Aia kekahi mea e like me kēia i loko o ka maka o kāu pēpē? E aʻo kākou e pili ana i (Persistent Pupillary Membrane)!

Ua nānā pono anei ʻoe i nā maka o kāu pēpē liʻiliʻi? Ke nānā pono ʻoe, i kekahi manawa e ʻike paha ʻoe i loko o ka maka, kahi o ke apo ʻeleʻele, aia kahi membrane lahilahi loa e like me ka hiʻohiʻona liʻiliʻi o nā kaula, a i ʻole kahi pūnaewele nananana. Hiki ke hopohopo iki ke ʻike ʻoe. "He aha kēia? He hewa paha ia me ka pēpē?" Manaʻo paha ʻoe. ʻO kēia ka mea a mākou e kapa pinepine ai ʻo `(Persistent Pupillary Membrane)`. ʻOiai ke kani nui nei ka inoa, he kūlana maʻamau loa kēia. E kamaʻilio kākou e pili ana i kēia i kēia lā, ʻae?

No laila, he aha maoli ka `(Persistent Pupillary Membrane)`?

I ka ʻōlelo maʻalahi, ʻo ka `(Persistent Pupillary Membrane)` e pili ana i ka membrane keu e kū nei ma luna a kokoke paha i ke apo ʻeleʻele (ka pōʻai ʻeleʻele ma waenakonu o ka maka a mākou e ʻike ai ke nānā aku) i loko o ka maka o kahi pēpē. He maʻi maka hānau kēia. ʻO ia hoʻi, hiki ke loaʻa i ka wā hānau.

I kēia manawa, ke noʻonoʻo nei paha ʻoe pehea e hana ai kēia. He mea kupaianaha ia. I ka wā e noho ana kahi pēpē i loko o ka ʻōpū, ʻo ia hoʻi, i ka wā e ulu ana ma ke ʻano he embryo, e hana ʻia kahi membrane piha i nā kīʻaha koko maikaʻi i mua o ka maka e pale i nā maka o ka pēpē a hāʻawi i ka meaʻai e pono ai no ko lākou ulu ʻana. Ua kapa ʻia kēia e nā kauka ʻo `(Anterior tunica vasculosa lentis)`. Ua like kēia me kahi ʻupena maikaʻi e pale ana i ka maka. ʻO ka maʻamau, ma mua o ka hānau ʻana o ka pēpē, ʻo ia hoʻi, ma waena o ke ono a me ka walu o ka hāpai ʻana, e heheʻe mālie ana kēia membrane a aneane nalowale loa. Eia naʻe, i kekahi mau pēpē, ʻaʻole e heheʻe kahi ʻāpana liʻiliʻi o kēia membrane a koe. Ke noho mau ia e like me kēlā, kapa mākou i kēia `(Persistent Pupillary Membrane)`.

Inā loaʻa i kāu pēpē kēia maʻi, e ʻike paha ʻoe i nā laina lahilahi e like me ke kaula e hoʻomaka ana ma ka ʻāpana kala o ka maka (ka iris) a holo ma luna o ka haumāna ʻeleʻele. I kekahi manawa hiki ke hohola ʻia kēia e like me ka pūnaewele nananana.

He hopena anei kēia i ka pēpē?

Eia ka mea nui: ʻO ka hapa nui o ka manawa, ʻaʻole kēia "Persistent Pupillary Membrane" e hōʻeha i ka pēpē. I ka hapa nui o nā pēpē, he liʻiliʻi loa kēia mau ʻāpana membrane, a i ʻole e haki a hoʻoheheʻe iā lākou iho i loko o ka makahiki mua o ke ola. ʻAʻole paha ʻoe e ʻike ua loaʻa iā ʻoe.

Eia nō naʻe, i nā hihia kakaikahi, inā mānoanoa iki kēia mau membrane, a inā uhi lākou i kahi ʻāpana nui me ka pigment ʻeleʻele, hiki iā ia ke hoʻopilikia iki i ka ʻike o ka pēpē. ʻO kēia ka manawa e pono ai mākou e akahele iki.

ʻO nā pēpē i nele i kēia membrane e nalowale ana iā lākou iho, ʻoi aku ka nui o ka loaʻa ʻana o kahi maʻi i kapa ʻia ʻo amblyopia a i ʻole "maka palaualelo." ʻO Amblyopia ka wā i ʻike pōwehiwehi ai kekahi maka akā ʻike maopopo ka maka ʻē aʻe, a hoʻōki ka lolo i ka hoʻohana ʻana i ka maka pōwehiwehi a hāʻawi i ka mea nui i ka maka i ʻike maopopo. Ua like kēia me ka maka palaualelo. Akā , mai hopohopo, he maʻi kēia e hiki ke mālama ʻia. Hiki i ke kauka maka ke kōkua i ka pale ʻana i ka amblyopia ma ka mālama ʻana i kēia membrane pupillary mau loa.

