ʻAʻole hiki iā ʻoe ke ʻike i kahi mamao aku? E aʻo kākou e pili ana i kahi maʻi koʻikoʻi i loko o ka maka? (Myopic Degeneration)

Ke ʻike nei ʻoe i kekahi manawa i nā mea mamao akā ʻo nā mea kokoke wale nō e maopopo ana? Kāhea mākou i kēia ʻo 'nearsightedness' a i ʻole '(Myopia)'. ʻOiai he mea maʻamau kēia no ka hapa nui o ka poʻe, i kekahi manawa hiki i kēia pilikia farsightedness ke piʻi i kahi pae koʻikoʻi . Ke hana ʻia kēia, hoʻomaka ka `(Retina)`, ʻo ia hoʻi kahi papa koʻikoʻi loa i loko o ka maka, ʻo ia hoʻi, kahi a mākou e ʻike ai i nā kiʻi, e hōʻino ʻia. ʻO kēia ka mea a mākou e kapa nei ʻo `(Myopic Degeneration)` a i ʻole `(Degenerative Myopia)`. He mea kēia e makaʻala ai, no ka mea, i ka hala ʻana o ka manawa, hiki ke hoʻonui ʻia kēia pōʻino a aia kahi hiki ke nalowale mau loa ka ʻike . Akā, mai hopohopo, ʻaʻole nā ​​​​kānaka ʻike kokoke a pau e loaʻa i kēia. Eia naʻe, ʻōlelo nā loea ua hoʻopilikia kēia ʻano i hoʻokahi wale nō o 33 mau kānaka o ka heluna kanaka o ka honua.

No laila he aha nā hōʻailona o ka `(Myopic Degeneration)`?

ʻO ka hōʻailona nui mua, ʻo ia ka ʻike kokoke loa . ʻO ke ʻano kēia, ua kiʻekiʻe loa kāu kauka no kāu mau aniani. I ka holomua ʻana o kēia maʻi, e hoʻomaka ʻoe e ʻike i nā loli i kou laulā ʻike, ʻoiai ma ka ʻāpana waena o kou ʻike . ʻO kēia mau mea:

• Ke nānā ʻoe, e ʻike paha ʻoe i kahi kiko ʻeleʻele a i ʻole kahi wahi palalulu i waenakonu o kou ʻike . Hiki paha ke like me kahi wahi makapō kahi hiki ʻole iā ʻoe ke ʻike i kekahi mea.
• He paʻakikī ke ʻike i kekahi mau kala .
• Pono kākou i ka mālamalama hou aku ma mua o ka wā ma mua e ʻike pono ai i nā mea.
• Ke nānā ʻoe i nā mea me nā laina pololei, ʻike ʻia lākou he kīkoʻo a he ʻāwili .
• E ʻike paha ʻoe i nā mea ʻeleʻele liʻiliʻi e lana ana i mua o kou mau maka (nā mea floaters) , a i ʻole e ʻike paha ʻoe i nā kukui uila .

Ke kipa aku ʻoe i kahi kauka maka, inā kānalua ʻo ia i kēia kūlana, e nānā ʻo ia i kou mau maka a nānā i nā mea e like me:

• Nā loli i ke ʻano o ka macula, ke kikowaena o kou ʻike, he mea nui ia no ka ʻike maopopo.
• ʻO ke kahe koko ʻana o ka retina, ka lahilahi, ka hemo ʻana, a i ʻole ka pehu ʻana.
• ʻO ke kūkulu ʻia ʻana o nā lua macular ma waenakonu o ka ʻike.
• ʻIke ʻia ka ʻūlū ʻana o ka macular ma ke kikowaena o ka ʻike (Macula).

No ke aha mākou e loaʻa ai i ka Myopic Degeneration?

