Ke ʻano nei anei kou ʻike e kūlou ana? E aʻo kākou e pili ana i ka Macular Pucker.

Ua manaʻo paha ʻoe i ka wā e heluhelu ai ʻoe i kahi nūpepa a i ʻole e nānā i kahi grille puka makani, ʻike ʻia nā laina pololei ma luna e kīkoʻo iki a ʻāwili? I kekahi manawa hiki iā ʻoe ke ʻike i kahi ʻike like ke nānā aku i ka papahele tile i loko o ka lumi ʻauʻau. Manaʻo ka poʻe he pilikia kēia me kā lākou mau aniani. Akā hiki ke hana ʻia kēia e kahi loli liʻiliʻi i loko o ka maka i hiki ʻole ke hoʻoponopono ʻia ma ka hoʻololi ʻana i kā lākou mau aniani. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia kūlana i kapa ʻia ʻo Macular Pucker, kahi i lohe ʻole ʻia e ka poʻe he nui, akā lohe kekahi poʻe. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.

He aha ka Macular Pucker?

I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o ko kākou mau maka. E noʻonoʻo i ko kākou mau maka e like me kahi kāmela ʻenehana kiʻekiʻe. Ma hope o kēia kāmela, aia kahi papa lahilahi o nā hunaola nerve e ʻike ana i ka mālamalama e hana ana e like me ke kiʻiʻoniʻoni. Kāhea mākou i kēia ʻo retina . Hoʻokumu ʻia nā kiʻi a mākou e ʻike ai ma kēia retina.

I kēia manawa, ma waenakonu o kēia retina, aia kahi wahi liʻiliʻi kahi i hui pū ʻia ai nā ʻāpana he nui i ʻike i ka mālamalama e kōkua iā mākou e ʻike maopopo i nā mea, heluhelu, a ʻike i nā helehelena ma ke ʻano maalea loa. Kāhea mākou iā ia he macula . ʻO kēia ka ʻāpana nui e kuleana no kā mākou ʻike ʻoi a maopopo.

ʻO ka pucker Macular ka wā e hana ʻia ai kahi papa lahilahi o ka ʻiʻo ʻeha, e like me kahi pepa cellophane, ma luna o ka macula. Hoʻemi mālie kēia papa i ka hala ʻana o ka manawa. A laila e kīkoʻo a ʻāwili pū me ka macula ma lalo. Ua like ia me ke kau ʻana i kahi pepa ʻē aʻe ma luna o kahi pepa moe a me ka pepa ma lalo o nā ʻāwili i kona kīkoʻo ʻana. ʻO kēia ʻāwili ke kumu o ko mākou ʻike maopopo a pololei e lilo i mea ʻino a hoʻopilikia ʻia. Kāhea pū nā kauka i kēia he membrane epiretinal (ERM) a i ʻole cellophane maculopathy .

I ka hapanui o nā hihia, ʻaʻole kēia e hōʻeha nui i ka ʻike, akā no kekahi poʻe, hiki iā ia ke paʻakikī i ka hana ʻana i nā hana o kēlā me kēia lā.

He aha nā hōʻailona o ke kanaka me ka macular pucker?

ʻO ka hōʻailona nui a maʻamau o kēia ʻano, ʻo ia ka ʻike ʻino. ʻO ia hoʻi, ʻike ʻia nā mea pololei e kīkoʻo ʻia ana. I ka lāʻau lapaʻau, kapa mākou i kēia he metamorphopsia . Hiki iā ia ke hoʻopilikia i hoʻokahi maka wale nō, akā i kekahi manawa hiki ke hoʻopilikia i nā maka ʻelua. ʻOiai hiki ke loaʻa i nā maka ʻelua, ʻoi aku ka nui o ka hoʻopilikia ʻia ʻana o kekahi maka ma mua o kekahi.

Aia ma lalo nā hōʻailona maʻamau o kēia maʻi.

No ke aha e kū mai ai kēia ʻūlū maka? He aha nā mea pilikia?

Hoʻomohala pinepine kēia ʻano me ka ʻelemakule. ʻO ka mea e like me ka jelly i loko o ko kākou mau maka e mālama ai i ke ʻano o ka maka ua kapa ʻia ʻo vitreous humor . I ko kākou ʻelemakule ʻana, emi kēia jelly, lilo i wai, a hoʻomaka e hoʻokaʻawale mai ka retina. He mea maʻamau kēia. Akā i kekahi manawa, i ka wā e hana ʻia ai kēia kaʻawale ʻana, hiki ke hōʻino iki ʻia ka retina. I ka hoʻāʻo ʻana o ke kino e hoʻoponopono i kēia hōʻino, hiki ke hana ʻia nā ʻiʻo ʻeha ma ka macula. ʻO kēia ke kumu nui o ka pucker macular.

Ma waho aʻe o kēia, aia kekahi mau kumu a me nā mea pilikia ʻē aʻe.

• Ka haehae a ka hemo ʻana paha o ka retina .
• Nā ʻeha koʻikoʻi o ka maka (trauma maka).
• ʻO ke ʻoki maka: ʻOi loa ma hope o nā mea e like me ke ʻoki cataract.
• Nā maʻi maka a i ʻole ka mumū, no ka laʻana uveitis .
• Nā pilikia maka i hoʻokumu ʻia e ka maʻi diabetes (Diabetes-related retinopathy).
• Ma hope o ka hana ʻana i ka laser eye therapy .

