Aia kekahi pilikia me ke kahe koko i nā maka? E aʻo kākou e pili ana i ka (Ischemic Optic Neuropathy) ma ke ʻano maʻalahi!

Ua manaʻo koke paha ʻoe ua pōwehiwehi a palalulu paha kou ʻike? Malia paha ua ala ʻoe i ke kakahiaka a ʻaʻole hiki ke ʻike maopopo i kekahi maka? A i ʻole ua manaʻo koke paha ʻoe he ʻeleʻele i mua o kou mau maka? Inā ua loaʻa iā ʻoe kekahi mea e like me kēia, mai hoʻokuke maʻalahi iā ia, ʻae? I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hiki ai ke hoʻoulu i nā hōʻailona e like me kēia, a pono ʻoe e akahele iki, akā inā ʻike ʻoe iā ia ma mua, hiki iā ia ke kōkua iā ʻoe e hoʻokele. Ua kapa ʻia kēlā ʻo `(Ischemic Optic Neuropathy)` , i ʻike ʻia hoʻi ʻo `(ION)` no ka pōkole.

Ua ʻike anei ʻoe i ke ʻano o ka `(Ischemic Optic Neuropathy - ION)`?

I ka ʻōlelo maʻalahi, ʻo `(Ischemic Optic Neuropathy)` kahi kūlana kahi i loaʻa ʻole ai ke koko i ke aʻalolo nui e lawe mai i ka ʻike i kou maka, ʻo `(Optic Nerve),`, a laila nalowale ka ʻike. E noʻonoʻo, he aha ka mea e hana ai inā ʻaʻole lawa ka wai i kahi mea kanu pua i loko o kā mākou māla? Make mālie ia, ʻeā? Pēlā nō kēia me kēia. Ke hoʻopau ʻia ke kahe koko i kekahi mau ʻāpana o kou `(Optic Nerve)`, e pau ka hana pono ʻana o kēlā mau ʻāpana, a laila e make. Inā lilo kēia hoʻopau ʻana i ke kahe koko i mea koʻikoʻi a mau paha no ka manawa lōʻihi, hiki ke hōʻino mau ʻia ka `(Optic Nerve)`.

ʻO ka maʻamau, ʻike ʻia kēia ʻano ma ka ʻāpana poepoe ma ke kua o kou maka i kapa ʻia ʻo "Optic Disk." ʻO ka "Optic Disk" kahi e pili ai nā kīʻaha koko a me ka "Optic Nerve" i ka maka. ʻO kēia ʻano, i kapa ʻia ʻo "ION", ʻaʻole ia he mea maʻamau loa a pili pinepine i ka poʻe ma luna o 50 mau makahiki.

Aia kekahi mau ʻano nui o `(ION)`?

ʻAe, aia ʻelua ʻano nui o ka `(Ischemic Optic Neuropathy)`. E nānā kākou i ke ʻano o lākou:

1. Anterior Ischemic Optic Neuropathy (AION) : ʻO kēia ke ʻano ION maʻamau. Hoʻopilikia ia i ke aʻalolo optic ma lalo o ka disc optic a i ʻole ka disc optic ponoʻī.

2. `(Posterior Ischemic Optic Neuropathy - PION)` : Ma kēia ʻano, loaʻa ka hopena ma kahi ʻāpana o ka `(Optic Nerve)` aia ma hope iki.

I kēia manawa, e kamaʻilio kākou e pili ana i kēlā me kēia ʻano me nā kikoʻī hou aku.

Nā Hoʻololi i loko o `(AION)`

ʻElua ʻano hou o ka `(AION)`:

• ʻO ka Arteritic Anterior Ischemic Neuropathy (AAION) : He mumū kēia o nā aʻa (Arteritis) . ʻO ka maʻamau, hiki mai kēia ʻano me nā kūlana e like me Vasculitis, ʻo ia hoʻi ka mumū o nā kīʻaha koko.
• `(Nonarteritic Anterior Ischemic Neuropathy - NAION)` : Ma kēia, ʻaʻohe mumū o nā aʻa e like me ka mea i ʻōlelo ʻia ma mua. Hana pinepine ʻia kēia no ka mea ua kaupalena ʻia ke kahe koko i ka `(Optic Nerve)`.

