Ke emi nei ka ʻike i ko kākou ʻelemakule ʻana? E kamaʻilio kākou e pili ana i ka Macular Degeneration (AMD)!

Ua loaʻa paha iā ʻoe kahi ʻike kupanaha i ka heluhelu ʻana i kahi nūpepa a i ʻole ke nānā ʻana i ka maka o kekahi, kahi hiki iā ʻoe ke ʻike wale i nā kihi, ʻaʻole ke kikowaena pololei? Malia paha ʻo nā laina pololei āu e ʻike ai, e like me nā mōlina puka makani, ke nānā aku nei i ka ʻōniʻoniʻo a me ka ʻāwili? ʻAʻole kēia he mau mea wale nō. Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi maka e ulu ana i nā poʻe he nui ma hope o 50-60 mau makahiki. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Macular Degeneration?

ʻO ka macular degeneration kahi maʻi e hoʻopilikia ai i ka ʻike waena o ka maka, ʻo ia hoʻi, ka mea a mākou e ʻike ai ke nānā pololei mākou i mua. ʻO ka maʻamau, ʻoi aku ka pinepine o ia i ko mākou ʻelemakule ʻana. No laila, ua kapa ʻia hoʻi ʻo ia he age-related macular degeneration a i ʻole "Age-Related Macular Degeneration" a i ʻole "(AMD)".

E noʻonoʻo i ko kākou maka e like me ke kāmela. I loko o ka maka, ma ke kua, aia kahi ʻāpana i kapa ʻia ʻo 'retina'. ʻO ia ka mea e hana ana e like me ka 'sensor' o ke kāmela. Ma waenakonu o kēia 'retina', ʻo ka wahi liʻiliʻi koʻikoʻi e hopu ana i nā kikoʻī maikaʻi loa a me ke kiʻi maopopo loa o ka mea a kākou e ʻike nei ua kapa ʻia ʻo 'macula'. Heluhelu mākou i kahi puke, ʻike i kekahi, hoʻokele i kahi kaʻa, a ʻo kēia ʻāpana i kapa ʻia ʻo 'macula' e kōkua iā mākou me kēia mau mea āpau.

I ka macular degeneration, ua hōʻino ʻia ka ʻāpana i kapa ʻia ʻo `macula`. A laila, lilo ko kākou ʻike waena i nāwaliwali. Akā i kēia hihia, ʻaʻole mākou e makapō loa. Maikaʻi nō ka ʻike peripheral . ʻO ia hoʻi, ʻoiai ʻo ka mea a mākou e nānā pololei aku nei he blurry, hiki ke ʻike maʻamau ʻia nā mea a puni mākou.

Hiki i kēia maʻi ke hoʻopilikia i hoʻokahi maka wale nō, a i ʻole hiki ke hoʻopilikia i nā maka ʻelua. I kekahi manawa hiki ke ʻokoʻa ke koʻikoʻi o ka maʻi ma nā maka ʻelua.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi? (Nā kumu pilikia)

E like me ka inoa e hōʻike nei, ʻo ka ʻelemakule ke kumu nui o ka pilikia. Hoʻonui kēia pilikia ma hope o 50-60 mau makahiki. Akā aia kekahi mau kumu ʻē aʻe ma waho aʻe o kēlā.

• Moʻolelo ʻohana: Inā ua loaʻa i kou makuahine, makuakāne, a kaikaina paha ka maʻi, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
• Puhipaka: ʻOi aku ka nui o ka pilikia o ka poʻe puhipaka i ka loaʻa ʻana o kēia maʻi.
• Kaumaha: He mea nui hoʻi e mālama i ke kaumaha o ke kino olakino.
• Ke koko kiʻekiʻe (Hypertension): Inā he koko kiʻekiʻe kou, he mea nui loa ka kaohi pono ʻana iā ia no kou mau maka.
• Nā meaʻai olakino ʻole: ʻAʻole maikaʻi hoʻi ka ʻai pinepine ʻana i nā meaʻai kiʻekiʻe i nā momona momona, e like me nā ʻaila, nā meaʻai palai, a me nā meaʻai wikiwiki.
• Poʻe keʻokeʻo: Ua ʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka pilikia o ka poʻe keʻokeʻo i ka loaʻa ʻana o kēia maʻi ma mua o nā poʻe ʻē aʻe.

