Hiki i kou mau maka ke lilo i makapō? E kamaʻilio kākou e pili ana iā (Phthisis Bulbi)!

Ua manaʻo paha ʻoe i ka wā e hōʻino nui ʻia ai ko kākou mau maka, hiki iā lākou ke oki loa i ka hana a hiki iā kākou ke nalowale i ko kākou ʻike no ka wā pau ʻole? He mea weliweli maoli nō ia, ʻeā? Akā, he mea nui loa ka makaʻala i ia mau kūlana. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana kahi e lilo ai nā maka i mea hana ʻole loa, kahi a nā kauka e kapa nei he `(Phthisis Bulbi)`. Ua kapa pū kekahi poʻe iā ia he `(end-stage eye)`, ʻo ia hoʻi "end-stage eye".

He aha maoli nō ia (Phthisis Bulbi)?

I ka ʻōlelo maʻalahi, ʻo `(Phthisis Bulbi)` ka huaʻōlelo lapaʻau no kahi kūlana e kū mai ana i ka wā e hōʻino nui ʻia ai kou maka a hoʻōki i ka hana mau loa. ʻAʻole kēia e huikau me nā loli maʻamau e kū mai ana i nā maka i ko kākou ʻelemakule ʻana, ʻeā? Hana ʻia kēia i ka wā e hōʻino nui ʻia ai ka maka, a hiki i kahi i hiki ʻole ai ke hoʻoponopono hou ʻia. E noʻonoʻo e pili ana iā ia, ua like ko kākou maka me kahi kāmela liʻiliʻi paʻakikī loa, ʻeā? I kēia kūlana `(Phthisis Bulbi)`, pili ka hōʻino ʻana i ka maka i kekahi mau ʻāpana koʻikoʻi o ia mea:

• Sclera : ʻO kēia ka ʻāpana keʻokeʻo o ka maka e hoʻopuni ana i ko kākou mau maka. I ke ʻano o Phthisis Bulbi, lilo ia i mānoanoa a paʻakikī.
• Retina : Hoʻololi kēia papa ma ke kua o ka maka i ka mālamalama i mau hōʻailona uila a hoʻouna iā lākou i ka lolo, e hāʻawi ana iā mākou i ka ʻike . Hoʻopōʻino mau ʻo Phthisis Bulbi i ka retina, e pale ana iā ia mai ka hana pono ʻana.
• Cornea: ʻO kēia ʻāpana moakaka o ka maka ma ke alo o ka maka e kōkua iā mākou e ʻike maopopo i nā mea. I ke ʻano o Phthisis Bulbi, hiki i kēia cornea ke lilo i paʻakikī a ao.
• ʻO ka ʻāpana kala o ka maka, ʻo ia hoʻi ka iris: Hiki ke hōʻino ʻia kēia ʻāpana o ka maka e hāʻawi ana i ke kala i ko mākou mau maka e ka Phthisis Bulbi. I kekahi manawa, hiki ke hana ʻia kahi kūlana i kapa ʻia ʻo neovascularization o ka iris, kahi e hoʻokumu ʻia ai nā kīʻaha koko hou i loko o ka iris.

Hoʻololi pū kēia pōʻino i ke ʻano o ka ʻike ʻana o kou maka. ʻO ia hoʻi, ʻokoʻa ka ʻike ʻana o ka maka i hōʻino ʻia ma mua o kou maka ʻē aʻe. Hiki i kēia mau hoʻololi ke komo pū me:

• Hoʻēmi ka maka a lilo i mea liʻiliʻi (atrophy).
• ʻOi aku ka huinahā o ke ʻano o nā maka ma mua o ka poepoe.
• Ka ʻeha i loko o ka maka.
• Me he mea lā ua piholo ka maka (pseudo enophthalmos).
• ʻIke pōwehiwehi, ʻaʻole ʻike maopopo.

ʻO ka mea nui loa, ʻo ia ke ulu aʻe ke ʻano i kapa ʻia ʻo `(Phthisis Bulbi)`, ʻaʻole hiki ke mālama ʻia e hoʻihoʻi i ka maka i kona kūlana maʻamau. Eia nō naʻe, he nui nā ʻano e hiki ai ke hoʻoulu i kēia ʻano, a inā ʻike ʻia a mālama ʻia i ka wā mua , hiki ke pale ʻia lākou mai ka holomua ʻana i ia ʻano koʻikoʻi.