E aʻo iki kākou e pili ana iā `(PION)`

E like me AION, ʻelua ʻano ʻano o PION, ʻo Arteritic a me Nonarteritic. ʻO ia hoʻi, ua hoʻokumu ʻia ʻo PION e ka arteritis, a ua hoʻokumu ʻia ʻo PION e ka hoʻopilikia ʻana o ke kahe koko me ka ʻole o ka arteritis.

He aha nā hōʻailona o kēia? Loaʻa iā ʻoe kēia mau mea pū kekahi?

ʻO ka hōʻailona nui o ka `(ION)` ka nalowale o ka ʻike. Eia nō naʻe, hiki ke ʻokoʻa ke ʻano o kona hiki ʻana ma muli o ke ʻano o ka `(ION)`. Pēlā nō, ʻokoʻa pū nā hōʻailona ʻē aʻe ma muli o ke ʻano.

Nā hōʻailona o `(NAION)`

ʻO ka nalowale ʻana o ka ʻike ma muli o NAION he mea koke a ʻaʻohe ʻeha. Manaʻo pinepine ʻia he pohihihi o ka ʻike a i ʻole ka nalowale ʻana o ka ʻike ma kahi ʻāpana o ke kahua o ka ʻike, ʻoiai ka hapalua haʻahaʻa . I kekahi manawa , hiki ke loaʻa pū ka nalowale ʻana o ka ʻike kala (dyschromatopsia) .

ʻIke mua ka poʻe he nui i kēia nalowale o ka ʻike ke ala lākou i ke kakahiaka. Hiki ke hana ia ma hope o ka hiamoe lōʻihi a i ʻole ka hiamoe pōkole.

I kekahi manawa, hiki ke emi mālie ka ʻike ma kahi o ʻelua pule. ʻO NAION ke ʻano maʻamau o ION, a hoʻopilikia pinepine ia i hoʻokahi maka i ka manawa. Eia nō naʻe, ma kahi o 15% o ka poʻe i loaʻa iā NAION ma kekahi maka e loaʻa paha ke ʻano ma ka maka ʻē aʻe ma hope.

Nā hōʻailona o `(AAION)`

Ma ka `(AAION)` , nalowale koke ka ʻike. ʻO ia hoʻi, hiki ke lilo ka ʻike i mea pohihihi, palalulu, emi, a nalowale loa paha. Ma ka `(AAION)`, hiki ke hele pū me nā hōʻailona e pili ana i ka `(Arteritis)` i ʻōlelo ʻia ma mua. ʻO lākou kēia:

• ʻEha poʻo: ʻOi loa aku ma nā ʻaoʻao ʻelua o ka lae.
• Ka pehu ʻana o nā aʻa koko ma nā ʻaoʻao ʻelua o ka lae: ʻAʻole hiki ke ʻike ʻia ka pulse ke hoʻopā ʻia kēia mau mea.
• ʻEha ma nā ʻiʻo o ka ʻāwae i ka wā e nau ai i ka meaʻai.
• Malaise a/a i ʻole ka pohō kaumaha i wehewehe ʻole ʻia.

I loko o kahi poʻe liʻiliʻi, hiki ke ʻike ʻia kahi ʻano "pohihihi" o ka Arteritic ION. ʻO ke ʻano kēia ua nalowale ka ʻike, akā ʻaʻohe o nā hōʻailona ʻē aʻe o ka Arteritis.

Nā hōʻailona o `(PION)`

ʻO ka PION Arteritic a me ka PION Nonarteritic ke kumu o ka nalowale koke ʻana o ka ʻike maka me ka ʻeha ʻole. Eia nō naʻe, hiki i ka PION ke holomua i nā pae mua. ʻO ke ʻano kēia e ʻoi mālie ka ʻino o nā hōʻailona i ka hala ʻana o ka manawa.

No ke aha e kū mai ai kēia `(Ischemic Optic Neuropathy)`? He aha nā kumu?

Hiki ke ʻokoʻa nā kumu o `(ION)` ma muli o ke ʻano. E nānā kākou pehea e hana ai.

