻamau (hana, haʻawina kula)?"
• "He aha nā hōʻailona e pono ai iaʻu e ʻike koke iā ʻoe a i ʻole e hele i ka lumi pilikia inā loaʻa iaʻu?" (e.g., nalowale koke o ka ʻike, ʻeha hiki ʻole ke hoʻomanawanui).
• "He aha kaʻu e hana ai i mea e pale aku ai i ka hana hou ʻana o kekahi mea e like me kēia?"
• "Pehea e hoʻonohonoho ai i kaʻu nānā hou ʻana?"

Mai makaʻu e nīnau i kēia mau nīnau. He waiwai nui kou mau maka iā ʻoe.

He aha ka ʻokoʻa ma waena o `(Cyclodialysis)` a me `(Iridodialysis)`?

Ua like iki kēia mau inoa ʻelua, a hiki ke alakaʻi i ka huikau. ʻOiai he mau maʻi maka lāua ʻelua, aia kahi ʻokoʻa iki.

• ʻO ka Iridodialysis ka wehe ʻana i ka iris , ka ʻāpana kala o ka maka , mai kona wahi mua.
• Akā, ʻo ka cyclodialysis ke kaʻina hana o ka hoʻokaʻawale ʻana i ke kino ciliary (ka ʻāpana o ka maka e hana ai i ke wai e hānai i ka maka a hoʻopili i ka iris) mai ka ʻāpana keʻokeʻo o ka maka ( ka sclera ).

Ke hoʻokaʻawale ʻia ke kino ciliary mai ka sclera, ua ālai ʻia ke kahe o ka wai hoʻoluʻu i loko o ka maka, e hōʻiliʻili ai i loko o ka maka, e hoʻonui ana i ke kaomi o ka maka a hoʻoulu ai i kahi maʻi i kapa ʻia ʻo glaucoma .

He aha ka ʻokoʻa ma waena o `(Iridonesis)` a me `(Iridodialysis)`?

Ua like iki kēia mau inoa ʻelua, no laila hiki ke huikau. Pili lāua ʻelua i ka iris, ka ʻāpana kala o ka maka .

• ʻO ka Iridodialysis ka wehe ʻana i ka iris.
• Akā ʻo Iridonesis ka wā e ʻoni ai ka iris ke neʻe ʻoe i kou mau maka mai kēlā ʻaoʻao a i kēia ʻaoʻao.. E like me ka jelly. Maanei, ʻaʻole neʻe ka iris, akā, ʻaʻole ia e neʻe mau a hōʻike i kahi ʻano haʻalulu. I kekahi manawa, hiki i kēia ke kumu o kahi hōʻeha i ka maka a i ʻole kahi pilikia me ka lens o ka maka .

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

No laila, ʻo ka `(Iridodialysis)` he kūlana weliweli ia e kū mai ana i ka wā e hemo ai ka iris, ka ʻāpana kala o ka maka , mai kona kūlana mua. I kekahi manawa hiki i kēia ke hana i ka maka e like me ke apo ʻeleʻele ʻelua, e paʻakikī ai ke ʻike i ka mālamalama, a hiki ke ʻeha.

ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi ʻano ʻeha maka, ʻoiai inā manaʻo ʻoe he mea liʻiliʻi ia, a inā ʻike ʻoe i kekahi mea ʻē ma hope o ke ʻoki maka (e like me nā loli o ka ʻike, ka ʻeha, ka hiki ʻole ke ʻike i ka mālamalama, ka ʻulaʻula o ka maka), e ʻike koke aku i ke kauka maka me ka hoʻokaʻulua ʻole.

Inā ʻike mua ʻoe i ka maʻi a loaʻa i ka lāʻau lapaʻau e pono ai, hiki iā ʻoe ke loaʻa nā hopena maikaʻi. I nā manawa he nui, hiki iā ʻoe ke hoʻōla i kou ʻike. No laila, ʻo kou kuleana ke mālama i kou mau maka. No ka mea, ʻelua wale nō o kākou mau maka e ʻike ai i kēia ao nani!

ʻIridodialysis , ka hoʻokaʻawale ʻana o ka iris, nā ʻeha maka, ka iris ʻelua, ʻeha maka, ʻike pālua, ʻoki maka