I ka ʻōlelo maʻalahi, ʻo ke kumu nui o kēia, ʻo ia ka ʻike kokoke loa . Inā ʻo kāu lāʻau lapaʻau maka he `(-6.00 diopters)` a ʻoi aku paha, ua manaʻo ʻia he koʻikoʻi. A i ʻole hiki i ka lōʻihi o kou maka mai mua a i hope ke 26 millimeters a ʻoi aku paha. E noʻonoʻo, i ka wā e hoʻāʻo ai mākou e ʻike maopopo i kahi mea, hana ikaika ko mākou mau ʻiʻo maka ma mua o ka maʻamau. Ke hoʻopaʻa mau ʻia ko mākou mau maka, ʻaʻole hiki i ka membrane palupalu i loko o ka maka i kapa ʻia ʻo `(Retina)` ke kū i kēia huki ʻana. ʻO ia ka mea e hōʻino ai i ka retina.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

Aia kekahi mau kumu pilikia maopopo e kōkua i ka ulu ʻana o ka myopic degeneration:

• Ke koʻikoʻi o ka Myopia: Hoʻonui ka pilikia ma muli o ke koʻikoʻi o kou Myopia, a i ʻole ke kiʻekiʻe o kāu lāʻau lapaʻau.
• Ka lōʻihi o ka maka: ʻO ka nui o kou maka, ʻo ia hoʻi, ʻo ka lōʻihi o kou maka, ʻo ka kiʻekiʻe o kou pilikia o ka hoʻomohala ʻana i kēia maʻi.
• Makahiki: Hiki ke hoʻonui ʻia kēia pilikia me kou mau makahiki, a i ʻole pehea ka lōʻihi o kou loaʻa ʻana o ka myopia.

Ma waho aʻe o kēia, manaʻo nā loea he nui nā kumu ʻē aʻe e hiki ke kōkua i ka ulu ʻana a i ʻole ka hoʻonui ʻana o kēia ʻano:

• Moʻolelo ʻohana a me nā genetics: Aia nā hōʻike e hoʻoili ʻia ka myopia mai kēlā hanauna a i kēia hanauna. Eia nō naʻe, pono ka noiʻi hou aku e hoʻomaopopo pono i ke ʻano o ka genetics a me ka mōʻaukala ʻohana e pili ai i ka myopic degeneration.
• Moe: Ke hōʻike nei kekahi mau noiʻi he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā wahine.
• Lāhui a me ka lāhui: ʻOiai ua ʻōlelo ʻia he kiʻekiʻe aʻe ka pilikia o ka poʻe o ka hanauna ʻAsia, ʻaʻohe hopena paʻa no kēia.
• Nā kumu o ke kaiapuni: ʻO kēia nā mea e hana ʻia i kou ola o kēlā me kēia lā. Eia kekahi laʻana, inā pono ʻoe e nānā pono i kekahi mea ma muli o kāu hana a i ʻole kāu leʻaleʻa, a inā ʻoe e ʻaʻahu ana i nā aniani kūpono. E noʻonoʻo e pili ana i ia mea, hoʻohana kekahi poʻe i ka hapa nui o ko lākou lā ma kā lākou kelepona, kamepiula, a i ʻole ka nānā ʻana i nā paʻi liʻiliʻi. Luhi loa ko lākou mau maka. Hiki i nā mea e like me ia ke hoʻopilikia i kēia.

He aha nā pilikia e hiki mai ana o ka Myopic Degeneration?

ʻO nā pilikia nui o kēia maʻi e pili ana i nā ʻiʻo o kou retina. ʻO kēia mau pilikia:

• Neovascularization: Ke lahilahi ka ʻiʻo i loko o ka retina, haki a kahe ke koko o nā kīʻaha koko kahiko. A laila hoʻāʻo ke kino e hana i nā kīʻaha koko hou e hoʻihoʻi i ke kahe koko, akā ʻo kēia mau kīʻaha koko hou ke kumu o ka hōʻino hou ʻana i ka retina.
• Ka hoʻokaʻawale ʻana o nā papa: I ka lahilahi ʻana o ka ʻiʻo retina, piʻi aʻe ka pilikia o ka hoʻokaʻawale ʻana o nā papa o ka retina mai kekahi i kekahi, a i ʻole ka haehae ʻana a kaʻawale ʻana paha o ka retina.
• ʻIke haʻahaʻa: Hiki i nā loli i ʻōlelo ʻia ma luna nei ke alakaʻi i ka nalowale mau loa o ka ʻike, ka nalowale nui o ka ʻike, a i ʻole ka makapō .