Nā kumu o `(NAION)`

ʻAʻole maopopo i nā loea ke kumu e ulu ai ʻo NAION. Akā manaʻo lākou he hui pū ʻana o nā kumu.Ua manaʻo ʻia ua hana ʻia kēia e kahi ālai ʻana i ke kahe koko i ke aʻalolo optic. Hoʻopilikia pinepine kēia mau kūlana i ke ʻano o kāu ʻōnaehana hoʻokele koko e kāohi ai i ke kahe o ke koko ma o ke aʻalolo optic. Inā e hana pono ana kēlā hoʻoponopono ponoʻī, ʻaʻole ʻoe e loaʻa iā NAION. Eia nō naʻe, hiki i kekahi mau hanana a i ʻole nā ​​pilikia ke hoʻopilikia i kēlā hoʻoponopono ponoʻī. ʻO kēia mau mea:

• Nā loli kūkulu i loko o ka `(Optic Disk)` i loko o ka maka: ʻO ke ʻano kēia, ua liʻiliʻi a ʻoi aku ka mānoanoa o ka `(Optic Disk)`. Ua kapa ʻia hoʻi kēia he "disk at risk".
• Ke koko kiʻekiʻe (Hypertension).
• `(Maʻi Diabetes ʻAno 2)` (Maʻi Diabetes ʻAno 2).
• Atherosclerosis (nā waihona momona i loko o nā aʻa).
• ʻApnea hiamoe (ʻApnea hiamoe).
• Ua emi ke koko i ka wā hiamoe ('Nocturnal Hypotension').
• Anemia (ka emi ʻana o ka hemoglobin i loko o ke koko a i ʻole nā ​​​​​​mea koko ʻulaʻula).
• Ka puhipaka (me ka vaping).
• Nā migraines.
• Kekahi mau lāʻau lapaʻau: Hiki i nā mea hoʻopaʻa phosphodiesterase (no ka laʻana, nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka erectile dysfunction) ke kōkua i ka ION. Eia nō naʻe, ʻaʻole manaʻoʻiʻo nā loea ʻo kēia mau lāʻau lapaʻau wale nō ke kumu o ka ION.

Nā kumu o ka `(Arteritic ION)` (AAION a me APION)

Loaʻa i ka AAION a me ka APION ke kumu like: ʻo Arteritis. Hoʻokumu ʻia kēia kūlana e ka mumū o ka ʻōnaehana holoʻokoʻa. ʻO nā kumu maʻamau o kēia:

• `(ʻO ka ʻAʻai ʻAʻai Kelepona Nui - GCA)`
• Nā ʻano ʻē aʻe o ka `(Vasculitis)` (nā maʻi mumū o nā kīʻaha koko).

Nā kumu o ka `(Nonarteritic PION - NPION)`

Aia kekahi mau kumu kikoʻī e pili ana i ka `(NPION)`. ʻO ia hoʻi:

• Nā kūlana e hoʻopilikia ai i ke kahe koko i loko o ka maka: He nui o kēia mau mea e like me nā mea e hoʻoulu ai i ka NAION. No ka laʻana, ka maʻi diabetes Type 2, ke koko kiʻekiʻe, Atherosclerosis.
• Ke kahe koko: ʻO ka hāʻule koke ʻana o ke koko ke kumu o ke ālai ʻana o ke kahe koko i ke kua o ka maka, e hana ai i ka NPION.
• ʻOki kino: Hiki ke hāʻule ke koko no nā kumu like ʻole i ka wā o ke ʻoki kino. Hiki i kēia ke alakaʻi i ka PION.

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

ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi (Ischemic Optic Neuropathy) i kekahi poʻe. E nānā kākou iā lākou:

• ʻO ka poʻe me nā kumu pilikia vascular: ʻO ke ʻano kēia, ʻoi aku ka nui o ka pilikia o ka poʻe me nā kūlana i kūkākūkā ʻia ma mua, e like me ke koko kiʻekiʻe, ka maʻi diabetes, ka cholesterol kiʻekiʻe, ka puhipaka, a me ka apnea hiamoe.
• ʻO ka poʻe me nā maʻi mumū: No ka laʻana, ʻo ka poʻe me nā maʻi e like me ka `(Giant Cell Arteritis - GCA)` ua nui aʻe ko lākou pilikia o ka loaʻa ʻana o ka `(ION)`.
• Nā kānaka ma luna o 50 mau makahiki.
• No nā kāneHiki iā lākou ke ulu iki aʻe ma mua o nā wahine.