ʻElua mau ʻano nui o ka macular degeneration:

Hiki ke hoʻokaʻawale ʻia kēia ʻano i ʻelua ʻano nui: maloʻo a pulu.

E aʻo pū kākou e pili ana i nā pae o ka maʻi.

ʻEkolu mau pae nui o ka maka maloʻo. ʻIke pinepine ʻia nā hōʻailona i nā pae hope, akā hiki i ke kauka maka ke ʻike i kēia mau loli i ka wā mua o ka hoʻokolokolo ʻana.

1. Ka pae mua: Ua hoʻomaka nā loli i loko o ka macula, akā ʻaʻole i hoʻopilikia ʻia ka ʻike.

2. Pae waena: Lilo ka ʻike i mea pōwehiwehi iki, hoʻomaka nā wrinkles e ʻike ʻia.

3. Lohi/Holomua: Ua aneane nalowale loa ka ʻike waena.

He aha nā hōʻailona o kēia maʻi?

ʻAʻole ʻike ka nui o ka poʻe i kekahi mau hōʻailona i nā pae mua. Hoʻomaka wale kēia mau hōʻailona e ʻike ʻia ke ʻoi aku ka koʻikoʻi o ka maʻi. E nānā inā ʻike ʻoe i kekahi o kēia mau hōʻailona.

• Ka ʻike maka i emi ʻia i ka wā ʻike ʻole ʻia: E emi ana ka ʻike ʻana i ka pō ke emi ka mālamalama ma ka home.
• ʻIke makapō: Hiki paha iā ʻoe ke manaʻo he pōwehiwehi ma waena, ʻoiai ke heluhelu a nānā paha i nā helehelena.
• Nā loli i ka ʻike kala: Hiki ke ʻike ʻia nā kala i ʻeleʻele a ʻoi aku ka hewa.
• Nā laina pololei: He ʻano koʻikoʻi loa kēia. Inā ʻike ʻia nā mea pololei e like me nā mōlina puka makani, nā mōlina puka, a me nā laina tile ua ʻāwili ʻia a kīkoʻo ʻia, mai hoʻowahāwahā iā ia.
• ʻIke ʻana i kahi ʻeleʻele a hakahaka paha i waenakonu o ka ʻike: ʻIke ʻana i kahi ʻeleʻele a hakahaka paha i waenakonu o kahi mea āu e nānā nei.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke aku i kahi loea maka .

Pehea e ʻike ai ke kauka i kēia?

ʻOiai ʻaʻohe hōʻailona o ka macular degeneration i kona mau wā mua, he mea nui e nānā ʻia kou mau maka i kēlā me kēia makahiki , ʻoiai inā ʻoe ma luna o 50. ʻAe kēia i kāu kauka e ʻike mua i ka maʻi a hoʻomaka koke i ka mālama ʻana.

Ke hele ʻoe i ke kauka, e nānā ʻo ia i kou retina a me kou macula no nā loli. Hiki iā ia ke hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua ma lalo nei.

• Hoʻāʻo ʻo Amsler grid: He grid kēia me kahi grid ma luna. Aia kahi kiko nui ma waenakonu. E noi ke kauka iā ʻoe e nānā i ka grid a ʻike inā he mau laina i kīkoʻo ʻia, haki, a palalulu paha. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo inā loaʻa iā ʻoe ka maʻi a inā he koʻikoʻi. Hiki iā ʻoe ke hoʻohana i kēia e nānā i kou ʻike ma ka home.
• Hoʻokolokolo maka dilated: E hoʻohana ke kauka i nā kulu maka e hoʻonui i kāu haumāna a me kahi lens kūikawā e nānā i loko o kou maka.
• ʻO ka angiography Fluorescein: Hoʻokomo ʻia kahi waihoʻoluʻu melemele i loko o kahi aa koko ma ka lima, a lawe kahi kāmela kūikawā i nā kiʻi o ka waihoʻoluʻu i kona hele ʻana ma o nā kīʻaha koko i loko o ka maka. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he koko a wai paha e kahe ana ma lalo o ka macula.
• ʻO ka tomography coherence optical (OCT): Ua like kēia me ka lawe ʻana i kahi scan o loko o kou maka. ʻAʻohe ʻeha. Ke nānā ʻoe i loko o ke aniani o ka mīkini, lawe ia i nā kiʻi ʻekolu-dimensional (3D) maopopo loa o kahi ʻāpana kea o ka retina a me ka macula i loko o kou maka.