He mea nui: Inā loaʻa kēia mau pilikia, ʻaʻole paha e hoʻihoʻi ʻia ka ʻike inā ʻaʻole mālama koke ʻia. No laila, he mea nui loa e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.

Pehea e ʻike ai nā kauka i kēia maʻi (Myopic Degeneration)?

Hiki i nā kauka maka ke ʻike i ka Myopic Degeneration ma o nā ʻano hoʻokolohua like ʻole. Hana ʻia ka hapa nui o kēia mau hoʻokolohua i ka wā o ka hoʻokolokolo maka maʻamau. ʻAʻole paha ʻoe e ʻike i nā loli he nui i loko o kou maka ma muli o ka Myopic Degeneration, a ʻike paha i kahi ʻokoʻa nui i kou ʻike i ka wā mua. Eia nō naʻe, ʻike ke kauka maka i aʻo ʻia e pili ana i kēia mau loli, no laila e hoʻohana ʻo ia i nā ʻano hana kūikawā, nā hoʻokolohua, a i ʻole nā ​​​​lako e ʻike ai iā lākou. Hiki iā lākou ke noi iā ʻoe e nānā i kahi pakuhi i kapa ʻia ʻo Amsler grid e ʻike inā he mau wahi makapō a i ʻole nā ​​​​​​mea ʻino i kāu ʻike.

Eia kekahi, aia nā hoʻokolohua kiʻi e hiki ke kōkua i ka ʻike ʻana i ka Myopic Degeneration. ʻO lākou kēia:

• ʻO ka angiography Fluorescein a me ka angiography ʻōmaʻomaʻo Indocyanine: He mau hoʻokolohua kūikawā kēia e nānā i ke kūlana o nā kīʻaha koko i loko o ka maka.
• ʻO ka tomography coherence optical (OCT): Lawe kēia i kahi ʻāpana kea o ka retina a hiki ke ʻike i nā loli liʻiliʻi i kona mau papa.
• Hoʻāʻo ultrasound maka `(Ultrasound maka)`

He aha nā lāʻau lapaʻau no ka Myopic Degeneration?

ʻO ka pahuhopu o ka mālama ʻana no ka Myopic Degeneration ka pale ʻana i ke kūlana mai ka lilo ʻana i mea ʻino aʻe a hoʻohuli i nā pilikia i hiki ke hana ʻia i ka nui o ka hiki.

Eia kekahi o nā lāʻau lapaʻau koʻikoʻi loa:

• Hoʻoponopono ʻike: ʻO ke kau ʻana i nā aniani kūpono a i ʻole nā ​​​​aniani hoʻopili hiki ke hōʻemi i ke kaumaha o ka maka. Hiki iā ia ke kōkua i ka palena a i ʻole ka lohi o nā loli i loko o ka retina.
• Nā lāʻau lapaʻau: Hoʻohana ko mākou kino i kahi protein i kapa ʻia ʻo Vascular Endothelial Growth Factor (VEGF) e hoʻoulu i nā kīʻaha koko hou. Hana nā lāʻau anti-VEGF ma ke kāohi ʻana i kēia protein mai ka hana ʻana. He mau lāʻau lapaʻau kēia i hoʻokomo ʻia i loko o ka maka.
• ʻO ka lāʻau lapaʻau laser a me ka lāʻau lapaʻau photodynamic: Hiki i kekahi mau lāʻau lapaʻau maka laser a me ka mālamalama ke kōkua i ka palena ʻana i ke kahe ʻana o ke koko a me ka hōʻino ʻana i ke kua o ka maka. Hiki i kēia ke lohi i ka holomua o ka myopic degeneration.
• ʻO ke ʻoki maka: Pono ke ʻoki ʻana e hoʻoponopono i kekahi mau pilikia o ka Myopic Degeneration (e.g., retinal detachment). Hiki i ke ʻoki ke hoʻōki i ka retinal detachment a pale i ka nalowale wikiwiki o ka ʻike maka.

E wehewehe pono ana kāu kauka maka iā ʻoe i nā koho lapaʻau kūpono iā ʻoe a me nā mea hiki iā ʻoe ke manaʻo mai iā lākou.

He aha kaʻu e nīnau aku ai i kaʻu kauka maka?