Pehea e ʻike ai ke kauka i kēia?

Hiki i kāu loea mālama maka ke ʻike i ka ION me ka hoʻohana ʻana i ka hui pū ʻana o kekahi mau ʻano hana. Hoʻomaka pinepine ke kaʻina hana ʻike ma ka nīnau ʻana iā ʻoe i nā nīnau e pili ana i kāu mau hōʻailona, ​​​​nā hanana ola hou, a me kou mōʻaukala olakino. E kōkua kāu mau pane iā lākou e hoʻohaiki i ka papa inoa o nā kumu hiki ke loaʻa ma ka hoʻopau ʻana i nā kūlana ʻē aʻe e like paha me ION. A laila e hana lākou i kahi hoʻokolokolo maka , e nānā pono ana i nā ʻāpana o ka maka e nānā ana i ka disk optic, aia ma ke kua o ka maka.

• ʻO Anterior ION (AION): ʻO nā AION Arteritic a me Nonarteritic ke kumu o nā loli i ʻike ʻia i kāu disc optic i ka wā mua. Kōkua kēia mau loli i kāu ophthalmologist e ʻike i ke kūlana. I ka wā e ʻike ai i ka AAION, e nānā pū lākou e ʻike inā loaʻa iā ʻoe kekahi o nā hōʻailona e pili ana me ka Arteritis.
• `(Posterior ION - PION)`: He paʻakikī iki ke ʻike i kēia mau ʻano. No ka mea, i nā pae mua, ʻaʻohe loli i ʻike ʻia ma ka `(Optic Disk)`.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

Aia kekahi mau hoʻokolohua e hiki ke kōkua i ka ʻike ʻana i ke kūlana (ION) a me nā kūlana e hiki ke kumu. He maʻalahi kekahi o kēia mau mea a ʻaʻole pono ka nui o ka hoʻoikaika kino. Eia kekahi laʻana:

• Hoʻāʻo ʻike maka: E nānā no kekahi mau kīnā o ke kahua ʻike maka (nā wahi makapō).
• Ke ana ʻana o ke koko.
• Nā hoʻāʻo koko: E nānā i nā maʻi e like me ka Type 2 Diabetes, ka cholesterol kiʻekiʻe, a me nā hemahema o nā wikamina.
• Ke ana ʻana i ke kaomi intraocular.
• Fluorescein Angiography: Hoʻohana kēia i kahi kala kūikawā e kiʻi i nā kiʻi o nā kīʻaha koko i loko o ka maka.
• ʻO ka Optical Coherence Tomography (OCT): Hiki i kēia ke hana i nā kiʻi ʻokiʻoki kikoʻī o ke aʻalolo optic a me ka retina.

Hana ʻia kekahi mau hoʻokolohua e ʻike pono ai a kāpae paha i nā kūlana e like me ka "Arteritis" (e pono ai ka mālama kūikawā i ka wā hikiwawe loa). Hiki i kēia mau hoʻokolohua ke komo pū me:

• Nā hoʻāʻo kiʻi: ʻO kahi ultrasound a i ʻole magnetic resonance imaging (MRI) o nā kīʻaha koko ma lalo o ka ʻili ma nā ʻaoʻao ʻelua o ka lae.
• ʻO ka Biopsy Artery Temporal: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi aʻa ma kēlā ʻaoʻao kēia ʻaoʻao o ka lae a hoʻāʻo ʻia no nā kūlana e like me GCA.
• Nā hoʻāʻo koko no nā loli e pili ana i ka mumū: e like me nā hoʻāʻo `(Erythrocyte Sedimentation Rate - ESR)` a me `(C-reactive Protein - CRP)`.

Hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aʻe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. Hiki iā lākou ke haʻi hou aku iā ʻoe e pili ana i nā hoʻokolohua a me ke kumu e pono ai ʻoe iā lākou.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?