ʻAʻole laha kēia maʻi. ʻO ia hoʻi, ʻaʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka.

Pehea e ʻike ai ke kauka i kēia?

Ma hope o kou haʻi ʻana mai iā mākou e pili ana i kou mau hōʻailona, ​​e nānā pono ke kauka maka i kou mau maka. No ka hana ʻana i kēia, e kau lākou i nā kulu i loko o kou mau maka e hoʻonui i kāu mau pupils. E ʻae kēia i ke kauka e ʻike maopopo i ka retina a me ka macula i loko o kou maka.

Eia kekahi, hoʻohana ʻia kekahi mau hoʻokolohua kūikawā e hōʻoia pololei i kēia maʻi.

• Hoʻāʻo maka ʻo Amsler grid: Pili kēia i ka nānā ʻana i kahi grid o nā huinahā. Inā he pucker macular kou, hiki i nā huinahā ke lilo i kaha, wrinkle, a ʻike ʻole ʻia.
• ʻO ka tomography coherence optical (OCT): ʻO kēia ke ala maikaʻi loa a pololei loa e ʻike ai i kēia maʻi. E like me ka CT scan, lawe ia i kahi kiʻi hoʻonā kiʻekiʻe o ka retina i loko o ka maka, kahi e like me kahi ʻāpana keʻa. Hiki i kēia scan ke ʻike maopopo inā he papa o ka ʻili ma ka macula, pehea kona mānoanoa, a inā paha he ʻāwili ka macula.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka mea mua, ʻo ka nūhou maikaʻi, ʻaʻole pono ka lāʻau lapaʻau i nā kānaka a pau me ka macular pucker. Inā ʻaʻole i hoʻopilikia nui ʻia kou ʻike, e haʻi aku paha kāu kauka iā ʻoe e hele mai no nā hoʻokolohua maka maʻamau. ʻO ia hoʻi, e nānā wale lākou i ke kūlana.

Eia nō naʻe, inā hoʻopilikia kou ʻike maka i kāu mau hana o kēlā me kēia lā (e like me ka heluhelu ʻana a i ʻole ka hoʻokele ʻana), makemake paha ʻoe e ʻimi i ka lāʻau lapaʻau.

Aia kekahi mau pilikia i ke ʻoki kino?

E like me nā hana ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi loa, akā lawe nā kauka i nā hana āpau e hōʻemi i kēia mau pilikia.

• Ke kahe ʻana o ke koko
• Nā maʻi
• Ka haehae a kaʻawale paha o ka retina
• Hoʻonui ʻia ka nui o nā cataracts
• Lua macular
• Hoʻonui ʻia ke kaomi o ka maka (Glaucoma)

Hiki ke pohihihi iki ka ʻike no kekahi mau lā ma hope o ke ʻoki ʻana. Hiki iā ʻoe ke ʻike i ka ʻeha o ka maka a me ka ʻoluʻolu ʻole. Hiki ke hala a hiki i 3 mau mahina e ho'ōla piha ai a ʻike i nā pono piha o ke ʻoki ʻana.

Mai huikau i kēia me nā maʻi maka ʻē aʻe!

Hiki ke like nā hōʻailona o ka macular pucker me nā ʻano maʻi maka ʻē aʻe, no laila he mea nui e ʻike i kēia mau ʻokoʻa.

He like anei ka Macular Pucker a me ka Macular Degeneration?

ʻAe. ʻOiai ʻelua e hoʻopilikia i ka macula, ʻelua mau kūlana like ʻole. ʻO ka macular degeneration e pili ana i ka makahiki kahi kūlana e luku ʻia ai nā cell i loko o ka macula i ko kākou ʻelemakule ʻana. ʻO ka Macular pucker kahi kūlana e hana ʻia ai kahi papa o nā ʻiʻo ma ka macula. Hiki ke like nā hōʻailona, ​​​​akā ʻokoʻa nā kumu a me nā lāʻau lapaʻau.

He like anei ka Macular Pucker a me ka Macular Hole?

ʻAʻole. He mau kūlana ʻelua kēia. He haehae ka pucker. He lua maoli ka lua macular i loko o ka macula. I kekahi manawa hiki i ka pucker macular ke hoʻoulu i ka membrane e kīkoʻo a hana i lua i loko o ka macula. ʻO ka maʻamau, ʻoi aku ka hopena o ka lua macular i ka ʻike ma mua o ka pucker.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau loli i kou ʻike, mai hoʻowahāwahā. E ʻike pono i kāu kauka.

Ke lohe mua ʻoe e pili ana i kēia ʻano hoʻoweliweli maka, e makaʻu iki paha ʻoe. Akā e hoʻomanaʻo, ʻaʻole pono ka mālama ʻana i ka hapa nui o nā hihia o ka pucker macular. ʻOiai inā hana lākou, aia nā lāʻau lapaʻau kūpono i loaʻa. E kūkākūkā kāu kauka i nā koho i kūpono loa iā ʻoe a kōkua iā ʻoe e hoʻoholo i ka mea e hana ai. ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o nā hoʻokolohua maka maʻamau .