No laila, inā ʻike ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike ʻana, e ʻike koke aku i kahi ophthalmologist.Inā ʻike ʻoe i nā hōʻailona i ka wā mua, hiki iā ʻoe ke hōʻemi i ka pilikia o ka loaʻa ʻana o kahi maʻi e like me `(Phthisis Bulbi)`.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

ʻO ka Phthisis Bulbi ka mea maʻamau i nā poʻe ma luna o 65 mau makahiki. ʻO kēia no ka mea ʻoi aku ka nui o ka poʻe ʻelemakule e loaʻa i nā pilikia olakino ʻē aʻe e hiki ke hōʻino i ko lākou mau maka. Eia naʻe, ʻaʻole kēia manaʻo ʻaʻole hiki i nā poʻe ʻōpio ke loaʻa. Hiki i kekahi ke loaʻa i ka maʻi maka hope loa. Hiki ke loaʻa i nā keiki ʻōpio a me nā pākeke ʻōpio, ma muli o kahi ʻeha traumatic i ka maka a i ʻole ma muli o kahi maʻi hānau. ʻO ka poʻe me kekahi mau maʻi autoimmune, kahi e hoʻouka ai ka ʻōnaehana pale o ke kino i kāna mau cell ponoʻī, aia kekahi i ka pilikia kiʻekiʻe o ka loaʻa ʻana o ka phthisis bulbi. Hiki i kēia mau maʻi ke hoʻoulu i ka mumū mau i nā maka, hiki ke hōʻino i nā maka i ka hala ʻana o ka manawa. Inā loaʻa iā ʻoe kekahi o kēia mau mea pilikia, he manaʻo maikaʻi ke kamaʻilio me kahi loea maka. ʻO kekahi mau maʻi mumū e hiki ke alakaʻi i ka `(Phthisis Bulbi)` penei:

• He maʻi ʻili ka Psoriasis .
• ʻO ka ʻāʻī rheumatoid .
• `(ʻO ka maʻi ʻaʻai psoriatic)`.
• ʻO ka maʻi spondylitis Ankylosing.
• ʻO ka colitis ulcerative ( ka mumū o ka ʻōpū ʻai).
• ʻO ka maʻi Sarcoidosis .

He aha nā hōʻailona o ka maʻi ʻōpū (Phthisis Bulbi)?

ʻO ka hōʻailona nui a maopopo loa o kēia maʻi, ʻo ia ka nalowale loa o ka ʻike ma ka maka i hoʻopilikia ʻia. He mau loa kēia makapō a ʻaʻole hiki ke mālama ʻia. I kekahi manawa, kapa nā kauka i kēia makapō he "disorganisation." ʻO ke ʻano kēia, ua holomua nā loli i loko o ka maka a hiki i kahi hiki ʻole ke hoʻoponopono ʻia. Hiki i nā hōʻailona ʻē aʻe ke komo pū me:

• Ka nalowale ʻana o ka ʻike.
• ʻIke i ka mālamalama (paʻakikī ke nānā aku i ka mālamalama).
• ʻEha.
• Ke ʻike nei i nā mea lana a me nā lapalapa o ke kukui i mua o nā maka.
• Nā maka keʻa a i ʻole nā ​​maka i kūlike ʻole (Strabismus).

He aha nā kumu o kēia ʻano maʻi o ka maka?

ʻO nā mea āpau e hiki ke hōʻino mau i ka maka a hoʻōki iā ia mai ka hana ʻana e hiki ke hana i ka `(Phthisis Bulbi)`. ʻO nā kumu maʻamau:

• Nā ʻeha e like me nā ʻeha maka. E noʻonoʻo e like me ka pāʻani haʻuki, ke komo ʻana i kahi ulia kaʻa, a i ʻole ke kuʻi ʻia ʻana o ka maka e kahi mea ʻoi.
• Nā maʻi.
• ʻO Retinoblastoma (kahi maʻi ʻaʻai maka e kū mai ana i nā keiki ʻōpio) a me nā ʻano maʻi ʻē aʻe.
• Nā kīnā hānau a me nā pilikia hānau ʻē aʻe.
• Nā pilikia ma hope o ke ʻoki maka.
• Hoʻōla radiation.
• ʻO kekahi mau maʻi koko e like me ka "maʻi sickle cell".