ʻOkoʻa ka lāʻau no ka ION ma muli o ke kumu. I kekahi manawa, hiki i ke kauka ke mālama pololei i ka ION. I kekahi manawa, ʻo ka mea wale nō e pono ai, ʻo ia ke kāohi i nā kumu pilikia vascular a mālama i nā hōʻailona.

Lapaʻau no ka `(Arteritic Ischemic Optic Neuropathy)`

Pono e mālama koke ʻia ka `(Anterior)` a me ka `(Posterior Arteritic ION)` me nā lāʻau anti-inflammatory `(Corticosteroid)` (e.g. `(Prednisone)`) a i ʻole nā ​​lāʻau immunosuppressant e like me `(Tocilizumab - Actemra®)`. Hāʻawi pinepine ʻia ka `(Corticosteroid)` ma ke ʻano he pila, akā i kekahi manawa hāʻawi ʻia hoʻi ma ke ʻano intravenous (IV). Hāʻawi mua ʻia ka nui o kēia `(Corticosteroid)` ma nā nui kiʻekiʻe a laila hoʻemi mālie ʻia i kekahi mau lā a i ʻole nā ​​pule. Pono paha kekahi poʻe e lawe i kēia lāʻau lapaʻau ma kahi liʻiliʻi no ka manawa lōʻihi e pale aku ai i nā pilikia maka mau loa mai `(ION)`.

Lapaʻau no ka `(Nonarteritic Ischemic Optic Neuropathy)`

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau i hōʻoia ʻia no ka `(Nonarteritic ION)`. Inā ʻaʻole ʻoe he maʻi maʻi e like me `(Arteritis)`, ʻaʻole ʻōlelo pinepine ʻia nā lāʻau lapaʻau `(Corticosteroid)`.

I kēia manawa, ʻo ka lāʻau lapaʻau nui no ka `(Nonarteritic ION)` ʻo ia ke kāohi i nā hōʻailona a mālama a hōʻemi paha i nā kumu kumu a me nā mea kōkua. He mea nui kēia no ka mea ʻo ka `(Nonarteritic ION)` e hoʻopilikia pinepine i hoʻokahi maka i ka manawa. No laila hiki i kēia ala ke hōʻemi i ka pilikia o ka nalowale ʻana o ka ʻike ma nā maka ʻelua ma muli o `(ION)`.

Inā ua nalowale kou ʻike ma muli o ION, hiki i kāu kauka ke ʻōlelo aku i ka hoʻohana ʻana i nā mea kōkua e like me nā mea hoʻonui, a i ʻole ka hoʻohana ʻana i nā hoʻonohonoho hoʻonui a i ʻole nā ​​​​kauoha leo/manaʻo ma kāu mau mea hana. Hiki i kēia mau mea ke kōkua iā ʻoe e hoʻoponopono a hana paha i nā pilikia ʻike.

He aha kā mākou e manaʻo ai inā kū mai kēia kūlana?

ʻO ka maʻamau, ʻo ION ke kumu o ka nalowale koke ʻana o ka ʻike. ʻO ke ʻano o ka "Kū koke" he mau minuke a i ʻole mau hola paha, akā i kekahi manawa hiki ke hala nā lā. ʻO nā ʻano maʻamau o ION ke kumu o ka ʻike pōwehiwehi a i ʻole ka ʻike ʻino. Hiki i kekahi mau ʻano ke kumu o ka nalowale piha ʻana o ka ʻike. I kekahi manawa, aia nā manawa pōkole o ka ʻike pōwehiwehi ma mua o ka nalowale piha ʻana o ka ʻike o ION.

E hoʻomaikaʻi hou anei kēia i koʻu ʻike?

ʻAʻole ia he mea hoʻoweliweli i ke ola o ka `(ION)`, akā hiki iā ia ke hōʻeha nui i ka ʻike e hiki ke hoʻopilikia i kou ola.

I kekahi mau hihia, hiki ke hoʻohuli ʻia ka ION, akā ʻo ka hapa nui ke kumu o ka nalowale mau loa o ka ʻike.Eia nō naʻe, aʻo pū ka poʻe i nalowale ko lākou ʻike e 'hoʻololi' i kēia kūlana. A laila hoʻomaka lākou e hoʻohana i nā wahi ʻē aʻe o ko lākou ʻike no nā hana kikoʻī, e like me ka heluhelu ʻana. Ke hana ʻia kēia, me he mea lā ua holomua ko lākou ʻike, akā ʻo ka mea e hana nei, ʻo ia ka maikaʻi o ko lākou hana ʻana a puni ko lākou nalowale o ka ʻike.