He aha nā pilikia ʻē aʻe e hiki ke hana?

He mea kākaʻikahi loa ka Persistent Pupillary Membrane (PPM), akā inā ʻaʻole mālama ʻia, hiki i kekahi mau keiki ke loaʻa i kahi pilikia liʻiliʻi o ka loaʻa ʻana o nā pilikia olakino e pili ana i ka maka. ʻO nā hiʻohiʻona:

• (Glaucoma) (Ke ʻano Glaucoma - hoʻonui ʻia ke kaomi i loko o ka maka)
• (Nā Cataract )
• (Ectopia lentis) (Ka loli ʻana o ke kūlana o ka lens o ka maka)

E hoʻomanaʻo, he mau hihia kakaikahi loa kēia, akā inā ʻike ʻoe i kekahi mau loli i nā maka o kāu pēpē, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka maka i ka wā hikiwawe loa.

ʻO wai ka mea maʻamau e loaʻa i kēia maʻi?

ʻO kaʻoiaʻiʻo, hiki i kekahi pēpē ke hānau ʻia me kahi "Persistent Pupillary Membrane". ʻOi aku ka maʻamau ma mua o kou manaʻo. Hōʻike nā noiʻi he 90% o nā pēpē hānau hou (ʻeiwa mai loko mai o ka ʻumi!) he kekelē o kēia membrane. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā pēpē hānau mua ʻole.

Mai kahaha, hiki i kahi 20% o nā pākeke ke ʻike i nā koena liʻiliʻi o kēia membrane ma ka liʻiliʻi o hoʻokahi maka. ʻAʻole ia e hoʻopilikia iki iā lākou.

He aha nā hōʻailona?

ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona o ka "Persistent Pupillary Membrane". ʻAʻole ʻike ka nui o nā mākua ua hānau ʻia kā lākou pēpē me kēia maʻi.

Eia nō naʻe, inā loaʻa i kāu pēpē nā hōʻailona, ​​​​e loaʻa pinepine iā lākou kahi ʻike pohihihi iki i ka maka i hoʻopilikia ʻia. Hiki i kēia ke hana i nā hewa refractive . E ʻike paha ʻoe i kāu pēpē e hoʻohuli ana i ko lākou poʻo i kekahi ʻaoʻao a i ʻole kekahi ʻaoʻao.

Pehea ʻoe e ʻike ai i kēia? (Diagnosis)

ʻO kahi loea mālama maka wale nō ke ʻike pono inā aia kēia ʻano. E hoʻohana ke kauka i kahi mea kūikawā i kapa ʻia he "slit lamp exam" e nānā i nā maka o ka pēpē. Hiki iā ʻoe ke ʻike i nā kikoʻī liʻiliʻi loa i loko o ka maka.

Eia kekahi, hiki ke hana ʻia kahi hoʻāʻo ʻike maka e hoʻoholo pono ai i ka nui o kēia ʻili e hoʻopilikia nei i ka ʻike o kāu pēpē. I kekahi manawa, i ka wā o ka hoʻokolokolo maka maʻamau, hiki i ke kauka ke ʻike i kēia ma mua o kou ʻike ʻana i kekahi mea.

He aha ka lāʻau lapaʻau?

Eia ka nūhou maikaʻi: ʻO ka hapa nui o ka manawa, ʻaʻohe lāʻau lapaʻau e pono ai no ka "Persistent Pupillary Membrane"! ʻO nā ʻāpana membrane i koe e haki, hoʻoheheʻe, a nalowale iā lākou iho i loko o ka makahiki mua o ke ola o ka pēpē.

Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, inā ʻoi aku ka mānoanoa o nā papa o ka membrane, a inā uhi ka maka ʻeleʻele i kahi ākea, pono paha ka pēpē i ka lāʻau lapaʻau. I kēlā mau hihia, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• Nā aniani a i ʻole nā ​​​​aniani hoʻopili:Inā he mau hewa refractive ko kāu pēpē, hiki ke hāʻawi ʻia nā aniani maka a i ʻole nā ​​​​aniani hoʻopili e hoʻoponopono iā lākou.
• Lāʻau lapaʻau: I kekahi manawa, hiki ke kuhikuhi ʻia ʻoe i nā kulu maka (i kapa ʻia ʻo "Mydriatics") e hoʻonui i ka maka. Hoʻonui kēia mau kulu i ka haumāna, e ʻae ana i ka pēpē e ʻike maopopo ma o ka haumāna.
• Ke komo ʻana i kahi pale maka: I mea e pale ai i ka amblyopia (maka palaualelo), hiki iā ʻoe ke pani i kou maka i hoʻopilikia ʻole ʻia no kekahi mau hola (e komo i kahi pale maka). E paipai kēia i kou lolo e hoʻohana i ka maka me ka pale. Ua like kēia me ka hāʻawi ʻana i kēlā maka i kahi hoʻomaʻamaʻa iki.
• ʻOki kino: He mea kākaʻikahi loa ke ʻoki kino no ka "Persistent Pupillary Membrane". Inā pono, e wehewehe kāu kauka i nā kikoʻī iā ʻoe. E wehewehe ʻo ia i ke ʻano o ke ʻoki kino e hana ʻia nei, pehea ka lōʻihi o ka manawa e lawe ai, a me ka manawa hoʻōla.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻO ka mea pōʻino, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i kāu pēpē mai ka hānau ʻia ʻana me ka "Persistent Pupillary Membrane". He hanana ulia pōpilikia ia. ʻO ke ʻano kēia, ʻaʻole ia he maʻi genetic, no laila ʻaʻole hiki ke wānana a pale ʻia paha.

He aha kāu e manaʻo ai inā loaʻa kēia maʻi i kāu pēpē?

No ka hapa nui, ʻaʻohe hopena lōʻihi o ka "Persistent Pupillary Membrane" i nā maka a i ʻole ka ʻike o kāu pēpē. ʻOiai inā pono kāu pēpē i ka lāʻau lapaʻau, e ulu maʻamau ka maka a e ola kino.

Eia naʻe, e like me ka ʻōlelo a ke kauka, pono ʻoe e lawe i kāu pēpē no nā hoʻokolohua maka ma hope . A laila hiki i ke kauka ke hoʻomau i ka nānā ʻana i ke ʻano o ka membrane, inā he mau loli ʻē aʻe i nā maka, a pehea hoʻi ka ʻike.

ʻEhia pinepine e pono ai ke nānā ʻia nā maka o kahi pēpē?

ʻO ka nānā mau ʻana i nā maka a me ka ʻike o kāu pēpē e hiki ke kōkua i kāu kauka maka e ʻike i nā pilikia i ka wā mua . Ma ke ʻano laulā, pono e nānā ʻia nā maka o kāu pēpē e ke kauka maka i loko o ka makahiki mua o ke ola . Ma hope o kēlā, he manaʻo maikaʻi e nānā ʻia lākou ma ka liʻiliʻi hoʻokahi a ʻelua paha i ka makahiki. E aʻo aku kāu kauka iā ʻoe ma kēia.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke lawe ʻoe i kāu pēpē i ke kauka, mai poina e nīnau i nā nīnau e like me kēia:

• Pono anei kaʻu pēpē i ka lāʻau lapaʻau no ka `(Persistent Pupillary Membrane)`?
• Aia kekahi mau pilikia a pilikia paha o ka pēpē ma muli o kēia?
• ʻEhia pinepine e pono ai iaʻu e lawe mai i kaʻu pēpē no ka hoʻokolokolo maka?

Ma ka nīnau ʻana i kēia mau nīnau, hiki iā ʻoe ke loaʻa kahi ʻike maopopo o ke kūlana.

E hoʻomanaʻo kākou i ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

ʻOiai paha he mea weliweli iki ka inoa ʻo "Persistent Pupillary Membrane", i ka hapanui o nā hihia he kūlana manawa pōkole ia, ʻaʻole ia he mea ʻino e ho'ōla ponoʻī ʻia.Ke hoʻoheheʻe loa ʻia ke koena o ka membrane, pono e olakino nā maka o kāu pēpē a ulu maʻamau.

ʻO ka mea nui loa, inā ʻike ʻoe i kekahi mea ʻē a ʻano ʻē paha i nā maka o kāu pēpē, e ʻike koke i kahi loea maka. ʻOiai ʻaʻole pono ka "Persistent Pupillary Membrane" i ka lāʻau lapaʻau, he mea nui e nānā ʻia nā maka o kāu pēpē e hōʻoia ʻaʻohe hōʻailona a pilikia paha. Mai hopohopo, aia nā kauka ma aneʻi e kōkua. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i nā maka o kāu keiki liʻiliʻi!

ʻO ka Membrane Pupillary Paʻa, Ola Kino o ka Maka o nā Pēpē, Membrane, Nā Maʻi Maka Hānau, Maka Palaualelo, Amblyopia, Hoʻokolokolo Maka, Nā Maka o nā Pēpē