Nā maʻi e hoʻopilikia i nā maka no ka manawa lōʻihi

Aia kekahi mau maʻi maka e hiki ke hōʻino i nā maka i ka hala ʻana o ka manawa a alakaʻi i kahi maʻi i kapa ʻia ʻo `(Phthisis Bulbi)`. ʻO kekahi o ia mau maʻi nui:

• Nā retina i hoʻokaʻawale ʻia (mau).
• ʻO ka Uveitis kahi mumū o loko o ka maka.
• ʻO ka maʻi ʻaʻahu (Coats disease)
• ʻO ka Retinopathy o ka hānau mua ʻana he maʻi ia o ka retina o nā pēpē hānau mua.
• ʻO ka pōʻino o nā maka i hoʻokumu ʻia e ka maʻi diabetes (Diabetes-related retinopathy).

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe (Phthisis Bulbi)?

ʻO ke kauka maka wale nō ke kauka hiki ke ʻike maopopo inā loaʻa iā ʻoe ʻo Phthisis Bulbi ma o ka hoʻokolokolo maka. E nānā pono ʻo ia i kou maka (me ka maka o ka maka) no kekahi ʻeha a i ʻole nā ​​​​pōʻino ʻē aʻe. He mau hōʻailona kēia o kahi maka hope loa. I kekahi manawa pono paha ʻoe e loaʻa i kahi CT scan a i ʻole MRI. Hiki i kēia ke kiʻi i nā kiʻi maopopo o ka maka a me nā ʻiʻo a puni ia.

Aia kekahi lāʻau lapaʻau no kēia?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau i kēia manawa e hiki ai ke hoʻihoʻi i ka ʻike ma hope o ka holomua ʻana o ke kūlana o `(Phthisis Bulbi)` a hiki i kahi i nalowale ai ka ʻike. Ke hiki i kahi `(maka hope loa)`, ʻaʻole hiki ke hoʻihoʻi ʻia ka pōʻino o ka maka. Eia nō naʻe, hiki i kāu loea maka ke kuhikuhi i ka wehe ʻana i ka maka i hōʻino ʻia a hoʻololi iā ia me kahi `(maka prosthetic).` Hiki ke hana ʻia kēia maka hana e kūlike me kou maka olakino. Eia naʻe, he `(kaʻina hana hoʻonaninani) wale nō kēia.` ʻAʻole ia e hoʻihoʻi i ka ʻike nalowale. ʻO ka wehe ʻana i ka maka i hōʻino ʻia i kekahi manawa hiki ke hōʻoluʻolu i ka ʻeha a me ka pehu.

Hiki ke pale ʻia ka Phthisis Bulbi?

ʻO ke ala wale nō e pale aku ai i ka Phthisis Bulbi, ʻo ia ke ʻike ʻana i kahi kauka maka i ka wā e ʻike ai ʻoe i kekahi mau hōʻailona hou a i ʻole nā ​​loli i kou mau maka a i ʻole ka ʻike. Hiki i kēia ke kōkua i ka ʻike ʻana i nā kūlana e hiki ai ke alakaʻi i kēia kūlana maka hope loa a mālama iā lākou ma mua o ko lākou hōʻino mau ʻana. He mea paʻakikī ke pale aku i ka Phthisis Bulbi mai ka hanana ʻana ma muli o ka trauma. Eia nō naʻe, he mea nui e komo i ka pale maka kūpono i ka wā e pāʻani ana i nā haʻuki a i ʻole e hana ana ma nā wahi i loaʻa ai ka pilikia o ka ʻeha o ka maka.

ʻEhia pinepine e pono ai ke nānā ʻia kou mau maka?

ʻO ka nānā mau ʻana i kou mau maka a me kou ʻike maka e hiki ke kōkua i kāu kauka maka e ʻike i nā pilikia i ka wā mua. ʻOkoʻa ka alapine o nā hoʻokolohua maka me ka makahiki:

• Nā mākua ma lalo o 40: ʻO ka maʻamau i kēlā me kēia ʻelima a ʻumi makahiki.
• Nā pākeke ma waena o 40 a me 54 mau makahiki: I kēlā me kēia ʻelua a ʻehā mau makahiki.
• Nā mākua ma luna o 55 mau makahiki: I kēlā me kēia makahiki hoʻokahi a ʻekolu.