Hiki ke pale ʻia ka Ischemic Optic Neuropathy?

ʻAʻole hiki iā ʻoe ke pale loa (ION). Akā hiki iā ʻoe ke hōʻemi i kou pilikia o ka loaʻa ʻana. ʻO ke ala nui e hana ai i kēia, ʻo ia ke pale a kāohi paha i nā kūlana e hiki ai ke kumu a i ʻole e kōkua i ka (ION). Hiki i kāu kauka ke ʻōlelo aku e hoʻololi i kāu lāʻau lapaʻau koko kiʻekiʻe e pale aku i ke koko haʻahaʻa i ka wā hiamoe, e hoʻomaka ana i ka lāʻau hoʻohaʻahaʻa cholesterol, e hoʻoponopono i kāu lāʻau maʻi diabetes, e hoʻōki i ka hoʻohana ʻana i ka paka (me ka vaping), a me nā hana pale ʻē aʻe e hōʻemi i kou manawa e loaʻa ai (ION).

Eia kekahi, inā pono ʻoe e hana i ke ʻoki kino, e hana nā loea lapaʻau i nā hana e pale aku ai i ka `(ION)`. Inā ua loaʻa iā ʻoe ka `(ION)` ma mua, a inā ʻike ʻoe he maʻi kou e hiki ai ke hana (e like me ka `GCA` a i ʻole `vasculitis`), e haʻi i kāu kauka ʻoki kino a/a i ʻole anesthesiologist ma mua o kāu ʻoki kino. A laila hiki iā lākou ke hoʻolālā kūpono a hana i nā hoʻololi e pono ai.

Pehea ʻoe e mālama ai iā ʻoe iho inā loaʻa iā ʻoe kēia maʻi?

Inā ua loaʻa iā ʻoe ka "Nonarteritic ION" ma kekahi maka ma mua, pono ʻoe e makaʻala loa e pili ana i nā loli a i ʻole ka nalowale o ka ʻike ma kou maka ʻē aʻe. No ka mea, i ka wā e loaʻa ai i kekahi maka, ʻoi aku ka nui o ka manawa e loaʻa ai i kekahi maka ma hope.

Inā loaʻa iā ʻoe ka Arteritic ION, e kuhikuhi aku kāu kauka maka iā ʻoe i kahi loea, e like me ka Rheumatologist. Hiki i kahi Rheumatologist ke kōkua i ka ʻike ʻana a me ka mālama ʻana i kekahi mau kūlana pale kino a mumū paha e hiki ai ke kumu o kou Arteritis. He mea nui e hahai i nā ʻōlelo aʻoaʻo a kāu kauka maka a me nā kauka ʻē aʻe e mālama i kou kūlana. E kōkua kēia iā ʻoe e pale i nā ʻōhū a me ka nalowale ʻana o ka ʻike a i ʻole nā ​​pilikia i ka wā e hiki mai ana.

Āhea ʻoe e ʻike ai i kāu loea maka?

E hoʻonohonoho kāu kauka maka i nā kipa maʻamau e nānā i kou ʻike a i ʻole kou mau maka no kekahi mau loli. Pono ʻoe e mālama i kēia mau manawa e like me kā lākou e ʻōlelo ai. Eia kekahi, inā ʻike ʻoe i kekahi mau loli i kou ʻike, pono ʻoe e hoʻokaʻaʻike aku iā lākou i ka wā hikiwawe. Hiki iā lākou ke haʻi iā ʻoe inā pono ʻoe e kamaʻilio me lākou, e ʻimi i ke kōkua lapaʻau ulia pōpilikia, a i ʻole kekahi mau loli kikoʻī ʻē aʻe.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

ʻO ka nalowale koke ʻana o ka ʻike he hōʻailona ia o ka pilikia e pono ai ke kōkua koke ʻana o ke kauka.No ka mea, i kekahi manawa hiki ke lilo i hōʻailona o kahi maʻi hoʻoweliweli ola e like me `(Stroke)` (kahi maʻi e like me ka paralysis), a i ʻole he pilikia maka e like me `(Retinal Detachment)` (kahi hemo ʻana o ka retina - hiki ke ho'ōla ʻia inā mālama koke ʻia).