He aha nā lāʻau lapaʻau?

Pili ka lāʻau lapaʻau i ke ʻano o kāu.

Lapaʻau no ke ʻano maloʻo

ʻAʻohe lāʻau lapaʻau kūikawā no ke ʻano maloʻo. Eia nō naʻe, ua ʻike ʻia nā noiʻi nui i kapa ʻia ʻo "AREDS" a me "AREDS2" e hiki i ka lawe ʻana i kahi hui kūikawā o nā huaora a me nā minelala ke hoʻolohi i ka holomua o ka maʻi. Loaʻa i kēia mau mea hoʻohui meaʻai:

• Wikamina C
• Wikamina E
• Lutein
• ʻO Zeaxanthin
• Zinc
• Keleawe

Pono ʻoe e kamaʻilio me kāu kauka maka e pili ana i ka pono e lawe i kēia mau mea a me ka nui o ia mau mea. Mai lawe wale i nā huaora ma kāu iho.

Lapaʻau no ke ʻAno Wet

Ma muli o ke koʻikoʻi o ke ʻano pulu, pono ia e mālama koke ʻia.

• Nā inikini Anti-VEGF: ʻO kēia ka lāʻau lapaʻau nui a maikaʻi loa i loaʻa. He lāʻau lapaʻau kēia e ālai ana i kahi protein i kapa ʻia ʻo VEGF, ka mea e hoʻoulu ai i ka ulu ʻana o nā kīʻaha koko hou nāwaliwali i loko o ka maka. Hoʻomānoino ke kauka i ka maka a hoʻokomo i ka inikini me ka ʻeha ʻole . Hiki i kēia mau inikini ke hoʻihoʻi i kekahi o ka ʻike i nalowale.
• ʻO ka lāʻau lapaʻau Photodynamic (PDT): Pili kēia i ka hoʻokomo ʻana i kahi lāʻau lapaʻau mālamalama i loko o kahi vein a laila e kuhikuhi ana i kahi kukuna laser kūikawā i loko o ka maka e luku i nā kīʻaha koko i makemake ʻole ʻia i hana hou ʻia.
• ʻO ka photocoagulation laser: Hoʻohana ʻia kahi kukuna laser ikehu kiʻekiʻe e sila/luku i nā kīʻaha koko e kahe ana. Eia nō naʻe, ua emi nui ka hoʻohana ʻana i kēia mau ʻano hana mai ka wā i hiki mai ai nā lāʻau pale 'Anti-VEGF' hou.

Pehea lā e hiki ai iā kākou ke pale aku iā kākou iho mai kēia kūlana?

ʻOiai ʻaʻole hiki ke pale loa ʻia, nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• Inā ʻoe e puhipaka, e hoʻōki koke. ʻO kēia ka mea maikaʻi loa hiki iā ʻoe ke hana.
• E mālama i ke kaumaha olakino.
• E hoʻoikaika kino i nā manawa a pau.
• E mālama pono i kou koko a me kou pae cholesterol.
• E ʻai i kahi meaʻai olakino. E ʻai i nā mea kanu ʻōmaʻomaʻo, nā huaʻai, a me nā iʻa (ʻoi aku ka iʻa ʻaila e like me ka iʻa sālemona a me ka mackerel).
• E komo i nā aniani maka me ka palekana UV maikaʻi i ka wā e hele ai i waho.

Hiki i ka nalowale ʻana o ka ʻike waena ke loaʻa ka hopena nui i nā hana o kēlā me kēia lā. Hiki ke paʻakikī ke heluhelu i kahi puke, ʻike i nā helehelena, a hoʻokele kaʻa. Hiki i kēia ke alakaʻi i ke kaumaha a me ka hopohopo. I nā manawa e like me kēia, he mea nui e ʻimi i ke kākoʻo mai ka ʻohana a, inā pono, e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.