Inā ʻoe e komo i nā aniani maka, nā leo hoʻopili maka, a i ʻole makemake ʻoe i kahi mea kōkua ʻike maka ʻē aʻe, pono paha ʻoe e nānā pinepine i kou mau maka. Inā loaʻa iā ʻoe ka maʻi diabetes, pono ʻoe e nānā pinepine i kou mau maka. ʻOi aku ka maikaʻi o ka nīnau ʻana i kāu kauka maka i ka pinepine o kou pono ʻana i ka nānā maka.

He aha ka mea e pono ai i kekahi me (Phthisis Bulbi) ke manaʻo?

Inā haʻi aku ke kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he `(Phthisis Bulbi)`, pono ʻoe e manaʻo e mau loa ke ʻano. Ke ʻike ke kauka i ka `(Phthisis Bulbi)`, ua lohi loa ka mālama ʻana a me ka hoʻihoʻi ʻana i ka ʻike. Ma muli o ke kumu o `(Phthisis Bulbi)`, ʻoiai inā i hoʻokumu ʻia e kahi mea e like me `(trauma)`, hiki ke loaʻa nā hōʻailona a i ʻole nā ​​​​pilikia ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i ka mea e manaʻo ai.

Āhea ʻoe e ʻike ai i ke kauka?

E hoʻomanaʻo, e ʻike i kahi loea maka i ka wā e ʻike ai ʻoe i kekahi mau loli i kou mau maka a i ʻole ka ʻike. ʻO ke ala wale nō e pale aku ai i ka `(Phthisis Bulbi)` ʻo ia ke ʻike i ke kumu o nā hōʻailona ma mua o ko lākou hōʻino mau ʻana i nā maka.

Inā loaʻa iā ʻoe kahi ʻeha o ka maka a nalowale koke paha kou ʻike, e hele koke i kahi lumi pilikia.

Nā nīnau e nīnau aku ai i ke kauka/kauka

Inā ʻike ʻoe he `(Phthisis Bulbi)` kou, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:

• He aha ke kumu e ulu ai iaʻu ka `(Phthisis Bulbi)`?
• E pono anei iaʻu kahi maka prosthetic?
• ʻEhia pinepine e pono ai iaʻu e nānā i koʻu maka olakino ʻē aʻe?

ʻO ka mea nui e hoʻomanaʻo mai nā mea a mākou i kūkākūkā ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i ka `(Phthisis Bulbi)` i kēia lā, ʻeā? ʻOiai he maʻi koʻikoʻi kēia, he mea nui nō naʻe e makaʻala i ia mea. Eia kekahi mau mea nui e hoʻomanaʻo ai:

• ʻO ka `(Phthisis Bulbi)` kahi maʻi i hōʻino nui ʻia ai ka maka, e lilo ai ka ʻike maka mau loa a me ka makapō.
• ʻAʻole kēia he hopena maʻamau o ka ʻelemakule. Hiki ke hana ʻia e nā ulia koʻikoʻi, nā maʻi, a me kekahi mau kūlana olakino.
• Ke komo ʻoe i ke kūlana o `(Phthisis Bulbi)`, ʻaʻole hiki iā ʻoe ke ʻike hou.
• Eia nō naʻe, inā ʻike ʻia a mālama ʻia nā ʻano maʻi he nui e hiki ai ke hoʻoulu i kēia i ka wā mua, nui ka manawa kūpono e hiki ke pale ʻia ka `(Phthisis Bulbi)`.
• No laila, inā ʻike ʻoe i kekahi mau loli a i ʻole nā ​​​​hōʻailona hou i kou mau maka, e ʻike koke i kahi ophthalmologist.
• E ʻaʻahu i nā maka palekana kūpono ke loaʻa ka pilikia o ka ʻeha o ka maka.

He mea waiwai nui ko kākou mau maka. No laila, ʻo ko kākou kuleana ke mālama iā lākou. Mai makaʻu, akā e makaʻala. Inā he mau nīnau hou kāu e pili ana i kēia, e ʻimi pono i ke kōkua lapaʻau. Phthisis bulbi, maka hope loa, makapō, maʻi maka, nalowale o ka ʻike, olakino maka, ʻeha maka