ʻO kahi loea lapaʻau i aʻo ʻia a me nā hoʻokolohua kūikawā wale nō ke hiki ke haʻi inā he pilikia maoli ka nalowale koke ʻana o ka ʻike. I loko o ia kūlana , hiki i nā minuke ke hana i kahi ʻokoʻa nui. ʻO ia ke kumu ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻole ʻana iā ia inā ʻaʻole ʻoe i ʻike i ka nalowale koke ʻana o ka ʻike ma mua. Inā loaʻa iā ʻoe kahi maʻi e hoʻoweliweli iā ʻoe i ka nalowale koke ʻana o ka ʻike, a inā paha ua loaʻa iā ʻoe ma mua, e kamaʻilio me kāu kauka. Hiki iā lākou ke wehewehe i ka wā e pono ai kēia hōʻailona i ka mālama pilikia a i ka wā he mea e manaʻo ʻia ma muli o kou kūlana.

Nā nīnau e nīnau aku ai i kāu kauka

Eia kekahi mau nīnau āu e makemake ai e nīnau:

• He aha ke ʻano o ka Ischemic Optic Neuropathy i loaʻa iaʻu?
• He aha ka mea e hiki ai ke hoʻokumu a kōkua paha i kēia?
• He aha nā koho lapaʻau āu e paipai nei?
• E mau loa anei koʻu nalowale ʻana o ka ʻike, a i ʻole he manawa kūpono paha e maikaʻi aʻe?

He (Stroke) anei ka `(Ischemic Optic Neuropathy)`?

ʻAʻole, akā aia kekahi mau ʻano like.

ʻO ka `(Ischemia)` ʻo ia ka wā ʻaʻole lawa ke kahe koko o nā cell a hoʻomaka e make. ʻO ka `(Ischemic Stroke)` ʻo ia ka wā e hana ʻia ai i loko o kou lolo. ʻO ka `(ION)` hana ʻia i loko o kou `(Optic Nerve)`. ʻO ia ke kumu i like ai lākou akā ʻaʻole like.

ʻO kekahi kumu like lākou, ʻo ia ka loaʻa ʻana o nā hōʻailona intermittent i ka poʻe me `(ION)`. Inā hana ʻia kēia, ʻo ia hoʻi, ʻoi aku kou pilikia o ka loaʻa ʻana o `(Optic Nerve Ischemia)` a me ka nalowale ʻana o ka ʻike i loko o nā lā e hiki mai ana. No laila, ʻaʻole pono ʻoe e hoʻowahāwahā i ka nalowale koke o ka ʻike. Inā hana ʻia kēia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO ka nalowale koke ʻana o ka ʻike me ka Ischemic Optic Neuropathy ʻo ia hoʻi ʻaʻole lawa ke koko o kou Optic Aʻalolo. I ka hala ʻana o ka manawa, hiki i kēia ke alakaʻi i ka hōʻino mau loa a me ka nalowale ʻana o ka ʻike. No laila, ʻaʻole loa e hoʻowahāwahā ʻia a kali ʻia paha ka nalowale koke ʻana o ka ʻike.

Inā loaʻa iā ʻoe kahi maʻi e hiki ai ke alakaʻi i ka nalowale koke o ka ʻike a i ʻole "ION", he manaʻo maikaʻi e kamaʻilio me kāu loea maka. Hiki iā lākou ke haʻi iā ʻoe i ka mea e makaʻala ai a me ka mea e hana ai inā ʻike ʻoe i nā loli i kāu ʻike. ʻO ka hana wikiwiki ʻana hiki ke hana i kahi ʻokoʻa nui a kōkua i ka pale ʻana iā ʻoe mai nā pilikia ʻike koʻikoʻi a me ka ʻoluʻolu ʻole. No laila, e mālama i kou mau maka!

ʻO ka Neuropathy Optic Ischemic, ION, AION, PION, Poho ʻIke, Maʻi Maka, ʻAʻalolo Optic, Poho ʻIke koke