Hiki iā ʻoe ke nīnau i kāu kauka maka e like me:

• Pehea ke koʻikoʻi o koʻu Myopic Degeneration?
• He aha kaʻu e hana ai e kaupalena a hoʻolohi paha i ka holomua o kēia maʻi?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• ʻEhia pinepine e pono ai iaʻu e nānā i koʻu mau maka a ʻimi i ke kōkua lapaʻau?
• He aha nā hōʻailona e hiki iaʻu ke ʻae a hiki i kaʻu manawa kauka aʻe?
• He aha nā hōʻailona e pono ai iaʻu e ʻimi koke i ke kōkua lapaʻau?

He aha ka mea e hana inā loaʻa iaʻu ka Myopic Degeneration?

Inā loaʻa iā ʻoe ka Myopic Degeneration, ʻokoʻa ka mea hiki iā ʻoe ke manaʻo mai kēlā kanaka a kēia kanaka. No kekahi poʻe, e lilo ia i mea ʻino aʻe i ka hala ʻana o ka manawa. ʻO ka nui o ka hopena o kēia maʻi i kou ola, ma muli ia o ke koʻikoʻi o kou Myopia, a i ʻole ka lōʻihi o kou maka.

E hoʻomanaʻo mau: Inā ʻaʻole ʻoe e ʻike pinepine i ke kauka maka a nānā ʻia kou mau maka, ʻoi aku kou pilikia o ka hōʻino mau ʻana o ka maka a me ka nalowale o ka ʻike ma muli o ka Myopic Degeneration. ʻOiai hiki ke pale ʻia kēia mau pilikia i kekahi manawa, hiki ke kaupalena ʻia a i ʻole e hoʻopaneʻe ʻia e nā hoʻokolohua maka maʻamau.

ʻO ka myopia, ʻoiai inā koʻikoʻi loa, hiki ke lilo i mea hoʻonāukiuki iki. ʻAʻole wale ia, akā ʻo ka ʻike ʻana e hiki ke hōʻino i kou mau maka hiki ke hopohopo. Akā no ka mea ʻo Myopic Degeneration kahi maʻi i ʻike ʻia ma ka honua holoʻokoʻa, ke ʻimi mau nei nā loea i nā lāʻau lapaʻau hou a ʻoi aku ka maikaʻi.

Inā loaʻa iā ʻoe ka Myopic Degeneration, hiki i kāu kauka maka ke hāʻawi iā ʻoe i nā koho lapaʻau a kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona i hiki iā ʻoe ke nānā aku i nā mea nui loa iā ʻoe.

Leka Lawe-Home

• Inā he myopia koʻikoʻi kou, e makaʻala i ka myopic degeneration, ʻoiai inā ʻoi aku kāu lāʻau lapaʻau ma mua o -6.00.
• E hoʻomaopopo i nā hōʻailona: E makaʻala i nā mea e like me nā kiko ʻeleʻele i waenakonu o kou ʻike, ka paʻakikī o ka ʻike ʻana i nā kala, kahi helehelena wrinkled, a me nā mea lana i mua o kou mau maka.
• He mea nui ka ʻike mua ʻana: E hana i nā nānā maka maʻamau. Ma kēlā ala, inā he pilikia, hiki iā ʻoe ke ʻike mua a hoʻomaka i ka lāʻau lapaʻau.
• Aia nā lāʻau lapaʻau: Aia nā ʻano lāʻau lapaʻau like ʻole e loaʻa ana e pale aku i ka maʻi mai ka ʻino a hōʻemi i nā pilikia. Mai makaʻu e kamaʻilio me kāu kauka.
• Nā Hoʻololi ʻana i ke ʻano o ka nohona: ʻO nā mea e like me ka hoʻomaha ʻana i kou mau maka, ka ʻai ʻana i ka meaʻai kaulike, a me ka pale ʻana i ka puhipaka he mea maikaʻi ia no ke olakino maka.

Nau ponoʻī ke kuleana e mālama i kou mau maka. No laila, he mea nui loa ka makaʻala i kēia a hana i nā hana e pono ai.

ʻO ka Degeneration Myopic, Myopia Degenerative, Myopia Pathologic, ʻIke pōkole, Nā maʻi maka, Retina, Poho ʻike